Oral Health Care (oral + health_care)

Distribution by Scientific Domains
Distribution within Medical Sciences

Terms modified by Oral Health Care

  • oral health care delivery system

  • Selected Abstracts


    Guidelines for Oral Health Care for Long-stay Patients and Residents

    GERODONTOLOGY, Issue 1 2000
    J. Fiske
    First page of article [source]


    Bringing Oral Health Care to School-aged Children

    JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2008
    Jay W. Friedman DDS
    No abstract is available for this article. [source]


    A Conceptual Framework for Hispanic Oral Health Care

    JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 1 2008
    Gloria C. Mejia DDS
    Abstract The need to study the health and health care determinants of US Hispanics is mandated by their rapid population growth. Nonetheless, it is challenging to study such a diverse population that incorporates many similarities and differences in values and experiences. This paper aims to highlight the factors that should be considered in Hispanic oral health research in the United States, and presents, in a theoretical framework, the relationships between these factors. The proposed ecological framework is supported by an extensive literature review, with an emphasis on the factors that are reported to differ among ethnic groups. It has a foundation in social science and is based on existing models from different fields of knowledge. To be comprehensive, the framework simultaneously addresses individual and environmental constructs. Within these, antecedent factors shape the intention to seek oral health care, while empowerment factors play a mediating role between intention and actual receipt of care. Individual antecedent factors incorporate risk markers, need, and predisposing factors. Environmental antecedent factors are represented by social constructs that allude to the population's health culture. Empowerment factors explain the level of control that a person perceives or the environment provides in receiving care. A thorough consideration of the factors that drive Hispanics' oral health care usage will aid US researchers and practitioners in improving this population's health and access to care. [source]


    Oral health care for pregnant and postpartum women

    INTERNATIONAL JOURNAL OF DENTAL HYGIENE, Issue 3 2003
    M. Perno Goldie
    Abstract Pregnancy may pose a number of concerns to the mother and the foetus. This can include systemic and oral issues that effect health. Transmission of caries-causing bacteria is one problem that can be minimized by utilizing simple, cost-effective measures. Chlorhexidine rinses and xylitol containing chewing gum will be discussed as possible solutions to this tremendous public health problem. [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]


    Performance of Atraumatic Restorative Treatment (ART) depending on operator-experience

    JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2010
    Rainer A. Jordan MSc
    Abstract Objectives: Oral health care is not of major interest in developing countries because of lack of infrastructure and professional manpower. Therefore, atraumatic restorative treatment (ART) was introduced by the World Health Organization to be performed by dental auxiliary personnel. The aim of this study was to evaluate the performance of ART depending on operator-experience in The Republic of The Gambia. Methods: One hundred twenty-eight newly inserted restorations were followed up for 12 months using the clinical ART index in a prospective and blinded study design. The patients were randomly assigned to operators. The clinical performance was compared among three groups: trainees, experienced Community Oral Health Workers (COHW), and professional dentists. The difference in success rates was calculated at a 95 percent confidence interval. Results: There was a statistically significant difference between trainees and dentists in performing leakage/gap-free one-surface restorations (P < 0.05). No significant differences were found between the two groups of auxiliaries (trainees versus experienced COHWs, P > 0.05). Finally, both groups , experienced COHWs and dentists , performed restorations not showing statistically significant differences (P > 0.05). Conclusions: For The Republic of The Gambia , especially for areas with underdeveloped medical infrastructure , training and assignment to perform ART can be recommended for auxiliary dental staff of Community Oral Health Workers. [source]


    Simulation of patient encounters using a virtual patient in periodontology instruction of dental students: design, usability, and learning effect in history-taking skills

    EUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 3 2004
    M. Schittek Janda
    Simulations are important educational tools in the development of health care competence. This study describes a virtual learning environment (VLE) for diagnosis and treatment planning in oral health care. The VLE is a web-based, database application where the learner uses free text communication on the screen to interact with patient data. The VLE contains forms for history taking, clinical images, clinical data and X-rays. After reviewing the patient information, the student proposes therapy and makes prognostic evaluations of the case in free text. A usability test of the application was performed with seven dental students. The usability test showed that the software responded with correct answers to the majority of the free text questions. The application is generic in its basic functions and can be adapted to other dental or medical subject areas. A randomised controlled trial was carried out with 39 students who attended instruction in history taking with problem-based learning cases, lectures and seminars. In addition, 16 of the 39 students were randomly chosen to practise history taking using the virtual patient prior to their first patient encounter. The performance of each student was recorded on video during the patient sessions. The type and order of the questions asked by the student and the degree of empathy displayed towards the patient were analysed systematically on the videos. The data indicate that students who also undertook history taking with a virtual patient asked more relevant questions, spent more time on patient issues, and performed a more complete history interview compared with students who had only undergone standard teaching. The students who had worked with the virtual patient also seemed to have more empathy for the patients than the students who had not. The practising of history taking with a virtual patient appears to improve the capability of dental students to take a relevant oral health history. [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]


    Ultrasound parameters of bone health and related physical measurement indicators for the community-dwelling elderly in Japan

    GERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 2 2007
    Wei Sun
    Deteriorated bone strength, which approaches osteoporosis, increases the likelihood that an elderly person will not able to live independently. However, few data are available pertaining to bone health and various physical objective indicators. The aim of the present study was to objectively assess bone health by quantitative ultrasound (QUS) and identify related physical measurement indicators among the elderly to aid the health promotion strategies in Japan. A cross-sectional study was performed at five welfare centers for the aged in the suburban area of Takatsuki city, Japan. Subjects comprised community-dwelling persons (134 men, 240 women) aged ,60 years and registered at welfare centers. QUS of the right-heel was conducted and recorded as stiffness index (SI). Physical factors including body components (fat and muscle mass), handgrip strength, daily physical activity, daily walking steps, maximum and usual walking speed and maximum bite force were examined objectively during the period May,June 2005. SI in women was lower than that in men (P < 0.01) and decreased significantly with age (P < 0.01). The SI correlated with six physical items in men and with all items in women. Multiple linear regression analysis showed that muscle mass, usual walking speed and maximum bite force were the strongest physical indicators of male SI; and muscle mass, maximum walking speed and maximum bite force were the strongest indicators of female SI. Muscle training, daily walking exercise and oral health care should be included in health promotion programs for the bone health of elderly women and men in Japan. [source]


    European College of Gerodontology: undergraduate curriculum guidelines in Gerodontology

    GERODONTOLOGY, Issue 3 2009
    Anastassia Kossioni
    Effective undergraduate teaching of gerodontology to present and future dental students is important if good oral health care of older people is to be assured. A review of the undergraduate curriculum for gerodontology is presented and indicates the need for a knowledge base from which new graduates can develop a special interest in care of older patients. The aim is improved care of older patients, satisfaction for teaching staff involved and improved professional standing for Dentistry. Motivation of students could also be achieved by the positive match between rising patient awareness and ethical responsibility of the profession for those older patients. As it stands, the undergraduate curriculum should include topics on specific care for the elderly and other patient groups, which extend the competences already agreed by the Association for Dental Education in Europe (ADEE). The logistics of teaching these topics will need co-ordination of those staff with appropriate skill and interest, preferably as a development of existing curriculum content. [source]


    Oral microbial flora and oral malodour of the institutionalised elderly in Japan

    GERODONTOLOGY, Issue 2 2001
    Eiki Honda
    Abstract Objectives: To determine the oral health status, especially the level of oral microbial flora and oral malodour, of institutionalised elderly people compared with non-institutionalised elderly people. Setting: Three institutions and numerous private homes. Subjects: 56 institutionalised and 56 non-institutionalised elderly people. Main Outcome Measures: Institutionalised elderly people had higher levels of Candida, staphylococci, and oral malodour. Results: Institutionalised elderly people had a higher level of Candida in denture wearers, and a higher level of staphylococci and oral malodour compared with the non-institutionalised elderly. Conclusion: The institutionalised elderly have a higher risk of opportunistic infections and oral health care should be improved to protect them from these infections and to reduce oral malodour. [source]


