How Dental Care Can Preserve and Improve Oral Health

Dental Clinics of North America

Volumn 53, Issue 3, 2009, Pages 399-420

  Vargas, Clemencia M ^a   Arevalo, Oscar ^b  

^a UNIVERSITY OF MARYLAND DENTAL SCHOOL   (United States)

^b UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY   (United States)

Author keywords

Barriers to dental care; Dental care access; Dental diseases; Oral health; Prevention in oral health

Indexed keywords

DENTAL CARE; DENTAL CARIES; DENTISTRY; ECONOMICS; HEALTH; HEALTH BEHAVIOR; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH STATUS; HUMAN; MANPOWER; MOUTH TUMOR; ORGANIZATION AND MANAGEMENT; PERIODONTAL DISEASE; PUBLIC HEALTH SERVICE; QUALITY OF LIFE; REVIEW; UNITED STATES; UTILIZATION REVIEW; VULNERABLE POPULATION;

DENTAL CARE; DENTAL CARIES; DENTISTRY; HEALTH BEHAVIOR; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HEALTHCARE DISPARITIES; HUMANS; MOUTH NEOPLASMS; ORAL HEALTH; PERIODONTAL DISEASES; PUBLIC HEALTH DENTISTRY; QUALITY OF LIFE; UNITED STATES; VULNERABLE POPULATIONS;

EID: 66149143908     PISSN: 00118532     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cden.2009.03.011     Document Type: Review

References (134)

