Oral Health in Adult Patients Receiving Palliative Care: A Mixed Method Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Violet D'Souza ◽  
Timothy Thomsen ◽  
Stephanie Gilbertson-White ◽  
Jirakate Madiloggovit ◽  
Chandler Pendleton ◽  
...  
Keyword(s):  
Palliative Care ◽  
Oral Health ◽  
Oral Health Status ◽  
Oral Disease ◽  
Oral Exam ◽  
Treatment Needs ◽  
Related Symptom ◽  
Depth Interview ◽  
Oral Conditions ◽  
Oral Symptom

Abstract Oral disease is highly prevalent in persons receiving palliative care (PRPC). Yet, little is known about how PRPC perceive their oral health status and related treatment needs. Forty-nine PRPC were recruited. They first completed a structured oral symptom review, followed by an oral exam. A nested sample of 11 participants also completed an in-depth interview querying their perceived oral health concerns and related treatment needs. Quantitative and qualitative data was analyzed and integrated for interpretation. Eighty-six percent of participants reported at least one oral symptom, including dry mouth (83.7%), a pain-related symptom (40.8%), or oral function difficulties (51.0%). About 40% of participants reported compromised quality of life due to oral conditions; however, the perceived impacts and treatment needs were modest. Oral disease was highly prevalent in PRPC, yet its overall impact was modest. Except for painful symptoms, most participants reported limited desire to seek treatment for oral health conditions.

Oral Health in Adult Patients Receiving Palliative Care: A Mixed Method Study

2021 ◽  
pp. 104990912110074
Author(s):  
Xi Chen ◽  
Violet D’Souza ◽  
Timothy A Thomsen ◽  
Stephanie Gilbertson-White ◽  
Jirakate Madiloggovit ◽  
...  
Keyword(s):  
Palliative Care ◽  
Oral Health ◽  
Mixed Method ◽  
Oral Treatment ◽  
Oral Disease ◽  
Oral Exam ◽  
Mixed Method Study ◽  
Oral Diseases ◽  
Treatment Needs ◽  
Care Clinic

Background: Oral disease is highly prevalent in persons receiving palliative care (PRPC). Yet, little is known about how PRPC perceive their oral health status and related treatment needs. Methods: This mixed-method study included 49 English-speaking PRPC (age≥18) recruited from the University of Iowa Palliative Care Clinic. Participants first completed a structured review of oral symptoms, followed by an oral exam. A nested sample of 11 participants also completed a semi-structured, in-depth interview querying their perceived oral health concerns and related treatment needs. Quantitative and qualitative data was analyzed and integrated for interpretation. Results: Participants averaged 58.4 years. Nearly 70% had terminal cancer and 25% had advanced organ failure. Eighty-six percent of participants reported at least one oral symptom, including dry mouth (83.7%), a pain-related symptom (40.8%), or oral function difficulties (51.0%). Among the 31 dentate participants, 52% had untreated decayed/broken teeth and 33.3% had oral soft tissue lesions. Ill-fitting dentures and denture sores were common among denture users. About 40% of participants reported compromised health and/or quality of life due to oral conditions; however, the perceived impacts were modest. With the exception of painful conditions, oral treatment was not a priority for most of the participants. Conclusion: Oral disease was highly prevalent in PRPC, yet its overall impact was modest. In the absence of painful symptoms, most participants reported limited desire to seek treatment for oral health conditions. However, given the serious impacts of untreated oral diseases, oral healthcare decision should not be based solely on self-reported symptoms or distress.

