Community dental health最新文献

{"title":"A qualitative study to explore oral health related social practices in children from immigrant Indian families in Australia using social practice theory.","authors":"Rashmi Jamkar, Paul R Ward, Colleen Fisher, Hanny Calache, Linda Slack-Smith","doi":"10.1177/0265539X261429860","DOIUrl":"https://doi.org/10.1177/0265539X261429860","url":null,"abstract":"<p><p>Immigrants in high-income countries experience disproportionately high rates of oral diseases compared to the general population. Existing research largely focuses on biomedical models, individual behaviours or cultural factors providing limited insights into how everyday practices shape oral health outcomes. This study explored how oral health social practices were performed, sustained and/or modified within Indian immigrant families with young children in Australia. A qualitative study was conducted using semi-structured interviews with 17 participants (12 mothers, 5 service providers), using focused ethnography and a social practice theory lens (based on Shove et al.), beginning with inductive coding followed by deductive coding to identify practices and their elements. Social practices such as teeth cleaning/brushing, mouth rinsing, flossing, tongue cleaning and mouth wiping, along with feeding/eating and health advice seeking, along with their elements (meanings, materials and competences) were identified as shaped by intergenerational knowledge of hygiene and care, children wanting to fit in, acculturation and protecting cultural identity. By exploring social practices, and their elements this research offers a new way to engage families into focusing on their everyday routines to understand what supports or undermines performances of oral health related practices rather than solely focusing on persuading individuals to follow recommended behaviours.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429860"},"PeriodicalIF":0.9,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282631","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":"Cross-cultural adaptation of PIDAQ questionnaire to evaluate the psychosocial impact of dental esthetics in Chilean adolescents with malocclusion.","authors":"Humberto González Oneto, María Ignacia Torres Pinto, Maria Macherone Chaparro, Yazmin Zedan Abuawad, Juan Pablo Vargas Buratovic, Duniel Ortuño Borroto","doi":"10.1177/0265539X261429988","DOIUrl":"https://doi.org/10.1177/0265539X261429988","url":null,"abstract":"<p><p><b>Background:</b> The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a useful index to assess aspects of malocclusion that impact individuals' oral health-related quality of life. This study aimed to perform cross-cultural adaptation of the PIDAQ questionnaire to the language of the Chilean adolescent population. <b>Methods:</b> We used the framework of the Guidelines for the Transcultural Adaptation Process of self-reports and the Manuals for a language inclusive for the transcultural adaptation of the PIDAQ. The instrument was tested with 34 Chilean adolescents with malocclusion between 11 and 17 years of age. We evaluated equivalence considering criterion, content, and construct validity according to COSMIN methodology and performed Cronbach's alpha statistical test. Twenty-three items in the questionnaire were tested according to how clear and understandable the questions were to the reader and according to a Likert scale graduated in: not at all clear, unclear, clear, or very clear. For temporal stability, we calculated intraclass correlation coefficients (ICC). <b>Results:</b> We obtained a more than acceptable reliability with a Cronbach's Alpha of 0.95 for the total questionnaire. The questions grouped according to the dimensions of dental self-confidence, social impact, psychological impact, and esthetic concern obtained a Cronbach's Alpha of 0.95, 0.95, 0.95 and 0.94, respectively. The questionnaire showed high temporal stability at the test-retest with a total Intraclass Correlation Coefficient of 0.91 (0.89-0.91). <b>Conclusion:</b> The cross-cultural adaptation of the PIDAQ questionnaire achieved equivalence with the original instrument and obtained reliability and content, and construct validity in Chilean adolescents.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429988"},"PeriodicalIF":0.9,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282684","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 oral health status of refugee children in Iceland.","authors":"Telma K Finnsdottir, Eva G Sveinsdottir","doi":"10.1177/0265539X261429995","DOIUrl":"https://doi.org/10.1177/0265539X261429995","url":null,"abstract":"<p><p>In recent years, global conflicts have caused a significant rise in displaced individuals, increasing the number of asylum seekers and refugees. Iceland is no exception. <b>Objective:</b> To assess the dental hygiene practices, oral health status, and dental caries experience (dmft/DMFT) among children and adolescents, 0-18 years, seeking international protection in Iceland. The secondary purpose is to identify areas for improvement of preventive measures and dental care services among this demographic. <b>Basic research design and participants:</b> Review of dental examination charts of 189 children, 0-18 years, who