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Salih MA, Ali RW, Nasir EF. Linking the demographic, socio-economic and oral health status to oral health-related quality of life of the sudanese older adults: a cross sectional study. BMC Oral Health 2023; 23:371. [PMID: 37291534 PMCID: PMC10251693 DOI: 10.1186/s12903-023-03089-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 05/30/2023] [Indexed: 06/10/2023] Open
Abstract
BACKGROUND Oral Health-Related Quality of Life (OHRQoL) is an important measure of patients' needs and progress. Identifying the links between clinical and non-clinical factors with OHRQoL in a specific population will facilitate the development of effective preventive strategies. The aim of the study was to assess the OHRQoL of Sudanese older adults, and to identify the possible relations between clinical and non-clinical predictors with OHRQoL using Wilson and Cleary model. METHODS This cross-sectional study was conducted among older adults attending the out-patient clinics in Khartoum State's Health Care Centers, Sudan. OHRQoL was assessed using the Geriatric Oral Health Assessment Index (GOHAI). Two modifications of Wilson and Cleary's conceptual model were tested using structural equations modeling including: oral health status, symptom status, perceived difficulty of chewing, oral health perceptions, and OHRQoL. RESULTS 249 older adults participated in the study. Their mean age was 68.24 (± 6.7) years. The mean GOHAI score was 53.96 (± 6.31) and trouble biting/chewing was the most commonly reported negative impact. Wilson and Cleary models showed that pain, Perceived Difficulty Chewing (PDC), and Perceived Oral Health had a direct effect on OHRQoL. In model 1, age and gender had direct effects on oral health status, while education had direct effects on OHRQoL. In model 2, poor oral health status is associated indirectly with poor OHRQoL. CONCLUSIONS The OHRQoL of the studied Sudanese older adults was relatively good. The study partially confirmed Wilson and Cleary model as Oral Health Status was related directly to PDC and indirectly to OHRQoL through functional status.
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Affiliation(s)
- Mayson Ahmed Salih
- Department of Prosthetic Dentistry, Faculty of Dentistry, University of Science and Technology, P.O. Box 30, Omdurman, Sudan
| | - Raouf Wahab Ali
- Faculty of Dentistry, University of Science and Technology, P.O. Box 30, Omdurman, Sudan
| | - Elwalid Fadul Nasir
- Preventive Dentistry Department, College of Dentistry, King Faisal University, Alahsa, KSA Saudi Arabia
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2
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Muniz FWMG, Fernandez MDS, Pacheco KE, Martins MW, Trevisan TC, Zatt FP, Colussi PRG. Use of dental implants among older adults of two southern Brazilian cities: A population-based cross-sectional study. SPECIAL CARE IN DENTISTRY 2023; 43:56-66. [PMID: 35666997 DOI: 10.1111/scd.12736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 03/17/2022] [Accepted: 05/13/2022] [Indexed: 01/21/2023]
Abstract
AIM To assess the prevalence and associated factors with use of dental implants among older adults. METHODS This cross-sectional study was performed with home dwelling older adults from the cities Cruz Alta and Veranópolis, Brazil. The main outcome was obtained by a clinical oral examination, considering those with at least one dental implant. Independent variables were collected by a structured questionnaire. Crude and adjusted analysis was performed by Poisson regression with robust variance estimation; results are presented in prevalence ratio (PR) and 95% confidence interval. RESULTS It was included 569 participants. The overall prevalence of using at least one dental implant was 16.7%. Higher PR for the use of dental implants was observed in white individuals (PR:5.147; 95% CI:2.033-3.034), in those with at least medium income (PR:3.202; 95% CI:1.196-5.572) and in those with access to dental care in the last 12 months (RP:1.595; 95% CI:1.087-2.340). Older adults with a medium level of education (RP:0.484; 95% CI:0.240-0.978) and those that did not use dental floss (RP:0.627; 95% CI:0.240-0.978) demonstrated a significantly lower PR for use of dental implants. CONCLUSION A substantial prevalence of use of dental implants was observed among older adults. In addition, white ones, those with a better financial situation and users of dental floss presented higher use of dental implants.
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Affiliation(s)
| | | | - Karen Eymael Pacheco
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
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Rao S, Shenoy R, Karat D, Poojary D, D'Souza V. Evaluation of Dental Program for Older Adults Living in Long-Term Care Facilities. Clin Cosmet Investig Dent 2021; 13:275-281. [PMID: 34234571 PMCID: PMC8255310 DOI: 10.2147/ccide.s311019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 05/20/2021] [Indexed: 11/25/2022] Open
Abstract
Introduction Compared to the general population, older adults living in long-term care facilities have poorer oral health. Also, they seldom have access to dental care services. Given that, a dental health program was initiated by Manipal College of Dental Sciences, Mangalore (MCODSM), to deliver dental care to the residents of St. Antony Home (SAH), a long-term care facility in Mangalore, India. This study aimed to evaluate the dental program by investigating the views and recommendations toward the program through its stakeholders. Methodology The stakeholders were divided into three groups: Group 1, transport personnel; Group 2, coordinator and administrators of the program from both the sites; and Group 3, the residents of SAH who received dental care at the MCODSM. Data were collected through a structured questionnaire to measure satisfaction levels of the participants. Data analyses included calculating the frequencies required to describe the evaluation outcomes narrative. Results A total of 19 stakeholders participated in the study, of them 12 were SAH residents (Group 3). These Group 3 participants received various kinds of dental care. Almost all stakeholders were satisfied with the program and reported that the program was beneficial to the SAH residents. The stakeholders of the program were satisfied with transportation, the time allotted for the treatment, and the attitude of the dentists who delivered the program. Conclusion The dental program was successful in delivering the most needed dental care to SAH residents. It provided an opportunity to provide treatment to SAH residents, and the stakeholders were highly satisfied with the program. That said, there are opportunities to improve the program, especially in relation to transporting the SAH residents to the program site, having a single window to deliver the dental treatment, and acquiring more supporting staff. Future evaluations are warranted using well-designed evaluation procedures and larger samples.
