Whose Responsibility Is It Anyway? Exploring Barriers to Prevention of Oral Diseases across Europe

Introduction: Dental caries, gum disease, and tooth loss are all preventable conditions. However, many dental care systems remain treatment oriented rather than prevention oriented. This promotes the treatment of oral diseases over preventive treatments and advice. Exploring barriers to prevention and understanding the requirements of a paradigm shift are the first steps toward delivering quality prevention-focused health care. Objectives: To qualitatively explore perceived barriers and facilitators to oral disease prevention from a multistakeholder perspective across 6 European countries. Methods: A total of 58 interviews and 13 focus groups were undertaken involving 149 participants from the United Kingdom, Denmark, Germany, the Netherlands, Ireland, and Hungary. Interviews and focus groups were conducted in each country in its native language between March 2016 and September 2017. Participants were patients ( n = 50), dental team members ( n = 39), dental policy makers( n = 33), and dental insurers ( n = 27). The audio was transcribed, translated, and analyzed via deductive thematic analysis. Results: Five broad themes emerged that were both barriers and facilitators: dental regulation, who provides prevention, knowledge and motivation, trust, and person-level factors. Each theme was touched on in all countries; however, cross-country differences were evident surrounding the magnitude of each theme. Conclusion: Despite the different strengths and weaknesses among the systems, those who deliver, organize, and utilize each system experience similar barriers to prevention. The findings suggest that across all 6 countries, prevention in oral health care is hindered by a complex interplay of factors, with no particular dental health system offering overall greater user satisfaction. Underlying the themes were sentiments of blame, whereby each group appeared to shift responsibility for prevention to other groups. To bring about change, greater teamwork is needed in the commissioning of prevention to engender its increased value by all stakeholders within the dental system. Knowledge Transfer Statement: The results from this study provide an initial first step for those interested in exploring and working toward the paradigm shift to preventive focused dentistry. We also hope that these findings will encourage more research exploring the complex relationship among dental stakeholders, with a view to overcoming the barriers. In particular, these findings may be of use to dental public health researchers, dentists, and policy makers concerned with the prevention of oral diseases.

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Oral health seeking behaviors of adults in Nebbi District, Uganda: a community-based survey

BMC Oral Health ◽

10.1186/s12903-021-01824-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Juliet Ocwia ◽

Ronald Olum ◽

Pamela Atim ◽

Florence Laker ◽

Jerom Okot ◽

...

Keyword(s):

Oral Health ◽

Dental Health ◽

Oral Disease ◽

Tooth Decay ◽

Oral Diseases ◽

Health Seeking ◽

Dental Clinic ◽

Community Based ◽

Cost Of Treatment ◽

Cross Sectional

Abstract Background Dental health is often neglected by the majority of the population and has contributed to the global burden of oral diseases. We assessed awareness, utilization and barriers to seeking oral health care among adults in Nebbi District, Uganda. Methods A community-based, cross sectional study was conducted in the central division, Nebbi District in Uganda among adults between the age of 18 years or older. An interviewer-administered, semi-structured questionnaire was used for data collection on socio-demographic characteristics, oral health awareness, oral health utilization, associated factors and barriers. Results A total of 400 adults with a median age of 32 years (interquartile range 24–43) years were enrolled. More than half (57.5%, n = 230) of the participants were female. Participants identified smoking (42.8%, n = 171) and consumption of sugary foodstuffs (29.0%, n = 116) as risk factors for oral disease. Not brushing was also identified by 260 participants (65.0%) as the cause of tooth decay and 95.8% (n = 383) believed brushing one’s teeth could prevent tooth decay. Of the 51.5% (n = 206) who had experienced a toothache or discomfort 12 months prior to the study but only about half (52%, n = 106) had sought healthcare from a dental clinic or facility. About 89.5% (n = 94) of the participants were able to see a dentist during their last visits. Dental carries (76.6%, n = 70) and gum bleeding (14.9%, n = 14) were the most frequent reasons for visiting a dental clinic, and 73.7% (n = 70) had their tooth extracted. Barriers to seeking oral healthcare were cost of treatment (47.5%, n = 190), and long waiting time (18.5%, n = 74). The odds of seeking oral healthcare was 2.8-fold higher in participants who were being married (Odds ratio (OR): 2.8, 95% CI 1.3–6.3, p = 0.011) and 3.5-fold higher among housewives (COR: 3.5, 95% CI 1.1–11.4, p = 0.040). Conclusion About half of the participants had sought healthcare following a dental condition. Cost of treatment seems to be an important factor affecting utilization of oral health services. Optimization of costs, and creating awareness regarding benefits of utilizing preventive dental services are recommended.

