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1
Bailit, H. L. "Health Services Research." Advances in Dental Research 17, no. 1 (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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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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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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King, Rebecca S. "Public Health Dentistry and Dental Education Services: Meeting the Needs of the Underserved through Community and School-Based Programs." North Carolina Medical Journal 66, no. 6 (2005): 465–70. http://dx.doi.org/10.18043/ncm.66.6.465.
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McNally, M., L. Rock, M. Gillis, et al. "Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition." JDR Clinical & Translational Research 6, no. 3 (2021): 279–90. http://dx.doi.org/10.1177/23800844211011985.
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Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.
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Soesilawati, Pratiwi, and R. Darmawan Setijanto. "LAYANAN KESEHATAN DAN PENINGKATAN KETERAMPILAN WIRAUSAHA JAMUR TIRAM KELOMPOK ANAK-ANAK TUNANETRA YPAB SUKOLILO." Jurnal Layanan Masyarakat (Journal of Public Services) 1, no. 2 (2017): 73. http://dx.doi.org/10.20473/jlm.v1i2.2017.73-82.
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Healthy living as defined by the World Health Organization (WHO) is a prosperous state of body, soul, and social, so that one lives productively socially and economically. Yayasan Pendidikan Anak Buta (YPAB) Surabaya houses dormitories and schools of Kindergarten, elementary, junior and senior high schools. Blind school students are community groups that still require health and economic assistance. The cost of living for students in dormitories and schools of the blind is largely sustained by donors. Only a small proportion of students come from middle-income families and are able to pay tuition and living expenses, so the burden of the foundation to provide education and living expenses is very heavy. For that the Community Service Team of Faculty of Dentistry Airlangga University to design assistance activities in the form of health services and appropriate technology training. The purpose of this activity is to improve the health status of blind students and prepare blind students to be economically productive through the accompaniment of oyster mushroom entrepreneur. The specific target of this activity is to instill clean healthy living habits to students and train students involved in the production and marketing management of oyster mushrooms as the appropriate technology for the provision of life in the future. The solution used is public health services through the establishment of School Health Enterprises in collaboration with doctors from health care centers in this case Airlangga University Education Hospital for eye health services, general health, children’s health and dental health. Increased economic productivity is done through the training of oyster mushroom entrepreneur, oyster mushroom processing and marketing management of oyster mushroom and its processed products. At the end of the activity, students have basic knowledge of hygiene and health to maintain health and have soft skill entrepreneur of oyster mushroom as stock of life AbstrakHidup sehat seperti yang didefinisikan oleh World Health Organization (WHO) adalah keadaan sejahtera dari badan, jiwa, dan social, sehingga seseorang hidup produktif secara sosial dan ekonomi. Yayasan Pendidikan Anak Buta Surabaya menaungi asrama dan sekolah Taman Kanak-Kanak, SD, SMP dan SMA. Siswa sekolah tunanetra adalah kelompok masyarakat yang masih memerlukan pendampingan kesehatan dan ekonomi. Biaya hidup siswa selama di asrama dan sekolah tunanetra sebagian besar ditopang oleh donatur. Hanya sebagian kecil siswa yang berasal dari keluarga ekonomi menengah dan mampu membayar uang sekolah serta biaya hidup, sehingga beban yayasan untuk menyelenggarakan pendidikan dan biaya hidup sehari-hari sangat berat. Untuk itu Tim Pengabdian Masyarakat Fakultas Kedokteran Gigi Universitas Airlangga merancang kegiatan pendampingan dalam bentuk layanan kesehatan dan pelatihan teknologi tepat guna. Tujuan kegiatan ini adalah meningkatkan derajat kesehatan siswa tunanetra dan mempersiapkan siswa tunanetra menjadi insan yang produktif secara ekonomi melalui pendampingan wirausaha jamur tiram. Target khusus dari kegiatan ini adalah menanamkan kebiasaan hidup bersih sehat kepada siswa dan melatih siswa terlibat dalam produksi dan manajemen pemasaran jamur tiram sebagai teknologi tepat guna untuk bekal hidup di kemudian hari. Solusi yang digunakan adalah layanan kesehatan umum melalui rintisan pembentukan Usaha Kesehatan Sekolah bekerjasama dengan dokter dari pusat pelayanan kesehatan dalam hal ini Rumah Sakit Pendidikan Universitas Airlangga untuk pelayanan kesehatan mata, kesehatan umum, kesehatan anak dan kesehatan gigi. Peningkatan produktifitas ekonomi dilakukan melalui pelatihan wirausaha jamur tiram, praktik pengolahan jamur tiram dan manajemen pemasaran jamur tiram beserta hasil olahannya. Pada akhir kegiatan, siswa memiliki dasar pengetahuan kebersihan dan kesehatan untuk memelihara kesehatan dan memiliki soft skill wirausaha jamur tiram sebagai bekal hidup
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Williams, Sonia. "Dental public health: Dental services for the Bangladeshi community." British Dental Journal 186, no. 10 (1999): 511. http://dx.doi.org/10.1038/sj.bdj.4800154.
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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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Jang, Young-Eun, Chun-Bae Kim, and Nam-Hee Kim. "Utilization of Preventive Dental Services Before and After Health Insurance Covered Dental Scaling in Korea." Asia Pacific Journal of Public Health 29, no. 1 (2017): 70–80. http://dx.doi.org/10.1177/1010539516684944.
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Health insurance reduces the economic burden of diseases and enhances access to medical services. This study compared, among social classes, the utilization of preventive dental service before and after health insurance covered dental scaling. We analyzed time-series secondary data for 3 175 584 participants from 253 survey areas nationwide in the Community Health Survey (2009-2014) in Korea. The weighted proportion of participants who underwent dental scaling was defined as the scaling rate. Data regarding demographic and socioeconomic characteristics were collected. Scaling rates continuously increased over the 6-year period, particularly in 2014. College graduates had significantly higher scaling rates. Monthly income and scaling rate were positively related. Differences by education decreased over time. Differences by income were particularly high between 2012 and 2014. For women, the temporal rate was 2 times higher for professionals than for the unemployed. Despite increased dental scaling rates since the health coverage change in 2013, socioeconomic differences persist.
