Community dental health最新文献

{"title":"Individual and contextual factors associated with tooth loss in adolescents in the Midwest region of Brazil.","authors":"Jhenyffer Andrade Viana, Rafael Aiello Bomfim","doi":"10.1177/0265539X261453175","DOIUrl":"https://doi.org/10.1177/0265539X261453175","url":null,"abstract":"<p><p>To analyze factors associated with tooth loss in 12-year-old adolescents, data were collected from 615 adolescents attending public schools in the five most densely populated cities in the state of Mato Grosso do Sul, Brazil. Tooth loss was assessed using the M component of the DMFT index. Information was also obtained on access to fluoridated water, consumption of unhealthy foods, and sedentary behaviour. Guided by the social determinants of health framework, multilevel logistic regression analyses were conducted to test associations. The prevalence of tooth loss among adolescents was 5%. In the adjusted models, sedentary behaviour was significantly associated with tooth loss [odds ratio (OR) = 1.77; 95% CI: 1.28-2.45], while access to fluoridated water was a protective factor [OR = 0.40; 95% CI: 0.16-0.99]. Household income below the poverty line and moderate to high consumption of unhealthy foods showed higher odds of tooth loss, but the confidence intervals included the null value in the adjusted model. Sedentary behaviour was significantly associated with tooth loss in 12-year-old adolescents, whereas access to fluoridated water was protective. Sedentary behaviour should be interpreted as a marker of broader lifestyle and social vulnerabilities rather than as a direct causal factor.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261453175"},"PeriodicalIF":0.9,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041601","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":"Capturing geographical inequalities in children's experience of dental health support using synthetic estimation technique and understanding their relationship with geographical inequalities in child dental health in England.","authors":"Suruchi G Ganbavale, Liz Twigg, Chris Louca, Kristina Wanyonyi-Kay","doi":"10.1177/0265539X261453174","DOIUrl":"https://doi.org/10.1177/0265539X261453174","url":null,"abstract":"<p><p>This study aimed to estimate the proportion of families with five-to-fifteen-year-olds experiencing inadequate dental health support as a consequence of their parents' socioeconomic conditions and deprivation in their neighbourhood across small geographies in England using synthetic estimation technique and explore its association with area-level proportion of children experiencing dental caries. Secondary analyses were performed using Children's Dental Health Survey (CDHS) 2013, National Dental Epidemiological Programme (NDEP) 2018-2019, and Census 2011. Multilevel logistic regression using CDHS (five-to-fifteen-year-olds; <i>n</i> = 2177) derived odds of a child experiencing inadequate dental health support (child's poor dental attendance, parents not accompanying a child to dental visits, not using sugar-free/dental chewing gum) based on parents' family status, employment, and neighbourhood deprivation. These odds and census-informed population counts were used to derive the indicator of 'estimated percentage of families with children experiencing inadequate dental health support in a census-based geography of ∼7500 people (<i>n</i> = 6791)'. Unadjusted linear regression was undertaken to examine the relationship between the indicator and NDEP-based percentage of five-year-olds experiencing dental caries in larger geographies (<i>n</i> = 397). Results indicated that inadequate child dental health support [CDHS mean = 8% (SD:0.27%)] was significantly associated with higher neighbourhood deprivation and an interaction effect from being both a lone and an unemployed parent. Increased area-level percentage of families with children experiencing inadequate dental health support (range:3.7%-15.2%) was associated with 1.59 (95%CI:1.14-2.04) rise in area-level percentage of five-year-olds experiencing dental caries. This study underscores the need for targeted support for lone and unemployed parents and families living in the most deprived areas to promote children's dental health.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261453174"},"PeriodicalIF":0.9,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005045","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":"Sense of coherence and utilisation of dental services among children and adolescents: A systematic review and meta-analysis.","authors":"Iana Nogueira Rego, Andressa Coelho Gomes, Ana Cyra Dos Santos Lucas, Maria Augusta Bessa Rebelo, Mario Vianna Vettore, Janete Maria Rebelo Vieira","doi":"10.1177/0265539X261452031","DOIUrl":"https://doi.org/10.1177/0265539X261452031","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to synthesise the evidence on the association between sense of coherence (SOC) and the utilisation of dental services among children and adolescents. Children and adolescents aged 0-18 years and/or their parents were included. The outcome was utilisation of dental services (regular attendance and preventive-oriented use), in relation to individual or parental SOC (assessed using the SOC-13 instrument). This systematic review (PROSPERO No CRD42024626799) was conducted in accordance with the PRISMA guidelines. A comprehensive search of electronic databases (PubMed, Web of Science, EMBASE, LILACS, Scopus, and APA PsycINFO), and grey literature was conducted on January 14, 2025, and updated on September 30, 2025. No language restrictions were applied. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Meta-analyses using random-effects were performed. Eleven studies (one cohort study and ten cross-sectional studies) were included. Of these, 10 were eligible for meta-analysis. The pooled results showed a significant association between higher parents' SOC and more regular use and preventive-oriented utilisation of dental services among children and adolescents. No statistically significant association was observed between adolescents' SOC and dental service utilisation. Considerable heterogeneity was identified across studies. In conclusion, higher parental SOC was associated with more regular dental attendance and preventive dental care patterns during childhood and adolescence. These results underscore the relevance of psychosocial determinants within the family context and support public health strategies that incorporate family-centred and salutogenic approaches to promote preventive oral health behaviours.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261452031"},"PeriodicalIF":0.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147947956","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":"Educational antimicrobial stewardship interventions in dental schools: A scoping review.","authors":"Madison Dick, Annie Mao, Belinda Nicolau, Quan Nha Hong","doi":"10.1177/0265539X261447218","DOIUrl":"10.1177/0265539X261447218","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is increasing at an alarming rate, with dentists contributing to over 10% of global antibiotic use. Antimicrobial stewardship (AMS) interventions help reduce AMR, but dental education often lacks focus on such initiatives. Our study aims to systematically map existing evidence on AMS initiatives in dental education, identify knowledge gaps, and inform future research. A scoping review was conducted by searching six databases (Web of Science, Medline, Embase, Scopus, ERIC, and CINAHL) using key terms surrounding AMS and dental education on May 9, 2025. Inclusion criteria targeted studies focusing on interventions promoting AMS in dental schools. Exclusion criteria removed commentaries, book chapters, letters, editorials, opinion pieces, and conference abstracts. No restrictions were placed on publication year, setting, or language. Two reviewers independently screened articles and extracted data. Descriptive and qualitative content analysis were employed to synthesize the studies' characteristics, participant populations, and intervention approaches. From 523 records screened, 18 articles were included. These studies highlighted a variety of AMS interventions, all differing in their approaches to facilitate learning. The content taught formed seven categories, spanning teachings directly related to AMR and material building a background knowledge, including infectiology and pharmacology. A total of 12 categories were developed from the learning strategies present in initiatives. This included both traditional techniques, as seen in lectures, and non-conventional modalities, such as games and roleplay. Findings will inform the development of future interventions in dental school settings, collectively contributing to the fight against the growing AMR crisis.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261447218"},"PeriodicalIF":0.9,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147873784","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":"Bridging gaps: Inter-professional collaborative practice for universal health coverage and oral health equity - A roadmap.","authors":"Huda Yusuf, Stephanie Tubert-Jeannin, Kenneth A Eaton","doi":"10.1177/0265539X261450853","DOIUrl":"https://doi.org/10.1177/0265539X261450853","url":null,"abstract":"<p><p>Interprofessional collaboration (IPC) has the potential of improving quality of dental care by integrating dental, medical and social care professionals to deliver high quality comprehensive and patient centered care. The aim of the study was to review current examples of good practice in IPC in selected countries globally followed by exploring the facilitators and barriers in achieving IPC. Barriers included fragmented health care and working in silos, governance and health system challenges, education, professional resistance and lack of integration and data sharing. A roadmap was developed which included the following domains: Governance and legislation, funding and incentives, education, health system public and community engagement, digital data and integration and multidisciplinary research. The findings will inform future development in policy, practice and research in supporting IPC and oral health for the benefit of populations and communities.