scholarly journals Hurdles in the Access of Regular Dental Care among the Medical & Dental Students of Lahore

2021 ◽  
Vol 2 (6) ◽  
pp. 29-31
Author(s):  
Omer Bin Zahid ◽  
Ajwa Rehman ◽  
Hassan Jamil ◽  
Muhammad Shoaib ◽  
Mehak Bilal ◽  
...  

Introduction: Despite the great leaps in oral health globally, many countries of the world still face a horde of dental problems. Especially poverty ridden populations of the developing nations. Distribution of oral disease varies among different communities and sometimes even in the same community due to various environmental factors, factors of personal hygiene and oral habits among different demographics. However, the condition of oral health in the patients of Lahore is abysmal as determined by various previous dental surveys. The prevalence of cavities in dental patients is 82.3% while the rest of 17.7% have swollen gums, abscess, infection, and pain. Thus, this study aims to test the barriers in the way of regular dental care by evaluating a major portion of medical and dental students by using a cross sectional, questionnaire-based study, and to make regular dental care more accessible to the students of this metropolis. Objective: To determine the factors that become a hurdle in the way of regular dental care among the medical and dental students of Lahore and to pave the way for further studies on this topic. Methodology: This survey, after approval from the Internal Review Board of de’Montmorency College of Dentistry, was carried out from July to October 2021. Sample size was calculated using OpenEpi, keeping the confidence level at 95% and the margin of error at 6%. The sampling population included 234 respondents who were randomly selected from 4 different medical and dental colleges of Lahore including both public and private sector colleges. Data was collected using a structured questionnaire titled; Questionnaire for Assessment of Perceived Oral Health Care Needs, Barriers to Accessing Oral Health Care Services and Its Utility8. Statistical analysis was performed using SPSS® version 22. Result: All of the participants were students of medical and dental colleges of Lahore. More than half of the participants agreed to have not visited a dentist regularly for regular checkups for maintenance of oral health. About 55% of the participants agreed to not visiting a dentist due to fear of infection transmission. We also found a significant association between the stream of education and regular dental visits (p=0.000). Conclusion: For medical and dental students, the biggest barrier in regular oral healthcare is fear of infection transmission, and unavailability of time. However, fear of dental procedures and high cost of service also play a role. Moreover, the high cost of service is not as strong of a factor as it is for the general population.

2019 ◽  
Vol 9 (1) ◽  
pp. 36-45
Author(s):  
Y Janada ◽  
I.P. Ikhodaro ◽  
O Ibiyemi

Objective: Medical and dental students as future health care professionals should be aware of adequate oral health care. Therefore, this study aimed to determine the knowledge and practices of oral health of clinical medical and dental students in a North-Eastern Nigerian University.Methods: Cross sectional study involving 150 students, comprising 107 medical and 43 dental students. They were interviewed on knowledge of oral health care, oral health practices and psychosocial impact of oral health using an interviewer-administered questionnaire. The students were further examined for dental caries and their oral hygiene status. The Student t-test was used to compare means while Chisquare test was used to test associations between categorical variables at p<0.05.Results: The mean ±SD age of the students was 24.5 , males constituted 61.3%. One hundred and twentysix (84.0%) students had good knowledge of oral health care. Forty-two (97.7%) of the dental students had good knowledge while 84 (78.5%) of the medical students had good knowledge (p=0.003). Twenty (46.5%) and 60(56.1%) of dental and medical students respectively had poor oral health practice (p=0.32). Mean ±SD psychosocial impact score was 1.26 ±2.06 and 1.53 ±2.34 for dental and medical students respectively (p=0.68). The prevalence of dental caries and poor oral hygiene was 15(34.9%) and 23(53.5%) for dental students. The corresponding value for medical students were 30(28.0%) and 51(47.6%).Conclusions: There was good knowledge of oral health care among these students. Dental students had better knowledge of oral health care than medical students. They also had better oral health care practices and lower psychosocial impact of oral health than medical students though not statistically significant. Overall, younger age group of students reported higher psychosocial impact of oral health care on daily activities than older ones.Keywords: Oral health, knowledge, behaviour, medical, dental, students, Nigeria


2021 ◽  
pp. 238008442110126
Author(s):  
J.L.P. Protudjer ◽  
C. Billedeau ◽  
K. Hurst ◽  
R. Schroth ◽  
C. Stavropoulou ◽  
...  