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Vichathai, Charay, and Simon Barraclough. "Equity Issues in Dental Health Care Services in Thailand." Australian Journal of Primary Health 4, no. 2 (1998): 32. http://dx.doi.org/10.1071/py98018.
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Thailand's dental health care system and provisions for public services are described. The Thai Ministry of Public Health has sought to pursue the goal of oral health for all by creating greater equity in opportunities for dental care. Severely disadvantaged Thais are able to seek free treatment, and a subsidized health card system offers medical and dental care to those able to purchase it. Despite these efforts, inequities related to socio-economic status and geography remain. The growth of the private sector has contributed to inequities by drawing dentists away from the public sector. Most dentists wish to work in the more lucrative private sector and to offer curative treatment. The organisational structure of the dental health system in Thailand and certain attitudes of the dental profession have also worked against equity, despite statements of support for equity in the country's Constitution and on the part of policy makers. More research is needed on equity in dental care in Thailand, and ways to reduce shortages of dentists in the public sector and in rural areas need to be explored. The most effective way of promoting equity in dental health care in Thailand is through reinforcing primary dental care with its emphasis upon education and prevention.
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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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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 (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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Hodge, Hilary, and Beryl Bevan Griffiths. "Dental health education and the Manpower Services Commission Youth Training Scheme." Health Education Journal 44, no. 3 (1985): 124–27. http://dx.doi.org/10.1177/001789698504400305.
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Souza, Patricia Vitor de, Ana Maria Lucas Guimarães, Bruna Bruschi Oliveira, Daniella Andrade Guimarães, Mabel Miluska Suca Salas, and Christiane Carvalho Murta Botelho. "Education Program for Health Work “PET-SAÚDE” for the professional formation of dentists: lessons learned in primary care." Revista da Faculdade de Odontologia - UPF 25, no. 1 (2020): 59–65. http://dx.doi.org/10.5335/rfo.v25i1.10239.
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Objective. The aim of the study was to analyse the results of the PET-SAÚDE/GRADUASUS in dental formation and integration between university, service and community. Method. This study reports the experience of one of the tutorial teams of the PET-SAÚDE/GRADUASUS program. Between June 2016 and April 2017 diagnosis, strategic planning and an intervention were carried out in the community of São Raimundo I Family Health Strategy (ESF) in Governador Valadares-MG. Educational actions were carried out at the operative groups, home visits, schools and the waiting rooms of the Basic Unit, focusing on priorities of public oral health problems. Results. As results of the educational actions, the over demand of the public health professional decreased. The community benefited by the increase assistance regarding health promotion and prevention actions, motivating an active participation of the population in its own health-disease process. In the student perception, the knowledge about the health and the public health system was improve, through the application of theoretical concepts in the reality of health practices, and the acquisition of capacities and abilities necessaries for the practice in health. Conclusion. The actions performed as part of the program, promoted positive impacts in the professional formation, benefited the service and the community and the integration between them.
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Kulkarni, Gajanan V. "Long-Term Effectiveness of Parent Education Using the “Baby Oral Health” Model on the Improvement of Oral Health of Young Children." International Journal of Dentistry 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/137048.
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Purpose.To determine the long-term effectiveness of comprehensive education given to parents and caregivers with respect to the incidence of preventable oral diseases, utilization of dental services, and retention of knowledge related to oral health.Methods.Group presentations on oral health were conducted for caregivers of infants (n=161) using an interactive audio-visual aid. Followup occurred at 18 months. A comparison group (n=181) was enrolled from the same community groups. Chi-square and Fisher’s exact tests were used to analyze findings.Results.There was a difference in caries incidence, knowledge levels of caregivers, and utilization of dental services (P<0.05) when comparing the SGB to the SGFU.Conclusions.One-time exposure to parent education using a comprehensive interactive audio-visual aid has an effect on reducing caries incidence and increasing dental utilization. While most knowledge is retained by parents, there is some attrition in the information retained over an 18-month time period. This emphasizes the importance of repeated reinforcement of the same concepts over a shorter time span.
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Kusniati, Retno. "Perceived Utilization of Dental and Oral Health Services at RSGM UNIMUS Based on the Level of Education." JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) 10, no. 1 (2021): LAYOUTING. http://dx.doi.org/10.18196/jmmr.v10i1.10329.
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Utilization of dental and oral health services characterized by interaction between patients who need health services and health care workers. The level of utilization of health services is very important since it could be an indicator of the occurrence of a type of health service the level of public awareness of dental and oral health. The level of utilization of dental and oral health services can be measured by the patient's perception of the services provided. An objective of this study was to investigate the relationship between levels of education and the perceived utilization of dental and oral health services at RSGM Unimus Semarang, Central Java. The project used an accidental sampling method with 76 subjects were recruited from RSGM Unimus Semarang. This research was conducted using a questionnaire designed to measure the factors of utilization of dental and oral health services. The results of the research using chisquare analysis showed that there was no significant relationship between the level of education (p = 0.089) and utilization of dental and oral health services at RSGM Unimus. Interestingly, respondents with a higher level of education had higher frequencies to utilize facilities at RSGM Unimus compared to respondents with lower level education.
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Martins, Andréa Maria Eleutério de Barros Lima, João Gabriel Silva Souza, Desireé Sant'Ana Haikal, Alfredo Maurício Batista de Paula, Efigênia Ferreira e. Ferreira, and Isabela Almeida Pordeus. "Prevalence of oral cancer self-examination among elderly people treated under Brazil's Unified Health System: household health survey." Ciência & Saúde Coletiva 20, no. 4 (2015): 1085–98. http://dx.doi.org/10.1590/1413-81232015204.00542014.
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The aim of this study was to examine the prevalence of oral cancer self-examinationamong the elderly and confirm whether prevalence was higher among users of the dental services provided by Brazil's Unified Health System (SUS, acronym in Portuguese). A transversal study of elderly people aged between 65 and 74 years living in a large-sized Brazilian municipality was conducted using simple random sampling. Logistic regression was conducted and results were corrected for sample design and unequal weighting using the SPSS(r) software. The study assessed 740 individuals. A total of 492 met the inclusion criteria, of which 101 (22.4%) reported having performed an oral cancer self-examination. Prevalence was higher among users of the dental services provided by the SUS, higher-income individuals, people with higher levels of education, individuals that used a removable dental prosthesis, and people who had not experienced discomfort attributed to oral condition, and lower among people who sought regular and periodic dental treatment and individuals who did not have a drinking habit. This type of self-care should be encouraged by public health policies which respond to the needs of the elderly, with emphasis on users of private and philanthropic services, and other services outside the public health network.
