Community dental health最新文献_第2页

My mouth matters: A dental care professional led oral health programme to improve oral health and mouth care to residents of care homes in the East of England. 我的口腔很重要：一名牙科护理专业人员领导了口腔健康项目，以改善英格兰东部养老院居民的口腔健康和口腔护理。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-18 DOI: 10.1177/0265539X261429992

Charlote Klass, Veni Cochrane, Nick Barker, Tom Norfolk

{"title":"My mouth matters: A dental care professional led oral health programme to improve oral health and mouth care to residents of care homes in the East of England.","authors":"Charlote Klass, Veni Cochrane, Nick Barker, Tom Norfolk","doi":"10.1177/0265539X261429992","DOIUrl":"https://doi.org/10.1177/0265539X261429992","url":null,"abstract":"Background: NHS England East of England led a working group to develop the 'My Mouth Matters' programme, aimed at developing a sustainable model for a Dental Care Professional (DCP) led service improvement pilot to improve mouth care and the oral health of adults in care homes. Objectives: Develop a Primary Care model, to support implementation of NICE NG48 guidance and quality standards, with the potential to upscale. Support the reduction of oral health inequalities and improve oral health and oral health related quality of life as an integral part of general health. Method: Primary Care dental practices in the East of England were commissioned to deliver My Mouth Matters. DCPs were upskilled and liaised with a nominated Oral Health Champion in each care home to provide oral health training, aid oral health policy development, and act as a direct link to a primary dental service provider. A pathway was developed to refer residents for oral health care. Results: The programme engaged with 34 care homes and 1674 residents. 280 resident care plans were evaluated: 54% of residents did not have a regular dentist, 29% required domiciliary care and 48% had additional access needs, 54% of residents did not know if they paid for their dental treatment. 71% of residents with dentures had a denture pot, 14% had their dentures marked, 38% of residents required some support and 24% required full support for oral health care, 10% of residents were prescribed high fluoride toothpaste. Conclusion: The My Mouth Matters programme demonstrated positive steps in developing a Primary Care model to improve oral health for care home residents. Further work to support models of engagement and training were highlighted as the main areas requiring development.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429992"},"PeriodicalIF":0.9,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480104","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 between shift work and periodontal disease in the Japanese manufacturing industry: A propensity score analysis. 日本制造业轮班工作与牙周病的关系：倾向评分分析。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-15 DOI: 10.1177/0265539X261433765

Hikaru Okubo, Yoshiyuki Soyama, Noboru Kaneko, Sachiko Takehara, Masaru Sakurai, Hideaki Nakagawa, Hiroshi Ogawa

{"title":"Association between shift work and periodontal disease in the Japanese manufacturing industry: A propensity score analysis.","authors":"Hikaru Okubo, Yoshiyuki Soyama, Noboru Kaneko, Sachiko Takehara, Masaru Sakurai, Hideaki Nakagawa, Hiroshi Ogawa","doi":"10.1177/0265539X261433765","DOIUrl":"https://doi.org/10.1177/0265539X261433765","url":null,"abstract":"Shift work is common in the manufacturing industry and is associated with an increased risk of chronic disease due to irregular lifestyles. However, the dental health status of shift workers has rarely been assessed or reported. Therefore, this study examined the relationship between shift work and periodontal disease using data from dental and medical examinations conducted among individuals employed in the manufacturing industry. This cross-sectional study analyzed data from workers aged 40-64 years at a Japanese manufacturing facility who underwent dental examinations in 2023 and medical examinations in 2022. The examined variables included periodontal pocket depth (PPD), work schedules, general health status, and oral hygiene behavior. To examine the association between shift work and periodontal disease, we performed logistic regression and propensity score analyses separately for men and women using PPD ≥4 mm as the dependent variable. The study included 1866 daytime workers (1159 men and 707 women) and 468 shift workers (434 men and 34 women). Among men, shift workers had a significantly higher rate of PPD ≥4 mm than daytime workers in both analyses. However, no significant relationship between shift work and PPD ≥4 mm rates was observed among women in either analysis. These findings suggest a significantly higher likelihood of periodontal disease among male shift workers in the Japanese manufacturing industry.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261433765"},"PeriodicalIF":0.9,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147462733","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

Evaluation of a routine in Swedish dental care practice intended to support frail older patients in preserving their regular dental care contact: A mixed-methods study. 瑞典牙科护理实践的常规评估，旨在支持体弱多病的老年患者保持定期牙科护理接触：一项混合方法研究。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-12 DOI: 10.1177/0265539X261433763

