1
|
Abdulla R, Murray A, Seeballuck C, Heffernan A. Top tips for the management of the dentally anxious patient in general practice. Br Dent J 2023; 235:166-169. [PMID: 37563375 DOI: 10.1038/s41415-023-6199-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Affiliation(s)
- Ranj Abdulla
- DCT 1, Dundee Dental Hospital and Research School, Dundee, UK.
| | - Aisling Murray
- General Dental Practitioner, Navan, Republic of Ireland.
| | - Clement Seeballuck
- Lecturer in Paediatric Dentistry, Dundee Dental Hospital and Research School, Dundee, UK.
| | - Abigail Heffernan
- Consultant in Special Care Dentistry, Dundee Dental Hospital and Research School, Dundee, UK.
| |
Collapse
|
2
|
Income-related inequalities in the association of smoking with periodontitis: a cross-sectional analysis in Tokyo Metropolitan Districts. Clin Oral Investig 2023; 27:519-528. [PMID: 36241924 DOI: 10.1007/s00784-022-04747-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 10/02/2022] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Socio-economic status (SES) and smoking are risk factors for periodontitis; however, their interaction has not been determined. We investigated the effect of modification of SES and smoking with periodontal conditions. MATERIALS AND METHODS Data on the social background, smoking status, and dental examination of 1033 individuals residing in the Tokyo Metropolitan District were analyzed. The outcomes were the number of remaining teeth and the proportion of teeth with probing pocket depth (PPD) ≥ 4 mm and ≥ 6 mm. Multilevel linear and Poisson regression analyses were performed after adjusting for possible confounding factors, including SES, assessed by the average income of the residential area. RESULTS The mean number of remaining teeth was 24.6 ± 4.8, and the proportion of teeth with PPD ≥ 4 mm and ≥ 6 mm was 31.2 ± 28.5% and 12.2 ± 18.1%, respectively. After adjusting for confounding factors, the lowest-income population had significantly lesser teeth (coefficient: - 0.46, 95% CI - 0.89, 0.02, p = 0.039) and a higher proportion of teeth with PPD ≥ 4 mm than the highest-income population (ratio of means: 1.22, 95% CI 1.03-1.44, p = 0.013). Significant interactions were observed; income inequalities in periodontitis were significant only among current smokers. CONCLUSION Inequality in socio-economic status is associated with oral health inequalities. The adverse effects of smoking on periodontitis might be greater in the low-income population. CLINICAL RELEVANCE The low-income population, especially current smokers, had significantly more compromised oral health than the high-income population. In addition to the emphasis on smoking cessation, the promotion of universal health coverage for dental care is necessary to reduce oral health inequalities.
Collapse
|
3
|
Haukka A, Kaila M, Haukka J, Heikkinen AM. Adherence to individualized recall intervals for oral health examinations. Clin Exp Dent Res 2023; 9:177-185. [PMID: 36322122 PMCID: PMC9932253 DOI: 10.1002/cre2.686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 09/21/2022] [Accepted: 10/21/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES The aim of this follow-up study was to investigate whether adults attend an oral health examination (OHE) based on their individual recall interval (IRI) without a reminder recall system. METHODS The study population included adults who were attending an OHE recommended by their dentists based on their IRI in public oral healthcare clinics of Helsinki City January 1, 2009-December 31, 2009. The inclusion criteria were as follows: alive until the end of IRI, length of the IRI of 12-60 months, and study participants had not been treated successfully by a dental specialist during the IRI period (n = 41,255). We used a multinomial model to identify the factors associated with the timing of OHE. The following predictors were included: oral health indices such as Decayed Teeth and the Community Periodontal Index, the length of the IRI based on an OHE in 2009, age, gender, socioeconomic status, presence of chronic diseases, and emergency appointment. Results were presented as odds ratios with 95% confidence intervals. RESULTS The OHE based on IRI occurred for 7505 individuals (18.2%) and the OHE was late for 9159 individuals (22.2%). A total of 24,591 (59.6%) adults did not undergo follow-up OHE based on the IRI period of on time or late. Those who came on time for follow-up OHE experienced less caries than those who came later. There was not much difference in periodontal health between the groups. The models indicated that having an emergency appointment was associated with a higher probability of having an OHE. A long IRI (37-60 months) was associated with a higher probability of not participating in OHE even late. CONCLUSIONS It would be beneficial for patients to take appointments based on the recall interval. The results of this study indicated that more needs to be done to increase awareness in the adult population of the benefits and availability of follow-up OHEs based on their IRI in oral healthcare.
Collapse
Affiliation(s)
- Anna Haukka
- Dental Care, Health Services, Social Services and Health CareCity of HelsinkiFinland
- Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Minna Kaila
- Public Health Medicine, Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Jari Haukka
- Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Anna M. Heikkinen
- Department of Oral and Maxillofacial Diseases, Head and Neck CenterUniversity of Helsinki, Helsinki University HospitalHelsinkiFinland
- Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland
| |
Collapse
|
4
|
Su S, Lipsky MS, Licari FW, Hung M. Comparing Oral Health Behaviours of Men and Women in the United States. J Dent 2022; 122:104157. [DOI: 10.1016/j.jdent.2022.104157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 05/02/2022] [Accepted: 05/06/2022] [Indexed: 10/18/2022] Open
|
5
|
Ibrahim MS, Alibrahim H, Al Madani A, Alamri A, Bamashmous M, Tounsi A. Fear Factor in Seeking Dental Care among Saudis during COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010589. [PMID: 34682335 PMCID: PMC8535545 DOI: 10.3390/ijerph182010589] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 09/30/2021] [Accepted: 10/02/2021] [Indexed: 12/18/2022]
Abstract
The recent coronavirus disease of 2019 (COVID-19) pandemic led to major lifestyle changes. The present study sought to assess factors associated with fear to seek dental care during COVID-19 pandemic in Saudi Arabia. This cross-sectional study was conducted during the COVID-19 outbreak in 2020. An online questionnaire was filled by a convenient sample of adult Saudi residents through mobile instant messaging application. The following measures were collected: sociodemographic characteristics, fear of COVID-19 using validated Fears of Illness and Virus Evaluation scale, fear to seek dental care, perceived health status, and COVID-19 experience. There were 826 participants involved in this study (541 females and 285 males, mean age: 38.8 ± 13.29 years). Fear to seek dental care was significantly higher among females, younger age groups, people who perceived poor general and oral health, and people who perceived high risk of contracting the virus in dental clinics. After controlling for confounders, fear to seek dental care was significantly higher among the age group of 35–44 years, those who perceived high and moderate risk of COVID-19 infection in dental clinics, and among participants who reported untreated dental conditions. Fear that Others Get Sick, Fear of the Impact on Social Life, and Behaviors Related to Illness and Virus Fears were significantly associated with high levels of fear to seek dental care. Within the study’s limitations, fear of COVID-19 negatively impacted the study population’s willingness to seek dental treatment. Factors such as age, perceived risk of COVID-19 infection in dental clinics, and untreated dental conditions were associated with fear to seek dental care.
