Adopting the 4Ms Framework and Age-Friendly Concepts Into Dental Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 415-416
Author(s):  
Annette Medina-Walpole ◽  
Thomas Caprio ◽  
Szilvia Arany
Keyword(s):  
Oral Health ◽  
Treatment Planning ◽  
Dental Care ◽  
Oral Hygiene ◽  
Healthy Aging ◽  
Health Assessment ◽  
False Belief ◽  
Geriatric Education ◽  
Finger Lakes ◽  
The University

Abstract We report on launching a dental initiative that addresses healthy aging and oral health, focusing on prevention and changing the false belief that aging inevitably involves deterioration in oral health. Our project integrates the age-friendly health system's principles into specialty dental care at Eastman Institute for Oral Health, URMC. We established an oral health-centered framework with project elements of the 4Ms - what matters, medication, mentation, and mobility. We developed pilot 4Ms templates integrated into dental charts to implement healthy-aging key oral health processes, including oral health assessment, treatment planning, and oral hygiene support. We engaged all members of the dental team through educational sessions for providing care for patients affected by Alzheimer’s disease and related dementias. We leveraged on locally available interdisciplinary resources and the collaboration reflecting undergoing efforts at the University of Rochester Division of Geriatrics and the Finger Lakes Geriatric Education Center, a Geriatric Workforce Enhancement.

scholarly journals Oral health assessment among dental students

2012 ◽  
Vol 59 (3) ◽  
pp. 141-147
Author(s):  
Bojana Davidovic ◽  
Svjetlana Jankovic ◽  
Dragan Ivanovic ◽  
Ivana Grujicic
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Health Knowledge ◽  
Health Assessment ◽  
Dental Students ◽  
World Health ◽  
Diagnostic Tools ◽  
Periodontal Tissues ◽  
Preschool Period ◽  
The University

Introduction. Oral health is an important part of general health. Knowledge, beliefs and attitudes that students acquire during dental school can influence their behavior towards not just their own health, but also towards health in their immediate environment. The aim of the study was to assess the level of oral health among dental students of the second and fifth year at the University of East Sarajevo. Material and Methods. Sixty-six students from the Dental Department of the Faculty of Medicine, the University of East Sarajevo were assessed. The study was conducted in 2012. The parameters used to assess oral health were: DMFT (decayed, missing, filled teeth) index and its components, index for the assessment of periodontal tissues (CPITN), and Green?s Vermillion oral hygiene debris index (DI). According to the methodology and criteria of the World Health Organization (WHO) all patients were examined using standard dental diagnostic tools under artificial light on dental chair. Results. Average number of decayed teeth of the second year students was 9.93 while it was 11.44 in the fifth year students. The mean dental caries index was 38.23% and person caries index was 100%. The average value of the debris index was 0.42. Healthy periodontium had 18.2% of students, while in 34.8% of students shallow periodontal pockets were observed. Conclusion. Oral hygiene and periodontal health was satisfactory in dental students. However, high average values of decayed teeth indicated that for better results caries preventive services should be activated earlier, even in school or preschool period.

scholarly journals Oral health status and associated lifestyle behaviors in a sample of Iranian adults: An exploratory household survey

2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Raziollah Bagheri ◽  
Fatemeh Darabi ◽  
Parvin Sarbakhsh ◽  
Mohammad Mehdi Naghibi Sistani ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Hygiene ◽  
Healthy Aging ◽  
Household Survey ◽  
Health Problems ◽  
Oral Health Status ◽  
World Health ◽  
Cluster Sampling ◽  
Sugary Drinks

