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1.
Bull Tokyo Dent Coll ; 59(4): 229-236, 2018 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-30333368

RESUMO

The purpose of this study was to determine the distribution of healthy elderly individuals undergoing regular dental check-ups and identify any environmental or associated oral factors. A cross-sectional questionnaire survey was used to interview 216 individuals attending 2 welfare facilities for the elderly, of whom 160 were included in the final analysis. Items comprised age, sex, number of residual teeth, frequency of teeth/denture cleaning, subjective chewing ability, denture use, oral status, regular dental check-ups, visitation of the same dentist, number of dental visits in the past year, General Oral Health Assessment Index (GOHAI) (Japanese version) score, living situation, and use of routine medication. Individuals undergoing regular dental check-ups were defined as those with a primary dentist whom they saw for dental check-ups at least once a year. The rate of individuals undergoing regular dental check-ups was 75.0% in men aged 60-74 years, 58.8% in women aged 60-74 years, 70.0% in men aged 75 years or over, and 45.3% in women aged 75 years or over. Logistic regression analysis revealed a higher number of residual teeth (odds ratio [OR]=2.664 in comparison with those with fewer than 20 teeth, p=0.0427); cleaning teeth/dentures 3 or more times per day (OR=2.546 in comparison with cleaning them twice per day or less, p=0.0157); and a higher GOHAI score (OR=2.742 in comparison with those with a GOHAI score of less than 58, p=0.0263) as factors significantly correlated with undergoing regular dental check-ups. In conclusion, the results revealed that individuals undergoing regular dental check-ups had 20 or more residual teeth, cleaned their teeth/denture 3 or more times per day, and had a higher GOHAI score. This indicates that the best predictive factor for undergoing regular dental check-ups in healthy elderly individuals is their GOHAI score.


Assuntos
Assistência Odontológica para Idosos/estatística & dados numéricos , Prótese Parcial Removível/psicologia , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Idoso , Atitude Frente a Saúde , Estudos Transversais , Profilaxia Dentária/estatística & dados numéricos , Higienizadores de Dentadura , Prótese Total/psicologia , Feminino , Humanos , Japão , Modelos Logísticos , Masculino , Mastigação/fisiologia , Pessoa de Meia-Idade , Razão de Chances , Inquéritos e Questionários
2.
Dent Med Probl ; 55(2): 185-190, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30152623

RESUMO

BACKGROUND: Improved oral health outcomes, including better quality of life, are associated with dental attendance. Visiting a dental office is an important mode of behavior, especially among adolescents; however, the factors that influence the patterns of dental visits are not fully understood. OBJECTIVES: The objective of this study was to investigate the frequency of visiting a dental office and its predictors among male adolescents. MATERIAL AND METHODS: This cross-sectional study involved a sample of 376 male adolescents (13-14 years old). Multi-stage random sampling was used to recruit participants from public schools in Dammam, Saudi Arabia. World Health Organization (WHO) oral health questionnaire for children was used for data collection. The χ2 test and multiple logistic regression analyses were performed to investigate the predictors of dental attendance. RESULTS: Fifty-one percent of studied adolescents (n = 192) visited the dentist during the last 12 months. Pain was the most common reason for the dental visit (22.9%), followed by a treatment or a follow-up (16.2%), and a routine dental check-up (9.3%). The participants with pain were 16.29 times more likely to visit a dental office than those without pain. Similarly, adolescents who had routine dental check-ups (odds ratio (OR) = 7.54, 95% confidence interval (CI) = 3.75, 15.15) and treatment or follow-ups had significantly higher odds (OR = 15.21, 95% CI = 7.22, 32.04) of making a dental visit than those without check-ups and treatment. In addition, the perception of good health of gums (OR = 2.49, 95% CI = 1.33, 4.66) and difficulty in chewing (OR = 2.00, 95% CI = 1.02, 3.92) were associated with dental attendance. CONCLUSIONS: Visiting a dental office was common among male adolescents. Pain was the most important reason and a predictor for dental attendance, and a small proportion of adolescents made dental visits for routine dental check-ups. Oral health literacy should be improved through awareness programs in schools. Adolescents should be encouraged to regularly visit the dentist to maintain optimal oral health.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Odontalgia/epidemiologia , Adolescente , Estudos Transversais , Humanos , Masculino , Saúde Bucal , Amostragem , Arábia Saudita/epidemiologia
3.
Int J Dent Hyg ; 16(1): 125-133, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28809084

