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1.
Community Dent Health ; 13(Suppl 1): 21-48, Jun. 1996.
Artigo em Inglês | MedCarib | ID: med-3171

RESUMO

A study was undertaken of the dental health of 7870 eight-year-old children resident in the the City of Birmingham, using the standard British Association of Community Dentistry epidemiological procedures. There were variations in the dental health of children from different ethnic backgrounds. Asian children had the poorest dental health and Afro-Caribbean children, the best. There were also variations in the dental health of children from different ACORN Category 'Thriving' had better dental health than those from the lowest, 'Striving' Category. Positive consent was obtained from every parent or guardian to link the findings with the Dental Practice Board's records as to whether each child was registered under the NHS capitation scheme, (54.5 per cent), was compared with those who were not, (45.5 percent). The highest proportion of children registered with a dentist were Caucasian and from a high social class i.e. ACORN Category 'Thriving'. In order to ensure that differences were due to their capitation status and not to other differences within the groups, analyses were undertaken according to the ethnic background and ACORN Category of the children. Overall, there were only very small differences between the caries state of the registered and non registered children. However, 32 percent of those children registered in the scheme still had active decay which was not restricted to primary dentition. The greatest reduction in the average number of decayed teeth together with the greatest increase in the average number of fillings in registered children when compared with their non registered colleagues was observed in the lowest ACORN Category 'Thriving'. However in the ACORN Category 'Striving', there was a higher proportion of children with good oral hygiene amongst those who were registered than amongst those who were not. Provision of preventive treatment was low in all registered and non registered groups, but lowest in those groups of children with the poorest dental health. It would appear that, for a proportion of children registered in the capitation scheme, the practitioners were failing to acheive the requirement of securing and maintaining their oral health(AU)


Assuntos
Humanos , Feminino , Criança , Masculino , Capitação , Doenças Dentárias/epidemiologia , Doenças Dentárias/etnologia , Medicina Estatal/estatística & dados numéricos , Índice CPO , Etnicidade/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Odontologia Preventiva/estatística & dados numéricos , Dente Decíduo , África/etnologia , Região do Caribe/etnologia
2.
Community Dent Health ; 9(4): 349-60, Dec. 1992.
Artigo em Inglês | MedCarib | ID: med-8186

RESUMO

In 1989 a national survey was carried out on children aged 3 to 4 years attending nursery schools, to investigate the prevalence of caries experience, nursing bottle caries and enamel defects in the primary dentition, and these children's dentally related habits. In the first part of the study, examination of 482 Antiguan children showed that the dmft and dmfs values were 0.80 and 1.26 respectively, and that 77 percent of the children were caries free; 4.6 percent of children had nursing bottle caries; and enamel defects occurred in 24 percent of children. No significant differences was found in oral health between urban and rural samples. In the second part, which was an interview survey, habits such as thumb sucking (13 percent), not brushing their teeth (3 percent), and swallowing fluoride toothpaste (13 percent) were found among 369 children. In the third (a questionnaire) survey, a response rate of 63 per cent was obtained. Significantly more of the children with nursing bottle caries (78.6 percent) had the habit of sleeping with a feeding bottle than occurred in caries free children (25.6 percent), but there was no difference in the infant feeding pattern. The children with enamel defects were breast fed for a shorter period and had an earlier introduction to bottle feeding, compared with children without enamel defects. In the final part of the survey, an assessment of snack eating habits at school, a 58 percent response rate was achieved. The majority of children often brought healthier snacks, together with daily sugar-rich drinks. Significantly more caries free children brought sugary snacks less frequently than children with caries experience. (AU)


Assuntos
Humanos , Pré-Escolar , Feminino , Lactente , Masculino , Cárie Dentária/prevenção & controle , Esmalte Dentário/anormalidades , Hábitos , Dente Decíduo/anormalidades , Fatores Etários , Antígua e Barbuda , Aleitamento Materno , Apoio Nutricional/efeitos adversos , Dente , Índice CPO , Sucção de Dedo , Fluoretos/análise , Comportamento Alimentar , Alimentos Infantis , Prevalência
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