EUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 3 2009
R. L. Kardos
Abstract Recent legislative changes, that affect all healthcare practitioners in New Zealand, have resulted in mandatory audits of practitioners who are now required to provide evidence of competence and continued professional development in the form of a professional portfolio. These changes were the motivation for our development of an electronic portfolio (ePortfolio) suitable for both undergraduate and life-long learning. Bachelor of Oral Health (BOH) students, studying to qualify as Dental Hygienists and Dental Therapists, and BOH teaching staff (who held registrations in Dental Hygiene, Dental Therapy and Dentistry) trialled the use of a personal ePortfolio for advancing their academic and professional development. The ePortfolio enables BOH students to collect evidence of their achievements and personal reflections throughout their 3 years of undergraduate study, culminating in registration and the award of an Annual Practising Certificate (APC). The ePortfolio was designed to allow users to store information and then select appropriate material to be displayed or published, thus assisting health practitioners to present high-quality evidence of their participation and achievements, and to meet the professional requirements for their APC. [source]

Self-Esteem and Socioeconomic Disparities in Self-Perceived Oral Health

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 1 2009
David Locker
Abstract Objective: To determine if psychosocial factors explain the socioeconomic disparities in self-perceived oral health that persist after controlling for oral status variables. Methods: Data came from the participants in the Canadian Community Health Survey 2003 who were residents in the city of Toronto. Oral health variables included self-rated oral health, a 13-item oral health scale, denture wearing, and having a tooth extracted in the previous year. The last two measures were regarded as proxy indicators of tooth loss. Psychosocial variables included a self-esteem scale, a depression scale, and single items measuring life satisfaction, life stress, and sense of cohesion. Socioeconomic status was assessed using total annual household income. Results: Interviews were completed with 2,754 dentate persons aged 20 years and over. Bivariate analyses confirmed that there were income gradients in self-rated oral health and scores on the oral health scale. Linear regression analyses confirmed that these persisted after controlling for age, gender, denture wearing, and having a tooth extracted in the previous year. In the model predicting self-rated oral health self-esteem, life satisfaction, stress, a sense of cohesion, and depression also contributed to the model, increased its explanatory power, and reduced the strength of but did not eliminate the association between income and self-rated oral health. Broadly, similar results were obtained when the oral health scale score was used as the dependent variable. In both analyses and all models, denture wearing had the strongest and most enduring effect. Conclusion: Psychosocial factors partly but do not wholly explain the socioeconomic disparities in self-perceived oral health in this population after controlling for tooth loss and denture wearing. Other variables need to be added to the models to increase their explanatory power. [source]

Oral Health of Young Children in Mississippi Delta Child Care Centers: A Second Look at Early Childhood Caries Risk Assessment

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2008
Linda H. Southward PhD
Abstract Objectives: To identify the predictors of early childhood caries and urgent dental treatment need among primarily African-American children in child care centers in the Delta region of Mississippi. The purpose of this study was to replicate predictors of caries and urgent dental treatment needs that were identified in an earlier study conducted in Delta child care centers and to assess additional caries risk factors not collected in the original study. Methods: Children in 19 child care centers were examined by the dentists, and the parents provided data on oral health practices, oral health history, and on children's oral health-related quality of life (QOL). The dentists also assessed visible plaque and tested levels of mutans streptococci. Predictors of caries and treatment need among children 24 to 71 months of age were examined using logistic regression. Results: Two parent predictors of caries identified in the earlier study (parent flossing and soft/sugary drink consumption) were not predictive in the current study. Parent history of abscess continued to predict their child's urgent need for treatment. Young children's level of salivary mutans streptococci, maxillary incisor visible plaque, and parents' reports of child oral health-related QOL measures predicted the presence of both caries and urgent treatment need. Some expected predictors, such as frequency of child's toothbrushing, were not predictive of caries. Conclusions: Parental abscess and parent's report of the child's oral health-related QOL are risk indicators for poor oral health outcomes that could be used by nondental personnel to identify young children in need of early preventive intervention and dental referral. [source]

Moving the Public's Oral Health Forward through Research

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2007
Helen C. Gift PhD
No abstract is available for this article. [source]

