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Community Dental Health

R Abdelrahim, E K Delgado-Angulo, J E Gallagher, E Bernabé
OBJECTIVE: To explore ethnic disparities in oral health related quality of life (OHQoL) among adults, and the role that socioeconomic factors play in that association. RESEARCH DESIGN: Data from 705 adults from a socially deprived, ethnically diverse metropolitan area of London (England) were analysed for this study. Ethnicity was self-assigned based on the 2001 UK Census categories. OHQoL was measured using the Oral Health Impact Profile (OHIP-14), which provides information on the prevalence, extent and intensity of oral impacts on quality of life in the previous 12 months...
June 2017: Community Dental Health
C Sonoda, M Ebisawa, H Nakashima, Y Sakurai
A dose-response relationship between toothbrushing frequency and the incidence of dental caries has not been confirmed. Furthermore, no longitudinal study about this relationship has considered dental caries experience at baseline, which is an important factor influencing the frequency of future caries. OBJECTIVE: To elucidate the association between the incidence of dental caries and toothbrushing frequency after adjusting for dental caries experience at baseline in a Japanese population...
June 2017: Community Dental Health
M Mantonanaki, T Hatzichristos, H Koletsi-Kounari, W Papaioannou
OBJECTIVE: To assess dental caries experience in 4-6 year old children of the Athens Metropolitan Area attending public kindergartens and investigate the association of area deprivation and immigration status on dmft. BASIC RESEARCH DESIGN: A cross-sectional study of a large area-stratified sample of 683 kindergarten children was conducted during the academic years 2009-2011. Dental caries experience and oral hygiene level were assessed using dmft and the Simplified Debris index (DI-s)...
June 2017: Community Dental Health
R Calado, C S Ferreira, P Nogueira, P Melo
OBJECTIVE: To evaluate caries prevalence and dental treatment needs in Portuguese children and teenagers, as well as fluorosis prevalence in 12-year-old children, in order to address public oral health program strategies. PARTICIPANTS: A representative stratified random cluster sample of 3,710 participants of 6, 12, and 18 years old was selected. A questionnaire was applied to determine sociodemographic data and some oral health determinants. The clinical examination was based on the ICDAS criteria, then adapted to DMFS index, and Dean's index for fluorosis...
June 2017: Community Dental Health
H Hill, S Birch, M Tickle, R McDonald, P Brocklehurst
OBJECTIVES: To assess the efficiency of service provision in the Community Dental Services and its determinants in the North-West of England. SETTING AND SAMPLE: 40 Community Dental Services sites operating across the North-West of England. BASIC RESEARCH DESIGN: A data envelopment analysis was undertaken of inputs (number of surgeries, hours worked by dental officers, therapists, hygienists and others) and outputs (treatments delivered, number of courses of treatment and patients seen) of the Community Dental Services to produce relative efficiency ratings by health authority...
June 2017: Community Dental Health
A B Cinar, C Jones, D Richards, F Fernandes, P White, R Freeman
There is a need for an alternative approach for health promotion prisons since previous work has indicated that health education, while improving health knowledge, does not result in behaviour change. Evidence has suggested that a health coaching assists in this regard. However, the question remained whether this approach would be appropriate and possible in prisons? This paper presents the public health strategies used to work in partnership with prison management to address challenges and accept opportunities as a health coaching intervention protocol was developed for oral health and wellbeing in the prison setting...
June 2017: Community Dental Health
N Monaghan, M Morgan
OBJECTIVE: To explore the proportion of decay at age 5 in Wales presenting by and after age 3 years from geographical and deprivation perspectives. BASIC RESEARCH DESIGN: Retrospective analysis of data from independent cross-sectional studies of 3-year-olds in early 2013 and 5-year-olds in school year 2014/5. This includes novel graphical presentation of caries at age 3 and estimated 3-5 caries increment at age 5. SETTING AND PARTICIPANTS: NHS oral health surveillance programme in Wales examining children in nurseries at age 3 and in schools two years later...
June 2017: Community Dental Health
K Y Do, K S Lee
OBJECTIVE: To investigate the relationship between mental health risk factors and Korean adolescents' oral health. BASIC RESEARCH DESIGN: Cross-sectional study was based on the 9th Korea Youth Risk Behavior Web-based Survey (2013). PARTICIPANTS: Data were selected for 66,951 adolescents (33,777 males and 33,174 females; aged 13-18 years) out of 72,435 participants were analysed, after excluding cases with missing values. MAIN OUTCOME MEASURES: Oral health (experience of one or more of six oral symptoms), demographic characteristics (seven factors), and mental health risk (five factors)...
June 2017: Community Dental Health
I Sohal, E Kruger, M Tennant
BACKGROUND: Most of the developed world has seen some substantial improvements in the dental health of children over the past four decades owing to advances in service access, fluoride exposure, socio-economic development and improved diets, with the DMFT score of 12 year-olds dropping from well over 10 down to around one. AIM: To examine the question of advancing dental health for children even further using the same set of tools as we have to date by asking the question: Have we come to a point of diminishing returns? The study examines the long-term, near optimum settings of the known public dental health variables in the Australian Capital Territory...
June 2017: Community Dental Health
P Dowey
This paper presents the experiences of Betsi Cadwaladr University Health Board, North Wales, UK in improving facilities, access and quality of care for bariatric dental patients. It includes the multi-stakeholder audit of existing practice which informed those improvements. Public health competencies illustrated: needs assessment; development and implementation of oral health strategies; oral health improvement; development of clinical pathways; improving patient safety; clinical and public engagement; addressing inequalities...
