scholarly journals Monitoring the quality of oral health among the population of schoolchildren

2017 ◽  
Vol 70 (5-6) ◽  
pp. 162-165
Author(s):  
Sladjana Vasiljevic ◽  
Aleksandra Cvetkovic

Introduction. Improvement of the quality of dental care is necessary for efficient prevention of oral diseases. The aim of this study was to analyze: the efficiency of the recommended work quality parameters in the Dental Health Care Service of the Health Center Zemun in 2014 and 2015; compare 7- and 12-year-olds in terms of having all healthy teeth and topical application of fluoride; presence of orthodontic anomalies in 12- and 14-year-olds, and assess the caries index (decayed-missing-filled teeth) in 12-year-old children. Material and Methods. The retrospective study included 7-, 12-, 14-, and 18-year-olds and assessed their oral health in 2014 (n = 4.317) and 2015 (n = 6.575). Results. A higher percentage of examinees kept their dental appointments in 2015 than in 2014 (82% and 60%, respectively). Out of 3.723 seven-year-olds, 36.6% had all healthy teeth, as well as 43.69% out of 3.170 of 12-year-olds. Out of 3.723 seven-year-olds, 65.26% had topical application of fluoride, as well as 78.73% out of 3.170 of twelve-year-olds. High percentages of orthodontic anomalies were found in both fourteen and eighteen-year-olds in 2015 (p<0.05). The average decayed-missing-filled teeth index in twelve-year-olds was 1.30 in 2014 and 1.68 in 2015. Conclusion. A higher percentage of all healthy teeth, and of topical application of fluoride in twelve-year-olds compared to the seven-year-olds, indicates that seven-year-olds keep their dental appointments more regularly, and consequently the prevention of oral diseases is more successful. Since the presence of orthodontic anomalies is high in both fourteen and eighteen-year-olds, and fewer children of both age groups respond to regular dental checkups, an intensified prevention of oral diseases is necessary in children.

2008 ◽  
Vol 55 (3) ◽  
pp. 180-187
Author(s):  
Svetlana Jovanovic ◽  
Ivanka Gajic

Mental disorders are an important problem in every national health care service. The importance of psychotic disorders is not only their frequency but also their long-term character, recurrence, association with other diseases, costs and consequences for the family and society. Psychotic disorders (schizophrenia, schizoaffective disorder, bipolar disorders and depression) and their treatment may result in serious oral diseases. These disorders and medications used to treat them may lead to a series of oral complications and side effects, predominantly high prevalence of carious and extracted teeth, periodontal disease, inadequate oral hygiene, xerostomia, burning mouth syndrome, bad breath and gustatory sense dysfunction. Psychotic disorders affect oral and dental health in two ways. Behavioural changes affect the oral hygiene maintenance and lead to bad habits and attitudes towards oral health. Antipsychotic therapy has adverse effects on oral health. Literature data suggest that oral health in patients with psychotic disorders is poor and highlight the need to develop specific preventive programmes, which would be aimed at improving behaviour of this population at risk in the oral health care system.


2008 ◽  
Vol 55 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Svetlana Jovanovic ◽  
Ivanka Gajic

Mental disorders are an important problem in every national health care service. The importance of psychotic disorders is not only their frequency but also their long-term character, recurrence, association with other diseases, costs and consequences for the family and society. Psychotic disorders (schizophrenia, schizoaffective disorder, bipolar disorders and depression) and their treatment may result in serious oral diseases. These disorders and medications used to treat them may lead to a series of oral complications and side effects, predominantly high prevalence of carious and extracted teeth, periodontal disease, inadequate oral hygiene, xerostomia, burning mouth syndrome, bad breath and gustatory sense dysfunction. Psychotic disorders affect oral and dental health in two ways. Behavioral changes affect the oral hygiene maintenance and lead to bad habits and attitudes towards oral health. Antipsychotic therapy has adverse effects on oral health. Literature data suggest that oral health in patients with psychotic disorders is poor and highlight the need to develop specific preventive programmes, which would be aimed at improving behavior of this population at risk in the oral health care system.


