Building team agreement on large population surveys through inter-rater reliability among oral health survey examiners

Background: Oral health surveys conducted on a very large population involve many examiners who must be consistent in scoring different levels of an oral disease. Prior to the oral health survey implementation, a measurement of inter-rater reliability (IRR) is needed to know the level of agreement among examiners or raters. Purpose: This study aimed to assess the IRR using consensus and consistency estimates in large population oral health surveys. Methods: A total of 58 dentists participated as raters. The benchmarker showed the clinical sample for dental caries and community periodontal index (CPI) score, with the raters being trained to carry out a calibration exercise in dental phantom. The consensus estimate was measured by means of a percent agreement and Cohen’s Kappa statistic. The consistency estimate of IRR was measured by Cronbach’s alpha coefficient and intraclass correlation. Results: The percent agreement is 65.50% for photographic slides of dental caries, 73.13% for photographic slides of CPI and 78.78% for calibration of dental caries using phantom. There were statistically significant differences between dental caries calibration using photographic slides and phantom (p<0.000), while the consistency of IRR between multiple raters is strong (Cronbrach’s Alpha: >0.9). Conclusion: A percent agreement across multiple raters is acceptable for the diagnosis of dental caries. Consistency between multiple raters is reliable when diagnosing dental caries and CPI.

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Oral Health survey at an air base in Jordan

Eastern Mediterranean Health Journal ◽

10.26719/1998.4.2.332 ◽

1998 ◽

Vol 4 (2) ◽

pp. 332-337

Author(s):

T. A. Rababa'h ◽

M. A. Al Omari

Keyword(s):

Developing Countries ◽

Young Adults ◽

Oral Health ◽

Dental Caries ◽

Periodontal Disease ◽

Health Survey ◽

Treatment Needs ◽

Periodontal Index ◽

Community Periodontal Index

The aim of this investigation was to assess the severity and prevalence of periodontal disease and dental caries in 507 subjects, ranging in age from 15 to 44 years, at an army air base in Jordan. Using the Community Periodontal Index for Treatment Needs [CPITN], it was found that prevalence of periodontal disease increased with age, but incidence of caries, gingivitis and calculus was alarmingly high in young adults [20-24 years]. Overall, the rate of decayed, missing and filled teeth [DMFT] is rising, a trend that has been noted in similar studies from other developing countries

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Evaluation of Salivary Interleukin-1ß Levels and Oral Health in Pakistani Male Smokers

10.53350/pjmhs211561158 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1158-1163

Author(s):

S. A. Hamza ◽

S. Asif ◽

S. A. H. Bokhari

Keyword(s):

Oral Health ◽

Dental Caries ◽

Low Income ◽

Smoking Status ◽

Saliva Sample ◽

Oral Disease ◽

Oral Diseases ◽

Missing Teeth ◽

Significance Level ◽

Inflammatory Biomarker

Aim: Smoking induces changes in salivary inflammatory biomarker levels associated with oral diseases. This study status and explored association among salivary Interleukin-1β, oral diseases and smoking. Methods: Data of male smokers of a private institute recruited for a randomized clinical trial is analyzed for this paper. Demographic and systemic information were collected. Oral disease status was examined and saliva sample collected for IL-1β levels. IL-1β levels and other study variables were analyzed with respect to smoking status categorized into smoking years and cigarettes per day. The student's t-test and one-way ANOVA were used for statistical analysis using SPSS version 22) with significance level of p≤0.050. Results: Analysis of baseline data of seventy-eight smokers showed elevated levels of IL-1β with increasing smoking, higher BMI. Smoking was higher among aged, married and low-income individuals. Pearson partial correlation analysis, after controlling age, marital status, education, income, and BMI, demonstrated a positive significant relationship of smoking per day with smoking years; dental caries with missing teeth and calculus; gingivitis with missing teeth and calculus; periodontitis with dental caries, calculus and gingivitis. Conclusion: This analysis demonstrates that levels of IL-1β were raised in smokers, however; there was no association with oral disease parameters. Large studies may be conducted to observe status and association of smoking, oral disease and salivary biomarkers. Keywords: Smoking, Oral Health, IL-1β, Males

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Oral Health and Nutrition

10.2310/im.9038 ◽

2020 ◽

Author(s):

Carole. A. Palmer ◽

Zhangmuge Cheng

Keyword(s):

Oral Health ◽

Dental Caries ◽

Periodontal Diseases ◽

Oral Disease ◽

Oral Diseases ◽

Oral Infections ◽

Surgeon General ◽

Optimal Health ◽

Health And Disease ◽

Oral Conditions

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans

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Color/race inequalities in oral health among Brazilian adolescents

Revista Brasileira de Epidemiologia ◽

10.1590/s1415-790x2009000300003 ◽

2009 ◽

Vol 12 (3) ◽

pp. 313-324 ◽

Cited By ~ 10

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.

