scholarly journals Reaching Vulnerable Populations through Portable and Mobile Dentistry—Current and Future Opportunities

2019 ◽  
Vol 7 (3) ◽  
pp. 75
Author(s):  
Shailee Gupta ◽  
Muna Hakim ◽  
Dishant Patel ◽  
Lauren C. Stow ◽  
Katherine Shin ◽  
...  

The Action for Dental Health Act of 2017 bill is intended to prevent dental disease and divert dental emergencies from high-cost centers (like hospital emergency rooms) to dental offices. Lines 15–17 of the bill include grant funding to support portable or mobile dental equipment, and this should lead to an expansion of opportunities to deliver and receive care through the use of portable dental equipment and mobile dental vans, i.e., portable and mobile dentistry (PMD). Historically, PMD has been valuable to bridge the access gap for those for whom transport can be a challenge, like children and the elderly. However, PMD could be valuable to large employers, allowing the employees to receive dental care with minimal disruption to their workday. Oral pain is known to affect work and school attendance, and improving access to dental care could benefit individuals, families, organizations, and communities.

Author(s):  
Jeehee Pyo ◽  
Ji-Hyun Lee ◽  
Mina Lee ◽  
Minsu Ock

Abstract Background: Disease burden created by periodontal disease has been recognized as a global challenge. The burden of medical expenses is expected to increase continuously, parallel to the growth of the elderly population. Periodontal disease causes tooth loss if not treated early, and advanced periodontitis can cause a decline in chewing ability and word pronunciation as well as aesthetic function. These results diminish the health-related quality of life (QOL) for various populations, particularly the elderly, adults, pregnant women, and workers. Thus, not only is early detection and management of the disease necessary, but also a systematic strategy for the prevention of periodontal diseaseMethods: Adults 19 years of age or older diagnosed with chronic gingivitis (K05.1) or chronic periodontitis (K05.3) under the ICD-10 codes were selected to participate in the study. Among the patients visiting the dental outpatient department, the study participants were chosen for our sample. A total of 20 participants were informed of the purpose of the study and gave consent to participate in in-depth interviews.Results: The analysis results were summarized into the four upper categories of ‘Interfering Element for Dental Care,’ ‘Declined Quality of Life caused by Dental Disease,’ ‘Satisfaction Elements after Treatment of Dental Disease,’ ‘Improvements for Voluntary Dental Care.’ The treatment of periodontal disease has improved the health-related quality of life and enabled the participants to have positive health behaviors for dental care. Furthermore, they recognized the severity of periodontal disease and the importance of dental examinations. It enabled them to be aware of the need of societal effort for dental care awareness.Conclusions: This study was an in-depth examination of the health-related QOL of periodontal patients through qualitative research methodology. The experiences of periodontal disease identified by this study can not only help to assess the adequacy of the current dental health-related QOL assessment tools but also recognize unmet needs regarding periodontal disease and, ultimately, to raise the awareness of periodontal disease among the general public. Based on this research, we expect that research on health-related QOL on periodontal disease would expand and revitalize the dental health system and practices.


2019 ◽  
Vol 5 (2) ◽  
pp. 127-132
Author(s):  
C. Okunseri ◽  
E. Eggert ◽  
C. Zheng ◽  
F. Eichmiller ◽  
E. Okunseri ◽  
...  

Objective: Mission of Mercy (MoM) events are scheduled to provide care to populations suffering from urgent needs and inadequate access to dental care in the United States. This study examined individual and county-level characteristics of MoM attendees and the factors associated with changes in the rate of attendance. Methods: Deidentified archival data for MoM events available from the America’s Dentists Care Foundation (2013–2016) were analyzed. Summary statistics were calculated separately for each year. Chi-square test was performed to identify changes in attendance distribution over time. Poisson regression analyses were conducted to test changes in the rate of attendance with and without adjustment for county-level characteristics and history of prior MoM events. Results: Total numbers of attendees at Wisconsin MoM events were 1,560, 1,635, 1,187, and 951 in 2013, 2014, 2015, and 2016, respectively. Attendees were mostly female (>50%) and White (58%–81%), and mean age ranged between 36.5 and 39.2 y. The average travel distance ranged between 27 and 80 miles. Residents of counties where MoM events were held in previous years were more likely to attend another MoM event after adjusting for county distance to current location. After adjusting for dentists-to-population ratio, event history, and county distance to event location, we found that there was no statistically significant change in the rate of attendance from 2013 to 2016. Conclusions: Previous attendees with experience of attending a MoM event in their counties of residence were more likely to attend another MoM event. Higher rates of attendance were associated with shorter travel distances to MoM events. Knowledge Transfer Statement: The Mission of Mercy (MoM) events are promoted by local dental organizations to highlight the issue of access to dental care and bring greater awareness to the problem by providing urgent dental care to populations in need. Through the data-sharing practices and analyses, policy makers, dental health advocates, and program organizers will have a better understanding of the impact and reach of the program. Findings from this study will help to expand program practices, promote efficiency, and aid in the identification of appropriate event locations, innovative strategies, and public policies relevant to addressing access to dental care.


2020 ◽  
Vol 54 ◽  
pp. 37
Author(s):  
Adriana Vieira Camerini ◽  
Alexandre Emidio Ribeiro Silva ◽  
Silvio Omar Macedo Prietsch ◽  
Rodrigo Dalke Meucci ◽  
Mariane Pergher Soares ◽  
...  