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261450853"},"PeriodicalIF":0.9,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863682","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":"Individual vulnerabilities and community context: Multilevel factors associated with self-rated oral health in adults with diabetes in South Korea.","authors":"Sungwon Lim, Mi Sun Kim, Hee-Jung Park","doi":"10.1177/0265539X261450401","DOIUrl":"https://doi.org/10.1177/0265539X261450401","url":null,"abstract":"<p><p>Adults with diabetes mellitus are at an increased risk of poor oral health; however, how individual- and community-level factors jointly contribute to oral health disparities in this population remains unknown. This study aimed to examine multilevel determinants of self-rated oral health among adults with diabetes in South Korea. A cross-sectional analysis was conducted using data from 21,996 adults aged ≥19 years with physician-diagnosed diabetes who participated in the 2021 Korea Community Health Survey. Self-rated oral health was dichotomized as good or poor. Individual- and community-level variables representing health behaviors, clinical care, social and economic factors, and physical environment were selected, guided by the County Health Rankings model. Multilevel logistic regression models accounted for clustering within administrative districts. At the individual level, poorer self-rated oral health was significantly associated with sociodemographic disadvantages (older age, male sex, not married, lower education, and economic inactivity), poorer general health status, adverse health behaviors (lifetime smoking and inadequate toothbrushing), and unmet dental care needs (all <i>p</i> < 0.05). At the community level, greater accessibility to public transportation was associated with better self-rated oral health (OR = 0.997, 95% CI: 0.993-1.000), whereas a higher prevalence of moderate-intensity physical activity was associated with poorer oral health (OR = 1.006, 95% CI: 1.000-1.011). Self-rated oral health among adults with diabetes is influenced by individual-level socioeconomic and behavioral factors alongside selected community-level contextual conditions. Multilevel strategies integrating oral health into chronic disease management are required, while addressing structural barriers to dental care.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261450401"},"PeriodicalIF":0.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856039","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":"Dental public health in action: Oral health messaging and the smoking cessation team.","authors":"V Niven, E R Jones, J Mahoney, J John","doi":"10.1177/0265539X261450849","DOIUrl":"https://doi.org/10.1177/0265539X261450849","url":null,"abstract":"<p><p>Smoking cessation has been a public health focus for many years due to the impact of tobacco-use on the health system, society and wider economy. Evidence based information on supporting patients with smoking cessation is already available to dental teams but there appears to be limited information on the effects of tobacco on oral health for smoking cessation teams. Smoking affects the mouth, including increasing the risk of oral cancer, with prevention and early detection of oral diseases, a key priority in supporting health. There are opportunities for smoking cessation advisers to pass on oral health messages to their clients to help them maintain a good level of oral hygiene and encourage them to visit the dentist for regular checks. We developed and delivered a training session for smoking cessation advisors in a Southeast local authority. The session presented the effects of tobacco-use on the mouth, oral health promotion messaging for teams to incorporate into their sessions with clients, the importance of oral hygiene and available resources for soft tissue self-checks. The role of the dental team in oral health care was described and the importance of regular dental visits highlighted. This paper reflects the development, delivery and learning from this training initiative, particularly around future opportunities and challenges. Public Health Competencies being illustrated: oral health promotion, strategic leadership and collaborative working for health and oral health improvement.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261450849"},"PeriodicalIF":0.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834654","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":"What is essential oral health care from a European Association of Dental Public Health perspective? What are the challenges in adopting universal health coverage and the potential solutions - Report of a workshop.","authors":"Huda Yusuf, Stéphanie Tubert-Jeannin, Paula Vassallo, Kenneth A Eaton","doi":"10.1177/0265539X261451110","DOIUrl":"https://doi.org/10.1177/0265539X261451110","url":null,"abstract":"<p><p>In September 2024, a workshop was held, during the EADPH conference in Crete. It aimed to explore what constitutes essential oral healthcare and what are the challenges and solutions in adopting Universal Health Coverage (UHC). It also aimed to raise awareness of the need for oral health to be included in (UHC). The workshop was informed by presentations from five speakers. The attendees then divided into four break-out groups that discussed the topics of,: (1) Which oral health services and which population groups should be publicly funded ? (2) What are the most frequently demanded oral health services at your practice/in your region? (3) What are the most frequently provided services at your practice/in your region? (4) Which of these services are publicly covered and for whom? (5) What are the barriers and enablers for reaching universal health coverage? Each group then considered enablers and challenges to achieving the inclusion of oral health care in UHC and reported their findings and discussions in a plenary session,. during which the implications were discussed. The commentary, which follows, reports the proceedings of the workshop and discusses the implications of its findings.