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Delgado-Pérez VJ, Salmerón-Valdez EN, Robles-Bermeo NL, Lucas Rincón SE, Ortiz MI, de la Rosa-Santillana R, Casanova-Rosado AJ, Mendoza-Rodríguez M, Medina-Solis CE, Maupomé G. Self-reported dental pain in Mexican schoolchildren: a national ecological study. J Clin Pediatr Dent 2024; 48:37-45. [PMID: 38755980 DOI: 10.22514/jocpd.2024.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 08/10/2023] [Indexed: 05/18/2024] Open
Abstract
The objective of this study was to quantify the prevalence of and identify the factors associated with dental pain among elementary- and middle-school students in Mexico. An ecological study was carried out with data from the 2008 National School-based Student-Health Survey. Information on dental pain from schoolchildren (aged 5 to 16 years) was collected from public schools across the 32 states of Mexico. In the original study, a questionnaire was used to explore various factors that affect the oral and dental health status of schoolchildren. The outcome variable was the prevalence rate (for dental pain) reported at state level. Various contextual socioeconomic variables were included, in addition to dental caries. Analyses were performed using Stata software. 52.9% of interviewees were girls; 26.9% of male and female schoolchildren in Mexico experienced gum or dental pain during the period analyzed (95% Confidence Interval = 26.02, 27.77%); according to the Spearman correlation results, self-reported dental pain was unrelated (p > 0.05) to the socioeconomic and sociodemographic variables that make up the Gross Domestic Product (GDP) and the Human Development (HDI), as well as the marginalization and the Gini indices. However, the estimated percentages of self-reported dental pain and caries were positively correlated in the elementary- (r = 0.8958, p < 0.0001), middle-school (r = 0.8958, p < 0.0001) and total populations (r = 0.8542, p < 0.0001). Prevalence of self-reported dental pain was 28%, or about one in three, of the Mexican children and adolescents in the study sample. The state-level sociodemographic and socioeconomic risk indicators were not associated with the prevalence of dental pain. Self-reported caries was positively correlated with self-reported dental pain.
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Affiliation(s)
- Víctor Jesús Delgado-Pérez
- Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico, 50130 Toluca, EM, Mexico
| | - Elías Nahum Salmerón-Valdez
- Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico, 50130 Toluca, EM, Mexico
| | - Norma Leticia Robles-Bermeo
- Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico, 50130 Toluca, EM, Mexico
| | - Salvador Eduardo Lucas Rincón
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, 42130 Pachuca, HG, Mexico
| | - Mario I Ortiz
- Academic Area of Medicine of Health Sciences Institute at Autonomous University of Hidalgo State, 42130 Pachuca, HG, Mexico
| | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, 42130 Pachuca, HG, Mexico
| | | | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, 42130 Pachuca, HG, Mexico
| | - Carlo Eduardo Medina-Solis
- Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico, 50130 Toluca, EM, Mexico
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, 42130 Pachuca, HG, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA
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Brooks CV, Maupomé G. Social support associated with restorative treatment, professionally applied fluoride and flossing: A cross-sectional analysis including recent immigrants from Central America and Mexico in the Midwest USA. Community Dent Oral Epidemiol 2024; 52:187-195. [PMID: 37779340 PMCID: PMC10939981 DOI: 10.1111/cdoe.12912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 06/08/2023] [Accepted: 09/20/2023] [Indexed: 10/03/2023]
Abstract
OBJECTIVES This study examined how Mexican and Central American immigrants' social support was associated with three selected dental outcomes among recent immigrants, prior to the 2020 COVID-19 pandemic. METHODS Using baseline wave data from the 2017-2022 VidaSana study about the health and social networks of Mexican and Central American immigrants living in Indiana, this study utilized logistic and ordinal logistic regression to predict lifetime fluoride use, lifetime dental restoration and flossing frequency, across levels of social support and differences between Mexican and Central American immigrants. RESULTS Data from 547 respondents were included in the present analysis (68% women; mean age 34.4 years [SD 11.2]; Central American 42%; Mexican 58%). Results show a high level of social support was associated with increased probability of fluoride use, dental restoration and higher flossing frequency for Mexican immigrants. However, social support for Central American immigrants was associated with a decreased likelihood of fluoride use, more infrequent flossing, and had no significant association with dental restorations experience. What would be a negative association between Central American immigrants and dental restoration was accounted for by education level and never having been to a dentist. CONCLUSIONS While higher social support was linked to beneficial outcomes for oral health in Mexican immigrants, the opposite was found in Central Americans. These findings highlighted the complexities of social relationships among new immigrants, and potential heterogeneity within the Hispanic population, particularly regarding social and behavioural measures as they pertain to oral health. Further research is needed to identify the underlying mechanisms producing both differences in social support and oral health outcomes.
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Affiliation(s)
- Caroline V. Brooks
- Indiana University, Department of Sociology, 1020 E. Kirkwood Ave., Bloomington, IN 47405, USA
| | - Gerardo Maupomé
- Indiana University-Purdue University Indianapolis, Richard M. Fairbanks School of Public Health, 1050 Wishard Blvd., Indianapolis, IN 46202, USA
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Rodriguez C, Gil C, Maupomé G. Successful Retention Strategies for Research Targeting Hispanic/Latinx (Including Recent Immigrants) in the Midwest Region of the United States. Hisp Health Care Int 2024:15404153241235668. [PMID: 38504638 DOI: 10.1177/15404153241235668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
Recruiting and retaining Hispanic/Latinx (H/L) participants, specifically undocumented immigrants, is challenging in part because of the mistrust and fear in participating in research studies. Additionally, only a few longitudinal studies describe the recruit and retention strategies among Mexican and Central American immigrants aiming to expand the knowledge base about those underprivileged groups; this was the objective of the 6-year longitudinal VidaSana study. In the present methods report, we specifically omit the presentation of results from the empirical data findings of the VidaSana study: the present report describes the process and offers a subjective appraisal of multiple and complementary approaches in the recruitment and retention strategies for Hispanics living in the Midwest region of the United States, including very recently arrived immigrants. This study was able to effectively recruit and retain (81.7%) a cohort of Mexican and Central American immigrants within a period of 36 months. Our recruitment and retention performance were successful in the context of the hostile environment against immigration that dominated the national landscape at the time of our study. The present methods report of the VidaSana study provides an insightful understanding in recruiting and, in particular, retaining H/Ls and H/L recent immigrants into longitudinal studies.
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Affiliation(s)
- Cindy Rodriguez
- Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University-Indianapolis, IN, USA
| | - Cindy Gil
- Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University-Indianapolis, IN, USA
- Office of Community Engagement, Indiana University-Purdue University-Indianapolis, IN, USA
| | - Gerardo Maupomé
- Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University-Indianapolis, IN, USA
- Indiana University Network Science Institute, Bloomington, IN, USA
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Vera-Virrueta CG, Sansores-Ambrosio F, Casanova-Rosado JF, Minaya-Sánchez MI, Casanova-Rosado AJ, Casanova-Sarmiento JA, Guadarrama-Reyes SC, de la Rosa-Santillana R, Medina-Solís CE, Maupomé G. Experience, Prevalence, and Severity of Dental Caries in Mexican Preschool and School-Aged Children. Cureus 2023; 15:e51079. [PMID: 38269237 PMCID: PMC10806378 DOI: 10.7759/cureus.51079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/25/2023] [Indexed: 01/26/2024] Open
Abstract
Objective Dental caries in Mexico continues to be a public health problem, indicated by it is high prevalence and incidence in children. This disease is associated with pain in preschool and school children, with large-scale consequences for the individual, society, and health systems. The objective of the present study was to determine the experience (mean of caries indices), prevalence, and severity of caries in children 2-12 years of age who sought dental care at a dental school in Mexico. Material and methods A cross-sectional study was carried out on 826 clinical records of patients ages 2-12 years. The dependent variable was caries, in terms of experience (mean primary teeth (dmft) and permanent teeth (DMFT) indices), prevalence (dmft and DMFT greater than 0), and severity (cutoffs of caries indices at various levels). The independent variables were age and sex. The data were analyzed in Stata 14 (StataCorp LLC, College Station, Texas). Results The average age was 7.2±2.3; 52.4% were boys. In the primary dentition, the caries experience (mean dmft) was 3.01±3.30, the prevalence of caries was 65.8%, and the severity dmft>3=37.3% and dmft>6=15.6%. In the permanent dentition, the caries experience (mean DMFT) was 0.99±1.88, the prevalence of caries was 31.5%, and the severity DMFT>3=12.5% and DMFT>6=1.6%. The percentage of caries-free children in both dentitions was 26.1% (n=216/826). The experience, prevalence, and severity of caries were statistically different by age (p<0.001). Only in the severity of dmft>3 were differences observed across sex (p<0.05). Among children with mixed dentition, primary teeth were more affected than permanent teeth (2.46±2.87 vs 0.88±1.61; p<0.0001). Conclusions About seven out of 10 children were affected by cavities in either or both dentitions. It was observed that age was positively associated with dental caries, equally affecting girls and boys. In this sample, the primary dentition was impacted more than the permanent dentition. Despite being preventable, dental caries continues to be a health problem in children.
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Affiliation(s)
| | | | | | | | | | | | | | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
| | - Carlo E Medina-Solís
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata" School of Dentistry, Autonomous University of the State of Mexico, Toluca, MEX
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
| | - Gerardo Maupomé
- Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, USA
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Canseco-Prado G, González-López BS, Robles-Bermeo NL, Márquez-Corona MDL, Minaya-Sánchez MI, Bermeo-Escalona J, Zárate-Díaz C, Cabrera-Ortega AA, Medina-Solís CE, Maupomé G. Psychometric Properties of the Iowa Fluoride Study Oral Health Questionnaire in Mexican Adolescents. Cureus 2023; 15:e51165. [PMID: 38283445 PMCID: PMC10813596 DOI: 10.7759/cureus.51165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2023] [Indexed: 01/30/2024] Open
Abstract
BACKGROUND AND OBJECTIVE The perception of quality of life about health status is subjective; assessment of the impact includes well-being while eating, speaking, smiling, interacting with others, and feeling good about the esthetic appearance of teeth and mouth. The objective of the present study was to cross-culturally adapt and determine the validity and reliability of the Mexican version of the Iowa Fluoride Study Oral Health for adolescents. MATERIAL AND METHODS A cross-sectional study was carried out in a sample of 240 Mexican adolescents aged 15 to 19 years. The questionnaire was translated, back-translated, and administered through the Google Forms platform. The cultural adaptation consisted of the evaluation of the grammatical, conceptual, and linguistic equivalences. The evaluation of the utility and acceptability was carried out through an analysis of semantic equivalence. The utility of the questionnaire was also evaluated by analyzing its grammatical readability. Reliability tests, Kaiser-Meyer-Olkin (KMO), factor analysis, and Pearson's correlation were performed. RESULTS The mean age of all participants was 16.4±1.4; 65.3% (n=158) were female. Face validity was considered adequate. The wording of the objective and instructions of the questionnaire were improved. The confidentiality assurances were highlighted. The questions were clear, understandable, and pertinent, and they showed adequate syntax. The INFLESZ index corresponds to a "fairly easy" level of readability. In the quantitative validation, the correlation of items was greater than 0.4. The KMO was 0.930 (p=0.001), and Bartlett sphericity was 2466.5 (p=0.001). Through the exploratory factorial analysis, we evaluated the emotional well-being (12 items), social welfare (five items), and oral symptoms (OS) (three items) dimensions. Internal consistency was high (Cronbach's α=0.942). CONCLUSION The culturally translated and adapted questionnaire is valid and reliable for use in research on Mexican adolescents.
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Affiliation(s)
- Gabriel Canseco-Prado
- School of Behavioral Sciences, Autonomous University of the State of Mexico, Toluca, MEX
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
| | - Blanca S González-López
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Norma L Robles-Bermeo
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - María de L Márquez-Corona
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
| | | | - Josué Bermeo-Escalona
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Chrisel Zárate-Díaz
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Adriana A Cabrera-Ortega
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Carlo E Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, MEX
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, MEX
| | - Gerardo Maupomé
- Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University, Indianapolis, USA
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Bernal-Sánchez KK, Lara-Carrillo E, Velázquez-Enriquez U, Casanova-Rosado JF, Casanova-Rosado AJ, Morales-Valenzuela AA, Márquez-Rodríguez S, Medina-Solís CE, Maupomé G. Clinical and socio-demographic factors associated with dental extractions in a clinical sample. Braz Dent J 2023; 34:121-129. [PMID: 38133086 PMCID: PMC10742350 DOI: 10.1590/0103-6440202305355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 11/20/2023] [Indexed: 12/23/2023] Open
Abstract
The objective of the present study was to identify the reasons for dental extractions in patients seeking dental care in a university dental clinic in Mexico. This is a cross-sectional study that assessed 284 consecutive patients at the School of Dentistry, Autonomous University of the State of Mexico between August 2017 and November 2018. In total, 505 extractions were performed. The dependent variable was the reason for extraction: 0) dental caries and ensuing sequels (reference category); 1) periodontal disease and ensuing sequels; and 2) other reasons. Sociodemographic, socioeconomic, and clinical variables were included as independent variables. The analysis was done with multinomial logistic regression (Stata 14.0). Out of all extractions, 63.6% (n=321) were due to dental caries and ensuing sequels; 22.0% (n=111) were due to periodontal disease and ensuing sequels; 5.3% (n=27) endodontic failure; 5.1% (n=26) prosthetic indications; 1.6% (n=8) orthodontic indications; and the rest (2.4%) were due to other reasons. In the multivariate model extractions due to periodontal disease vs dental caries were associated with occasionally smoking tobacco (Odds Ratio, OR=3.90) or daily tobacco use (OR=3.19); the tooth to be extracted having been previously restored (OR=2.35); extracted anterior as opposed to posterior teeth (OR =2.63); and patients with multiple extractions (OR=2.68). In the case of extractions due to "other reasons", no variable was significant. Dental caries and periodontal disease were the main reasons for dental extraction in this sample. Several variables, mostly clinical, were associated with extractions for periodontal reasons.
