Objective:To know elderly oral and dental health status.Methods:The population(n=202)was elderly from Government Health Center in South and West Jakarta.Oral and dental health examination based on oral hygiene index s...Objective:To know elderly oral and dental health status.Methods:The population(n=202)was elderly from Government Health Center in South and West Jakarta.Oral and dental health examination based on oral hygiene index simplified(OHI-S),decay,missing,filling teeth(DMFT)index,the presence of periodontal and oral mucous lesions,mastication function that was considered by anamnesis,mobility and number lost of maxillary teeth,and occlusion contact.Results:Most respondents had caries lesions(84%),denture prosthesis needs(97%),periodontal lesions(79%),mastication dysfunction(51%),sublingual varicosities(52%),and a small number of oral mucous denture related lesions.Conclusion:Many cases needed promotion,curative,and rehabilitative treatments;therefore it was suggested to encourage oral and dental health care education as a part of general health care promotion to increase the quality of elderly health care service with the considerations of social and economy aspects.展开更多
Method: 99 patients, 70 women and 29 men, mean age 84.2, were included. They were all hospitalized in the geriatric department between June and September 2010. The study was a questionnaire, and the questions were rea...Method: 99 patients, 70 women and 29 men, mean age 84.2, were included. They were all hospitalized in the geriatric department between June and September 2010. The study was a questionnaire, and the questions were read out loud by one of the investigators. The answers were the patient’s own experience. The patient’s mouth and teeth were not examined. BMI and albumin were taken from the patient’s medical record. Results: There was no statistical difference in albumin (mean: 31.2, 22.5) or BMI (mean: 29.3, 23.8) between patients with natural teeth, and a denture, (p = 0.12, and 0.23), but mean albumin was slightly higher in patients with natural teeth. Patients with a denture were significantly older than patients with natural teeth (p = 0.02). Conclusion: In general the patients were happy with their teeth even though 71.7% had a denture, and 44.1% said that it caused problems. All patients with natural teeth except one consulted the dentist frequently. 15% answered that they had bad dental health, but there was no significant difference in BMI and albumin between the groups. Still it is of great importance to bear in mind that when dealing with patients with digestive problems, malnutrition, infections, wounds etc. the fact that these symptoms could possibly be caused by a poor dental state should be considered, especially in geriatric patients, a group of patients that are still getting older.展开更多
Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who...Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.展开更多
The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisti...The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisting profession and project factors that have a significant impact on the dental assistant. The dental assisting management of SCHN patient’s profession including dental Assistance general responsibilities, regulation credentialing, and education. The SCHN patient’s management creates a challenge in all area of the dental department. Handling patient with a SCHN is underexplored throughout the dental staff especially when there is not enough theoretical foundation, education and training to deal with this category of patients. SCHN patients are defined as individuals who have abnormal behavioral impairments, mental conditions or/and chronic disease or abnormal laboratory results. Thus, the aim of this article is to guide all dental assistance staff in the best dental management choice for SCHN patients. All health care teams are part of patient care in most medical settings. A work environment supportive ensures positive outcomes for patient care. This article was considered as those categories of patients required more care and special way to deal with, moreover language, age, gender and education level of the patient are also considered significant parries. Not Many studies were found to support the care of SCHN patients in dentistry department. Taking experience from other area help to design a system to handle the SCHN even if it requires hiring a Dentist who is specialized in that filed.展开更多
Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and...Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and quality of life. Barriers to dental care affect children with special needs. This study evaluates the oral health status and treatment requirements of people with special needs. Methodology: This descriptive cross-sectional study in Kumasi, Ghana examined oral health status among people, 121 children with special needs over two months, in June-July 2022. Dental caries, periodontal changes, malocclusion, and trauma were assessed. The data was analyzed using SPSS 20.0. Results: The oral health status among people with special needs in this study was generally moderate, with a range from very good to very poor. The prevalence of dental caries was 37%, with a mean DMFT score of 2.82. Periodontal health showed unsatisfactory indicators such as mobile teeth, poor gingival health, high plaque scores, and the presence of halitosis. Conclusion: This descriptive study aimed to provide baseline data on the oral health status of special needs students in Kumasi, addressing the lack of knowledge in this area. It highlighted the importance of dental care in maintaining good oral health and overall well-being in individuals with special needs. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.展开更多
