scholarly journals Management of the Oral Health of Children During the COVID-19 Pandemic in Poland

2021 ◽  
Vol 9 ◽  
Author(s):  
Aneta Olszewska ◽  
Elzbieta Paszynska ◽  
Magdalena Roszak ◽  
Agata Czajka-Jakubowska
Keyword(s):  
Oral Health ◽  
Health Management ◽  
Permanent Teeth ◽  
Dental Services ◽  
Treatment Protocols ◽  
Dental Clinics ◽  
Conservative Dentistry ◽  
Mucosal Lesions ◽  
Dental Emergency ◽  
Pulp Treatment

Managing the oral health of children during the time of a health emergency linked to the current COVID-19 pandemic presents specific problems. A high number of non-specific effective infection control protocols are available in dental settings. It is of fundamental importance to implement specific protocols relating to those clinical situations that normally do not represent an emergency but which now fall into that category. The aim of this study was the comparison of data obtained from the Regional National Health Fund (NFZ) relating to the number and the type of procedures in the oral health management of children aged 0–18 years from the Wielkopolska region, with the months of March and April of 2019 being compared with those of the, respective, pandemic period of 2020. The results showed statistical differences in the number of performed procedures when comparing 2019 and 2020; especially in April (n = 53,077 in 2019 but only n = 2,287 in 2020), when lockdown restrictions reached their highest level and when only 30% of the dental clinics for children were open for patients in the Wielkopolska region of Poland. Regarding surgical cases, there were no differences in percentage frequency between April 2019 and 2020 in terms of extractions. However, an increase was observed in abscess incisions (3.5–17.8%) and surgical dressings (1.5–10.07%). There was a decrease in the total number of performed conservative dentistry procedures in April 2020, but temporary fillings in primary and permanent teeth showed a prominent increase: from 6.4% in 2019 to 19.3% in 2020; and 5.8–11.4%, respectively. Pulp treatment and mucosal lesions therapy fall into the dental emergency category during this COVID-19 pandemic. These cases have shown an increase from 3.2% in 2019 to 12.8% in 2020 for pulp treatment, and from 2.3 to 4.3% for the treatment of oral mucosal lesions. As suspected, after the lockdown was implemented, the number of pediatric dental cases were low. Moreover, the analysis revealed differences in the profile of clinical situations that represented the emergency cases and the pandemic treatment protocols. Future implications suggest that dental prophylactic procedures be included in pandemic protocols with even dental services being limited to a form of urgent treatment. New approaches and treatment models should be implemented in the control of the infectious spread of the disease in the management of the oral health of children in this pandemic period.

scholarly journals DMF-T index and performed treatment index of patients in Conservative Dentistry Installation

2014 ◽  
Vol 26 (2) ◽  
Author(s):  
Muhammad Adri Nurrahim ◽  
Endang Sukartini ◽  
Ayu Trisna Hayati
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Clinical Examination ◽  
Oral Health Status ◽  
Permanent Teeth ◽  
Important Indicator ◽  
Survey Techniques ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
Average Total Number

Introduction: DMF-T index is an important indicator to assess oral health status of the population. DMF-T index is a number that indicates the average total number of permanent teeth affected by caries, missing or should be extraction because of caries, or have been restorated on each tooth and not each surface. DMF-T index being a reference of the Performed Treatment Index (PTI) which is the sum percentage of restored teeth or without caries in the population. The purpose of this study is to determine DMF-T index and performed treatment index of the patient in Dental Conservation Installation.Methods: This research used the descriptive with survey techniques. Sampling was conducted with a total sampling. The DMF-T index and PTI of Patients in Dental Conservative Installation on July – September 2011. The data obtained through clinical examination of 561 respondents. Results: The DMF-T index patients in Dental Conservative Installation is 5.824 while the PTI is 1.51%. Conclusion: DMF-T index of patients in Dental Conservative Installation period July - September 2011 in the high category and PTI Patients In Dental Conservative Installation Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran period July - September 2011 in the low category.