1. U.S. Department of Health and Human Services. Oral health in America: a report of the Surgeon General (2000), National Institutes of Health, National Institute of Dental and Craniofacial Research, Rockville (MD)
2. Humphrey L.L., Fu R., Buckley D.I., et al. Periodontal disease and coronary health disease incidence: a systematic review and meta-analysis. J Gen Intern Med 23 12 (2008) 2079-2086
3. Tonetti M.S., D'Aiuto F., Nibali L., et al. Treatment of periodontitis and endothelial function. N Engl J Med 356 9 (2007) 911-920
4. Taylor G.W. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiological perspective. Ann Periodontol 6 1 (2001) 99-112
5. Loe H. Periodontal disease: the sixth complication of diabetes mellitus. Diabetes Care 16 1 (1993) 329-334
6. Fisher M.A., Taylor G.W., Papanou P.N., et al. Clinical and serologic markers of periodontal infection and chronic kidney disease. J Periodontol 79 9 (2008) 1670-1678
7. Scannapieco F.A., Bush R.B., and Paju S. Periodontal diseases as a risk factor for adverse pregnancy outcomes. A systematic review. Ann Periodontol 8 1 (2003) 70-78
8. Burt B.A., and Eklund S.A. Dentistry, dental practice, and the community. 6th edition (2005), Elsevier Saunders, St. Louis (MO)
9. Azarpazhooh A., and Leake J.L. Systematic review of the association between respiratory diseases and oral health. J Periodontol 77 (2006) 1465-1482
10. Vargas C.M., and Ronzio C.R. Relationship between dental needs and dental care utilization. U.S. 1988-94. Am J Public Health 92 11 (2002) 1816-1821
11. Thomson W.M., Poulton R., Milne B.J., et al. Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol 32 5 (2004) 345-353
12. O'Sullivan D.M., and Tinanoff N. The association of early dental caries patterns with caries incidence in preschool children. J Public Health Dent 56 2 (1996) 81-83
13. Leavell H.R., and Clark E.G. Preventive medicine for the doctor in his community. An epidemiologic approach. 3rd edition (1965), McGraw-Hill Book Company, New York
14. Dye B.A., Tan S., Smith V., et al. Trends in oral health status: United States, 1988-1994 and 1999-2004. National Center for Health Statistics Vital Health Stat 11 248 (2007) 1-92
15. Vargas C.M., Crall J.J., and Schneider D.A. Sociodemographic distribution of pediatric dental caries: NHANES III, 1988-1994. J Am Dent Assoc 129 (1998) 1229-1241
16. McDonald R.E., Avery D.R., and Stookey G.K. Dental caries in the child and adolescent. In: McDonald R.E., and Avery D.R. (Eds). Dentistry for the child and adolescent. 6th edition (2000), Mosby, Inc., St. Louis (MO) 209-246
17. Marshall T.A., Broffitt B., Eichenberger-Gilmore J., et al. The roles of meal, snack, and daily total food and beverage exposures on caries experience in young children. J Public Health Dent 65 3 (2005) 166-173
18. Marshall T.A., Levy S.M., Broffitt B., et al. Dental caries and beverage consumption in young children. Pediatrics 112 3 Pt 1 (2003) e184-e191
19. Bowen W.H., and Lawrence R.A. Comparison of the cariogenicity of cola, honey, cow milk, human milk, and sucrose. Pediatrics 116 4 (2005) 921-926
20. Bratthall D., Hansel-Petersson G., and Sundberg H. Reasons for the caries decline: what do the experts believe?. Eur J Oral Sci 104 (1996) 416-422
21. Corby P.M.A., Biesbrock A., Bartizek R., et al. Treatment outcomes of dental flossing in twins: molecular analysis of the interproximal microflora. J Periodontol 79 8 (2008) 1426-1433
22. Maternal Child Health Bureau. Topical fluoride recommendations for high-risk children. Recommendations from MCHB Expert Panel, Oct. 22-23 (2007). http://mohealthysmiles.typepad.com/Topical%20fl%20recommendations%20for% 20hi%20risk%20children.pdf Accessed April 10, 2009
23. Page R.C., and Schroeder H.E. Pathogenesis of inflammatory periodontal disease. A summary of current work. Lab Invest 33 (1976) 235-249
24. Lindhe J., Okamoto H., Yoneyama T., et al. Longitudinal changes in periodontal disease in untreated subjects. J Clin Periodontol 16 (1989) 662-670
25. Machtei E.E., Hausman E., Dunford R., et al. Longitudinal study of predictive factors for periodontal disease and tooth loss. J Clin Periodontol 26 (1999) 374-380
26. Kornman K.S., Crane A., Wang H.Y., et al. The interleukin-1 genotype as a severity factor in adult periodontal disease. J Clin Periodontol 24 (1997) 72-77
27. McDonald R.E., Avery D.R., and Weddell J.A. Gingivitis and periodontal disease. In: McDonald R.E., and Avery D.R. (Eds). Dentistry for the child and adolescent. 6th edition (2000), Mosby, Inc., St. Louis (MO) 440-484
