scholarly journals Oral Health in New Zealand: Findings from the New Zealand  Health Survey 2006/07

2021 ◽  
Author(s):  
◽  
Lisa N. Lankshear
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Oral Health ◽  
Health Outcomes ◽  
Health Survey ◽  
Tooth Loss ◽  
Oral Health Care ◽  
World Health ◽  
Over Time ◽  
Oral Health Outcomes

<p>This thesis investigates oral health in New Zealand. This is carried out through an analysis of the New Zealand Health Survey (NZHS) which was undertaken by the Ministry of Health in 2006/07. The World Health Organisation recognises oral health as an integral part of general health and a basic human right. The New Zealand government also recognises the importance of oral health and aims to be proactive in addressing the needs of those at greatest risk of poor oral health. This analysis identifies those who have poorer oral health and less regular oral health care. The New Zealand goverment also aims for high-quality oral health services that promote, improve, maintain and restore good oral health to all New Zealanders. The results of the NZHS 2006/07 showed that the mean number of teeth lost due to tooth decay and gum disease in people aged 15 and over is 4.59 (4.56,4.61). This is strongly associated with age, with younger people having lost fewer teeth. Alcohol as well as fruit and vegetable intake had no association with tooth loss in adults. Fizzy drink intake was not significantly associated with poor child oral health, however a higher number of take away meals eaten by children consistently led to poorer oral health for those children. Ethnicity and deprivation were associated with tooth loss, regularity of oral health care, time since last oral health care visit, unmet oral health care need in the past 12 months and urgent unmet need. Those from more deprived populations had lower rates of regular care and higher rates of need and tooth loss. The final component of this thesis is a comparison of oral health outcomes over time, using NZHS 2006/07 and the New Zealand data from the WHO International Collaborative Study of Oral Health Outcomes 1988 (ICS II). It was found that in 2006/07 more 12-13 year olds are brushing their teeth 2 or more times a day than in 1998, and that the time since last visit to an oral health care worker for adults has reduced over time.</p>

scholarly journals Oral Health in New Zealand: Findings from the New Zealand  Health Survey 2006/07

2021 ◽  
Author(s):  
◽  
Lisa N. Lankshear
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Oral Health ◽  
Health Outcomes ◽  
Health Survey ◽  
Tooth Loss ◽  
Oral Health Care ◽  
World Health ◽  
Over Time ◽  
Oral Health Outcomes

<p>This thesis investigates oral health in New Zealand. This is carried out through an analysis of the New Zealand Health Survey (NZHS) which was undertaken by the Ministry of Health in 2006/07. The World Health Organisation recognises oral health as an integral part of general health and a basic human right. The New Zealand government also recognises the importance of oral health and aims to be proactive in addressing the needs of those at greatest risk of poor oral health. This analysis identifies those who have poorer oral health and less regular oral health care. The New Zealand goverment also aims for high-quality oral health services that promote, improve, maintain and restore good oral health to all New Zealanders. The results of the NZHS 2006/07 showed that the mean number of teeth lost due to tooth decay and gum disease in people aged 15 and over is 4.59 (4.56,4.61). This is strongly associated with age, with younger people having lost fewer teeth. Alcohol as well as fruit and vegetable intake had no association with tooth loss in adults. Fizzy drink intake was not significantly associated with poor child oral health, however a higher number of take away meals eaten by children consistently led to poorer oral health for those children. Ethnicity and deprivation were associated with tooth loss, regularity of oral health care, time since last oral health care visit, unmet oral health care need in the past 12 months and urgent unmet need. Those from more deprived populations had lower rates of regular care and higher rates of need and tooth loss. The final component of this thesis is a comparison of oral health outcomes over time, using NZHS 2006/07 and the New Zealand data from the WHO International Collaborative Study of Oral Health Outcomes 1988 (ICS II). It was found that in 2006/07 more 12-13 year olds are brushing their teeth 2 or more times a day than in 1998, and that the time since last visit to an oral health care worker for adults has reduced over time.</p>

scholarly journals A review on oral health care in four different health care systems

2020 ◽  
Author(s):  
Mario Brondani ◽  
Kavita Mathu-Muju ◽  
Pia Skott ◽  
Gunilla Sandborgh-Englund ◽  
Fernando N Hugo ◽  
...  
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Oral Health ◽  
Health Outcomes ◽  
Service Utilization ◽  
Health Care Systems ◽  
Oral Health Care ◽  
Publicly Funded ◽  
Care Systems ◽  
Oral Health Outcomes

Abstract Background : A universal approach to oral health is said to improve oral health outcomes, but research has shown mixed results. This study aimed at critically reviewing the literature available on the oral health care systems of four countries in terms of structure, scope, and delivery, along with their impact on oral health outcomes. Methods : A comparative literature review of the oral health care systems in Brazil, New Zealand, Canada, and Sweden was performed between August 2017 and January 2018 using PubMed/MEDLINE and the key words ‘universal’ OR ‘publicly funded’ AND ‘dental OR oral’ AND ‘care OR access’ AND ‘outcome’. This is a critical essay based on evidence available in the literature that was enriched by accounts from 12 key informants from these four countries. Results : All four countries provide some form of universal health care, but the administration, funding, and delivery of oral health care varied. Approximately 6% of oral health care expenditure in Canada is publicly funded. Brazil provides full publicly-funded oral health care at the point of use via salaried dental professionals, while Sweden offers a high-cost protection plan favouring those with greater needs, and New Zealand delivers publicly-funded oral health care to children up to their eighteenth birthday. With service utilization varying, 61% percent of Canadian children, 67% of Swedish children, 50% of Brazilian children, and 45% of New Zealand children are caries-free at age 12, while 6.4%, 0.8%, 6.5%, and 9.6% of adults between the ages of 20 and 79 years are edentulous, respectively. Conclusions : All countries have some form of publicly-funded oral health care, but vary in the way that the services are delivered, from salary-based providers to private-practice models. Service utilization and oral health outcomes differ in each country.