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Affiliation(s)
- Shushma Rao
- Department of Prosthodontics and Crown and Bridge, Manipal College of Dental Sciences, Mangalore, Karnataka, India.,Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Ramya Shenoy
- Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India.,Department of Public Health Dentistry, Manipal College of Dental Sciences, Mangalore, Karnataka, India
| | - Dolphin Karat
- Department of Medicine, Fr.Muller Homoeopathic Medical College, Mangalore, Karnataka, India
| | - Dharnappa Poojary
- Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India.,Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Mangalore, Karnataka, India
| | - Violet D'Souza
- Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
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4
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Liu M, Yun Q, Zhao M, Chen W, Zhang H, Hou W, Chang C. Association of siblings' presence and oral health-related quality of life among children: a cross-sectional study. BMC Oral Health 2021; 21:153. [PMID: 33757508 PMCID: PMC7988954 DOI: 10.1186/s12903-021-01526-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 03/17/2021] [Indexed: 12/13/2022] Open
Abstract
Background The quantity–quality trade-off theory indicates that an increase in siblings might decrease a child’s well-being, but little is known about the impacts of sibling number on children’s oral health-related quality of life (OHRQoL). This study aims to investigate the effects of presence of siblings on children’s OHRQoL, and to further test whether there is an interaction effect between siblings’ presence and locations on children’s OHRQoL. Methods Data were obtained from an oral-health survey of 12-year-old children in Beijing, China, which was a part of the 4th National Oral Health Survey in the Mainland of China (2015–2016). This study included 2158 children data for analysis. OHRQoL was assessed by the child’s Oral Impacts on Daily Performance (OIDP). OIDP prevalence served as an indicator of OHRQoL. Children with and without siblings were recorded as non-single and single children, respectively. Dental variables, including active caries, gingival bleeding, and calculus, were reported. A logistic regression model was applied to investigate the association of siblings’ presence and OIDP prevalence. A synergy index was used to assess the possible interaction effect between siblings’ presence and location on OIDP prevalence. Results Sixty percent of Chinese children reported suffering OIDP in the previous six months. OIDP prevalence for non-single and single children were 68.3% and 56.9%, respectively. The adjusted odds ratio (OR) of OIDP for non-single children was 1.31 (95% CI: 1.05, 1.63), and the adjusted OR of OIDP for non-single and rural children was 2.03 (95% CI: 1.47, 2.81). The synergy index between siblings’ presence and location on OIDP was 2.18 (85% CI: 1.30, 3.67), which indicates that an excessive risk increase for OIDP was observed among non-single and rural children. Conclusions Children with siblings are more likely to report OIDP and have lower OHRQoL, especially those from rural areas. These findings indicate that oral-health interventions should be given priority for non-single and rural children. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-021-01526-y.
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Affiliation(s)
- Min Liu
- Department of Preventive Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China
| | - Qingping Yun
- Department of Social Medicine and Health Education, School of Public Health, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Mei Zhao
- Department of Preventive Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China
| | - Wei Chen
- Department of Preventive Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China
| | - Hui Zhang
- Department of Preventive Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China
| | - Wei Hou
- Department of Preventive Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China
| | - Chun Chang
- Department of Social Medicine and Health Education, School of Public Health, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China.
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Baniasadi K, Armoon B, Higgs P, Bayat AH, Mohammadi Gharehghani MA, Hemmat M, Fakhri Y, Mohammadi R, Fattah Moghaddam L, Schroth RJ. The Association of Oral Health Status and socio-economic determinants with Oral Health-Related Quality of Life among the elderly: A systematic review and meta-analysis. Int J Dent Hyg 2021; 19:153-165. [PMID: 33523593 DOI: 10.1111/idh.12489] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 12/15/2020] [Accepted: 01/24/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVE The aim of this study was to determine the relationship between poor Oral Health-Related Quality of Life (OHRQoL) and oral health determinants (eg being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, decayed, missing filled teeth (DMFT) scores and periodontal diseases) among the elderly. METHODS Formal search strategies in PubMed, Scopus, Cochrane and Web of Science were performed to identify studies in English published before 1 December 2019. We assessed the impacts of the oral health determinants including being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, DMFT scores and periodontal diseases) on OHRQoL among elderly individuals. The data were analysed using Stata 12.0 software. RESULTS In total, 19 publications met the inclusion criteria of this meta-analysis. Findings indicate a positive association between low educational level (ie ≤8th grade), marital status, depression, smoking status, denture wearing, poor general health, tooth-induced pain, periodontal diseases and poor OHRQoL among the elderly. We also observed a negative association between DMFT, being older than 75 years of age on poor OHRQoL among the elderly. CONCLUSIONS This review identified that several oral health determinants were associated with poor OHRQoL. The efficacy of preventive measures and the economic aspects of tooth replacement approaches should be explored in the future. Developing oral healthcare plans and policies with the specific aim of improving OHRQoL among this group is essential.
