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1
Thomas, Christine. "Dental care in older adults." British Journal of Community Nursing 24, no. 5 (May 2, 2019): 233–35. http://dx.doi.org/10.12968/bjcn.2019.24.5.233.
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Good oral health is an essential part of ageing well. Good mouth care enables people to eat, speak and socialise without pain or embarrassment and contributes hugely to quality of life and general health. Community-dwelling older adults may find access to dental services difficult, and increasing co-morbidities can make self-care a challenge. Older adults are at increased risk of dental disease, and general health complications can make access to dental services and treatment planning difficult. Further, they may find lengthy dental procedures overwhelming. Therefore, there is a need to prevent the decline in oral health in order to maintain general health.
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Yang, Stella Xinchen, Katherine Chiu Man Leung, Chloe Meng Jiang, and Edward Chin Man Lo. "Dental Care Services for Older Adults in Hong Kong—A Shared Funding, Administration, and Provision Mode." Healthcare 9, no. 4 (April 1, 2021): 390. http://dx.doi.org/10.3390/healthcare9040390.
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Hong Kong has a large and growing population of older adults but their oral health conditions and utilization of dental services are far from optimal. To reduce the financial barriers and to improve the accessibility of dental care services to the older adults, a number of programmes adopting an innovative shared funding, administration, and provision mode have recently been implemented. In this review, an online search on the Hong Kong government websites and the electronic medical literature databases was conducted using keywords such as “dental care,” “dental service,” and “Hong Kong.” Dental care services for older adults in Hong Kong were identified. These programmes include government-funded outreach dental care service provided by non-governmental organizations (NGOs), provision of dentures and related treatments by private and NGO dentists supported by the Community Care Fund, and government healthcare vouchers for private healthcare, including dental, services. This paper presents the details of the operation of these programmes and the initial findings. There is indirect evidence that these public-funded dental care service programmes have gained acceptance and support from the government, the service recipients, and the providers. The experience gained is of great value for the development of appropriate dental care services for the older adults in Hong Kong and worldwide.
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Newton, J. Timothy, Alison C. Williams, and Elizabeth J. Bower. "Inequalities in the Provision of NHS Primary Care Dental Services in Scotland in 2004." Primary Dental Care os14, no. 3 (July 2007): 89–96. http://dx.doi.org/10.1308/135576107781327098.
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Objective To assess inequalities in the provision of National Health Service (NHS) primary care dental services between Health Boards and the four provider groups (General Dental Service [GDS] non-specialist, GDS salaried, specialist working in primary care, Community Dental Service [CDS]) in Scotland. Methods A postal questionnaire survey of all dentists (N=2852) registered with the General Dental Council at an address in Scotland was undertaken. The following were assessed: the proportion of primary care dentists not accepting new children/adults for NHS care or using a waiting list, the proportion of dentists working in wheelchair-accessible surgeries, furthest distance travelled by patients to primary care surgery in an average week, waiting time for routine NHS treatment, and the proportion of dentists offering weekend or evening appointments to NHS patients. Data were analysed by Health Board and the four provider groups. Results A total of 2134 (74.8%) completed questionnaires were returned. One thousand, five hundred and seventy-seven dentists (73.9%) of the respondents were providing NHS primary care dental services for at least part of each week. There was a wide variation in the provision of NHS primary care dental services between Health Boards. Borders, Dumfries and Galloway, and Grampian performed poorly on most indicators, whereas Lanarkshire, Greater Glasgow, and Argyll and Clyde generally performed well. The CDS scored well on most indicators of service provision. There were problems with the provision of specialist dental services in primary care, and GDS services provided by Health Boards. Conclusions Because the problem issues differed between Health Boards and the four provider groups, it is likely that both local and national solutions are required to improve the provision of services. Further research on service demand is required to confirm the apparent inequalities in provision suggested by the study.
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Burchell, Anna, Sabin Fernbacher, Robert Lewis, and Andrew Neil. ""Dental as Anything" Inner South Community Health Service Dental Outreach to People with a Mental Illness." Australian Journal of Primary Health 12, no. 2 (2006): 75. http://dx.doi.org/10.1071/py06025.
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This article provides an overview of a unique way to respond to the complex oral health needs of people with a mental illness. People with a psychiatric disability, especially those of low income and insecure housing, are at high risk of developing oral disease, due to issues associated with mental illness, poverty and the side-effects of psychotropic medication. The 'Dental as Anything' program is a collaborative partnership between the mental health, dental and administration teams of the Inner South Community Health Service (ISCHS) in Melbourne. It provides a flexible program incorporating engagement, clinical care, education and support in response to client needs. Utilising a health promotion framework and an assertive outreach model, it accesses people who traditionally do not approach mainstream services. The program manages to "reach the unreachable".
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Bailit, H. L. "Health Services Research." Advances in Dental Research 17, no. 1 (December 2003): 82–85. http://dx.doi.org/10.1177/154407370301700119.
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The major barriers to the collection of primary population-based dental services data are: (1) Dentists do not use standard record systems; (2) few dentists use electronic records; and (3) it is costly to abstract paper dental records. The value of secondary data from paid insurance claims is limited, because dentists code only services delivered and not diagnoses, and it is difficult to obtain and merge claims from multiple insurance carriers. In a national demonstration project on the impact of community-based dental education programs on the care provided to underserved populations, we have developed a simplified dental visit encounter system. Senior students and residents from 15 dental schools (approximately 200 to 300 community delivery sites) will use computers or scannable paper forms to collect basic patient demographic and service data on several hundred thousand patient visits. Within the next 10 years, more dentists will use electronic records. To be of value to researchers, these data need to be collected according to a standardized record format and to be available regionally from public or private insurers.
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Dorner, Kinga, Bernadette Kerekes Mathe, Andreea Bors, Cristina Molnar Varlam, Vanda Roxana Nimigean, and Melinda Szekely. "Patients Attendance for Emergency Dental Services in Mures County." Revista de Chimie 69, no. 8 (September 15, 2018): 2115–20. http://dx.doi.org/10.37358/rc.18.8.6485.
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In Romania dental health services are provided mainly through user pays private practices and there is a limited reimbursement of dental services from the government. The economic recession lead to substantial lack of insurance coverage for oral health care of low-income population. The aim of this six-year retrospective study was to assess the prevalence of patients requesting public dental emergency care and to determine the characteristics of dental affections for which emergency interventions were requested in Tirgu-Mures, Romania. During the analyzed period, a total number of 38610 patients were treated in the Emergency Dental Office of Mures County Emergency Hospital. Of the total number of treated emergency patients 8017 (20.76%) were children and 30593 (79.25%) were adults. Significantly more adults requested emergency care than children (p[0.0001). Out of the investigated adults 3051 (9.98%) were aged 60 years or over. The high demand for emergency dental care reflects that dental care in private practices is unaffordable to socially disadvantaged patients and also the need for community based public dental care in Tirgu-Mures.
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Kruger, Estie, Irosha Perera, and Marc Tennant. "Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia." Australian Journal of Primary Health 16, no. 4 (2010): 291. http://dx.doi.org/10.1071/py10028.
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Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.
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Pinto-Grunfeld, Camila, Bernardita Garay, and Diego Majluf. "Effectiveness of dental emergency services in a community health center in Santiago, Chile." Journal of Oral Research 10, no. 1 (February 14, 2021): 1–8. http://dx.doi.org/10.17126/joralres.2021.010.
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Objective: Describe the demographic characteristics of the population attending the dental emergency services in health Center Juan Petrinovic, located in Santiago, Chile, and examine the effectiveness of dental treatment given to this population. Material and Methods: Before-after study, where 45 patients were surveyed twice, first, before their dental care and then in phone call follow-up. Patients completed interviewer-administered surveys that asked about patients’ self-reported pain level, oral health-related quality of life, and demographic information. Demographic information collected included age, sex, educational level, type of health insurance, and municipal district where patients lived. Self-reported pain level was measured using a Visual Analogue Scale (VAS), and oral health quality of life was measured using the Dental Health Status Quality of Life Questionnaire (DS-QoL). Statistical descriptive analyses were performed, and statistical tests were applied to determine if the care given was effective on pain relief and increased quality of life status. Results: Most of the patients seeking care at the dental emergency service were female (67%), adults (average age 46 years), with high school education (58%), and FONASA health insurance (98%). The most common reason for using dental emergency services was pain (51%). Dental treatment given to the patients was effective in relieving pain (reduction in VAS score was 34.34 between pre and post attention) and improving their oral health status (reduction in DS-QoL score was 3.18 between pre and post attention). Conclusion: This dental emergency service was effective in reducing pain and improving the quality of life of the patient.
