scholarly journals School Based Tooth Brushing and Annual Silver Diammine Fluoride Application as a Highest Priority Package for Achieving Universal Oral Health Care for Cambodian Children

2021 ◽  
Vol 2 ◽  
Author(s):  
Bathsheba Turton ◽  
Jilen Patel ◽  
Chanthyda Sieng ◽  
Ranuch Tak ◽  
Callum Durward
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Primary Teeth ◽  
Descriptive Analysis ◽  
Oral Health Care ◽  
Adverse Outcomes ◽  
Mixed Dentition ◽  
Dental Services ◽  
Middle Income ◽  
Carious Lesions

Background: Achieving Universal Oral Health Care among Low-to Middle-Income settings is challenging and little literature exists around exploring what a “Highest Priority Package” of care might look like in the context of oral health. The Healthy Kids Cambodia (HKC) program differs from most conventional school dental services in that the initial package of care that is offered is daily toothbrushing with 1,500 ppm fluoride toothpaste (DTB) together with the topical application of Silver Diamine fluoride (SDF) for management of lesions in primary teeth.Aim: To examine tooth level outcomes for 8- to 10-year old children from two schools that performed DTB with application of SDF at differing time-points.Design: This was an observational cohort study that examined lesion progression among children in late mixed dentition at two schools. Data were collected using the dmft and pufa indices. Both schools received materials and training for DTB at baseline. School One received SDF at baseline while School Two received SDF after 9-months. Intraoral examinations were performed and the presentation of primary teeth with cavitated carious lesions were compared at baseline and 12 m. If a tooth was still caries-active or had become pulpally involved, this was considered to be an unacceptable outcome. Descriptive analysis was performed the chi-squared test was used to examine differences in the proportion of teeth with unacceptable outcomes by school membership.Results: Of the 521 children recruited, 470 (90.2%) were followed. Where there was a delay in SDF application (School 2) there was a three times greater chance of an unacceptable outcome. Ten percentage of primary teeth in School One and 33% of primary teeth in the School Two had unacceptable outcomes.Conclusion: The present study offers data on expected effect sizes that might inform future step-wedged clinical trials to validate an oral health Highest Priority Package of care for Cambodian children. The delivery of a package of care that includes both DTB and SDF can prevent adverse outcomes, such as dental infections, in primary teeth with carious lesions.

Increasing Use of Dental Services by Children, but Many Are Unable to Secure Needed Care

2014 ◽  
Vol 39 (1) ◽  
pp. 9-11 ◽  
Author(s):  
HB Waldman ◽  
MB Ackerman ◽  
SP Perlman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Access To Care ◽  
Low Income ◽  
Oral Health Care ◽  
Oral Disease ◽  
National Study ◽  
Vulnerable Children ◽  
Dental Services ◽  
National Studies

National studies indicate that an increasing proportion of children are receiving needed oral health care. However, this increase is not uniform throughout all populations of youngsters. Overall national study findings regarding the use of dental services mask the fact that, a significant subset of low-income, minority, medically and developmentally compromised and socially vulnerable children continue to lack access to care and suffer significant and consequential dental and oral disease. In addition, these same children will face continued difficulties in securing needed care as they reach their early adult years.

The structure of dental services in the UK

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Oral Health Care ◽  
Third Party ◽  
Dental Services ◽  
The Public ◽  
Annual Salary ◽  
Distribution Process ◽  
The Uk

