{"title":"Performance of self-reported periodontitis questionnaire administered by community health workers.","authors":"Zuila Albuquerque Taboza, Liana Freire Brito, Nauyla Braga Mesquita, Virgínia Regia Silveira, Ana Karine Teixeira, Rodrigo Otavio Rego","doi":"10.1177/0265539X251361702","DOIUrl":"https://doi.org/10.1177/0265539X251361702","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the response and validity of a self-reported periodontal questionnaire administered by community health workers (CHWs) for severe periodontitis (SPER) screening.</p><p><strong>Methods: </strong>CHWs administered the CDC/AAP questionnaire in their communities. Participants underwent a complete periodontal examination. Based on these data, SPER was evaluated considering three definitions: CDC/AAP, EFP/AAP, and the presence of two sextants with probing depth (PD)≥ 6 mm. Questionnaire performance was analysed using the chi-square test and logistic regression with an assessment of sensitivity (SS), specificity (SP) and the receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>In total, 243 individuals completed the questionnaire. The prevalence of SPER was 47.3%. When SPER patients were compared with the controls (using the CDC/AAP criteria), significant differences in the means of interproximal clinical attachment loss and PD values were observed (p < 0.05). Responses to three of the eight questions, \"having gum disease\" (odds ratio [OR] = 2.6, 95% confidence interval [CI] = 1.5-4.7), \"general health of teeth and gums\" (OR = 0.5, 95% CI = 0.2-0.9) and \"tooth mobility\" (OR 2.6, 95% CI = 1.5-4.7) were associated with SPER (p < 0.05). In the regression analysis, the best models to predict SPER were those that included all the self-reported questions and all sociodemographic variables either using CDC/AAP definitions (SS = 69.7%, SP = 80.3, ROC= 0.806) or the presence of two sextants with PD≥ 6 mm (SS = 82.1%, SP = 69.2, ROC = 0.861).</p><p><strong>Concluding remarks: </strong>The CDC/AAP Self-reported periodontal questionnaire administered by CHWs to screen individuals for severe periodontitis was effectively capable of screening patients with this disease.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251361702"},"PeriodicalIF":0.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of social media in patient decision-making in choosing dental bleaching treatments.","authors":"Armin Atabaki, Denise Duijster","doi":"10.1177/0265539X251361703","DOIUrl":"https://doi.org/10.1177/0265539X251361703","url":null,"abstract":"<p><p>This study aimed to explore the role of social media in influencing patient decisions regarding dental bleaching treatments, examining how online content affects perceptions, attitudes and expectations. This qualitative study involved semi-structured interviews with participants who have either undergone dental bleaching or considered it. Patients were recruited from multiple dental practices in the Netherlands, the researcher's personal network and via social media pages. The individual interviews focused on understanding patient interactions with social media related to dental bleaching. Data were analyzed using conventional content analysis. A total of 16 interviews were conducted, including 10 males and six females. 18 themes were identified across five categories: social media usage, decision factors for dental bleaching, potential risks of dental bleaching, the role of dentists in social media and the credibility of social media as an information source. Social media exposure to dental bleaching advertisements was often passive via algorithms rather than through active searches. Such content was often met with skepticism regarding authenticity and commercial motives. Most participants reported that social media had a minimal influence on their decision-making for dental bleaching, however, many also agreed that social media promote beauty standards that could indirectly influence cosmetic treatment decisions. Dental professionals remained the most trusted source of information. Social media play a complex role in influencing decisions about dental bleaching. Dental professionals have an increasingly important responsibility in providing credible and professionally supported dental health information, allowing patients to make informed decisions about their dental health.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251361703"},"PeriodicalIF":0.9,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of nutritional guidance on oral and swallowing function and dietary diversity in regional dental clinics.","authors":"Yumeko Sumino, Wataru Fujii, Emi Akama, Rie Ogawa, Erika Matsumoto, Yusuke Shiraishi, Shirou Tabe","doi":"10.1177/0265539X251355499","DOIUrl":"https://doi.org/10.1177/0265539X251355499","url":null,"abstract":"<p><p>ObjectivesThis study aimed to evaluate the effects of nutritional guidance on oral and swallowing function, dietary diversity, and body composition in older adults attending regional dental clinics.Basic research designA cohort study was conducted following the STROBE guidelines.Clinical settingA regional dental clinic in Japan.ParticipantsThis study included 89 individuals aged 65 years and older (27 males and 62 females, mean age 77.3 ± 6.5 years).Main outcome measuresSeven oral function tests, number of functional teeth, Repetitive Saliva Swallowing Test (RSST), Dietary Variety Score (DVS), and body composition were assessed. The participants were categorized into three groups based on the DVS: low (0-3 points), middle (4-6 points), and high (7-10 points). The baseline and follow-up measurements were compared.ResultsSignificant improvements were observed in oral function tests, specifically in oral diadochokinesis (ODK)/ta/and swallowing ability (RSST), particularly in the low-DVS group. Nutritional guidance led to increased dietary diversity in all groups except the high-DVS group. Despite the improvements in dietary diversity, no significant changes in body composition were observed during the study period. Sex-specific differences were observed, with females showing greater improvements in ODK/ta/ and DVS, whereas males showed significant improvements in RSST.ConclusionsNutritional guidance, particularly for patients with a low baseline DVS, may help improve oral function and dietary diversity. Sex-specific approaches can improve nutritional, oral, and swallowing functions.