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Deinzer R, Jordan AR. Periodontal health literacy in Germany-Results of a telephone survey. Int J Dent Hyg 2024. [PMID: 38575852 DOI: 10.1111/idh.12803] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 03/15/2024] [Accepted: 03/21/2024] [Indexed: 04/06/2024]
Abstract
OBJECTIVE Assess the periodontal health literacy of German adolescents, adults and senior residents. BACKGROUND The prevalence of periodontitis is high. One explanation for this may be that people lack periodontal health literacy (PHL). METHODS This was a cross-sectional descriptive study. Former participants of the 5th German Oral Health Study (n = 333 16-year-olds, n = 307 39-48-year-olds, n = 332 69-78-year-olds) participated in a computer-assisted telephone interview. Open-ended questions (OEQs) were used to assess the participants' current knowledge. Corresponding single- and multiple-choice questions (SCQs and MCQs) supplemented the OEQs to allow detailed analyses of the nature of the knowledge gaps. RESULTS Less than 10% of the participants in the three age groups could explain the term 'periodontitis' or select the correct answer in an SCQ. Responding to the OEQs, 89% of 16-year olds, 64% of 39-48-year-olds, and 59% of 69-78-year-olds, could not name any consequence of periodontitis, and 83%, 51%, and 60%, respectively, could not name any risk factors. The OEQs regarding proper oral hygiene behaviour revealed that participants lacked awareness regarding important aspects of oral hygiene (e.g., systematics) or areas to which they should pay attention to (e.g., interdental spaces and gingival margins). CONCLUSIONS The survey revealed PHL deficits in German adolescents, adults, and seniors and a need for community-based measures to improve PHL in all age groups. Dental teams should be aware that their patients might lack the PHL necessary for understanding and adherence to professional dental advice, and that they might even lack PHL regarding the proper use of oral hygiene devices.
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Affiliation(s)
- Renate Deinzer
- Department of Medicine, Institute of Medical Psychology, Justus-Liebig-University Giessen, Giessen, Germany
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Poelman MR, Brand HS, de Jong DG, van den Berg I, Dool R, de Visscher JGAM, Jager DHJ. Dutch dental hygiene students' knowledge of HPV-related oropharyngeal squamous cell carcinoma and HPV vaccination. Int J Dent Hyg 2024; 22:130-139. [PMID: 37691238 DOI: 10.1111/idh.12746] [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: 06/17/2022] [Revised: 08/02/2023] [Accepted: 08/08/2023] [Indexed: 09/12/2023]
Abstract
INTRODUCTION The incidence of human papillomavirus (HPV)-related oropharyngeal cancer is rising, thus the understanding of HPV infection and vaccination among oral healthcare professionals is becoming increasingly important. This study aimed to investigate the knowledge of Dutch dental hygiene students on HPV infection and vaccination and assessed various aspects of HPV-related oropharyngeal cancer. METHODS This descriptive cross-sectional study invited the entire Dutch dental hygiene student population registered in September 2016 to complete an online questionnaire concerning the knowledge of HPV infection and vaccination, including the aspects of HPV-related Oro-Pharyngeal Squamous Cell Carcinoma (OPSCC). Data were analysed using t-tests, Mann-Whitney U tests and Chi-square tests. RESULTS Invited were all 1248 Dutch dental hygiene students and 232 (18.6%) students completed the questionnaire. More than 95% of the students indicated HPV infection as a risk factor for OPSCC and 48.7% was aware of the availability of HPV vaccination. Additionally, students considered it important to discuss HPV as a risk factor for oropharyngeal cancer with their patients. In general, the students scored highest on the questions about risk factors for OPSCC and poorest on the questions about general HPV knowledge and HPV vaccination. Although the mean overall knowledge score was significantly higher in senior compared with junior students, knowledge scores of senior students remained insufficient. CONCLUSION This study identified deficits in knowledge of HPV and HPV vaccination among Dutch dental hygiene students. Future research should focus on improving the content of dental hygiene curricula and development of ongoing educational tools for dental hygienists.
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Affiliation(s)
- Marcella R Poelman
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam University Medical Center, Location Vrije Universiteit, Amsterdam and Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
- Centre for Special Care Dentistry (Stichting Bijzondere Tandheelkunde), Amsterdam, The Netherlands
| | - Henk S Brand
- Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Deborah G de Jong
- School for Dental Hygiene, University of Applied Sciences, Utrecht, The Netherlands
| | - Iris van den Berg
- School for Dental Hygiene, University of Applied Sciences, Utrecht, The Netherlands
| | - Rosalie Dool
- School for Dental Hygiene, University of Applied Sciences, Utrecht, The Netherlands
| | - Jan G A M de Visscher
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam University Medical Center, Location Vrije Universiteit, Amsterdam and Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Derk H Jan Jager
- Department of Oral and Maxillofacial Surgery/Oral Pathology, Amsterdam University Medical Center, Location Vrije Universiteit, Amsterdam and Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
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Mac Giolla Phadraig C, Asimakopoulou K, Faulks D, Van Harten M, Ledger L, Spencer A, Roux S, Cleary C, Daly B, Waldron C. Using realist methods for intervention development to fill a methodological gap: A case study showing the development of an oral hygiene intervention for people with intellectual developmental disabilities. Community Dent Oral Epidemiol 2023; 51:1130-1140. [PMID: 36759914 DOI: 10.1111/cdoe.12844] [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: 01/21/2022] [Revised: 12/03/2022] [Accepted: 01/17/2023] [Indexed: 02/11/2023]
Abstract
BACKGROUND Realist methods offer a novel approach to intervention design. Such novelty is needed for effective oral health promotion interventions with people with intellectual developmental disabilities (IDD) and their carers because existing interventions are poorly described and lack theoretical underpinning. In this study, the steps between inception and final intervention development are presented, with an aim to expand understanding of how realist theorizing can be used to develop interventions, and to demonstrate theory-driven intervention development in the field of oral health promotion. METHODS In this intervention development study, the use of realist methods to develop an intervention aiming to improve the oral hygiene of people with IDD is presented. Realist theories (RTs) arising from a mixed synthesis were used to develop the Keep My Teeth intervention. The use of realist theory in intervention development was mapped across seven domains and 18 actions with emphasis on how theory informed key actions. RESULTS Realist theories informed many but not all actions in the development process. Where gaps arose, this was augmented with other systems of intervention development, such as the Behaviour Change Wheel (BCW) and Behaviour Change Technique (BCT) systems. The resulting intervention and underlying theory are presented using TiDieR criteria. CONCLUSIONS It is demonstrated how realist methods could be integrated with substantive theory when developing an intervention. RTs enhanced the contextualization of the intervention that was developed but were insufficient in their own right to guide the development process from conception to intervention. This was overcome by augmenting with substantive theory, in this case, using the BCW and BCT behaviour change systems, to select and specify the behaviours that needed to change. In essence, the BCTs guided which techniques to select, while the RTs guided how to develop and intervene. Robust intervention development in the field of oral health promotion is also presented in this study.
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Affiliation(s)
| | - Koula Asimakopoulou
- Faculty of Dentistry Oral & Craniofacial Sciences, King's College London, London, UK
| | - Denise Faulks
- Universite Clermont Auvergne, CROC, Clermont-Ferrand, France
- CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Maria Van Harten
- School of Dental Science, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland
| | | | | | - Sarah Roux
- Health Service Executive, Dublin, Ireland
| | | | - Blanaid Daly
- School of Dental Science, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland
| | - Catherine Waldron
- School of Dental Science, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland
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Kim CS, Samaniego CS, Sousa Melo SL, Brachvogel WA, Baskaran K, Rulli D. Artificial intelligence (A.I.) in dental curricula: Ethics and responsible integration. J Dent Educ 2023; 87:1570-1573. [PMID: 37489621 DOI: 10.1002/jdd.13337] [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: 03/30/2023] [Revised: 06/15/2023] [Accepted: 07/10/2023] [Indexed: 07/26/2023]
Abstract
The use of artificial intelligence (AI) is deeply embedded in all aspects of our daily lives, promoting efficiency and safety in routine tasks at home and work. Likewise, dentistry is rapidly exploring new uses of AI for image analysis, electronic health records, and clinical decision-making. The accelerating advancement of AI and its application in dentistry demands dental education conscientiously integrate AI into curricula and equip graduates to use it ethically and responsibly in practice. The approach must be threefold: instill knowledge of the basic algorithms and appropriate application of AI, discuss its limitations/biases, and examine current and potential ethical challenges in practice. Furthermore, dental education must protect the public from intentional and unintentional harm introduced by AI. Therefore, the purpose of this perspective paper is to discuss various considerations for integrating AI into the dental curriculum, prioritizing patient safety by ensuring knowledgeable, safe, and ethical application by future providers.
