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Xue C, Al-Jassasi N, Thomson WM, Adam L, Smith MB. Oral self-care among dependent older New Zealanders. Gerodontology 2024; 41:9-16. [PMID: 36779586 DOI: 10.1111/ger.12676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2023] [Indexed: 02/14/2023]
Abstract
OBJECTIVES The objective of the study was to describe the occurrence and associations of oral self-care by dependent older New Zealanders. BACKGROUND Dependent older adults who require some level of assisted daily care have been shown to have poorer oral health than their independent counterparts, yet national estimates are lacking. MATERIALS AND METHODS A secondary analysis was conducted of data from New Zealand's 2012 Older People's Oral Health Survey, a national survey that interviewed and examined a representative sample of 2,218 dependent older adults living in aged residential care or receiving home-based care. Survey data were weighted for statistical analyses, and modelling was carried out using a modified Poisson approach. RESULTS Overall, 59.5% (95% CI: 55.1, 63.7) of participants brushed their teeth twice a day, with this rate higher among women, Asians and those without cognitive or physical impairment. Cleaning interdentally at least once a week was less common than brushing, at 25.9% (95% CI: 21.5, 30.9), and that proportion was significantly lower among those with higher dependency or who were cognitively or physically impaired. Almost 9 in 10 (87.8%; 95% CI 83.1, 91.4) used fluoride toothpaste, and adults of high socio-economic status had lower rates of fluoride toothpaste use. Only 15.0% (95% CI 12.4, 18.0) used mouthwash, with this being most prevalent in Pasifika. More than half of those who wore dentures also wore them at night. CONCLUSION Oral self-care was sub-optimal among dependent older New Zealanders. Improving the situation should be a high priority.
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Affiliation(s)
- Cindy Xue
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Noor Al-Jassasi
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - William M Thomson
- Department of Oral Sciences, Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand
| | - Lee Adam
- Department of Oral Sciences, Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand
| | - Moira B Smith
- Department of Public Health, Faculty of Medicine, Wellington School of Medicine, University of Otago, Wellington, New Zealand
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Prokshi R, Gjorgievska E, Prokshi B, Sopi M, Sejdiu M. Survival Rate of Atraumatic Restorative Treatment Restorations in Primary Posterior Teeth in Children with High Risk of Caries in the Republic of Kosovo-1-Year Follow-up. Eur J Dent 2023; 17:902-909. [PMID: 36513339 PMCID: PMC10569845 DOI: 10.1055/s-0042-1757907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVE Atraumatic restorative treatment (ART) may be beneficial for disadvantaged populations with no or limited access to dental services. This study aimed to evaluate the survival rate of single-surface ART restorations in primary posterior teeth in children with high caries risk. MATERIALS AND METHODS This study was conducted in six rural areas of the Republic of Kosovo, and 100 children aged 3 to 8 years participated in the study. Information was obtained from each parent/guardian regarding their children, such as sociodemographic characteristics, general health, dental history, dietary habits, oral hygiene, and fluoride exposure. The reduced Cariogram was used to estimate the risk of caries in the participants based on the seven factors specified in the program, and all the provided information were collected and entered in a computer program of the Cariogram. A pediatric dentist, accompanied by two assistants, performed 100 ART restorations in school settings using high-viscosity glass-ionomer cement (Fuji IX) following the nine steps of the ART procedure. The restorations were evaluated at 3, 6, 9, and 12 months using the ART restoration criteria. STATISTICAL ANALYSIS Percentages, mean value, standard deviation, mean interquartile range, and difference test between arithmetic mean values were used to analyze the research results. RESULTS Review of the average of reduced Cariogram showed that the majority of children, 72%, were at high risk of developing caries, with only 28% having a good chance of avoiding caries in the future. A total of 77% of the children in the study had never visited dentists before due to poor economic conditions and the lack of dentists in the area. The success rates of ART restorations performed in single-surface cavities in primary teeth were very encouraging, with more than 97% success rates after a 1-year follow-up period. CONCLUSION Our results demonstrate that ART is efficient, affordable, and practical for the treatment of single-surface cavities in primary posterior teeth. Owing to its low price and atraumatic nature, ART can potentially help disadvantaged children in Kosovo access dental care.
