Self reported oral diseases, Oral hygiene and utilisation of Oral health services among pregnant women attending antenatal clinic at New Masala Clinic, Ndola, Zambia:cross-functional study (Preprint)

2019 ◽  
Author(s):  
Thandiwe Phiri

UNSTRUCTURED Background: Pregnancy is associated with the development of oral cavity disorders and diseases due to the increase in the levels of the hormones Estrogen and Progesterone, which predispose the oral cavity of the pregnant woman to diseases. Some of the common self-reported oral diseases in pregnancy are gingivitis, dental caries, periodontitis, pregnancy tumors and many more. In most developing countries research on the oral health during pregnancy has not been done leading to limited information to general public. The main objective of this study is to determine the self-reported oral diseases, oral hygiene and utilization of oral health services among pregnant women attending antenatal clinic at New Masala Clinic. Methods: A descriptive cross-sectional study was conducted among 208 pregnant women attending antenatal clinic at New Masala Clinic of Ndola town. All participants completed a questionnaire with following parameters; socio-demographics, self-oral care, oral symptoms during pregnancy and utilization of oral health services during pregnancy. The data collected was then analyzed using SPSS software version 20 statistical software. Chi-square test was used to determine significant associations. Results: over one third of participants reported to experience bleeding gums, 85.1% reported to have been brushing regularly at least twice or more daily. None (0%) used floss while majority (80.3%) of the participants reported use of toothpick. Majority (80.8%) had never visited a dentist in their entire life while 7.2% of the participants reported to have visited a dental clinic in less than 1 year ago. Majority (99%)of the participants had never visited a dentist during their pregnancy Conclusion and recommendations: Despite the high level of self-reported oral care among pregnant women there is great need for radical sensitization and awareness about oral health during pregnancy and utilization of dental services among pregnant women. Social economic status and education back ground do not influence dental services utilization or development of oral health diseases and. However the age of gestation has great influence of the development of certain oral symptoms and diseases.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chidozie Onwuka ◽  
Chidinma Ifechi Onwuka ◽  
Emeka Ifeanyi Iloghalu ◽  
Peter Chukwudi Udealor ◽  
Euzebus Chinonye Ezugwu ◽  
...  

Abstract Background Poor oral health in pregnancy can be associated with poor pregnancy outcome, however, dental consultation among pregnant women appears to be low. Methods This was a questionnaire-based study of 413 women who attended the antenatal clinic of University of Nigeria Teaching Hospital (UNTH), Ituku/Ozalla, Enugu. The information obtained was analyzed using SPSS version 22. A p-value of less than 0.05 was considered statistically significant. Results Only 36 (8.7%) of the respondents had dental consultations in index pregnancy for complaints such as tooth ache and decay (66.7%) and pain as well as swelling of the gum (33.3%). The most common reason given for not visiting a dentist during the index pregnancy was the visit not being relevant to their pregnancy outcome (69.2%). After counseling them, only 249 (60.3%) agreed to have dental consultation during subsequent pregnancies. The relationship between visiting the dentist and place of residence (< 0.001), occupation (0.019) and frequency of brushing/ changing of brush (0.005, < 0.001 respectively) were statistically significant. Conclusion The prevalence of dental consultation during pregnancy is very low. Pregnant women should be encouraged to have routine dental consultation with oral health counseling and check-up incorporated as part of routine antenatal care.


2015 ◽  
Vol 9 (2) ◽  
pp. 55-59 ◽  
Author(s):  
JE Enabulele ◽  
NM Chukwumah

ABSTRACT Objective This study evaluated the socio demographic determinants of utilization of dental services among secondary school students. Method A cross-sectional study of secondary school students attending schools in the immediate vicinity of a tertiary health facility that provides dental services. The analysis was done using frequency distribution, logistic regression, cross tabulations and test of significance with chi square. P< 0.05 was considered statistically significant. Results A total of 741 students participated in the study with 207 (27.9%) reporting dental visits mainly when they had dental problems. There was statistically significant association between the type of student, class and utilization of oral health services. Logistic regression showed no socio demographic factor was predictive of utilization of oral health services. Conclusion Although knowledge of who a dentist is was high, utilization of dental services was poor with no socio demographic factor being a predictor of utilization of dental services.


2020 ◽  
Vol 26 (2) ◽  
pp. 109
Author(s):  
Gillian Jean ◽  
Estie Kruger ◽  
Marc Tennant

Progressive realisation of equitable access to health services is a fundamental measure of a state’s resolve to achieve universal health coverage. The World Health Organization has reprioritised the importance of oral health services as an integral element of the roadmap towards health equity. This study sought to determine whether there is an indication of progressive realisation of equitable spatial access to public dental services for Australians &lt;18 years of age through a comparison of travel times to the nearest public dental clinic at successive census dates. The distribution of children classified by rural remoteness and level of socioeconomic disadvantage, as well as the location of public dental clinics at the 2011 and 2016 Australian Bureau of Statistics censuses, was mapped using geographic imaging software. OpenRouteService software was used to calculate the travel time by car between each statistical census district and the nearest public dental clinic. There has been an improvement in the percentage of the population &lt;18 years of age living within a reasonable travel time of a public dental clinic. The most socioeconomically disadvantaged groups in more densely populated areas have better spatial access to publicly funded dental services than less disadvantaged groups. Children living in very remote areas continue to experience lengthy travel times to access fixed oral health services.


