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https://www.readbyqxmd.com/read/29215153/the-role-of-municipal-public-policies-in-oral-health-socioeconomic-inequalities-in-brazil-a-multilevel-study
#1
Violeta Rodrigues Aguiar, Marcos Pascoal Pattussi, Roger Keller Celeste
OBJECTIVES: It is known that fluoridation has a contextual effect on oral health socioeconomic inequalities, but broad public policies have not been investigated. Thus, the aim of this study was to determine the effects of municipal public policies on oral health across different social strata. METHODS: This was a cross-sectional study with 7328 12-year-old children and 5445 15-19-year-old adolescents from 177 Brazilian municipalities. Information at municipal level was collated for dental services, educational services, sanitation and water fluoridation...
December 7, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/29214886/clinical-and-molecular-aspects-of-lead-toxicity-an-update
#2
Prasenjit Mitra, Shailja Sharma, Purvi Purohit, Praveen Sharma
Lead toxicity is a major public health issue in developed and developing countries. Both acute and chronic lead exposure has the potential to cause many deleterious systematic effects including hypertension, frank anemia, cognitive deficits, infertility, immune imbalances, delayed skeletal and deciduous dental development, vitamin D deficiency, and gastrointestinal effects. The underlying mechanisms for all these systemic effects have not been elucidated completely. However, the most plausible cause is free radical damage...
December 7, 2017: Critical Reviews in Clinical Laboratory Sciences
https://www.readbyqxmd.com/read/29210825/graftless-maxillary-sinus-lift-using-lateral-window-approach-a-systematic-review
#3
Marcelo Parra, Claudia Atala-Acevedo, Rodrigo Fariña, Ziyad S Haidar, Carlos Zaror, Sergio Olate
PURPOSE: The aim was to determine the survival rate of dental implants installed in the posterior region of the maxilla after a graftless maxillary sinus lift via the lateral window approach and to identify the factors involved in the results. MATERIALS AND METHODS: A systematic search was done on MEDLINE, EMBASE, LILACS, Scopus, and Science Direct up to June 2016; additional studies were identified through an analysis of references. Primary studies in English, Spanish, Portuguese, and French were included; the selection and data extraction process was conducted by 2 investigators independently, and the methodological quality was evaluated by means of the Effective Public Health Practice Project's Quality Assessment Tool...
November 27, 2017: Implant Dentistry
https://www.readbyqxmd.com/read/29204070/the-characteristics-and-distribution-of-dentist-workforce-in-saudi-arabia-a-descriptive-cross-sectional-study
#4
Abdulaziz A AlBaker, Yazed Sulaiman H Al-Ruthia, Mohammed AlShehri, Samar Alshuwairikh
Background: The Kingdom of Saudi Arabia has shown steady growth in the dental workforce over the last 20 years. Although the number of dental colleges has significantly increased in the last decade, there is not any study so far that described the status of the licensed dentist workforce in the kingdom. The present study aimed to explore the demographic distribution and professional characteristics of licensed dentist workforce in Saudi Arabia. Methods: This was a descriptive cross-sectional study using the Saudi Commission for Health Specialties (SCFHS) database to identify the number of licensed dentists in Saudi Arabia as well as their professional and demographic characteristics as of December 2016...
December 2017: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://www.readbyqxmd.com/read/29197431/measuring-adherence-to-evidence-based-clinical-practice-guidelines
#5
Richard Clark, Utsana Tonmukayakul, Yvonne Mangan, Michael Smith, Mark Gussy, David Manton, Denise Bailey, Hanny Calache
OBJECTIVES: Dental Health Services Victoria publishes evidence-based clinical practice guidelines (CPGs) to assist public oral health practitioners to provide high-quality dental care. How well these CPGs are implemented into practice is unknown. The aim of this study was to assess adherence to selected CPGs. METHODS: An electronic auditing tool was developed using clinical indicators derived for "stainless steel crown (SSC)," "restorative care for children under general anesthetic (GA)," and "direct restorative materials" CPG...