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Yap, Matthew, Mei-Ruu Kok, Soniya Nanda, Alistair Vickery, and David Whyatt. "Hospital admissions and emergency department presentations for dental conditions indicate access to hospital, rather than poor access to dental health care in the community." Australian Journal of Primary Health 24, no. 1 (2018): 74. http://dx.doi.org/10.1071/py17044.
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High rates of dental-related potentially preventable hospitalisations are thought to reflect poor access to non-hospital dental services. The association between accessibility (geographic and financial) to non-hospital dentists and potentially preventable hospitalisations was examined in Western Australia. Areas with persistently high rates of dental-related potentially preventable hospitalisations and emergency department (ED) presentations were mapped. Statistical models examined factors associated with these events. Persistently high rates of dental-related potentially preventable hospitalisations were clustered in metropolitan areas that were socioeconomically advantaged and had more dentists per capita (RR 1.06, 95% CI 1.04–1.08) after adjusting for age, sex, socioeconomics, and Aboriginality. Persistently high rates of ED presentations were clustered in socioeconomically disadvantaged areas near metropolitan EDs and with fewer dentists per capita (RR 0.91, 0.88–0.94). A positive association between dental-related potentially preventable hospitalisations and poor (financial or geographic) access to dentists was not found. Rather, rates of such events were positively associated with socioeconomic advantage, plus greater access to hospitals and non-hospital dental services. Furthermore, ED presentations for dental conditions are inappropriate indicators of poor access to non-hospital dental services because of their relationship with hospital proximity. Health service planners and policymakers should pursue alternative indicators of dental service accessibility.
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Han, Sae Hwang, Bei Wu, and Jeffrey A. Burr. "Edentulism and Trajectories of Cognitive Functioning Among Older Adults: The Role of Dental Care Service Utilization." Journal of Aging and Health 32, no. 7-8 (May 26, 2019): 744–52. http://dx.doi.org/10.1177/0898264319851654.
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Objective: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults. Method: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years. Results: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline. Discussion: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.
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Bhayat, Ahmed, and Usuf Chikte. "Human Resources for Oral Health Care in South Africa: A 2018 Update." International Journal of Environmental Research and Public Health 16, no. 10 (May 14, 2019): 1668. http://dx.doi.org/10.3390/ijerph16101668.
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To describe the current oral health care needs and the number and category of dental personnel required to provide necessary services in South Africa (SA). This is a review of the current disease burden based on local epidemiological studies and the number of oral health personnel registered with the Health Professions Council of South Africa (HPCSA). In SA, oral health services are rendered by oral hygienists, dental therapists, dentists, and dental specialists. Dental caries remains one of the most prevalent conditions, and much of them are untreated. The majority of oral care providers are employed in the private sector even though the majority of the population access the public sector which only offers a basic package of oral care. The high prevalence of caries could be prevented and treated by the public sector. The infrastructure at primary health care facilities needs to be improved so that dentists performing community service can be more effectively utilized. At present, SA requires more dental therapists and oral hygienists to be trained at the academic training institutions.
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Pai, Mithun BH, Ashwini Rao, Sumeet Bhatt, Guru R. Rajesh, and Vijayendra Nayak. "Factors influencing Oral Health and Utilization of Oral Health Care in an Indian Fishing Community, Mangaluru City, India." World Journal of Dentistry 8, no. 4 (2017): 321–26. http://dx.doi.org/10.5005/jp-journals-10015-1458.
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ABSTRACT Aim The aim of this study was to assess factors influencing the oral health and utilization patterns of oral health services by fishermen community in Mangaluru city, Karnataka, India. Materials and methods A house-to-house survey was conducted among 840 individuals in fishermen population. Oral health status was evaluated by employing the World Health Organization basic oral health survey form. A self-administered questionnaire was used to assess patterns of utilization of dental services and their sociodemographic details. Results Mean decayed, missing, and filled teeth (DMFT) of the population was 3.78 ± 6.02 and prevalence of caries and periodontal conditions was 55 and 99% respectively. About 55% participants had never visited a dentist. Age, gender, and education of the respondents showed significant associations with DMFT status. Periodontal health showed significant association with age, gender, education, and income of the respondents. Visit to the dentist was associated with age, gender, education, and dental caries. The major barrier recognized in seeking dental care was the perception of not having any dental problem. Conclusion The dental care utilization was poor, and majority of the dental visits were for tooth extraction. Lack of perceived oral health care need was the main barrier to the utilization of dental services. Clinical significance The fishing population had high dental caries and poor periodontal health due to low utilization of dental care. How to cite this article Bhatt S, Rajesh GR, Rao A, Shenoy R, Pai MBH, Nayak V. Factors influencing Oral Health and Utilization of Oral Health Care in an Indian Fishing Community, Mangaluru City, India. World J Dent 2017;8(4):321-326.
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Acharya, Shashidhar, Harsimran Kaur, and Shobha Tandon. "Utilization of Mobile Dental Health Care Services to Answer the Oral Health Needs of Rural Population." Journal of Oral Health and Community Dentistry 6, no. 2 (2012): 56–63. http://dx.doi.org/10.5005/johcd-6-2-56.
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ABSTRACT Aim The activity was undertaken with the objective to assess the utility of a Mobile Dental Clinic to provide oral health services to the rural population. Material & Methods Baseline data collection of subjects was conducted according to the knowledge, attitude, practices and satisfaction proformas at Brahmavara and Byndoor community health centre catchment areas. Oral Health Education through models, video presentation and audio conversations were given to all subjects. Basic treatment was provided to all the subjects recruited for the study. The use and services of mobile dental clinics for oral health care services definitely showed lot of enthusiasm amongst the rural people. They were motivated to listen to oral health education lessons and avail the various oral treatments. Results There 3 month evaluation scores showed better satisfaction and also showed improved knowledge, attitude and practices. These differences were statistically supported by analysis. Conclusion To conclude, the mobile dental clinic proved to be an effective adjunct to the oral health service providers like dental colleges and private practitioners. They act as the first form of exposure to educate the rural people and alleviate their apprehensions towards oral health care.
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Reifel, N. M., P. L. Davidson, H. Rana, and T. T. Nakazono. "ICS-II USA Research Locations: Environmental, Dental Care Delivery System, and Population Sociodemographic Characteristics." Advances in Dental Research 11, no. 2 (May 1997): 210–16. http://dx.doi.org/10.1177/08959374970110020301.
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Secondary data sources are used to describe the ICS-II USA research locations in terms of external environment, dental care delivery system, and population sociodemographics. The Native American reservations located in Arizona, New Mexico, and South Dakota were rural, while the other research locations were primarily urban. Baltimore, Maryland, and the Native American communities had fluoridated water, but San Antonio did not. Dental services in Baltimore and San Antonio were predominantly financed by private sources, with a small public health component. Dental care services in Native American communities were largely Indian Health Services (IHS) financed by the US Government. Each geographical area exhibited diverse characteristics indicating unique challenges for the delivery of community and clinical dental services.
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Sushanth, V. Hirekalmath, Mohamed Imranulla, and Priyanka P. Madhu. "Dental Education: Challenges and Changes." Journal of Oral Health and Community Dentistry 11, no. 2 (2017): 34–37. http://dx.doi.org/10.5005/jp-journals-10062-0008.
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ABSTRACT The aim of dental health education is to impart knowledge on the causes of oral diseases and providing the ways and possibilities of their prevention and adequate treatment. Health education would highlight the necessity of proper nutrition, maintenance of oral hygiene with the use of fluoride products, and other regimen as well as drive attention toward the significance of regular check-ups with a dentist. Public health dentistry in India has become the only key toward future dental workforce and strategies. There have been numerous challenges which exist for expanding oral health care in India, in which the biggest challenge is the need for dental health planners with relevant qualifications and training in public health dentistry. There is a serious lack of authentic and valid data for assessment of community demands, as well as the lack of an organized system for monitoring oral health care services to guide planners. Based on the aim for sustained development, human resource planning and utilization should be used along with a system of monitoring and evaluation. Hence, both demand and supply influence the ability of the dental workforce to adequately and efficiently provide dental care to an Indian population which is growing in size and diversity. How to cite this article Nair AR, Prashant GM, Kumar PGN, Sushanth VH, Imranulla M, Madhu PP. Dental Education: Challenges and Changes. J Oral Health Comm Dent 2017;11(2):34-37.
