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Tepox-Puga SM, Rocha-Ortiz JA, Medina-Solís CE, Castrejón-Pérez RC, Sánchez-García S, Borges-Yáñez SA. Prevalence, and Risk Indicators of Coronal and Root Caries in Mexican Older Adults in Nursing Homes. Clin Cosmet Investig Dent 2023; 15:333-347. [PMID: 38107875 PMCID: PMC10723588 DOI: 10.2147/ccide.s439342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 11/30/2023] [Indexed: 12/19/2023] Open
Abstract
Background Several factors are associated with coronal and root caries in older persons. The purpose of this study was to determine the experience, prevalence, and risk indicators (socioeconomic, sociodemographic, and dental variables) of coronal and root caries in older persons residing in nursing homes in Mexico. Methods A cross-sectional study was carried out in 227 dentate participants with natural teeth. Convenience sample, where all dentate residents were invited to participate. The dependent variables were coronal caries and root caries, which were determined through an oral clinical examination. The independent variables were sociodemographic factors, location, type of center, surfaces free of dental biofilm and calculus, surfaces with recession, retainers in contact with surfaces with recession, xerostomia, smoking, and the previous use of dental services. The binary logistic regression model was used in the analysis. Results The mean age of the participants in this study was 77.7±8.8 years, and 69.2% were women. Moreover, 71.8% live in long-term care facilities, and 48.0% live in Mexico City. The prevalence of coronal and root caries was found to be 67.8% and 50.7%, respectively. Being male and living in Mexico City were risk indicators for coronal caries, and with a 1% increase in surfaces with no biofilm, the risk decreased by 2%. Being widowed, having government or no social security, denture retainers, and coronal caries were risk indicators for root caries, while the utilization of dental services indicated lower risk. Conclusion Several variables that differ in nature were found to be risk indicators for coronal and root caries. Coronal caries increases the risk of root caries. Prevention should be aimed at identifying persons at higher risk, and dental care should be improved for persons living in long-term care institutions.
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Affiliation(s)
| | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Roberto Carlos Castrejón-Pérez
- Department of Geriatric Clinical and Epidemiological Research, National Institute of Geriatrics, National Institutes of Health, México City, México
| | - Sergio Sánchez-García
- Epidemiological and Health Services Research Unit, Aging Area, National Medical Center “Siglo XXI”, Mexican Institute of Social Security, Ciudad de Mexico, Mexico
| | - Socorro Aída Borges-Yáñez
- Department of Dental Public Health, Graduate and Research Division, Dental School, National Autonomous University of Mexico, University City, México City, Mexico
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Wang X, Tian B, Zhang S, Zhang J, Yang W, Li J, Wang W, Wang Y, Zhang W. Diabetes knowledge predicts HbA1c levels of people with type 2 diabetes mellitus in rural China: a ten-month follow-up study. Sci Rep 2023; 13:18248. [PMID: 37880376 PMCID: PMC10600128 DOI: 10.1038/s41598-023-45312-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 10/18/2023] [Indexed: 10/27/2023] Open
Abstract
Improving diabetes self-management (DSM) is facing real-world challenges among people with type 2 diabetes mellitus (T2DM) who have a low education level in resource-limited areas. This study aimed to investigate whether diabetes knowledge could predict glycemic levels in people with T2DM in rural China. This analytical cross-sectional study recruited 321 people with T2DM from eight villages by purposive sampling at baseline. After 10 months, 206 patients completed the follow-up survey and HbA1c tests, with a response rate of 64.17% (206/321). Multiple regression analysis was employed to explore the correlation between diabetes knowledge and HbA1c levels. The patient's diabetes knowledge was significantly negatively correlated with HbA1c levels before and after controlling for covariates in both hierarchical multiple regression and multiple logistic regression (p < 0.01). In addition, other influencing factors, including sex, age, marital status, employment status, income, and HbA1c levels at baseline, were also identified. Diabetes knowledge could predict HbA1c levels significantly among patients with low education levels in rural China. Therefore, interventions on improving diabetes knowledge need to be strengthened for patients in rural China so that they can improve their health outcomes and reduce the disease burden.