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251355499"},"PeriodicalIF":0.9,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kidney failure and oral health - A systematic review and meta-analysis of observational studies.","authors":"Galileu Bottermund Galli, Eduardo Ribes Kohn, Pedro Bohlke Barcellos, Luísa Casarin Rickes, Maristela Bohlke","doi":"10.1177/0265539X251355212","DOIUrl":"https://doi.org/10.1177/0265539X251355212","url":null,"abstract":"<p><strong>Background: </strong>The interplay between oral health and chronic kidney disease (CKD) is not fully understood, but both conditions may influence each other through chronic inflammatory states. This systematic review and meta-analysis aim to investigate the association between CKD and oral health.</p><p><strong>Methods: </strong>The review included observational studies (cross-sectional, case-control, and cohort) involving adults (≥18 years) comparing individuals with and without CKD regarding the number of missing teeth, edentulism, or the decayed, missing, and filled teeth (DMFT) index, a recognized indicator of oral health. The databases PubMed, Scopus, and Web of Science, together with references, were searched up to October 10, 2024. The results were synthesized using meta-analysis in RevMan software.</p><p><strong>Results: </strong>Eight case-control studies from Portugal, Turkey, Japan, Brazil, and Thailand were included, with sample sizes ranging from 30 to 204 participants. CKD patients had significantly more missing teeth (mean difference +3.17; 95% CI 2.07-4.28), fewer filled teeth (mean difference -1.23; 95% CI -1.82; -0.64), and higher DMFT scores (mean difference +2.60; 95% CI 1.34; 3.86) compared to controls. No significant difference was found in the number of decayed teeth (mean difference 0.31; 95% CI -0.15; 0.76). The methodological quality of studies ranged from 4 to 7 stars.</p><p><strong>Conclusions: </strong>Patients with CKD, especially those on hemodialysis, experience more tooth loss and higher DMFT scores, highlighting a gap in oral health care within dialysis units. Although the findings highlight the importance of addressing oral health in CKD patients, further studies are needed in developed countries to better understand the interplay between both conditions.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251355212"},"PeriodicalIF":0.9,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global oral health course in Cambodia for UK dental students.","authors":"Kavi Morjaria, Chandthyda Sieng, Bathsheba Turton, Callum Durward","doi":"10.1177/0265539X251355215","DOIUrl":"https://doi.org/10.1177/0265539X251355215","url":null,"abstract":"<p><p>Dental students from high-income countries (HIC) engage in volunteer opportunities in a way that reinforces harmful perceptions of saviourism and poverty. This undermines the goal of bringing dentists into the profession with a deep understanding of global health and disease. This paper presents a 2-week course that provided dental students from HIC with practical experience in global oral health service delivery. The course involved four UK dental students participating in a 2-week course run by the University of Puthisastra in Cambodia. Students undertook skills training and competency testing and provided care alongside Cambodian dental personnel in routine mobile dental clinics. They also observed the practices of local dentists in their private clinics, participated in workshops on social determinants of health and systems thinking, and visited local marketplaces to contextualise their learning. The visiting students were exposed to global health concepts and developed skills in oral health service delivery in non-conventional settings. By working with a large number of patients and gained both organisational and clinical skills. The program received positive feedback. Adjusting workshop timing and length, along with pre-learning through online courses, can improve the content and depth of the course.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251355215"},"PeriodicalIF":0.9,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Community dental healthPub Date : 2025-03-01Epub Date: 2025-06-26DOI: 10.1177/0265539X251343835
Zoe Freeman, Paula J Waterhouse, Sheena E Ramsay, Richard D Holmes
{"title":"Social accountability in undergraduate dental education: A narrative review.","authors":"Zoe Freeman, Paula J Waterhouse, Sheena E Ramsay, Richard D Holmes","doi":"10.1177/0265539X251343835","DOIUrl":"10.1177/0265539X251343835","url":null,"abstract":"<p><strong>Background: </strong>Social accountability relates to the obligation of a health professional school to align education, research, and services with community health priorities. Limited research has examined the role of social accountability in dental education and its potential for addressing oral health inequalities.</p><p><strong>Aim: </strong>The aim of this narrative review is to describe current research of relevance to social accountability in dental education and identify gaps in the literature.</p><p><strong>Method: </strong>A systematic search of the electronic databases PubMed, Medline, Embase, Web of Science, and Scopus, using the terms \"social accountability\", \"social responsibility\", and \"dental education\" was undertaken. Articles included in the review were those published between January 1995 and May 2024 which were related to dental professional education and deemed relevant to social accountability.