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Lim, Mathew A., and Gelsomina L. Borromeo. "DOMICILIARY SERVICES IMPROVE ACCESS TO DENTAL CARE FOR FUNCTIONALLY DEPENDENT OLDER ADULTS." Innovation in Aging 3, Supplement_1 (November 2019): S492. http://dx.doi.org/10.1093/geroni/igz038.1825.
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Abstract There is growing evidence demonstrating links between oral diseases and general health. The increased retention of teeth among functionally-dependent older adults presents a unique challenge in maintaining the oral health of these individuals from basic oral hygiene to accessing dental services. The results of our cross-sectional study demonstrate the important role domiciliary dental services play in reducing the barriers to accessing oral health care in this cohort. In our study, most individuals treated by domiciliary services lived in residential aged care facilities and were significantly older than those treated by hospital and community-based dental services dedicated to the specialized care of individuals with additional health care needs. A significantly higher number of those receiving domiciliary care were unable to self-consent for treatment compared to those managed in other settings. 27.4% of these patients had a diagnosis of dementia. More than half (56.9%) of patients treated by domiciliary services received some form of treatment with almost half (48.1%) of these requiring a dental extraction. Only two of these patients were not diagnosed with a chronic condition known to affect oral health (dementia, Parkinson’s disease, diabetes mellitus, arthritis, stroke, osteoporosis). 23.7% of domiciliary appointments were used for denture fabrication. The results depict the worrying level of unmet treatment need in residents of aged care facilities. However, they also demonstrate the potential for domiciliary dental services to play a role in developing partnerships between carers and oral health professionals to improve the oral health of functionally-dependent older adults.
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Pasiga, Burhanuddin Daeng, and Arifurrahman Burhanuddin. "Emergency Intervention Need for Community Dental Services (Pathfinder Survey in North Mamuju Regency, West Sulawesi, Indonesia)." European Journal of Dental and Oral Health 2, no. 4 (August 8, 2021): 1–5. http://dx.doi.org/10.24018/ejdent.2021.2.4.81.
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Background: Oral health is considered an important component of public health, but there are still many people who are less concerned with oral and dental health. Objective: to describe emergency dental care interventions for communities based on age groups in North Mamuju.West of Sulawesi, Indonesia.
Materials, and Methods: The age categories in the survey were three age groups: children (6-12 years old), young (12-17 years old), and adults (18-60 years old). Analytical observational research with Cross-sectional design, which is a survey of oral pathfinder, determined by simply taking, they are Sarjo and Bambaira Districts.
Results: The sample of 935 men with male sex was 39.7% and women 63.3%. The percentage of distribution of dental care needs is 97.4%. Emergency care needed is preventive care / routine care needed as much as 13.5%, rapid care needs as much as 65.8%, urgent care needs due to pain, and dental infections as much as 17.2%.
Conclusion: The need for emergency and immediate dental care in the community is still quite high.
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Kohli, Richie, Sonya Howk, and Melinda M. Davis. "Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective." Journal of Advanced Oral Research 11, no. 1 (March 18, 2020): 23–33. http://dx.doi.org/10.1177/2320206819893213.
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Objective: To identify African-American seniors’ perceptions of the barriers and facilitators to their dental care. Materials and Methods: In this cross-sectional qualitative study, we conducted in-depth interviews with 16 community-based, self-identified African-American seniors from March 2017 to August 2017 in Oregon. We coded data in ATLAS.ti and used thematic analysis to identify emergent themes within the social ecological framework and a cross-case comparative analysis to explore variation by participant characteristics. Results: Regardless of dental insurance status, cost and perceived urgency of treatment were the primary drivers of participant’s ability and interest in seeking dental care. Participants identified four solutions to improve oral health care in African-American seniors: affordable/free care and vouchers for dental work, better oral health education at a younger age, onsite community dental services, and navigators who can educate patients about insurance and dental providers who see low-income patients. Conclusions: Oral health decisions by African-American seniors were primarily driven by cost and perceived urgency irrespective of insurance coverage. Affordable dental care, early intervention, on-site services, and navigation may help to address key barriers and reduce oral health disparities faced by African-Americans.
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Costa, Simone De Melo, and Flávia Ferreira Araújo. "Dental auxiliaries versus community health workers: similarities and contrasts." Revista de Odontologia da UNESP 42, no. 5 (October 2013): 350–56. http://dx.doi.org/10.1590/s1807-25772013000500006.
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INTRODUCTION: The dental auxiliaries and the community health workers (CHWs) are practitioners that represent an important part in the Family Health Policy in Brazil and have several tasks. OBJECTIVE: To analyze the attributes of the dental auxiliaries and of the CHWs, regarding the application of their services and their education/training, to identify the similarities and contrasts between these health care practitioners. METHODOLOGY: Quantitative and census method data collection performed on the context of the Education Program for Health Workers - PET‑Saúde, 2010‑2012. The data collection method was a semi-structured questionnaire. The analysis has a level of significance of p<0.05. RESULT: In this paper, 29 dental auxiliaries and 241 CHWs have participated in the surveys. The assignments that take place on the community context, such as home visits were more associated to the CHWs (p<0.05). On the other hand, the activities that happen on a clinical environment, such as providing assistance to graduated health professionals and performing clinical procedures, are more commonly performed by the dental assistant (p<0.05). Both categories presented similarities performing preventive health care, teamwork analysis, informative initiatives and community mobilization routines (p>0.05). CONCLUSION: Similarities and contrasts were identified between these health care workers. The dental auxiliaries, despite being mostly issued to specific assignments on a clinical environment, are able to shift their praxis by taking actions on a family and community context once integrated to a family health team.
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Farahanny, Wandania, Ika Andryas, Rini Octavia N, and Olivia A. Hanafiah. "Mobile dental clinic revitalization to improve oral health services in the covid-19 pandemic era at Sambirejo District Community Health Center, Kabupaten Langkat." ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat 5, no. 2 (December 2, 2020): 350–60. http://dx.doi.org/10.32734/abdimastalenta.v5i2.5066.
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One of pandemic effect is that people being afraid to have their regular dental treatment and tends to have their own medication. Dentist and dental nurses as workerin public health provider also afraid on doing dental treatment on a reason highly contamination and transmission of the virus. Delaying aerosol generating procedures is found as the only choice, except for emergency case. However, the uncertainty of pandemic era and dental treatment needs, urge the health workers to have innovation in dental treatment service. Using mobile dental clinic Dinas Kesehatan Kabupaten Langkat di Puskesmas Sambirejo is a solution. The implementation of service activities in mobile dental clinic are mainly in self Protection equipment, SOP in Standart Precaution, sterlisation and aseption and also patients admision flow in pandemic era for health care providers as a way to improve their knowledge in handling patient in pandemic era. The delay of action in dental procedur can be solved by facilitating mobile dental clinic according to standard health protocol. Instead of only reaching rural area, this mobile dental clinic can also be used in narrow building with limited space. The SOP protocol can also be used by dentis and dental nurses to control infection in mobile dental clinic. This article tries to support government in raising the degree of mouth and dental health services in pandemic era.
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Attipoe-Dorcoo, Sharon, Rigoberto Delgado, Dejian Lai, Aditi Gupta, and Stephen Linder. "Analysis of Annual Costs of Mobile Clinics in the Southern United States." Journal of Primary Care & Community Health 11 (January 2020): 215013272098062. http://dx.doi.org/10.1177/2150132720980623.
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Introduction Mobile clinics provide an efficient manner for delivering healthcare services to at-risk populations, and there is a need to understand their economics. This study analyzes the costs of operating selected mobile clinic programs representing service categories in dental, dental/preventive, preventive care, primary care/preventive, and mammography/primary care/preventive. Methods The methodology included a self-reported survey of 96 mobile clinic programs operating in Texas, North Carolina, Georgia, and Florida; these states did not expand Medicaid and have a large proportion of uninsured individuals. Data were collected over an 8-month period from November 2016 to July 2017. The cost analyses were conducted in 2018, and were analyzed from the provider perspective. The average annual estimated costs; as well the costs per patient in each mobile clinic program within different service delivery types were assessed. Costs reported in the study survey were classified into recurrent direct costs and capital costs. Results Results indicate that mean operating costs range from about $300 000 to $2.5 million with costs increasing from mammography/primary care/preventive delivery to dental/preventive. The majority of mobile clinics provided dental care followed by dental/preventive. The cost per patient visit for all mobile clinic service types ranged from $65 to $529, and appears to be considerably less than those reported in the literature for fixed clinic services. Conclusion The overall costs of all delivery types in mobile clinics were lower than the costs of providing care to Medicare beneficiaries in federally funded health centers, making mobile clinics a sound economic complement to stationary healthcare facilities.
