Oral Health Promotion Programs Research Articles

일부 지역사회 노인의 구강보건교육 실태에 관한 연구

Objectives : The purpose of the this study was to obtain necessary source data for development of oral health improvement and promotion programs for the elderly by investigating the actual situations of oral health education related experience and needs that senior citizens had in Korea. Methods : In this study, convenience sampling was conducted in 430 senior citizens aged 65 years who lived in Seoul and Gyeonggi-do in Korea, for about six months from December 2011 to May 2012. For data collection, the structured questionnaire was used. Community-based senior citizens' welfare facilities and centres, as well as nearby churches were visited to inform them of the information on this study. Then, the senior citizens who agreed to participate in this study were given the questionnaire sheets. Excluding 33 copies of inadequately completed questionnaire sheets, 397 copies (92.3% of the entire collected data) were analyzed. Results : 1. In terms of the experience with oral health education, the number of elderly respondents who have not received oral health education was 202 (50.9%), whereas the number of those who have received oral health education was 195 (49.1%), which indicates that the latter shows a slightly higher proportion. 2. Examining the necessity for oral health education, the overall mean was 3.67 points based on 5 points as full marks, which suggests that senior citizens have high awareness of the necessity for oral health education. 3. Regarding the willingness to participate in oral health education, the number of those who answered that if any opportunity to receive oral health education is given, they would be willing to receive such the education was 211 (53.1%). Conclusions : Based upon the results mentioned above, we conclude that it is required to develop more systematic and sustained, life-long oral health education programs at the levels of senior citizen's welfare facilities and centres, in order to guide senior citizens to desirable oral health care practice.

Oral Health Knowledge, Attitude and Practices among Adults toward Tooth Loss and Utilization of Dental Services in Moradabad District

Background and objectives: For centuries, people have accepted tooth loss as an inevitable part of the human condition. Tooth loss impairs the quality of life, often substantially, and affects the well being of the person. The objectives of study were to evaluate behavioral characteristics of the adults like beliefs about tooth loss and utilization of available health services which might be associated with tooth loss. Methodology: A cross-sectional survey was conducted on 1,200 adults of Moradabad district, aged 35 to 74 years, 565 from urban area and 635 from rural area who were selected by multistage systematic random sampling technique. Data was collected by an interview followed by examination for the number of missing teeth. Results: Mean number of missing teeth in the study population was 4.2. Around half of the study population, i.e. 51.1% of the adults claimed that they had no dental treatment facilities nearby. Among the 602 adults (50.2%) who had utilized dental services earlier, greatest response for reason of dental visit was for extraction of teeth (48.7%). Conclusion: The findings from this study are useful in identifying the sociodemographic and behavioral characteristics associated with tooth loss among the study population. The insights gained from this study illustrate the need for tailoring Oral Health Promotion Programs and Services for the community, as the modification of these nondisease independent factors can reduce the tooth loss and improve the oral health of the adults of Moradabad district.

Assessment of periodontal status and treatment needs among 12 and 15 years old school children in udaipur, India

To assess and compare the periodontal status and treatment needs among school children aged 12 and 15 years in public and private schools of Udaipur, India and to provide baseline data for planning and evaluation of oral health care promotion programmes. A cross-sectional descriptive survey. A survey was conducted on 900 school children aged 12 and 15 years in Udaipur. The data were collected by means of clinical examination using the CPITN index. Data was analysed using Pearson's Chi-square and student's t-test. Children aged 15 years had higher scores of healthy gingiva compared with 12 years old. Gender difference of females having better gingival health than males was seen in both age groups. Amongst the schools, children in private schools had good periodontal status in comparison to public schools. A statistically significant association between frequency of tooth brushing and CPITN scores was found among children of the 15 year old group. There is a need for a long term school oral health promotion program to sustain the healthy tissues of this growing Indian population.

Frequency and Risk Indicators of Tooth Decay among Pregnant Women in France: A Cross-Sectional Analysis

