Oral Health Policy and Programmatic Implications: Lessons From ICS-II

1997 ◽  
Vol 11 (2) ◽  
pp. 291-303 ◽  
Author(s):  
R.M. Andersen ◽  
P.L. Davidson ◽  
T.T. Nakazono
Keyword(s):  
Health Promotion ◽  
Native American ◽  
Health Status ◽  
Oral Health ◽  
Conceptual Model ◽  
Ethnic Groups ◽  
Oral Health Status ◽  
Policy Implications ◽  
Oral Health Promotion ◽  
Dental Floss

The conceptual model used in the ICS-II USA Ethnicity and Aging project helps to identify who among the elderly should be targeted for oral health promotion initiatives and the kinds of initiatives most likely to promote positive oral health outcomes. Outcomes have been measured in this study as perceived by the individual and as clinically assessed by the oral epidemiologists. For policy purposes, achieving both types of outcomes is important. A typology of oral health promotion priorities is used to rank the diverse racial-ethnic groups. In the analysis, groups with both low perceived and low evaluated oral health status receive highest priority. By these criteria, the older Native American populations have the highest priority, followed, in order, by Hispanics. African-Americans, and non-Hispanic Whites. Policy implications of the empirical analyses presented in earlier articles are discussed by use of the conceptual model and the typology of oral health promotion priorities. Having a usual source of care and/or regular dental visits appears to be a promising avenue for the promotion of better-perceived oral health status among most older ethnic groups. Improved oral hygiene practices, as represented by both regular toothbrushing and dental floss use, promote better clinically evaluated oral health status among many older ethnic groups.

scholarly journals Changes in adolescents' oral health status following oral health promotion activities in Tanzania

2012 ◽  
Vol 71 (2) ◽  
pp. 333-342 ◽  
Author(s):  
Hawa Mbawalla ◽  
Joyce Rose Masalu ◽  
Melkory Masatu ◽  
Anne Nordrehaug Åstrøm
Keyword(s):  
Health Promotion ◽  
Health Status ◽  
Oral Health ◽  
Oral Health Status ◽  
Oral Health Promotion

Effectiveness of Oral Health Promotion by Community Health Workers in Reducing Periodontal Diseases among Pregnant Women

2020 ◽  
Author(s):  
Sania Sania
Keyword(s):  
Health Promotion ◽  
Health Status ◽  
Oral Health ◽  
Pregnant Women ◽  
Oral Hygiene ◽  
Health Workers ◽  
Periodontal Diseases ◽  
Oral Health Status ◽  
Oral Health Promotion ◽  
Health Related

Background: Poor periodontal conditions among pregnant women might be a risk factor for adverse pregnancy outcomes which include preeclampsia, preterm delivery, intrauterine growth restriction, and fetal demise (stillbirth). Aim: To assess the effectiveness of oral health promotion by community health workers in diminishing periodontal diseases among pregnant women in rural areas of Jammu District. Methodology: In this community-based cluster randomized controlled study, Jammu district was divided into 5 administrative provinces with a total of 16 PHCs. In our study baseline assessment of Oral Health-related Knowledge, Attitude and Practices, and Oral health status using Oral Hygiene Index was done among pregnant women. Trained ASHA workers served as a medium to impart oral health education to pregnant females on a regular basis. After 3 months of follow up in the 2nd trimester, again oral health-related knowledge, attitude and practices, and oral health status using Oral Hygiene Index were assessed and oral prophylaxis was done for all pregnant women. After 4-5 months birth outcomes were collected at PHC's. Results: The knowledge about oral health was poor in pregnant women, and it improved after providing health education in pregnant women. Scaling alone as an independent variable did not influence the reduction in the preterm birth week (p= 1.000) and birth weight (p=0.113) at 2ndtrimester of pregnancy. Conclusion: Sociocultural factors, illiteracy, misconception, and the extra burden of work on ASHA workers are the main reasons for the ineffective transfer of knowledge and very little change in oral health behavior in pregnant women.

scholarly journals Oral health status in 12 and 15-year-old schoolchildren

2021 ◽  
Vol 68 (2) ◽  
pp. 79-85
Author(s):  
Milena Milanovic ◽  
Nikolina Bogdanovic ◽  
Milica Jaksic ◽  
Minja Milicic-Lazic
Keyword(s):  
Health Promotion ◽  
Health Status ◽  
Oral Health ◽  
Preventive Treatment ◽  
Oral Health Status ◽  
Oral Disease ◽  
Childhood And Adolescence ◽  
Oral Diseases ◽  
Oral Health Promotion ◽  
Dental Tissues