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Parker, E. J., G. Misan, M. Shearer, L. Richards, A. Russell, H. Mills, and L. M. Jamieson. "Planning, Implementing, and Evaluating a Program to Address the Oral Health Needs of Aboriginal Children in Port Augusta, Australia." International Journal of Pediatrics 2012 (2012): 1–10. http://dx.doi.org/10.1155/2012/496236.
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Aboriginal Australian children experience profound oral health disparities relative to their non-Aboriginal counterparts. In response to community concerns regarding Aboriginal child oral health in the regional town of Port Augusta, South Australia, a child dental health service was established within a Community Controlled Aboriginal Health Service. A partnership approach was employed with the key aims of (1) quantifying rates of dental service utilisation, (2) identifying factors influencing participation, and (3) planning and establishing a program for delivery of Aboriginal children’s dental services that would increase participation and adapt to community needs. In planning the program, levels of participation were quantified and key issues identified through semistructured interviews. After 3.5 years, the participation rate for dental care among the target population increased from 53 to 70 percent. Key areas were identified to encourage further improvements and ensure sustainability in Aboriginal child oral health in this regional location.
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Alsharif, Alla Talal. "Georeferencing of Current Dental Service Locations to Population Census Data: Identification of Underserved Areas in Al Madina, Saudi Arabia." SAGE Open 10, no. 4 (October 2020): 215824402098297. http://dx.doi.org/10.1177/2158244020982970.
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The accessibility of oral health care services is one of the determinants of oral health in Saudi Arabia, very little is known about the geographic distribution of dental health care services, or spatial dimensions related to dental service access (travel time, distance, etc.), especially within metropolitan areas. Therefore, this study used known community profile indicators to assess the geographic accessibility of existing dental services in the city of Al Madina, Saudi Arabia. Geographic coordinates were identified for 33 primary clinics and 48 private clinics. The Al Madina metropolitan area, containing 1,105,465 residents, was divided into 103 districts, in accordance with the 2010 population census. Clinic locations and the number of dentists at each clinic were integrated with the city’s population census data within each district, using a geographic information system. The city metropolitan area consisted of 103 neighborhoods with a total of 1,105,465 residents (715,980 Saudis and 389,485 non-Saudis). Thirty-three fixed public primary dental clinics and 48 private dental clinics were geocoded within the municipality. The city exhibited an overall practice-to-population ratio of one dental clinic per 13,647 residents. More clinics (55% public and 58% private) were located within 3 km of the city center. Notably, 8% of the population was located more than 10 km from the city center. A total of 37% of the city’s districts were identified as areas of relative need; these were primarily located in peripheral metropolitan areas. This study depicts a clear example of the inverse care law, where people living in outer metropolitan areas have less spatial access to dental care than those living in inner metropolitan areas.
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Johnson, Kalin L., Kevin T. Fuji, Joseph V. Franco, Shana Castillo, Karen O'Brien, and Kimberley J. Begley. "A Pharmacist’s Role in a Dental Clinic: Establishing a Collaborative and Interprofessional Education Site." INNOVATIONS in pharmacy 9, no. 4 (December 13, 2018): 13. http://dx.doi.org/10.24926/iip.v9i4.1382.
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Background: Dental patients often have comorbidities and take multiple medications, some of which could impact their dental health and treatment. A pharmacist in a dental clinic can assist with the gathering, documentation and evaluation of a dental patient’s medication history as it pertains to their dental visit and overall health.
Purpose: To develop and implement a collaborative and interprofessional education program with a pharmacist providing services in a dental school clinic.
Summary: Creighton University School of Dentistry, a student-operated dental clinic located in Omaha, Nebraska, provides dental care by student dentists, faculty and staff to the surrounding community in a learning-focused environment. A pharmacist was incorporated into the dental clinic to create and establish an interprofessional relationship with both dental students and faculty beginning August 2014. Pharmacy students on an ambulatory care advanced pharmacy practice experience rotation were eventually added to the team. The pharmacy team provided medication therapy management services including disease state and medication counseling, medication reconciliation, identifying drug-related problems and dental implications of medications, and recommendations for prescribed medications.
Conclusion: The pharmacy team’s presence was largely accepted by dental faculty, staff, dental students, and patients. Pharmacists can play an important role in a dental clinic by performing thorough health and medication histories and communicating with dental and medical providers involved in a patient’s care.
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Kathariya, Mitesh D., Prashant S. Viragi, KS Dwijendra, Kirti Chopra, Mahesh V. Dadpe, and HS Madhukar. "Dental Health and Treatment Needs Among Children in a Tribal Community." Journal of Contemporary Dental Practice 14, no. 4 (2013): 747–50. http://dx.doi.org/10.5005/jp-journals-10024-1395.
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ABSTRACT Objective To assess the dental health status and treatment needs among children of ‘Pardhi’ tribal community. Methods A total of 185 children were examined over a period of 2 months using WHO proforma. The statistical software namely SPSS version 15.0 and data was analyzed using Student's t-test and ANOVA test at p < 0.05. Results The mean score for dft and DMFT was 1.87 ± 1.073 and 2.04 ± 1.564 respectively with males subjects were having comparatively more scores. It was also found significant differences between age groups. Most of the children needed one surface filling, i.e. 29.40%, followed by pulp care and restoration (19.30%), two or more surface fillings (15.60%) and extraction (11.70%). Clinical significance The study subjects were characterized by a lack of dental care services, high prevalence of dental caries and treatment needs. Therefore, implementation of a basic oral health care program for this tribal population is a high priority How to cite this article Viragi PS, Dwijendra KS, Kathariya MD, Chopra K, Dadpe MV, Madhukar HS. Dental Health and Treatment Needs Among Children in a Tribal Community. J Contemp Dent Pract 2013;14(4):747-750.
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Happell, Brenda, Chris Platania-Phung, David Scott, and Christine Hanley. "Access to dental care and dental ill-health of people with serious mental illness: views of nurses working in mental health settings in Australia." Australian Journal of Primary Health 21, no. 1 (2015): 32. http://dx.doi.org/10.1071/py13044.
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People with serious mental illness experience higher rates of oral and dental health problems than the wider population. Little is known about how dental health is viewed or addressed by nurses working with mental health consumers. This paper presents the views of nurses regarding the nature and severity of dental health problems of consumers with serious mental illness, and how often they provide advice on dental health. Mental health sector nurses (n = 643) completed an online survey, including questions on dental and oral health issues of people with serious mental illness. The majority of nurses considered the oral and dental conditions of people with serious mental illness to be worse than the wider community. When compared with a range of significant physical health issues (e.g. cardiovascular disease), many nurses emphasised that dental and oral problems are one of the most salient health issues facing people with serious mental illness, their level of access to dental care services is severely inadequate and they suffer significantly worse dental health outcomes as a result. This study highlights the need for reforms to increase access to dental and oral health care for mental health consumers.
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Purandare, Nitin, Eva Woods, Sue Butler, Julie Morris, Martin Vernon, James Fraser McCord, and Alistair Burns. "Dental health of community-living older people attending secondary healthcare: a cross-sectional comparison between those with and without diagnosed mental illness." International Psychogeriatrics 22, no. 3 (December 15, 2009): 417–25. http://dx.doi.org/10.1017/s1041610209991438.