scholarly journals Preventive dental work with children of preschool age / Preventivni stomatološki rad sa djecom predškolskog uzrasta

2015 ◽  
Vol 2 (2) ◽  
pp. 45
Author(s):  
Milica Latinović Miljević
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Economic Problem ◽  
Preschool Age ◽  
Permanent Teeth ◽  
High Price ◽  
Oral Diseases ◽  
Dental Services ◽  
Comprehensive Health ◽  
Milk Teeth

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.

scholarly journals Mapping the geographic availability of public dental services in Uganda relative to ruralization and poverty of the population

2020 ◽  
Vol 2 ◽  
pp. 86-92
Author(s):  
Catherine Lutalo Mwesigwa ◽  
Brenda Akinyi Okumu ◽  
Charity Kirabo-Nagemi ◽  
Emma Ejuu ◽  
Estie Kruger ◽  
...  
Keyword(s):  
Oral Health ◽  
Spatial Analysis ◽  
Rural Areas ◽  
Geographic Information ◽  
Status Report ◽  
Population Census ◽  
Dental Services ◽  
Dental Clinics ◽  
Majority Population ◽  
Ugandan Population

Objectives: Uganda is a low-income country faced with a number of challenges in health service delivery, including oral health services. Despite reports of an increased prevalence of oral diseases, they are afforded less priority, amidst competing priorities of infectious and other non-communicable diseases. Oral health-care services are offered free-of-charge in public health facilities. The majority of the Ugandan population live in rural areas. This would imply that public dental services should be more widely distributed in rural areas to meet the needs of the majority population. This study, therefore, aimed to determine the geographic distribution of public dental services relative to poverty and ruralization of the Ugandan population. Materials and Methods: All 112 districts in Uganda were to be surveyed for this study using an ecological design that incorporated the Ugandan population with socio-demographics obtained from the latest Uganda National Housing and Population Census and poverty data from the national Poverty Status Report 2014. The data from the districts were on the availability of public dental services and the physical location of these dental facilities. Overall, 182 public facilities were included in the study. The geographic location of public dental clinics was established using open-data sources. The data on ruralization were aggregated at the district level and that on poverty at the subregion level. Spatial analysis was done using geographic information science software, Quantum Geographic Information System. Results: The total Ugandan population was 34 million. Overall, 19.7% of the population was poor with the highest proportion located in the North and East of Uganda. Urban-rural characteristics varied across the country. Information on the 182 public dental clinics was collected from 97 of the 112 Ugandan districts. Among the 97 districts, 15% had no public clinic and were located in the poorest Ugandan regions. Among the 40 districts containing over 90% of the rural population, 20% had none, and 55% only had one dental clinic. In general, service availability reduced as the proportion of the rural and poor population increased. Conclusion: The spatial analysis presents an avenue to inform and guide the decision making and planning process by identifying geographic areas with access gaps relative to population socio-demographic characteristics. This study revealed that public dental services were least available for the poorest and rural populations, and yet they are already vulnerable to other access barriers. It is recommended that efforts should be made by health planners and policymakers to avert the health inequalities presented by inequitable access.

scholarly journals Co-producing an intervention for tobacco cessation and improvement of oral health among diabetic patients in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masuma Pervin Mishu ◽  
Helen Elsey ◽  
Arup Ratan Choudhury ◽  
Shahana Dastagir ◽  
Saeed Khan ◽  
...  
Keyword(s):  
Oral Health ◽  
Tobacco Cessation ◽  
Tobacco Consumption ◽  
Barriers And Facilitators ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Dental Services ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Cessation Intervention