Oral Health Status and Treatment Needs of Government Employees in New Delhi

2019 ◽  
Vol 67 (12) ◽  
pp. 573-578
Author(s):  
O. P. Kharbanda ◽  
Harsh Priya ◽  
Deepika Mishra ◽  
Shalini Gupta ◽  
Anupama Ivaturi ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Oral Health Status ◽  
Oral Disease ◽  
World Health ◽  
New Delhi ◽  
Government Employees ◽  
Treatment Needs ◽  
Oral Health Promotion

Oral diseases, including dental caries, periodontitis, and edentulism (toothlessness), affect about 3.5 billion people worldwide. A cross-sectional study was conducted to assess the oral health status and treatment needs of government employees employed at an organization in New Delhi. Oral health information was recorded using the standard World Health Organization’s (WHO) Oral Health Assessment Tool. A total of 476 employees at various levels of administration were screened at their worksite. Dental caries and periodontal disease were present in more than half of the participants. Around 56% had decayed teeth, 20% had missing teeth, and 16% had filled teeth. Bleeding from gums was seen in 71% and periodontitis in 59% of participants. Preventive treatment and oral health promotion was required in at least 41% of the screened individuals. Annual workplace oral examinations may help in decreasing the oral disease burden and create awareness on the oral health among employees.

scholarly journals A survey on oral health status and treatment needs of life-imprisoned inmates in central jails of Karnataka, India

2012 ◽  
Vol 62 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Veera Reddy ◽  
Chadlavda Venkanta Kondareddy ◽  
Sunitha Siddanna ◽  
Murya Manjunath
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Health Status ◽  
Treatment Needs

scholarly journals Oral health status and treatment needs of school going children in a tribal area in Southern India

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Thomas ◽  
R Chacko ◽  
G D Khanapur ◽  
D Kattula ◽  
A Rose
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Dental Fluorosis ◽  
Oral Health Status ◽  
World Health ◽  
Oral Diseases ◽  
Treatment Needs ◽  
Local Authorities ◽  
Local Hospital

Abstract Background Children suffer a significant burden of oral diseases which impacts their quality of life, and general health. Many epidemiological studies have looked at oral health status and treatment needs among children in urban and rural areas across different age groups. There was limited literature assessing the oral health status among children in tribal areas, which presents unique challenges in terms of: topography, availability of health services, and complex socio-cultural health practices. Methods Cross-sectional study was conducted among 655 children across six schools between 12-15 years in Jawadhi Hills, Tamil Nadu, India. World Health Organization's, Oral Health Surveys were used for clinical and risk factor assessments. Clinical examination was conducted, and self-assessed questionnaire was administered to the children to assess the risk factors to poor oral health. Since dental fluorosis was common, drinking water samples were collected to assess fluoride levels in the community. Results Prevalence of dental caries and gingivitis (gum disease) was found to be 22.3% and 87.3% respectively. Dental Pain was reported by 57% of children as the most common reason to visit the dentist. Prevalence of dental fluorosis was found to be 53.6%. Multiple logistic regression showed: gender, dental fluorosis, diet, and maternal education significantly associated (p < 0.005) with dental caries. Fluoride levels in water was found to be higher than permissible limits (>1.5 ppm). Conclusions Children requiring treatment (∼ 200) were referred to the local hospital, and treatment was done free-of-cost. School authorities were informed about the current oral health status of children and advised to conduct regular health education & dental camps; the importance of girls' education was emphasized. Local authorities were alerted about the fluoride-rich water situation in the community and educated about defluoridation methods that the community can employ at household level. Key messages Evidence-based burden of oral diseases was presented to the local authorities for the first time, with a call for action. A referral system was established between the schools and the local hospital, to ensure continuity of oral health care for the children.

Oral Health and Nutrition

2020 ◽  
Author(s):  
Carole. A. Palmer ◽  
Zhangmuge Cheng
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Periodontal Diseases ◽  
Oral Disease ◽  
Oral Diseases ◽  
Oral Infections ◽  
Surgeon General ◽  
Optimal Health ◽  
Health And Disease ◽  
Oral Conditions

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans

scholarly journals Color/race inequalities in oral health among Brazilian adolescents

2009 ◽  
Vol 12 (3) ◽  
pp. 313-324 ◽  
Author(s):  
João Luiz Bastos ◽  
José Leopoldo Ferreira Antunes ◽  
Antonio Carlos Frias ◽  
Maria da Luz Rosário de Souza ◽  
Karen Glazer Peres ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Health Outcomes ◽  
Dental Treatment ◽  
Oral Disease ◽  
World Health ◽  
Treatment Needs ◽  
Gingival Bleeding ◽  
Untreated Dental Caries ◽  
Oral Health Outcomes