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Affiliation(s)
- Karla Karen Bernal-Sánchez
- Center for Advanced Studies and Research on Dentistry Dr. Keisaburo Miyata, School of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | - Edith Lara-Carrillo
- Center for Advanced Studies and Research on Dentistry Dr. Keisaburo Miyata, School of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | - Ulises Velázquez-Enriquez
- Center for Advanced Studies and Research on Dentistry Dr. Keisaburo Miyata, School of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | | | | | | | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, Mexico
| | - Carlo Eduardo Medina-Solís
- Center for Advanced Studies and Research on Dentistry Dr. Keisaburo Miyata, School of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, USA
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Cerón-Zamora E, Scougall-Vilchis RJ, Contreras-Bulnes R, González-López BS, Veras-Hernández MA, Lucas-Rincón SE, Escoffié-Ramirez M, Medina-Solís CE, Maupomé G. Trends in Cleft lip and/or Palate Prevalence at Birth in Mexico: A National (Ecological) Study Between 2003 and 2019. Cleft Palate Craniofac J 2023; 60:1353-1358. [PMID: 35668609 DOI: 10.1177/10556656221106881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE To describe trends in cases and prevalence at birth rates of cleft lip and/or palate (CL/P) in Mexico between 2003 and 2019. DESIGN Ecological study. SETTING Multiple data sources systematically collected into a national epidemiological surveillance data warehouse. PARTICIPANTS National Live Birth Information System. MAIN OUTCOME MEASURE(S) Both cases and prevalence at birth rates of CL/P in Mexico within a 17-year period were used as dependent variables. RESULTS At the national level there were 23 184 new cases of CL/P (average of 1364 per year) in the 32 states of Mexico, with an average prevalence at birth rate of 0.53 per 1000 live births. The states with the highest prevalence at birth rates of CL/P during the period were Hidalgo (1.59) and Jalisco (1.32), while the states with the lowest rates were Nayarit (0.22) and Durango (0.29). A slight decrease in both cases (z = -2.41, P = .016) and prevalence at birth rates (z = -2.58, P = .010) of CL/P was observed at the national level. States such as Durango, Puebla, Chiapas, Guerrero, Oaxaca, Mexico City, State of Mexico, Coahuila and Jalisco showed a clear downward trend (P < .05) in their prevalence at birth of CL/P between 2003 and 2019, while in Hidalgo its trend was upward (P = .05). Significant differences by sex and region were observed (P < .05). CONCLUSION Some states consistently had the highest or lowest prevalence of CL/P. Decreasing trends in the overall prevalence at birth rates were observed. More detailed, epidemiological studies are necessary to adequately characterize CL/P in the Mexican population.
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Affiliation(s)
- Eduardo Cerón-Zamora
- Advanced Studies and Research Center in Dentistry "Dr Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | - Rogelio José Scougall-Vilchis
- Advanced Studies and Research Center in Dentistry "Dr Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | - Rosalía Contreras-Bulnes
- Advanced Studies and Research Center in Dentistry "Dr Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | - Blanca Silvia González-López
- Advanced Studies and Research Center in Dentistry "Dr Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | | | | | | | - Carlo Eduardo Medina-Solís
- Advanced Studies and Research Center in Dentistry "Dr Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, México
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, USA
- Indiana University Network Science Institute, Bloomington, USA
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Jackson HJ, Yepes JF, Scully AC, Vinson LA, Jones JE, Eckert G, Downey T, Maupomé G. Topical fluoride impact in future restorative dental procedures: A claim study. J Am Dent Assoc 2023; 154:876-884. [PMID: 37498261 DOI: 10.1016/j.adaj.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 06/20/2023] [Accepted: 06/21/2023] [Indexed: 07/28/2023]
Abstract
BACKGROUND Caries is one of the most prevalent diseases affecting children. Topical fluoride is used to decrease the incidence of caries. The purpose of this study was to investigate the impact of fluoride varnish and gel applications on future restorative dental treatment claims. METHODS The data were obtained in conjunction with a dental data warehouse through a partnership agreement. A retrospective analysis of dental claims made from 2010 through 2018 was completed. Data were extracted for patients aged 1 through 8 years with topical fluoride application and its subsequent impact on restorative dental claims. RESULTS Data for 672,889 patients were included in the analysis. Patients who received topical fluoride had significantly lower numbers (P < .001) of restorative procedures and extractions per year and significantly increased time (P < .001) to their first restorative procedure or extraction after the index visit than patients who did not receive topical fluoride. CONCLUSIONS The application of fluoride varnishes and gels increased the time to future restorative and extraction dental claims and decreased the number of future restorative and extraction dental claims. PRACTICAL IMPLICATIONS This study is important because it found that the use of topical fluoride decreased the number of future restorative and extraction dental claims.
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Rueda-Ibarra V, Robles-Bermeo NL, González-López BS, Medina-Solís CE, Serrano-Robles JG, Márquez Rodríguez S, Bermeo-Escalona JR, Delgado-Pérez VJ, Maupomé G. Full Pulpotomy as a Treatment for Irreversible Pulpitis in Permanent Teeth: A Systematic Review of the Literature Based on Case Reports. Cureus 2023; 15:e46808. [PMID: 37954774 PMCID: PMC10635780 DOI: 10.7759/cureus.46808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2023] [Indexed: 11/14/2023] Open
Abstract
The objective of this systematic review was to evaluate the current evidence of case reports where the treatment for permanent teeth with a diagnosis of irreversible pulpitis was a full pulpotomy. This study was carried out by two reviewers following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A systematic electronic search was carried out in the PubMed, Google Scholar, and Scopus databases until the year 2022 to find articles in English where the treatment for irreversible pulpitis in permanent teeth was a full pulpotomy. Literature reviews, in vitro or animal studies, abstracts, and unpublished data were excluded. The intervention, control, and outcome parameters were selected following the "Population, Interventions, Control, and Outcome" (PICO) guidelines. A total of 636 articles were found, and 14 articles were selected to be included in this review. The selected articles describe cases of full pulpotomies in mature permanent teeth with a diagnosis of irreversible pulpitis with a total of 34 (100%) successful cases, where 18 were men and 16 were women, with an average age of 19.20 ± 10.59 years and an average follow-up of 35.82 ± 26.39 months, with 12 months being the minimum follow-up time. The material used most frequently for obturation of the full pulpotomy was mineral trioxide aggregate in 16 cases (47.06%). Within the limitations of this review, full pulpotomy presents a high success rate regardless of the tooth, age, or sex as a treatment for teeth diagnosed with irreversible pulpitis.
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Affiliation(s)
- Vicente Rueda-Ibarra
- School of Dentistry, Autonomous University of the State of Mexico, Toluca, MEX
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, MEX
| | - Norma L Robles-Bermeo
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico, Toluca, MEX
| | - Blanca S González-López
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University of the State of Mexico, Toluca, MEX
| | - Carlo E Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, MEX
| | - José G Serrano-Robles
- Center for Research in Health Sciences, Faculty of Health Sciences, Anahuac University North Campus, Ciudad de Mexico, MEX
| | - Sonia Márquez Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, MEX
| | | | - Victor J Delgado-Pérez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, MEX
| | - Gerardo Maupomé
- Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, USA
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García MJ, Brooks CV, Ambriz D, Ekl EA, Smith NC, Maupomé G, Perry BL. Pandemic Precarity: COVID-19's Impact on Mexican and Central American Immigrant Families. J Marriage Fam 2023; 85:1028-1046. [PMID: 38107207 PMCID: PMC10720736 DOI: 10.1111/jomf.12930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 07/12/2023] [Indexed: 12/19/2023]
Abstract
Objective The study examines the association of gender, parenthood, and marriage with reports of perceived pandemic precarity among Mexican and Central American immigrants during the COVID-19 pandemic (Fall 2020) to understand predictors of vulnerability in periods of crisis. Background Latinos/as, immigrants, parents, and women have faced significant challenges during the COVID-19 pandemic. Family structure, along with social expectations for gender (i.e., self-sacrificing femininity for women and hegemonic masculinity for men), parenthood, and marriage may explain perceptions of pandemic precarity - defined as the material deprivation and economic anxiety resulting from the COVID-19 pandemic. Method This study used data from the Hispanic COVID-19 Rapid Response Study (n=400), a follow-up of the VidaSana Study of Mexican and Central American immigrants, to examine how family structure is associated with pandemic precarity (i.e., food, housing, and economic insecurity). Using linear regression models, average marginal effects (AMEs), and tests for group differences we investigate the independent and interactive effects of gender, parenthood, and marriage on pandemic precarity. Results Men and parents reported the highest pandemic precarity. Fathers reported higher pandemic precarity than mothers. For men, marriage is associated with greater precarity, and for women, marriage is associated with less precarity, yet marriage increased precarity for those without children. Conclusion We discuss the importance and implications of examining gender along with family structure to understand how immigrant families were faring in response to the pandemic.
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Affiliation(s)
- Melissa J García
- Department of Sociology, Indiana University, Bloomington, Indiana
| | | | - Denise Ambriz
- Assistant Professor of Sociology, Pitzer College, Claremont, California
| | - Emily A Ekl
- Department of Sociology, Indiana University, Bloomington, Indiana
| | - Nicholas C Smith
- Department of Sociology, Indiana University, Bloomington, Indiana
| | - Gerardo Maupomé
- Associate Dean of Research & Professor, Global Health, Fairbanks School of Public Health, Associate Director, Indiana University Community Health Partnerships, Indiana University-Purdue University, Indianapolis, Indiana
| | - Brea L Perry
- Associate Director, Irsay Institute for Sociomedical Sciences Research, Allen D. and Polly S. Grimshaw Professor, Department of Sociology, Indiana University, Bloomington, Indiana
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Hernández-Morales A, González-López BS, Scougall-Vilchis RJ, Bermeo-Escalona JR, Velázquez-Enríquez U, Islas-Zarazúa R, Márquez-Rodríguez S, Sosa-Velasco TA, Medina-Solís CE, Maupomé G. Lip and Oral Cavity Cancer Incidence and Mortality Rates Associated with Smoking and Chewing Tobacco Use and the Human Development Index in 172 Countries Worldwide: An Ecological Study 2019-2020. Healthcare (Basel) 2023; 11:healthcare11081063. [PMID: 37107897 PMCID: PMC10137392 DOI: 10.3390/healthcare11081063] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 04/04/2023] [Accepted: 04/06/2023] [Indexed: 04/29/2023] Open
Abstract
Tobacco use is associated with diseases worldwide, including cancer. This is one of the major public health problems globally, causing more than 19 million new cases in 2020. Lip and oral cavity cancer (LOCC) is neoplastic growth in the tongue, gums, and lips. The objective of this ecological study was to quantify the strength of the association between incidence and mortality of LOCC, with tobacco use and with the Human Development Index (HDI). Incidence and mortality data on LOCC were obtained for 172 countries in 2020, from the Global Cancer Observatory (GLOBOCAN). The prevalence of tobacco smoking and chewing was obtained from reports conducted in 2019. The inequality in human development was estimated using the HDI from the United Nations Development Program, Human Development Report (2019). Statistically significant correlations were observed between the incidence of LOCC and tobacco smoking and chewing prevalence, except for negative correlations between the prevalence of tobacco smoking LOCC mortality in women, just as in the case of the HDI. No statistically significant differences were found between the prevalence of tobacco chewing only and the incidence of LOCC overall and by sex. A higher LOCC incidence overall and by sex was associated with higher HDI. In conclusion, the present study found positive correlations for various HDI socioeconomic indicators and tobacco use with the incidence and mortality of LOCC, but also a few inverse correlations.
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Affiliation(s)
- Antonio Hernández-Morales
- Doctoral Program in Health Sciences, School of Behavioral Sciences, Autonomous University of the State of Mexico, Toluca 50130, Mexico
- Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | - Blanca Silvia González-López
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | - Rogelio José Scougall-Vilchis
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | | | - Ulises Velázquez-Enríquez
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | - Rosalina Islas-Zarazúa
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
| | | | - Carlo Eduardo Medina-Solís
- Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata" of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University-Purdue University, Indianapolis, IN 46202, USA
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12
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López-Gómez SA, González-López BS, Scougall-Vilchis RJ, Márquez-Corona MDL, Minaya-Sánchez M, Navarrete-Hernández JDJ, de la Rosa-Santillana R, Acuña-González GR, Pontigo-Loyola AP, Villalobos-Rodelo JJ, Medina-Solís CE, Maupomé G. Factors Associated with Self-Report of Type 2 Diabetes Mellitus in Adults Seeking Dental Care in a Developing Country. Int J Environ Res Public Health 2022; 20:218. [PMID: 36612540 PMCID: PMC9819279 DOI: 10.3390/ijerph20010218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 12/07/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
The aims of the present study were to identify the prevalence and risk indicators of type 2 diabetes mellitus (T2DM) in urban-based Mexican adults seeking care in a university-based triage/intake dental clinic, and to develop a predictive model. A cross-sectional study was conducted on 3354 medical/dental records of adults who sought care at the triage/intake dental clinics of a public university. The dependent variable was self-report of a previous diagnosis of T2DM made by a physician. Several socio-demographic and socioeconomic covariates were included, as well as others related to oral and general health. A multivariate binary logistic regression model was generated. We subsequently calculated well-known statistical measures employed to evaluate discrimination (classification) using an (adjusted) multivariate logistic regression model (goodness-of-fit test). The average age of patients was 42.5 ± 16.1 years old and the majority were female (64.1%). The prevalence of T2DM was 10.7% (95%CI = 9.7−11.8). In the final multivariate model, the variables associated (p < 0.05) with the presence of T2DM were older age (40 to 59 years old, OR = 2.00; 60 to 95 years old, OR = 2.78), having any type of health insurance (OR = 2.33), having high blood pressure (OR = 1.70), being obese (OR = 1.41), and having a functional dentition (OR = 0.68). Although the global fit of the model and the calibration tests were adequate, the sensitivity (0.0%) and positive predictive (0.0%) values were not. The specificity (100%) and negative predictive (89.3%) values, as well as the correctly classified (89.3%) value, were adequate. The area under the ROC curve, close to 0.70, was modest. In conclusion, a prevalence of T2DM of 10.7% in this sample of Mexican adults seeking dental care was similar to national figures. Clinical (blood pressure, BMI and functional dentition), demographic (age), and socioeconomic (health insurance) variables were found to be associated with T2DM. The dental setting could be appropriate for implementing preventive actions focused on identifying and helping to reduce the burden of T2DM in the population.