Introduction. Dental caries is, along with periodontitis, the most frequent oral disease and represents a chronic, progressive, multifactorial process that leads to loss of hard dental tissues. The oral health status analysis and caries risk factors assessment in early childhood and adolescence are necessary for creating strategies in oral health promotion and preventive treatment. The aim of the present study was to evaluate caries prevalence in 12 and 15-year-old schoolchildren in Cukarica, a municipality of Belgrade. Material and method. The retrospective study included 409 schoolchildren of both genders. The oral health status was registered using the Klein-Palmer DMFT system (D - Decayed, M - Missing, F - Filled teeth). The methods of descriptive statistics were performed and p-values lower than 0.05 were considered statistically significant. Results. The younger group included 214 children (52.3%) and the older group 195 (47.7%). Individual caries rate was higher in 15-year-old children (81.02%) comparing to 12-year-old (57%). The mean value of decayed teeth for all participants was 2.43 and of total DMFT was 8.99%. Conclusions. Oral health promotion programs gave positive results. Moreover, it is important to implement them in the underdeveloped regions of Serbia with an improvement of the oral health literacy of parents and raising awareness of oral diseases.

The Impact of Dental Neglect on Oral Health Among 16-30-Year-Olds in Dhulikhel, Kavrepalanchok, Nepal

2021 ◽  
Vol 5 (1) ◽  
pp. 45-48
Author(s):  
Swagat Kumar Mahanta ◽  
Manoj Humagain ◽  
Chandan Upadhyaya ◽  
Dilip Prajapati ◽  
Ritesh Srii
Keyword(s):  
Health Promotion ◽  
Health Status ◽  
Oral Health ◽  
Oral Hygiene ◽  
Health Status Disparities ◽  
Sampling Technique ◽  
Oral Health Status ◽  
Cross Sectional ◽  
The Impact ◽  
Dental Neglect

Introduction: Oral health status is linked to oral health behaviour and dental neglect can be an important parameter for assessment of oral health status. Such evaluation will help in providing and planning appropriate health promotion activities to target population. Objective: To assess socio-demographic variations in Dental Neglect (DN) and to determine the association between DN and oral health. Methods: Analytical cross-sectional study done at dental hospital in Dhulikhel from September-November 2020. A sample of 327 aged 16-30 years were selected by convenience sampling technique. Demographic details along with DN were collected through the DN questionnaire. Both self-reported oral health and oral health status were assessed. Oral health status was determined by using the Oral Hygiene Index-simplified (OHI-S) and the Decayed Missing Filled index (DMFT). Results: Majority 170 (52%) of the sample were from high DN group. A total of 187 (57.2%) of the participants rated their oral health status as all right. Higher number of participants were seen in the fair group of oral hygiene status. Significant correlations were found between education and OHI-S scores. Mean DMFT score was 3.6±1.6 which had higher mean Decayed (D) component as compared to the Missing (M) and Filled (F) components in the index. Conclusion: Dental neglect is present among the study population and is associated with self-reported oral health status. Disparities were observed between the socio-demographic variables and DN. The DN Scale can be used in dental health promotion and also in evaluation of health promotion interventions.  

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.

Evaluation of Oral Health Status Based on the Decayed, Missing and Filled Teeth (DMFT) Index

2020 ◽  
Author(s):  
Ghobad MORADI ◽  
Amjad MOHAMADI BOLBANABAD ◽  
Ardavan MOINAFSHAR ◽  
Hemn ADABI ◽  
Mona SHARAFI ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Multiple Regression ◽  
Parental Education ◽  
Adult Population ◽  
Oral Health Status ◽  
Dental Students ◽  
Dental Floss ◽  
Dmft Index ◽  
The Mean

