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1

Cao, Shanshan, Monica Gentili, Paul M. Griffin, et al. "Estimating Demand for and Supply of Pediatric Preventive Dental Care for Children and Identifying Dental Care Shortage Areas, Georgia, 2015." Public Health Reports 132, no. 3 (2017): 343–49. http://dx.doi.org/10.1177/0033354917699579.

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Objectives: Demand for dental care is expected to outpace supply through 2025. The objectives of this study were to determine the extent of pediatric dental care shortages in Georgia and to develop a general method for estimation that can be applied to other states. Methods: We estimated supply and demand for pediatric preventive dental care for the 159 counties in Georgia in 2015. We compared pediatric preventive dental care shortage areas (where demand exceeded twice the supply) designated by our methods with dental health professional shortage areas designated by the Health Resources & Services Administration. We estimated caries risk from a multivariate analysis of National Health and Nutrition Examination Survey data and national census data. We estimated county-level demand based on the time needed to perform preventive dental care services and the proportion of time that dentists spend on pediatric preventive dental care services from the Medical Expenditure Panel Survey. Results: Pediatric preventive dental care supply exceeded demand in Georgia in 75 counties: the average annual county-level pediatric preventive dental care demand was 16 866 hours, and the supply was 32 969 hours. We identified 41 counties as pediatric dental care shortage areas, 14 of which had not been designated by the Health Resources & Services Administration. Conclusions: Age- and service-specific information on dental care shortage areas could result in more efficient provider staffing and geographic targeting.
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Pasiga, Burhanuddin Daeng. "Public Perception of Dental Health Care during the Covid-19 Pandemic using Teledentistry Surveys." Archives of Dentistry and Oral Health 3, no. 2 (2020): 20–27. http://dx.doi.org/10.22259/2638-4809.0302005.

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3

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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Ohara, Yuki, Yoshiaki Nomura, Yuko Yamamoto, et al. "Job Attractiveness and Job Satisfaction of Dental Hygienists: From Japanese Dental Hygienists’ Survey 2019." International Journal of Environmental Research and Public Health 18, no. 2 (2021): 755. http://dx.doi.org/10.3390/ijerph18020755.

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Job attractiveness and job satisfaction are important factors in the continuity of employment among healthcare professionals. The aim of this study was to assess job satisfaction and job attractiveness among dental hygienists in Japan. The Japan Dental Hygienists Association conducted a survey of the employment status of Japanese dental hygienists in 2019. Questionnaires were distributed to all 16,722 members, and 8932 were returned (Collection rate: 53.4%). Data from 7869 currently working dental hygienists were analysed in this study. We analysed seven items of job attractiveness, 14 items of job satisfaction, and 13 items of request for improving the working environment. Item response theory and structural equation modelling (SEM) were utilized for the analysis. For attractiveness of dental hygienists’ work, respondents placed greater emphasis on the fact that dental hygienists needed national qualifications rather than on income stability. SEM showed that job satisfaction consisted of two factors, ‘Value for work’ and ‘Working environment’, as did job attractiveness, with ‘Contribution’ and ‘Assured income’. Value for work affects the contribution to people, and, employment environment affects assured income. Improving job satisfaction and work environments could help to improve the employment rate of dental hygienists, which could positively influence patient care.
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Moffat, R. C., C. T. Yentes, B. T. Crookston, and J. H. West. "Patient Perceptions about Professional Dental Services during the COVID-19 Pandemic." JDR Clinical & Translational Research 6, no. 1 (2020): 15–23. http://dx.doi.org/10.1177/2380084420969116.

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Background: Dental professionals are at high risk of being infected by and transmitting COVID-19 to patients. Patients’ perceived risk for infection and attitudes about receiving dental care during the pandemic are important to understand as patients consider returning to routine dental care as the pandemic progresses. Objective: The purpose of this study was to explore dental patients’ perceptions of susceptibility to contracting COVID-19, their related attitudes and beliefs regarding dental care visits, and their considerations for returning to routine care during and after the pandemic. Method: Data for this cross-sectional study came from an electronic survey of 464 US adults. Survey variables include demographics, dental hygiene behaviors, perceived susceptibility to COVID-19, attitudes and beliefs regarding risk for attending dental appointments, and the necessary conditions and events for them to feel comfortable returning to regular dental appointments. Results: Over half of study participants had a 4-y degree, an annual income of at least $50,000, and good oral hygiene practices of frequent brushing and routine dental visits. Older age and agreement with positive attitudinal statements and beliefs about professional dental care were positively related to perceived susceptibility for contracting COVID-19 in a dental setting. Perceptions of susceptibility, a higher valuation of dentistry, and agreement that COVID-19 is a serious infection were each positively related to attitudinal statements and beliefs reflecting caution in attending dental visits. Last, assurance from public health officials confirming the safety to return for routine dental care was the largest reported factor necessary for a return to routine dental visits. Conclusion: This study provides early data about patient perceptions of susceptibility and attitudes toward COVID-19 in a professional dental setting and necessary conditions for returning to regular visits. This information can help formulate messaging related to returning to professional dental care, specifically targeting fears among the most susceptible populations. Knowledge Transfer Statement: Government and public health agencies can play an important role in alleviating concerns and instilling confidence that dental settings are safe. With this information from the public, dental professionals and public health agencies can work together to share messaging that will consistently inform the public regarding the safety of returning to professional dental care as it relates to the reopening of states and cities.
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Rabold, Elizabeth, Gregory Felzien, and Michael Coker. "2015–2016, Georgia Department of Public Health Districts, Evaluating Oral Health Services in Ryan White Part B Clinics." Open Forum Infectious Diseases 4, suppl_1 (2017): S329—S330. http://dx.doi.org/10.1093/ofid/ofx163.780.

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Abstract Background Poor dental health adversely affects overall health, and people living with HIV/AIDS (PLWHA) have a higher prevalence of dental disease than the general population. This study evaluated dental care access and utilization among PLWHA who receive services at Ryan White Part B (RWPB) Clinics in Georgia using three different measurement instruments. Methods Of the 19 Georgia Department of Health (GA-DPH) districts, HIV coordinators from all 16 districts that receive RWPB funding completed a web-based dental care needs assessment survey in October 2016, evaluating July 2015 to June 2016 (FY16). We compared findings to metrics obtained from two other sources: CAREWare, a national HIV electronic health system; and manual chart audits, performed using a weighted analysis of 32–42 clients per district. We analyzed the survey data and compared the three instruments descriptively. Results Of the 9,461 total active clients with HIV in the 16 DPH districts evaluated in the survey, 20% had at least one dental visit during FY16. All 16 districts had established relationships with dental providers. The average waiting period to see a dentist was <4 weeks in 13 (81%) of districts. Coordinators most frequently identified lack of transportation, health literacy, and high cost as important barriers to care. Though the overall average of clients with at least one dental visit during FY16 was similar between the survey, CAREWare, and audit data (20%, 16%, and 19%, respectively), the three instruments demonstrated notable variability within sites. Proportion of clients with dental visits across Georgia showed regional variation, with fewer visits reported centrally and more dental visits reported in the northeastern and southeastern areas. Conclusion Even though all DPH districts had access to dental providers with short waiting periods, PLWHA served by RWPB received limited dental services and faced many barriers to care during FY16. Three measurement tools demonstrated poor consistency between and across districts, highlighting the challenges in reporting and evaluating data in this population. By developing targeted quality improvement initiatives, GA-DPH will use these finding to improve annual dental visit rates, reduce barriers to care, and more accurately measure specific health outcomes for PLWHA. Disclosures All authors: No reported disclosures.
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Banaee, Sean, Denise M. Claiborne, and Muge Akpinar-Elci. "Occupational health practices among dental care professionals before and during the COVID-19 pandemic." Work 68, no. 4 (2021): 993–1000. http://dx.doi.org/10.3233/wor-205319.