    Oral squamous cell carcinoma and cultural oral risk habits in Vietnam

    INTERNATIONAL JOURNAL OF DENTAL HYGIENE, Issue 3 2010
    SL Priebe
    To cite this article: Int J Dent Hygiene,8, 2010; 159,168 DOI: 10.1111/j.1601-5037.2010.00461.x Priebe SL, Aleksej,nien, J, Zed C, Dharamsi S, Thinh DHQ, Hong NT, Cuc TTK, Thao NTP. Oral squamous cell carcinoma and cultural oral risk habits in Vietnam. Abstract: Objectives:, In South-Central Asia, 80% of head and neck cancers are found in the oral cavity and oropharynx. In Vietnam, oral cancer is often not being detected until people experience debilitating circumstances to normal oral function. The aims of the study were to explore the patterns of oral squamous cell carcinoma (OSCC) and its risk indicators, the structure of oral health care in Vietnam and trends in prevalence of cultural risk habits in southern Vietnamese patients. Materials and Methods:, A retrospective clinical study was performed from 1 July 2005 to 1 April 2006 at Ho Chi Minh City Oncology hospital in Vietnam. Of the 161 cases, 147 subjects were diagnosed with OSCC, including 100 male and 47 female adults aged 24,85 years. Data were collected by a structured interview and clinical examination. Results:, Over 40% of the women with OSCC reported chewing betel quid and the most prevalent risk habit in males was smoking (91.0%). Daily alcohol use was reported by 79.0% of males and 2.1% of females. Two-thirds of the cases of OSCC were diagnosed at the 2nd and 3rd stage of cancer. The more advanced stages of cancer were observed in males than in females. The prevalence of tobacco and alcohol use in males with OSCC was higher in this study than in the previous Vietnamese studies. Conclusion:, High frequency of risk habits in both genders was reported in OSCC Vietnamese patients. A trend of increased tobacco and alcohol use was observed in male OSCC patients. A lower prevalence of later staging in Vietnam was observed in this study than in earlier studies. [source]


    A global perspective on changes in the burden of caries and periodontitis: implications for dentistry,

    JOURNAL OF ORAL REHABILITATION, Issue 12 2007
    V. BAELUM
    Summary, The structure and contents of most oral health care systems and the contents of dental curricula reflect a deep-rooted tradition for attempting to cure oral diseases by refined technological means. However, better oral health conditions for the world's populations necessitate the application of up-to-date scientific knowledge to control the major oral diseases. This review points out that not only should the structure and contents of oral health care delivery systems be based on state-of-the-art knowledge about the biology of the oral diseases; they must also take into account the trends for change in caries and periodontal diseases within and between populations, and acknowledge the impact of changes in treatment philosophies for these trends. The oral disease profiles for populations in low- and high-income countries are briefly described, and it is concluded that the rapidly changing disease profiles observed in high-income countries necessitate re-thinking of the future role and organization of dentistry in such countries. The priorities for low- and middle-income countries must be to avoid repeating the mistakes made in the high-income countries. Instead, these societies might take advantage of setting priorities based on a population-based common risk factor approach. If such an approach is adopted, the training of personnel with oral health care competence must be rethought. The authors suggest three different cadres of dental care providers to be considered for an approach that allows health care planners in different populations around the world to prioritize appropriate oral health care with due respect for the socio-economic conditions prevailing. [source]


    Oral health care status of homebound elderly in Japan

    JOURNAL OF ORAL REHABILITATION, Issue 8 2001
    Masayuki Morishita
    We examined the present conditions of oral health care in order to contribute towards an effective system to provide oral health care for homebound elderly in Japan. A questionnaire was mailed to homebound elderly subjects (n=908) and returned by mail. A 73·6% response was achieved. The questionnaire was designed to elicit information with respect to the general condition of the subjects and independence of oral health care. About 70% of the subjects were chair- or bed-bound. Among all subjects, 37·6% required partial or full assistance on toothbrushing, 55·6% on cleaning dentures and 46·7% on eating. The degree of oral health care tended to be poor for chair- or bed-bound elderly compared with independent or house-bound elderly. Homebound elderly with lower Activities of Daily Living Scale (ADL) required more support for oral health care compared with elderly with higher ADL. [source]


