Care Habits (care + habit)

Distribution by Scientific Domains

Selected Abstracts

A 3-year comparison of dental anxiety treatment outcomes: hypnosis, group therapy and individual desensitization vs. no specialist treatment

Rod Moore
Outcomes of hypnotherapy (HT), group therapy (GT) and individual systematic desensitization (SD) on extreme dental anxiety in adults aged 19,65 yr were compared by regular attendance behaviors, changes in dental anxiety and changes in beliefs about dentists and treatment after 3 yr. Treatment groups were comparable with a static reference control group of 65 anxious patients (Dental Anxiety Scale ,,15) who were followed for a mean of nearly 6 yr. After 3 yr, 54.5% of HT patients, 69.6% of GT patients and 65.5% of SD patients were maintaining regular dental care habits. This was better than the 46.1% of the reference group, who reported going regularly to the dentist again within the cohort follow-up period, and 38.9% of a control subgroup with observation for 3 yr. Women were better regular attenders than men at 3 yr. Specialist-treated regular attenders were significantly less anxious and had more positive beliefs than regular attenders from reference groups. There were few differences between HT, GT and SD after 3 yr. It was concluded that many patients can, on their own, successfully start and maintain regular dental treatment habits with dentists despite years of avoidance associated with phobic or extreme anxiety. However, it also appears that these patients had less success in reducing dental anxiety and improving beliefs about dentists long-term than did patients who were treated at the specialist clinic with psychological strategies. [source]

Oral health and cardiovascular disease in Sweden

Results of a national questionnaire survey
Abstract Objective: The purpose of the present study was to assess the relation between dental health and cardiovascular disease in an adult Swedish population. Material and method: A questionnaire was sent to 4811 randomly selected Swedes. It contained 52 questions about dental care habits, oral health, cardiovascular disease and their socio-economic situation. Odd ratios for all cardiovascular diseases (CVD) and the subgroup myocardial infarction, stroke and high blood pressure were calculated with a logistic regression model adjusted for age, gender, smoking, income, civil status and education. These ratios were calculated for subjects 41 years since few people suffer from CVD before this. Results: The national questionnaire was answered by 2839 (59%) people between 20,84 years of age and, of them, 1577 were 41 years of age or more. We found a significant association between self-reported bleeding gums (odds ratio 1.60, p=0.0017), presence of dentures (odds ratio 1.57, p=0.0076) and known CVD, which has also been reported in international studies. However, no association between loose teeth, deep pockets and known CVD was detected. Conclusion: The results indicate that oral health and, especially gingival inflammation is associated with CVD. Zusammenfassung Zielsetzung: Untersuchung des Zusammenhanges von oraler Gesundheit und kardiovaskulären Erkrankungen in einer Population schwedischer Erwachsener. Material und Methoden: Ein Fragebogen wurden an 4811 zufällig ausgewählten Schweden verschickt. Er enthielt 52 Fragen zu Zahnhygienegewohnheiten, Mundhygiene, Herz-Kreislauf-Erkrankungen und sozioökonomischem Status. Odds Ratios (OR) für alle kardiovaskulären Erkrankungen (KVE) und für die Untergruppen Myocardinfarkt, Schlaganfall sowie Bluthochdruck wurden mit einem logistischen Regressionsmodell berechnet, das für Alter, Geschlecht, Rauchen, Einkommen, sozialen Status und Ausbildung korrigiert war. Dies erfolgte für Personen 41 Jahre, da jüngere Individuen selten an KVE leiden. Ergebnisse: Der Fragebogen wurde von 2839 Personen (59%) im Alter zwischen 20 und 84 Jahren beantwortet, von denen 1577,41 Jahre oder älter waren. Es ergab sich eine signifikante Assoziation zwischen von den Patienten berichtetem Zahnfleischbluten (OR 1.60, p=0.0017) sowie Vorhandensein von Prothesen (OR 1.57, p=0.0076) und bekannter KVE. Allerdings konnte keine Assoziation zwischen lockeren Zähnen bzw tiefen Taschen und bekannter KVE gefunden werden. Schlussfolgerungen: Diese Ergebnisse zeigen, dass ein Zusammenhang zwischen oraler Gesundheit, speziell gingivaler Entzündung, und KVE besteht. Résumé But: Le but de cette étude était de mettre en évidence la relation entre la santé dentaire et la maladie cardiovasculaire dans une population suédoise adulte. Matériaux et méthodes: Un questionnaire fut adresséà 4811 suédois sélectionnés au hasard. Il contenait 52 questions sur les habitudes de soins dentaires, la santé orale, la maladie cadiovasculaire et leur situation socio-économique. L'odds-ratio pour toutes les maladies cardiovasculaires (CVD) et le sous-groupe d'infarctus du myocarde, d'attaque et d'hypertension, fut calculé par un modèle de régression logistique ajusté pour l'âge, le sexe, le tabagisme, le revenu, l'état civil et le niveau d'éductation. Ces odds-ratio furent calculés pour les sujets de plus de 41 ans, puisque peu de gens souffrent de CVD avant cet âge. Resultats: 2839 (59%) personnes entre 20 et 84 ans, parmi lesquelles 1577 étaient âges d'au moins 41 ans répondirent à ce questionnaire national. Nous avons trouvé une association significative entre les saignement gingivaux (décrits par les sondés euxmêmes) (odds-ratio 1.60, p<0.0017), la présence de prothèse amovible (odds ratio 1.57, p=0.0076) et une CVD reconnu, ce qui a étéégalement rapporté dans les études internationales. Cependant, aucune association entre les dents perdues, la profondeur de poche et une CVD connue ne fut détectée. Conclusion: Les résultats indiquent que la santé orale et particulièrement l'inflammation gingivale est associée avec les CVD. [source]