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BACKGROUND: The COVID-19 pandemic has posed a substantial burden on dental care professionals. While dentistry is known as one of the most exposed and high-risk professions, dental care professionals are indeed at even greater risk. OBJECTIVE: The aim of this study was to assess knowledge, attitudes, occupational health practices, personal protective equipment usage, and mental stressors during COVID-19 pandemic among dental care professionals. METHODS: A cross-sectional study was conducted among dental care professionals who were subscribers to a dental hygiene journal using a self-administered online survey (n = 1047 respondents). Cross-tabulations were performed to determine differences in the responses to the statements related to different domains. RESULTS: COVID-19 impacted the healthy work-life balance (p < 0.001) and caused sleeping difficulty among the respondents (p < 0.001). Moreover, a lower response on changing respirators and gloves for each patient compared with before viral pandemic was observed (p < 0.01). CONCLUSIONS: Ongoing training on infection control, occupational health practices, and PPE usage can prevent the transmission of COVID-19 among dental care professionals and the public. Lack of adequate personal protective equipment (PPE) is a burden for applying occupational health practices in dental clinics and present a risk to the public. COVID-19 may contribute to developing psychological stress and disrupt healthy work-life balance among dental professionals.
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Schlenz, Maximiliane Amelie, Alexander Schmidt, Bernd Wöstmann, et al. "Perspectives from Dentists, Dental Assistants, Students, and Patients on Dental Care Adapted to the COVID-19 Pandemic: A Cross-Sectional Survey." International Journal of Environmental Research and Public Health 18, no. 8 (2021): 3940. http://dx.doi.org/10.3390/ijerph18083940.

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Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.
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Bas, Anne-Charlotte, Paul Dourgnon, Sylvie Azogui-Levy, and Jérôme Wittwer. "Impact of fees on access to dental care: evidence from France." European Journal of Public Health 30, no. 6 (2020): 1066–71. http://dx.doi.org/10.1093/eurpub/ckaa143.

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Abstract Background For financial reasons, dental prosthetics is one of the major unmet dental healthcare needs [Financial-SUN (F-SUN)]. Private fees for dental prosthetics result in significant out-of-pocket payments for users. This study analyzes the impact of geo-variations in protheses fees on dental F-SUN. Methods Using a nationwide French declarative survey and French National Health Insurance administrative data, we empirically tested the impact of prosthetic fees on dental F-SUN, taking into account several other enabling factors. Our empirical strategy was built on the homogeneous quality of the dental prosthesis selected and used to compute our price index. Results Unmet dental care needs due to financial issues concern not only the poorest but also people with middle incomes. The major finding is the positive association between dental fees and difficulty in gaining access to dental care when other enabling factors are taken into account (median fee in the highest quintile: OR = 1.35; P value = 0.024; 95% CI 1.04–1.76). People with dental F-SUN are those who have to make a greater financial effort due to a low/middle income or a lack of complementary health insurance. For identical financial reasons, the tendency to give up on healthcare increases as health deteriorates. Conclusions The results underscore the need for fee regulation regarding dental prosthetics. This is in line with the current French government dental care reform.
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Saunders, Catherine L., Adam Steventon, Barbara Janta, et al. "Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys." Journal of Health Services Research & Policy 26, no. 1 (2020): 54–61. http://dx.doi.org/10.1177/1355819620911392.

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Objective To contribute objective evidence on health care utilization among migrants to the UK to inform policy and service planning. Methods We analysed data from Understanding Society, a household survey with fieldwork from 2015 to 2017, and the European Health Interview Survey with data collected between 2013 and 2014. We explored health service utilization among migrants to the UK across primary care, inpatient admissions and maternity care, outpatient care, mental health, dental care and physiotherapy. We adjusted for age, sex, long-term health conditions and time since moving to the UK. Results Health care utilization among migrants to the UK was lower than utilization among the UK-born population for all health care dimensions except inpatient admissions for childbirth; odds ratio (95%CI) range 0.58 (0.50–0.68) for dental care to 0.88 (0.78–0.98) for primary care). After adjusting for differences in age and self-reported health, these differences were no longer observed, except for dental care (odds ratio 0.57, 95%CI 0.49–0.66, P < 0.001). Across primary care, outpatient and inpatient care, utilization was lower among those who had recently migrated, increasing to the levels of the nonmigrant population after 10 years or more since migrating to the UK. Conclusions This study finds that newly arrived migrants tend to utilize less health care than the UK population and that this pattern was at least partly explained by better health, and younger age. Our findings contribute nationally representative evidence to inform public debate and decision-making on migration and health.
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Jang, Jong-Hwa, Ji-Liang Kim, and Jae-Hyun Kim. "Associations between Dental Checkups and Unmet Dental Care Needs: An Examination of Cross-Sectional Data from the Seventh Korea National Health and Nutrition Examination Survey (2016–2018)." International Journal of Environmental Research and Public Health 18, no. 7 (2021): 3750. http://dx.doi.org/10.3390/ijerph18073750.

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To identify gender- and age-related associations between adult dental checkups and unmet dental care needs, we analyzed data of 14,000 participants, from the Seventh Korea National Health and Nutrition Examination Survey (2016–2018). Data were collected via self-report questionnaires and interviews. The complex sample chi-square test and multiple logistic regression analysis indicated that 31.7% of participants had unmet dental care needs. Within the previous 12 months, 56.5% did not undertake dental checkups, and 29.3% did not use a dental service. Odds ratios (ORs) of the unmet dental needs were 8.87 (confidence interval (CI) = 7.80–10.09, p < 0.001) for those who did not use dental services and 1.28 (CI = 1.13–1.44, p < 0.001) for those who did not have dental checkups. Significant age-dependent associations between those not receiving dental checkups and the rate of unmet dental care included men and women aged 50–59 years and women ≥70 years. However, unmet dental care needs for men aged ≥70 years not undergoing dental checkups were not statistically significant (p = 0.311). Overall, it was found that the use of dental service and dental checkups were the influencing factors for unmet dental care needs.
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Okamoto, Etsuji. "Japan’s Dental Care Facing Population Aging: How Universal Coverage Responds to the Changing Needs of the Elderly." International Journal of Environmental Research and Public Health 18, no. 17 (2021): 9359. http://dx.doi.org/10.3390/ijerph18179359.

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Although universal health coverage (UHC) is pursued by many countries, not all countries with UHC include dental care in their benefits. Japan, with its long-held tradition of UHC, covers dental care as an essential benefit, and the majority of dental care services are provided to all patients with minimal copayment. Being under UHC, the scope of services as well as prices are regulated by the uniform fee schedule, and dentists submit claims according to the uniform format and fee schedule. The author analyzed the publicly available dental health insurance claims data as well as a sampling survey on dental hygiene to illustrate how Japan’s dental care is responding to the challenges from population aging. A marked improvement was found in dental health status in the elderly population as measured by improved tooth-specific survival. The improvement may be attributable to the universal coverage of dental care, as evidenced by the steady increase in home visits by dentists/dental hygienists as well as home oral rehabilitation services.
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Hughes, Dana C., Karen G. Duderstadt, Mah-J. Soobader, and Paul W. Newacheck. "Disparities in Children's Use of Oral Health Services." Public Health Reports 120, no. 4 (2005): 455–62. http://dx.doi.org/10.1177/003335490512000413.

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Objectives. We sought to determine if the recent expansions in Medicaid and the State Children's Health Insurance Program (SCHIP) have resulted in a narrowing of income disparities over time with the use of dental care in children 2 to 17 years of age. Methods. Six years of data from the National Health Interview Survey were utilized. A trend analysis was conducted using 1983 as a baseline, which predates the expansions, and 2001–2002, the endpoint, which postdates implementation of the expansions. In addition, we examined two intermediate time points (1989 and 1997–1998). We conducted unadjusted and adjusted analyses using logistic regression. Results. Overall, use of ambulatory dental care has increased dramatically for children over the past two decades. In 1983, more than one in three children (38.5%) had no dental care within the previous 12 months. By 2001–2002, about one-quarter of children (26.3%) were reported to have no dental care within the year, a reduction of 12.2% from 1983 ( p<0.001). Frequency of unmet dental care remained unchanged between 1997–1998 (the first year this measure was available) and 2001–2002. A reduction in income disparities for use of dental care was found in our unadjusted analysis but this difference became statistically insignificant in the adjusted analysis. No changes in income disparities occurred for unmet dental needs in either the unadjusted or adjusted analyses. Conclusions. A substantial overall improvement in dental care use has occurred among all income groups, including poor and near poor children. This “keeping up” with their higher-income counterparts represents an important public health accomplishment for children in low-income families. Nevertheless, additional efforts are needed to close remaining disparities in access to dental care.
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Ohara, Yuki, Yoshiaki Nomura, Yuko Yamamoto, et al. "Daily Tasks and Willingness to Work of Dental Hygienists in Nursing Facilities Using Japanese Dental Hygienists’ Survey 2019." International Journal of Environmental Research and Public Health 18, no. 6 (2021): 3152. http://dx.doi.org/10.3390/ijerph18063152.