Abstract Background: Poor oral hygiene can lead to serious diseases, such as periodontitis, tooth decay, pain and discomfort in teeth or gums, infections, and loss of teeth. In Iran, adults aged 50 y and older are a high-risk group for oral health problems, and this age group will grow in the coming decades. Despite increasing attention on healthy aging, there is relatively less emphasis on oral hygiene and health-related problems. The present study investigated the oral health status of Iranian adults using the oral health self-assessment questionnaire (OHQ) developed by the World Health Organization (WHO). Methods: A population-based household survey of a sample of adults aged 18–65 y was conducted. In this study, the participants were recruited between May and October 2016 in Tabriz, Iran, and the study population was sampled using a multi-stage cluster sampling design. The WHO’s OHQ for adults was used for measuring oral health status and oral hygiene behavior. Results: In total, 2,310 respondents completed the survey. The mean age (SD) of the participants was 41.6(23.4) y. Males accounted for 48.8% of the participants. Of the 2,310 respondents,187 (8.1%) individuals were edentulous, 152(20.7%) of whom were aged 51–65 y. Furthermore, 72.3% of those aged 51–65 y were dentate, and 50% of adults aged 51–65 y said they had 20 or more teeth. About one-third of the participants reported that they did not brush their teeth daily (23% of those aged 18–35 y,35.9% of those aged 36–50 y, and 44.6% for those aged 51–65 y). In the sample, 39.4% of individuals aged 18–35 y, 34.1% of individuals aged 36–50 y, and 26.6% of individuals aged 51–65 y had visited a dentist less than 6 month ago. One-third of the participants consumed sweets and sugary drinks daily. Conclusions: Although the majority of Iranian adults considered their oral health status good, only a small percentage of the sample visited their dentist regularly. Furthermore, visits to the dentist declined in accordance with increasing age, a time when the incidence of oral health problems may increase. Poor oral health may increase the risk of adverse health outcomes, particularly among the aging population.

scholarly journals Oral health promotion at Esperanza neighborhood, Corrientes

2021 ◽  
Vol 31 (3) ◽  
pp. 35-39
Author(s):  
AJ Encina-Tutuy ◽  
◽  
SE Martínez ◽  
CE Barrios ◽  
MS Dho ◽  
...  
Keyword(s):  
Health Promotion ◽  
Clinical Practice ◽  
Oral Health ◽  
Health Education ◽  
Oral Hygiene ◽  
Feeding Habits ◽  
Oral Health Promotion ◽  
National University ◽  
The Subject ◽  
The University

The subject Preventive Clinical Practice I of the Faculty of Dentistry of the National University of the Northeast developed the university extension project "Oral health Promotion atEsperanza neighborhood, Corrientes".The activities were donein the "Virgen de Itaty" primary school. Oral hygiene and healthy feeding habits were promoted, as well as providing dental servicesin field conditions to 63 students.The results obtained lead to the realization of new Promotion and Health Education activities, providing knowledge and tools in favor of the society.

Preventive Dental Care: The Role of the Pediatrician

PEDIATRICS ◽  
1987 ◽  
Vol 80 (1) ◽  
pp. 107-110 ◽  
Author(s):  
Henry J. Herrmann ◽  
Michael W. Roberts
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Dental Care ◽  
Oral Hygiene ◽  
Dental Disease ◽  
Daily Consumption ◽  
Preventive Dental Care ◽  
Hygiene Practices ◽  
Dental Profession

The pediatrician can assist the dental profession in preventing dental disease and maintaining the oral health of children. Pediatricians are urged to counsel parents in dietary and oral hygiene practices that will prevent dental caries and to refer patients for professional dental care when appropriate. Systemic fluoride supplements should be prescribed when needed but only after a careful review of requirements and daily consumption.

scholarly journals Pediatric dentistry during rooming-in care: evaluation of an innovative project for promoting oral health

2004 ◽  
Vol 12 (2) ◽  
pp. 149-153 ◽  
Author(s):  
Giovanna Pires da Silva Ribeiro de Rezende ◽  
Luciane Ribeiro de Rezende Sucasas da Costa ◽  
Regina Aparecida Cardoso
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Oral Hygiene ◽  
Neonatal Period ◽  
Pediatric Dentistry ◽  
Health It ◽  
Sugar Intake ◽  
Significant Difference ◽  
Current Paradigm ◽  
Care Evaluation

According to the current paradigm for promoting health, dental care should be a consideration from the first months of life, or even before birth. The aim of this paper is to evaluate mothers' knowledge of and attitude toward their babies' oral health after receiving guidance during the neonatal period. Forty-six mothers were contacted and asked about the advice they had received and how they felt about the information provided. The mothers recruited for the study were divided into two groups, A (n=25) and B (n=21), according to the time elapsed since their participation in the project, that is, less than or equal to three months and more than three months, respectively. A Wilcoxom rank sum test did not show any statistically significant difference between the two groups (p>0.05). Guidance on the baby's oral hygiene, breastfeeding the baby exclusively until the sixth month, as well as the restrictions imposed on sugar intake were what the mothers remembered most. Recommendations concerning good arch development and the use of bottles were what mothers remembered least. Regarding infant oral health, it would be advisable to schedule prenatal and neonatal visits, with the second post-natal consultation no later than four months after childbirth.

