Age of First Oral Health Examination and Dental Treatment Needs of Medicaid-Enrolled Children

2021 ◽  
pp. 238008442110577
Author(s):  
I. Ahmed ◽  
S. McGivern ◽  
M.R. Beymer ◽  
I. Okunev ◽  
E.P. Tranby ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Dental Treatment ◽  
Administrative Claims ◽  
Health Examination ◽  
Provider Type ◽  
Treatment Needs ◽  
Invasive Treatment ◽  
Kaplan Meier ◽  
Prevalent Disease

Introduction: Early childhood caries (ECC), despite being preventable, remains the most prevalent disease of childhood, particularly in children between the ages of 2 and 5 y. The association between the type of health care provider completing initial oral health examinations and subsequent dental caries in children under 6 y of age is unclear. Objective: The objective of the current study is to longitudinally assess the association between age at first oral health examination and provider type at first oral health examination on dental treatment for children under 6 y of age. Methods: Deidentified administrative claims data were used from the IBM Marketscan Multi-State Medicaid Database (n = 2.41 million Medicaid-enrolled children younger than 6 y in 13 states from 2012 to 2017). A Kaplan–Meier survival analysis was used to examine the association between age at first oral health examination and provider type with first treatment of dental caries at follow-up. Results: The adjusted hazard ratio (HR) of dental caries for children whose first oral health examination at 4 y of age is 5.425 times higher than for children whose first oral health examination was before 1 y of age (95% confidence interval [CI], 5.371–5.479). The adjusted HR of dental caries for children seen by pediatric dentists (HR = 1.215; 95% CI, 1.207–1.223) and physicians (HR = 2.618; 95% CI, 2.601–2.635) was higher than those seen by a general dentist. Conclusions: Findings from this study highlight the importance of children having their first oral health examination no later than 12 mo of age in accordance with existing guidelines and referrals from physicians to prevent the need for invasive treatment. Knowledge of Transfer Statement: Results of this study emphasize the need for a child’s first oral health examination to be completed no later than 12 mo of age to prevent dental caries. Reinforcement and referrals by physicians based on this recommendation facilitate early establishment of a dental home in young children.

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 Epidemiology of Dental Caries among Adults in a Rural Area in India

2012 ◽  
Vol 13 (3) ◽  
pp. 382-388 ◽  
Author(s):  
Ami M Maru ◽  
Sena Narendran
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Rural Area ◽  
General Health ◽  
Dental Treatment ◽  
Dental Health ◽  
Oral Health Status ◽  
Caries Experience ◽  
Structured Interviews ◽  
Treatment Needs

ABSTRACT Background Data on epidemiology of dental caries of adults in rural India appear to be sparse. Objective The purpose of the study was to assess the oral health status and dental treatment needs of a rural Indian population. Materials and methods The study population consisted of 189 volunteer subjects with a mean age of 34.9 ± 14.2 years and 54% males. Decayed, missing due to caries and filled teeth (DMFT) and tooth surfaces (DMFS) assessed the dental caries experience. Structured interviews collected data on perception of health including oral health, oral hygiene practices and snacking habits. Results While only 38.1% perceived themselves to be in good or very good dental health, nearly 85% felt the same about general health. The most common sugar exposure was sweetened tea; 75% consumed the beverage at least once a day. More than 80% of the subjects had untreated caries with mean DMFT and DMFS scores of 5.1 ± 3.9 and 13.8 ± 17.8, which lacked any gender differences. Dental treatment needs ranged from 16.9% two-surface fillings to 60.8% one-surface fillings; 23.8% crowns or bridges and 37.6% extractions. Those who perceived themselves to be in better oral health had significantly lower DMFT (4.0 ± 3.2 vs 5.9 ± 4.1) and DMFS (8.4 ± 11.7 vs 17.1 ± 20.0) scores (p < 0.05). A similar trend was observed between perception of general health and DMFT (4.8 ± 3.4 vs 7.0 ± 5.6) and DMFS (11.9 ± 13.7 vs 24.1 ± 30.7) scores. Conclusion Results indicate high levels of dental caries as well as dental treatment needs among the study participants. How to cite this article Maru AM, Narendran S. Epidemiology of Dental Caries among Adults in a Rural Area in India. J Contemp Dent Pract 2012;13(3):382-388.

