STUDY OF APPROACHES TO IMPROVING DENTAL HEALTH OF DONETSK REGION RESIDENTS ON THE BASIS OF SELECTIVE ANALYSIS OF ORAL CAVITY DISEASES

The need to improve the dental health of the population does not lose its relevance and remains an unresolved medical, economic and social problem, with the need to find new approaches to the provision of dental care.The aim of the study was to determine the effectiveness of preventive measures and public awareness of the course and consequences of dental pathology in order to improve dental health.To achieve this goal, the data of the annual reports of municipal dental services of Donetsk region were analyzed and a survey with additional functional (electromyography and digital analysis of occlusion) examination of the dental status of 200 people was conducted.Thus, in 2018, the number of primary visitors to therapeutic departments within the region included 718097 people. Patients who underwent primary preventive measures included: hygienic training and education, individual choice of prevention only 21.09% of the total number of people.Within the survey, 82.5 % did not understand the dependence of hygiene and carious processes, 75.5% had no information about the need for quality restoration of the anatomy of the dentition, and 21.5 % did not understand the need to replace the final defects of the dentition. It has been found some reflection of these facts in the analysis of annual reports. Thus, the percentage of filled teeth due to caries or its complications to removed teeth, for the same reasons, was 46.46 %. A similar result in 46.58 % was the number of patients who applied after the removal of teeth to the orthopedic department in order to restore the integrity of the dentition (removable, conditionally removable, non-removable structures). But in addition to the lack of full restoration of the dentition, it was found that the ratio of total filled teeth to cement fillings was 44.5 percent of all filled teeth due to both caries and its complications. 44.5 % was the restoration of lost tooth tissues using cements (zinc phosphate and SIC). Due to the impossibility of restoring quality anatomy, and as a result of the function of the tooth, such a percentage does not meet the needs of today in understanding quality dental services.Based on the results of the analysis of the study data, we concluded that patients are poorly informed about their condition, variations in their treatment and the consequences of lack of comprehensive treatment, the causes and consequences of certain dental conditions and prevention. The results of our surveys and diagnostic tests revealed the need for modern and objectively motivated approach to diagnosis and informing patients about their condition, which leads to a better understanding of the cause-and-effect relationships and the desire for full rehabilitation.In turn, this not only improves dental health at the end of treatment, but also helps to maintain it for a long time, which in turn improves the social and economic life of the patient.

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Tuberculosis as a socially significant disease. The organization of medical care for patients with tuberculosis in Khanty-Mansiysk Autonomous District – Ugra

Medical almanac ◽

10.21145/2499-9954-2019-3-18-23 ◽

2019 ◽

pp. 18-23

Author(s):

E. A. Krivykh ◽

E. A. Revyakin ◽

M. V. Malkhasyan

Keyword(s):

Preventive Measures ◽

Survey Methods ◽

Integrated Approach ◽

Annual Reports ◽

Permanent Disability ◽

Autonomous District ◽

Treatment And Prevention ◽

Target Indicator ◽

Number Of Patients ◽

Therapeutic Measures

Introduction. In the world (and in the Russian Federation) the situation caused by the increase in the number of socially significant diseases continues to be quite tense. The most important in this group is tuberculosis, which causes significant damage to society, due to the loss of temporary and permanent disability, an increase in the number of disabled people and destabilization of the demographic situation in the country. In this regard, an integrated approach to the implementation of therapeutic and preventive measures in patients suffering from tuberculous lesions is a priority in addressing the spread of this pathology. Purpose of the study. Analysis of data on the epidemiological situation, morbidity, prevalence, mortality, prevention and treatment of tuberculosis patients in the Khanty-Mansiysk Autonomous District – Ugra in 2017, comparing the figures for the first half of 2017 and 2018. Materials and methods. To assess the parameters characterizing the organization of early diagnosis of tuberculosis, hospitalization of patients of the relevant cohort of the population, the effectiveness of therapeutic measures taken, the quality of preventive measures among the population of the Khanty-Mansiysk Autonomous District – Ugra, the data of annual reports of relevant medical organizations for 2017–2018 are used. Results. In 2017, the coverage of examinations for tuberculosis of the population with the use of all survey methods amounted to 78,6%, while the target indicator of the state program «Health Development 2014–2020» was 78,0%. The number of patients effectively treated at the studied stages was more than 50% of cases for each. Conclusion. In the Autonomous District – Ugra, the work of all services and institutions for the treatment and prevention of tuberculosis is recognized as systematic and effective according to the results of events held.