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Oral health in individuals with psychotic disorders

Stomatoloski glasnik Srbije ◽

10.2298/sgs0803180j ◽

2008 ◽

Vol 55 (3) ◽

pp. 180-187

Author(s):

Svetlana Jovanovic ◽

Ivanka Gajic

Keyword(s):

Health Care ◽

Oral Health ◽

Oral Hygiene ◽

Psychotic Disorders ◽

Care Service ◽

Dental Health ◽

Health Care Service ◽

Bipolar Disorders ◽

Oral Diseases ◽

Antipsychotic Therapy

Mental disorders are an important problem in every national health care service. The importance of psychotic disorders is not only their frequency but also their long-term character, recurrence, association with other diseases, costs and consequences for the family and society. Psychotic disorders (schizophrenia, schizoaffective disorder, bipolar disorders and depression) and their treatment may result in serious oral diseases. These disorders and medications used to treat them may lead to a series of oral complications and side effects, predominantly high prevalence of carious and extracted teeth, periodontal disease, inadequate oral hygiene, xerostomia, burning mouth syndrome, bad breath and gustatory sense dysfunction. Psychotic disorders affect oral and dental health in two ways. Behavioural changes affect the oral hygiene maintenance and lead to bad habits and attitudes towards oral health. Antipsychotic therapy has adverse effects on oral health. Literature data suggest that oral health in patients with psychotic disorders is poor and highlight the need to develop specific preventive programmes, which would be aimed at improving behaviour of this population at risk in the oral health care system.

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Efficiency of dental health care in Federation of Bosnia and Herzegovina

Journal of Health Sciences ◽

10.17532/jhsci.2013.79 ◽

2013 ◽

Vol 3 (2) ◽

pp. 145-150 ◽

Cited By ~ 2

Author(s):

Šejla Cilović Lagarija ◽

Mediha Selimović-Dragaš

Keyword(s):

Health Care ◽

Oral Health ◽

Bosnia And Herzegovina ◽

Primary Teeth ◽

Dental Health ◽

Oral Health Status ◽

Permanent Teeth ◽

Public Health Issue ◽

Oral Diseases ◽

Dental Health Care

Introduction: Despite the great improvements in the oral health status of the population across the world, oral diseases remains a major public health issue connected with a lost of numerous school days for childrenand absenteeism from work in adults. This effect is particularly evident in low and middle income countries as Bosnia and Herzegovina. This retrospective study presents the effi ciency of dental health carein Federation of Bosnia and Herzegovina measured by number of visits and performed dental treatments during the time period of six years, from 2005-2011.Methods: Data were collected by evaluation of the results obtained by forms which are mandatory to be completed by dentists.Results: The number of graduated dentists from 2007 to 2011 decreased from 108 in 2007 to 68 in 2011. In the same time, number of dentists employed in public sector slightly increased from 529 in 2005 to587 in 2011. Number of extracted permanent teeth decreased from the 412 extracted permanent teeth per dentist in 2005 to 364 in 2011. Small number of fi lled primary teeth comparing to large number ofextracted primary teeth showed negligence in their treatment.Conclusion: Having in mind that improving oral health in developing countries is a very challenging objective we can conclude that dental health care system in Federation of Bosnia and Herzegovina need to bereform in order to improve oral health in general, particularly in children population.

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Oral Microbiota Profile of Individuals Who Abuse Methamphetamine

Frontiers in Cellular and Infection Microbiology ◽

10.3389/fcimb.2021.706961 ◽

2021 ◽

Vol 11 ◽

Author(s):

Yongde Yang ◽

Xuan Yu ◽

Xue Yang ◽

Kuan Zeng ◽

Guangya Liu ◽

...