    A Conceptual Framework for Hispanic Oral Health Care

    JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 1 2008
    Gloria C. Mejia DDS
    Abstract The need to study the health and health care determinants of US Hispanics is mandated by their rapid population growth. Nonetheless, it is challenging to study such a diverse population that incorporates many similarities and differences in values and experiences. This paper aims to highlight the factors that should be considered in Hispanic oral health research in the United States, and presents, in a theoretical framework, the relationships between these factors. The proposed ecological framework is supported by an extensive literature review, with an emphasis on the factors that are reported to differ among ethnic groups. It has a foundation in social science and is based on existing models from different fields of knowledge. To be comprehensive, the framework simultaneously addresses individual and environmental constructs. Within these, antecedent factors shape the intention to seek oral health care, while empowerment factors play a mediating role between intention and actual receipt of care. Individual antecedent factors incorporate risk markers, need, and predisposing factors. Environmental antecedent factors are represented by social constructs that allude to the population's health culture. Empowerment factors explain the level of control that a person perceives or the environment provides in receiving care. A thorough consideration of the factors that drive Hispanics' oral health care usage will aid US researchers and practitioners in improving this population's health and access to care. [source]


    Dental Services for Migrant and Seasonal Farmworkers in US Community/Migrant Health Centers

    THE JOURNAL OF RURAL HEALTH, Issue 3 2006
    Sherri M. Lukes RDH
    ABSTRACT:,Context: Migrant and seasonal farmworkers are recognized as a medically underserved population, yet little information on need, access, and services is available,particularly with regard to oral health care. Purpose: This study describes the facilities, services, staffing, and patient characteristics of US dental clinics serving migrant and seasonal farmworkers, and identifies trends and issues that may impede or improve dental care access and service. Methods: National databases were used to identify community and migrant health centers providing oral health care to migrant and seasonal farmworkers. Mailed surveys collected information on clinic history, operational details, services provided, patient demographics, employment and resource needs, and perceived barriers to care. Findings: Among the 81 respondents (response rate 41%), hours of operation varied from 1 evening a week to more than 40 hours a week; 52% had no evening hours. Almost all the clinics offered preventive, diagnostic, and basic restorative dental services, and roughly two thirds also offered complex restorative services. Patients most frequently sought emergency dental care (44%) followed by basic restorative services (32%) and preventive services (26%). The dentist position was the most difficult to fill, and new funding sources were cited as the most important resource need. Respondents perceived cost of services, lack of transportation, and limited clinic hours as primary barriers to care. Conclusions: While some barriers to care have been almost universally addressed (eg, language), there is evidence that some impediments remain and may present significant obstacles to a broad improvement in oral health care for migrant and seasonal farmworkers. [source]


    Understanding oral health beliefs and practices among Cantonese-speaking older Australians

    AUSTRALASIAN JOURNAL ON AGEING, Issue 1 2010
    Rodrigo Mariņo
    Aim:, The present study was conducted to explore how older immigrants from Hong Kong or Southern China manage their oral health in Melbourne. Methods:, We used six focus groups involving 50 Cantonese-speaking immigrants who were 55 years and over and living in Melbourne. Results:, Four major themes relevant to oral health care emerged from the discussion: (i) traditional Chinese health beliefs; (ii) traditional medicine and oral health; (iii) attitudes towards dentists; and (iv) access to oral health-care services. Language, communication and cost of dentistry were identified as major barriers to oral health care. Conclusion:, Older Chinese immigrants in Melbourne have concerns about oral health care that are similar to other ethnic groups, they want more oral health-related support from government, and many of they return to China or Hong Kong for dental treatment. [source]