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Affiliation(s)
- Sandra Aremy López-Gómez
- School of Behavioral Sciences, Autonomous University of the State of Mexico, Toluca 50130, Mexico
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
| | - Blanca Silvia González-López
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | - Rogelio José Scougall-Vilchis
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | | | | | | | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
| | | | | | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA
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13
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Rodriguez J, Golzarri-Arroyo L, Rodriguez C, Maupomé G. Stress and Alcohol Intake among Hispanic Adult Immigrants in the U.S. Midwest. Int J Environ Res Public Health 2022; 19:16244. [PMID: 36498318 PMCID: PMC9738040 DOI: 10.3390/ijerph192316244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 11/28/2022] [Accepted: 12/01/2022] [Indexed: 06/17/2023]
Abstract
Alcohol intake and Alcohol Use Disorder (AUD) among recent and very recent Hispanic immigrants are not well characterized, in particular in the context of perceived stress among such groups. The objective of the present study was to shed light on alcohol intake and AUD overall, as well as potential modifications derived from varying levels of stress and socioeconomic status (SES). The study population was immigrants with six or fewer months of having arrived in the American Midwest, and members of their peer networks who had been in the U.S. for 2+ years. We found that AUD and alcohol intake spanned from very high to a considerable proportion who abstained; perceived stress did not have an obvious impact on AUD or alcohol intake. Moreover, neither New vs. Established immigrant statuses, or SES levels, were associated with AUD or alcohol intake. Future research should examine in a more finely-grained approach the components of SES to verify if the complex circumstances of recent immigrants are in fact amenable to SES classification using standard quantification approaches-even using the functional descriptions of the SES surrogates we used.
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Affiliation(s)
- Jacqueline Rodriguez
- Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University–Purdue University Indianapolis, Indianapolis, IN 46202, USA
| | - Lilian Golzarri-Arroyo
- Department of Epidemiology and Biostatistics, School of Public Health Bloomington, Indiana University Bloomington, Bloomington, IN 47405, USA
| | - Cindy Rodriguez
- Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University–Purdue University Indianapolis, Indianapolis, IN 46202, USA
| | - Gerardo Maupomé
- Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University–Purdue University Indianapolis, Indianapolis, IN 46202, USA
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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14
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Kakar A, Blanchard S, Shin D, Maupomé G, Eckert GJ, John V. Periodontal diagnosis and treatment planning - An assessment of the understanding of the new classification system. J Dent Educ 2022; 86:1573-1580. [PMID: 35830257 DOI: 10.1002/jdd.13037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 06/24/2022] [Accepted: 06/29/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES Substantial variations are seen among clinicians in the diagnosis and treatment planning of periodontal diseases. Accurate diagnosis and treatment planning are fundamental requirements for effective outcome-based patient care. The aim of this study was to evaluate the understanding of the American Academy of Periodontology and the European Federation of Periodontology 2017 periodontal disease classifications in diagnoses and treatment plans across four study groups. METHODS The study recruited at least 20 participants in each of the four study groups. These included 1) Periodontal faculty and residents at Indiana University School of Dentistry (IUSD-PF) 2) IUSD general practice faculty (IUSD-GPF), 3) private practice periodontists (PPP), and 4) general practitioners (GP). The participants were provided with 10 HIPPA de-identified case records and a link to a survey. The survey comprised five demographic questions and two questions on diagnosis and treatment plan for each case along with a fixed list of responses. The responses were then compared against gold standards that were determined by a group of three board-certified periodontists. RESULTS Overall, for diagnostic questions, GP (69%) were correct significantly less often than IUSD-PF (86%, p < 0.001), IUSD-GPF (79%, p = 0.002), and PPP (80%, p = 0.001). No significant differences (p > 0.05) in the overall correct treatment plan responses were found among the four groups (IUSD-PF: 69%, IUSD-GPF: 62%, PPP: 68%, and GP: 60%). The multi-rater kappas for with-in-group agreement on overall diagnosis ranged from 0.36 (GP) to 0.55 (IUSD-PF) and on overall treatment plan ranged from 0.32 (IUSD-GPF) to 0.42 (IUSD-PF). Overall agreement for diagnosis and treatment plans among the four groups was relatively low and none of the groups were statistically different from each other (p > 0.05). CONCLUSION Regular participation in calibration sessions may lead to more accurate adoption of the 2017 periodontal classification and thereby help provide consistent diagnosis and treatment.
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Affiliation(s)
- Arushi Kakar
- Department of Periodontology, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Steven Blanchard
- Department of Periodontology, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Daniel Shin
- Department of Periodontology, Indiana University School of Dentistry, Indianapolis, Indiana, USA
| | - Gerardo Maupomé
- Department of Periodontology, Indiana University School of Dentistry, Indianapolis, Indiana, USA.,Department of Global Health, Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA
| | - George J Eckert
- Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Vanchit John
- Department of Periodontology, Indiana University School of Dentistry, Indianapolis, Indiana, USA
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15
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Islas-Zarazúa R, Mora-Acosta M, Navarrete-Hernández JDJ, Reynoso-Vázquez J, Villalobos-Rodelo JJ, Rojas-Ortega L, Sosa-Velazco TA, Márquez-Corona MDL, Medina-Solís CE, Maupomé G. Comparative Analysis of Edentulism in a Sample of Mexican Adults with and without Type 2 Diabetes. Healthcare (Basel) 2022; 10:healthcare10122378. [PMID: 36553901 PMCID: PMC9777753 DOI: 10.3390/healthcare10122378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 11/22/2022] [Accepted: 11/23/2022] [Indexed: 11/29/2022] Open
Abstract
The objective of the present study was to compare the prevalence of edentulism in Mexican adults with and without a diagnosis of type 2 diabetes mellitus (T2DM) when they are seeking dental care. A cross-sectional study was conducted on 1921 medical records of Mexican adults 40 years of age and older who sought dental care at clinics of a public university in Mexico. The dependent variable was edentulism, clinically determined through an oral examination. The main independent variable was the self-report of previous T2DM diagnosis made by a physician. Sociodemographic, socioeconomic and behavioral covariates were included in a multivariate binary logistic regression model. Overall edentulism prevalence was 8.4% (95% CI = 7.1-9.6). The prevalence of T2DM was 14.3% (n = 274). The prevalence of edentulism among individuals with T2DM was 13.1%, but only 7.6% among individuals without T2DM. In the multivariate binary logistic regression model, a previous T2DM diagnosis increased the probability of being edentulous 1.61 times (95% CI = 1.03-2.50). For each year a person's age increased, the likelihood of being edentulous increased by 12% (95% CI = 10-14%). In summary, a higher prevalence of edentulism was present in Mexican adults with T2DM and in those of older age. This information may be used by dental care providers and health policymakers to improve approaches to preventive care, as well as to characterize and anticipate care needs more accurately for the adult and older adult populations.
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Affiliation(s)
- Rosalina Islas-Zarazúa
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | - Mariana Mora-Acosta
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
- Correspondence: (M.M.-A.); (C.E.M.-S.)
| | | | - Josefina Reynoso-Vázquez
- Pharmacy Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | - Juan José Villalobos-Rodelo
- School of Dentistry, Autonomous University of Sinaloa, Culiacan 80040, Mexico
- Department of Epidemiology, Institute of Social Security and Services for Government Workers, Culiacan 80000, Mexico
| | - Laura Rojas-Ortega
- Universidad Contemporánea de las Américas, Ciudad de Mexico 04890, Mexico
| | | | | | - Carlo Eduardo Medina-Solís
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, School of Dentistry, Autonomous University of State of Mexico, Toluca 50000, Mexico
- Correspondence: (M.M.-A.); (C.E.M.-S.)
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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16
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Jiménez-Gayosso SI, Morales-Luckie RA, Robles-Bermeo NL, Hernández-Martínez CT, Villalobos-Rodelo JJ, Islas-Zarazúa R, Navarrete-Hernández JDJ, Patiño-Marín N, Medina-Solís CE, Maupomé G. Changes in oral pH before and after placing preformed metal crowns in primary dentition of Mexican children. Technol Health Care 2022; 31:969-976. [PMID: 36442164 DOI: 10.3233/thc-220433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND: Prefabricated metal crowns (PMCs) have been widely used in pediatric dentistry due to their great success in various clinical situations. However, it is important to know the local effects, such as changes in pH in the oral environment. OBJECTIVE: To evaluate the pH variations before and after placement of PMCs. METHODS: A quasi-experimental study (before and after) was performed with 32 pediatric patients who needed rehabilitation with PMCs at a pediatric dentistry clinic in a public university. Measurements were made using a pH potentiometer before PMC placement, one week after, and one month after placement. ANOVA and Pearson correlation were performed in SPSS. RESULTS: The average age of the participants was 5.9 ± 1.6 years, and 53.1% were female. The average pH before, one week after, and one month after crown placement was 7.46 ± 0.37, 7.00 ± 0.32, and 7.1 ± 0.19, respectively. Significant differences (p< 0.05) were observed between the three pH measurements. We found differences when comparing the basal pH values to those at one week (p= 0.001) and one month (p= 0.002). CONCLUSION: Although there were statistically significant differences in the pH change values before and after the placement of crowns, these differences may not have a clinical impact.
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Affiliation(s)
- Sandra Isabel Jiménez-Gayosso
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Raúl Alberto Morales-Luckie
- Sustainable Chemistry UAEMex-UNAM Research Center, Faculty of Chemistry, Autonomous University State of Mexico, Toluca, Mexico
| | - Norma Leticia Robles-Bermeo
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - César Tadeo Hernández-Martínez
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | | | - Rosalina Islas-Zarazúa
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - José de Jesús Navarrete-Hernández
- Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - Nuria Patiño-Marín
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University-Purdue University, Indianapolis, IN, USA
- Indiana University Network Science Institute, Bloomington, IN, USA
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17
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Lara-Muñoz MDC, Torres-Escobar ID, Espinosa De Santillana IA, García-Solano M, Muñoz-Quintana G, Martínez-Hernández AM, Medina-Solís CE, Maupomé G. Association of tobacco and alcohol consumption with self-reported tooth loss among teenagers and young adults: a large-scale, cross-sectional study. Journal of Substance Use 2022. [DOI: 10.1080/14659891.2022.2114390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
| | | | | | - Mauro García-Solano
- School of Stomatology, Benemérita Universidad Autónoma de Puebla, Puebla City, Mexico
| | | | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata,” School of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, Indiana, USA
- Indiana University Network Science Institute, Bloomington, Indiana, USA
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18
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Acuña-González GR, Casanova-Sarmiento JA, Islas-Granillo H, Márquez-Rodríguez S, Benítez-Valladares D, Mendoza-Rodríguez M, de la Rosa-Santillana R, Navarrete-Hernández JDJ, Medina-Solís CE, Maupomé G. Socioeconomic Inequalities and Toothbrushing Frequency among Schoolchildren Aged 6 to 12 Years in a Multi-Site Study of Mexican Cities: A Cross-Sectional Study. Children (Basel) 2022; 9:children9071069. [PMID: 35884053 PMCID: PMC9321228 DOI: 10.3390/children9071069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/12/2022] [Accepted: 07/15/2022] [Indexed: 11/16/2022]
Abstract
Periodic toothbrushing is the most common, effective, and reliable way to mechanically remove biofilm from oral tissues. The objective of the present study was to determine the association between toothbrushing frequency and socioeconomic position for schoolchildren between 6 and 12 years of age in four cities in Mexico. A cross-sectional study was conducted on 500 Mexican schoolchildren between 6 and 12 years of age from public schools in four Mexican cities. Questionnaires were administered to the parents/guardians of the schoolchildren to obtain the variables included in the study. The dependent variable was toothbrushing frequency, dichotomized as: 0 = less than twice a day and 1 = at least twice a day. The analysis was performed in Stata. The average age of the schoolchildren was 8.9 ± 1.9 years; 50.4% were female. The prevalence of toothbrushing was 52.8% (at least twice a day) (95% CI = 48.4−57.1). In the multivariate model, the variables associated (p < 0.05) with toothbrushing frequency were older age of the schoolchild (OR = 1.14); younger age of the mother (OR = 0.93); being a girl (OR = 1.70); being enrolled in Seguro Popular (OR = 0.69); being in a household that was owned (OR = 2.43); and being a schoolchild who lived in a home that owned a car (OR = 1.31). The prevalence of toothbrushing at least twice a day was just over 50% in these Mexican children. We found demographic and socioeconomic variables to be associated with toothbrushing. Based on socioeconomic variables that were associated with toothbrushing frequency—such as health insurance, home ownership and the household owning a car—the results of the present study confirm the existence of health inequalities in toothbrushing frequency.
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Affiliation(s)
| | - Juan Alejandro Casanova-Sarmiento
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (G.R.A.-G.); (J.A.C.-S.)
- Dentistry Department, Campus Campeche, Vizcaya of the Americas University, Campeche 24099, Mexico
| | - Horacio Islas-Granillo
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | | | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - José de Jesús Navarrete-Hernández
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
- Center for Advanced Studies and Research on Dentistry Dr. Keisaburo Miyata, School of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
- Correspondence:
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA;
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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Lucas-Rincón SE, Lara-Carrillo E, Robles-Bermeo NL, Rueda-Ibarra V, Alonso-Sánchez CC, Vázquez-Rodríguez SB, Ávila-Burgos L, Medina-Solis CE, Maupomé G. Experience, prevalence, need for treatment and cost of care for caries: A multicenter study in a developing country. Community Dent Health 2022; 39:86-91. [PMID: 35020280 DOI: 10.1922/cdh_00245lucasrincon06] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To assess the experience, prevalence, need for treatment and economic impact of caries among students 6-12 years old in four cities in Mexico. BASIC RESEARCH DESIGN Cross-sectional clinical study. SETTING Elementary public schools. PARTICIPANTS 500 schoolchildren aged 6 to 12 years. METHOD Oral clinical examinations using WHO criteria for caries in the primary (dmft) and permanent (DMFT) dentitions. MAIN OUTCOME MEASURES Indicators of caries in the primary and permanent dentitions: experience, prevalence, severity and the Significant Caries Index. In addition, we calculated the treatment needs, dental care rate and cost of care. RESULTS dmft in the primary dentition was 2.59±2.83, and DMFT was 0.82±1.44 in the permanent dentition. Caries prevalence reached 67.7% in the primary and 34.1% in permanent dentition. The treatment needs index was 85.9% and 91.3% in the primary and permanent dentitions, respectively; the dental care index was 13.9% and 8.5%, respectively. The cost of care for caries in the primary dentition was estimated at $22.087 millions of international dollars (PPP US$) when amalgam was the restorative material used, and PPP US$19.107 millions for glass ionomer. For the permanent dentition, the cost was PPP US$7.431 millions when amalgam was used and PPP US$7.985 millions when resin/composite was used as restorative material. CONCLUSIONS The prevalence and experience of caries in the primary dentition were 50% greater than those of other studies carried out in Mexico. In the permanent dentition they were less. There is considerable need for the treatment of caries and minimal experience with restorative care. The cost of care for caries may be assumed to be high for a health system such as Mexico's.