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ABSTRACTBackground: Mental illness and cognitive impairment are risk factors for poor dental health.Methods: We conducted a cross-sectional study to compare the dental health of older patients attending out-patient clinics and day hospitals of old age psychiatry services (the psychiatry group, n = 103) with those attending general/geriatric medical services (the medical group; n = 99). Those living in care homes, and those with diagnosed mental illness (in the medical group) were excluded. A registered mental health nurse assessed mental and general health using validated and previously published instruments. A registered dentist made an independent assessment of dental health (examination to assess oral pathology, status of remaining teeth, and dentures) and made an overall judgment about whether the patient needed any dental treatment (a “normative” need).Results: The normative need for dental treatment was significantly higher among the psychiatry group compared to the medical group (85% vs 52%; p<0.001); even after taking account of the effect of age, gender, teeth status, physical comorbidity, cognition, depressive symptoms, and overall mental and social health [adjusted odds ratio, OR (95% confidence interval): 4.32 (2.09, 8.91)]. The presence of any natural remaining teeth [OR: 4.44 (2.10, 9.42)] and Barthel Index [OR: 0.96 (0.93, 0.99)] were the two other independent predictors of the need for treatment.Conclusion: Dental problems are common in community-living older people, especially those with some natural remaining teeth and those with mental illness. There is a need to develop integrated mental health and dental care services for older people with emphasis on prevention of dental problems.
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Sermsuti-anuwat, Nithimar, and Sathirakorn Pongpanich. "Factors Associated With Access to Dental Services of Adults With Physical Disabilities in Thailand." Global Journal of Health Science 10, no. 8 (July 24, 2018): 163. http://dx.doi.org/10.5539/gjhs.v10n8p163.
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OBJECTIVES: To determine factors associated with access to dental services of community-dwelling adults with physical disabilities in Thailand.METHODS: This cross-sectional study was conducted at the Center of Independent Living, community club for individuals with disabilities in Pathum Thani province, Thailand, in February 2018. Individual participants were interviewed by a trained interviewer using a structured questionnaire that consisted of (1) questions on demographic characteristics and (2) adapted questions that were based on the modified Penchansky and Thomas’s dimensions of access (accessibility, availability, acceptability, affordability, accommodation and awareness). Enter method of binary logistic regression analysis was used.RESULTS: We included 198 individuals with physical disabilities. Most participants had not attended dental care services in the previous 12 months (77.3%) and gave negative responses for all questions regarding the dimensions of access. Although we did not observe any statistically significant differences in age and the six dimensions of access between participants who had attended at least one dental appointment and those who had not, in multivariate analysis, we found a statistically significant association indicated that participants who had education < primary were 3.35 times more likely to had not attended at least one dental appointment (p = 0.002).CONCLUSION: Our findings have uncovered factors associated with access to dental services of community-dwelling adults with physical disabilities in Thailand. Individuals with physical disabilities are in need of oral health education programs regarding proper oral health behaviors such as regular dental services attendance, appropriate oral hygiene practices and dental care benefits.
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Kamimura, Akiko, Bethany Gull, Shannon Weaver, Lindsey Wright, Jeanie Ashby, and Lea E. Erickson. "Association Between Health-Related Beliefs and Oral Health Behaviors Among Uninsured Primary Care Patients." Journal of Primary Care & Community Health 8, no. 3 (November 30, 2016): 115–21. http://dx.doi.org/10.1177/2150131916680887.
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Introduction: The collaborations between dental care providers and other health care providers are especially needed for underserved populations. There is a deficit of research focused on underserved populations who utilize a safety net facility such as a free clinic in the United States. The purpose of this study is to examine the association between health-related beliefs and oral health behaviors among uninsured adults utilizing a primary care free clinic providing oral health care. Methods: Uninsured primary care patients utilizing a free clinic (N = 585) participated in a self-administered paper survey in May and June, 2016. Results: More than 60% of free clinic patients reported a perceived need for dental treatment. Free clinic patients who brush their teeth more than once a day reported better perceived general health compared with those who do not brush their teeth more than once a day. Free clinic patients who had perceived a need for dental treatment reported worse perceived general health compared to those who did not report dental needs. Conclusions: The results of this study indicate a pressing need for the further development of dental care services at safety-net clinics. By including dental care in health promotion programs, it will have positive impacts not only on oral health but also on a healthy lifestyle and the general health of underserved populations utilizing a safety-net clinic. The implementation and evaluation of the integrated health programs, which include primary care and oral health care together, would be beneficial to reduce oral health disparities.
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Atchison, K. A. "Using Information Technology and Community-based Research to Improve the Dental Health-care System." Advances in Dental Research 17, no. 1 (December 2003): 86–88. http://dx.doi.org/10.1177/154407370301700120.
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It is commonly acknowledged that the United States’ health-care system produces some of the finest care in the world for some people but fails to meet the needs of others. The Institute of Medicine (IOM) issued six aims for a redesigned health-care system, that it be: safe, effective, patient-centered, timely, efficient, and equitable. The purpose of this paper is to use an ongoing community-based study to illustrate current problems in the provision of oral health services that could be addressed through information technology. Appropriate use of information technology can assist dental schools and clinics in community-based clinical outcomes research needed to assemble the evidence base for improving oral health care. This conference serves as an important steppingstone to establish a means for information technology to improve the community’s oral health.
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Bratchell, Joanne. "Care of Patients with learning disabilities in the day surgery setting." British Journal of Anaesthetic and Recovery Nursing 3, no. 3 (August 2002): 22–29. http://dx.doi.org/10.1017/s1742645600001583.
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ABSTRACTThe shift in the philosophy of care for people with learning disabilities from institutional care to living in the community has placed greater demands on generic health services. Alack of training and appropriate skills have been identified as problem areas for health care providers who may be required to care for this group of people. The dental health of people with learning disabilities has shown no improvement over the last fifty years despite advances in dental treatment. Requests for dental care present practitioners with ethical and legal problems due to a reduced capacity to give informed consent. The provision of dental care for patients with learning disabilities in the day surgery unit of a local hospital is critically evaluated and recommendations are then made as to how current practice may be improved with reference to the findings of current literature.
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Khaleeq-Ur-Rehman. "Emergency Dental Services: Review of the Community Health NHS Trust Service in Birmingham between 1997 and 2000." Primary Dental Care os10, no. 3 (July 2003): 93–96. http://dx.doi.org/10.1308/135576103322497066.
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Aims and Objectives To confirm the need for an emergency dental service in Birmingham and to review the emergency dental service run by the South Birmingham Community Health NHS Trust. Design A retrospective study of patients attending the emergency dental service from March 1997 to August 2000, using computerised patient records and a supplementary questionnaire for a nine-month period between August 1997 and April 1998. Setting Birmingham Dental Hospital. Results A review of the computerised records revealed that a total of 10,799 patients were seen during the study period. In the first year, on average five patients were seen on weekday evening sessions and 13 patients at weekends/public holidays. By the final year of the study, these figures increased to ten on weekday evenings and 16 at weekends/public holidays. Forty-three per cent of the attendees were in the 31–50 year age group and 33% in 19–30 year age group. Twenty-five per cent of patients required extractions, 20% received temporary dressings, 17% a prescription for antibiotics and 9% were treated for acute mucosal conditions such as pericoronitis. The remainder received other items of treatments, such as for dry sockets. The supplementary questionnaire revealed that during the period August 1997 to April 1998, 67% of the patients lived in Birmingham and the other 33% in the surrounding areas, and some 59% of patients claimed that they were registered with a dentist of whom 60% of patients were not exempt from NHS charges. Conclusions The results indicate that the service was widely and increasingly used during the study period. A similar pattern of emergency dental care in dedicated clinics could be established throughout the United Kingdom. A profile of users of the service during its first three-and-a-half years has been established.
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Tellez, Marisol, and Mark S. Wolff. "The Public Health Reach of High Fluoride Vehicles: Examples of Innovative Approaches." Caries Research 50, Suppl. 1 (2016): 61–67. http://dx.doi.org/10.1159/000443186.
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Fluorides and sealants have been shown to reduce caries in populations, making fluoride interventions a large part of the dental public health effort. Although public health programs have traditionally focused on fluoride vehicles delivering less than 1,000 ppm of fluoride, more recent efforts have shifted toward the use of high fluoride vehicles such as varnishes and prescription toothpastes. In the USA, states are developing innovative strategies to increase access to dental services by using primary care medical providers to deliver early preventive services as part of well-child care visits. Currently, Medicaid programs in 43 states reimburse medical providers for preventive services including varnish application. Still, there is uncertainty about the cost-effectiveness of such interventions. In many resource-strained environments, with shortages of dental health care providers, lack of fluoridated water and lower dental awareness, it is necessary to develop sustainable programs utilizing already established programs, like primary school education, where caries prevention may be set as a priority. Dental caries among the elderly is an ongoing complex problem. The 5,000-ppm F toothpaste may be a reasonable approach for developing public health programs where root caries control is the main concern. Fluoride varnish and high concentration fluoride toothpaste are attractive because they can easily be incorporated into well-child visits and community-based geriatric programs. Additional research on the effectiveness and costs associated with population-based programs of this nature for high risk groups is needed, especially in areas where a community-based fluoride delivery program is not available.
