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Jones D, Taylor HL. State-level variation in Medicaid dental coverage for services beneficial to adults with intellectual and developmental disabilities. J Am Dent Assoc 2024; 155:630-635. [PMID: 38819356 DOI: 10.1016/j.adaj.2024.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 04/12/2024] [Accepted: 04/19/2024] [Indexed: 06/01/2024]
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Brondani B, Knorst JK, Ardenghi TM, Mendes FM. Pathway analysis between dental caries and oral health-related quality of life in the transition from childhood to adolescence: a 10-year cohort study. Qual Life Res 2024; 33:1663-1673. [PMID: 38594421 DOI: 10.1007/s11136-024-03635-x] [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: 02/19/2024] [Indexed: 04/11/2024]
Abstract
PURPOSE To evaluate the direct and indirect pathways between cavitated carious lesions and oral health-related quality of life (OHRQoL) during the transition from childhood to adolescence. METHODS A prospective cohort study followed an initial sample of 639 children (one to five years old), in southern Brazil for ten years. In addition to the baseline (T1), two subsequent reassessments were conducted after seven (T2) and ten years (T3). OHRQoL was measured through the Early Childhood Oral Health Impact Scale (ECOHIS) and Child Perceptions Questionnaire (CPQ8-10 and CPQ11-14), according to the age group. Dental caries was evaluated using the International Caries Detection and Assessment System (ICDAS) in the three waves. Socioeconomic variables and other factors related to oral health (frequency of toothbrushing and toothache) were also collected. Structural equation modeling was used to estimate the direct and indirect effects among the variables over ten years. RESULTS A total of 449 and 429 children were reevaluated at T2 and T3 (positive response rates of 70.3% and 67.1%, respectively). Dental caries in T1 and T2 directly predicted the occurrence of a worse OHRQoL in the respective follow-up periods. Dental caries at T3 indirectly predicted a worse OHRQoL (T3), via toothache. Dental caries at T1 and T2 directly predicted the occurrence of dental caries at T3, while a worse OHRQoL at T2 directly predicted a worse OHRQoL at T3. CONCLUSION Dental caries negatively impacts, directly and indirectly, the OHRQoL from early childhood to adolescence.
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Affiliation(s)
- Bruna Brondani
- Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil.
- Faculdade de Odontologia, Universidade Federal de Santa Maria, Avenida Roraima, 1000, Prédio 26F, Cidade Universitária, Santa Maria, RS, 97110-970, Brazil.
| | - Fausto Medeiros Mendes
- Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
- Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands
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Randall CL. Dissemination and implementation research for oral and craniofacial health: Background, a review of literature and future directions. Community Dent Oral Epidemiol 2023; 51:119-132. [PMID: 36744988 PMCID: PMC10364974 DOI: 10.1111/cdoe.12841] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 12/15/2022] [Accepted: 12/22/2022] [Indexed: 02/07/2023]
Abstract
Oral conditions are highly prevalent globally and have profound consequence on individuals and communities. Clinical (e.g. dental treatments, behavioural counselling) and non-clinical (e.g. community-based programming, water fluoridation, oral health policy) evidence-based interventions have been identified, recommended and applied at the clinic, community and policy levels. Still, the burden of oral conditions persists, with inequitable distribution across populations. A major driver of this lack of progress is poor translation of research findings, which results in an evidence-to-practice gap. Dissemination and implementation science (DIS) has emerged to address this gap. A relatively new field, application of DIS represents an important avenue for achieving good dental, oral and craniofacial health for all. The goal of this introductory article is to provide a brief background on DIS relevant to researchers in dentistry and oral health. The problem of knowledge translation, basic concepts and terminology in DIS, and approaches to doing dissemination and implementation research-including implementation strategies, key outcomes, and implementation theories, models and frameworks-are discussed. Additionally, the article reviews literature applying DIS to dentistry and oral health. Results of published studies and their implications for the field are presented. Drawing on the literature review and contemporary thinking in DIS, current gaps, opportunities and future directions are discussed. Resources for understanding and applying DIS are provided throughout. This article serves as a primer on DIS for dental and oral health researchers of all types working across a range of contexts; it also serves as a call to action for increased application of DIS to address the burden of oral conditions globally.
