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Vasthare, Ramprasad, Anil V. Ankola, Arron Lim Yan Ran, and Prateek Mansingh. "Geriatric oral health concerns, a dental public health narrative." International Journal Of Community Medicine And Public Health 6, no. 2 (2019): 883. http://dx.doi.org/10.18203/2394-6040.ijcmph20185509.
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Across the world, the segment of the elderly in populations is seen to be increasing at a rapid rate. There also exists a trend in which more teeth are retained as age increases due to effective dental public health measures like fluoridation. This inevitably places an increased need for dental healthcare among the geriatric populations. Since oral health greatly affects the systemic health of aged individuals, it is imperative for dentists and physicians to work together as a team to impart treatment to the best of one’s abilities for geriatric patients. It is therefore, necessary to first assess the oral health concerns surrounding the geriatric population from the perspective of public health dentistry. Relationship of the elderly with periodontal disease, dental caries, salivary hyposalivation and xerostomia, cognitive changes, and simultaneous usage of diverse medications was discussed. This paper reviewed the literature and then examined and discussed the various problems mentioned in depth and suggested recommendations for a plan of action. Knowledge about the specific oral health concerns and issues will help to better position us in developing strategies for providing better oral healthcare to the geriatric population in addition to the existing systemic healthcare. In the future, the elderly will make up a huge portion of the demographic visiting dentist regularly for a myriad of oral health problems. Dental health professionals therefore, must have adequate training and competency to deal with the predicament of this geriatric population. Preventive and treatment services can ensure healthy aging which will improve the quality of life.
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Veiga, Nélio Jorge, Maria Helena Ribeiro De Checchi, Johnny Martins, et al. "Dental caries and oral health behavior assessments among portuguese adolescents." Journal of Oral Research 9, no. 4 (2020): 300–308. http://dx.doi.org/10.17126/joralres.2020.071.
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Introduction: Adolescents have a high risk of developing caries in Portugal. The present study is designed to assess dental caries experience among the adolescents by the application of DMFT index, characterize the oral health risk factors and to determine the association between caries experience and socio-demographic variables. The characterization of the oral health behaviors of adolescents of the central region of Portugal will help in the development of specific oral health education strategies to improve oral health among the local communities. Material and methods: A cross-sectional study was conducted among a convenient sample of 694 adolescents aged 12 to 18 years attending public schools in two Portuguese districts using a structured questionnaire designed to investigate oral health and behavior of participants. In addition, a clinical examination was carried out noting the decayed, missing and filled teeth. A descriptive analysis of the variables was performed using the Chi-square, Mann-Whitney and Kruskal-Wallis tests (p<0.05). A multivariate analysis was applied for analysis of the association between variables. Results: The mean DMFT index score of 2.91±2.9 was obtained. Of the total sample, 73% consumed sugary food daily, 50.1% considered having good oral health and 70.8% did not report pain in the last 12 months. Most adolescents (79.4%) brushed their teeth daily and 60% did not use dental floss. Of the total sample, 96.4% had a dental appointment in the last 12 months, 46.4% of which was for preventive purposes. Applying the Chi-square statistical test, we verified that the adolescents who brush their teeth daily presented a good perception about their oral health (p<0.001), the DMFT index scores were associated with the residence area (p=0.01) and the presence of dental caries was associated with the perception of oral health (p=0.049) and sugary food intake (p=0.029).Conclusion: Portuguese adolescents presented a low DMFT index. The DMFT index was associated with residence area, perception of oral health and sugary food intake. Daily toothbrushing was associated with self-perception of oral health. It is suggested that oral health promotion and prevention programs should aim to reduce the risks of oral disease development.
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Gershen, J. A. "Geriatric Dentistry and Prevention: Research and Public Policy." Advances in Dental Research 5, no. 1 (1991): 69–73. http://dx.doi.org/10.1177/08959374910050011101.
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Changing demographics, including the increase in life expectancy and the growing numbers of elderly, has focused attention on the need for dental research activities to be expanded for geriatric dentistry. The elderly are at greater risk for oral disease, since gains in longevity result in more medically compromising conditions or systemic disease with oral manifestations. Also, as edentulism decreases and as more teeth are retained by the elderly, the pattern of oral diseases and the treatment of dental conditions will be altered. Barriers to self-care and professional care must be removed, and prevention and early intervention strategies must be formulated to reduce the risk of oral diseases. Risk factors for oral diseases in the elderly can be reduced by personal home-care regimens, professionally provided preventive, diagnostic, and therapeutic care, changes in high-risk behavior, and a supportive environment. Generating new information about the prevention of oral diseases and conditions that have an impact on the elderly requires a substantial research effort. A research agenda for the elderly should include: epidemiologic studies of relevant oral diseases and related risk factors; investigations of patient and provider attitudes and behavior related to oral health; studies of the relationship between general health and oral health; development and testing of preventive and treatment strategies for conditions such as xerostomia, root caries, secondary caries, and gingival recession; and studies for the evaluation of the impact of the aging population on the dental delivery system. Public policy options to support geriatric oral health care and research are limited by the Government's pre-occupation with cost containment and the lack of visibility for dental programs. Many of the national health proposals for universal coverage and for elimination of financial barriers to health care do not include disease prevention or health promotion programs; dentistry is not mentioned even in those proposals that do include prevention. NIDR is gathering support for geriatric oral health research with its new initiative, entitled the "Research and Action Program to Improve the Oral Health of Older Americans and Other Adults at High Risk". Funding for this program may depend in part on changing national priorities and the dental profession's ability to become more intimately involved in the public debate regarding the future of the nation's health care system.
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Cilović Lagarija, Šejla, and Mediha Selimović-Dragaš. "Efficiency of dental health care in Federation of Bosnia and Herzegovina." Journal of Health Sciences 3, no. 2 (2013): 145–50. http://dx.doi.org/10.17532/jhsci.2013.79.
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Introduction: Despite the great improvements in the oral health status of the population across the world, oral diseases remains a major public health issue connected with a lost of numerous school days for childrenand absenteeism from work in adults. This effect is particularly evident in low and middle income countries as Bosnia and Herzegovina. This retrospective study presents the effi ciency of dental health carein Federation of Bosnia and Herzegovina measured by number of visits and performed dental treatments during the time period of six years, from 2005-2011.Methods: Data were collected by evaluation of the results obtained by forms which are mandatory to be completed by dentists.Results: The number of graduated dentists from 2007 to 2011 decreased from 108 in 2007 to 68 in 2011. In the same time, number of dentists employed in public sector slightly increased from 529 in 2005 to587 in 2011. Number of extracted permanent teeth decreased from the 412 extracted permanent teeth per dentist in 2005 to 364 in 2011. Small number of fi lled primary teeth comparing to large number ofextracted primary teeth showed negligence in their treatment.Conclusion: Having in mind that improving oral health in developing countries is a very challenging objective we can conclude that dental health care system in Federation of Bosnia and Herzegovina need to bereform in order to improve oral health in general, particularly in children population.
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CARDOSO, Andreza Viana Lopes, Andréa Maria Duarte VARGAS, João Henrique Lara do AMARAL, et al. "Use and resolubility of the oral health public services offered to children in a large municipality." RGO - Revista Gaúcha de Odontologia 66, no. 1 (2018): 60–69. http://dx.doi.org/10.1590/1981-863720180001000083293.
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ABSTRACT Objective: To evaluate the effect of caries severity and socioeconomic conditions on use of oral health services and treatment situations (completed treatment, evasion, referral) among children with dental treatment needs, using the Unified Health System. Methods: Cross sectional study performed among children up to six years old, with dental treatment needs, coming from public schools in Belo Horizonte, Brazil, examined by the Oral Health Teams in the annual survey of oral health, in 2014. Variables were collected by consulting the medical records and information systems. Services were used by children who had attended the dental appointment at least once. The severity of caries considered the number of cavitated teeth. The socioeconomic variables were: age, sex, skin color and family socioeconomic classification. Resolubility was assessed by the ratio between completed treatment and first appointment. Evasion was defined by absence in more than two consecutive unjustified appointments. Association was tested by chi-square test and Poisson regression. Results: The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, 1.23-1.78) and in more than 9 teeth (PR=1.80, 1.32-2.46) and lower in those with very high socioeconomic risk (PR = 0.79, 0.63-0.99). The resolubility was of 49.6% and 5.2% abandoned the treatment. Children with lower socioeconomic status presented lower resolubility and greater avoidance. Conclusion: The results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.
