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Welti R, Chinotti M, Walsh O, Arcus M, Asgari J, Phillips K, Wallace J, Do L, Moynihan P, Silva M. Oral health messages for Australia: A national consensus statement. Aust Dent J 2023; 68:247-254. [PMID: 37665214 DOI: 10.1111/adj.12973] [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] [Accepted: 08/09/2023] [Indexed: 09/05/2023]
Abstract
BACKGROUND Oral health promotion initiatives must be evidence-based and consistent with broader health messaging. The Oral Health Messages for the Australian Public were first produced in 2009 and sought to enable a focused, and strategic approach to oral health promotion in Australia. As the evidence base and needs of the Australian population have since changed, this consensus statement was updated in 2022-2023. METHODS The process of updating the messages consisted of 3 phases (preparatory phase, the Delphi technique, final revision phase). The preparatory phase included public and expert consultation, an umbrella review of published scientific literature and review of available recommendations, policies and guidelines. The Delphi technique used in this study was guided by Guidance on Conducting and REporting DElphi Studies (CREDES) and included 2 voting rounds. There were 70 experts in round 1 and 60 experts in round 2. Delphi participants comprised of experts from a variety of fields to ensure diversity and inclusion, balance expertise and maximize stakeholder representation. Consensus was defined as 75% agreement. RESULTS A total of 11 messages were included in the 2022 update of Oral Health Messages for Australia. CONCLUSION The updated oral health messages will support oral health promotion policy and activity at both individual and population level to improve the oral health of Australians.
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Affiliation(s)
- R Welti
- Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
- Inflammatory Origins, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - M Chinotti
- Australian Dental Association, St Leonards, New South Wales, Australia
| | - O Walsh
- Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
- Inflammatory Origins, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - M Arcus
- Royal Australian College of General Practitioners, East Melbourne, Victoria, Australia
| | - J Asgari
- Consumer Health Forum, Deakin, Australian Capital Territory, Australia
| | - K Phillips
- Queensland Health, Brisbane, Queensland, Australia
| | - J Wallace
- University of Newcastle, Newcastle, New South Wales, Australia
- University of Sydney, Camperdown, New South Wales, Australia
| | - L Do
- University of Queensland, St Lucia, Queensland, Australia
| | - P Moynihan
- Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - M Silva
- Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
- Inflammatory Origins, Murdoch Children's Research Institute, Parkville, Victoria, Australia
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Welti R, Jones B, Moynihan P, Silva M. Evidence pertaining to modifiable risk factors for oral diseases: an umbrella review to Inform oral health messages for Australia. Aust Dent J 2023; 68:222-237. [PMID: 37649239 DOI: 10.1111/adj.12972] [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] [Accepted: 08/09/2023] [Indexed: 09/01/2023]
Abstract
The aim of this umbrella review was to collate and appraise the evidence base regarding modifiable risk factors for the prevention of oral diseases to inform the update of the Oral Health Messages for Australia. Eleven questions related to modifiable risk factors and dental disease were investigated. Electronic databases (Medline, Embase and PubMed) were searched from January 2010 to October 2022. Systematic reviews evaluating interventions/exposures in healthy subjects from high-income countries, where Westernized practices, oral health promotion and healthcare systems are similar to Australia, were included. Quality appraisal of included systematic reviews was guided by the AMSTAR tool. Of the 3637 articles identified, 29 articles met eligibility criteria. High-quality systematic reviews were identified for questions relating to diet, infant feeding, dental check-ups and oral hygiene. Free sugars consumption above 5% of energy intake, infrequent toothbrushing, smoking/vaping and alcohol intake were consistently associated with poorer oral health outcomes. Breastfeeding up to the age of 24 months was not associated with an increased risk of early childhood caries. The use of interdental cleaning devices and mouthguards during contact sports are likely to be effective in preventing dental disease.