Tilda Friedner, Maria Eriksson, Catharina Hägglin, Jessica Persson Kylén

{"title":"Evaluation of a routine in Swedish dental care practice intended to support frail older patients in preserving their regular dental care contact: A mixed-methods study.","authors":"Tilda Friedner, Maria Eriksson, Catharina Hägglin, Jessica Persson Kylén","doi":"10.1177/0265539X261433763","DOIUrl":"https://doi.org/10.1177/0265539X261433763","url":null,"abstract":"Objective: To evaluate how a routine for maintaining dental care contact for frail older patients is used and experienced by dental professionals in Public Dental Service in the west of Sweden. Basic research design: The overall study design consisted of mixed methods. The quantitative part included an analysis of register data regarding the number of registrations to the routine during 2018-2023 and a survey in 2021 to one representative at each clinic. The qualitative part included interviews conducted with employees (n = 12) from 11 different dental care clinics. The data was analysed with qualitative content analysis. Clinical setting: The study was performed in the west of Sweden, including a total of 105 Public Dental Service clinics. Participants: Personnel at Public Dental Service clinics in the west of Sweden. Results: Between 2018 and 2023, register data showed variation in the use of the routine across dental clinics (0-457 cases per clinic). The survey found that the routine was used at 80% of the clinics, with 78% of the informants reporting it worked well, although 41% saw room for improvement. Qualitative findings revealed inconsistent interpretation and adaptation of the routine. Challenges included unclear frailty criteria, administrative load, time constraints and complex instructions. Ethical concerns centred on patient autonomy and integrity. Conclusions: This is the first scientific evaluation of a routine designed to support frail older patients in maintaining a previous regular dental care contact. Findings reveal inconsistent implementation across clinics and staff, potentially leading to unequal care for a frail population.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261433763"},"PeriodicalIF":0.9,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430272","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

Psychological distress and oral lichen planus: A bidirectional Mendelian randomization study. 心理困扰与口腔扁平苔藓：一项双向孟德尔随机研究。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-06 DOI: 10.1177/0265539X261429989

Wenhui Yuan, Yan Gao

{"title":"Psychological distress and oral lichen planus: A bidirectional Mendelian randomization study.","authors":"Wenhui Yuan, Yan Gao","doi":"10.1177/0265539X261429989","DOIUrl":"https://doi.org/10.1177/0265539X261429989","url":null,"abstract":"Observational studies have consistently reported associations between oral lichen planus (OLP) and psychological distress, yet whether these relationships are causal remains uncertain. We performed a two-sample Mendelian randomization (MR) analysis to investigate the potential causal effects of depressive traits and anxiety-stress-related disorders (ASRD) on OLP. Genetic instruments for depressive traits (n = 500,199) and ASRD (n = 31,885) were obtained from the largest available genome-wide association study (GWAS) meta-analyses of European ancestry. Summary-level data for OLP were derived from the FinnGen R8 release, including 1,073 cases and 341,426 controls. Causal estimates were primarily calculated using the inverse-variance weighted (IVW) method, complemented by weighted median, MR-Egger, MR-PRESSO, leave-one-out analyses, and PhenoScanner searches to evaluate robustness and horizontal pleiotropy. The IVW results suggested a significant causal effect of ASRD on OLP risk (odds ratio 1.20, 95% CI 1.02-1.42), whereas no evidence supported a causal association between depressive traits and OLP (0.155 ≤ p ≤ 0.694). Reverse MR analyses did not indicate that genetic liability to broad depression, major depressive disorder, or ASRD increased OLP risk (0.052 ≤ p ≤ 0.793). Sensitivity analyses yielded consistent findings, and exclusion of pleiotropic SNPs did not materially alter the results. These findings support a potential causal role of ASRD in OLP pathogenesis and suggest that psychological factors related to stress and anxiety may warrant consideration in the clinical management of OLP.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429989"},"PeriodicalIF":0.9,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369461","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

Use of dental care by 18-year-olds in Poland and its impact on the condition of teeth and gums. 波兰18岁青少年的牙科护理使用情况及其对牙齿和牙龈状况的影响。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-01 Epub Date: 2025-11-13 DOI: 10.1177/0265539X251385509

Dorota Olczak-Kowalczyk, Anna Turska-Szybka, Piotr Sobiech, Marcin Studnicki, Jacek Tomczyk