scholarly journals Parent’s Knowledge and Awareness in Maintaining their Children's Oral Health: A Cross Sectional Survey

2021 ◽  
Vol 10 (4) ◽  
pp. 226-230
Author(s):  
Talha Ashar ◽  
Asma Shakoor ◽  
Mustafa Sajid ◽  
Rabia Zafar ◽  
Mohsin Javaid ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
College Education ◽  
Cross Sectional Study ◽  
University Education ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parents And Children ◽  
The University ◽  
Self Administered Questionnaire

Background: Parents had a great role in prevention of child’s dental decay and special emphasis has been put on the maintenance of child oral hygiene status for achieving optimum health as early childhood caries is regarded as the major dental disease around the world. Our study aimed to evaluate knowledge and awareness of the parents regarding oral hygiene of the children. Methods: A descriptive cross-sectional study was conducted from March 2019 to August 2019 in Nishtar Institute of dentistry, Multan. Total 300 parents of 4 to 9-year-old children were enrolled in the study. Detailed demographics including age, education, and monthly income were recorded. The questionnaire regarding oral health was designed and data was collected through that self-administered questionnaire. Data was analysed by SPSS 24.0. Results: About 7% of Parent’s were uneducated, 38.5% got the school education, 15.5% got the college education and 39% got the university education. Only 32% parents were aware of proper brushing technique while 68% were unaware. 56% parents said that the sweets, chocolates and junk food are not good for oral health while 44% denied this. 46% parents told that their children complained about teeth and 42% parents visited the dentist for their children. Conclusions: There is a need to improve the knowledge and practices of parents and children about the oral hygiene maintenance to aid in reducing the oral health problems in future.

Evaluating the Effect of a Community-Based Lay Health Advisor Training Curriculum to Address Immigrant Children's Caries Disparities

2015 ◽  
Vol 49 (2) ◽  
pp. 147-156 ◽  
Author(s):  
Yuan-Jung Hsu ◽  
Wu-Der Peng ◽  
Jen-Hao Chen ◽  
Ying-Chun Lin ◽  
Chin-Shun Chang ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Oral Hygiene ◽  
Health Knowledge ◽  
Immigrant Women ◽  
Self Report ◽  
Training Curriculum ◽  
Lay Health Advisor ◽  
Access To Dental Care ◽  
Medically Underserved Population

Previous programs had not designed the culturally adequate Lay Health Advisor (LHA) oral health training curriculum for medically underserved population. We evaluated the effects of LHA training curriculum for addressing immigrant children's caries disparities in their access to dental care. We used a pre/post-test study design. Immigrant women were recruited from churches, schools, and immigrant centers in an urban area. Four training classes were held. Each training cycle lasted 15 consecutive weeks, consisting of 1 weekly 2-h training session for 12 weeks followed by a 3-week practicum. The curriculum included training in caries-related knowledge, oral hygiene demonstrations, teaching techniques, communication skills, and hands-on practice sessions. Thirty-seven LHA trainees completed the course and passed the post-training exam. The data were collected using self-report questionnaires. The level of oral health knowledge, self-efficacy and attitudes toward oral hygiene were significantly increased after LHA training. There was a significant and over twofold increase in trainees' oral hygiene behaviors. An increase of >20% in LHA and their children's dental checkup was observed following training. After training, LHAs were more likely to have 3+ times of brushing teeth [Odds Ratio (OR) = 13.14], brushing teeth 3+ minutes (OR = 3.47), modified bass method use (OR = 30.60), dental flossing (OR = 4.56), fluoride toothpaste use (OR = 5.63) and child's dental visit (OR = 3.57). The cross-cultural training curriculum designed for immigrant women serving as LHAs was effective in improvement of oral hygiene behaviors and access to dental care.