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Affiliation(s)
- S E Lucas-Rincón
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Mexico
| | - E Lara-Carrillo
- Advanced Studies and Research Centre in Dentistry, Autonomous University of State of Mexico, Mexico
| | - N L Robles-Bermeo
- Advanced Studies and Research Centre in Dentistry, Autonomous University of State of Mexico, Mexico
| | - V Rueda-Ibarra
- Advanced Studies and Research Centre in Dentistry, Autonomous University of State of Mexico, Mexico
| | | | | | - L Ávila-Burgos
- Health Systems Research Center, National Institute of Public Health, Mexico
| | - C E Medina-Solis
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Mexico
| | - G Maupomé
- Richard M Fairbanks School of Public Health, Indiana University/Purdue University, USA
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20
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Cerón-Zamora E, Scougall-Vilchis RJ, Lara-Carrillo E, Contreras-Bulnes R, Robles-Bermeo NL, Mendoza-Rodríguez M, Medina-Solís CE, Maupomé G. Evaluation of tooth demineralization using laser-fluorescence in dental school patients undergoing orthodontic treatment: A clinical study. Technol Health Care 2022; 30:1443-1452. [PMID: 35661038 DOI: 10.3233/thc-220039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Adverse effects can occur during orthodontic treatment. OBJECTIVE To evaluate the relationship between prevalence and severity of enamel demineralization using a laser-fluorescence device, with length of orthodontic treatment time. METHOD A cross-sectional study was conducted in 60 patients in a university orthodontic clinic. A clinical examination to establish demineralization at four sites on each tooth (premolar to premolar) was performed using the DIAGNOdent pen. The dependent variable was enamel demineralization, from which the prevalence (at least one affected site), extension (percentage of affected teeth) and adjusted average (average of the mean DIAGNOdent values per tooth) were calculated. The length of time for orthodontic treatment was determined in months. Various sociodemographic and clinical covariates were included. RESULTS Average number of months under orthodontic treatment was 26.37 ± 24.81 months. Prevalence of enamel demineralization was 80.0%, its extension was 21.9% ± 17.2 and adjusted average of DIAGNOdent values was 6.09 ± 1.75. By quadrant, the teeth most affected were 14 (34.4%), 24 (25.0%), 31 (30.2%) and 44 (33.3%). No significant relationship (p> 0.05) was observed between enamel demineralization and length of time under orthodontic treatment. CONCLUSIONS A high prevalence of dental demineralization was observed. In this sample, no relationship was observed between months under treatment and dental demineralization, or with other variables included in the study.
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Affiliation(s)
- Eduardo Cerón-Zamora
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico.,Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico
| | - Rogelio José Scougall-Vilchis
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico.,Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico
| | - Edith Lara-Carrillo
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico
| | - Rosalía Contreras-Bulnes
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico
| | - Norma Leticia Robles-Bermeo
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico
| | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Carlo Eduardo Medina-Solís
- Advanced Studies and Research Center in Dentistry, "Dr. Keisaburo Miyata" of School of Dentistry, Autonomous University of State of Mexico, Toluca, Mexico.,Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN, USA.,Indiana University Network Science Institute, Bloomington, IN, USA
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21
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Hernández-Martínez CT, Jiménez-Gayosso SI, Lucas-Rincón SE, Robles-Bermeo NL, Patiño-Marín N, Villalobos-Rodelo JJ, Medina-Solís CE, Maupomé G. Dental pain prevalence associated with caries experience in pediatric patients in a clinical sample in Mexico. Braz Oral Res 2021; 35:e076. [PMID: 34161413 DOI: 10.1590/1807-3107bor-2021.vol35.0076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Accepted: 02/03/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to identify if the prevalence of dental pain (past and / or present) is associated with caries experience in Mexican children, as well as to characterize factors associated with dental pain. A cross-sectional study was conducted in a consecutive sample of 309 children 2 to 12 years old who were patients at a dental school clinic in Toluca, Mexico. Data were collected from clinical records. The dependent variable had three categories: 0 = have never had dental pain, 1 = had dental pain before the appointment, and 2 = current dental pain. Non-parametric statistical tests were used in the analysis. A multivariate multinomial logistic regression model was generated in Stata 11.0. Average age was 5.71 ± 2.43 years and 50.8% were boys. The joint dmft+DMFT index was 9.11 ± 4.19. It was observed that 56.6% of children did not report having experienced dental pain, 30.7% reported having previously had dental pain, and 12.6% had pain when the clinical appointment took place. In the multivariate model, variables associated (p < .05) with previous dental pain were age (OR = 1.13); the dmft + DMFT index (OR = 1.13), having had a last dental visit for curative/emergency reasons (OR = 2.41) and prior experience of dental trauma (OR = 2.59). For current pain, only the joint dmft + DMFT index (OR = 1.10, p < 0.05) had significant associations. Almost half of the children had experienced dental pain in their lifetime. Since caries experience is a factor associated with dental pain, decreasing caries levels may ameliorate suffering from dental pain in children.
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Affiliation(s)
- César Tadeo Hernández-Martínez
- Autonomous University of Hidalgo State - UAEH, Health Sciences Institute, Academic Area of Dentistry, Pachuca, HG, México
| | - Sandra Isabel Jiménez-Gayosso
- Autonomous University of Hidalgo State - UAEH, Health Sciences Institute, Academic Area of Dentistry, Pachuca, HG, México
| | - Salvador Eduardo Lucas-Rincón
- Autonomous University of Hidalgo State - UAEH, Health Sciences Institute, Academic Area of Dentistry, Pachuca, HG, México
| | - Norma Leticia Robles-Bermeo
- Autonomous University of the State of Mexico - UAEM, School of Dentistry, Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata", Toluca, EM, México
| | - Nuria Patiño-Marín
- Autonomous University of San Luis Potosí - UASLP, School of Dentistry, Doctoral Program in Dental Sciences, San Luis Potosí, SL, México
| | - Juan José Villalobos-Rodelo
- Institute of Social Security and Services Government Workers - ISSSTE, Department of Epidemiology, Culiacan, SI, Mexico
| | - Carlo Eduardo Medina-Solís
- Autonomous University of Hidalgo State - UAEH, Health Sciences Institute, Academic Area of Dentistry, Pachuca, HG, México
| | - Gerardo Maupomé
- Indiana University, Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA
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22
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Fernández-Barrera MÁ, de Jesús Saucedo-Molina T, Scougall-Vilchis RJ, de Lourdes Márquez-Corona M, Medina-Solís CE, Maupomé G. Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design. Acta Stomatol Croat 2021; 55:137-146. [PMID: 34248147 PMCID: PMC8255044 DOI: 10.15644/asc55/2/3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 02/24/2021] [Indexed: 11/18/2022] Open
Abstract
Objectives To evaluate the effectiveness of two pit and fissure sealants (PFS) in reducing the incidence of dental caries in schoolchildren. Material and Methods A randomized split-mouth experimental design was used in a sample of 140 subjects assigned to two groups. The sealants used were Clinpro©3M and BeautiSealant©Shofu placed in first permanent molars (FPMs). Each sealant was compared to molars in the controls to determine effectiveness over a period of 6 months. The study had a 12.9% loss to follow-up. No statistically significant differences (p>0.05) were observed for sex, age, baseline dmft, or type of sealants. Nonparametric tests were used for statistical analysis. Results Average dmft index at baseline was 4.10±3.16. Lower incidence of caries was observed in FPMs with pit and fissure sealants (p<0.01), regardless of the type used. When sealants remained intact there was a lower caries incidence compared to sealants partially or completely missing – but differences were only significant for FPM 16. Caries incidence was higher for BeautiSealant sealed teeth than for Clinpro’s, but only statistically significant in FPMs 16, 36 and 46 (p< 0.05). Caries incidence was higher in those cases with a higher baseline dmft but it only reached statistical significance in FPMs 26 and 36. Relative risks for dental caries were lower in sealed teeth (p<0.01). Conclusions Pit and fissures sealants are an effective preventive treatment to reduce caries during a 6-month follow-up in schoolchildren 6 to 8 years of age, regardless of the type of sealant used. The sealant brand that showed greater effectiveness in terms of prevention and retention was Clinpro©3M.
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Affiliation(s)
| | | | - Rogelio José Scougall-Vilchis
- Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico. Toluca, Mexico
| | - María de Lourdes Márquez-Corona
- Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico. Toluca, Mexico
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State. Pachuca, Mexico.,Advanced Studies and Research Centre in Dentistry "Dr. Keisaburo Miyata" of School of Dentistry at Autonomous University of the State of Mexico. Toluca, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University. Indianapolis, USA.,Indiana University Network Science Institute, Bloomington, USA
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23
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Casanova-Rosado JF, Casanova-Rosado AJ, Minaya-Sánchez M, Casanova-Sarmiento JA, Robles-Minaya JL, Márquez-Rodríguez S, Mora-Acosta M, Islas-Zarazúa R, Márquez-Corona MDL, Ávila-Burgos L, Medina-Solís CE, Maupomé G. Self-Reported Dental Caries by Mexican Elementary and Middle-School Schoolchildren in the Context of Socioeconomic Indicators: A National Ecological Study. Children (Basel) 2021; 8:289. [PMID: 33917854 PMCID: PMC8068240 DOI: 10.3390/children8040289] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 04/03/2021] [Accepted: 04/07/2021] [Indexed: 12/20/2022]
Abstract
The objective of the present research was to quantify the association between dental caries self-report and socioeconomic indicators in Mexican children. An ecological study included a self-report of dental caries in schoolchildren enrolled in public elementary and middle schools derived from the National School Health Survey. A total of 73,560 schoolchildren (representing 19,745,366 students) aged 5 to 16 years were included. Socioeconomic variables included were scales depicting physical characteristics of housing, purchasing power, etc. used in national surveys in Mexico to measure deprivation, poverty, and income inequality in official data. Data were analyzed in Stata using Spearman's correlation test. For the most part, no association (p > 0.05) was found between caries self-report, socioeconomic variables, or the Gini index. However, caries self-report in elementary schoolchildren and total (elementary + middle-school) schoolchildren groups was positively correlated (p < 0.05) with two poverty variables: extreme poverty by income (value of personal food purchases per month) and poverty by income (value of personal food and non-food purchases per month). National data for dental caries self-report were associated-at the ecological level-with a few socioeconomic indicators but not with most of the usual and customary indicators used in national surveys in Mexico.
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Affiliation(s)
- Juan Fernando Casanova-Rosado
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (J.F.C.-R.); (A.J.C.-R.); (J.A.C.-S.); (J.L.R.-M.)
| | - Alejandro José Casanova-Rosado
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (J.F.C.-R.); (A.J.C.-R.); (J.A.C.-S.); (J.L.R.-M.)
| | - Mirna Minaya-Sánchez
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (J.F.C.-R.); (A.J.C.-R.); (J.A.C.-S.); (J.L.R.-M.)
| | | | - José Luis Robles-Minaya
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (J.F.C.-R.); (A.J.C.-R.); (J.A.C.-S.); (J.L.R.-M.)
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (S.M.-R.); (M.M.-A.); (R.I.-Z.); (M.d.L.M.-C.)
| | - Mariana Mora-Acosta
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (S.M.-R.); (M.M.-A.); (R.I.-Z.); (M.d.L.M.-C.)
| | - Rosalina Islas-Zarazúa
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (S.M.-R.); (M.M.-A.); (R.I.-Z.); (M.d.L.M.-C.)
| | - María de Lourdes Márquez-Corona
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (S.M.-R.); (M.M.-A.); (R.I.-Z.); (M.d.L.M.-C.)
| | - Leticia Ávila-Burgos
- Health Systems Research Center, the National Institute of Public Health, Cuernavaca 62100, Mexico;
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (S.M.-R.); (M.M.-A.); (R.I.-Z.); (M.d.L.M.-C.)
- Advanced Studies and Research Center in Dentistry “Keisaburo Miyata”, School of Dentistry, Autonomous University of State of Mexico, Toluca 50000, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA;
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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24
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Casanova-Rosado AJ, Casanova-Rosado JF, Minaya-Sánchez M, Robles-Minaya JL, Casanova-Sarmiento JA, Márquez-Corona MDL, Pontigo-Loyola AP, Isla-Granillo H, Mora-Acosta M, Márquez-Rodríguez S, Medina-Solís CE, Maupomé G. Association of Edentulism with Various Chronic Diseases in Mexican Elders 60+ Years: Results of a Population-Based Survey. Healthcare (Basel) 2021; 9:healthcare9040404. [PMID: 33916223 PMCID: PMC8066655 DOI: 10.3390/healthcare9040404] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/19/2021] [Accepted: 03/26/2021] [Indexed: 12/17/2022] Open
Abstract
Objective: To determine the association of edentulism with different chronic diseases and mental disorders in Mexicans aged 60 years and over. Material and Methods: A cross-sectional study was carried out using data from the World Health Survey for Mexico, in a probabilistic, multi-stage cluster sampling framework. Data for self-report of chronic diseases (diabetes, arthritis, angina pectoris and asthma), mental disorders (depression and schizophrenia) and edentulism were analyzed. Edentulism data were available for 20 of the 32 States of Mexico. Statistical analysis was performed in Stata 14.0 using the svy module for complex sampling (Complex nature under which individuals are sampled). Results: In total 4213 subjects were included, representing a population of 7,576,057 individuals. Mean age was 70.13 ± 7.82 years (range 60 to 98); 56.2% were women. Chronic diseases’ prevalence and mental disorders prevalence were as follows: diabetes 15.0% (N = 1,132,693); arthritis 13.2% (N = 1,001,667); depression 5.5% (N = 414,912); angina pectoris 4.5% (344,315); asthma 3.6% (N = 269,287); and schizophrenia 2.2% (N = 16,988). The prevalence of edentulism was 26.3%, which pertained to 1,993,463 people aged 60 years and over. Angina in women aged 60 to 69 years (p < 0.05) and depression in men aged 70 years and over (p < 0.0001) were associated with higher prevalence of edentulism. Conclusions: There was generally sparse association between edentulism on chronic diseases and mental disorders included in the study, except for women aged 60 to 69 years for angina, and in men aged 70 and over, for depression. Although our findings are misaligned with previous reports, longitudinal studies are required to test causal and temporal relationships between edentulism with chronic diseases and mental disorders.
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Affiliation(s)
- Alejandro José Casanova-Rosado
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (A.J.C.-R.); (M.M.-S.); (J.L.R.-M.); (J.A.C.-S.)
| | - Juan Fernando Casanova-Rosado
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (A.J.C.-R.); (M.M.-S.); (J.L.R.-M.); (J.A.C.-S.)
