Identifying Unaddressed Systemic Health Conditions at Dental Visits: Patients Who Visited Dental Practices but Not General Health Care Providers in 2008
Open accessAbstract
We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient health care in 2008, 34.7% and 23.1%, respectively, visited a dentist. They varied by census region, family income, and sociodemographics. Dental practices can serve as alternate sites of opportunity to identify health concerns among diverse groups of US patients.
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Many dental practitioners have long-term patient relationships and regularly care for patients who may not present in other healthcare settings or who endorse substance misuse.
“Many dental practitioners establish long-term patient relationships that provide frequent opportunities for screening and intervention and regularly provide care to patients who may not present in other healthcare settings, as well as patients who endorse misuse of substances (Pollack et al., 2014; Strauss et al., 2012).”
From Dental screening, counseling, and referral to treatment for substance use disorder: Survey of the National Dental Practice-Based Research Network (2026) · cites this paper as Strauss et al., 2012
Dental practices are an often-overlooked resource for identification and early intervention for problematic substance use.
“Dental practices are an often-overlooked resource for identification and early intervention regarding problematic substance use behaviors.”
From Dental screening, counseling, and referral to treatment for substance use disorder: Survey of the National Dental Practice-Based Research Network (2026) · cites this paper as Strauss et al., 2012
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McCauley, J. L., Crawford, P., Leo, M. C., McBurnie, M. A., Barton, D., Weidner, H. A., Rindal, D. B., & the National Dental PBRN Collaborative Group (2026) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.24-00383 · Cited by 1 · see citing works
- Authors
- Strauss, S. M., Alfano, M. C., Shelley, D., & Fulmer, T.
- Affiliations
- New York University (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2012-02
- Volume
- 102
- Issue
- 2
- Pages
- 253-255
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3483998
- OpenAlex
- W2153571470
- Cited by
- 95
- References
- 0
- Citations by year
- 2026: 7 · 2025: 9 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 3 · 2019: 8 · 2018: 3 · 2017: 7 · 2016: 8 · 2015: 10 · 2014: 6 · 2013: 5 · 2012: 11
- FWCI
- 8.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Keywords
- unmet health needs, dental visits, adults, sociodemographic disparities, household income, census regions, health care utilization
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Dental Offices, Dentists, Female, Health Status, Humans, Infant, Male, Middle Aged, Office Visits, Socioeconomic Factors, Health Care Surveys, Young Adult, General Practice
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