Maternal Self-Report of Oral Health in 4-Year-Old Pacific Children from South Auckland, New Zealand: Findings from the Pacific Islands Families Study

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 2 2007
Philip J. Schluter PhD
Abstract Objectives: To report on the oral health risk in a disadvantaged group of 4-year-old Pacific children and their mothers living in South Auckland, New Zealand. Methods: The Pacific Islands Families study follows a cohort of Pacific infants born in 2000. Maternal self-report of mother and child's oral health practices and child's filling and extraction experience was undertaken at interview approximately 4 years postpartum. Results: Overall, 1,048 mothers of children were interviewed. Children's reported oral health practices were generally poor, with 47 percent brushing ,1/day, 47 percent having no adult assistance with brushing, 57 percent routinely snacking or drinking immediately prior to bed, and 26 percent yet to receive their first dental checkup. Maternal practices were also poor, with 34 percent brushing ,1/day and 50 percent having never seen or last visiting a dentist over 5 years ago. Significant differences were seen in many practices between the major ethnic subgroups. Of children attending the school dental service, 22 percent were reported having at least one filling and/or extraction. In multivariable analyses, variables corresponding to mother's toothbrushing frequency, child snacking or drinking prior to bed, and duration of breastfeeding were significantly associated with reported filling and/or extraction experience; but no difference was seen between the three major maternal ethnic subgroups. Conclusions: Many mothers and their Pacific children have poor basic oral hygiene and dietary practices that increase the oral health risk in these children. Culturally appropriate and targeted strategies aimed at these modifiable practices need to be widely promoted so that the oral health burden carried by Pacific children can be reduced. [source]

Using Insurance Claims and Demographic Data for Surveillance of Children's Oral Health

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 1 2004
Keith E. Heller DDS
ABSTRACT Objectives: This paper examines the utility of using private insurance and Medicaid dental claims as well as demographic data for assessing the oral health of children aged 5,12 years in Genesee County, Michigan, communities. Methods: Dental insurance claims data from Delta Plan of Michigan and Michigan Medicaid, plus demographic data from the 1990 US Census (percent poverty) and from the 1995 National Center for Educational Statistics (percent free or reduced lunch eligibility), were compared to findings from two school-based oral health surveys. These surveys were the 1995 Genesee County Oral Health Survey and the 1998,2001 Mott Children's Health Center oral health screenings. Data were analyzed using zip codes, representing communities, as the comparison unit. Statistical comparisons using correlation coefficients were used to compare the findings from the six data sets. Results: Using the insurance claims and school-based data, some communities consistently demonstrated high levels of dental caries or treatment for the primary dentition. The demographic measures were significantly associated with many of the primary dentition survey measures. The demographic data were more useful in identifying communities with high levels of dental disease, particularly in the primary teeth, than the insurance claims data. Conclusions: When screening is not practical, readily available demographic data may provide valuable oral health surveillance information for identification of high-risk communities, but these data do not identify high-risk individuals. In these analyses, demographic data were more useful than dental insurance claims data for oral health surveillance purposes. [source]

Time for Action: Collaborating for Better Oral Health

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 2003
Candace Jones RDH
No abstract is available for this article. [source]

Measuring the Impact of Oral Health on Quality of Life in Britain Using OHQoL-UK©

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 2 2003
BDentSc, Colman McGrath BA, DDPHRCS, FDSRCS, FFDRCSI
Abstract Objectives: This study assessed the impact of oral health on quality of life (OHQoL) in Britain and identified disparities in OHQoL among subgroups of the population. Methods: A national survey involved a random probability sample of 2,667 households. Participants were interviewed about their oral health status and sociodemographic information was collected. The impact of oral health on life quality was measured utilizing the OHQoL-UK©. Results: The response rate was 68 percent. Most people in Britain (73%) claimed their oral health did affect their life quality, most frequently through physical influences rather than social or psychological. Disparities in perceived influences of oral health on life quality among subgroups of the population were apparent by age, sex, and social class; OHQoL also was influenced by oral health status (self-reported). Conclusion: Most Britons claim their oral health affects their life quality and OHQoL was associated with sociodemographic and oral health factors. [source]