- Correspondence: (J.F.C.-R.); (C.E.M.-S.)
| | - Mirna Minaya-Sánchez
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (A.J.C.-R.); (M.M.-S.); (J.L.R.-M.); (J.A.C.-S.)
| | - José Luís Robles-Minaya
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (A.J.C.-R.); (M.M.-S.); (J.L.R.-M.); (J.A.C.-S.)
| | | | - María de Lourdes Márquez-Corona
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (M.d.L.M.-C.); (A.P.P.-L.); (H.I.-G.); (M.M.-A.); (S.M.-R.)
| | - América Patricia Pontigo-Loyola
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (M.d.L.M.-C.); (A.P.P.-L.); (H.I.-G.); (M.M.-A.); (S.M.-R.)
| | - Horacio Isla-Granillo
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (M.d.L.M.-C.); (A.P.P.-L.); (H.I.-G.); (M.M.-A.); (S.M.-R.)
| | - Mariana Mora-Acosta
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (M.d.L.M.-C.); (A.P.P.-L.); (H.I.-G.); (M.M.-A.); (S.M.-R.)
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (M.d.L.M.-C.); (A.P.P.-L.); (H.I.-G.); (M.M.-A.); (S.M.-R.)
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (M.d.L.M.-C.); (A.P.P.-L.); (H.I.-G.); (M.M.-A.); (S.M.-R.)
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, School of Dentistry, Autonomous University of State of Mexico, Toluca 50000, Mexico
- Correspondence: (J.F.C.-R.); (C.E.M.-S.)
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA;
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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25
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Villalobos-Rodelo JJ, Lucas-Rincón SE, Jimenez-Gayosso SI, Hernández-Martínez CT, Márquez-Corona MDL, Pontigo-Loyola AP, Medina-Solís CE, Maupomé G. Characterizing Socioeconomic Inequalities in Professionally Applied Topical Fluoride Treatment Courses in Schoolchildren from a Developing Country. J Immigr Minor Health 2021; 24:351-359. [PMID: 33704655 DOI: 10.1007/s10903-021-01171-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2021] [Indexed: 02/07/2023]
Abstract
The objective of the present study was to characterize socioeconomic inequalities in the patterns of professionally applied topical fluoride (PATF) in Mexican schoolchildren. A cross-sectional study was carried out on 3029 Mexican schoolchildren. A questionnaire was administered to caregivers to determine sociodemographic, socioeconomic, and behavioral variables. The dependent variable was prevalence of PATF, coded as 0 = without PATF and 1 = with PATF, at any point in life, and separately, in the previous year. Various indicators of socioeconomic position were included. Logistic regression was used in the final multivariate analysis. The prevalence of PATF any time in life was 33.8%, while in the previous year it was 11.4%. The variables associated (p < 0.05) with PATF any time in life were child's older age (OR = 1.12), older age when tooth brushing started (OR = 1.57), higher brushing frequency (OR = 1.60), having health insurance [public (OR = 1.61) or private (OR = 1.45)], if family owned a car (OR = 1.29) and better socioeconomic position [parents' education, second (OR = 1.48) and third (OR = 1.75) tertile]. For PATF in the previous year, the variables associated were older age of mother (OR = 1.03), older age when tooth brushing started (OR = 1.99), higher brushing frequency (OR = 1.68), having health insurance [public (OR = 1.62)] and better socioeconomic position (parents' education, second (OR = 1.57) and third (OR = 1.97) tertile). This study suggests the existence of socioeconomic inequalities in PATF, manifested through socioeconomic position, access to health insurance and household having a car. Identifying and addressing PATF inequalities would improve oral health in the child population.
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Affiliation(s)
- Juan José Villalobos-Rodelo
- Department of Epidemiology, Institute of Social Security and Services for Government Workers, Culiacan, Mexico.,School of Dentistry at Autonomous, University of Sinaloa, Culiacan, Mexico
| | - Salvador Eduardo Lucas-Rincón
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico.,Clinic of Dental Specialties of the General Hospital of Pachuca, Campus Arista of the Ministry of Health of Hidalgo, Pachuca, Mexico
| | - Sandra Isabel Jimenez-Gayosso
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico.,Doctoral Program in Dental Sciences at the School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Cesar Tadeo Hernández-Martínez
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico.,Doctoral Program in Dental Sciences at the School of Dentistry, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | | | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico. .,Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata" of Faculty of Dentistry At Autonomous, University of the State of Mexico, Toluca, Mexico. .,, Avenida del Álamo # 204, Fraccionamiento Paseo de s. Colonia Santiago Tlapacoya, 42113, Pachuca de Soto, Hidalgo, Mexico.
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, USA.,Indiana University Network Science Institute, Bloomington, IN, USA
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Villalobos-Rodelo JJ, Mendoza-Rodríguez M, Islas-Zarazúa R, Márquez-Rodríguez S, Mora-Acosta M, Pontigo-Loyola AP, Márquez-Corona MDL, Medina-Solís CE, Maupomé G. Experience and Prevalence of Dental Caries in 6 to 12-Year-Old School Children in an Agricultural Community: A Cross-Sectional Study. Children (Basel) 2021; 8:99. [PMID: 33546186 PMCID: PMC7913124 DOI: 10.3390/children8020099] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 01/28/2021] [Accepted: 01/29/2021] [Indexed: 01/16/2023]
Abstract
OBJECTIVE To describe the experience and prevalence of dental caries in schoolchildren aged 6-12 years belonging to agricultural manual worker households. MATERIAL AND METHODS A comparative cross-sectional study was conducted in two groups of schoolchildren: One considered "children of agricultural worker migrant parents" (n = 157) and the other "children of agricultural worker non-migrant parents" (n = 164). Epidemiological indices for dental caries were calculated for primary (dmft) and permanent (DMFT) dentitions, and compared in terms of age, sex, and the Simplified Oral Hygiene Index (SOHI). Two binary logistic regression models for caries prevalence in primary and permanent dentitions were generated in Stata. RESULTS For primary dentition, we observed the following dmft index: Non-migrants = 1.73 ± 2.18 vs. migrants = 1.68 ± 2.14. Additionally, we recorded the following caries prevalence: Non-migrants = 59.1% vs. migrants = 51.3%. For permanent dentition, we observed the following DMFT index: Non-migrants = 0.32 ± 0.81 vs. migrants = 0.29 ± 0.95. Further, we recorded the following caries prevalence: Non-migrants = 17.6% vs. migrants = 12.8%. No differences were observed for either dentition (p > 0.05) in caries indices and their components or in caries prevalence. When both caries indices (dmft and DMFT) were combined, the non-migrant group had a higher level of caries experience than the migrant group (p < 0.05). No relationship (p > 0.05) with migrant status was observed in either multivariate models of caries prevalence. However, age did exhibit an association (p < 0.05) with caries. Only the plaque component of SOHI was associated (p < 0.05) with caries in permanent dentition. CONCLUSIONS Although over half of school children from agricultural manual worker households had caries in either or both dentitions and a considerable proportion were untreated lesions, the prevalence levels were somewhat lower than other reports from Mexico in similar age groups. No statistically significant differences were found in caries experience or prevalence in either dentition between non-migrant and migrant groups.
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Affiliation(s)
- Juan José Villalobos-Rodelo
- School of Dentistry, Autonomous University of Sinaloa, Culiacan 80040, Mexico;
- Department of Epidemiology, Institute of Social Security and Services for Government Workers, Culiacan 80000, Mexico
| | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
| | - Rosalina Islas-Zarazúa
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
| | - Mariana Mora-Acosta
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
| | - América Patricia Pontigo-Loyola
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
| | - María de Lourdes Márquez-Corona
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico; (R.I.-Z.); (S.M.-R.); (M.M.-A.); (A.P.P.-L.); (M.d.L.M.-C.)
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, School of Dentistry, Autonomous University of State of Mexico, Toluca 50000, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA;
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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Smith NH, Lutz T, Maupomé G, Lapidus J, Jimenez C, Janis M, Schwarz E, Becker T. Long-term effects of a toddler-focused caries prevention programme among Northwestern US tribal children: The TOTS-to-Tweens study. Community Dent Oral Epidemiol 2020; 49:284-290. [PMID: 33274563 DOI: 10.1111/cdoe.12600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 11/02/2020] [Accepted: 11/03/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES We sought to determine whether American Indian tribe-based interventions that successfully prevented toddler dental caries in a 2005 cohort study (the Toddler Overweight and Tooth Decay Prevention Study, or TOTS) influenced the prevalence of dental caries in children ages 11 to 13 in the same communities ten years later (the TOTS-to-Tweens study). METHODS We recruited original TOTS participants and conducted school- and community-based dental screenings at tribal communities that received family plus community-wide interventions (F + CW), community interventions only (CW) or were control communities. We also enrolled children who did not participate in TOTS, but were exposed to CW interventions or to the control environment. Trained clinicians examined children's teeth and recorded whether each tooth was decayed, missing or filled (DMFT). We calculated DMFT scores for each child and evaluated differences in DMFT incidence rate ratios (IRR) and components of DMFT by intervention group. RESULTS We observed lower age- and sex-adjusted DMFT scores among F + CW children (a mean of 2.1 DMFT; 95% confidence interval [CI]: 1.4-2.7) and among CW children (2.2; 95% CI: 1.9-2.6), than control children (3.0; 95% CI: 2.3-3.7). The F + CW group had 32% lower DMFT scores than control children (IRR = 0.68; 95% CI: 0.46-1.01), and CW children had 26% lower DMFT scores than control (IRR = 0.74; 95% CI: 0.55-1.00). The proportion of children with filled teeth was higher in control than intervention communities (37.9% in F + CW, 47.1% in CW, and 67.1% in control, P = .002). CONCLUSIONS Our findings suggest modest yet significant long-term effects of interventions that prevented toddler dental caries on the DMFT scores of tweens evaluated ten years later. Further study of effective interventions and their sustainability is clearly warranted among tribal children, who remain at high risk for dental caries.
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Affiliation(s)
| | - Tam Lutz
- Northwest Portland Area Indian Health Board, Portland, OR, USA
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA
| | - Jodi Lapidus
- Oregon Health & Science University-Portland State University School of Public Health, Portland, OR, USA
| | - Candice Jimenez
- Northwest Portland Area Indian Health Board, Portland, OR, USA
| | | | - Eli Schwarz
- Oregon Health & Science University, Portland, OR, USA
| | - Thomas Becker
- Northwest Portland Area Indian Health Board, Portland, OR, USA.,Oregon Health & Science University, Portland, OR, USA
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Yepes JF, McKenna K, Jones JE, Eckert GJ, Tang Q, Downey T, Maupomé G. Longevity of Primary Anterior Crown Restorations: A Retrospective Dental Claim Analysis. J Dent Child (Chic) 2020; 87:147-152. [PMID: 33349298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Purpose: The purposes of this study were to: (1) examine the longevity of resin crowns (RCs), pre-veneered stainless steel crowns (PVSSCs), and stainless steel crowns (SSCs) in primary maxillary incisors in a nationwide sample of private insurance claims; and (2) explore whether longer survival rates are related to the type of treating practitioner.<br/> Methods: Private dental insurance claims were obtained from a national data warehouse. The paid insurance claims (2005 to 2016) included the treatment provided, number of teeth treated at an appointment, patient's age, and type of dentist.<br/> Results: All three restoration types had acceptable longevity; however, SSCs and PVSSCs had significantly better longevity than RCs, with no significant difference in longevity between SSCs and PVSSC. The most common restoration of choice was SSCs (48 percent), followed by RCs (29.8 percent) and PVSSCs (22.2 percent).<br/> Conclusion: SSCs and PVSSCs had greater longevity than resin crowns. The survival rate after six years was higher than 90 percent for all types of restorations. Teeth restored with SSCs lasted longer when placed by pediatric dentists than those placed by general dentists.
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Affiliation(s)
- Juan F Yepes
- Dr. Yepes is a professor, Department of Pediatric Dentistry, School of Dentistry, Indiana University, and Riley Children Hospital, Indianapolis, Ind; jfyepes@iupui. edu
| | - Kevin McKenna
- Dr. McKenna is a pediatric dentist in private practice, Fremont, Neb., USA
| | - James E Jones
- Dr. Jones is Paul E. Starkey research professor, Department of Pediatric Dentistry, School of Dentistry, Indiana University, and Riley Children Hospital, Indianapolis, Ind
| | - George J Eckert
- Mr. Eckert is biostatistician supervisor, Department of Biostatistics, School of Medicine, Indiana University, USA
| | - Qing Tang
- Ms. Tang is biostatistician, Department of Biostatistics, School of Medicine, Indiana University, USA
| | - Timothy Downey
- Mr. Downey is chief analytics officer, P&R Dental Strategies, LLC, Hamilton, New Jersey, USA
| | - Gerardo Maupomé
- Dr. Maupom é is an associate dean for research, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Ind
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Goldfarb MB, Maupomé G, Hirsh AT, Carvalho JC, Eckert GJ, Hara AT. Dentists clinical decision-making for erosive tooth wear: An online pilot study. J Dent 2020; 100:103424. [DOI: 10.1016/j.jdent.2020.103424] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Revised: 06/26/2020] [Accepted: 06/29/2020] [Indexed: 10/24/2022] Open
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García-Cortés JO, Mariel-Cárdenas J, Martinez-Rider R, Islas-Zarazúa R, de la Rosa-Santillana R, Navarrete-Hernández JDJ, Medina-Solís CE, Maupomé G. Dental pain and associated factors in Mexican adolescents and young adults: a cross-sectional study. Int Dent J 2020; 70:455-461. [PMID: 32737891 DOI: 10.1111/idj.12598] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Revised: 05/13/2020] [Accepted: 05/14/2020] [Indexed: 12/25/2022] Open
Abstract
OBJECTIVE To identify the factors associated with the prevalence of dental pain in Mexican adolescents and young adults. MATERIAL AND METHODS This is a cross-sectional study in which data from 638 Mexican subjects, 16-25 years of age, who were randomly selected from college applicants, were analysed. Questionnaires were administered to collect sociodemographic, economic and behavioural variables. Clinical examinations were carried out to determine the decayed, missing and filled teeth (DMFT) index. The outcome variable was dichotomised as 0 (no dental pain in the last 12 months) or 1 (dental pain in the last 12 months). Statistical analyses included binary logistic regression. RESULTS Average age was 18.76 ± 1.76 years, and 49.2% of participants were women. Prevalence of dental pain was 34.0%. In the final model, variables significantly (P < 0.05) associated with the experience of dental pain were the use of preventive dental services (OR = 0.34), being a former smoker (OR = 2.37), self-report of very poor/poor oral health (OR = 1.94) or fair oral health (OR = 1.94), self-reported dental disease (OR = 2.06) or gingival disease (OR = 2.84). CONCLUSIONS The prevalence of dental pain was associated with self-reported oral health status, preventive dental visits and smoking; these results have implications for dental practice. We found that recent experience of dental pain was common in young adults, being reported by one out of three subjects.
