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Community Dental Health

R Patel, R Witton, R Potterton, W Smith, I Kaimi
This paper aims to provide a snapshot analysis of the oral health status of vulnerable adults in Plymouth; and to demonstrate the extent to which oral disease impacts on their normal functioning through the implementation of the Oral Health Impact Profile (OHIP). It is acknowledged that gaining a representative sample of a transient population such as people who are homeless, or individuals affected by problematic use of drugs and/or alcohol is difficult. An opportunity was identified to collect data within the Community Engagement Team's (CET) programme of activity within the Peninsula Dental Social Enterprise...
September 20, 2018: Community Dental Health
R Lala, K Jones
The Health and Social Care Act 2012 created a new commissioning framework for the provision of health, social care and public health in England (UK Government, 2012). NHS England became the sole commissioner for all NHS dental services, including primary, secondary and unscheduled dental care. Local authorities became responsible for public health, epidemiological surveys, improving the oral health of their communities and for commissioning oral health improvement services including water fluoridation (NHS Bodies and Local Authorities (Partnership Arrangements, Care Trusts, Public Health and Local Healthwatch) Regulations (SI 2012/3094))...
September 13, 2018: Community Dental Health
B Wijewardena, N Ranasinghe, E Kruger, M Tennant
AIM: To investigate the distribution of dental health specialist locations staffed by Oral and Maxillo-Facial Surgeons (OMF), Restorative dentists, and Orthodontists in Sri Lanka in relation to population distribution and socio-economic status. METHODS: Specialist dental locations were mapped using GIS (Geographic Information System) and overlayed with census population data and socio-economic quintiles. RESULTS: Overall, there was an uneven geographic distribution of the total 55 specialist dental locations and 74 attributed specialist work force within the country...
September 11, 2018: Community Dental Health
M J Cabudol, P Asgari, N Stamm, T L Finlayson
OBJECTIVE: To illuminate Mexican migrant adolescents' dental access and utilization experiences. RESEARCH DESIGN: Qualitative focus groups were conducted in English between July 2015 and March 2016 as part of a community-based participatory research project. PARTICIPANTS: Adolescents (n=61) aged 12-19 years, from Mexican migrant worker families, who sought healthcare services at a federally-qualified migrant health clinic in San Diego County, California...
September 10, 2018: Community Dental Health
S Weston-Price, V Copley, H Smith, G M Davies
OBJECTIVE: To assess the role of factors posited to affect population caries levels across England. BASIC RESEARCH DESIGN: Multivariable regression analysis assessing four potential determinants of caries severity and prevalence: deprivation, exposure to fluoridated water, ethnicity and geographic region Participants: Random sample of 121,875 five-year-old children in England in the 2014/15 academic year. MAIN OUTCOME MEASURES: Decayed, missing and filled teeth, with decay measured at the dentinal level, (d₃mft), presented as prevalence (dmft⟩0) and extent of decay among children who have any (d₃mft if d₃mft>0)...
September 6, 2018: Community Dental Health
A L Cope, K G Butt, I G Chestnutt
OBJECTIVE: to systematically appraise and synthesise the existing evidence regarding the reasons why patients in the UK may consult a general medical practitioner (GMP) when experiencing a dental problem. BASIC RESEARCH DESIGN: a systematic review of the scientific and grey literature published between 1996 and 2017. PARTICIPANTS: dental service users (adults or children) from the UK and/or their carers who were seeking, or had sought, care for a dental problem from a GMP...
September 6, 2018: Community Dental Health
L Smith, F Blinkhorn, R Moir, A Blinkhorn
OBJECTIVE: To assess the effectiveness of a dental health education program, 'Smiles not Tears' in preventing Early Childhood Caries in young Aboriginal children. BASIC RESEARCH DESIGN: Community trial. CLINICAL SETTING: Aboriginal Community Controlled Health Services in rural, remote and metropolitan areas in New South Wales, Australia. PARTICIPANTS: Aboriginal families who had a child six months of age. INTERVENTIONS: Aboriginal Health Workers from eight Aboriginal Community Controlled Health Services in rural, remote and metropolitan areas in New South Wales recruited Aboriginal families with young children to participate in the Smiles not Tears dental education program...
