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BMC Oral Health Aug 2023Regular use of oral and dental services by the elderly is one of the important factors in reducing oral and dental diseases. This study aimed to identify the factors...
BACKGROUND
Regular use of oral and dental services by the elderly is one of the important factors in reducing oral and dental diseases. This study aimed to identify the factors affecting oral and dental services` utilization among elderly.
METHODS
The published articles on the factors affecting oral and dental services` utilization among elderly were found through a scoping search and using related keywords in PubMed, Scopus, Embase, and Web of Science databases within January 2000 - December 2022 according to the PRISMA guidelines. The data were analyzed using the thematic analysis method.
RESULTS
Among the 2381 articles retrieved from the databases, forty-two were extracted. The factors affecting oral and dental services` utilization among elderly were classified into five main components as follows: access, demographic factors, social factors, health level, and mental factors. The results showed that income, education level, living area, number of teeth, and importance of care were the most frequent in the main components of access, demographic factors, social factors, health level, and mental factors, respectively.
CONCLUSION
Equitable utilization of oral and dental services is the right of all members of the society, especially the elderly. Therefore, it is necessary to provide the elderly with suitable conditions to utilize such services, which are mostly luxury items. Furthermore, increasing the elderly's awareness and encouraging them to use oral and dental services regularly can help reduce the burden of oral and dental diseases.
Topics: Aged; Humans; Databases, Factual; Dental Care; Educational Status; Facilities and Services Utilization; Stomatognathic Diseases
PubMed: 37635217
DOI: 10.1186/s12903-023-03285-4 -
MSystems Oct 2023We characterized the oral conditions, salivary microbiome, and metabolome after dental treatment by investigating the state after treatment completion and transition to...
We characterized the oral conditions, salivary microbiome, and metabolome after dental treatment by investigating the state after treatment completion and transition to self-care. Dental treatment improved oral health conditions, resulting in oral disease remission; however, the imbalanced state of the salivary microbiome continued even after remission. Although the results of this study are preliminary, owing to the small number of participants in each group when compared to larger cohort studies, they indicate that the risk of disease may remain higher than that of healthy participants, thereby demonstrating the importance of removing dental plaque containing disease-related bacteria using appropriate care even after treatment completion. We also identified bacterial species with relative abundances that differed from those of healthy participants even after remission of symptoms, which may indicate that the maturation of certain bacterial species must be controlled to improve the oral microbiome and reduce the risk of disease recurrence.
Topics: Humans; Dysbiosis; Dental Caries; Periodontal Diseases; Microbiota; Bacteria; Dental Care
PubMed: 37698410
DOI: 10.1128/msystems.00683-23 -
International Journal of Molecular... Aug 2023Celiac disease (CD) is a chronic enteropathy caused by the ingestion of gluten in a genetically susceptible individual. Currently, a gluten-free diet (GFD) is the only... (Review)
Review
Celiac disease (CD) is a chronic enteropathy caused by the ingestion of gluten in a genetically susceptible individual. Currently, a gluten-free diet (GFD) is the only recommended treatment. However, unintentional gluten ingestion or a persistent villous atrophy with malabsorption (regardless of a strict GFD) as in the case of Refractory Celiac Disease (RCD) represents a major issue. In this review, we have analysed and discussed data from both randomized controlled trials and observational studies concerning adjunctive therapies as well as novel therapies for the treatment of CD and RCD. The literature search was carried out through Medline and Scopus. In total, 2268 articles have been identified and 49 were included in this review (36 studies resulting from the search strategy and 13 from other sources). Today, GFD remains the only effective treatment, although steroids, mesalamine, and more recently biological therapies have found space in the complex management of RCD. Currently, studies evaluating the effectiveness of novel therapies are still limited and preliminary results have been controversial.
Topics: Humans; Celiac Disease; Dental Care; Glutens; Diet, Gluten-Free; Genetic Predisposition to Disease
PubMed: 37628981
DOI: 10.3390/ijms241612800 -
BMC Oral Health Oct 2023Oral conditions such as gingivitis and periodontitis are correlated with adverse pregnancy outcomes such as preeclampsia, preterm birth and low birth weight. Oral...
BACKGROUND
Oral conditions such as gingivitis and periodontitis are correlated with adverse pregnancy outcomes such as preeclampsia, preterm birth and low birth weight. Oral health-related unfavourable beliefs can have negative influences on oral health behaviours including hesitation in accessing preventative dental treatments and dental service utilization. The objective of this systematic review was to examine unfavourable beliefs that expectant or new mothers frequently hold about oral health and the safety of dental care during pregnancy.
METHODS
An electronic database search on PubMed, Scopus, CINAHL, and MEDLINE (Ovid) followed by forward and backward citation tracing of the included studies was conducted. All English primary studies regardless of the year of publication were independently screened by two reviewers to identify studies addressing unfavourable beliefs about oral health and dental care during pregnancy. The CLARITY tool was applied to assess the risk of bias in the included studies.