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Affiliation(s)
- Clara S Kim
- Western University of Health Sciences College of Dental Medicine, Pomona, California, USA
| | - Cheryl S Samaniego
- Woody L. Hunt School of Dental Medicine Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA
| | - Saulo L Sousa Melo
- Department of Oral and Craniofacial Sciences, Oregon Health and Science University School of Dentistry, Portland, Oregon, USA
| | | | - Krithika Baskaran
- Department of Restorative Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Danielle Rulli
- Department of Periodontics & Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
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Archer HR, Brian Z, Blackburn B, Weintraub JA. Disseminating oral health educational content and evaluating its use on non-dental safety net clinic websites. J Public Health Dent 2023; 83:355-362. [PMID: 37770227 DOI: 10.1111/jphd.12587] [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: 04/28/2023] [Revised: 07/20/2023] [Accepted: 09/15/2023] [Indexed: 10/03/2023]
Abstract
OBJECTIVES Safety net clinics (SNC) provide healthcare to vulnerable populations and SNC websites are an important information source. In North Carolina (NC), all 100 counties are Dental Health Professional Shortage Areas, yet 91 of 317 SNCs are non-dental (ND-SNC). Our goals were to: (1) assess the presence and type of oral health (OH) information on ND-SNC websites; (2) develop and distribute an OH education webpage to ND-SNCs and track its use. METHODS The website search function was used with common dental terms to evaluate the presence of OH content on each ND-SNC website. Key representatives from ND-SNCs were surveyed to assess patient care and willingness to implement an OH webpage. Webpage topics included oral hygiene and a map of NC dentists that provide services to low-income patients. Google Analytics was used to track consumer webpage engagement including acquisition source (AS), average time on page (AT), and unique page views (UPV). RESULTS Of the 91 ND-SNCs websites, none contained OH education; 15% had information about nearby dental providers. For the 40 ND-SNCs using our webpage, January-December 2022, the primary AS for new webpage users was referrals; 72.5% of users visited directly from ND-SNC websites. Statewide AT was 2 min and 30 s (SD = 58 s), 2.88 times longer than the 52-s threshold marketing experts use to establish genuine user engagement. There were 1364 UPVs statewide for 2022. CONCLUSION Our results suggest a need for OH education content on ND-SNC websites, as users are searching for and engaging with this information.
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Affiliation(s)
- Hannah R Archer
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Zachary Brian
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Brady Blackburn
- North Carolina Oral Health Collaborative, Cary, North Carolina, USA
| | - Jane A Weintraub
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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Narayan V, Thomas S, Gomez MSS, Bhaskar BV, Rao AK. Auxiliary delivered school based oral health promotion among 12-14-year-old children from a low resource setting-A cluster randomized trial. J Public Health Dent 2023. [PMID: 36896639 DOI: 10.1111/jphd.12565] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 12/06/2022] [Accepted: 01/20/2023] [Indexed: 03/11/2023]
Abstract
OBJECTIVES This community intervention study compared the changes in oral health knowledge, attitude, practices (KAP), and oral health indicators among 12-14-year-old children who received a school based oral health promotion delivered by auxiliaries in a rural setting in India. METHODS The interventions in this school based cluster randomized trial were delivered using schoolteachers and school health nurses. Oral health education (once in 3 months), weekly classroom based sodium fluoride mouth rinsing and biannual oral health screening/ referral were provided for 1 year. The control arm did not receive these interventions. Oral health indicators and self-administered KAP questionnaire were evaluated at baseline and 1-year follow-up. Oral health indicators included oral hygiene index simplified, DMFT/DMFS net caries increments, prevented fraction, number of sites with gingival bleeding, changes in care index, restorative index, treatment index, and dental attendance. RESULTS The improvement in total KAP score, oral hygiene, and gingival bleeding from baseline to follow up was higher in the intervention arm (p < 0.05). The prevented fraction for net caries increment were 23.33% and 20.51% for DMFT and DMFS, respectively. Students in the intervention group had a higher dental attendance (OR 2.92, p < 0.001). The change in treatment index, restorative index, and care index were significantly higher in the intervention arm (p < 0.001). CONCLUSIONS Inclusion of available primary care auxiliaries like school health nurses and teachers in oral health promotion is a novel, effective, and sustainable strategy to improve oral health indicators and utilization in rural areas in low resource settings.
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Affiliation(s)
- Vivek Narayan
- Department of Public Health Dentistry, Government Dental College Kottayam, Kerala University of Health Sciences, Kerala, India
| | - Susan Thomas
- Department of Public Health Dentistry, Government Dental College Kottayam, Kerala University of Health Sciences, Kerala, India
| | - Mary Shimi S Gomez
- Department of Public Health Dentistry, Government Dental College Kottayam, Kerala University of Health Sciences, Kerala, India
| | - Bindu V Bhaskar
- Department of Public Health Dentistry, Government Dental College Kottayam, Kerala University of Health Sciences, Kerala, India
| | - Arun Krishna Rao
- Department of Public Health Dentistry, Government Dental College Kottayam, Kerala University of Health Sciences, Kerala, India
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Davis E, Martinez G, Blostein F, Marshall T, Jones A, Jansen E, McNeil D, Neiswanger K, Marazita M, Foxman B. Dietary Patterns and Risk of a New Carious Lesion Postpartum: A Cohort Study. J Dent Res 2022; 101:295-303. [PMID: 34609222 PMCID: PMC8982010 DOI: 10.1177/00220345211039478] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Dental caries (cavities), one of the most common infectious diseases, is caused by a number of factors. Oral microbes, dietary practices, sociodemographic factors, and dental hygiene all inform caries risk. Assessing the impact of diet is complicated as individuals eat foods in combinations, and the interactions among the foods may alter caries risk. Our study aimed to prospectively assess the association between dietary patterns and caries risk in the postpartum period, a potentially sensitive period for caries development. We analyzed in-person dental assessments and telephone food frequency questionnaires (FFQs) from 879 Caucasian women participating in the Center for Oral Health Research in Appalachia Cohort 2 (COHRA2) that were collected biannually for up to 6 y. One-week recall of food intake frequency was assessed using a Likert scale. We used principal component analysis to summarize the FFQ data; the top 2 components described 15% and 12% of the variance in FFQ data. The first component was characterized by high consumption of fruits and vegetables, while the second component was heavily influenced by desserts and crackers. We used a modified Poisson model to predict the risk of an increase in the number of decayed, missing, and filled teeth in the postpartum period by 1) dietary patterns and 2) individual foods and beverages at the previous study visit, after controlling for other known risk factors, including history of carious lesions. Eating a dietary pattern high in desserts and crackers was associated with a 20% increase in the number of decayed, missing, and filled teeth in the postpartum period (95% confidence interval, 1.03-1.39). However, this effect was attenuated among those who also consumed a dietary pattern high in fruits and vegetables. Dietary patterns should be considered when devising interventions aimed at preventing dental caries.
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Affiliation(s)
- E. Davis
- Center for Molecular and Clinical
Epidemiology of Infectious Diseases, Department of Epidemiology, University of
Michigan School of Public Health, Ann Arbor, MI, USA
| | - G. Martinez
- Center for Molecular and Clinical
Epidemiology of Infectious Diseases, Department of Epidemiology, University of
Michigan School of Public Health, Ann Arbor, MI, USA
| | - F. Blostein
- Center for Molecular and Clinical
Epidemiology of Infectious Diseases, Department of Epidemiology, University of
Michigan School of Public Health, Ann Arbor, MI, USA
| | - T. Marshall
- Department of Preventive and Community
Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA
| | - A.D. Jones
- Department of Nutritional Sciences,
University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - E. Jansen
- Department of Nutritional Sciences,
University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - D.W. McNeil
- Center for Oral Health Research in
Appalachia (COHRA) University of Pittsburgh, Pittsburgh, PA, USA
- Department of Psychology, West Virginia
University, Department of Dental Practice & Rural Health, West Virginia
University School of Dentistry, Morgantown, WV Morgantown, WV, USA
| | - K. Neiswanger
- Center for Oral Health Research in
Appalachia (COHRA) University of Pittsburgh, Pittsburgh, PA, USA
- Center for Craniofacial and Dental
Genetics, Department of Oral and Craniofacial Sciences, School of Dental Medicine,
University of Pittsburgh, Pittsburgh, PA, USA
| | - M.L. Marazita
- Center for Oral Health Research in
Appalachia (COHRA) University of Pittsburgh, Pittsburgh, PA, USA
- Center for Craniofacial and Dental
Genetics, Department of Oral and Craniofacial Sciences, School of Dental Medicine,
University of Pittsburgh, Pittsburgh, PA, USA
- Department of Human Genetics, Graduate
School of Public Health, Clinical and Translational Sciences, School of Medicine,
University of Pittsburgh, Pittsburgh, PA, USA
| | - B. Foxman
- Center for Molecular and Clinical
Epidemiology of Infectious Diseases, Department of Epidemiology, University of
Michigan School of Public Health, Ann Arbor, MI, USA
- B. Foxman, Center for Molecular and
Clinical Epidemiology of Infectious Diseases, Department of Epidemiology,
University of Michigan School of Public Health, 1415 Washington Heights, Ann
Arbor, MI 48109, USA.
