scholarly journals Socioeconomic and family influences on dental treatment needs among Brazilian underprivileged schoolchildren participating in a dental health program

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Cristina Martins Lisboa ◽  
Janice Simpson de Paula ◽  
Glaucia Maria Bovi Ambrosano ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
...  
2015 ◽  
Vol 25 (1) ◽  
pp. 66-71
Author(s):  
Rūta Žaliūnienė ◽  
Jolanta Aleksejūnienė ◽  
Vilma Brukienė ◽  
Vytautė Pečiulienė

Patients with haemophilia often face difficulties in accessing primary dental care: they are at increased risk of spontaneous gum bleeding and significant bleeding from invasive dental procedures. Other of the known barriers is lack of confidence in the ability of dentists to manage patients with haemophilia. The aim of this study was to examine the dental health and its determinants in Lithuanian children with haemophilia and to compare these findings to the general population. Materials and methods. Two study groups were formed: a group of cases, children with haemophilia aged between 4-17 years and a group of controls, randomly selected healthy subjects matched for gender, age and place of residense. The Quantitative Plaque Percent Index (P% index), caries related microflora, stimulated salivary flow rate and buffer capacity, dmf(t), DMF(t) scores were calculated and analyzed. Dietary habits, frequency of tooth brushing, educational and economic level of the parents and type of haemophilia were determined by a questionnaire. Results. Data were collected from 57 children among which 27 were children with haemophilia and 30 healthy controls. Children with haemophilia had lower overall caries experience and less unmet dental treatment needs in deciduous dentitions as compared to their healthy counterparts, but were no differences between the study groups in permanent dentitions. Higher bacteriological counts were found in controls than in study group. Healthy children were from higher socio-economic status families than children with haemophilia. Conclusions. Better dental health was observed in children with haemophilia in deciduos teeth as compared to healthy children. In permanent dentitions overall caries experience and unmet dental treatment needs did not differ between cases and controls.


2012 ◽  
Vol 13 (3) ◽  
pp. 382-388 ◽  
Author(s):  
Ami M Maru ◽  
Sena Narendran

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.


2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Karolina Gerreth ◽  
Dorota Olczak-Kowalczyk ◽  
Maria Borysewicz-Lewicka

The problem of treatment of patients with special health needs resulting from the presence of deficits in intellectual, motor or sensory functions, also in dentistry, has not been comprehensively solved. According to the World Health Organization (WHO), about 15% of the world population has some form of disability. Patients with disabilities are considered to have greater dental treatment needs in comparison to healthy individuals. High incidence and intensity of dental caries as well as frequent gum diseases are observed in this environment. Often the situation is related, among other, to the presence of systemic diseases and the treatment used, limitations in shaping proper dental health behaviors, insufficient knowledge of parents about oral health or barriers in access to dental care. The development of recommendations for parents/caregivers as well as medical staff is required to improve the health of these patients and quality of their life. The document contains information on the etiology and epidemiology of dental caries in patients with disabilities but also prophylactic recommendations for this population of patients and their parents/caregivers and dentists.


2020 ◽  
Vol 5 (2) ◽  
pp. 350-360
Author(s):  
Wandania Farahanny ◽  
Ika Andryas ◽  
Rini Octavia N ◽  
Olivia A Hanafiah

One of pandemic effect is that people being afraid to have their regular dental treatment and tends to have their own medication. Dentist and dental nurses as workerin public health provider also afraid on doing dental treatment on a reason highly contamination and transmission of the virus. Delaying aerosol generating procedures is found as the only choice, except for emergency case. However, the uncertainty of pandemic era and dental treatment needs, urge the health workers to have innovation in dental treatment service.  Using mobile dental clinic Dinas Kesehatan Kabupaten Langkat di Puskesmas Sambirejo is a solution. The implementation of service activities in mobile dental clinic are mainly in self Protection equipment, SOP in  Standart Precaution, sterlisation and aseption and also patients admision flow in pandemic era for health care providers as a way to improve their knowledge in handling patient in pandemic era. The delay of action in dental procedur can be solved by facilitating mobile dental clinic according to standard health protocol. Instead of only reaching rural area, this mobile dental clinic can also be used in narrow building with limited space. The SOP protocol can also be used by dentis and dental nurses to control infection in mobile dental clinic. This article tries to support government in raising the degree of mouth and dental health services in pandemic era.


2021 ◽  
Vol 4 (1) ◽  
pp. 5-11
Author(s):  
Utkarsh Shishodia ◽  
Sukreeti Krishan ◽  
Subham Sharma ◽  
Vaibhav Anand ◽  
Mohit Kaushik

Objectives: This pilot study determined the general and dental health status; perceived medical and dental treatment needs of an elderly population dwelling in residential homes in Himachal Pradesh (India).Method: Subjects were chosen from OPD of Department of Prosthodontics & Implantology, Himachal institute of dental sciences, Paonta sahib, (H.P) between April 2020 – April 2021. (N=133, female: 71 and male: 62) were involved in this study. A detailed questionnaire was prepared and dental examinations were conducted. Information was collected related to age, education levels, financial status, current physical functional status, general health, mental health, previous dental history, current dental status, oral hygiene practices and denture hygiene of these elderly people. The prevalence of edentulism, the presence and type of dental prostheses, dental and denture status and denture cleanliness were further evaluated.Results: The three most prevalent reported general health problems were associated with Genito-urinary problems (24%) followed by cardiovascular (18%) and respiratory problems (14%) varying significantly between genders, with males suffering more from cardiovascular problems than females (p < 0.05). Females showed significantly higher gastrointestinal and orthopaedic problems than males (p < 0.05). Females were more frequently edentulous than males but denture hygiene was significantly better in females than in males (p < 0.05). Brushing frequency did not significantly increase denture hygiene (p = 0.6). More than one-third of the subjects had not been to the dentist within the previous 5–10 years, mainly due to lack of demand, followed by the cost of the dental care and fear. More than two-thirds of denture-wearing subjects wore their dentures only during eating.