Changing Dentate Status of Adults, Use of Dental Health Services, and Achievement of National Dental Health Goals in Denmark by the Year 2000

DrOdontSci, MSc (Sociology);, Poul Erik Petersen DDS
ABSTRACT Objectives: This study analyzes the current profile of dentate status and use of dental health services among adults in Denmark at the turn of the millennium, assesses the impact on dentate status of sociodemographic factors and use of dental health services in adulthood and in childhood, and highlights the changes over time in dental health conditions among adults. Finally, the intention of the study was to evaluate the Danish dental health care system's level of achievement of the official goals for the year 2000 as formulated by the World Health Organization and the National Board of Health. The subjects of this study included a national representative sample of 16,690 Danish citizens aged 16 years and older (response rate=74.2%). A subsample (n=3,818) took part in a survey of dental care habits in childhood and prevalence of removable dentures; 66 percent of persons selected responded. Methods: Personal interviews were used to collect information on dentate status, use of dental health services and living conditions; data on dental care habits in childhood and prevalence of removable dentures were collected by self-administered questionnaires. Results: In all, 8 percent of interviewed persons were edentulous, while 80 percent had 20 or more natural teeth. At age 65,74 years, 27 percent were edentulous and 40 percent had 20 teeth or more; 58 percent wore removable dentures. Dentate status and prevalence of dentures were highly related to educational background and income, particularly for older age groups. Among persons interviewed, 80 percent paid regular dental visits and visits were most frequent among persons of high education and income. At age 35,44 years 95 percent had participated in regular dental care in childhood compared to 49 percent of 65,74-year-olds. Multivariate analyses revealed that sociobehavioral factors had significant effects on dentate status. Conclusions: Compared to similar studies carried out in 1987 and 1994, the present survey indicates a positive trend of improved dentate status in adult Danes in general and regular use of dental health services increased considerably over time. The WHO goals for better dental health by the year 2000 were achieved for 35,44-year-olds, whereas the goal of more people with functional dentitions at age 65 years or older was not achieved. It remains a challenge to the Danish dental health system to help even out the social inequalities in dental health. [source]

Best practice contact lens care: A review of the Asia Pacific Contact Lens Care Summit

Deborah Sweeney BOptom PhD FAAO
Contact lens hygiene has long been recognised as key to the prevention of contact-lens associated infection and inflammation. Microbial keratitis (MK) is the only serious and potentially sight-threatening contact lens adverse event. International studies including recent research in Asia Pacific show that MK is rare but, as the consequences can be severe, it is important to minimise the risk factors. Studies continue to show that one of the key risk factors is lens and lens case hygiene. Therefore, it is also useful to review the behaviour of our patients, to see how closely they follow the recommended hygiene practices. Recent studies in various regions have shown that patients' lens care habits do not meet a required standard. Patients can become complacent and thus non-compliant with lens care instructions. Furthermore, they do not understand the high risk of some behaviour and they are not hearing the practitioner when instructions and reminders are given. Further education is important to improve patient compliance and safety. The Asia Pacific Contact Lens Care Summit held in Singapore urged the industry and practitioners to restore the emphasis of proper lens care, including the ,rub and rinse' technique, and developed a new set of guidelines to help eye-care professionals educate their patients on the importance of proper contact lens care to avoid eye infections. The summit also presented the latest research on how to avoid corneal staining, another important element of contact lens care. This review provides a summary of the summit presentations and the science behind these guidelines. [source]