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Marcenes, Wagner Segura, and Aubrey Sheiham. "Composite indicators of dental health: functioning teeth and the number of sound-equivalent teeth (T-Health)." Community Dentistry and Oral Epidemiology 21, no. 6 (1993): 374–78. http://dx.doi.org/10.1111/j.1600-0528.1993.tb01102.x.
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Matsuyama, Y., G. Tsakos, S. Listl, J. Aida, and R. G. Watt. "Impact of Dental Diseases on Quality-Adjusted Life Expectancy in US Adults." Journal of Dental Research 98, no. 5 (2019): 510–16. http://dx.doi.org/10.1177/0022034519833353.
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Comparing the burden of dental conditions to other health outcomes provides useful insight for public policy. We aimed to estimate quality-adjusted life expectancy (QALE) loss due to dental conditions in the US adult population. Social inequalities in QALE loss by dental conditions were also examined. Data from 3 cross-sectional waves of the National Health and Nutrition Examination Survey (NHANES waves 2001 to 2002, 2003 to 2004, and 2011 to 2012) were pooled and analyzed. The average age of study participants ( n = 9,445) was 48.4 y. Disutility scores were derived from self-rated health and the numbers of physically unhealthy days, mentally unhealthy days, and days with activity limitation, employing a previously published algorithm. The associations between the disutility scores and the numbers of decayed teeth, missing teeth, and periodontitis were examined by multiple linear regression stratified by age groups (20–39, 40–59, and ≥60 y), adjusted for other covariates (age, sex, wave fixed effect, educational attainment, smoking, and diabetes). The QALE loss due to dental conditions at the age of 20 was estimated using life tables. Decayed and missing teeth, but not periodontitis, were associated with a larger disutility score. The coefficient for decayed teeth was larger among the older population, whereas that of missing teeth was smaller among them. The estimated QALE loss was 0.43 y (95% confidence interval [CI], 0.28–0.59), which reached 5.3% of QALE loss (8.15 y; 95% CI, 8.03–8.27) due to overall morbidity. There were clear social gradients in QALE loss by dental conditions across the life course, and people with high school or less education had 0.32 y larger QALE loss in total compared with people with college or more education. This study suggests that improvements in people’s dental health may yield substantial gains in population health and well-being. The necessity of more comprehensive public health strategies is highlighted.
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Cavalcanti, Yuri Wanderley, Leopoldina de Fátima Dantas de Almeida, Ailma de Souza Barbosa, and Wilton Wilney Nascimento Padilha. "Planning Oral Health and Clinical Discharge in Primary Care: The Comprehensive Dental Care Protocol Outcome." Journal of Contemporary Dental Practice 16, no. 3 (2015): 172–77. http://dx.doi.org/10.5005/jp-journals-10024-1656.
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ABSTRACT Introduction The dental care must be driven by preventive and curative measures that can contribute to the population's oral health promotion. Objective To evaluate the impact of the actions proposed by a comprehensive dental care protocol (CDCP) on the oral health condition of primary care users. Materials and methods The sample consisted of 32 volunteers, assisted throughout the six phases proposed by the CDCP: diagnosis of dental needs; resolution of urgencies; restorative interventions; application of promotional measures; evaluation of the achieved health level; and periodic controls. Data were collected through clinical exams, which measured the simplified oral hygiene index (OHI-S), gingival bleeding index (GBI) and the decayed, missing and filled teeth (DMFT) Index, before and after the CDCP was implemented. Statistical analysis consisted of the Wilcoxon test, at 5% significance level (α = 0.05). Results The OHI-S and GBI indices showed a significant reduction (p < 0.05) from the initial (1.4 ± 0.6 and 46.3 ± 19.9) to final condition (0.9 ± 0.3 and 21.5 ± 7.5). The decayed, missing and filled teeth and the missing teeth component were not significantly altered (p > 0.05), showing final values equal to 12.7 ± 9.6 and 5.6 ± 7.8, respectively. Decayed elements were fully converted into filled elements, and the final values of the decayed and filled elements were, respectively, 0.0 ± 0.0 and 7.3 ± 5.7 (p < 0.05). Conclusions The enactment of the CDCP had a beneficial effect on the oral health of the population assisted by the dental services offered in primary care and this protocol seems to fit the public dental service demands. Clinical significance The CDCP can be useful to public dental service planning since it showed an efficient clinical outcome to the patients. We consider that this protocol should be employed in primary care oral health services in order to achieve overall upgrade, access enlargement and public oral health promotion. How to cite this article Cavalcanti YW, de Fátima Dantas de Almeida L, de Souza Barbosa A, Padilha WWN. Planning Oral Health and Clinical Discharge in Primary Care: The Comprehensive Dental Care Protocol Outcome. J Contemp Dent Pract 2015;16(3):172-177.
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Martinez, Dinorah. "The Anthropological Difference: Dental Health Promotion in the Dominican Republic." Practicing Anthropology 21, no. 3 (1999): 25–29. http://dx.doi.org/10.17730/praa.21.3.rw21847q38754030.
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Should ethnography be a central part of a dental health promotion program? It may not automatically seem so to dentists and other health professionals. The public may think that designing a dental health promotion program is simple: just tell people to brush their teeth, limit the use of the baby bottle, eat fewer sweets, and go to the dentist at least once a year for a dental cleaning and check-up. However, educating people about such things becomes difficult when toothpaste is considered a luxury, transportation is inaccessible, water is a few hours walk or comes only a few hours a day, people use idiomatic terms to describe a toothache, and food is a limited resource.
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Setijanto, R. Darmawan, Rita Yuana Rachmawati, Hayyin Sabila Kandar, et al. "Sarana Sehat Kalijudan (SARASEHAN) Whatsapp Group: A Platform to Disseminate Children’s Dental and Oral Health Information." Indonesian Journal of Dental Medicine 2, no. 1 (2020): 10. http://dx.doi.org/10.20473/ijdm.v2i1.2019.10-12.
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Background: Two main influencing factors of dental and oral health in developing countries are attitude and behavior.A person’s behavior is influenced by intentions, attitudes, subjective norms, perceived control. Attitudes and parentalbehaviors, especially mothers, have a significant effect on children’s behaviors, especially in maintaining dental health.A mother should be literate about and set examples on dental and oral health to her child. An epidemiological studyconducted at the Kalijudan Health Center involving 105 research respondents reported that parental behavior, especiallyperceived control, had a significant effect on the dental health care of children under five. Therefore, we created anempowerment program by using WhatsApp as the communication platform. Dentists of Kalijudan Public Health Center(Puskesmas), cadres of Integrated Health Service Post (Posyandu), and mothers of children under five have joinedthe group to facilitate QA with the dentist regarding dental health care for children. Purpose: To ease the access toinformation and consultation regarding dental health care for children under five. Methods: To empower the mothersby having discussions with the stakeholders Kalijudan Public Health Center via WhatsApp group. Results: 5 out of 10active mothers gave questions about the health of toddlers’ teeth and were answered directly by a dentist representativefrom the Kalijudan Health Center during a two-hour forum. Conclusion: Cadres and mothers of children under five wereable to access information and consult with dentists of Kalijudan Public Health Center easily via WhatsApp group namedSARASEHAN. The program was beneficial for mothers as it facilitated the mothers to learn more about their children’sdental care.
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Barreto, Kamila Azoubel, and Viviane Colares. "The social status associated with dental experience among Brazilian children." Ciência & Saúde Coletiva 25, no. 10 (2020): 3913–19. http://dx.doi.org/10.1590/1413-812320202510.32312018.