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Oral health care by dental hygienists contributes to the maintenance of nutritional and general health for older people in nursing facilities. This study aimed to investigate daily tasks and willingness to work among dental hygienists working in nursing facilities in Japan. In 2019, using a self-administered questionnaire, a postal cross-sectional survey was conducted among members of the Japanese Dental Hygienists’ Association. Questionnaires were distributed to all 16,722 Association members (responses, n = 8932; return rate, 53.4%). We analysed data from 368 dental hygienists currently working in nursing facilities. Item response theory and correspondence analyses were performed. In total, >90% of dental hygienists undertook oral examinations and provided oral hygiene instructions to residents and facility staff. In contrast, the implementation rate of tasks related to interprofessional collaboration was relatively low (approximately 50%), and 72.6% of dental hygienists indicated that they wanted to continue working in nursing facilities. Their willingness to work was closely associated with work involving interprofessional collaboration. Our study findings showed that dental hygienists’ work content in nursing facilities was diverse, but that there was variation in implemented tasks. Willingness to continue working in nursing facilities was associated with interprofessional collaboration among dental hygienists.
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Cagetti, Maria Grazia, Araxi Balian, Nicole Camoni, and Guglielmo Campus. "Influence of the COVID-19 Pandemic on Dental Emergency Admissions in an Urgent Dental Care Service in North Italy." International Journal of Environmental Research and Public Health 18, no. 4 (2021): 1812. http://dx.doi.org/10.3390/ijerph18041812.

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A retrospective study was performed to verify if the number of admissions for urgent dental care in the Urgent Dental Care Service of San Paolo Hospital in Milan (Italy) was directly related to the different phases of the COVID-19 pandemic. Different periods were analyzed: 25 March–5 April 2019 (pre-COVID); 23 March–3 April 2020 (lockdown); 8 June–19 June 2020 (reopening); and November 9–November 20 (second wave). Raw data regarding admissions, diagnoses, and treatments were extracted. Descriptive and bivariate analyses were performed. The survey included 901 admissions, 285 in pre-COVID, 93 during lockdown, 353 in reopening, and 170 in the second wave. In each time period, statistically significant differences were found in the prevalence of each kind of diagnoses (χ2(3) = 20.33 p = 0.01 for endodontic emergencies, χ2(3) = 29.05 p < 0.01 for cellulitis/phlegmon, χ2(3) = 28.55 p < 0.01 for periodontal emergencies, Fisher’s Exact Test p < 0.01 for trauma, and χ2(3) = 59.94 p < 0.01 for all other kinds of diagnosis). A remarkable increase in consultations (+186.36%) and other treatments (+90.63%) occurred during reopening. Tooth extraction was the most frequently delivered treatment, but suffered the largest reduction during lockdown (−79.82%). The COVID-19 pandemic has highly affected dental activity in north Italy, underling the weaknesses of a private dental system in a pandemic scenario.
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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 (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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Kim, Nam-Hee, Se-Hwan Jung, and Ichiro Kawachi. "Did Expanded Dental Insurance Reduce Out-of-Pocket Expenditures on Dental Care among Older Adults in Korea? Interrupted Time-Series Analysis." International Journal of Environmental Research and Public Health 18, no. 6 (2021): 3003. http://dx.doi.org/10.3390/ijerph18063003.

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The Korean National Health Insurance extended its coverage to reduce the economic burden of receiving dentures and implants for older adults in 2012 and 2014, respectively. We examined whether the new policy resulted in reduced out-of-pocket dental care expenditure in the eligible population, specifically focusing on low-income adults. We used interrupted time-series analysis (ITSA), a quasi-experimental design, to identify the effects of the policy among persons aged 65 or older. Data were extracted from the Korea Health Panel Survey (KHP; 2008–2017). The main outcome was out-of-pocket expenditures on dental care. The ITSA showed that expenditures decreased annually by 4.5% (RR: 0.96, 95% CI: 0.95–0.96) between 2012 and 2014. However, expenditure increased by 7.8% (RR: 1.08, 95% CI: 1.07–1.08) after 2014. Dental insurance coverage did not contribute to reducing the out-of-pocket expenses for dentures among low-income adults, while coverage of dental implants led to an increase in dental expenditure.
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Lopes, Joyce, Andréa Clemente Palmier, Marcos Azeredo Furquim Werneck, Antônio Thomaz Gonzaga da Matta-Machado, and Mauro Henrique Nogueira Guimarães de Abreu. "A Survey About Dental Instruments at the Primary Health Care in Brazil." Brazilian Dental Journal 29, no. 5 (2018): 500–506. http://dx.doi.org/10.1590/0103-6440201801969.

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Abstract This study describes the structure of oral health services in primary health care in Brazil and the instruments available for the provision of oral health care and to compare the number of instruments according to organizational characteristics of health services and among the macroregions. Of the 23,251 oral health teams (OHTs) in the Public Health System, 17,513 (75.3%) participated in this study. Trained researchers observed the structures of the health services and determined the presence of and whether a sufficient quantity of 36 dental instruments existed. The score of each oral health service was determined by the sum of the number of dental instruments present in sufficient quantity (0 to 36). Central tendency measures were compared along with the variability in these scores according to the organizational characteristics of the services and according to the Brazilian macroregion. No instrument was found to be present in all evaluated services. Basic, surgical and restorative instruments were the most frequently found. Periodontal, endodontic and prosthetic instruments exhibited the lowest percentages. The mean and median numbers of dental instruments were higher for teams that operated over more shifts, those with an oral health technician and those in the South and Southeast regions. The oral health services were equipped with basic, surgical and restorative instruments. Instruments designed for periodontal diagnosis, emergency care and denture rehabilitation were less frequently found in these services. The worst infrastructure conditions existed in the OHTs with the worst forms of care organization and in regions with greater social issues.
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Morin, Nathalie M., Bruce A. Dye, and Tomoko I. Hooper. "Influence of Cigarette Smoking on the Overall Perception of Dental Health among Adults Aged 20–79 Years, United States, 1988–1994." Public Health Reports 120, no. 2 (2005): 124–32. http://dx.doi.org/10.1177/003335490512000205.

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Objective. Investigation into the relationship between lifestyle factors (particularly cigarette smoking) and perceived oral health has been limited. Data from the third National Health and Nutrition Examination Survey (NHANES III), 1988–1994, were used to explore this relationship in a large sample of U.S. adults. Methods. This study used data on 13,357 dentate participants in NHANES III aged 20–79 years. In NHANES III, information on perceived dental health, sociodemographic attributes, smoking status, frequency of dental visits, dental insurance, and general health perception were collected during a home interview, and oral health status was assessed at a mobile examination center. Results. Overall, 34.4% of individuals in the study sample reported having an unfavorable perception of their dental health by qualifying it as “fair” or “poor.” Furthermore, 46.6% of smokers had an unfavorable dental health perception, compared to 28.3% of non-smokers. An interaction between smoking and race/ethnicity was found in logistic regression modeling. Stratified results show that cigarette smoking was not a significant predictor for an unfavorable dental health perception among individuals who self-identified as Mexican American, but smoking was a significant predictor for an unfavorable dental health perception among those who identified as non-Hispanic black or non-Hispanic white. Conclusions. This is the first study to describe the effects of smoking on dental health perception while controlling for examined oral health status. Because perceived dental health is a potential indicator for dental care utilization, a better knowledge of the factors that influence dental health perception is not only important for dental services planning, but also for understanding oral health–related quality of life issues. Additionally, given that smoking may negatively affect dental health perception, these findings have potential implications for smoking cessation activities conducted by dental care providers.
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Nair, R., L. Luzzi, L. Jamieson, A. J. Spencer, K. M. B. Hanna, and L. G. Do. "Private Dental Care Benefits Non-Indigenous Children More Than Indigenous Children." JDR Clinical & Translational Research 5, no. 3 (2019): 244–53. http://dx.doi.org/10.1177/2380084419886869.

