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Marcus, M., C. A. Maida, Y. Wang, et al. "Child and Parent Demographic Characteristics and Oral Health Perceptions Associated with Clinically Measured Oral Health." JDR Clinical & Translational Research 3, no. 3 (2018): 302–13. http://dx.doi.org/10.1177/2380084418774549.
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Objective: To examine child and parent reports about the child’s oral health and assess the associations of these reports with clinical assessments of oral health status by dental examiners. Methods: Surveys with 139 items for children and 133 items for parents were administered by Audio Computer-Assisted Self-Interview Software. In addition, the Children’s Oral Health Status Index (COHSI) was computed from a dental examination. Results: A total of 334 families with children ages 8 to 17 y participated at 12 dental practices in Los Angeles County. Ordinary least squares regression models were estimated separately for child and parent surveys to identify items uniquely associated with the COHSI. Ten of 139 items the children reported regarding their oral health were associated with the COHSI. The strongest associations were found for child’s age, aesthetic factors (straight teeth and pleased with teeth), and cognitive factors related to perception of dental appearance (pleased/happy with the look of the child’s mouth, teeth, and jaws). Nine of 133 parent items about the child’s oral health were associated with the COHSI in the parent model, notably being a single parent, parent’s gender, parent born in the United States, pleased or happy with the look of their child’s teeth, and accessing the Internet. Conclusion: These child and parent survey items have potential to be used to assess oral health status for groups of children in programs and practices in lieu of dental screenings. Knowledge Translation Statement: The paper’s results inform the development of a toolkit that can be used by schools, public health agencies, and dental programs to identify children with low oral health status based on parents’ and children’s responses to survey items across demographic, physical, mental, and social domains. These survey items can be used to inform parents of the desirability of proactively addressing inadequacies in their child’s oral health status, enabling them to more rationally address dental needs.
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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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Robinson, Peter G., Paulo Nadanovsky, and Aubrey Sheiham. "Can Questionnaires Replace Clinical Surveys to Assess Dental Treatment Needs of Adults?" Journal of Public Health Dentistry 58, no. 3 (1998): 250–53. http://dx.doi.org/10.1111/j.1752-7325.1998.tb03002.x.
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Gandeh, M. B. S., and W. A. Milaat. "Dental caries among schoolchildren: report of a health education campaign in Jeddah, Saudi Arabia." Eastern Mediterranean Health Journal 6, no. 2-3 (2000): 396–401. http://dx.doi.org/10.26719/2000.6.2-3.396.
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The study describes a dental health education campaign and reports the epidemiology and prevalence rates of dental caries among male and female primary-school children in Jeddah. Over a 2-year period, all 296 public primary schools in Jeddah were visited by dentists conducting a health education campaign. A total of 82 250 children in the first and fourth grades were screened. The rate of detected dental caries was 83%, with significantly higher rates detected among females and first-grade children. Lower social class was significantly associated with higher rates of dental caries. The study emphasizes the importance of health education programmes and the value of school health surveys for targeting this young group
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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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Cunha, Leonardo Fernandes da, and Nilce Emy Tomita. "Dental fluorosis in Brazil: a systematic review from 1993 to 2004." Cadernos de Saúde Pública 22, no. 9 (2006): 1809–16. http://dx.doi.org/10.1590/s0102-311x2006000900011.
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The current article proposes a reflection on several aspect pertaining to dental fluorosis in Brazil, based on a systematic review of epidemiological surveys. The authors assess the prevalence and degrees of severity found in different studies and show that in methodological terms, there is a need for progress in procedures for population-based studies on fluorosis. Despite the different data collection approaches, there is some consensus among the different studies as to the limited severity of fluorosis in Brazil, as well as its association with the independent variables age and socioeconomic status. The authors also highlight the importance of adding subjective aspects to the normative diagnosis as a contribution to public health policy decisions, since the use of exclusively clinical criteria gives dental fluorosis more space than society ascribes to it. There is a lack of empirical evidence to reassess the fluoride content in public water supplies, a method that is known to be necessary to improve dental caries epidemiological indicators.
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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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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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Dixit, Ashutosh, Varun Arora, Kapil Loomba, et al. "Comment on “Dental Prosthetic Status and Prosthetic Need of the Institutionalized Elderly Living in Geriatric Homes in Mangalore: A Pilot Study”." ISRN Dentistry 2013 (May 2, 2013): 1–2. http://dx.doi.org/10.1155/2013/535480.
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Public Health Dentistry is a speciality which is targeted towards the larger benefit of community and society. Dental health surveys in specific population groups should be planned adequately and the data should be analyzed in such a way so that it may help in making strategies for the intervention to improve the existing status. This could be only done with the help of proper planning, analysis and interpretation of a sample survey. The present study highlights the research design, statistical and inferential errors in a published work of public health dentistry in order to bring about the common mistakes and errors made. The renewed suggested approach helps in interpreting the results in a better way and makes them objective-oriented.
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Joda, Tim, Tuomas Waltimo, Christiane Pauli-Magnus, Nicole Probst-Hensch, and Nicola Zitzmann. "Population-Based Linkage of Big Data in Dental Research." International Journal of Environmental Research and Public Health 15, no. 11 (2018): 2357. http://dx.doi.org/10.3390/ijerph15112357.
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Population-based linkage of patient-level information opens new strategies for dental research to identify unknown correlations of diseases, prognostic factors, novel treatment concepts and evaluate healthcare systems. As clinical trials have become more complex and inefficient, register-based controlled (clinical) trials (RC(C)T) are a promising approach in dental research. RC(C)Ts provide comprehensive information on hard-to-reach populations, allow observations with minimal loss to follow-up, but require large sample sizes with generating high level of external validity. Collecting data is only valuable if this is done systematically according to harmonized and inter-linkable standards involving a universally accepted general patient consent. Secure data anonymization is crucial, but potential re-identification of individuals poses several challenges. Population-based linkage of big data is a game changer for epidemiological surveys in Public Health and will play a predominant role in future dental research by influencing healthcare services, research, education, biotechnology, insurance, social policy and governmental affairs.
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Tseng, Winston, Elizabeth Pleasants, Susan L. Ivey, et al. "Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California." International Journal of Environmental Research and Public Health 18, no. 1 (2020): 216. http://dx.doi.org/10.3390/ijerph18010216.
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Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association’s (AMA) recommended communication techniques and only 3 of the 7 AMA’s basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.
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Shacham, Maayan, Lee Greenblatt-Kimron, Yaira Hamama-Raz, et al. "Increased COVID-19 Vaccination Hesitancy and Health Awareness amid COVID-19 Vaccinations Programs in Israel." International Journal of Environmental Research and Public Health 18, no. 7 (2021): 3804. http://dx.doi.org/10.3390/ijerph18073804.