The Impact of HIV on Oral Health and Subsequent Use of Dental Services

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 2 2003
Aram Dobalian PhD
Abstract Objective: This study examined differences in health and access to dental services among a nationally representative sample of patients with HIV using Andersen's Behavioral Model of Health Services Use. Methods: This investigation is a longitudinal study that used structural equation modeling to analyze data from the HIV Cost and Services Utilization Study, a probability sample of 2,864 adults under treatment for HIV infection. Key predisposing variables included sex, drug use, race/ethnicity, education, and age. Enabling factors included income, insurance, and regular source of care. Need factors included mental, physical, and oral health. Dependent variables included whether a respondent utilized dental services and number of visits. Results: More education, dental insurance, usual source of dental care, and poor oral health predicted a higher probability of having a dental visit. African Americans, Hispanics, those exposed to HIV through drug use or heterosexual contact, and those in poor physical health were less likely to have a dental visit. Of those who visited dental professionals, older persons, those with dental insurance, and those in worse oral health had more visits. African Americans and persons in poor mental health had fewer visits. Conclusions: Persons with more HIV-related symptoms and a diagnosis of AIDS have a greater need for dental care than those with fewer symptoms and without AIDS, but more pressing needs for physical and mental health services limit their access to dental services. Providers should better attend to the oral health needs of persons with HIV who are in poor physical and mental health. [source]

Successful Aging: Implications for Oral Health

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2000
H. Asuman Kiyak PhD
ABSTRACT The past few years have seen a growing emphasis in gerontology on the concept of "successful" or "robust" aging. This represents a major paradigm shift in the field from a focus on declines in physical and social functioning, assumptions of the aging process as a downward spiral, and studies on how to manage these declines. Leading the way toward this new perspective on aging, the MacArthur Studies of Successful Aging asked the fundamental question: "What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?" These studies examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters. Other researchers have focused on the theme of robust aging; however, common predictors have emerged, such as remaining active physically and cognitively, maintaining social contacts, and avoiding disease. This research is timely, given the expanding population of the oldest old, and with successive cohorts demonstrating the "compression of morbidity" phenomenon. Such a paradigm shift is critical in geriatric dentistry as well, where successful aging is evident in the growing number of older adults who have retained their natural dentition into advanced old age. This presentation draws parallels between successful aging at the systemic and oral health levels, with illustrations from epidemiologic studies that demonstrate trends in improved health and quality of life among newer cohorts of older adults. [source]

A Comprehensive Approach to Improve the Oral Health of Students in Edmonton, Alberta, Canada

JOURNAL OF SCHOOL HEALTH, Issue 9 2002
Jan Kostek
No abstract is available for this article. [source]

The Phuket Declaration on Oral Health in HIV/AIDS 2004 , A commitment to action

ORAL DISEASES, Issue 1 2005
Newell W Johnson Editor
The following declaration was agreed by all participants at the conclusion of the 5th World Workshop on Oral Health and Disease in AIDS. It is reproduced here to draw attention to the world's oral health scientists, and others, of the burden that oral disease causes to those who are HIV positive, and to the important role of the dental and allied oral health professions in caring for these individuals and in the research which will underpin improved understanding and care. [source]

Relative oral health outcome trends between people inside and outside capital city areas of Australia

AUSTRALIAN DENTAL JOURNAL, Issue 3 2010
LA Crocombe
Abstract Background:, The aim of this study was to evaluate relative change over 17 years in clinical oral health outcomes inside and outside capital city areas of Australia. Methods:, Using data from the National Oral Health Survey of Australia 1987,88 and the National Survey of Adult Oral Health 2004,06, relative trends in clinical oral health outcomes inside and outside capital city areas were measured by age and gender standardized changes in the percentage of edentate people and dentate adults with less than 21 teeth, in mean numbers of decayed, missing and filled teeth, and mean DMFT index. Results:, There were similar reductions inside and outside capital city areas in the percentage of edentate people (capital city 63.7%, outside capital city 60.7%) and dentate people with less than 21 teeth (52.5%, 50.1%), in the mean number of missing teeth (34.3%, 34.5%), filled teeth (0.0%, increase of 5.5%), and mean DMFT index (21.2%, 19.2%). The reduction in mean number of decayed teeth was greater in capital city areas (78.0%) than outside capital city areas (50.0%). Conclusions:, Trends in four of the five clinical oral health outcomes demonstrated improvements in oral health that were of a similar magnitude inside and outside capital city areas of Australia. [source]