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Affiliation(s)
- Rina Prokshi
- Department of Pediatric and Preventive Dentistry, Dentistry School, University of Pristina, Pristina, Kosovo
| | - Elizabeta Gjorgievska
- Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
| | - Brikena Prokshi
- Department of Pharmacy, Faculty of Medicine, University of Pristina, Pristina, Kosovo
| | - Mirlinda Sopi
- Department of Periodontology and Oral Medicine, Dentistry School, University of Pristina, Pristina, Kosovo
| | - Miranda Sejdiu
- Department of Dentistry, Faculty of Medicine, University of Pristina, Pristina, Kosovo
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Adawi H, Jain S, Hakami AH, Mtwam NA, Koriri AYA, Adawi AAA. A Prospective Study to Assess Patients' Understanding and Retention of Postoperative Instructions following a Fixed Partial Denture, Using Different Information Delivery Techniques. Eur J Dent 2022. [PMID: 36063842 DOI: 10.1055/s-0042-1750774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
OBJECTIVE This study was aimed to evaluate the effect of using different modes of at-home maintenance information delivery on patients' understanding and the level of information retention. MATERIALS AND METHODS Sixty patients were asked to answer a questionnaire while undergoing mouth preparations for receiving a fixed partial denture. The questionnaire includes questions related to at-home maintenance procedures and recall visits. After finishing the first questionnaire, these patients were randomly assigned into three groups, and each group was given education about at-home maintenance procedures and recall visits by different means. Group 1 participants were educated by giving live demonstrations. Group 2 participants were shown a prerecorded video, whereas group 3 participants were given written instructions. All Participants were recalled after 1 week of the last visit and were asked to fill out the same questionnaire. STATISTICAL ANANLYSIS Collected data were tabulated in a Microsoft Excel Spreadsheet and were analyzed using the Chi-square test, one-way ANOVA, paired t-test, and post hoc Bonferroni test. A p-Value < 0.05 was regarded as statistically significant for all the analyses. RESULTS Group 1 showed greatest information retention as compared with groups 2 and 3 (p = 0.045). There was significant difference in the knowledge of group 1 as compared with groups 2 (p = 0.020) and 3 (p = 0.048). CONCLUSION The mode of delivering postoperative instructions after fixed partial denture treatment does have an effect on the patient understanding level and information retention. Patients who were given live demonstrations showed the best results compared with video recordings and written leaflets.
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Affiliation(s)
- Hafiz Adawi
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Saurabh Jain
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Aeshah H Hakami
- Dental Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Naseem A Mtwam
- Dental Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Almaha Y A Koriri
- Dental Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
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Al-Jaber AS, Al-Qatami HM, Abed Al Jawad FH. Knowledge, Attitudes, and Practices of Parents on Early Childhood Caries in Qatar-A Questionnaire Study. Eur J Dent 2021; 16:669-679. [PMID: 34937104 PMCID: PMC9507593 DOI: 10.1055/s-0041-1739446] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVES The aims of the present study were to evaluate the level of knowledge, attitudes, and practices (KAP) toward early childhood caries (ECC) in a group of Qatari parents and to assess the association of sociodemographic factors on their KAP. MATERIALS AND METHODS A cross-sectional study which was based on a piloted self-administered questionnaire was conveniently distributed to parents who attended the Pediatric Dentistry Section, Hamad Dental Center (HDC), Doha, Qatar. The questionnaire comprised four parts which asked about sociodemographic characteristics, knowledge, attitudes, and practices. A score for each domain was given based on the percentage of correct answers. STATISTICAL ANALYSIS Descriptive and analytical statistics were employed. For descriptive statistics, frequency of distribution in relation to sociodemographic characteristics and responses to items of the questionnaire were presented. For analytical statistics, associations between independent variables and KAP were employed using Chi-squared tests. RESULTS The overall mean scores of KAP were 60.8%, 65.6% and 72.7%, respectively. Females had significantly higher percentages of correct answers than males (p = 0.001). Only 20% of females had poor knowledge, while it was 40% in males. Parents with university or higher degrees had significantly higher percentage of good attitudes than parents with preparatory or less education (p = 0.05). Areas that necessitated improvement by parents included the following: the amount of toothpaste needed for brushing, signs of tooth demineralization, bacteria that causes tooth decay can be transmitted from mother to her child, and tooth decay can be transmitted by sharing utensils (i.e., spoons, forks). CONCLUSIONS The overall KAP of parents toward ECC was relatively fair. However, certain socioeconomic factors (SEF) seemed to influence each domain, and areas of improvement are needed. Areas of improvement are needed in each domain. Mothers were significantly more knowledgeable than fathers regarding oral health issues of their children. Highly educated parents demonstrated better attitudes than the less educated. Continuous educational programs coordinated by health regulatory bodies should be introduced to improve parents' KAP regarding ECC risk factors and prevention.