This chapter will briefly describe how oral health care may be managed and organized and how health workers may be remunerated. This will be followed by a short outline of the ways in which oral health care is provided in the UK. A separate overview of dental care professionals (DCPs) is presented in this chapter. The reform of the NHS is ongoing, so this chapter discusses principles rather than detail. Since the devolution of health care to governments in Scotland, Wales, and Northern Ireland, variations in provision are occurring across the UK and some of these differences are highlighted. If oral health care is to be provided it has to be funded. The money has to be derived from the public and this can be either from individuals or from taxation. Within the UK there are a variety of ways in which oral health care is funded. Figure 19.1 shows the possible flows of money. The model that exists in the UK is in the main centred on routes 1 and 3, based on taxation, either direct or through national insurance contributions, and its subsequent allocation to various public-funded services, including dentistry. In Germany, the arrangement is slightly different in that third-party insurance groups are involved and a proportion of an individual’s annual salary is allocated to health care. A third model operates in the USA under the guise of managed care. Individuals buy into a care plan that is organized by a health care company, which subsequently contracts with dentists to provide a level of care. In route 2, the public pays the dentist directly for his or her services; this is a private arrangement. A third party may intervene to control pricing. For example, Dutch and Swedish adult dental care is now mostly in the private sector, but each year the profession negotiates the scale of fees with their government. The subsequent distribution process for paying oral care workers is illustrated in Figure 19.2. There are again three mechanisms: . . . 1 A purely private arrangement. . . . . . . 2 The state pays the total cost. . . .

scholarly journals Oral health and use of dental services in different stages of adulthood in Norway: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elin Hadler-Olsen ◽  
Birgitta Jönsson
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Oral Health ◽  
Dental Health ◽  
Adult Population ◽  
Age Groups ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional

Abstract Background Socioeconomic status and oral health care habits may change throughout adult life. This calls for age-stratified analyses of oral health in the adult population to uncover differences that could be of importance for organizing adequate oral health care services. The aim of the present study was to describe self-reported oral health in different age groups in a general adult population in Norway, and to explore associations between self-reported oral health and age groups, sociodemographic factors, use of dental services, number of teeth and dental caries. Methods We used data from a cross-sectional study of almost 2000 Norwegian adults, 20–79 years old. The study included both a structured questionnaire and a clinical examination to assess sociodemographic variables, use of dental services, self-reported oral and general health as well as dental caries and number of teeth. For analysis, the participants were divided into three age groups: young adults (20–29 years), middle-aged adults (30–59 years), and senior adults (60 years and older). Differences among groups were analyzed by cross-tabulation, and logistic regression analyses were used to assess associations between variables. Results Forty-eight percent of the participants rated their oral health as good. Almost half of the participants had at least one carious tooth, with the highest caries prevalence among the young adults. To be caries free was strongly associated with reporting good oral health among the young and middle-aged adults. One third of the senior adults had fewer than 20 teeth, which was associated with reporting moderate or poor oral health. Less than half of the young adults reported regular use of dental services, and 40% of them had postponed dental visits for financial reasons during the past 2 years. Regardless of age group, having to postpone dental visits for financial reasons or having poor-to-moderate general health were associated with high odds for reporting moderate or poor oral health. Conclusions That there were important age-group differences in self-reported and clinical measures of oral health and in the use of dental health services demonstrates the importance of age-stratified analyses in oral health research. Many adults, especially among the young, faced financial barriers for receiving dental health services, which was associated with poorer self-reported oral health. This argues for a need to revisit the financing of oral health care for adults in Norway.

scholarly journals 1013. Enhanced Oral Health Care Services for PLWHA - Midlands Region, South Carolina

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S535-S536
Author(s):  
Christina M Baello ◽  
Divya Ahuja ◽  
Norlica Finkley ◽  
Rajee Rao
Keyword(s):  
Health Care ◽  
South Carolina ◽  
Oral Health ◽  
Dental Care ◽  
Care Program ◽  
Oral Health Care ◽  
Care Patient ◽  
Inclusion Criteria ◽  
Dental Services ◽  
Health Care Program

