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Maternal and Child Health Bureau logoA Health Professionals Guide to Pediatric Oral Health Management
HomeModuleModule 1: An Introduction to Infants' and Young Children's Oral HealthModule 2: Managing Infants' and Young Children's Oral HealthModule 3: Oral Conditions and AbnormalitiesModule 4: Prevention of Oral DiseaseModule 5: Non-Nutritive Sucking HabitsModule 6: Oral InjuryModule 7: Infants and Young Children with Special Health Care NeedsContentsGlossaryEvaluationHelp
Module 1: An Introduction to Infants and Young Childrens Oral Health
Module Contents
Overview
1.1 The Health Professional’s Role in Promoting Oral Health
1.2 Trends in Oral Health

Access to Care (current page)
Tooth Decay
Untreated Tooth Decay
Fluoride
Malocclusion
Injury and Violence
Children with Special Health Care Needs
1.3 Oral Health, General Health, and Well-Being
Key Points
Post-Test
References
Additional Resources


1.2 Trends in Oral Health

Note
notepad graphicIn a national study, 66 percent of children ages 2-4 from families with annual incomes of less than $10,000 had not had a dental visit the preceding year.

 

Every infant and child can enjoy good oral health. However, preventable oral diseases still afflict many U.S. children, especially children from families with low incomes, children in certain minority groups, and children with special health care needs.[2] The Surgeon General’s Report on Oral Health identifies a “silent epidemic” of dental and oral diseases, and it calls for a national effort to improve oral health among Americans.[3]

The following facts show that we still have a long way to go in improving oral heath in the United States:

Access to Care 

  • Vulnerable populations of children (especially children from families with low incomes, those who are homeless, those in families without dental insurance, and those with special health care needs) have more oral health problems and less access to care than the general population. These children suffer from frequent — often urgent — oral health problems and generally receive inadequate care.[4]

  • Children from families with incomes below 199 percent of the federal poverty level (FPL) are three times as likely to have an unmet oral health care need as children from families with incomes above or at 200 percent of the FPL.[5]

  • Many children from families with annual incomes of less than $10,000 do not have access to oral health services. In a national study, 66 percent of children ages 2-4 had not had a dental visit the preceding year.[4]

  • Factors contributing to inadequate access include geographic maldistribution of oral health professionals, inadequate number of dentists treating Medicaid-eligible children, relatively few pediatric dentists who may be more likely to treat Medicaid-eligible children, individuals’ knowledge and attitudes concerning oral health, and other difficulties reaching culturally diverse populations.[6]
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