attended the Faculty of Odontology, University of Iceland, between January 1, 2023, and April 1, 2024. <b>Results:</b> Half (52.9%) the children had either never attended a previous dental appointment (39.7%) or not in the previous 2 years (13.2%). Dental pain was the main reason for previous visits (29.4%), with 43.1% reporting having experienced dental pain before. Most children (87.3%) brushed their teeth since the eruption of the first tooth, and 82.4% used fluoride toothpaste. Dental caries affected 61.4% of the children, and 20.6% had dental infections at the time of examination. The mean dmft for six-year-olds was 4.33, while for twelve-year-olds, mean DMFT was 2.55. The prevalence of gingivitis was 37.8%, dental erosion 12.3%, dental fluorosis 8.8%, and molar incisor hypomineralisation 12.3%. <b>Conclusions:</b> The dental health of children seeking international protection in Iceland is poor compared to their peers in other Nordic countries and beyond. The findings highlight the need for a comprehensive and integrated approach to dental healthcare for these children.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429995"},"PeriodicalIF":0.9,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275766","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":"Obesity as a shared risk factor in periodontitis and rheumatoid arthritis: Systematic review and meta-analysis.","authors":"Aimen Batool, Norul Husna M Hassan, Nazurah N Eezammuddeen, Syarida H Safii, Roslan Saub, Rathna D Vaithilingam","doi":"10.1177/0265539X261429990","DOIUrl":"https://doi.org/10.1177/0265539X261429990","url":null,"abstract":"<p><p><b>Aims:</b> Studies have investigated the interrelationship between periodontitis (PD) and rheumatoid arthritis (RA). However, obesity, a risk factor common between both conditions requires further investigation. Therefore, the objective of this study was to pool evidence on whether concurrent RA and PD (RAPD) are associated with high Body Mass Index (BMI) compared to non-RAPD individuals. <b>Methods:</b> Systematic review conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines with the protocol registered with the International Prospective Register of Systematic Reviews. Embase, Medline, Web of Science and the Cochrane Library were accessed for relevant literature. The Newcastle-Ottawa scale was used to assess risk of bias among each study. Meta-analysis was performed using Revman statistical software. The effect size was measured using mean difference with 95% confidence intervals and a p-value of 0.05. <b>Results:</b> The search identified 770 articles. Following screening of title with abstracts and full text assessment, nine studies, involving 86,137 participants were included. Seven studies reported low to moderate risk of bias. In meta-analysis BMI was higher in people with RAPD than non-RAPD (MD = 0.56; Z = 2.06; <i>p</i> = 0.04). <b>Conclusion:</b> The correlation between high BMI and RAPD underscores a potential interplay between periodontal health and inflammatory diseases like obesity and RA. Thus, observational studies are warranted.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429990"},"PeriodicalIF":0.9,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275751","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":"Independent contributions of nuclear and extended families to risk of early childhood caries among children from low socio-economic status in India.","authors":"Abhinav Singh, Bharathi M Purohit, Abhishek Purohit, Nilima Nilima","doi":"10.1177/0265539X261429987","DOIUrl":"https://doi.org/10.1177/0265539X261429987","url":null,"abstract":"<p><p>The family is a fundamental unit of society and provides care to the needs of its members. This study aims to assess the independent contributions of nuclear and extended families through direct and indirect pathways towards the risk of early childhood caries among 5-year-old children from low socio-economic status families in Central India. Cross-sectional study with two-stage sampling of 313 randomly selected school children. The American Association of Pediatric Dentistry defined criteria were used for diagnosing early childhood caries (ECC) and severe early childhood caries (S-ECC). It was hypothesised that the type of family would impact ECC and S-ECC by acting on individual-level variables such as frequency of cleaning teeth, dietary patterns, and utilisation of dental services. Examiner-administered interviews collected information about demographic details and oral hygiene practices. Generalized structural equation modelling (GSEM) examined the relationship between exogenous variables, including nuclear and extended families with ECC and SECC. Path coefficients and the standard error with a 95% confidence interval were reported. ECC and SECC was present among 186 (59.4%) and 47 (15%) children. Nuclear families, more frequent between meal sugar consumption and lower utilization of dental care were associated with ECC (odds ratios of 2.43, 2.78, and 8.65, respectively (<i>p</i> < 0.001)). Nuclear families were also associated with SECC. Type of family directly (<i>p</i> < 0.001) and indirectly (<i>p</i> < 0.05) predicted ECC via three or more times sugar consumption and lower utilization of dental services. Nuclear families were associated with ECC and SECC among children. Therefore, the health professionals need to understand the influence of the type of family and the associated pathway to tackle and reduce the burden of ECC.