Collapse
Affiliation(s)
- Maria Salem Ibrahim
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam 34212, Saudi Arabia;
- Correspondence: (M.S.I.); (A.T.); Tel.: +966-13-333-1520 (M.S.I.)
| | - Hala Alibrahim
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia;
| | - Abdullah Al Madani
- Dental Hospital, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam 34212, Saudi Arabia;
| | - Abdulaziz Alamri
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam 34212, Saudi Arabia;
| | - Mohamed Bamashmous
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
| | - Abrar Tounsi
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia
- Correspondence: (M.S.I.); (A.T.); Tel.: +966-13-333-1520 (M.S.I.)
| |
Collapse
|
6
|
Inoue Y, Shimazaki Y, Oshiro A, Zaitsu T, Furuta M, Ando Y, Miyazaki H, Kambara M, Fukai K, Aida J. Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062816. [PMID: 33802068 PMCID: PMC7998093 DOI: 10.3390/ijerph18062816] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/04/2021] [Accepted: 03/08/2021] [Indexed: 12/17/2022]
Abstract
Few studies have examined the factors related to dental clinics during dental check-ups. We examined the association between dental-hygienist-related factors and patients’ regular dental check-ups. This nationwide cross-sectional study was based on a survey conducted in Japan in 2014. The analyzed population included 12,139 patients from 1181 dental clinics. We used three-level Poisson regression analysis, considering patient‒clinic‒prefecture, to examine the association of dental-hygienist-related factors with dental check-up behavior. Patients attending treatment and regular check-ups constituted 63.0% and 37.0%, respectively. The adjusted prevalence ratios (PRs) for patients undergoing regular dental check-ups at dental clinics with dedicated dental hygienists’ units, spending ≥20 min in patient education (compared to 0 min), and with three or more dental hygienists (compared to 0 hygienists) available were 1.17 (95% confidence interval [CI]: 1.06–1.30), 1.25 (95%CI: 1.07–1.46), and 2.05 (95%CI: 1.64–2.56), respectively. The median PR indicates that when a patient randomly moves to another dental clinic with more regular dental check-ups, this prevalence increased 1.69 times. These results suggest that dental check-up behavior is determined not only by individual factors but also dental-clinic-level factors. Improving the dental-hygienist-related factors is necessary to encourage people to visit dentists for regular check-ups.
Collapse
Affiliation(s)
- Yuko Inoue
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
| | - Yoshihiro Shimazaki
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Aichi 464-8650, Japan;
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
| | - Akiko Oshiro
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
| | - Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
| | - Michiko Furuta
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science Kyushu University, Fukuoka 812-8582, Japan
| | - Yuichi Ando
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- National Institute of Public Health, Saitama 351-0197, Japan
| | - Hideo Miyazaki
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Meirin College, Niigata 950-2086, Japan
| | - Masaki Kambara
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Department of Dentistry, Osaka Dental University, Osaka 573-1144, Japan
| | - Kakuhiro Fukai
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Fukai Institute of Health Science, Saitama 341-0003, Japan
| | - Jun Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Division for Regional Community Development, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Miyagi 980-8575, Japan
- Correspondence: ; Tel.: +81-3-5803-5475; Fax: +81-3-5803-0194
| |
Collapse
|
7
|
Idon PI, Sotunde OA, Ogundare TO, Yusuf J, Makanjuola JO, Mohammed A, Igweagu CE, Alalade O. Access to root canal treatment in a Nigerian sub-population: assessment of the effect of dental health insurance. Afr Health Sci 2021; 21:470-477. [PMID: 34394329 PMCID: PMC8356604 DOI: 10.4314/ahs.v21i1.57] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background The final pathway of tooth mortality lies between tooth extraction, and the more expensive and less accessible root canal treatment (RCT). Aim To determine the extent to which individuals' financial resources as measured by socioeconomic status and dental insurance coverage affects their access to RCT. Methods A hospital-based study that used a 15-item questionnaire to collect data among patients scheduled for RCT. All scheduled subjects (N = 291) over a one-year period constituted the sample for the study. Using the SPSS software, associations between the subjects' variables, and the dental insurance status were carried out with Chi square and independent t test respectively at 95% confidence interval. Results Two hundred and ninety-one subjects were to have 353 RCTs within the study period. A high proportion (79.7%, p < 0.001) of the subjects had dental health insurance, majority (95.3%) of which was government funded. 20.9% of those with previous tooth loss was due to inability to afford cost of RCT. The lowest socioeconomic group had the highest proportion (90%, p = 0.421) of insured that visited for RCT. Conclusion Dental insurance increased access to RCT. Socioeconomic status did not affect dental insurance status and dental visit for RCT.
Collapse
Affiliation(s)
- Paul Ikhodaro Idon
- Department of Dental Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - Olawale Akeem Sotunde
- Department of Restorative Dentistry, Faculty of Dentistry, Bayero University, Kano, Nigeria
| | | | - Janada Yusuf
- Department of Dental Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - John Oluwatosin Makanjuola
- Department of Restorative Dentistry, College of Medicine, University of Lagos, Idi Araba, Surulere, Lagos State, Nigeria
| | - Abdulmumini Mohammed
- Department of Dental Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | | | - Olusegun Alalade
- Department of Restorative Dentistry, Faculty of Dentistry, Bayero University, Kano, Nigeria
| |
Collapse
|
8
|
YILMAZ ÇIRAKOĞLU N, GÖKCEK M. Influence of Socioeconomic Factors and Oral Health Behaviour on Knowledge Levels of the Dental Health and Procedures: The Questionnaire based Research. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.789520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
9
|
Luo H, Wu Q, Bell RA, Wright W, Quandt SA, Basu R, Moss ME. Rural-Urban Differences in Dental Service Utilization and Dental Service Procedures Received Among US Adults: Results From the 2016 Medical Expenditure Panel Survey. J Rural Health 2020; 37:655-666. [PMID: 32697007 DOI: 10.1111/jrh.12500] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
PURPOSE To assess rural-urban differences in dental service use and procedures and to explore the interaction effects of individual- and county-level factors on having dental service use and procedures. METHODS Data were from the 2016 Medical Expenditure Panel Survey (MEPS). We assessed rural-urban differences in 3 outcome variables: number of dental visits (1, 2, or 3+ visits), preventive care procedures (Yes/No), and treatment procedures (Yes/No). The study sample included 8,199 adults ≥ 18 years of age who reported at least 1 dental visit in the past year. Sampling weights embedded in MEPS were incorporated into all the analyses. FINDINGS A significant interaction between residential location and race/ethnicity (P = .030) suggested limited access to dental visits for minority groups, especially for blacks in the more rural areas. Adults from a more rural area were less likely to have received a preventive procedure (AOR = 0.55, 95% CI: 0.35-0.87) than those from an urban area. Adults of racial/ethnic minority groups, with lower SES, and without dental insurance were less likely to have received a preventive procedure (all P < .01) but were more likely to have received a treatment procedure (all P < .05). CONCLUSIONS The study showed rural adults were less likely to have received preventive dental procedures than their urban counterparts. Racial/ethnic minority groups living in a more rural area had even more limited access to dental services. Innovative service delivery models that integrate telehealth and community-based case management may contribute to addressing these gaps in rural communities.