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Abstract Dentists should be alert not only to clinical variables, but also to socioeconomic, psychological and cultural factors, which have all been associated with the experience of dental caries. The aim of this study of was to assess social status and dental experience among Brazilian children. A cross-sectional study was conducted involving 1367 male and female children aged six and seven years enrolled at public and private schools in the city of Recife (Brazil) in 2013. The children at tending public schools were socioeconomically less privileged than those attending private schools. Data were collected through interviews and intraoral examinations. Caries experience was high (53.3%) in the overall sample, but less privileged children had larger percentages of decayed teeth and teeth that required extraction (p < 0.001). Children from less privileged social class had a greater chance of having a low (OR = 1.77 [95%CI 1.33 - 2.35]), moderate (OR = 4.41 [95%CI: 3.18 - 6,14]) and high (OR = 9.55 [95%CI 6.01 - 15.16]) caries experience. They also had a greater chance of never visiting a dentist (OR= 2.90 [95% CI 2.25 - 3.74]) and had dental anxiety (OR = 1.70 [95%CI 1.34-2, 16]). Socioeconomic status influences the dental caries experience, the visits to the dentist and the dental anxiety of the children analyzed.
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Šapurić, M., and F. Tozja. "Assessment of Knowledge and Attitudes to Preserve Oral Health among Older People Aged 60+ in FYROM." Balkan Journal of Dental Medicine 19, no. 1 (2015): 26–32. http://dx.doi.org/10.1515/bjdm-2015-0030.
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SUMMARYIntroduction. In the last decade, the impact of oral health on overall health status in the elderly has attracted considerable attention. Elderly people are often not aware that oral diseases and tooth loss can be prevented. Oral health behaviour involves acquisition of individual habits for preservation and maintenance of oral health, such as regular brushing and brushing teeth, using fluoride-rich toothpastes and dental floss, reducing sugar in the diet and habit of regular visits to the dentist. The aim of this research was to assess knowledge and attitude toward maintenance and preservation of oral health in people over 60 years in FYROM.Methods. This is a cross-sectional study of the population, older than 60 years in FYROM, who use dental services and treatment in public health institution, at the Faculty of Dentistry in Skopje (Clinic of Mouth and Periodontal Diseases) and in the Health Centre in Skopje. As an instrument of this research, a questionnaire which included issues related to oral health behaviour was used for the targeted population. 193 patients answered the questions in this questionnaire.Results. The age of respondents was significantly associated with the frequency of brushing their teeth and interdental spaces, as well as the habits of frequent dental care visits to the dentist. The gender of the patients had a highly significant effect on the use of fluoride toothpastes and the time that had passed since their last visit to the dentist (p<0.01). Education level in elderly patients significantly affected the knowledge of the individual oral health care.Conclusion. Respondents with higher education brushed their teeth and interdental spaces more frequently and had regular dental check-ups. Furthermore, they almost always used fluoride toothpaste when brushing their teeth. The increased concern for their own health correlated to a higher level of knowledge, awareness and attitudes about oral health care, and follow recommendations by a dentist. In FYROM, oral health behaviour of patients above 60 years is far behind the level of care that is achieved in higher developed countries.
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Hamasha, Abed A.-H., Salman J. Rasheed, Mohammed M. Aldosari, and Zainul Rajion. "Parents Knowledge and Awareness of their Children’s Oral Health in Riyadh, Saudi Arabia." Open Dentistry Journal 13, no. 1 (2019): 236–41. http://dx.doi.org/10.2174/1874210601913010236.
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Objective: To assess the parents’ knowledge and awareness of their children’s oral health in Riyadh, Saudi Arabia. Methods: The study was a cross-sectional analytical study of Saudi parents. A self-administered questionnaire was collected from 324 parents in public parks and malls. In addition to the demographic questions, parents’ knowledge about the number of primary teeth, tooth brushing, best time of dental visits, the meaning of plaque and calculus, the importance of fluoride, the relationship between primary and permanent teeth and the effect of oral health on general health were questioned. Data analysis included descriptive statistics and one-way analysis of variance and Bonferroni tests to assess differences in the mean number of correct answers among demographic categories. A p-value of 0.05 was set at a significant level. Results: The percentages of correct answers ranged from 26% to 75% depending on the type of questions. Only 26-28% could identify the number of primary teeth and the duration of teeth brushing. About one-third of parents knew the time of the first dental visit and the definition of plaque and calculus. Between 63-75% of parents believed that primary teeth can affect permanent teeth and mouth problems can affect general health. On average, 59.2% of participants provide incorrect answers about their children’s oral health. The numbers of correct answers were significantly increased by increasing education and income. Conclusion: Parents' knowledge and awareness of oral health among Saudi parents were poor. Special attention should be given to parents with low socioeconomic status who need to be educated about children oral health more.
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Feldens, Carlos Alberto, Thiago Machado Ardenghi, Angela Isabel Dos Santos Dullius, Fabiana Vargas-Ferreira, Pedro Antonio González Hernandez, and Paulo Floriani Kramer. "Clarifying the Impact of Untreated and Treated Dental Caries on Oral Health-Related Quality of Life among Adolescents." Caries Research 50, no. 4 (2016): 414–21. http://dx.doi.org/10.1159/000447095.
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The aim of the present study was to investigate the effect of dental caries experience and the components of the decayed, missing and filled teeth (DMFT) index on oral health-related quality of life (OHRQoL) among adolescents in southern Brazil. A cross-sectional study was conducted with 509 adolescents aged 11-14 years enrolled at public schools in the municipality of Osório (southern Brazil). A calibrated examiner performed the clinical examination for caries (World Health Organization: DMFT index), malocclusion (Dental Aesthetic Index) and traumatic dental injuries [Andreasen et al., 2007]. The participants answered the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - Impact Short Form, and their parents/guardians answered a structured questionnaire addressing demographic and socioeconomic characteristics. Data analysis involved Poisson regression with robust variance, with the calculation of rate ratios adjusted for potential confounding variables. High severity of dental caries experience exerted a significant impact on OHRQoL, even after controlling for socioeconomic and clinical factors (rate ratio 1.30; 95% confidence interval, CI 1.12-1.51). All OHRQoL domains were affected by untreated dental caries. The multivariate analysis demonstrated that the CPQ11-14 scores were 33% higher among adolescents with untreated caries (rate ratio 1.33; 95% CI 1.17-1.50) and 24% higher among those with missing teeth (rate ratio 1.24; 95% CI 1.06-1.47). No difference in OHRQoL was found between adolescents with filled teeth and those without dental caries. In conclusion, dental caries experience, untreated dental caries and missing teeth exerted a negative impact on OHRQoL among the adolescents.
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Sakki, Tero K., Matti L. E. Knuuttila, Sirpa S. Vimpari, and Sirkka-Liisa Kivelä. "Lifestyle, dental caries and number of teeth." Community Dentistry and Oral Epidemiology 22, no. 5PT1 (1994): 298–302. http://dx.doi.org/10.1111/j.1600-0528.1994.tb02055.x.
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Kimura, Yasuyuki, Ken-ichi Tonami, Akira Toyofuku, and Hiroshi Nitta. "Analysis of Incident Reports of a Dental University Hospital." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8350. http://dx.doi.org/10.3390/ijerph18168350.
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Incident reports are important for improving the quality and safety of medical care. Healthcare workers with less than one year of work experience have been reported to cause the most incidents, and the most common incident is “drug-related”. However, few studies have comprehensively analyzed incidents in dentistry, and the characteristics of dental incidents have not been understood. In this study, to understand the characteristics of dental incidents, we comprehensively analyzed 1291 incident reports submitted to the Tokyo Medical and Dental University Dental Hospital from April 2014 to March 2019. As a result, dental outpatient and dental wards had different types of incidents. In outpatient wards, incidents included many dentistry-specific incidents related to “procedures”. Among them, “poor physical condition of the patient during dental treatment” was the most common incident. In contrast, the most common incident from subjects with less than one year of work experience was “damage to soft tissues around the teeth”. Thus, to improve the quality and safety in dentistry, it is was considered necessary to analyze and understand the characteristics of dentistry-specific incidents and to take appropriate measures and educate dental professionals.