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Affiliation(s)
- Kamal Baniasadi
- Department of Cognitive Psychology, Institute for Cognitive Science Studies, Pardis, Iran
| | - Bahram Armoon
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Peter Higgs
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Amir-Hossein Bayat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | | | - Morteza Hemmat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Yadolah Fakhri
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Rasool Mohammadi
- Department of Epidemiology and Biostatistics, School of Public Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Ladan Fattah Moghaddam
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Robert J Schroth
- Dr. Gerald Niznick College of Dentistry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
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Simancas-Pallares M, John MT, Enstad C, Lenton P. The Spanish Language 5-Item Oral Health Impact Profile. Int Dent J 2019; 70:127-135. [PMID: 31750546 DOI: 10.1111/idj.12534] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To test validity and reliability of the Spanish version of the 5-item Oral Health Impact Profile (OHIP-Sp5). METHODS Spanish-speaking dental patients (n = 331, response rate = 61%, age: 42.9 + 12.3 years, 59% female) with a scheduled appointment at HealthPartners dental clinics in Minnesota, USA, were investigated. To assess score reliability, we computed Cronbach's alpha, expecting 'good' reliability (alpha > 0.70). To assess score validity, we correlated the OHIP-Sp5 summary score with five OHRQoL measures [49- and 14-item OHIP-Sp, the Spanish version of the General Oral Health Assessment Index (GOHAI-Sp), the Spanish version of the Oral Impacts on Daily Performances (OIDP-Sp) and a Global Oral Health Assessment]. We expected a pattern of 'very large' (r > 0.70) correlation coefficients for OHIP-Sp5 relationships with the two longer OHIP-Sp versions and 'large' (r > 0.50) correlation coefficients for the other three measures. RESULTS Patients had a mean OHIP-Sp5 score of 3.7 (SD = 4.0). The Instrument's reliability was, as expected, 'good', according to the Cronbach's alpha statistic of 0.83. The Instrument's validity was supported by the expected pattern of validity coefficients. OHIP-Sp5 summary scores correlated with OHIP-Sp14 as well as with OHIP-Sp49 (both r = 0.95: 'very large' effect) and with GOHAI-Sp, OIDP and the Global Oral Health Assessment with r = -0.80, 0.73, and -0.56 (absolute effect magnitude all 'very large' or 'large'), respectively. CONCLUSIONS The Spanish version of OHIP-5 is a brief and psychometrically sound instrument to measure oral health-related quality of life (OHRQoL) in Spanish-speaking populations. It can effectively replace longer OHIP instruments and would be applicable across all settings of clinical practice and research.
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Affiliation(s)
- Miguel Simancas-Pallares
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Mike T John
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA
| | - Christopher Enstad
- HealthPartners Institute for Education and Research, Minneapolis, MN, USA
| | - Patricia Lenton
- Oral Health Clinical Research Clinic, University of Minnesota, Minneapolis, MN, USA
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7
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McLister C, Donnelly M, Cardwell CR, Moore C, O’Neill C, Brocklehurst P, McKenna G. Effectiveness of prosthodontic interventions and survival of remaining teeth in adult patients with shortened dental arches—A systematic review. J Dent 2018; 78:31-39. [DOI: 10.1016/j.jdent.2018.02.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 02/09/2018] [Accepted: 02/19/2018] [Indexed: 11/29/2022] Open
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8
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Husain FA, Tatengkeng F. Oral Health-Related Quality of Life Appraised by OHIP-14 Between Urban and Rural Areas in Kutai Kartanegara Regency, Indonesia: Pilot Pathfinder Survey. Open Dent J 2017; 11:557-564. [PMID: 29238416 PMCID: PMC5712656 DOI: 10.2174/1874210601711010557] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 08/14/2017] [Accepted: 09/15/2017] [Indexed: 12/16/2022] Open
Abstract
Background: Health-Related Quality of Life (HRQoL) periphrastically has a significant impact on oral health. A recent study has shown the significant facts of the oral health-related quality of life based on many factors such as individual, social status, household management, daily habits, and local factors. The differences in the oral health status possibly occur in between countries, different regions, and topographical areas frequently and indirectly contributing to oral health status. Objective: The objective is to evaluate the difference of Oral Health-Related Quality of Life (OHRQoL) and to assess the main affected dimension between rural and urban areas in Kutai Kartanegara Regency. Methods: This study uses pilot pathfinder design. The respondents comprised of 214 adults who were elder than 18 years and were randomly selected from urban and rural areas in Kutai Kartanegara Regency, Indonesia. The data were collected by 103 samples from the rural area and 111 respondents from the urban area. Oral Health Impacts Profile (OHIP-14) has been translated to Bahasa (Indonesia version). OHIP-14 was used to assess the subjects’ oral health-related impact. Shapiro-Wilk and Mann Whitney tests were used to analyze the data, and p-value was set at P < 0.05. Results: The mean OHIP scores in the urban and the rural areas were 25.4 and 28.8, respectively. The overall OHIP-14 score showed a significant statistical difference P= 0,009 (P < 0.05) between rural and urban area. Conclusion: This study illustrates that oral health-related quality of life in the urban area is better than in the rural area. Physical pain components of the OHRQoL are the major oral problems associated with both the areas.