Bacterial endotoxins are a major concern in periodontal health and diseases owing to their structure and biological activity.With up-to-date knowledge of endotoxins and the recent findings about the influence of endot...Bacterial endotoxins are a major concern in periodontal health and diseases owing to their structure and biological activity.With up-to-date knowledge of endotoxins and the recent findings about the influence of endotoxins in dental health,their probable mode of pathogenesis,and standard detection methods,this review analyzes the potential efficacy and benefits of probiotics in combination with conventional and contemporary treatment measures.In the oral cavity,Gram-negative bacteria are documented to predominate in the pulpal lesions with radiolucent areas and in the root canal with pulp necrosis,where they pose an absolute threat by promoting a series of inflammatory reactions.Endotoxin,a constituent of Gram-negative bacteria establishes a nexus between cytokine stimulation and proinflammatory reactions,therefore plays a critical role in decaying dental pulp and modulating periodontal diseases.Currently,the treatment regimen involves several biochemical preparations.In addition,probiotics have been reported to control endotoxin in gingivitis and contribute to the overall improvement of dental health.A potential benefit of a combination of probiotics as a complementary treatment along with the conventional treatment warrant more empirical evidence to elucidate its role and mechanism in resolving the clinical manifestations associated with endotoxins in the periodontal region.展开更多
The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a ...The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a pre-post survey among nurse viewers. The study was completed over a 12-month period. In the experimental group, when the nurses watched the documentary film, they evaluated the documentary film highly and reported an intention to change their transitional care practice and mind as a result of watching the documentary film. Following viewing, children and their parents felt more strongly that ＂children with dental problems should meet with a nurse early＂ and that ＂transitional care greatly impacts children oral health＂. As a result, a documentary film about oral transitional care is an effective educational tool to improve nurses＇ transitional care awareness among children about the importance and needs of children. The results suggest that if significant modifications are obtained, this approach can be an efficient way applicable to other contexts of patient care.展开更多
The aim of this research was to identify studies describing the educational and/or health-promoting interventions and strategies used in various programs of oral healthcare conducted in populations of industrial worke...The aim of this research was to identify studies describing the educational and/or health-promoting interventions and strategies used in various programs of oral healthcare conducted in populations of industrial workers. A review of the Science, MEDLINE, LILACS and SCIELO databases was performed for the period between 1980 and 2009. The criteria for a publication to be in- cluded were: 1) the population had to consist of adult workers;and 2) the educational and/or health-promoting interventions had to have been described. A great variety of educational strategies was found, ranging from individual counseling to small-group discussions and instructions on oral hygiene with supervised tooth brushing. The presence of plaque and gingivitis were the most commonly used indicators of the effect of these interventions. Cost evaluation was also an important topic. In general, the indicators analyzed reflected positive results that included a reduction in the indicators themselves (plaque and gingivitis) and in the cost of the programs, suggesting a certain effect of the educational programs developed. Nevertheless, differences in forms of exposure according to the type of occupation are not discussed and neither are specific social determinants such as income and education level. The quality of the studies is limited, which reduces the robustness of the evidence on the effect of educational programs on the work population. Studies should be carried out using mixed approaches to evaluate the efficacy of these programs and propose improvements.展开更多
目的:探讨医院⁃家庭结合性技术护理在牙周病口腔种植牙病人中的应用效果。方法:选取2021年10月—2023年10月江苏省南京医科大学附属口腔医院收治的160例牙周病口腔种植牙病人为研究对象,根据抽签法将其分为传统组和试验组,每组80例。传...目的:探讨医院⁃家庭结合性技术护理在牙周病口腔种植牙病人中的应用效果。方法:选取2021年10月—2023年10月江苏省南京医科大学附属口腔医院收治的160例牙周病口腔种植牙病人为研究对象,根据抽签法将其分为传统组和试验组,每组80例。传统组采取常规护理模式,试验组实施医院⁃家庭结合性技术护理,观察比较两组病人口腔健康知信行水平、就医行为依从性及生活质量状况[口腔健康影响量表(Oral Health Impact Profile,OHIP⁃14)]。结果:试验组口腔保健知信行各维度得分明显高于传统组,试验组就医行为依从性明显高于传统组,生活质量明显高于传统组(P<0.05)。结论:医院⁃家庭结合性技术护理有利于规范病人口腔保健行为,提高就医依从性,对改善病人口腔健康状况与生活质量具有积极作用。展开更多