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Ndagire, Barbara, Catherine L. Mwesigwa, Juliet M. Ntuulo, Harriet Mayanja-Kizza, Damalie Nakanjako, and Charles M. Rwenyonyi. "Dental Caries Pattern and Treatment Needs among Ugandan Adolescent Students: A Cross-Sectional Study." International Journal of Dentistry 2020 (March 10, 2020): 1–7. http://dx.doi.org/10.1155/2020/8135865.
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Dental caries is still a major public health problem owing to its high prevalence and incidence in several regions. Planning and development of effective preventive and treatment modalities for the management of dental caries demand information on disease pattern and treatment needs of the populations. However, there is a paucity of this information in Uganda. The aim of the present study was to identify the dental caries pattern and treatment needs among Ugandan adolescent students. This was a descriptive cross-sectional study conducted among 11- to 19-year-old adolescents attending two secondary schools in Kampala and Mukono districts of Uganda. At both schools, random sampling was used to select the participating classes and the adolescents. Decayed teeth and treatment needs were recorded using the World Health Organization Basic Oral Health Survey criteria. A total of 406 adolescents comprising of 249 female and 157 male students participated in the study. Data were analysed using STATA, version 12.0. The prevalence of decayed teeth (DT) was expressed as a percentage of individuals with DT score ≥1. The treatment needs were categorised into three groups. Associations between dependent and independent variables were evaluated using cross-tabulation, chi-square test, and Poisson regression analysis. The overall prevalence of decayed teeth was 62.6% and mean DT was 1.7 ± 2.3. A total of 696 decayed teeth were observed, and the molar teeth, particularly the second molar (50.6%), were the most significantly affected. The prevalence of caries was higher in the mandible (51.4%) compared to the maxilla though the difference was not statistically significant. Decayed teeth were significantly (p<0.05) associated with difficulty in chewing, history of dental pain in the past 12 months, poor perception of tooth state, and the female participants. Majority (59.4%) of the study participants required restorations of teeth. About 83.2% (n = 579) of the teeth needed restorations, while 44 needed extractions. In conclusion, the prevalence of decayed teeth was high among the study population. It is recommended that school health programmes should include oral health preventive and curative interventions to achieve optimum health.
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Alqaderi, Hend E., Sabiha A. Al-Mutawa, and Muawia A. Qudeimat. "MTA pulpotomy as an alternative to root canal treatment in children's permanent teeth in a dental public health setting." Journal of Dentistry 42, no. 11 (2014): 1390–95. http://dx.doi.org/10.1016/j.jdent.2014.06.007.
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Parolo, Clarissa Fatturi, Aline Macarevich, Juliana Jobim Jardim, and Marisa Maltz. "Amalgam versus resin composite for the restoration of posterior teeth: disparities between public clinical practice and dental education in southern Brazil." Revista da Faculdade de Odontologia de Porto Alegre 52, no. 1/3 (2011): 33–37. http://dx.doi.org/10.22456/2177-0018.27125.
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Purpose: To compare the restorative material used in the treatment of posterior teeth taught and performed in two Dental Schools (UFRGS and ULBRA) and in 8 basic health units (BHU) from the Public Health System in Porto Alegre, Brazil. Materials and methods: Data referring the teaching of restorative procedures using amalgam (AM) or resin (R) were obtained through the analysis of patient’s files and questionnaires applied to final year dental students. Information regarding restorative procedures at BHU was obtained through patient’s records and a questionnaire applied to the dentists. The type of restorative material used in both BHU and Dental Schools were compared by chi-square test. Results: At UFRGS, 327 restorations were performed, 78.28% R and 21.72% AM, and at ULBRA 366 restorations, 92.63% R and 7.37% AM. At BHU, 1664 restorations were performed (35.93% R and 64.07% AM). A major proportion of AM restorations was performed in the Public Health Service in comparison to both Dental Schools, in which resin restorations prevailed (p=0.000). Conclusion: The change from AM to R in the dental material choice for posterior teeth at Dental Schools was not followed by the Public Health System, where the AM is still widely used in posterior teeth.
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Chosack, Aubrey. "A dental caries severity index for primary teeth." Community Dentistry and Oral Epidemiology 14, no. 2 (1986): 86–89. http://dx.doi.org/10.1111/j.1600-0528.1986.tb01503.x.
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Carvalho, Joana Christina, Vibeke Qvist, Nicole R. Aimée, Heliana D. Mestrinho, and Azam Bakhshandeh. "Diagnosis, Risk Assessment, and Treatment Decisions for Occlusal Caries: A Survey from the Danish Public Dental Health Service." Caries Research 52, no. 1-2 (2017): 58–70. http://dx.doi.org/10.1159/000484987.
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This study validates a case-based survey method and analyzes the extent to which Danish dental professionals apply current concepts and strategies for occlusal caries management in children, adolescents, and young adults. A case-based, precoded questionnaire consisting of 10 clinical cases/patients with 26 teeth/occlusal surfaces was developed. The cases were set up in a PowerPoint presentation and color printed as a booklet illustrating patients with different patterns of caries activity, severity, and risk. A total of 69 dental professionals participated. Content and face validity of the survey method was established using a panel of experts. The panel also assessed the reliability of the method using a test-retest procedure (κ ≥ 0.80) and acting as benchmark. Measurements of agreement between dental professional and benchmark assessments showed substantial agreement for overall caries activity and risk assessment of patients and for clinical and radiographic severity of occlusal lesions (κ = 0.61-0.67). For assessment of caries lesion activity on occlusal surfaces, the agreement was moderate (κ = 0.50). Regarding treatment decisions, dental professionals showed substantial agreement when indicating restorative treatments (κ = 0.68). Multivariate logistic regression analysis showed a significant influence of various patient-, lesion-, and participant-related variables in the assessment of caries risk, caries activity and severity, and treatment decision. In conclusion, Danish dental professionals participating in the study apply reasonably well current concepts on overall caries activity and risk assessment, clinical and radiographic severity of occlusal lesions, and, to a certain extent, assessment of caries lesion activity on occlusal surfaces. Nonoperative treatment decisions had a high priority among Danish professionals.
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Gajic, Milica, Maja Lalic, Katarina Kalevski, and Marjan Marjanovic. "Oral health-related quality of life among Belgrade adolescents." Vojnosanitetski pregled 75, no. 1 (2018): 8–15. http://dx.doi.org/10.2298/vsp151027318g.
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Background/Aim. Adolescents are vulnerable group in term of acquisition of oral health-related knowledge, habits and attitudes. That is why the aim of this study was to investigate the associations between dental status, dental anxiety and oral health-related behavior and oral healthrelated quality of life as captured by Oral Impacts on Daily Performances (OIDP) index. Methods. This crosssectional survey included representative sample of 404 adolescents (15 years old), randomly recruited from high schools in Belgrade, Serbia. The adolescents were interviewed using Serbian versions of eight-item OIDP index, Hiroshima University Dental Behavior Inventory (HUDBI) and modified Corah?s Dental Anxiety Scale (MDAS). Three previously trained and calibrated dentists examined the subjects in the classrooms to determine the oral health status of adolescents [the Decayed, missing, filled teeth (DMFT) index and visual signs of gingivitis]. Results. At least one oral impact was reported in 49.50% of adolescents. Most frequently, oral health problems affected eating (26.73%), tooth cleaning (27.47%) and sleep and relaxation (16.83%). In comparison with adolescents without oral impacts, the adolescents with at least one oral impact reported, had higher DMFT score, more often reported problems with bleeding gums, usage of hard toothbrush, worries about the color of their teeth and seeing the dentist because of the symptoms. Logistic regression showed that dental anxiety (MDAS score), dental behavior (HUDBI score) and worrying about the color of the teeth significantly affected OIDP score. Conclusion. Oral healthrelated quality of life among adolescents was affected by their behavior and dental anxiety levels. Implementing public health policies that target adolescents with poor oral health or bad habits might be helpful in improving their oral health-related quality of life.
