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Open Access
Article
Publication date: 1 May 2020

Saruta Saengtipbovorn

The study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment…

1816

Abstract

Purpose

The study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment following American Academy of Pediatric Dentistry (AAPD) between brief and standard caries risk assessment on dental health status among preschool children.

Design/methodology/approach

Brief-caries risk assessment form was developed. Then, experimental study was conducted in public health center 54 among 70 patients (35 test and 35 control) from January to July 2019. Test group used brief-caries assessment form, and control group used standard form. Both groups received the same caries risk assessment criteria and management protocol from AAPD. At baseline, 3-month and 6-month follow-up, caries risk and dental health status (plaque index, cavitated caries lesion and non-cavitated caries lesion) were assessed. Data were analyzed by descriptive statistic, t-test, chi-square test, Fisher's exact test and repeated measures ANOVA.

Findings

Percentage of high caries risk decreased from baseline (93.9%: test and 96.9%: control) to 6-month follow-up (66.7%: test and 65.6%: control) in both groups, with no statistically significant differences between groups. Plaque index, cavitated caries lesion and non-cavitated caries lesion were not statistically significant differences between groups. Brief-caries assessment decreased times/visit from 10-15 minutes to 5 minutes.

Originality/value

Brief-caries assessment form decreased caries risk and prevented dental caries as the standard form. Using brief-caries assessment form could save time, is cost-effective and is appropriate for use in public health centers. However, a short follow-up time might have insufficient power to detect the differences between groups.

Details

Journal of Health Research, vol. 35 no. 1
Type: Research Article
ISSN: 0857-4421

Keywords

Article
Publication date: 1 February 1991

Kauko K. Mäkinen

Dental caries is caused by a diet‐associated pathologic processaffecting the teeth. This is an infectious, transmissible disease, theinfecting agents being specific…

Abstract

Dental caries is caused by a diet‐associated pathologic process affecting the teeth. This is an infectious, transmissible disease, the infecting agents being specific micro‐organisms, with a streptococcal species, i.e. Streptococcus mutans (or other members of the so‐called mutans streptococci), being especially cariogenic under certain dietary conditions. The transmissibility of the disease is reflected, for example, in the fact that young children usually receive their S. mutans infection from their mothers. According to present scientific knowledge, dental caries should be fully preventable. Maximisation of preventive efforts is of fundamental importance; relying on only one prevention procedure, like a fluoride‐based method, is insufficient. Relying solely on reparative philosophy is wrong. As to dietary approaches, mere prohibition of sugar as the only educational measure is hypocritical. Maximisation of prevention automatically includes the use of sugar substitutes. Of these, xylitol, a natural, physiologic carbohydrate sweetener, has been rigorously tested in long‐term human clinical trials, and has been found to be safe and effective. An effective way to use xylitol is as xylitol‐containing chewing gum, lozenges or chewable tablets. This prevention procedure can easily be promoted in environments where children or young adults are reachable, i.e. at schools, universities, garrisons, public health centres and related institutions. Results from clinical studies suggest that less than 10 grams of xylitol per day, consumed in about five chewing episodes, significantly increases protection against dental caries. This approach, a single‐component modification of diet, can be used to complete existing prevention methods, both at individual and community level.

Details

Environmental Management and Health, vol. 2 no. 2
Type: Research Article
ISSN: 0956-6163

Keywords

Open Access
Article
Publication date: 17 December 2019

Nipaporn Urwannachotima, Piya Hanvoravongchai, John Pastor Ansah and Piyada Prasertsom

The purpose of this paper is to estimate the changes of dental caries status among Thai adults and elderly under the different policy options using system dynamics modeling.

2086

Abstract

Purpose

The purpose of this paper is to estimate the changes of dental caries status among Thai adults and elderly under the different policy options using system dynamics modeling.

Design/methodology/approach

A multi-sector system dynamics model was developed to capture the dynamic interrelationship between dental caries status changes and oral health behavior – including self-care, dental care utilization and sugar consumption. Data used to populate the model was obtained from the Thai national oral health survey in 2000, 2006, 2012 and Thailand Official Statistics Registration. Three policy scenarios were experimented in the model: health promotion policy, dental personnel policy and affordable dental care service policy.

