Community dental health最新文献

{"title":"Illness perception amongst individuals with periodontal diseases.","authors":"A Joudi,&nbsp;K Sargeran,&nbsp;Z Pouraskari,&nbsp;M E Darijani,&nbsp;J Golrezaei,&nbsp;H Hessari","doi":"10.1922/CDH_00147Joudi05","DOIUrl":"https://doi.org/10.1922/CDH_00147Joudi05","url":null,"abstract":"<p><strong>Objective: </strong>To describe illness perception among patients with periodontal diseases in relation to socio-demographic predictors, oral signs and symptoms.</p><p><strong>Basic research design: </strong>Cross-sectional analytical study.</p><p><strong>Participants: </strong>Stratified quota sample of 353 consecutive adults with periodontal diseases attending university dental clinics in Iran.</p><p><strong>Main outcome measures: </strong>The illness perception of periodontal diseases measured using the Brief-Illness Perception Questionnaire.</p><p><strong>Results: </strong>Participants' mean age was 38.7 years and 53% were female. The most frequent symptoms were tooth sensitivity, inflamed and painful gingiva, and halitosis. The symptoms that participants associated with periodontal diseases were inflamed and painful gingiva, bleeding while brushing, flossing or eating, and gingival recession. Illness perception was associated with education level, the patient's experience of periodontal symptoms, individuals' attitudes about an association between oral signs and symptoms with periodontal diseases and clinical attachment loss.</p><p><strong>Conclusion: </strong>Understanding how patients perceive their disease is a crucial step to motivating and engaging them in periodontal therapy and in the healthcare process.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9408107","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":"Ethnicity, Social Support and Oral Health Among English Individuals.","authors":"M Amininia,&nbsp;E Bernabe,&nbsp;E K Delgado-Angulo","doi":"10.1922/CDH_00277Amininia07","DOIUrl":"https://doi.org/10.1922/CDH_00277Amininia07","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether social support explains ethnic inequalities in oral health among English individuals.</p><p><strong>Methods: </strong>Data from 42704 individuals across seven ethnic groups in the Health Survey for England (1999-2002 and 2005) were analysed. Oral health was indicated by self-reports of edentulousness and toothache. Social support was indicated by marital status and a 7-item scale on perceived social support. Confounder-adjusted regression models were fitted to evaluate ethnic inequalities in measures of social support and oral health (before and after adjustment for social support).</p><p><strong>Results: </strong>Overall, 10.4% of individuals were edentulous and 21.7% of dentate individuals had toothache in the past 6 months. Indian (Odd Ratio: 0.50, 95% Confidence Interval: 0.32-0.78), Pakistani (0.50, 95%CI: 0.30-0.84), Bangladeshi (0.29, 95%CI: 0.17-0.47) and Chinese (0.42, 95%CI: 0.25-0.71) individuals were less likely to be edentulous than white British individuals. Among dentate participants, Irish (1.21, 95%CI: 1.06-1.38) and black Caribbean individuals (1.37, 95%CI: 1.18-1.58) were more likely whereas Chinese individuals (0.78, 95%CI: 0.63-0.97) were less likely to experience toothache than white British individuals. These inequalities were marginally attenuated after adjustment for marital status and perceived social support. Lack of social support was associated with being edentulousness and having toothache whereas marital status was associated with edentulousness only.</p><p><strong>Conclusion: </strong>The findings did not support the mediating role of social support in the association between ethnicity and oral health. However, perceived lack of social support was inversely associated with worse oral health independent of participants' sociodemographic factors.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830999","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 - Community Dental Health opens its archive of papers to all.","authors":"P Robinson","doi":"10.1922/CDH_Dec22Editorial01","DOIUrl":"https://doi.org/10.1922/CDH_Dec22Editorial01","url":null,"abstract":"<p><p>Readers will have noticed the ways we have been modernising Community Dental Health this year. In March we dispensed with hard copies of the journal, publishing it only online. This change was in line with our subscribers' reading behaviours and minimised our environmental impact by reducing the carbon footprints of printing, of using paper and of postage. Subscribers can now also access papers as soon as they are accepted, ahead of publication. Our newly commissioned reviews digest key topics in dental public health to help busy readers keep up with emerging knowledge. In addition, our move to prioritise systematic reviews, by accelerating peer review and fast-tracking publication ensures subscribers' confidence that they are reading the most up to date evidence in our discipline.