To investigate oral health status in the residents of Sichuan Province, southwest China, a cross-sectional study was performed using the latest Oral Health Survey Basic Methods recommended by the World Health Organiza...To investigate oral health status in the residents of Sichuan Province, southwest China, a cross-sectional study was performed using the latest Oral Health Survey Basic Methods recommended by the World Health Organization. A multistage stratified random cluster-sampling method was used to enroll participants from the following three groups： children aged 3-5 years, adolescents aged 12 years, and people aged 65-74 years. In these three groups, the mean numbers of teeth that were affected by caries were 3.28, 0.86 and 5.13, respectively, resulting in a prevalence of 63.47%, 37.20% and 83.20%, respectively. Relative to the high rate of decayed teeth, the prevalence of fillings was very low in all age groups （0.97%, 7.24% and 5.43%, respectively）, In the 12-year-old adolescent group, only 3.61% had good pit and fissure sealing. In addition, the rate of dental fluorosis was 24.80%, and the Community Fluorosis Index value was 0.39. In the elder group, the community periodontal index was 2.92. The prevalence in the elderly of having lost at least one tooth was 75.54%. Additionally, 4.44% of these participants were edentulous. The incidence of dental prosthesis was 51.75%, the proportion with a removable partial denture, a fixed denture, full dentures, dental implants and an informal fixed bridge was 21.59%, 11.45%, 4.64%, 0 and 16.67%, respectively. In this study, 8.2% of the elderly participants were affected by different types of oral mucosal lesions. Among such lesions, recurrent aphthous ulcers were most prevalent （2.69%） and oral lichen planuses were second （1.6%）. The conclusion presented in this survey is that oral diseases, especially dental caries and periodontal disease, are frequent and common in Sichuan province, China. Moreover, the treatment rate is very low, and primary prevention and treatment options are therefore urgently needed in this population.展开更多
Introduction: Deteriorating oral health is an emerging public health concern in developing countries, yet little attention has been given to oral health in most sub-Saharan countries. The extents of caries, periodonta...Introduction: Deteriorating oral health is an emerging public health concern in developing countries, yet little attention has been given to oral health in most sub-Saharan countries. The extents of caries, periodontal diseases and the associated risk factors have not been widely studied at the community level. Purpose: To assess the type and magnitude of oral health diseases as well as associated risk factors among young adolescents in Addis Ababa, Ethiopia. Methods: A community-based cross-sectional study was conducted on a sample of 658 children aged 10 - 14 years in Addis Ababa. Households for the study were selected through a multistage cluster sampling procedure. Data collection was carried out in December 2011 through interview and oral examination which was carried out by dental health professionals. Prevalence and 95% confidence interval was calculated. Factors associated with oral health conditions were identified using logistic regression. Results: The prevalence of dental caries was 47.4% (95% CI: 43.6% - 51.2%). Age, sweets intake, tooth cleaning, poor oral hygiene and being from a poor household were significantly associated with having dental caries. The prevalence of periodontal disease was 35.4% (95% CI: 31.7% - 39.0%) and it was associated with: having a mother with low education level, and poor oral hygiene. The prevalence of bad mouth odor was 4.4% (95% CI: 2.8% - 5.9%), and oral trauma 2.1% (95% CI: 1% - 3.2%). Conclusion: The prevalence of both periodontal disease and dental caries is alarmingly high. The findings indicate the need for large scale public education program to motivate regular dental check up, and proper oral hygiene practices. The study also indicates the need to strengthen oral health services using affordable and accessible outlets.展开更多
AIM: To study a service model that enables a clinic to be open to all members of the community, irrespective of their ability to pay.METHODS: Sampling methodology was used to gather information in two phases, with the...AIM: To study a service model that enables a clinic to be open to all members of the community, irrespective of their ability to pay.METHODS: Sampling methodology was used to gather information in two phases, with the city of Indore as the target region. In the first phase, dental professionals were surveyed to gather the cost of the facility, land and equipment and the cost of sustaining the practice. In the second phase, the residents of Indore were surveyed to collect information regarding their oral health problems and their expenditure for the same. Assessing the current situation, the questions to answer are related to the issues of dental health care access problems and the resources required, human and financial.RESULTS:(1) People younger than 20 years of age form a large proportion(43%) of the population of the city and also a large proportion(54%) of people who visit dental clinics;(2) Dental caries are commonlyfound in the population younger than 20 years of age and mobile teeth in those older than 50 years of age;(3) Dental caries and mobile teeth are almost equally found in people of the age group 20-50 years old;(4) A significantly large proportion of those older than 50 years old have had all their teeth extracted; and(5) A significantly large proportion of the 20-30 years of age group has had no teeth extracted.CONCLUSION: The model which we propose works well for low income patients; however, it places a lot of extra burden on the higher income group. A lot of effort can be put into generating revenue from other sources, including events and donations.展开更多