Abstract Background An estimated 58- 64 % of people living with HIV/AIDS (PLWHA) do not receive regular dental care and this gap may be attributed to barriers related to cost, access to dental care, logistical issues, indifference to or fear of dental care.1,2 The Immunology Center at Prisma- University of South Carolina, School of Medicine is a Ryan White funded Part B Program that provides care to > 2400 PLWHA. Based on the perceived barriers, an enhanced oral health care program was implemented in 2018, wherein patients in need of dental care and meeting inclusion criteria are referred to contracted local general dentistry and specialty practices. Enhancements Dedicated Dental Services Coordinator (DSC) Facilitated transport to and from the dental clinic Annual budget of $2700 per patient Access to dental specialties (oral and maxillofacial surgery) Restorative services (crowns, dentures and root canals) Program Goals The ultimate goal of the oral health care program is to provide biannual dental prophylaxis and expanded restorative services to PLWHA. Inclusion criteria for referrals 1 Virological suppression over 6 months. (HIV Viral Load < 200 c/mL) 2 Adherence with HIV clinic appointments. Midlands Region, South Carolina Methods The DSC completes the following: monitoring of referrals, patient compliance to program inclusion criteria, linkage to dental care, payments for dental services, and coordination with case management. Results Between 2018 and 2019, 535 patients were referred to the oral health care program. Almost 75% 399 completed at least one dental clinic visit. The average number of visits for patients from their enrollment date (2018-2019 to December 2019 was 1.56, with an average of 8.08 services, and 1.13 prophylaxis visits with their oral health care provider. Patients were predominantly African American and male but were spread across a wide age spectrum and 8 counties. Nearly 94% of patients remained virologically suppressed during their oral health care treatment. Table 1: 2018-2019 Program Summary of Oral Health Care Table 2 & Figure 1: Oral Health Care Patients by Age Group, Figure 2: Oral Health Care Patient by Gender Table 3 & Figure 3: Oral Health Care Patients by Race and Ethnicity, Table 4 & Figure 4: Oral Health Care Patient by County Conclusion PLWHA have high rates of unmet oral health care needs and low utilization of oral health services. Adequate resources and coordination of care with local dentists can overcome traditional barriers and improve access to dental care. Abstract References Disclosures: All Authors: No reported disclosures

Dental Mangement Of Pregnant Patients: An Obstetrician’s Perspective

2019 ◽  
Vol 09 (02) ◽  
pp. 113-116
Author(s):  
Ayesha Basit ◽  
Maham Naeem ◽  
Sadia Mahmood ◽  
Umair Ali ◽  
Mohamamd Nasir
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Local Anesthesia ◽  
Adverse Pregnancy Outcome ◽  
Descriptive Analysis ◽  
Oral Health Care ◽  
X Rays ◽  
Dental Management ◽  
Safety Awareness ◽  
Adverse Pregnancy

Objective: The aim of the study was to investigate obstetricians’ perspective regarding dental management of pregnant patients. Study Design and Setting: It was questionnaire based study and was directed towards practicing obstetricians of Karachi. Methodology: A seven item questionnaire was formulated by focusing on different aspects of the oral healthcare of pregnant patients including need for regular dental visits, dental radiograph safety, awareness about the adverse pregnancy outcomes due to untreated dental infections, safe use of local anesthesia, antimicrobials and analgesics and the safe trimester for dental extractions. A total of 74 responses received were entered and descriptive analysis was done by SPSS version 16. Results: Out of 74 respondents, n = 47 (63.5%) were aware that untreated dental infection may lead to adverse pregnancy outcome, n = 20 (27%) actually advise regular dental check-ups to their patients; n = 29 (39.2%) respondents were in favor of leaving the decision for dental x-rays to the dentist and n = 14 (18.9%) respondents allowed dental x-rays anytime during pregnancy to their patients. Out of n = 74, n = 21 (28.4%) respondents permitted dental extractions under local anesthesia with adrenaline by taking some precautions. Co-Amoxiclav (Amoxicillin and Clavulanic acid) was considered the safest antimicrobial by n = 45 (60.8%) respondents whereas Acetaminophen as the safest analgesic by n = 66(89.2%) respondents. Conclusion:This study concluded that there was a lack of knowledge among obstetricians regarding oral health care of the pregnant patients and this study emphasized the need for oral health care awareness among obstetricians.

scholarly journals Factors influencing Oral Health and Utilization of Oral Health Care in an Indian Fishing Community, Mangaluru City, India

2017 ◽  
Vol 8 (4) ◽  
pp. 321-326
Author(s):  
Mithun BH Pai ◽  
Ashwini Rao ◽  
Sumeet Bhatt ◽  
Guru R Rajesh ◽  
Vijayendra Nayak
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Oral Health Care ◽  
Fishing Community ◽  
Periodontal Health ◽  
Dental Services ◽  
Factors Influencing ◽  
Gender Education ◽  
Utilization Of Dental Services