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George, R. M. "Innovative Interprofessional Approach Using Service Training to Enable a Fisher Folk Community to Quit Tobacco Habits." Journal of Global Oncology 4, Supplement 2 (2018): 134s. http://dx.doi.org/10.1200/jgo.18.39200.
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Background and context: Fisher folk use tobacco products to avoid sea sickness and to stay awake during night, while working at sea. They have minimal education, low income and are unaware of harmful effects of tobacco. It has also been observed that the prevalence of oral precancerous lesions and conditions are high in this community. The present dental curriculum does not emphasize on training undergraduates on antitobacco counseling. Aim: To assess the effectiveness of interprofessional initiative using service training to enable a fisher folk community to quit tobacco habits. Strategy/Tactics: Dentists are in a strategic position to diagnose oral cancerous and precancerous lesions and facilitate tobacco cessation. As tobacco addiction is based on physical, psychological and behavioral factors, it could be managed through multisectoral approach by interprofessional collaboration. Involvement of primary health care workers and community leaders will ensure reinforcement and sustainability of the desired effects in the community. Program/Policy process: A training module was formulated by an interprofessional team consisting of psychiatrist, public health dentist and tobacco interventionists. Thirty dental interns and three primary health workers participated in training program on lifestyle of fisher folk, tobacco epidemic, harmful effects of tobacco use and tobacco cessation. The interns were also trained for role play in local language, conveying the same message which empowered them to conduct awareness programs in the community there after. A house to house survey was conducted by primary health workers in 308 houses of the community to assess knowledge and attitude of fisher folk toward tobacco use before and after tobacco intervention program by interns. Outcomes: There was highly significant increase in knowledge and skills of dental interns after training program. Thirty seven percent of current tobacco users in the community decided to quit the habit and there was 52% increase in the number of smoke free homes in the community, three months after tobacco awareness programs were conducted in the community. What was learned: The interprofessional initiative empowered interns to incorporate tobacco cessation in routine dental practice and effectively enabled fisher folk community in adopting smoke free home policy.
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Echeverria, Mariana Silveira, Alexandre Emidio Ribeiro Silva, Bernardo Antônio Agostini, Helena Silveira Schuch, and Flávio Fernando Demarco. "Regular use of dental services among university students in southern Brazil." Revista de Saúde Pública 54 (August 22, 2020): 85. http://dx.doi.org/10.11606/s1518-8787.2020054001935.
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OBJECTIVE: To verify the prevalence and factors associated with regular use of dental services in university students of the Universidade Federal de Pelotas (UFPel). METHODS: This cross-sectional study interviewed 1,865 students aged 18 years or older, starting bachelor’s degrees in 2017, enrolled in the second academic semester of 2017 and in the first of 2018 in classroom courses at UFPel. We considered regular users those who reported regularly going to the dentist with or without perceived dental problems. To test factors associated with regular use of dental services, demographic, socioeconomic and oral health variables were collected. Statistical analyses were based on Poisson regression models. RESULTS: The prevalence of regular use of dental services was 45.0% (95%CI 42.7–47.3). University students of high economic class (PR = 1.47; 95%CI 0.91–2.36), with last private dental appointment (PR = 1.29; 95%CI 1.03–1.61), positive self-perception of oral health (PR = 2.33; 95%CI 1.79–3.03) and no report of toothache in the last six months (PR = 1.22; 95%CI 1.03–1.45) showed higher prevalence of regular use of dental services. CONCLUSION: The results point to inequalities in the regular use of dental services related to socioeconomic factors and a lower use among university students with worse oral health conditions. These results suggest that public health prevention and promotion policies in higher education institutions must be carried out to ensure quality of life among these young adults.
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Baumgarten, Alexandre, Fernando Neves Hugo, Alexandre Fávero Bulgarelli, and Juliana Balbinot Hilgert. "Curative procedures of oral health and structural characteristics of primary dental care." Revista de Saúde Pública 52 (April 3, 2018): 35. http://dx.doi.org/10.11606/s1518-8787.2018052016291.
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OBJECTIVE: To evaluate if the provision of clinical dental care, by means of the main curative procedures recommended in Primary Health Care, is associated with team structural characteristics, considering the presence of a minimum set of equipment, instrument, and supplies in Brazil’s primary health care services. METHODS: A cross-sectional exploratory study based on data collected from 18,114 primary healthcare services with dental health teams in Brazil, in 2014. The outcome was created from the confirmation of five clinical procedures performed by the dentist, accounting for the presence of minimum equipment, instrument, and supplies to carry them out. Covariables were related to structural characteristics. Poisson regression with robust variance was used to obtain crude and adjusted prevalence ratios, with 95% confidence intervals. RESULTS: A total of 1,190 (6.5%) dental health teams did not present the minimum equipment to provide clinical dental care and only 2,498 (14.8%) had all the instrument and supplies needed and provided the five curative procedures assessed. There was a positive association between the outcome and the composition of dental health teams, higher workload, performing analysis of health condition, and monitoring of oral health indicators. Additionally, the dental health teams that planned and programmed oral health actions with the primary care team monthly provided the procedures more frequently. Dentists with better employment status, career plans, graduation in public health or those who underwent permanent education activities provided the procedures more frequently. CONCLUSIONS: A relevant number of Primary Health Care services did not have the infrastructure to provide clinical dental care. However, better results were found in dental health teams with oral health technicians, with higher workload and that plan their activities, as well as in those that employed dentists with better working relationships, who had dentists with degrees in public health and who underwent permanent education activities.
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Ghassan, Ayesha, Irfan Shukr, Naushaba Sadiq, and Rabia Ahsan. "CURRENT TRENDS IN DENTAL EDUCATION." PAFMJ 71, no. 3 (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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Essvein, Gustavo, Alexandre Baumgarten, Rafaela Soares Rech, Juliana Balbinot Hilgert, and Matheus Neves. "Dental care for early childhood in Brazil." Revista de Saúde Pública 53 (January 30, 2019): 15. http://dx.doi.org/10.11606/s1518-8787.2019053000540.
