| Suominen-Taipale e Widström, 19981818 Suominen-Taipale L, Widström E. Does dental service utilization drop during economic recession? The example of Finland, 1991-94. Community Dent Oral Epidemiol 1998; 26(2):107-114.
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The only significant alteration during the years of the study on the use of dental services was observed among the groups entitled to subsidized care, which were those who reduced consultations and demand for dental care. |
The intensified competition caused by the increase in the number of dental surgeons probably partially counterbalanced the effects of the economic recession; however, this market dispute between professionals favored individuals with higher income and levels of schooling. |
| Wall et al, 20121919 Wall TP, Vujicic M, Nasseh K. Recent trends in the utilization of dental care in the United States. J Dent Educ 2012; 76(8):1020-1027.
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Among the children, there was a steady increase in the use of dental services between 1997 and 2010, coinciding with a shift from private to public insurance. |
A desaceleração econômica entre 2007 e 2009 não resultou em um declínio estatisticamente significativo na taxa de utilização de atendimento odontológico entre a população como um todo.
Mas a tendência agregada mascara uma variação significativa por idade e nível de pobreza. |
| Abasaeed et al, 20132020 Abasaeed R, Kranz AM, Rozier G. The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina. J Am Dent Assoc 2013; 144(9):1038-1046.
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On the other hand, the adult population showed a reduction in access to dental services, particularly when assessing the lower income ranges. This is due to the fact that adult dental services are not a mandatory benefit under Medicaid. |
The economic deceleration between 2007 and 2009 did not result in a statistically significant decline in the rate of dental care use among the population as a whole. But the aggregate trend masks a significant variation by age and poverty level. |
| McClure e Sæmundsson, 20142121 McClure CB, Saemundsson SR. Effects of a national economic crisis on dental habits and checkup behaviors - a prospective cohort study. Community Dent Oral Epidemiol 2014; 42(2):106-112.
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It was observed that a smaller number of children are receiving necessary dental care because of the 2007-2009 economic crisis, which led to a reduction in recent gains in the treatment of dental caries in children from North Carolina. |
The deleterious effects of the Great Recession on the oral health of North Carolina kindergarten students were small but statistically significant. |
| Rallis et al, 20152222 Rallis G, Igoumenakis D, Krasadakis C, Stathopoulos P. Impact of the economic recession on the etiology of maxillofacial fractures in Greece. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119(1):32-34.
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Overall, there was no general change in oral health behaviors (e.g., annual visits to the dentist and adequate brushing / flossing habits). |
Economically vulnerable students are less likely to seek dental care during an economic crisis, while specific groups (unemployed men and women) increase healthier behaviors. |
| Beazoglou et al, 20152323 Beazoglou T, Douglass J, Myne-Joslin V, Baker P, Bailit H. Impact of fee increases on dental utilization rates for children living in Connecticut and enrolled in Medicaid. J Am Dent Assoc 2015; 146(1):52-60.
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The rate of facial fractures caused by car accidents before the crisis worsened was significantly reduced in the post-2010 period. In turn, the incidence of fractures due to interpersonal violence increased during the period of severe economic crisis. |
The authors attribute the decrease in the rate of facial fractures caused by motor vehicle accidents to high gasoline prices, which led to a significant reduction in individual transport use. On the other hand, they attribute the increased incidence of fractures due to interpersonal violence to the increase in poverty and unemployment, which generated a wave of violence in the country. |
| Fernández et al, 20152424 Calzón Fernández S, Fernández Ajuria A, Martín JJ, Murphy MJ. The impact of the economic crisis on unmet dental care needs in Spain. J Epidemiol Community Health 2015; 69(9):880-885.
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The combination of increased Medicaid reimbursement rates for enrolled dentists, better program management, and the economic recession led to an unprecedented increase in utilization rates of program-related oral health services. Specifically, service utilization rates increased, while the United States experienced the worst economic recession since the Great Depression of 1929. |
Although it was impossible to quantify the separate effects of rising recession rates, there is considerable indirect evidence that the recession contributed to higher utilization rates. |
| Elstad, 20172525 Elstad JI. Dental care coverage and income-related inequalities in foregone dental care in Europe during the great recession. Community Dent Oral Epidemiol 2017; 45(4):296-302.
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There was an increase in the need for oral health care. The Spanish health system provides basic coverage for preventive and restorative dental care with public funding for children. However, unlike other health services, publicly funded dental care for adults is limited to acute care. |
The economic crisis resulted in an increase in the number of unemployed individuals and a decrease in the available income, both determinant factors of unmet dental care needs by the adult population. |
| Guay, 20192626 Guay AH, Blatz A. The effect of the Great Recession on the demand for general oral health care and orthodontic care. J Am Dent Assoc 2019; 150(4):287-293.
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There was a loss of 3.1% in dental care coverage considering the gross national average. The results show that countries with higher basic dental care coverage - whether from public health, compulsory social insurance or both - tend to have better access to dental treatment for the low-income strata, as well as lower income-related inequalities in dental care.
The demand for oral health services declined during the recession for both general practitioners (GP) and orthodontic services. In 2015, the low-income group ended up slightly below the 2003 level, whereas the higher income group experienced a steady increase in the number of dental appointments (GP) during the study period, ending at a higher level in 2015 in comparison to 2003.
For orthodontic consultations, in turn, the highest income group showed a decline in the first half of the study period and recovered it during the second half. The low-income group experienced a slight increase in dental visits, ending at a higher rate of visits in 2015 when compared to 2003. For both services, direct spending decreased slightly (4.8% for general oral health care and 0.04% for orthodontics).
This difference can be explained by the often characteristic contractual payments for orthodontic care, which may moderate the effects of changes in short-term demand. The significant increase in payments made by government assistance programs is evident for both types of services, indicating that these programs either isolate overall economic trends or increase in response to a general economic deceleration. |
The results indicate that the lowest income stratum (i.e., the fourth lowest in the country's income hierarchy) reported that the previous dental assistance was significantly more frequent than the upper income stratum in all 23 assessed countries, both in 2008/2009 and 2012/2013. |
| The deceleration in the status of the overall economy during the Great Recession period resulted in a decrease in the demand for general oral health care and orthodontic care in the United States. |