RESUMO

INTRODUCTION: Dental hygienists (DHs) have been practising in Australia since the early 1970s. OBJECTIVE: This study describes the clinical activity of Australian DHs. METHODS: A questionnaire was mailed to members of two professional associations representing DHs. Practitioner characteristics, employment characteristics and clinical activity on a self-reported typical practice day were collected. The proportion of each service item of all services provided was estimated. Associations between practice characteristics and service provision were assessed by log-binomial regression models. RESULTS: Adjusted response rate was 60.6%. Of the DHs included in analysis (n=341), 80% were employed in general practice, and nearly all (96%) worked in the private sector. About half (53.7%) of all service provided were preventive services, and one-fourth (23.9%) were diagnostic. Service provision varied by practice and practitioner characteristics, with the largest variations observed by practice type. Unadjusted analysis showed that general practice DHs provided a higher mean number of periodontal instrumentation and coronal polishing (0.92 vs 0.26), fluoride applications (0.64 vs 0.08), oral examinations (0.51 vs 0.22) and intraoral radiographs (0.33 vs 0.07) per patient visit and a lower mean number of impressions (0.05 vs 0.17) and orthodontic services (0.02 vs 0.59) than specialist practice DHs. In adjusted analysis, rates of periodontal services also significantly varied by practice type; other associations persisted. CONCLUSION: Service provision of DHs varied by practice type. Practice activity was dominated by provision of preventive services while provision of periodontal treatments, fissure sealants and oral examinations was relatively limited indicating areas in which DHs are possibly underutilized.


Assuntos
Higienistas Dentários/estatística & dados numéricos , Adulto , Austrália , Profilaxia Dentária/estatística & dados numéricos , Odontologia Geral , Humanos , Pessoa de Meia-Idade , Ortodontia/estatística & dados numéricos , Periodontia/estatística & dados numéricos , Odontologia Preventiva/estatística & dados numéricos , Setor Privado , Área de Atuação Profissional/estatística & dados numéricos , Setor Público , Inquéritos e Questionários , Recursos Humanos
4.
J Occup Environ Med ; 59(8): 721-726, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28609355

RESUMO

OBJECTIVE: This study examined differences in health risks and workplace outcomes among employees who utilized preventive dental services compared with other employees. METHODS: A retrospective observational study of employees of a large financial services corporation, with data from health risk appraisal questionnaires, medical claims, pharmacy claims, and dental claims. RESULTS: Employees with no dental claims were significantly more likely to have a variety of health risk factors (such as obesity and tobacco use), health conditions (such as diabetes), absenteeism, and lost on-the-job productivity, and were significantly less likely to be compliant with clinical preventive services compared with those with preventive dental claims. CONCLUSIONS: Employees with preventive dental claims had fewer health risks and medical conditions and better health and productivity measures. Study employees underutilized free dental care; employers should incorporate preventive dental care awareness into their worksite wellness programs.


Assuntos
Demandas Administrativas em Assistência à Saúde/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Eficiência , Comportamentos de Risco à Saúde , Absenteísmo , Adulto , Assistência Odontológica/estatística & dados numéricos , Diabetes Mellitus/epidemiologia , Feminino , Nível de Saúde , Indicadores Básicos de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Estudos Retrospectivos , Inquéritos e Questionários , Uso de Tabaco/epidemiologia , Estados Unidos/epidemiologia , Local de Trabalho
6.
Przegl Epidemiol ; 70(1): 47-51, 129-32, 2016.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-27344474

RESUMO

BACKGROUND: In the year 2014 an epidemiological study was carried out again in the region of Lódz amongst 12-year old children as a part of general study in Poland. OBJECTIVES: The purpose of the study was to evaluate the prevalence of carries, caries severity measured by the DMF index among 12-year old children in the region of Lódz. MATERIAL AND METHODS: 328 children aged 12 were randomly selected and examined, of which 176 girls and 152 boys respectively. The methodology was based on clinical examination according to WHO standards. The prevalence of carries, DMF index , treatment index was calculated in lodzkie voivodeship. RESULTS: The studies indicated that the prevalence of caries was 67.8 % for 12-year old children and decreased 1.4% in comparison with last studies in the region of Lódz. DMF index also decreased and the value was 1.63. The score obtained caused that the goal proposed by the WHO for 2015 for 12-year-old children was achieved in lodzkie voivodeship. SiC index in the study group was estimated at 4.03. Compare to the previous study in the SiC index value has been reduced in Lódzkie voivodeship. The result makes our study group very close to the next goal proposed by the WHO for 12-year-old children where SiC index should be less than 4. CONCLUSIONS: Intensity and prevalence of caries for 12 year old children in Lódz and surrounds suggests that it is on the decrease, and dental state in the study group is satisfactory.