RESULTS
Out of a total of 5766 records, 39 quantitative and six qualitative studies met the inclusion criteria. The commonly held unfavourable beliefs were regarding the safety of dental services utilization and dental treatment procedures, the adverse impacts of pregnancy on oral health, and oral hygiene necessity during pregnancy. The most discussed unfavourable beliefs included "pregnant women lose their teeth because of pregnancy" (n = 18), "dental treatments are not safe and harm the fetus" (n = 17), and "the developing baby absorbs calcium from the mother's teeth" (n = 14).
CONCLUSIONS
Unfavourable beliefs about oral health and dental care utilization are common among pregnant women and new mothers. The literature suggests that a low level of oral health knowledge and seeking information from social networks can contribute to such beliefs. This has implications for health promotion.
Topics: Female; Humans; Pregnancy; Infant, Newborn; Oral Health; Premature Birth; Pregnant Women; Pregnancy Outcome; Dental Care
PubMed: 37840149
DOI: 10.1186/s12903-023-03439-4 -
European Journal of Paediatric Dentistry Mar 2024Dentists, especially paediatric dentists, should inform their young patients of the treatment to be undertaken in an appropriate and comprehensive manner. In 1989, the...
Dentists, especially paediatric dentists, should inform their young patients of the treatment to be undertaken in an appropriate and comprehensive manner. In 1989, the UN Convention on the Rights of the Child (United Nations Convention on the Rights of the Child - UNCRC - https://www.unicef. org/child-rights-convention/convention-text) was adopted, comprising of 54 articles concerning every aspect of a child's life, notably health, including oral health. More than 30 years after the Declaration of the Rights of the Child, both health professionals and parents still struggle to grasp this subject, resulting in its scarce application in daily practice. Children's rights have also been mentioned several times in medical and dental literature, reminding health professionals that the approach to young patients must be age-appropriate. The clinician must learn to consider children as the main protagonists in the choices concerning their health, and they must be aware of their rights from an early age. Particularly in the field of dentistry, it is a matter of guaranteeing the best dental care for every child with particular attention to the indigent or disabled (Article 23). In addition to this, the most effective and up-to-date treatment must be proposed, avoiding unnecessary extractions and favouring conservative therapy that can guarantee a better quality of life in the future, while reducing treatment under general anaesthesia. In current practice, consent to treatment is often demanded from the parents, without involving the child. However, every child has the right to freely express their opinion and be actively involved in any matter that concerns them. This opinion is expressed in different ways according to age and stage of maturity. Pictures, drawings, cartoons and videos can help the healthcare provider when explaining procedures to the young patient, thus allowing them to obtain consent and cooperation. In individual countries, it would be advisable to have guidelines that facilitate the child's active consent to health treatments. So, what happens in your country?
Topics: Humans; Quality of Life; United Nations; Parents; Dentists; Dental Care
PubMed: 38426296
DOI: 10.23804/ejpd.2024.25.01.01 -
The International Journal of Health... Sep 2023Dental care in Canada is primarily financed through private insurance plans and out-of-pocket payments. While Canada is internationally recognized for Medicare, a...
Dental care in Canada is primarily financed through private insurance plans and out-of-pocket payments. While Canada is internationally recognized for Medicare, a publicly-funded health insurance system that covers hospital and physician-provided services at the point of care, it remains one of the least equitable Organization for Economic Co-operation and Development countries in terms of affordable access to dental care. Approximately one third of Canadians do not have access to dental insurance, including half of low-income individuals, and individuals with the greatest dental care needs are often unable to reliably access dental services. Select populations-such as children, Indigenous peoples, seniors, and persons living with disabilities-receive some level of publicly-funded dental services, amounting to approximately 6% of total dental spending nationwide. Despite the evolution of Medicare, dental care has been largely excluded from federal health legislation following World War II. However, in March 2022, the Liberal Party of Canada partnered with the federal New Democratic Party to advance common legislative goals, including a long-term nationwide dental program for low- and middle-income families. As an interim measure, Bill C-31 was signed into law on 17 November 2022, and created the Canada Dental Benefit, which provides a fixed transfer payment to individuals with an annual household income under $90,000. This commentary reviews the origins of Canadian Medicare, discusses the factors that led to the continued exclusion of dental care from federal health legislation, examines the newly-minted Canada Dental Benefit, and explores the potential for expanded public funding in Canadian dental care.
Topics: Aged; Child; Humans; Canada; National Health Programs; Insurance, Health; Health Expenditures; Dental Care
PubMed: 37430413
DOI: 10.1002/hpm.3680 -
Oral and Maxillofacial Surgery Clinics... Feb 2024Interventional approaches to head and neck vascular anomalies have evolved with our understanding of disease pathologic condition and advances in medical and surgical... (Review)
Review
Interventional approaches to head and neck vascular anomalies have evolved with our understanding of disease pathologic condition and advances in medical and surgical treatment. Embolization's role in the disease management ranges from stand-alone treatment with curative intent to adjunctive or even palliative, depending on the lesion. This decision is best made through multidisciplinary collaboration among surgeons, interventionalists, and medical specialists. Finally, setting realistic expectations with the patient and family is a crucial step preceding any intervention. This article elaborates on the considerations influencing a given treatment plan and specific interventional strategy.
