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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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The purpose of this study is to explore the relationship between nutritional status and associated risk factors such as:, socio-economic, physical, pathological and psychological…
Abstract
Purpose
The purpose of this study is to explore the relationship between nutritional status and associated risk factors such as:, socio-economic, physical, pathological and psychological factors, among elderly residing in Lebanese nursing homes.
Design/methodology/approach
This cross-sectional study was carried out in 36 elderly care nursing homes with 2,094 residents. Of these, only 221 (11 per cent) elderly met the inclusion criteria and successfully completed the interview question. Data on socio-demographic characteristics and health conditions: oral, nutritional, depression, chronic diseases and activities of daily living, were collected. The analysis used a chi-square test and a binary logistic regression.
Findings
High levels of malnourishment were found among elderly who had no jobs (p = 0.012) and had oral health problems (p = 0.038), functional impairment (p < 0.001) and depression (p = 0.021). Comorbid illnesses, however, had no significant association with nutritional status. In addition, the first and strongest predictor entered in the regression on malnutrition was functional impairment (p = 0.002) followed by oral health problems (p = 0.030) and depression (p = 0.036).
Originality/value
The study is original in the sense that it emphasized the importance of three factors, autonomy, better oral and psychological health, in mediating nutritional outcomes for elderly residing in nursing homes.
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Vikram Bansal, G.M. Sogi, K.L. Veeresha, Adarsh Kumar and Shelly Bansal
This paper aims to explore prisoner dental health in Haryana, India.
Abstract
Purpose
This paper aims to explore prisoner dental health in Haryana, India.
Design/methodology/approach
The authors assessed the prevalence of dental caries and the treatment needs of prisoners in all 19 prisons in Haryana. The results were compared with the prison populations of other countries and the general population of Haryana.
Findings
The mean age of 1,393 subjects examined was 35.26±12.29 years. A large number of the subjects reported to be in need of dental treatment. The number of decayed teeth was found to be similar to the general population of Haryana but the number of filled teeth was quite low. The number of teeth missing and the need for tooth extraction was high.
Social implications
Long‐standing prisoner dental problems indicated a need for dental treatment in prisons.
Originality/value
This is the first study of its kind covering all 19 prisons in Haryana, India. The results indicate that the government needs to further consider and address the oral health needs of prisoners.
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Susan Patterson and Pauline Ford
The purpose of this paper is to inform education of non-mental health professionals who provide care to people with severe mental illness; to describe dentistry students’…
Abstract
Purpose
The purpose of this paper is to inform education of non-mental health professionals who provide care to people with severe mental illness; to describe dentistry students’ knowledge and views about mental illness, including willingness to engage in various social situations with a person hospitalised for mental illness; and to assess and understand the impact of a targeted lecture on views and attitudes.
Design/methodology/approach
The paper employed mixed methods to examine dental students’ knowledge and views about mental disorder before and after a seminar covering mental disorder, disadvantage and oral health. Findings from a bespoke questionnaire administered to third-year dental students were triangulated with qualitative data gathered in interviews with a subsample.
Findings
Students understood mental disorder broadly, employing diverse causal models. Although knowledge was typically grounded in media stereotypes, attitudes were benevolent and most students reported willingness to provide dental care to affected individuals. The seminar, especially the consumer delivered section, was valued and associated with increased appreciation of the impact of mental disorder on oral health and need for assertive action to promote access to care. However, students reported being reluctant to disclose their own mental health problems for fear of being considered a professional or personal failure. A minority knew how to seek support if a friend talked of suicide.
Research limitations/implications
This study highlights the need for further investigation of the knowledge and attitudes of dentistry students pertinent to provision of care to people with mental illness and to examine the links between attitudes and practice. The paper also provides a useful foundation for development of brief educational interventions, particularly the value in integrating the service user perspective, and their evaluation. Research should also examine the impact of mental health education on practice.
Practical implications
A single inexpensive educational session, such as the one the paper developed may support reconsideration of often unconscious views of mental illness which might affect practice.
Social implications
If people with mental illness are to receive equitable access to health care, non-mental health professionals should be supported to develop knowledge and attitudes which are conducive to inclusive treatment. An education session such as this could be helpful.
Originality/value
There is scant literature examining attitudes of dentistry students and no reports of mental health-specific education with this population.
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Rose Chalo Nabirye and Adriane Kamulegeya
The purpose of this paper is to assess the levels of awareness and knowledge about oral cancer, its causes and or risk factors among Ugandan patients seeking oral healthcare.
Abstract
Purpose
The purpose of this paper is to assess the levels of awareness and knowledge about oral cancer, its causes and or risk factors among Ugandan patients seeking oral healthcare.
