Influence of Early and Regular Dental Visits on Dental Health Care Costs of Primary School Children in Amsterdam

IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Tessa S. van Ligten , Denise Duijster , Egija Zaura , Catherine M.C. Volgenant
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Abstract

Objectives

To explore whether dental visits before the age of 4 years and regular dental visits were associated with incurring dental costs at age 9 (proxy for a dental visit), and if so, what were the dental costs for primary school children in Amsterdam associated with those visits.

Methods

In this retrospective, longitudinal study, sociodemographic characteristics and dental costs between 2009 and 2017 were obtained from primary school children living in Amsterdam via Statistics Netherlands. Explanatory variables were whether children visited a dentist <4 years of age between 2009 and 2011 (yes/no) and whether children regularly visited a dentist between 2012 and 2016 (yes/no). The outcome was dental costs at age 9 in 2017 (yes/no and the amount).

Results

The study population consisted of 9,519 children. Dental costs <4 years of age and consecutive dental costs were associated with incurring dental costs at age 9 (aOR 2.12 [1.83-2.45]; aOR 6.48 [5.56-7.54], respectively). For those with dental costs at age 9, dental costs <4 years of age were not associated with the amount of dental costs (mean difference [MD] 5.16 [-2.69-13.00]). For children incurring consecutive dental costs, dental costs at age 9 were higher than for those without (MD 17.52 [7.35-27.69]).

Conclusions

Early and regular dental visits were associated with increased odds of visiting a dentist at age 9 years. For children who visited a dentist at age 9 years, those with early and regular dental visits incurred slightly higher dental costs 5 years later, but mean differences were small and only the latter was significant. Therefore, early or regular dental visits do not lead to lower dental costs in the future.
早期和定期牙科就诊对阿姆斯特丹小学生牙科保健费用的影响
目的探讨4岁前的牙科就诊和定期牙科就诊是否与9岁时的牙科费用相关(代替牙科就诊),如果相关,阿姆斯特丹小学生的牙科费用与这些就诊相关。方法通过荷兰统计局对2009年至2017年居住在阿姆斯特丹的小学生进行回顾性、纵向研究,获取社会人口学特征和牙科费用。解释变量为儿童在2009年至2011年期间是否去看牙医(是/否),以及儿童在2012年至2016年期间是否定期去看牙医(是/否)。结果是2017年9岁儿童的牙科费用(是/否和金额)。结果研究人群包括9519名儿童。4岁时的牙科费用和连续的牙科费用与9岁时发生的牙科费用相关(比值为2.12 [1.83-2.45];aOR分别为6.48[5.56-7.54])。对于那些在9岁时就有牙科费用的人,4岁时的牙科费用与牙科费用的金额无关(平均差值[MD] 5.16[-2.69- 13.50])。连续接受过牙科治疗的儿童在9岁时的牙科治疗费用高于未接受过牙科治疗的儿童(MD为17.52[7.35-27.69])。结论早期和定期看牙医与9岁时看牙医的几率增加有关。对于9岁时看牙医的儿童来说,早期和定期看牙医的儿童在5年后的牙科费用略高,但平均差异很小,只有后者是显著的。因此,尽早或定期看牙医并不会降低未来的牙科费用。
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来源期刊
International dental journal
International dental journal 医学-牙科与口腔外科
CiteScore
4.80
自引率
6.10%
发文量
159
审稿时长
63 days
期刊介绍: The International Dental Journal features peer-reviewed, scientific articles relevant to international oral health issues, as well as practical, informative articles aimed at clinicians.
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