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OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.
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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 (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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Lee, Jack. "The Reorganization of the City of Toronto Dental Services: A Community Development Model." Journal of Public Health Dentistry 51, no. 2 (1991): 99–102. http://dx.doi.org/10.1111/j.1752-7325.1991.tb02188.x.
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Conquest, Jennifer Hanthorn, John Skinner, Estie Kruger, and Marc Tennant. "A Comparison of Three Payment Systems for Public Paediatric Dental Services." Asia Pacific Journal of Health Management 13, no. 1 (2018): i21. http://dx.doi.org/10.24083/apjhm.v13i1.35.
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Objective: This study investigated the delivery of paediatric (0-17 years) government dental services in New South Wales (NSW), Australia through public dental clinics and the commissioned payments models of Fee-for-Service and Capped-Fee. 
 Method: De-identified patient data from government provided dental care and the commissioned services was sourced from NSW Oral Health Data Warehouse for evaluation and interpretation using descriptive analysis during the period 1 January 2012 to 31 December 2013. 
 Result: The breakdown of dental care provided the associated cost analysis for the study’s cohort that resulted in both years, more than 50 percent dental services offered to paediatric patients were preventive care in all payment systems. The most common preventive items offered were fluoride treatment, dietary advice, oral health education and fissure sealants.
 Conclusion: There was little difference in the mix of dental care provided between study years and age groups through the three payment systems in NSW. The difference between the government services and those provided via the Fee-for-Service and Capitation payment systems was negligible.
 This has important implications for the delivery of dental care to public dental care, particularly when patients may not live close to a public dental clinic and also with the interest nationally in giving patients greater choice.
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Ruas, Bruna Mara, Lia Silva Castilho, Natália Cristina Ruy Carneiro, et al. "Integrality of care for hemodialysis patient in Brazil: an analysis of access to dental care." Ciência & Saúde Coletiva 25, no. 2 (2020): 533–40. http://dx.doi.org/10.1590/1413-81232020252.06362018.
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Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.
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Mendes Sá, Antonio Carlos Eber. "EDUCATION IN ORAL HEALTH: A Reflective Approach for Quality of Life." Brazilian Journal of Implantology and Health Sciences 2, no. 8 (2020): 73–85. http://dx.doi.org/10.36557/2674-8169.2020v2n8p73-85.
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This work aims at critical reflection on the actions that determine a good level of oral health. Health promotion is a process that can positively affect the quality of life of a population. Dental problems have a low priority compared to diseases considered to be of social relevance. Prevention of oral diseases must be developed at three levels: primary, secondary and tertiary. Self-diagnosis is extremely important, because the sooner the problem is detected and prevention services are activated, the greater the chances of an effective treatment. Among oral health problems, dental caries is considered a damage that deserves higher priority due to its high prevalence. Oral cancer gained the second degree of priority, due to its severity, followed by periodontal diseases. Education in oral health has been increasingly required, taking into account the low cost and the possibilities of dental impact on public health. Therefore, the role of educating should not be the exclusive responsibility of the professional conventionally called teacher, but of any citizen.
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Bailit, Howard. "Managed Care and Dental Education and Research: Should Academicians Be Concerned?" Critical Reviews in Oral Biology & Medicine 8, no. 2 (1997): 129–35. http://dx.doi.org/10.1177/10454411970080020201.
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This paper examines the restructuring of the delivery system resulting from managed care. As HMOs consolidate to a few large companies in urban areas, they put great pressure on medical providers to reduce their costs and excess delivery capacity. In this environment, academic health centers face serious problems, because HMOs are reluctant to pay their higher charges, and public educational subsidies are declining. Managed care is unlikely to have the same impact on dentistry. Although managed dental care is growing, most Americans will not be enrolled, since they do not have dental insurance. Also, the supply of dentists is starting to decline, increasing the relative demand for dental services. Managed care will have only a limited direct impact on most dental schools, but a significant indirect effect. As academic health center budgets are reduced, all health professional schools can expect to contribute to solving the financial problems of University hospitals and medical schools. The response of dental academicians to these challenges will determine the future of dental education and research for the next decade. Bold new initiatives are needed to find new sources of revenue to support educational and research programs.
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Opydo-Szymaczek, Justyna, Maria Borysewicz-Lewicka, Kinga Andrysiak, et al. "Clinical Consequences of Dental Caries, Parents’ Perception of Child’s Oral Health and Attitudes towards Dental Visits in a Population of 7-Year-Old Children." International Journal of Environmental Research and Public Health 18, no. 11 (2021): 5844. http://dx.doi.org/10.3390/ijerph18115844.
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This cross-sectional study aimed to assess the occurrence of the consequences of dental caries and factors affecting dental service utilization in a population of 7-year-old children. The research included oral examination of 7-year-old schoolchildren and socio-medical study of their parents/legal caregivers. It was carried out in five primary schools of two provinces, i.e., Greater Poland and Lubusz. Dental examination was performed in accordance with World Health Organization (WHO) recommendations. The socio-medical study consisted of questionnaires with close-ended questions concerning socioeconomic characteristics of the family, reasons and time of the last visit at the dental office, consequences of child’s oral health problems, parents’ attitude towards dental visits, and parental opinion about their child’s teeth. Factors affecting utilization of dental services were statistically analyzed using univariate logistic regression assuming p < 0.05. The pufa index of examined children ranged from 0 to 7 (mean 0.80 ± 1.49), while the dmf index ranged from 0 to 14 (3.86 ± 3.32). Low financial burden of oral health expenditures and university education of at least one of the parents significantly increased the chance of visiting a dentist despite lack of pain (OR = 3.0 and 2.5, respectively). In spite of the availability of free dental care for children, socioeconomic factors still determine the utilization of dental services in Poland. Poor oral health status of examined population and negligence of regular dental check-ups emphasize a need to strengthen oral health literacy of parents and children, promoting proper attitudes towards dental care.