Biomarkers of periodontal inflammation in the Australian adult population

AUSTRALIAN DENTAL JOURNAL, Issue 2 2009
TR Fitzsimmons
Abstract Background:, Several inflammatory biomarkers are implicated in the pathogenesis of periodontitis including interleukin-1, (IL-1,) and C-reactive protein (CRP). This study investigated the presence of these factors in gingival crevicular fluid (GCF) and their relationship to clinical and social determinants of periodontitis in the Australian population. Methods:, Equal numbers of periodontitis cases and non-cases were sampled during oral epidemiologic examination in the National Survey of Adult Oral Health. GCF was sampled from four sites where probing pocket depth (PPD) and recession were recorded. From these, IL-1, and CRP were quantified by ELISA and the log amount of GCF IL-1, (pg) per person and the proportion of adults with detectable CRP was computed. Results:, Periodontitis cases (n = 511) had significantly higher levels of IL-1, and CRP than non-cases (n = 562). PPD, clinical attachment loss, plaque and gingivitis indices were positively associated with elevated levels of both biomarkers. Levels of both were positively associated with age, low socio-economic position and non-Australian birth. Conclusions:, The presence of IL-1, and CRP in GCF are associated with periodontal disease parameters within the Australian population. The levels of both biomarkers are influenced by age, education and eligibility for public dental care. [source]

Patterns of care in private general practice by main diagnoses: Australian Research Centre for Population Oral Health, The University of Adelaide, South Australia.

AUSTRALIAN DENTAL JOURNAL, Issue 1 2007
Article first published online: 12 MAR 200
First page of article [source]

5.2 Ethics, equity and global responsibilities in oral health and disease

EUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 2002
Martin Hobdell
The charge of this Section is ethics and global responsibilities in oral health and disease. Oral health is determined by the same factors as those for general health. To a limited extent, the level of oral health care and dental education. The philosophy and organization of the health care system and dental education, therefore, are key determinants of oral health. Dental education has expanded in many countries where there has been an increase in wealth. Unfortunately, there has been no concomitant increase in the number of dental educators. This is a problem throughout the world. This present situation raises certain ethical issues with regard to professional responsibilities. It also raises some important questions for dental education. This Section has chosen to focus its efforts on examining two issues: , ,What can be done within dental schools? , ,What can be done external to dental schools , either individually or collectively? The best practices identified are more akin to goals, as it is recognized that, in a world in which there are enormous variations in economic, environmental, social, and cultural features, a single uniform set of practices is impracticable. The central core value identified is the realization by students, and faculty/teaching staff of the quest of life-long learning against a background of the social and ethical responsibilities of health professionals. The conclusion of the group is that biology is not the sole determinant of health. Understanding the role of social, economic, environmental and other factors in determining health status is critical if greater equity in dental education and care are to be achieved. [source]

Original article: Prevalence of oral and dental disorders in institutionalised elderly people in Rasht, Iran

GERODONTOLOGY, Issue 3 2010
Maryam Rabiei
doi:10.1111/j.1741-2358.2009.00313.x Prevalence of oral and dental disorders in institutionalised elderly people in Rasht, Iran Objective:, The aim of this study was to determine the prevalence of dental and oral mucosal lesions in institutionalised elderly people in Rasht. Background:, Oral health in the elderly people is important to tailor the health programmes for this increasing age group within the population. Methods:, A total of 216 elderly people residing in a geriatric nursing home were included in the study. Subjects were interviewed and examined clinically and registered in a data collection form and analysed using spss version 11 program (SPSS Inc, Chicago, Illinois, USA). Results:, The prevalence of dental and oral disorders was 44.9% and 86.1% respectively. The most frequent oral disorders were dry mouth (42.1%), fissure tongue (25.9%), atrophic of tongue (25%), sublingual varicosity (22.7%), burning sensation (16.7%) and varix (15.3%). The prevalence of edentulousness was 56% (95%CI: 49,63%). The mean level of retained teeth was 3.22. The odds of an oral mucosal disorder in females were significantly more than in males (OR = 2.79, 95%CI: 1.25,6.23). Discussion:, The findings revealed a high prevalence of dental and oral disorders in institutionalised elderly people in Rasht in comparison to similar studies. The mean of retained teeth was also much lower than in other reports. Therefore, the necessity for regular oral examination of these rapidly expanding age groups of people is essential. [source]