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SILVA-JUNIOR, Manoelito Ferreira, Emílio Prado FONSECA, Marília Jesus BATISTA, and Maria da Luz Rosário de SOUSA. "Spatial distribuition of tooth loss in a population of adults." RGO - Revista Gaúcha de Odontologia 65, no. 2 (2017): 115–20. http://dx.doi.org/10.1590/1981-863720170002000033065.
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ABSTRACT Introduction: Although there has been an improvement in the oral health status of the population, tooth loss still aggravates the oral health of adults and is a matter of great relevance to dentistry. Aim: To determine the spatial distribution of tooth loss in adults and correlate this with the Social Exclusion Index and proximity to public dental services. Material and Method: This ecological study was based on epidemiological data of adults from Piracicaba municipality and from the Piracicaba Research and Planning Institute (IPPLAP). Data on dental evaluations were extracted from the Piracicaba epidemiological survey, which was a cross-sectional study with probabilistic sampling of 248 adults aged 20-64 years, representative of adults living in Piracicaba, Brazil. Oral examinations of the DMFT index were in accordance with the World Health Organization codes and criteria and were performed by a single examiner calibrated for this purpose. Data on social exclusion and the municipal health units that have dental services were extracted from IPPLAP. Georeferencing was performed of census tracts selected by draw, and the city health facilities that have dental services. For Spearman correlation analysis (p <0.05), we used the mean value of teeth lost per district, the Social Exclusion Index (IEX), and proximity to public dental service categorized according to radius: <500m, between 500-1000m, and >1000m the census tract. Result: There was a correlation between tooth loss and higher IEX, and r=−0.51 (p=0.01), but no correlation with proximity to public dental services (p=0.42). Conclusion: Tooth loss in adults was distributed according to social exclusion, however, it was unrelated to proximity to the public dental services.
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Dungey, Claire, and Neil Stephens. "Learning about dentistry: enacting problems at the Wellcome Collection exhibition ‘Teeth’." Journal of Science Communication 17, no. 03 (2018): R03. http://dx.doi.org/10.22323/2.17030603.
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We review how the Wellcome Collection exhibition ‘Teeth’ enacts meanings from an educational anthropology and Science and Technology Studies perspective. The exhibition tells the history of dental science. It starts with accounts of the painful procedures and social inequalities of early oral healthcare. As it moves towards the present day it shows improved scientific knowledge, tools and public health promotion, and closes with current sophisticated technologies and practices. However it underrepresents contemporary social inequalities. We conclude that science communication exhibition curators should strive to represent the problems of today as well as those of the past.
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Nogo-Zivanovic, Dajana, Ljiljana Kulic, Irena Tanaskovic, Vladimir Ristic, and Tatjana Kanjevac. "Quality of Root Canal Fillings in a Bosnian Adult Population Treated in Public and Private Dental Clinics / Kvalitet Punjenja Kanala Korena Kod Odraslog Stanovništva U Bosni I Hercegovini Lecenih U Državnim I Privatnim Stomatološkim Klinikama." Serbian Journal of Experimental and Clinical Research 17, no. 1 (2016): 43–47. http://dx.doi.org/10.1515/sjecr-2016-0008.
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Abstract The aim of this study is to examine the technical quality of root canal fillings in an adult population in the Republic of Srpska, Bosnia and Herzegovina, who were treated in public dental institutions and private dental clinics. Radiographs of faculty patients, aged 25-60 years old, who came for the first time were examined for the technical quality of root canal fillings. Patients with endodonticallytreated teeth were invited for an interview to reveal the providers of the endodontic treatment. The percentages of teeth with adequate length (p<0.01) and taper (p<0.01) in institutions of public health cases were significantly greater than those in private clinic cases. In addition, the frequency of teeth with adequate root canal fillings in patients treated in public dental institutions was significantly greater than those treated in private dental clinics (p<0.01). A significantly higher percentage of adequate canal fillings is present in teeth where endodontic treatment was performed in public dental institutions compared to private dental clinics. This result indicates the need to improve the quality of endodontic treatment through more intensive training for dentists in private practice.
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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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Yepes, Juan F., Jayme McCormick‐Norris, LaQuia A. Vinson, et al. "Blood levels of lead and dental caries in permanent teeth." Journal of Public Health Dentistry 80, no. 4 (2020): 297–303. http://dx.doi.org/10.1111/jphd.12384.
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Shitie, Anguach, Rahel Addis, Abebe Tilahun, and Wassie Negash. "Prevalence of Dental Caries and Its Associated Factors among Primary School Children in Ethiopia." International Journal of Dentistry 2021 (March 13, 2021): 1–7. http://dx.doi.org/10.1155/2021/6637196.
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Background. Dental caries (decay or cavities) is a breakdown of teeth as a result of bacteria. Dental caries is one of the preventable oral health problems and the most common chronic diseases in childhood. Poor dental and oral health affect the quality of children’s life. Objectives. To estimate the prevalence of dental caries and its associated factors among primary school children in Alem Ketema, North Showa, Ethiopia. Methodology. An institution-based quantitative cross-sectional study was conducted on 422 primary school children, from February 9 to March 8, 2020. Pretested structured questionnaire and oral examinations were conducted by using the WHO criteria (DMFT) index to collect the data. The data were entered into Epi-Data 3.1 software, and analysis was carried out using SPSS version 23 and variables with P value ≤0.05 in the multivariable binary logistic analysis were considered as a cut-point to declare statistical significance. Result. The prevalence of dental caries was 46.9% (95% CI: 42.1, 51.7). The mean Decayed, Missing, and Filled Teeth (DMFT) index was 1.28 (±1.21). Being male (AOR = 1.975, 95% CI = 1.067–3.66), lack of parents’ insistence (AOR = 2.052, 95% CI = 1.079–3.902), lack of oral health education program (AOR = 4.753, 95% CI = 1.69–13.38), history of dental aches (AOR = 2.88, 95% CI = 1.55–5.32), and poor habit of mouth wash (AOR = 4.74, 95% CI = 2.55–8.79) were found significantly associated with dental caries. Conclusion. The prevalence of dental caries was higher and a common public health problem among school children. Lack of parent’s insistence, sex, dental ache history, poor practices of mouth wash, and lack of oral health education were significant predictors of dental caries. Therefore, oral health education program and parents encouraging their children to practice oral hygiene are important to prevent dental caries.
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Priesnitz, M. C., R. K. Celeste, M. J. Pereira, C. A. Pires, C. A. Feldens, and P. F. Kramer. "Neighbourhood Determinants of Caries Experience in Preschool Children: A Multilevel Study." Caries Research 50, no. 5 (2016): 455–61. http://dx.doi.org/10.1159/000447307.
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Objectives: To investigate the association between neighbourhood factors and decayed, missing, and filled teeth (dmft) index among preschool children. Methods: The sample of this cross-sectional study comprised 1,110 children (0-5 years old) clustered in 16 official neighbourhoods of Canoas city, southern Brazil. Multilevel binomial models were used to estimate the association of contextual variables at neighbourhood level (Human Development Index, average income, and public primary health care units) with two oral health outcomes: decayed teeth (dt) and missing or filled teeth (mft), after adjusting for individual variables (gender, age, maternal education, equivalent household income logarithm, household, and point of care). Results: Overall, 24.9% of the sample had dental caries experience (dmft >0), and 92.3% of the dmft was untreated caries. There was no statistical significant association (p > 0.05) of contextual characteristics with the decay component. The teeth of children living in richer areas had 2.87 (95% CI: 1.05-7.86) times more chances of being treated (mft component). Variance attributed to neighbourhood level was estimated as 5.9% (p < 0.01) and 4.1% (p = 0.17) for dt and mft, respectively, in adjusted models. Conclusions: Intra-urban areas seem homogeneous, with small variability between neighbourhoods, having no contextual effect on untreated dental caries (dt). Contextual variables may influence treatment access (mft) through the use of dental services in preschool children.