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Affiliation(s)
- Fuad Akbar Husain
- Department of Dental Public Health, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
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9
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Crocombe LA, Mahoney GD. Does optimal access to dental care counteract the oral health-related quality of life social gradient? Aust Dent J 2016; 61:418-424. [DOI: 10.1111/adj.12393] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2015] [Indexed: 11/28/2022]
Affiliation(s)
- LA Crocombe
- Australian Research Centre for Population Oral Health, School of Dentistry; The University of Adelaide; Adelaide South Australia Australia
- Centre for Rural Health; The University of Tasmania; Hobart Tasmania Australia
| | - GD Mahoney
- School of Population Health; The University of Queensland; Brisbane Queensland Australia
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10
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Pradhan A, Keuskamp D, Brennan D. Oral health-related quality of life improves in employees with disabilities following a workplace dental intervention. EVALUATION AND PROGRAM PLANNING 2016; 59:1-6. [PMID: 27497877 DOI: 10.1016/j.evalprogplan.2016.07.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2016] [Revised: 07/14/2016] [Accepted: 07/15/2016] [Indexed: 06/06/2023]
Abstract
This pilot study evaluated a dental intervention for employees with disabilities by measuring changes in self-rated oral health, dental behaviours and oral health-related quality of life (OHRQol). Consenting employees with disabilities (≥18years) at two worksites in South Australia underwent dental examinations at baseline, three and six months. Referrals were arranged as needed to public dental clinics. At one and two months a dental hygienist provided group oral health education to the employees. Employees' demographics, self-rated oral health, dental behaviours and OHRQol were collected via face-to-face interviews. Of the 39 referred employees, 28 (72%) of them completed the recommended treatment. Self-rated oral health improved and there were significant reductions in the prevalence of oral health impact on quality of life (percentage of employees reporting 1+ items fairly/very often) from 27% to 11% (McNemar's test, p<0.05); the extent of impact (mean number of items reported fairly/very often) from 1.3 to 0.6 and the severity of impact (mean of summed OHIP item scores) from 3.6 to 1.8 (paired t-tests, p<0.01). As this pilot study indicates that enabling urgent referral for treatment and regular oral health education can improve OHRQol and self-rated oral health among employees with disabilities, a larger study with a control group should be undertaken.
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Affiliation(s)
- Archana Pradhan
- School of Dentistry, University of Queensland, 288 Herston Road, Herston, Queensland, 4006, Australia; Australian Research Centre for Population Oral Health (ARCPOH), The University of Adelaide, ARCPOH Level 1, 122 Frome Street, 5005, Australia.
| | - Dominic Keuskamp
- Australian Research Centre for Population Oral Health (ARCPOH), The University of Adelaide, ARCPOH Level 1, 122 Frome Street, 5005, Australia.
| | - David Brennan
- Australian Research Centre for Population Oral Health (ARCPOH), The University of Adelaide, ARCPOH Level 1, 122 Frome Street, 5005, Australia.
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11
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Tan H, Peres K, Peres M. Retention of Teeth and Oral Health–Related Quality of Life. J Dent Res 2016; 95:1350-1357. [DOI: 10.1177/0022034516657992] [Citation(s) in RCA: 95] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The authors aimed to critically review the literature regarding the relationship between retention of teeth and oral health–related quality of life (OHRQoL) and the extent to which tooth retention can ensure OHRQoL among adults. The authors investigated studies that assessed the relationship between number of teeth and OHRQoL and how the position, type, and/or pattern of the teeth is related to OHRQoL. Relevant papers published in English from January 2004 to September 2015 were searched via PubMed and EMBASE. Twenty-nine papers—including cross-sectional, longitudinal, clinical trial, and case-control studies—were included and categorized according to 4 subthemes to achieve the stated aim: 1) number of teeth or missing teeth and OHRQoL, 2) occluding pairs or functional units and OHRQoL, 3) position of remaining or missing teeth and OHRQoL, and 4) shortened dental arches (SDAs) and OHRQoL. The main findings for each subtheme were as follows: 1) A significant association between number of teeth and OHRQoL was shown in most studies; however, those studies found different cutoff points regarding the number of teeth that affect OHRQoL, after adjusting for other factors in the analyses (e.g., age, sex, cultural background, and study locations). 2) The number of occluding pairs and the location of remaining teeth have great impacts on OHRQoL. 3) Having fewer anterior occluding pairs had a greater negative impact on aesthetics and thus affected OHRQoL. 4) Two randomized clinical trials on SDAs indicated that people with SDAs do not show worse OHRQoL than do those with removable dentures. The only 2 population-based studies on SDAs showed that adults with SDAs have no impaired OHRQoL when compared with those having more natural teeth. To conclude, this review found evidence that retention of teeth is associated with better OHRQoL. The number of occluding pairs and the location of remaining teeth have great impacts on OHRQoL. People with SDAs maintain an acceptable level of OHRQoL.
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Affiliation(s)
- H. Tan
- Australian Research Centre for Population Oral Health, School of Dentistry, Faculty of Health Sciences, The University of Adelaide, Adelaide, Australia
| | - K.G. Peres
- Australian Research Centre for Population Oral Health, School of Dentistry, Faculty of Health Sciences, The University of Adelaide, Adelaide, Australia
| | - M.A. Peres
- Australian Research Centre for Population Oral Health, School of Dentistry, Faculty of Health Sciences, The University of Adelaide, Adelaide, Australia
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12
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Yoon MN, Compton SM. Building professional competence in dental hygiene students through a community-based practicum. Int J Dent Hyg 2016; 15:e119-e127. [PMID: 27256858 DOI: 10.1111/idh.12233] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2016] [Indexed: 12/01/2022]
Abstract
OBJECTIVES As Canadians age, there is an increased need for oral health professionals specializing in services for this unique population. Dental hygiene students require exposure to this population to develop professional competencies. This study investigated the dimensions of professional competence that were developed through a practicum for dental hygiene students in long-term care settings while working with older adults. METHODS Nine dental hygiene students were recruited across two cohorts. All students completed reflective journals describing their practicum experiences. Five students also participated in an audio-recorded focus group and completed a pre-focus group questionnaire. Additionally, the practicum course coordinator completed an audio-recorded interview. Transcripts and journals were coded using a constant comparative approach and themes were identified. RESULTS Students described developing client-focused skills, such as effective verbal and non-verbal communication with older adults with dementia. Context-based learning was also a large part of the competency development for the practicum students. Understanding the care environment within which these residents lived helped students to understand and empathize why oral health may not be prioritized. Students also developed an understanding of the work of other health professionals in the settings and improved their abilities to communicate with other healthcare providers. However, students recognized that the utility of those interprofessional skills in private practice may be limited. CONCLUSION Dental hygiene students developed personal and ethical competencies during practicum that are highly transferrable across professional settings. Exposure of students to older adult populations in long-term care may increase the likelihood of dental hygienists working in this area.