{"title":"Use of dental care by 18-year-olds in Poland and its impact on the condition of teeth and gums.","authors":"Dorota Olczak-Kowalczyk, Anna Turska-Szybka, Piotr Sobiech, Marcin Studnicki, Jacek Tomczyk","doi":"10.1177/0265539X251385509","DOIUrl":"10.1177/0265539X251385509","url":null,"abstract":"ObjectivesCaring for oral health is especially important during adolescence because the habits formed at this age tend to persist throughout life. This study was performed to assess adolescents' use of dental care, the reasons for avoiding dental visits, and the reasons for their most recent visit.Materials and MethodsThe research included a clinical assessment of dentition and periodontal tissues, along with questionnaire-based studies. The number of teeth (T) and tooth surfaces (S) with carious lesions - ICDAS code 1 and 2 (D1-2) and ICDAS code ≥3 (D ≥3) - as well as teeth missing due to caries (M), fillings (F), the presence of gingival bleeding, and periodontal pocket depth were assessed for all teeth. Values for D1-2D≥3MFT/S indices and their components, along with the frequency of caries and periodontal problems, were calculated.ResultsIn total, 1611 18-year-olds from both rural and urban areas were included in the study. Dental caries were observed in 94% of participants, with a mean D1-2D≥3MFT value of 7.07 ± 4.52. Gingival bleeding was the most common periodontal issue, affecting 31% of the group. One in four respondents had not visited a dentist in the past year or longer. Fear of pain was the most frequently reported reason for avoiding dental visits.ConclusionsFear of pain associated with dental treatment and the belief that dental problems will resolve on their own highlight the need for education targeting young people. Such education should emphasize the benefits of regular dental care and dispel the myth that dental treatment is inherently painful.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"50-60"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502563","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

Trajectories and clustering of adverse childhood experiences and caries treatment experience among British young adults. 轨迹和聚类的不良童年经历和龋齿治疗经验在英国年轻人。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-01 Epub Date: 2025-11-14 DOI: 10.1177/0265539X251400458

Noora Jawad, Ali Golkari, Eduardo Bernabé

{"title":"Trajectories and clustering of adverse childhood experiences and caries treatment experience among British young adults.","authors":"Noora Jawad, Ali Golkari, Eduardo Bernabé","doi":"10.1177/0265539X251400458","DOIUrl":"10.1177/0265539X251400458","url":null,"abstract":"Objectives: To examine the associations of the trajectory (changes over time) and clustering (co-occurrence) of exposure to adverse childhood experiences (ACEs) with caries treatment experience among British young adults. Methods: Data from 4244 participants in the Avon Longitudinal Study of Parents and Children (ALSPAC) were analysed. Eight ACEs were assessed via questionnaires completed by mothers and their partners at nine time points from birth to age 17 years. Mixture modelling was used to identify distinctive trajectories and clusters of exposure to ACEs. Caries treatment experience was indicated by the number of missing and filled teeth (MFT score), which was determined via participant-reported questionnaires at age 17 and 23 years. Mixed-effects Poisson regression was used to test the associations of ACE trajectories and clustering with the MFT score adjusting for covariates. Results: Four ACE trajectories were identified. Participants in the always-high trajectory had higher MFT score than those in the always-low trajectory (Rate ratio: 1.22, 95%CI: 1.07-1.38). No differences were found between participants in the increasing and decreasing trajectories and those in the always-low trajectory. Three clusters of ACEs were identified: unexposed, simultaneous experience of parental mental illness and parental separation and simultaneous experience of physical abuse, emotional abuse and parental mental illness. No differences in MFT score were found between clusters after adjustment for covariates. Conclusion: This longitudinal study showed that a trajectory of high exposure to ACEs was associated with greater caries treatment experience in young adulthood. Clustering of ACEs was not associated with caries treatment experience.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"16-24"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145523077","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

Introduction to genome-wide association studies: Exploring their utility in caries and periodontitis. 全基因组关联研究简介：探索其在龋齿和牙周炎中的应用。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-01 Epub Date: 2025-09-21 DOI: 10.1177/0265539X251381496

Lisa Kastenbom, Anders Esberg, Simon Haworth

引用次数: 0

Mini mouth care matters: A response to unheeded oral health needs in alder hey Children's hospital. 迷你口腔护理问题：对阿尔德希儿童医院被忽视的口腔健康需求的回应。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-01 Epub Date: 2025-12-02 DOI: 10.1177/0265539X251385346

