scholarly journals A multilevel analysis of the importance of oral health instructions for preventing tooth loss: The 8020 Promotion Foundation Study of Japanese Dental Patients

2020 ◽  
Author(s):  
Mizuki Saito ◽  
Yoshihiro Shimazaki ◽  
Kakuhiro Fukai ◽  
Michiko Furuta ◽  
Jun Aida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Multilevel Analysis ◽  
Lower Risk ◽  
Tooth Loss ◽  
Dental Hygienists ◽  
Dental Clinic ◽  
Dental Patients ◽  
Dental Clinics ◽  
Health Instruction

Abstract Background: Many studies have reported risk factors for tooth loss. Oral health instruction is considered effective at improving oral health behavior and oral health. However, few studies have examined the relationship of dental clinic factors, such as the number of dental hygienists and implementation of oral health instructions, with tooth loss. Here, we conducted a multilevel analysis to clarify the dental clinic risk factors associated with tooth loss.Methods: Baseline surveys were conducted at 1,216 dental clinics in 46 prefectures in Japan, and 12,399 dental patients aged 20 years and over underwent oral examinations and completed a questionnaire. The dental clinics also completed a questionnaire at baseline. A 3-year follow-up survey included 2,488 patients in 585 dental clinics. Multilevel multivariate logistic regression analysis was used to examine the risk of tooth loss at the patient and clinic levels.Results: Of the patient variables, older age, higher mean probing pocket depth, current or past smoking, and bleeding during tooth brushing were associated with higher risks of tooth loss. Individuals having many teeth and visiting dental clinics for maintenance were at significantly lower risk of tooth loss. Of the clinic variables, patients attending dental clinics with four or more dental hygienists had a significantly lower risk of tooth loss (OR 0.67, 95% CI 0.50–1.00). Patients attending dental clinics that provide oral health instructions for 20 min or more had a significantly lower risk of tooth loss (OR 0.69, 95% CI 0.50–0.96).Conclusions: In addition to individual risk factors for tooth loss, dental clinic factors such as length of oral health instruction and number of dental hygienists are associated with tooth loss. In dental clinics, ensuring sufficient time for dental hygienists to provide oral health instructions can help prevent tooth loss in dental patients.

scholarly journals A multilevel analysis of the importance of oral health instructions for preventing tooth loss: The 8020 Promotion Foundation Study of Japanese Dental Patients

2020 ◽  
Author(s):  
Mizuki Saito ◽  
Yoshihiro Shimazaki ◽  
Kakuhiro Fukai ◽  
Michiko Furuta ◽  
Jun Aida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Multilevel Analysis ◽  
Lower Risk ◽  
Tooth Loss ◽  
Dental Hygienists ◽  
Dental Clinic ◽  
Dental Patients ◽  
Dental Clinics ◽  
Health Instruction

Abstract Background: Many studies have reported risk factors for tooth loss. Oral health instruction is considered effective at improving oral health behavior and oral health. However, few studies have examined the relationship of dental clinic factors, such as the number of dental hygienists and implementation of oral health instructions, with tooth loss. Here, we conducted a multilevel analysis to clarify the dental clinic risk factors associated with tooth loss.Methods: Baseline surveys were conducted at 1,216 dental clinics in 46 prefectures in Japan, and 12,399 dental patients aged 20 years and over underwent oral examinations and completed a questionnaire. The dental clinics also completed a questionnaire at baseline. A 3-year follow-up survey included 2,488 patients in 585 dental clinics. Multilevel multivariate logistic regression analysis was used to examine the risk of tooth loss at the patient and clinic levels.Results: Of the patient variables, older age, higher mean probing pocket depth, current or past smoking, and bleeding during tooth brushing were associated with higher risks of tooth loss. Individuals with many teeth who visited dental clinics for maintenance were at significantly lower risk of tooth loss. Of the clinic variables, patients attending dental clinics with four or more dental hygienists had a significantly lower risk of tooth loss (OR 0.67, 95% CI 0.50–1.00). Patients attending dental clinics that provide oral health instructions for 20 min or more had a significantly lower risk of tooth loss (OR 0.69, 95% CI 0.50–0.96).Conclusions: In addition to individual risk factors for tooth loss, dental clinic factors such as length of oral health instruction and number of dental hygienists are associated with tooth loss. In dental clinics, ensuring sufficient time for dental hygienists to provide oral health instructions can help prevent tooth loss in dental patients.