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Alsaadoon AM, Sulimany AM, Hamdan HM, Murshid EZ. Impact of a Dental Storybook on Parents' Knowledge of Children's Oral Health: A Randomized Controlled Trial. Patient Prefer Adherence 2022; 16:2271-2285. [PMID: 36034330 PMCID: PMC9415471 DOI: 10.2147/ppa.s370430] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 08/12/2022] [Indexed: 11/23/2022] Open
Abstract
PURPOSE To evaluate the effectiveness of a dental storybook on parents' knowledge about oral health of their children and to assess their perception of its effect in reducing dental anxiety levels among their children, as well as improving their oral health knowledge. PATIENTS AND METHODS This was a two-arm parallel, single-blind, randomized controlled trial (RCT) which was performed at the pediatric dental clinics in the Dental University Hospital, King Saud University, Riyadh, Saudi Arabia. Parents of 88 children (6-8 years old) were included in the present study. Parents and their children were randomly divided into two groups as follows: the intervention group (received the storybook and verbal oral hygiene instructions) and the control group (only received verbal oral hygiene instructions; same information included in the book). Three dental visits, including screening, examination/cleaning and treatment, were provided for each child. In the screening visit, baseline parental oral health knowledge was evaluated for all parents. Afterward, parental oral health knowledge was re-evaluated in the examination visit. In the treatment visit, a parental perception questionnaire was administered to parents following treatment to evaluate their satisfaction regarding the use of the storybook in reducing anxiety levels among their children. RESULTS There was a significant improvement in the total knowledge score at the follow-up visit in the intervention group compared to the control group (P<0.0001). Overall, the majority of parents perceived the storybook as a useful source of information, and they found it to be effective in reducing dental anxiety levels among their children. CONCLUSION The dental storybook is an effective educational tool that can help parents become more knowledgeable about their children's oral health. Moreover, parents perceived the storybook as an effective tool for enhancing their oral health knowledge and lowering their children's dental anxiety.
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Affiliation(s)
- Alrouh M Alsaadoon
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
- Correspondence: Alrouh M Alsaadoon, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, 11545, Saudi Arabia, Email
| | - Ayman M Sulimany
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hebah M Hamdan
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Ebtissam Z Murshid
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Basu S, Rajeev A, Garg S, Singh MM. Effect of a Text-Messaging Intervention on Oral Self-Care Practices in Antenatal Women in Delhi, India: A Pilot Randomized Control Trial. Indian J Community Med 2022; 47:133-137. [PMID: 35368494 PMCID: PMC8971861 DOI: 10.4103/ijcm.ijcm_929_21] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 12/09/2021] [Indexed: 11/04/2022] Open
Abstract
Objective This study aimed to determine the effect of a mHealth (text message) intervention compared with a structured health educational session on the oral care and hygiene practices of pregnant women. Materials and Methods We conducted a pilot randomized control trial, parallel design superiority trial, with a 1:1 allocation ratio. A total of 76 pregnant women up to 20 weeks of gestational age and capable of reading mobile phone text messages were recruited during August-October 2020 from the antenatal clinic of a primary health center in a low-income urban agglomeration in Delhi, India. The mHealth intervention arm participants were sent a daily text message for 30 days, while all participants were provided a one-time, face-face, brief didactic structured educational session toward oral health promotion. Results The baseline characteristics of both groups were comparable in terms of age structure, education, parity, and oral hygiene but differed in terms of oral health problems. Postintervention, although the twice-brushing frequency increased in both arms, only the mHealth arm revealed a statistically significant reduction in the incidence of missed twice-daily brushing episodes (P = 0.016). Conclusions A mHealth-based daily text-message intervention for 1 month was not superior to a one-time brief didactic structured educational intervention for oral health promotion in antenatal women.
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Affiliation(s)
- Saurav Basu
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
| | - Anjali Rajeev
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
| | - Suneela Garg
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
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Barnes E, Bullock A, Chestnutt IG. What influences the provision and reception of oral health education? A narrative review of the literature. Community Dent Oral Epidemiol 2021; 50:350-359. [PMID: 34519366 DOI: 10.1111/cdoe.12698] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 08/16/2021] [Accepted: 09/05/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Most common diseases of the mouth are preventable through behavioural changes, oral hygiene routines and regular professional care. Research suggests dental professionals may prioritize clinical experience, personal values and preferences over evidence when delivering such interventions. Research also suggests variable rates of patient behaviour change following oral health education (OHE) interactions. This review explores the literature to answer the question: what factors influence the provision and reception of OHE messages and the wider OHE process? METHODS A structured search of literature was carried out with databases covering a range of academic disciplines (healthcare sciences, social sciences, education). Key words/terms were searched to elicit papers published since 1998. Citation mining (relevant citations within papers) and citation tracking (papers citing relevant papers) were also used. Recurring themes within the papers were identified and coded using NVivo12 and presented in a conceptual model. RESULTS The studies analysed tended to employ small-scale surveys, larger-scale surveys (some with low response rates), or interview studies of varying sizes. There was also a limited number of review papers. However, several key messages were identified regarding dental professionals' and patients' views on OHE and the factors that influence its provision. Factors that were identified related to the wider social and policy context (macro), community-level factors (meso), the individual practitioner and patient (micro), factors that influenced the nature of OHE interaction and any resulting behaviour change, and how the outcomes of the process influence future OHE interactions for both parties. CONCLUSIONS The literature highlighted how factors influence the OHE process before, during and after the educational interaction. The resultant conceptual model acknowledges the influence of wider 'upstream' factors alongside interpersonal and individual influences which should be taken into consideration when developing OHE interventions.
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Affiliation(s)
- Emma Barnes
- School of Social Sciences, Cardiff University, Cardiff, UK
| | - Alison Bullock
- School of Social Sciences, Cardiff University, Cardiff, UK
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Ng JYM, Lim TW, Tarib N, Ho TK. Effect of educational progressive web application on patient's oral and denture knowledge and hygiene: A randomised controlled trial. Health Informatics J 2021; 27:14604582211035821. [PMID: 34325550 DOI: 10.1177/14604582211035821] [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
This study aimed to evaluate the effect of a novel progressive web application (PWA) on the patient's oral and denture knowledge and hygiene. Fifty-two removable partial denture wearers were randomised to receive education using the PWA, or verbal instructions accompanied by demonstration of hygienic procedures. Changes in the participants' knowledge score, plaque index, gingival index and denture plaque was evaluated during a follow-up period of 3 months. The participants' acceptance of PWA was explored through usage logs and a feedback form. Both groups showed significant improvement in knowledge scores, oral and denture hygiene indices (p < 0.001) after education. The PWA group demonstrated significantly lower gingival index score than control (p = 0.008) at the third month review. In conclusion, there is potential of using mobile application in educating elderly patients and the PWA is a viable option for providing post-denture delivery instructions.
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Affiliation(s)
| | | | - Natasya Tarib
- KPJ KL Dental Centre, KPJ Tawakkal Health Centre, Kuala Lumpur
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12
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Rathore K, Rao D, Kumar P, Masih U. Evaluation of a specially-designed educational and interventional programme on institutionalized visually impaired children: A prospective interventional study. Spec Care Dentist 2021; 41:716-726. [PMID: 34216040 DOI: 10.1111/scd.12622] [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: 05/26/2021] [Revised: 06/04/2021] [Accepted: 06/18/2021] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to design, implement, and to evaluate the success of an oral health care programme specially designed for visually impaired children over a 12-month period. DESIGN A structured questionnaire collected information regarding oral health knowledge and practices of the study population. A specially designed oral health education programme was conducted for the children and their teachers and reinforced after 1, 3, 6, 9, and 12 months. The oral health status of the children was assessed and scored at baseline examination and after each follow-up visit. Independent t-test and paired t-test were used for comparison of scores. Spearman's correlation test was used to measure the correlation between knowledge and practices scores with oral hygiene status. RESULTS The study population (5-16 years) had good knowledge about oral health which, however, did not translate into everyday practices. The overall oral hygiene scores declined from 2.06 ± 1.20 at the preliminary examination to 1.24 ± 0.79 at the end of 12 months (p < 0.001). CONCLUSION The customized oral-health education programme was efficacious in improving the oral health of the visually impaired children, and the repetition and reinforcement components of this dental health education programme were of significant value in enhancing their oral health.
