Projected Oral Health Outcomes and Costs Associated With Pediatric Medicaid Disenrollment - Report - DentalSpire

Projected Oral Health Outcomes and Costs Associated With Pediatric Medicaid Disenrollment

  • By

  • Sung Eun Choi

  • Lisa Simon

  • Catherine Hayes

  • William V. Giannobile

  • May 12, 2026

  • 0 min

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Clinical Report: Anticipated Dental Health Impacts of Pediatric Medicaid Disenrollment

Overview

This report examines the potential impacts of Medicaid disenrollment on pediatric dental health and associated costs. A microsimulation model predicts significant increases in dental caries and healthcare costs among children losing Medicaid coverage due to policy changes.

Background

Access to dental care remains a critical issue for children in the US, especially those from low-income families. Medicaid provides essential dental coverage to millions of children, significantly reducing emergency department visits for dental issues. However, proposed policy changes threaten to disenroll a substantial number of these children, potentially exacerbating existing disparities in oral health outcomes.

Data Highlights

{'Increased Dental Caries': 'Quantify the projected increase in dental caries.', 'Increased ED Visits': 'Quantify the projected increase in ED visits.'}

Key Findings

{'additional_data': 'Include specific projected increases in dental caries and ED visits.'}

Clinical Implications

{'strategies': 'Suggest specific strategies for maintaining coverage.'}

Conclusion

{'preventive_measures': 'Emphasize the need for preventive measures and policy advocacy.'}

Related Resources & Content

  1. Choi et al., JAMA Network Open, 2025 -- Protecting Children’s Dental Care Access Amid Policy Changes
  2. ADA News, 2025 -- What happens if the adult Medicaid dental benefit goes away?
  3. ADA News, 2025 -- Dental care utilization stagnant among Medicaid beneficiaries
  4. EPSDT Guidance | Medicaid
  5. BMC Oral Health, 2025 -- Resin-based sealant effectiveness in high-caries risk children: a systematic review
  6. Contact Lens Spectrum — Financial Implications of Patient Compliance
  7. Medicaid Enrollment and Unwinding Tracker | KFF
  8. EPSDT Guidance | Medicaid
  9. Resin-based sealant effectiveness in high-caries risk children: a systematic review | BMC Oral Health | Full Text

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