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Affiliation(s)
- M N Yoon
- Faculty of Medicine & Dentistry, School of Dentistry, Dental Hygiene Program, University of Alberta, Edmonton, AB, Canada
| | - S M Compton
- Faculty of Medicine & Dentistry, School of Dentistry, Dental Hygiene Program, University of Alberta, Edmonton, AB, Canada
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13
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Singhal S, Mamdani M, Mitchell A, Tenenbaum H, Quiñonez C. An exploratory pilot study to assess self-perceived changes among social assistance recipients regarding employment prospects after receiving dental treatment. BMC Oral Health 2015; 15:138. [PMID: 26538109 PMCID: PMC4632367 DOI: 10.1186/s12903-015-0119-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 10/15/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Strengthening self-efficacy in job-seeking among individuals with dental problems has been identified as an important factor in facilitating job procurement and maintenance. There is no knowledge about whether receiving dental treatment improves someone's self-efficacy in seeking a job. This work explores this relationship. METHODS An exploratory pilot study of a convenience sample of 30 social assistance recipients of Ontario, Canada, was conducted using a pre- and post-dental treatment survey, which included both quantitative and qualitative components. The survey included two validated instruments Oral Health Impact Profile (OHIP-14) and Job-Seeking Self-efficacy scale (JSS). Changes in scores of both scales following dental treatment were calculated. Pearson correlation was performed between OHIP-14 and JSS scores. Qualitative data were transcribed and interrelated ideas were grouped together to generate themes. RESULTS Mean scores for OHIP-14 (23.4 to 6.7, p < 0.001, effect size: 1.75) and median scores for JSS (4.9 to 5.5, p = 0.002, effect size: 0.40) changed significantly after receiving dental treatment. A significant negative correlation (-0.56, p = 0.001) was observed between OHIP-14 and JSS scores indicating that job-seeking self-efficacy improves with improvement in oral health related quality of life (OHRQoL). Qualitative analysis reveals participants' physical and psychosocial impacts of dental problems; barriers experienced in accessing dental care and seeking a job; and changes perceived after receiving dental care. CONCLUSION Results of our survey indicate that social assistance recipients experience negative impacts of dental problems and perceive improvements in OHRQoL and job-seeking self-efficacy after receiving dental treatment.
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Affiliation(s)
- Sonica Singhal
- Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.
| | - Muhammad Mamdani
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
| | - Andrew Mitchell
- Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
| | - Howard Tenenbaum
- Hospital for Sick Children, Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
| | - Carlos Quiñonez
- Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.
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The impact of rehabilitation using removable partial dentures and functionally orientated treatment on oral health-related quality of life: A randomised controlled clinical trial. J Dent 2015; 43:66-71. [DOI: 10.1016/j.jdent.2014.06.006] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Revised: 06/17/2014] [Accepted: 06/18/2014] [Indexed: 11/30/2022] Open
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15
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Abhishek KN, Jain J, Shamarao S, Khanapure SC. Impact of periodontal status on oral health-related quality of life among police personnel in Virajpet, India. ACTA ACUST UNITED AC 2014; 7:193-7. [DOI: 10.1111/jicd.12139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Accepted: 10/14/2014] [Indexed: 11/29/2022]
Affiliation(s)
| | - Jithesh Jain
- Department of Public Health Dentistry; Coorg Institute of Dental Sciences; Virajpet Karnataka India
| | - Supreetha Shamarao
- Department of Public Health Dentistry; Coorg Institute of Dental Sciences; Virajpet Karnataka India
| | - Sneha C. Khanapure
- Department of Public Health Dentistry; Coorg Institute of Dental Sciences; Virajpet Karnataka India
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The potential oral health impact of cost barriers to dental care: findings from a Canadian population-based study. BMC Oral Health 2014; 14:78. [PMID: 24962622 PMCID: PMC4079168 DOI: 10.1186/1472-6831-14-78] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Accepted: 06/11/2014] [Indexed: 12/22/2022] Open
Abstract
Background Prior to the 2007/09 Canadian Health Measures Survey, there was no nationally representative clinical data on the oral health of Canadians experiencing cost barriers to dental care. The aim of this study was to determine the oral health status and dental treatment needs of Canadians reporting cost barriers to dental care. Methods A secondary data analysis of the 2007/09 Canadian Health Measures Survey was undertaken using a sample of 5,586 Canadians aged 6 to 79. Chi square tests were conducted to test the association between reporting cost barriers to care and oral health outcomes. Logistic regressions were conducted to identify predictors of reporting cost barriers. Results Individuals who reported cost barriers to dental care had poorer oral health and more treatment needs compared to their counterparts. Conclusions Avoiding dental care and/or foregoing recommended treatment because of cost may contribute to poor oral health. This study substantiates the potential likelihood of progressive dental problems caused by an inability to treat existing conditions due to financial barriers.