Collapse
Affiliation(s)
- Huabin Luo
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Qiang Wu
- Department of Biostatistics, College of Allied Health, East Carolina University, Greenville, North Carolina
| | - Ronny A Bell
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Wanda Wright
- Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, North Carolina
| | - Sara A Quandt
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina
| | - Rashmita Basu
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Mark E Moss
- Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, North Carolina
| |
Collapse
|
10
|
The role of parental education in the dental health behavior of Turkish secondary school children. BALKAN JOURNAL OF DENTAL MEDICINE 2020. [DOI: 10.2478/bjdm-2020-0028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background/Aim: Parents are usually the major factor influencing children's development of routine oral health behavior. A higher education level of the parents is generally associated with having a more positive influence on their children's health habits and motivation to maintain healthy dentition. From this perspective, the aim of the present study was to investigate the frequency of certain habits influencing dental health, such as toothbrushing, regular visits to the dentist, and changing toothbrushes, in a group of Turkish secondary school children, and to explore its relation to the education level of their mothers and fathers. Material and Methods: The study consisted of the use of a questionnaire designed to collect demographic information, oral health behavior of the children, and the parents' education level. Demographic characteristics and oral health behavior of the children were asked of the children in a face-to-face interview by one investigator. Only the parents' education level was asked of the children's parents. Results: The mean age of the 444 children was 11.66 ± 0.98. According to chi-square testing applied, there was a statistically significant correlation between the parents' education level and their children's dental visit frequency (p< 0.05), whereas there was no statistically significant link between the parents' education level and the frequency of the children's toothbrushing and replacing their toothbrushes (p> 0.05). Conclusions: Irrespective of the education level of their parents, positive oral health attitudes and behavior were not observed in Turkish secondary school children.
Collapse
|
11
|
Kolker JL, Damiano PC, Jones MP, Dawson DV, Caplan DJ, Armstrong SR, Flach SD, Kuthy RA, Warren JJ. The Timing of Subsequent Treatment for Teeth Restored with Large Amalgams and Crowns: Factors Related to the Need for Subsequent Treatment. J Dent Res 2016; 83:854-8. [PMID: 15505235 DOI: 10.1177/154405910408301106] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Crowns and large amalgams protect structurally compromised teeth to various degrees in different situations. The aim of this investigation was to evaluate the survival of teeth with these two types of restorations and the factors associated with better outcomes. Retrospective administrative and chart data were used. Survival was defined and modeled as: (1) receipt of no treatment and (2) receipt of no catastrophic treatment over five- and 10-year periods. Analyses included: Kaplan-Meier survival curves, Log-Rank tests, and Cox proportional hazards regression modeling. Crowns survived longer with no treatment and with no catastrophic treatment; however, mandibular large amalgams were least likely to have survived with no treatment, and maxillary large amalgams were least likely to have survived with no catastrophic treatment. Having no adjacent teeth also decreased survival. Crowns survived longer than large amalgams, but factors such as arch type and the presence of adjacent teeth contributed to the survival of large amalgams.
Collapse
Affiliation(s)
- J L Kolker
- University of Michigan, School of Dentistry, Department of Cariology, Restorative Sciences, and Endodontics, 1011 N. University Ave., Ann Arbor, MI 48109-1078, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|
12
|
Teng PR, Lin MJ, Yeh LL. Utilization of dental care among patients with severe mental illness: a study of a National Health Insurance database. BMC Oral Health 2016; 16:87. [PMID: 27585979 PMCID: PMC5009687 DOI: 10.1186/s12903-016-0280-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 08/15/2016] [Indexed: 11/10/2022] Open
Abstract
Background The oral health of patients with severe mental illness is poor, in general, and this may be attributed, in part, to inadequate dental care. This study investigated dental care utilization among patients with severe mental illness using a national representative sample. Methods This study used Taiwan’s National Health Insurance Research Dataset for 2009. Patients with the diagnosis of severe mental illness (ICD-9-CM: 290–298) were recruited as the study sample, and others comprised the control. Any visit to a dentist was defined as positive in terms of dental care utilization. Regression analyses were applied to determine the odds of dental care utilization for each diagnostic entity of severe mental illness, compared with the general population and controlling for potential covariates. Results Only 40 % of 19,609 patients with severe mental illness visited the dentist within 12 months. This was significantly lower than the dental visit rate of 48.3 % for the control population (odds ratio [OR] = .72, 95 % confidence interval [CI] = .69–.74; P <0.0001). The odds of dental care utilization differed among the severe mental illness diagnostic categories; e.g., the odds were lowest among those with alcohol psychoses (OR = .54, CI = .43–.68), senile dementia (OR = .55, CI = .52–.59) and other organic psychoses (OR = .58, CI = .52–.65), and highest among those with mood disorder (OR = .89, CI = .85–.94), with schizophrenic patients occupying a mid-level position (OR = .63, CI = .59–.67). Conclusions Patients with severe mental illness received less dental care than the general population. Health care providers and caregivers of patients with severe mental illness should encourage them to visit the dentist regularly, in order to improve the oral health of these vulnerable patient groups.
Collapse
Affiliation(s)
- Po-Ren Teng
- Department of Psychiatry, Chang Bing Show Chwan Memorial Hospital, No. 6, Lu-Gong Road, Lu-Gang Township, Changhwa County, Taiwan
| | - Miao-Jean Lin
- Department of Psychiatry, Chang Bing Show Chwan Memorial Hospital, No. 6, Lu-Gong Road, Lu-Gang Township, Changhwa County, Taiwan
| | - Ling-Ling Yeh
- Department of Healthcare Administration, Asia University, No. 500, Lioufong Rd, Wufeng, Taichung, 41354, Taiwan.
| |
Collapse
|
13
|
Obeidat SR, Alsa'di AG, Taani DS. Factors influencing dental care access in Jordanian adults. BMC Oral Health 2014; 14:127. [PMID: 25326268 PMCID: PMC4210624 DOI: 10.1186/1472-6831-14-127] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 10/10/2014] [Indexed: 11/24/2022] Open
Abstract
Background The aims of this study are to assess the influences of demographic and personal factors on Jordanian adults’ abilities to use dental services and the barriers to regular attendance. Methods A self-administered questionnaire was distributed to a sample of 650 Jordanian adults attending King Abdullah University Hospital (KAUH) (n = 200), Jordan University of Science and Technology–Dental Health Teaching Center (JUST–DHTC) (n = 150), Yarmouk University Health Clinics (YUHC) (n = 150), and United Nations Relief and Works Agency (UNRWA) clinics (n = 150). 614 questionnaires were completed. Statistical Package for Social Sciences (SPSS) was used to analyze data, generate descriptive statistics and perform multiple logistic regressions. The level of significance was set at α = 0.05. Results Approximately 93% of participants were dental services users. 89% were irregular users, while only 11% were regular users. The main reasons given for not visiting dental offices regularly were lack of time (39.2%), cost of treatment (26.9%), treatment not needed (22.2%), and fear of dentists (15.1%). Only 6.7% of respondents stated that they had never visited a dentist, while more than half (56.1%) reported the lack of need for dental treatment as a major reason for not using dental services. Restorative therapy was the most frequently sought treatment (61.6%), while periodontal treatment was the least frequently sought (14.1%). Although respondents who were married and/or those having missing teeth were significantly more likely to use dental services, respondents who were single were more likely to be regular attendees. Conclusion The overwhelming majority of adults were irregular attendees. Time and cost constraints, lack of need for treatment, and fear of dentists were reported as major barriers to regular attendance. The study findings call for planning of educational and promotional programs to increase Jordanians’ awareness of and regular use of available dental services to maintain health, which will be both socially and economically beneficial.