28. Tomar S.L., and Asma S. Smoking-attributable periodontitis in the United States: findings from NHANES III. National Health and Nutrition Examination Survey. J Periodontol 71 5 (2000) 743-751
29. Genco R.J. Clinical innovations in managing inflammation and periodontal diseases: the Workshop on Inflammation and Periodontal Diseases. J Periodontol Suppl (2008) 1609-1611
30. American Academy of Periodontology. Periodontal procedures. Available at: (2008). http://www.perio.org/consumer/procedures.htm Accessed November 25, 2008
31. American Cancer Society. Oral cancer. Available at:. http://www.cancer.org/downloads/PRO/OralCancer.pdf Revised March 2008. Accessed September 23, 2008
32. Brown L.J. Dental work force strategies during a period of change and uncertainty. J Dent Educ 65 (2001) 1404-1416
33. Brown L.J. Regional issues in dental education and workforce distribution. In: Brown L.I., and Meskin L.H. (Eds). The economics of dental education (2004), American Dental Association, Health Policy Resources Center, Chicago
34. Beazoglou T.J., Crakes G.M., Doherty N.J., et al. Determinants of dentists' geographic distribution. J Dent Educ 56 (1992) 735-740
35. Bailit H.L., and Beazoglou T.J. State financing of dental education: impact on supply of dentists. J Dent Educ 67 (2003) 1278-1285
36. U.S. Department of Health and Human Services. Health Resources and Services Administration. Shortage designation: HPSAs, MUAs & MUPs. Available at:. http://bhpr.hrsa.gov/shortage/index.htm Updated July 30, 2008. Accessed September 29, 2008
37. Chmar J.E., Harlow A.H., Weaver R.G., et al. Annual ADEA survey of dental school seniors, 2006 graduating class. J Dent Educ 71 9 (2007) 1228-1253
38. Weaver R.G., Haden N.K., and Valachovic R.W. Annual ADEA survey of dental school seniors: 2002 graduating class. J Dent Educ 66 12 (2002) 1388-1404
39. Gordy A. The impact of declining dentist-to-population ratios. Community Health Forum 2 (2001) 6 28-31
40. U.S. General Accounting Office. Oral health: dental disease is a chronic problem among low-income populations (2000), US General Accounting Office, Washington, DC Pub No GAO/HEHS-00-149
41. Marwick C. National Health Service Corps faces reauthorization during a risky time. JAMA 283 (2000) 2461-2462
42. Allukian M., and Adekugbe O. The practice and infrastructure of dental public health in the United States. Dent Clin North Am 52 2 (2008) 259-280 v
43. U.S. Department of Health and Human Services. Center for Medicare and Medicaid Services. National health expenditures aggregate amounts and average annual percent change, by type of expenditure: selected calendar years 1960-2005. Available at:. http://www.cms.hhs.gov/NationalHealthExpendData/downloads/tables.pdf Accessed October 10, 2008
44. U.S. Department of Labor. Occupational employment statistics. Available at:. www.bls.gov Accessed on October 9, 2008
45. Jones K., and Tomar S.L. Estimated impact of competing policy recommendations for age of first dental visit. Pediatrician 115 4 (2005) 906-914
46. Getzen T.E. Health economics: fundamentals and flow of funds. 2nd edition (2003), John Wiley & Sons, Inc., New York
47. Saha S., Taggart S.H., Komaromy M., et al. Do patients choose physicians of their own race?. Health Aff 19 4 (2000) 76-83
48. Brown L.J., Wagner K.S., and Johns B. Racial/ethnic variations of practicing dentists. J Am Dent Assoc 131 12 (2000) 1750-1754
49. Solomon E., Williams C., and Sinkford J. Practice location characteristics of black dentists in Texas. J Dent Educ 65 6 (2001) 571-578
50. Sullivan Commission. Missing persons: minorities in the health professions (2004). http://www.kaisernetwork.org/health_cast/uploaded_files/092004_sullivan_ diversity.pdf Accessed April 10, 2009
51. Neumann L.M. Trends in dental and allied dental education. J Am Dent Assoc 135 (2004) 1253-1259
52. American Dental Association. 2002-03 survey of predoctoral education: academic programs, enrollment and graduates Vol. 1 (2004), American Dental Association, Chicago
53. Weaver R.G., Valachovic R.W., and Haden N.K. Applicant analysis: 2000 entering class. J Dent Educ 66 (2002) 430-448
54. Haden N.K., Catalanotto F.A., Alexander C.J., et al. Improving the oral health status of all Americans: roles and responsibilities of academic dental institutions: the report of the ADEA President's Commission. J Dent Educ 67 (2003) 563-583