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Ghani, Fazal. "COVID-19 Pandemic – Implications, Planning, and Recommendations related to Dental Care Services and Dental Education." Journal of Rawalpindi Medical College 24, Supp-1 (2020): 92–98. http://dx.doi.org/10.37939/jrmc.v24isupp-1.1406.
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During the past few months, our understanding of the transmission, epidemiology, clinical symptoms, and management of Covid-19 has considerably improved. This had made the dental healthcare personnel confident enough and ready to provide safely by implementing efficient prevention and cross-infection control strategies in the dental clinical setting. , At the same time, it is necessary that we must be constantly aware of the continuation of such infectious threats challenging our infection control regimen and preparedness to provide dental treatments and teaching and education. Good infection prevention and control strategies need to be evidence-based and in line with the recommendations of the local and international public health agencies. The disruption in dental services and dental education all over the world resulted in this pandemic has emphasized and resulted in new, innovative and improved infection prevention and control strategies and adoption of alternative teaching, learning and assessment strategies for students. It further reinforces the need for continued research exploring ways for responding better to future contagious disease threats.
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Hajek, André, Benedikt Kretzler, and Hans-Helmut König. "Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 5 (2021): 2491. http://dx.doi.org/10.3390/ijerph18052491.
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Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies focusing on the determinants of dental service use drawing on the Andersen model were included; Results: In sum, 41 studies have been included (ten studies investigating children/adolescents and 31 studies investigating adults). Among children, particularly higher age (predisposing characteristic), higher income (enabling resource) and more oral health problems (need factor) were associated with increased dental service use. Among adults, findings are, in general, less consistent. However, it should be noted that one half of the studies found an association between increased education (predisposing characteristic) and increased dental service. In general, study quality was rather high. However, it should be noted that most studies did not report how they dealt with missing data; Conclusions: Our systematic review revealed that all components (i.e., predisposing characteristics, enabling resources and need factors) of the Andersen model tend to be associated with dental service use among children, whereas the findings are more mixed among adults. In conclusion, beyond need factors, dental service use also tend to be driven by other factors. This may indicate over—or, more likely—underuse of dental services and could enrich the inequality discussion in dental services research.
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Goulart, Mariél de Aquino, Aline Macarevich Condessa, Juliana Balbinot Hilgert, Fernando Neves Hugo, and Roger Keller Celeste. "Concerns about dental aesthetics are associated with oral health related quality of life in Southern Brazilian adults." Ciência & Saúde Coletiva 23, no. 11 (2018): 3957–64. http://dx.doi.org/10.1590/1413-812320182311.24172016.
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Abstract It aims to evaluate the association between dental appearance and Oral Health Related Quality of Life. Fifteen primary care services with dental services were selected in Porto Alegre, Brazil. Individuals were interviewed from a random sampling of households in the catchment area of the health centres. The outcome was having an OHIP14 score > 0 (any impact). The main exposures included self-reported tooth colour and position, perception of oral health and concern with dental aesthetics. Data were analysed with stepwise logistic regression. Of 1943 individuals contacted, 433 used public dental services in the last year. Seventy-three percent had some impact on quality of life, 35.2% and 47.5% reported stained and crowded teeth, respectively. Also, 22.2% had already tried bleaching their teeth. Individuals concerned with colour were 2.56 times (95% CI: 1.34-4.89) more likely to report any impact after adjusting for number of teeth, smoking and education. Concerns about tooth position, reporting stained or crowded teeth, age, sex and income were not significant (p > 0.30). There is a direct and independent association between concerns with tooth colour and quality of life. The effect of tooth colour on quality of life may be mediated by individuals’ perceptions of aesthetics.
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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 (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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Marta, Sara Nader, Maria SA Matsumoto, Marcia AN Gatti, Marta HS de Conti, Sandra F. de AP Simeão, and Solange de Oliveira Braga Franzolin. "Determinants of Demand in the Public Dental Emergency Service." Journal of Contemporary Dental Practice 18, no. 2 (2017): 156–61. http://dx.doi.org/10.5005/jp-journals-10024-2008.
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ABSTRACT Introduction Although dental emergencies are primarily aimed at pain relief, in practice, dental emergency services have been overwhelmed by the massive inflow of patients with less complex cases, which could be resolved at basic levels of health care. They frequently become the main gateway to the system. We investigated the determinant factors of demand at the Central Dental Emergency Unit in Bauru, São Paulo, Brazil. Materials and methods The questionnaire was applied to 521 users to evaluate sociodemographic profile; factors that led users to seek the service at the central dental emergency; perception of service offered. Results About 80.4% of users went directly to the central dental emergency, even before seeking basic health units. The reasons were difficulty to be attended (34.6%) and incompatible time (9.8%). To the perception of the necessity of the service, responses were problem as urgent (78.3%) and pain was the main complaint (69.1%). The profile we found was unmarried (41.5%), male (52.2%), white (62.8%), aged 30 to 59 (52.2%), incomplete basic education (41.6%), family income up to 2 minimum wages (47.4%), and no medical/dental plan (88.9%). Conclusion It was concluded that the users of central dental emergency come from all sectors of the city, due to difficult access to basic health units; they consider their complaint urgent; and they are satisfied with the service offered. Clinical significance To meet the profile of the user urgency's service so that it is not overloaded with demand that can be fulfilled in basic health units. How to cite this article Matsumoto MSA, Gatti MAN, de Conti MHS, de AP Simeão SF, de Oliveira Braga Franzolin S, Marta SN. Determinants of Demand in the Public Dental Emergency Service. J Contemp Dent Pract 2017;18(2):156-161.
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Lam, Anty. "Increase in Utilization of Dental Sealants." Journal of Contemporary Dental Practice 9, no. 3 (2008): 81–87. http://dx.doi.org/10.5005/jcdp-9-3-81.