Abstract Background Tobacco consumption is a major risk factor for many diseases including diabetes and has deleterious effects on oral health. Diabetic patients are vulnerable to developing certain oral conditions. So far, no studies have attempted to co-develop a tobacco cessation intervention to be delivered in dental clinics for people with diabetes in Bangladesh. Aim To co-produce a tobacco cessation intervention for people with diabetes for use in dental clinics in Bangladesh. Objectives To assess: (1) tobacco use (patterns) and perceptions about receiving tobacco cessation support from dentists among people with diabetes attending the dental department of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) who smoke or use smokeless tobacco (ST) (2) current tobacco cessation support provision by the dentists of the dental department of BIRDEM (3) barriers and facilitators of delivering a tobacco cessation intervention at a dental clinic, and (4) to co-produce a tobacco cessation intervention with people with diabetes, and dentists to be used in the proposed context. Methods The study was undertaken in two stages in the dental department of BIRDEM, which is the largest diabetic hospital in Bangladesh. Stage 1 (July–August 2019) consisted of a cross-sectional survey among people with diabetes who use tobacco to address objective 1, and a survey and workshop with dentists working in BIRDEM, and consultations with patients to address objectives 2 and 3. Stage 2 (January 2020) consisted of consultations with patients attending BIRDEM, and a workshop with dentists to co-produce the intervention. Result All survey participants (n = 35) were interested in receiving tobacco cessation support from their dentist. We identified important barriers and facilitators to deliver tobacco cessation intervention within dental services. Barriers reported by dentists included lack of a structured support system and lack of training. As a facilitator, we identified that dentists were willing to provide support and it would be feasible to deliver tobacco cessation intervention if properly designed and embedded in the routine functioning of the dental department of BIRDEM. Through the workshops and consultations at stage 2, a tobacco cessation intervention was co-developed. The intervention included elements of brief cessation advice (using a flipbook and a short video on the harmful effects of tobacco) and pharmacotherapy. Conclusion Incorporation of tobacco cessation within dental care for people with diabetes was considered feasible and would provide a valuable opportunity to support this vulnerable group in quitting tobacco.

Oral health knowledge and practices of women attending dental clinics of Baghdad University

2019 ◽  
Vol 31 (1) ◽  
pp. 42-47
Author(s):  
Raya R. Al-Dafaai ◽  
Nibal M. Hoobi
Keyword(s):  
Oral Health ◽  
Educational Level ◽  
Health Knowledge ◽  
Arabic Language ◽  
Health Practices ◽  
Oral Diseases ◽  
Dental Floss ◽  
Number Of Children ◽  
Dental Clinics ◽  
Diet Control

Background: Knowledge is considered to be essential for developing healthy practices and preventing the main oral diseases. In some developing countries, women were at higher risk to develop these diseases. This study was conducted to evaluate women’s dental knowledge and practices through a specific questionnaire and the relationship with patient’s educational level and the number of their children. Subjects and method: Women, aged from 25-35 years old, were selected to participate in the current study. They were attending dental clinics in the teaching hospital of Baghdad University. Each participant was instructed to answer questionnaire sheet which is previously prepared in Arabic language by the authors. The total number of women was divided into three groups according to women’s educational level and the number of their children. Results: The number of women that participated in the study was 150. Higher percent of them (58.7%) have received instruction on the use of dental floss but 60.0% had no information about fluoride. Dental floss was used by only 24.7% of women. Higher percent of women eat candies, chocolate bars and cookies in between meals. Significant association was reported between educational level and oral health information. Educational level didn’t influence patients’ health practices. Frequency of follow-up appointments and toothbrushes changes were higher among women with less number of children. Conclusion: The study revealed important gaps in oral health practices especially in diet control and the use of dental floss. There is a need for frequent dental educational programmes among women to promote the proper practices and to achieve good oral hygiene.