Collapse
Affiliation(s)
- Suhair Ref'at Obeidat
- Department of Applied Dental Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.
| | | | | |
Collapse
|
14
|
Afshari FS, Schelkopf S, Yuan JCC, Marinis A, Syros G, Campbell SD, Sukotjo C. Current Status of Patient Recall in U.S. Predoctoral Dental School Clinics. J Dent Educ 2014. [DOI: 10.1002/j.0022-0337.2014.78.10.tb05810.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Fatemeh S. Afshari
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | | | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - Aristotelis Marinis
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - George Syros
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - Stephen D. Campbell
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| | - Cortino Sukotjo
- Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry
| |
Collapse
|
15
|
Root canal therapy reduces multiple dimensions of pain: a national dental practice-based research network study. J Endod 2014; 40:1738-45. [PMID: 25190605 DOI: 10.1016/j.joen.2014.07.011] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Revised: 06/13/2014] [Accepted: 07/11/2014] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Initial orthograde root canal therapy (RCT) is used to treat dentoalveolar pathosis. The effect RCT has on pain intensity has been frequently reported, but the effect on other dimensions of pain has not. Also, the lack of large prospective studies involving diverse groups of patients and practitioners who are not involved in data collection suggest that there are multiple opportunities for bias to be introduced when these data are systematically aggregated. METHODS This prospective observational study assessed pain intensity, duration, and its interference with daily activities among RCT patients. Sixty-two practitioners (46 general dentists and 16 endodontists) in the National Dental Practice-Based Research Network enrolled patients requiring RCT. Patient-reported data were collected before, immediately after, and 1 week after treatment using the Graded Chronic Pain Scale. RESULTS The enrollment of 708 patients was completed over 6 months with 655 patients (93%) providing 1-week follow-up data. Before treatment, patients reported a mean (± standard deviation) worst pain intensity of 5.3 ± 3.8 (0-10 scale), 50% had "severe" pain (≥ 7), and mean days in pain and days pain interfered with activities were 3.6 ± 2.7 and 0.5 ± 1.2, respectively. After treatment, patients reported a mean worst pain intensity of 3.0 ± 3.2, 19% had "severe" pain, and mean days in pain and days with pain interference were 2.1 ± 2.4 and 0.4 ± 1.1, respectively. All changes were statistically significant (P < .0001). CONCLUSIONS RCT is an effective treatment for patients experiencing pain, significantly reducing pain intensity, duration, and related interference. Further research is needed to reduce the proportion of patients experiencing "severe" postoperative pain.
Collapse
|
16
|
Charalambous C, Maniadakis N, Polyzos N, Fragoulakis V, Theodorou M. The efficiency of the public dental services (PDS) in Cyprus and selected determinants. BMC Health Serv Res 2013; 13:420. [PMID: 24139100 PMCID: PMC4016280 DOI: 10.1186/1472-6963-13-420] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2011] [Accepted: 09/04/2013] [Indexed: 12/02/2022] Open
Abstract
Background Currently there is a dual system of oral healthcare delivery in Cyprus: the public dental system (PDS) run by the Government and the private system provided by private dental practitioners. Although 83% of the population is entitled to free treatment by the PDS only 10% of the population make use of them. As Cyprus faces now the challenges of the introduction of a new health care system and rising healthcare costs in general, surveys that examine, among other things, the efficiency of the PDS become very important as tools to make important cost savings. The aims of this study are to assess trends regarding the number of visits and the age distribution of patients using PDS from 2004 to 2007, to measure the technical efficiency of the PDS and to investigate various factors that may affect it. Methods Non-parametric Data Envelopment Analysis (DEA) was employed to assess technical efficiency. Two separate cases were examined. Efficiency was calculated, firstly using as inputs the wages and the working hours of the personnel, and secondly the working hours of the personnel and the cost of the materials. As outputs, in both cases, the treatment offered (divided into primary, secondary and tertiary care) and the numbers of visits were used. In the second stage Tobit analysis was used to explore various predictors of efficiency (time per patient, location, age of dentists, age of patients and age of assistants). Results The study showed that whilst there was an increase in the number of patients using the PDS from 2004 to 2007, only a small proportion of the population (10%) make use of them. Women, middle and older aged patients, make more use of the PDS. Regarding efficiency, there were large differences between the units. The average Technical Efficiency score was 68% in the first model and 81% in the second. Urban areas and low time per patient are predictors of increased efficiency. Conclusion The results suggest that many of the rural PDS are underperforming. Given that the option of shutting them down is undesirable, measures should be taken to reduce inputs (e.g. by reducing the personnel’s working hours) and to increase outputs (remove barriers, make PDS more accessible and increase the number of patients).
Collapse
Affiliation(s)
- Chrystalla Charalambous
- Open University of Cyprus, Lemesou Avenoue 2, Aluminium Tower, 2003, Strovolos, Lefkosia, Cyprus.
| | | | | | | | | |
Collapse
|
17
|
Vaidya V, Partha G, Karmakar M. Gender Differences in Utilization of Preventive Care Services in the United States. J Womens Health (Larchmt) 2012; 21:140-5. [DOI: 10.1089/jwh.2011.2876] [Citation(s) in RCA: 208] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Varun Vaidya
- Pharmacy Health Care Administration, Department of Pharmacy Practice, University of Toledo College of Pharmacy, Toledo, Ohio
| | - Gautam Partha
- Pharmacy Health Care Administration, Department of Pharmacy Practice, University of Toledo College of Pharmacy, Toledo, Ohio
| | - Monita Karmakar
- Pharmacy Health Care Administration, Department of Pharmacy Practice, University of Toledo College of Pharmacy, Toledo, Ohio
| |
Collapse
|
18
|
Oshikohji T, Shimazaki Y, Shinagawa T, Fukui N, Akifusa S, Hirata Y, Yamashita Y. Relationship between receiving a workplace oral health examination including oral health instruction and oral health status in the Japanese adult population. J Occup Health 2011; 53:222-9. [PMID: 21471690 DOI: 10.1539/joh.o10031] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Dental caries and periodontal disease are highly prevalent in the Japanese adult population. Oral examination is an effective method to find various oral health problems in their early stages. However, workplace oral examination is not common in Japan. The purpose of this study was to examine the relationship between receiving workplace oral health examination, including oral health instruction, and oral health status in the Japanese adult population. METHODS This study was performed using data from 4,484 Japanese employees aged 35-74 yr. The proportion of teeth with a probing depth (PD) ≥4 mm and the number of decayed teeth were used for periodontal disease and dental caries parameters. The subjects were asked by questionnaire about past experiences with workplace oral health examination. RESULTS The subjects who received a workplace oral health examination every year had better periodontal health status than those receiving an examination for the first time. The odds ratio for having ≥10% of teeth with PD ≥4 mm in the subjects who received workplace oral health examination every year was 0.63 (p<0.05) after adjustment for age, sex, smoking habits, tooth-brushing habits, routine visits to dental clinics, number of missing teeth, and oral hygiene status, in a multivariate, multinomial logistic regression analysis. On the other hand, no significant relationship was found between workplace oral health examination and number of decayed teeth. CONCLUSIONS These results suggest that workplace oral health examination accompanied by oral health instruction may be effective for maintenance of periodontal health.