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Abstract Aim The purpose of this review is to explore how to increase utilization of dental sealants to reach the national 50% sealant objective as stated in the Healthy People 2010 document. Background Dental decay is the most common chronic childhood disease. A simple, cost-effective preventive measure to manage this disease is through sealant application. Review Although dental sealants are effective in reducing the risk of having dental decay, their rate of utilization among children and adolescents is below the objective set forth by the Healthy People 2010 document. This is related to the lack of public awareness, patient education, and inadequate reimbursement for sealants served by third-party insurers. Conclusion Dental decay is the most common chronic childhood disease. Dental sealants are a simple, costeffective preventive measure to manage this disease. In order to meet the national 50% sealant objective of the Healthy People 2010 document, public awareness and the education of consumers about the benefit of having dental sealants must be improved. Third-party insurers must improve the benefits for subscribers seeking dental sealant services. Using these approaches, the utilization of dental sealants will improve the oral health among the next generation of Americans. Citation Lam A. Increase in Utilization of Dental Sealants. J Contemp Dent Pract 2008 March; (9)3:081-087.
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Moimaz, Suzely Adas Saliba, Carlos Ayach, Léa Lofego, Cléa Adas Saliba Garbin, and Orlando Saliba. "Perception on Oral Health and Recommendations for Improvement of Public Service Dental." Journal of Health Sciences 21, no. 1 (2019): 65. http://dx.doi.org/10.17921/2447-8938.2019v21n1p65-73.
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A participação social é uma importante ferramenta para o aprimoramento do Sistema Único de Saúde (SUS), fortalece a instituição de processos de avaliação do desempenho e contribui para a ampliação do acesso e qualidade dos serviços prestados. O objetivo foi avaliar a percepção dos usuários sobre a saúde bucal e as recomendações para melhoria do serviço público odontológico. Trata-se de um estudo transversal, tipo inquérito, com 390 usuários do SUS. As variáveis analisadas foram: autoavaliação da saúde bucal; avaliação da equipe e do serviço odontológico prestado. Realizou-se análise qualitativa das questões discursivas e teste estatístico de associação Qui-Quadrado ou Teste G, ao nível de significância de 5%. A autoavaliação da saúde bucal foi categorizada em muito boa/boa, regular, ruim/muito ruim e os motivos identificados da classificação foram: presença de doença, cuidado com a saúde, dor, educação em saúde, negligência com a saúde, tempo e medo. Quanto à avaliação da equipe e do serviço foram feitas sugestões para a melhoria, relacionadas à: infraestrutura, acesso, humanização e educação em saúde. Constatou-se associação significativa entre o cuidado com a saúde e a percepção positiva da saúde bucal. A presença de doença, negligência, tempo e medo influenciaram negativamente na autoavaliação. Como recomendações para melhoria do atendimento, 15,4% dos entrevistados apontou a infraestrutura; 8,2% o acesso; 6,9% a humanização e 1% a educação em saúde. Conclui-se que o cuidado com a saúde foi o fator mais relacionado a uma boa saúde bucal. Houve poucas recomendações para o aprimoramento da qualidade e resolutividade do serviço prestado. Palavras-chave: Avaliação em Saúde. Autoavaliação. Saúde Bucal. Abstract Social participation is an important tool for the improvement of the Brazilian Unified Health System, strengthens the institution of performance evaluation processes and contributes to the expansion of access and quality of services provided. This study evaluated user’s perceptions on oral health and recommendations for improvement of public dental services. This is a cross-sectional study, type inquiry, with 390 users of the Brazilian Unified Health System. The analyzed variables were self-assessment of oral health, evaluation of the team and the dental service provided. A qualitative analysis of the discursive questions was performed and Chi-square or G-test statistical association test, at a significance level of 5%. The self-assessment of oral health was categorized as very good/good, regular, bad/very bad and the identified reasons for the classification were: presence of disease, health care, pain, health education, negligence in health, time and fear. As for team and service evaluation, suggestions for improvement concerning infrastructure, access, humanization and education in health were made. It was found a significant association between health care and positive perception of oral health. The presence of disease, neglect, time and fear affected negatively the self-assessment. The recommendations for service improvement, 15.4% interviewed users pointed to infrastructure; 8.2% access; 6.9% humanization and 1% education in health. It is concluded that healthcare was the most frequent factor associated with good oral health. There were few recommendations for quality improvement and outcome of service provided.Keywords: Health Evaluation. Self-Assessment. Oral Health.
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Tasyakuranti, Maulidina Nabilah, Pramesti Audigita Linati, Farah Azkiyah, et al. "Promoting Dental Check-up for Pregnant Women." Indonesian Journal of Dental Medicine 2, no. 1 (2020): 13. http://dx.doi.org/10.20473/ijdm.v2i1.2019.13-15.
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Background: Dupak Public Health Center is one of the public health service facilities in Surabaya that provides integrateddental and oral health services. Dupak Public Health Center covers Dupak District area. Only 8.2% out of 366 pregnantwomen visited the dental poly from April 2017–April 2018. An epidemiological study reported that dental visitationin pregnant women in the Dupak Public Health Center was still very low. Lower knowledge levels of pregnant womenabout dental and oral health caused the low dental visitation in the dental poly. An intervention was needed to changethe negative behavior related to dental and oral health, especially in pregnant women. Purpose: To increase the dentalvisitation of pregnant women in the dental poly of the Dupak Public Health Center. Methods: The program adopted thehealth education strategy with a group approach. The group means cadres of pregnant women. Pregnant women learnedabout dental and oral health during pregnancy. Results: Eight pregnant women were attending the invitation. The pretest result showed that 71.60% of pregnant women had answered questions correctly, and the post-test result showed that88.75% of pregnant women had answered the questions correctly. Conclusion: This program is effective to increase theknowledge of pregnancy woman that will lead to dental visitation.
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Tseng, Winston, Elizabeth Pleasants, Susan L. Ivey, et al. "Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California." International Journal of Environmental Research and Public Health 18, no. 1 (2020): 216. http://dx.doi.org/10.3390/ijerph18010216.
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Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association’s (AMA) recommended communication techniques and only 3 of the 7 AMA’s basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.
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Spetz, Joanne, Nadereh Pourat, Xiao Chen, et al. "Expansion of Dental Care for Low‐Income Children Through a Mobile Services Program." Journal of School Health 89, no. 8 (2019): 619–28. http://dx.doi.org/10.1111/josh.12789.
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Hariyani, Ninuk, Dini Setyowati, Multia Ranum Sari, Diah Ayu Maharani, Rahul Nair, and Kaushik Sengupta. "Factors influencing the utilization of dental services in East Java, Indonesia." F1000Research 9 (July 3, 2020): 673. http://dx.doi.org/10.12688/f1000research.23698.1.