55. Casamassimo P.S., Harms K.A., Parrish J.L., et al. Future of dentistry: the dental work force. J Am Dent Assoc 133 (2002) 1226-1235
56. ADEA Commission on Change and Innovation in Dental Education. The case for change in dental education. J Dent Educ 70 9 (2006) 921-924
57. Kuthy R.A., McQuistan M.R., Riniker K.J., et al. Students' comfort level in treating vulnerable populations and future willingness to treat: results prior to extramural participation. J Dent Educ 69 12 (2005) 1307-1314
58. Mohammad A.R., Preshaw P.M., and Ettinger R.L. Current status of predoctoral geriatric education in US dental schools. J Dent Educ 67 5 (2003) 509-514
59. Weaver R.G., Haden N.K., and Valachovic R.W. Annual ADEA survey of dental seniors-2000 Graduating Class. J Dent Educ 65 8 (2001) 788-802
60. Feigal R.J. Producing the next generation of professional educators in pediatric dentistry. Pediatr Dent 19 3 (1997) 189-192
61. Davis M.J. Pediatric dentistry workforce issues: a task force white paper. American Academy of Pediatric Dentistry Task Force on Work Force Issues. Pediatr Dent 22 4 (2000) 331-335
62. Seale N.S., and Casamassimo P.S. Access to dental care for children in the United States: a survey of general practitioners. J Am Dent Assoc vol. 134 12 (2003) 1630-1640
63. Bendall D., and Asubonteng P. The effect of dental insurance on the demand for dental services in the USA: a review. J Manag Med 9 6 (1995) 55-68
64. DeNavas-Walt C., Proctor B.D., and Smith J.C. U.S. Census Bureau, current population reports, P60-235, income, poverty, and health insurance coverage in the United States: 2007 (2008), U.S. Government Printing Office, Washington, DC
65. Manski R.J., and Brown E. Dental use, expenses, private dental coverage, and changes, 1996 and 2004. MEPS Chartbook No.17 (2007), Agency for Healthcare Research and Quality, Rockville (MD). http://www.meps.ahrq.gov/mepsweb/data_files/publications/cb17/cb17.pdf Accessed October 13, 2008
66. Manski R.J., Goodman H.S., Reid B.C., et al. Dental insurance visits and expenditures among older adults. Am J Public Health 94 5 (2004) 759-764
67. Niessen L.C. Extending dental insurance through retirement. Spec Care Dentist 4 (1984) 84-86
68. Jones J.A., Adelson R.A., Niessen L.C., et al. Issues in financing dental care for the elderly. J Public Health Dent 50 (1990) 268-275
69. American Dental Association, Survey Center. 2000 survey of current issues in dentistry: Dentists' participation in Medicaid programs. Vol. 1. Chicago (2001-2002), American Dental Association
70. Damiano P.C., Momany E.T., Willard J.C., et al. Factors affecting dentist participation in a state medicaid program. J Dent Educ 54 (1990) 638-643
71. Lang W.P., and Weintraub J.A. Comparison of Medicaid and non-Medicaid dental providers. J Public Health Dent 46 (1996) 207-211
72. Venezie R.D., Vann Jr. W.F., Cashion S.W., et al. Pediatric and general dentists' participation in the North Carolina Medicaid program: trends from 1986 to 1992. Pediatr Dent 19 2 (1997) 114-117
73. National Academy for State Health Policy. Increasing access to dental care in Medicaid: does raising provider rates work?. Available at:. www.chcf.org/documents/policy/IncreasingAccessToDentalCareInMedicaidIB.p df Accessed October 17, 2008
74. Lave J.R., Keane C.R., Lin C.J., et al. The impact of dental benefits on the utilization of dental services by low-income children in western Pennsylvania. Pediatr Dent 24 3 (2002) 234-240
75. Damiano P.C., Willard J.C., Momany E.T., et al. The impact of the Iowa S-SCHIP program on access, health status, and the family environment. Ambul Pediatr 3 5 (2003) 263-269
76. Hughes R.J., Damiano P.C., Kanellis M.J., et al. Dentists' participation and children's use of services in the Indiana dental Medicaid program and SCHIP: assessing the impact of increased fees and administrative changes. J Am Dent Assoc 136 4 (2005) 517-523
77. Tomar S.L. An assessment of the dental public health infrastructure in the United States. J Public Health Dent 66 1 (2006) 5-16
78. National Association of Community Health Centers. America's Health Centers fact sheet. Available at:. www.nachc.org/client/documents/America%27s_Health_Centers_updated_8.13.0 8.pdf Accessed October 15, 2008
79. Bailit H., Beazoglou T., Demby N., et al. Dental safety net: current capacity and potential for expansion. J Am Dent Assoc 137 6 (2006) 807-815
80. Patrick D.L., Lee R.S., Nucci M., et al. Reducing oral health disparities: a focus on social and cultural determinants. BMC Oral Health 6 Suppl 1 (2006) 1-17