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In January 2021, Israel started vaccinating healthcare workers (HCWs) and individuals older than 65 years with COVID-19 vaccines. Scientific literature points to vaccine hesitancy as being a major health concern. During time of pandemics, increased consciousness of health behaviors may be encountered. The current study aimed to assess attitudes to general vaccines and to COVID-19 vaccines in particular among adult (>18) Israeli general public, and among Israeli dentists and dental hygienists. Cross-sectional surveys were filled out by a total of 501 participants (361 Israeli adults >18 years, 73 dental hygienists, and 67 dentists). Along with basic demographics, participants responded to the Hebrew VAX, COVID-VAX and HCS scales. Group comparisons were analyzed using t tests and ANOVAs with Scheffe’s test used for post hoc comparisons. Dental hygienists demonstrated significantly higher anti-vaccinations approaches than both dentists (p < 0.01) and the general public (p < 0.05). In all groups, attitudes towards the COVID-19 vaccines were more negative compared to attitudes towards general vaccines, with hygienists demonstrating significant negative attitudes compared to dentists (p < 0.05). The general public (p = 0.56) and hygienists demonstrated increased health awareness compared to dentists (p < 0.05). As health awareness has increased during the COVID-19 pandemic primary strategies to combat vaccine hesitancy should be implemented in the general public, and in particular, an dental teams.
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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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Casanova-Rosado, Juan Fernando, Alejandro José Casanova-Rosado, Mirna Minaya-Sánchez, et al. "Self-Reported Dental Caries by Mexican Elementary and Middle-School Schoolchildren in the Context of Socioeconomic Indicators: A National Ecological Study." Children 8, no. 4 (2021): 289. http://dx.doi.org/10.3390/children8040289.
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The objective of the present research was to quantify the association between dental caries self-report and socioeconomic indicators in Mexican children. An ecological study included a self-report of dental caries in schoolchildren enrolled in public elementary and middle schools derived from the National School Health Survey. A total of 73,560 schoolchildren (representing 19,745,366 students) aged 5 to 16 years were included. Socioeconomic variables included were scales depicting physical characteristics of housing, purchasing power, etc. used in national surveys in Mexico to measure deprivation, poverty, and income inequality in official data. Data were analyzed in Stata using Spearman’s correlation test. For the most part, no association (p > 0.05) was found between caries self-report, socioeconomic variables, or the Gini index. However, caries self-report in elementary schoolchildren and total (elementary + middle-school) schoolchildren groups was positively correlated (p < 0.05) with two poverty variables: extreme poverty by income (value of personal food purchases per month) and poverty by income (value of personal food and non-food purchases per month). National data for dental caries self-report were associated—at the ecological level—with a few socioeconomic indicators but not with most of the usual and customary indicators used in national surveys in Mexico.
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Swerissen, Hal, and Linda Tilgner. "Development and Validation of the Primary Care Consumer Opinion Survey." Australian Journal of Primary Health 7, no. 1 (2001): 34. http://dx.doi.org/10.1071/py01005.
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Using past measures of consumer feedback, the aim of the present study was to construct a consumer opinion survey for use in community health centre settings; to pilot the survey instrument across a number of community health centres; and to validate the instrument. A total of 950 consumers attending one of six targeted services (physiotherapy, dental, podiatry, counselling/social work, dietetics, and speech pathology) across four northern metropolitan community health centres in Victoria were invited to participate. Returned surveys were analysed using principal component analysis and the extracted scales were tested for internal consistency and validity. Out of the 950 surveys distributed 471 were returned (response rate of 50%). The survey instrument was found to measure consumer opinion regarding satisfaction with centre environment and satisfaction with service provision. The centre environment scale consisted of one factor, with a Cronbach alpha of .80. The service provision scale consisted of two factors: 'aspects of the service provider' and 'benefits of the visit'. Reliability for the total scale was .93. The two scales correlated moderately with a validity item measuring overall satisfaction. The Primary Health Care Consumer Opinion Survey is a reliable and valid measure, which provides the potential for the establishment of norms to assess consumer opinion.
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Murphy, Marie, Miranda Pallan, Emma Lancashire, et al. "The Food provision, cUlture and Environment in secondary schooLs (FUEL) study: protocol of a mixed methods evaluation of national School Food Standards implementation in secondary schools and their impact on pupils’ dietary intake and dental health." BMJ Open 10, no. 10 (2020): e042931. http://dx.doi.org/10.1136/bmjopen-2020-042931.
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IntroductionExcess free sugar intake is associated with obesity and poor dental health. Adolescents consume substantially more free sugar than is recommended. National (UK) School Food Standards (SFS) are in place but are not mandatory in all schools, and their impact on the diets of secondary school pupils is unknown. We aim to evaluate how SFS and wider healthy eating recommendations (from the national School Food Plan (SFP)) are implemented in secondary schools and how they influence pupils’ diets and dental health.Methods and analysisSecondary-level academies/free schools in the West Midlands, UK were divided into two groups: SFS mandated and SFS non-mandated. Using propensity scores to guide sampling, we aim to recruit 22 schools in each group. We will compare data on school food provision and sales, school food culture and environment, and the food curriculum from each group, collected through: school staff, governor, pupil, parent surveys; school documents; and observation. We will explore the implementation level for the SFS requirements and SFP recommendations and develop a school food typology. We aim to recruit 1980 pupils aged 11–15 years across the 44 schools and collect dietary intake (24-hour recall) and dental health data through self-completion surveys. We will compare free sugar/other dietary intake and dental health across the two SFS groups and across the identified school types. School type will be further characterised in 4–8 case study schools through school staff interviews and pupil focus groups. Evaluation of economic impact will be through a cost-consequence analysis and an exploratory cost–utility analysis.Ethics and disseminationEthical approval was obtained from the University of Birmingham Ethical Review Committee (ERN_18-1738). Findings will be disseminated to key national and local agencies, schools and the public through reports, presentations, the media and open access publications.Trial registration numberISRCTN 68757496 (registered 17 October 2019).
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Wamala, S., J. Merlo, and G. Bostrom. "Inequity in access to dental care services explains current socioeconomic disparities in oral health: The Swedish National Surveys of Public Health 2004-2005." Journal of Epidemiology & Community Health 60, no. 12 (2006): 1027–33. http://dx.doi.org/10.1136/jech.2006.046896.
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Silva, Josiene Saibrosa da, Wallesk Gomes Moreno, Franklin Delano Soares Forte, and Fábio Correia Sampaio. "Natural fluoride levels from public water supplies in Piauí State, Brazil." Ciência & Saúde Coletiva 14, no. 6 (2009): 2215–20. http://dx.doi.org/10.1590/s1413-81232009000600030.
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The aim of this work was to determine the natural fluoride concentrations in public water supplies in Piauí State, Brazil, in order to identify cities in risk for high prevalence of dental fluorosis. For each city, two samples of drinking water were collected in the urban area: one from the main public water supply and another from a public or residential tap from the same source. Fluoride analyses were carried out in duplicate using a specific ion electrode and TISAB II. From a total of 222 cities in Piauí, 164 (73.8%) samples were analyzed. Urban population in these towns corresponds to 92.5% of the whole state with an estimated population of 1,654,563 inhabitants from the total urban population (1,788,590 inhabitants). A total of 151 cities showed low fluoride levels (<0.30 mg/L) and 13 were just below optimum fluoride concentration in the drinking water (0.31-0.59 mg/L). High natural fluoride concentration above 0.81 mg/L was not observed in any of the surveyed cities. As a conclusion, most of the cities in Piauí have low fluoride concentration in the drinking water. The risk for a high prevalence of dental fluorosis in these urban areas due to natural fluoride in the water supplies is very unlikely. Thus, surveys about the dental fluorosis prevalence in Piauí should be related with data about the consumption of fluoridated dentifrices and other fluoride sources.