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40712369","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":"Factors associated with the municipal provision of orthodontics in the Brazilian Unified Health System.","authors":"D D Oliveira,&nbsp;I A Vargas,&nbsp;A L S Busato,&nbsp;M Brondani,&nbsp;C S Bavaresco,&nbsp;F R R Moura","doi":"10.1922/CDH_00156Oliveira08","DOIUrl":"https://doi.org/10.1922/CDH_00156Oliveira08","url":null,"abstract":"<p><strong>Background: </strong>The Brazilian federal government issued Ministerial Ordinance No. 718 in 2010 to expand the funding of orthodontic treatment provided by Brazilian municipalities via the Unified Health System (SUS in Portuguese).</p><p><strong>Aim: </strong>To identify social and structural factors associated with Brazilian municipalities that provide fixed orthodontic appliance therapy and interceptive orthodontic therapy.</p><p><strong>Methods: </strong>Official Brazilian government databases were used for data collection. Poisson regression with robust variance was used for statistical analysis.</p><p><strong>Results: </strong>Municipalities hosting Dental Specialty Centers (DSCs) with greater installed capacity (type III DSC with 7 dental chairs or over), which employed dentists specializing in pediatric dentistry and orthodontics, were more likely to offer orthodontic services via SUS.</p><p><strong>Conclusions: </strong>Federal, state, and municipal managers need to review the funding of orthodontic services via SUS, which can be used for creating DSCs and hiring professionals with expertise in orthodontics.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40446317","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":"A Health Inequalities Impact Assessment of the surveillance of COVID-19 in asymptomatic patients attending dental settings in Scotland.","authors":"J Burns,&nbsp;N Mc Goldrick,&nbsp;D Sigerson,&nbsp;M Edwards,&nbsp;S Culshaw,&nbsp;C Clark,&nbsp;C Watling,&nbsp;R Braid,&nbsp;E O'Keefe,&nbsp;M Gorman,&nbsp;D I Conway","doi":"10.1922/CDH_00170Burns06","DOIUrl":"https://doi.org/10.1922/CDH_00170Burns06","url":null,"abstract":"<p><strong>Introduction: </strong>A key aspect of the public health response to COVID-19 in Scotland was enhanced community surveillance, including testing in dental settings. Across Scotland, dental settings offered patients over 5-years-old the opportunity to participate in community surveillance of COVID-19.</p><p><strong>Methods: </strong>A Health Inequalities Impact Assessment (HIIA) was conducted to understand the differential impacts the programme would have on the population and to improve the accessibility of the programme. HIIA is a tool to allow the assessment, understanding, and mitigation of impacts on people of a proposed policy or practice. It fulfils an organisational duty to meet the requirements of the Equality Act and Fairer Scotland Duty. The HIIA was conducted rapidly in parallel with the programme development. An action research approach included an online workshop, consultation, review of population data and a literature search.</p><p><strong>Results: </strong>Adjustments were required to improve the programme's accessibility. Stakeholders, including dental teams from across Scotland were involved in the consultation and brought their front-line experience in different settings. Common issues identified included digital literacy and access, language and cultural barriers to participation, and issues relating to the implications of a positive COVID-19 result. Literature indicated limited evidence on the acceptability, accessibility, and equity of asymptomatic COVID-19 surveillance.</p><p><strong>Conclusion: </strong>This HIIA was conducted during the COVID-19 pandemic. As an example of good practice in tackling inequalities in access to programmes it should represent the benchmark for other similar initiatives.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40680591","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 Greater Manchester Child Friendly Dental Practice Scheme: Using a Transformational Commissioning Approach to Align Paediatric Dental Service Provision with Childhood Oral Health Needs in Greater Manchester.","authors":"A Nic Iomhair,&nbsp;D Moore,&nbsp;E Hall-Scullin,&nbsp;L Bowes,&nbsp;A Seasman","doi":"10.1922/CDH_00110NicIomhair06","DOIUrl":"https://doi.org/10.1922/CDH_00110NicIomhair06","url":null,"abstract":"<p><p>In response to the impact of the COVID-19 pandemic on access to already oversubscribed specialist paediatric dental services, a pilot of an enhanced primary care paediatric dental pathway, known as the Child Friendly Dental Practice (CFDP) scheme, was commissioned by the Greater Manchester Health and Social Care Partnership. Supported by a transformational commissioning approach, the ambition of the CFDP pilot was to manage or stabilise the oral health of high-need paediatric patients who had been referred to specialist dental services within Community or Hospital Dental Service settings, through timely