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Affiliation(s)
- Rachelle Welti
- Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
- Inflammatory Origins, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Bree Jones
- Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
- Inflammatory Origins, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Paula Moynihan
- Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - Mihiri Silva
- Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
- Inflammatory Origins, Murdoch Children's Research Institute, Parkville, Victoria, Australia
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3
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Amarasena N, Luzzi L, Brennan D. Effect of Different Frequencies of Dental Visits on Dental Caries and Periodontal Disease: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6858. [PMID: 37835128 PMCID: PMC10572504 DOI: 10.3390/ijerph20196858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Revised: 09/21/2023] [Accepted: 09/26/2023] [Indexed: 10/15/2023]
Abstract
Recommending dental visits every six months is commonplace among dental practitioners worldwide. A scoping review was conducted by electronically searching PubMed, Scopus and Embase to identify and map the nature of evidence for the effect of different frequencies of dental visits on dental caries and periodontal disease. Studies were written in English on the frequency of dental visits and published between January 2008 and April 2023. Three systematic reviews that evaluated the risk of bias, strength of studies and certainty of evidence were included from the 4537 articles yielded through the search strategy. The available evidence was weak and of low quality for the currently recommended frequencies of dental visits, whether these are fixed or universal. For adults, there was little to no effect of making biannual, biennial or risk-based dental visits on dental caries and periodontal disease, which was supported by moderate- to high-certainty evidence. Accordingly, it is suggested that dental professionals and dental insurance providers make individually tailored, customised and risk-based recommendations for dental visits, rather than encouraging fixed or universal frequencies of dental visits. For children and adolescents, further research on this issue warrants well-designed randomised controlled trials (RCTs) and cohort studies of sufficient duration with an adequate number of participants.
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Affiliation(s)
- Najith Amarasena
- Australian Research Centre for Population Oral Health, Adelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia; (L.L.); (D.B.)
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Goldberg E, Eberhard J, Bauman A, Smith BJ. Mass media campaigns for the promotion of oral health: a scoping review. BMC Oral Health 2022; 22:182. [PMID: 35568896 PMCID: PMC9107752 DOI: 10.1186/s12903-022-02212-3] [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: 02/03/2022] [Accepted: 04/26/2022] [Indexed: 11/29/2022] Open
Abstract
Background Oral diseases are highly prevalent globally and are largely preventable. Individual and group-based education strategies have been dominant in oral health promotion efforts. Population-wide mass media campaigns have a potentially valuable role in improving oral health behaviours and related determinants. This review synthesises evidence from evaluations of these campaigns. Methods A systematic search of major databases was undertaken to identify peer-reviewed articles reporting the evaluation of mass reach (non-interpersonal) communication strategies to address common forms of oral disease (i.e., dental caries, periodontitis, gingivitis). Studies using all types of quantitative design, published in English between 1970 and 2020 were included. Data concerning campaign objectives, content, evaluation methods and findings were extracted. Results Eighteen studies were included from the 499 identified through searching, reporting the findings of 11 campaign evaluations. Two of these used controlled quasi-experimental designs, with the remainder using pre- and post-test (N = 5) or post-test only designs (N = 4). Message recall, as a measure of exposure, was reported in eight campaigns with short-term (≤ 8 weeks) recall ranging from 30 to 97%. Eight studies examined impacts upon oral health knowledge, with four of the five measuring this at baseline and follow-up reporting improvements. From the eight studies measuring oral health behaviours or use of preventative services, six that compared baseline and follow-up reported improvements (N = 2 in children, N = 4 in adults). Conclusion There are relatively few studies reporting the evaluation of mass media campaigns to promote oral health at the population level. Further, there is limited application of best-practice methods in campaign development, implementation and evaluation in this field. The available findings indicate promise in terms of achieving campaign recall and short-term improvements in oral health knowledge and behaviours. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-022-02212-3.
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Affiliation(s)
| | - Joerg Eberhard
- Sydney School of Dentistry, The University of Sydney, Sydney, NSW, 2006, Australia.,Charles Perkins Centre, The University of Sydney, Sydney, NSW, 2006, Australia.,Westmead Applied Research Centre, Westmead Hospital, Westmead, NSW, 2145, Australia
| | - Adrian Bauman
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, 2006, Australia.,Prevention Research Collaboration, Sydney School of Public Health, Lev 6, Charles Perkins Centre (D17), The University of Sydney, Sydney, NSW, 2006, Australia
| | - Ben J Smith
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, 2006, Australia. .,Westmead Applied Research Centre, Westmead Hospital, Westmead, NSW, 2145, Australia. .,Prevention Research Collaboration, Sydney School of Public Health, Lev 6, Charles Perkins Centre (D17), The University of Sydney, Sydney, NSW, 2006, Australia.