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Lau, Phyllis, Anthony Tran, Matthew Chen, Evelyn Boyce, Rachel Martin, and Hanny Calache. "Interprofessional diabetes and oral health management: what do primary healthcare professionals think?" F1000Research 10 (May 4, 2021): 339. http://dx.doi.org/10.12688/f1000research.52297.1.
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Background: Diabetes and periodontitis have a bi-directional relationship. And yet, collaborations between primary healthcare practitioners in diabetes and oral health care are minimal. This study explored the views of general practice and oral health professionals on the link between diabetes and periodontitis, and interprofessional diabetes and oral health management. Methods: A sequential mixed-methods exploratory research design was used. General practice and oral health professionals were recruited from four community health centres in Melbourne. Quantitative surveys explored participants’ experiences, attitudes and knowledge of diabetes and oral health management and interprofessional collaboration; qualitative follow-up interviews explored survey responses with selected participants. Results: 58 participants completed the online surveys; 22 then participated in semi-structured interviews. Participants generally had strong intentions to collaborate interprofessionally in diabetes and oral health management. Most general practice and oral health professional participants were willing to perform simple screening for periodontitis or diabetes respectively. Themes from the interviews were grouped under three domains: ‘attitude towards diabetes and oral health management’, ‘subjective norms’ and ‘perceived behavioural control’; and an overarching domain to describe participants’ ‘current practice’. Existing siloed primary healthcare practices and lack of formal referral pathways contribute to poor interprofessional collaboration. Most participants were unsure of each other’s responsibilities and roles. Their lack of training in the relationship between general and oral health, compounded by systemic barriers including time constraint, high dental costs, long public dental waiting list and unintegrated health information systems, also impeded interprofessional care. Conclusions: The diabetes and oral health link is not properly recognised or managed collaboratively by relevant primary healthcare professionals in Australia. There is, nonetheless, strong intentions to engage in interprofessional diabetes and oral health care to contribute to improved patient outcomes. Primary healthcare professionals need dedicated and accredited interprofessional training and competencies, formal referral systems and sustainable health policies to facilitate collaboration.
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Kwan, Stella Y. L., and Michael J. Prendergast. "The use of clinical dental auxiliaries as examiners in caries prevalence surveys in the United Kingdom: a feasibility study." Community Dentistry and Oral Epidemiology 26, no. 3 (1998): 194–200. http://dx.doi.org/10.1111/j.1600-0528.1998.tb01949.x.
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Slade, G. D., W. B. Grider, W. R. Maas, and A. E. Sanders. "Water Fluoridation and Dental Caries in U.S. Children and Adolescents." Journal of Dental Research 97, no. 10 (2018): 1122–28. http://dx.doi.org/10.1177/0022034518774331.
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Fluoridation of America’s drinking water was among the great public health achievements of the 20th century. Yet there is a paucity of studies from the past 3 decades investigating its dental health benefits in the U.S. population. This cross-sectional study sought to evaluate associations between availability of community water fluoridation (CWF) and dental caries experience in the U.S. child and adolescent population. County-level estimates of the percentage of population served by CWF (% CWF) from the Centers for Disease Control and Prevention’s Water Fluoridation Reporting System were merged with dental examination data from 10 y of National Health and Nutrition Examination Surveys (1999 to 2004 and 2011 to 2014). Dental caries experience in the primary dentition (decayed and filled tooth surfaces [dfs]) was calculated for 7,000 children aged 2 to 8 y and in the permanent dentition (decayed, missing, and filled tooth surfaces [DMFS]) for 12,604 children and adolescents aged 6 to 17 y. Linear regression models estimated associations between % CWF and dental caries experience with adjustment for sociodemographic characteristics: age, sex, race/ethnicity, rural-urban location, head-of-household education, and period since last dental visit. Sensitivity analysis excluded counties fluoridated after 1998. In unadjusted analysis, caries experience in the primary dentition was lower in counties with ≥75% CWF (mean dfs = 3.3; 95% confidence limit [CL] = 2.8, 3.7) than in counties with <75% CWF (mean dfs = 4.6; 95% CL = 3.9, 5.4), a prevented fraction of 30% (95% CL = 11, 48). The difference was also statistically significant, although less pronounced, in the permanent dentition: mean DMFS (95% CL) was 2.2 (2.0, 2.4) and 1.9 (1.8, 2.1), respectively, representing a prevented fraction of 12% (95% CL = 1, 23). Statistically significant associations likewise were seen when % CWF was modeled as a continuum, and differences tended to increase in covariate-adjusted analysis and in sensitivity analysis. These findings confirm a substantial caries-preventive benefit of CWF for U.S. children and that the benefit is most pronounced in primary teeth.
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Elani, H. W., J. R. Starr, J. D. Da Silva, and G. O. Gallucci. "Trends in Dental Implant Use in the U.S., 1999–2016, and Projections to 2026." Journal of Dental Research 97, no. 13 (2018): 1424–30. http://dx.doi.org/10.1177/0022034518792567.
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Dental implants have become an increasingly popular treatment choice for replacing missing teeth. Yet, little is known about the prevalence and sociodemographic distribution of dental implant use in the United States. To address this knowledge gap, we analyzed data from 7 National Health and Nutrition Examination Surveys from 1999 to 2016. We estimated dental implant prevalence among adults missing any teeth for each survey period overall as stratified by sociodemographic characteristics. We calculated absolute and relative differences from 1999–2000 to 2015–2016 and fit logistic regression models to estimate changes over time. We also used multivariable logistic regression to estimate independent associations of sociodemographic covariates with the presence of any implant. We projected the proportion of patients treated with dental implants into the year 2026 under varying assumptions of how the temporal trend would continue. There has been a large increase in the prevalence of dental implants, from 0.7% in 1999 to 2000 to 5.7% in 2015 to 2016. The largest absolute increase in prevalence (12.9%) was among individuals 65 to 74 y old, whereas the largest relative increase was ~1,000% among those 55 to 64 y old. There was an average covariate-adjusted increase in dental implant prevalence of 14% per year (95% CI, 11% to 18%). Having private insurance (vs. none or public insurance) or more than a high school education (vs. high school or less) was each associated with a 2-fold increase in prevalence, with an almost 13-fold (95% CI, 8 to21) increase for older adults. Dental implant prevalence projected to 2026 ranged from 5.7% in the most conservative scenario to 23% in the least. This study demonstrates that dental implant prevalence among US adults with missing teeth has substantially increased since 1999. Yet access overall is still very low, and prevalence was consistently higher among more advantaged groups.
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Suizani, Tiago Rodrigues, Bruna Leal de Mello, Luiza Foltran De Azevedo Koch, Carolina Dea Bruzamolin, and Marilisa Carneiro Leão Gabardo. "Epidemiological survey in oral health of the residents of the Teixeira Island, Paraná, Brazil." RSBO 1, no. 4 (2018): 219. http://dx.doi.org/10.21726/rsbo.v1i4.548.
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Introduction: The epidemiological surveys aim to evaluate the distribution and state determinants or events in health in given populations. Objective: To conduct an epidemiological survey on the socioeconomic condition, use of dental services, referred oral morbidity, self-perception, and oral health of inhabitants of the Teixeira Island, Paraná, Brazil. Material and methods: The studyfollowed the statements of the World Health Organization and the Brazilian National Epidemiological Survey (SB Brazil 2010). Questionnaires were applied, and in the clinical examination the following data were collected: dental trauma, edentulism, fluorosis, caries in deciduous teeth (dmft), caries in permanent teeth (DMFT), Community Periodontal Index (CPI) and Loss of Periodontal Insertion Index (LPII). The data were analyzed with Statistical Package for Social Sciences software, version 21.0, and expresses in frequency tables. Results: Of the 108 inhabitants, 90 participated in the study. The socioeconomics conditions unfavorable were: low income and low schooling. The water supplying was not fluoridated. The perception of oral problems was reported by 82.2%; 48.9% declared to have had toothache in last the six months; the reason of search for care was predominantly for curative treatments. Almost 30% of the participants declared to be unsatisfied with their oral health. The values of DMFT and dmtf indexes were 13.9 and 1.2, respectively. The greater demand for maxillary prosthesis occurred in 39.7% of the sample, while 34.2% needed mandibular prosthesis. Conclusion: The oral diseases illnesses and need of treatment were evidenced in the sample, as well as risk factors that deserve attention of the public power.