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Ruas, Bruna Mara, Lia Silva Castilho, Natália Cristina Ruy Carneiro, et al. "Integrality of care for hemodialysis patient in Brazil: an analysis of access to dental care." Ciência & Saúde Coletiva 25, no. 2 (2020): 533–40. http://dx.doi.org/10.1590/1413-81232020252.06362018.
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Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.
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Kim, Young Ho. "Investigation of Hypodontia as Clinically Related Dental Anomaly: Prevalence and Characteristics." ISRN Dentistry 2011 (September 29, 2011): 1–6. http://dx.doi.org/10.5402/2011/246135.
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Objective. Patients with hypodontia are relatively common in clinical dentistry. This study was performed to determine the prevalence of hypodontia of permanent teeth in Korean orthodontic patients and whether such prevalence is associated with the type of dental clinic, patient gender, or the type of malocclusion. Materials and Methods. Over a five-year period, we evaluated 3,055 patients (mean age, 15.1 years; range 9~30) from two geographically separated orthodontic clinics: 1,479 from University Hospital and 1,576 from a private clinic. Hypodontia was diagnosed using panoramic radiographs, clinical examination, and dental casts. Results. The overall prevalence of hypodontia, excluding the third molars, was 11.3%, and there was no statistically significant association with the type of dental clinic, gender, or malocclusion patterns. The most commonly missing teeth were the mandibular second premolars (44.2%), followed by the mandibular lateral incisors (36.6%), and the maxillary second premolars (34.0%). In both sexes, 86.0% of patients with hypodontia were missing one or two teeth. Conclusion. The relatively high prevalence of hypodontia emphasizes the importance of dental examination in early childhood with radiographic screening for hypodontia as standard public oral health policy and warrants further investigation of the orthodontic treatment strategies to prevent resultant oral health impairments of hypodontia.
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Hanna, Antoine, Monique Chaaya, Celine Moukarzel, Khalil El Asmar, Miran Jaffa, and Joseph G. Ghafari. "Malocclusion in Elementary School Children in Beirut: Severity and Related Social/Behavioral Factors." International Journal of Dentistry 2015 (2015): 1–10. http://dx.doi.org/10.1155/2015/351231.
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Aim. To assess severity of malocclusion in Lebanese elementary school children and the relationship between components of malocclusion and sociodemographic and behavioral factors.Methods. Dental screening was performed on 655 school children aged 6–11 from 2 public (PB) and 5 private (PV) schools in Beirut. A calibrated examiner recorded occlusion, overjet, overbite, posterior crossbite, midline diastema, and crowding. Another examiner determined the DMFT (Decayed/Missing/Filled Teeth) score. A questionnaire filled by the parents provided data on sociodemographic and behavioral factors. Multinomial, binomial, and multiple linear regressions tested the association of these factors with occlusal indices.Results. Malocclusion was more severe in PB students. Age and sucking habit were associated with various components of malocclusion. Crowding was more prevalent among males and significantly associated with the DMFT score. Income and educational level were significantly higher(P<0.05)in PV pupils and deleterious habits were more frequent in PB children.Conclusions. Children of lower socioeconomic background had more severe malocclusions and poorer general dental health. Compared to Western and WHO norms, the findings prompt health policy suggestions to improve dental care of particularly public school children through regular screenings in schools, prevention methods when applicable, and cost effective practices through public and private enabling agencies.
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Oosterhaven, Sietze P., Gert P. Westert, and Rob M. H. Schaub. "Perception and significance of dental appearance: the case of missing teeth." Community Dentistry and Oral Epidemiology 17, no. 3 (1989): 123–26. http://dx.doi.org/10.1111/j.1600-0528.1989.tb00004.x.
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Evans, R. Wendell, and Edward C. M. Lo. "Effects of School Dental Care Service in Hong Kong-primary teeth." Community Dentistry and Oral Epidemiology 20, no. 4 (1992): 193–95. http://dx.doi.org/10.1111/j.1600-0528.1992.tb01714.x.
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Anand, Pradeep S. "Causes and Patterns of Loss of Permanent Teeth among Patients Attending a Dental Teaching Institution in South India." Journal of Contemporary Dental Practice 10, no. 5 (2009): 58–68. http://dx.doi.org/10.5005/jcdp-10-5-58.
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Abstract Aim The aims of the present study are to determine the causes and pattern of loss of permanent teeth among patients attending a dental teaching institution in southern India. Methods and Materials Data collected from patients attending the outpatient wing of the Sri Sankara Dental College, Kerala, during a three month period was used for the study. The cause for extraction was classified as follows: (1) caries and its sequelae, (2) periodontal disease, (3) orthodontic purposes, (4) impactions, (5) prosthodontic purposes, and (6) other reasons. Results A total of 1791 permanent teeth were extracted of which 708 (39.5%) teeth were extracted due to caries and its sequelae, 508 (28.4%) due to periodontal disease, 347 (19.4%) for orthodontic purposes, 29 (1.6%) due to impactions, 155 (8.7%) for prosthodontic purposes, and 44 (2.5%) for other reasons. Conclusion The results of the present study suggest caries and periodontal disease are the major causes of tooth mortality in the study population. Clinical Significance Data regarding the causes of tooth loss indirectly provides invaluable information on the pattern of oral health in a population which can be utilized for planning public health policies designed to address the burden of oral diseases. Citation Anand PS, Kuriakose S. Causes and Patterns of Loss of Permanent Teeth among Patients Attending a Dental Teaching Institution in South India. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www. thejcdp.com/journal/view/causes-and-patterns-ofloss- of-permanent-teethamong-patients-attendinga-d.
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Dias, Maria do Rosário. "The House of the Little Tooth Diniz: An Oral Health Educational Project." Children and Teenagers 2, no. 1 (2019): 60. http://dx.doi.org/10.22158/ct.v2n1p60.
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<p class="Standard"><strong></strong><em>Dental caries is currently one of the major public health problems, given its high incidence among 6-12-year-old children. This age group of children is considered a priority group, due to the transitional period of the replacement of deciduous teeth. This article intends to present a ludic-pedagogical instrument for oral health education, targeted at these children, based on the learning of problems related to oral health through a story narrative and associated pictograms. By means of a health education manual with several pictorial representations of dentistry clinical acts, we intended to imagetically reinforce the therapeutic adherence of children to Paediatric Dentistry as well as oral health prevention care, which are considered determinant factors for oral health success amongst children. The choice of a handbook format for this purpose was considered a health education pedagogical strategy with added value to the Paediatric Dentistry appointment setting, granting patients an active and leading role in their therapeutic path. The handbook can also be of use to younger children, through parental storytelling, establishing a dyadic communication between parents, educators and professionals.</em></p>
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Montes, Gisele Ristow, Danielle Veiga Bonotto, Fernanda Morais Ferreira, José Vitor Nogara Borges Menezes, and Fabian Calixto Fraiz. "Caregiver’s oral health literacy is associated with prevalence of untreated dental caries in preschool children." Ciência & Saúde Coletiva 24, no. 7 (2019): 2737–44. http://dx.doi.org/10.1590/1413-81232018247.18752017.