access to primary care clinicians who were confident and experienced in treating children. The theory of change of the CFDP pilot proposed that rapid access to enhanced primary dental care would reduce the need for onward referral to specialist paediatric dental services, whilst also stabilising the oral health of children who require more complex management in specialist services. A formative evaluation of the phase one pilot implementation of the CFDP Scheme has demonstrated the potential of the CFDP Scheme to improve access to dental services for paediatric patients referred from their General Dental Practitioner. Comparison of waiting times between the CFDP pathway and the standard paediatric dental referral pathway have revealed substantially reduced waiting times to access care along the CFDP pathway, while less than 30% of those who attended CFDPs required onward referral to specialist paediatric dental services. Encouragingly, similar attendance and treatment completion rates were noted among patients from all levels of socio-economic deprivation, reducing concerns regarding the potential for service-based interventions to increase oral health inequalities. Following successful completion of the phase one pilot implementation and evaluation, the CFDP Scheme has now been rolled out across all localities in Greater Manchester as part of a second phase pilot implementation. Public Health Competencies; Equitable healthcare provision, Partnership working, Evidence-based public health, Systems thinking, Transformational commissioning, Healthcare evaluation.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367754","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 effect of the national scaling program on tooth loss: a claim-based matched large cohort study in Korea.","authors":"J-K Choi,&nbsp;S-H Kim,&nbsp;M-B Park","doi":"10.1922/CDH_00221Choi06","DOIUrl":"https://doi.org/10.1922/CDH_00221Choi06","url":null,"abstract":"<p><strong>Objective: </strong>Tooth loss affects quality of life. Scaling is a measure to prevent periodontal disease and tooth loss. This study aimed to determine the effect of scaling on tooth loss.</p><p><strong>Basic research design: </strong>Secondary analysis of the Korean National Health Insurance Services database, comprising 514,866 Koreans as an initial cohort, followed for 14 years up to 2015. The study population comprised people who had received an oral check-up in 2002-2003. Using propensity score matching, we matched the intervention group (receipt of scaling) and controls (no scaling) 1:1. The outcome, tooth loss was defined as including all teeth except for third molars until 2015. The final sample included 94,738 people. Analysis used a Cox proportional hazard regression model.</p><p><strong>Results: </strong>Scaling showed conflicting results in univariate and multivariable analyses. In univariate analysis, people who received scaling were more likely to lose teeth (HR, 1.04; 95% CI, 1.02-1.05). After adjusting for confounders in the multivariable analysis, those who didn't receive scaling were more likely to lose teeth (HR, 0.97; 95% CI, 0.95, 0.99). The effects of scaling were identified in people without diabetes (HR, 0.97; 95% CI, 0.95, 0.99) but not in people with diabetes (HR, 0.97; 95% CI, 0.89-1.06).</p><p><strong>Conclusions: </strong>Scaling was associated with less tooth loss. Regular scaling might be encouraged for vulnerable groups, such as males, older adults, lower income, handicapped, chronic diseases, and smokers.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10358525","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 Impact of Oral Health Training on the Early Year's Workforce Knowledge, Skills and Behaviours in Delivering Oral Health Advice: A Systematic Review.","authors":"G Haghi Ashtiani,&nbsp;A Gambôa,&nbsp;H Yusuf","doi":"10.1922/CDH_00081Ashtiani07","DOIUrl":"https://doi.org/10.1922/CDH_00081Ashtiani07","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the effectiveness of training the early year's workforce on their knowledge, skills and/or behaviours in delivering oral health advice.</p><p><strong>Methods: </strong>Four databases: PubMed, Web of Science, Embase and Scopus were searched to evaluate the effectiveness of oral health training on knowledge, skills and behaviour of the early year's workforce with a minimum of one-month follow-up. Randomised or quasi-randomised trials and before and after studies were included.</p><p><strong>Results: </strong>All six included studies showed improved knowledge and one of the five studies showed significant changes in behaviours of participants post oral health training. None of the included studies addressed changes in skills as an outcome.</p><p><strong>Conclusion: </strong>This systematic review found evidence that oral health training of the early year's workforce is effective in improving their knowledge but not necessarily their behaviours delivering oral health advice. Although training of the wider workforce on oral health is recommended, high quality research is required with longitudinal follow-up to assess changes in behaviours and ultimately impacts on oral health.