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Tiago Rodrigues Suizani, Bruna Leal de Mello, Luiza Foltran de Azevedo Koch, Carolina Dea Bruzamolin, and Marilisa Carneiro Leão Gabardo. "Epidemiological survey in oral health of the residents of the Teixeira Island, Paraná, Brazil." RSBO 14, no. 4 (2017): 219–28. http://dx.doi.org/10.21726/rsbo.v14i4.670.
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The epidemiological surveys aim to evaluate the distribution and state determinants or events in health in given populations. Objective: To conduct an epidemiological survey on the socioeconomic condition, use of dental services, referred oral morbidity, self-perception, and oral health of inhabitants of the Teixeira Island, Paraná, Brazil. Material and methods: The study followed the statements of the World Health Organization and the Brazilian National Epidemiological Survey (SB Brazil 2010). Questionnaires were applied, and in the clinical examination the following data were collected: dental trauma, edentulism, fluorosis, caries in deciduous teeth (dmft), caries in permanent teeth (DMFT), Community Periodontal Index (CPI) and Loss of Periodontal Insertion Index (LPII). The data were analyzed with Statistical Package for Social Sciences software, version 21.0, and expresses in frequency tables. Results: Of the 108 inhabitants, 90 participated in the study. The socioeconomics conditions unfavorable were: low income and low schooling. The water supplying was not fluoridated. The perception of oral problems was reported by 82.2%; 48.9% declared to have had toothache in last the six months; the reason of search for care was predominantly for curative treatments. Almost 30% of the participants declared to be unsatisfied with their oral health. The values of DMFT and dmtf indexes were 13.9 and 1.2, respectively. The greater demand for maxillary prosthesis occurred in 39.7% of the sample, while 34.2% needed mandibular prosthesis. Conclusion: The oral diseases illnesses and need of treatment were evidenced in the sample, as well as risk factors that deserve attention of the public power.
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Funkhouser, Ellen, Jeffrey L. Fellows, Valeria V. Gordan, D. Brad Rindal, Patrick J. Foy, and Gregg H. Gilbert. "Supplementing online surveys with a mailed option to reduce bias and improve response rate: the National Dental Practice-Based Research Network." Journal of Public Health Dentistry 74, no. 4 (2014): 276–82. http://dx.doi.org/10.1111/jphd.12054.
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Furukawa, Yusuke, Fumihiko Yokota, Rafiqul Islam Maruf, et al. "School-based educational intervention to improve children’s oral health-related behaviors in rural Bangladesh." South East Asia Journal of Public Health 7, no. 2 (2018): 27–33. http://dx.doi.org/10.3329/seajph.v7i2.38853.
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Children in rural Bangladesh have limited access to oral health services. As a pilot project, a one-day one-time oral health educational intervention was conducted at a primary school in Tangail district in Bangladesh. This study assessed the effect of this educational intervention on the children’s oral behaviors using controlled pre- and post-intervention design. Fifty-two students at the intervention school and 37 students at a control school agreed to participate in this study. A baseline survey was conducted for children at both schools using a standardized semi-structured questionnaire. Children at the intervention school received face-to-face dental exercises and a group seminar. Six months after the intervention, a follow-up survey was conducted at both schools to compare changes in children’s oral behaviors at the two schools. The increase in the percentage of intervention-school participants who reported brushing their teeth two or more times per day between the baseline and follow-up surveys was 7.6 times greater than that in the control group (95% CI= 1.7–35.1; p<0.009). The increase in the percentage of intervention-school participants who reported brushing their teeth before bed between the two surveys was 7.3 times greater than that in the control group (95% CI=1.6–34.0; p<0.001). The findings suggest the importance of skill-based intervention, in collaboration with dentists, school teachers, parents, and community health educators. Future studies on the effectiveness of school-based educational interventions should consider longer-term sustainable behavioral changes in children’s oral health.South East Asia Journal of Public Health Vol.7(2) 2017: 27-33
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McNally, M., L. Rock, M. Gillis, et al. "Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition." JDR Clinical & Translational Research 6, no. 3 (2021): 279–90. http://dx.doi.org/10.1177/23800844211011985.
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Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.
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Choi, Soyeon, Deog-Gyu Seo, and Ji-Yun Hwang. "Serum 25-hydroxyvitamin D levels are associated with dental caries experience in Korean adolescents: the 2010 ~ 2014 Korean National Health and Nutrition Examination Surveys." Journal of Nutrition and Health 51, no. 4 (2018): 287. http://dx.doi.org/10.4163/jnh.2018.51.4.287.
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Carmagnola, Daniela, Gaia Pellegrini, Matteo Malvezzi, Elena Canciani, Dolaji Henin, and Claudia Dellavia. "Impact of Lifestyle Variables on Oral Diseases and Oral Health-Related Quality of Life in Children of Milan (Italy)." International Journal of Environmental Research and Public Health 17, no. 18 (2020): 6612. http://dx.doi.org/10.3390/ijerph17186612.
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A large part of the Italian population doesn’t receive adequate information and support on how to maintain oral health. In this observational, cross-sectional, pilot study, we investigated how some lifestyle-related variables affect oral diseases and oral health-related quality of life (OHRQoL) of children attending public-school summer services in Milan. A survey that included questions on children’s oral disease, OHRQoL and lifestyle-related factors (feeding habits, oral hygiene protective behaviors, dental coaching and socio-economic and educational status), was administered to the children’s caregivers. Data from 296 surveys were analyzed to assess the protective/negative effect of each variable on oral disease and OHRQoL. With respect to disease, the “never” consumption of fruit juice, the use of fluoride toothpaste, higher educational qualification and ISEE (equivalent family income) of those who filled out the form, resulted protective factors. Regarding OHRQoL, the “never” assumption/use of tea bottle, sugared pacifier and fruit juice as well as the use of fluoride toothpaste, a higher educational qualification and ISEE of those who filled out the form, resulted to have protective effects. In conclusion, protective behaviors and socio-economic status affect oral disease and OHRQoL in children of Milan.
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Lin, Mei, Chien-Hsun Li, Liang Wei, et al. "Prevalence of past-year dental visit among US adults, 1999-2010: comparison of trends and estimates between the Behavioral Risk Factor Surveillance System and three national surveys." Journal of Public Health Dentistry 77, no. 2 (2016): 105–14. http://dx.doi.org/10.1111/jphd.12180.
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Mascarenhas, Ana Karina, and Donald Altman. "A survey of dental public health specialists on current dental public health competencies." Journal of Public Health Dentistry 76 (September 2016): S11—S17. http://dx.doi.org/10.1111/jphd.12189.
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Iliffe, Steve, Susan L. Davies, Adam L. Gordon, et al. "Provision of NHS generalist and specialist services to care homes in England: review of surveys." Primary Health Care Research & Development 17, no. 02 (2015): 122–37. http://dx.doi.org/10.1017/s1463423615000250.