August 16, 2018: Community Dental Health
P G Robinson
I walked to work on 24th June 2016, reeling from the news that the UK referendum had shown a small but decisive majority in favour of leaving the European Union. I only knew of one person who had voted for Brexit! I had seen a few Leave posters up whilst out cycling and the opinion polls showed only a small difference, but none the less, I was hugely surprised. A neighbour reassured me that a deal would be struck so that we would fi nd a nice arrangement amounting to a modest change, but the last two years have shown the value of his insights...
August 30, 2018: Community Dental Health
Z Enshaei, A Feizi, Z Saied-Moallemi
OBJECTIVE: This study aimed to investigate the level of oral health behaviours (OHB) and oral health-related dietary behaviours (OHD-B) and to find out their relationship and their determinants among a relatively large sample of university students. Research design and participants: In a cross-sectional study, 535 Iranian university students were selected in order to investigate their OHB and OHD-B through a self-administrated questionnaire. MAIN OUTCOME MEASURES: Tooth brushing, flossing, use of fluoride toothpaste, and sugary snacking collected data on OHB...
August 30, 2018: Community Dental Health
M Lambert, G De Reu, L De Visschere, D Declerck, P Bottenberg, J Vanobbergen
OBJECTIVE: This study aims to explore the caries experience of the Belgian population in relation to social indicators. BASIC RESEARCH DESIGN: Data collection (2009-2010) consisted of an oral health questionnaire and examination during a home visit. PARTICIPANTS: Representative sample of the Belgian population (⟩5 years old). Only the economically active population was included for final analyses. MAIN OUTCOME MEASURES: ANOVA and multivariable regression analyses were used to reveal associations between social indicators, oral hygiene, untreated decay, DMFT and edentulousness...
August 30, 2018: Community Dental Health
X Ju, D S Brennan, E Parker, S Chrisopoulos, L Jamieson
OBJECTIVE: To determine the psychometric properties of both the long- and short-form versions of the Health Literacy in Dentistry (HeLD) instrument in a large sample of the Australian adult population. METHODS: Data were from a subset of the National Dental Telephone Interview Survey 2013. Both the long (HeLD-29) and short-form (HeLD-14) were utilised, each of which comprises items from 7 conceptual domains: access, understanding, support, utilization, economic barriers, receptivity and communication...
August 30, 2018: Community Dental Health
L Vorster, S Naidoo, N Stauf, C Holmgren, H Benzian
A high dental caries burden coupled with a lack of water or salt fluoridation make it imperative that toothpastes available to the South African consumer demonstrate adequate potential for caries control and contain between 1000ppm and 1500ppm total fluoride (TF), with at least 1000ppm F in free available/soluble form. METHODS: The objective was to determine TF, total soluble fluoride (TSF) and insoluble fluoride (IF) concentrations in 22 fluoride toothpastes commercially available in South Africa...
August 30, 2018: Community Dental Health
G Qadri, M Alkilzy, M Franze, W Hoffmann, C Splieth
OBJECTIVE: To evaluate the effect of one and half years of an oral health promotion program in primary schools. DESIGN: A cluster-randomized controlled trial. PARTICIPANTS: 740 students aged 9-12 years (48% female) recruited from the fifth grade of 18 different primary schools in West Pomerania, Germany. METHODS: General and oral health education was provided to the teachers in the intervention schools, which they conveyed to their students...