Reducing Gingivitis Remotely using the iGAM mHealth app (part 2): Prospective Observational Study (Preprint)

2020 ◽  
Author(s):  
Guy Tobias ◽  
Assaf B Spanier
Keyword(s):  
Oral Health ◽  
Tooth Loss ◽  
Prospective Observational Study ◽  
Dental Clinics ◽  
Significant Difference ◽  
Observational Cohort ◽  
Group 2 ◽  
And Behavior ◽  
Oral Hygiene Habits ◽  
Group 1

BACKGROUND Gingivitis is a non-painful, inflammatory condition that can be treated with home remedies. Left untreated gingivitis can lead to tooth loss. Periodic dental examinations are important for early diagnosis and treatment of gum diseases. In order to contain the spread of the corona virus, governments, including in Israel, have restricted movements of their citizens which has caused routine dental checkups to be postponed. OBJECTIVE This study aimed to examine the ability of an mHealth app- iGAM to reduce gingivitis. METHODS A prospective observational cohort study was performed, 160 unpaid participants were divided into 2 equal groups and downloaded the iGAM app. Group 1 photographed their gums weekly for eight weeks. Group 2 photographed their gums at the time of recruitment and 8 weeks later. After photo submission, the participants received the message "It is recommended to read the information contained within the app regarding maintaining oral hygiene habits". A single blinded researcher examined the images and scored them according to the Modified Gingival Index (MGI). RESULTS The average age of group 1 was 26.77 (S.D. ± 7.43), and 28.53 (S.D. ± 10.44) for group 2. The majority were male (74.7% in group 1 vs. 66.7% in group 2), most participants described themselves as "secular", most were "single", non-smokers (74.7% vs. 78.4%) and did not take medications (85.3% vs. 78.4%). 126 subjects completed the study. A statistically significant difference (P <.001) was found in the dependent variable (MGI) in a linearly negative manner. As time passed, the gum condition improved, there were significantly lower gingivitis scores in group 1 (M = 1.16, S.D. ± 1.18) compared to group 2 (M = 2.16, S.D. ± 1.49), after eight weeks. Those with more recent dental visits had a lower MGI (p = .037). No association was found between knowledge and behavior, most participants were familiar with the recommendations for maintaining oral health, yet they only performed some. CONCLUSIONS A dental selfie taken once a week using an mHealth app (iGAM) reduced the signs of gingivitis and promoted oral health. During the current pandemic where social distancing recommendations may be causing people to avoid dental clinics, this app can remotely promote gum health. CLINICALTRIAL The protocol was approved by Hadassah research ethics committee (IRB, 0212-18-HMO)

scholarly journals SARS-CoV-2 Infection and Oral Health: Therapeutic Opportunities and Challenges

2021 ◽  
Vol 10 (1) ◽  
pp. 156
Author(s):  
Christopher J. Coke ◽  
Brandon Davison ◽  
Niariah Fields ◽  
Jared Fletcher ◽  
Joseph Rollings ◽  
...  
Keyword(s):  
Oral Health ◽  
Metabolic Diseases ◽  
The United States ◽  
Global Scale ◽  
The Novel ◽  
Periodontal Health ◽  
Dental Clinics ◽  
Dental Profession ◽  
Patients Experience ◽  
Taste And Smell

The novel corona virus, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), and the disease it causes, COVID-19 (Coronavirus Disease-2019) have had multi-faceted effects on a number of lives on a global scale both directly and indirectly. A growing body of evidence suggest that COVID-19 patients experience several oral health problems such as dry mouth, mucosal blistering, mouth rash, lip necrosis, and loss of taste and smell. Periodontal disease (PD), a severe inflammatory gum disease, may worsen the symptoms associated with COVID-19. Routine dental and periodontal treatment may help decrease the symptoms of COVID-19. PD is more prevalent among patients experiencing metabolic diseases such as obesity, diabetes mellitus and cardiovascular risk. Studies have shown that these patients are highly susceptible for SARS-CoV-2 infection. Pro-inflammatory cytokines and oxidative stress known to contribute to the development of PD and other metabolic diseases are highly elevated among COVID-19 patients. Periodontal health may help to determine the severity of COVID-19 infection. Accumulating evidence shows that African-Americans (AAs) and vulnerable populations are disproportionately susceptible to PD, metabolic diseases and COVID-19 compared to other ethnicities in the United States. Dentistry and dental healthcare professionals are particularly susceptible to this virus due to the transferability via the oral cavity and the use of aerosol creating instruments that are ubiquitous in this field. In this review, we attempt to provide a comprehensive and updated source of information about SARS-CoV-2/COVID-19 and the various effects it has had on the dental profession and patients visits to dental clinics. Finally, this review is a valuable resource for the management of oral hygiene and reduction of the severity of infection.