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BackgroundThe number of beds in care homes (with and without nurses) in the United Kingdom is three times greater than the number of beds in National Health Service (NHS) hospitals. Care homes are predominantly owned by a range of commercial, not-for-profit or charitable providers and their residents have high levels of disability, frailty and co-morbidity. NHS support for care home residents is very variable, and it is unclear what models of clinical support work and are cost-effective.ObjectivesTo critically evaluate how the NHS works with care homes.MethodsA review of surveys of NHS services provided to care homes that had been completed since 2008. It included published national surveys, local surveys commissioned by Primary Care organisations, studies from charities and academic centres, grey literature identified across the nine government regions, and information from care home, primary care and other research networks. Data extraction captured forms of NHS service provision for care homes in England in terms of frequency, location, focus and purpose.ResultsFive surveys focused primarily on general practitioner services, and 10 on specialist services to care home. Working relationships between the NHS and care homes lack structure and purpose and have generally evolved locally. There are wide variations in provision of both generalist and specialist healthcare services to care homes. Larger care home chains may take a systematic approach to both organising access to NHS generalist and specialist services, and to supplementing gaps with in-house provision. Access to dental care for care home residents appears to be particularly deficient.ConclusionsHistorical differences in innovation and provision of NHS services, the complexities of collaborating across different sectors (private and public, health and social care, general and mental health), and variable levels of organisation of care homes, all lead to persistent and embedded inequity in the distribution of NHS resources to this population. Clinical commissioners seeking to improve the quality of care of care home residents need to consider how best to provide fair access to health care for older people living in a care home, and to establish a specification for service delivery to this vulnerable population.
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FAINE, MARY P., and DONNA OBERG. "Survey of Dental Nutrition Knowledge of Wig Nutritionists and Public Health Dental Hygienists." Journal of the American Dietetic Association 95, no. 2 (1995): 190–94. http://dx.doi.org/10.1016/s0002-8223(95)00047-x.
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Murray, J. J. "Adult Dental Health Surveys: 40 years on." British Dental Journal 211, no. 9 (2011): 407–8. http://dx.doi.org/10.1038/sj.bdj.2011.903.
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King, Heather C., Natalie Spritzer, and Nahla Al-Azzeh. "Perceived Knowledge, Skills, and Preparedness for Disaster Management Among Military Health Care Personnel." Military Medicine 184, no. 9-10 (2019): e548-e554. http://dx.doi.org/10.1093/milmed/usz038.
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Abstract Introduction The Indo-Asia-Pacific region has the highest incidence of natural disasters world-wide. Since 2000, approximately 1.6 billion people in this region have been affected by earthquakes, volcanos, tsunamis, typhoons, cyclones, and large-scale floods. The aftermath of disasters can quickly overwhelm available resources, resulting in loss of basic infrastructure, shelter, health care, food and water, and ultimately, loss of life. Over the last 12 years, US military forces have collaborated with countries throughout the Indo-Asia-Pacific region to enhance disaster preparedness and management during shipboard global health engagement missions. Military health care personnel are integral in this effort and have planned subject-matter expert exchanges, multidisciplinary conferences, courses, and hyper realistic simulated military-to-military training exercises related to disaster preparedness. Military health care providers are essential not only to providing international education and training, but also to ensuring optimal readiness to respond to future disasters in the Indo-Asia-Pacific region and worldwide. The ability to effectively respond to disasters and collaborate with other nations promotes international stability. Yet, few studies have examined disaster preparedness among US military health care personnel. This study aimed to assess knowledge, skills, and preparedness for disaster management among US military health care personnel preparing to deploy on a global health engagement mission. Materials and Methods A descriptive, cross-sectional study utilizing the Disaster Preparedness Evaluation Tool (DPET) examined self-reported perceptions of disaster preparedness among US military health care personnel preparing to deploy on a shipboard global health engagement mission. The DPET assessed perceived knowledge of disaster preparedness, disaster mitigation and response, and disaster recovery. Three hundred Hospital Corpsmen/Medics and officers in the Nurse Corps, Medical Corps, Medical Service Corps, and Dental Corps were invited to participate. One hundred fifty-four surveys were completed (response rate, 51%). Nineteen surveys were excluded from the analysis due to incomplete responses. Participants rated responses to 46 Likert items (scale of 1–6) and responded to 23 descriptive items. The study protocol was approved by the Naval Medical Center San Diego Institutional Review Board, protocol number NMCSD.2017.0061, in compliance with all applicable federal regulations governing the protection of human subject research. Results All item mean scores on each of the three DPET subscales resulted in moderate levels of perceived disaster preparedness among military healthcare personnel (disaster preparedness means ranged from 3.04 to 4.67, disaster response means ranged from 3.76 to 4.29, and disaster recovery means ranged from 3.47 to 4.29). The final regression model had 6 significant variables that predicted DPET scores: previous disaster drills (p = 0.00), experiencing a real disaster (p = 0.002), bioterrorism training (p = 0.02), education level (p = 0.025), years in specialty (p = 0.019), and previous global health engagement missions (p = 0.016), with R2 = 0.39, R2adj = 0.36, F (7, 127) = 12.04. Conclusions Disaster preparedness among military healthcare personnel could be improved to function optimally for future global health engagement missions. This study expands current understandings of disaster preparedness among US military health care providers and identifies ways to improve and enhance training.
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Domoto, Peter K., Philip Weinstein, Sandra Melnick, et al. "Results of a dental fear survey in Japan: implications for dental public health in Asia." Community Dentistry and Oral Epidemiology 16, no. 4 (1988): 199–201. http://dx.doi.org/10.1111/j.1600-0528.1988.tb01753.x.
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Lomazzi, Marta, Valerie Wordley, and Raman Bedi. "Dental public health capacity worldwide: Results of a global survey." Journal of Public Health Policy 37, no. 4 (2016): 528–42. http://dx.doi.org/10.1057/s41271-016-0029-9.
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Blokland, Alex, Richard G. Watt, Georgios Tsakos, and Anja Heilmann. "Traumatic dental injuries and socioeconomic position - findings from the Children's Dental Health Survey 2013." Community Dentistry and Oral Epidemiology 44, no. 6 (2016): 586–91. http://dx.doi.org/10.1111/cdoe.12252.
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Jang, Young-Eun, Chun-Bae Kim, and Nam-Hee Kim. "Utilization of Preventive Dental Services Before and After Health Insurance Covered Dental Scaling in Korea." Asia Pacific Journal of Public Health 29, no. 1 (2017): 70–80. http://dx.doi.org/10.1177/1010539516684944.
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Health insurance reduces the economic burden of diseases and enhances access to medical services. This study compared, among social classes, the utilization of preventive dental service before and after health insurance covered dental scaling. We analyzed time-series secondary data for 3 175 584 participants from 253 survey areas nationwide in the Community Health Survey (2009-2014) in Korea. The weighted proportion of participants who underwent dental scaling was defined as the scaling rate. Data regarding demographic and socioeconomic characteristics were collected. Scaling rates continuously increased over the 6-year period, particularly in 2014. College graduates had significantly higher scaling rates. Monthly income and scaling rate were positively related. Differences by education decreased over time. Differences by income were particularly high between 2012 and 2014. For women, the temporal rate was 2 times higher for professionals than for the unemployed. Despite increased dental scaling rates since the health coverage change in 2013, socioeconomic differences persist.
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Melssen, Maria. "Low Response Rate and Other Factors Render Academic Health Science Library System Study Ungeneralizable." Evidence Based Library and Information Practice 7, no. 2 (2012): 87. http://dx.doi.org/10.18438/b8131g.
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Objective – To determine the factors, barriers and facilitators, preference, and intended use of e-book compared to print book usage by all patrons in a health science library system, which serves a university with health science degree programs and a hospital system.
 