Oral health and oral implant status in edentulous patients with implant-supported dental prostheses who are receiving long-term nursing care

GERODONTOLOGY, Issue 4 2009
Rita Isaksson
Aim:, The aim of this study was to investigate oral health and oral implant status in a group of edentulous patients receiving long-term residential or nursing care (LTC), all of whom had implant-supported fixed or removable dental prostheses. Material and methods:, A dental examination was performed on a total of 3310 patients receiving LTC and from this population 35 edentulous patients in whom dental implants had been placed formed the cohort for this study. All examinations were performed by a specialist in hospital dentistry and took place in the patients' own home environment. Oral health was assessed by means of a protocol which evaluated oral hygiene status, possible oral mucosal inflammation and oral mucosal friction levels. Any problems with the implant-supported prosthesis, implant mobility or other complications were also assessed. In addition, patients were asked about any oral symptoms and their usual oral hygiene procedures. Results:, About half of the subjects (17/35) were registered as having no/mild inflammation with 18 of 35 having moderate/severe inflammation. Twelve of the 35 patients had good/acceptable oral hygiene and 23 of 35 had poor/bad oral hygiene. Twenty-one of the 35 patients depended on help from the nursing personnel for their daily oral hygiene procedures. Obvious problems with food impaction were noted in 11 patients. A total of 229 implants had been placed in 43 jaws supporting 40 full arch-fixed prostheses and three implant-borne overdentures. There was no evidence of mobility or fractures of either the implants or the prostheses. Fifteen implants showed some exposed screw threads. Pus was exuding from one implant site and general peri-implant gingival hyperplasia was noted in two patients. Twenty-four patients were completely satisfied with the function and appearance of their implant-supported prostheses. Two patients were totally dissatisfied. Conclusion:, This study indicates that oral implant therapy can be considered as a treatment of choice in elderly patients, even if oral hygiene is sub-optimal. [source]

Oral health of people with dementia

GERODONTOLOGY, Issue 2006
Article first published online: 14 NOV 200
First page of article [source]

Oral health and morbidity , implications of oral infections on the elderly

GERODONTOLOGY, Issue 1 2006
Jukka H. Meurman
Detrimental effects of oral infections on general health have been known for almost 3000 years. Modern studies, however, have cast new light on the pathogenic mechanisms by which oral infections appear to link with morbidity and mortality. In particular, among the elderly, poor dental health seems to associate with all-cause mortality. This review aims to provide an overview of present knowledge of these issues, starting from dental bacteraemia, oral mucosal infections and problems of drug resistance and, briefly, discussing what is known about the link between oral health and some systemic diseases such as atherosclerosis and type-2 diabetes. The main conclusions are that scientific evidence is still weak on these interactions and that the elderly should be better taken into account when planning future studies. Functions of the body differ in the frail and diseased from those of the young. Consequently, novel prevention and treatment strategies should be developed and properly tested for combating oral infections in elderly populations. Specific suggestions for further research are outlined. [source]

Oral health in preschool children with cerebral palsy: a case,control community-based study

INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 5 2010
RENNAN Y. DU
International Journal of Paediatric Dentistry 2010; 20: 330,335 Objectives., To assess and compare the oral health status of preschool children with and without cerebral palsy (CP). Methods., Preschool children with CP (72) were recruited from 23 Special Child Care Centers in Hong Kong. An age (±3 months) and gender matched sample of preschool children from mainstream preschools were recruited as the control group. Dental caries status, gingival health status, tooth wear, developmental defect of enamel, malocclusion, dental trauma and oral mucosal health were assessed and compared between the two groups. Results., Significant differences in gingival health status were found between children with and without CP (mean plaque index scores, P = 0.001 and mean gingival index scores, P < 0.05). Tooth wear involving dentine was more prevalent among CP children (P < 0.001), as were evidence of anterior open-bite (P < 0.001) and oral mucosal lesions (P < 0.05). Children with and without CP had similar caries experiences (P > 0.05), prevalence of enamel defects (P > 0.05) and dental trauma (P > 0.05). Conclusions., Differences of oral health status exist among preschool children with and without CP. Preschool children fare worse in terms of gingival health, tooth wear, oral mucosal health and malocclusion. [source]