Collapse
Affiliation(s)
- Tadaaki Oshikohji
- Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Kyushu University Faculty of Dental Science
| | | | | | | | | | | | | |
Collapse
|
19
|
Milgrom P, Newton JT, Boyle C, Heaton LJ, Donaldson N. The effects of dental anxiety and irregular attendance on referral for dental treatment under sedation within the National Health Service in London. Community Dent Oral Epidemiol 2011; 38:453-9. [PMID: 20545723 DOI: 10.1111/j.1600-0528.2010.00552.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To investigate whether the relationship between dental anxiety and referral for treatment under sedation is explained by attendance patterns and oral health. METHODS Structural Equation Modeling was used on the covariance matrix of the covariates to test hypothesized inter-relationships. Subsequently, we modeled the probability of referral for treatment under sedation with a multiple logistic regression taking into account inter-relationships between the independent variables. RESULTS A direct significant association of referral with dental anxiety and attendance patterns was detected, but not with oral health status. However, oral health and anxiety were highly correlated. Also signaled were correlations between age and education and between gender and bad past experience. CONCLUSION Referral for treatment under sedation appears to be motivated by both fear and irregular patterns of attendance. Coupled with behavioral treatments to address dental fear and attendance, sedation can be an important part of comprehensive care where curative treatments are long or unpleasant for patients.
Collapse
Affiliation(s)
- Peter Milgrom
- Dental Fears Research Clinic, University of Washington, Seattle, WA 98195-7475, USA.
| | | | | | | | | |
Collapse
|
20
|
Wuketich S, Hienz SA, Marosi C. Prevalence of clinically relevant oral mucositis in outpatients receiving myelosuppressive chemotherapy for solid tumors. Support Care Cancer 2011; 20:175-83. [DOI: 10.1007/s00520-011-1107-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2010] [Accepted: 01/24/2011] [Indexed: 10/18/2022]
|
21
|
Shimazaki Y, Akifusa S, Takeshita T, Shibata Y, Doi Y, Hata J, Ninomiya T, Hirakawa Y, Kiyohara Y, Yamashita Y. Effectiveness of the salivary occult blood test as a screening method for periodontal status. J Periodontol 2010; 82:581-7. [PMID: 21043793 DOI: 10.1902/jop.2010.100304] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Community-based periodontal examinations are not popular despite the high prevalence of periodontal disease among adults. This study examines the effectiveness of a novel salivary occult blood test (SOBT) as a screening method for periodontal status. METHODS Comprehensive health examinations were conducted in adult residents aged ≥40 years in Hisayama, Fukuoka, Japan; 1,998 subjects, each with ≥20 teeth, were analyzed. A paper test strip was used to perform the SOBT and was followed by a periodontal examination. Results were ranked as negative or positive. Subjects with ≥15% of teeth with bleeding on probing (BOP) or ≥1 tooth with a probing depth (PD) ≥4 mm were defined as having a poor periodontal status. The relationship between the results of the SOBT and periodontal parameters and among other variables was examined. RESULTS The sensitivity and specificity of the SOBT in screening for poor periodontal status were 0.72 and 0.52, respectively. In a multivariate logistic regression analysis, the results of the SOBT were significantly associated with the proportion of teeth with BOP and the proportion of teeth with PD ≥4 mm, independent of age, sex, use of antihypertensive medication, use of antidiabetic medication or insulin therapy, and the number of decayed or filled teeth. CONCLUSION The SOBT may offer a simple screening method for periodontal status when a thorough periodontal examination is not possible, although it is not sufficiently specific to be a reasonable substitute for a periodontal examination.
Collapse
Affiliation(s)
- Yoshihiro Shimazaki
- Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth, and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Wu B, Plassman BL, Liang J, Remle RC, Bai L, Crout RJ. Differences in self-reported oral health among community-dwelling black, Hispanic, and white elders. J Aging Health 2010; 23:267-88. [PMID: 20858912 DOI: 10.1177/0898264310382135] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To compare differences in self-rated oral health among community-dwelling Black, Hispanic, and White adults aged 60 and older. METHOD A total of 4,859 participants in the National Health and Nutrition Examination Survey (1999-2004) provided self-report information on oral health. RESULTS Blacks and Hispanics reported poorer self-rated oral health than Whites. In separate dentate and edentulous groups, socioeconomic status, social support, physical health, clinical oral health outcomes, and dental checkups accounted for much of the difference in self-rated oral health in Blacks, but significant differences remained for Hispanics. DISCUSSION The study findings may have important implications for health policy and program development. Programs and services designed for minority populations should target treatments for dental diseases and include components that take into account subjective evaluations of oral health conditions and perceived dental needs of the individuals.
Collapse
Affiliation(s)
- Bei Wu
- University of North Carolina at Greensboro, USA.
| | | | | | | | | | | |
Collapse
|
23
|
Nixdorf DR, Moana-Filho EJ, Law AS, McGuire LA, Hodges JS, John MT. Frequency of persistent tooth pain after root canal therapy: a systematic review and meta-analysis. J Endod 2010; 36:224-30. [PMID: 20113779 DOI: 10.1016/j.joen.2009.11.007] [Citation(s) in RCA: 82] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2009] [Revised: 11/04/2009] [Accepted: 11/12/2009] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Little is known about the frequency of persistent pain after endodontic procedures even though pain is a core patient-oriented outcome. We estimated the frequency of persistent pain, regardless of etiology, after endodontic treatment. METHODS Persistent tooth pain was defined as pain present > or = 6 months after endodontic treatment. Endodontic procedures included in the review were pulpectomy, nonsurgical root canal treatment, surgical root canal treatment, and retreatment. Four databases were searched electronically complemented by hand searching. Two independent reviewers determined eligibility, abstracted data, and assessed study quality. A summary estimate of persistent all-cause tooth pain frequency was established by using a random-effects meta-analysis. Using subgroup analyses, we explored the influence of treatment approach (surgical/nonsurgical), longitudinal study design (prospective/retrospective), follow-up rate, follow-up duration, initial treatment versus retreatment, and quality of reporting (Strengthening the Reporting of Observational Studies in Epidemiology rankings) on the pain frequency estimate. RESULTS Of 770 articles retrieved and reviewed, 26 met inclusion criteria. A total of 5,777 teeth were enrolled, and 2,996 had follow-up information regarding pain status. We identified 168 teeth with pain and derived a frequency of 5.3% (95% confidence interval, 3.5%-7.2%, p < 0.001) for persistent all-cause tooth pain. High and statistically significant heterogeneity among studies (I2 = 80%) was present. In subgroup analysis, prospective studies had a higher pain frequency (7.6%) than retrospectives studies did (0.9%). Quality of study reporting was identified as the most influential reason for study heterogeneity. CONCLUSIONS The frequency of all-cause persistent tooth pain after endodontic procedures was estimated to be 5.3%, with higher report quality studies suggesting >7%.
