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1 – 10 of 289The 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…
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.
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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.
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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.
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.
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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.
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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.
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.
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.
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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%.
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.
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.
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.
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