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Community Dentistry and Oral... Dec 2023The aim of this study was to investigate how education level affects dental service utilization patterns in the Australian adult population. This study tested how...
OBJECTIVE
The aim of this study was to investigate how education level affects dental service utilization patterns in the Australian adult population. This study tested how education level mediated these service patterns through behavioural mediators such as smoking, tooth brushing and oral health status and investigated these mediation effects in different dental service providers.
METHOD
Following the flexible mediation approach, the direct and indirect effects of education through behavioural mediators on dental service utilization patterns (time of last dental visit, reason for last dental visit and frequency of seeking dental care) were calculated for the South Australian population from the Dental Care and Oral Health Study.
RESULTS
Participants with lower educational attainment were 33% (Odds Ratio: 0.67, 95% CI 0.56-0.78) and 38% (Odds Ratio: 0.62, 95% CI 0.53-0.74), less likely than their counterparts with higher education to visit a dentist or to receive dental care in the last 12 months, respectively. Low education was associated with a 23% increase in odds of receiving emergency and treatment services (Odds Ratio: 1.23, 95% CI 1.05-1.43) compared to routine dental check-ups or examinations.
CONCLUSION
Low education, regardless of oral health behaviours and status, reduces the odds of dental service utilization in terms of frequency of seeking dental care and time of last dental visit. There is more tendency towards receiving emergency and treatment services compared to routine dental check-ups or examinations in participants with lower educational attainment.
Topics: Adult; Humans; Mediation Analysis; Australia; Educational Status; Oral Health; Dental Care
PubMed: 36576011
DOI: 10.1111/cdoe.12838 -
Journal of Dentistry Aug 2023Artificial intelligence (AI) has the potential to aid in constant, non-invasive monitoring of daily oral hygiene practices, potentially on behalf of a dentist or... (Review)
Review
OBJECTIVES
Artificial intelligence (AI) has the potential to aid in constant, non-invasive monitoring of daily oral hygiene practices, potentially on behalf of a dentist or healthcare provider. This review summarises the evidence around the use of AI in the context of oral hygiene education.
DATA & SOURCES
This scoping review was developed according to the Joanna Briggs Institute scoping review protocol guidelines and the PRISMA-ScR guidelines. Publications that involved the use of AI for oral hygiene education in any population and setting were included. A systematic electronic database search (MEDLINE via PubMed, EMBASE, Web of Science, Scopus, Cochrane Library, and IEEE Xplore, arXiv, Proquest, Google Scholar, ClinicalTrials.gov, and PROSPERO) up to, and including 4 February 2023 was carried out. Citation searching from the full-text of included publications was also performed.
RESULTS
Of the 3215 publications screened, 20 were selected for qualitative synthesis. These were broadly divided into two categories of AI-assisted feedback: (1) synchronous and (2) asynchronous monitoring. There is a lack of high-quality studies, scarce reflection on possible ethical concerns on AI, and of studies comparing qualitative feedback to quantitative clinical outcomes with a control. Barriers to adoption of AI technologies, patient privacy, and specific areas for improvement were identified.
CONCLUSION
Within the limitations of this study, the use of AI to modify oral hygiene behaviour is promising. Further work is required in generating higher quality intra-oral images for dental biofilm detection, and in developing more personalised feedback for users.
CLINICAL SIGNIFICANCE
This is the first review to map out the available literature on AI in providing oral hygiene education. It may be useful to dental researchers in appraising AI-assisted technologies in the context of oral health.
Topics: Humans; Oral Hygiene; Artificial Intelligence; Oral Health; Dental Care
PubMed: 37263406
DOI: 10.1016/j.jdent.2023.104564 -
Journal of the American Dental... Aug 2023
Topics: Humans; Health Personnel; Dentists; Oral Health; Dental Care
PubMed: 36959008
DOI: 10.1016/j.adaj.2023.02.006 -
Bundesgesundheitsblatt,... Dec 2023Impairments and disabilities can have a negative impact on oral health. However, studies on the oral health of people with impairments and disabilities are rare. This...
BACKGROUND
Impairments and disabilities can have a negative impact on oral health. However, studies on the oral health of people with impairments and disabilities are rare. This article examines the 12-month prevalence of dental utilization among adults with and without impairments and disabilities in Germany.
METHODS
Analyses are based on data from 23,372 persons aged 18 years and older with permanent residency in Germany from the GEDA 2014/2015-EHIS study. Participants were asked when they last visited a dentist or orthodontist on their own behalf - "less than 6 months ago," "6 to less than 12 months ago," "12 months ago or longer," or "never." For the analyses, the first two and the last two response options were combined, giving the 12-month prevalence of dental utilization.
RESULTS
Adults with impairments and disabilities were slightly more likely not to have visited a dental practice in the year prior to the survey than adults without impairments and disabilities (21.5% and 18.4%, respectively; p = 0.002). However, the association between the presence of impairments and disabilities and lower dental utilization did not persist after controlling for age, gender, partnership, and socioeconomic status.