Collapse
Affiliation(s)
- Donald R Nixdorf
- Division of TMD and Orofacial Pain, School of Dentistry, University of Minnesota, Minneapolis, MN 55455, USA.
| | | | | | | | | | | |
Collapse
|
24
|
Noyce M, Szabo A, Pajewski NM, Jackson S, Bradley TG, Okunseri C. Primary language spoken at home and children's dental service utilization in the United States. J Public Health Dent 2010; 69:276-83. [PMID: 19552675 DOI: 10.1111/j.1752-7325.2009.00135.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Language barriers have been well documented as a contributing factor to disparities in the receipt of medical services, especially for Hispanic children. However, there is a paucity of information on the effect of language barriers on children's dental service utilization. We examined the association of primary language spoken at home with the receipt of preventive and routine dental care for children in the United States. METHODS We analyzed data from the Medical Expenditure Panel Survey (2002-2004), which contains data on 21,049 children weighted to represent 75.8 million children nationally. RESULTS Among children aged 1-18 years, 13 percent spoke a language other than English at home. Whites, females, children between the ages of 7 and 12 years, and those whose parents spoke English at home had the highest marginal rates of preventive and routine dental visits. However, the large marginal effect of language, even among Hispanics, was not significant after adjusting for other covariates. Parental education and having a primary provider were the strongest predictors of preventive and routine dental visits. CONCLUSION Children that did not speak English at home were less likely to receive preventive or routine dental care. However, after adjusting for other socio-economic factors, our study suggests that language barriers may not play as pronounced a role in the receipt of dental care as that documented for medical services.
Collapse
Affiliation(s)
- Matthew Noyce
- Department of Developmental Sciences, Marquette University School of Dentistry, USA
| | | | | | | | | | | |
Collapse
|
25
|
Abstract
This aim of this paper is to spur a discussion of the direction of caries-lesion detection activities in clinical dental practice. It is argued that since the dental clinician's caries-related decision making is a script-matching enterprise in which clinical decisions are made on the basis of 'this-lesion-needs-this-kind-of-treatment' reasoning, the methods and strategies employed for caries lesion detection should accommodate this fact. This may be done by employing a clinical visual-tactile method for caries lesion detection that evaluates the two aspects that are crucial for appropriate caries management: lesion activity and surface integrity. The use of diagnostic methods that do not assess these features directly but involve assumptions about activity status and surface integrity should be avoided. This includes the use of bite-wing radiography for the detection of approximal caries lesions, as it may be shown that plain reliance on radiographs leads to considerable overtreatment. If clinical dentistry is to retain its status as a profession committed to doing good, changes in diagnostic practices along these lines are warranted.
Collapse
Affiliation(s)
- Vibeke Baelum
- School of Dentistry, School of Public Health, Faculty of Health Sciences,Aarhus University, Bartholins Alle 2, Aarhus, Denmark.
| |
Collapse
|
26
|
Okunseri C, Bajorunaite R, Mehta J, Hodgson B, Iacopino AM. Factors associated with receipt of preventive dental treatment procedures among adult patients at a dental training school in Wisconsin, 2001-2002. ACTA ACUST UNITED AC 2009; 6:272-6. [PMID: 19467523 DOI: 10.1016/j.genm.2009.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2008] [Indexed: 10/20/2022]
Abstract
BACKGROUND Gender differences in oral health-related quality of life and the fear of dental pain in seeking and receiving preventive dental care have been recognized and documented. Preventive dental treatment procedures (PDTPs) are commonly accepted as the primary approach to prevent dental disease. OBJECTIVE We examined whether the likelihood of receiving PDTPs differed by gender in adult patients receiving dental care at a dental training institution in Milwaukee, Wisconsin. METHODS Data from the Marquette University School of Dentistry electronic patient management database for 2001 through 2002 were analyzed. Descriptive, bivariate, and multivariable analyses were performed. The preventive procedures used in the study were those coded in accordance with the American Dental Association's classification system: D1110 (adult prophylaxis: professional cleaning and polishing of the teeth), D1204 (adult topical application of fluoride), D1205 (adult topical application of fluoride plus prophylaxis), and D1330 (oral hygiene instruction). RESULTS Of the 1563 consecutive patient records (888 women, 675 men) reviewed for the years 2001-2002, 794 individuals (51%), aged 18 to 60 years, were identified as having received PDTPs. At the bivariate level, a significant gender difference in the receipt of PDTPs was identified (423 women [48%] vs 371 men [55%]; P = 0.004). In the multivariable analyses, age, race/ethnicity, marital status, poverty level, and health insurance type (public, private, none) were significantly associated with the receipt of PDTPs (all, P < 0.05), but gender was not. CONCLUSIONS Gender differences in receiving PDTPs were not found in this dental school patient population. Receipt of PDTPs was associated with other demographic factors such as age, race/ethnicity, marital status, income level, and health insurance.
Collapse
Affiliation(s)
- Christopher Okunseri
- Department of Clinical Services, Marquette University School of Dentistry, Milwaukee, Wisconsin 53201-1881, USA.
| | | | | | | | | |
Collapse
|
27
|
Wu B, Plassman BL, Liang J, Wei L. Cognitive function and dental care utilization among community-dwelling older adults. Am J Public Health 2007; 97:2216-21. [PMID: 17971546 DOI: 10.2105/ajph.2007.109934] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We sought to investigate the relationship between varying levels of cognitive function and dental care utilization. METHODS Using data obtained from the National Health and Nutrition Examination Survey (1999-2002), we performed weighted descriptive and multivariate logistic regression analyses on 1984 individuals with at least 1 tooth and who were 60 years and older. RESULTS Multivariate analyses suggested that level of cognitive function was associated with dental care utilization. At a higher level of cognitive functioning, individuals were more likely to have had more frequent dental visits. In addition, a higher level of socioeconomic status, healthy lifestyle, and worse self-rated oral health-related symptoms were more likely to indicate a higher frequency of dental care utilization. By contrast, poorer oral health status as determined by clinical examinations was negatively associated with frequency of dental visits. CONCLUSIONS The results suggest that community-dwelling older adults with low cognitive function are at risk for less frequent use of dental care. Oral health serves as a mediating factor between cognitive function and dental care utilization. There is a great need to improve oral health awareness and education among older adults, caregivers, and health care professionals.