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Introduction: Various arrangements for funding health care facilities can have different levels of performance of care provision on different groups of people. Such differential performance of oral care is not previously known concerning Indigenous communities. Objective: This study aimed to assess the effect of visiting a public or private dental care facility on the performance of oral care experienced by Indigenous versus non-Indigenous children in Australia. Methods: Data from the National Child Oral Health Survey were used with a representative sample of children from all the states and territories of Australia. The performance of oral care was measured with the Child Oral Care Performance Assessment Scale (COPAS), which contains 37 items from 9 domains (Effective, Appropriate, Efficient, Responsive, Accessible, Safe, Continuous, Capable, and Sustainable) with a score ranging from 0 to 148. Mixed effects models that accounted for stratum and sampling weights were used for the stratified analyses (Indigenous vs. non-Indigenous) that assessed the effect of public versus private care on the COPAS. Relative excess risk due to interaction was calculated to assess effect modification. Results: Among the Indigenous children, private care was similar to public care (regression coefficient [RC] = −1.27, 95% CI = −9.5 to 6.97), whereas private care was higher than public care among non-Indigenous children (RC = 4.60, 95% CI = 3.67 to 6.18). This trend was similar among the 9 domains of the COPAS as well, except for Effectiveness, which was similar for private and public facilities among non-Indigenous children (RC = −0.03, 95% CI = −0.29 to 0.23). Based on the continuous COPAS score, effect modification was 4.46 (95% CI = 0.11 to 8.82) on the additive scale and 1.06 (1.01, 1.13) on the multiplicative scale. The relative excess risk due to interaction reported an excess chance of 1.17 (95% CI = 0.01 to 0.33), which was consistent with the stratified analyses and effect modification measured with the continuous score. Conclusion: Thus, this study found a higher performance of oral care in private care locations among non-Indigenous children versus Indigenous children. Knowledge Transfer Statement: The findings caution policy makers and other stakeholders that moving oral care from public to private care facilities can increase the inequity faced by Indigenous children in Australia.
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Baumgarten, Alexandre, Rochelle Santos Da Veiga, Patricia Tavora Bulgarelli, Vitor Motta Diesel, and Alexandre Favero Bulgarelli. "Perceptions of primary health care service users regarding dental team practices in Brazil." Primary Health Care Research & Development 19, no. 03 (2017): 309–15. http://dx.doi.org/10.1017/s1463423617000639.

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BackgroundThe Unified Health System (SUS) is the Brazilian set of public health services that offers global access to health care and disease treatments for all citizens. These services have been evaluated by means of a national survey assessing the users’ perceptions.AimTo explore and characterize the SUS users’ perceptions regarding primary dental team practices in the five Brazilian geographical regions.MethodsDescriptive study. The sample consisted of 37 262 subjects. Data were collected by means of the Ministry of Health survey, conducted between 2012 and 2014. Variables used in the present study are associated with SUS users’ perspectives of satisfaction, access, and use of services. The study utilized bivariate data analysis, and dichotomous variables were derived for analysis following 95% reliability.FindingsThis study observed similarities and proportionality of perceptions in the Brazilian territory. In most macro-regions, dental teams did not develop an active search for dental treatment absentees. However, the SUS users reported very good and good perceptions, which were homogeneously distributed across five Brazilian regions, thereby showing an overall positive perception of primary dental treatment.
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Abdulwahab, Mohammad, Fatima Al-Sayegh, Sean G. Boynes, Hawra Abdulwahab, Jayme Zovko, and John Close. "Assessing the Need for Anesthesia and Sedation Services in Kuwaiti Dental Practice." Anesthesia Progress 57, no. 3 (2010): 91–95. http://dx.doi.org/10.2344/0003-3006-57.3.91.

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Abstract The objective of this study was to examine the public health relevance of the prevalence of dental fear in Kuwait and the resultant barrier that it creates regarding access to dental care. The study analysis demonstrated a high prevalence of dental fear and anxiety in the Kuwaiti population and a perceived need for anesthesia services by dental care providers. The telephone survey of the general population showed nearly 35% of respondents reported being somewhat nervous, very nervous, or terrified about going to the dentist. In addition, about 36% of the population postponed their dental treatment because of fear. Respondents showed a preference to receive sedation and anesthesia services as a means of anxiety relief, and they were willing to go to the dentist more often when such services were available. People with high fear and anxiety preferred to receive some type of medication to relieve their anxiety. In conclusion, the significance and importance of the need for anesthesia services to enhance the public health of dental patients in Kuwait has been demonstrated, and improvements are needed in anesthesia and sedation training of Kuwaiti dental care providers.
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Álvarez, Licet, Judith Liberman, Soledad Abreu, et al. "Dental caries in Uruguayan adults and elders: findings from the first Uruguayan National Oral Health Survey." Cadernos de Saúde Pública 31, no. 8 (2015): 1663–72. http://dx.doi.org/10.1590/0102-311x00132214.

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This study aimed to assess dental caries status and associated factors in Uruguayan adults and elders using data from the first Uruguayan National Oral Health Survey. Data were representative of the country as a whole. Socio-demographic information was collected with a closed questionnaire. Dental caries was assessed by clinical examination using the DMFT index. The final sample consisted of 769 participants. Mean DMFT was 15.20 and 24.12 for the 35-44 and 65-74-year age groups, respectively. Mean number of decayed teeth was 1.70 in adults and 0.66 in elders. Multivariate analyses showed higher prevalence of dental caries associated with age 65-74 years, low socioeconomic status, use of public dental services, presence of gingivitis; for decayed teeth, age 35-44 years, low socioeconomic status, use of public dental services, infrequent tooth brushing, need for oral health care, and presence of root caries showed higher severity. Uruguayan adults and elders from disadvantaged backgrounds concentrated a heavier burden of dental caries.
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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 (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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Rezaei, Satar, Esmail Ghahramani, Mohammad Hajizadeh, Bijan Nouri, Sheno Bayazidi, and Fatemah Khezrnezhad. "Dental care utilization in the west of Iran: a cross-sectional analysis of socioeconomic determinants." International Journal of Human Rights in Healthcare 9, no. 4 (2016): 235–41. http://dx.doi.org/10.1108/ijhrh-06-2016-0008.

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Purpose Oral health is a major public health problem, both in developed and developing countries. The purpose of this paper is to examine the utilization of dental care and identify the main socioeconomic factors affecting the use of these services in the city of Sanandaj, west of Iran, in 2015. Design/methodology/approach A cross-sectional survey using multistage sampling was conducted to obtain information on the dental care visits of 520 head of households in Sanandaj. A self-administered questionnaire was used to collect data on the utilization of dental visits. Multivariable logistic regression was used to identify the main socioeconomic factors affecting the utilization of dental care in Sanandaj. Findings Results showed that 61.3 percent of the respondents visited a dentist at least once in the last year, of which 45 percent visited dentist for restoration, 27.9 percent had extraction and 10.3 percent had a dental checkup. The average number of dentist visits by respondents was 1.9. Regression results indicated a significant association between socioeconomic factors (e.g. income, educational level and employment status) and utilization of dental care. Originality/value This study suggested that dental care visit was influenced by socioeconomic status of households. Therefore, strategies aimed at improving dental care utilization for socioeconomically disadvantaged households (e.g. dental health insurance) are required to promote oral health among socioeconomically disadvantaged groups.
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Rendžova, Vasilka, Sonja Apostolska, Marina Eftimoska, Biljana Džipunova, and Vesna Filipovska. "Work related muskuloskeletal disorders among dentists at the university dental clinic in Skopje." Stomatoloski glasnik Srbije 65, no. 2 (2018): 89–96. http://dx.doi.org/10.2478/sdj-2018-0009.

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Summary Introduction Musculoskeletal disorders (MSDs) are one of the most common types of work-related diseases that affect health workers, especially dentists. The aim of our study was to examine the presence of musculoskeletal disorders among dentists at the university dental clinic in correlation with risk factors. Materials and methods A questionnaire survey was carried out among 78 dental practitioners aged between 20 to 60 years old, employed at the university dental clinic. Questions included data on physical and psychosocial workload, perceived general health and occurrence of musculoskeletal complaints in the past 12 months, chronic complaints, frequency and length of breaks, exercising habits as well as medical care seeking. Results Pain in the back, neck and shoulders (84.6% / 85.9%) was the most common complaint among the majority of respondents, while reduced range of movement was noticed among significantly fewer subjects, mostly between 40-60 years of age. Prolonged statistic position was considered to be one of the main causes of MSDs (82.05%) while 73.08% of respondents stated at least two more reasons beside this one. Conclusion The percentage of MSDs prevalence among dentists in public health sector is high. More extensive surveys should be undertaken to cover larger group of dentists from both private and public sector, in order to obtain complete analysis of the prevalence of occupational disorders in our country.
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Smirnova, Lyudmila E., and V. D. Vagner. "SANATION OF PATIENTS MOUTH IN DENTAL ORGANIZATIONS OF PRIVATE HEALTH CARE SYSTEM." Medical Journal of the Russian Federation 25, no. 4 (2019): 194–98. http://dx.doi.org/10.18821/0869-2106-2019-25-4-194-198.

