Community dental health最新文献_第2页

Oral health disparities and bridging gaps in dental education: A call for enhanced ethics training and community engagement. 口腔健康差距和弥合牙科教育的差距：呼吁加强道德培训和社区参与。

IF 0.9 4区医学

Community dental health Pub Date : 2025-08-04 DOI: 10.1177/0265539X251363376

Brian Tuohy, Marisol Tellez, Eugene M Dunne, Emilie Sienko

{"title":"Oral health disparities and bridging gaps in dental education: A call for enhanced ethics training and community engagement.","authors":"Brian Tuohy, Marisol Tellez, Eugene M Dunne, Emilie Sienko","doi":"10.1177/0265539X251363376","DOIUrl":"https://doi.org/10.1177/0265539X251363376","url":null,"abstract":"Oral health disparities remain a stark reflection of broader systemic inequities within healthcare. Marginalized and underserved populations consistently experience limited access to dental care, poorer health outcomes, and heightened barriers to achieving equitable care. The dental profession faces a critical, existential moment: it must determine what role it will play in society and how it will respond to pressing issues of health inequity. As stewards of public trust and oral health, dental practitioners and educators must determine how to leverage their influence to address pressing issues of health inequity. This responsibility is particularly significant for dental schools, as they shape the ethical compass, cultural competency, and community engagement capabilities of future practitioners and thus bear a special responsibility in this transformative endeavor. This manuscript thus argues that dental schools should move beyond their traditional role of clinical training to engage more deeply with ethics, social determinants of health (SDOH), and community engagement. By doing so, they can prepare practitioners capable of advancing health equity and reshaping the role of dentistry in society.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251363376"},"PeriodicalIF":0.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783674","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}

引用次数: 0

Association of xerostomia and polypharmacy - A case-control study. 一项病例对照研究：口干症与多药的关系。

IF 0.9 4区医学

Community dental health Pub Date : 2025-07-29 DOI: 10.1177/0265539X251363871

Saima Hafsah, Shilpa Syam

{"title":"Association of xerostomia and polypharmacy - A case-control study.","authors":"Saima Hafsah, Shilpa Syam","doi":"10.1177/0265539X251363871","DOIUrl":"https://doi.org/10.1177/0265539X251363871","url":null,"abstract":"Introduction: Xerostomia, or the subjective sensation of dry mouth, is known to cause difficulties in speech, swallowing, and maintaining oral hygiene. Aim: To study the association between xerostomia and polypharmacy among dental patients. Materials and Methods: This case-control study was conducted at Saveetha Dental College and Hospitals, Chennai, Tamil Nadu. A total of 120 participants were included, comprising 60 cases with clinically diagnosed xerostomia and 60 controls without xerostomia. Data was retrieved from the institutional electronic record system for the period between January 2023 and January 2024. Variables such as age, gender and medication history were recorded and their association with xerostomia was analyzed. Results: Xerostomia was more commonly reported among females and in the 31-40 and 61-70 age groups. Among individuals diagnosed with xerostomia, 33.3% were under polypharmacy, while a higher proportion (66.7%) were under monotherapy. An adjusted multivariate regression analysis revealed a positive association between xerostomia and polypharmacy (OR = 3.545), which was found to be statistically significant. The most frequently used drug class in monotherapy patients with xerostomia was antipsychotics (28%) followed by hypoglycaemics (24%) and antidepressants (24%). Conclusion: This study found that polypharmacy was significantly associated with increased odds of xerostomia after adjusting for confounders. Drug classes such as antipsychotics, antidepressants, and hypoglycaemics were found to be administered as monotherapy amongst patients with xerostomia. These findings, along with the multivariate analysis, suggest that both the number of medications and the type of drugs prescribed are important contributors to the risk of developing xerostomia.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251363871"},"PeriodicalIF":0.9,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144741378","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}

引用次数: 0

Performance of self-reported periodontitis questionnaire administered by community health workers. 社区卫生工作者自行报告牙周炎问卷的表现。

IF 0.9 4区医学

Community dental health Pub Date : 2025-07-24 DOI: 10.1177/0265539X251361702

Zuila Albuquerque Taboza, Liana Freire Brito, Nauyla Braga Mesquita, Virgínia Regia Silveira, Ana Karine Teixeira, Rodrigo Otavio Rego

{"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":"Objective: To evaluate the response and validity of a self-reported periodontal questionnaire administered by community health workers (CHWs) for severe periodontitis (SPER) screening.Methods: 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.Results: 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).Concluding remarks: 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.","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}

引用次数: 0

The role of social media in patient decision-making in choosing dental bleaching treatments. 社交媒体在患者选择牙齿漂白治疗决策中的作用。