scholarly journals A multilevel analysis of the importance of oral health instructions for preventing tooth loss: The 8020 Promotion Foundation Study of Japanese Dental Patients

2020 ◽  
Author(s):  
Mizuki Saito ◽  
Yoshihiro Shimazaki ◽  
Kakuhiro Fukai ◽  
Michiko Furuta ◽  
Jun Aida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Multilevel Analysis ◽  
Lower Risk ◽  
Tooth Loss ◽  
Dental Hygienists ◽  
Dental Clinic ◽  
Dental Patients ◽  
Dental Clinics ◽  
Health Instruction

Abstract Background: Many studies have reported risk factors for tooth loss. Oral health instruction is considered effective at improving oral health behavior and oral health. However, few studies have examined the relationship of dental clinic factors, such as the number of dental hygienists and implementation of oral health instructions, with tooth loss. Here, we conducted a multilevel analysis to clarify the dental clinic risk factors associated with tooth loss.Methods: Baseline surveys were conducted at 1,216 dental clinics in 46 prefectures in Japan, and 12,399 dental patients aged 20 years and over underwent oral examinations and completed a questionnaire. The dental clinics also completed a questionnaire at baseline. A 3-year follow-up survey included 2,488 patients in 585 dental clinics. Multilevel multivariate logistic regression analysis was used to examine the risk of tooth loss at the patient and clinic levels.Results: Of the patient variables, older age, higher mean probing pocket depth, current or past smoking, and bleeding during tooth brushing were associated with higher risks of tooth loss. Individuals with many teeth who visited dental clinics for maintenance were at significantly lower risk of tooth loss. Of the clinic variables, patients attending dental clinics with four or more dental hygienists had a significantly lower risk of tooth loss (OR 0.68, 95% CI 0.50–0.99). Patients attending dental clinics that provide oral health instructions for 20 min or more had a significantly lower risk of tooth loss (OR 0.69, 95% CI 0.50–0.96).Conclusions: In addition to individual risk factors for tooth loss, dental clinic factors such as length of oral health instruction and number of dental hygienists are associated with tooth loss. In dental clinics, ensuring sufficient time for dental hygienists to provide oral health instructions can help prevent tooth loss in dental patients.

scholarly journals A multilevel analysis of the importance of oral health instructions for preventing tooth loss: The 8020 Promotion Foundation Study of Japanese Dental Patients

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mizuki Saito ◽  
Yoshihiro Shimazaki ◽  
Kakuhiro Fukai ◽  
Michiko Furuta ◽  
Jun Aida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Multilevel Analysis ◽  
Lower Risk ◽  
Tooth Loss ◽  
Dental Hygienists ◽  
Dental Clinic ◽  
Dental Patients ◽  
Dental Clinics ◽  
Health Instruction

Abstract Background Many studies have reported risk factors for tooth loss. Oral health instruction is considered effective at improving oral health behavior and oral health. However, few studies have examined the relationship of dental clinic factors, such as the number of dental hygienists and implementation of oral health instructions, with tooth loss. Here, we conducted a multilevel analysis to clarify the dental clinic risk factors associated with tooth loss. Methods Baseline surveys were conducted at 1216 dental clinics in 46 prefectures in Japan, and 12,399 dental patients aged 20 years and over underwent oral examinations and completed a questionnaire. The dental clinics also completed a questionnaire at baseline. A 3-year follow-up survey included 2488 patients in 585 dental clinics. Multilevel multivariate logistic regression analysis was used to examine the risk of tooth loss at the patient and clinic levels. Results Of the patient variables, older age, higher mean probing pocket depth, current or past smoking, and bleeding during tooth brushing were associated with higher risks of tooth loss. Individuals with many teeth who visited dental clinics for maintenance were at significantly lower risk of tooth loss. Of the clinic variables, patients attending dental clinics with four or more dental hygienists had a significantly lower risk of tooth loss (OR 0.68, 95% CI 0.50–0.99). Patients attending dental clinics that provide oral health instructions for 20 min or more had a significantly lower risk of tooth loss (OR 0.69, 95% CI 0.50–0.96). Conclusions In addition to individual risk factors for tooth loss, dental clinic factors such as length of oral health instruction and number of dental hygienists are associated with tooth loss. In dental clinics, ensuring sufficient time for dental hygienists to provide oral health instructions can help prevent tooth loss in dental patients.

scholarly journals A multilevel analysis of the importance of oral health instructions for preventing tooth loss: The 8020 Promotion Foundation Study of Japanese Dental Patients