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Background: Despite high levels dental issues and insurance coverage in the East Java province Indonesia, the utilization of dental services is still low. This research aims to test some indicators for dental service utilization among East Java residents. Methods: A secondary analysis was undertaken using data on the East Java province from the Indonesian Basic Health Research 2013, which included 90,551 randomly selected respondents aged 5–100 years old. Socio-demographic characteristics (age, sex, education and residential location), dental behavior (tooth brushing habit), and clinical (dental) condition were self-reported through a questionnaire. Multivariable models were generated to estimate prevalence ratios (PR), and 95% confidence intervals (95%CI). Results: Prevalence of dental service utilization during the last 12 months in East Java province is only 9 %. Respondents 25–50 years old showed the highest utilization of dental services. Being male, having lower education and living in a district (as opposed to municipalities) were indicators for having lower utilization of dental treatment (PR [95% CI] = 0.81 [0.79–0.84], PR [95% CI] = 0.89 [0.86–0.93] and PR [95% CI] = 0.91 [0.88–0.95], respectively). Respondents with poor tooth brushing habit showed lower utilization of dental services. Having teeth was associated with higher utilization of dental treatment (PR [95% CI] = 1.39 [1.16–1.66). Conclusions: Age, sex, education and residential location influence the utilization of dental services among Indonesia’s East Java residents. Poor tooth brushing habits and being edentulous are also indicators of lesser utilization. These results call for urgent public health interventions to increase equitable dental care services utilization.
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Hariyani, Ninuk, Dini Setyowati, Multia Ranum Sari, Diah Ayu Maharani, Rahul Nair, and Kaushik Sengupta. "Factors influencing the utilization of dental services in East Java, Indonesia." F1000Research 9 (April 21, 2021): 673. http://dx.doi.org/10.12688/f1000research.23698.2.
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Background : Despite high levels dental issues and insurance coverage in the East Java province Indonesia, the utilization of dental services is still low. This research aims to test whether certain individual-level sociodemographic, behavioural, and clinical characteristics influenced the current level of dental services utilization by East Java residents. Methods : A secondary analysis was undertaken using data on the East Java province from the Indonesian Basic Health Research 2013, which included 90,551 randomly selected respondents aged 5–100 years old. Socio-demographic characteristics (age, sex, education and residential location), dental behavior (tooth brushing habit), and clinical (dental) condition were self-reported through a questionnaire. Multivariable models were generated to estimate prevalence ratios (PR), and 95% confidence intervals (95% CI). Results : Prevalence of dental service utilization during the last 12 months in East Java province is only 9 %. Respondents 25–<50 years old showed the highest utilization of dental services. Being male, having lower education and living in a district (as opposed to municipalities) were indicators for having lower utilization of dental treatment (PR [95% CI] = 0.81 [0.79–0.84], PR [95% CI] = 0.89 [0.86–0.93] and PR [95% CI] = 0.91 [0.88–0.95], respectively). Respondents with poor tooth brushing habit showed lower utilization of dental services. Having teeth was associated with higher utilization of dental treatment (PR [95% CI] = 1.39 [1.16–1.66). Conclusions : Age, sex, education and residential location influence the utilization of dental services among Indonesia’s East Java residents. Poor tooth brushing habits and being edentulous are also indicators of lesser utilization. These results call for urgent public health interventions to increase equitable dental care services utilization.
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Marcus, Marvin, Ian Coulter, Joyce Mann, Arleen Leibowitz, and Joan Buchanan. "Comparison of Access and Costs of Medicaid Dental Services in a Hospital Clinic and Community Practices." Journal of Public Health Dentistry 56, no. 6 (1996): 341–46. http://dx.doi.org/10.1111/j.1752-7325.1996.tb02462.x.
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Jawdekar, Ashwin Muralidhar. "A Proposed Model for Infant and Child Oral Health Promotion in India." International Journal of Dentistry 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/685049.
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Dental caries is an increasing burden in the developing countries. A proper budgetary allocation for treating dental diseases in an enormous population such as India is impractical, where resources are inadequate for major health challenges such as malnutrition and gastrointestinal and respiratory infections in children. An integrated, directed population approach targeting children is much needed. The existing machinery of successful public health campaigns such as the “Pulse Polio” and the “Mid-Day-Meals Scheme” of the Government of India can be used for oral health promotion for children. India has about 300 dental colleges and countrywide branches of the Indian Dental Association that can provide manpower for the program. An innovative, large-scale “Fit for School” program in Philippines is a model for an integrated approach for children’s health and has proved to be cost-effective and viable. A model for oral health promotion in infants and children of India, combining age-specific initiatives for health education, nutrition, hygiene, and fluoride use, is proposed. The model could be implemented to evaluate the oral health status of children, knowledge and knowledge gain of the community health workers, and acceptability and sustainability of the preventive programs (fluoride varnish and preschool and school tooth brushing) pragmatically.
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Tikare, Shreyas, Nabeeh A. AlQahtani, Alezi Braimoh Eroje, Khadeeja Maleh AlQahtani, Jawaher Ahmad Assiri, and Maha Hussain AlAmri. "Effectiveness of School Oral Health Screening and Factors Affecting Dental Attendance Among Female Primary School Children in Saudi Arabia." Journal of Advanced Oral Research 8, no. 1-2 (2017): 63–68. http://dx.doi.org/10.1177/2229411217729103.