Author(s):  
Lawrence K. Thema ◽  
Shenuka Singh

Background: Despite the impact of oral diseases on the quality of life, there is limited updated evidence on oral health status in Limpopo province.Objectives: To determine the epidemiological profile of patients utilising public oral health services in Limpopo province.Method: This was a descriptive retrospective clinical chart review conducted in five purposively selected district hospitals in Limpopo province. The collected data included the patient’s sociodemographic information, reasons for dental consultation, information on the dental or oral diseases and the treatment received. Five hundred clinical files were systematically selected (100 from each district hospital) for the period 01 January 1995 to 31 December 2013. Data were collected using the World Health Organization’s indicator age groups, namely 6-year-olds, 12-year-olds, 18-year-olds and 35–44-year-old groups. A data capturing sheet was used to record the collected information. Data were analysed using the statistical software package for social sciences SPSS version 23.0.Results: The majority of patients were in the age group of 6 to 20 years (n = 375, 75%). The majority were male patients (n = 309; 62%). Dental caries was the most common complaint (n = 298, 60%). The second most common main complaint in this age group was retained primary or deciduous teeth (n = 60, 12%) affecting children mainly in the age group of 6 to 12 years. The most common clinical procedure across all five districts was dental extractions (n = 324, 64%). Other clinical interventions included scaling and polishing (n = 33, 12%) and dental restorative care (n = 20, 3%).Conclusion: There is an urgent need to reorient oral health service delivery in Limpopo province to focus more on preventive oral health programmes.


2015 ◽  
Vol 2 (2) ◽  
pp. 45
Author(s):  
Milica Latinović Miljević

Caries is today regardless of the knowledge of causes, and opportunities for prevention is still the most widespread disease of our civilization, a global problem. Treatment of caries and other oral diseases, due to the high price of dental services, is not only health but also social and economic problem. Caries prevention should begin in early childhood age, the promotion of all forms of promoting oral health. In order to take appropriate measures, it is necessary to investigate the state of oral health. In our study, we examined the condition of teeth in preschool children with milk teeth age 3 or 4 years and children with permanent teeth, age 6 years. With that examined the condition of teeth in pregnant women and conducted surveys on knowledge of prevention of oral health.The systematic examination included 654 child ages 3 and 4 years and found that 250 of them (38%) have carious milk teeth. In the group of 105-year-olds it was noted that 32 of them (30.47%) have healthy teeth (milk and permanent). Carious permanent teeth was 7 (2.18%) of the total erupted 321, while carious milk was in 77 children (73.3%).The analysis of systematic reviews 52 pregnant women, it was noted that 50% of respondents, has no awareness of oral health during pregnancy. Total decayed in all the examined 187 has extracted 118, rehabilitated 348thThe results of our research indicate a high prevalence of diseases of the teeth. Prevention programs and comprehensive health education, through a long period of time can bring adequate improvement of oral health. In these programs, it is necessary to actively participate on the entire population with the support of the wider community.


2020 ◽  
Author(s):  
Abiola Adeniyi ◽  
Leeann Donnelly ◽  
Patricia Janssen ◽  
Cecilia Jevitt ◽  
Bahareh Kardeh ◽  
...  

Abstract Background: Oral diseases are considered a silent epidemic including among pregnant women. Given the prevalence of oral conditions among pregnant women and the reported association with adverse pregnancy outcomes, there have been suggestions for the inclusion of preventive oral care in routine prenatal care. However, due to the different administrative and funding structure for oral health and prenatal care in Canada, progress towards this integration has been slow. Our study sought to qualitatively explore the views of pregnant women in British Columbia (BC) on the strategies for integrating preventive oral health care into prenatal care services.Methods: A qualitative approach was utilized involving semi-structured interviews with fourteen (14) purposefully selected pregnant women in Vancouver and Surrey, BC. The interviews were audio-recorded and transcribed. The transcripts were analyzed using an inductive thematic approach. Study validity was ensured via memoing, field-notes, and member checking.Results: Interviews ranged from 28 to 65 minutes producing over 140 pages of transcripts. Analysis resulted in three major themes: oral health experiences during pregnancy, perspectives on integration and integrated prenatal oral care, and strategies for addressing prenatal oral health care. A majority of participants were supportive of integrating preventive oral care in routine prenatal services, with referrals identified as a critical strategy. Oral health education was recognized as important before, during, and after pregnancy; oral health assessments should therefore be included in the prenatal care checklist. Limited funding was acknowledged as a barrier to oral health care access, which may explain why few participants visited their dentists during pregnancy. Interprofessional education surfaced as a bridge to provide prenatal oral health education.Conclusion: Pregnant women interviewed in this study support the inclusion of educational and preventive oral care during prenatal care, although their views differed on how such inclusion can be achieved in BC. They advocated the establishment of a referral system as an acceptable strategy for providing integrated prenatal oral health care.