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Affiliation(s)
- Xiaoying Wang
- School of Social Development and Public Policy, Center for Behavioral Health, Beijing Normal University, Beijing, China
| | - Bo Tian
- School of Social Development and Public Policy, Center for Behavioral Health, Beijing Normal University, Beijing, China
| | - Shengfa Zhang
- National Population Heath Data Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Jinsui Zhang
- School of Public Health, Fudan University, Shanghai, China
| | - Weiping Yang
- Yancheng Dafeng People's Hospital, Yancheng, Jiangsu Province, China
| | - Jina Li
- School of Social Development and Public Policy, Center for Behavioral Health, Beijing Normal University, Beijing, China
| | - Weiwei Wang
- School of Sociology and Population Studies, Renmin University of China, Beijing, China
| | - Yuchen Wang
- North China Electric Power University, Beijing, China
| | - Weijun Zhang
- School of Social Development and Public Policy, Center for Behavioral Health, Beijing Normal University, Beijing, China.
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Sharma P, Kristunas C, Chapple IL, Dietrich T. Periodontal health and patient-reported outcomes: A longitudinal analysis of data from non-specialist practice settings. J Clin Periodontol 2023; 50:582-590. [PMID: 36644795 DOI: 10.1111/jcpe.13776] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 01/04/2023] [Accepted: 01/10/2023] [Indexed: 01/17/2023]
Abstract
AIM To explore the associations between periodontal health and patient-reported outcomes (PROs), accounting for changes over time, in a large, non-specialist dental practice patient cohort. MATERIALS AND METHODS This longitudinal study used data from 13,162 dentate patients, collected by 162 dentists at routine appointments between May 2013 and April 2020, in 238 non-specialist dental practices across the United Kingdom. Dentists collected data, as part of routine clinical care, on periodontal probing pocket depths, alveolar bone loss, bleeding on probing, as well as a range of covariates. Patients inputted data on outcomes (oral pain/discomfort, dietary restrictions, and dental appearance). Mixed-effects logistic regression analysis was used to investigate the associations between periodontal health and PROs. Models accounted for clustering at the patient and dentist level and were adjusted for time and variables which were thought to confound these associations. RESULTS The odds of all PROs tended to increase with worsening periodontal parameters. For example, the odds of reporting pain in the worst periodontal health category were 1.99 (95% confidence interval: 1.57-2.53) times higher than in the best periodontal health category. CONCLUSIONS This study confirms, using a large longitudinal dataset from a unique non-specialist setting, the associations between poorer periodontal health and poorer PROs.
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Affiliation(s)
- Praveen Sharma
- Periodontal Research Group, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.,NIHR Birmingham Biomedical Research Centre, Birmingham, UK.,Birmingham Dental Hospital, Birmingham Community Healthcare NHS Foundation Trust, UK
| | - Caroline Kristunas
- Periodontal Research Group, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Iain L Chapple
- Periodontal Research Group, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.,NIHR Birmingham Biomedical Research Centre, Birmingham, UK.,Birmingham Dental Hospital, Birmingham Community Healthcare NHS Foundation Trust, UK
| | - Thomas Dietrich
- Periodontal Research Group, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.,NIHR Birmingham Biomedical Research Centre, Birmingham, UK.,Birmingham Dental Hospital, Birmingham Community Healthcare NHS Foundation Trust, UK
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4
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Aukett JW. A wider role for general dental practice? Br Dent J 2021; 231:384-385. [PMID: 34625685 PMCID: PMC8498758 DOI: 10.1038/s41415-021-3475-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 04/06/2021] [Indexed: 11/09/2022]
Abstract
The role of general dental practice within the NHS is limited to the direct practice of dentistry. Pandemic situations have identified the capability of dentists to take a wider role in patient care, which has been recognised by the FDI World Dental Federation. With the UK government's intention to re-structure primary healthcare to recognise lifestyle elements as the important feature of a new prevention emphasis, could and should the unique position of general dental practice play an important and integral role in promoting overall health and wellbeing?