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Oral sanitation - a set of measures aimed at curing diseases of the organs and tissues of the mouth, including the treatment of dental caries, its complications, non-carious lesions and professional hygiene or preparation of the mouth for further orthodontic and orthopedic treatment. Sanation of the mouth can be considered as an indicator of the quality of medical care, as it is a planned result of the treatment of the whole body. However, this indicator is not subject to accounting and analysis in private medical organizations, as a result of which statistical data on the true situation of dental disease and the effectiveness of treatment are unreliable. We conducted a study on the activities of four private dental organizations to achieve the effectiveness of treatment of patients. Evaluation of the scope and cost of work performed, complete rehabilitation of the mouth, carried out the certificate of completion. The collection of data on the structure of dental morbidity by turnover was studied by the medical records of the dental patient. The reason for the refusal to continue treatment before the rehabilitation of the mouth was studied by interviewing (telephone survey) of patients carried out by employees of private dental organizations (medical registrars). The activities of medical organizations, regardless of ownership, should include an in-depth analysis of statistical information, which is part of the management process in health care, ensuring the strengthening of public health and the effectiveness of the health system. Statistics reveal problems, priorities and challenges for the rational use of human, financial and logistical resources. In this regard, all offices of the organization must provide statistical data on their activities to the appropriate authorities and a range of socio-economic measures aimed at the final result of the dental Wellness of the population, strengthen the health and well-being of the person through the reorganization of the mouth.
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Kireev, M. Yu, G. Z. Akhmetzyanova, and R. A. Saleev. "Planning dental services using the methods of marketing." Kazan medical journal 93, no. 2 (2012): 324–26. http://dx.doi.org/10.17816/kmj2321.

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Aim. To justify the use of marketing methods in the activities of dental institutions. Methods. During the period 2008-2011 conducted was a sociological survey of 857 patients with detailed clinical examination; eight predictive models were developed. Used were variational statistics, regression analysis, mathematical modeling, expert method. Results. 171 (27.0%) men and 460 (73.0%) women went to seek care in commercial dental institutions. 267 (33.0%) men and 459 (67.0%) women went to seek care in state dental institutions. The referability of women to dentists was higher in both cases (p 0.05). Women aged 20-29 years preferred to go to commercial dental institutions (32.0±2.3%), than to the state ones (17.0±1.8%, p 0.001), while men, on the contrary, went to the state (37.0±2.4%) rather than commercial dental institutions (20.0±2.0%, p 0.001). At the age of 30-39 years the women went to state dental institutions (33%) more frequently than to commercial dental institutions (29%), while men - mostly to commercial dental institutions (26%) compared with the state (17%). Among the reasons for seeking dental treatment in a commercial organization the first one is the lack of queues at the reception: to surgeons 46.1±1.7%, therapists 58.3±1.7% and orthopedists 60.0±1.85%; the second place is held by a convenient patient schedule: for the profile of surgery 34.2±1.6%, therapy - 26.7±1.5%, orthopedics - 22.0±1.4%, and the contribution of other causes did not exceed 10.0±1.0%. Proposed were eight prognostic models in the form of regression analysis equations for complex evaluation of the influence of factors, which determine the choice of a health care institution, and the referral to the therapist-dentist, surgeon-dentist, orthopedist-dentist, and orthodontist both in public and private health care organizations. Conclusion. Prognostic matrices, calculated using the formulas of mathematical analysis, can be used when planning outpatient dental care, justifying the required number of dentists’ positions in the state and commercial dental organizations.
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Karelin, Aleksandr O., Pavel B. Ionov, and Gennady B. Yeremin. "Workability of dentists working in state children's dental polyclinics." Hygiene and sanitation 100, no. 8 (2021): 833–38. http://dx.doi.org/10.47470/0016-9900-2021-100-8-833-838.

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Introduction. A high level of workability of a doctor is an essential part of successful professional activity. The assessment of workability in combination with the study of working conditions, health status and quality of life of a specialist seems to be one of the actual areas of occupational health. The aim of the study was to analyze the workability of dentists providing medical care to children in state children’s dental polyclinics and children’s departments of state dental polyclinics providing medical care to adults in St. Petersburg. Materials and methods. A survey included 120 dentists using a standardized workability questionnaire. Workability was characterized by the level of current workability and workability index. Statistical data processing was carried out using SPSS 17.0 software. Results. The average values of current workability and workability index in the studied group of dentists are in the average (reduced) level - 6.1 ± 1.7 and 33.0 ± 5.3. The majority of doctors indicated the presence of certain health disorders, although 40% noted that their health will allow them to adequately fulfil their professional duties in the next two years. 62% of specialists were characterized by a good level of work motivation. From the total number of specialists, 68% had up to 9 days of disability per year. The group of dental surgeons did not have specialists with excellent work ability, and the proportion of doctors with good workability was half the size of others. 68% of doctors need to improve workability, and 11% need to restore it. Discussion. It is alarming that half of the specialists had a low (threatening) level of current work ability with average levels of current work ability and work ability index. Only 8.3% of doctors consider themselves absolutely healthy and capable of doing work without restrictions. Conclusion. The majority of dentists corresponds to average workability level. Workability indicators and the number of days of disability of dental surgeons are worse than those of orthodontists and pediatric dentists. The majority of doctors need to improve workability.
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McKernan, S. C., J. C. Reynolds, A. Ingleshwar, M. Pooley, R. A. Kuthy, and P. C. Damiano. "Transportation Barriers and Use of Dental Services among Medicaid-Insured Adults." JDR Clinical & Translational Research 3, no. 1 (2017): 101–8. http://dx.doi.org/10.1177/2380084417714795.

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This study explores how travel distance and other transportation barriers are associated with dental utilization in a Medicaid expansion population. We analyzed data from the Iowa Dental Wellness Plan (DWP), which provides comprehensive dental benefits for low-income adults aged 19 to 64 y as part of Iowa’s Medicaid expansion. Transportation and geographical characteristics were evaluated as enabling factors within the framework of Andersen’s behavioral model of health services use. In March 2015, a random sample of DWP members ( n = 4,800) was surveyed; adjusted survey response rate was 30% ( n = 1,258).The questionnaire was based on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Dental Plan Survey and assessed need for dental care, use of dental services and transportation to visits, and self-perceived oral health status. Respondent and dentist addresses were geocoded and used to calculate distance to the nearest DWP general dentist. A logistic regression model predicting utilization of dental care was developed using variables representing each domain of the behavioral model. Most respondents (57%) reported a dental visit since enrolling. Overall, 11% of respondents reported unmet dental need due to transportation problems. Median distance to the nearest general dentist was 1.5 miles. In the adjusted model, travel distance was not significantly associated with the likelihood of dental utilization. However, other transportation-related issues were significantly associated with utilization, including concern about cost of transportation and driver/passenger status. As concern about transportation cost increased, likelihood of having a dental visit decreased. Targeted approaches to assisting low-income populations with transportation barriers should be considered in designing policies and interventions to improve access to dental care. Knowledge Transfer Statement: The results of this study can be used by policy makers and public health planners when designing programs and interventions to improve access to dental care. Consideration of transportation availability and costs could improve utilization of routine dental care, especially among low-income populations.
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D’Addazio, Gianmaria, Manlio Santilli, Bruna Sinjari, et al. "Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers." International Journal of Environmental Research and Public Health 18, no. 4 (2021): 1556. http://dx.doi.org/10.3390/ijerph18041556.