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Khan S, Khalid T, Bettiol S, Crocombe LA. Non-surgical periodontal therapy effectively improves patient-reported outcomes: A systematic review. Int J Dent Hyg 2020; 19:18-28. [PMID: 32594621 DOI: 10.1111/idh.12450] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 05/06/2020] [Accepted: 06/09/2020] [Indexed: 12/11/2022]
Abstract
AIM Modern lifespan oral health research focuses on understanding the impact of periodontitis (or therapy) on clinical and patient-based outcome measures to provide effective care, improve patient safety according to the quality standards. For better targeted intervention and effective disease management, this systematically review aimed to investigate the relationship between non-surgical periodontal therapy and patient-based outcomes using OHIP-14. METHODS Seven Databases were searched for studies on patient-based outcomes responses to periodontal treatment. The time-period defined from search was from January 1977 to January 2019. Two independent reviewers carried out data search, selection of studies, data extraction and quality assessment using Mixed Method Appraisal Tool. Prospective cohort studies, intervention studies and observational studies written in English demonstrating non-surgical periodontal therapy response on the patient-reported outcomes (using Oral Health Impact Profile 14) were included in the review. RESULTS Thirteen studies were included in the review, which comprised of three randomised control trials, nine case series, and one was a quasi-experimental study. Eleven out of the 13 studies reported significant improvement in OHIP-14 scores amongst participants who had undergone non-surgical periodontal therapy. Physical disability, psychological discomfort and functional limitation were domains that improved significantly after non-surgical periodontal therapy in these studies. Physical pain was a common finding in short-term follow-up but improved significantly in long-term follow-up studies. CONCLUSION Based on clinical and patient-based outcomes measurement, it is recommended that non-surgical periodontal therapy is a "gold standard" approach towards improving patient-based outcomes, reducing co-morbidities and enhancing patient safely immediately and in long term.
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Affiliation(s)
- Shahrukh Khan
- Centre for Rural Health, College of Health and Medicine, University of Tasmania, Hobart, Tas., Australia.,Faculty of Health, Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, Geelong, Vic., Australia.,Alfred Health, Melbourne, Vic., Australia
| | - Taimur Khalid
- Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan
| | - Silvana Bettiol
- School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, Tas., Australia
| | - Leonard A Crocombe
- Centre for Rural Health, College of Health and Medicine, University of Tasmania, Hobart, Tas., Australia
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6
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Butten K, Johnson NW, Hall KK, Toombs M, King N, O’Grady KAF. Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women. BMC Oral Health 2020; 20:35. [PMID: 32013981 PMCID: PMC6998210 DOI: 10.1186/s12903-020-1024-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 01/28/2020] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Many factors influence how a person experiences oral health and how such experiences may facilitate supportive oral health behaviours. Women in particular face different challenges due to their environment, responsibilities and physiological differences to men. Within Australia, Aboriginal and Torres Strait Islander women are reported to have poorer oral health and are faced with additional barriers to supporting their oral health compared with non-Indigenous women. The objective of this paper is to report the experiences and perceptions of oral health from the perspective of urban, Aboriginal and Torres Strait Islander women. METHODS The present data derive from a descriptive study that used yarning circles and face-to-face interviews with women who were mothers/carers of urban, Aboriginal and/or Torres Strait Islander children. This was a qualitative study to investigate the impact of child oral health on families. Participants used the opportunity to share their own personal experiences of oral health as women, thus providing data for the present analyses. Information collected was transcribed and analysed thematically. RESULTS Twenty women shared their personal narratives on the topic of oral health which were reflective of different time points in their life: growing up, as an adult and as a mother/carer. Although women are trying to support their oral health across their life-course, they face a number of barriers, including a lack of information and the costs of accessing dental care. The teenage years and pregnancy were reported as important time periods for oral health support. CONCLUSIONS To improve the oral health of Indigenous Australian women, policymakers must consider the barriers reported by women and critically review current oral health information and services. Current oral health services are financially out of reach for Indigenous Australian women and there is not sufficient or appropriate, oral information across the life-course.
