scholarly journals Can We Predict Usage of Dental Services? An Analysis from Germany 2000 to 2015

2020 ◽  
Vol 5 (4) ◽  
pp. 349-357 ◽  
Author(s):  
F. Schwendicke ◽  
J. Krois ◽  
R. Jordan
Keyword(s):  
Health Insurance ◽  
Oral Health ◽  
Demographic Data ◽  
Age Groups ◽  
Preventive Services ◽  
Treatment Needs ◽  
Dental Services ◽  
Perfect Agreement ◽  
Error Range ◽  
Over Time

Objectives: We aimed to predict the usage of dental services in Germany from 2000 to 2015 based on epidemiologic and demographic data, and to compare these predictions against claims within the statutory health insurance. Methods: Indicators for operative (number of coronally decayed or filled teeth, root surface caries lesions, and fillings), prosthetic (number of missing teeth), and periodontal treatment needs (number of teeth with probing pocket depths (PPDs) ≥ 4 mm) from nationally representative German Oral Health Studies (1997, 2005, 2014) were cross-sectionally interpolated across age and time, and combined with year- and age-specific population estimates. These, as well as the number of children eligible for individual preventive services (aged 6 to 17 y), were adjusted for age- and time-specific insurance status and services’ utilization to yield predicted usage of operative, prosthetic, periodontal, and preventive services. Cumulative annual usage in these 4 services groups were compared against aggregations of a total of 24 claims positions from the statutory German health insurance. Results: Morbidity, utilization, and demography were highly dynamic across age groups and over time. Despite improvements of individual oral health, predicted usage of dental services did not decrease over time, but increased mainly due to usage shifts from younger (shrinking) to older (growing) age groups. Predicted usage of operative services increased between 2000 and 2015 (from 52 million to 56 million, +7.8%); predictions largely agreed with claimed services (root mean square error [RMSE] 1.9 million services, error range −4.6/+3.8%). Prosthetic services increased (from 2.4 million to 2.6 million, +11.9%), with near perfect agreement to claimed data [RMSE 0.1 million services, error range −8.3/+3.9%]). Periodontal services also increased (from 21 million to 27 million, +25.9%; RMSE 5.2 million services, error range +21.9/+36.5%), as did preventive services (from 22 million to 27 million, +20.4%; RMSE 3 million, error range −13.7/−4.7%). Conclusion: Predicting dental services seems viable when accounting for the joint dynamics of morbidity, utilization, and demographics. Knowledge Transfer Statement: Based on epidemiologic and demographic data, predicting usage of certain dental services is viable when accounting for the dynamics of morbidity, utilization, and demographics.

scholarly journals Dental Expenditure by Household Income in Korea over the Period 2008–2017: A Review of the National Dental Insurance Reform

2021 ◽  
Vol 18 (8) ◽  
pp. 3859
Author(s):  
Hosung Shin ◽  
Han-A Cho ◽  
Bo-Ra Kim
Keyword(s):  
Health Insurance ◽  
Concentration Index ◽  
Dental Health ◽  
Age Groups ◽  
The Elderly ◽  
Dental Service ◽  
Delta Method ◽  
Dental Services ◽  
Insurance Reform ◽  
Health Insurance Reform

Since 2009, the National Health Insurance in Korea (NHI) has been implementing a series of policies to expand the scope of dental benefits. This study reviewed the changes in co-payments and dental use patterns before (2008 to 2012) and after (2013 to 2017) the NHI’s dental health insurance reform. The study used Korea Health Panel data of 7681 households (16,493 household members) from a 10-year period (2008–2017). Dental expenditures and equivalent income using square root of household size were analyzed. Dental services were categorized into 13 types and a concentration index and 95% confidence interval using the delta method was calculated to identify income-related inequalities by a dental service. Dental expenditures and the number of dental services used increased significantly, while the proportion of out-of-pocket spending by the elderly decreased. The expenditure ratio for implant services to total dental expenditures increased substantially in all age groups, but the ratio of expenditures for dentures and fixed bridges decreased relatively. The concentration index of implant services was basically in favor of the rich, but there was no longer a significant bias favoring the better-off after the reforms. The dental health insurance reform in Korea appears to contribute not only to lowering the ratio of out-of-pocket to total dental expenses per episode in the elderly but also to improving the inequality of dental expenses.

