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The purpose of this study was to evaluate whether Public Health Dental Hygiene Practitioner (PHDHP) referrals to pediatric dentists were more successful for children younger than 3 years old and those with dental caries. We reviewed the electronic health records of 1,450 children, age 1 to 12 years, who completed a dental visit with a PHDHP in 2017 at UPMC Children's Hospital of Pittsburgh's (CHP) Primary Care Center. We tracked whether children who visited the onsite PHDHP accepted a referral to CHP pediatric dentists, and if so, whethe