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Affiliation(s)
- Cameron L Randall
- Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, USA
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Lima CV, Dos Santos Noronha M, de Menezes EJM, de Oliveira Araújo VS, Mendes PHC, Ferreira RC, Martins AMEDBL, Souza JGS. Unraveling the signs and symptoms of oral conditions that affect daily life activities and oral health-related quality of life. Clin Oral Investig 2022:10.1007/s00784-022-04847-6. [PMID: 36585526 DOI: 10.1007/s00784-022-04847-6] [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: 08/18/2022] [Accepted: 12/26/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVES Since oral conditions negatively affect oral health-related quality of life (OHRQoL), this study evaluated which oral clinical condition, signs, and symptoms are associated with the impact on OHRQoL, its domains, and specific daily life activities among adults. MATERIALS AND METHODS Data from a probabilistic sample of adults (35-44 years old) was used. The Oral Impacts on Daily Performance (OIDP) was used to evaluate OHRQoL, its domains (physical, psychological, and social), and nine daily life activities. Signs and symptoms of oral diseases (dental caries, periodontal disease, need for dental prothesis, and tooth loss) and oral self-perception were considered. Descriptive, bivariate, and multi-level analyses were conducted. RESULTS A total of 5,834 adults were included, of which 52.9% had some negative impact of oral conditions on OHRQoL. Difficulty in eating was the most affected daily life activity. For multiple models, dental caries lesions (cavities), filled teeth with caries, gingival bleeding, periodontal pocket, dental pain, need for upper or lower dental prosthesis, and oral health self-perception were associated (p < 0.05) with overall OHRQoL or at least one of its domains. The impact on daily life activities of each individual was associated with at least one oral condition. Dental caries lesions (cavity) and dental pain were associated (p < 0.05) with the impact on most daily life activities evaluated. CONCLUSIONS Different signs and symptoms of prevalent oral diseases are associated with the impact on specific daily life activities among adults, which may compromise the OHRQoL. CLINICAL RELEVANCE Knowledge of how signs, symptoms, and oral conditions affect OHRQoL and daily life activities can provide essential information for clinicians to establish proper disease management and preventive strategies focusing on improving patients' lives.
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Affiliation(s)
- Carolina Veloso Lima
- Restorative Dentistry Department, Federal University of Paraná, Curitiba, Paraná, Brazil
| | | | | | | | - Patrícia Helena Costa Mendes
- Dental Science School (Faculdade de Ciências Odontológicas), Montes Claros, Minas Gerais, Brazil
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | | | | | - João Gabriel Silva Souza
- Dental Science School (Faculdade de Ciências Odontológicas), Montes Claros, Minas Gerais, Brazil.
- Dental Research Division, Guarulhos University, Guarulhos, São Paulo, Brazil.
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Taylor HL, Sen B, Holmes AM, Schleyer T, Menachemi N, Blackburn J. Does preventive dental care reduce nonpreventive dental visits and expenditures among Medicaid-enrolled adults? Health Serv Res 2022; 57:1295-1302. [PMID: 35419826 PMCID: PMC9643079 DOI: 10.1111/1475-6773.13987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 04/01/2022] [Accepted: 04/02/2022] [Indexed: 01/25/2023] Open
Abstract
OBJECTIVE To determine whether preventive dental visits are associated with fewer subsequent nonpreventive dental visits and lower dental expenditures. DATA SOURCES Indiana Medicaid enrollment and claims data (2015-2018) and the Area Health Resource File. STUDY DESIGN A repeated measures design with individual and year fixed effects examining the relationship between preventive dental visits (PDVs) and nonpreventive dental visits (NPVs) and dental expenditures. DATA COLLECTION/EXTRACTION METHODS Not applicable. PRINCIPAL FINDINGS Of 28,152 adults (108,349 observation-years) meeting inclusion criteria, 36.0% had a dental visit, 27.8% a PDV, and 22.1% a NPV. Compared to no PDV in the prior year, at least one was associated with fewer NPVs (β = -0.13; 95% CI -0.12, -0.11), lower NPV expenditures (β = -$29.12.53; 95% CI -28.07, -21.05), and lower total dental expenditures (-$70.12; 95% -74.92, -65.31), as well as fewer PDVs (β = -0.24; 95% CI -0.26, -0.23). CONCLUSIONS Our findings suggest that prior year PDVs are associated with fewer subsequent NPVs and lower dental expenditures among Medicaid-enrolled adults. Thus, from a public insurance program standpoint, supporting preventive dental care use may translate into improved population oral health outcomes and lower dental costs among certain low-income adult populations, but barriers to consistent utilization of PDV prohibit definitive findings.