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Retrospective Study to Determine the Change in Referral Pattern to St George's Hospital Orthodontic Department before and after the 2006 NHS Dental Contract Changes

Primary Dental Care ◽

10.1308/135576110791654900 ◽

2010 ◽

Vol os17 (3) ◽

pp. 111-114 ◽

Cited By ~ 1

Author(s):

Maryam Izadi ◽

Daljit S Gill ◽

Farhad B Naini

Keyword(s):

Retrospective Study ◽

Orthodontic Treatment ◽

Dental Health ◽

Referral Pattern ◽

Dental Services ◽

Treatment Need ◽

South West ◽

Number Of Patients ◽

Dental Practitioners ◽

Before And After

Aim The aim of this study was to determine the possible effects of the 2006 National Health Service General Dental Services contract changes on the referral pattern to the orthodontic department at St George's Hospital, South West London. Method This study was carried out on a retrospective basis. The notes of consecutive patients referred between 1st May and 30th September in 2005 and 2008 were assessed, and the patient's Index of Orthodontic Treatment Need (IOTN) and the source of referral noted. Results The total numbers of referrals increased from 260 in 2005 to 405 in 2008. The number of referrals from general dental practitioners decreased slightly from 165 to 156, as did the numbers of referrals from other sources, such as tertiary referrals. The number of referrals made by specialist practitioners increased from 41 in 2005 to 207 in 2008, representing an increase from 16% to 51% of overall referrals. Overall, the number of patients being referred with an IOTN dental health component grade of 5 increased from 27% to 55%. Conclusion The increase in referrals from specialist practitioners may be partly due to the changes brought to the commissioning of orthodontic services for specialist practitioners. Overall, the number of cases being referred with IOTN grades 4 and 5 remains high at St George's Hospital, indicating that appropriate referrals are being made.

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THE DENTAL MEDICINE SECTOR IN THE AGE OF THE COVID-19 PANDEMIC – RECOVERY BETWEEN RISKS AND CHALLENGES

6th LIMEN Conference Proceedings (part of LIMEN conference collection) ◽

10.31410/limen.2020.101 ◽

2020 ◽

Author(s):

Andra-Teodora Porumb ◽

◽

Adina Săcara-Oniţa ◽

Cristian Porumb ◽

◽

...

Keyword(s):

Dental Health ◽

European Countries ◽

Dental Services ◽

Protection Measures ◽

Surgical Interventions ◽

Private Practices ◽

Number Of Patients ◽

Short Period ◽

Dental Practices ◽

Conferences And Congresses

In this paper we will show how the COVID-19 pandemic has affected one of the sectors that have undergone a booming development in recent years, namely the sector of dental medicine. This is an industry that includes numerous and diversified activities: treatments and surgical interventions in dental practices and clinics, dental aesthetics interventions in luxury clinics, the organization of specialization courses, conferences and congresses, the development of extremely innovative procedures and materials. Dental tourism has also had a spectacular trend, especially in Eastern European countries. Within a very short period of time, this highly profitable field, but which presents a huge risk of transmitting potential viruses, has recorded significant financial losses. In March 2020, in some European countries a lockdown was imposed by governmental decree or ordinance, all private practices having ceased their activity, whereas in other countries a significant number of clinics closed on their own initiative, and those remaining open recorded a staggering decrease in the number of patients. Courses, conferences, and congresses have been cancelled one after another throughout Europe. As a result of the cancellation of many flights, the activity in the branch of dental tourism has ceased almost entirely. For two months, an extremely small number of medical units, especially hospitals, were reorganized to provide care in dental emergencies, according to a very strict protocol to limit the risk of contamination. In view of resuming their activity as of May, professionals in the sector had to meet several severe protection conditions, regulated by institutional documents by the National Orders/Colleges of Dentists. In October, in the face of the second wave of the pandemic, the governments of European countries took less restrictive measures in an attempt to avoid a new lockdown and the decrease in the supply of goods and services to the population to such a great extent, so this time, governments have not closed private practices, despite the fact that in some countries the beginning of November has brought about a new isolation – albeit a partial one – and a renewed closedown of some businesses. We will analyze, in the context of the ongoing pandemic, the situation of this sector in several European countries. Given that the demand for dental services has only decreased very little, professionals in the sector have tried in various ways to continue their work so as not to sacrifice the dental health of the population. The risk/benefit ratio is very hard to manage in this field, so precautions, prevention, and protection measures in dental practices remain of the utmost importance. If the branch of organization of courses, conferences, congresses can compensate to a certain extent the sharp decline in revenues during the lockdown period by moving the activity on online platforms, the branch of dental tourism is still suffering massively, and the possibilities of recovery are greatly reduced. Dentists remain the most exposed to risks. They are facing medical and financial concerns and have to make final treatment decisions amidst an uncertain and dangerous situation.