Assuntos
Bem-Estar da Criança/estatística & dados numéricos , Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/epidemiologia , Saúde Bucal/estatística & dados numéricos , Criança , Inquéritos de Saúde Bucal , Profilaxia Dentária/estatística & dados numéricos , Feminino , Humanos , Masculino , Polônia/epidemiologia , Prevalência , População Rural/estatística & dados numéricos , Índice de Gravidade de Doença , População Urbana/estatística & dados numéricos
7.
Community Dent Health ; 33(1): 15-22, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27149768

RESUMO

OBJECTIVE: Dental service provision rates are necessary for workforce planning. This study estimates patient and service rates for oral health therapists (OHTs), dental hygienists (DHs) and dental therapists (DTs). To identify important variables for workforce modelling, variations in rates by practice characteristics were assessed. DESIGN: A cross-sectional self-complete mailed questionnaire collected demographic and employment characteristics, and clinical activity on a self-selected typical day of practice. SETTING: Private and public dental practices in Australia. PARTICIPANTS: Members of the two professional associations representing DHs, DTs and OHTs. METHODS: For each practitioner type, means and adjusted rate ratios of patients per hour, services per visit and preventive services per visit were estimated. Comparisons by practice characteristics were assessed by negative binomial regression models. RESULTS: Response rate was 60.6% (n = 1,083), 90.9% were employed of which 86.3% were working in clinical practice and completed the service log. Mean services per patient visit provided by OHTs, DHs and DTs were 3.7, 3.5 and 3.3 and mean preventive services per patient were 2.1, 2.1 and 1.8 respectively. For all three groups, adjusting for explanatory variables, the rate of preventive services per patient varied significantly by practice type (general or specialist) and by the proportion of child patients treated. CONCLUSION: Services rates varied by age distribution of patients and type of practice. If these factors were anticipated to vary over-time, then workforce planning models should consider accounting for the potential impact on capacity to supply services by these dental workforce groups.


Assuntos
Assistência à Saúde , Auxiliares de Odontologia , Assistência Odontológica , Higienistas Dentários , Adulto , Austrália , Criança , Pré-Escolar , Estudos Transversais , Profilaxia Dentária/estatística & dados numéricos , Emprego , Feminino , Odontologia Geral/estatística & dados numéricos , Planejamento em Saúde , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Pacientes/classificação , Pacientes/estatística & dados numéricos , Odontologia Preventiva/estatística & dados numéricos , Área de Atuação Profissional , Autorrelato , Fatores de Tempo , Recursos Humanos
8.
Am J Orthod Dentofacial Orthop ; 149(4): 516-22, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27021456

RESUMO

INTRODUCTION: We assessed the relationship between race and orthodontic service use for Medicaid-enrolled children. METHODS: This cross-sectional study focused on 570,364 Medicaid-enrolled children in Washington state, ages 6 to 19 years. The main predictor variable was self-reported race (white vs nonwhite). The outcome variable was orthodontic service use, defined as children who were preauthorized for orthodontic treatment by Medicaid in 2012 and subsequently received orthodontic records and initiated treatment. Logistic regression models were used to test the hypothesis that nonwhites are less likely to use orthodontic care than are whites. RESULTS: A total of 8223 children were approved by Medicaid for orthodontic treatment, and 7313 received records and began treatment. Nonwhites were significantly more likely to use orthodontic care than were whites (odds ratio [OR] = 1.18; 95% confidence interval [CI] = 1.02, 1.36; P = 0.031). Hispanic nonwhite children were more likely to use orthodontic care than were non-Hispanic white children (OR = 1.42; 95% CI = 1.18, 1.70; P <0.001). CONCLUSIONS: In 2012, nonwhite children in the Washington Medicaid program were significantly more likely to use orthodontic care than were white children. The Washington Medicaid program demonstrates a potential model for addressing racial disparities in orthodontic service use. Future research should identify mechanisms underlying these findings and continue to monitor orthodontic service use for minority children in Medicaid.


Assuntos
Afro-Americanos/estatística & dados numéricos , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Hispano-Americanos/estatística & dados numéricos , Medicaid , Ortodontia Corretiva/estatística & dados numéricos , Adolescente , Cariostáticos/uso terapêutico , Criança , Estudos Transversais , Profilaxia Dentária/estatística & dados numéricos , Registros Odontológicos/estatística & dados numéricos , Feminino , Fluoretos Tópicos/uso terapêutico , Humanos , Índice de Necessidade de Tratamento Ortodôntico , Masculino , Medicaid/estatística & dados numéricos , Grupos Minoritários/estatística & dados numéricos , Higiene Bucal/educação , Selantes de Fossas e Fissuras/uso terapêutico , Estados Unidos , Washington , Adulto Jovem
9.
Photodiagnosis Photodyn Ther ; 13: 139-147, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26184762