2012 ◽  
Vol 8 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Vikram Bansal ◽  
G.M. Sogi ◽  
K.L. Veeresha ◽  
Adarsh Kumar ◽  
Shelly Bansal

PurposeThis paper aims to explore prisoner dental health in Haryana, India.Design/methodology/approachThe authors assessed the prevalence of dental caries and the treatment needs of prisoners in all 19 prisons in Haryana. The results were compared with the prison populations of other countries and the general population of Haryana.FindingsThe mean age of 1,393 subjects examined was 35.26±12.29 years. A large number of the subjects reported to be in need of dental treatment. The number of decayed teeth was found to be similar to the general population of Haryana but the number of filled teeth was quite low. The number of teeth missing and the need for tooth extraction was high.Social implicationsLong‐standing prisoner dental problems indicated a need for dental treatment in prisons.Originality/valueThis is the first study of its kind covering all 19 prisons in Haryana, India. The results indicate that the government needs to further consider and address the oral health needs of prisoners.


1983 ◽  
Vol 11 (2) ◽  
pp. 59-64 ◽  
Author(s):  
Poul Erik Petersen

The purpose of the present investigation was to study the utilization of dental services, the distribution of dental diseases and treatment needs in a Danish industrial population. The study covered the male population at a Danish shipyard, and a sample of 988 workers and clerical and managerial staff was drawn by stratified random sampling. 841 persons were interviewed regarding dental visits and attitudes towards dental health services and data on dental health and treatment needs were collected. 61% of the participants aged 15–64 years made regular dental visits at least once a year. The percentages of regular visitors varied according to age and occupation, from 68 to 82% among clerical staff to 34 to 51% among workers. The mean DMF-T increased from 16.6 in the age group 15–24 to 27.0 among the 55–64-year-olds. Untreated dental decay was predominant among workers and persons never seeing a dentist, whereas there were more filled teeth and fewer missing teeth among staff and regular visitors. The periodontal status was less satisfactory in the older age groups and among workers, and most denture wearers were found in the age group 35–64 and among workers. Concordant to the findings on dental health status, dental treatment needs due to caries and periodontal disease as well as prosthetic treatment needs varied according to age, occupation and dental visits. More radical treatment types were needed in the older age groups, among workers and non-regular visitors. The present study seems to indicate that dental diseases in the adult Danish population are not under control.


2021 ◽  
Vol 17 ◽  
Author(s):  
Jaclyn Vu ◽  
Priyanshi Ritwik

Background: Prader-Willi Syndrome (PWS) is a complex neurodevelopmental disorder caused by gene alterations on chromosome 15q11-q13 resulting in hyperphagia and neuroendocrine deficits. A comprehensive guide for dental treatment for PWS is lacking despite numerous case reports. The objective of this report and review was to develop a problem-focused list of the interrelationship between oral and systemic parameters of PWS and enable dentists in anticipating the unique treatment needs of children and individuals with PWS. Methods: Four pediatric patients with PWS presenting to an academic dental clinic were evaluated. A literature review spanning the last twenty years was performed to identify the pathophsyiological impact of systemic problems on dental health and treatment. Results: The four cases along with cases from literature were used to enumerate salient oro-dental and systemic features influencing treatment decisions in dentistry. They formed the basis for collective recommendations and precautions for rendering dental treatment in patients with PWS. Conclusion: Sedation for dental treatment is contraindicated due to obesity (BMI over 95th percentile), hypotonia, obstructive sleep apnea (OSA) and respiratory limitations (restricted ventilation due to weight on thoracic cage). Prolonged recovery from general anesthesia, OSA and temperature dysregulation necessitate extended monitoring after dental rehabilitation under general anesthesia. Orthopedic problems and respiratory limitations exclude protective stabilization. Xerostomia and acidic saliva necessitate recommendations for oral rehydrating products. Periodontal assessment is necessary due to poor oral hygiene and diabetes mellitus. Early establishment of a dental home and risk-based frequency of dental care should address caries prevention and restorative needs.


2017 ◽  
Vol 103 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Alex D McMahon ◽  
Lawrie Elliott ◽  
Lorna MD Macpherson ◽  
Katharine H Sharpe ◽  
Graham Connelly ◽  
...  

BackgroundThere is limited evidence on the health needs and service access among children and young people who are looked after by the state. The aim of this study was to compare dental treatment needs and access to dental services (as an exemplar of wider health and well-being concerns) among children and young people who are looked after with the general child population.MethodsPopulation data linkage study utilising national datasets of social work referrals for ‘looked after’ placements, the Scottish census of children in local authority schools, and national health service’s dental health and service datasets.Results633 204 children in publicly funded schools in Scotland during the academic year 2011/2012, of whom 10 927 (1.7%) were known to be looked after during that or a previous year (from 2007–2008). The children in the looked after children (LAC) group were more likely to have urgent dental treatment need at 5 years of age: 23%vs10% (n=209/16533), adjusted (for age, sex and area socioeconomic deprivation) OR 2.65 (95% CI 2.30 to 3.05); were less likely to attend a dentist regularly: 51%vs63% (n=5519/388934), 0.55 (0.53 to 0.58) and more likely to have teeth extracted under general anaesthesia: 9%vs5% (n=967/30253), 1.91 (1.78 to 2.04).ConclusionsLAC are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and healthcare for LAC and to develop preventive care pathways on entering and throughout their time in the care system.


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