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261451110"},"PeriodicalIF":0.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834681","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":"Tooth loss and long-term dementia risk: A nationwide population-based cohort study in the Republic of Korea.","authors":"Eun-Seo Jung","doi":"10.1177/0265539X261450847","DOIUrl":"https://doi.org/10.1177/0265539X261450847","url":null,"abstract":"<p><p><b>Objective:</b> Evidence linking tooth loss to dementia is limited by cross-sectional designs and short follow-ups. This study examined the association between tooth loss and long-term dementia incidence in a nationwide cohort in the Republic of Korea, from a dental public health perspective. <b>Basic research design:</b> Observational cohort study. <b>Participants:</b> Data from 112,070 adults aged ≥40 years in the National Health Insurance Service-Health Screening Cohort who completed general and oral health examinations in 2005-2006 and were followed for up to 15 years. <b>Main outcome measures:</b> Tooth loss was categorized as 0, 1-7, 8-14, or ≥15 missing teeth. Incident all-cause dementia, Alzheimer's disease, and vascular dementia were identified using diagnostic codes. Cox models estimated adjusted hazard ratios (aHRs) with sensitivity analyses requiring ≥2 diagnoses and subgroup analyses by sex and age. <b>Results:</b> Over a mean 13.5-year follow-up, 7616 participants (6.8%) developed dementia, with higher cumulative incidence observed across increasing levels of tooth loss. Higher aHRs were observed with increasing levels of tooth loss; participants with ≥15 missing teeth had the highest estimates (1 diagnosis: aHR 3.23, 95% CI 2.85-3.64; ≥2 diagnoses: aHR 2.01, 95% CI 1.77-2.28). Associations were similar for Alzheimer's disease and weaker for vascular dementia. <b>Conclusion:</b> Tooth loss was associated with higher long-term dementia risk, supporting its role as a potential population-level oral health indicator relevant to dental public health surveillance and prevention strategies.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261450847"},"PeriodicalIF":0.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834727","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 alcohol harm paradox and oral health: Evidence from the 2019 Brazilian national health survey.","authors":"Leandro Machado Oliveira, Thayná Regina Pelissari, Raquel Pippi Antoniazzi, Letícia Regina Morello Sartori, Flávio Fernando Demarco, Fabrício Batistin Zanatta","doi":"10.1177/0265539X261447650","DOIUrl":"10.1177/0265539X261447650","url":null,"abstract":"<p><p>This study aimed to investigate whether the association between alcohol consumption and two oral health outcomes-tooth loss, measured as non-functional dentition (NFD), and poor self-rated oral health (SROH)-varies according to socioeconomic position (SEP). Data were drawn from the 2019 Brazilian National Health Survey. SEP was operationalised using educational attainment, and average alcohol consumption was categorised in 20 g/day increments. Sex-stratified multivariable Poisson regression models were used to assess whether the association between alcohol consumption and oral health outcomes varied in magnitude and direction across SEP levels. The sample comprised 21,330 men and 13,650 women. Among men, those with low educational attainment consuming >0 to ≤20 g/day (PR: 1.80; 95% CI: 1.13, 2.89) and >40 g/day (PR: 1.90; 95% CI: 1.10, 3.26) had a higher prevalence of NFD and poor SROH, respectively, compared with their highly educated counterparts reporting the same levels of consumption. Among women, those with low educational attainment consuming >0 to ≤20 g/day (PR: 1.59; 95% CI: 1.18, 2.13) had a higher prevalence of poor SROH than their highly educated counterparts. In conclusion, the association between alcohol consumption and oral health outcomes differs across SEP, both in magnitude and direction. Even low-to-moderate alcohol intake was associated with a higher prevalence of NFD and poor SROH, with stronger associations observed among individuals with lower educational attainment. These findings should be interpreted in light of the inherent limitations of the cross-sectional design.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261447650"},"PeriodicalIF":0.9,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764861","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}