DISCUSSION
There are hardly any differences in the dental utilization between persons with and without impairments and disabilities. However, due to their poorer oral health on average, it is necessary to consider how the dental care of this very heterogeneous group can be further improved. The analyses point to the need for care and prevention potentials.
Topics: Humans; Adult; Germany; Disabled Persons; Oral Health; Surveys and Questionnaires; Dental Care
PubMed: 37452217
DOI: 10.1007/s00103-023-03748-7 -
Israel Journal of Health Policy Research Sep 2023In 2010, Israel reformed its hitherto dominantly privately financed dental services and included preventative and restorative dental care for children in the...
BACKGROUND
In 2010, Israel reformed its hitherto dominantly privately financed dental services and included preventative and restorative dental care for children in the publicly-funded basket of healthcare services. A survey conducted by Brookdale Institute, found that only 67% of low-income Israeli-Arab children were using the new service (compared to 85% of Jewish children) while the majority of others continue using privately funded services. The aim of this study is to explore and explain Israeli-Arab children's low utilization of publicly-funded preventive and restorative dental care.
METHODS
A qualitative study designed to describe and understand the parents' motivations and choices. As a preliminary stage, eight semi-structured interviews were conducted with directors of HMO dental departments and Israeli-Arab dentists. In the second stage, ten one-on-one interviews with parents, and five focus group discussions with 55 parents held on February-March 2017. All discussions in the focus groups were conducted in Arabic and each group was moderated by one of the research team accompanied by another person who documented and recorded the discussion. All interviews and discussions were recorded, transcribed in full and translated into Hebrew.
RESULTS
The prevalent attitude is that one goes to the dentist only when there is a serious problem. The importance of preventive care is not appreciated. A childhood fear of the drill is very remembered and passed onto the children. Social and cultural factors such as kinship with service providers (GPs and dentists) influence the choice and utilization of health services. Economic barriers are still existing since even the small co-payment is daunting to low-income parents of large families. Provision of the public service is inadequate in some Arab villages.
CONCLUSIONS
The extension of Israel's National Health Insurance Law's basket of services to include dental care for children, while important, is not sufficiently embraced by Israeli Arab children. The remaining barriers include poor living conditions, low educational level that requires very clear sharing of information about the new service, and the resistance of cultural and social traditions. Public dental services providers should focus on conveying relevant oral health messages to the parents too, either through their children or directly.
Topics: Child; Humans; Arabs; Israel; Qualitative Research; Focus Groups; Dental Care
PubMed: 37667386
DOI: 10.1186/s13584-023-00579-4 -
Brazilian Oral Research 2023The aim of this study was to investigate associations of health literacy (HL), general self-efficacy (GSE), and sociodemographic variables with non-adherence to dental...
The aim of this study was to investigate associations of health literacy (HL), general self-efficacy (GSE), and sociodemographic variables with non-adherence to dental treatment among Brazilian young adults. This is a cross-sectional study based on a cohort study of 248 young adults aged 19 to 25 years followed up in an earlier study. The participants completed the perceived general self-efficacy scale (GSE), a questionnaire on socioeconomic and demographic variables and were examined for oral conditions. HL was measured using the Brazilian version of the health literacy questionnaire (HLQ-Br), which provides nine individual scores based on an average of the items within each of the nine scales. Dental treatment adherence was evaluated as the decision of young adults to seek a dentist to finish the recommended restorative treatment for dental caries. The effects of HL domains on the adherence to dental treatment were analyzed by logistic regression and the effect was adjusted for sex, age, family income, paternal and maternal education, type of housing, and self-efficacy. The results of the adjusted analysis showed associations among young adults who did not adhere to dental treatment with lower self-efficacy levels, living in non-owner-occupied homes, and lower HL levels in almost all of the HL domains (p < 0.05). Only the HLQ6 domain "Ability to actively engage with healthcare providers" was not associated with the outcome (p>0.05). Adherence to dental treatment in primary care among young adults was associated with their general self-efficacy levels, socioeconomic characteristics, and individual's lower HL aspects.
Topics: Humans; Young Adult; Cohort Studies; Cross-Sectional Studies; Dental Caries; Health Literacy; Self Efficacy; Dental Care
PubMed: 37672416
DOI: 10.1590/1807-3107bor-2023.vol37.0082 -
Orvosi Hetilap Sep 2023In Hungary, dental care and prevention for mentally disabled individuals are becoming increasingly challenging. Currently, there are 100,000 intellectually disabled...
INTRODUCTION
In Hungary, dental care and prevention for mentally disabled individuals are becoming increasingly challenging. Currently, there are 100,000 intellectually disabled individuals in the country who require "special medical care".