ABSTRACT Aim The aim of this study was to assess factors influencing the oral health and utilization patterns of oral health services by fishermen community in Mangaluru city, Karnataka, India. Materials and methods A house-to-house survey was conducted among 840 individuals in fishermen population. Oral health status was evaluated by employing the World Health Organization basic oral health survey form. A self-administered questionnaire was used to assess patterns of utilization of dental services and their sociodemographic details. Results Mean decayed, missing, and filled teeth (DMFT) of the population was 3.78 ± 6.02 and prevalence of caries and periodontal conditions was 55 and 99% respectively. About 55% participants had never visited a dentist. Age, gender, and education of the respondents showed significant associations with DMFT status. Periodontal health showed significant association with age, gender, education, and income of the respondents. Visit to the dentist was associated with age, gender, education, and dental caries. The major barrier recognized in seeking dental care was the perception of not having any dental problem. Conclusion The dental care utilization was poor, and majority of the dental visits were for tooth extraction. Lack of perceived oral health care need was the main barrier to the utilization of dental services. Clinical significance The fishing population had high dental caries and poor periodontal health due to low utilization of dental care. How to cite this article Bhatt S, Rajesh GR, Rao A, Shenoy R, Pai MBH, Nayak V. Factors influencing Oral Health and Utilization of Oral Health Care in an Indian Fishing Community, Mangaluru City, India. World J Dent 2017;8(4):321-326.

scholarly journals Preventive oral health care for mitigating the COVID-19 induced adverse maternal outcomes: View point from Sri Lanka on opportunities in crisis

2021 ◽  
pp. 036-041
Author(s):  
Perera Irosha ◽  
Perera Manosha ◽  
Ratnasekera Nadisha ◽  
Gajanayake Chandana ◽  
Epa Migara
Keyword(s):  
Health Care ◽  
Pregnant Woman ◽  
Oral Health ◽  
Dental Caries ◽  
Health Care Services ◽  
Oral Health Care ◽  
Adverse Outcomes ◽  
Maternal Outcomes ◽  
Care Services ◽  
In Pregnancy

Pregnancy marks a unique milestone in woman’s life cycle enriched with an array of physical, psychological, social and even spiritual needs. In this context, an optimal level of oral health status has become fundamental to overall health and well-being of a pregnant woman. This is evident more than ever before, for preventing exacerbation of poor oral health in pregnancy, possible control of adverse pregnancy outcomes whilst ensuring low risk for early childhood dental caries for the offspring. Nevertheless, pregnancy renders special oral health needs for a woman compounded by changes in dietary habits, oral hygiene practices and hormonal changes thereby increasing the risk of dental caries and periodontitis. The possible link between Periodontitis and adverse outcomes in pregnancy is well known. The pandemic caused by acute respiratory syndrome coronavirus 2 (SARS-CoV-2) compounded by emergence more virulent strains not only indelibly impacted on population, countries, economies and health systems across the globe but exposed vulnerable population groups to pervasive health catastrophes. There is accumulating concerns on periodontitis linking with severe complications of Covid-19 attributed to commonalities of exacerbated inflammatory responses. Moreover, adverse Covid-19 induced maternal and fetal outcomes has garnered attention of researchers based on the previous knowledge indicating adverse outcomes attributed to epidemics of human corona viruses. However, it is not known how maternal oral hygiene status and burden of periodontitis impact on Covid-19 induced adverse outcomes in pregnancy. However, it could be rational to argue that poor oral health of a pregnant woman could elevate her risks for adverse health outcomes. Oral health care in pregnancy has received recognition as an essential element of comprehensive antenatal health care provision. However, the persistent global public health emergency of Covid-19 has profoundly impacted on availability of and accessibility to routine oral health care services. Therefore, accessing routine oral health care services poses serious causes for concern among pregnant women. Against this backdrop, present opinion attempts to explore and expound the potential of preventive oral health care could offer to mitigate the potential risks of Covid-19 induced adverse maternal outcomes embracing the context of Sri Lanka: a developing lower middle-income country.

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