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Affiliation(s)
| | - Jairo Mariel-Cárdenas
- School of Stomatology, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Ricardo Martinez-Rider
- School of Stomatology, Autonomous University of San Luis Potosí, San Luis Potosí, Mexico
| | - Rosalina Islas-Zarazúa
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico.,Clinic of Dental Specialties, General Hospital of Pachuca, Campus Arista of the Ministry of Health of Hidalgo, Pachuca, México
| | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico.,Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata", School of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN, USA.,Indiana University Network Science Institute, Bloomington, IN, USA
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Vega-López S, Armenta K, Eckert G, Maupomé G. Cross-Sectional Association between Behaviors Related to Sugar-Containing Foods and Dental Outcomes among Hispanic Immigrants. Int J Environ Res Public Health 2020; 17:ijerph17145095. [PMID: 32679717 PMCID: PMC7400676 DOI: 10.3390/ijerph17145095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 07/03/2020] [Accepted: 07/12/2020] [Indexed: 01/21/2023]
Abstract
A cross-sectional, self-administered survey was used to gather information about dental outcomes, sugar-containing food behaviors and intake, and sociodemographic characteristics of adults of Mexican and Central-American (Guatemala, El Salvador, Honduras) origin (n = 517). Bivariate and multiple-variable logistic regressions were used to examine the associations of behaviors related to added sugar-containing foods/beverages (overall intake and consumption before bed) with dental outcomes. Outcome measures involved dental outcomes, dental self-care practices, and added sugar intake. Estimated daily added sugar intake among all participants was 98 (SD = 99) g, with no difference in consumption among participants from different countries. The majority of added sugar (63 (SD = 74) g) was provided by sugar-sweetened beverages. Participants who reported consuming sugar-containing foods or beverages within an hour before bed were more likely to report having a fair/poor/very poor condition of teeth and gums and having felt dental pain (p < 0.05 for all). The amount of sugar intake was associated with being prescribed medication for oral or dental problems (p = 0.008) and dental pain (p = 0.003). Findings support the association between sugar containing food–related behaviors and dental problems among Hispanic immigrants to the U.S. Health promotion and preventive interventions for this population should consider these behaviors as modifiable contributors to adverse dental outcomes.
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Affiliation(s)
- Sonia Vega-López
- College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA
- Southwest Interdisciplinary Research Center, Arizona State University, Phoenix, AZ 85004, USA
- Correspondence: ; Tel.: +1-602-496-3350
| | - Karla Armenta
- SDSU Health LINK Center for Transdisciplinary Health Disparities Research, San Diego State University Research Foundation, San Diego, CA 92120, USA;
| | - George Eckert
- School of Medicine, Indiana University/Purdue University in Indianapolis, Indianapolis, IN 46202, USA;
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University in Indianapolis, Indianapolis, IN 46202, USA;
- Indiana University Network Science Institute, Indiana University, Bloomington, IN 47408, USA
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Medina-Solís CE, Ávila-Burgos L, Borges-Yañez SA, Irigoyen-Camacho ME, Sánchez-Pérez L, Zepeda-Zepeda MA, Lucas-Rincón SE, Medina-Solís JJ, Márquez-Corona MDL, Islas-Granillo H, Casanova-Rosado JF, Casanova-Rosado AJ, Minaya-Sánchez M, Villalobos-Rodelo JJ, Patiño-Marín N, Mendoza-Rodríguez M, Pontigo-Loyola AP, de la Rosa-Santillana R, Escoffié-Ramirez M, Fernández-Barrera MA, Maupomé G. Ecological study on needs and cost of treatment for dental caries in schoolchildren aged 6, 12, and 15 years: Data from a national survey in Mexico. Medicine (Baltimore) 2020; 99:e19092. [PMID: 32049814 PMCID: PMC7035119 DOI: 10.1097/md.0000000000019092] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
To determine the treatment needs and the care index for dental caries in the primary dentition and permanent dentition of schoolchildren and to quantify the cost of care that would represent the treatment of dental caries in Mexico.A secondary analysis of data from the First National Caries Survey was conducted, which was a cross-sectional study conducted in the 32 states of Mexico. Based on dmft (average number of decayed, extracted, and filled teeth in the primary dentition) and DMFT (average number of decayed, extracted, and filled teeth in permanent dentition) information, a treatment needs index (TNI) and a caries care index (CI) were calculated.At age 6, the TNI for the primary dentition ranged from 81.7% to 99.5% and the CI ranged from 0.5% to 17.6%. In the permanent dentition, the TNI ranged from 58.8% to 100%, and the CI ranged from 0.0% to 41.2%. At age 12, the TNI ranged from 55.4% to 93.4%, and the CI ranged from 6.5% to 43.4%. At age 15, the TNI ranged from 50.4% to 98.4%, and the CI ranged from 1.4% to 48.3%. The total cost of treatment at 6 years of age was estimated to range from a purchasing power parity (PPP) of USD $49.1 to 287.7 million in the primary dentition, and from a PPP of USD $3.7 to 24 million in the permanent dentition. For the treatment of the permanent dentition of 12-year-olds, the PPP ranged from USD $13.3 to 85.4 million. The estimated cost of treatment of the permanent dentition of the 15-year-olds ranged from a PPP of USD $10.9 to 70.3 million. The total estimated cost of caries treatment ranged from a PPP of USD $77.1 to 499.6 million, depending on the type of treatment and provider (public or private).High percentages of TNI for dental caries and low CI values were observed. The estimated costs associated with the treatment for caries have an impact because they represent a considerable percentage of the total health expenditure in Mexico.
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Affiliation(s)
- Carlo E. Medina-Solís
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata” of School of Dentistry at Autonomous University State of Mexico, Toluca
| | - Leticia Ávila-Burgos
- Health Systems Research Centre at National Institute of Public Health, Cuernavaca
| | | | | | - Leonor Sánchez-Pérez
- Health Care Department, Metropolitan Autonomous University-Xochimilco, Mexico City
| | | | - Salvador E. Lucas-Rincón
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
- Clinic of Dental Specialties of the General Hospital of Pachuca, campus Arista of the Ministry of Health of Hidalgo, Pachuca
| | - June J. Medina-Solís
- Ministry of Education of Campeche, Sub-secretary of Educational Coordination, Direction of Coordination and Budgetary Management, Campeche
| | - María de L. Márquez-Corona
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
| | - Horacio Islas-Granillo
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
| | | | | | | | - Juan J. Villalobos-Rodelo
- Department of Epidemiology at Institute of Social Security and Services for Government Workers (ISSSTE), Culiacan
| | - Nuria Patiño-Marín
- Clinical Research Laboratory, Program of Doctorate in Dental Sciences at Autonomous University of San Luis Potosi, San Luis Potosi
| | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
| | - América P. Pontigo-Loyola
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
| | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
- Clinic of Dental Specialties of the General Hospital of Pachuca, campus Arista of the Ministry of Health of Hidalgo, Pachuca
| | | | - Miguel A. Fernández-Barrera
- Academic Area of Dentistry of Institute of Health Sciences at Autonomous University of Hidalgo State, Pachuca
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis
- Indiana University Network Science Institute, Bloomington, IN, USA
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Goldfarb MB, Hara AT, Hirsh AT, Carvalho JC, Maupomé G. Are dental patients able to perceive erosive tooth wear on anterior teeth?: An internet-based survey assessing awareness and related action. J Am Dent Assoc 2019; 151:10-15. [PMID: 31784028 DOI: 10.1016/j.adaj.2019.07.036] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 07/25/2019] [Accepted: 07/31/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Erosive tooth wear (ETW) is irreversible loss of dental hard tissue. The authors examined patients' ability to recognize ETW relative to sound teeth and teeth with caries. METHODS Using Amazon's crowdsourcing service, the authors recruited participants (N = 623) to view standardized images of buccal surfaces of teeth (sound, ETW, or caries). Participants reported whether a dental condition existed (yes or no), likelihood to seek care, and esthetic attractiveness for teeth with no, initial, moderate, or severe signs of ETW or caries. RESULTS Dental patients showed poor recognition of cases of ETW, especially compared with sound and caries-affected teeth at each level of severity. Patients were less likely to schedule a dental appointment for care or treatment of teeth with ETW than for teeth with caries at each level of severity. Patients also found ETW more esthetically attractive than caries at each level of severity and found initial ETW more attractive than sound teeth. CONCLUSIONS Dental patients struggle to recognize ETW, in general and compared with caries, at each level of severity and particularly for early stages of ETW. These recognition difficulties likely arise, in part, from tooth esthetic attractiveness standards (smooth and shiny teeth look more esthetic), possibly leading to lack of appropriate care-seeking behavior. PRACTICAL IMPLICATIONS This internet-based tool may be used to assess dental patients' awareness and ability to recognize cases of ETW. Improved patient awareness might lead to seeking professional care to prevent or delay ETW progression.
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Medina-Solís CE, García-Cortés JO, Robles-Minaya JL, Casanova-Rosado JF, Mariel-Cárdenas J, Ruiz-Rodríguez MDS, Navarrete-Hernández JDJ, Ávila-Burgos L, Maupomé G. Clinical and non-clinical variables associated with preventive and curative dental service utilisation: a cross-sectional study among adolescents and young adults in Central Mexico. BMJ Open 2019; 9:e027101. [PMID: 31537556 PMCID: PMC6756346 DOI: 10.1136/bmjopen-2018-027101] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE The present study aimed to identify preventive and curative dental health service utilisation (DHSU) in the context of associated clinical and non-clinical factors among adolescents and young adults in Mexico. DESIGN Cross-sectional study. SETTING Applicants to a public university in Mexico. PARTICIPANTS Participants were 638 adolescents and young adults aged 16-25 randomly selected from university applicants. INTERVENTIONS Data were collected using a self-administered questionnaire filled out by the students. For assessment of dental caries experience, we used the index of decayed, missing and filled teeth. PRIMARY OUTCOME The dependent variable was DHSU in the previous 12 months, coded as 0=non-use, 1=use of curative services and 2=use of preventive services. RESULTS The mean age was 18.76±1.76 years, and 49.2% were women. The prevalence of DHSU was 40.9% (95% CI 37.1 to 44.8) for curative services and 22.9% (95% CI 19.7 to 26.3) for preventive services. The variables associated with curative services were age, sex, mother's education, dental pain in the previous 12 months, caries experience, use of self-care devices and oral health knowledge. For preventive services, the variables associated were mother's education, dental pain in the previous 12 months, caries experience, use of self-care devices and self-perception of oral health. CONCLUSIONS While differences emerged by type of service, a number of variables (sociodemographic and socioeconomic characteristics as well as dental factors) remained in the final model. Greater oral health needs and socioeconomic inequalities remained as predictors of both types of DHSU. Given the differences revealed by our study, oral health policies should refer those seeking dental care for oral diseases to preventive services, and promote the use of such services among the poorer and less educated population groups.
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Affiliation(s)
- Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, The Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca, Hidalgo, Mexico
- Advanced Studies and Research Center in Dentistry, Dr. Keisaburo Miyata School of Dentistry, the Autonomous University of the State of Mexico, Toluca, Mexico
| | | | | | | | - Jairo Mariel-Cárdenas
- School of Dentistry, The Autonomous University of San Luis Potosí, San Luis Potosi, Mexico
| | | | | | - Leticia Ávila-Burgos
- Health Systems Research Center, The National Institute of Public Health, Cuernavaca, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, Indiana, USA
- Indiana University Network Science Institute, Bloomington, Indiana, USA
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Hsueh L, Hirsh AT, Maupomé G, Stewart JC. Patient-Provider Language Concordance and Health Outcomes: A Systematic Review, Evidence Map, and Research Agenda. Med Care Res Rev 2019; 78:3-23. [PMID: 31291823 DOI: 10.1177/1077558719860708] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Although patient-provider language concordance has the potential to reduce health disparities for people with limited English proficiency, no previous work has synthesized this literature. Our systematic review sought to describe the characteristics of studies examining relationships between language concordance and health outcomes, summarize the nature of observed associations, and propose an evidence map and research agenda. A comprehensive search of published articles identified 38 quantitative studies for inclusion. Most studies were cross-sectional, conducted in primary care, concentrated in Western states, and focused on Spanish speakers and physician providers. Results were split between supporting a positive association versus no association of language concordance with patient behaviors, provider behaviors, interpersonal processes of care, and clinical outcomes. Several methodological limitations were identified. Based on these results, we developed an evidence map, identified knowledge gaps, and proposed a research agenda. There is a particular need for quasi-experimental longitudinal studies with well-characterized samples.
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Affiliation(s)
- Loretta Hsueh
- Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA
| | - Adam T Hirsh
- Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA
| | | | - Jesse C Stewart
- Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA
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Medina-Solís CE, Ávila-Burgos L, Márquez-Corona MDL, Medina-Solís JJ, Lucas-Rincón SE, Borges-Yañez SA, Fernández-Barrera MÁ, Pontigo-Loyola AP, Maupomé G. Out-Of-Pocket Expenditures on Dental Care for Schoolchildren Aged 6 to 12 Years: A Cross-Sectional Estimate in a Less-Developed Country Setting. Int J Environ Res Public Health 2019; 16:ijerph16111997. [PMID: 31195612 PMCID: PMC6603907 DOI: 10.3390/ijerph16111997] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 06/03/2019] [Accepted: 06/03/2019] [Indexed: 12/20/2022]
Abstract
Aim: The objective of this study was to estimate the Out-Of-Pocket Expenditures (OOPEs) incurred by households on dental care, as well as to analyze the sociodemographic, economic, and oral health factors associated with such expenditures. Method: A cross-sectional study was conducted among 763 schoolchildren in Mexico. A questionnaire was distributed to parents to determine the variables related to OOPEs on dental care. The amounts were updated in 2017 in Mexican pesos and later converted to 2017 international dollars (purchasing power parities-PPP US $). Multivariate models were created: a linear regression model (which modeled the amount of OOPEs), and a logistic regression model (which modeled the likelihood of incurring OOPEs). Results: The OOPEs on dental care for the 763 schoolchildren were PPP US $53,578, averaging a PPP of US $70.2 ± 123.7 per child. Disbursements for treatment were the principal item within the OOPEs. The factors associated with OOPEs were the child's age, number of dental visits, previous dental pain, main reason for dental visit, educational level of mother, type of health insurance, household car ownership, and socioeconomic position. Conclusions: The average cost of dental care was PPP US $70.2 ± 123.7. Our study shows that households with higher school-aged children exhibiting the highest report of dental morbidity-as well as those without insurance-face the highest OOPEs. An array of variables were associated with higher expenditures. In general, higher-income households spent more on dental care. However, the present study did not estimate unmet needs across the socioeconomic gradient, and thus, future research is needed to fully ascertain disease burden.