81. Frazier P.J., Jenny J., Bagramain R.A., et al. Provider expectations and consumer perceptions of the importance and value of dental care. Am J Public Health 67 1 (1977) 37-43
82. Bailit H.L., Newhouse J., Brook R., et al. Dental insurance and the oral health of preschool children. J Am Dent Assoc 113 5 (1986) 773-776
83. Tetuan T.M., McGlasson D., and Meyer I. Oral health screening using a caries detection device. J Sch Nurs 21 (2005) 299-306
84. Milgrom P., and Weinstein P. Early childhood caries: a team approach to prevention and treatment (1998), University of Washington in Seattle, Seattle (WA)
85. Borrell L.N., Taylor G.W., Borgnakke W.S., et al. Perception of general and oral health in white and African American adults: assessing the effect of neighborhood socioeconomic conditions. Community Dent Oral Epidemiol 32 (2004) 363-373
86. Gift H.C. Utilization of professional dental services. In: Cohen L.K., and Bryant P.S. (Eds). Social sciences and dentistry: a critical bibliography Vol. 2 (1984), Quintessence Publishing Company Ltd, London 202-267
87. Mofidi M., Rozier R.G., and King R.S. Problems with access to dental care for Medicaid-insured children: what caregivers think. Am J Public Health 92 (2002) 53-58
88. Tickle M., Milsom K.M., Humphries G.M., et al. Parental attitudes to the care of the carious primary dentition. Br Dent J 195 (2003) 451-455
89. Maslow A.H. A theory of human motivation psychological review. Psychol Rev 50 (1943) 370-396
90. Kim Y.O. Reducing disparities in dental care for low-income Hispanic children. J Health Care Poor Underserved 16 3 (2005) 431-443
91. Sohn W., Ismail A., Amaya A., et al. Determinants of dental care visits among low-income African-American children. J Am Dent Assoc 138 3 (2007) 309-318
92. Lam M., Riedy C., and Milgrom P. Improving access for Medicaid-insured children: focus on front-office personnel. J Am Dent Assoc 130 (1999) 365-373
93. Garcia R.I., Cadoret C.A., and Henshaw M. Multicultural issues in oral health. Dent Clin North Am 52 2 (2008) 319-332
94. Institute of Medicine Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal treatment: confronting racial and ethnic disparities in health care (2002), National Academy Press, Washington, DC
95. Formicola A.J., Stavisky J., and Lewy R. Cultural competency: dentistry and medicine learning from one another. J Dent Educ 67 (2003) 869-875
96. Institute of Medicine of the National Academies. In the nation's compelling interest: ensuring diversity in the health care workforce (2004), National Academies Press, Washington, DC
97. Terrell C., and Beaudreau J. 3000 by 2000 and beyond: next steps for promoting diversity in the health professions. J Dent Educ 67 (2003) 1048-1052
98. Vargas C.M., Dye B.A., and Hayes K.L. Oral health status of rural adults in the United States. J Am Dent Assoc 133 (2002) 1672-1681
99. Vargas C.M., Ronzio C.R., and Hayes K.L. Oral health status of children and adolescents by rural residence, United States. J Rural Health 19 3 (2003) 260-268
100. Larson E.H., Johnson K.E., Norris T.E., et al. State of the health workforce in rural America: profiles and comparisons (2003), University of Washington, WWAMI Rural Health Research Center, Seattle (WA)
101. Knapp K.K., and Hardwick K. The availability and distribution of dentists in rural zip codes and primary care health professional shortage areas (PC-HPSA) zip codes: comparison with primary care providers. J Public Health Dent 60 (2000) 43-48
102. Eberhardt M.S. Health, United States, 2001. Urban and rural health chartbook (2001), U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville (MD) DHHS (Public Health Service) 01-1232-1
103. Task Force on Periodontal Treatment of Pregnant Women, American Academy of Periodontology. American Academy of Periodontology statement regarding periodontal management of the pregnant patient. J Periodontol 75 3 (2004) 495
104. Michalowicz B.S., DiAngelis A.J., Novack M.J., et al. Examining the safety of dental treatment in pregnant women. J Am Dent Assoc 139 6 (2008) 685-695
105. Silk H., Douglass A.B., Douglass J.M., et al. Oral health during pregnancy. Am Fam Physician 77 8 (2008) 1139-1144
106. Hilgers K.K., Douglass J., and Mathieu G.P. Adolescent pregnancy: a review of dental treatment guidelines. Pediatr Dent 25 (2003) 459-467
107. Hueber C.E. Milgrom P. Lee R, et al. Dental care for pregnant women. Abstract #1908. International Association of Dental Research 2008. Toronto.