 Design – Two online surveys.
 
 Setting – University of Pittsburgh Health Sciences Library System, which includes the University of Pittsburgh’s six schools of health sciences (medicine, dental medicine, nursing, pharmacy, public health, and rehabilitation) and the University of Pittsburgh Medical Center hospitals and programs. 
 
 Subjects – All health sciences library system users, including faculty, researchers, clinicians, residents, fellows, employees, and students.
 
 Methods – Two versions of the survey were deployed in 2009 using Opinio. There were 46 questions for the University of Pittsburgh Medical Center (UPMC) survey and 47 questions for the University of Pittsburgh (Pitt) survey. The surveys were pilot tested by Health Sciences Library System (HSLS) librarians and graduate students in a survey methods class. The survey was edited based on the feedback provided and received institutional review board approval as an exempt study.
 
 A total of 5,292 email addresses were randomly selected by SPSS from a pool of 9,472 UPMC and Pitt patrons registered with a HSLS remote access password; 2,684 patrons from UPMC and 2,608 patrons from Pitt were selected. HSLS librarians were excluded from the survey. Participants were emailed a link to the survey in March of 2009. Three email reminders were sent at five day intervals. Data was collected for 22 days and exported from Opinio to SPSS statistics software. Survey results were analyzed using basic descriptive statistics and cross-tabulations.
 
