Medicaid dental coverage and racial/ethnic variation in preventive dental care and unmet needs during pregnancy - Report - DentalSpire
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Medicaid Dental Benefits and Disparities in Preventive Oral Care and Unmet Needs Among Pregnant Women by Race/Ethnicity

  • By

  • Cilia E. Zayas

  • Sarah H. Gordon

  • Hawazin W. Elani

  • Astha Singhal

  • March 24, 2026

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Medicaid Dental Benefits and Disparities in Preventive Oral Care Among Pregnant Women

Overview

Expand on the significance of disparities in dental care access among pregnant women.

Background

Oral health during pregnancy is crucial as it is linked to adverse maternal and infant outcomes, including preterm birth and low birth weight. Despite the importance of dental care, many pregnant women, particularly those enrolled in Medicaid, face barriers to accessing necessary services. This study aims to explore the impact of Medicaid dental benefits on access to care and identify disparities among different racial and ethnic groups.

Data Highlights

OutcomePercentage
Medicaid-enrolled women receiving dental cleaning28%
General U.S. pregnant population receiving dental cleaning46%

Key Findings

  • Only 28% of Medicaid-enrolled pregnant women received a dental cleaning during pregnancy.
  • States with Medicaid dental coverage have higher rates of dental cleaning compared to those without.
  • Racial and ethnic disparities exist, with lower rates of dental care access among non-White women.
  • Black and Asian and Pacific Islander women had the lowest predicted probabilities of receiving dental cleanings.
  • Cost remains a significant barrier to dental care for low-income populations.

Clinical Implications

Healthcare providers should advocate for improved Medicaid dental benefits to enhance access to preventive dental care for pregnant women, particularly among racially and ethnically diverse populations. Addressing these disparities is essential for improving maternal and infant health outcomes.

Conclusion

The study underscores the critical need for equitable access to dental care during pregnancy, particularly for Medicaid-enrolled women from diverse racial and ethnic backgrounds. Enhancing Medicaid dental benefits could help bridge the gap in care access.

Related Resources & Content

  1. BMC Pregnancy and Childbirth, 2026 -- Medicaid dental coverage and racial/ethnic variation in preventive dental care and unmet needs during pregnancy
  2. JAMA Network Open, 2023 -- Projected Oral Health Outcomes and Costs Associated With Pediatric Medicaid Disenrollment
  3. ADA News, 2022 -- June JADA finds pregnant women who experience food insecurity exhibit worse oral health, lack access to care
  4. ADA News, 2025 -- Dental care utilization stagnant among Medicaid beneficiaries
  5. ACOG, 2025 -- Oral Health Care During Pregnancy and Through the Lifespan
  6. ADA News — Pregnant, postpartum Medicaid enrollees to have dental coverage at least 60 days after pregnancy
  7. Oral Health Care During Pregnancy and Through the Lifespan | ACOG
  8. The Risk of Preterm Birth in Women With Periodontitis: A Systematic Review and Meta‐Analysis - PMC
  9. Medicaid dental coverage and racial/ethnic variation in preventive dental care and unmet needs during pregnancy | BMC Pregnancy and Childbirth | Springer Nature Link

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