Background: The Decayed, Missing and Filled Teeth (DMFT) is a valuable index used for determining and monitoring the oral health status in a community. This study aimed to determine the oral health status and its associated factors based on the DMFT index among people aged 15 to 45 yr old in Kurdistan Province, west of Iran. Methods: This study was conducted on 2000 people aged 15-40 yr old in Kurdistan, western Iran in 2015. Using a questionnaire, data were collected by four trained dental students. The dependent variable was the DMFT index. The collected data were analyzed using T-test, ANOVA, Pearson statistics, Kendall statistics, and multiple regression. Results: The mean (SD) values of Decayed teeth (DT), Missing teeth (MT), and Filled teeth (FT) indices in the participants were 2.85±1.7, 1.15±1.84, and 3.33±1.7, respectively. The mean (SD) value of total DMFT index was 7.33±3.0. The results of multiple regression showed that the frequency of using dental floss (coefficient= - 0.296, P=0.001), socio-economic status (coefficient=-0.199, P=0.001), parental education (coefficient= -0.183, P=0.001), frequency of brushing (coefficient=-0.182, P=0.001), and frequency of the use of mouthwash (coefficient=-0/143, P=0.001) had the highest level of with association with the DMFT index. Conclusion: The oral health status of the adult population is alarming and undesirable. The oral and dental health status can be improved via changing behavioral habits (such as brushing, using mouthwashes, and dental floss), promoting socioeconomic status, increasing individual’s and parent's level of education, and enhancing people’s access to health insurance.

scholarly journals Oral health knowledge and practices of antenatal mothers in Hospital Universiti Sains Malaysia

2020 ◽  
Vol 5 (3) ◽  
pp. 131
Author(s):  
Muhammad Azim Syahmi Kamaruddin ◽  
Norsamsu Arni Samsudin
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Care ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Oral Health Status ◽  
Survey Study ◽  
Care Providers ◽  
Oral Health Promotion ◽  
Oral Health Knowledge

Mothers play a very significant role in influencing the oral health status of the family. Many studies have highlighted the importance of good oral health during pregnancy. This study aimed to assess knowledge, self-perceived oral health status, and practices of antenatal mothers in Hospital Universiti Sains Malaysia, Kelantan, Malaysia. A total of 76 antenatal mothers visiting Obstetrics & Gynaecology specialist clinic at Hospital USM were involved in this cross-sectional survey study. The questionnaires contained items related to oral health knowledge, self-perceived dental problems, barriers to seeking dental care, oral hygiene habits, perceptions of oral health, and access to dental care. Majority (98.7%) agreed that their oral health was important as part of general health. About 58% of them had answered correctly regarding oral health knowledge. Most respondents had self-perceptions of having dental problems during pregnancy, including cavitated teeth (34.4%) and sensitive teeth (20.5%). Regarding practice, only 35.3% visited a dentist in the last six months. Time constraints (52.4%) and safety concerns regarding dental treatment (26.2%) were the main barriers to seek dental care. Many (90%) brushed their teeth at least twice daily with adult fluoridated toothpaste, while some used mouthwash daily (36.8%) and flossed their teeth (11.8%). Antenatal mothers had an average level of knowledge regarding oral health, experienced dental problems during pregnancy and lacked awareness of a regular dental visit. Hence, there is a need for more vigorous oral health promotion, which also include antenatal care providers, to improve oral health awareness among antenatal mothers.

scholarly journals A Proposed Model for Infant and Child Oral Health Promotion in India

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ashwin Muralidhar Jawdekar
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Large Scale ◽  
Health Workers ◽  
Respiratory Infections ◽  
Integrated Approach ◽  
Oral Health Status ◽  
Knowledge Gain ◽  
Oral Health Promotion ◽  
The Government

Dental caries is an increasing burden in the developing countries. A proper budgetary allocation for treating dental diseases in an enormous population such as India is impractical, where resources are inadequate for major health challenges such as malnutrition and gastrointestinal and respiratory infections in children. An integrated, directed population approach targeting children is much needed. The existing machinery of successful public health campaigns such as the “Pulse Polio” and the “Mid-Day-Meals Scheme” of the Government of India can be used for oral health promotion for children. India has about 300 dental colleges and countrywide branches of the Indian Dental Association that can provide manpower for the program. An innovative, large-scale “Fit for School” program in Philippines is a model for an integrated approach for children’s health and has proved to be cost-effective and viable. A model for oral health promotion in infants and children of India, combining age-specific initiatives for health education, nutrition, hygiene, and fluoride use, is proposed. The model could be implemented to evaluate the oral health status of children, knowledge and knowledge gain of the community health workers, and acceptability and sustainability of the preventive programs (fluoride varnish and preschool and school tooth brushing) pragmatically.

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