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Oral Health Status and Practices of 5 and 12 Year Old Indian Tribal Children

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.35.3.c8063171438k4362 ◽

2011 ◽

Vol 35 (3) ◽

pp. 325-330 ◽

Cited By ~ 9

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.

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Oral Health Status and Treatment Needs of Government Employees in New Delhi

Workplace Health & Safety ◽

10.1177/2165079919852119 ◽

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.

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Status of dental caries and associated factors in Tibetan adults: findings from the fourth China National Oral Health Survey

BMC Oral Health ◽

10.1186/s12903-020-01225-0 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Lingxia Guan ◽

Jing Guo ◽

Jinghao Ban ◽

Gang Li ◽

Juan Tong ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Confidence Interval ◽

Health Survey ◽

Odds Ratio ◽

Associated Factors ◽

Tooth Brushing ◽

Root Caries ◽

The Status ◽

The Mean

Abstract Background Tibet, a region where average elevation is above 3500 m and socio-economic development is relatively lower, was not included in National Oral Health Survey over decades. The cross-sectional study aimed to investigate the status of dental caries and associated factors in Tibetan adults. Methods Participants aged 35–44, 55–64 and 65–74 years were selected. Decayed, missing, and filled tooth (DMFT), decayed and filled root (DF-Root) and root canal index (RCI) were used to evaluate dental caries. Questionnaire survey on demographic information, socioeconomic status, dietary habits, and oral health knowledge and behavior was conducted. Mann-Whitney U test, logistic regression were used for the statistical analyses. Results A total of 446 participants were enrolled in the survey. Of these: 222 (49.8%) were females, 224 (50.2%) were males; 149 (33.4%), 151 (33.9%), 146 (32.7%) were aged 35–44, 55–64 and 65–74 years respectively. The mean DMFT (SD) was 7.62 (4.84), 12.46 (8.16), and 21.38 (8.93). The filling rate was very low in all age groups (1.77%, 0.98%, 0.45%). The mean DF-Root (SD) was 0.50 (1.04), 1.04 (2.02), 1.32 (2.14), respectively. Root caries index was 42.27, 44.78 and 57.60%. Older age (65–74 age group) was positively associated with crown caries (odds ratio = 31.20, 95% confidence interval: 10.70–90.96). College degree and above and brushing teeth at least once a day were negatively associated with crown caries (odds ratio = 0.28, 95% confidence interval: 0.09–0.89; odds ratio = 0.39, 95% confidence interval: 0.21–0.72, respectively). Rural area, high income level and brushing teeth at least once a day were negatively and tooth with attachment loss was positively associated with root caries. Conclusions The status of dental caries in the adults in Tibet is severe and the treatment rate is very low. The study suggests a correlation between crown caries and the variables age, level of education and frequency of tooth brushing; correlation between root caries and residence, income level, frequency of tooth brushing and exposed root surfaces. These findings could be as reference to develop community based interventions to reduce the prevalence of caries in Tibet.

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Oral Health Status of 12- and 15-Year-Old Students in Qatar: Findings From the National Oral Health Survey

International journal of basic science in medicine ◽

10.15171/ijbsm.2018.06 ◽

2018 ◽

Vol 3 (1) ◽

pp. 32-37 ◽

Cited By ~ 1

Author(s):

Mohammed Al-Thani ◽

Al-Anoud Al-Thani ◽

Abdulla Al-Emadi ◽

Walaa Al-Chetachi ◽

Benjamin Vinodson ◽

...

Keyword(s):

Health Status ◽

Oral Health ◽

Dental Caries ◽

Health Survey ◽

Dental Fluorosis ◽

Oral Health Status ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Test Analysis ◽

Lower Odds

Background The national oral health survey-Qatar was carried out in 2011 in an attempt to establish the baseline information about oral health status among youth. This article describes the oral health status of 12 and 15-year-old students in Qatar. Methods Cross-sectional survey data were analyzed for 12 (N=1060) and 15 (N=1064) year-old students. The caries status based on decayed, missing, filled teeth or DMFT=0 (no caries) & DMFT≥1 (caries present). Mean indices among nationalities and sex were compared by student’s t-test. Analysis of variance (ANOVA) was used to compare means by the type of the school. Logistic regression was used to examine associations among available variables. Results In the overall sample, 53.3% (n=565) of 12-year-olds and 55.4% (n=589) of 15-year-olds had varying levels of dental caries. The odds of dental caries were higher among girls compared to boys aged 12 years (OR=1.3, CI=1.0-1.6, P=0.05) as well as 15 years old (OR=1.28, CI=1.01-1.6, P=0.04) respectively. By nationality, Qatari students had a higher mean DMFT value (1.3 ± 1.2) compared to non-Qataris (0.82 ± 1.1). The public/independent attendees had higher mean DMFT values (1.31 ± 1.2) compared to the other two school categories. Fifteen-year-old students had lower odds (OR=0.81, CI- 0.68-0.97, P=0.02) of gingival bleeding and higher odds (OR=1.68, CI=1.4-2.1, P<0.001) of calculus compared to 12-year-olds. Dental fluorosis was found among 15% of 12 years old and 16.6% of 15 years old. The odds of fluorosis were higher among 15 years old but this relationship was not significant (OR=1.1, CI=0.88-1.4, P=0.36). Lower odds of bleeding teeth (OR=0.81, CI=0.68-0.97, P=0.02) and higher odds of calculus were found among 15 years old (OR=1.68, CI=1.4-2.1, P<0.001) compared to 12 years. Conclusions The results provide directions to further strengthen the oral health strategies through various evidence-based interventions.Background