The oral health needs of children after treatment for a solid tumour or lymphoma

INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 1 2010
ALISON HUTTON
Background., With increasing survival rates for childhood cancer, late effects are of growing importance. Oral health is central to general health, level of nutrition, quality of life, and is significant in the holistic care of children during cancer therapy. Hypothesis., The oral health needs of children treated for solid tumours/lymphoma will be greater than the general population, groups will differ according to tumour and treatment. Design., One hundred and twenty patients, 0,17 years, under follow-up from 01/07/06 to 07/02/07 were investigated for caries, opacities, microdontia, and gingivitis. Analysis was performed with stratification according to tumour and treatment. Comparisons made with the UK 2003 Child Dental Health Survey. Results., The neuroblastoma group and high-dose chemotherapy with stem-cell rescue (HDCSCR) therapy group had increased caries of the primary teeth. Chi-squared analysis revealed a statistically significant relationship (P < 0.03) between the age at receipt of chemotherapy (<3.5 years) and the presence of microdont teeth. Conclusion., Oral health care is important for all patients particularly those with a neuroblastoma, or who received HDCSCR. Patients should be advised about the possibility of microdontia in the permanent dentition following chemotherapy under 3.5 years. [source]

Oral health in preschool children with asthma

INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 4 2008
MALIN STENSSON
Objective., The aim of this study was to investigate oral health and its determinants in 3-year-old and 6-year-old children with asthma. Methods and subjects., Caries and gingivitis were examined in 127 asthmatic (all children with asthma in a selected area and born during a specific time period) and 117 matched, healthy control children. The parents were interviewed regarding various oral-health-related factors. Results., The mean dfs (± standard deviation) in the 3-year-old with asthma was 1.4 ± 3.2 compared with 0.5 ± 1.2 in the controls (P < 0.05). The corresponding figures for the 6-year-old were 2.5 ± 3.9 and 1.8 ± 2.8. The 3-year-old asthmatic children had more gingival bleeding than the healthy controls (P < 0.05). There were no significant differences in gingivitis in the 6-year-old children. Asthmatic children reported higher consumption of sugar-containing drinks and were more frequently mouthbreathers than healthy children (P < 0.05). In 3-year-old children with asthma and immigrant background, the mean dfs was higher compared with immigrant children in the control group (P < 0.01). Conclusion., The results indicate that preschool children with asthma have higher caries prevalence than healthy children. The factors discriminating for caries in asthmatic children are higher intake of sugary drinks, mouth breathing, and immigrant background. [source]

Oral health and cardiovascular disease in Sweden

JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 3 2002
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]

Oral health and related quality of life status in patients from UK and Turkey: a comparative study in Behcet's disease

JOURNAL OF ORAL PATHOLOGY & MEDICINE, Issue 5 2009
G. Mumcu
Background:, The aim of this study was to evaluate and compare oral health-related quality of life (oral QoL) in patients from UK and Turkey with Behcet's disease (BD). Methods:, Thirty-one BD patients from UK (F/M: 18/13, mean age: 41.8 ± 11.5 years) and Turkey (F/M: 18/13, mean age: 41.5 ± 10.3) who were matched according to age and gender were included in the study. All patients had active oral ulcers. Oral QoL was assessed by Oral Health Impact Profile-14 (OHIP-14). Oral health was evaluated by dental and periodontal indices. Results:, No significant difference was found in OHIP-14 scores between patients from UK (22.7 ± 14.4) and Turkey (20.4 ± 14.3) (P = 0.709). The OHIP-14 score correlated with the healing time of oral ulcers in UK (r = 0.4, P = 0.04) and the number of oral ulcers in Turkey (r = 0.4, P = 0.012). The number of oral ulcers per month was significantly higher in UK (3.3 ± 2.8) compared with that in Turkey (1.5 ± 2.5) (P = 0.014). However, the number of filled teeth and frequency of tooth brushing were significantly lower in patients from Turkey compared with those in UK (P = 0.000). Similarly, the duration since the last dental visit (5.1 ± 7.2 months) was significantly lower in UK compared with that in Turkey (28.6 ± 23.7 months) (P = 0.000). Conclusions:, Oral QoL was similar in patients from UK and Turkey with active oral ulcers. However, the number of oral ulcers was observed to be higher in UK. As expected, a lower utilization rate of dental services might have led to a poorer oral health in patients from Turkey. [source]