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Ren, Y. F., L. Rasubala, H. Malmstrom, and E. Eliav. "Dental Care and Oral Health under the Clouds of COVID-19." JDR Clinical & Translational Research 5, no. 3 (April 24, 2020): 202–10. http://dx.doi.org/10.1177/2380084420924385.
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Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused much anxiety and confusion in the community and affected the delivery of vital health care services, including dental care. We reviewed current evidence related to the impact of SARS-CoV-2/COVID-19 on dental care and oral health with the aim to help dental professionals better understand the risks of disease transmission in dental settings, strengthen protection against nosocomial infections, and identify areas of COVID-19–related oral health research. When compared with other recent pandemics, COVID-19 is less severe but spreads more easily, causing a significantly higher number of deaths worldwide. Protection of dental patients and staff during COVID-19 is challenging due to the existence of patients who are infectious yet asymptomatic. Dental professionals are ill prepared for the pandemic, as they are not routinely fitted for the N95 respirators now required for preventing contagion during dental treatments. Biological and clinical evidence supports that oral mucosa is an initial site of entry for SARS-CoV-2 and that oral symptoms, including loss of taste/smell and dry mouth, might be early symptoms of COVID-19, presenting before fever, dry cough, fatigue, shortness breath, and other typical symptoms. Oral health researchers may play a more active role in early identification and diagnosis of the disease through deciphering the mechanisms of dry mouth and loss of taste in patients with COVID-19. Rapid testing for infectious diseases in dental offices via saliva samples may be valuable in the early identification of infected patients and in disease progress assessment. Knowledge Transfer Statement: This commentary provides a timely evidence-based overview on the impact of COVID-19 on dental care and oral health and identifies gaps in protection of patients and staff in dental settings. Oral symptoms are prominent before fever and cough occur. Dental professionals may play an important role in early identification and diagnosis of patients with COVID-19.
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Ghassan, Ayesha, Irfan Shukr, Naushaba Sadiq, and Rabia Ahsan. "CURRENT TRENDS IN DENTAL EDUCATION." PAFMJ 71, no. 3 (June 30, 2021): 1107–13. http://dx.doi.org/10.51253/pafmj.v71i3.6318.
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The dental profession is an important segment of human health care services all over the world. Dental schools in Europe and United States have evolved their curriculum to keep abreast with advances in dentistry; like connective tissue biophysics and molecular engineering through an objectively structured and clinically oriented curriculum. However, dental education in our country is still mostly traditional. This article examines the new approaches to teaching and learning in dental schools/colleges that are shaping dental curriculum globally. Articles relating to curricular trends in dental education and advancement in the dental profession published between 2010-2020 were searched in medical search engines. However, few relevant articles published before this period were also consulted. The current trends in dental curricula show new teaching, learning, and assessment methods like small group discussions, case-based learning, competency-based learning, Inquiry-based teaching-learning, and peer-assisted learning. The curricular format is integrated and new innovative assessment techniques like the assessment of multiple systematic reviews (AMSTAR) are being employed. Virtual reality, interdisciplinary teaching, and distributed community models in dental education are being implemented. The emergence of COVID-19 has also affected dental education and as a result, e-learning formats and assessment techniques have become increasingly popular. Dental schools abroad have revamped their curriculum with the advances in newer technologies and research related to dentistry. There is a need to immediately update and redesign the present dental curriculum in our country as well.
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Nemeth, Orsolya, Mercedesz Orsos, Fanni Simon, and Peter Gaal. "An Experience of Public Dental Care during the COVID-19 Pandemic: Reflection and Analysis." International Journal of Environmental Research and Public Health 18, no. 4 (February 16, 2021): 1915. http://dx.doi.org/10.3390/ijerph18041915.
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Since its emergence in China, the COVID-19 pandemic has become the number 1 health challenge in the world with all affected countries trying to learn from each other’s experiences. When it comes to health services, dental care does not seem to be a priority area, despite the fact that it is among the highest risk medical specialisations in terms of spreading the infection. Using the Department of Community Dentistry of Semmelweis University as a case study, the objective of this paper is to introduce and analyze the system and organizational level measures, which have been implemented in dental care in Hungary during the first months of the COVID-19 outbreak. The system level measures to promote social distancing, to reduce the use of health services and to protect high risk health professionals, together with the deployment of protective equipment and the reorganization of patient pathways at the organizational level proved to be effective in keeping the outbreak in control. There are two, less frequently mentioned ingredients of successful coping with the COVID-19 challenge. First, mental health support is at least as important as physical protection. Second, most of the interventions do not require big financial investments, but behavioural change, which in turn requires leadership and change management skills.
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BALAFIF, Felisha Febriane, Agus SUSANTO, and Indah Suasani WAHYUNI. "Oral health assessment during Covid-19 pandemic: community self-report questionnaire." Journal of Syiah Kuala Dentistry Society 6, no. 1 (July 26, 2021): 51–56. http://dx.doi.org/10.24815/jds.v6i1.21894.
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ABSTRACT The Covid-19 pandemic situation has affected community activities, work, income whichdecreased, psychological disorders such as stress, and limited accessibility to dental practice service,which is now for emergency cases only. This condition can affect oral health in the community. Thisstudy aimed to assess the oral health condition in the community during the Covid-19 pandemic. Thisstudy was implementing a cross-sectional research design. Data were obtained from onlinequestionnaires with the respondent's consent. The sample selection with inclusion criteria comprised 1960yearsoldwholivedinBandungWestJava.Theself-reportquestionnairefororalhealthassessmentwasfollowed,thepreviousresearch,byLevinetal.,2013.Ithasbeentrans-adaptedtoBahasaIndonesiaandvalidated.Respondentsofthestudywere380participants.Poororalhygienemaintenancewasthewrongfrequencyofbrushingteeth(12.1%),onlyvisitingthedentistwhenhavingatoothache(72.9%),andsmoking(7.9%).Oralhealthproblemsincludegingivalbleedingonbrushing(15.3%),toothmobility(13.2%),tooth cavities (62.9%), toothache (27.1%), and bad breath (22.6%). Most of the oral healthproblems were tooth cavities followed by toothache. The contributing factors include poor oral hygienemaintenance, improper brushing, smoking habits, and infrequent dental care. Furthermore, theaccessibility and availability of services in dental practice in the pandemic situation are limited.Therefore, it is reasonable to say that oral self-examination probably could minimize the distancingrelatedprobleminthisCovid-19pandemicsituationandbehelpfulintheearlydetectionoforalhealthproblems.KEYWORDS: assessment, Covid-19 pandemic, oral health
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Conway, D. I., S. Culshaw, M. Edwards, C. Clark, C. Watling, C. Robertson, R. Braid, et al. "SARS-CoV-2 Positivity in Asymptomatic-Screened Dental Patients." Journal of Dental Research 100, no. 6 (March 29, 2021): 583–90. http://dx.doi.org/10.1177/00220345211004849.
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Enhanced community surveillance is a key pillar of the public health response to coronavirus disease 2019 (COVID-19). Asymptomatic carriage of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a potentially significant source of transmission, yet remains relatively poorly understood. Disruption of dental services continues with significantly reduced capacity. Ongoing precautions include preappointment and/or at appointment COVID-19 symptom screening and use of enhanced personal protective equipment (PPE). This study aimed to investigate SARS-CoV-2 infection in dental patients to inform community surveillance and improve understanding of risks in the dental setting. Thirty-one dental care centers across Scotland invited asymptomatic-screened patients aged over 5 y to participate. Following verbal consent and completion of sociodemographic and symptom history questionnaire, trained dental teams took a combined oropharyngeal and nasal swab sample using standardized Viral Transport Medium–containing test kits. Samples were processed by the Lighthouse Lab and patients informed of their results by SMS/email with appropriate self-isolation guidance in the event of a positive test. All positive cases were successfully followed up by the national contact tracing program. Over a 13-wk period (from August 3, 2020, to October 31, 2020), 4,032 patients, largely representative of the population, were tested. Of these, 22 (0.5%; 95% CI, 0.5%–0.8%) tested positive for SARS-CoV-2. The positivity rate increased over the period, commensurate with uptick in community prevalence identified across all national testing monitoring data streams. To our knowledge, this is the first report of a COVID-19 testing survey in asymptomatic-screened patients presenting in a dental setting. The positivity rate in this patient group reflects the underlying prevalence in community at the time. These data are a salient reminder, particularly when community infection levels are rising, of the importance of appropriate ongoing infection prevention control and PPE vigilance, which is relevant as health care team fatigue increases as the pandemic continues. Dental settings are a valuable location for public health surveillance.