December 2017: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/29197365/prevalence-of-severe-early-childhood-caries-and-associated-socioeconomic-and-behavioral-factors-in-xinjiang-china-a-cross-sectional-study
#6
Yan Li, Jibieke Wulaerhan, Yuan Liu, Ayinuer Abudureyimu, Jin Zhao
BACKGROUND: This study assessed the prevalence and severity of early childhood caries (ECC) and identified socioeconomic and behavioral correlates of the disease in preschool children living in Xinjiang. METHODS: For this cross-sectional survey, 1727 children aged 3-5 years in Xinjiang were randomly recruited using a three-stage cluster sampling procedure. The "dmft" index according to the WHO 1997 criteria was used to assess ECC and severe ECC (S-ECC). A questionnaire was completed by caregivers...
December 2, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/29192686/evidence-summary-the-relationship-between-oral-health-and-dementia
#7
B Daly, A Thompsell, J Sharpling, Y M Rooney, L Hillman, K L Wanyonyi, S White, J E Gallagher
This is the fourth and final paper of a series of reviews undertaken to explore the relationships between oral health and general medical conditions, in order to support teams within Public Health England, health practitioners and policy makers. This review aimed to explore the most contemporary evidence on whether poor oral health and dementia occurs in the same individuals or populations, to outline the nature of the relationship between these two health outcomes and to discuss the implication of any findings for health services and future research...
December 1, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29191247/the-implication-of-the-shortage-of-health-workforce-specialist-on-universal-health-coverage-in-kenya
#8
Mumbo Hazel Miseda, Samuel Odhiambo Were, Cirindi Anne Murianki, Milo Peter Mutuku, Stephen N Mutwiwa
BACKGROUND: Globally, there is an acute shortage of human resources for health (HRH), and the greatest burden is borne by low-income countries especially in sub-Saharan Africa and some parts of Asia. This shortage has not only considerably constrained the achievement of health-related development goals but also impeded accelerated progress towards universal health coverage (UHC). Like any other low-income country, Kenya is experiencing health workforce shortage particularly in specialized healthcare workers to cater for the rapidly growing need for specialized health care (MOH Training Needs Assessment report (2015))...
December 1, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29190114/the-scientific-basis-for-healthful-carbohydrate-profile
#9
Lisa M Lamothe, Kim-Anne Lê, Rania Abou Samra, Olivier Roger, Hilary Green, Katherine Macé
Dietary guidelines indicate that complex carbohydrates should provide around half of the calories in a balanced diet, while sugars (i.e., simple carbohydrates) should be limited to no more than 5-10% of total energy intake. To achieve this public health goal a collective effort from different entities including governments, food & beverage industries and consumers is required. Some food companies have committed to continually reduce sugars in their products. Different solutions can be used to replace sugars in food products but it is important to ensure that these solutions are more healthful than the sugars they replace...
November 30, 2017: Critical Reviews in Food Science and Nutrition
https://www.readbyqxmd.com/read/29183308/frequency-of-visits-and-examinations-in-the-public-dental-service-in-finland-a-retrospective-analysis-2001-2013
#10
Jari Linden, Kim Josefsson, Eeva Widström
BACKGROUND: This study aimed to investigate longitudinally examination and visiting patterns in the Finnish Public Dental Service (PDS) and to relate these to patients' treatment needs and international recommendations on examination intervals. METHODS: Data on patients and their dental visits in the period 2001-2013 were collected from five municipal PDS-units serving a total population of 320,000 inhabitants and using the same database system. Ethical approval was given by the National Institute for Health and Welfare (THL) and permissions to use local data by the directors of health services in each unit...