Findings

Dental caries experiences among Thai adults and elderly were projected to increase from now to 2040, as the elderly population increases. Among all policies experimented herein, the combined policies of health promotion, increased affordability and capacity of dental health service were found to produce the highest improvement in dental caries status with 3.7 percent reduction of population with high decayed, missing and filled teeth (DMFT) and 5.2 percent increase in population with very low DMFT.

Originality/value

This study is the first comprehensive simulation model that attempts to explore the dynamic interrelationship among dental caries experiences and behavioral factors that impact on oral health outcomes. In addition, the simulation model herein offers a framework for policy experimentation that provides policymakers with additional insights to inform health policy planning.

Details

Journal of Health Research, vol. 34 no. 2
Type: Research Article
ISSN: 2586-940X

Keywords

Article
Publication date: 22 June 2022

Elif Inan Eroglu, Ruveyda Esra Ozkalayci, Cansu Ozsin Ozler, Meryem Uzamis-Tekcicek and Zehra Buyuktuncer

The purpose of this study was to examine the potential association between the glycemic index (GI) and the glycemic load (GL) with early childhood caries in preschool children.

Abstract

Purpose

The purpose of this study was to examine the potential association between the glycemic index (GI) and the glycemic load (GL) with early childhood caries in preschool children.

Design/methodology/approach

This cross-sectional study collected data from 225 children aged 37–71 months in governmental nursery schools within the Altindag district of Ankara, Turkey. GI and GL values of foods and beverages were calculated using 2008 international tables of GI and GL. Dental examinations were done under daylight and by using a headlight. The prevalence of caries was obtained by calculating the number of the decayed, missing and filled teeth (dmft) index score or decayed, missing and filled surface (dmfs) index score.

Findings

There were significant differences in the dmft and dmfs scores according to GI groups (p = 0.022 for both). The multivariate models showed that children who consumed a high-GI diet had higher dmft scores compared to children who consumed a medium-GI diet (ß 1.48, 95% CI −1.48, 4.44), whereas children who consumed a high-GL diet had lower dmft score compared to children who consumed low-GL diet (ß 0.55, 95% CI −0.97, 2.07), however, they were not statistically significant.

Originality/value

Dietary total GI and GL did not significantly influence the caries experience of preschool children. Future studies should focus on the different age groups with a broader perspective.

Details

Nutrition & Food Science , vol. 53 no. 2
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 1 January 1977

Trevor Grenby

A tremendous amount of effort has gone into the search for such compounds, usually with the aid of ‘screening’ techniques in which the potential agents are added to cariogenic…

Abstract

A tremendous amount of effort has gone into the search for such compounds, usually with the aid of ‘screening’ techniques in which the potential agents are added to cariogenic diets fed to laboratory animals, and any effect on the level of caries is compared with that of a control group fed on the basic unsupplemented diet. A whole book has been compiled on the subject with different contributors reviewing progress in various classes of chemicals for which caries‐protective claims have been made.

Details

Nutrition & Food Science, vol. 77 no. 1
Type: Research Article
ISSN: 0034-6659

Open Access
Article
Publication date: 20 August 2019

Sirinthip Amornsuradech and Warangkana Vejvithee

The purpose of this paper is to determine the relationship between socioeconomic status (SES) and oral health among Thai adults.

2101

Abstract

Purpose

The purpose of this paper is to determine the relationship between socioeconomic status (SES) and oral health among Thai adults.

Design/methodology/approach

This study is a cross-sectional analytical study using secondary data from the 7th Thailand National Oral Health Survey (2012). Age group 35–44 years old samples were used to represent the working age population. Oral health outcome was determined by untreated dental caries. SES was indicated by income, education and occupational groups. Demographic background, oral health-related behavior and access to dental service were adjusted for analysis. Binary logistic regression analysis was performed to determine the relationship between independent variables and oral health outcome.

Findings

People with lower education showed a higher odds ratio for having untreated dental caries before and after controlling for related variables. Those living in the north and northeast, using additional cleaning tools and going to the public provider for dental service also showed better oral health.

Research limitations/implications

The limitation of this study is that the cross-sectional study cannot indicate casual relationships. The national oral health survey was not designed to find relationships between factors. The access to data and measurement of SES was limited. The policy maker should emphasize on people with lower education which have a higher risk for dental caries to improve oral health in disadvantaged groups. Future research should include all related factors in the study including diet and knowledge about oral health. Moreover, oral health outcome is a long-term effect which accumulated through a lifetime. The social class might change over time and so do behaviors.