OBJECTIVE: To evaluate if factors related to the mother’s previous guidance on her children’s dental health and the school attendance of children influence the regular dental care of preschoolers living in the rural area of a municipality in Southern Brazil. METHODS: A population-based study was conducted with 264 children under five years of age and their mothers. Socioeconomic and behavioral data were collected using a questionnaire, and the children were subjected to dental health tests. The outcome was the regular use of dental services. The main exposure variables were children’s care in daycare centers or schools and maternal guidance on the child’s dental health. Poisson regression analysis with robust variance adjustment was used to estimate prevalence ratios, considering a 95% confidence interval. RESULTS: The prevalence of regular use was 11.4% (95%CI 7.5–15.2). In the adjusted analysis, the regular use of services was associated with the child attending day care center/school (PR = 2.44; 95%CI 1.38–4.34), and the mother received dental health guidance (PR = 4.13; 95%CI 1.77–9.61), even with control for socioeconomic, maternal and child variables. CONCLUSION: When mothers receive previous information on child dental health care and children attend schools or daycare centers, the likelihood of regular dental appointments in preschoolers living in rural locations increases.


2015 ◽  
Vol 21 (1) ◽  
pp. 32 ◽  
Author(s):  
Brenda Happell ◽  
Chris Platania-Phung ◽  
David Scott ◽  
Christine Hanley

People with serious mental illness experience higher rates of oral and dental health problems than the wider population. Little is known about how dental health is viewed or addressed by nurses working with mental health consumers. This paper presents the views of nurses regarding the nature and severity of dental health problems of consumers with serious mental illness, and how often they provide advice on dental health. Mental health sector nurses (n = 643) completed an online survey, including questions on dental and oral health issues of people with serious mental illness. The majority of nurses considered the oral and dental conditions of people with serious mental illness to be worse than the wider community. When compared with a range of significant physical health issues (e.g. cardiovascular disease), many nurses emphasised that dental and oral problems are one of the most salient health issues facing people with serious mental illness, their level of access to dental care services is severely inadequate and they suffer significantly worse dental health outcomes as a result. This study highlights the need for reforms to increase access to dental and oral health care for mental health consumers.


2020 ◽  
Vol 19 ◽  
pp. e209272
Author(s):  
Diandra Genoveva Sachetti ◽  
Fernanda Pretto Zatt ◽  
Thais Carleso Trevizan ◽  
Caroline Fernandes e Silva ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
...  

Aim: This study aimed to evaluate the prevalence of concern with dental appearance (DA) and associated factors among the elderly of two southern Brazilian cities. Methods: A cross-sectional study was conducted in the cities of Cruz Alta and Veranópolis, Brazil. Oral health examination and a structured questionnaire were applied. Questions from the PCATool-SB Brasil tool and the Questionnaire about Teeth Appearance, both validated to Brazilian samples, were used. The collected independent variables were: sex, age, ethnicity, education level, marital status, retirement, health problem, use of medication, smoking exposure, alcohol exposure, access to the dentist, toothbrushing frequency, use of dental floss, edentulism, use of and need for dental prosthesis. Concern with DA was dichotomized into yes/no. Associations between dependent and independent variables were assessed by Chi-square or Mann-Whitney tests. Moreover, uni- and multivariate analyses were conducted by Poisson regression with robust variance. Level of significance was established as p<0.05. Results: The prevalence of concern with DA was 18.8% (n=107). The prevalence ratio (PR) of concern with DA decreased 5.8% for each year increase (PR:0.942; 95% confidence interval [95%CI]:0.911–0.973). Elderly without access to the dentist in the last 12 months presented 62.5% (p=0.006) higher PR of concern with DA when compared to those with access to dental care. Dentate elderly showed 219% higher PR for concern with DA (PR:2.197; 95%CI:1.364–3.539) in comparison to edentulous individuals. Conclusion: Prevalence of concern with DA was low and associated with demographics, access to dental care and edentulism.


Rheumatology ◽  
2013 ◽  
Vol 52 (suppl 1) ◽  
pp. i95-i134 ◽  
Author(s):  
P. Cornell ◽  
A. Trehane ◽  
P. Thompson ◽  
F. Rahmeh ◽  
M. Greenwood ◽  
...  

2021 ◽  
Vol 14 (4) ◽  
pp. 1393
Author(s):  
Sharique A. Ali

Access to dental care in Saudi Arabia is a challenge due to the lack of proper distribution of the dental workforce. Teledentistry is the field of dentistry that helps to receive and provide dental service remotely using digital platforms. It can facilitate access to dental care, especially in underserved regions. The implication of teledentistry needs to address the concerns of dental professionals to ensure effective teledentistry application in dental practice. This review aimed to explore the literature about the perception, awareness, and knowledge of dental professionals about teledentistry in Saudi Arabia. Peer-reviewed literature was searched in databases including Web of Science, Scopus, PubMed, and Google Scholar with no time limits using the keywords: “Teledentistry”, “Dental Telemedicine”, “Saudi Arabia”, “Perception”, “Knowledge”, “Awareness”. We identified 7 relevant studies. All of them were after the breakthrough of the COVID-19 pandemic. Two studies targeted all dental professionals while another two studies investigated the dentists. Undergraduate dental students were investigated by one study as well as postgraduates. One study focused on both undergraduate and postgraduate dental students. Our review found that the perception, knowledge, awareness, and attitude of Saudi dental professionals are positive. Many studies pointed out that the dental professionals in Saudi Arabia are practicing teledentistry and are open to learn and get more knowledge about it. Teledentistry got more attention during the post-COVID19 time by Saudi dental professionals. Structured and sustainable models and education pogroms are recommended to utilize the benefits of teledentistry in Saudi Arabia.


2018 ◽  
Vol 6 (2) ◽  
pp. 15 ◽  
Author(s):  
Salma Bahannan ◽  
Somaya Eltelety ◽  
Mona Hassan ◽  
Suzan Ibrahim ◽  
Hala Amer ◽  
...  

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