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Affiliation(s)
- Heather L. Taylor
- Department of Health Policy and ManagementIndiana University Fairbanks School of Public Health.IndianapolisIndianaUSA
| | - Bisakha Sen
- Department of Health Care Organization & PolicyUniversity of Alabama at Birmingham School of Public HealthBirminghamAlabamaUSA
| | - Ann M. Holmes
- Department of Health Policy and ManagementIndiana University Fairbanks School of Public Health.IndianapolisIndianaUSA
| | - Titus Schleyer
- Center for Biomedical Informatics, Regenstrief InstituteIndianapolisIndianaUSA
| | - Nir Menachemi
- Department of Health Policy and ManagementIndiana University Fairbanks School of Public Health.IndianapolisIndianaUSA
| | - Justin Blackburn
- Department of Health Policy and ManagementIndiana University Fairbanks School of Public Health.IndianapolisIndianaUSA
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Cunha ARD, Bastos LF, Iser BPM, Malta DC, Goes PSAD, Hugo FN. Toothache and tooth extraction as reasons for dental visits: an analysis of the 2019 National Health Survey. Braz Oral Res 2022; 36:e070. [PMID: 36507757 DOI: 10.1590/1807-3107bor-2022.vol36.0070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 02/02/2022] [Indexed: 12/15/2022] Open
Abstract
The aim of this study was to analyze the prevalence of dental visits due to toothache and tooth extraction in Brazil and its association with individual and contextual variables. This two-step cross-sectional study included persons aged 18 years and older in the 2019 National Health Survey who had visited a dentist in the 12 months prior to the interview (n = 40,369). The individual-level outcome was having a dental visit due to toothache or tooth extraction. The ecological-level outcome was the proportion of dental visits for these reasons relative to all dental visits by Brazilian state. Associations with individual - sociodemographic characteristics, number of teeth, and type of health service used - and ecological variables - HDI and dental service coverage - were assessed using Poisson regressions. The prevalence of dental visits due to toothache or extraction was higher among individuals with no formal education, household income < 25% of the minimum wage, of black and brown skin color, living in rural areas, who consulted in the public health system, with 10-19 and 1-9 teeth, and men. The proportion of dental visits due to toothache/extraction in Brazilian states was negatively associated with the HDI and the rate of dental emergency team/100,000 inhabitants and positively associated with primary dental care coverage. The prevalence of dental visits due to toothache/extraction was associated with individual and ecological characteristics, indicating inequities in reasons for dental visits in Brazil. The potential of a well-structured oral health care network to overcome these inequities is suggested and needs to be better explored.
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Affiliation(s)
- Amanda Ramos da Cunha
- Universidade Federal do Rio Grande do Sul - UFRGS, Department of Preventive and Social Dentistry, Porto Alegre, RS, Brazil
| | - Lucelen Fontoura Bastos
- Universidade Federal do Rio Grande do Sul - UFRGS, Department of Preventive and Social Dentistry, Porto Alegre, RS, Brazil
| | - Betine Pinto Moehlecke Iser
- Universidade do Sul de Santa Catarina - Unisul, Postgraduate Program in Health Sciences, Tubarão, SC, Brazil
| | - Deborah Carvalho Malta
- Universidade Federal de Minas Gerais - UFMG, School of Nursing, Department of Maternal and Child Nursing and Public Health, Belo Horizonte, MG, Brazil
| | - Paulo Sávio Angeiras de Goes
- Universidade Federal de Pernambuco - UFPE, Postgraduate Program in Child and Adolescent Health, Recife, PE, Brazil
| | - Fernando Neves Hugo
- Universidade Federal do Rio Grande do Sul - UFRGS, Department of Preventive and Social Dentistry, Porto Alegre, RS, Brazil
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Rauber ED, Menegazzo GR, Knorst JK, Bolsson GB, Ardenghi TM. Pathways between toothache and children's oral health-related quality of life. Int J Paediatr Dent 2021; 31:558-564. [PMID: 32767803 DOI: 10.1111/ipd.12692] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 07/21/2020] [Accepted: 07/29/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Toothache is considered a multifactorial health problem that is associated with oral diseases and comorbidities. AIM Evaluate the direct and indirect pathways between toothache and children's oral health-related quality of life (COHRQoL). DESIGN This is a cross-sectional study conducted with a random sample of children from southern Brazil. The variables included demographic, socioeconomic, behavioral, and oral health characteristics. Toothache was collected through the question 'Have you had toothache in the last 12 months?'. COHRQoL was collected by the Child Perceptions Questionnaire 8-10 in his Brazilian version. The pathways between the associated variables, toothache, and COHRQoL were analyzed through structural equation modeling. RESULTS A total of 449 schoolchildren were evaluated. The prevalence of toothache was 50.1% (95% confidence interval: 45.4%-54.8%). The poorer COHRQoL was directly affected by the presence of toothache. Considering the indirect pathways, the low household income, high household crowding, low age, the use of public health service, and the untreated dental caries influenced indirectly in the worst COHRQoL via toothache. CONCLUSION This study determined that COHRQoL was directly influenced by toothache. Meanwhile, indirect pathways were observed. These findings justify initiatives that highlight the importance of the reduction of oral diseases that can lead to pain experiences.