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Affiliation(s)
- Carlo Eduardo Medina-Solís
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
- The Center for Advanced Studies and Research in Dentistry "Keisaburo Miyata", Faculty of Dentistry, the Autonomous University of the State of Mexico, Toluca 50000, Mexico.
| | - Leticia Ávila-Burgos
- The Center for Health Systems Research, the National Institute of Public Health, Cuernavaca 62100, Mexico.
| | - María de Lourdes Márquez-Corona
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
| | - June Janette Medina-Solís
- Ministry of Education of Campeche, Sub-secretary of Educational Coordination, Direction of Coordination and Budgetary Management, Campeche 24095, Mexico.
| | - Salvador Eduardo Lucas-Rincón
- The Center for Advanced Studies and Research in Dentistry "Keisaburo Miyata", Faculty of Dentistry, the Autonomous University of the State of Mexico, Toluca 50000, Mexico.
- School of Dentistry, the Ixtlahuaca University Centre, Ixtlahuaca 50080, Mexico.
| | | | - Miguel Ángel Fernández-Barrera
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
| | - América Patricia Pontigo-Loyola
- The Academic Area of Dentistry in the Health Sciences Institute, the Autonomous University of the State of Hidalgo, Pachuca 42039, Mexico.
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University in Indianapolis, Indianapolis, IN 46202, USA.
- The Indiana University Network Science Institute, Bloomington, IN 47408, USA.
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Lopez-Owens M, Starkey K, Gil C, Armenta K, Maupomé G. The VidaSana Study: Recruitment Strategies for Longitudinal Assessment of Egocentric Hispanic Immigrant Networks. Int J Environ Res Public Health 2018; 15:E2878. [PMID: 30558280 PMCID: PMC6313685 DOI: 10.3390/ijerph15122878] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 12/04/2018] [Accepted: 12/10/2018] [Indexed: 12/27/2022]
Abstract
We disseminate the recruitment strategies used in the five-year VidaSana study (started in 2017) in the Midwest region of the United States, targeting recently arrived Hispanic immigrants. VidaSana aims to follow immigrants within six months of arrival for 24 months to (1) characterize features of networks (personal and community) that improve or undermine dental health; and (2) further refine methods to quantify the evolution of egocentric networks, using social network methodology. We implemented several strategies to promote and recruit potential participants into the study. We collaborate with agents serving Indiana's Hispanic communities using three levels of visibility. The broad level includes radio advertisements, TV interviews, newspaper advertisements, and targeted Facebook advertisements. Intermediate level visibility includes posting flyers in schools, employment agencies, immigrant welcome centers, and Hispanic businesses; making announcements at church/temple and school events; tabling at community, church and school events; and a pervasive adaptation of our strategies to the requirements of our partners. Lastly, the individualized level includes direct referrals by partners through word of mouth. From the initial 13 months of recruitment (494 screened contacts and 202 recruited participants), the most successful recruitment strategies appear to be a combination of intermediate- and individual-level strategies; specifically, face-to-face recruitment at school events, direct referrals from our community partners, and tabling at community/school/church events. The current interim findings and future final findings will help guide recruitment and retention strategies for studies focused on immigrants in the current climate of heightened immigration regulations and enforcement.
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Affiliation(s)
- Mariana Lopez-Owens
- Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis. Indianapolis, IN 46202, USA.
| | - Kristen Starkey
- Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis. Indianapolis, IN 46202, USA.
| | - Cindy Gil
- Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis. Indianapolis, IN 46202, USA.
| | - Karla Armenta
- Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis. Indianapolis, IN 46202, USA.
| | - Gerardo Maupomé
- Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University-Purdue University Indianapolis. Indianapolis, IN 46202, USA.
- Indiana University Network Science Institute, Bloomington, IN 46202, USA.
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Vega-López S, Lindberg NM, Eckert GJ, Nicholson EL, Maupomé G. Association of added sugar intake and caries-related experiences among individuals of Mexican origin. Community Dent Oral Epidemiol 2018; 46:376-384. [PMID: 29659041 PMCID: PMC10389538 DOI: 10.1111/cdoe.12378] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 03/08/2018] [Indexed: 01/23/2023]
Abstract
OBJECTIVE Determine the association between key dental outcomes and added sugar intake using a survey instrument to assess added sugars, which was specifically tailored to immigrant and US-born adults of Mexican origin. METHODS Hispanic adults of Mexican origin (n = 326; 36.2 ± 12.1 years) completed a self-administered survey to gather acculturation, self-reported dental experiences and self-care practices (eg brushing, flossing, pain, bleeding gums), and socio-demographic information. The survey included a culturally tailored 22-item Added Sugar Intake Estimate (ASIE) that assessed added sugar intake from processed foods and sugar-sweetened beverages in a semiquantitative food frequency questionnaire format. Linear regression, 2-sample t test, and ANOVA were used to evaluate associations of demographic and dental outcomes with daily added sugar intake. RESULTS Of the mean total daily added sugar intake (99.6 ± 94.6 g), 36.5 ± 44.4 g was derived from sugar-containing foods and snacks, and 63.1 ± 68.2 g from beverages. Participants who reported greater added sugar intake were more likely to have reported the presence of a toothache in the preceding 12 months, having been prescribed antibiotics for dental reasons, being less likely to floss daily, have reported eating or drinking within 1 hour before bed and have lower psychological acculturation (P < .05 for all). Results were comparable when assessing intake from sugar-containing foods/snacks and sugar-sweetened beverages. CONCLUSIONS This study confirmed the association between added sugar intake and self-reported dental outcomes among adults of Mexican origin and points to an urgent need to improve dietary behaviours in this population.
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Affiliation(s)
- S. Vega-López
- College of Health Solutions and Southwest Interdisciplinary Research Center; Arizona State University; Phoenix AZ USA
| | - N. M. Lindberg
- Kaiser Permanente Center for Health Research; Portland OR USA
| | - G. J. Eckert
- School of Medicine; Indiana University/Purdue University in Indianapolis; Indianapolis IN USA
| | - E. L. Nicholson
- Richard M. Fairbanks School of Public Health; Indiana University/Purdue University in Indianapolis; Indianapolis IN USA
| | - G. Maupomé
- Richard M. Fairbanks School of Public Health; Indiana University/Purdue University in Indianapolis; Indianapolis IN USA
- Indiana University Network Science Institute; Bloomington IN USA
- School of Dentistry; Indiana University/Purdue University in Indianapolis; Indianapolis IN USA
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Macy JT, Moser EAS, Hirsh AT, Monahan PO, Eckert GJ, Maupomé G. Factors associated with seeking preventive dental care: an integrative model exploration of behaviors in Mexican immigrants in Midwest America. BMC Oral Health 2018; 18:37. [PMID: 29530026 PMCID: PMC5848600 DOI: 10.1186/s12903-018-0502-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 03/05/2018] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Mexican immigrants in the United States suffer from poor oral health. The objective of the current study was to explore the utility of applying theory-based factors associated with seeking preventive dental care in a sample of Mexican American adults. METHODS Data were collected from a cross-sectional survey of a sample of 157 people of Mexican origin (64% female; age 34 ± 11 years) recruited primarily from church congregations and lay community organizations in Central Indiana. Using the Integrative Model of Behavioral Prediction as the guiding framework, structural equation modeling was used to test factors associated with intention to seek preventive dental care. RESULTS Attitude towards seeking preventive dental care (estimate = 0.37; p < .0001) and self-efficacy for seeking preventive dental care (estimate = 0.68; p < .0001) were associated with intention to seek preventive dental care. The association between dental beliefs and intention to seek preventive dental care was mediated by attitude and self-efficacy (indirect effect = 0.26, p = .002), and the association between past behavior and intention to seek preventive dental care was mediated by self-efficacy (indirect effect = 0.26, p = .003). CONCLUSIONS These findings suggest that interventions to increase preventive dental care seeking behavior among Mexican Americans should focus on changing attitudes toward seeking preventive dental care and on increasing self-efficacy to seek preventive dental care. Findings also support the use of interventions to influence dental beliefs.
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Affiliation(s)
- Jonathan T. Macy
- Department of Applied Health Science, Indiana University School of Public Health, 1025 East 7th Street, Room 116, Bloomington, IN 47405 USA
| | | | - Adam T. Hirsh
- Indiana University-Purdue University, Indianapolis, IN USA
| | | | | | - Gerardo Maupomé
- Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN USA
- Indiana University Network Science Institute, Bloomington, IN USA
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Aguirre O, Mariño R, Medina-Solís C, Maupomé G. Use of Internet for General and Dental Health along Acculturation Features in a Sample of Mexican Americans. Ethn Dis 2017; 27:443-452. [PMID: 29225446 DOI: 10.18865/ed.27.4.443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The objectives of this study were to explore self-reported Internet and electronic platforms used to search for and store medical and dental information among people of Mexican origin. A sample of adults self-identified as European American (250) and as Mexican American (255), residing in Central Indiana, answered a one-time survey that included technology use questions and measured acculturation via the Psychological-Behavioral Acculturation Scale. Overall use of information technologies was estimated through an Information and Communication Technology score. Overall, participants with higher scores searched online for general and oral health information at higher rates than those with lower scores. Younger Mexican Americans and those with higher use scores were more likely to search online for general health information, as were those more psychologically and behaviorally acculturated. Interestingly, Mexican Americans were more likely than European Americans to search online for dental health information. All participants demonstrated high interest in accessing and storing their own health information especially on paper format; storage in other places, such as personal computers, smartphones, or USB flash drives, was less endorsed. Most participants would allow spouses access to their health records; however, there were significant differences between both population groups regarding access given to physicians, dentists and other family members, with Mexican Americans reporting more restrictions. Our findings provide initial information on differential use pattern of electronic health resources among Mexican Americans and suggest that new information technologies reach population groups traditionally underserved; such features may help address disparities in general and dental health.
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Affiliation(s)
- Odette Aguirre
- School of Dentistry, Indiana University/Purdue University in Indianapolis, Indianapolis IN
| | - Rodrigo Mariño
- Melbourne Dental School, Oral Health Cooperative Research Centre, The University of Melbourne, Australia
| | - Carlo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Gerardo Maupomé
- School of Dentistry, Indiana University/Purdue University in Indianapolis, Indianapolis IN.,Richard M. Fairbanks School of Public Health, Indiana University/Purdue University in Indianapolis, Indianapolis IN.,Indiana University Network Science Institute, Bloomington IN
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Maupomé G, Yepes JF, Galloway M, Tang Q, Eckert GJ, Downey T, Vinson L. Survival analysis of metal crowns versus restorations in primary mandibular molars. J Am Dent Assoc 2017; 148:760-766. [DOI: 10.1016/j.adaj.2017.06.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2017] [Revised: 05/09/2017] [Accepted: 06/01/2017] [Indexed: 10/19/2022]
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Minaya-Sánchez M, Medina-Solís CE, Casanova-Rosado JF, Vallejos-Sánchez AA, Casanova-Rosado AJ, Márquez-Corona MDL, Mendoza-Rodríguez M, Maupomé G. Prevalence of Functional Dentition in a Group of Mexican Adult Males. P R Health Sci J 2017; 36:146-151. [PMID: 28915303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To determine the prevalence of functional dentition and associated periodontal variables in a sample of Mexican adult males. METHODS A cross-sectional study of 161 policemen in Campeche, Mexico, was carried out. A clinical examination using an electronic probe was used to collect variables (dental plaque, periodontal pockets, gingival recession, suppuration, and bleeding on probing) on 6 periodontal sites (a maximum of 168 sites, excluding third molars). Sociodemographic, socioeconomic, and behavioral variables were collected through a self-administered survey. Functional dentition was defined as having 21 or more natural teeth. Data were analyzed with STATA 11.0, using logistic regression models. RESULTS Mean age was 38.3 (±10.9) years. The prevalence of having a functional dentition was 83.8% in the sample. The odds of having a functional dentition declined with age (odds ratio [OR] = 0.93), having diabetes (OR = 0.27) and with having a high percentage of sites with plaque (OR = 0.77), with bleeding on probing (OR = 0.97), and with gingival recession (OR = 0.82). CONCLUSION While a large proportion of subjects had a functional dentition in this community-dwelling sample of adult Mexican males, the likelihood of their having a functional dentition decreased with age, with their having been diagnosed with diabetes, and with assorted negative indicators of periodontal/gingival status.
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Affiliation(s)
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry in the Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico; Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata," School of Dentistry, Autonomous University of the State of Mexico, Toluca, México
| | | | | | | | | | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry in the Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Gerardo Maupomé
- Indiana University-Purdue University at Indianapolis, Indianapolis, IN, USA
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Yepes JF, Powers E, Downey T, Eckert GJ, Tang Q, Vinson L, Maupomé G. Prescription of Panoramic Radiographs in Children: A Health Services Assessment of Current Guidelines. Pediatr Dent 2017; 39:289-296. [PMID: 29122068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
PURPOSE To (1) determine adherence to guidelines when prescribing panoramic radiographs (PR) for patients 18 y.o. and younger; and 2) compare PR prescriptions between general dentists (GPs) and pediatric dentists (PDs). METHODS A retrospective analysis of insurance claims included codes for PRs and associated codes for two cities between 2008 and 2015. Chi-square tests ascertained the likelihood of a PR being associated within three days of routine exams. RESULTS A total of 81,699 pediatric patients were seen by 2,077 GPs and 103 PDs. There were 11,993 PRs, 119,068 routine exams (7,343 associated with a PR), 13,819 orthodontic procedures (378 associated with a PR), 798 third molar procedures (172 associated with a PR), and 16,636 procedures for acute problems (1,670 associated with a PR). Patients aged eight years old and younger had the largest discrepancy between GPs and PDs. GPs prescribed proportionally more films in patients five years old and younger, but PDs prescribed more in seven and eight year olds. Nine- to 18 year olds. had more similar patterns between GPs and PDs, except for 14- to 15 year olds, when GPs prescribed more. CONCLUSIONS GPs prescribed PR in patients younger than five years old more often and were somewhat less likely to follow guidelines.