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The literature highlights differences in the dental conditions of people with disabilities compared with the general population. The aim of this study was to provide an overview of the dental health of people with disabilities in order to understand if their needs are met and to identify their most critical issues as per dentists. A paper and a Google Form platform were used in conducting a survey in Central Italy (the Abruzzo region), by performing an analysis on different points of view as reported by people with disabilities and dentists. The results showed that only 69.2% of dentists treat persons with disabilities. Of these, 73.5% treat less than 10 patients with physical disabilities per year. However, 54% of dentists do not treat people with cognitive impairment and a poor ability to collaborate during treatment. More than 80% of respondent dentists report that people with disabilities do not have good oral hygiene. On the other hand, 49.1% of people with disabilities (or their caregivers in cases where the patient was unable to answer) report that they rarely or never go to the dental office. Moreover, when they do go, it is mainly for emergencies. Despite this, respondents are well aware of their dental problems. However, they have difficulties in communicating their dental problems to their dentist. The 50% of dentists who treat people with cognitive impairment do not include them in follow-up, while only 20% of these patients reported being regularly recalled. This illustrates the importance of the implementation of follow-up. In addition, training courses could help clinicians to reduce this gap and create barrier-free dental offices.
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Samohyl, Martin, Jana Babjakova, Diana Vondrova, et al. "Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students." International Journal of Environmental Research and Public Health 18, no. 3 (2021): 1295. http://dx.doi.org/10.3390/ijerph18031295.

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This study aimed to determine the factors associated with the avoidance of dental preventive care in high school students and their parents in the framework of The Youth and Parents Risk Factor Behavior Survey in Slovakia, the ongoing cross-sectional school-based survey of students and their parents or legal representatives. The data were collected using two separate standardized questionnaires: (i) the questionnaire for students (n = 515) and (ii) the questionnaire for parents (n = 681). The study group included 57 high school students (54.4% males) who did not visit the dentist for preventive care in the previous year. The control group included 458 students (35.8% males) who visited a dentist for preventive care at least once in the previous year. A significantly higher number of males (54.4%), older adolescents, and young adults (21.8%; 20.0%) were not visiting dental preventive care regularly. Incomplete family (56.1%), stressful situations at home (17.5%), and feeling unwell were the factors contributing to the avoidance of dental preventive care. More than 34.5% of adolescents and young adults were not visiting either dental preventive care or pediatric preventive care (adjusted odds ratio (AOR) = 5.14; 95% confidence interval (CI) = 2.40, 10.99). Children of divorced mothers and mothers with household income lower than EUR 900 had significantly higher dental care avoidance in bivariate analysis. A significantly higher percentage of fathers from the exposed group were not visiting dental preventive care regularly (47.8%, p < 0.05). The results of the study can be used as an educational intervention step focusing on the parental influence on adolescent and young adults’ behavior and as a challenge for the improvement of dental preventive care in older adolescents and young adults.
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Barasuol, Jéssica Copetti, Leila Posenato Garcia, Rafaella Coelho Freitas, Debora Martini Dalpian, José Vitor Nogara Borges Menezes, and Bianca Zimmermann Santos. "Dental care utilization among children in Brazil: an exploratory study based on data from national household surveys." Ciência & Saúde Coletiva 24, no. 2 (2019): 649–57. http://dx.doi.org/10.1590/1413-81232018242.03232017.

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Abstract Wide availability of access to dental services can be considered a predictor of better oral health outcomes in a population. This article aims to compare data from the Brazilian National Household Sample Surveys (PNAD) on dental services utilization among children aged 4 to 12 years. This cross-sectional study was carried out using data from the 1998, 2003, and 2008 National Household Sample Surveys, involving a total of 61.438, 64.659 and 59.561 children, respectively. Ninety-nine percent confidence intervals were considered for the prevalence of each outcome of interest. In 1998, 60.8% (99%CI: 59.4;62.1) of children had been to a dentist; this prevalence was 65.5% (99%CI: 64.4;66.7) in 2003 and 73.8% (99%CI: 72.1;74.2) in 2008. In 1998, 41.2% (99%CI: 39.1;43.3) of children in the lowest household income quartile had been to a dentist; this value was 61.4% (99%CI: 59.5;63.2) in 2008. Among children from families whose head of household had 4 years of formal education or fewer, 49.5% and 63% had been to a dentist in 1998 and 2008, respectively. The lifetime prevalence of dentist attendance among Brazilian children increased between 1998 and 2008, especially among those from low-income families and those whose head of household had a low educational level.
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Jessani, Abbas, Mir Faeq Ali Quadri, Pulane Lefoka, et al. "Oral Health Status and Patterns of Dental Service Utilization of Adolescents in Lesotho, Southern Africa." Children 8, no. 2 (2021): 120. http://dx.doi.org/10.3390/children8020120.

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This study aimed to characterize the best predictors for unmet dental treatment needs and patterns of dental service utilization by adolescents in the Kingdom of Lesotho, Southern Africa. A self-reported 40-item oral health survey was administered, and clinical oral examinations were conducted in public schools in Maseru from August 10 to August 25, 2016. Associations between psychosocial factors with oral health status and dental service utilization were evaluated using simple, bivariate, and multivariate regressions. Five hundred and twenty-six survey responses and examinations were gathered. The mean age of student participants was 16.4 years of age, with a range between 12 and 19 years of age. More than two thirds (68%; n = 355) of participants were female. The majority reported their quality of life (84%) and general health to be good/excellent (81%). While 95% reported that oral health was very important, only 11% reported their personal dental health as excellent. Three percent reported having a regular family dentist, with the majority (85%) receiving dental care in a hospital or medical clinic setting; only 14% had seen a dental professional within the previous two years. The majority of participants did not have dental insurance (78%). Clinical examination revealed tooth decay on 30% of mandibular and maxillary molars; 65% had some form of gingivitis. In multivariate analysis, not having dental education and access to a regular dentist were the strongest predictors of not visiting a dentist within the last year. Our results suggest that access to oral health care is limited in Lesotho. Further patient oral health education and regular dental care may make an impact on this population.
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McFarland, Kimberly K., Fouad Salama, and Muhammad Yaseen. "Access to Dental Care for Rural Children: A Survey of Nebraska General Dentists." Journal of Rural Health 27, no. 2 (2010): 205–10. http://dx.doi.org/10.1111/j.1748-0361.2010.00333.x.

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Poudel, Prakash, Rhonda Griffiths, Amit Arora, et al. "Oral Health Status, Knowledge, and Behaviours of People with Diabetes in Sydney, Australia." International Journal of Environmental Research and Public Health 18, no. 7 (2021): 3464. http://dx.doi.org/10.3390/ijerph18073464.

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This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06–6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85–7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.
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Akintobi, Tabia Henry, LaShawn M. Hoffman, Calvin McAllister, et al. "Assessing the Oral Health Needs of African American Men in Low-Income, Urban Communities." American Journal of Men's Health 12, no. 2 (2016): 326–37. http://dx.doi.org/10.1177/1557988316639912.

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Despite improvements in oral health status in the United States, pronounced racial/ethnic disparities exist. Black men are less likely to visit the dentist, are twice as likely to experience tooth decay, and have a significantly lower 5-year oral cancer survival rate when compared to White men. The Minority Men’s Oral Health Dental Access Program employed a community-based participatory research approach to examine the oral health barriers and opportunities for intervention among Black men in a low-income, urban neighborhood. A cross-sectional study design was implemented through a self-administered survey completed among 154 Black males. The majority reported not having dental insurance (68.8%). Most frequently cited oral health care barriers were lack of dental insurance and not being able to afford dental care. Attitudes related to the significance of dental care centered on cancer prevention and feeling comfortable with one’s smile. The impact of oral health on daily life centered on social interaction, with men citing insecurities associated with eating, talking, and smiling due to embarrassment with how their teeth/mouth looked to others. Multivariate logistic regression revealed that those who had difficulty finding dental care were 4.81 times (odds ratio = 4.65, 95% confidence interval [1.80, 12.85]) more likely to report no dental insurance, and 2.73 times (odds ratio = 3.72; 95% confidence interval [1.12, 6.70]) more likely to report poor oral health. Community-based participatory approaches include assessment of neighborhood residents affected by the health issue to frame interventions that resonate and are more effective. Social, physical, and infrastructural factors may emerge, requiring a multilevel approach.
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B R, Ganesh Prasad. "Apprehension of dental treatment and awareness of virtual dental consultation among rural population in Karnataka during COVID-19 pandemic lockdown." MedPulse International Journal of Dentistry 19, no. 1 (2021): 01–04. http://dx.doi.org/10.26611/10191911.

