Americans are more likely to skip needed dental care than any other type of health care due to cost.

Researchers examined what causes people to avoid dental care and other health services.

Nearly one I four lower income adults didn’t get needed dental care because of cost, while only five percent of adults in the highest income category avoided the dentist due to the money.

The study team notes cost was nearly three times more likely to be the reason for people not seeing the dentist in the past year than fear of the dentist.

Cost also surpassed inconvenient appointments or trouble finding a dentist that takes specific insurance.

Study authors say this self-reported data highlights the financial burdens people encounter when paying for dental care.