Community dental health最新文献

{"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":"<p><p><b>Objectives:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> 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.</p>","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}

{"title":"Introduction to genome-wide association studies: Exploring their utility in caries and periodontitis.","authors":"Lisa Kastenbom, Anders Esberg, Simon Haworth","doi":"10.1177/0265539X251381496","DOIUrl":"10.1177/0265539X251381496","url":null,"abstract":"<p><p>Genome-Wide Association Studies (GWAS) are the primary method used to investigate the effects of common genetic variants on health and disease and are increasingly used as an arena for applied epidemiological methods. There are now a growing number of applications of GWAS in oral health research, yielding exciting findings and holding great potential for future discoveries. While exciting, the GWAS approach has inherent limitations, and the success of these experiments depends on achieving adequate statistical power. In the context of dental diseases, where multiple genetic variants have small effects, very large samples are needed to unlock the full potential of GWAS. This article discusses the motivation for undertaking these studies, introduces the GWAS method, and highlights the potential of GWAS to help unravel the complex factors influencing oral health and diseases. Alongside the promises of GWAS, this article also summarizes the key challenges that need to be addressed for this method to be deployed usefully and suggests criteria to consider during the appraisal of a GWAS paper.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"25-32"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102859","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":"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":"<p><p>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.</p>","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}

{"title":"Editorial: Oral health for children and adults in hospital and in care: The ambition and the challenges.","authors":"Nada Al Hafidh, Charlotte Klass","doi":"10.1177/0265539X251392343","DOIUrl":"10.1177/0265539X251392343","url":null,"abstract":"","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"3-4"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145387516","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":"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":"<p><p><b>Objectives:</b> (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. <i>Basic research design</i>: 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. <i>Participants:</i> Delphi panel of 21 experts. <i>Main outcomemeasures</i>: 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. <b>Results:</b> 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. <b>Conclusion:</b> 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.</p>","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}