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Affiliation(s)
- Kaley Butten
- Queensland University of Technology, Institute of Health & Biomedical Innovation, Centre for Children’s Health Research, 62 Graham Street, South Brisbane, Qld, Brisbane, 4101 Australia
| | - Newell W. Johnson
- Menzies Health Institute Queensland and School of Dentistry and Oral Health, Gold Coast Campus, Griffith University, Qld, Gold Coast, 4222 Australia
- King’s College Dental Institute, London, UK
| | - Kerry K. Hall
- Griffith University, 170 Kessels Road, Nathan Campus, Qld, Brisbane, 4111 Australia
| | - Maree Toombs
- Rural Clinical School, The University of Queensland, 152 West St, South Toowoomba, Qld, Toowoomba, 4350 Australia
| | - Neil King
- Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Qld, Brisbane, 4509 Australia
| | - Kerry-Ann F. O’Grady
- Queensland University of Technology, Institute of Health & Biomedical Innovation, Centre for Children’s Health Research, 62 Graham Street, South Brisbane, Qld, Brisbane, 4101 Australia
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7
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Amarasena N, Gnanamanickam ES, Miller J. Effects of interdental cleaning devices in preventing dental caries and periodontal diseases: a scoping review. Aust Dent J 2019; 64:327-337. [DOI: 10.1111/adj.12722] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2019] [Indexed: 01/03/2023]
Affiliation(s)
- N Amarasena
- Australian Research Centre for Population Oral Health Adelaide Dental School The University of Adelaide Adelaide South Australia Australia
| | - ES Gnanamanickam
- Australian Research Centre for Population Oral Health Adelaide Dental School The University of Adelaide Adelaide South Australia Australia
- Health Economics and Social Policy Group Australian Centre for Precision Health University of South Australia Adelaide South Australia Australia
- College of Medicine and Public Health Flinders University Adelaide Australia
| | - J Miller
- Australian Research Centre for Population Oral Health Adelaide Dental School The University of Adelaide Adelaide South Australia Australia
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8
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Heilbrunn-Lang AY, Carpenter LM, de Silva AM, Meyenn LK, Lang G, Ridge A, Perry A, Cole D, Hegde S. Family-centred oral health promotion through Victorian child-health services: a pilot. Health Promot Int 2019; 35:279-289. [DOI: 10.1093/heapro/daz025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Abstract
Maternal and Child Health Services (MCHS) provide ideal settings for oral disease prevention. In Victoria (Australia), child mouth-checks (Lift-the-Lip) and oral health promotion (OHP) occur during MCHS child visits. This study trialled Tooth-Packs (OHP resources, toothbrushes, toothpastes) distribution within MCHS to (i) assess the impacts of Tooth-Packs distribution on child and family oral health (OH) behaviours and knowledge, including Maternal and Child Health Nurses (MCHN) child referral practices to dental services, and (ii) determine the feasibility and acceptability of incorporating Tooth-Packs distribution into MCHN OHP practices. A mixed-methods evaluation design was employed. MCHN from four high-needs Victorian Local Government Areas distributed Tooth-Packs to families of children attending 18-month and/or 24-month MCHS visits (baseline). Families completed a questionnaire on OH and dietary practices at baseline and 30-month follow-up. Tooth-Packs distribution, Lift-the-lip mouth-checks and child OH referrals were conducted. Guided discussions with MCHN examined intervention feasibility. Overall, 1585 families received Tooth-Packs. Lift-the-lip was conducted on 1493 children (94.1%). Early childhood caries were identified in 142 children (9.5%) and these children were referred to dental services. Baseline to follow-up behavioural improvements (n = 230) included: increased odds of children having ever seen an OH professional (OR 28.0; 95% CI 7.40–236.88; p < 0.001), parent assisted toothbrushing twice/day (OR 1.76; 95% CI 1.05–3.00; p = 0.030) and toothpaste use >once/day (OR 2.82; 95% CI 1.59–5.24; p < 0.001). MCHN recommendations included distribution of Tooth-Packs to at-risk children <12-months of age. MCHS provide an ideal setting to enable timely family-centred OHP intervention and adoption of good OH behaviours at an early age.