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Abstract The aim of this study was to evaluate the relationship between oral health literacy (OHL) among caregivers and untreated dental caries among preschoolers. A cross-sectional study was conducted involving 415 preschool children and their caregivers from Curitiba, Brazil. The children were examined for dental caries and dental plaque. The caregivers’ OHL was evaluated using an instrument translated and validated for Brazilian Portuguese: the Brazilian Rapid Estimate of Adult Literacy in Dentistry-30. The prevalence of children with untreated caries was 42.9% (95%CI: 38.1-47.7%). A low degree of OHL was found among 15.7% (95%CI: 12.2-19.2) of caregivers. The multivariable Poisson regression analysis indicated a higher prevalence of untreated caries among children whose caregivers had a low OHL (PR = 1.35; 95% CI: 1.01-1.79), those with visible plaque (PR = 1.28; 95% CI: 1.01-1.62) and those who never or only occasionally had their teeth brushed by their caregivers (PR = 1.48; 95% CI: 1.16-1.91) in comparison to those without these conditions. In conclusion, a higher prevalence of untreated dental caries was found among preschool children whose caregivers had a low degree of OHL.
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Arneberg, Pal, Espen Bjertness, Kari Storhaug, Anne Glennas, and Frithjof Bjerkhoel. "Remaining teeth, oral dryness and dental health habits in middle-aged Norwegian rheumatoid arthritis patients." Community Dentistry and Oral Epidemiology 20, no. 5 (1992): 292–96. http://dx.doi.org/10.1111/j.1600-0528.1992.tb01702.x.
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Alves, Crésio, Márcia Brandão, Juliana Andion, and Rafaela Menezes. "Oral health knowledge and habits in children with type 1 diabetes mellitus." Brazilian Dental Journal 20, no. 1 (2009): 70–73. http://dx.doi.org/10.1590/s0103-64402009000100012.
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This study evaluated the oral health knowledge and habits in Brazilian children with type 1 diabetes mellitus (T1DM). A cross-sectional study was performed between November of 2005 and April of 2006 in a public health university hospital, interviewing 55 diabetic children and 55 non-diabetic control children with a semi-structured questionnaire. As much as 55% of the diabetic children and 35.5% of the non-diabetic children were males with mean age of 11.3 ± 3.7 years and 11.2 ± 3.8 years, respectively. The mean duration of the T1DM was of 4.5 ± 0.8 years. Almost half of the diabetic and non-diabetic children brushed their teeth three times a day. Dental floss was used once a day by 30.9% of diabetics and 18.0% of control subjects. A total of 27% of the diabetics vs. 54.5% of non-diabetics had gingival bleeding. The dentist was aware of the T1DM in 74.5% of the cases. As much as 63.8% of the diabetic subjects had been to the dentist within the previous 12 months. In conclusion, although the diabetic children seemed to have better oral health habits than the control children, there is a need for more information regarding oral hygiene and healthy habits.
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Sharma, Ajay, Allauddin Siddiqi, Sobia Zafar, and Alessandro Quaranta. "Awareness of Diabetic Patients Regarding the Bidirectional Association between Periodontal Disease and Diabetes Mellitus: A Public Oral Health Concern." Journal of Contemporary Dental Practice 21, no. 11 (2020): 1270–74. http://dx.doi.org/10.5005/jp-journals-10024-2974.
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ABSTRACT Aim and objective The literature regarding the perception of the two-way relationship between diabetes mellitus and periodontal disease representing diabetic patients living in Australia is scarce. The study aimed to evaluate the knowledge and attitudes of diabetic patients regarding the bidirectional link and the role of medical healthcare professionals in providing oral health advice to their patients. Materials and methods A convenience sample of diabetic patients attending general practice-based medical and dental centers was invited to complete a questionnaire-based survey. The survey was anonymous, and the responses of the participants were not identifiable. Results A total of 241 participants completed the questionnaire; however, three survey responses were excluded as most of the critical questions were not answered. The majority (87.81%) of the participants reported with type 2 diabetes mellitus, while 11.76% had type 1 diabetes mellitus. Just over 61% of the participants reported brushing their teeth twice a day. The majority of participants (66.38%) said that their medical practitioner/diabetic educator never asked or examined their oral hygiene or any issues with the gums or teeth. The study noted that 54% of the participants never received any information regarding the bidirectional relationship between periodontal disease and diabetes mellitus and were unaware of the association. Conclusion Patients with diabetes mellitus lack knowledge of the bidirectional association between periodontal disease and diabetes mellitus. In this regard, the study urged the need to implement European Federation of Periodontology and International Diabetes Federation guidelines effectively. Medical healthcare professionals and dentists should provide mutual care and should consider every patient as a shared responsibility. Clinical significance Early detection of the disease, timely referrals, and a collaborative approach will enhance patient care and improve the quality of life of individuals living with periodontal disease. How to cite this article Siddiqi A, Zafar S, Sharma A, et al. Awareness of Diabetic Patients Regarding the Bidirectional Association between Periodontal Disease and Diabetes Mellitus: A Public Oral Health Concern. J Contemp Dent Pract 2020;21(11):1270–1274.
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Maharani, Aulia Dwi. "Increasing Performance Treatment Index’s Score (PTI) of Elementary School Children in Keputih-Surabaya Through Dental Public Health Warrior Project." DENTA 11, no. 2 (2019): 83. http://dx.doi.org/10.30649/denta.v11i2.101.
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<p><strong><em>Introduction:</em></strong><em>The </em><em>Dental Public Health Warrior (DPHW) project is a social activity which provides a creative, fun</em><em>,</em><em> and interactive dental health education throughout elementary schools in Keputih Area-Surabaya,Indonesia. <strong>Purpose:</strong> The aim of this study was to determine the effectivity of those project</em><em>s</em><em> in increasing the Performance Treatment Index of elementary school’s student. PTI score used to measure the willingness to treat their teeth. <strong>Materials and Methods:</strong></em><em>In this </em><em>pre experimental study (pretest and posttest only design), subjects were 54 elementary students (4th grade) . All subjects were educated by </em><em>the </em><em>DPHW </em><em>t</em><em>eam and their DMF-t score and PTI score were collected by calibrated dentists before the education and in 3 months after the education. <strong>Results:</strong> The mean of DMF-t score increase from 6,7 to 6,9. The mean of PTI score increase from 3,7 to 9,5 . Wilcoxon analysis showed there is significant different between before and after education (p= 0,001). <strong>Conclusion:</strong>. </em><em>The </em><em>DPHW project can be effectively used to increase the Performance Treatment Index of elementary school’s student. The increase of PTI indekx means there is increase in willingness to treat their teeth.</em></p><p><em> </em></p><p><strong><em>Keywords: </em></strong><em>Dental Public Health Warrior Project, PTI score , Performance Treatment Index,</em><em>elemntary school, Surabaya.</em></p><p><strong><em> </em></strong></p><p><strong><em>Corrrespondence:</em></strong><em>Aulia Dwi Maharani, </em><em>Department of </em><em>Public Health, Faculty of Dentistry, Hang Tuah</em><em> University</em><em>,Arif Rahman Hakim 150, Surabaya,</em><em>Phone 031-</em><em>5945864</em><em>, </em><em>Email: </em><a href="mailto:aulia.maharani@hangtuah.ac.id"><em>aulia.maharani@hangtuah.ac.id</em></a>.</p>
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Zhou, Ni, Hui Ding, Juan Liu, Jieyi Chen, Shinan Zhang, and Chun-Hung Chu. "Dental Caries Status among Yi Preschool Children in Yunnan Province, China: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8393. http://dx.doi.org/10.3390/ijerph18168393.
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Background: The Yi ethnic group is the sixth largest minority in China. The aim of this study was to investigate dental caries status among Yi preschool children in the Yunnan province, China. Method: This cross-sectional study invited 5-year-old Yi children using multistage cluster sampling. Two trained and calibrated dentists examined the children in kindergartens. The children’s dental caries experience was assessed using the decayed, missing, and filled teeth (dmft) index. Visual plaque on an indexed tooth of each six sextants was recorded and the oral hygiene status was assessed using the Visible Plaque Index. Parents completed questionnaires that surveyed their educational attainment. The questionnaires also collected information about the children’s demographics, snacking habits, oral-health-related behaviors and dental visit experiences. The associations between caries experiences and potential factors were analyzed using zero-inflated negative binomial regression. Results: All 452 invited children (249 boys, 55%) participated in this study with a response rate of 100%. Dental caries prevalence rate was 83%. The mean dmft score and decayed teeth score were 5.2 ± 4.4 and 5.1 ± 4.4, respectively. Almost half of the children (n = 211, 47%) had visible plaque on four or more of the six sextants. Most (n = 366, 81%) of the children had not visited a dentist in the prior 12 months. Regression analysis found the children’s caries experience was associated with their dental visit experience. Conclusion: The great majority of the Yi preschool children experienced dental caries and almost all of the cavities were not restored. Their oral hygiene was poor and visible plaque was commonly found on their teeth.