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Zablotska, I., A. Frankland, J. Imrie, P. Adam, R. Westacott, P. Canavan, and G. Prestage. "Current issues in care and support for HIV-positive gay men in Sydney." International Journal of STD & AIDS 20, no. 9 (September 2009): 628–33. http://dx.doi.org/10.1258/ijsa.2008.008432.
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We explored current access to care among HIV-positive people in Australia. In 2006, 270 HIV-positive gay men from a community-based Positive Health cohort in Sydney were asked about their health (including medical and social) service needs and, subsequently, about difficulty in accessing services. We report the prevalence of specific needs, barriers and associated factors. Participants most commonly used general practitioners (64%) for HIV management and needed at least one HIV-related medical service (usually several: doctors experienced in HIV management, dentists and hospital pharmacies). Most participants were able to access them. Barriers in accessing services were related to their convenience rather than lack or quality. Cost emerged as a substantial barrier to dental care and psychological counselling (91% and 48% respectively of those in need). Need for an HIV-related social service was reported by 46% of respondents. Difficulties in accessing these related to poor services and staff attitudes. Income was associated with limited access to multiple services. In Australia, HIV-related medical service needs outweigh those for social services. Complex health services remain essential to HIV-positive people, but some services are currently not meeting their needs. To remain adequate, services need to understand and constantly adapt to the changing needs of HIV-positive people.
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MOIMAZ, Suzely Adas Saliba, Lúcia Maria Lima Lemos de MELO, Cléa Adas Saliba GARBIN, Artênio José Ísper GARBIN, and Nemre Adas SALIBA. "Oral health assessment protocol in primary care." RGO - Revista Gaúcha de Odontologia 63, no. 4 (December 2015): 446–54. http://dx.doi.org/10.1590/1981-863720150003000113012.
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Objective: The aim of this study was to analyze the oral health service performance in a certain municipality and also to develop a diagnostic evaluation protocol of Oral Health in Primary Care. Methods: This is a descriptive, quantitative and qualitative research. The research site chosen was in the city of Pereira Barreto, State of São Paulo Brazil, since it makes use of the Family Health Strategy as the structuring care model of the Health Care System in 100% of the population as well as oral health teams implemented and oral health secondary care. Data were obtained through interviews with the manager, six dentists, six oral health assistants and six community health workers. Document analysis of the Municipal Health Plan was also conducted along with the Dental Health Agenda and on-site observation of the dental structure. Results: The city Health Plan presents a detailed description of the municipality general situation, the oral health agenda recommends, in its implementation phase, the three main areas as a core in Family Health Strategy as follows: health unit, family and community.The survey found that the main form of access of the population to services was the spontaneous demand and there were only two Family Health teams without focus on oral health. Conclusion: The analysis of the service performed; made possible to develop a protocol with specific Oral Health dimensions to support the manager in defining intervention strategies
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Zhu, Y., K. Close, L. P. Zeldin, B. A. White, and R. G. Rozier. "Implementation of Oral Health Screening and Referral Guidelines in Primary Health Care." JDR Clinical & Translational Research 4, no. 2 (November 20, 2018): 167–77. http://dx.doi.org/10.1177/2380084418810332.
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Objectives: To determine the oral health screening and referral practices of pediatric providers, their adherence to American Academy of Pediatrics oral health guidelines, and barriers to adherence. Methods: Providers in 10 pediatric practices participating in the North Carolina Quality Improvement Initiative, funded by the Child Health Insurance Program Reauthorization Act of 2009, were asked to complete a 91-item questionnaire. Questions on risk assessment and referral practices were based on those recommended by the American Academy of Pediatrics. Adherence to oral health guidelines was assessed by practitioners’ evaluation of 4 vignettes presenting screening results for an 18-mo-old child with different levels of risk and caries status. Respondents chose referral recommendations assuming adequate and inadequate dentist workforces. Logit models determined the association between barriers specified in Cabana’s framework and adherence (count of 6 to 8 adherent vignettes vs. 0 to 5). Results: Of 72 eligible providers, 53 (74%) responded. Almost everyone (98.1%) screened for dental problems; 45.2% referred in at least half of well-child visits. Respondents were aware of oral health guidelines, expressed strong agreement with them, and reported confidence in providing preventive oral health services. Yet they underreferred by an average of 42% per vignette for the 7 clinical vignette-workforce scenarios requiring an immediate referral. Frequently cited barriers were providers’ beliefs that 1) parents are poorly motivated to seek dental care, 2) oral health counseling has a small effect on parent behaviors, 3) there is a shortage of dentists in their community who will see infants and toddlers, and 4) information systems to support referrals are insufficient. Conclusion: Pediatric clinicians’ beliefs lead to a conscious decision not to refer many patients, even when children should be referred. Knowledge Transfer Statement: Evidence suggests that the primary care–dental referral process needs improvement. This study identifies barriers to delivering recommended preventive oral health services in pediatrics. The information can be used to improve the screening and referral process and, thus, the quality of preventive oral health services provided in primary care. Results also can guide researchers on the selection of interventions that need testing and might close gaps in the referral process and improve access to dental care.
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Clark, Brent, Elaine Bowen, Chad Higgins, Zona Hutson, Gina Sharps, and Tracy Waugh. "West Virginia’s Response to the Rotten Truth about Oral Health." Journal of Youth Development 3, no. 3 (December 1, 2008): 164–70. http://dx.doi.org/10.5195/jyd.2008.295.
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West Virginia University Extension Service has taken steps to increase the awareness and practices of good oral health. Significant barriers exist for optimal dental health and preventive care for youth in West Virginia. The 4-H Health Initiative strengthens community 4-H clubs through joint commitment to improve the Health “H,” club reliance on youth leadership, responsiveness to youth voices, and involvement of community health resources. These efforts bring oral health education and services to school-age youth. Evaluation data suggest that the model may impact oral health behaviors.
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Maupome, Gerardo, E. Angeles Martínez-Mier, Alanna Holt, Carlo Eduardo Medina-Solís, Andrés Mantilla-Rodríguez, and Brittany Carlton. "The association between geographical factors and dental caries in a rural area in Mexico." Cadernos de Saúde Pública 29, no. 7 (July 2013): 1407–14. http://dx.doi.org/10.1590/s0102-311x2013000700014.
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The aim of this study was to investigate the association between markers of oral disease and geographical factors influencing access to dental care (DMFT score) among school children in Central Mexico. Retrospective data were collected during an international service-learning program between 2002 and 2009. A sample of 1,143 children (55% females; mean age 12.7±13.1years) was analyzed. The mean DMFT score, represented largely by untreated tooth decay, was 4.02 (4.76). The variables that had the most significant effect on the DMFT score were proportion of paved roads between the community and dental services, and the availability of piped potable water. The DMFT score increased in proportion to the percentage of paved roads. In contrast, the DMFT score decreased with the availability of piped potable water. Similar results were found for untreated tooth decay. The main variable associated with a significant increase in dental fillings was proportion of paved roads. Together with Brazilian reports, this is one of the first investigations of the association between geographical factors and oral health in an underdeveloped setting.
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Teo, Cher Hwei Kalinda, Michelle Nisha Mahesh, and Guang Xu David Lim. "Oral health status and barriers to care in a multiethnic mixed disability center: Rethinking disability community dental services." Special Care in Dentistry 40, no. 4 (June 5, 2020): 344–55. http://dx.doi.org/10.1111/scd.12483.
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Dudko, Yevgeni, Estie Kruger, and Marc Tennant. "National dental waitlists: what would it take to reset to zero?" Australian Health Review 40, no. 3 (2016): 277. http://dx.doi.org/10.1071/ah15025.