Collapse
Affiliation(s)
- Bei Wu
- Center on Aging, West Virginia University, Morgantown 26506, USA.
| | | | | | | |
Collapse
|
28
|
Chia-Hui Chen C, Chyun DA, Li CY, McCorkle R. A Single-Item Approach to Screening Elders for Oral Health Assessment. Nurs Res 2007; 56:332-8. [PMID: 17846554 DOI: 10.1097/01.nnr.0000289504.30037.d8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Oral health contributes significantly to overall health. Finding a single item that can be used by primary care providers to screen elders who are in need of oral care is important. OBJECTIVES The objective of this article was to evaluate usefulness of the item: "Do you have regular dental checkups?" as a means to decide whether an oral health assessment or further referral is indicated. Answering no is postulated as a positive predictor of poor oral health and need for care. METHODS This study was a secondary analysis of a nutritional survey of 240 community-dwelling elders. Examiner-rated Kayser-Jones Brief Oral Health Status Examination; self-reported General Oral Health Assessment Index; number of remaining teeth; and pattern of checkups (regular vs. irregular) were evaluated by a trained gerontological nurse practitioner during an in-home assessment. RESULTS A dental visit within the past year for any reason was reported by 132 subjects (55.0%), but only 81 (33.8%) reported some sort of regular dental checkups. For dentate elders (n = 147), an irregular checkup was associated with lower educational level, Protestant faith, and Black race. People with irregular checkups scored significantly lower on all three oral indices. The negative predictive values and likelihood ratio negative values ranged 98.7-100.0% and 0.00-0.98, respectively, indicating that this item of interest is valid for ruling-out dentate subjects with good oral health. For edentulous elders (n = 93), the item was less effective. DISCUSSION A single item, "Do you have regular dental checkups?" can be used effectively to rule out dentate elders with good oral health and identify those who are in need of further oral health assessment or referrals.
Collapse
|
29
|
Kolker JL, Damiano PC, Flach SD, Bentler SE, Armstrong SR, Caplan DJ, Kuthy RA, Warren JJ, Jones MP, Dawson DV. The Cost-Effectiveness of Large Amalgam and Crown Restorations Over a 10-Year Period. J Public Health Dent 2007; 66:57-63. [PMID: 16570752 DOI: 10.1111/j.1752-7325.2006.tb02552.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To assist clinical decision making for an individual patient or on a community level, this study was done to determine the differences in costs and effectiveness of large amalgams and crowns over 5 and 10 years when catastrophic subsequent treatment (root canal therapy or extraction) was the outcome. METHODS Administrative data for patients seen at the University of Iowa, College of Dentistry for 1735 large amalgam and crown restorations in 1987 or 1988 were used. Annual costs and effectiveness values were calculated. Costs of initial treatment (large amalgam or crown), and future treatments were determined, averaged and discounted. The effectiveness measure was defined as the number of years a tooth remained in a state free of catastrophic subsequent treatment. Years free of catastrophic treatment were averaged, and discounted. The years free of catastrophic treatment accounted for individuals who dropped out or withdrew from the study. RESULTS Teeth with crowns had higher effectiveness values at a much higher cost than teeth restored with large amalgams. The cost of an addition year free of catastrophic treatment for crowns was 1088.41 dollars at 5 years and 500.10 dollars at 10 years. Teeth in women had more favorable cost-effectiveness ratios than those in men, and teeth in the maxillary arch had more favorable cost-effectiveness ratios than teeth in the mandibular arch. CONCLUSIONS Neither the large amalgam or crown restoration had both the lowest cost and the highest effectiveness. The higher incremental cost-effectiveness ratio for crowns should be considered when making treatment decisions between large amalgam and crown restorations.
Collapse
Affiliation(s)
- Justine L Kolker
- University of Iowa, College of Dentistry, Department of Operative Dentistry, S229 DSB, Iowa City, IA 52242, USA.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
30
|
|
31
|
Hayran O, Mumcu G, Sur H, Yildirim C, Söylemez D, Atli H. Financing of Dental Services in Turkey: Opinions and Expectations of Dentists, Residents, and Patients. J Public Health Dent 2004; 64:82-7. [PMID: 15180076 DOI: 10.1111/j.1752-7325.2004.tb02732.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This study investigates the attitudes of dentists, residents, and patients on the financing of dental services in Turkey. METHODS In this descriptive study, randomly selected groups of 860 dentists, 641 patients, and 866 residents from 9 provinces of Turkey were interviewed. Their agreement on various statements on financing issues of dental services were recorded and analyzed. RESULTS Eighty-two percent of the dentists, 83.8 percent of the patients, and 76.4 percent of the residents agreed that "governments should finance all dental services." The majority of the dentists (83.6%), patients (74.7%), and residents (84.4%) stated that patients should pay a copayment for their dental treatment. CONCLUSION Survey results indicate that the current financing system of dental services in Turkey is not satisfactory either for the providers or for the users.
Collapse
Affiliation(s)
- Osman Hayran
- Faculty of Medicine, University of Marmara, Istanbul, Turkey
| | | | | | | | | | | |
Collapse
|
32
|
Yeazel MW, Gurney JG, Oeffinger KC, Mitby PA, Mertens AC, Hudson MM, Robison LL. An examination of the dental utilization practices of adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. J Public Health Dent 2004; 64:50-4. [PMID: 15078062 DOI: 10.1111/j.1752-7325.2004.tb02726.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES This study characterized the self-reported dental utilization practice of long-term survivors of childhood cancer, a group at increased risk for treatment-induced dental abnormalities. METHODS 9,434 survivors and a comparison group of 3,858 siblings completed a 289-item survey that included a question on when their last dental visit occurred. RESULTS Within the last year 60.4 percent of survivors reported a dental visit. The groups less likely to report a recent dental visit include minority subjects, subjects with low levels of educational attainment, subjects with annual household incomes < dollar 20,000, and those without health insurance. No significant differences between survivors and siblings were seen. Male survivors exposed to cranial radiation were slightly more likely than other male survivors to report a recent dental visit (OR = 1.27, 95% CI = 1.12, 1.44). CONCLUSIONS The dental utilization practices among survivors of childhood cancer are below recommended levels, even among those at highest risk for dental abnormalities.