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Almeida, Dulce O., Sônia CL Chaves, Ronaldo A. Souza, and Felipe F. Soares. "Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis." Journal of Contemporary Dental Practice 18, no. 4 (2017): 330–36. http://dx.doi.org/10.5005/jp-journals-10024-2041.
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ABSTRACT Introduction Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single- or multiple visits. Results About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single- and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service. How to cite this article Almeida DO, Chaves SCL, Souza RA, Soares FF. Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis. J Contemp Dent Pract 2017;18(4):330-336.
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Скрипкина, Галина, Galina Skripkina, Еегений Екимов, Evgeniy Ekimov, Татьяна Митяева, and Tatyana Mityaeva. "SYSTEM APPROACH TO THE PROBLEM OF FORECASTING THE CARIES OF TEETH." Actual problems in dentistry 15, no. 3 (2019): 121–26. http://dx.doi.org/10.18481/2077-7566-2019-15-3-121-126.
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Background. At the present stage of development of scientific knowledge, to know the etiology and pathogenesis of dental diseases is impossible without a systematic approach to this problem. Currently, the problem of forecasting and the formation of “risk groups” at the stages of disease development and determining the boundary values of background indicators of diagnostic criteria in order to prevent the development of pathology and take preventive measures is relevant. In order to process the information received, elements of applied mathematics are increasingly being used, namely cluster and factor analyzes for processing the data from physiological parameters to the onset of pathology. These methods of applied mathematics are a component of modern computer software packages and are used for mathematical modeling of the clinical situation.
 The goal ― is to create and test a model for predicting dental caries in children in the pediatric dentistry clinic with the help of a systematic approach using elements of applied mathematics.
 Methods. 1158 caries-resistant children of pre-school and school age were examined for the study of dental status and the formation of a regional data bank.
 Results. The applied system approach with the use of elements of applied mathematics allowed introducing into practical public health computer processing of data of clinical and laboratory diagnostics of the dental status of caries resistant children of preschool and school age in order to predict the risk of developing a carious process in each individual.
 Findings. Predicting the risk of a carious process will increase the effectiveness of primary preventive measures, save public funds allocated in the amount of compulsory health insurance to provide dental care for children in the region, maintains caries resistance in each individual and, subsequently, will reduce the incidence of caries among the children's population at populations.
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Mascarenhas, Ana Karina. "Who Needs More than 1,000 ppm? The Epidemiology of High-Risk Populations." Caries Research 50, Suppl. 1 (2016): 1–8. http://dx.doi.org/10.1159/000442673.
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Good oral health is necessary to overall health and well-being. Most oral diseases, and in particular dental caries, are entirely preventable. However, in 2010, 3.9 billion people were globally affected by oral conditions, and the global prevalence of untreated caries in permanent teeth was 35.3%. The contemporary thinking is that dental caries starts as an infectious disease which then becomes a chronic disease. Public health measures and other caries-preventive approaches have resulted in dramatic reductions in dental caries across populations. However, in a given population, not all individuals have experienced these successes uniformly. High-risk populations, defined as those with a ‘higher-than-expected risk', exist for most diseases and conditions including caries. The global scientific literature suggests that these are the following: (1) minorities, (2) individuals with low-socioeconomic status and (3) other vulnerable populations such as the very young and elderly who continue to battle with oral health disparities by experiencing higher oral disease levels including dental caries. As the science and resources exist to prevent caries, it is essential to identify and target these high-risk individuals and populations.
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Pinto, Gabriela dos Santos, Marina Sousa Azevedo, Marília Leão Goettems, Marcos Britto Correa, Ricardo Tavares Pinheiro, and Flávio Fernando Demarco. "Are Maternal Factors Predictors for Early Childhood Caries? Results from a Cohort in Southern Brazil." Brazilian Dental Journal 28, no. 3 (2017): 391–97. http://dx.doi.org/10.1590/0103-6440201601047.
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Abstract This study aimed to determine the influence of maternal factors on the early development of dental caries in Brazilian preschoolers. This cross-sectional study was nested in a cohort of adolescent mothers. The current wave was performed when the children were aged 24 to 42 months. The questionnaire-based survey targeted adolescent mothers and included demographic and socioeconomic variables as well as the maternal education level. In addition, clinical examinations were performed on the mothers and their children. Mothers were assessed for decayed, missing and filled teeth in the permanent dentition (DMFT index) and gingival assessment; their children were assessed for decayed, missing and filled teeth in the deciduous dentition (dmft index). Poisson regression with robust variance was used to estimate the prevalence ratio, risk ratio and 95% confidence intervals. This data was also used to identify the maternal risk factors associated with the outcomes (prevalence and severity of childhood caries). A total 538 mother-child dyads were evaluated; the prevalence of early childhood caries was 15.1% and maternal caries was 74.4%. After the adjustment, the children that exhibited a greater incidence of dental caries were from mothers of low socioeconomic status, or from those presenting decayed teeth and higher rates of gingival bleeding. The results of this study suggest that the oral health of mothers is a potentially important risk factor for the development of early childhood dental caries. Public health planners should consider this information when planning interventions in order to prevent the occurrence of early dental caries.
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Fernandes, Marcelo José, Graham Richard Ogden, Nigel Berry Pitts, Simon Alexander Ogston, and Danny Adolph Ruta. "Actuarial life-table analysis of lower impacted wisdom teeth in general dental practice." Community Dentistry and Oral Epidemiology 38, no. 1 (2010): 58–67. http://dx.doi.org/10.1111/j.1600-0528.2009.00501.x.
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Halasa‐Rappel, Yara A., Cynthia A. Tschampl, Mary Foley, Martha Dellapenna, and Donald S. Shepard. "Broken smiles: The impact of untreated dental caries and missing anterior teeth on employment." Journal of Public Health Dentistry 79, no. 3 (2019): 231–37. http://dx.doi.org/10.1111/jphd.12317.
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Mahmud, SZ, MM Uddin, SZ Eusufzai, NA Nomann, SM Hossain, and MA Tarafder. "Oral Effects of Renal Disease: A Medical Problem in Dentistry." Bangladesh Journal of Dental Research & Education 4, no. 2 (2014): 70–77. http://dx.doi.org/10.3329/bjdre.v4i2.20253.
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The number of patients with chronic kidney disease especially with diabetic nephropathy is expected to grow significantly in the future. It is associated with substantial morbidity and mortality, and the consequence of this emerging public health problem is considerable consumption of medical and financial resources. Thereby, there is a higher chance to see such patients in a dental office. People with kidney disease and those on dialysis are more likely to have periodontal disease and other oral health problems than the general population. Build up of bacteria in the mouth can cause infection. Because people with kidney disease have weakened immune systems, they are more susceptible to infections. Moreover, bone loss in the jaw can occur in those with kidney disease. Calcium imbalance contributes to loss of calcium from the bones resulting in weak bones. Weak bones can cause teeth to become loose and potentially fall out. The doctor may recommend antibiotics be taken prior to the dental procedure to help guard against infection. The purpose of this article is to evaluate oral and dental manifestations in patients on haemodialysis and kidney transplant recipients, and understanding the use and adjustment of common dental drugs which aid clinicians in safely treating these patients as well as to clarify the possible basic role in managing renal disease patients. DOI: http://dx.doi.org/10.3329/bjdre.v4i2.20253 Bangladesh Journal of Dental Research and Education Vol.4(2) 2014: 70-77
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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