June 2017: Community Dental Health
R Witton, R Potterton, W Smith
Adults with learning disabilities may be at higher risk of poor oral health. The community outreach programme attached to Plymouth University Peninsula Dental School used established links with local agencies for this group to try out an intervention using service users as dental ambassadors. A programme was developed to meet the needs of the group and training in oral health key messages was provided along with support in presentation skills. Early evaluation shows promise in terms of feasibility, interest and improved self-care...
June 2017: Community Dental Health
K Cumberbatch, T Jones
The United Nations Development Assistance Framework for Jamaica 2012-2016 identifies as an outcome increased access to improved quality health and education services for socially excluded and at risk populations. The Deaf Jamaican population can be categorised as a socially excluded population. The communication barrier resulting from their deafness often leads to difficulties in accessing healthcare. The Faculty of Medical Sciences at The University of the West Indies, Mona Campus, implemented a programme aimed at overcoming this communication barrier and improving direct communication between Deaf patients and health professionals treating them...
June 2017: Community Dental Health
N Pérez-Pérez, M E Irigoyen-Camacho, A S Boges-Yañez
OBJECTIVE: To assess the association between dental fluorosis and maternal education in schoolchildren of medium and low socioeconomic status in a low income region of Mexico. DESIGN: Cross-sectional study. SETTINGS: Public schools in the south-central region of Oaxaca, Mexico where the mean fluoride water concentration was 1.01 mg/L (SD 0.21; range 0.71-1.40). Fluoridated salt (200mgF/kg) was available in the region. PARTICIPANTS: 794 schoolchildren...
June 2017: Community Dental Health
C Klass, A Mondkar, D Wright
OBJECTIVE: To report on the oral health status and oral health behaviours of five-year-old Charedi Orthodox Jewish children attending schools in London, UK. BASIC RESEARCH DESIGN: Cross-sectional survey. METHOD: Clinical examinations mirroring the 2015 National Dental Public Health Epidemiology Programme for England for five-year-olds and a parental questionnaire on oral health behaviours. PARTICIPANTS: 137 five-year-olds attending Charedi Orthodox Jewish schools in Hackney, North London...
March 2017: Community Dental Health
B G Duane, R Freeman, D Richards, S Crosbie, P Patel, S White, G Humphris
To commission dental services for vulnerable (special care) patient groups effectively, consistently and fairly an evidence base is needed of the costs involved. The simplified Case Mixed Tool (sCMT) can assess treatment mode complexity for these patient groups. OBJECTIVE: To determine if the sCMT can be used to identify costs of service provision. CLINICAL SETTING: Patients (n=495) attending the Sussex Community NHS Trust Special Care Dental Service for care were assessed using the sCMT...
March 2017: Community Dental Health
A Behbahanirad, H Joulaei, J Jamali, M Vossoughi, A Golkari
Detecting the underlying socioeconomic and behavioral determinants is essential for reducing oral health disparities in children. OBJECTIVE: To test a conceptual model in children to explore the interaction amongst social, environmental, behavioral factors and oral health outcomes. METHODS: This analytic cross-sectional study was performed in 2014-2015 in Shiraz, Iran. The sampling was conducted using a multistage stratified design to represent the whole 6-year-olds in Shiraz County...
March 2017: Community Dental Health
D Hysi, E Caglar, E Droboniku, C Toti, O O Kuscu
Objective: To determine the dental caries experience and treatment needs among 5-year-olds in Albania. Research Design: This cross sectional study was conducted in 2015 by using a cluster sampling technique. The dmft was used to assess dental caries experience and caries prevalence as percentages of children with dmf⟩0. Caries treatment needs were assessed with dt/dmft x 100, missing teeth with mt/dmft x 100 and ft /dmft x 100 as the Care Index. Participants: 2,039 five-year-olds, from 17 districts of Albania were selected ...
March 2017: Community Dental Health
K De Silva, L Ekanayake
Objective: To determine the prevalence of, and factors associated with, tobacco use among 16-19 year old students from rural Sri Lanka. Basic research design: A cross-sectional study where the data were collected by means of a pre-tested self-administered questionnaire. Participants: 390, 16-19 year old students selected from 9 schools in Ampara education zone. Results: Nearly 22% of the sample had used tobacco during their life and the prevalence of ever smokeless tobacco use (19%) was higher than the prevalence of ever smoking (10%)...
March 2017: Community Dental Health
I B Fernandes, D C Costa, V S Coelho, A C Sá-Pinto, J Ramos-Jorge, M L Ramos-Jorge
Objective: To assess the relationship between sense of coherence (SOC) and oral health-related quality of life (OHRQoL) among children aged one to three years. Participants: A cross-sectional study was conducted with 276 mother-child pairs randomly selected from the city of Diamantina, Brazil. Method: Information was obtained on socio-demographic factors. The short version of Antonovsky's sense of coherence scale (SOC 13) and the Early Childhood Oral Health Impact Scale (ECOHIS) were administered...
March 2017: Community Dental Health
A Zander, D Boniface
Objective: To gather accurate data on the daily mouth care provided in care homes including tooth brushing, oral health assessment, and recording of care provided. Basic research design: Direct observation and notes review. Clinical setting: Both nursing and 'regular' care homes. Participants: 365 Residents living in 16 care homes and their carers underwent observation, notes review or data collection in some form. Main outcome measures: Provision of mouth morning care...
March 2017: Community Dental Health
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