Assessment of demand for and utilization of dental services by insurance coverage in a developing oral health care system

Objectives This study aimed to evaluate the relationship between demand for and utilization of dental services by insurance coverageamong adults in Iran.Methods A cross-sectional survey based on telephone interviews was done. A total of 6,029 adults participated in this study conducted inIran. The interviews were carried out using a structured questionnaire and covered dental visits, demographics and socio-economicbackground.Results Of 6,029 participants, 86% reported having health insurance, 58% had public, and 28% had both public and commercial insurance.Those with both public and commercial insurance coverage had higher odds for dental visits within the past 12 months [odds ratio (OR) =1.5], and for dental check-ups (OR = 1.5). Receipt of restorative and expensive services (OR = 1.4) was more likely by those with both publicand commercial insurance. Tooth extraction was more likely in subjects with no insurance coverage (OR = 1.6).Conclusion This study revealed a positive relationship between insurance coverage and demand for and utilization of dental services in acountry with a developing health care system.Keywords