Introduction: Rates of periodontal disease and tooth loss are increased in individuals with rheumatoid arthritis (RA). Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and arthritis outcomes. Objectives: To determine the perceptions held by people with RA relating to their oral health, to identify patient-centered priorities for oral health research, and to inform optimal strategies for delivering oral health knowledge. Methods: Semistructured interviews were conducted with patients with RA. Recorded interview transcripts were iteratively reviewed to reveal surface and latent meaning and to code for themes. Constructs were considered saturated when no new themes were identified in subsequent interviews. We report themes with representative quotes. Results: Interviews were conducted with 11 individuals with RA (10 women [91%]; mean age, 68 y), all of whom were taking RA medication. Interviews averaged 19 min (range, 8 to 31 min) and were mostly conducted face-to-face. Three overall themes were identified: 1) knowledge about arthritis and oral health links; 2) oral health care in RA is complicated, both in personal hygiene practices and in professional oral care; and 3) poor oral health is a source of shame. Participants preferred to receive oral health education from their rheumatologists or dentists. Conclusions: People with RA have unique oral health perceptions and experience significant challenges with oral health care due to their arthritis. Adapting oral hygiene recommendations and professional oral care delivery to the needs of those with arthritis are patient priorities and are required to improve satisfaction regarding their oral health. Knowledge Translation Statement: Patients living with long-standing rheumatoid arthritis described poor oral health–related quality of life and multiple challenges with maintaining optimal oral health. Study findings indicate a need for educational materials addressing oral health maintenance for patients with rheumatic diseases and their providers.


Author(s):  
Davis AL ◽  
◽  
Zare H ◽  
Kanwar O ◽  
McCleary R ◽  
...  

Objective: The authors conducted an integrative literature review of recent studies that explored the impact of interventions implemented in the U.S. that focused on improving access to dental care for low-income and vulnerable populations. Methods: The authors conducted an integrative literature review of studies published between 2012-2018 that addressed six oral health policy spheres. 1) Community-based dental access programs; (2) Medicaid reimbursement and expansion; (3) Student loan support; (4) Oral health services in non-traditional settings and dental residency programs; (5) Programs to improve oral health literacy; and (6) Use of dental therapists. Results: The authors included 39 articles for qualitative synthesis. Numerous public health initiatives and programs exist in the US aimed at increasing access to quality oral health care. Medicaid expansion, increased Medicaid fee-for-service reimbursement rates, and state loan repayment programs have demonstrated some success in improving access among underserved populations. A diversified dental workforce, with community dental health workers and mid-level providers like dental therapists, as well as interprofessional training of nurses and primary-care physicians in oral health have also shown positive impacts in advancing health equity. Further studies are needed to understand how oral health literacy programs can affect access and utilization of dental services. Conclusions: Improvements to the oral health care safety net will require a holistic and multifaceted approach in order to reduce oral health disparities. Policy levers should work, not in isolation, but rather in complementary fashion to one another.


2017 ◽  
Vol 23 (5) ◽  
pp. 407 ◽  
Author(s):  
Martin Hall ◽  
Bradley Christian

Despite the best efforts and commitment of oral health programs, there is no evidence that the current surgical output-based model of oral health care is delivering better oral health outcomes to the community. In fact, Australian evidence indicates the oral health of the community could be getting worse. It is now well-understood that this traditional surgical model of oral health care will never successfully manage the disease itself. It is proposed that a health-promoting, minimally invasive oral disease management model of care may lead to a sustainable benefit to the oral health status of the individual and community groups. The aim of this paper is to describe such a model of oral health care (MoC) currently being implemented by the North Richmond Community Health Oral Health (NRCH-OH) program in Melbourne, Victoria, Australia; this model may serve as a template for other services to re-orient their healthcare delivery towards health promotion and prevention. The paper describes the guiding principles and theories for the model and also its operational components, which are: pre-engagement while on the waitlist; client engagement at the reception area; the assessment phase; oral health education (high-risk clients only); disease management; and reviews and recall.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Fouad Salama ◽  
Bader Al-Balkhi ◽  
Faika Abdelmegid

Objectives. The purpose of this pilot study was to assess the knowledge and awareness of dental students with respect to oral health care of the person with special health care needs (SHCN) and evaluate effectiveness of an education program on improving their knowledge.Method. An evaluation consisting of a questionnaire was answered before and immediately after a 30-minute educational presentation in the form of a DVD that includes a PowerPoint and a video of oral health care for individuals with SHCN. The questionnaire was based on the materials and information presented in the DVD and included 26 questions (true/false/I do not know).Results. The mean (±SD) score on the pretest was 10.85 (±5.20), which increased to 16.85 (±5.47) on the posttest. This difference was statistically significant (P<0.001). Forty percent of the students surveyed reported that they were very satisfied with the educational part of the presentation, while 50% were somewhat satisfied. Thirty percent of students expressed that the educational intervention used is very effective.Conclusions. Viewing the educational intervention was effective in informing the sophomore students and providing them with instructive basic information on person with SHCN. Dental colleges should increase students’ knowledge, training, and exposure to individuals with SHCN.


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