Collapse
Affiliation(s)
- Mark W Yeazel
- University of Minnesota Medical School, Department of Family Practice and Community Health, Mayo Medical Code 381, 420 Delaware Street, SE, Minneapolis, MN 55455, USA.
| | | | | | | | | | | | | |
Collapse
|
33
|
Tada A, Hanada N. Sexual differences in oral health behaviour and factors associated with oral health behaviour in Japanese young adults. Public Health 2004; 118:104-9. [PMID: 15037039 DOI: 10.1016/j.puhe.2003.05.007] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2002] [Revised: 05/13/2003] [Accepted: 05/20/2003] [Indexed: 11/25/2022]
Abstract
The aim of this study is to compare the state of oral health behaviour between genders and to analyse factors associated with oral health behaviour by gender in young adults. Anonymous questionnaire data were collected from 527 adults (245 men and 282 women) aged 20-29 years who consulted dentists in Chiba City. The Chi-square test, Mann-Whitney analysis, and logistic regression analysis were used to examine the differences in oral health behaviour and determinants of oral health behaviour between young men and young women. The rate of good behaviour among women were significantly higher than those among men in each oral health behaviour item (toothbrushing frequency p < 0.001; using dental floss p = 0.042; dental check-ups p < 0.001). In women, factors associated with each oral health behaviour were as follows: toothbrushing frequency (family composition p = 0.030); using dental floss (dental health knowledge p = 0.025, employment status p = 0.031), and dental check-ups (age group p = 0.024). In men, a significant relationship was seen only between using dental floss and age group p = 0.025). This study indicated that young women had better oral health behaviour and that more factors were associated with their oral health behaviour in comparison with young men.
Collapse
Affiliation(s)
- Akio Tada
- Chiba City Health Center, 1-3-9 Saiwai, Mihama-ku, Chiba 261-8755, Japan
| | | |
Collapse
|
34
|
Gilbert GH, Shelton BJ, Chavers LS, Bradford EH. The paradox of dental need in a population-based study of dentate adults. Med Care 2003; 41:119-34. [PMID: 12544549 DOI: 10.1097/00005650-200301000-00014] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Studies typically find that predisposing and enabling factors strongly predict dental utilization, but that need factors do not. However, few longitudinal studies have been conducted, and few have comprehensively measured dental need. OBJECTIVES To describe the paradox of dental need, and to test three hypotheses regarding need and dental care use. MATERIALS AND METHODS An observational study that included 873 persons who participated for interview and clinical examination at baseline and 24 months, with 6-month telephone interviews in between. RESULTS Persons who entered the dental care system during follow-up were actually in better dental health than those who did not. The ability of need factors to predict dental care use, and in which direction, varied with how dental need and the dental care use outcome were measured (eg, care of any type, problem-related care, to receive a dental cleaning, to get a dental checkup). CONCLUSIONS A substantial number of dental problems remained or developed among the population that did not enter the dental care system. The paradox of dental need has three components: (1) need predicts dental care use but is dependent upon how need is measured; (2) however, persons with a higher probability of new dental problems are actually less likely to seek dental care; and (3) self-reported disease and oral pain are associated with a higher likelihood of seeking care, whereas clinically-determined need, such as chewing difficulty, lower self-rating, and satisfaction with oral health, are actually associated with a lower likelihood, the former direction being the predominant and expected direction.
Collapse
Affiliation(s)
- Gregg H Gilbert
- Department of Diagnostic Sciences, School of Dentistry, University of Alabama at Birmingham, Alabama 35294-0007, USA.
| | | | | | | |
Collapse
|
35
|
Met and Unmet Need for Dental Services among Active Drug Users in Miami, Florida. J Behav Health Serv Res 2002. [DOI: 10.1097/00075484-200205000-00008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
36
|
Metsch LR, Crandall L, Wohler-Torres B, Miles CC, Chitwood DD, McCoy CB. Met and unmet need for dental services among active drug users in Miami, Florida. J Behav Health Serv Res 2002; 29:176-88. [PMID: 12032975 DOI: 10.1007/bf02287704] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This study considers both met and unmet need for dental services among chronic drug users in Miami, Florida, and compares them with non-drug users recruited from the same neighborhoods (N = 1,479). Three primary findings emerged: (1) dental problems are among the most frequently reported health problems, (2) drug use is independently associated with need for dental services, and (3) injection drug use is independently associated with increased odds of unmet need for dental services. These findings suggest that policies that increase access to dental services for drug users and other disadvantaged groups are needed. These services could be integrated into existing behavioral health programs already targeting active drug users.
Collapse
Affiliation(s)
- Lisa R Metsch
- Department of Epidemiology and Public Health, University of Miami School of Medicine, 1801 NW 9th Avenue, 3rd Floor, Miami, FL 33136, USA.
| | | | | | | | | | | |
Collapse
|
37
|
Abstract
The aim of this paper is to illustrate how knowledge from behavioural sciences is necessary and relevant in creating a successful dental practice, benefitting patients and dental professionals. There are many ways to create a successful dental practice, the products of which are the various treatments performed by dentists or dental hygienists for their patients. Advanced technologies and methods are constantly improving these treatments and thus the technical and managerial aspects of dentistry. However, the success of dental practice is not only dependent on the technique applied or the technical skills of dental professionals, but also on patients, their attitudes and behaviour and the interaction between dental professionals and patients. It is well known that the success of dental treatments (for example, periodontal, orthodontic or implants) depends on the patient's behaviour, which includes compliance with certain oral hygiene regimens or specific dental visiting patterns. The outcome of the treatment depends on both the dental professional's knowledge and skills and the patient's skills, objectives and expectations. Furthermore, dental professionals and patients should be satisfied with the treatment plan as well as the outcome. This paper argues that in order for this to happen dental professionals need additional knowledge and skills from fields outside traditional dental sciences. In order to treat patients successfully, dental professionals must understand and change or modify patient behaviour, and the knowledge necessary for this is provided by the behavioural sciences.
Collapse
Affiliation(s)
- L Schou
- Munksgaard AS, Nørre Søgade 35, Postboks 2148, 1016 Copenhagen K, Denmark.
| |
Collapse
|
38
|
Gibson BJ, Drennan J, Hanna S, Freeman R. An exploratory qualitative study examining the social and psychological processes involved in regular dental attendance. J Public Health Dent 2000; 60:5-11. [PMID: 10734610 DOI: 10.1111/j.1752-7325.2000.tb03285.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study aimed to provide a description of the psychosocial process involved in regular dental attendance. METHODS The study design was a qualitative cross-sectional study using unstructured and semistructured interviews and observations of regular dental visits. The study participants included 12 men and 18 women attending general dental practices and six men and four women attending an emergency dental service. The data were systematically recorded and subjected to line-by-line grounded theory coding around the main concerns of those attending the dentist. RESULTS The main concern of those attending for a regular dental visit was checking their oral health. The six-month recall was conceptualized as a checking cycle in six phases: recalling, responding, inducing (i), waiting, inducing (ii), and telling. The possible outcomes of the cycle were maintaining oral health, sustaining oral health, and a further checking cycle. Variations in checking cycles resulted from reordering and normalizing pressures within participants' lifestyles. CONCLUSIONS The findings of this study suggest that people's patterns of dental attendance are similar to those of other chronic illnesses. An understanding of the dynamic psychosocial processes involved in frequent dental attendance may be achieved when further research into this phenomenon is conducted.
Collapse
Affiliation(s)
- B J Gibson
- Division of Dental Public Health, Guy's, King's and St. Thomas' Dental Institute, King's College, London, UK.
| | | | | | | |
Collapse
|