2020 ◽  
Author(s):  
Mizuki Saito ◽  
Yoshihiro Shimazaki ◽  
Kakuhiro Fukai ◽  
Michiko Furuta ◽  
Jun Aida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Multilevel Analysis ◽  
Lower Risk ◽  
Tooth Loss ◽  
Dental Hygienists ◽  
Dental Clinic ◽  
Dental Patients ◽  
Dental Clinics ◽  
Health Instruction

Abstract Background: Many studies have reported risk factors for tooth loss. Oral health instruction is considered effective at improving oral health behavior and oral health. However, few studies have examined the relationship of dental clinic factors, such as the number of dental hygienists and implementation of oral health instructions, with tooth loss. Here, we conducted a multilevel analysis to clarify the dental clinic risk factors associated with tooth loss.Methods: Baseline surveys were conducted at 1,216 dental clinics in 46 prefectures in Japan, and 12,399 dental patients aged 20 years and over underwent oral examinations and completed a questionnaire. The dental clinics also completed a questionnaire at baseline. A 3-year follow-up survey included 2,488 patients in 585 dental clinics. Multilevel multivariate logistic regression analysis was used to examine the risk of tooth loss at the patient and clinic levels.Results: Of the patient variables, older age, higher mean probing pocket depth, current or past smoking, and bleeding during tooth brushing were associated with higher risks of tooth loss. Individuals with many teeth who visited dental clinics for maintenance were at significantly lower risk of tooth loss. Of the clinic variables, patients attending dental clinics with four or more dental hygienists had a significantly lower risk of tooth loss (OR 0.68, 95% CI 0.50–0.99). Patients attending dental clinics that provide oral health instructions for 20 min or more had a significantly lower risk of tooth loss (OR 0.69, 95% CI 0.50–0.96).Conclusions: In addition to individual risk factors for tooth loss, dental clinic factors such as length of oral health instruction and number of dental hygienists are associated with tooth loss. In dental clinics, ensuring sufficient time for dental hygienists to provide oral health instructions can help prevent tooth loss in dental patients.

Reducing Gingivitis Remotely using the iGAM mHealth app (part 2): Prospective Observational Study (Preprint)

2020 ◽  
Author(s):  
Guy Tobias ◽  
Assaf B Spanier
Keyword(s):  
Oral Health ◽  
Tooth Loss ◽  
Prospective Observational Study ◽  
Dental Clinics ◽  
Significant Difference ◽  
Observational Cohort ◽  
Group 2 ◽  
And Behavior ◽  
Oral Hygiene Habits ◽  
Group 1

BACKGROUND Gingivitis is a non-painful, inflammatory condition that can be treated with home remedies. Left untreated gingivitis can lead to tooth loss. Periodic dental examinations are important for early diagnosis and treatment of gum diseases. In order to contain the spread of the corona virus, governments, including in Israel, have restricted movements of their citizens which has caused routine dental checkups to be postponed. OBJECTIVE This study aimed to examine the ability of an mHealth app- iGAM to reduce gingivitis. METHODS A prospective observational cohort study was performed, 160 unpaid participants were divided into 2 equal groups and downloaded the iGAM app. Group 1 photographed their gums weekly for eight weeks. Group 2 photographed their gums at the time of recruitment and 8 weeks later. After photo submission, the participants received the message "It is recommended to read the information contained within the app regarding maintaining oral hygiene habits". A single blinded researcher examined the images and scored them according to the Modified Gingival Index (MGI). RESULTS The average age of group 1 was 26.77 (S.D. ± 7.43), and 28.53 (S.D. ± 10.44) for group 2. The majority were male (74.7% in group 1 vs. 66.7% in group 2), most participants described themselves as "secular", most were "single", non-smokers (74.7% vs. 78.4%) and did not take medications (85.3% vs. 78.4%). 126 subjects completed the study. A statistically significant difference (P <.001) was found in the dependent variable (MGI) in a linearly negative manner. As time passed, the gum condition improved, there were significantly lower gingivitis scores in group 1 (M = 1.16, S.D. ± 1.18) compared to group 2 (M = 2.16, S.D. ± 1.49), after eight weeks. Those with more recent dental visits had a lower MGI (p = .037). No association was found between knowledge and behavior, most participants were familiar with the recommendations for maintaining oral health, yet they only performed some. CONCLUSIONS A dental selfie taken once a week using an mHealth app (iGAM) reduced the signs of gingivitis and promoted oral health. During the current pandemic where social distancing recommendations may be causing people to avoid dental clinics, this app can remotely promote gum health. CLINICALTRIAL The protocol was approved by Hadassah research ethics committee (IRB, 0212-18-HMO)