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Affiliation(s)
| | - Lauren M Carpenter
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, The Melbourne School of Population and Global Health, Level 5, 207 Bouverie Street, Carlton, Victoria 3053, Australia
| | | | - Lisa K Meyenn
- Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia
| | - Gillian Lang
- Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia
| | - Allison Ridge
- Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia
| | - Amanda Perry
- Sunbury Community Health, 12-28 Macedon Street, Sunbury, Victoria 3429, Australia
| | - Deborah Cole
- Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia
| | - Shalika Hegde
- Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia
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9
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Taing M, Firth N, Ford PJ, Freeman CR. Exploring oral healthcare management across Australian community pharmacies using case vignettes. Community Dent Oral Epidemiol 2019; 47:225-235. [DOI: 10.1111/cdoe.12448] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Revised: 11/15/2018] [Accepted: 12/09/2018] [Indexed: 01/23/2023]
Affiliation(s)
- Meng‐Wong Taing
- School of PharmacyThe University of Queensland Brisbane Queensland Australia
- Centre for Optimising Pharmacy Practice‐based Excellence in ResearchThe University of Queensland Brisbane Queensland Australia
| | - Norman Firth
- School of DentistryThe University of Queensland Brisbane Queensland Australia
| | - Pauline J. Ford
- School of DentistryThe University of Queensland Brisbane Queensland Australia
| | - Christopher R. Freeman
- School of PharmacyThe University of Queensland Brisbane Queensland Australia
- Centre for Optimising Pharmacy Practice‐based Excellence in ResearchThe University of Queensland Brisbane Queensland Australia
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10
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John JR, Mannan H, Nargundkar S, D'Souza M, Do LG, Arora A. Predictors of dental visits among primary school children in the rural Australian community of Lithgow. BMC Health Serv Res 2017; 17:264. [PMID: 28399864 PMCID: PMC5387289 DOI: 10.1186/s12913-017-2232-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Accepted: 04/05/2017] [Indexed: 12/31/2022] Open
Abstract
Background Regular dental attendance is significant in maintaining and improving children’s oral health and well-being. This study aims to determine the factors that predict and influence dental visits in primary school children residing in the rural community of Lithgow, New South Wales (NSW), Australia. Methods All six primary schools of Lithgow were approached to participate in a cross-sectional survey prior to implementing water fluoridation in 2014. Children aged 6–13 years (n = 667) were clinically examined for their oral health status and parents were requested to complete a questionnaire on fluoride history, diet, last dental visit, and socio-demographic characteristics. Multiple logistic regression analyses were employed to examine the independent predictors of a 6-monthly and a yearly dental visit. Results Overall, 53% of children visited a dentist within six months and 77% within twelve months. In multiple logistic regression analyses, age of the child and private health insurance coverage were significantly associated with both 6-monthly and twelve-month dental visits. In addition, each serve of chocolate consumption was significantly associated with a 27% higher odds (OR = 1.27, 95% CI: 1.05-1.54) of a 6-monthly dental visit. Conclusion It is imperative that the socio-demographic and dietary factors that influence child oral health must be effectively addressed when developing the oral health promotion policies to ensure better oral health outcomes.
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Affiliation(s)
- James Rufus John
- School of Science and Health, Western Sydney University, Campbelltown, NSW, Australia
| | - Haider Mannan
- Centre for Health Research, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia
| | - Subrat Nargundkar
- School of Science and Health, Western Sydney University, Campbelltown, NSW, Australia
| | - Mario D'Souza
- Clinical Research Centre, Sydney Local Health District, Camperdown, NSW, Australia
| | - Loc Giang Do
- Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, SA, Australia
| | - Amit Arora
- School of Science and Health, Western Sydney University, Campbelltown, NSW, Australia. .,Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, Australia. .,Discipline of Paediatrics and Child Health, Sydney Medical School, Westmead, NSW, Australia. .,Collaboration for Oral Health Outcomes Research, Translation, and Evaluation (COHORTE) Research Group, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
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11
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Lewis A, Kitson A, Harvey G. Improving oral health for older people in the home care setting: An exploratory implementation study. Australas J Ageing 2016; 35:273-280. [PMID: 27226074 DOI: 10.1111/ajag.12326] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To explore how home care providers can support older people to maintain good oral health through implementing a model called Better Oral Health in Home Care (BOHHC). METHODS A mixed method, pre- to post-implementation design was used. The Promoting Action on Research Implementation in Health Services framework informed the model's implementation process. RESULTS High levels of dental need were identified at pre-implementation. Older people self-reported significant oral health improvements following the introduction of tailored home care strategies by care workers, who in turn reported a better understanding and knowledge of the importance of oral care for older people. CONCLUSION The BOHHC Model provided an evidence-based approach for community-based prevention and early detection of oral health problems. Improving oral health for older people in the home care setting has significant practice and policy implications which require ongoing intersectoral facilitation involving aged care, vocational health education and dental sectors.