Topics: Humans; Dental Care; Neck
PubMed: 37806906
DOI: 10.1016/j.coms.2023.09.006 -
European Journal of Dental Education :... Aug 2023The purpose of this study was to evaluate whether patients at one dental education institution received appropriate care based on their periodontal diagnosis in a timely...
INTRODUCTION
The purpose of this study was to evaluate whether patients at one dental education institution received appropriate care based on their periodontal diagnosis in a timely manner.
MATERIALS AND METHODS
This study used a retrospective design to evaluate data from July 2018 to February 2020. The patient records were screened to determine whether patients received a periodontal diagnosis, whether the diagnosis followed the 2018 AAP Classification Guidelines, and if appropriate preventive and therapeutic procedures were completed in a timely manner. In addition, the type or year of dental student providing the procedure was also recorded. Data were analysed using descriptive statistics and a Chi-squared test.
RESULTS
A total of 612 charts were generated for review and 157 met the inclusion criteria and were evaluated. Results revealed that more than half (56.7%) of the patient records did not demonstrate a periodontal diagnosis and another 10.8% did not follow current AAP Classification Guidelines. Most patients (n = 125, 79.6%) had a comprehensive periodontal assessment performed, while 32 (20.4%) had no comprehensive periodontal charting information recorded. Further, of the 157 records reviewed, 96 (61.1%) had no periodontal treatment specified. A statistically significant difference with a modest association was found between type of dental student and year based on periodontal diagnosis (Fisher's exact test value = 20.72, p = .001, Cramer's V = 0.25).
CONCLUSION
Documentation of key clinical information, diagnostic conclusions, and treatment rendered requires curriculum review. Further studies are warranted to determine whether similar findings exist among other dental school education programs.
Topics: Humans; Periodontal Diseases; Retrospective Studies; Schools, Dental; Education, Dental; Dental Care
PubMed: 35869677
DOI: 10.1111/eje.12838 -
Journal of Public Health Dentistry Sep 2023Although food deserts are known to impact health and healthcare utilization, no research has investigated the relationship between food deserts and dental care...
OBJECTIVES
Although food deserts are known to impact health and healthcare utilization, no research has investigated the relationship between food deserts and dental care utilization. This study aimed to fill this gap by assessing the relationship between living in a food desert and self-reported dental care utilization in the past year.
METHODS
Data are from the National Longitudinal Study of Adolescent to Adult Health (N = 10,495). The association between food deserts and dental care utilization was assessed using covariate-adjusted multiple logistic regression.
RESULTS
Living in a food desert was associated with higher odds of not utilizing dental care in the past year. This association was concentrated among high-poverty areas (≥20% poverty rate).
CONCLUSIONS
The current study is the first to assess the relationship between living in a food desert and dental care utilization. The findings demonstrate that individuals living in low-income urban food deserts may be at increased risk for not utilizing dental care.
Topics: Adult; United States; Humans; Adolescent; Food Deserts; Food Supply; Longitudinal Studies; Poverty; Dental Care
PubMed: 38073040
DOI: 10.1111/jphd.12593 -
Community Dentistry and Oral... Oct 2023To identify, appraise and synthesize the published evidence from quantitative studies on the individual and contextual-level factors determining access to dental care... (Review)
Review
OBJECTIVES
To identify, appraise and synthesize the published evidence from quantitative studies on the individual and contextual-level factors determining access to dental care among refugees worldwide.
METHODS
A systematic literature search was conducted until the last week of February 2022 in four electronic databases - MEDLINE, Embase, Web of Science (all databases) and APA PsycINFO - without any restrictions. Quantitative studies published in English language and meeting the a priori eligibility criteria were reviewed and data extracted. Quality assessment was conducted using the National Institutes of Health tool. The identified factors were stratified according to the framework of the Behavioural Model of Health Services Use, and the evidence related to each of these factors was summarized in tables. Narrative synthesis of the findings was conducted.
RESULTS
The search retrieved 6776 unique records, of which 69 were deemed eligible for full-text screening and nine studies were included in the final data analysis and synthesis. The studies were rated to be of 'fair' quality at best. Self-reported previous dental visits was the most commonly used measure of access. Associations between individual-level factors and dental care access were most frequently examined (predisposing [n = 6], need [n = 2] and enabling [n = 1]), while the contextual-level factors were rarely examined (predisposing and enabling [n = 1, each]).
CONCLUSIONS
Individual-level predisposing factors, such as English language proficiency, education, health and dental literacy and acculturation and integration, were shown to be significantly associated with refugees' access. There is limited evidence to determine the effect of individual enabling and need and contextual factors.
Topics: United States; Humans; Refugees; Narration; Dental Care
PubMed: 36575988
DOI: 10.1111/cdoe.12835