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The Pediatrician in Community Dental Health

PEDIATRICS ◽

10.1542/peds.54.2.182 ◽

1974 ◽

Vol 54 (2) ◽

pp. 182-189

Author(s):

Gary S. Leske ◽

M. Cristina Vera Leske

Keyword(s):

Tooth Loss ◽

Cleft Lip ◽

Preventive Measures ◽

Dental Health ◽

School Age ◽

Dental Disease ◽

New Disease ◽

Dental Services ◽

Carious Teeth ◽

Dental Neglect

Dental disease in children is one of the most common health problems encountered.1-3 Fifty percent of children have one or more carious teeth by the age of 2 years. Gingivitis occurs in a major portion of the child population and may lead to periodontal disease, the leading cause of tooth loss in adults. Cleft palate, with or without cleft lip, occurs once in every 700 births. Half of the school-age population has some form of malocclusion. So prevalent are these problems and so great is the backlog of dental neglect, that treatment of these defects is beyond the capabilities of the limited dental manpower we have in this country. In addition, treatment is time-consuming and expensive and the costs of dental services are constantly rising. It is obvious from these facts that dental disease cannot be controlled by treatment alone. It is only by preventing the occurrence of new disease, beginning with the child, that the problem of dental disease can be brought into a manageable form. Pediatricians are in a unique position to have a significant impact on the dental health of their patients and communities. Since the pediatrician gives care to the child from birth, he can detect any existing abnormality early in life and promptly refer or treat the problem. Control of dental disease can best be accomplished if preventive measures are started shortly after birth. It is interesting to note that few children are seen by the dentist at the recommended age of 2½ to 3 years.

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The Annual Reports of the Prison Commissioners for Scotland and Religion, 1903–1931

Scottish Church History ◽

10.3366/sch.2019.0005 ◽

2019 ◽

Vol 48 (1) ◽

pp. 83-101

Author(s):

Cameron McKay

Keyword(s):

Annual Report ◽

Annual Reports ◽

Individual Choice ◽

Drinking Habits ◽

Parental Neglect ◽

Late Nineteenth ◽

Causes Of Crime ◽

Criminological Theories ◽

The Relationship ◽

Insight Into

During the late nineteenth and early twentieth century penologists began to explore the possibility that environment and upbringing, as opposed to individual choice, were the causes criminality. The Prison Commissioners for Scotland, the devolved body who administered prisons north of the border, were not immune to this wider trend. Smith has argued that from the 1890s onwards the Commissioners began to accept that criminality was caused by social problems, namely alcoholism, but also parental neglect, poor education and poverty. In their efforts to test these new criminological theories, the Commissioners began to make more careful enquiries into the backgrounds of their charges. From 1896 to 1931 the Commissioners interviewed a sample of prisoners each year and included the findings in their annual report. Although the main focus of these interviews was on the upbringing and drinking habits of prisoners; by the 1900s the Commissioners seem to have added irreligion to the growing list of etiological causes of crime, and from 1903 onwards prisoners were asked to give details on their religious habits. Although it is debateable how much the Prison Commissioners revealed about the relationship between religion and crime, they did however provide a useful insight into the religiosity of the average prisoner.

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Surveying adherence of dental clinic patients to preventive measures in oral cavity

Periodontology ◽

10.33925/1683-3759-2019-24-2-167-172 ◽

2019 ◽

Vol 24 (2) ◽

pp. 167-172 ◽

Cited By ~ 1

Author(s):

T. V. Kudryavtseva ◽

V. V. Tachalov ◽

E. S. Loboda ◽

L. Yu. Orekhova ◽

E. Yu. Nechai ◽

...

Keyword(s):

Oral Cavity ◽

Working Conditions ◽

Oral Hygiene ◽

Preventive Measures ◽

Periodontal Diseases ◽

Dental Health ◽

Developed Countries ◽

Dental Clinic ◽

The Many ◽

The Impact

Relevance. Periodontal diseases are a medical and social problem due to the wide spread among the population of developed countries and the impact on the quality of life. Among the many factors that are important in the development of inﬂammatory periodontal diseases, an important role is played by adherence to the recommendations of the dentist in respecting oral hygiene. Aim of the work was to study the adherence of patients of the dental clinic to compliance with preventive measures in the oral cavity.Materials and methods. A total of 98 patients of dental clinic, 62 female (medial age 38,6 ± 14,0 years) and 36 male (medial age 37,2±13,1 years) participated in survey. The study participants flled in the profle and answered questions about age, gender, harmful working conditions and bad habits, frequency of visits to the dental clinic, attitudes to the prevention of dental diseases, knowledge about the means and methods of oral hygiene.Results. As a result of the study, it was found that in the vast majority of cases, respondents are employed in production that does not adversely aﬀect their health (91%), only 8% of patients indicated harmful working conditions.Conclusions. The study revealed that, despite the recommendations of the dentist, patients are not always committed to the implementation of preventive measures in the oral cavity. Dentists need to motivate patients to use not only the usual methods and means of hygiene, but also additional ones necessary for maintaining dental health.