Originality/value

There is socioeconomic inequality in dental caries of Thai working age population.

Details

Journal of Health Research, vol. 33 no. 6
Type: Research Article
ISSN: 2586-940X

Keywords

Article
Publication date: 1 April 1976

Trevor Grenby

Dental caries (or tooth decay) is our most prevalent disease, and hardly anyone living in present‐day Britain is completely free from it. More than 99% of the population have had…

Abstract

Dental caries (or tooth decay) is our most prevalent disease, and hardly anyone living in present‐day Britain is completely free from it. More than 99% of the population have had teeth attacked by decay, sometimes so severely that a large proportion of their teeth have had to be extracted. The result of dental caries combined with gum disease is that 37% of all the people over 16 in England and Wales are edentulous (i.e. have had all their teeth extracted), while the figure for Scotland is even higher at 44%.

Details

Nutrition & Food Science, vol. 76 no. 4
Type: Research Article
ISSN: 0034-6659

Article
Publication date: 1 February 1973

A. Syrrist

In the Scandinavian countries, as in several other countries, the discussion about the general supplementation of fluoride by the consumption of water has been intensive and…

Abstract

In the Scandinavian countries, as in several other countries, the discussion about the general supplementation of fluoride by the consumption of water has been intensive and sometimes inflamed. The situation in Sweden at present does not permit this possibility of rational caries prophylaxis to be utilised. Thus it has been necessary to take advantage of topical application of fluorides. It is therefore natural that a large number of clinical tests in this field have been carried out in Scandinavia. The experience of these clinical tests have been put to practical use with the result that today most children take part in one or other form of mass prophylactic measures, including the use of topical fluoride application.

Details

Nutrition & Food Science, vol. 73 no. 2
Type: Research Article
ISSN: 0034-6659

Article
Publication date: 1 January 1987

M.C. Downer

The epidemiology of dental disease in the United Kingdom has been well documented since the introduction in 1968 of the first of the various decennial national surveys of dental…

Abstract

The epidemiology of dental disease in the United Kingdom has been well documented since the introduction in 1968 of the first of the various decennial national surveys of dental health. This was coupled with an upsurge at about that time of academic interest in the subject which has continued to grow. Although the database on current disease experience and recent trends, at least in relation to dental caries, is extensive, foretelling future levels of dental health and disease can be only speculative and must involve a number of untested assumptions. This is because prediction depends largely upon the extrapolation of past trends, modified by the possible effects of anticipated developments and changes.

Details

Journal of Management in Medicine, vol. 2 no. 1
Type: Research Article
ISSN: 0268-9235

Article
Publication date: 23 September 2013

Poonam Mahajan

Oral health is an integral part of the general health, however, oral health has been given lower priority than other health problems especially among the underprivileged refugee…

Abstract

Purpose

Oral health is an integral part of the general health, however, oral health has been given lower priority than other health problems especially among the underprivileged refugee population. Out of total refugees in the world, 70 percent of the refugees belong to Tibet. The purpose of this paper is to assess the dental caries status and treatment needs of Tibetans residing in Shimla, Himachal Pradesh, India and to explore and suggest better oral health care delivery to them.

Design/methodology/approach

Tibetans above the age of 12 years were included in this cross-sectional study. American Dental Association Type-3 examination was conducted. Data regarding demography and oral health practices was recorded on a structured format. For recording dental caries, dentition status and treatment need index was used. The data were analyzed using the SPSS statistical software. χ2 test, student t-test, and ANOVA test were used.

Findings

A total of 18,831 teeth were examined among which 82 percent were sound, 16.7 percent decayed, 0.7 percent were filled without decay, 0.1 percent filled with decay, 0.03 percent were bridge abutments and 0.15 percent teeth had traumatic injury. The mean DMFT was 7.3 and it was increasing with the age. Mean number of teeth requiring one surface filling, two or more surface filling, pulp therapy, and extraction was 1.27, 0.39, 0.21, and 2.08, respectively.

Originality/value

The study revealed low prevalence of dental caries among Tibetans and dental treatment requirement steadily increased with the advancement of age and was also related to other factors like poverty, education, and their tough life where oral health is given no priority.

Details

International Journal of Migration, Health and Social Care, vol. 9 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

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