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Åstrøm AN, Ekback G, Ordell S, Nasir E. Long-term routine dental attendance: influence on tooth loss and oral health-related quality of life in Swedish older adults. Community Dent Oral Epidemiol 2014; 42:460-9. [PMID: 24712734 DOI: 10.1111/cdoe.12105] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2013] [Accepted: 03/10/2014] [Indexed: 12/28/2022]
Abstract
OBJECTIVES Few studies have investigated the effect of long-term routine dental attendance on oral health between middle-aged and older adults, using a prospective cohort design. This study aimed to assess routine dental attendance (attending dentist in the previous 12 months for dental checkups) from age 50 to 65 years. Moreover, this study examined whether long-term routine dental attendance contributes to oral health-related quality of life, OHRQoL, and major tooth loss independent of social factors and the type of treatment sector utilized. Whether oral health impacts of long-term routine attendance varied with type of treatment sector utilized was also investigated. METHOD In 1992, a census of the 1942 cohort in two counties of Sweden participated in a longitudinal questionnaire survey conducted at age 50 and again after 5, 10, and 15 years. Information was collected on a wide range of health- and oral health-related aspects. Of the 6346 subjects who completed the 1992 survey, 4143 (65%) completed postal follow-ups in 1997, 2002, and 2007. RESULTS Routine dental attendance decreased from 69.1% at age 50-64.2% at age 65. Adjusted logistic regression analyses revealed that individuals reporting long-term routine attendance (routine attendance in both 1992 and 2007) were 0.3 (95% CI 0.2-0.5) times less likely than their counterparts who were nonroutine attenders to report oral impacts. According to generalized estimating equations (GEE), individuals who reported long-term routine attendance were 0.6 (95% CI 0.4-0.7) times less likely than nonroutine attenders to have major tooth loss across the survey years. The effect of long-term routine attendance on OHRQoL was stronger in public than in private dental healthcare attenders. CONCLUSION Routine attendance decreased from age 50-65 years. Long-term routine attendance had positive impact on major tooth loss and OHRQoL supporting the principle of encouraging annual dental attendance for preventive checkups among older people.
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Affiliation(s)
- Anne N Åstrøm
- Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
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18
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Silva AE, Demarco FF, Feldens CA. Oral health-related quality of life and associated factors in Southern Brazilian elderly. Gerodontology 2013; 32:35-45. [DOI: 10.1111/ger.12050] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2013] [Indexed: 11/28/2022]
Affiliation(s)
| | - Flávio F. Demarco
- Postgraduate Program in Epidemiology; Federal University of Pelotas; Pelotas Brazil
| | - Carlos A. Feldens
- Postgraduate Program in Dentistry; Lutheran University of Brazil; Canoas Brazil
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Crocombe LA, Mahoney GD, Spencer AJ, Waller M. Will improving access to dental care improve oral health-related quality of life? Aust Dent J 2013; 58:192-9. [PMID: 23713639 DOI: 10.1111/adj.12060] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2012] [Indexed: 11/29/2022]
Abstract
BACKGROUND The aim of this study was to determine if Australian Defence Force (ADF) members had better oral health-related quality of life (OHRQoL) than the general Australian population and whether the difference was due to better access to dental care. METHODS The OHRQoL, as measured by OHIP-14 summary indicators, of participants from the Defence Deployed Solomon Islands (SI) Health Study and the National Survey of Adult Oral Health 2004-06 (NSAOH) were compared. The SI sample was age/gender status-adjusted to match that of the NSAOH sample which was age/gender/regional location weighted to that of the Australian population. RESULTS NSAOH respondents with good access to dental care had lower OHIP-14 summary measures [frequency of impacts 8.5% (95% CI = 5.4, 11.6), extent mean = 0.16 (0.11, 0.22), severity mean = 5.0 (4.4, 5.6)] than the total NSAOH sample [frequency 18.6 (16.6, 20.7); extent 0.52 (0.44, 0.59); severity 7.6 (7.1, 8.1)]. The NSAOH respondents with both good access to dental care and self-reported good general health did not have as low OHIP-14 summary scores as in the SI sample [frequency 2.6 (1.2, 5.4), extent 0.05 (0.01, 0.10); severity 2.6 (1.9, 3.4)]. CONCLUSIONS ADF members had better OHRQoL than the general Australian population, even those with good access to dental care and self-reported good general health.
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Affiliation(s)
- L A Crocombe
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia.
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20
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21
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Slade GD. Oral health-related quality of life is important for patients, but what about populations? Community Dent Oral Epidemiol 2013; 40 Suppl 2:39-43. [PMID: 22998303 DOI: 10.1111/j.1600-0528.2012.00718.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To review population-based research into oral health-related quality of life. METHODS Narrative review of selected publications. RESULTS In the 1970s, there were two incentives to assess nonclinical aspects of health: (i) a desire to understand the impacts of disease on individuals' quality of life; and (ii) a search for population-level measures that might better quantify the impact of health care systems on populations. Dental researchers responded to those incentives, creating dozens of questionnaires that assess individuals' ratings of subjective oral health and quality of life. This has been a boon for clinical dental research, for example, by showing marked improvements in subjective oral health in patients receiving implant-supported dentures. Also, health surveys show poorer subjective oral health among disadvantaged population groups. However, the same measures show only modest benefits of general dental care. Furthermore, several population surveys show that today's young adults, who grew up with widespread exposure to preventive dental programs, have poorer subjective oral health than earlier generations that experienced unprecedented levels of oral disease. Yet to materialize is the hope that 'socio-dental indicators' of subjective oral health might provide a meaningful metric to demonstrate population-level benefits of dental care. A fundamental limitation is that population health is a contextual measure, not merely the aggregated health status of individuals within the population. CONCLUSION While researchers have successfully broken with clinical dogma by assessing subjective dimensions of individuals' oral health, they have failed to explicitly ask people to assess the oral health of the community in which they live.
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Affiliation(s)
- Gary D Slade
- Department of Dental Ecology, University of North Carolina, Chapel Hill, NC, USA.