 Main Results – Of the 5,292 emails sent, 979 surveys were submitted and 871 were completed fully. The 108 partially completed the surveys were analyzed using pair wise deletion. All HSLS user groups were represented and all rated their confidence in computer skills high. The mean age of respondents was 39.9 with the majority of respondents being female. 
 
 Of the 871 completed surveys, over half (55.4%) of the respondents reported using HSLS e-books: 66.7% men and 54.9% women. HSLS e-books were used for in-depth reading by 53.4% of men and 36.8% of women. At UPMC, 70% of attending physicians, interns, residents, fellows, and Pitt postdoctoral/fellows use HSLS e-books. The primary use of the e-books was for clinical care, by 75.3% of attending physicians; 86% of interns, residents, and fellows; and 38.9% of nurses. HSLS e-books are also used by 61.8% of respiratory care and physical therapists, 28.6% of administrators, and 56.8% of researchers. 
 
 At Pitt, 73% of postdoctoral students or fellows and 64.7% of faculty used HSLS e-books. The primary use of the e-books was to support research. 76.5% of postdoctoral students and fellows and 54.1% of faculty used e-books for this purpose. Only 21.3% of faculty assigned e-books for class readings. Though 14% of undergraduate and 33.5% of medical students responded that they had been assigned readings from e-books, 51% of undergraduates and 62.1% of graduate and medical students used an e-book to complete an assignment. 
 
 Over half (65.5%) of respondents saw information about HSLS e-books on the HSLS website and 55.4% of respondents used an HSLS e-book. When using an e-book, 56.6% look up brief, factual information while 41.9% use e-books for in-depth study.
 
 Uses of HSLS e-book search tools were rated: the federated full text search tool was used by 67.2% of respondents and 74.3% of those who use this tool rated it as moderately to extremely useful. Google books and the library catalog were also rated moderately to extremely useful by respondents. The catalog received the lowest rating of the HSLS e-book search tools.
 
 More respondents (95.4%) use the library’s website than come to the physical library (63.8%); however, 66.9% say they use both the website and physical library. Of the 63.8% of respondents who came to one of the HSLS libraries, 67.2% borrowed or used a HSLS print book. When using a book at the library, 23.4% only use print, 14.8% only use e-books, 44.7% use both, and 17.1% use neither. Fewer respondents (46.4%) agreed or completely agreed they could locate an e-book compared to those who agreed or completely agreed they could locate a print book (66.7%).
 
 Nearly half (45.3%) agreed that both HSLS e-books and print books were accessible where they needed to use them; however, only 27.9% agreed or completely agreed that they had time to go to the library and use a print book when they needed it. The closer a respondent worked to the library the more likely they used the physical library. Those also within one block of the library were greater users of HSLS e-books (67% of respondents) than those who worked more than two blocks from the library (52.3% of respondents). When respondents did come to the library, 84.3% used a HSLS print book in the past year and 64.7% used an HSLS e-book. Of the respondents who did not have time to come to the library, 55.3% used a HSLS print book and 55.3% used a HSLS e-book. 
 
 When using e-books, respondents preferred such features as printing, saving, and searching over features such as bookmarking, highlighting, and annotating. Respondents also preferred e-books for general reference and pharmaceutical reference, and print books for textbooks and handbooks. A finding of significance is that “those preferring print were more flexible about using e-books than those preferring e-books were about using print” (p. 224).
 
 Conclusion – HSLS e-book use varied depending on the respondent’s role at their institution (e.g., clinical physician, researcher) and type of book (e.g., reference book) they used. The heaviest HSLS e-book users were students, postdoctoral fellows, researchers, and clinical physicians. Respondents who used HSLS e-books most often were also those who used print books most often, and respondents within one block of the library were some of the heaviest HSLS e-book users. Respondents felt that reference and pharmaceutical books were more suitable as e-books. Also of note was that though faculty were not using e-books heavily for assigned readings, students were using HSLS e-books to complete assignments.
 
 The greatest drive to choosing between a print and e-book was the respondent’s information need and which book format was most convenient to access at that time. Respondents were flexible in their use of print books and e-books: respondents “would be willing to use a less preferred format if it were more convenient at the time of need” (p.226). In light of respondents’ flexibility between e-book and print book usage, the authors suggest that collection development librarians could reduce the duplication of book formats.
 
 Regarding awareness of e-books, survey results from this study were comparable to that of other studies. Also, the respondent’s comments indicate that the survey itself prompted e-book awareness: respondents felt that more advertising of e-books should be done. Such responses show that passive advertisement of e-books though the library’s catalog and on the website are not enough. E-books should be advertised during library instructional sessions. 
 
 Respondents also prefer Web access to HSLS e-books as well as the HSLS federated e-book search rather than to access HSLS e-books from the library catalog. The authors’ recommendation is to make sure users can easily access e-book catalog records through the Web in order to best facilitate patrons’ use of e-books.
 
