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Community Dental Health

L A Foster Page, V Chen, B Gibson, J McMillan
To date the role of health professional schools in addressing oral health inequalities have been minimal, as attempts have focused principally upon systemic reform and broader societal obligations. Professionalism is a broad competency that is taught throughout dental schools and encompasses a range of attributes. Professionalism as a competency draws some debate and appears to be a shifting phenomenon. We may ask if professionalism in the dental curricula may be better addressed by social accountability? Social accountability directs oral health professional curricula (education, research, and service activities) towards addressing the priority health concerns of the community, in our case oral health inequalities...
June 2016: Community Dental Health
R V Harris
All over the world, we see that communities with the greatest dental need receive the poorest care--a truism first summarised by the Inverse Care Law in 1971. Despite efforts to attract dentists to under-served areas with incentives such as 'deprivation payments', the playing field is still uphill because of the fundamental inequalities which exist in society itself Deep-seated cultural values which are accepting of a power difference between the 'haves' and 'have nots', and that emphasise individualism over collectivism, are hard to shift...
June 2016: Community Dental Health
A Durey, D Bessarab, L Slack-Smith
OBJECTIVE: To address the mouth as a site of structural inequalities looking through the lens of Aboriginal Australian experience. RESEARCH DESIGN: This is a critical review of published literature relevant to our objective. Criteria for selection included articles on: the social context of oral and general health inequalities for Aboriginal Australians; Aboriginal perceptions and meanings of the mouth and experiences of oral health care and the role of the current political-economic climate in promoting or compromising oral health for Aboriginal Australians...
June 2016: Community Dental Health
L B Gibson, M Blake, S Baker
This paper seeks to identify an important point of contact between the literature on inequalities in oral health and the sociology of power. The paper begins by exploring the problem of social inequalities in oral health from the point of view of human freedom. It then goes on to briefly consider why inequalities in oral health matter before providing a brief overview of current approaches to reducing inequalities in oral health. After this the paper briefly introduces the problem of power in sociology before going on to outline why the problem of power matters in the problem of inequalities in oral health...
June 2016: Community Dental Health
K Liddiard, D Goodley
Our aims in this paper are threefold. First, to understand how the mouth reveals the kinds of human beings that are de/valued in specific national locations and in global discourses with special attention on disability. Second, to subject the mouth to analysis from critical disability studies, specifically, an approach we describe as dis/ability studies. Third, to ask how the mouth might work as a site of resistance for disabled people. The paper begins by providing an introduction to critical disability studies, a perspective that foregrounds disability as the primary focus for thinking through the ways in which the body and society are shaped together...
June 2016: Community Dental Health
Lisa M Jamieson
No abstract text is available yet for this article.
June 2016: Community Dental Health
N A Mohd Nor, I G Chestnuttl, B L Chadwick
OBJECTIVE: To assess examiner reliability when scoring dental fluorosis in Malaysian children using clinical (Dean's Index) and photographic methods. METHOD: The upper central incisors of 111 children were examined both clinically and photographically for fluorosis status using Dean's index. Twenty children were re-examined after a two-week interval for intra-examiner reliability by a single examiner. In addition, two independent examiners and the clinical examiner scored 111 photographic images of the same children in a standardized manner...
June 2016: Community Dental Health
E K Bergström, P Lingström, M Hakeberg, L Gahnberg, U M Sköld
UNLABELLED: In 2003, 19 public dental clinics in Västra Götaland Region implemented a population-based programme with fluoride varnish applications at school every six months, for all 12 to 15 year olds. In 2008, the programme was extended to include all 112 clinics in the region. OBJECTIVE: To evaluate caries increment and to perform a cost analysis of the programme. BASIC RESEARCH DESIGN: A retrospective design with caries data for two birth cohorts extracted from dental records...
June 2016: Community Dental Health
M Phillips, E Masterson, W Sabbah
OBJECTIVE: To examine the association between 2-6 year-olds' caries experience and selected maternal oral and general health-related behaviours in an American sample. METHODS: Data pertaining to 917 child/mother pairs was from the Third National Health and Nutrition Examination Survey 1988-1994. Child caries experience was indicated by the presence of one or more decayed or filled tooth. Data on maternal smoking, frequency of dental visits, consumption of unhealthy food and oral hygiene was linked to children data using the natality file...
June 2016: Community Dental Health
S Reisine, J J Schensul, R Goldblatt, K Radda, C Foster-Bey, C Acosta-Glynn, L Miron-Carcamo, E Ioannidou
OBJECTIVE: This paper describes the results of a bi-level intervention, using a cognitive-behavioral theoretical approach, to improve the oral hygiene of older adults and the disabled in community-based low income senior housing. METHODS: The bi-level pilot intervention consisted of an on-site tailored adapted motivational interviewing (AMI) session and two oral health fairs, supported by a resident campaign committee, to change community norms. All materials were available in English and Spanish...