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10359043","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 effects of modifiable maternal pregnancy exposures on offspring molar-incisor hypomineralisation: A negative control study.","authors":"Q-Y Lim,&nbsp;K Taylor,&nbsp;T Dudding","doi":"10.1922/CDH_00067Lim09","DOIUrl":"https://doi.org/10.1922/CDH_00067Lim09","url":null,"abstract":"<p><strong>Objectives: </strong>Explore associations between modifiable maternal pregnancy exposures: pre-pregnancy body mass index (BMI), pregnancy smoking and alcohol consumption with offspring molar-incisor hypomineralisation (MIH) and use negative control analyses to explore for the presence of confounding.</p><p><strong>Method: </strong>Using data from a prospective UK birth cohort, Avon Longitudinal Study of Parents and Children, we performed logistic regression to explore confounder adjusted associations between maternal pre-pregnancy BMI and smoking and alcohol consumption during pregnancy with MIH. We compared these with negative control exposure (paternal BMI, smoking and alcohol) and outcome (offspring dental trauma) analyses.</p><p><strong>Results: </strong>5,536 mother/offspring pairs were included (297 (5.4%) MIH cases). We found a weak, positive association between maternal mean BMI and offspring MIH (Odds Ratio (OR) per 1-kg/m2 difference in BMI: 1.04, 95% confidence interval (CI): 1.00, 1.08). Results of subsequent analyses suggested this effect was non-linear and being driven by women in the highest BMI quintile (OR for women in the highest BMI quintile versus the lowest: 1.61 95%CI: 1.02, 2.60). Negative control analyses showed no evidence of an association between paternal BMI and offspring MIH (OR: 0.94, 95%CI: 0.89,1.00) and maternal BMI and offspring dental trauma (OR: 0.99, 95%CI: 0.96, 1.02). There was no clear evidence of an association for maternal smoking (OR: 0.76, 95%CI: 0.46,1.22) or alcohol consumption (OR: 0.79, 95%CI: 0.56, 1.21) with offspring MIH with results imprecisely estimated.</p><p><strong>Conclusion: </strong>We found a possible intrauterine effect for high maternal pre-pregnancy BMI on offspring MIH, but no robust evidence of an intrauterine effect for maternal pregnancy smoking or alcohol consumption. A key limitation includes possible misclassification of MIH. Replication of these results is warranted.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297623","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":"Antibiotic use by dentists in Germany: a review of prescriptions, pathogens, antimicrobial resistance and antibiotic stewardship strategies.","authors":"K Tolksdorf,&nbsp;A Freytag,&nbsp;J Bleidorn,&nbsp;R Markwart","doi":"10.1922/CDH_00172Konrad07","DOIUrl":"https://doi.org/10.1922/CDH_00172Konrad07","url":null,"abstract":"<p><strong>Background: </strong>In Germany, 85% of all antibiotics are prescribed in the outpatient care sector, and dentists account for 11% of the total outpatient antibiotic prescriptions.</p><p><strong>Objective and method: </strong>Summarise published literature on antibiotic use, pathogens and antibiotic resistance in odontogenic infections and German clinical guidelines and interventions for antibiotic use in dental care.</p><p><strong>Results: </strong>In contrast to other outpatient physicians, the volume of antibiotics prescribed by dentists in Germany did not decrease over the last decade. Penicillins and aminopenicillins are the most frequently prescribed antibiotics (70% of all prescriptions), followed by clindamycin (26%). Streptococcus spp. and Staphylococcus spp. are frequent pathogens isolated from odontogenic infections. However, the infections are often polybacterial with a mixed growth of anaerobic and aerobic bacteria. While the widespread use of penicillin class antibiotics is compatible with German recommendations on empiric antibiotic therapy, there is evidence that pathogens from odontogenic infections frequently exhibit resistance against them. Moreover, the high prescription volume of clindamycin (⟩25%) appears to be inadequate, since relatively high resistance rates are observed and clindamycin is not recommended as first-line choice in empiric antibiotic therapy. National and international studies show that continuous education of patients and dentists, individual prescription feedback as well as evidence-based guidelines are important measures to improve antibiotic prescription patterns among dentists.</p><p><strong>Conclusion: </strong>To promote rational antibiotic use in outpatient dental care, antibiotic stewardship measures are necessary that include prescription guidelines based on AMR surveillance data as well as continuous education of dentists.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40680589","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}