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Wilson KE, Dunn K, Holmes RD, Delgaty L. Meeting the needs of patients with disabilities: how can we better prepare the new dental graduate? Br Dent J 2019; 227:43-48. [PMID: 31300783 DOI: 10.1038/s41415-019-0462-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Background Over the last two decades, the introduction of equality legislation has resulted in disabled people having improved opportunities and better access to services. Within the field of oral health care, the specialty of special care dentistry exists to act as an advocate for those with disabilities and it is recognised that there is a need to reduce health inequalities. To ensure the future dental workforce is able to respond to the needs of those with disabilities, education is key. This raises the question: 'are we adequately preparing future dental professionals to fulfil their obligations?'.Aim To explore final year dental students' insight into issues of disability in order to inform the undergraduate special care dentistry programme.Method Qualitative methods using focus groups were employed to address the research issue. The data were analysed using thematic analysis.Results Four main themes were identified: 'perceptions of disability', 'experience of disability', 'patient management' and 'teaching and learning'. The level of preparedness varied among students and could be attributed to: knowledge of disability issues; previous experience of people with disabilities; how education in the field of special care dentistry was delivered. Students identified the need for more structure to their teaching and increased exposure to the disabled community.Conclusion The issues identified reflect current literature and highlight the importance of addressing disability within the wider undergraduate curriculum. Responding to the 'student voice' has the potential to tailor elements of the special care dentistry programme, in order to address their educational needs.
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Affiliation(s)
- Katherine E Wilson
- Associate Specialist/Clinical lecturer, School of Dental Sciences, University of Newcastle upon Tyne, UK.
| | - Katherine Dunn
- General Professional Trainee, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
| | - Richard D Holmes
- Senior Lecturer/Honorary Consultant in Dental Public Health, Centre for Oral Health Research, School of Dental Sciences, University of Newcastle, Newcastle upon Tyne, UK
| | - Laura Delgaty
- Deputy Degree Programme Director, Senior Lecturer in Medical Education, University of Newcastle, Newcastle upon Tyne, UK
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Periodontal care in general practice: 20 important FAQs - Part two. Br Dent J 2019; 227:875-880. [PMID: 31758122 DOI: 10.1038/s41415-019-0944-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This is the second in a two-part series that aims to summarise answers to common questions facing dentists in general practice. The first part of this series is entitled 'Periodontal care in general practice: 20 important FAQs - Part one' (Br Dent J 2019;226: 850-854) and contains the first set of ten FAQs.
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Sekundo C, Stock C, Jürges H, Listl S. Patients' self‐reported measures of oral health—A validation study on basis of oral health questions used in a large multi‐country survey for populations aged 50+. Gerodontology 2019; 36:171-179. [DOI: 10.1111/ger.12398] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 02/04/2019] [Accepted: 02/09/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Caroline Sekundo
- Department of Conservative Dentistry, Translational Health Economics Group (THE Group) Heidelberg University Heidelberg Germany
| | - Christian Stock
- Division of Clinical Epidemiology and Aging Research German Cancer Research Center (DKFZ) Heidelberg Germany
- Institute of Medical Biometry and Informatics (IMBI) Heidelberg University Hospital Heidelberg Germany
| | - Hendrik Jürges
- Schumpeter School of Business and Economics University of Wuppertal Wuppertal Germany
| | - Stefan Listl
- Department of Conservative Dentistry, Translational Health Economics Group (THE Group) Heidelberg University Heidelberg Germany
- Department of Quality and Safety of Oral Health Care Radboud University Nijmegen Nijmegen The Netherlands
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Signori C, Laske M, Bronkhorst EM, Huysmans MCDNJM, Cenci MS, Opdam NJM. Impact of individual-risk factors on caries treatment performed by general dental practitioners. J Dent 2019; 81:85-90. [PMID: 30615918 DOI: 10.1016/j.jdent.2018.12.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 12/17/2018] [Accepted: 12/19/2018] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE This prospective study investigated how individual patient risk factors impacted non-operative and operative treatment decisions in a dental practice-based research network in The Netherlands. METHODS Data from were collected from 11 dental practices, whose patients visited the practice at least once during the observation period (January 2015 to September 2017). Descriptive analysis was performed, followed by multiple logistic regression. RESULTS The records of 39,690 patients were analyzed. Approximately one-half of the population (n = 21,056) underwent a restoration procedure during the observation period, of which 5981 (28.4%) were classified with fair oral hygiene, and 5341 (25.4%) with a high risk for caries. The population without restorative intervention (n = 18,634) consisted mainly of patients with good oral health (n = 5132 [27.5%]) and low risk for caries (n = 7792 [41.8%]). A high risk for caries was associated with a greater chance of preventive instruction (odds ratio [OR] 1.60), applications of topical fluoride (OR 1.20) or sealants (OR 1.39), and restorative interventions (OR 5.72). There was wide variation among practices regarding the treatment provided. CONCLUSION Of the 11 general dental practices that participated in this study, there was a higher chance of patients with a high risk for caries to receive preventive instructions, and professionally applied topical fluoride and sealants in the majority of practices promoting a personalized treatment approach to patients with caries. CLINICAL SIGNIFICANCE A more personalized treatment approach for patients with caries was associated with a higher prevalence of high caries risk patients in the majority of practices. More studies, however, are needed to investigate whether general dental practitioners consider the assessment of individual patient risk factors in planning personalized treatment strategies.