Keyword(s):

Relative Abundance ◽

Treatment Strategies ◽

Etiologic Agent ◽

Oral Microbiome ◽

Oral Disease ◽

Control Group ◽

Oral Microbiota ◽

Microbiota Composition ◽

Oral Diseases ◽

Oral Disease Prevention

The poor oral health condition of individuals who abuse methamphetamine (MA) is well known. The roles of the oral and fecal microbiomes in addiction and nervous system diseases have been the focus of many studies. However, changes in the microbiota composition of MA users have not been reported. This was addressed in the present study in 20 MA users and 14 sex-matched healthy subjects. Saliva samples were collected and high-throughput 16S rRNA sequencing and bioinformatic analysis were performed to evaluate oral microbiome profiles. The results showed that species richness was significantly lower in the MA group than in the control group. Bacterial taxa that are known to be related to oral diseases such as Negativicutes, Veillonellaceae, Veillonella, and Selenomonadales had higher relative abundance in the MA group than in the control group, and the relative abundance of Prevotella melaninogenica—a putative etiologic agent of periodontal disease—was also higher. Avoiding MA use and improving oral hygiene practices over a short term (i.e., during hospitalization for 2 weeks) did not alter the oral microbiota composition of MA users. Although the causal relationship between changes in oral microbiome profile and MA abuse remains to be determined, our results suggest that oral disease prevention and treatment strategies are important for MA users.

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Pengaruh Dental Health Education Cara Menyikat Gigi disertai Demonstrasi terhadap Tingkat Pengetahuan Kebersihan Gigi pada Siswa Kelas V SDN Padangdangan 1

STOMATOGNATIC - Jurnal Kedokteran Gigi ◽

10.19184/stoma.v18i2.28059 ◽

2021 ◽

Vol 18 (2) ◽

pp. 65

Author(s):

Zakiyah Yasin

Keyword(s):

Health Education ◽

Dental Hygiene ◽

Dental Health ◽

Sampling Technique ◽

Oral Disease ◽

Rank Test ◽

Control Group ◽

Oral Diseases ◽

Dental Diseases ◽

The Right

Dental and oral disease are still become health problem in Indonesia. Dental and oral diseases greatly affect the degree of health, growth process and even the future of children. Data about dental diseases on Indonesian children, indicates that condition is already at worried stage. Research of effective health education about dental hygiene to toddler children needed. This study aim is to determine the influence of DHE against knowledge of dental hygiene on Grade V students in SDN Padangdangan 1. The method of this study was quasi experiment, use Pretest- Postest Control design. This study was conducted in SDN Padandangan 1 with total population was all of Grade V students in SDN Padandangan 1. The sampling technique in this study was total sampling with number of respondents was 32 divided by two groups, there were control group and implementation group. The data collected by using questionnaires. The result of this study shows that before DHE applicated to implementation group, students have less knowledge, that was 9 students (56,2%) and after DHE applicated, value of students’ knowledge was increase, that was 16 students (50,0%). The result of Willcoxon Sign Rank Test detired P = 0,005 (p<α), administering DHE through good and correct teeth rushing demonstration to Grade V students can increase the value of students’ knowledge. Dental health education is the right way to brush your teeth by using an interesting tool, such as phantom mannequin that can make attention from educator. Direct practice echnique is also involves many senses so the material from educator was more touches long erm memory.

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Oral health in individuals with psychotic disorders

Stomatoloski glasnik Srbije ◽

10.2298/sgs0802115j ◽

2008 ◽

Vol 55 (2) ◽

pp. 115-121 ◽

Cited By ~ 3

Author(s):

Svetlana Jovanovic ◽

Ivanka Gajic

Keyword(s):