Oral health in relation to wearing removable dentures provided by dentists, denturists and laboratory technicians

JOURNAL OF ORAL REHABILITATION, Issue 7 2003
R. TuominenArticle first published online: 5 JUN 200
summary, The aim of this study was to evaluate the oral health of elderly Finnish men wearing removable dentures supplied either by dentists, denturists or laboratory technicians. From a sample of 550 men, 362 subjects were both interviewed and clinically examined. The subjects were asked a range of questions related to their oral health and dentures. Clinical examinations were carried out by one dentist using well-defined criteria and without knowing the information the respective subjects had given in the interview. The 242 denture wearers had a higher frequency (P < 0·001) of mucous membrane lesions (78·7%) than the 120 non-wearers (27·5%). Differences between the denture providers were small, although subjects with dentures provided by dentists had less often most of the recorded mucous membrane lesions than other denture wearers. Coating of tongue and cheilitis angularis were the most commonly encountered lesions. High levels of yeast growth were observed more frequently (P < 0·02) among subjects who had obtained their dentures from dentists (41·3%) than from either denturists (17·1%) or laboratory technicians (18·2%). Among dentate subjects, the average number of remaining teeth was higher (P < 0·05) among those who had obtained their dentures from dentists (8·7) than among subjects wearing dentures from denturists (5·9) or laboratory technicians (6·2). Subjects wearing dentures supplied by dentists had slightly better oral health than other denture wearers. The observed differences can be at least partly explained by dentists' patients having higher number of remaining teeth and also more frequent check-up visits. [source]

Oral health: An important determinant of the health of children

JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 3 2007
Dr Sharon Goldfeld
No abstract is available for this article. [source]

Nutrition, oral health and the young child

MATERNAL & CHILD NUTRITION, Issue 4 2007
Sudeshni Naidoo
Abstract Oral health is integral to general health and essential to well-being and quality of life. Socio-behavioural and environmental factors play a significant role in oral disease and oral health. Dental caries is a global disease with few populations exempt from its effects. In developing countries, as development increases so does dental caries and children are at the forefront of the disease disadvantage. There is a growing need to identify high caries risk groups accurately to commence prevention from a young age. The effect of early intervention in childhood on general and dental health with both population and high-risk approaches also needs examining. As an educational tool, the paediatric food-based dietary guidelines may play a significant role in nutrition and oral health interventions. This paper provides information on nutrition, including access to fluoride and use of sugar. Oral health concerns, such as early childhood caries, which are important for the young child, are also discussed. [source]

Oral health in patients with hepatitis C virus infection: an underestimated problem?

ORAL DISEASES, Issue 5 2001
M Carozzo
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Oral health and frailty in the medieval English cemetery of St Mary Graces

AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 3 2010
Sharon N. DeWitte
Abstract The analysis of oral pathologies is routinely a part of bioarcheological and paleopathological investigations. Oral health, while certainly interesting by itself, is also potentially informative about general or systemic health. Numerous studies within modern populations have shown associations between oral pathologies and other diseases, such as cardiovascular disease, certain types of cancer, and pulmonary infections. This article addresses the question of how oral health was associated with general health in past populations by examining the relationship between two oral pathologies (periodontal disease and dental caries) and the risk of mortality in a cemetery sample from medieval England. The effects of periodontitis and dental caries on risk of death were assessed using a sample of 190 individuals from the St Mary Graces cemetery, London, dating to ,AD 1350,1538. The results suggest that the oral pathologies are associated with elevated risks of mortality in the St Mary Graces cemetery such that individuals with periodontitis and dental caries were more likely to die than their peers without such pathologies. The results shown here suggest that these oral pathologies can be used as informative indicators of general health in past populations. Am J Phys Anthropol, 2010. © 2009 Wiley-Liss, Inc. [source]