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261429987"},"PeriodicalIF":0.9,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating AI training into the oral health and community dentistry curriculum: A growing necessity.","authors":"Somayeh Hekmatfar, Hossein Hessari, Fatemeh Darabi, Karim Jafari Kaffash, Shadi Kaffashchian, Masoud Shabani","doi":"10.1177/0265539X251413458","DOIUrl":"https://doi.org/10.1177/0265539X251413458","url":null,"abstract":"","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251413458"},"PeriodicalIF":0.9,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178021","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":"Is awake bruxism a marker of vulnerability in childhood?","authors":"Caroline Nogueira de Moraes, Marina Martelini Malta, Carmem do Nascimento Bastos, Diego Patrik Alves Carneiro, Stéfany de Lima Gomes, Silvia Amélia Scudeler Vedovello, Marcelo de Castro Meneghim","doi":"10.1177/0265539X251413459","DOIUrl":"https://doi.org/10.1177/0265539X251413459","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of <i>probable awake bruxism</i> in children and its association with emotional, behavioral, and contextual factors related to anxiety, emotional well-being, bullying, parental sense of coherence, and risk of sleep-disordered breathing.</p><p><strong>Methods: </strong>This cross-sectional study included 642 children aged 6 to 10 years enrolled in public schools in Piracicaba, São Paulo, Brazil. Data collection comprised three stages: (i) a questionnaire for parents/caregivers addressing children's daytime and nighttime behaviors, family income, and parental education; (ii) a child questionnaire assessing emotional well-being and bullying; and (iii) an intraoral examination to identify clinical signs suggestive of bruxism. Validated instruments were used: the <i>State-Trait Anxiety Inventory for Children</i> (STAI-C) for anxiety, the <i>Child Perceptions Questionnaire</i> (CPQ8-10) for emotional well-being, the <i>Olweus Bully/Victim Questionnaire</i> (OBVQ) for bullying, the <i>Sense of Coherence Scale</i> (SOC-13) for parental sense of coherence, and the <i>Pediatric Sleep Questionnaire</i> (PSQ) for risk of sleep-disordered breathing. Data were analyzed using descriptive statistics and logistic regression, with <i>odds ratios</i> (OR) and 95% confidence intervals (CI) reported.</p><p><strong>Results: </strong>The prevalence of <i>probable awake bruxism</i> was 29.6%. Most children did not report significant emotional well-being impairment, increased risk of sleep-disordered breathing, or clinically significant anxiety. However, three-quarters of parentes/caregivers presented low sense of coherence, reflecting reduced perceived ability to cope with stress and daily challenges. Bullying experience was highly prevalent, reported by 84.4% participants.</p><p><strong>Conclusion: </strong><i>Probable awake bruxism</i> showed high prevalence among children, reinforcing its clinical and epidemiological relevance Findings emphasize the importance of addressing bruxism from a multifactorial perspective integrating.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251413459"},"PeriodicalIF":0.9,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146008660","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":"Assessment of orthodontic treatment need, treatment complexity, treatment priority, and oral health-related quality of life of healthy children and adolescents: A scoping review.","authors":"L De Ridder, G Begnoni, D Declerck, L Yu, G Willems, M Cadenas de Llano-Pérula","doi":"10.1177/0265539X251405585","DOIUrl":"https://doi.org/10.1177/0265539X251405585","url":null,"abstract":"<p><p><b>Aim:</b> To identify report and discuss the tools assessing orthodontic treatment need (OTN), - complexity (OTC), -priority (OTP), and Oral Health-Related Quality of Life (OHRQoL in children and adolescents, defining their strengths and weaknesses and to pinpoint research gaps to inform orthodontic practitioners, policy makers, and future research endeavours. <b>Methods:</b> The databases of PubMed, Cochrane, Embase, and Web of Science were searched from inception to January 2025. Epidemiological studies, controlled trials, and comparative studies involving subjects ≤18 years old, using different tools to assess OTN, OTC, OTP, and OHRQoL were included. Three authors independently assessed study eligibility, extracted and analysed the data. <b>Results:</b> 15,898 articles were initially identified, from which 171 were finally included for analysis. For OTN, the Index of Orthodontic Treatment Need was the most frequently used, followed by the Dental Aesthetics Index. Both score occlusal traits and do not take into account other factors contributing to overall OTN. The Index of Complexity and Orthodontic Need was the third most used. Several OHRQoL questionnaires were retrieved, identifying Child Perception Questionnaire (CPQ) as most frequently used. <b>Conclusions:</b> A range of assessment tools were identified for OTN and OHRQoL. OTN indexes mainly rate dental malocclusion severity and don't consider patient-specific factors, such as patient perception. A tool assessing OTC that takes into account treatment-specific factors, required skills of the orthodontist, treatment time, and costs is required. Additionally, no tool was found to assess OTN, which is crucial for allocation of public healthcare resources and insurance coverage for orthodontic treatment.