RESUMO

BACKGROUND: The aim was to assess the efficacy of antimicrobial photodynamic therapy (aPDT) in the treatment of aggressive periodontitis (AgP). METHODS: The addressed focused question was "Is aPDT effective in the treatment of AgP?" MEDLINE/PubMed, EMBASE, Scopus, ISI Web of knowledge and Google-Scholar databases were searched from 1977 till May 2015 using combinations of the following keywords: antimicrobial; photochemotherapy; photodynamic therapy; photosensitizing agents; AgP; scaling and root-planing (SRP). Reviews, case reports, commentaries, and articles published in languages other than English were excluded. RESULTS: Seven studies were included. In 5 studies, aPDT was performed as an adjunct to SRP. Laserwavelengths and duration of irradiation ranged between 660-690 nm and 60-120 s, respectively. Laser power output as reported in 2 studies was 75 mW. One study showed significant improvement in periodontal parameters for subjects receiving aPDT as an adjunct to SRP as compared to treatment with SRP alone at follow up. However, comparable periodontal parameters were reported when aPDT as an adjunct to SRP was compared to SRP alone in the treatment of AgP in one study. One study showed comparable outcomes when aPDT was compared to SRP in the treatment of AgP. In two studies, adjunctive antibiotic administration to SRP showed significantly better outcomes when compared to application of adjunctive use of aPDT to SRP. CONCLUSION: aPDT is effective as an adjunct to SRP for the management of AgP, however, further randomized clinical trials with well defined control groups are needed in this regard.


Assuntos
Periodontite Agressiva/epidemiologia , Periodontite Agressiva/terapia , Profilaxia Dentária/estatística & dados numéricos , Fotoquimioterapia/estatística & dados numéricos , Fármacos Fotossensibilizantes/uso terapêutico , Adolescente , Adulto , Terapia Combinada/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco , Resultado do Tratamento , Adulto Jovem
10.
Am J Prev Med ; 50(5): 609-615, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26514624

RESUMO

INTRODUCTION: Medicaid-enrolled children with autism spectrum disorder (ASD) encounter significant barriers to dental care. Iowa's I-Smile Program was implemented in 2006 to improve dental use for all children in Medicaid. This study compared dental home and preventive dental utilization rates for Medicaid-enrolled children by ASD status and within three time periods (pre-implementation, initial implementation, maturation) and determined I-Smile's longitudinal influence on ASD-related dental use disparities. METHODS: Data from 2002-2011 were analyzed for newly Medicaid-enrolled children aged 3-17 years (N=30,059); identified each child's ASD status; and assessed whether the child had a dental home or utilized preventive dental care. Log-linear regression models were used to generate rate ratios. Analyses were conducted in 2015. RESULTS: In 2003-2011, 9.8% of children with ASD had dental homes compared with 8% of children without ASD; 36.3% of children with ASD utilized preventive care compared to 45.7% of children without ASD. There were no significant differences in dental home rates by ASD status during pre-implementation, initial implementation, or maturation. There were no significant differences in preventive dental utilization by ASD status during pre-implementation or initial implementation, but children with ASD were significantly less likely to utilize preventive care during maturation (rate ratio=0.79, p<0.001). Longitudinal trends in dental home and preventive dental utilization rates were not significant (p=0.54 and p=0.71, respectively). CONCLUSIONS: Among newly Medicaid-enrolled children in Iowa's I-Smile Program, those with ASDs were not less likely than those without ASD to have dental homes but were significantly less likely to utilize preventive dental care.


Assuntos
Transtorno Autístico/complicações , Assistência Odontológica para Crianças/estatística & dados numéricos , Assistência Odontológica/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Assistência Odontológica Integral/estatística & dados numéricos , Feminino , Humanos , Iowa , Modelos Lineares , Estudos Longitudinais , Masculino , Medicaid , Estados Unidos
11.
Hawaii J Med Public Health ; 74(10): 328-33, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26535162

RESUMO

Oral health disease is linked to several chronic diseases including adverse health outcomes around pregnancy. Optimizing a woman's oral health before, during, and after pregnancy can impact her health and the health of her children. Preventive, diagnostic, and restorative dental services can be done safely and effectively including during pregnancy. We examined data from the 2009-2011 Hawai'i Pregnancy Risk Assessment Monitoring System (PRAMS) to assess the prevalence of dental cleanings over an approximately 2 year (Median: 2.0 years, Range:1.6-2.5 years) time period (12 months before pregnancy, during pregnancy, and in the first few months postpartum) among 4,735 mothers who recently had a live birth. Adjusted prevalence ratios (APR) of dental cleanings were calculated for both race and Medicaid/QUEST insurance status adjusting for maternal age and education. During a two-year span before, during, and after pregnancy an estimated 60.8% of women had dental cleanings. Native Hawaiian (APR=0.87; 95% CI=0.80-0.93), Other Pacific Islander (0.70; 0.58-0.83), Filipino (0.90; 0.82-0.97), and Chinese (0.76; 0.63-0.93) mothers were less likely to have had dental cleanings compared to white mothers. Additionally, mothers with Medicaid/QUEST health insurance (0.73; 0.68-0.79) were less likely to have had cleanings. More than one-third of recently pregnant mothers did not have dental cleanings in the approximately two-year time period. Native Hawaiian, Other Pacific Islander, Filipino, and Chinese mothers and those on Medicaid/QUEST health insurance were less likely to receive regular dental care. Identification of the reasons why these populations do not seek regular dental care can inform programmatic efforts to improve oral health outcomes for women and families.