This study assessed oral health outcomes (perceived dental treatment need, untreated dental caries, gingival bleeding, periodontal pockets, and pain in teeth and gums), in relation to color/race inequalities among adolescents in each Brazilian region. The database included dental examination and interview of 16,833 15-19-year-old adolescents, surveyed by the Brazilian health authority, from May 2002 to October 2003, in accordance with international diagnostic criteria standardized by the World Health Organization. Prevalence ratios estimated by Poisson regression, and controlled by socioeconomic status and access to fluoridated piped water, assessed oral health differentials among color/race groups and country's regions. Except for periodontal pockets, prevalence figures were higher in the North and Northeast: perceived dental treatment needs, untreated dental caries, gingival bleeding at probing and pain in teeth and gums varied between 80-83%, 75-76%, 38-43%, and 17-18%, respectively, in these regions. Adolescents living in the Southeast - the richest Brazilian region - presented a better general profile of oral health than their counterparts living in the remaining regions; they had a lower prevalence of untreated dental caries (54%) and unfavorable gingival status (29%). However, the Southeast presented color/race inequalities in all oral health outcomes, with a poorer profile systematically affecting browns or blacks, depending on the oral health condition under consideration. These results reinforce the need for expanding the amplitude of health initiatives aimed at adolescent oral health. Socially appropriate health programs should concurrently aim at the reduction of levels of oral disease and its inequalities.

Oral Health Status and Practices of 5 and 12 Year Old Indian Tribal Children

2011 ◽  
Vol 35 (3) ◽  
pp. 325-330 ◽  
Author(s):  
Abhinav Singh ◽  
MP Bharathi ◽  
Peter Sequeira ◽  
Shashidhar Acharya ◽  
Meghashyam Bhat
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Dental Treatment ◽  
Dental Fluorosis ◽  
Age Groups ◽  
Oral Health Status ◽  
Sugar Consumption ◽  
Treatment Needs ◽  
Periodontal Index

Objectives: To assess oral health status and practices of 5- and 12-year-old Tribal school children.Methods: A total of 418, 5-year-old children and 327, 12-year-old children were enrolled. Information on demographic characteristics of participants along with oral health behavior was collected. Clinical data were collected on dental fluorosis, periodontal status, dental caries and treatment needs. Dean's index criterion was used to assess dental fluorosis. Community Periodontal Index (CPI) for periodontal conditions and Dentition status and treatment needs for dental caries were recorded. Results: Between meal sugar consumption was high (100%). None of the children in both the age groups had visited trained health personnel for dental treatment. Dental fluorosis prevalence in 5- and 12-year olds was 11.9% and 22.9% respectively. Bleeding on probing and calculus was common between both the age groups. A low mean number of healthy sextants were found and this decreased with age. Mean dmft/DMFT values for 5- and 12-year olds were 4.13 ± 3.90 and 1.15 ± 1.62. Significant caries index (SIC) scores for 5- and 12-year olds were 7.17 ±4.30 and 3.78 ± 3.21 respectively. Conclusion: The present study reveals high sugar consumption, dental fluorosis, poor oral hygiene, and untreated dental disease of tribal children. Under these circumstances, the implementation of preventive programs including restriction of sweets in school premises for the tribal children is the key to good oral health.

scholarly journals Assessment of oral health status and treatment needs of drug abusers in Bhubaneswar city: A cross-sectional study

2021 ◽  
Vol 12 (1) ◽  
pp. 50
Author(s):  
Gunjan Kumar ◽  
Shilpa Rai ◽  
AlokKumar Sethi ◽  
AkhileshKumar Singh ◽  
RanjanMani Tripathi ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Drug Abusers ◽  
Sectional Study ◽  
Treatment Needs ◽  
Cross Sectional
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