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Affiliation(s)
| | | | - Jessica Klöckner Knorst
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Gabriela Bohrer Bolsson
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil.,Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
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Martignon S, Roncalli AG, Alvarez E, Aránguiz V, Feldens CA, Buzalaf MAR. Risk factors for dental caries in Latin American and Caribbean countries. Braz Oral Res 2021; 35:e053. [PMID: 34076077 DOI: 10.1590/1807-3107bor-2021.vol35.0053] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 03/09/2021] [Indexed: 11/22/2022] Open
Abstract
Identifying the risk factors for dental caries is vital in epidemiology and clinical practices for developing effective preventive strategies, both, at the individual and collective levels. Different causality/determination models have been proposed to understand the development process of dental caries. In the present review, we designed a model inspired by the world-known social determinants models proposed in the 90s and more recently in the 10s, wherein the contextual factors are placed more externally and encompass the individual factors. The contextual factors included those related to the cultural and societal values, as well as the social and health government policies. The individual factors were classified into the following categories: socioeconomic (social class, occupation, income, and education level), demographic characteristics (age, sex, and ethnicity), behavioral factors (non-use of fluoride dentifrice, sugar consumption, poor oral hygiene, and lack of preventive dental care), and biological factors (recent caries experience/active caries lesions, biofilm retentive factors, developmental defects of the enamel, disabilities, saliva amount and quality, cariogenic biofilm). Each of these variables was addressed, while focusing on the current evidence from studies conducted in Latin American and Caribbean countries (LACC). Based on the proposed model, educational aspects were addressed, and individual caries risk assessment and management decisions were proposed; further, implications for public health policies and clinical practice were described. The identification of modifiable risk factors for dental caries should be the basis for multi-strategy actions that consider the diversity of Latin American communities.
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Affiliation(s)
- Stefania Martignon
- Universidad El Bosque, Caries Research Unit, Research Department, Bogotá, Colombia
| | | | - Evelyn Alvarez
- Universidad Científica del Sur, School of Dentistry, Department of Pediatric Dentistry, Lima, Perú
| | - Vicente Aránguiz
- Universidad de los Andes, Faculty of Dentistry, Cariology Unit, Santiago, Chile
| | - Carlos Alberto Feldens
- Universidade Luterana do Brasil, School of Dentistry, Department of Pediatric Dentistry, Canoas, RS, Brazil
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do Carmo Matias Freire M, de Campos Lawder JA, de Souza JB, de Matos MA. Dental pain in adult and elderly homeless people: Prevalence, associated factors, and impact on the quality of life in Midwest Brazil. J Public Health Dent 2021; 82:211-219. [PMID: 33782969 DOI: 10.1111/jphd.12452] [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: 05/01/2020] [Revised: 01/15/2021] [Accepted: 03/03/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To investigate the prevalence and factors associated with dental pain and its impact on the quality of life of adult and elderly homeless people in Midwest Brazil. METHODS A cross-sectional study was conducted with 353 individuals aged ≥18 attending a public homeless shelter in a Brazilian state capital (Goiânia). Data on sociodemographic, psychosocial, drug use and oral health-related factors, and quality of life [Oral Impact on Daily Performance scale (OIDP)] were collected through interviews. Pearson's Chi-square tests and robust Poisson regression were used for statistical analysis. RESULTS The prevalence of dental pain in the past 6 months was 50 percent. Most of the respondents reported very severe pain and self-management including medication and tooth extraction. In the adjusted regression, the prevalence of pain was 1.48 times higher among individuals who last visited the dentist within the past 2 years, compared to those who had visited more than 2 years ago; and nearly five times higher among those with a perceived need for dental treatment, compared to those with no need. The prevalence of oral impact on daily performance was 80.1 percent and the most affected activities were "difficulty eating" and "feeling ashamed to smile or speak." The adjusted prevalence of impact was higher among individuals who had dental pain, regardless of their sociodemographic characteristics. CONCLUSIONS The prevalence, intensity, and self-management of dental pain were high among the Brazilian homeless people studied. Reporting of pain was associated with factors related to dental care and negatively affected their quality of life.