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Affiliation(s)
- Aisha Saleh Al-Jaber
- Department of Pediatric Dentistry, Hamad Dental Center, Hamad Medical Corporation, Doha, Qatar
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Cabov T, Eljuga K, Fuchs PN, Devcic MK, Prpic J, Kovac Z, Puharic Z, Glazar I, Zulec M. Oral Health Knowledge, Attitude, and Behavior of Nursing and Technical Students in Croatia. Eur J Dent 2021; 16:102-108. [PMID: 34428841 PMCID: PMC8890930 DOI: 10.1055/s-0041-1731852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE The aim of this study is to test knowledge, attitudes, and behavior of the students from the Bjelovar University of Applied Sciences in relation to oral health, and to determine the respectable differences between students of nursing and technical study programs. PARTICIPANTS AND METHODS Students were randomly selected to represent a convenient sample. A total of 140 students from nursing and technical studies were interviewed by using the World health organization Oral Health Questionnaire, adapted to fit the study purposes. STATISTICAL ANALYSIS Descriptive statistics were used to determine frequency distribution and percentages for all variables. Pearson's Chi-square test was used to compare the proportions. A p-value less than 0.05 was considered to be statistically significant. RESULTS The distribution of participants regarding gender was significantly different between the study programs (p = 0.000). Significant difference was also observed in their perceived socioeconomic status (p = 0.001). A significant difference was found between the study programs regarding the knowledge whether bad teeth could impair general health (p = 0.001), could tooth decay and periodontal disease may be prevented (p = 0.002), as well as the importance of regular dental check-ups for prevention of tooth decay (p = 0.028). There were significant differences regarding dietary habits and alcohol consumption in the past 30 days between the observed study programs (p = 0.000) while no significant differences were found regarding tobacco and tobacco product use (p = 0.170). CONCLUSION Results obtained and presented in this paper show better knowledge and more favorable habits and behaviors among the students from nursing study program compared with the technical ones. Still all students' habits should be changed to improve oral health. To change attitudes and influence habits, effective oral health promotion programs are needed; not only in colleges, but also in primary and secondary schools.
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Affiliation(s)
- Tomislav Cabov
- Department of Oral Surgery, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Ksenija Eljuga
- Professional Study Nursing, Bjelovar University of Applied Sciences, Bjelovar, Croatia
| | - Petra Nola Fuchs
- Department of Oral Surgery, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Maja Kinkela Devcic
- Department of Oral Surgery, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Jelena Prpic
- Department of Oral Medicine and Periodontology, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Zoran Kovac
- Department of Prosthodontics, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Zrinka Puharic
- Professional Study Nursing, Bjelovar University of Applied Sciences, Bjelovar, Croatia
| | - Irena Glazar
- Department of Oral Medicine and Periodontology, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia
| | - Mirna Zulec
- Professional Study Nursing, Bjelovar University of Applied Sciences, Bjelovar, Croatia
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