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Public Awareness of Preventive Measures against COVID-19: A Google Trends Analysis (Preprint)

10.2196/preprints.25068 ◽

2020 ◽

Author(s):

Alex Mok ◽

Oliver Oi Yat Mui ◽

Kwan Pui Tang ◽

Chi-Fai NG ◽

Sunny Hei Wong ◽

...

Keyword(s):

Public Health ◽

Temporal Trend ◽

Preventive Measures ◽

Public Awareness ◽

Google Trends ◽

Online Searching ◽

Effective Measure ◽

Heat Maps ◽

Hand Sanitizer ◽

Incidence Data

BACKGROUND The 2019 coronavirus pandemic (COVID-19) has led to increase in global awareness of related public health preventive measures. The public awareness can be reflected by online searching trends of major search engines, namely Google Trends. OBJECTIVE This study aims to interpret online searches of COVID-19 related public health preventive measures and to identify possible correlations between early search trends and progression of the pandemic. METHODS Search data from five queries “Mask”, “Hand Washing”, “Social Distancing”, “Hand Sanitizer”, and “Disinfectant” were extracted from Google Trends (GT) in the form of Relative Search Volumes (RSV). Global incidence data of COVID-19 was obtained from January 1st to June 30th 2020. Subsequently, the data were analyzed and illustrated in forms of a global temporal RSV trend diagram, a geographical RSV distribution chart, scatter graphs comparing regional RSV with average daily cases; and heat-maps comparing temporal trend of RSV with average daily cases. RESULTS Global temporal trend revealed multiple surges in RSV, which were temporally associated with certain COVID news events. Geographical distribution showed differences of query interests among regions. Although scatter graphs failed to illustrate strong correlations between regional RSV and average daily cases, the heat-maps were able to demonstrate patterns of early RSV peaks in countries with lower average daily cases, for queries “Mask”, “Hand Sanitizer”, and “Disinfectant”, upon incorporating with the temporal element into analysis. CONCLUSIONS Early public awareness of multiple preventive measures was observed in countries with lower daily average cases. Public health authorities may look into early public awareness as an effective measure for future disease control.

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Bedtime Oral Hygiene Behaviours, Dietary Habits and Children’s Dental Health

Children ◽

10.3390/children8050416 ◽

2021 ◽

Vol 8 (5) ◽

pp. 416

Author(s):

George Kitsaras ◽

Michaela Goodwin ◽

Michael P. Kelly ◽

Iain A. Pretty

Keyword(s):

Oral Hygiene ◽

Dietary Habits ◽

Dental Health ◽

Cross Sectional Study ◽

Study Data ◽

General Anaesthetic ◽

Dental Disease ◽

Cross Sectional ◽

Important Relationship ◽

Bedtime Routine

Background: Oral hygiene behaviours as well as dietary habits before bed can affect children’s dental health resulting in higher prevalence of dental disease. Dental disease can affect children’s health, development and even school performance. If left untreated, dental disease can progress and it can lead to extractions under general anaesthetic causing further distress for children and families. Consistent and appropriate oral hygiene behaviours and dietary habits can prevent dental diseases from occurring in the first place. Objective: This cross-sectional study examines the relationship between oral hygiene behaviours, dietary habits around bedtime and children’s dental health. Methods: A total of 185 parents with children between the ages of 3 and 7 years from deprived areas participated in the study. Data on bedtime routine activities were collected using an automated text-survey system. Children’s dental health status was established through examination of dental charts and dmft (decayed, missed, filled teeth) scores. Results: In total, 52.4% of parents reported that their children’s teeth were brushed every night. The majority of children (58.9%) had dmft scores over zero. In total, 51 (46.7% of children with dmft score over 0 and 27.5% of all children) children had active decay. The mean dmft score for those experiencing decay was 2.96 (SD = 2.22) with an overall mean dmft score of 1.75 (SD = 2.24). There were significant correlations between frequency of tooth brushing, frequency of snacks/drinks before bed and dmft scores (r = −0.584, p < 0.001 and r = 0.547, p = 0.001 respectively). Finally, higher brushing frequency was associated with a lower likelihood of a dmft score greater than 0 (Exp(B) = 0.9). Conclusions: Despite families implementing oral hygiene behaviours as part of their bedtime routines those behaviours varied in their consistency. Results of this study highlight the need for additional studies that consider bedtime routine-related activities and especially the combined effects of oral hygiene practices and dietary habits due to their potentially important relationship with children’s dental health.