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Affiliation(s)
- Adrienne Lewis
- SA Dental Service and School of Nursing, University of Adelaide, Adelaide, South Australia, Australia
| | - Alison Kitson
- SA Dental Service and School of Nursing, University of Adelaide, Adelaide, South Australia, Australia
| | - Gill Harvey
- SA Dental Service and School of Nursing, University of Adelaide, Adelaide, South Australia, Australia
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12
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Omaña-Cepeda C, Jané-Salas E, Estrugo-Devesa A, Chimenos-Küstner E, López-López J. Effectiveness of dentist's intervention in smoking cessation: A review. J Clin Exp Dent 2016; 8:e78-83. [PMID: 26855711 PMCID: PMC4739373 DOI: 10.4317/jced.52693] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Accepted: 09/05/2015] [Indexed: 11/16/2022] Open
Abstract
Introduction Smoking is one of the main public health problems in developed countries. Despite extensive evidence on the effects of smoking on both oral and general health, the rate of smoking cessation is not promising. Material and Methods To review the evidence on knowledge and programs for smoking cessation developed by dentists, a literature review was carried out on programs for smoking cessation from the dentist’s perspective, as well as a review of behavioral guidelines that have been recently proposed for these interventions. We used the keywords “Tobacco”, “Smoking Prevention”, “Public Health” AND “Dentistry”, to identify controlled studies, systematic reviews and meta-analyses published between 1999 and 2014, in Google Scholar, SCOPUS and PubMed. Results Out of 177 studies found, 35 were considered, and these were divided into 2 groups of 20 and 15 articles respectively, according to type of study and inclusion criteria. Conclusions There is considerable scientific evidence describing the programs for smoking cessation used in dentistry, which support their effectiveness. Overall, these are brief behavioral interventions complemented by pharmacological treatment, with the participation of the entire dental team. Key words:Dentistry, nicotine, smoking cessation, tobacco.
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Affiliation(s)
- Carlos Omaña-Cepeda
- DDS. School of Dentistry. University of Los Andes, Mérida, Venezuela. Student of Master Degree in Dentistry in Oncologics and Immunocompromised Patients, School of Dentistry, Department of Odontostomatology, University of Barcelona. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Enric Jané-Salas
- MD, DDS, PHD. Department of Odontostomatology. School of Dentistry. University of Barcelona. Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, L'Hospitalet de Llobregat, Barcelona 08907, Spain
| | - Alberto Estrugo-Devesa
- MD, DDS, PHD. Department of Odontostomatology. School of Dentistry. University of Barcelona. Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, L'Hospitalet de Llobregat, Barcelona 08907, Spain
| | - Eduardo Chimenos-Küstner
- MD, DDS, PHD. Department of Odontostomatology. School of Dentistry. University of Barcelona. Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, L'Hospitalet de Llobregat, Barcelona 08907, Spain
| | - José López-López
- MD, DDS, PHD. Department of Odontostomatology. School of Dentistry. University of Barcelona. Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, University of Barcelona, L'Hospitalet de Llobregat, Barcelona 08907, Spain
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13
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Løken SY, Wang NJ, Wigen TI. Caries-preventive self-care for children. Consistent oral health messages to the public? Int J Dent Hyg 2016; 15:142-148. [PMID: 26748459 DOI: 10.1111/idh.12196] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Recommendations regarding caries-preventive self-care for children are provided by several health authorities. OBJECTIVE To investigate recommendations given to the public regarding children's caries-preventive self-care by Norwegian dentists, dental hygienists, dental nurses and public health nurses. METHODS Questionnaires were sent by e-mail and answered by 808 of 1132 persons who provide oral preventive promotion to children in dental services and health centres. The preventive advice was obtained through questions about the preferred preventive methods, fluoride recommendations and sources of knowledge on which the personnel based the advice about caries prevention in children. The responses were analysed using logistic regression. RESULTS The majority (59-71%) in all professions judged oral hygiene education to be the most important caries-preventive method. Most personnel (84-98%) recommended all children to use fluoride toothpaste, and half of all personnel (53%) recommended fluoride lozenges for 50% or more of children. Multivariate analysis showed that dental nurses recommended lozenges to more children than dentists (OR 2.5, 95% CI 1.7-3.7), while health nurses recommended lozenges to fewer children than dentists (OR 0.5, 95% CI 0.3-0.8). The most important source of knowledge reported by dental personnel was professional education, while health nurses relied on information from dental personnel. CONCLUSIONS Health professions' recommendations regarding caries-preventive self-care for children were mainly similar, although variation existed both between and within professions. Collaboration between professions and awareness of the evidence base for preventive oral care may improve the consistency of information given by health professionals to the public.