scholarly journals A review on oral health care oral health outcomes of four different health care systems

2019 ◽  
Author(s):  
Mario Brondani ◽  
Kavita Mathu-Muju ◽  
Pia Skott ◽  
Gunilla Sandborgh-Englund ◽  
Fernando N Hugo ◽  
...  
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Oral Health ◽  
Health Outcomes ◽  
Service Utilization ◽  
Health Care Systems ◽  
Oral Health Care ◽  
Publicly Funded ◽  
Care Systems ◽  
Oral Health Outcomes

Abstract Background : A universal approach to oral health is said to improve oral health outcomes and lessen inequity, but research has shown mixed results. This study aimed at critically reviewing the oral health care systems of four countries in terms of structure, scope, and delivery, along with their impact on oral health outcomes. Methods : A comparative literature review of the oral health care systems in Brazil, New Zealand, Canada, and Sweden was performed between August 2017 and January 2018 using PubMed/MEDLINE and the key words ‘universal’ AND ‘dental OR oral’ AND ‘care OR access’ AND ‘outcome’. This is a critical essay based on evidence available in the literature and interactive conversations with 12 key informants from these countries. Results : All four countries provide some form of universal health care, but the administration, funding, and delivery of oral health care varied. Approximately 6% of oral health care expenditure in Canada is publicly funded. Brazil provides full publicly-funded oral health care at the point of use via salaried dental professionals, while Sweden offers a high-cost protection plan favouring those with greater needs, and New Zealand delivers publicly-funded oral health care to children–up to their eighteenth birthday. With service utilization varying, 61% of Canadian children, 67% of Swedish children, 50% of Brazilian children, and 45% of New Zealand children are caries-free at age 12, while 6.4%, 0.8%, 6.5%, and 9.6% of adults between the ages of 20 and 79 years are edentulous, respectively. Conclusions : All countries have some form of publicly-funded oral health care, but vary in the way that the services are delivered, from salary-based providers to private-practice models. Service utilization and oral health outcomes differ in each country.

scholarly journals Universally funded oral health care and oral health outcomes

2019 ◽  
Author(s):  
Mario Brondani ◽  
Kavita Mathu-Muju ◽  
Pia Skott ◽  
Gunilla Sandborgh Englund ◽  
Fernando N Hugo ◽  
...  
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Oral Health ◽  
Health Outcomes ◽  
Health Care Systems ◽  
Oral Health Care ◽  
Publicly Funded ◽  
Comparative Review ◽  
Care Systems ◽  
Oral Health Outcomes

Abstract Objectives To critically review the oral health care systems of four countries with a universal public health care system in terms of structure, scope and delivery and their impact on oral health outcomes. Methods A comparative review on the oral health care systems from Brazil, New Zealand, Canada and Sweden was performed between August 2017 and January 2018 using PubMed/MEDLINE and the key words ‘universal’ AND ‘dental OR oral’ AND ‘care OR access’ AND ‘outcome’. This is a critical essay based on evidence available in the literature and interactive conversations with key informants in all four countries. Results Although all four countries provide universal health care, the administration, funding and delivery of oral health care varied. About 6% of oral health care expenditure in Canada are publicly-funded. Brazil provides free oral health care at the point of use via salaried dental professionals, while Sweden offers a high-cost protection plan favouring those with greater needs, and New Zealand delivers free oral health care to children only up to their 18th birthday. With service utilization varying from 44% to more than 80%, sixty-one percent of Canadian children, 67% of Swedish children, 50% of Brazilian children and 45% of New Zealand children are caries-free at age 12 while 6.4%, 0.8%, 6.5%, and 9.6% of adults between the ages of 20 and 79 years are edentulous, respectively. Conclusions All countries have some form of publicly-funded oral health care, but a wide spectrum of salary-based and private-practice delivery models exists. Services utilization and oral health outcomes differ in each country.

scholarly journals Color/race inequalities in oral health among Brazilian adolescents

2009 ◽  
Vol 12 (3) ◽  
pp. 313-324 ◽  
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.

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.

Nonoperative Orthodontic Therapy for Retrognathia and Finding of Sella Turcica Bridging in a 16-Year-Old Girl With Freeman-Burian Syndrome

2019 ◽  
Vol 56 (8) ◽  
pp. 1107-1114 ◽  
Author(s):  
Hatice K. Olkun ◽  
Mikaela I. Poling
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Outcomes ◽  
Early Identification ◽  
Sella Turcica ◽  
Oral Health Care ◽  
Pulmonary Complications ◽  
Case Presentation ◽  
Orthodontic Therapy

In the context of a case presentation of a 16-year-old girl treated for retrognathia associated with Freeman-Burian syndrome (FBS), importance of early orthodontic evaluation and unique problems posed by FBS are discussed. Freeman-Burian syndrome universally presents limited oral access and risk of pulmonary complications, making immaculate oral health-care arduous but mandatory. With early identification and conscientious planning, satisfactory orthodontic and overall health outcomes can be achieved. Sella turcica bridging, when presenting in FBS in the absence of endocrine pathology, may be related to the underlying myopathy of FBS.

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