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Affiliation(s)
- Kanupriya Rathore
- Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, India
| | - Dinesh Rao
- Department of Paediatric and Preventive Dentistry, Pacific Dental College and Hospital, Udaipur, India
| | - Pravin Kumar
- Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, India
| | - Updesh Masih
- Department of Paediatric and Preventive Dentistry, Sri Aurobindo College of Dentistry, Indore, India
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13
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Rahaei Z, Moradian E, Falahati-Marvast F. Improving dental-oral health learning in students using a mobile application ("My tooth"): A controlled before and after study. Int J Dent Hyg 2021; 20:512-518. [PMID: 33829640 DOI: 10.1111/idh.12504] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 12/29/2020] [Accepted: 03/31/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Tooth decay is one of the most common problems amongst students. Despite considerable educational interventions, it is still very prevalent. The aim of this study was to compare the effect of a dental-oral health mobile educational application with the common dental-oral health education amongst elementary school students. METHODS This interventional study was carried out on 158 girl students in the age range of 10-12 years in Mobarakeh City, Iran. The participants were categorized into the intervention and control groups and investigated in the academic year of 2018-2019. The research tool was a researcher-made questionnaire with confirmed validity and reliability. Initially, all students completed the questionnaires. Later, the intervention group members were trained using dental-oral health mobile educational application and control group received the common dental-oral health educations in lectures and demonstrations. Two months after the last intervention, the same questionnaire was completed and data were analysed by SPSS software. RESULTS Before the intervention, the mean score of behaviour was 13.69 ± 3.89 and 13.93 ± 3.02 (of 21) for the intervention and control groups. At this phase, the difference between the two groups was not significant in the studied dimensions (p > 0.05). After the intervention, mean scores of the intervention group increased significantly with regard to all variables (p < 0.05). CONCLUSIONS Findings of this study confirmed the positive effect of learning through mobile applications on increasing the students' knowledge, attitude and performance regarding dental-oral health education.
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Affiliation(s)
- Zohreh Rahaei
- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Elham Moradian
- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Fatemeh Falahati-Marvast
- Department of Health Technology Assessment, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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14
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Fernández CE, Maturana CA, Coloma SI, Carrasco-Labra A, Giacaman RA. Teledentistry and mHealth for Promotion and Prevention of Oral Health: A Systematic Review and Meta-analysis. J Dent Res 2021; 100:914-927. [PMID: 33769123 DOI: 10.1177/00220345211003828] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [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: 12/23/2022] Open
Abstract
The dental profession has experienced a dramatic acceleration in the use of communication systems and information-based technologies over recent years, originating new paradigms for the prevention and promotion of oral health. The purpose of this systematic review was to determine the effect of teledentistry-based (telematic) strategies, reported in randomized controlled trials and quasi-randomized trials, with a focus on oral health prevention and promotion-related outcomes in patients of all ages. We searched Medline via PubMed, SCOPUS, and Web of Science from inception until August 2020, regardless of the language of publication. We selected studies for inclusion and conducted data extraction, assessed risk of bias (Cochrane tool), and evaluated the certainty of the evidence (GRADE approach) in duplicate and independently. Out of 898 potentially eligible references, we selected 43 for full-text screening, of which 19 studies proved eligible: 18 randomized controlled trials and 1 quasi-randomized study. Virtual interventions were mostly asynchronous via apps (n = 9), text messages (n = 9), or computer-aided learning (n = 1). The use of teledentistry as compared with conventional strategies may result in a large reduction in the plaque index (standardized mean difference, -1.18; 95% CI, -1.54 to -0.82; I2 = 92%; low certainty) and will likely result in a large reduction in the gingival index (standardized mean difference, -2.17; 95% CI, -3.15 to -1.19; I2 = 97%; moderate certainty) and in the incidence of white spot lesions (risk ratio, 0.48; 95% CI, 0.35 to 0.66; I2 = 0%; moderate certainty), with an increased effect over time. Evidence suggests that teledentistry, particularly mHealth (messages and apps), is a promising clinical tool for preventing and promoting oral health, especially under the accelerated virtualization of dentistry. Future studies should include a broader spectrum of the population, including adults and elders, to better inform policy and implementation of teledentistry (PROSPERO: CRD42020192685).
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Affiliation(s)
- C E Fernández
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile
| | - C A Maturana
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile
| | - S I Coloma
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile
| | - A Carrasco-Labra
- Department of Evidence Synthesis and Translation Research, Science and Research Institute, American Dental Association, Chicago, IL, USA
- Department of Oral and Craniofacial Health Science, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - R A Giacaman
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile
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15
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Boynes S, Nelson J, Diep V, Kanan C, Pedersen DN, Brown C, Mathews R, Tranby E, Apostolon D, Bayham M, Minter-Jordan M. Understanding value in oral health: the oral health value-based care symposium. J Public Health Dent 2020; 80 Suppl 2:S27-S34. [PMID: 33058156 DOI: 10.1111/jphd.12402] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 08/17/2020] [Accepted: 09/08/2020] [Indexed: 12/01/2022]
Abstract
OBJECTIVE There are both opportunities and challenges with the implementation of oral health value-based care (OHVBC). To tackle concerns and advance conversation, a symposium was convened with subject matter experts to develop a gap analysis and capture insights into professional readiness for value-based care design. METHODS The symposium was convened as a private event for 46 participants over the course of one and a half days in December 2019. Thematic analyses utilized the OHVBC Readiness Framework (DentaQuest Partnership, 2019) to further codify conversations as part of the gap-analysis process. Poll Everywhere, a text messaging application that allows participants to answer questions in real time, was also employed to solicit responses. RESULTS Attendees of the symposium felt that OHVBC would have a large portion of market share within the next 10 years. A qualitative assessment of multiple table discussions determined that the participants developed more consensus around themes for the current state and the future-desired state than the action-planning needed to close the gap between the two. This may relate to individual ideology, and the siloed environment is still prevalent in the oral health realm. In a postsymposium survey, respondent attendees did not perceive that COVID-19 would delay or negatively impact the adoption of OHVBC and may result in accelerating its utilization. CONCLUSION The oral health community is experiencing multiple drivers to adopt more OHVBC within business and care models. However, there is still a lack of uniformity on how to execute this delivery model.
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Affiliation(s)
- Sean Boynes
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
| | - Joni Nelson
- Medical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, SC, USA
| | - Vuong Diep
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
| | - Christine Kanan
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
| | | | - Carolyn Brown
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
| | - Rebekah Mathews
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
| | - Eric Tranby
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
| | | | - Mary Bayham
- DentaQuest Partnership for Oral Health Advancement, Boston, MA, USA
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16
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Fernández CE, Chanin M, Appice GM, Culver AM, Stein A. Conceptualization of dental caries by dental students is related to their preventive oral care routine. J Dent Educ 2020; 84:1426-1437. [PMID: 32805773 DOI: 10.1002/jdd.12357] [Citation(s) in RCA: 2] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 07/21/2020] [Accepted: 07/26/2020] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Whether the understanding of dental caries influences how future dentists manage the disease themselves has not been previously studied. Thus, this study evaluated whether the conceptualization (understanding) of dental caries by dental students is related to their own preventive oral care routine. METHODS Dental students at a U.S. dental school (n = 517) were invited to voluntarily respond to an anonymous electronic survey in spring 2018. Demographic characteristics, caries conceptualization (CC), dental care habits, and self-caries risk determination were asked. Discursive responses to CC were analyzed by content analysis technique, and categories [c] were created. Chi-square and Fisher's exact tests were used for analysis. RESULTS Overall response rate was 54.5% (n = 282, 48.2% female). Three researchers independently analyzed discursive answers and classified them into 1 of 6 caries concept categories [c]: [c1] only signs of the disease (10.3%), [c2] bacterial disease-not specifying bacterial metabolism (38.3%), [c3] bacterial byproducts-not specifying substrate (13.8%), [c4] biological or multifactorial concept (24.8%), [c5] comprehensive multifactorial disease (8.2%), or [c6] other (4.6%). Only 33% completely defined dental caries according to the modern understanding of the disease (c4-c5). Statistical differences were found between: CC and diet modification, CC and rinsing after brushing, year of school (YS) and self-determined caries-risk, YS and brushing at school, and YS and rinsing after brushing (P < 0.05). CONCLUSION Our data suggest that the students' understanding of the disease can influence how they will manage the disease in terms of diet modification and behavior after brushing. Moreover, self-caries risk determination influenced students' brushing behavior.