Assuntos
Americanos Asiáticos/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Grupo com Ancestrais Oceânicos/etnologia , Adulto , Feminino , Hawaii/etnologia , Humanos , Gravidez , Medição de Risco , Adulto Jovem
12.
Pediatr Dent ; 37(4): 371-5, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26314606

RESUMO

PURPOSE: The purpose of this study was to evaluate county-level pediatric dentist density and dental care utilization for Medicaid-enrolled children. METHODS: This was a cross-sectional analysis of 604,885 zero- to 17-year-olds enrolled in the Washington State Medicaid Program for 11-12 months in 2012. The relationship between county-level pediatric dentist density, defined as the number of pediatric dentists per 10,000 Medicaid-enrolled children, and preventive dental care utilization was evaluated using linear regression models. RESULTS: In 2012, 179 pediatric dentists practiced in 16 of the 39 counties in Washington. County-level pediatric dentist density varied from zero to 5.98 pediatric dentists per 10,000 Medicaid-enrolled children. County-level preventive dental care utilization ranged from 32 percent to 81 percent, with 62 percent of Medicaid-enrolled children utilizing preventive dental services. County-level density was significantly associated with county-level dental care utilization (Slope equals 1.67, 95 percent confidence interval equals 0.02, 3.32, P<.05). CONCLUSIONS: There is a significant relationship between pediatric dentist density and the proportion of Medicaid-enrolled children who utilize preventive dental care services. Policies aimed at improving pediatric oral health disparities should include strategies to increase the number of oral health care providers, including pediatric dentists, in geographic areas with large proportions of Medicaid-enrolled children.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Odontólogos/provisão & distribução , Medicaid , Odontopediatria , Adolescente , Cariostáticos/uso terapêutico , Criança , Pré-Escolar , Assistência Odontológica Integral/estatística & dados numéricos , Estudos Transversais , Profilaxia Dentária/estatística & dados numéricos , Fluoretos Tópicos/uso terapêutico , Acesso aos Serviços de Saúde , Disparidades em Assistência à Saúde , Humanos , Lactente , Recém-Nascido , Área Carente de Assistência Médica , Odontopediatria/estatística & dados numéricos , Selantes de Fossas e Fissuras/uso terapêutico , Odontologia Preventiva , Estados Unidos , Washington , Recursos Humanos
13.
J Dent ; 43(11): 1346-51, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26303401

RESUMO

OBJECTIVE: This clinical study evaluated the color longevity after one-year of at-home bleaching with 10% carbamide peroxide (CP) in smokers and nonsmokers. METHODS: Sixty patients, 30 smokers and 30 non-smokers were subjected to bleaching with 10% CP during three hours daily for three weeks. The color was measured at baseline and one week, one month and one year after the completion of dental bleaching using the spectrophotometer Vita Easyshade (ΔE*), shade guide Vita classical organized by value and Vita Bleachedguide 3D-MASTER (ΔSGU). In the one-year recall, the color was assessed before and after dental prophylaxis with Robinson brush and prophylaxis paste. Data from color evaluation were analyzed by two-way repeated measures ANOVA and Tukey's test for the contrast of means (α=0.05). RESULTS: Twenty-seven smokers and 28 non-smokers attended the one-year recall. For both study groups, only the main factor assessment time was statistically significant for ΔSGU (Vita classical) and ΔE* (p<0.001). Effective whitening was observed for both groups at baseline, which was stable at one-month and one year after dental prophylaxis. A slight darkening was observed after one year when the color was measured without prophylaxis. For the Vita Bleachedguide 3D-MASTER, color rebound was observed irrespectively of dental prophylaxis. CONCLUSION: The bleaching with 10% CP remained stable in both groups as long as extrinsic stains from diet and cigarette smoke were removed by professional dental prophylaxis. CLINICAL TRIALS REGISTRY: NCT02017873. CLINICAL RELEVANCE: The results of this study indicate that the bleaching is effective in smokers even after one-year, but dental prophylaxis may be necessary to remove extrinsic stains caused by diet and smoking.