Health Care ◽

Oral Health ◽

Oral Hygiene ◽

Psychotic Disorders ◽

Care Service ◽

Dental Health ◽

Health Care Service ◽

Bipolar Disorders ◽

Oral Diseases ◽

Antipsychotic Therapy

Mental disorders are an important problem in every national health care service. The importance of psychotic disorders is not only their frequency but also their long-term character, recurrence, association with other diseases, costs and consequences for the family and society. Psychotic disorders (schizophrenia, schizoaffective disorder, bipolar disorders and depression) and their treatment may result in serious oral diseases. These disorders and medications used to treat them may lead to a series of oral complications and side effects, predominantly high prevalence of carious and extracted teeth, periodontal disease, inadequate oral hygiene, xerostomia, burning mouth syndrome, bad breath and gustatory sense dysfunction. Psychotic disorders affect oral and dental health in two ways. Behavioral changes affect the oral hygiene maintenance and lead to bad habits and attitudes towards oral health. Antipsychotic therapy has adverse effects on oral health. Literature data suggest that oral health in patients with psychotic disorders is poor and highlight the need to develop specific preventive programmes, which would be aimed at improving behavior of this population at risk in the oral health care system.

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Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312360 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12360

Author(s):

Stefano Cianetti ◽

Chiara Valenti ◽

Massimiliano Orso ◽

Giuseppe Lomurno ◽

Michele Nardone ◽

...

Keyword(s):

Dental Caries ◽

Periodontal Disease ◽

Economically Disadvantaged ◽

Tooth Loss ◽

Severe Disease ◽

Oral Disease ◽

Tooth Decay ◽

Oral Diseases ◽

Policy Makers ◽

Socially Disadvantaged

Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.

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Tropical Oral Disease: Analysing Barriers, Burden, Nutrition, Economic Impact, and Inequalities

Frontiers in Nutrition ◽

10.3389/fnut.2021.729234 ◽

2021 ◽

Vol 8 ◽

Author(s):

Arvind Babu Rajendra Santosh ◽

Thaon Jones

Keyword(s):

Research Agenda ◽

Dental Health ◽

Oral Disease ◽

Oral Diseases ◽

Poor Oral Hygiene ◽

Anatomical Structures ◽

Economic Determinants ◽

Good General Health ◽

Wide Range ◽

The Caribbean

Traditionally, a healthy mouth is a good indicator of good general health. Poor oral hygiene reflects the health of the oral cavity and is a risk factor for overall health. Although oral diseases like dental decay and periodontitis are prevalent, awareness of oral diseases is still limited. Oral disorders include a wide range of diseases that may not be confined to the oral anatomical structures but may be manifestations of systemic diseases. Identification of the risk factors of dental and oral diseases, including socio-economic determinants, plays a major role in the type of oral health care, and in the promotion of dental health awareness. This article reviews oral diseases in the Caribbean and aims to raise awareness of this subject while suggesting a research agenda for the region.

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Selected issues of oral diseases in the work of a district nurse and primary care nurse

Pielegniarstwo XXI wieku / Nursing in the 21st Century ◽

10.1515/pielxxiw-2017-0036 ◽

2017 ◽

Vol 16 (4) ◽

pp. 36-39

Author(s):

Małgorzata Migut ◽

Bogumił Lewandowski

Keyword(s):

Periodontal Diseases ◽

Health Condition ◽

Staff Nurses ◽

Oral Disease ◽

Oral Diseases ◽

District Nurse ◽

Polish Literature ◽

Focal Infection ◽

Oral Disease Prevention ◽

Broad Subject

AbstractIntroduction. Oral health condition and its influence on general health is widely known and does not raise any doubts.Aim. The study presents some selected problems of oral diseases and dental issues, which, according to the authors, can be useful or even necessary in the work of an environmental nurse.Material and methods. A Polish literature review was made concerning broad subject of oral diseases. Online research included the following databases: PubMed, Google Scholar PL, Termedia, Viamedica, Polish Medical Bibliography. The searched terms included: “health education”, “dental caries”, “nurse”, “environment”, “periodontal diseases”, “focal infection”. The analysis was based on the Polish articles from the years 1998-2016.Results. Issues concerning dentistry should be known not only to dental teams but also to all members of medical staff: nurses, midwives, general practitioners, pediatricians, and emergency medical workers. In the study there discussed the most frequent - carious disease and related issues concerning oral disease prevention.

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