</p><p><strong>Results and conclusions: </strong>Four themes of relevance to social accountability were identified in the literature (curriculum design and delivery, attitudes, social responsiveness, and cultural competence). This review highlights challenges in measuring the community impact of socially accountable approaches in dental education. There is a need for more longitudinal research to assess the long-term impacts of social accountability in dental education. There are also potential implications for policy and research to influence the working environment of dental graduates to enable and support the workforce to apply and embed social accountability in the practice of dentistry.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":"42 1","pages":"5-14"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating health screening for non-communicable diseases into dental services: what do we know?","authors":"J Doughty, J F Large, A J Daley, Z Yonel","doi":"10.1922/CDH_00116Doughty07","DOIUrl":"10.1922/CDH_00116Doughty07","url":null,"abstract":"<p><p>This narrative review describes the impetus for health screening for non-communicable diseases in dental settings and highlights important considerations for evaluating such interventions. Real world cases are presented that showcase health screening interventions implemented in the UK. Non-communicable diseases including diabetes and cardiovascular disease are a global public health challenge. They are largely preventable by implementing lifestyle changes such as healthy eating and participation in physical activity, regular health screening for disease prevention, and/or early initiation of treatment. Hypertension case finding and control is one of the key five areas of focus for adult health, and oral health and diabetes are two of five key clinical areas for children and young people where efforts should be focused to intervene, improve outcomes and reduce inequalities. Links between oral and chronic diseases have been discussed in recent years. Therefore, screening for diabetes and cardiovascular disease has become of greater relevance to the dental profession. There is emerging evidence indicating that screening for the risk factors of cardiovascular diseases and diabetes in dental settings shows promise for improving health outcomes and may offer a cost-effective preventive approach for the detection of diabetes. Real-world services implementing health screening in dental settings have highlighted possibilities for the future and highlight the potential for the role of the dental team in detecting chronic diseases.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"237-243"},"PeriodicalIF":0.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unmet Dental Care Needs of The Low-Income Elderly in South Korea: Applying the Andersen behavioural model.","authors":"E-J Park, J-W Han, Y Choi","doi":"10.1922/CDH_00145Park04","DOIUrl":"10.1922/CDH_00145Park04","url":null,"abstract":"<p><strong>Objective: </strong>Retirement reduces income and increases dental care needs for the elderly, but there are few studies on unmet dental care needs among the low-income elderly. This study aimed to identify actors associated with unmet dental care needs of low-income elderly people in South Korea.</p><p><strong>Method: </strong>Secondary analysis of 2020 KNHANES data relating to 1,016 elderly individuals (65+) below median income.</p><p><strong>Results: </strong>Unmet dental care needs were higher for women at 28.9% (p ⟨0.001), those with a middle school education at 28.5% (p ⟨ 0.05), individuals who rated their health as \"poor\" at 31.3%, those reporting feelings of depression at 44.8% (p ⟨ 0.001), individuals who rated their oral health as \"poor\" at 36.2% (p ⟨ 0.001), and those who experienced toothache at 37.2% (p ⟨ 0.001). In regression analysis women (Risk Ratio = 1.59, 95% CI 1.09-2.32), people with depression (RR = 2.29, 95% CI 1.01-5.15), those who perceived their oral health as \"poor\" (3.20, 95% CI 1.90-5.32) and those toothache (1.88, 95% CI 1.27-2.76) had higher unmet dental needs.</p><p><strong>Conclusion: </strong>Substantial unmet dental care needs exist among the low-income retired elderly. Comprehensive public oral health policies and community programs are needed for this population group.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"244-247"},"PeriodicalIF":0.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethnic Inequalities in the Functional Dentition Among British Adults: A Multilevel Analysis.","authors":"H Alhejaili, E K Delgado-Angulo","doi":"10.1922/CDH_00153Alhejaili06","DOIUrl":"10.1922/CDH_00153Alhejaili06","url":null,"abstract":"<p><strong>Objective: </strong>To explore the role of socioeconomic factors, area deprivation and behaviours in explaining ethnic differences in the functional dentition among East London adults using multilevel modelling.</p><p><strong>Methods: </strong>Data from a community-based health survey in East London included information on 1898 adults aged between 16 to 65 years old and belonging to 9 ethnic groups. Supervised questionnaires gathered information on demographic characteristics, socioeconomic indicators, dental behaviours and area deprivation (IMD 2007). A functional dentition was defined as having all 6 anterior plus at least 4 posterior contacts in clinical examination.</p><p><strong>Results: </strong>The multilevel logistic regression showed that Black Africans were 75% (95%CI: 1.21-2.52) and Black Caribbean 77% (95%CI: 1.05-2.98) more likely to have a non-functional dentition than White British participants in fully adjusted models. Other factors associated with a non-functional dentition were older age and no educational attainment.</p><p><strong>Conclusion: </strong>Black adults are at greater risk of non-functional dentition independently from sociodemographic characteristics, oral health-related behaviours and area-level characteristics. Proportionate universalism could be effective in reducing these health gaps.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"278-283"},"PeriodicalIF":0.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}