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Objective Over the years, long public dental waitlists across Australia have received much attention from the media. The issue for eligible patients, namely a further deterioration of dental health because of not being able to address dental concerns relatively quickly, has been the subject of several state and Federal initiatives. The present study provides a cost model for eliminating public dental waitlists across Australia and compares these results with the cost of contracting out public dental care to private clinics. Methods Waitlist data from across Australia were collected from publicly available sources and confirmed through direct communication with each individual State or Territory Dental Health body. Average costs associated with employing key dental personnel and performance figures were used from previously published data to estimate the potential financial commitment and probable public benefits. Results The cost model suggests that, on average, it would be more than twice as expensive to contract the work out to private dental clinics as to treat eligible patients within public dental clinics. It is estimated that the cost of eliminating the legacy dental waiting lists (over 12 months) would be between A$50 and A$100 million depending on the method adopted. The effort would require some 360 dental teams. Conclusion The design of the Australian public dental care system that is targeted at meeting the needs of eligible patients into the future, in addition to being effective and sustainable, must also offer a level of protection to the taxpayer. The ability to address waitlist backlog identified in the present study clearly would require a mix of service models depending on service availability at different locations. Further research is needed to optimise the mix of service providers to address community needs. What is known about the topic? Long public dental waitlists across Australia have received much attention from the media. The topic has been the subject of debate at the government level and, over the years, has seen an increase in allocation of public funds in an effort to address the policy needs. What does this paper add? This study calculates the actual number of people on the public dental waitlist, provides a detailed analysis of the distribution of the demand for the services and offers a cost model for resetting public dental waitlists across Australia. What are the implications for practitioners? This study carries no implications for individual practitioners at the clinical level. However, at the state and national levels, this model offers direction to a more cost-effective allocation of public funds and human resources.
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Latham-Mintus, Kenzie, Ashley Vowels, and Swapnali Chavan. "Neighborhood Disorder, Social Ties, and Preventive Healthcare Utilization among Urban-Dwelling Older Adults." Journal of Aging and Health 32, no. 10 (June 23, 2020): 1387–98. http://dx.doi.org/10.1177/0898264320929544.
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Objectives: This research examines whether perceived neighborhood disorder influences the use of preventive healthcare services (i.e. influenza vaccine, pneumonia vaccine, cholesterol screening, colonoscopy, and dental care) by older adults and whether social ties buffer the potential adverse effects of perceived neighborhood disorder. Methods: Using data from the 2012 wave of the Health and Retirement Study, binary logistic regression was used to generate odds ratio estimates of preventive healthcare use in the past 2 years. Results: We find that greater levels of neighborhood disorder were associated with fewer dental care visits net of social and health factors. Regular participation in four or more social activities was associated with decreased odds of restricted use and increased odds of receiving a pneumonia vaccine and colonoscopy. Discussion: This research provides evidence that perceived neighborhood disorder may act as a barrier for specific preventive healthcare services and highlights the need for targeted intervention.
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Hall, Martin, and Bradley Christian. "A health-promoting community dental service in Melbourne, Victoria, Australia: protocol for the North Richmond model of oral health care." Australian Journal of Primary Health 23, no. 5 (2017): 407. http://dx.doi.org/10.1071/py17007.
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Despite the best efforts and commitment of oral health programs, there is no evidence that the current surgical output-based model of oral health care is delivering better oral health outcomes to the community. In fact, Australian evidence indicates the oral health of the community could be getting worse. It is now well-understood that this traditional surgical model of oral health care will never successfully manage the disease itself. It is proposed that a health-promoting, minimally invasive oral disease management model of care may lead to a sustainable benefit to the oral health status of the individual and community groups. The aim of this paper is to describe such a model of oral health care (MoC) currently being implemented by the North Richmond Community Health Oral Health (NRCH-OH) program in Melbourne, Victoria, Australia; this model may serve as a template for other services to re-orient their healthcare delivery towards health promotion and prevention. The paper describes the guiding principles and theories for the model and also its operational components, which are: pre-engagement while on the waitlist; client engagement at the reception area; the assessment phase; oral health education (high-risk clients only); disease management; and reviews and recall.
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Saadeh, Rami, David Cappelli, Irene Bober-Moken, Annaliese Cothron, and Magda de la Torre. "Assessing Oral Health Status, Practices, and Access to Care among War-Affected Refugees Living in San Antonio, Texas." European Journal of Dentistry 14, no. 03 (May 24, 2020): 371–79. http://dx.doi.org/10.1055/s-0040-1710400.
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Abstract Objectives Refugees encounter several health disparities including oral health problems. This study evaluated the self-reported oral health status, practices, and access to care of adult refugees living in San Antonio, Texas, United States. Materials and Methods Adult refugees (n = 207) who accessed services from two centers in San Antonio, completed this survey. Multivariate logistic regression was used to examine the relationship of the refugees’ demographics with oral health status, practices, and access to care. Results Oral pain in the previous 12 months was common among refugees having been reported by almost 58.9% of the survey participants; 43% reported pain as the reason for their last dental visit. Approximately half of the participants reported both the condition to their teeth and gums as being good: 42.5 and 54.6%, respectively. Most participants (84%) reported brushing their teeth one or two times a day, and around 78% reported they never smoked. Fifty-two percent reported needing dental care in the past 12 months, but not being able to receive it; while 45.9% reported not having dental insurance, 41.5% reported not having money to pay a dentist. Fifteen percent reported never visiting a dentist. Arabic speakers, moving to the United States more recently, and lower level of education were associated with a poor oral health status and practices (p < 0.05). Conclusion Refugees in this study encountered limited access to dental care. Their inability to seek dental care could affect their oral and general health, weaken efforts of preventing oral health diseases, and restrict their full inclusion into the community.
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Zhu, Jingrong, Jinlin Li, Zengbo Zhang, Hao Li, and Lingfei Cai. "Exploring determinants of health provider choice and heterogeneity in preference among outpatients in Beijing: a labelled discrete choice experiment." BMJ Open 9, no. 4 (April 2019): e023363. http://dx.doi.org/10.1136/bmjopen-2018-023363.
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ObjectiveFor a long time in China, public hospitals have been the most prominent provider of healthcare. However, recent policy reforms mean the private sector is experiencing rapid development. Thus, the purpose of this study is to detect whether the policies published by the government aimed to improve the quality of healthcare services were catering to patient’s preferences.Participants and methodsOur work uses dental care as an example of services provided in outpatient setting and takes advantage of a labelled discrete choice experiment with a random sample of respondents from Beijing. Participants were asked to make a choice between four healthcare providers with different attributes. Mixed logit and latent class models were used for the analysis.ResultCare provided by high-level private hospitals and community hospitals were valued RMB154 and 216 less, respectively, than care provided by class A tertiary hospitals, while the most disliked provider was private clinics. This was the most valued attribute of dental care. Respondents also value: lower waiting times, the option to choose their doctor, lower treatment costs, shorter travel times and a clean waiting room. However, when the level of provider was analysed, the prevailing notion that patients in China were always likely to choose public services than private services no longer holds. Four classes of patients with distinct preferences for dental care provider choice were identified, which can partly be explained by age, income, experience and Hukou status—a household registration permit.DiscussionThe study to some extent challenged the overwhelming predominance of public healthcare providers in China. The preference heterogeneity we found was relatively large. Our findings are significant for providers in developing more specific services for patients and for policymakers in weighing the pros and cons of future initiatives in medical reform.
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Schroeder, Shawnda, Collette Adamsen, and Cole Ward. "Dental Care Utilization and Service Needs Among American Indian/Alaska Native/Native Hawaiian Elders: 2008 to 2017." Journal of Aging and Health 31, no. 10 (September 21, 2018): 1917–40. http://dx.doi.org/10.1177/0898264318800598.
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Objective: This study describes trends in self-reported dental care utilization and services needed among American Indian/Alaska Native/Native Hawaiian (AI/AN/NH) elders 2008 to 2017, including demographic and socioeconomic variability. Method: Researchers utilized data from the Survey of Elders administered by the National Resource Center on Native American Aging, representing all regions of the United States and 262 tribes. Data were analyzed comparing means over time and between/within groups. Results: Between April 2008 and March 2017, there was a statistically significant ( p < .001) increase in the proportion of older adults who visited a dentist and an increase in need for treatment. A smaller proportion of older adults reported need for treatment among those who were privately insured, high income, had no tobacco use, were employed, and had visited a dental professional in the last year. Discussion: These findings highlight current dental needs among tribal elders while also identifying elders at greater risk of poor oral health.