November 28, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/29180904/quality-of-oral-surgery-referrals-and-how-to-improve-them
#11
Mikael Björkeborn, Henrik Nilsson, Jonas Anderud
Aim: To assess the quality of routine oral surgery referrals received at Halmstad Hospital and Växjö Hospital and to emphasize areas for improvement. Method: A retrospective study was performed on all routine oral surgery referrals received between 2014 and 2015 at both Halmstad Hospital and Växjö Hospital. A total of 1,891 referral letters were assessed for their quality against a predetermined checklist of basic requirements of a satisfactory referral. The referrals were also categorized according to if it was sent by a male, female, private dental service, or the Swedish Public Dental Health service...
2017: Clinical, Cosmetic and Investigational Dentistry
https://www.readbyqxmd.com/read/29176108/oral-health-status-of-institutionalized-older-women-from-different-socioeconomic-positions
#12
Erika Heredia-Ponce, A Esther Irigoyen-Camacho, Sergio Sánchez-García
OBJECTIVE: To determine the association between oral health and socioeconomic position in institutionalized older women in Mexico City. METHODS: A cross-sectional study was performed in two groups: high socioeconomic position (HSEP), living in a private retirement home, and low socioeconomic position (LSEP), living in a public assistance center. Oral health was determined by edentulism, oral hygiene, healthy teeth, experience of dental caries, missing and filled teeth, gingival bleeding, dental calculus, and periodontal disease...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29175404/geochemical-sources-hydrogeochemical-behavior-and-health-risk-assessment-of-fluoride-in-an-endemic-fluorosis-area-central-iran
#13
Reza Dehbandi, Farid Moore, Behnam Keshavarzi
The present study is the first attempt to put forward the possible source(s) and health risk assessment of fluoride in Bahabad, central Iran. Fluoride concentrations ranged from 0.22 to 2.35 mg/L and 292-355 mg/kg in the groundwater and soil samples, respectively. Geochemical provenance techniques using major and rare earth elements in soils revealed that local shale is the most probable source rock of fluoride in the area. A two-step chemical fractionation method applied on soil samples demonstrated that residual and water-soluble fractions were the most probable modes of fluoride in soil, whereas exchangeable fraction had a minor role...
November 20, 2017: Chemosphere
https://www.readbyqxmd.com/read/29173932/influence-of-intimate-partner-violence-ipv-exposure-on-cardiovascular-and-salivary-biosensors-is-there-a-relationship
#14
Leslie R Halpern, Malcolm L Shealer, Rian Cho, Elizabeth B McMichael, Joseph Rogers, Daphne Ferguson-Young, Charles P Mouton, Mohammad Tabatabai, Janet Southerland, Pandu Gangula
BACKGROUND/PURPOSE: Intimate partner violence (IPV) is a global public health epidemic that initiates/exacerbates health consequences affecting a victim's lifespan. IPV can significantly predispose women to a lifetime risk of developing cardiovascular disease (CVD) due to the effects of stress and inflammation. This study investigates the correlation among IPV exposure, in-vivo CVD events, and inflammatory biomarkers as predictor indices(s) for CVD in female dental patients. METHODS: Of 37 women enrolled in this study, 19 were African-American (AA) and 18 non-African-American (non-AA) and their ages ranged from 19 to 63 years...
January 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29172350/dental-unit-water-lines-and-their-disinfection-and-management-a-review
#15
Caroline L Pankhurst, Crispian Scully, Lakshman Samaranayake
The perceived threat to public health from dental unit water line (DUWL) contamination comes from opportunistic and respiratory pathogens such as Legionella spp, Nontuberculous Mycobacteria (NTM) and pseudomonads. These organisms can grow and multiply in the DUWL biofilm to reach infective concentrations, with the potential for inhalation leading to respiratory infections or direct contamination of surgical wounds. In this paper we discuss current legislation and practical methods for delivering water within the DUWL that meets the standards for safety...
