THE DEMAND FOR PREVENTIVE AND RESTORATIVE DENTAL SERVICES
Article first published online: 24 JAN 2013
Copyright © 2013 John Wiley & Sons, Ltd.
Volume 23, Issue 1, pages 14–32, January 2014
How to Cite
Meyerhoefer, C. D., Zuvekas, S. H. and Manski, R. (2014), THE DEMAND FOR PREVENTIVE AND RESTORATIVE DENTAL SERVICES. Health Econ., 23: 14–32. doi: 10.1002/hec.2899
- Issue published online: 16 DEC 2013
- Article first published online: 24 JAN 2013
- Manuscript Accepted: 3 DEC 2012
- Manuscript Revised: 2 NOV 2012
- Manuscript Received: 15 FEB 2012
- Chesapeake IRB. Grant Number: CRRI 0504015
- health care demand;
- dental services;
- price elasticity
Chronic tooth decay is the most common chronic condition in the United States among children ages 5–17 and also affects a large percentage of adults. Oral health conditions are preventable, but less than half of the US population uses dental services annually. We seek to examine the extent to which limited dental coverage and high out-of-pocket costs reduce dental service use by the nonelderly privately insured and uninsured. Using data from the 2001–2006 Medical Expenditure Panel Survey and an American Dental Association survey of dental procedure prices, we jointly estimate the probability of using preventive and both basic and major restorative services through a correlated random effects specification that controls for endogeneity. We found that dental coverage increased the probability of preventive care use by 19% and the use of restorative services 11% to 16%. Both conditional and unconditional on dental coverage, the use of dental services was not sensitive to out-of-pocket costs. We conclude that dental coverage is an important determinant of preventive dental service use, but other nonprice factors related to consumer preferences, especially education, are equal if not stronger determinants. Copyright © 2013 John Wiley & Sons, Ltd.