August 30, 2018: Community Dental Health
R C Wiener, C Shen, P A Findley, N Dwibedi, U Sambamoorthi
BACKGROUND: Depression has been linked to poor oral health among patients seeking dental care. However, systematic research on the relationship between depressive symptoms and oral health is limited. OBJECTIVE: To examine the association of depressive symptoms with untreated dental caries among adults aged 21-64 years. BASIC RESEARCH DESIGN: Cross-sectional secondary analysis. SETTING: The data were extracted national data collected in the United States (2013-2014 National Health Nutrition and Examination Survey)...
August 30, 2018: Community Dental Health
K K Nyamuryekung'e, S M Lahti, R J Tuominen
OBJECTIVES: To determine and compare patients' willingness-to-pay (WTP) for tooth extraction and filling services in Tanzania and to assess the socio-demographic factors that are associated with such valuations. METHODS: Contingent valuation survey utilizing an open-ended willingness-to-pay format was administered among 1522 outpatients in four regional hospitals in Tanzania. WTP for extraction and tooth filling services for various tooth categories were determined and compared using Mann-Whitney and Kruskal-Wallis tests...
August 30, 2018: Community Dental Health
B Ahmad, D Landes, S Moffatt
This paper presents a case study on the use of mixed methods in research into practice to inform policy. The study was undertaken as part of a review of oral healthcare for older people in residential and nursing care homes in County Durham, North East England. The findings highlighted challenges in the provision of good quality oral healthcare to older people in residential and nursing care homes and informed the county's oral health strategy (Durham County Council DCC, 2016). Key recommendations include the need to develop and implement a minimum set of best practice oral health standards within care home contracts and train care home staff in oral healthcare...
August 30, 2018: Community Dental Health
M Chari, W Sabbah
OBJECTIVE: to explore whether consumption of fruits attenuates the relationship between tooth loss and obesity among adult Americans. BASIC RESEARCH DESIGN: data from the Behavioral Risk Factor Surveillance System 2012, a cross-sectional survey. PARTICIPANTS: 20,103 adults aged 18 and over who participated in the Behavioral Risk Factor Surveillance System 2012, a nationally representative survey of non-institutionalized adult American. MAIN OUTCOME MEASURES: Obesity (Body Mass Index ≥ 30 kg/m²)...
August 30, 2018: Community Dental Health
I F Walker, S Eapen-Simon, S Gibson
Oral health is a key public health issue across England. In Wakefield in the north of England, local data suggested the oral health of local children was significantly worse than the national average. This paper describes the work undertaken by Wakefield Council to strategically address this issue. A structured process was adopted. Key lessons include; having senior ownership from the Director of Public Health, partnership working across all key stakeholders, utilising dental public health expertise from Public Health England and the use of extensive engagement with stakeholders...
August 30, 2018: Community Dental Health
J Anttila, M Tolvanen, R Kankaanpää, S Lahti
OBJECTIVE: An adapted framework for oral health inequalities suggests that structural determinants cause oral health inequalities through socio-economic position (SEP) and intermediary determinants. We applied this framework to examine whether there is a social gradient in the intermediary determinants at the school level, even when adjusted for school size, geographical location and teaching language. BASIC RESEARCH DESIGN: Cross-sectional survey. METHODS: This study combined data from two independent studies focusing on Finnish upper comprehensive schools (N=970): the School Health Promotion study (SHPS) and the School Sweet Selling survey (SSSS)...
May 30, 2018: Community Dental Health
K Saujanya, L Marja-Liisa, H Manoj, P Jari, A Vuokko
The need for culturally validated measures of Oral Health-Related Quality of Life (OHRQoL) has been increasing in recent years. OBJECTIVES: To adapt the Child-Oral Impacts on Daily Performances (C-OIDP) index into the Nepali language and to validate it, to assess and compare the outcomes of self-reported oral problems, and to validate a structured questionnaire on general hygiene practices, oral hygiene practices, dietary habits, and use of tobacco. BASIC RESEARCH DESIGN: A school-based cross-sectional study on pilot and national samples...
May 30, 2018: Community Dental Health
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