Journal of Oral Hygiene & Health
Open Access

Oral health is a critical component of overall well-being, yet youth with a history of foster care often face significant obstacles in accessing adequate dental care. The foster care system in the United States serves over 400,000 children annually, many of whom experience unstable living conditions, limited healthcare access, and disruptions in medical and dental services. Studies suggest that these youth have a higher prevalence of oral health issues compared to their non-foster peers, resulting in long-term health consequences. Understanding the scope of oral health needs within this population is vital to developing effective interventions and policies that ensure comprehensive healthcare access [1, 2].

This study aims to assess the oral health status of youth with foster care experience using a population-based approach. By analyzing the prevalence of dental issues, barriers to care, and potential solutions, we provide a comprehensive overview of the factors contributing to oral health disparities. This research also explores the role of public health initiatives, Medicaid policies, and community-based dental programs in bridging the gap in care [3].

Methods

A population-based study design was used to evaluate oral health disparities among youth with a history of foster care. Data was collected from national health surveys, foster care records, and oral health assessments from public health databases. Key variables examined included the prevalence of untreated dental caries, periodontal disease, access to preventive dental care, and barriers to receiving regular dental check-ups. The study compared oral health outcomes between foster care-experienced youth and their non-foster counterparts, controlling for socioeconomic status, insurance coverage, and geographical factors [4].

Results

Findings from this study indicate that youth with foster care experience have significantly higher rates of oral health problems compared to their peers. Key results include:

• Untreated dental caries: Approximately 40% of foster youth had untreated cavities, compared to 25% in the general youth population.
• Periodontal disease: Higher incidence of gum disease was noted, particularly among older adolescents who had aged out of the foster system.
• Preventive care access: Only 55% of foster youth reported having a dental checkup within the past year, compared to 75% of their peers.
• Barriers to care: The most commonly reported barriers included frequent relocation (leading to discontinuity of care), lack of knowledge about available dental services, and limited participation of dentists in Medicaid programs [5].

Discussion

The findings highlight significant oral health disparities among youth with foster care experience, emphasizing the need for targeted interventions. The high prevalence of untreated dental caries and periodontal disease suggests a gap in preventive care and timely treatment. Disruptions in dental coverage due to frequent relocations and changes in foster placements contribute to inconsistent care and delayed treatment.

Addressing these disparities requires a multi-faceted approach. Expanding Medicaid dental coverage, increasing participation of dentists in public insurance programs, and implementing school-based dental programs can improve access to care. Additionally, foster care agencies should prioritize oral health education and ensure foster parents and caseworkers are equipped with information on dental resources. Collaboration between policymakers, healthcare providers, and child welfare organizations is crucial to developing sustainable solutions that improve oral health outcomes for foster youth [6-10].

Conclusion

Youth with foster care experience face substantial challenges in accessing and maintaining good oral health. The higher prevalence of dental disease, coupled with systemic barriers to care, underscores the need for targeted public health interventions. Policies aimed at expanding dental coverage, improving provider participation, and ensuring continuity of care are essential to bridging the gap in oral health disparities. Future research should focus on evaluating the effectiveness of existing programs and exploring innovative solutions to enhance oral health services for this vulnerable population. By addressing these challenges, we can ensure that foster youth receive the dental care they need to lead healthier lives.

Acknowledgment

None

Conflict of Interest

None

References

1. Selvam V (2003) Environmental classification of mangrove wetlands of India. Curr Sci 84: 757-765.

   Indexed at, Google Scholar

2. Krisfalusi-Gannon J, Ali W, Dellinger K, Robertson L, Brady TE (2018) The role of horseshoe crabs in the biomedical industry and recent trends impacting species sustainability. Front Mar Sci 5:185.

   Indexed at, Google Scholar

3. Arrieta MC, Arevalo A, Stiemsma L, Dimitriu P, Chico ME, et al. (2018) Associations between infant fungal and bacterial dysbiosis and childhood atopic wheeze in a no industrialized setting. J Allergy Clin Immunol 142: 424-434.

   Indexed at, Google Scholar, Crossref

4. Stiemsma LT, Dimitriu PA, Thorson L, Russell S (2015) Early infancy microbial and metabolic alterations affect risk of childhood asthma. Sci Transl Med 7:152-307.

   Indexed at, Google Scholar, Crossref

5. Lorentzen HF, Benfield T, Stisen S, Rahbek C (2020) COVID-19 is possibly a consequence of the anthropogenic biodiversity crisis and climate changes. Dan Med J 67: 20-25.

   Indexed at, Google Scholar

6. Nabeelah Bibi S, Fawzi MM, Gokhan Z, Rajesh J, Nadeem N, et al. (2019) Ethnopharmacology, phytochemistry, and global distribution of mangroves-A comprehensive review. Mar Drugs 17: 231.

   Indexed at, Google Scholar, Crossref

7. Yuvaraj N, Kanmani P, Satishkumar R, Paari A, Arul V (2012) Seagrass as a potential source of natural antioxidant and anti-inflammatory agents. Pharm Biol 50: 458-467.

   Indexed at, Google Scholar, Crossref

8. Danielsen F, Sørensen MK, Olwig MF, Burgess ND (2005) The Asian tsunami: a protective role for coastal vegetation. Science 310: 643.

   Indexed at, Google Scholar, Crossref

9. Diogo-Filho A, Maia CP, Diogo DM, Diogo PM, Vasconcelos PM, et al. (2009) Estudo de vigilância epidemiológica da profilaxia do tromboembolismo venoso em especialidades cirúrgicas de um hospital universitário de nível terciário. J Infect Public Health 46: 9-14.

   Indexed at, Google Scholar, Crossref

10. Paterson JC, McLachlin J (1954) Precipitating factors in venous thrombosis. Science 98: 96-102.

    Indexed at, Google Scholar