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Background: The goal of “Health for All” initiated by WHO envisions securing the health and well-being of people across the globe. SARS-COV-2 coronavirus discovered in December 2019 is said to cause severe pneumonia characterized by fever, cough, shortness of breath and was declared as a global pandemic by WHO. In India the second wave of coronavirus has caused lot of problems with hospitals and medical facilities overwhelmed. WHO and CDC has recommended several biosafety measures and guidelines due to high risk of contamination during dental care. Covid-19 pandemic risk and lockdown measures to curtail the transmission has led to suspension of dental healthcare to the public in many places. Teleconsultation/ Telehealth refers to interactions that happen between a clinician and a patient for the purpose of providing diagnostic or therapeutic advice through electronic means. Teledentistry a subunit of telehealth can be used in routine dental practise to avoid unnecessary exposure of the healthy subjects to the suspects and to decrease the possibility of transmission in dental office. Methodology: A quantitative dichotomous cross-sectional questionnaire survey will be conducted among the rural population. The study population will be chosen randomly among rural population. Only adults will be considered in the survey. Researcher made Questions will be given to the participants in hard copy. The questions will include the Demographic data, Gender, accessibility of dental set up and dentists and awareness of dental tele-consultations. Data obtained will be utilised to assess the accessibility of dental treatment for the public and mode of dental tele consultation preference among rural population. Conclusion: COVID-19 pandemic has caused a lot of concerns regarding the safety during dental procedures. Since the risk of transmission is high due to the very nature of the procedure, assessing the awareness in rural population is crucial. Teledentistry can play a key role in bridging the dental issues and the accessibility of dentists. Proper protocol about its usage with training about it to the dental professionals would be advised. Further steps are required to create awareness about it in the rural population.
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Skapetis, Tony, Shilpi Ajwani, and Sameer Bhole. "Patient satisfaction and an international dental graduate workforce programme." International Journal of Health Governance 23, no. 3 (2018): 243–51. http://dx.doi.org/10.1108/ijhg-02-2018-0004.

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Purpose The New South Wales International Dental Graduate (N-IDG) programme was an Australian state government workforce initiative to support rural public dental services. The purpose of this paper is to evaluate patient satisfaction following dental treatment provided by an IDG workforce. Design/methodology/approach This cross-sectional descriptive study used a validated questionnaire survey instrument to measure patient satisfaction (n=813) following treatment provided by IDGs enroled in the N-IDG programme, compared to their mentors. Domains included dentists’ professional competency, personality and the dental surgery organisation. Analysis of closed and open question responses was performed using domain grouping, frequency and χ2 analysis. Findings Patient satisfaction across the IDG and mentor workforce was similar and very positively skewed with differences detected across perceived treatment quality (p=0.03), clinician efficiency (p=0.05) and answering of questions (p=0.05). These results favoured treatment provided by IDGs over mentors. This study demonstrated few differences between IDGs under limited registration and their mentors in terms of perceived patient satisfaction, suggesting patient perceived parity in care. Originality/value Patient satisfaction was used innovatively to IDGs as an indicator of dental workforce programme effectiveness.
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40

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.
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Maharjan, Anjana, Sagun Regmi, and Reshu Agrawal Sagtani. "Knowledge and Awareness Regarding Dental Implants among Patients Attending a Tertiary Care Center." Journal of Nepal Medical Association 56, no. 210 (2018): 578–81. http://dx.doi.org/10.31729/jnma.3496.

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Introduction: Loss of natural teeth is a debilitating and irreversible process, which leads to functional, cosmetic and psychological morbidities. Dental implant serves as one of the options of tooth replacement, which are stronger, functionally effective and more durable. However, public awareness regarding it has been found to be low in Asian countries. This study was designed to know the status of knowledge and awareness of dental implant.Methods: Seventy nine patients visiting dental department of Patan Academy of Health Sciences were included in this study through non-probability sampling. Data on knowledge and awareness regarding dental implants were collected through a survey after ethical approval from Institutional Review committee of Patan Academy of Health Sciences. Data entry was done in Epidata and analyzed with the help of Statistical Package of Social Sciences version 20.Results: Total 33 (41.8%) of study populations choose dental implant as alternative for replacing teeth, 22 (30.4%) choose fixed dental prosthesis. 36 (45.6%) and 32 (40.5%) of population stated that long treatment time and high cost respectively as the disadvantages of dental implants. Only 12 (15.2%) were aware that dental implants are anchored in jaw bone. The source of information about dental implants was dentists for 48 (60.8%) of the patients followed by friends, media and medical doctors. Conclusions: Within the limitations of this study, we conclude that awareness of patients attending tertiary care center of Kathmandu valley is low. Hence, there is a need of organizing dental education programs to create awareness about dental implants.
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Galvão, Maria Helena Rodrigues, Arthur de Almeida Medeiros, and Angelo Giuseppe Roncalli. "Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis." PLOS ONE 16, no. 7 (2021): e0254310. http://dx.doi.org/10.1371/journal.pone.0254310.

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Background This study verified the association between contextual and individual factors and public dental services utilisation in Brazil. Methods The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey– 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was ‘public dental service utilisation’, and Andersen’s behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level. Results The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care. Conclusions Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.
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Radwan, Waseem, Abeer A. AlNasser, Hesah Aloqab, Khalid Al-Saggaf, Nora A. Almuhtab, and Bothinah Alnasyan. "Knowledge and Use of Caries Detection Methods among Dental Students and Dental Practitioners in Riyadh, Saudi Arabia." International Journal of Dentistry 2020 (December 2, 2020): 1–7. http://dx.doi.org/10.1155/2020/8825890.

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Aim. Accurate detection and diagnosis of dental caries is an integral part of achieving adequate comprehensive dental care. Furthermore, the high prevalence of caries and generally poor oral health in Saudi Arabia is a public health concern. In addition to necessary preventive programs and awareness initiatives, understanding diagnostic practices plays an important role in garnering broad background knowledge regarding the routine diagnostic means utilized by our targeted respondents. Therefore, this study aimed to assess the methods of caries detection among dental students and dental practitioners in Riyadh using a cross-sectional observational study design. Methods. The sample comprised 496 dental students, interns, postgraduate residents, general dental practitioners, specialists, and consultants from the Riyadh region of Saudi Arabia. A survey was designed to assess caries detection methods, risk assessment practices, and knowledge of advanced diagnostic methods. The responses were correlated with demographic and educational variables. Regression models were used to predict associations. Results. 42.3% and 32.7% use sharp explorers in diagnosing caries always and most of the time, respectively. When conducting caries risk assessment practices, 64.4% was very likely to review the patient’s medical history and lifestyle. In terms of knowledge of advanced diagnostic methods, 47.8% know “much” to “very much” about FOTI. The knowledge of advanced caries diagnostic methods and practices of advanced diagnostic methods were significantly positively correlated (r = 0.388, P < 0.001 ). Linear regression analysis indicated that higher experience (10+ years) was associated with higher knowledge regarding advanced caries diagnostic methods ( β = 0.27, P = 0.009 ). The mean rank for risk assessment practices was significantly lower in GPs compared to consultants P < 0.05 . Conclusions. The use of traditional and invasive methods of caries detection is prevalent among our respondents, while the usage of advanced diagnostic methods is for the most part low. Therefore, we advocate for more minimally invasive approaches and as such encourage the practice and availability of advanced diagnostic methods.
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Al-Hijrah, Muh Fauzar, and Armidayanti Armidayanti. "Mother's Knowledge About Dental Health With Carrying Events In Children In Public Elementary School 1 Saleppa, Banggae District." Preventif : Jurnal Kesehatan Masyarakat 11, no. 2 (2020): 112–20. http://dx.doi.org/10.22487/preventif.v11i2.135.