June 2016: Community Dental Health
L Svensson, M Hakeberg, U Wide Boman
OBJECTIVE: To analyse the prevalence of Dental Anxiety (DA) in the general adult population of Sweden, to study concomitant factors of DA and also to compare the prevalence of DA in 1962 with that in 2013. METHOD: The national study for 2013 included 3,500 individuals, randomly selected from the Swedish population. The data sampling was performed as a telephone survey including 38 questions and this report is a selection of those questions with the focus on DA. The national study from 1962 was a face-to-face survey of 1,331 individuals randomly selected from the Swedish population...
June 2016: Community Dental Health
G M Davies, J Neville, D Wilcox
UNLABELLED: Dental epidemiological surveys of children often focus on caries levels of five-year-olds as they are accessible and amenable to examination. Standardised surveys of this age group have been successfully carried out in the UK for many years. If improvements to caries level at age five are to be made then it is important to know when caries develops in the preceding years and what the likely causes are. This paper reports on the feasibility, utility and impact of a standardised survey of three-year-old children which took place in England...
June 2016: Community Dental Health
P G Robinson
This paper provides practical advice on the choice of health related quality of life measures. It starts by making explicit a series of underlying assumptions and then advises on selecting a measure as a trade-off between three sets of conditions: The purpose of collecting HQoL information, which considers the objectives of the study, the level of analysis, the population to be studied and the audience to whom the data will be presented. The qualities of the measure, including the need for a strong conceptual basis, pragmatic considerations, face and content validity, adequate psychometric properties and for the measure to be acceptable to the people participating in the study...
June 2016: Community Dental Health
L Gibbs, A M de Silva, B Christian, L Gold, M Gussy, L Moore, H Calache, D Young, E Riggs, M Tadic, R Watt, I Gondal, E Waters
UNLABELLED: Early Childhood Caries (ECC) is the most common, preventable disease of childhood. It can affect children's health and wellbeing and children from migrant families may be at greater risk of developing ECC. OBJECTIVE: To describe ECC in children from migrant families, and explore possible influences. BASIC RESEARCH DESIGN: Cross-sectional analysis of caries data collected as baseline data for an oral health promotion study. PARTICIPANTS: The analysis sample included 630 1-4 year-old children clustered within 481 Iraqi, Lebanese and Pakistani families in Melbourne, Australia...
June 2016: Community Dental Health
D M O'Mullane, R J Baez, S Jones, M A Lennon, P E Petersen, A J Rugg-Gunn, H Whelton, G M Whitford
The discovery during the first half of the 20th century of the link between natural fluoride, adjusted fluoride levels in drinking water and reduced dental caries prevalence proved to be a stimulus for worldwide on-going research into the role of fluoride in improving oral health. Epidemiological studies of fluoridation programmes have confirmed their safety and their effectiveness in controlling dental caries. Major advances in our knowledge of how fluoride impacts the caries process have led to the development, assessment of effectiveness and promotion of other fluoride vehicles including salt, milk, tablets, toothpaste, gels and varnishes...
June 2016: Community Dental Health
Poul Erik Petersen, Hiroshi Ogawa
No abstract text is available yet for this article.
June 2016: Community Dental Health
R Merchant, J E Gallagher, S E Scott
OBJECTIVES: First, to evaluate awareness of oral cancer amongst the young South-Asian community in London and identify any aspects of knowledge about oral cancer that are lacking; and, second, to determine whether demographic factors or health-related behaviours are associated with knowledge of oral cancer. RESEARCH DESIGN: Cross-sectional questionnaire survey. PARTICIPANTS: South Asians aged 18-44 years attending community centres or places of worship in London...
March 2016: Community Dental Health
A Neiva da Silva, M V Vettore
UNLABELLED: Evidence of the link between sense of coherence (SOC), dental caries and dental pain is scarce. OBJECTIVE: To explore the relationship of SOC and dental caries with dental pain prevalence in low-social status women. BASIC RESEARCH DESIGN: A cross-sectional study. PARTICIPANTS: A convenience sample of 190 women whose children attended a selected school in São João de Meriti, Brazil. METHOD: Socioeconomic, demographic and oral health behaviour data were collected through interviews...
March 2016: Community Dental Health
K Jones, D Brennan, E Parker, M Steffens, L Jamieson
AIM: To determine if the social cognitive theory (SCT)-constructs of oral health-related efficacy, knowledge and fatalism were indicators of non-toothbrush ownership in a metropolitan-based homeless population in Australia. METHODS: Self-report data were collected from a convenience sample of 248 homeless participants located in Adelaide, Australia. Log binomial regression was used to estimate the strength of the association of the SCT constructs efficacy, knowledge and fatalism with the frequency of non-ownership of a toothbrush before and after adjusting for selected characteristics and associated factors...
March 2016: Community Dental Health
O Aguirre-Zero, C Westerhold, R Goldsworthy, G Maupome
OBJECTIVE: To identify barriers and beliefs influencing oral health and dental care-seeking among Mexican-Americans. RESEARCH DESIGN: Interviews and Likert-scale survey questions were utilized to explore urgent and preventive dental care-seeking, oral hygiene habits and lifestyle practices. Thirty-three interviews were conducted with 16 adults (ages 33-52), and 17 adolescents (ages 14-19). RESULTS: Teens identified the same main barriers to accessing dental care as adults: high cost, financial limitations and lack of insurance...
March 2016: Community Dental Health
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