Assuntos
Profilaxia Dentária/estatística & dados numéricos , Fumar/epidemiologia , Clareamento Dental/métodos , Clareamento Dental/estatística & dados numéricos , Descoloração de Dente/epidemiologia , Adulto , Feminino , Seguimentos , Serviços de Assistência Domiciliar , Humanos , Masculino , Descoloração de Dente/terapia , Adulto Jovem
14.
Eur J Oral Sci ; 123(4): 254-9, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26031998

RESUMO

Cleft lip and palate incidence is high in northern Finland. This study aimed to investigate the proportion of children in need of restorative dental treatment among cleft lip and palate patients in northern Finland, as well as their need for dental treatment under general anesthesia. The records of 183 cleft lip and palate patients, treated in Oulu University Hospital from 1997 to 2013, were reviewed. Data on dental caries were analyzed in association with cleft type, considering also the presence of syndromes. The frequency of dental general anesthetic (DGA) use, and of treatments, were also analyzed. Dental treatment need was most frequently observed, in this rather limited study population, in patients with the most severe deformities, namely bilateral cleft lip and palate, of whom 60% had caries. Among the study population, 11.5% (n = 21) had a syndrome. Of those, 57.1% had dental caries at the age of 3 or 6 yr, and only four could be treated without a DGA. Dental treatment under general anesthesia was performed in 14.8% of cleft patients without a syndrome, but in 38.1% of those with a syndrome. General anaesthesia is required for the provision of dental care more often in cleft (17.5%) than in non-cleft (0.2%) patients, and especially for those with a syndrome.


Assuntos
Anestesia Dentária/estatística & dados numéricos , Anestésicos Gerais/administração & dosagem , Fenda Labial/complicações , Fissura Palatina/complicações , Assistência Odontológica para Crianças/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Anestesia Geral/estatística & dados numéricos , Criança , Pré-Escolar , Fenda Labial/classificação , Fissura Palatina/classificação , Coroas/estatística & dados numéricos , Cárie Dentária/complicações , Cárie Dentária/terapia , Profilaxia Dentária/estatística & dados numéricos , Restauração Dentária Permanente/estatística & dados numéricos , Feminino , Finlândia , Seguimentos , Humanos , Masculino , Selantes de Fossas e Fissuras/uso terapêutico , Estudos Retrospectivos , Síndrome , Extração Dentária/estatística & dados numéricos
15.
N Y State Dent J ; 81(3): 41-3, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26094363

RESUMO

UNLABELLED: Case control studies implicating dental X-rays in the genesis of intracranial meningiomas have yielded conflicting results. To further evaluate what risk, if any, that intracranial meningioma might be associated with dental X-rays, we examined the association of benign brain tumor incidence with the number of dentists and other correlates of oral health in U.S. states and the District of Columbia. We compared these correlations to the association of the same markers of oral health with Alzheimer's death rates. Poor oral health, especially periodontal disease, is a well-established risk factor for dementia. RESULTS: Pearson correlations, number of cases (49, no data from Kansas or Maryland) and significance (2 tailed p values) of benign brain tumor incidence and parameters of oral health are presented. None of the correlations approached statistical significance. In contrast, Alzheimer's deaths by state were negatively correlated with number of dentists and other markers of oral health. CONCLUSION: Our finding of a total lack of correlation between benign brain tumors and markers of oral health and, by implication, dental X-rays, suggests there may be no relationship between dental X-rays and meningioma or other benign brain tumors. This conclusion is strengthened by our demonstration of the known negative correlation between Alzheimer's and dental care.


Assuntos
Neoplasias Encefálicas/epidemiologia , Saúde Bucal/estatística & dados numéricos , Doença de Alzheimer/epidemiologia , Assistência Odontológica/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Humanos , Incidência , Meningioma/epidemiologia , Boca Edêntula/epidemiologia , Radiografia Dentária/estatística & dados numéricos , Fatores de Risco , Perda de Dente/epidemiologia , Estados Unidos/epidemiologia
16.
Clin Interv Aging ; 10: 175-82, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25609934

RESUMO

PURPOSE: To investigate the association between periodontal disease (PD) and acute myocardial infarction (AMI), and evaluate the effect of dental prophylaxis on the incidence rate (IR) of AMI. METHODS: The Longitudinal Health Insurance Database 2000 from the National Health Insurance program was used to identify 511,630 patients with PD and 208,713 without PD during 2000-2010. Subjects with PD were grouped according to treatment (dental prophylaxis, intensive treatment, and PD without treatment). The IRs of AMI during the 10-year follow-up period were compared among groups. Cox regression analysis adjusted for age, sex, socioeconomic status, residential urbanicity, and comorbidities was used to evaluate the effect of PD treatment on the incidence of AMI. RESULTS: The IR of AMI among subjects without PD was 0.19%/year. Among those with PD, the IR of AMI was lowest in the dental prophylaxis group (0.11%/year), followed by the intensive treatment (0.28%/year) and PD without treatment (0.31%/year; P<0.001) groups. Cox regression showed that the hazard ratio (HR) for AMI was significantly lower in the dental prophylaxis group (HR =0.90, 95% confidence interval =0.86-0.95) and higher in the intensive treatment (HR =1.09, 95% confidence interval =1.03-1.15) and PD without treatment (HR =1.23, 95% confidence interval =1.13-1.35) groups than in subjects without PD. CONCLUSION: PD is associated with a higher risk of AMI, which can be reduced by dental prophylaxis to maintain periodontal health.