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Affiliation(s)
- Constanza E Fernández
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile
| | - Marisa Chanin
- College of Dental Medicine-Illinois (CDMI), Midwestern University, Illinois, USA
| | - Gabriella M Appice
- College of Dental Medicine-Illinois (CDMI), Midwestern University, Illinois, USA
| | - Ashley M Culver
- College of Dental Medicine-Illinois (CDMI), Midwestern University, Illinois, USA
| | - Amy Stein
- Office of Research and Sponsored Programs, Midwestern University, Arizona, USA
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17
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Vpk V, Mohanty VR, Balappanavar AY, Juneja M, Gupta V, Kapoor S. Effectiveness of different parenting interventions on oral hygiene of cerebral palsy children: A randomized controlled trial. Spec Care Dentist 2020; 40:335-343. [PMID: 32488889 DOI: 10.1111/scd.12481] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 05/01/2020] [Accepted: 05/13/2020] [Indexed: 11/29/2022]
Abstract
AIM To assess the effectiveness of different parenting interventions for improving oral hygiene of cerebral palsy (CP) children aged 4-12 years. METHODOLOGY AND RESULTS A randomized controlled trial was done among 60 CP children and parents visiting a tertiary care center in New Delhi. The study population was randomly assigned to experimental or control group (30 in each group). Parents/caregivers in the experimental group (Group 1) received video-based dental health education (DHE) and the control group (Group 2) received conventional DHE. Each group also received two telephonic reinforcements at fourth and eighth week after the first intervention at baseline. The groups were assessed for sociodemographic, familial factors, medical history, oral hygiene practices, and oral hygiene status. At 3-month follow-up, the mean reduction in simplified oral hygiene index (OHI-S), plaque index (PI), and gingival index (GI) scores was 0.27, 0.17, and 0.09, respectively, in Group 1 (P-value < .05). The mean reductions seen in Group 2 were 0.03 in OHI-S, 0.14 in PI, and 0.04 in GI index (P-value < .05, except for GI score: P-value = .6). CONCLUSION Video-based DHE is effective and brings about significant improvement in oral hygiene status and oral health among CP children.
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Affiliation(s)
- Vedha Vpk
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Vikrant R Mohanty
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Aswini Y Balappanavar
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Monica Juneja
- Department of Pediatrics, Lok Nayak Hospital, New Delhi, India
| | - Vaibhav Gupta
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Shivam Kapoor
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
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18
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Villanueva-Vilchis MDC, Alekseju-Niene J, López-Núñez B, de la Fuente-Hernández J. A peer-led dental education program for modifying oral self-care in Mexican children. Salud Publica Mex 2019; 61:193-201. [PMID: 30958962 DOI: 10.21149/9273] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [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: 11/21/2017] [Accepted: 10/08/2018] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE To compare peer-led dental education (PLDE) versus conventional dental instruction (CDI) in modifying children's oral self-care. MATERIALS AND METHODS The intervention group (two schools) received PLDE and the control group (two schools) received CDI. The quality of oral self-care practice (OSC-P) and oral self-care skills (OSC-S) were indicated by dental plaque levels (%) and compared before and after dental education. RESULTS There were no baseline OSC-P differences between the control (55.8 ± 12.8%) and intervention (55.5 ± 14.6%) groups or OSC-S differences between the intervention (38.5 ± 13.2%) and control (38.1 ± 12.5%) groups. At the three-month follow-up we observed OSC-P deterioration in the control group (63.2 ± 15.0%) and OSC-P improvement in the intervention group (52.2 ± 15.6%). The OSC-P/OSC-S regression models found these predictors: baseline oral self-care, group affiliation, and mother's education (p<0.05). CONCLUSIONS The hypothesis was confirmed and significant predictors were baseline oral self-care levels, group affiliation, and mother's education.
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Affiliation(s)
| | | | - Benjamín López-Núñez
- Escuela Nacional de Estudios Superiores Unidad León, Universidad Nacional Autónoma de México. León, Guanajuato, México
| | - Javier de la Fuente-Hernández
- Escuela Nacional de Estudios Superiores Unidad León, Universidad Nacional Autónoma de México. León, Guanajuato, México
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19
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Inglehart MR, Migliore N, Gutta A, Briskie D. Socioeconomically Disadvantaged Parents and Oral Health-related Information. Oral Health Prev Dent 2019; 17:235-242. [PMID: 31209445 DOI: 10.3290/j.ohpd.a42660] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To assess 1) how socioeconomically disadvantaged parents receive information about their child's oral health, 2) how they prefer to access information and 3) whether their gender, age, ethnicity/race, education, income and the number of children in their family affect oral health-related information use. MATERIALS AND METHODS Survey data were collected from 506 parents/guardians at a pediatric community dental clinic. The majority of the respondents were female (87%) and African American (54%). They ranged in age from 16 to 73 years. RESULTS The most frequently used sources for oral health-related information were family members (75%), the child's doctor (74%), other parents (57%) and the child's nurse (54%). The majority of the parents (84%) indicated that the paediatric community dental clinic should have a website with oral health-related information. A total of 79% would use such a website in their own home (73%), at a library (29%), at school (16%) or at work (16%). In addition, 86% also wanted to receive printed information from the community dental clinic. The data showed that European-American parents were more likely than African-American parents to have received information from the child's caregivers, parent support groups, the child's doctor, e-mail groups or books. The respondents' age, income and educational background affected which sources of information they used. CONCLUSIONS The majority of socioeconomically disadvantaged parents/guardians would like to have access to web-based information about children's oral health and reported that they would use such information.
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20
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Selvarajan NB, Krishnan R, Kumar S. Effect of Dental Health Education on the Knowledge and Attitude Among Expectant Mothers: A Questionnaire Study. J Pharm Bioallied Sci 2019; 11:S194-S197. [PMID: 31198336 PMCID: PMC6555381 DOI: 10.4103/jpbs.jpbs_293_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 12/02/2022] Open
Abstract
Background: Although dental caries levels have declined and stabilized the world over, the problem of early childhood caries has remained persistent in many areas of the world affecting certain segments of society, especially the socially deprived, who remain at high risk to this disease. Parents have an essential role in mediating between their children and environment for which prenatal period is the best time for health interventions. This mediation is done through preventive services they provide to their children such as dietary habits supervision, oral hygiene performance, and other practices that can be enhanced by prenatal dental health education. Purpose: The purpose of the study was to evaluate, by means of a questionnaire, the expectant mother’s knowledge and attitude toward dental health and to test the effectiveness of the health education tool. Materials and Methods: The baseline questionnaire consisted of 27 questions, which was distributed to 138 participants. Subsequently, provision for dental health education was made in batches of 20. After 3 weeks, 10 questions were randomly selected from the first questionnaire for reassessment session. Paired t test was used for statistical analysis. Results: The mean overall knowledge improved from 67.4% to 97.32% and attitude improved from 75.83% to 99.22%. Conclusion: Knowledge and attitude of mothers was found to increase on provision of dental health education, which were retained even after a period of 3 weeks.
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Affiliation(s)
- Nandhini B Selvarajan
- Department of Pedodontics and Preventive Dentistry, VMSDC, VMRFDU, Salem, Tamil Nadu, India
| | - Ramesh Krishnan
- Department of Pedodontics and Preventive Dentistry, VMSDC, VMRFDU, Salem, Tamil Nadu, India
| | - Suresh Kumar
- Department of Pedodontics and Preventive Dentistry, VMSDC, VMRFDU, Salem, Tamil Nadu, India
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21
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Singer RH, Feaster DJ, Stoutenberg M, Hlaing WM, Pereyra M, Abel S, Pollack H, Gellman MD, Schneiderman N, Metsch LR. Dentists' willingness to screen for cardiovascular disease in the dental care setting: Findings from a nationally representative survey. Community Dent Oral Epidemiol 2019; 47:299-308. [PMID: 30908721 DOI: 10.1111/cdoe.12457] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 08/08/2018] [Revised: 02/20/2019] [Accepted: 02/23/2019] [Indexed: 01/15/2023]
Abstract
OBJECTIVE Dental clinics offer an untapped health care setting to expand access to screening and early identification of cardiovascular disease (CVD) risk. This study examined the correlates of dentists' willingness to provide CVD screening in the dental care setting. METHODS Private practice and public health general dentists in the U.S. participated in a nationally representative survey from 2010 to 2011. The survey examined dentists' willingness to provide a finger stick test to support CVD screening and agreement that their professional role should include CVD screening. RESULTS Data analysed from 1802 respondents indicated that 46.6% of dentists were willing to provide CVD screening. The adjusted odds ratio (AOR) of dentists' willingness to screen for CVD was associated with currently screening for hypertension (AOR = 1.49, 95% CI 1.01, 2.20), screening for obesity (AOR = 1.66, 95% CI 1.17, 2.36) and agreement that their role as health care professionals includes CVD screening (AOR = 3.03, 95% CI 2.15, 4.29). Dentists' agreement that their role includes CVD screening was associated with self-rated knowledge of CVD (good vs none or limited) and CVD training during their professional education (5 to 8 hours of training vs none or limited), (AOR = 5.75, 95% CI 2.26, 14.62) and (AOR = 3.84, 95% CI 2.17, 6.80), respectively. CONCLUSIONS Our study highlights strategies that may be employed to expand future access to early detection of CVD risk. Including CVD screening instruction and clinical screening experiences in dental school curriculum may serve as catalysts to reshape the future scope of dental practice.