2020 ◽  
Vol 16 (2) ◽  
pp. 164-171
Author(s):  
Elena Svetlakova ◽  
Yuliya Mandra ◽  
Sergey Zholudev ◽  
Marina Haritonova ◽  
Anastasiya Kotikova ◽  
...  

Subject. In 2017, the “Happy Smile” project was developed at the dental faculty of the Ural State Medical University and its active implementation began, during which teachers and students conduct preventive measures in educational institutions, shopping centers, hospitals of the city. The goal is to increase the literacy of the population in relation to the prevention of oral diseases, as well as the quality of life of the population by reducing the level of dental morbidity, the formation of professional and super-professional competencies of a modern graduate dentist. Methodology. According to WHO, the prevalence of dental diseases does not tend to decrease. An urgent task today is the development of programs and projects aimed at the health of the population. Results. In 2017, the staff of the Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases of the Ural State Medical University took the initiative to create a Happy Smile preventive project at the faculty. The main objectives of the project were: the creation of a comprehensive preventive program covering all age groups of the population; carrying out activities aimed at updating the preservation and maintenance of dental health; improving the quality of medical (dental) education by involving students in medical volunteering; expansion of the territory of events to nearby cities of the Sverdlovsk region. Conclusions. Participation in the project forms significant professional and supra-professional competencies of students, which helps to improve the quality of training of future dentists. The involvement of students in the implementation of the project will increase their relevance in the labor market. Implementation of the project is a health-saving technology that reduces dental incidence in Yekaterinburg and the Sverdlovsk Region.


2014 ◽  
Vol 20 (3) ◽  
pp. 311 ◽  
Author(s):  
Raymond Lam ◽  
Estie Kruger ◽  
Marc Tennant

Oral diseases are the most prevalent conditions in the community. Their economic burden is high and their impact on quality of life is profound. There is an increasing body of evidence indicating that oral diseases have wider implications beyond the confines of the mouth. The importance of oral health has not been unnoticed by the government. The Commonwealth (Federal) government under the Howard-led Coalition in 2004 had broken tradition by placing dentistry in its universal health insurance scheme, Medicare. Known as the Chronic Disease Dental Scheme (CDDS), the program aimed to manage patients with chronic conditions as part of the Enhanced Primary Care initiative. This scheme was a landmark policy for several reasons. Besides being the first major dental policy under Medicare, the program proved to be the most expensive and controversial. Unfortunately, cost containment and problems with service provision led to its cessation in 2012 by the Gillard Labor Government. Despite being seen as a failure, the CDDS provided a unique opportunity to assess national policy in practice. By analysing the policy-relevant effects of the CDDS, important lessons can be learnt for policy development. This paper discusses these lessons and has formulated a set of principles recommended for effective oral health policy. The JERM model represents the principles of a justified, economical and research-based model of care.


Author(s):  
Laura Iosif ◽  
Cristina Teodora Preoteasa ◽  
Elena Preoteasa ◽  
Ana Ispas ◽  
Radu Ilinca ◽  
...  

The aim of the study was to assess the oral health related quality of life (OHRQoL) of elderly in care homes, one of Romania’s most vulnerable social categories, to correlate it to sociodemographic, oral health parameters, and prosthodontic status. Therefore, a cross-sectional study was performed on 58 geriatrics divided into 3 age groups, who were clinically examined and answered the oral health impact profile (OHIP-14) questionnaire. Very high rates of complete edentulism in the oldest-old subgroup (bimaxillary in 64.3%; mandibular in 64.3%; maxillary in 85.7%), and alarming frequencies in the other subgroups (middle-old and youngest-old), statistically significant differences between age groups being determined. The OHIP-14 mean score was 14.5. Although not statistically significant, females had higher OHIP-14 scores, also middle-old with single maxillary arch, single mandibular arch, and bimaxillary complete edentulism, whether they wore dentures or not, but especially those without dental prosthetic treatment in the maxilla. A worse OHRQoL was also observed in wearers of bimaxillary complete dentures, in correlation with periodontal disease-related edentulism, in those with tertiary education degree, and those who came from rural areas. There were no statistically significant correlations of OHRQoL with age, total number of edentulous spaces or edentulous spaces with no prosthetic treatment. In conclusion, despite poor oral health and prosthetic status of the institutionalized elderly around Bucharest, the impact on their wellbeing is comparatively moderate.