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Affiliation(s)
- Cácia Signori
- Federal University of Pelotas, Graduate Program in Dentistry, Gonçalves Chaves, 457, 5th Floor, Pelotas, RS, 96015560, Brazil; Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dentistry, Nijmegen, the Netherlands.
| | - Mark Laske
- Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dentistry, Nijmegen, the Netherlands
| | - Ewald M Bronkhorst
- Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dentistry, Nijmegen, the Netherlands
| | | | - Maximiliano S Cenci
- Federal University of Pelotas, Graduate Program in Dentistry, Gonçalves Chaves, 457, 5th Floor, Pelotas, RS, 96015560, Brazil
| | - Niek J M Opdam
- Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dentistry, Nijmegen, the Netherlands
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Sharma P, Yonel Z, Busby M, Chapple IL, Dietrich T. Association between periodontal health status and patient-reported outcomes in patients managed in a non-specialist, general dental practice. J Clin Periodontol 2018; 45:1440-1447. [PMID: 30341963 DOI: 10.1111/jcpe.13022] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 10/02/2018] [Accepted: 10/15/2018] [Indexed: 11/29/2022]
Abstract
AIMS To explore the associations between periodontal status and patient-reported outcomes (PROs) in a large cohort of patients based in non-specialist general dental practice. MATERIALS AND METHODS Analysis was conducted using data from 14,620 patients, in 233 non-specialist dental practices across the UK. As part of routine clinical care, data on periodontal probing depths (PPD), alveolar bone loss (ABL), bleeding on probing (BoP) as well as PROs (oral pain/discomfort, dietary restrictions and dental appearance) were recorded using an online database. The associations between periodontal status and PROs were investigated using logistic regression analysis, adjusting for confounders. RESULTS We found a positive association between worse periodontal health and the prevalence of PROs. After adjustment for confounders, 13.8% of patients in the healthiest category (PPD < 5 mm, ABL < 2 mm, no BoP) reported pain/discomfort, compared to 20.7% of patients in the worst category (PPD > 7 mm, ABL > 4 mm). A similar trend was seen with reporting a restricted diet and unhappiness with appearance. CONCLUSION This study provides novel insights into the associations between periodontal status and PROs in a non-specialist, general dental practice, highlighting the benefits of prevention and management of periodontitis.