 Despite the conclusions that were drawn, there were several limitations of this study. Though the sample size was large enough and all HSLS users were included, the response rate was very low. Bias could be an issue as well: non-response bias as well as an overestimation of the number of HSLS e-book users could be contributing factors to the low response rate. In addition to the small sample size and possible bias, the lack of completed responses (11%) was also a concern. Finally, respondents expressed confusion over how “e-books” were defined in the survey. Because of these issues, results of this survey may not be generalizable to other libraries.
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MIZUNO, Teruhisa, Haruo NAKAGAKI, Taeko MURAKAMI, et al. "Dental Health Surveys at 80 years old in Tokoname City." JOURNAL OF DENTAL HEALTH 44, no. 2 (1994): 161–69. http://dx.doi.org/10.5834/jdh.44.161.
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Yacovone, Joseph A., Joseph J. Box, and Richard A. Mumford. "Dental Survey of Air National Guard Personnel." Military Medicine 150, no. 9 (1985): 476–82. http://dx.doi.org/10.1093/milmed/150.9.476.
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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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Anderson, Robert, Elizabeth T. Treasure, and Andrew S. Sprod. "Oral health promotion practice: A survey of dental professionals in Wales." International Journal of Health Promotion and Education 40, no. 1 (2002): 9–14. http://dx.doi.org/10.1080/14635240.2002.10806190.
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Neurath, C., H. Limeback, B. Osmunson, M. Connett, V. Kanter, and C. R. Wells. "Dental Fluorosis Trends in US Oral Health Surveys: 1986 to 2012." JDR Clinical & Translational Research 4, no. 4 (2019): 298–308. http://dx.doi.org/10.1177/2380084419830957.
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Introduction: Dental fluorosis has been assessed only 3 times in nationally representative oral health surveys in the United States. The first survey was conducted by the National Institute of Dental Research from 1986 to 1987. Subsequently, the National Health and Nutrition Examination Survey (NHANES) conducted fluorosis assessments from 1999 to 2004 and more recently from 2011 to 2012. A large increase in prevalence and severity of fluorosis occurred between the 1986–1987 and 1999–2004 surveys. Objectives: To determine whether the trend of increasing fluorosis continued in the 2011–2012 survey. Methods: We analyzed publicly available data from the 2011–2012 NHANES, calculating fluorosis prevalence and severity using 3 measures: person-level Dean’s Index score, total prevalence of those with Dean’s Index of very mild degree and greater, and Dean’s Community Fluorosis Index. We examined these fluorosis measures by several sociodemographic factors and compared results with the 2 previous surveys. Analyses accounted for the complex design of the surveys to provide nationally representative estimates. Results: Large increases in severity and prevalence were found in the 2011–2012 NHANES as compared with the previous surveys, for all sociodemographic categories. For ages 12 to 15 y—an age range displaying fluorosis most clearly—total prevalence increased from 22% to 41% to 65% in the 1986–1987, 1999–2004, and 2011–2012 surveys, respectively. The rate of combined moderate and severe degrees increased the most, from 1.2% to 3.7% to 30.4%. The Community Fluorosis Index increased from 0.44 to 0.67 to 1.47. No clear differences were found in fluorosis rates among categories for most of the sociodemographic variables in the 2011–2012 survey. Conclusion: Large increases in fluorosis prevalence and severity occurred. We considered several possible spurious explanations for these increases but largely ruled them out based on counterevidence. We suggest several possible real explanations for the increases. Knowledge Transfer Statement: The results of this study greatly increase the evidence base indicating that objectionable dental fluorosis has increased in the United States. Dental fluorosis is an undesirable side effect of too much fluoride ingestion during the early years of life. Policy makers and professionals can use the presented evidence to weigh the risks and benefits of water fluoridation and early exposure to fluoridated toothpaste.
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Boiano, James M., Andrea L. Steege, and Marie H. Sweeney. "Exposure control practices for administering nitrous oxide: A survey of dentists, dental hygienists, and dental assistants." Journal of Occupational and Environmental Hygiene 14, no. 6 (2017): 409–16. http://dx.doi.org/10.1080/15459624.2016.1269180.
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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 &lt;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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Al Agili, Dania Ebrahim. "A needs assessment survey of dental public health graduate education in Saudi Arabia." Saudi Dental Journal 27, no. 3 (2015): 141–48. http://dx.doi.org/10.1016/j.sdentj.2014.12.002.
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Lalic, Maja, Ema Aleksic, Jasmina Milic, Adam Malesevic, and Bojan Jovicic. "Reliability and validity of Serbian version of children's dental fear questionnaire." Vojnosanitetski pregled 72, no. 7 (2015): 602–7. http://dx.doi.org/10.2298/vsp140209036l.
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Background/Aim. Dental anxiety leads to avoidance of dental treatment and could lead to impaired oral health. The aim of this study was to determine the reliability of the Serbian version of Children?s Fear Survey Schedule Dental Subscale (CFSS-DS) and the relations between dental anxiety and oral health status in a sample of Serbian schoolchildren. Methods. The CFSS-DS scale was translated into Serbian and administered to 231 (12-year old) patients of the Pediatric Dental Department, Public Health Center Cukarica, Belgrade. The number of healthy, decayed, missing and filled teeth (DMFT score) in children was determined by a clinical exam. Results. The average CFSS-DS score was 26.47 ? 10.33. The girls reported higher anxiety than the boys (p < 0.05). Most common fears were drilling, choking, going to the hospital and anesthesia. Lower CFSS-DS scores were recorded in children with all healthy teeth (p < 0.05). Children with higher CFSS-DS scores mostly visit the dentist due to pain or parental insistence, and those with lower anxiety scores more often visited dentist due to regular check-ups or non-invasive treatments (p < 0.01). A high value of the Cronbach's coefficient of internal consistency (? = 0.88) was found in the entire scale. Conclusion. The Serbian version of CFSS-DS questionnaire is reliable and valid psychometric instrument for evaluation of dental fear in Serbian children. Dental anxiety negatively affects dental attendance and oral health of the examined schoolchildren.
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Szymańska, Jolanta, Agnieszka Koszuta, and Joanna Rosiak. "Type of financing dental care and frequency of dental visits among patients treated with implants." Polish Journal of Public Health 124, no. 1 (2014): 26–28. http://dx.doi.org/10.2478/pjph-2014-0005.
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Abstract Introduction. Many factors affect the oral health of the population. These include individual factors, the effectiveness of dental care, life styles and political, economic and environmental factors. Aim. The aim of the study was to evaluate the type of financing dental care and frequency of dental visits among patients treated with implants because of missing teeth. Material and methods. The survey was conducted among 464 patients of both genders aged 20-74 years, treated with dental implants at the Non-Public Healthcare Centre “Dental” in Tomaszów Mazowiecki. The patients answered questions included in anonymous questionnaire. The questions concerned age, education, type of dental care financing and frequency of dental visits. Results. Results of the survey indicate that among patients treated with implants there were over 14-times more people benefiting from dental care in private clinics providing preventive and restorative treatments at full cost, compared with people using dental services funded by the National Health Fund. Just over 16% of the surveyed patients frequently enough, i.e. at least once in 6 months reported to the dentist. The frequency of dental visits increased with the education level - people with vocational and secondary education most often visited a dentist irregularly, when necessary, while those with higher education - once a year. Patients below 60 years reported to the dentist 1-2 times a year, whereas older - irregularly, when necessary. Conclusion. In preparing the patient for the treatment of missing teeth with implants one should be aware of his need for paying special attention to oral health and regular, sufficiently frequent follow-up visits which has a substantial impact on the course and therapeutic success in the implant prosthetic treatment