scholarly journals Informing Research in Primary Dental Care: Setting Priorities

2006 ◽  
Vol os13 (3) ◽  
pp. 85-90 ◽  
Author(s):  
Nikolaus Palmer ◽  
Paul Batchelor
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Health Assessment ◽  
Treatment Modalities ◽  
History Of Research ◽  
Healthcare It ◽  
Delphi Exercise ◽  
History Of ◽  
The Cost ◽  
Evidence Based Dentistry

This paper suggests that priorities for research in primary dental care should follow the examples set in other areas of primary healthcare. It reviews the history of research in primary dental care, since 1990, and goes on to explain how the Delphi exercise, initiated by the Faculty of General Dental Practice (UK), has identified five priority areas for research in primary dental care. These areas are: 1. Research into the application of evidence-based dentistry into practice. 2. The effects of different systems of remuneration on treatment patterns in practice. 3. The oral health assessment on determining recall intervals and its effect on oral health. 4. Factors that influence and affect dentists’ treatment modalities. 5. The evaluation of the cost benefits of whole team training.

scholarly journals Educational Attainment and Self-Rated Oral Health among American Older Adults: Hispanics’ Diminished Returns

2019 ◽  
Vol 7 (4) ◽  
pp. 97 ◽  
Author(s):  
Shervin Assari ◽  
Mohsen Bazargan
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Educational Attainment ◽  
Healthy Aging ◽  
University Of Michigan ◽  
Single Item ◽  
National Poll ◽  
The Us ◽  
Nationally Representative ◽  
The University

Background: Minorities’ diminished returns (MDRs) refer to systemically weaker effects of socioeconomic status (SES), particularly educational attainment, on the health of non-Whites compared to Whites. Aim: Using a nationally representative sample, we aimed to investigate ethnic differences in the effect of SES (educational attainment) on the self-rated oral health of Hispanic older adults in the US. Methods: This study analyzed the University of Michigan National Poll on Healthy Aging (UM-NPHA) 2017 data, which included 2131 older adults who were 50 to 80 years old (202 Hispanics and 1929 non-Hispanics). Ethnicity, race, educational attainment (SES), age, gender, employment, retirement, and self-rated oral health (single item) were measured. Logistic regressions were applied for data analysis. Results: High educational attainment was associated with lower odds of poor oral health in the pooled sample, net of all covariates. The effect of educational attainment on poor self-rated oral health was found to be weaker for Hispanics than for non-Hispanics. Conclusion: We observed MDRs of educational attainment (SES) on oral health for Hispanic older adults. In other words, compared to non-Hispanics, Hispanics gain less oral health from their educational attainment (SES).

scholarly journals Comparing dental care coverage for older adults in eight jurisdictions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Allin ◽  
J Farmer ◽  
C Quiñonez ◽  
A Peckham ◽  
G Marchildon ◽  
...  
Keyword(s):  
United States ◽  
Oral Health ◽  
Data Collection ◽  
Low Income ◽  
Dental Care ◽  
Healthy Aging ◽  
The United States ◽  
Eligibility Criterion ◽  
Eligibility Criteria ◽  
Research Attention

Abstract Background Oral health is an important component of general health and healthy aging, yet financial protection for the costs of oral health care is often limited. Methods We systematically compare dental care coverage in Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States. Drawing on the WHO Universal Coverage Cube, we compare breadth (who is covered), depth (share of total costs covered), and scope (services covered), with a focus on adults aged 65 and older. We populated data collection templates to provide detailed and comparable descriptions of dental care coverage in 8 jurisdictions. Results Overall there were four general types of coverage models: 1) deep public coverage for a small subset of the population based on strict eligibility criteria jurisdictions: Canada, Australia and Italy; 2) universal but shallow coverage of the population, combined with deeper coverage for a sub-set of the population meeting eligibility criteria: England, France, Sweden; 3) universal, and predominantly deep coverage for the whole population: Germany; and 4) shallow coverage available to some subgroups of the population in the United States. Conclusions While age, specifically turning 65, is an important consideration in the design of public coverage in Canada, Australia and the United States, many jurisdictions do not consider age as an eligibility criterion for public coverage. Yet all jurisdictions we include, except Sweden, provide differential coverage for those who meet a specific low-income threshold. Due to the limited availability of comparable data within and across jurisdictions, further research would benefit from standardized data collection initiatives for oral health measures. Key message Given the important role oral health plays in promoting healthy aging, the limited public coverage of oral health within statutory health systems warrants policy and research attention.

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