scholarly journals Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tomotaka Kato ◽  
Natsuki Fujiwara ◽  
Tomohisa Ogawa ◽  
Yukihiro Numabe
Keyword(s):  
Risk Factors ◽  
Tooth Loss ◽  
Periodontal Therapy ◽  
Dental Hygienists ◽  
Multiple Classification Analysis ◽  
Hazard Ratios ◽  
Dental Office ◽  
Multiple Classification ◽  
Supportive Periodontal Therapy

Abstract Background Clinical evidence indicates that there are various risk factors of tooth loss. However, the degree of this risk among other risk factors remains unclear. In this retrospective cohort study, the authors evaluated the hazard ratios of several risk factors for tooth loss. Methods Included patients had all been treated for dental disorders, were in the supportive phase of periodontal therapy by dental hygienists, and visited a Japanese dental office continually during a 10-year period. Periodontal parameters, tooth condition, and general status of all teeth (excluding third molars) at the initial visit and at least 10 years later were evaluated by using multiple classification analysis. Results The authors evaluated a total of 7584 teeth in 297 patients (average age: 45.3, mean follow-up time: 13.9 years) Non-vital pulp was the most significant predictor of tooth loss according to Cox hazards regression analysis (hazard ratio: 3.31). The 10-year survival rate was approximately 90% for teeth with non-vital pulp and 99% for teeth with vital pulp. Fracture was the most common reason for tooth loss. Conclusions Non-vital pulp had the most significant association with tooth loss among the parameters. Therefore, it is very important to minimize dental pulp extirpation.

scholarly journals Oral health inequality in people with severe mental illness: a cross-sectional study using National Health and Nutrition Examination Survey 1999-2016

2021 ◽  
Author(s):  
Jing Kang ◽  
Jianhua Wu ◽  
Vishal Aggarwal ◽  
David Shiers ◽  
Tim Doran ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mental Illness ◽  
Oral Health ◽  
General Population ◽  
Health Outcomes ◽  
Severe Mental Illness ◽  
Tooth Loss ◽  
List Type ◽  
Cross Sectional ◽  
Oral Health Outcomes

AbstractOBJECTIVETo explore whether people with severe mental illness (SMI) experience worse oral health compared to the general population, and the risk factors for poor oral health in people with SMI.METHODThis study used cross-sectional data from the National Health and Nutrition Examination Survey (1999-2016) including on self-rated oral health, ache in mouth, tooth loss, periodontitis stage, and number of decayed, missing, and filled teeth. Candidate risk factors for poor oral health included demographic characteristics, lifestyle factors, physical health comorbidities, and dental hygiene behaviours. The authors used ordinal logistic regression and zero-inflated negative binomial models to explore predictors of oral health outcomes.RESULTS53,348 cases were included in the analysis, including 718 people with SMI. In the fully adjusted model, people with SMI were more likely to suffer from tooth loss (OR 1.40, 95% CI: 1.12-1.75). In people with SMI, the risk factors identified for poor oral health outcomes were older age, white ethnicity, lower income, smoking history, and diabetes. Engaging in physical activity and daily use of dental floss were associated with better oral health outcomes.CONCLUSIONSPeople with SMI experience higher rates of tooth loss than the general population, and certain subgroups are particularly at risk. Having a healthy lifestyle such as performing regular physical exercise and flossing may lower the risk of poor oral health. These findings suggest opportunities for targeted prevention and early intervention strategies to mitigate adverse oral health outcomes.Significant outcomes (x3)People with severe mental illness were at 40% higher risk of tooth loss when compared to the general population.Older adults, smokers and people with diabetes were at particularly high risk of poor oral health.Physical exercise and daily use of dental floss were associated with better oral health outcomes.Limitations (x3)The number of cases with data on periodontal disease was limited.The study was cross-sectional so causation could not be inferred.The analysis used prescriptions of antipsychotic and mood stabilising medication as a proxy measure of severe mental illness, as clinical diagnoses were not available in the dataset.Data availability statementThe NHANES 1999-2016 data is available at CDC website: https://www.cdc.gov/nchs/nhanes/index.htm, and is accessible and free to download for everyone.