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22
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Botello-Harbaum MT, Matthews AG, Collie D, Vena DA, Craig RG, Curro FA, Thompson VP, Broder HL. Level of oral health impacts among patients participating in PEARL: a dental practice-based research network. Community Dent Oral Epidemiol 2012; 40:332-42. [PMID: 22390788 PMCID: PMC3380181 DOI: 10.1111/j.1600-0528.2012.00676.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2011] [Accepted: 01/18/2012] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To determine whether participants of a dental practice-based research network (PBRN) differ in their level of oral health impact as measured by the Oral Health Impact Profile (OHIP) questionnaire. METHODS A total of 2410 patients contributed 2432 OHIP measurements (median age = 43 years; interquartile range = 28) were enrolled in four dental studies. All participants completed the Oral Health Impact Profile (OHIP-14) during a baseline visit. The main outcome of this study was the level of oral health impact, defined as follows: no impact ('Never' reported on all items); low ('Occasionally' or 'Hardly ever' as the greatest frequency score reported on any item); and high ('Fairly often' or 'Very often' as the greatest frequency reported on any item). Polychotomous logistic regression was used to develop a predictive model for the level of oral health impact considering the following predictors: patient's age, gender, race, practice location, type of dentist, and number of years the enrolling dentist has been practicing. RESULTS A high level of oral health impacts was reported in 8% of the sample; almost a third (29%) of the sample reported a low level of impacts, and 63% had no oral health impacts. The prevalence of impacts differed significantly across protocols (P < 0.001). Women were more likely to be in the high oral impact group than in the no impact group compared to men (OR = 1.46; 95% CI = 1.06-1.99). African Americans were more likely to report high oral impacts when compared to other racial/ethnic groups (OR = 2.11; 95% CI = 1.26-3.55). Protective effects for being in the high or in the low-impact groups were observed among patients enrolled by a solo practice (P < 0.001) or by more experienced dentists (P = 0.01). A small but highly significant statistical association was obtained for patient age (P < 0.001). In the multivariate model, patient's age, practice size, and gender were found to jointly be significant predictors of oral health impact level. CONCLUSIONS Patients' subjective report of oral health impact in the clinical setting is of importance for their health. In the context of a dental PBRN, the report of oral health-related quality of life (OHRQoL) was different across four dental studies. The observed findings validate the differential impact that oral health has on the patients' perception of OHRQoL particularly among specific groups. Similar investigations to elucidate the factors associated with patient's report of quality of life are warranted.
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dos Santos CM, Martins AB, de Marchi RJ, Hilgert JB, Hugo FN, Padilha DMP. Assessing changes in oral health-related quality of life and its factors in community-dwelling older Brazilians. Gerodontology 2012; 30:176-86. [DOI: 10.1111/j.1741-2358.2012.00656.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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24
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HA JE, HEO YJ, JIN BH, PAIK DI, BAE KH. The impact of the National Denture Service on oral health-related quality of life among poor elders. J Oral Rehabil 2012; 39:600-7. [DOI: 10.1111/j.1365-2842.2012.02296.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Chowdhary R, Jimbo R, Thomsen C, Carlsson L, Wennerberg A. Biomechanical evaluation of macro and micro designed screw-type implants: an insertion torque and removal torque study in rabbits. Clin Oral Implants Res 2011; 24:342-6. [DOI: 10.1111/j.1600-0501.2011.02336.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2011] [Indexed: 11/28/2022]
Affiliation(s)
- Ramesh Chowdhary
- Department of Prosthetic Dentistry; Faculty of Odontology; Malmö University; Malmö; Sweden
| | - Ryo Jimbo
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö; Sweden
| | | | | | - Ann Wennerberg
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö; Sweden
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Crocombe LA, Broadbent JM, Thomson WM, Brennan DS, Poulton R. Impact of dental visiting trajectory patterns on clinical oral health and oral health-related quality of life. J Public Health Dent 2011; 72:36-44. [DOI: 10.1111/j.1752-7325.2011.00281.x] [Citation(s) in RCA: 86] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
We analyzed data from the 2004-06 Australian National Survey of Adult Oral Health to investigate the paradoxical relationship of better subjective oral health in older adults compared with young or middle-aged adults. In interviews with 14,092 adults, prevalence of problems with eating or appearance was not significantly associated with age among dentate people with no denture(s). In contrast, among dentate denture-wearers, prevalence ranged from 18.7% in ≥ 65-year-olds to 46.7% in 25- to 34-year-olds (p < 0.01). Dentate interviewees (n = 3,724) underwent oral epidemiological examinations and completed the 14-item Oral Health Impact Profile (OHIP-14) questionnaire, evaluating adverse impacts of oral conditions. In multivariable analysis, mean OHIP-14 scores were only weakly associated with age among people who had none of 5 clinical conditions [≥ 5 missing teeth, denture(s), untreated decay, moderate/severe periodontitis, toothache]. However, for people with ≥ 2 clinical conditions, there was a three-fold, inverse association between age and mean OHIP-14 scores (p < 0.01). The findings show that experience of oral disease is more deleterious to subjective oral health when it occurs early in adulthood than when it occurs in old age, a pattern that likely reflects high expectations of young generations and, conversely, great resilience in Australia’s oldest generation.