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 Comparison of Oral Health Status and Knowledge on Oral Health in Two Age Groups of Schoolchildren: A Cross-sectional Study

2017 ◽  
Vol 10 (4) ◽  
pp. 340-345
Author(s):  
PR Geethapriya ◽  
D Kandaswamy
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Hygiene ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Fifth Grade ◽  
Treatment Needs ◽  
Cross Sectional ◽  
Two Age Groups

ABSTRACT Introduction Oral health plays a pivotal role in the overall wellbeing of children. As children grow, there is a variation in their oral health status due to the changing trends and lifestyle. Aim To evaluate and compare the factors related to oral health status in two age groups of school going children. Materials and methods A total of 582 children aged 8 to 11 years from 3 schools were included. Based on their school grade, they were grouped as younger (third grade) and older (fifth grade) children. Their dental caries status, caries treatment needs, oral hygiene status were assessed. A questionnaire was given to them to assess their knowledge on oral health. Results Both third and fifth grade children had similar caries status. The caries treatment needs was significantly higher (p = 0.02) in fifth grade children of school III. The oral hygiene status was significantly better (p = 0.004) in fifth grade children of school I and third grade children (p < 0.001) of school III. Fifth grade children were found to have more knowledge on oral health and it was statistically significant in school II (p = 0.001). In school III, as caries status increased, the oral hygiene index score significantly increased (p = 0.001). Conclusion Age did not have any influence on the oral health status of children. The older children had better knowledge on oral health, but the oral hygiene practices were not followed effectively How to cite this article Geethapriya PR, Asokan S, Kandaswamy D. Comparison of Oral Health Status and Knowledge on Oral Health in Two Age Groups of Schoolchildren: A Cross-sectional Study. Int J Clin Pediatr Dent 2017;10(4):340-345.

scholarly journals A Comparison of Three Payment Systems for Public Paediatric Dental Services

2018 ◽  
Vol 13 (1) ◽  
pp. i21
Author(s):  
Jennifer Hanthorn Conquest ◽  
John Skinner ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Dietary Advice ◽  
Fee For Service ◽  
Payment Systems ◽  
Dental Services ◽  
Fluoride Treatment ◽  
The Government

Objective: This study investigated the delivery of paediatric (0-17 years) government dental services in New South Wales (NSW), Australia through public dental clinics and the commissioned payments models of Fee-for-Service and Capped-Fee.  Method: De-identified patient data from government provided dental care and the commissioned services was sourced from NSW Oral Health Data Warehouse for evaluation and interpretation using descriptive analysis during the period 1 January 2012 to 31 December 2013.  Result: The breakdown of dental care provided the associated cost analysis for the study’s cohort that resulted in both years, more than 50 percent dental services offered to paediatric patients were preventive care in all payment systems.  The most common preventive items offered were fluoride treatment, dietary advice, oral health education and fissure sealants. Conclusion: There was little difference in the mix of dental care provided between study years and age groups through the three payment systems in NSW.  The difference between the government services and those provided via the Fee-for-Service and Capitation payment systems was negligible. This has important implications for the delivery of dental care to public dental care, particularly when patients may not live close to a public dental clinic and also with the interest nationally in giving patients greater choice.

scholarly journals The motives for seeking dental health services in a sample of children attending a College of Dentistry.

2020 ◽  
Vol 3 (2) ◽  
pp. 93-97
Author(s):  
Alaa Mustafa ◽  
Heran Hassan ◽  
Fighan Huseen
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Oral Hygiene ◽  
Dental Health ◽  
Demographic Data ◽  
Age Groups ◽  
Chief Complaint ◽  
P Value ◽  
Essential Components ◽  
Chief Complaints

Background and Objectives: The chief complaints of the patients are essential components, being useful for several reasons, including monitoring of oral health services and measuring the effectiveness of the oral health awareness programs. The objective of the study was to explore the common chief complaints of patients seeking treatment and distribution of cases according to the demographic data among patients attending a dental college in Erbil, Iraq. Patients and methods: The age, gender, and the chief complaints or the main reason for the visit were recorded for each consecutive patient of a total of 1233 patients who visited the oral hygiene clinics in the College of Dentistry at Hawler Medical University (Erbil city, Iraq), from October 2016 to June 2017 were recruited. Patients at the age of 3 - 14 years old. The chi-square test was used to find any statistical association between the variables. P value of less than 0.01 was considered statistically significant. Results: The pain was found to be the most common chief complaint reported by 51.1% of the patients. Followed by oral hygiene reported by 26%, among which 658 (53.4%) were males and 575 (46.6%) were females. When the age groups were considered separately, “toothache” or pain was the most common chief complaints reported by all ages except for the <5 years’ group patients for whom that oral hygiene was the most common chief complaint. In the age group of 10-14 years, in addition to pain and oral hygiene, significantly more subjects complained of or-thodonitc treatment need. Conclusion: Chief complaints denote the demand for dental care and thus, helps in proper plan-ning of the public dental health care system. So the reason for dental visit varies across differ-ent age groups and to some extent, gender differences was a considering issue. Keywords: Distribution, Paedodontics, Diagnosis, Dental chief complaints.