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Objectives: School dental screening and referral is a dental public health measure that helps children with oral health problems to come in contact with dental services. Recent studies have failed to demonstrate the effectiveness of school screening programs in stimulating dental attendance. The objective of the present study is to assess the effectiveness of school oral health screening in stimulating dental attendance and factors affecting dental attendance among female primary school children in Saudi Arabia. Methodology: A multistage cluster random sampling method was used in which the unit of randomization was the school. All children were given comprehensive oral health education followed by oral screening. Oral health referrals to visit dental clinic were given to children needing any dental treatment. The parents were contacted by telephone two months after oral health referral and information on child’s dental attendance and reasons for failing to attend dental clinics was collected according to predetermined set of questions and the data was subjected to statistical analysis. Results: A total of 1,035 female school children aged 6 to 12 years received oral health education at school followed by dental screening. Only 211 (23.8%) children attended dental clinics after receiving oral health referrals. The most important reason for not attending the dental clinic was difficulty for working parents to take time off (41.2%) followed by logistic problems (20.4%) and some parents thought dental treatment was not important since there was no pain (9.7%). The least perceived barriers were cost of dental treatment (3.6%), difficulty in taking leave from school (3%), and school exams (3%). Conclusions: School oral health screening and referrals have been found to be ineffective at stimulating dental attendance. Parental factors like ‘lack of time’ and ‘logistic problems’ for taking their child to the dentist were found to be major factors affecting dental attendance. Methods to improve parent’s awareness regarding oral health of children and alternative choices to ensure adequate dental care to vulnerable children needs to be explored.
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El-Qaderi, Saleh S. "Oral Health Knowledge and Self-Reported Practices among a Sample of University Students in Jordan." International Quarterly of Community Health Education 22, no. 1 (2003): 59–75. http://dx.doi.org/10.2190/yc22-j49r-51gg-wwqy.
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This cross-sectional survey gathered data on dental health knowledge from 21- to 23-year-old university students in Jordan, including self-reported dental health behaviors and factors affecting regular dental attendance. A representative random sample of 806 students in their final academic year was surveyed. A self-administered questionnaire resulted in a 93.2% response rate. The majority (51.8%) were able to correctly identify the definition of dental plaque and were aware of the periodontal diseases which could be prevented by brushing and flossing. Nonetheless, there are more participants who incorrectly believed that fluoride in toothpaste cleans and whitens teeth (78% and 65%, respectively), and only 7% recognized that fluoride can heal initial cavities. Female students have a significantly higher level of oral health knowledge than their male counterparts ( p < 0.001). Tooth brushing at least once and twice a day was claimed by 57.8% and 14.1% respectively. Only 10.4% spend more than two minutes for tooth brushing which is performed before going to bed by 56.2% of the study population. Thirty-three percent of male students and 36% of female students went to the dental clinic at some time during the last year and were more likely to receive dental extraction (41.1%) or dental filling (32.2%) at their last visit to the dentist. The mass media (TV, radio, newspapers, and magazines) were found to be the number one source of dental health information while formal academic courses and extracurricular activities at the university came at the bottom of the list of the six potential sources for health awareness information. Appropriate recommendations aimed at raising the oral health awareness and increasing the demand for dental health services among university students are suggested.
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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 (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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Szymańska, Jolanta, Agnieszka Koszuta, and Joanna Rosiak. "Type of financing dental care and frequency of dental visits among patients treated with implants." Polish Journal of Public Health 124, no. 1 (2014): 26–28. http://dx.doi.org/10.2478/pjph-2014-0005.
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Abstract Introduction. Many factors affect the oral health of the population. These include individual factors, the effectiveness of dental care, life styles and political, economic and environmental factors. Aim. The aim of the study was to evaluate the type of financing dental care and frequency of dental visits among patients treated with implants because of missing teeth. Material and methods. The survey was conducted among 464 patients of both genders aged 20-74 years, treated with dental implants at the Non-Public Healthcare Centre “Dental” in Tomaszów Mazowiecki. The patients answered questions included in anonymous questionnaire. The questions concerned age, education, type of dental care financing and frequency of dental visits. Results. Results of the survey indicate that among patients treated with implants there were over 14-times more people benefiting from dental care in private clinics providing preventive and restorative treatments at full cost, compared with people using dental services funded by the National Health Fund. Just over 16% of the surveyed patients frequently enough, i.e. at least once in 6 months reported to the dentist. The frequency of dental visits increased with the education level - people with vocational and secondary education most often visited a dentist irregularly, when necessary, while those with higher education - once a year. Patients below 60 years reported to the dentist 1-2 times a year, whereas older - irregularly, when necessary. Conclusion. In preparing the patient for the treatment of missing teeth with implants one should be aware of his need for paying special attention to oral health and regular, sufficiently frequent follow-up visits which has a substantial impact on the course and therapeutic success in the implant prosthetic treatment
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Juperi, Ahmad Kamarul. "Patients’ Satisfaction from Dental Services in Public University in Selangor, Malaysia." Advanced Science Letters 25, no. 1 (2019): 194–98. http://dx.doi.org/10.1166/asl.2019.13217.
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Abdi, Nasrin, Yadolah Zarezadeh, and Rojin Soleimanzadeh. "Students’ viewpoints on a community-based dental education course in an Iranian faculty of dentistry: A conventional content analysis study." Research and Development in Medical Education 9, no. 1 (2020): 10. http://dx.doi.org/10.34172/rdme.2020.010.
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Background : Community-based dental education helps nurture a generation of dentists who pay more attention to community needs. The purpose of this qualitative study was to explore the viewpoints of dental students about a community-based dentistry course conducted at the Dental School of the Kurdistan University of Medical Sciences in Sanandaj. Methods: In all, 36 senior dentistry students provided children aged 6 to 14 from an underprivileged background with care and preventive services under the indirect supervision of a dental instructor. At the end of the course in May 2018, individual and group interviews were conducted to obtain students’ viewpoints on the course. The collected data was categorized and analyzed using MAXQDA 10. Testing of acceptability, dependability, stability, verifiability, fittingness and transferability criteria were applied to evaluate the accuracy and reliability of the qualitative data. Results: The results were categorized into two main themes: weaknesses and strengths of the clinical experience. Four main categories of the course’s strengths were identified: personal development, deeper understanding of oral health in the community, becoming familiar with executive and managerial systems, and payment and financial issues. Three main categories of the course’s weaknesses were identified: executive problems, issues around coordination and planning, and limiting coverage of the dental services provided to Levels I and II. Conclusion: The most important aspects of these courses from the students’ viewpoints were providing the opportunity to individual and professional development and gaining a broader perspective on preventive dentistry.
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Conway, D. I., S. Culshaw, M. Edwards, et al. "SARS-CoV-2 Positivity in Asymptomatic-Screened Dental Patients." Journal of Dental Research 100, no. 6 (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.