OBJECTIVE
The objective of this study was to develop and modify a relatively simple preventive procedure, adjusted to the mental capabilities of the patients, and implement it within a selected group. The study aimed to assess the results after 3 and 6 months, respectively, and to compare them with the international literature.
METHOD
The preventive procedure was introduced to 49 patients admitted to the institute of Csömör Nursing Home and Daycare Institute of the Foundation for Equal Opportunities. To ensure the accuracy of the data, the patients were examined separately by 3 doctors. The program began with dental care training for both patients and nursing staff. The periodontal examinations were carried out by the team's periodontologist. The patients were checked after 3 and 6 months, respectively, and the data were recorded.
RESULTS
No changes were registered in terms of the DMF-T index during this short period of time, therefore we applied the restorative index. However, a significant improvement was observed in the periodontal condition.
DISCUSSION
The preventive procedure proved to be effective, considering the fact that all patients had periodontal problems due to neglected oral hygiene. As there was a significant improvement in the periodontal condition, an improvement of the DMF-T index dentition of the patients can also be expected in the future.
CONCLUSION
Enhanced oral hygiene (advancing towards "normal oral hygiene" from the neglected oral hygiene of the patients) can bring about considerable improvement in the case of patients needing special medical care. To attain positive results, a proper approach and regular motivation are essential for both patients and caregivers. Orv Hetil. 2023; 164(37): 1456-1461.
Topics: Humans; Persons with Mental Disabilities; Academies and Institutes; Disabled Persons; Hospitalization; Periodontal Diseases; Dental Care
PubMed: 37717238
DOI: 10.1556/650.2023.32853 -
British Dental Journal Nov 2023
Topics: Turkey; Dental Care; Humans; Medical Tourism
PubMed: 38001205
DOI: 10.1038/s41415-023-6562-6 -
Revista de Saude Publica 2023Measure the prevalence of use of dental services in the previous year and associated factors among 31-year-old adults from a birth cohort of 1982.
OBJECTIVE
Measure the prevalence of use of dental services in the previous year and associated factors among 31-year-old adults from a birth cohort of 1982.
METHODS
This is a cross-sectional study that analyzed a birth cohort of 1982 from the city of Pelotas. In 1997, a systematic sample of 27% of the city's census sectors was defined and all households in these sectors were visited, where 1,076 15-year-old adolescents were interviewed. For the oral health studies, 900 of these individuals were randomly selected and followed up at 24 and 31 years of age. The study used data collected from 523 individuals in 2013 (at 31 years old). The outcome was visit to the dentist (use of dental services) in the previous year. Demographic factors (sex), socioeconomic factors (income, education), and oral health factors (reason and type of service, self-perception of oral health, dental pain and caries experience - DMFT) were used as independent variables. Prevalence ratios were estimated using Poisson regression.
RESULTS
The prevalence of use of dental services in the previous year was 55.3% (95%CI: 51.0-59.5%). In the adjusted analysis, the reason and type of service, self-perception of oral health, and DMFT were associated with the outcome. A stronger association was found with use of dental services in individuals who visited for prevention and used the private service, who were satisfied with their oral health, and who had more caries experiences.
CONCLUSION
55.3% of the cohort sample used dental services in the previous year. Individuals who visited the dentist of private service for preventive reasons, who were very satisfied with their oral health, used these services in a higher proportion. In addition, a higher DMFT index also led to higher use of services.
Topics: Adolescent; Humans; Adult; Birth Cohort; Brazil; Cross-Sectional Studies; Oral Health; Prevalence; Dental Care; Dental Caries
PubMed: 37585946
DOI: 10.11606/s1518-8787.2023057004604 -
Journal of Health Care For the Poor and... 2024We sought to measure the association of dental provider density and receipt of dental care among Medicaid-enrolled adults.
OBJECTIVE
We sought to measure the association of dental provider density and receipt of dental care among Medicaid-enrolled adults.
METHODS
We used four years of Indiana Medicaid claims and enrollment data (2015 to 2018) and the Area Health Resources File to examine the relationship between any dental visit (ADV) or any preventive dental visit (PDV) and three county-level measures of dental provider density (the total number of Medicaid-participating dentists, a binary indicator of a federally qualified health center (FQHC) with a Medicaid-participating dentist, and the overall county dentist-to-population ratio).
RESULTS
The likelihood of ADV or PDV increased with greater density of Medicaid-participating dentists as well as dentists accepting Medicaid working at an FQHC within the county. The overall dentist-to-population ratio was not associated with dental care use among the adult Medicaid population.
CONCLUSION
Dentist participation in Medicaid program may be a modifiable barrier to Medicaid-enrolled adults' receipt of dental care.
Topics: Humans; Medicaid; United States; Adult; Female; Male; Dental Care; Middle Aged; Dentists; Indiana; Young Adult; Adolescent
PubMed: 38661867
DOI: No ID Found