scholarly journals DENTAL HEALTHCARE IN RUSSIA: A COMPARISON OF THE POLICY OF OBLIGATORY MEDICAL INSURANCE AND PRIVATE SERVICES IN THE DENTAL PRACTICE

2021 ◽  
Vol 10 (34) ◽  
Author(s):  
D.S TISHKOV ◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Oral Health ◽  
Dental Care ◽  
Dental Health ◽  
Health Indicators ◽  
Medical Insurance ◽  
Dental Practice ◽  
Dental Services

Compulsory health insurance is an integral part of health care. Dental care is provided in two forms: private dental services and public dental services based on budget clinics. The purpose of this study is to study dental health in Russia by comparing the policy of compulsory medical insurance and private services in dental practice. During the study, dental health indicators were studied at three levels: indicators for monitoring the oral health of children and adolescents. In the second part, indicators for monitoring oral health in the General population were studied. In the third part, indicators for monitoring the quality of life of the oral cavity were studied. Statistical data processing included implementation of correlation analysis of the obtained data. The results show that social health insurance provides people with equal opportunities for dental services, and health care reforms have improved oral health. Thus, the data obtained indicate the need to Finance the health care system in view of improving the quality of dental care for children and adults, as well as through the introduction of primary and secondary prevention programs.

scholarly journals Assessment of oral health status and treatment needs among people of Foklyan area, Dharan, Nepal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
A. Singh ◽  
A. Shrestha ◽  
T. K. Bhagat ◽  
D. D. Baral
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Age Groups ◽  
Health Assessment ◽  
Oral Health Status ◽  
Caries Experience ◽  
Socioeconomic Background ◽  
Age Group ◽  
Treatment Needs ◽  
Low Socioeconomic

Abstract Background Oral diseases are a major public health problem globally due to high prevalence and significant social impact. Foklyan is a peri urban area with people belonging to indigenous population of low socioeconomic status. This study was conducted to assess the oral health status and treatment needs among the people of Foklyan area, Dharan. Methods Cross-sectional house to house survey was conducted on 310 randomly selected participants. The participants were stratified into five age groups as per WHO Basic Oral Health Survey Methods 1997 and further categorized by gender. WHO Oral Health Assessment form 1997, WHO oral health assessment questionnaire for adult/children 2013 and questionnaire for oral hygiene practice and cost as a treatment barrier were used. The examinations were done as per WHO standard guidelines. Results Most of the participants were from low socioeconomic background (71.3%). About 40% of the participants deferred dental visit due to financial burden. Although 99% of the participants brushed their teeth, there was high caries experience (DMFT: 3.18 ± 5.85; dft: 2.40 ± 2.65). Mean sextant score for bleeding was 5.58 in 35–44 years age group and 5.61 in 65–74 years age group. Tobacco consumption was seen in 70.9% of the adults. Prevalence of alcohol consumption was 58.8% among adult age groups. Conclusion The prevalence of dental caries, periodontal diseases, and prosthetic needs were more compared to national data. There is a need for oral health promotion in this area.

scholarly journals Regional and gender differences in population-based oral health insurance data

2019 ◽  
Vol 24 (7) ◽  
pp. 2331-2339
Author(s):  
Tanja Stamm ◽  
Valentin Ritschl ◽  
Alexander Platzer ◽  
Maisa Omara ◽  
Erika Mosor ◽  
...  
Keyword(s):  
Gender Differences ◽  
Health Insurance ◽  
Oral Health ◽  
Population Based ◽  
Separate Analysis ◽  
Health Insurance Data ◽  
Dental Services ◽  
Geographical Regions ◽  
And Gender ◽  
Insurance Data