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Dental Expenditure by Household Income in Korea over the Period 2008–2017: A Review of the National Dental Insurance Reform

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083859 ◽

2021 ◽

Vol 18 (8) ◽

pp. 3859

Author(s):

Hosung Shin ◽

Han-A Cho ◽

Bo-Ra Kim

Keyword(s):

Health Insurance ◽

Concentration Index ◽

Dental Health ◽

Age Groups ◽

The Elderly ◽

Dental Service ◽

Delta Method ◽

Dental Services ◽

Insurance Reform ◽

Health Insurance Reform

Since 2009, the National Health Insurance in Korea (NHI) has been implementing a series of policies to expand the scope of dental benefits. This study reviewed the changes in co-payments and dental use patterns before (2008 to 2012) and after (2013 to 2017) the NHI’s dental health insurance reform. The study used Korea Health Panel data of 7681 households (16,493 household members) from a 10-year period (2008–2017). Dental expenditures and equivalent income using square root of household size were analyzed. Dental services were categorized into 13 types and a concentration index and 95% confidence interval using the delta method was calculated to identify income-related inequalities by a dental service. Dental expenditures and the number of dental services used increased significantly, while the proportion of out-of-pocket spending by the elderly decreased. The expenditure ratio for implant services to total dental expenditures increased substantially in all age groups, but the ratio of expenditures for dentures and fixed bridges decreased relatively. The concentration index of implant services was basically in favor of the rich, but there was no longer a significant bias favoring the better-off after the reforms. The dental health insurance reform in Korea appears to contribute not only to lowering the ratio of out-of-pocket to total dental expenses per episode in the elderly but also to improving the inequality of dental expenses.

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Risk perception regarding the COVID-19 outbreak among the general population: a comparative Middle East survey

Middle East Current Psychiatry ◽

10.1186/s43045-020-00080-7 ◽

2020 ◽

Vol 27 (1) ◽

Author(s):

Mahmoud Abdel Hameed Shahin ◽

Rasha Mohammed Hussien

Keyword(s):

Risk Perception ◽

General Population ◽

Self Efficacy ◽

Risk Perceptions ◽

Preventive Measures ◽

Public Awareness ◽

Cross Sectional ◽

Convenience Sample ◽

The Mean ◽

Novel Coronavirus

Abstract Background People’s perceptions of pandemic-associated risk are key factors contributing to increased public participation in disease preventive measures. The aim of the study was to investigate risk perceptions regarding the coronavirus disease 2019 (COVID-19) outbreak, among the general population. A descriptive, cross-sectional design was used with a convenience sample of 723 participants, recruited from the general population of Saudi Arabia, Egypt, and Jordan. Data collection was performed using a standardized risk perception assessment questionnaire, in April 2020. Results The mean score for the perception of COVID-19 seriousness was significantly higher and the mean scores for the perception of disease susceptibility and extent of anxiety were also higher among Saudi Arabian participants than participants from Egypt and Jordan. Participants from Egypt had significantly lower mean scores for the perception of efficacy and self-efficacy to cope with COVID-19, and significantly lower intention to comply with COVID-19 precautionary measures than the other populations. A significant positive correlation was detected between the perception of COVID-19 seriousness and self-efficacy to handle COVID-19, for the entire sample. The primary reasons reported by participants driving their willingness to perform certain preventive measures against COVID-19 was a feeling of responsibility toward their own health, followed by preventing transmission to other people and the feeling that COVID-19 can be serious. Most of the study sample reported a desire to receive information about COVID-19 treatment, ways to prevent disease contraction, and the incubation period for the novel coronavirus. Also, most of the study sample reported that they prefer receiving COVID-19 updates from national authorities. Conclusions During the COVID-19 pandemic, communications designed to promote the adoption of preventive behaviors should focus on increasing the perception of seriousness, the risk perception, self-efficacy to cope with the COVID-19 pandemic, and the effectiveness of the adopted behavioral measures for reducing risk. Health education programs that are tailored to various sociodemographic categories, to improve public awareness, perceptions, and attitudes, are vital for increasing the adoption of outbreak preventive measures.

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