108. National Commission on Correctional Health Care. Available at:. www.ncchc.org/resources/standards.html Accessed November 7, 2008
109. US Department of Justice. Office of Justice Programs. Bureau of Justice Statistics. Available at:. www.ojp.usdoj.gov/bjs/ Accessed November 4, 2008
110. Salive M.E., Carolla J.M., and Brewer T.F. Dental health of male inmates in a state prison system. J Public Health Dent 49 (1989) 83-86
111. Mixson J., Eplee H., Feil P., et al. Oral health status of a federal prison population. J Public Health Dent 50 (1990) 257-261
112. Clare J.H. Survey, comparison, and analysis of caries, periodontal pocket depth, and urgent treatment needs in a sample of adult felon admissions, 1996. Journal of Correctional Health Care 5 (1998) 89-101
113. Treadwell H.M., and Formicola A.J. Improving the oral health of prisoners to improve overall health and well-being. Am J Public Health 98 9 Suppl (2005) S171-S172
114. Makrides J., and Schulman J. Dental health care of prison populations. J Correctional Health Care 9 (2002) 291-303
115. Lamster I.B. Oral health care services for older adults: a looming crisis. Am J Public Health 94 5 (2004) 699-702
116. A state of decay: the oral health of older Americans. Available at: http://www.csg.org/pubs/Documents/sn0610StateofDecay.pdf. Accessed April 10, 2009.
117. Locker D., and Jokovic A. Using subjective oral health status indicators to screen for dental care needs in older adults. Community Dent Oral Epidemiol 24 6 (1996) 398-402
118. Mosca N.G., Finn E., and Joskow R. Dental care as a vital service response for disaster victims. J Health Care Poor Underserved 18 (2007) 262-270
119. Bhalla N. Relief after the wave. Special article. Br Dent J 200 2 (2006) 116-118
120. Kanehira T., Honda O., Kawakami S., et al. Dental care for refugees at shelters after the eruption of Mt. Usu. J Dent Health 53 2 (2003) 145-149
121. Marcus M., Maida C.A., Guzman-Becerra N., et al. Policy implications of access to dental care for immigrant communities (2001), California Policy Research Center, University of California, California Program on Access to Care. http://www.ucop.edu/cpac/documents/dentalaccess.pdf Last accessed November 4, 2008
122. Obeng C. Culture and dental health among African immigrants school-aged children in the United States. Health Educ 107 4 (2007) 343-350
123. Glassman P., Anderson M., Jacobsen P., et al. Practical protocols for the prevention of dental disease in community settings for people with special needs: the protocols. Spec Care Dentist 23 5 (2003) 86-90
124. Seinmetz E. Americans with disabilities: 2002. US Census Bureau, current population reports (2006). http://www.census.gov/prod/2006pubs/p70-107.pdf Accessed December 3, 2008
125. Feldman C.A., Giniger M., Sanders M., et al. Special Olympics, special smiles: assessing the feasibility of epidemiologic data collection. J Am Dent Assoc 128 (1997) 1687-1696
126. Waldman H.B., Perlman S.P., and Swerdloff M. Use of pediatric dental services in the 1990s: some continuing difficulties. J Dent Child 67 (2000) 59-63
127. Oral Health America. Oral health report card (2001). Available at: www.oralhealthamerica.org/pdf/2001-2002ReportCard.pdf Accessed November 15, 2008
128. Glassman P., and Subar P. Improving and maintaining oral health for people with special needs. Dent Clin North Am 52 2 (2008) 447-461
129. Glassman P., and Folse G. Financing oral health services for people with special needs: projecting national expenditures. J Calif Dent Assoc 33 9 (2005) 731-740
130. Wilson K.I. Treatment accessibility for physically and mentally handicapped people-a review of the literature. Community Dent Health 9 (1992) 187-192
131. Skinner A.C., Slifkin R.T., and Mayer M.L. The effect of rural residence on dental unmet need for children with special health care needs. J Rural Health 22 1 (2006) 36-42
132. Schriver T. Testimony before a Special Hearing of a Subcommittee of the Committee on Appropriations of the United States Senate. One Hundred Seventh Congress, First Session. Anchorage (AK) (March 5, 2001)
133. Dao L.P., Zwetchkenbaum S., and Inglehart M.R. General dentists and special needs patients: does dental education matter?. J Dent Educ 69 10 (2005) 1107-1115
134. U.S. Census Bureau. Census 2000 brief; disability status 2000, March 2003. Available at: http://www.census.gov/prod/2003pubs/c2kbr-17.pdf. Accessed April 10, 2009.