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Affiliation(s)
- Richard H Singer
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida.,College of Dental Medicine, Nova Southeastern University, Ft. Lauderdale, Florida
| | - Daniel J Feaster
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
| | - Mark Stoutenberg
- Department of Health & Human Performance, University of Tennessee at Chattanooga, Chattanooga, Tennessee
| | - WayWay M Hlaing
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
| | - Margaret Pereyra
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York
| | - Stephen Abel
- School of Dental Medicine, University at Buffalo, Buffalo, New York
| | - Harold Pollack
- School of Social Service Administration, University of Chicago, Chicago, Illinois
| | - Marc D Gellman
- Department of Psychology, University of Miami, Miami, Florida
| | - Neil Schneiderman
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida.,Department of Psychology, University of Miami, Miami, Florida
| | - Lisa R Metsch
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York
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22
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Park ES, Yim HW, Lee KS. Progressive muscle relaxation therapy to relieve dental anxiety: a randomized controlled trial. Eur J Oral Sci 2018; 127:45-51. [PMID: 30430667 DOI: 10.1111/eos.12585] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [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: 10/02/2018] [Indexed: 12/18/2022]
Abstract
Dental anxiety causes patients to refuse or delay treatment, which may exacerbate oral diseases. The aim of the current randomized controlled trial was to determine whether progressive muscle relaxation therapy could relieve dental anxiety. The trial included 68 periodontal patients with dental anxiety scores of ≥13 who were randomly assigned to either an intervention group or a control group (n = 34 per group). The intervention group was administered progressive muscle relaxation therapy for 20 min and oral health education for 15 min before periodontal treatment once per week for 4 wk. The control group was provided with oral health education only, for the same duration. Changes in dental anxiety, depression symptoms, blood pressure, heart rate, and salivary cortisol were evaluated 4 wk and 3 months after the intervention. The intervention group exhibited statistically significantly greater reductions in dental anxiety scores than did the control group at the 4-wk (-3.82 vs. -0.89) and 3-month (-4.22 vs. -0.28) assessments. They also exhibited significantly greater reductions in depression symptoms, systolic and diastolic blood pressure, pulse rate, and salivary cortisol levels at both time-points. Progressive muscle relaxation therapy relieves tension and anxiety in dental patients.
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Affiliation(s)
- Eun S Park
- Department of Public Health, Graduate School of the Catholic University of Korea, Seoul, Korea.,Department of Dental Hygiene, The Hyejeon College of Korea, HongSeong-Eup, Korea
| | - Hyeon W Yim
- Department of Public Health, Graduate School of the Catholic University of Korea, Seoul, Korea.,Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Kang S Lee
- Department of Public Health, Graduate School of the Catholic University of Korea, Seoul, Korea.,Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
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23
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Veschusio C, Jones MK, Mercer J, Martin AB. Readying Community Water Fluoridation Advocates through Training, Surveillance, and Empowerment. Community Dent Health 2018; 35:67-70. [PMID: 29111620 DOI: 10.1922/cdh_4021veschusio04] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This paper describes the Community Water Fluoridation Advocacy Training Project that was designed to develop networks of community water fluoridation advocates in rural communities. The South Carolina (SC) Department of Health and Environmental Control Division of Oral Health staff and the SC Dental Association were responsible for developing and facilitating the training sessions for key policy influencers, which included medical and dental providers, early childhood educators, and water system operators and managers. Findings from the post-training survey indicate that participants increased their knowledge and skills to discuss the impact of water fluoridation on the dental health of community residents. Participants identified a need for online access to water fluoridation education and advocacy materials. Dental public health competencies illustrated: communication and collaboration with groups and individuals, and advocate, implement and evaluate public health policy, legislation and regulations.
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Affiliation(s)
- C Veschusio
- Division of Population Oral Health, Department of Stomatology, James B. Edwards College of Dental Medicine, Medical University of South Carolina, 173 Ashley Avenue, Basic Sciences Building Room 127, Charleston, SC 29425
| | - M K Jones
- Division of Oral Health, South Carolina Department of Health and Environmental Control, Outreach and Education Specialist, SC DHEC, 301 Gervais St., Columbia, SC 29201
| | - J Mercer
- Associates in Oral and Maxillofacial Surgery, PA, 7033 St. Andrews Road, Columbia, SC 29212
| | - A B Martin
- Division of Population Oral Health, Department of Stomatology, James B. Edwards College of Dental Medicine, Medical University of South Carolina, 173 Ashley Avenue, Basic Sciences Building Room 127, Charleston, SC 29425
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Martin D, McNally M, Castleden H, Worden-Driscoll I, Clarke M, Wall D, Ley M. Linking Inuit Knowledge and Public Health for Improved Child and Youth Oral Health in NunatuKavut. JDR Clin Trans Res 2018; 3:256-263. [PMID: 30938603 DOI: 10.1177/2380084418767833] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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: 11/16/2022] Open
Abstract
The oral health of Inuit children in Canada has been identified as a public health crisis. Although efforts are being made to identify and address ways to deal with this crisis, current policy and program approaches are largely entrenched within the prevailing paradigm of dental science to the exclusion of Indigenous people's understandings of health. This article reports qualitative findings of a larger study aimed at identifying, understanding, and addressing rates of oral disease among children living in NunatuKavut, a cluster of small, coastal Inuit communities located in southern Labrador, Canada. Through 18 focus groups with youth (n = 86), caregivers (n = 22), and interviews with key informant (n = 13), this study begins to elucidate southern Inuit understandings of oral health. Theorized using Two-Eyed Seeing, an Indigenous approach to balancing both Indigenous and non-Indigenous understandings of the world, the findings reported here reveal 3 themes, each of which is crosscut by historical and contemporary dimensions: 1) (w)holistic conceptualizations of health are essential to good oral health, 2) achieving optimal oral health is prohibitive for Inuit communities, and 3) community-engaged oral health service delivery is needed. Our recommendations have implications for improved oral public health service delivery for Inuit communities, in that the inclusion of Inuit perspectives on oral health should form an instrumental element of oral public health service delivery. Knowledge Transfer Statement: The results of this study may be used by clinicians and oral health educators to inform approaches to oral health service delivery within the context of Indigenous communities. It may also be used by policymakers to recognize how historical and contemporary issues of colonization relate to the formation of oral health-related policies.