Assuntos
Profilaxia Dentária , Infarto do Miocárdio , Doenças Periodontais , Adulto , Idoso , Comorbidade , Profilaxia Dentária/métodos , Profilaxia Dentária/estatística & dados numéricos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/epidemiologia , Infarto do Miocárdio/etiologia , Doenças Periodontais/complicações , Doenças Periodontais/diagnóstico , Doenças Periodontais/epidemiologia , Doenças Periodontais/prevenção & controle , Prognóstico , Modelos de Riscos Proporcionais , Medição de Risco , Fatores de Risco , Fatores Socioeconômicos , Taiwan/epidemiologia
17.
Odontostomatol Trop ; 38(152): 5-16, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26939216

RESUMO

OBJECTIVE: To evaluate the association between periodontal disease and pregnancy outcomes like preterm birth and low birth weight. PATIENTS AND METHOD: Interviewer-administered questionnaires were completed by the subjects who attended the antenatal clinic of the Lagos University Teaching Hospital, Lagos. Information obtained included; maternal age, gestational age, marital status, educational status, occupation and expected date of delivery. After delivery, the questionnaire was completed with baby's weight at birth and the actual date of delivery. Clinical assessment of the periodontium was done using Oral Hygiene Index (OHI) and Community Periodontal Index of Treatment Needs (CPITN). Participants were divided into three groups: Test, Control I and Control II groups. Scaling and polishing were done for all patients with periodontal disease before (Test group) and after delivery (Control I). All Control II participants (those without periodontal disease) were given Oral hygiene instructions. Descriptive and comparative analyses were done using Epi info version 2008. RESULTS: Four hundred and fifty women received the questionnaire but the response rate was 94%, giving an actual sample size of 423 participants. Maternal age range was between 18 and 34 years with mean age of 29.67 (± 3.37). Gestational age at the point of recruitment was between 10 weeks and 26 weeks with mean of 23.34 (± 4.05). The prevalence of periodontal disease among the study group was 33.38%. About 71% of the participants attained tertiary level of education; only 0.7% had no formal education. There was 9.9% use of alcohol among the participants. The mean oral hygiene score for the participants was 1.94 (± 1.31). The prevalences for preterm deliveries, low birth weight and spontaneous abortion were 12.5%, 12.1% and 1.42% respectively. CONCLUSION: This study confirms periodontal disease as a probable risk for adverse pregnancy outcomes such as preterm delivery and low birth weight. Therefore, health workers should be encouraged to promote good oral health among women.


Assuntos
Doenças Periodontais/epidemiologia , Resultado da Gravidez/epidemiologia , Adolescente , Adulto , Profilaxia Dentária/estatística & dados numéricos , Raspagem Dentária/estatística & dados numéricos , Escolaridade , Feminino , Idade Gestacional , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Estado Civil , Idade Materna , Nigéria/epidemiologia , Ocupações , Higiene Bucal/educação , Índice de Higiene Oral , Educação de Pacientes como Assunto , Índice Periodontal , Gravidez , Nascimento Prematuro/epidemiologia , Prevalência , Aplainamento Radicular/estatística & dados numéricos , Adulto Jovem
18.
Int J Dent Hyg ; 13(3): 213-21, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25146591

RESUMO

OBJECTIVES: In Japan, there continues to be a shortage of active dental hygienists. The scope of dental hygienists' practice is also considered to be unclear. One of the reasons for this is that dental hygienists find the working conditions during dental hygiene education different from those in reality. The purpose of this study was to clarify the actual working condition of dental hygienists in dental clinics, as well as evaluate the awareness of dental hygiene students and dentists regarding the working condition of dental hygienists. METHODS: Questionnaires were sent by post to 481 dentists and were distributed to 89 dental hygiene students. The awareness about the working condition of dental hygienists was compared between dentists and dental hygiene students. RESULTS: Two hundred twenty-two dentists and 89 dental hygiene students responded to questionnaires. Dental hygiene students considered the team of 'dental hygienist, dental technician and clerk' to be more effective in providing dental care than dentists (P < 0.001). Among the dentists, 37.1% did not find any clear distinction between hygienists and assistants in their clinics. However, 97.4% of dental hygiene students answered that dental team members should clearly inform patients of the distinction between hygienists and assistants. CONCLUSIONS: This study indicated that there was disparity between dentists' and dental hygiene students' perception of dental hygienists' working conditions, and dental team work was not always effective. For training high quality dental hygienists, all educational institutions related to dentistry must educate students regarding the more realistic dental hygienists' working condition, as well as benefits.