2008 ◽  
Vol 28 (6) ◽  
pp. 875-899 ◽  
Author(s):  
SUZANNE MOFFATT ◽  
GRAHAM SCAMBLER

ABSTRACTIt is known that, in general, people of pensionable age have gained in income compared to other age groups in the British population over the last two decades, but that a substantial minority still experience relative poverty. This paper reports a small qualitative study into the effectiveness of a welfare-rights advice and acquisition service for men and women aged 60 or more years that was provided through a local primary health-care service. Additional financial and non-financial resources were obtained by accessing previously unclaimed state-welfare benefits. It was found that these significantly improved the participants' quality of life. Fourteen of the 25 participants received some type of financial award as a result of the service offered, with the median income gain being £57 (€84 or US $101) per week. The impact of additional resources was considerable and included: increased affordability of necessities and occasional expenses; increased capacity to cope with emergencies; and reduced stress related to financial worries. Knowledge of and access to welfare-rights services also appeared to have a positive effect. It is argued that a level of material resources above a basic level is necessary for social relations and for accessing services and civic activities, and can reduce social exclusion among older people.


2015 ◽  
Vol 8 (6) ◽  
pp. 75 ◽  
Author(s):  
Mu'taman Jarrar ◽  
Hamzah Abdul Rahman ◽  
Mohammad Sobri Don

<p><strong>BACKGROUND &amp; OBJECTIVE:</strong> Demand for health care service has significantly increased, while the quality of healthcare has become both a national and an international priority. This paper aims to identify the gaps and the current initiatives for optimizing the quality of care and patient safety in Malaysia.</p><p><strong>DESIGN:</strong> A narrative review of the literature. Highly cited articles were used as the basis to retrieve and review the current initiatives for optimizing the quality of care and patient safety. The country health plan of Ministry of Health (MOH) and the MOH Annual Reports in Malaysia were reviewed.</p><p><strong>RESULTS: </strong>The MOH has set four strategies for optimizing quality and sustaining quality of life. The 10<sup>th</sup> Malaysia Health Plan promotes the theme “1 Care for 1 Malaysia” in order to sustain the quality of care. Despite of these efforts, the total number of complaints received by the medico-legal section of the MOH is increasing. The current global initiatives indicted that quality performance generally belong to three main categories: patient; staffing; and working environment related factors.</p><p><strong>CONCLUSION: </strong>There is no single intervention of optimizing quality of care to maintain patient safety. Multidimensional efforts and interventions are recommended in order to optimize the quality of care and patient safety in Malaysia.</p>


2018 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Vinaytosh Mishra ◽  
Cherian Samuel ◽  
S. K. Sharma

Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.


2016 ◽  
Vol 15 (1) ◽  
pp. 1 ◽  
Author(s):  
Angela Xavier ◽  
Érica Silva de Carvalho ◽  
Roosevelt da Silva Bastos ◽  
Magali de Lourdes Caldana ◽  
Patrícia Ribeiro Mattar Damiance ◽  
...  

Aim: This study presents the prevalence of dental caries and its relation to the quality of life of adolescents according to the access to dental health services. Methods: Two hundred and fifty-six adolescents between 15 and 19 years of age participated in the study; they were all enrolled in public schools in a countryside municipality of the São Paulo State. Data related to dental caries were evaluated by the DMFT Index, and OHIP-14 was used for evaluating the quality of life. Mann Whitney and Spearmann correlation tests were also used (p<0.05). Results: A DMFT of 3.09 (±3.30) was found with a higher prevalence among the adolescents who used public dental services (3.43±3.34) compared with those who used private services (2.94±3.28). A statistically significant relationship between the decay component of DMFT with physical pain (0.020), physical disability (0.002) and quality of life (0.017) was verified. Conclusions: A low prevalence of dental caries was observed, and it was higher in adolescents who used public oral health services rather than private ones, evidencing the low influence of oral health on the quality of life of the participants.


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