Nada N Al-Hafidh, Susana Dominguez-Gonzalez, Sondos Albadri, Deborah Moore

{"title":"Mini mouth care matters: A response to unheeded oral health needs in alder hey Children's hospital.","authors":"Nada N Al-Hafidh, Susana Dominguez-Gonzalez, Sondos Albadri, Deborah Moore","doi":"10.1177/0265539X251385346","DOIUrl":"10.1177/0265539X251385346","url":null,"abstract":"In response to overlooked oral health needs among hospitalised children in Alder Hey Children's Hospital (AHCH), an initiative known as 'Mini Mouth Care Matters' (MMCM), was implemented to improve children's mouthcare by appropriately training healthcare professionals (HCPs) to be confident and knowledgeable in assessing, providing and promoting oral health among hospitalised children. Commissioned by Liverpool City Council, the launch of MMCM in AHCH commenced in February 2024. Previous surveys in the hospital indicated a need for oral care training. Implementation of MMCM involved streaming an e-learning course and videos for HCPs and children on the hospital website, drop-in sessions in the wards, study day training sessions, allocation and training of champions and provision of mouth care packs. Several challenges were encountered during the preparation of the resources and the implementation of the intervention. One key lesson learned is that it is preferable for the manager or team responsible for implementation to come from within the organisation. This allows them to leverage their connections and navigate the hospital's workload dynamics. Theory-based process and outcomes evaluation is planned to understand the effect of MMCM implementation on its effectiveness and to study MMCM normalisation within routine clinical practice. The evaluation of MMCM will contribute to understanding the impact of oral health interventions in hospital settings and will inform future strategies to improve oral care practices and outcomes for hospitalised children.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"83-86"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660665","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

Editorial: Oral health for children and adults in hospital and in care: The ambition and the challenges. 社论：医院和护理中的儿童和成人口腔健康：抱负和挑战。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-01 Epub Date: 2025-10-29 DOI: 10.1177/0265539X251392343

Nada Al Hafidh, Charlotte Klass

引用次数: 0

International consensus on fluoride programmes for early childhood caries prevention in early education settings: A systematic overview and Delphi approach. 关于在早期教育环境中预防幼儿龋齿的氟化物方案的国际共识：系统概述和德尔菲方法。

IF 0.9 4区医学

Community dental health Pub Date : 2026-03-01 Epub Date: 2025-11-12 DOI: 10.1177/0265539X251381498

Lamis Abuhaloob, David I Conway, Alex Blokland, Al Ross

{"title":"International consensus on fluoride programmes for early childhood caries prevention in early education settings: A systematic overview and Delphi approach.","authors":"Lamis Abuhaloob, David I Conway, Alex Blokland, Al Ross","doi":"10.1177/0265539X251381498","DOIUrl":"10.1177/0265539X251381498","url":null,"abstract":"Objectives: (1) To assess and develop international expert consensus on the evidence for fluoride-based interventions in Early-year-Education settings (EyE-settings; kindergartens/nursery and primary schools) for reducing Early Childhood Caries (ECC) and (2) to synthesise clear programme-level recommendations to prevent ECC in this setting. Basic research design: Systematic overview of systematic reviews, trials, and observational studies to identify and appraise the available evidence on the effectiveness and cost-effectiveness of fluoride-based interventions in EyE-settings. This was followed by a three-stage modified Delphi exercise. Participants: Delphi panel of 21 experts. Main outcomemeasures: Delphi round 1 online survey: opinions on fluoride-based interventions' safety, effectiveness and feasibility; Delphi round 2, an iterative survey: group opinions and gather feedback on review findings. Consensus developed via in-depth, recorded group discussions during an online workshop. Results: There was high-quality evidence and consensus that supervised toothbrushing in EyE-settings is safe and cost-effective, shows greater benefit to disadvantaged children, and is feasible in high and low/middle-income countries. There was more moderate support for the effectiveness and cost-effectiveness of fluoride varnish application in EyE-settings (especially where supervised toothbrushing with fluoridated toothpaste is in place). It was agreed that policy-makers should prioritise at-risk groups where resources are limited. Conclusion: Supervised toothbrushing with fluoridated toothpaste is the most effective, cost-effective, feasible and safest mechanism of caries prevention for children in EyE-settings. Universal coverage of toothbrushing in EyE-settings is preferred but targeting to need is indicated where resources are limited.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"61-70"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502510","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