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Affiliation(s)
- Praveen Sharma
- School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Zehra Yonel
- School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Michael Busby
- Dental Advisor Denplan, The Stables, Heritage Ct, Clifton Reynes, Olney, UK
| | - Iain L Chapple
- School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Thomas Dietrich
- School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
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10
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Ab Malik N, Mohamad Yatim S, Abdul Razak F, Lam OLT, Jin L, Li LSW, McGrath C. A multi-centre randomised clinical trial of oral hygiene interventions following stroke-A 6-month trial. J Oral Rehabil 2017; 45:132-139. [PMID: 29090475 DOI: 10.1111/joor.12582] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/26/2017] [Indexed: 12/01/2022]
Affiliation(s)
- N. Ab Malik
- Periodontology and Dental Public Health; Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
- Faculty of Dentistry; Universiti Sains Islam Malaysia; Kuala Lumpur Malaysia
| | - S. Mohamad Yatim
- Department of Medical Rehabilitation; Hospital Serdang; Kajang Selangor Malaysia
| | - F. Abdul Razak
- Department of Oral & Craniofacial Sciences; Faculty of Dentistry; University of Malaya; Kuala Lumpur Malaysia
| | - O. L. T. Lam
- Oral Rehabilitation; Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
| | - L. Jin
- Periodontology and Dental Public Health; Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
| | - L. S. W. Li
- Tung Wah Hospital; Sheung Wan Hong Kong SAR China
| | - C. McGrath
- Periodontology and Dental Public Health; Faculty of Dentistry; The University of Hong Kong; Hong Kong SAR China
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Stark Assessment of Lifestyle Based Human Disorders Using Data Mining Based Learning Techniques. Ing Rech Biomed 2017. [DOI: 10.1016/j.irbm.2017.09.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Busby M, Fayle S, Chapple L, Clover H, Chapple I. Practitioner evaluation of an online oral health and risk assessment tool for young patients. Br Dent J 2017; 223:595-599. [PMID: 29026188 DOI: 10.1038/sj.bdj.2017.841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2017] [Indexed: 11/09/2022]
Abstract
Aim To test the validity and acceptability of an online oral health assessment and biofeedback tool for young patients (under 17) for use in general dental practice.Methods A convenience sample of thirteen practitioners were recruited to test the functionality of a novel version of the Denplan PreViser Patient Assessment tool (DEPPA) developed for young patients (YDEPPA). Dentists who had completed eight or more assessments during a one month window were sent a link to an online feedback survey, comprising eight statements about YDEPPA, with scoring options of 0-10, where a score of 10 indicated complete agreement with the relevant questions. Verbatim comments were encouraged. The clinical data submitted were held in a central database in an encrypted format so that only the user practice could identify individual patients.Results Twelve practitioners completed eight or more assessments and were included in the survey. A total of 175 patient assessments were received. Ten practitioners completed the on-line survey. The statement 'YDEPPA produces a valid measurement of each patient's oral health' received an average feedback score of 8.8. The statement 'The full YDEPPA report is a valuable communication aid' received a score of 9.6. Feedback was generally very positive with all scores >8.2. Constructive critical feedback was received for the caries risk aspect of the YDEPPA protocol, with suggestions made for improving objectivity of data inputs. Eighty-one percent of the verbatim comments received were positive.Conclusions Once the caries risk issues raised by pilot dentists have been addressed, YDEPPA appears suitable as a pragmatic analytical and biofeedback tool for use in general dental practice to assess the oral health of young patients, and to facilitate education and engagement of young patients and their parents/carers in positive health behaviours.
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Affiliation(s)
- M Busby
- Primary Dental Care University of Birmingham, The Stables, Heritage Ct, Clifton Reynes, Olney, MK46 5FW
| | - S Fayle
- Consultant in Paediatric Dentistry, Clarendon Way, Leeds, LS2 9LU
| | - L Chapple
- Managing Director Oral Health Innovations Ltd, Birmingham Research Park, Vincent Drive, Birmingham, B15 2SQ
| | - H Clover
- Head of Dental Policy Denplan Ltd, Denplan Court, Victoria Road, Winchester, SO23 7RG
| | - I Chapple
- Restorative Dentistry Head of School of Dentistry and Periodontal Research Group, College of Medical and Dental Sciences and Birmingham Community Healthcare Foundation Trust, Birmingham Dental School, 5 Mill Pool Way, Edgbaston, Birmingham, B5 7EG
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Kornman KS, Giannobile WV, Duff GW. Quo vadis: what is the future of periodontics? How will we get there? Periodontol 2000 2017; 75:353-371. [DOI: 10.1111/prd.12217] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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15
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Abstract
The relationship between patient-reported general health and lifestyle factors and oral health outcomes.
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