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Affiliation(s)
- Juan F Yepes
- School of Dentistry, Indiana University, Riley Hospital for Children, Indianapolis, Ind., USA.
| | - Elizabeth Powers
- School of Dentistry, Indiana University, Riley Hospital for Children, Indianapolis, Ind., USA
| | - Tim Downey
- P&R Dental Strategies, LLC, New York, N.Y., USA
| | - George J Eckert
- Department of Biostatistics, School of Medicine, Indiana University, Indianapolis, Ind., USA
| | - Qing Tang
- Department of Biostatistics, School of Medicine, Indiana University, Indianapolis, Ind., USA
| | - LaQuia Vinson
- School of Dentistry, Indiana University, Riley Hospital for Children, Indianapolis, Ind., USA
| | - Gerardo Maupomé
- School of Dentistry, Indiana University Network Science Institute, in Indianapolis, Ind., USA
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Medina-Solís CE, Delgado-Pérez VJ, De La Rosa-Santillana R, Márquez-Corona ML, Ávila-Burgos L, Islas-Granillo H, Minaya-Sánchez M, Maupomé G. Diabetes or hypertension as risk indicators for missing teeth experience: An exploratory study in a sample of Mexican adults. Niger J Clin Pract 2017; 20:1335-1341. [DOI: 10.4103/njcp.njcp_52_17] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
When truly significant scientific challenges are overcome, it profoundly changes the daily activities, as well as the future research activities, of everyone involved in the related field. By identifying and describing the grand challenges facing a scientific field, we can help funding agencies identify and prioritize projects for support, stimulate and encourage new investigators to work on these intellectual and technological challenges, and help define the field itself. In this article, we present an informatics-oriented, future-patient-care scenario, then describe a series of applications and the related informatics grand challenges facing the dental field today. New techniques and technologies to help us overcome these challenges would facilitate the development of truly monumental applications, such as a comprehensive electronic oral health record, an automated dental treatment planning system for all diagnoses, or a system to profile patient risk for chronic oral diseases.
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Affiliation(s)
- D F Sittig
- Clinical Informatics Research Network, Kaiser Permanente, Portland, OR, USA.
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Fernández-Barrera MÁ, Medina-Solís CE, Casanova-Rosado JF, Mendoza-Rodríguez M, Escoffié-Ramírez M, Casanova-Rosado AJ, Navarrete-Hernández JDJ, Maupomé G. Contribution of prosthetic treatment considerations for dental extractions of permanent teeth. PeerJ 2016; 4:e2015. [PMID: 27441103 PMCID: PMC4941750 DOI: 10.7717/peerj.2015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Accepted: 04/15/2016] [Indexed: 12/29/2022] Open
Abstract
Background. Tooth loss is an easily identifiable outcome that summarizes a complex suite of factors in an individual's history of dental disease and its treatment by dental services over a lifetime. Assessment of overall tooth loss data is essential for epidemiologically evaluating the adequacy of dental care provided at a systems level, as well as for placing in context tooth loss for non-disease causes. For example, when derived from prosthetic treatment planning, the latter may unfortunately lead to some teeth being extracted (pulled) for the sake of better comprehensive clinical results. The objective of the present manuscript was to identify the contribution to overall tooth loss, by extraction of permanent teeth because of prosthetic treatment reasons. Material and Methods. A cross-sectional study included sex, age, total number of extractions performed by subject, sextant (anterior vs. posterior), group of teeth (incisors, canines, premolars and molars), upper or lower arch, and the main reason underlying extraction (extraction for any reason vs. prosthetic treatment), in patients 18 years of age and older seeking care at a dental school clinic in Mexico. A multivariate logistic regression model was generated. Results. A total of 749 teeth were extracted in 331 patients; 161 teeth (21.5% of total) were extracted for explicit prosthetic treatment indications. As age increased, the likelihood of having an extraction for prosthetic reasons increased 3% (OR = 1.03, p < 0.001). Women (OR = 1.57, p < 0.05) were more likely to be in this situation, and molars (OR = 2.70, p < 0.001) were most at risk. As the total number of extractions increased, the risk of having an extraction for prosthetic reasons decreased (OR = 0.94, p < 0.05). Conclusions. A significant amount (21.5%) of the extractions of permanent teeth were performed for prosthetic reasons in this dental school clinical environment; age, sex, type of tooth, and the total number of extractions moderated such pattern.
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Affiliation(s)
- Miguel Ángel Fernández-Barrera
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State , Pachuca , Hidalgo , Mexico
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Hidalgo, Mexico; Advanced Studies and Research Center in Dentistry "Dr. Keisaburo Miyata," School of Dentistry, Autonomous University State of Mexico, Toluca, Estado de Mexico, Mexico
| | | | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State , Pachuca , Hidalgo , Mexico
| | | | | | | | - Gerardo Maupomé
- School of Dentistry, Indiana University-Purdue University at Indianapolis , Indianapolis , IN , United States
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Islas-Granillo H, Borges-Yañez A, Medina-Solis CE, Lucas-Rincón SE, Navarrete-Hernández JDJ, Villalobos-Rodelo JJ, Casanova-Rosado JF, Maupomé G. Tooth-Loss Experience and Associated Variables among Adult Mexicans 60 Years and Older. P R Health Sci J 2016; 35:88-92. [PMID: 27232870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVE This study was conducted to determine the experience of tooth loss, as well as its associated variables, in a sample of adult Mexicans, aged 60 years and older. MATERIALS AND METHODS This cross-sectional study was part of a larger project to measure diverse oral health indicators in a convenience sample: it included 139 adult Mexican seniors (69.1% of whom were women), ages 60 years and older, either living in long-term care facilities or living independently and participating in adult day care services. Each participant underwent an oral examination to determine the number of missing teeth. Questionnaires were administered to collect sociodemographic, socioeconomic, and behavioral data. Statistical analyses were performed using nonparametric tests and negative binomial regression. RESULTS The mean age was 79.06 (±9.78 years). The mean number of missing teeth was 20.02 (±8.61; median, 24); 99.3% of the participants had at least 1 missing tooth, and only 14 had 20 teeth or more. Using a negative binomial regression multivariate model, we found that for each year's increase in age, the mean number of teeth lost increased by 1% (p<0.05). In individuals who brushed their teeth fewer than two times a day, who had received radiotherapy, or who were currently smokers, the average tooth loss increased 49.2%, 22.6%, and 19.0%, respectively (p<0.01). CONCLUSION Tooth-loss experience in these Mexican seniors was very high (20.02±8.61). Older age (within the range of this group of seniors), tooth-brushing patterns, the receipt of radiation therapy, and (current) tobacco use were associated with higher experience of tooth loss.
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Affiliation(s)
- Horacio Islas-Granillo
- Academic Area of Dentistry, Institute of Health Sciences, Autonomous University of Hidalgo State, Pachuca, Hidalgo, México
| | - Aida Borges-Yañez
- DEPeI School of Dentistry, National Autonomous University of Mexico, México, DF
| | - Carlo Eduardo Medina-Solis
- Academic Area of Dentistry, Institute of Health Sciences, Autonomous University of Hidalgo State, Pachuca, Hidalgo, México
| | - Salvador Eduardo Lucas-Rincón
- Academic Area of Dentistry, Institute of Health Sciences, Autonomous University of Hidalgo State, Pachuca, Hidalgo, México
| | | | | | | | - Gerardo Maupomé
- Indiana University/Purdue University at Indianapolis, School of Dentistry, Indianapolis, IN, USA; Indiana University Network Science Institute, Indianapolis and Bloomington, IN, USA
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Maupomé G, Mariño R, Aguirre-Zero OM, Ohmit A, Dai S. Adaptation of the Psychological-Behavioral Acculturation Scale to a Community of Urban-based Mexican Americans in the United States. Ethn Dis 2015; 25:469-78. [PMID: 26674465 DOI: 10.18865/ed.25.4.469] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To report the psychometric properties of the Psychological-Behavioral Acculturation Scale (P-BAS), a tool gauging behavioral and psychological acculturation after adapting it through formative research to people of Mexican origin in the United States. METHODS We analyzed data from adapted P-BAS questionnaires in the TalaSurvey study, using standard methods to establish internal consistencies (Cronbach's alpha), construct validity, and ascertain if the value orientation profile differed by ethnic group. RESULTS In 2012-13, 505 respondents (mean age 45.2 ± 14.1, 56% female) participated: 250 European Americans (EA) and 255 people of Mexican origin (MA). CONCLUSIONS Although internal consistencies of 15 value orientation measures were occasionally low, overall results were encouraging. A weighted combination of value orientation scores strongly discriminated between EA and MA. Additionally, the pattern of relationships among MAs identified between acculturation scores and the validity contrasts supported the construct validity of the proposed dual framework. The trend was particularly evident for most behavioral variables.
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Affiliation(s)
- Gerardo Maupomé
- 1. School of Dentistry, Indiana University / Purdue University at Indianapolis
| | | | | | | | - Siqi Dai
- 3. Indiana Minority Health Coalition, Inc
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Eckhardt CL, Lutz T, Karanja N, Jobe JB, Maupomé G, Ritenbaugh C. Knowledge, attitudes, and beliefs that can influence infant feeding practices in American Indian mothers. J Acad Nutr Diet 2014; 114:1587-93. [PMID: 24951434 PMCID: PMC4177320 DOI: 10.1016/j.jand.2014.04.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Accepted: 04/15/2014] [Indexed: 11/27/2022]
Abstract
The promotion of healthy infant feeding is increasingly recognized as an important obesity-prevention strategy. This is relevant for American Indian populations that exhibit high levels of obesity and low compliance with infant feeding guidelines. The literature examining the knowledge, attitudes, and beliefs surrounding infant feeding within the American Indian population is sparse and focuses primarily on breastfeeding, with limited information on the introduction of solid foods and related practices that can be important in an obesity-prevention context. This research presents descriptive findings from a baseline knowledge, attitudes, and beliefs questionnaire on infant feeding and related behaviors administered to mothers (n=438) from five Northwest American Indian tribes that participated in the Prevention of Toddler Overweight and Teeth Health Study (PTOTS). Enrollment occurred during pregnancy or up to 6 months postpartum. The knowledge, attitudes, and beliefs questionnaire focused on themes of breastfeeding/formula feeding and introducing solid foods, with supplemental questions on physical activity. Knowledge questions were multiple choice or true/false. Attitudes and beliefs were assessed on Likert scales. Descriptive statistics included frequencies and percents and means and standard deviations. Most women knew basic breastfeeding recommendations and facts, but fewer recognized the broader health benefits of breastfeeding (eg, reducing diabetes risk) or knew when to introduce solid foods. Women believed breastfeeding to be healthy and perceived their social networks to agree. Attitudes and beliefs about formula feeding and social support were more ambivalent. This work suggests opportunities to increase the perceived value of breastfeeding to include broader health benefits, increase knowledge about solid foods, and strengthen social support.
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Affiliation(s)
- Cara L. Eckhardt
- Assistant Professor, Portland State University, School of Community Health, 506 SW Mill Street, Suite 450, Portland, Oregon 97201, Tel: 503-725-4569, Fax: 503-725-5100
| | - Tam Lutz
- Junior Investigator/Project Director, Northwest Portland Area Indian Health Board, 2121 SW Broadway, Suite 300, Portland, OR 97201, Tel: 503-416-3271, Fax: 503-228-8182
| | - Njeri Karanja
- Senior Investigator, Kaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR 97227, Tel: 503-335-2400, Fax: 503-335-2424
| | - Jared B. Jobe
- National Heart, Lung and Blood Institute, NIH (retired), Home Address (not for publication): 105 Dornoch, Williamsburg, VA 23188, Tel: 757-229-1496, Fax: n/a
| | - Gerardo Maupomé
- Professor, Indiana University School of Dentistry, 415 Lansing Street, Indianapolis, IN 46077, Tel: 317-274-5529, Fax: 317-274-5425
| | - Cheryl Ritenbaugh
- Professor, Department of Family & Community Medicine, The University of Arizona, 1450 N. Cherry Ave., Tucson, AZ 85719, Tel: 520-626-1033, Fax: 520-626-2030
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Casanova-Rosado AJ, Medina-Solís CE, Casanova-Rosado JF, Vallejos-Sánchez AA, Minaya-Sánchez M, Mendoza-Rodríguez M, Márquez-Rodríguez S, Maupomé G. Tooth brushing frequency in Mexican schoolchildren and associated socio-demographic, socioeconomic, and dental variables. Med Sci Monit 2014; 20:938-44. [PMID: 24907713 PMCID: PMC4063737 DOI: 10.12659/msm.890106] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2013] [Accepted: 01/06/2014] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Tooth brushing (with fluoridated toothpaste) is the most cost-effective intervention in dentistry and it is widely recommended to preserve good oral health. We aimed to determine the frequency of tooth brushing and the variables associated with this practice in schoolchildren living in southeast Mexico. MATERIAL AND METHODS A cross-sectional study was carried out in 1644 schoolchildren, 6 to 13 years old. Questionnaires with socio-demographic, socioeconomic, and dental variables were administered to mothers/guardians of children. The dependent variable was the frequency of tooth brushing, which was categorized as 0 = tooth brushing less than once a day and 1 = tooth brushing at least once a day. A logistic regression model was used to evaluate the final results. RESULTS Mean age was 9.06±2.02 years and 49.1% were girls. The prevalence of tooth brushing at least once a day was 49.8%. In the multivariate model, characteristics related to tooth brushing frequency (p<0.05) were: older age (OR=1.11), being female (OR=1.64), having a larger family (OR=0.87), having had a visit to a dentist during the year preceding the study (OR=1.37), and having had fluoride applications by a professional (OR=1.39). CONCLUSIONS The results suggested that different variables (demographic, socioeconomic and dental) are associated with the frequency of tooth brushing. Family size (proxy variable for socioeconomic status) may indicate certain oral health inequalities in this population.
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Affiliation(s)
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of State of Hidalgo, Pachuca, Hidalgo, Mexico
| | | | | | - Mirna Minaya-Sánchez
- School of Dentistry, Autonomous University of Campeche, Campeche, Campeche, Mexico
| | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of State of Hidalgo, Pachuca, Hidalgo, Mexico
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of State of Hidalgo, Pachuca, Hidalgo, Mexico
| | - Gerardo Maupomé
- Indiana University/Purdue University at Indianapolis School of Dentistry. Indianapolis, IN, U.S.A
- Regenstrief Institute, Inc. Indianapolis, IN, U.S.A
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