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251405585"},"PeriodicalIF":0.9,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965418","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":"Non-dental practitioners and oral health in Australia: A scoping review of knowledge, attitudes, and barriers to integration.","authors":"Zainab Al-Khafaji, Melanie Aley, Timothy B Davies, William Carlson-Jones","doi":"10.1177/0265539X251413842","DOIUrl":"10.1177/0265539X251413842","url":null,"abstract":"<p><p><b>Background:</b> Non-dental health practitioners in Australia, including general practitioners, nurses, pharmacists, and allied health professionals, encounter patients with oral health concerns. While well-positioned to provide early intervention, their capacity is affected by knowledge gaps, confidence, and systemic limitations. <b>Objective:</b> To map Australian non-dental health practitioners' oral health knowledge, attitudes, and practices and identify barriers and enablers to integrating oral health into general healthcare. <b>Methods:</b> Following Joanna Briggs Institute methodology, five databases (MEDLINE, PubMed, CINAHL, Embase, Web of Science) were searched for original studies published between 1 January 2014 and 16 July 2024. <b>Results:</b> Of 3225 records, 20 studies were included: nurses (n = 8), midwives (n = 5), pharmacists (n = 5), and general practitioners (n = 2). Data were synthesised using deductive thematic analysis and descriptive counts of oral health attitudes, knowledge, and practices. Attitudes towards oral health were generally positive, but engagement varied. Midwives and pharmacists demonstrated greater involvement following structured training, whereas general practitioners, aged care staff, and cystic fibrosis clinicians reported limited engagement due to insufficient education, time constraints, and unclear roles. Additional barriers included a lack of referral pathways and clinical guidelines. Enablers included interprofessional collaboration and oral health training. <b>Conclusions:</b> Non-dental health practitioners are well placed to promote oral health; however, integration remains inconsistent. Addressing educational and systemic barriers through targeted training, clear referral systems, and the inclusion of oral health in general and chronic disease guidelines could strengthen oral health integration and reduce inequalities in preventive care across Australian healthcare.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X251413842"},"PeriodicalIF":0.9,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965467","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":"Effect of type 1 diabetes on oral lichen planus mediated by IL-10.","authors":"Xin Chen, Qianyi Wang, Zheng Cheng, Zhibai Zhao, Kai Zhang, Qianglin Jiang","doi":"10.1177/0265539X261416458","DOIUrl":"https://doi.org/10.1177/0265539X261416458","url":null,"abstract":"<p><p><b>Background:</b> While observational studies have highlighted a potential link between diabetes and oral lichen planus (OLP), the causal relationship remains unclear, and it is uncertain which specific form of diabetes might promote OLP development. This Mendelian randomization (MR) study aims to estimate the causal effects of diabetes-related traits on OLP and identify potential mediating factors. <b>Methods:</b> Utilizing summary statistics from genome-wide association studies predominantly of European ancestry, we conducted univariable and multivariable MR to estimate overall and independent effects of four diabetes-related traits (type 1 diabetes [T1D], type 2 diabetes [T2D], fasting glucose, fasting insulin) on OLP. Two-step MR was employed to identify and assess the mediation proportion of 91 inflammatory factors. <b>Results:</b> Genetic susceptibility to T1D was found to increase the risk of OLP (inverse-variance weighted OR: 1.10, 95% CI: 1.04-1.16, <i>p</i> = 0.002), with consistent findings across all MR methods. The relationship between T1D and OLP remained robust after adjusting for T2D, fasting insulin, and fasting glucose. Furthermore, IL-10 was identified as a partial mediator, accounting for 23.3% of the causal effect of T1D on OLP. No potential pleiotropy for significant estimates was detected (<i>p</i> > 0.05). Univariable MR analyses showed no significant causal relationship between T2D, fasting glucose, fasting insulin, and OLP development. <b>Conclusions:</b> IL-10 may partially mediate the association between T1D and OLP. These findings provide genetic evidence suggesting a potential link between T1D and OLP through pathways beyond glycemic regulation, but should be interpreted with caution given the limitations of the study.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261416458"},"PeriodicalIF":0.9,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145958674","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}