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Affiliation(s)
- D Martin
- 1 Faculties of Health and Dentistry, Dalhousie University, Halifax, NS, Canada
| | - M McNally
- 2 Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | - H Castleden
- 3 Faculties of Geography and Public Health Sciences, Queen's University, Kingston, ON, Canada
| | - I Worden-Driscoll
- 4 Healthy Populations Institute, Dalhousie University, Halifax, NS, Canada
| | - M Clarke
- 5 NunatuKavut, Newfoundland and Labrador, Canada
| | - D Wall
- 5 NunatuKavut, Newfoundland and Labrador, Canada
| | - M Ley
- 6 Faculty of Medicine, Dalhousie University, Halifax, NS, Canada
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Moynihan P, Makino Y, Petersen PE, Ogawa H. Implications of WHO Guideline on Sugars for dental health professionals. Community Dent Oral Epidemiol 2017; 46:1-7. [PMID: 29168887 DOI: 10.1111/cdoe.12353] [Citation(s) in RCA: 35] [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: 06/30/2017] [Accepted: 10/23/2017] [Indexed: 11/26/2022]
Abstract
The burden of oral disease is high in populations across the world. This is because of high consumption of free sugars. The WHO Guideline on Sugars Intake for Adults and Children recommended limiting free sugars to no more than 5% energy intake to protect oral health throughout the life-course. The objectives of this paper are to consider the implications of the Guideline for dental health practice and to advocate use of the common risk factor approach when providing dietary advice. As part of a broad range of actions needed to reduce free sugars intake, improved education for dental health professionals and supporting patients to eat less free sugars are key actions for the dental profession. All dental health professionals should have the skills and confidence to provide their patients with healthier eating advice, including how to limit free sugars intake. It is therefore important that dental health professionals receive adequate education in diet and nutrition, and there is a need for dental educational regulating bodies to define the content of the dental curriculum with respect to nutrition. All patients, or their parents or carers, should receive dietary advice to reduce free sugars within the context of a healthy diet for the prevention of all NCDs. Dietary advice should: (i) focus on reducing the amount of free sugars consumed; (ii) be tailored according to the patient's body mass status (eg underweight, overweight, normal weight); (iii) encourage the consumption of fresh fruits and vegetables, nuts, seeds, and wholegrain starch-rich foods; (iv) discourage the consumption of foods high in saturated fat and salt; and (v) discourage the consumption of all drinks containing free sugars. The dental health professional has an opportunity to support patients to reduce their intake of free sugars-such advice and support will have positive impacts beyond the mouth.
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Affiliation(s)
- Paula Moynihan
- School of Dental Sciences, Centre for Oral Health Research, WHO Collaborating Centre for Nutrition and Oral Health, Newcastle University, Newcastle, UK.,Oral Health Programme, WHO Headquarters, Geneva, Switzerland
| | - Yuka Makino
- Oral Health Programme, WHO Headquarters, Geneva, Switzerland
| | - Poul Erik Petersen
- Oral Health Programme, WHO Headquarters, Geneva, Switzerland.,Division of Noncommunicable Diseases and Promoting Health Through the Life-Course, Oral Health Programme, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Hiroshi Ogawa
- Oral Health Programme, WHO Headquarters, Geneva, Switzerland.,Division of Preventive Dentistry, Department of Oral Health Science, Niigata University Graduate School of Medical and Dental Sciences, WHO Collaborating Centre for Translation of Oral Health Science, Niigata, Japan
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Stein C, Santos NML, Hilgert JB, Hugo FN. Effectiveness of oral health education on oral hygiene and dental caries in schoolchildren: Systematic review and meta-analysis. Community Dent Oral Epidemiol 2017; 46:30-37. [PMID: 28815661 DOI: 10.1111/cdoe.12325] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Accepted: 06/25/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The objective of this study was to evaluate the effectiveness of oral health educational actions in the school context in improving oral hygiene and dental caries in schoolchildren through systematic review and meta-analysis. METHODS Clinical trials with schoolchildren between 5 and 18 years old were included. Eligible studies were those which had as outcomes caries, plaque accumulation, gingivitis, toothache or tooth loss and which had been published from 1995 to 2015, in any language. The risk of bias was assessed in specific domains according to the Cochrane Handbook. A meta-analysis was carried out using fixed-effects models. RESULTS A total of 4417 references were found, from which 93 full texts were evaluated and 12 included in this meta-analysis. Five studies showed a reduction in plaque levels, and two studies with gingivitis as the outcome found no effect. There was not enough evidence on the effectiveness of the interventions in reducing dental caries. CONCLUSIONS Traditional oral health educational actions were effective in reducing plaque, but not gingivitis. There is no long-term evidence in respect of the effectiveness of these interventions in preventing plaque accumulation, gingivitis and dental caries in the school environment.
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Affiliation(s)
- Caroline Stein
- Postgraduate Studies Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Juliana Balbinot Hilgert
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Fernando Neves Hugo
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Al Khamis S, Asimakopoulou K, Newton T, Daly B. The effect of dental health education on pregnant women's adherence with toothbrushing and flossing - A randomized control trial. Community Dent Oral Epidemiol 2017; 45:469-477. [PMID: 28612363 DOI: 10.1111/cdoe.12311] [Citation(s) in RCA: 9] [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] [Revised: 03/29/2017] [Accepted: 05/02/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVES In a three-arm randomized control trial, this study compared the efficacy of dental health education (DHE) with or without a planning intervention on adherence to oral health-related behaviours. METHODS Women (N=154) in their second trimester of pregnancy attending three maternal healthcare clinics in Kuwait completed an assessment of social cognitions and oral health behaviours before a debris and gingival assessment (Plaque Index [PI], Gingival Index [GI]) was undertaken; this was repeated at 1 month. In addition to treatment as usual (TAU), which was a demonstration of OH practices, intervention participants received one of two interventions: (i) DHE, which targeted social cognitions; or (ii) DHE and planning (DHE&P), which targeted social cognitions and intentions to undertake oral health behaviours. The TAU group was given a standard oral hygiene leaflet. RESULTS At Time one (T1) 154 women were eligible and randomly allocated to the three groups, respectively: treatment as usual (TAU)=53; DHE=53; DHE and planning=48. At Time two (T2), the number of women in each group completing the intervention (N=90) was, respectively, as follows TAU=28; DHE=30; DHE&P=32. There were no demographic differences between the groups at baseline. The mean age of women was 27.80±SD 5.40; 43% (n=38) had a high school level education. A mixed factor ANOVA analysis demonstrated that all women improved their PI (F=94.343 df=1 P=.001) and GI (F=73.138 df=1 P=.001) scores. There were no differences in self-reported oral hygiene and PI and GI by intervention group. The social cognition models (SCM) constructs changed over time in all women (N=90) except barriers to attendance (F=1.067 df=1 P=.305). There were no statistically significant differences in SCM constructs by intervention group at T2. All women reported increasing the frequency of toothbrushing and flossing. CONCLUSIONS The provision of information using a simple leaflet improved the adherence of Kuwaiti pregnant with toothbrushing and flossing advice, while the addition of DHE targeting social cognitions and planning conferred no additional benefits.
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Affiliation(s)
- Suad Al Khamis
- Oral and Dental Health Department, College of Health Sciences, Public Authority for Applied Education and Training, Shuwaikh, Kuwait
| | - Koula Asimakopoulou
- Dental Institute, King's College London, Social and Behavioural Sciences group, Population and Patient Health, London, UK
| | - Tim Newton
- Dental Institute, King's College London, Social and Behavioural Sciences group, Population and Patient Health, London, UK
| | - Blanaid Daly
- Division of Child and Public Dental Health, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland
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Witton R, Potterton R, Smith W. Communities in action: developing a dental ambassador training programme for adults with learning disability. Community Dent Health 2017; 34:77-79. [PMID: 28573835 DOI: 10.1922/cdh_3885witton03] [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] [Received: 11/02/2015] [Accepted: 06/09/2016] [Indexed: 06/07/2023]
Abstract
Adults with learning disabilities may be at higher risk of poor oral health. The community outreach programme attached to Plymouth University Peninsula Dental School used established links with local agencies for this group to try out an intervention using service users as dental ambassadors. A programme was developed to meet the needs of the group and training in oral health key messages was provided along with support in presentation skills. Early evaluation shows promise in terms of feasibility, interest and improved self-care. Public health competencies being illustrated: Strategic leadership, communication, teaching and training, and collaborative working for health and oral health improvement.
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Affiliation(s)
- R Witton
- Plymouth University Schools of Medicine and Dentistry, The John Bull Building, Plymouth Science Park, Plymouth, PL6 8BU, UK
| | - R Potterton
- Plymouth University Schools of Medicine and Dentistry, The John Bull Building, Plymouth Science Park, Plymouth, PL6 8BU, UK
| | - W Smith
- Community Engagement Team. Peninsula Dental Social Enterprise CIC, New Cooperage Building, Royal William Yard, Plymouth, PL1 3RP, UK
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Kay E, Vascott D, Hocking A, Nield H, Dorr C, Barrett H. A review of approaches for dental practice teams for promoting oral health. Community Dent Oral Epidemiol 2016; 44:313-30. [PMID: 26892435 DOI: 10.1111/cdoe.12220] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [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: 08/17/2015] [Accepted: 01/20/2016] [Indexed: 11/27/2022]
Abstract
To determine the circumstances in which oral health promotion (OHP) in General Dental Practice is at its most effective, a systematic review was conducted to identify, critically appraise and synthesize the available evidence. The research question was: Is oral health promotion within dental practice effective and how can its effects be optimized? Systematic searches of 20 online resources (including Ovid Medline and Embase) were conducted. A call for evidence was also issued, and citation lists of other relevant systematic reviews were included. All studies published since 1994 which were set in the context of general dental practice and investigated promoting good oral health in adult or child patients were considered. 44 studies reported in 52 papers were included in the review. The evidence was heterogeneous and the quality of reporting was variable. Results showed that oral health promotion based on behavioural and psychological models was effective for improving oral health. Verbal advice affected knowledge and reported behaviour, written advice promoted oral health knowledge. There was moderate evidence that the attributes of the 'sender' of an oral health promotion message influenced its effectiveness. Many barriers and facilitators were shown to influence the effectiveness of OHP in dental practice. The results of this review suggest that the psychology of behaviour change is the key to oral health promotion and greater emphasis on teaching oral health professionals about health psychology would make oral health promotion in the dental surgery more effective.