Abstract Objective Early dental monitoring contributes substantially to good oral health in children. However, little is known on whether children from different geographical regions and gender are equally reached with current preventive and curative oral health strategies. The aim of our study therefore was to explore regional and gender differences in a population-based oral health dataset of Austrian children up to the age of 14. Materials and methods We extracted the first electronically available health insurance data of children aged up to 14 years on dental services within a 4-year observation period in Austria and performed a separate analysis in up to 6-year-old children. In addition, we used a smaller randomly selected sample dataset of 3000 children as the large numbers would result in significant, but very small effects. Results In a total of 130,895 children, of whom 77,173 children (59%) were up to the age of six, we detected an east-west gradient: The eastern regions of Austria showed an older age at first contact and a higher number of dental services. A child aged up to 6 years who needed more than four dental services had a likelihood of 40% to be from Vienna, Austria’s capital city located in the east. The smaller random sample did not show significant gender differences. Conclusions Even in regions with a high density of dentists, such as Vienna, we obviously did not reach young children in the same extent as in other regions. Clinical relevance Stratified interventions could be developed to overcome regional inequalities.

scholarly journals Oral health and use of dental services in different stages of adulthood in Norway: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elin Hadler-Olsen ◽  
Birgitta Jönsson
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Oral Health ◽  
Dental Health ◽  
Adult Population ◽  
Age Groups ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional

Abstract Background Socioeconomic status and oral health care habits may change throughout adult life. This calls for age-stratified analyses of oral health in the adult population to uncover differences that could be of importance for organizing adequate oral health care services. The aim of the present study was to describe self-reported oral health in different age groups in a general adult population in Norway, and to explore associations between self-reported oral health and age groups, sociodemographic factors, use of dental services, number of teeth and dental caries. Methods We used data from a cross-sectional study of almost 2000 Norwegian adults, 20–79 years old. The study included both a structured questionnaire and a clinical examination to assess sociodemographic variables, use of dental services, self-reported oral and general health as well as dental caries and number of teeth. For analysis, the participants were divided into three age groups: young adults (20–29 years), middle-aged adults (30–59 years), and senior adults (60 years and older). Differences among groups were analyzed by cross-tabulation, and logistic regression analyses were used to assess associations between variables. Results Forty-eight percent of the participants rated their oral health as good. Almost half of the participants had at least one carious tooth, with the highest caries prevalence among the young adults. To be caries free was strongly associated with reporting good oral health among the young and middle-aged adults. One third of the senior adults had fewer than 20 teeth, which was associated with reporting moderate or poor oral health. Less than half of the young adults reported regular use of dental services, and 40% of them had postponed dental visits for financial reasons during the past 2 years. Regardless of age group, having to postpone dental visits for financial reasons or having poor-to-moderate general health were associated with high odds for reporting moderate or poor oral health. Conclusions That there were important age-group differences in self-reported and clinical measures of oral health and in the use of dental health services demonstrates the importance of age-stratified analyses in oral health research. Many adults, especially among the young, faced financial barriers for receiving dental health services, which was associated with poorer self-reported oral health. This argues for a need to revisit the financing of oral health care for adults in Norway.

scholarly journals Use of dental services by psychoactive substances users at the Psychosocial Alcohol and Drug Care Centers in the Greater Vitoria area, ES

2020 ◽  
Vol 68 ◽  
Author(s):  
Bruna Venturin LORENCINI ◽  
Bruna Costa BISSOLI ◽  
Jeremias Campos SIMÕES ◽  
Maria Helena Monteiro de Barros MIOTTO
Keyword(s):  
Oral Health ◽  
Demographic Data ◽  
National Health System ◽  
Health Impact ◽  
World Health ◽  
Psychoactive Substances ◽  
Dental Services ◽  
World Health Organization Quality ◽  
Study Population

ABSTRACT Objective The use of and access to dental services in Brazil are unevenly distributed, despite governmental efforts to make the national health system universal and egalitarian. This study aims to evaluate the access to and use of dental services by psychoactive substances users at the Centros de Atenção Psicossocial Álcool e Drogas (Psychosocial Alcohol and Drug Care Centers) in the Greater Vitoria area, ES. Methods A transversal study was conducted with 280 participants. Five scripts were used for data collection, one for socio-demographic data and health perception, another for oral health, along with the Oral Health Impact Profile, the Alcohol Smoking and Substance Involvement Screening Test, and the World Health Organization Quality of Lifeinstrument. Data were displayed infrequency tables. The association between demographic factors with drug use, frequency of use and quality of life was tested using Fisher’s test. The Odds Ratio was used to determine the strength of the association. Results Dental services were used 32.14% of the study population and individuals at high risk for crack dependence were 2.3 times more likely not to use dental services in previous 6 months. Conclusion The study population showed a satisfactory utilization of the dental services offered while individuals at higher risk of crack addiction used them much less frequently.

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