IF 0.9 4区医学

Community dental health Pub Date : 2025-07-16 DOI: 10.1177/0265539X251361703

Armin Atabaki, Denise Duijster

{"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":"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.","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}

引用次数: 0

Impact of nutritional guidance on oral and swallowing function and dietary diversity in regional dental clinics. 营养指导对地区牙科诊所口腔和吞咽功能及饮食多样性的影响。

IF 0.9 4区医学

Community dental health Pub Date : 2025-07-15 DOI: 10.1177/0265539X251355499

Yumeko Sumino, Wataru Fujii, Emi Akama, Rie Ogawa, Erika Matsumoto, Yusuke Shiraishi, Shirou Tabe

{"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":"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.","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}

引用次数: 0

Global oral health course in Cambodia for UK dental students. 在柬埔寨为英国牙科学生举办的全球口腔健康课程。

IF 0.9 4区医学

Community dental health Pub Date : 2025-07-12 DOI: 10.1177/0265539X251355215

Kavi Morjaria, Chandthyda Sieng, Bathsheba Turton, Callum Durward

{"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":"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.","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}

引用次数: 0

The influence of 179 lipid metabolism on head and neck cancer is mediated by 91 inflammatory factors. 179脂质代谢对头颈癌的影响是由91种炎症因子介导的。

IF 0.9 4区医学

Community dental health Pub Date : 2025-06-01 Epub Date: 2025-06-26 DOI: 10.1177/0265539X251343832

Shaoqi Hua, Tingyu Lang, Ruimin Liu

引用次数: 0

Causality between periodontitis and schizophrenia, bipolar disorder, and major depressive disorder: A mendelian randomization study. 牙周炎与精神分裂症、双相情感障碍和重度抑郁症之间的因果关系：一项孟德尔随机研究。

IF 0.9 4区医学

Community dental health Pub Date : 2025-06-01 Epub Date: 2025-06-27 DOI: 10.1177/0265539X251351451

Shimin Zhang, Jingning Mao, Guocheng Mei, Jiaxuan Liu, Yuxiao Huang, Renchuan Tao, Lanlan Jiang

{"title":"Causality between periodontitis and schizophrenia, bipolar disorder, and major depressive disorder: A mendelian randomization study.","authors":"Shimin Zhang, Jingning Mao, Guocheng Mei, Jiaxuan Liu, Yuxiao Huang, Renchuan Tao, Lanlan Jiang","doi":"10.1177/0265539X251351451","DOIUrl":"https://doi.org/10.1177/0265539X251351451","url":null,"abstract":"Background: Increasing evidence suggests that periodontitis (PD) is epidemiologically associated with mental health. To minimize the influence of confounding factors, we employed Mendelian randomization (MR) as the analytical approach to investigate the potential causal relationships between PD and schizophrenia (SZ), bipolar disorder (BD), and major depressive disorder (MDD).Methods: 8 single nucleotide polymorphisms (SNPs), sourced from a genome-wide association study (GWAS) of 45,563 individuals were used as instrumental variables for PD. 131, 52 and 0 SNPs were employed from 3 GWASs of SZ, BD and MDD, respectively. We took inverse variance-weighted model as the primary method for causal estimation supplemented by MR-Egger and Weighted-median. Then we conducted sensitivity analysis and leave-one-out analysis.Results: Periodontitis is the risk factor of BD (OR = 1.10; P = 0.0086). However, no significant causal association was observed between PD and SZ (OR = 1.03; P = 0.5045) or MDD (OR = 1.06; P = 0.1089). Neither SZ (OR = 1.01; P = 0.6763), BD (OR = 1.06; P = 0.2070) nor MDD was associated with PD.Conclusions: Our analysis supports previous epidemiological findings by showing a potential causal association between PD and BD; whereas, no causal link of PD with SZ or MDD, and SZ, BD or MDD with PD. These offers novel concepts for the diagnosis and treatment.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":"42 2","pages":"27-35"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774837","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}

引用次数: 0

Alcohol and dentistry. 酒精和牙科。

IF 0.9 4区医学

Community dental health Pub Date : 2025-03-01 Epub Date: 2025-06-25 DOI: 10.1177/0265539X251350917

Colwyn Jones

引用次数: 0

Social accountability in undergraduate dental education: A narrative review. 本科牙科教育中的社会责任：述评。

IF 0.9 4区医学

Community dental health Pub Date : 2025-03-01 Epub Date: 2025-06-26 DOI: 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":"Background: 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.Aim: 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.Method: 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.Results and conclusions: 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.","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}

引用次数: 0