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Affiliation(s)
- Elizabeth Kay
- Peninsula Dental School, Plymouth University Schools of Medicine and Dentistry, Plymouth, UK
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Abstract
Good dental health enables a person to eat, speak, and socialise. It contributes to nutrition, general health, and quality of life. The dental health of people living in the UK has improved in the last 40 years, and older people are retaining their natural teeth throughout their life; nontheless, a significant proportion of people over 75 years still rely on partial and full dentures. Dental disease in all age groups is readily prevented by daily oral hygiene and adherence to a healthy diet, avoidance of smoking, and sensible alcohol intake. Some older people may simply need reminding and encouragement to carry out oral hygiene, while more dependent adults may need support and active help to do so. Nursing teams and health professionals play a key role in promoting oral health by supporting oral hygiene and adequate nutrition, preventing discomfort, and detecting dental diseases early. This article gives a brief overview of how nursing teams and health professionals can promote oral health and provides details of resources from which further detailed information may be obtained.
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Affiliation(s)
- Blánaid Daly
- Senior Lecturer/Discipline Lead Special Care Dentistry, Division of Population & Patient Health, Kings' College London Dental Institute, London, UK
| | - Kerry Smith
- Deputy Clinical Lead for South East London, Department of Community Special Care Dentistry, King's College Hospital Foundation Trust Dental Hospital, London, UK
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Popescu SM, Dascălu IT, Scrieciu M, Mercuţ V, Moraru I, Ţuculină MJ. Dental Anxiety and its Association with Behavioral Factors in Children. Curr Health Sci J 2014; 40:261-4. [PMID: 26788356 DOI: 10.12865/CHSJ.40.04.05] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/19/2014] [Accepted: 10/15/2014] [Indexed: 02/04/2023]
Abstract
Background: Dental anxiety is a condition that causes a decrease in population addressability to the dentist with adverse consequences for long-term oral health. Assessment of behavioral factors that correlate with dental anxiety is important for accurate evaluation of dental fear. Its diagnosis in childhood is important for establishing therapeutic management strategies to reduce anxiety and promote oral health. Objective: To determine the prevalence of dental anxiety in a group of Romanian schoolchildren, and assess its correlation with behavioral factors. Methods: This cross-sectional survey included a number of 650 schoolchildren attending public schools, randomly chosen. Data were collected from September 2013 to October 2013. 485 children aged 6–12 years responded the questionnaires and were included in the study (248 female, 237 male). Each subject was asked to independently complete a questionnaire including Dental Anxiety Scale (DAS) and other questions about children behavior towards dental health education and practice. Children having a score of 13 and above were included in the anxious group while those scoring under 13 were placed in the non anxious group. The data collected was processed and analyzed using the SPSS statistical software. Results: The overall prevalence of dental anxiety was 22.68% amongst subjects included in the study. No significant differences in dental anxiety scores between boys and girls were found in this study. Dental anxiety scores decreased with increasing age. Dental anxiety correlated positively with chewing gum use and sweet consumption frequency and negatively with age and dental health education. Conclusions: Prevalence of dental anxiety in the 6–12 year old children of this study was 22.68%. Factors like chewing gum use, sweet consumption frequency, age and dental health education were correlated with dental anxiety.
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Damle SG, Patil A, Jain S, Damle D, Chopal N. Effectiveness of supervised toothbrushing and oral health education in improving oral hygiene status and practices of urban and rural school children: A comparative study. J Int Soc Prev Community Dent 2014; 4:175-81. [PMID: 25374836 PMCID: PMC4209617 DOI: 10.4103/2231-0762.142021] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [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] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To evaluate and compare the oral health status and the impact of supervised toothbrushing and oral health education among school children of urban and rural areas of Maharashtra, India. MATERIALS AND METHODS A total of 200 school children in the age group 12-15 years were selected by stratified random sampling technique from two schools and were further divided into two groups: Group A (urban school) and Group B (rural school). Both the groups were again subdivided into control group and study group. Supervised toothbrushing was recommended for both the groups. The toothbrushing teaching program included session on oral health education, individual toothbrushing instructions, and supervised toothbrushing. Dental caries increment, plaque scores, and gingival status were assessed as per the World Health Organization (WHO) criteria (1997), Turesky-Gilmore-Glickman modification of the Quigley Hein Plaque Index, and Loe-Silness Gingival Index (1963), respectively. Cronbach's alpha, Chi-square test, paired t-test, and unpaired t-test were utilized for data analysis. RESULTS The mean plaque and gingival score reduction was significantly higher in the study groups as compared to the control groups. An increase in the mean of Decayed, missing, filled teeth (DMFT) and Decayed, missing, filled teeth and surfaces (DMFS) scores throughout the study period was seen in children who participated in study. CONCLUSION Oral health education was effective in establishing good oral health habits among school children and also in enhancing the knowledge of their parents about good oral health.
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Affiliation(s)
- Satyawan G Damle
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Maharishi Markandeshwar University, Ambala, Haryana, India
| | - Anil Patil
- Department of Pediatric and Preventive Dentistry, Nair Hospital Dental College, Mumbai, Maharashtra, India
| | - Saru Jain
- Department of Conservative Dentistry and Endodontics, Maharishi Markandeshwar College of Dental Sciences and Research, Maharishi Markandeshwar University, Ambala, Haryana, India
| | - Dhanashree Damle
- Department of Orthodontics, Maharishi Markandeshwar College of Dental Sciences and Research, Maharishi Markandeshwar University, Ambala, Haryana, India
| | - Nilika Chopal
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Maharishi Markandeshwar University, Ambala, Haryana, India
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Hashemian TS, Kritz-Silverstein D, Baker R. Text2Floss: the feasibility and acceptability of a text messaging intervention to improve oral health behavior and knowledge. J Public Health Dent 2014; 75:34-41. [PMID: 25091471 DOI: 10.1111/jphd.12068] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [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: 06/05/2013] [Accepted: 06/24/2014] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Text messaging is useful for promoting numerous health-related behaviors. The Text2Floss Study examines the feasibility and utility of a 7-day text messaging intervention to improve oral health knowledge and behavior in mothers of young children. METHODS Mothers were recruited from a private practice and a community clinic. Of 156 mothers enrolled, 129 randomized into text (n = 60) and control groups (n = 69) completed the trial. Participants in the text group received text messages for 7 days, asking about flossing and presenting oral health information. Oral health behaviors and knowledge were surveyed pre- and post-intervention. RESULTS At baseline, there were no differences between text and control group mothers in knowledge and behaviors (P > 0.10). Post-intervention, text group mothers flossed more (P = 0.01), had higher total (P = 0.0006) and specific (P < 0.05) knowledge, and tried to improve their child's oral health behaviors (P = 0.03) and decrease their soda and sugary snacks (P = 0.05) more than control mothers. Text messages were accepted and perceived as useful. CONCLUSIONS Mothers receiving text messages improved their own oral health behaviors and knowledge as well as their behaviors regarding their children's oral health. Text messaging represents a viable method to improve oral health behaviors and knowledge. Its high acceptance may make it useful for preventing oral disease.
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Affiliation(s)
- Tony S Hashemian
- Global Oral Health Program, Arizona School of Dentistry & Oral Health, Mesa, AZ, USA
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Abstract
The aim of this review was to describe the background and evolution of primary oral health care (POHC), including the development of an oral health policy, by identifying the resources necessary for oral health services, reviewing the evidence of the effectiveness of oral health promotion and education, providing essential oral health care, and establishing evidence of the benefits of regular dental visits for effective POHC. At present, evidence for the effectiveness of oral health education and regular dental visits is very weak. Nevertheless, POHC needs to be developed as an integral part of primary health care (PHC). Therefore, a need exists to increase financial investment, resources and workforce in PHC to lower the prevalence of dental caries and periodontal disease in the Middle-East using the POHC approach.
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Affiliation(s)
- Eino Honkala
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Jabriya, Kuwait
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