Oral Health Survey of 6-14-Year-Old Children with Disabilities Attending Special Schools Yemen

2015 ◽  
Vol 39 (3) ◽  
pp. 272-276 ◽  
Author(s):  
SA Al-Maweri ◽  
S Zimmer
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Children With Disabilities ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Treatment Needs ◽  
Special Schools ◽  
Cross Sectional

Objectives: The purpose of this study was to assess the oral health status and treatment needs of children with disabilities attending special schools in Sana’a, Yemen. Study design: This cross-sectional study involved 401 children with different disabilities aged between 6 and 14 years. Dental caries was evaluated using DMFT/dmft indices in accordance with WHO criteria. The plaque index (PI) and the gingival index (GI) were used to assess oral hygiene and gingival health, respectively. Results : The mean dmft and DMFT scores of the total population were 4.27 and 1.90 respectively, with no significant differences across gender (p&gt;0.05). According to the type of disability, the physically disabled had the highest mean dmft of 4.68 (SD 3.30) and subjects with compound disabilities had the highest mean DMFT of 2.85 (SD 1.98). Among the disability groups, the blind had the highest PI and GI scores, and the deaf had the lowest. Majority of the children were on need for specific type of dental treatment. Conclusion: This study suggests that children with disabilities have a high prevalence of dental caries and poor oral hygiene.

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 &lt; 0.005) with dental caries. Fluoride levels in water was found to be higher than permissible limits (&gt;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 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.

Oral Health Status and Treatment Needs of Inmates in District Jail of Mathura City – A Cross Sectional Study

2013 ◽  
Vol 7 (1) ◽  
pp. 24-32 ◽  
Author(s):  
R Gupta ◽  
K Dhanker ◽  
NA Ingle ◽  
N Kaur
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Treatment Needs ◽  
Cross Sectional

ABSTRACT Objectives To assess the oral health status and treatment needs of inmates of, District Jail Mathura. MATERIALS AND METHODS A cross sectional study was carried out on the inmates (N=870) in the district jail of Mathura. Proforma related to general demographic information was filled by the examiner and the subjects were clinically examined using WHO 1997 “Oral Health Assessment Form RESULTS This study revealed that 92.5% of the inmates were male. 53.8% never visited the dentist & 87% never received any type of dental care during imprisonment. Prevalence of pro-mucosal lesion was 59.8%. Inmates had poor periodontal conditions and 79% inmates had dental caries with mean DMFT of 4.79. CONCLUSION Periodontal disease, mucosal lesions and dental caries are major public health problem among the inmates, which require special attention and efforts from government and other organizations to meet their treatment needs.

scholarly journals Oral health status of children with type 1 diabetes: a comparative study

2017 ◽  
Vol 30 (11) ◽  
Author(s):  
Ahmad Faisal Ismail ◽  
Colman Patrick McGrath ◽  
Cynthia K.Y. Yiu
Keyword(s):  
Type 1 Diabetes ◽  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Comparative Study ◽  
Oral Health Status ◽  
Caries Experience ◽  
Health Examination ◽  
Significant Difference

AbstractBackground:The aim of this study was to compare the oral health status of children with type 1 diabetes and healthy controls.Methods:This comparative study involved 64 children, 32 children with type 1 diabetes and 32 age- and gender-matched controls. Oral health examination was conducted using WHO criteria. Dental caries experience was recorded using DMFT/dmft index and periodontal parameters were assessed using plaque, gingivitis, gingival bleeding and calculus indexes. Dental caries and periodontal parameters between the two groups were compared using the Mann-Whitney U-test.Results:Children with diabetes exhibited significantly greater plaque deposits (p=0.01) and a higher mean plaque index (p<0.01), when compared to healthy subjects. No significant difference in DMFT and dmft scores, mean bleeding index, calculus index and gingival index was found between the two groups.Conclusions:Children with type 1 diabetes had a poor oral health status with greater plaque accumulation than children without diabetes.

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