2020 ◽  
Vol 4 (6) ◽  
pp. 177-179
Author(s):  
Aprilia Martha Bakoil ◽  
Dinah Charlota Lerik ◽  
Sabina Gero

Improving the optimal health status requires commitment and continuous effort so that a sub-standard development goals (SDGS) program is formed, one of which aims to tackle health problems in pregnant women. Dental and oral disease during pregnancy is a public health problem. The incidence of dental and oral diseases during this period is due to a lack of knowledge about oral health maintenance. The low use of service facilities by the community is related to treatment seeking behavior and ill-health concepts from the community. The purpose of the study was to analyze the relationship of knowledge and assessment of pregnant women with the use of dental health services at the Dental Clinic at the Health Centers in Kupang City. The design of this research was cross-sectional. The samples were 250 respondents, selected using proportional random sampling technique. Data were collected using a questionnaire as an instrument, then analyzed using ordinal regression test. Based on the data analysis results, it could be concluded that there was relationship between knowledge and assessment of pregnant women with the utilization of dental and oral health services in Public Health Center in Kupang City. Keywords: knowledge; pregnant women; utilization; dental and oral health services


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jilen Patel ◽  
Angela Durey ◽  
Steven Naoum ◽  
Estie Kruger ◽  
Linda Slack-Smith

Abstract Background Australian Aboriginal and Torres Strait Islander people continue to experience significant disparities in oral health and there remains an urgent need to improve services to rural and remote communities. Quantitative research has typically been used to highlight the disease burden and severity experienced by those living in remote communities, but this data does little to explore the lived reality and psychosocial nuances that impact on care. The Kimberley region of Western Australia is home to over 150 Aboriginal communities spread out across 400,000 square kilometres. The success and sustainability of oral health services to these remote communities relies on respect and reciprocity achieved through shared knowledge, decision making and involvement of Aboriginal people in discussions around oral health services and their delivery. This, study aimed to investigate the perceptions and attitudes toward dental services among Aboriginal Australian families living in remote Kimberley communities. Methods Semi-structured interviews and yarning circles were carried out following purposive sampling of Aboriginal adults living in the East Kimberley region of Western Australia. Interviews were recorded, transcribed, and analysed guided by a constructivist grounded theory approach. Results In total, 80 community members participated in the yarning process. Enablers to care included: promotion of existing services, integration with primary health services, using mobile dental services and volunteers to extend care. Barriers to care included transportation, cost of treatment, the complexity of appointment systems and shame associated with health-seeking behaviours. Conclusions Reassessing the prevailing operative model of dental care to remote Aboriginal communities is warranted to better address the overwhelming structural barriers that impact on oral health. Integration with existing primary health services and schools, the use of mobile units to extend care and increasing community engagement through clinical yarning are recommended in improving the current state of dental services to communities in the Kimberley.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Adeniyi ◽  
L. Donnelly ◽  
P. Janssen ◽  
C. Jevitt ◽  
B. Kardeh ◽  
...  

Abstract Background Oral diseases are considered a silent epidemic including among pregnant women. Given the prevalence of oral conditions among pregnant women and the reported association with adverse pregnancy outcomes, there have been suggestions for the inclusion of preventive oral care in routine prenatal care. However, due to the different administrative and funding structure for oral health and prenatal care in Canada, progress towards this integration has been slow. Our study sought to qualitatively explore the views of pregnant women in British Columbia (BC) on the strategies for integrating preventive oral health care into prenatal care services. Methods A qualitative approach was utilized involving semi-structured interviews with fourteen (14) purposefully selected pregnant women in Vancouver and Surrey, BC. The interviews were audio-recorded and transcribed. The transcripts were analyzed using an inductive thematic approach. Study validity was ensured via memoing, field-notes, and member checking. Results Interviews ranged from 28 to 65 min producing over 140 pages of transcripts. Analysis resulted in three major themes: oral health experiences during pregnancy, perspectives on integration and integrated prenatal oral care, and strategies for addressing prenatal oral health care. A majority of participants were supportive of integrating preventive oral care in routine prenatal services, with referrals identified as a critical strategy. Oral health education was recognized as important before, during, and after pregnancy; oral health assessments should therefore be included in the prenatal care checklist. Limited funding was acknowledged as a barrier to oral health care access, which may explain why few participants visited their dentists during pregnancy. Interprofessional education surfaced as a bridge to provide prenatal oral health education. Conclusion Pregnant women interviewed in this study support the inclusion of educational and preventive oral care during prenatal care, although their views differed on how such inclusion can be achieved in BC. They advocated the establishment of a referral system as an acceptable strategy for providing integrated prenatal oral health care.


2008 ◽  
Vol os15 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Wayne Richards ◽  
Tony Gear

This paper explores aspects of professional culture in dentistry that may impact on the delivery of equitable dental services in the future. After 2009, commissioners will have to ration National Health Service budgets for health services and dentistry will compete with other services. Therefore, the delivery of equitable oral health services may be an advantage in the case for dentistry and subsequent funding. We report our opinions on the changes currently occurring in dentistry in England and Wales, based on the evidence available to us from the literature, and consider the risks and opportunities that have arisen.


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