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Dental caries among the elderly in Iran: a meta-analysis

10.1101/2020.07.24.20161299 ◽

2020 ◽

Author(s):

Shervan Shoaee ◽

Farshad Sharifi ◽

Pooneh Ghavidel Parsa ◽

Ahmad Sofi-Mahmudi

Keyword(s):

Systematic Review ◽

Oral Health ◽

Dental Caries ◽

Health Surveys ◽

Meta Analysis ◽

Grey Literature ◽

Age Groups ◽

The Elderly ◽

Missing Teeth ◽

Cross Sectional

Objectives: To conduct a systematic review and meta-analysis on dental caries among the elderly in Iran. Background: The prevalence of dental caries among elderly is high worldwide, and the major burden of oral diseases is caused by dental caries. Methods: Systematic review of the published and grey literature performed. Six international and local databases used to provide the most comprehensive population-based studies. National oral health surveys, as well as national disease and health surveys considered as other primary sources of data. Quality of remained studies was assessed by a modified tool designed based on STROBE statement checklist to evaluate the cross-sectional studies. The target population was 65+-year-olds Iranian population. Results: Overall, 917 English articles who those reported dental caries among all age groups were found in international databases and 2138 Persian articles were found in Iranian databases. After quality assessment, and excluding other age groups, 46 points of data with 10411 aged people ≥ 65 years, were included in the meta-analysis. Mean pooled decayed, missing, and filled teeth among the elderly was 26.84 (26.41-27.28). This index was 26.78 (26.12-27.43) in women and 26.91 (26.32-27.50) in men. Mean number of decayed teeth was 1.48 (1.32-1.65). Mean pooled missing teeth was 24.83 (24.20-25.46), and mean pooled filled teeth was 0.14 (0.12-0.17). The majority (92%) of DMFT was related to missing teeth. Conclusion: Dental caries has a very high burden on the oral health of the elderly in Iran, mainly responded by tooth extraction.

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Oral Health Problem Among Pregnant Mothers: Age And Attitude Do Matter

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i2.1087 ◽

2017 ◽

Vol 16 (2) ◽

Author(s):

Karimah Hanim binti Abd Aziz ◽

Nurjasmine Aida bt Jamani ◽

Zurainie bt Abllah

Keyword(s):

Oral Health ◽

Dental Caries ◽

Low Socioeconomic Status ◽

Health Problem ◽

Multinomial Logistic Regression ◽

Well Being ◽

Oral Health Problem ◽

Periodontal Index ◽

Pregnant Mothers ◽

Good Attitude

Introduction: Oral health care during pregnancy is greatly important as it is crucial to the health and well-being to both pregnant mother and baby. Studies showed that mothers with oral health problem have greater risk of prematurity and low birth weight babies. This study aimed to measure the associated factors of oral health problem among pregnant mothers. Materials and Methods: This cross sectional study was conducted among purposely selected 296 pregnant mothers aged 18- 45 years from the biggest district in Pahang State, Malaysia. This 18 months study used validated self-administered questionnaire which was asking on socio-demographic characteristics, and knowledge, attitude and practice on oral health. Oral health status was assessed by dentists using Community Periodontal Index of Treatment Need (DFMT index). Descriptive analysis used to describe respondents background and multinomial logistic regression used to examine the associations. Results: Majority of the respondents (89.9%) were among young mothers (35 years), Malay (91.9%), mean gestation of two, and from low socioeconomic status (59.5%). Of the 296 respondents, 111 (48.1%) had low experience with dental caries, 57 (24.7%) had moderate experience, and 63 (24.3%) had high experience with dental caries. Older age had higher risk to experience dental caries and those who had good attitude were protected, p=0.018 and p=0.023 respectively. Conclusion(s): Age and attitude were significant factors associated to oral health problem among pregnant mothers. Thus, health promotion and good attitude should be instilled from younger age.

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