Risk factors for tooth loss in adult Japanese dental patients: 8020 Promotion Foundation Study

2019 ◽  
Vol 10 (2) ◽  
pp. e12392 ◽  
Author(s):  
Mizuki Saito ◽  
Yoshihiro Shimazaki ◽  
Kakuhiro Fukai ◽  
Michiko Furuta ◽  
Jun Aida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tooth Loss ◽  
Dental Patients

scholarly journals Prevalence of odontogenic infections and their risk factors among the general population of Hyderabad, Pakistan.

2019 ◽  
Vol 26 (11) ◽  
pp. 1931-1936
Author(s):  
Khurram Anwar ◽  
Naveed Irfan ◽  
Mudassar Iqbal Arain ◽  
Saira Shahnaz
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Family History ◽  
Dental Caries ◽  
General Population ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Odontogenic Infections ◽  
Dental Patients ◽  
Dental Diseases

Objectives: Oral health performs a central part in general health which is associated with good oral hygiene. Teeth and their supporting (periodontal) structures are considered most important to oral health. Therefore, Most prevalent oral diseases such as odontogenic infections (dental caries, gingivitis, periodontal disease) gum disease, oral mucosal and congenital dental problems are foremost oral health dilemma in general population. Objective: The main objective of current study was to find out the Prevalence of odontogenic infections and their risk factors among the general population. Study Design: This is a descriptive cross sectional study. Setting: Dental patients who came to different dental clinical settings of Hyderabad, Pakistan. Period: August to December 2018. Material and Methods: A total of 300 patient’s data were collected. In current study, the variables of interest are microbial odontogenic infections such as dental caries, gingivitis and periodontal disease were included in study. Following risk factors were explored: gender, age, residence, education level, disease duration, smoking, family history, and tooth paste habit. All information/data were personally collected by interview technique and oral cavity examination. The observational data were reported in the specific form and used descriptive statistics to find out the results. Results: A total of 300 dental patients having various infections such as gingivitis (47%), dental caries (20.7%) and periodontal infection (32.3%) were reported in this study. Of these, 162(54%) were females and 138(46%) of males. The most common age of patients i.e. 41.7% were from 41 to 60 years. Education status showed that 86% of the dental patients had education and 35.3% had family history of dental diseases. Factors such as mostly duration of diseases were > 6 months(33.7%) and almost 66% patients has habit of cleaning the teeths, However, Calculus and tarta deposited in 62.7% patients teeth. Smoking (21.3%) and 46.6% patients used sweet foods on daily purpose. Moreover, amoxicillin most frequently prescribed antimicrobial agent 39% followed by metronidazole 32.7%. Conclusion: Dental diseases are common public health problem among our society, poor oral hygiene & dietary habits and deposition of calculus are associated factors for odontogenic infections. Moreover, prescribing pattern shows that Amoxicillin and Metronidazole has been considered as first-line treatment for oral infections. Therefore, oral hygiene education, dietary and proper cleaning of teeth habits and dental visit at early stage of disease should be recommended for patients to avoid and cure dental odontogenic infections.

scholarly journals Assessment of the Feelings and Attitudes of Children towards Their Dentist and Their Association with Oral Health

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Aslı Patır Münevveroğlu ◽  
Beyza Ballı Akgöl ◽  
Tuğba Erol
Keyword(s):  
Oral Health ◽  
World Health Organization ◽  
World Health ◽  
Dental Clinic ◽  
Delivery Of Care ◽  
Dental Clinics ◽  
The World ◽  
The Mean ◽  
Health Organization

This study assessed the feelings and attitudes of children toward their dentists and their association with oral health. Methods. A questionnaire designed to evaluate the attitudes of children toward dentists and preferences was completed by 200 children and their families. In addition, the children were examined and the World Health Organization (WHO) method was used to obtain dmft and DMFT scores. Results. The mean dmft and DMFT scores were 3.52±2.44 and 1.35±1.29, respectively. Of the children, 92.5% reported that they had visited a dentist before. Of the children who had visited dentists, approximately 71.5% reported that they enjoyed their visits. Of the children, 84% preferred female dentists, 76.5% preferred dentists that wore a colored coat, and 63% preferred a decorated dental clinic over a plain clinic. The mean dmft and DMFT values of children who were afraid of dentists were significantly higher than those of children who were not (P<0.01 and P<0.05, resp.). Conclusion. Children have strong perceptions and preferences regarding the appearance of their dentists and dental clinics. The results of this study might help dentists to improve their delivery of care.

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