文摘Objective:To know elderly oral and dental health status.Methods:The population(n=202)was elderly from Government Health Center in South and West Jakarta.Oral and dental health examination based on oral hygiene index simplified(OHI-S),decay,missing,filling teeth(DMFT)index,the presence of periodontal and oral mucous lesions,mastication function that was considered by anamnesis,mobility and number lost of maxillary teeth,and occlusion contact.Results:Most respondents had caries lesions(84%),denture prosthesis needs(97%),periodontal lesions(79%),mastication dysfunction(51%),sublingual varicosities(52%),and a small number of oral mucous denture related lesions.Conclusion:Many cases needed promotion,curative,and rehabilitative treatments;therefore it was suggested to encourage oral and dental health care education as a part of general health care promotion to increase the quality of elderly health care service with the considerations of social and economy aspects.
文摘Method: 99 patients, 70 women and 29 men, mean age 84.2, were included. They were all hospitalized in the geriatric department between June and September 2010. The study was a questionnaire, and the questions were read out loud by one of the investigators. The answers were the patient’s own experience. The patient’s mouth and teeth were not examined. BMI and albumin were taken from the patient’s medical record. Results: There was no statistical difference in albumin (mean: 31.2, 22.5) or BMI (mean: 29.3, 23.8) between patients with natural teeth, and a denture, (p = 0.12, and 0.23), but mean albumin was slightly higher in patients with natural teeth. Patients with a denture were significantly older than patients with natural teeth (p = 0.02). Conclusion: In general the patients were happy with their teeth even though 71.7% had a denture, and 44.1% said that it caused problems. All patients with natural teeth except one consulted the dentist frequently. 15% answered that they had bad dental health, but there was no significant difference in BMI and albumin between the groups. Still it is of great importance to bear in mind that when dealing with patients with digestive problems, malnutrition, infections, wounds etc. the fact that these symptoms could possibly be caused by a poor dental state should be considered, especially in geriatric patients, a group of patients that are still getting older.
文摘Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.
文摘The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisting profession and project factors that have a significant impact on the dental assistant. The dental assisting management of SCHN patient’s profession including dental Assistance general responsibilities, regulation credentialing, and education. The SCHN patient’s management creates a challenge in all area of the dental department. Handling patient with a SCHN is underexplored throughout the dental staff especially when there is not enough theoretical foundation, education and training to deal with this category of patients. SCHN patients are defined as individuals who have abnormal behavioral impairments, mental conditions or/and chronic disease or abnormal laboratory results. Thus, the aim of this article is to guide all dental assistance staff in the best dental management choice for SCHN patients. All health care teams are part of patient care in most medical settings. A work environment supportive ensures positive outcomes for patient care. This article was considered as those categories of patients required more care and special way to deal with, moreover language, age, gender and education level of the patient are also considered significant parries. Not Many studies were found to support the care of SCHN patients in dentistry department. Taking experience from other area help to design a system to handle the SCHN even if it requires hiring a Dentist who is specialized in that filed.
文摘Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and quality of life. Barriers to dental care affect children with special needs. This study evaluates the oral health status and treatment requirements of people with special needs. Methodology: This descriptive cross-sectional study in Kumasi, Ghana examined oral health status among people, 121 children with special needs over two months, in June-July 2022. Dental caries, periodontal changes, malocclusion, and trauma were assessed. The data was analyzed using SPSS 20.0. Results: The oral health status among people with special needs in this study was generally moderate, with a range from very good to very poor. The prevalence of dental caries was 37%, with a mean DMFT score of 2.82. Periodontal health showed unsatisfactory indicators such as mobile teeth, poor gingival health, high plaque scores, and the presence of halitosis. Conclusion: This descriptive study aimed to provide baseline data on the oral health status of special needs students in Kumasi, addressing the lack of knowledge in this area. It highlighted the importance of dental care in maintaining good oral health and overall well-being in individuals with special needs. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.