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ECHEVERRIA MS, DUMITH SC, SILVA AER. Prevalência e fatores associados a dor dentária - estudo de base populacional com adultos e idosos do sul do Brasil. REVISTA DE ODONTOLOGIA DA UNESP 2020. [DOI: 10.1590/1807-2577.03920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Introdução A dor dentária, ou odontalgia, é definida como uma dor de origem orofacial, que ocorre como consequência dos problemas que afetam os dentes e as estruturas de suporte. Objetivo O objetivo do presente estudo foi analisar os fatores associados à dor dentária em indivíduos com 18 anos ou mais de idade, no município de Rio Grande-RS, ao sul do Brasil. Material e método Estudo transversal de base populacional. Foram entrevistados, no domicílio, 1.099 indivíduos, por meio de um questionário com questões fechadas. Foram obtidas informações demográficas, socioeconômicas e relativas a hábitos e comportamentos de saúde geral e bucal. O relato de dor dentária nos seis meses anteriores ao inquérito foi o desfecho do estudo. As análises foram baseadas em regressão de Poisson. Resultado A prevalência de dor dentária foi de 18,0% (IC95% 15,6; 20,4). Ao se analisar por faixa etária, a prevalência de dor dentária foi de 23,9% (IC95% 20,3; 27,4), 14,0% (IC95% 10,6; 17,5) e 10,4% (IC95% 5,8; 15,0), considerando a população adulta de 20 a 39 anos e de 40 a 59 anos, e a população idosa, acima de 60 anos, respectivamente. Maiores prevalências de dor origem dentária foram em indivíduos solteiros (RP=1,50; IC95% 1,11; 2,03), com menor escolaridade (menos de oito anos de estudo) (RP=1,62; IC95% 1,16; 2,27) e com o hábito de ranger os dentes (RP=1,67; IC95% 1,18; 2,38). Já os idosos apresentaram menores prevalências de dor origem dentária, quando comparados aos indivíduos adultos (RP=0,50; IC95% 0,32; 0,80). Conclusão Maior atenção deve ser dada aos solteiros, menos escolarizados, que rangem os dentes, e aos adultos jovens.
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Abstract
OBJECTIVE The aim of this study was to investigate the association between oral health and work performance measured as absenteeism and presenteeism. METHODS Study participants were employees (mean age: 42.7 ± 11.4 years) of 11 companies in Japan. Oral examination and self-administered questionnaires provided information on industrial category, work schedule, work performance (absenteeism and presenteeism), and smoking status. RESULTS The proportion of absenteeism (2.7%) or presenteeism (6.8%) of workers caused by oral health problems was low. Logistic regression analysis showed that the risk of absenteeism due to oral health problems was not significantly related to occupation or oral health status. However, the risk of presenteeism caused by oral health problems was 2.01 (95% confidence interval, 1.03 to 3.92) times higher among participants with periodontitis. CONCLUSIONS Periodontal disease is associated with presenteeism of workers. It is considered that the periodontal disease countermeasure in the workplace should be provided.