{"title":"The Australian oral health practitioner workforce: A scoping review.","authors":"William Carlson-Jones, Lyndal Pritchard, Loc Do, Jennifer Gray, Nicole Stormon","doi":"10.1177/0265539X251381204","DOIUrl":"10.1177/0265539X251381204","url":null,"abstract":"<p><strong>Objective: </strong>To describe the existing evidence regarding the training, scope of practice (SOP) and distribution of oral health practitioners (OHPs) in Australia.</p><p><strong>Methods: </strong>A scoping review was conducted using a reflexive thematic analysis to capture the education and training, workforce characteristics and SOP of Australian OHPs. The literature on the OHP workforce published in peer-reviewed journals as well as in grey literature was included in the scoping review from a range of databases including PubMed, CINAHL, Embase, Web of Science, ABI/INFORM, Analysis & Policy Observatory (APO), Informit, Libraries Australia. Included papers were those published in English only that detailed descriptors of clinical skill sets; practitioner education and training; and practitioner characteristics such as gender, age, practice location, workplace type (e.g., public, private, academia), full-time equivalency, remuneration, and workforce retention. Excluded were studies not published in English, focusing on practitioners outside Australia, non-key outcomes, and publications prior to 1^st July 2010 or after 30^th June 2024.</p><p><strong>Results: </strong>The training of OHPs in Australia has changed for each of the divisions moving from 2-year diplomas to 3-year bachelors degrees. The OHP workforce was found to possess a range of variation in age, gender, and principal practice settings across the divisions. SOP was not consistently described or measured in the literature for OHPs.</p><p><strong>Conclusions: </strong>The training pathways and SOP for OHPs in Australia have evolved over time, reflecting changes in educational standards and workforce needs. Geographic and regulatory factors were identified to influence SOP for OHPs. However, there is a lack of consistent measurement and description of SOP in the literature, highlighting the need for further research. Future studies should focus on the service provision and employment characteristics of DHs, DTs, and OHTs to identify potential gaps in care.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"5-15"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130446","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":"Empowering caregivers to enhance oral health among children with special needs: An interventional study.","authors":"Fatima Dsilva, Punarva M Honnavar, Amarshree A Shetty, Arun Kp Thejaus, Bangalore Appajaiah Yathikumar Swamy Gowda","doi":"10.1177/0265539X251379611","DOIUrl":"10.1177/0265539X251379611","url":null,"abstract":"<p><strong>Background: </strong>Children with special needs face restrictions in dental hygiene due to disabilities. Dental education and preventive measures can significantly improve oral health among children with special needs. This study aims to assess the oral health status of children with Cerebral Palsy, Autism and Down Syndrome and to evaluate the effectiveness of the interventional programs on oral health status in Karnataka, India.</p><p><strong>Methods: </strong>A quantitative, interventional study with a repeated measures design was conducted among 135 children diagnosed with Cerebral Palsy, Autism, and Down Syndrome. Data were gathered using a Demographic Proforma, the WHO Oral Health Status Questionnaire and WHO Oral Health Assessment Form (2013). The intervention included weekly sessions over 3 months, featuring supervised tooth brushing training, individualised dental counselling for caregivers, interactive educational modules, and distribution of a Pictorial Information Manual in local languages. Data were analysed using SPSS Version 29.0, with a significance level set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The study consisting 135 children, oral health status scores as evidenced by statistically significant changes (<i>p</i> < 0.001) indicating improvement in dental health. The Oral health of children shows substantial changes, which were statistically significant (<i>p</i> < 0.001), confirming the positive impact of the intervention.</p><p><strong>Conclusions: </strong>The study interventions were enriching for caregivers with sufficient information and skill on dental care. The development of the Pictorial Information Manual is a unique manual enriched with of attractive pictures and relevant information on oral health, which was made copyrighted and distributed to caregivers.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"33-40"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063560","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 mediating effect of health information literacy on the relationship between oral examination and oral health problems in Korean adults: Findings from the 2023 Korea National Health and Nutrition Examination Survey (KNHANES).","authors":"Yu-Rin Kim, Seon-Rye Kim","doi":"10.1177/0265539X251386714","DOIUrl":"10.1177/0265539X251386714","url":null,"abstract":"<p><p>This study investigated the association between oral health examinations and oral health problems among Korean adults, and whether health information literacy mediates this relationship. A cross-sectional analysis using semi-structured interviews was conducted with 5,645 adults aged 19 years and older from the 2023 Korea National Health and Nutrition Examination Survey (KNHANES), which newly included a standardized measure of health literacy. Oral health problems (difficulties with chewing and speaking) and health literacy (10-item self-reported scale) were assessed. Mediation was tested using the Sobel test and PROCESS macro Model 4.Individuals who received oral examinations had significantly higher health information literacy and fewer oral health problems (<i>p</i> < 0.001). Mediation analysis revealed that health information literacy partially mediated this association. In the adjusted model, oral examination was significantly associated with higher health information literacy (β = 0.730, <i>p</i> < .001) and lower oral health problems (β = -0.119, <i>p</i> = 0.011). Health literacy was also significantly associated with oral health problems (β = -0.041, <i>p</i> < .001), confirming the mediation effect. The indirect effect was -0.030 (bootLLCI = -0.044, bootULCI = -0.018). These findings indicate that health information literacy partially mediates the relationship between oral examinations and oral health problems. Promoting preventive dental care and improving health information literacy may help reduce oral health disparities and enhance overall health outcomes.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"41-49"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145494903","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":"Satisfaction with dental services among Brazilian school children.","authors":"Aurea Letícia Horbach, Mariél de Aquino Goulart, Aretha Angel Cheong Pinho, Fernando Neves Hugo, Roger Keller Celeste","doi":"10.1177/0265539X251390875","DOIUrl":"10.1177/0265539X251390875","url":null,"abstract":"<p><p>This research aimed to explore factors associated with the satisfaction of children and adolescents with dental services, comparing two satisfaction measurement instruments: a single question and a bidimensional questionnaire. This cross-sectional study included all students (<i>n</i> = 325) aged 9 years or older in a small town in Brazil, who were invited to complete a self-reported questionnaire. The satisfaction with the service used was regressed on age, sex, family income, type of service (public or private), and waiting times. Ordered logistic regression estimated odds ratio (OR). Among the evaluated students, 63%-73% were satisfied with their most recent dental visit. In both the single-question instrument and the dentist dimension of the bidimensional questionnaire, using private dental services was associated with greater satisfaction (OR = 2.24; 95% CI: 1.26-4.02 and OR = 1.79; 95% CI: 1.01-3.19). Lower satisfaction was reported by those who experienced prolonged waiting times (no/yes) (single question: OR = 0.43; 95% CI: 0.24-0.75; dentist dimension: OR = 0.29; 95% CI: 0.17-0.51; ambiance dimension: OR = 0.33; 95% CI: 0.18-0.60). This work showed consistency between the questionnaires in most assessed aspects. While even a short instrument offers essential information about patient satisfaction, the bidimensional tool excels in identifying areas for improvement. The results underscore the need to optimize work processes to reduce waiting times, address issues related to the professional-patient relationship, and enhance treatment effectiveness, particularly in public settings.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"71-82"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502542","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":"Cariology in pediatric dentistry: An updated evidence-based narrative review.","authors":"Amaury Pozos-Guillén, Saray Aranda-Romo, Verónica Zavala-Alonso, Raúl Márquez-Preciado, Miguel Rosales-Berber, Jorge Mejía-Cruz, Arturo Garrocho-Rangel","doi":"10.1177/0265539X261430268","DOIUrl":"https://doi.org/10.1177/0265539X261430268","url":null,"abstract":"<p><p>Despite notable progress in understanding the pediatric dental caries area, its multifactorial etiology-including biofilm dynamics, dietary habits, host factors, and social determinants-the burden of untreated caries persists, particularly in socioeconomically disadvantaged populations. This systematic review aimed to synthesize the evidence on [intervention/exposure] in the management of early childhood caries. Advances such as the use of the International Caries Detection and Assessment System (ICDAS), risk-based management, and noninvasive or microinvasive interventions-including professional fluoride application, silver diamine fluoride, resin infiltration, sealants, and atraumatic restorative treatment-have improved early lesion identification and patient-specific care, prioritized the preservation of tooth structure and pulp vitality, and reduced the need for extensive restorative procedures. Nevertheless, significant challenges remain in translating these protocols to routine practice, including variability in provider training, healthcare infrastructure limitations, socioeconomic and cultural disparities, and inconsistent guideline implementation. The integration of digital and artificial intelligence technologies, alongside teleodontology, holds promise for improving diagnostic accuracy, reducing access barriers, and facilitating early intervention-especially for underserved populations. However, the findings from this review should be interpreted with caution due to the heterogeneity of study designs, diagnostic criteria, and outcome measures, as well as the potential risk of bias. Ongoing research is essential for understanding the cost-effectiveness, long-term outcomes, and real-world applicability of these contemporary protocols. The widespread adoption of biologically oriented, patient-centered principles and interdisciplinary collaboration is key to reducing the global burden of dental caries and achieving equitable pediatric oral health outcomes.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261430268"},"PeriodicalIF":0.9,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282665","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}