文摘Bacterial endotoxins are a major concern in periodontal health and diseases owing to their structure and biological activity.With up-to-date knowledge of endotoxins and the recent findings about the influence of endotoxins in dental health,their probable mode of pathogenesis,and standard detection methods,this review analyzes the potential efficacy and benefits of probiotics in combination with conventional and contemporary treatment measures.In the oral cavity,Gram-negative bacteria are documented to predominate in the pulpal lesions with radiolucent areas and in the root canal with pulp necrosis,where they pose an absolute threat by promoting a series of inflammatory reactions.Endotoxin,a constituent of Gram-negative bacteria establishes a nexus between cytokine stimulation and proinflammatory reactions,therefore plays a critical role in decaying dental pulp and modulating periodontal diseases.Currently,the treatment regimen involves several biochemical preparations.In addition,probiotics have been reported to control endotoxin in gingivitis and contribute to the overall improvement of dental health.A potential benefit of a combination of probiotics as a complementary treatment along with the conventional treatment warrant more empirical evidence to elucidate its role and mechanism in resolving the clinical manifestations associated with endotoxins in the periodontal region.
文摘The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a pre-post survey among nurse viewers. The study was completed over a 12-month period. In the experimental group, when the nurses watched the documentary film, they evaluated the documentary film highly and reported an intention to change their transitional care practice and mind as a result of watching the documentary film. Following viewing, children and their parents felt more strongly that ＂children with dental problems should meet with a nurse early＂ and that ＂transitional care greatly impacts children oral health＂. As a result, a documentary film about oral transitional care is an effective educational tool to improve nurses＇ transitional care awareness among children about the importance and needs of children. The results suggest that if significant modifications are obtained, this approach can be an efficient way applicable to other contexts of patient care.
文摘The aim of this research was to identify studies describing the educational and/or health-promoting interventions and strategies used in various programs of oral healthcare conducted in populations of industrial workers. A review of the Science, MEDLINE, LILACS and SCIELO databases was performed for the period between 1980 and 2009. The criteria for a publication to be in- cluded were: 1) the population had to consist of adult workers;and 2) the educational and/or health-promoting interventions had to have been described. A great variety of educational strategies was found, ranging from individual counseling to small-group discussions and instructions on oral hygiene with supervised tooth brushing. The presence of plaque and gingivitis were the most commonly used indicators of the effect of these interventions. Cost evaluation was also an important topic. In general, the indicators analyzed reflected positive results that included a reduction in the indicators themselves (plaque and gingivitis) and in the cost of the programs, suggesting a certain effect of the educational programs developed. Nevertheless, differences in forms of exposure according to the type of occupation are not discussed and neither are specific social determinants such as income and education level. The quality of the studies is limited, which reduces the robustness of the evidence on the effect of educational programs on the work population. Studies should be carried out using mixed approaches to evaluate the efficacy of these programs and propose improvements.