scholarly journals Racial inequality and periodontal condition in Brazilian adolescents

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Moreira ◽  
L D R Santos
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Sex Education ◽  
Multinomial Logistic Regression ◽  
Permanent Teeth ◽  
Multiple Model ◽  
Oral Diseases ◽  
Socioeconomic Variables ◽  
Periodontal Index ◽  
Dmft Index

Abstract Background Oral health, such as other health conditions, reflects social inequalities. These inequalities are fed back by oral diseases, generating a vicious and sustainable circle. Racial issues play a prominent role, once they are associated with oral diseases as risk markers. Among the different oral diseases, periodontal disease associated with racial inequalities in adolescents is emblematic. Thus, this study aimed to analyse the race differentials associated with the levels of periodontal disease, regardless of other risk factors. Methods Data from the 2010 national epidemiological survey on oral health were used, with 5445 adolescents (15 to 19 years old). Multinomial logistic regression models were used. Dependent variable was the Community Periodontal Index. Independent variable was self-declared race/colour, categorized as white, pardo (mixed-race identity) and preto (black). The effect of race was controlled in the presence of the covariates sex, years of study, decayed, missing and filled permanent teeth (DMFT index), toothache and self-reported need for dental treatment. Odds Ratio (OR) was estimated and sample weights were considered. Results The simple model showed preto with 2.7 (p &lt; 0.05) and 8 (p &lt; 0.05) times more likely to have shallow and deep periodontal pockets, respectively, compared to white. Pardo was 1.5 (p &lt; 0.05) times more likely to have periodontal calculus. In the multiple model, even in the presence of all independent covariates, preto showed association with shallow pockets (OR = 2.51, p &lt; 0.05) and pardo showed association with the presence of calculus (OR = 1.37, p &lt; 0.05). Conclusions Regardless of sex, education, perception of pain and need for treatment and the DMFT index, race/colour was associated with periodontal problems. It should be noted that skin colour is not a biological risk factor for periodontal disease. However, the findings of this study revealed racial inequities regardless of socioeconomic variables. Key messages Raises the need to guarantee health as a resource for social development, with science having a fundamental role in recovering the citizenship of this historically forgotten population. The findings of this study revealed racial inequities regardless of socioeconomic variables.

scholarly journals Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

2021 ◽  
Vol 18 (4) ◽  
pp. 2048
Author(s):  
Ina Nitschke ◽  
Sebastian Hahnel ◽  
Julia Jockusch
Keyword(s):  
Oral Health ◽  
Protective Factors ◽  
Healthcare System ◽  
Sense Of Coherence ◽  
Influencing Factor ◽  
Patient Specific ◽  
Dental Services ◽  
Health Related ◽  
Utilization Of Dental Services ◽  
Resistance Forces

The aim is to analyze protective and modifying factors (e.g., vulnerability, resilience, sense of coherence) in relation to the utilization of dental services by seniors at different levels of the healthcare system. Terminological imprecision in the use and transfer of existing terms (sense of coherence, resilience, salutogenesis) to gerodontology is clarified. Factors influencing a reduced utilization (static/dynamic factors) can occur isolated or in combination and, thus, model the risk of a reduced utilization of dental services (influencing-factor mechanism). Protective factors of utilization include patient-specific factors for self-motivation and factors that promote oral-health-related resilience. Resistance forces that counteract can be identified as oral-health-related resilience factors. Achieving social and individual appreciation and establishing a prevention-oriented approach to utilization will be increasingly challenging, since the population is becoming older and access is not equal in terms of opportunity. Resistance forces need to be strengthened in an ethical context. Studies should increasingly present resilience processes, determinants and modes of action at the various interfaces in the healthcare system, which can ensure sustainable medical care in old age. The concepts conveyed here are generally valid and able to point out inequalities and ageism in access to dental services.

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