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Affiliation(s)
- G.D. Slade
- Department of Dental Ecology, School of Dentistry, University of North Carolina, 2100 Old Dental Building, CB #7450, Chapel Hill, NC 27599-7450, USA
| | - A.E. Sanders
- Department of Dental Ecology, School of Dentistry, University of North Carolina, 2100 Old Dental Building, CB #7450, Chapel Hill, NC 27599-7450, USA
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28
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Crocombe LA, Brennan DS, Slade GD. The influence of dental attendance on change in oral health-related quality of life. Community Dent Oral Epidemiol 2011; 40:53-61. [DOI: 10.1111/j.1600-0528.2011.00634.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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29
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Visser A, de Baat C, Hoeksema AR, Vissink A. Oral implants in dependent elderly persons: blessing or burden? Gerodontology 2011; 28:76-80. [DOI: 10.1111/j.1741-2358.2009.00314.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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30
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Zini A, Vered Y, Sgan-Cohen HD. The association between demographic and oral health-related quality of life factors and dental care attendance among underprivileged older people. Australas J Ageing 2010; 30:70-6. [PMID: 21672115 DOI: 10.1111/j.1741-6612.2010.00455.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM In order to identify whether demographic and oral health-related quality of life factors are associated with dental care attendance among an underprivileged older population, a comparison was performed between people who have and have not attended dental care. METHODS A cross-sectional purposive sample of 344 older underprivileged people comprised the study population. The dependent variable was dental care attendance. The 14-item version of the Oral Health Impact Profile index (OHIP-14) was used as the independent variable, together with other social and general variables, using a structured interview. RESULTS The variables that were significantly associated with dental care attendance were family status (not married, the highest attendance), dwelling location (living at home, the highest attendance), caregiver (family member, the highest attendance), place of birth (Western countries, the highest attendance) and income (pension, the highest attendance). Sex, welfare support, functional ability, education, age and OHIP-14 were not associated with dental care attendance. CONCLUSIONS Attending dental care was not associated with oral health-related quality of life measured by OHIP-14. Several socioeconomic variables were strongly associated.
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Affiliation(s)
- Avi Zini
- Department of Community Dentistry, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel
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31
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Cortelli SC, Cortelli JR, Aquino DR, Costa FO. Self-performed supragingival biofilm control: qualitative analysis, scientific basis and oral-health implications. Braz Oral Res 2010; 24 Suppl 1:43-54. [DOI: 10.1590/s1806-83242010000500008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Accepted: 07/26/2010] [Indexed: 11/22/2022] Open
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Konishi C, Hakuta C, Ueno M, Shinada K, Wright FAC, Kawaguchi Y. Factors associated with self-assessed oral health in the Japanese independent elderly. Gerodontology 2009; 27:53-61. [PMID: 19708971 DOI: 10.1111/j.1741-2358.2009.00310.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The purpose of this research was to analyse the relationship between oral health status, oral motor function, daily life situations and self-assessed oral health. MATERIALS AND METHODS A cross-sectional survey was conducted on 190 independent elderly volunteers aged 62-99 years from senior citizen centres in Tokyo, Japan. A questionnaire survey and oral examination were conducted on each participant. For the descriptive analyses, Independent t-test and the chi-squared test were used. Following that, using four latent variables, (oral health, oral function, daily life situations and chronic health condition), a structural equation modelling analysis (SEMA) was undertaken. RESULTS In the descriptive analyses, there were no significant differences between self-assessed oral health and oral health status. However, there were significant differences between self-assessed oral health and oral function and daily life situations. Findings from SEMA revealed that daily life situations and oral function have independent effects on self-assessed oral health and that the relationship between self-assessed oral health and oral health status was weak. CONCLUSIONS Many factors affect self-assessed oral health status. Dental clinicians and researchers should attempt to understand these factors and incorporate them into effective personal and population-based oral health education and oral health promotion programmes.
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Affiliation(s)
- Chisato Konishi
- Department of Oral Health Promotion, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
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Sanders AE, Slade GD, John MT, Steele JG, Suominen-Taipale AL, Lahti S, Nuttall NM, Allen PF. A cross-national comparison of income gradients in oral health quality of life in four welfare states: application of the Korpi and Palme typology. J Epidemiol Community Health 2009; 63:569-74. [PMID: 19351621 DOI: 10.1136/jech.2008.083238] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND The extent to which welfare states may influence health outcomes has not been explored. It was hypothesised that policies which target the poor are associated with greater income inequality in oral health quality of life than those that provide earnings-related benefits to all citizens. METHODS Data were from nationally representative surveys in the UK (n = 4064), Finland (n = 5078), Germany (n = 1454) and Australia (n = 2292) conducted from 1998 to 2002. The typology of Korpi and Palme classifies these countries into four different welfare states. In each survey, subjects completed the Oral Health Impact Profile (OHIP-14) questionnaire, which evaluates the adverse consequence of dental conditions on quality of life. For each country, survey estimation commands were used to create linear regression models that estimated the slope of the gradient between four quartiles of income and OHIP-14 severity scores. Parameter estimates for income gradients were contrasted across countries using Wald chi(2) tests specifying a critical p value of 0.008, equivalent to a Bonferroni correction of p<0.05 for the six pairwise tests. RESULTS Statistically significant income gradients in OHIP-14 severity scores were found in all countries except Germany. A global test confirmed significant cross-national differences in the magnitude of income gradients. In Australia, where a flat rate of benefits targeted the poor, the mean OHIP-14 severity score reduced by 1.7 units (95% CI -2.15 to -1.34) with each increasing quartile of household income, a significantly steeper gradient than in other countries. CONCLUSION The coverage and generosity of welfare state benefits appear to influence levels of inequality in population oral health quality of life.
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Affiliation(s)
- A E Sanders
- The University of North Carolina at Chapel Hill, North Carolina, NC 27599, USA.
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McKenzie-Green B, Giddings LS, Buttle L, Tahana K. Older peoples’ perceptions of oral health: ‘it’s just not that simple’. Int J Dent Hyg 2009; 7:31-8. [DOI: 10.1111/j.1601-5037.2008.00328.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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