Assuntos
Atitude do Pessoal de Saúde , Higienistas Dentários/psicologia , Odontólogos/psicologia , Prática Profissional , Estudantes/psicologia , Certificação , Assistência à Saúde , Assistentes de Odontologia/psicologia , Assistentes de Odontologia/estatística & dados numéricos , Auxiliares de Odontologia/estatística & dados numéricos , Clínicas Odontológicas , Higienistas Dentários/educação , Higienistas Dentários/estatística & dados numéricos , Profilaxia Dentária/estatística & dados numéricos , Técnicos em Prótese Dentária/estatística & dados numéricos , Dentística Operatória/métodos , Odontólogos/estatística & dados numéricos , Emprego , Humanos , Seguro Saúde , Japão , Equipe de Assistência ao Paciente , Administração da Prática Odontológica , Retorno ao Trabalho , Salários e Benefícios , Local de Trabalho
19.
PLoS One ; 9(10): e109444, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25279666

RESUMO

BACKGROUND: Periodontal disease (PD) is one of the most common chronic inflammatory diseases. Esophageal cancer (EC) is also a common cause of death due to cancer among males. Systemic inflammatory processes have been shown to increase the risk of cancer. We conducted a retrospective cohort study to investigate the association between PD and EC. METHODS: A total of 718,409 subjects were recruited from the Taiwan National Health Insurance Research Database (NHIRD) and followed from January 1, 2000 to December 31, 2010. Of these, 519,831 subjects were diagnosed with PD and were grouped according to the most advanced treatment they received: dental prophylaxis, intensive treatment, or no treatment. The IRs of EC were compared among groups. RESULTS: A total of 682 patients developed EC, resulting in an overall IR of 0.11 case-number per 1000 person-years (‰/y). The dental prophylaxis group had a significantly lower IR of EC (0.06‰/y) than other groups (p<0.001). Multivariable Cox regression analysis further revealed that male subjects [hazard ratio (HR) = 10.04, 95% confidence interval (CI)  = 7.58-13.30], as well as a history of esophageal ulcers (HR = 7.10, 95% CI = 5.03-10.01), alcohol abuse (HR = 5.46, 95% CI = 2.26-13.18), or esophageal reflux (HR = 1.86, 95% CI = 1.02-3.52), were factors associated with a higher risk of EC. And the dental prophylaxis group showed a significantly lower risk for EC (HR = 0.53, 95% CI = 0.44-0.65). Further subgroup analysis showed that the dental prophylaxis group among males had a significant lower risk (HR = 0.54, 95% CI = 0.44-0.66) for EC, while that of the females did not has statistically significant difference. CONCLUSION: For this cohort, subjects received dental prophylaxis reduced the risk of EC compared to all PD and no PD groups among males.


Assuntos
Profilaxia Dentária/estatística & dados numéricos , Neoplasias Esofágicas/prevenção & controle , Doenças Periodontais/complicações , Adulto , Idoso , Estudos de Casos e Controles , Bases de Dados Factuais , Neoplasias Esofágicas/epidemiologia , Neoplasias Esofágicas/etiologia , Feminino , Humanos , Incidência , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Estudos Retrospectivos , Fatores de Risco , Taiwan/epidemiologia , Adulto Jovem
20.
J Am Dent Assoc ; 145(8): 817-28, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25082930

RESUMO

BACKGROUND: Parents' adherence to regular dental attendance for their young children plays an important role in improving and maintaining children's oral health. The authors conducted a systematic review to determine the factors that influence parental adherence to regular dental attendance for their children. TYPE OF STUDIES REVIEWED: The authors searched nine electronic databases to May 2013. They included quantitative and qualitative studies in which researchers examined factors influencing dental attendance in children 12 years or younger. The authors considered all emergency and nonemergency visits. They appraised methodological quality through the Health Evidence Bulletins Wales methodological quality assessment tool. RESULTS: The authors selected 14 studies for the systematic review. Researchers in these studies reported a variety of factors at the patient, provider and system levels that influenced dental attendance. Factors identified at the patient level included parents' education, socioeconomic status, behavioral beliefs, perceived power and subjective norms. At the provider level, the authors identified communication and professional skills. At the system level, the authors identified collaborations between communities and health care professionals, as well as a formal policy of referring patients from family physicians and pediatricians to dentists. PRACTICAL IMPLICATIONS: Barriers to and facilitators of parents' adherence to regular dental attendance for their children should be identified and considered when formulating health promotion policies. Further research is needed to investigate psychosocial determinants of children's adherence to regular dental visits.


Assuntos
Profilaxia Dentária/estatística & dados numéricos , Pais , Cooperação do Paciente , Adolescente , Criança , Pré-Escolar , Humanos
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