文摘目的:探讨医院⁃家庭结合性技术护理在牙周病口腔种植牙病人中的应用效果。方法:选取2021年10月—2023年10月江苏省南京医科大学附属口腔医院收治的160例牙周病口腔种植牙病人为研究对象,根据抽签法将其分为传统组和试验组,每组80例。传统组采取常规护理模式,试验组实施医院⁃家庭结合性技术护理,观察比较两组病人口腔健康知信行水平、就医行为依从性及生活质量状况[口腔健康影响量表(Oral Health Impact Profile,OHIP⁃14)]。结果:试验组口腔保健知信行各维度得分明显高于传统组,试验组就医行为依从性明显高于传统组,生活质量明显高于传统组(P<0.05)。结论:医院⁃家庭结合性技术护理有利于规范病人口腔保健行为,提高就医依从性,对改善病人口腔健康状况与生活质量具有积极作用。
基金funded by a grant from Scientific Research in the Public Interest(201502002)conducted by the Department of Preventive Dentistry,West China Hospital of Stomatology,Sichuan University,China
文摘To investigate oral health status in the residents of Sichuan Province, southwest China, a cross-sectional study was performed using the latest Oral Health Survey Basic Methods recommended by the World Health Organization. A multistage stratified random cluster-sampling method was used to enroll participants from the following three groups： children aged 3-5 years, adolescents aged 12 years, and people aged 65-74 years. In these three groups, the mean numbers of teeth that were affected by caries were 3.28, 0.86 and 5.13, respectively, resulting in a prevalence of 63.47%, 37.20% and 83.20%, respectively. Relative to the high rate of decayed teeth, the prevalence of fillings was very low in all age groups （0.97%, 7.24% and 5.43%, respectively）, In the 12-year-old adolescent group, only 3.61% had good pit and fissure sealing. In addition, the rate of dental fluorosis was 24.80%, and the Community Fluorosis Index value was 0.39. In the elder group, the community periodontal index was 2.92. The prevalence in the elderly of having lost at least one tooth was 75.54%. Additionally, 4.44% of these participants were edentulous. The incidence of dental prosthesis was 51.75%, the proportion with a removable partial denture, a fixed denture, full dentures, dental implants and an informal fixed bridge was 21.59%, 11.45%, 4.64%, 0 and 16.67%, respectively. In this study, 8.2% of the elderly participants were affected by different types of oral mucosal lesions. Among such lesions, recurrent aphthous ulcers were most prevalent （2.69%） and oral lichen planuses were second （1.6%）. The conclusion presented in this survey is that oral diseases, especially dental caries and periodontal disease, are frequent and common in Sichuan province, China. Moreover, the treatment rate is very low, and primary prevention and treatment options are therefore urgently needed in this population.
文摘Introduction: Deteriorating oral health is an emerging public health concern in developing countries, yet little attention has been given to oral health in most sub-Saharan countries. The extents of caries, periodontal diseases and the associated risk factors have not been widely studied at the community level. Purpose: To assess the type and magnitude of oral health diseases as well as associated risk factors among young adolescents in Addis Ababa, Ethiopia. Methods: A community-based cross-sectional study was conducted on a sample of 658 children aged 10 - 14 years in Addis Ababa. Households for the study were selected through a multistage cluster sampling procedure. Data collection was carried out in December 2011 through interview and oral examination which was carried out by dental health professionals. Prevalence and 95% confidence interval was calculated. Factors associated with oral health conditions were identified using logistic regression. Results: The prevalence of dental caries was 47.4% (95% CI: 43.6% - 51.2%). Age, sweets intake, tooth cleaning, poor oral hygiene and being from a poor household were significantly associated with having dental caries. The prevalence of periodontal disease was 35.4% (95% CI: 31.7% - 39.0%) and it was associated with: having a mother with low education level, and poor oral hygiene. The prevalence of bad mouth odor was 4.4% (95% CI: 2.8% - 5.9%), and oral trauma 2.1% (95% CI: 1% - 3.2%). Conclusion: The prevalence of both periodontal disease and dental caries is alarmingly high. The findings indicate the need for large scale public education program to motivate regular dental check up, and proper oral hygiene practices. The study also indicates the need to strengthen oral health services using affordable and accessible outlets.
文摘AIM: To study a service model that enables a clinic to be open to all members of the community, irrespective of their ability to pay.METHODS: Sampling methodology was used to gather information in two phases, with the city of Indore as the target region. In the first phase, dental professionals were surveyed to gather the cost of the facility, land and equipment and the cost of sustaining the practice. In the second phase, the residents of Indore were surveyed to collect information regarding their oral health problems and their expenditure for the same. Assessing the current situation, the questions to answer are related to the issues of dental health care access problems and the resources required, human and financial.RESULTS:(1) People younger than 20 years of age form a large proportion(43%) of the population of the city and also a large proportion(54%) of people who visit dental clinics;(2) Dental caries are commonlyfound in the population younger than 20 years of age and mobile teeth in those older than 50 years of age;(3) Dental caries and mobile teeth are almost equally found in people of the age group 20-50 years old;(4) A significantly large proportion of those older than 50 years old have had all their teeth extracted; and(5) A significantly large proportion of the 20-30 years of age group has had no teeth extracted.CONCLUSION: The model which we propose works well for low income patients; however, it places a lot of extra burden on the higher income group. A lot of effort can be put into generating revenue from other sources, including events and donations.