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Ghasemianpour M, Bakhshandeh S, Shirvani A, Emadi N, Samadzadeh H, Moosavi Fatemi N, Ghasemian A. Dental caries experience and socio-economic status among Iranian children: a multilevel analysis. BMC Public Health 2019; 19:1569. [PMID: 31775741 PMCID: PMC6880421 DOI: 10.1186/s12889-019-7693-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Accepted: 09/25/2019] [Indexed: 11/02/2022] Open
Abstract
BACKGROUND Socio-economic factors are considered as main determinants causing disparities in oral health across different countries. The aim of the present study was to investigate the associations of social and economic factors with dental caries experience among 6- and 12-year-old Iranian children. METHODS In this cross-sectional study, a total of 31,146 students, aged 6 and 12 years old, were enrolled from all (31) provinces in Iran. Based on the standardized World Health Organization (WHO) criteria for oral health surveys, dental caries indices in primary and permanent teeth were assessed by clinical examination in schools. Data on socio-economic status was obtained from the modified WHO questionnaire and national data bank. The decayed, missing and filled teeth (dmft/DMFT) indices for primary and permanent dentition were compared at the individual and provincial levels using multilevel regression analysis. Poisson regression analysis was used to evaluate the association of social (demographic and behavioral) determinants with dental caries indices among individuals. To assess the causes of difference in dental caries indices across provinces, justifiable economic factors were also analyzed using poisson regression analysis. RESULTS The mean (SE) of dmft and DMFT were 5.84 (0.05) and 1.84 (0.03), for 6-and 12-year-old children, respectively. The differences of dental caries indices were statistically significant among provinces. Higher level of parental education was negatively related to dental caries indices of both age groups. Rural residency was positively and dental flossing was reversely associated with dmft index of 6-year-old children. Negative associations were found between frequency of tooth brushing and preventive dental utilization with dmft and DMFT indices. Gross Domestic Product (GDP) index had negative and Consumer Price Index (CPI) had positive associations with dmft and DMFT indices in both age groups. However, positive relationships were observed between Gini index with DMFT index among 12-year-old children; as well as between the number of dentists per capita with dmft index among 6-year-old children. CONCLUSION Socio-demographic and behavioral factors were found to be associated with dental caries experience. However, economic indicators had the greatest importance.
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Affiliation(s)
- Majid Ghasemianpour
- Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Soheila Bakhshandeh
- Dentofacial Deformities Research Center, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Armin Shirvani
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Faculty of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Naghmeh Emadi
- Dentofacial Deformities Research Center, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamid Samadzadeh
- Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Nadereh Moosavi Fatemi
- Preventive Dentistry Research Center, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Anoosheh Ghasemian
- Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Peres KG, Luzzi L, Harford J, Peres MA. Socioeconomic gradients in toothache experience among Australian adults: A time trend analysis from 1994 to 2013. Community Dent Oral Epidemiol 2019; 47:324-332. [PMID: 31044449 DOI: 10.1111/cdoe.12461] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 04/01/2019] [Accepted: 04/02/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To identify time trend pattern in toothache and to estimate whether toothache prevalence differs by socioeconomic position and residential location over time. METHODS Data from nine successive National Dental Telephone Interview Surveys (NDTIS) from 1994 (n = 6907) to 2013 (n = 6778) performed in Australia among individuals aged 15 years or over were used. The dependent variable was toothache reported very often, often or sometimes during the previous 12 months. Independent variables were age group, household income (tertiles), insurance/cardholder status and geographical remoteness. Prais-Winsten analyses were performed, and the average annual percentage change (AAPC) for toothache prevalence was estimated. RESULTS Toothache affected slightly more than 10% of the overall population in 1994 (11.6%) and 1995 (11.4%), reaching approximately one-sixth (16.2%) of individuals in 2013. Overall, there was a significant increase in toothache prevalence over time (AAPC = 2.0% [95% CI 0.7;1.34]) and in those aged 25-44 (AAPC 2.1% [95% CI 0.6;3.6]) and 45-64 (AAPC 3.4% [95% CI 1.5;5.3]) years and markedly among those in the lowest income group (AAPC 3.4% [95% CI 0.1;6.7]). All geographic locations except for remote/very remote areas had upward toothache prevalence over time. Insured status was not associated with increased toothache prevalence during the investigated period. CONCLUSIONS Toothache prevalence increased from 1994 to 2013 in Australian adults particularly among the lowest socioeconomic group.
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Affiliation(s)
- Karen G Peres
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.,School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Liana Luzzi
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - Jane Harford
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - Marco A Peres
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.,School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia.,Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
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14
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Freire MCM, Nery NG, Jordão LMR, Abreu MHNG. Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey. Oral Dis 2019; 25:1384-1393. [DOI: 10.1111/odi.13100] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Revised: 03/08/2019] [Accepted: 03/22/2019] [Indexed: 01/27/2023]
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