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Dental caries attacks all people, all ages, both men and women, all tribes, races and at all levels of social status. The World Health Organization (WHO) survey in 2013 said that as many as 87% of school-age children around the world and most adults had suffered from dental caries. According to the Basic Health Research (Riskesdas) in 2013, the prevalence of dental caries in children aged 5-9 years 28.9%, up from 2007 amounted to 21.6%. Dental and oral health services for elementary school children and the same level in Majene Regency were not optimally implemented in 2017 the percentage of students examined was 53.5% and those who received care were only 20% of the number that should be treated. This study aims to identify the relationship of maternal knowledge about dental health with caries incidence in children. This research uses observational research with cross sectional approach that connects independent variables with dependent variables at the same time. The total population in this study was 65 parents (mothers) students, and the sampling technique used was total sampling. Research Results From the Chi Squaredi test results obtained value ρ = 0,000 where the value of ρ is less than 0.05 which means there is a meaningful relationship between the knowledge of mother with caries incidence in children. It is suggested to mothers to seek more information about maintaining oral health and giving good food for dental health and it is hoped that the school will organize a School Dental Health Effort to pay more attention to the oral health of children
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Azevedo, Mônica Baltazar de, Rafaela da Silveira Pinto, Mauro Henrique Nogueira Guimarães de Abreu, and Simone Dutra Lucas. "Factors associated with the needs of specialised dental treatment among adults aged 35-44 years old in the state of Minas Gerais, Brazil: a multilevel cross-sectional study." Ciência & Saúde Coletiva 25, no. 7 (2020): 2783–92. http://dx.doi.org/10.1590/1413-81232020257.29852018.

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Abstract This study evaluated the individual and contextual factors associated with the specialised dental treatment needs of a population of adults aged 35 to 44 years old in the state of Minas Gerais. The individual variables were obtained from the database of the SB Minas Gerais project - a survey of oral health status of the population of Minas Gerais, Brazil. The variables at the municipal level were derived from any available public databases related to oral health services. A multilevel analysis was performed to evaluate the association of independent individuals and contextual variables with or without dental treatment needs in the secondary care of the oral health network. Individuals with a higher income (OR 0.53; CI95% 0.31-0.93) and with greater access to oral health care (OR 0.94; CI95% 0.90-0.99) had less secondary care treatment needs. Income and access to oral health care are related to the needs of specialised dental treatment in Minas Gerais.
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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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Pilotto, Luciane Maria, and Roger Keller Celeste. "The relationship between private health plans and use of medical and dental health services in the Brazilian health system." Ciência & Saúde Coletiva 24, no. 7 (2019): 2727–36. http://dx.doi.org/10.1590/1413-81232018247.24112017.

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Abstract To describe the last place of medical and dental health service used in relation to private health plans, and examine the effect of being registered in the primary healthcare system through the Family Health Strategy (FHS). This was a cross-sectional study using data from Brazil’s 2008 National Household Survey. Multinomial logistic regression was performed to analyze how a private health plan and enrollment in the FHS influenced the use of health services. Results showed that individuals with a private health plan tend to use medical and dental services more than individuals without such a plan. However, many individuals with a private health plan used public services or paid out-of-pocket services, mainly for dental care. Among individuals without a private plan, being enrolled in the FHS reduced the use of out-of-pocket private services, regardless of age, income or educational level. Enrollment in the FHS increased the chances of using public services, and the effect of this enrollment is greater among those who have a private plan. Policies to strengthen public primary healthcare and to expand the FHS should be encouraged within the universal health system.
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48

Löe, H. "Forty Years of Progress." Advances in Dental Research 3, no. 1 (1989): 3–6. http://dx.doi.org/10.1177/08959374890030010201.

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The celebration of the 40th anniversary of the National Institute of Dental Research (NIDR) provides an opportunity for reviewing the growth of dental research over the decades. The Institute owes its origin to public and professional concern over the dental health of Americans and the prospect that a Federal investment in dental research could pay off. The early years of the Institute were devoted to studies of fluoride and dental caries, with notable achievements in clinical trials of water fluoridation and caries microbiology. During the 1960s came the discovery that the periodontal diseases, like dental caries, were bacterial infections that could be prevented. Basic and clinical research expanded, and the research manpower pool grew with the addition of microbiologists, immunologists, salivary gland investigators, and other basic biomedical and behavioral scientists. The Institute created special broad-based Dental Research Institutes and Centers to foster interdisciplinary research, and continued to expand its research base. A national survey undertaken by NIDR in the late 1970s showed major declines in caries prevalence in schoolchildren. Recent NIDR surveys of adults and older Americans as well as a second children's survey have demonstrated overall improvements in oral health and a continued decline in childhood caries. There remain serious oral health problems among older Americans and among individuals and groups susceptible to disease. NIDR will focus on these high-risk individuals in future research aimed at eliminating edentulousness. At the same time, the Institute will continue the cell and molecular biology studies in the area of development, oncology, bone research, and other basic and clinical fields that mark the emergence of dental research as a major force and contributor to biomedical advances today.
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Baccaglini, Lorena, Adams Kusi Appiah, Mahua Ray, and Fang Yu. "US adults with diabetes mellitus: Variability in oral healthcare utilization." PLOS ONE 16, no. 5 (2021): e0251120. http://dx.doi.org/10.1371/journal.pone.0251120.

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Background Diabetic patients are advised to have at least one dental examination per year. It is unclear to what extent different subgroups of US diabetic adults closely follow this recommendation. Thus, we assessed dental care utilization and related factors in a representative sample of US diabetic adults from rural and urban counties. Methods Cross-sectional data were from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). Survey logistic regression was used to account for the complex sampling design. Results Among 40,585 eligible participants, 24,887 (60% of the population) had at least one dental visit for any reason within the past year. The lowest compliance was observed among edentulous participants (27%, adjusted OR = 0.26, 95% CI = 0.22–0.31 vs. fully dentate). Dental compliance was also negatively associated with having a lower income or education, ever being a smoker, or having barriers to access to care. Rural residents had lower dental compliance compared to urban residents, particularly those without healthcare coverage. Conclusions Dental compliance among US adult diabetic individuals was low, particularly among rural residents, and as compared to other recommended diabetic care practices. Future public health interventions may target rural individuals without healthcare coverage, smokers and edentulous individuals. There is a need to integrate dental and medical care to facilitate cross-talks among different health professionals, so that educational preventive messages are reinforced at every healthcare visit.
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Jungo, Sébastien, Nathan Moreau, Marco E. Mazevet, et al. "Prevalence and risk indicators of first-wave COVID-19 among oral health-care workers: A French epidemiological survey." PLOS ONE 16, no. 2 (2021): e0246586. http://dx.doi.org/10.1371/journal.pone.0246586.

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Background Previous studies have highlighted the increased risk of contracting the COVID-19 for health-care workers and suggest that oral health-care workers may carry the greatest risk. Considering the transmission route of the SARS-CoV-2 infection, a similar increased risk can be hypothesized for other respiratory infections. However, no study has specifically assessed the risk of contracting COVID-19 within the dental profession. Methods An online survey was conducted within a population of French dental professionals between April 1 and April 29, 2020. Univariable and multivariable logistic regression analyses were performed to explore risk indicators associated with laboratory-confirmed COVID-19 and COVID-19-related clinical phenotypes (i.e. phenotypes present in 15% or more of SARS-CoV-2-positive cases). Results 4172 dentists and 1868 dental assistants responded to the survey, representing approximately 10% of French oral health-care workers. The prevalence of laboratory-confirmed COVID-19 was 1.9% for dentists and 0.8% for dental assistants. Higher prevalence was found for COVID-19-related clinical phenotypes both in dentists (15.0%) and dental assistants (11.8%). Chronic kidney disease and obesity were associated with increased odds of laboratory-confirmed COVID-19, whereas working in a practice limited to endodontics was associated with decreased odds. Chronic obstructive pulmonary disease, use of public transportation and having a practice limited to periodontology were associated with increased odds of presenting a COVID-19-related clinical phenotype. Moreover, changes in work rhythm or clinical practice were associated with decreased odds of both outcomes. Conclusions Although oral health-care professionals were surprisingly not at higher risk of COVID-19 than the general population, specific risk indicators could exist, notably among high aerosol-generating dental subspecialties such as periodontology. Considering the similarities between COVID-19-related clinical phenotypes other viral respiratory infections, lessons can be learned from the COVID-19 pandemic regarding the usefulness of equipping and protecting oral health-care workers, notably during seasonal viral outbreaks, to limit infection spread. Impact Results from this study may provide important insights for relevant health authorities regarding the overall infection status of oral health-care workers in the current pandemic and draw attention to particular at-risk groups, as illustrated in the present study. Protecting oral health-care workers could be an interesting public health strategy to prevent the resurgence of COVID-19 and/or the emergence of new pandemics.
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