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Affiliation(s)
- S Y Løken
- Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
| | - N J Wang
- Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
| | - T I Wigen
- Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
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Folayan MO, Adeniyi AA, Chukwumah NM, Onyejaka N, Esan AO, Sofola OO, Orenuga OO. Programme guidelines for promoting good oral health for children in Nigeria: a position paper. BMC Oral Health 2014; 14:128. [PMID: 25331086 PMCID: PMC4216911 DOI: 10.1186/1472-6831-14-128] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2013] [Accepted: 10/10/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The objective of this paper is to draw attention to the oral health needs of children in Nigeria, and promote the use of appropriate interventions for disease prevention in the population. It also evaluates the value of the ongoing twice-daily tooth brushing campaign, which focuses on promoting good periodontal health and its relevance for children in Nigeria. DISCUSSION The main oral health burden for children in Nigeria is untreated dental caries, attributable to low utilization of oral health facilities. While there is a strong association between oral hygiene status and caries occurrence, no research had established an association between frequency of tooth brushing and caries in children in Nigeria. Prevalence of caries and gingivitis is low, despite the fact that a majority of children brush once a day and most of them have fair oral hygiene. Campaigns that promote twice daily brushing to prevent chronic periodontitis in children are not driven by evidences supporting the local epidemic, and therefore cannot be considered as efficient use of the limited resources available. SUMMARY Existing evidences show that the main oral health need of children in Nigeria is the management of untreated caries. Promoting the treatment of caries should be the primary focus of oral health programmes for children in Nigeria, as this would reduce further risks of developing new carious lesions. Public health campaigns should focus efforts at creating demand for oral health care services, for both preventive and curative purposes.
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Affiliation(s)
- Morenike O Folayan
- />Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
- />Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
| | - Abiola A Adeniyi
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
- />Department of Preventive Dentistry Lagos State University College of Medicine, Lagos, Nigeria
| | - Nneka M Chukwumah
- />Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
| | - Nneka Onyejaka
- />Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
| | - Ayodeji O Esan
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
- />Department of Preventive and Community Dentistry, University of Lagos, Lagos, Nigeria
| | - Oyinkan O Sofola
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
- />Department of Preventive and Community Dentistry, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
| | - Omolola O Orenuga
- />Paediatric Dentistry Working Group, Ile-Ife, Nigeria
- />Department of Child Dental Health, University of Lagos, Lagos, Nigeria
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Blinkhorn A, Blinkhorn F. Preventing dental decay in young children requires all primary health care professionals to work together. J Paediatr Child Health 2014; 50:423-4. [PMID: 24372658 DOI: 10.1111/jpc.12469] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/24/2013] [Indexed: 11/29/2022]
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Phelan C, Wright C. Response to Arora et al.: a qualitative evaluation of the view of Child and Family Health Nurses on the early childhood oral health education materials in New South Wales, Australia. Health Promot J Austr 2013; 24:78-9. [PMID: 23575596 DOI: 10.1071/he12914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2012] [Accepted: 11/02/2012] [Indexed: 11/23/2022] Open
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