April 2017: Dental Update
https://www.readbyqxmd.com/read/29172346/antibiotic-guardians-the-role-of-the-dental-profession
#16
Anwen L Cope, Michael A O Lewis
The increasing emergence of antibiotic resistance is a major international public health problem. As a consequence, it is essential that steps are taken to conserve the effectiveness of existing antimicrobial agents. Consumption of antibiotics is the prime contributor to the development of resistance. General dental practitioners write almost 1 out of 10 prescriptions for antibiotics in primary care within the UK and therefore the prudent prescribing of antibiotics in dentistry has never been more vital. This paper outlines the impact of antimicrobial resistance on modern healthcare, describes the current use of antibiotics in general dental practice, and recommends pragmatic ways in which dental practitioners can evaluate and optimize their prescribing...
April 2017: Dental Update
https://www.readbyqxmd.com/read/29170283/local-anaesthetics-combined-with-vasoconstrictors-in-patients-with-cardiovascular-disease-undergoing-dental-procedures-systematic-review-and-meta-analysis-protocol
#17
Caio Chaves Guimaraes, Rogério Heládio Lopes Motta, Cristiane de Cássia Bergamaschi, Jimmy de Oliveira Araújo, Natalia Karol de Andrade, Mabel Fernandes Figueiró, Juliana Cama Ramacciato, Luciane Cruz Lopes
INTRODUCTION: The use of vasoconstrictors combined with local anaesthetics (LAs) in dentistry for patients with cardiovascular disease (CVD) is still controversial in the scientific literature. It raises concerns regarding the possibility of transient episodes, triggering negative cardiovascular outcomes. METHOD/DESIGN: Trials eligible for our systematic review will enrol patients with CVD who have undergone dental treatments carried out with the use of LAs by comparing two arms: LAs with vasoconstrictors and LAs without vasoconstrictors...
November 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29169610/out-of-pocket-health-expenditure-differences-in-chile-insurance-performance-or-selection
#18
Pablo Villalobos Dintrans
Chile has a mixed health system with public and private actors engaged in provision and insurance. This dual system generates important differences in health expenditure between private and public insurances. Selection is a preeminent feature of the Chilean insurance system. In order to explain the role of the insurance in out-of-pocket expenditures between households for different insurance schemes, decomposition methods are applied to disentangle the effect of household 'composition and insurance' degree of financial protection on health expenditures...
November 20, 2017: Health Policy
https://www.readbyqxmd.com/read/29165844/oral-microbiomes-from-hunter-gatherers-and-traditional-farmers-reveal-shifts-in-commensal-balance-and-pathogen-load-linked-to-diet
#19
Florent Lassalle, Matteo Spagnoletti, Matteo Fumagalli, Liam Shaw, Mark Dyble, Catherine Walker, Mark G Thomas, Andrea Bamberg Migliano, Francois Balloux
Maladaptation to modern diets has been implicated in several chronic disorders. Given the higher prevalence of disease such as dental caries and chronic gum diseases in industrialized societies, we sought to investigate the impact of different subsistence strategies on oral health and physiology, as documented by the oral microbiome. To control for confounding variables such as environment and host genetics, we sampled saliva from three pairs of populations of hunter-gatherers and traditional farmers living in close proximity in the Philippines...
November 22, 2017: Molecular Ecology
https://www.readbyqxmd.com/read/29165120/high-prevalence-of-dental-fluorosis-among-adolescents-is-a-growing-concern-a-school-based-cross-sectional-study-from-southern-india
#20
Anand Verma, Bharatesh K Shetty, Vasudeva Guddattu, Mehul K Chourasia, Prachi Pundir
BACKGROUND: Fluorosis, caused by ingestion of excessive amount of fluoride through food or water, is a major public health problem in India. This study was undertaken to quantify the dental fluorosis burden among school going adolescents and to find factors associated with dental fluorosis in Kolar taluka, Karnataka, India. METHODS: A total of 1026 high school adolescents (12-17 years) were enrolled from different schools selected by stratified sampling method. Dental examination was done to record Dean's fluorosis index, and socio-demographic, food consumption and oral hygiene data were recorded using a pre-tested structured questionnaire...
April 4, 2017: Environmental Health and Preventive Medicine
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