Design/methodology/approach
This was a cross-sectional study on adult patients who attended a free dental camp. An assistant-administered questionnaire either in English or Luganda was provided to every even-numbered registered adult who consented to participate in the study. Information on demographics and known risk factors for oral cancer were captured. The two knowledge questions on oral cancers were scored by adding up all the correctly identified causes, non-causes and risk factors then scored out of the total. Data analysis was done by calculating proportions, Student’s’ t-tests and χ2 tests with significant p-value set at 0.05.
Findings
The results showed a low level of awareness/knowledge about oral cancer in studied population. In total, 60 percent and less than 50 percent of respondents identified smoking and alcohol use as risk factors for oral cancer, respectively. Majority of respondents (88.8 percent) would seek help from medical personnel if diagnosed with oral cancer. Screening for cancer was low despite awareness and knowledge that it improves the chances of successful treatment.
Research limitations/implications
Emphasis on risk factors including alcohol use in public health messages, use of mass media, religious and community leaders to disseminate messages to the communities and further research were recommended.
Practical implications
We need to emphasize the role of alcohol in oral cancer causation just as we do for tobacco consumption.
Originality/value
No study has been conducted in Uganda on the level of awareness yet the incidence of the disease and use of high-risk products are rising.
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Maria Andersson, Bodil Wilde-Larsson and Mona Persenius
The purpose of this paper is to describe and compare nurses’ and healthcare assistants’ oral care quality perceptions, including perceived reality (PR) and subjective importance…
Abstract
Purpose
The purpose of this paper is to describe and compare nurses’ and healthcare assistants’ oral care quality perceptions, including perceived reality (PR) and subjective importance (SI), to identify improvement areas in intensive care and short-term care, and to explore potential nursing satisfaction predictors regarding oral care.
Design/methodology/approach
Swedish staff, 154 within intensive care and 278 within short-term care responded to a modified quality of care from a patient perspective questionnaire. Descriptive and analytical statistics were used.
Findings
Staff scored oral care quality both high and low in relation to PR and SI. Improvement areas were identified, despite high satisfaction values regarding oral care. Setting, SI and PR explained 51.5 percent of the variance in staff satisfaction regarding oral care quality.
Practical implications
Quality improvements could guide oral care development.
Originality/value
This study describes oral care by comparing nurse perceptions of how important they perceive different oral care aspects and to what extent these oral care aspects are performed.
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Cansu Ozsin Ozler, Elif Inan-Eroglu, Meryem Uzamis Tekcicek and Zehra Buyuktuncer
The purpose of this study is to assess and compare awareness and knowledge of dental erosion among nutrition and dietetics (ND) and dental students.
Abstract
Purpose
The purpose of this study is to assess and compare awareness and knowledge of dental erosion among nutrition and dietetics (ND) and dental students.
Design/methodology/approach
The study was designed as a cross-sectional study. It was set in a university campus in Ankara, Turkey. In all, 947 undergraduate students (534 dental and 413 ND) with a mean age of 20.9 ± 1.99 years were included. The variables measured in this study were level of awareness and knowledge of dental erosion of students and their practice on the topic. For statistical analysis descriptive statistics, Chi-square, Fisher’s Exact and Mann–Whitney U statistics were used.
Findings
Not having heard about dental erosion was more frequently reported by ND students (33.9 per cent) (p < 0.001). Dental students had significantly higher scores in knowledge of dental erosion (11.19 ± 2.23) (p < 0.001). In both disciplines, total knowledge score was increased based on the students’ academic level (r = 0.522, p < 0.01 for dental students and r = 0.242, p < 0.01 for ND students). Their practice in terms of consumption of some acidic foods showed a difference (p < 0.001).
Originality/value
There is an inevitable need for oral health education for ND students and nutrition education for dental students to fill the knowledge gap for effective oral health. Nutrition dental education should be incorporated into undergraduate ND and dentistry curriculums and continuing education of these professionals. Furthermore, providing internships in dental facilities or clinics to undergraduate ND students that include oral health assessments, guidance on evidence-based prevention techniques, dietary counseling and referrals to dentists would provide an opportunity to gain more knowledge regarding dental-related nutrition subjects. To the authors’ knowledge, this is the first study to determine and compare dental erosion awareness, knowledge and practice among ND and dental students. Eliminating conflicts among dietetic and dental professionals is vital for improving patient health. This interdisciplinary inclination might be a shift toward a coordinated team approach for promoting oral health, prevention of dental diseases and intervention in dental diseases.
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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…
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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