IntroductionLittle is known on the prevalence of tooth decay among pregnant women. Better knowledge of tooth decay risk indicators during pregnancy could help to develop follow-up protocols for women at risk, along with better prevention strategies. The aim of this study was to assess the frequency of tooth decay and the number of decayed teeth per woman in a large sample of pregnant women in France, and to study associated risk indicators.MethodsA secondary cross-sectional analysis of data from a French multicentre case-control study was performed. The sample was composed of 1094 at-term women of six maternity units. A dental examination was carried out within 2 to 4 days post-partum. Socio-demographic and behavioural characteristics were obtained through a standardised interview with the women. Medical characteristics were obtained from the women’s medical records. Risk indicators associated with tooth decay were identified using a negative binomial hurdle model.Results51.6% of the women had tooth decay. The mean number of decayed teeth among women having at least one was 3.1 (s.d. = 2.8). Having tooth decay was statistically associated with lower age (aOR = 1.58, 95%CI [1.03,2.45]), lower educational level (aOR = 1.53, 95%CI [1.06,2.23]) and dental plaque (aOR = 1.75, 95%CI [1.27,2.41]). The number of decayed teeth was associated with the same risk indicators and with non-French nationality and inadequate prenatal care.DiscussionThe frequency of tooth decay and the number of decayed teeth among pregnant women were high. Oral health promotion programmes must continue to inform women and care providers about the importance of dental care before, during and after pregnancy. Future research should also assess the effectiveness of public policies related to oral health in target populations of pregnant women facing challenging social or economic situations.

Patterns of Attendance of Children Under 12 Years at School Dental Service in Western Australia

The aim of this study was to investigate the patterns of attendance at School Dental Service (SDS) and reasons for attendance (treatment or prevention) for children in the Perth Metropolitan Area, in particular investigating the first year of SDS attendance and attendance until the year the child turned 12. The first 150 SDS records located for children from the Western Australian Pregnancy Cohort (Raine) Study were used for this study. Patterns of attendance of children at SDS were described, as were associated factors (enrolment, age and nature of first visit, general nature of visits and number of visits) until the end of the year that the child turned 12.The age of the child at the first SDS visit ranged from 4 years 3 months to 14 years 11 months, with a median of 5 years 1 month. First visits were primarily for an examination (98%). Children had a median of 13 visits until 12 years of age, with 10% having less than five visits and 4% having more than 25 visits.These data provide useful information regarding attendance at the SDS in Western Australia which could provide a basis for oral health promotion programs.

Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: A cross-sectional study

Early childhood caries (ECC) is a devastating form of dental decay with multi-factorial origin. The aim of this cross-sectional study is to investigate the prevalence and related risk factors of ECC in preschool children of urban Bangalore (India). A random sample of 1,500 children aged between 8 and 48 months were selected from various parts of urban Bangalore. The status of dental caries was recorded according to the World Health Organization (WHO) criteria. Information regarding oral hygiene practices, feeding habits, socio-economic status, birth weight, and educational status of the mother was obtained through a structured questionnaire given to mothers of preschool children. The data was subjected to statistical analysis using the Statistical package for social sciences (SPSS) version 12. The prevalence of ECC in preschool children was 27.5%, while the mean deft was 0.854. ECC increased significantly with age. Children whose mothers had no schooling and those who belonged to low socioeconomic group showed higher caries prevalence. A significant increase in caries prevalence was found in children accustomed to the practice of on-demand breast feeding and bottle feeding at night. Caries also increased significantly when snacks were consumed between meals. However, increased frequency of tooth-brushing, parental supervision, use of a baby toothbrush, and fluoridated dentifrice significantly decreased caries prevalence. ECC is a serious public health problem in this population and measures to increase awareness should be undertaken. The target candidates for oral health promotion programs should include mothers, general dentists, pediatricians, nurses, primary care health workers, care-takers at day-care centers and gynecologists.

공공기관 근무자의 사이버 구강보건사업실무과정 교육에 대한 만족도

Objectives : This thesis aims to provide basic materials for exploring trends and operational strategy of the cyber training. To achieve study purpose, it analyzed the satisfaction of trainees in regard to the education of field training course of Cyber Oral Health Promotion Program, established and operated between 2007 and 2009. Methods : This study conducted questionnaire surveys after the completion of training to utilize the satisfaction level of 989 respondents among 1,310 employees of public institutions who completed the field training course of Cyber Oral Health Promotion Program. Results : Respondents showed satisfaction on the training course throughout three years in terms of satisfaction of instructional methods (screen characteristics, educational techniques, and so on) according to educational contents, the connection and realization of online education and service satisfaction, necessary for learning in association with educational guidance, offered to learners by a tutor and rapidity in questions and answers. A majority of respondents in all years answered that they participated in training program voluntarily for self-development and improvement in work ability, and they thought that the completion of course would be helpful to their current work and future work. In addition, cyber training program was primarily conducted in the working place by 72.5%, and the most difficult thing in cyber training was to combine work and learning by 60.6%. Conclusions : As shown in the results above, workers in public institutions were satisfied with cyber job training and it was evaluated that cyber job training would be helpful to performing their actual work. Therefore, it is needed to collect and evaluate more diverse requirements of trainees with regard to cyber job training, and the development and operation of job training program that reflects these results sufficiently is required.

Addressing children's oral health inequalities: caries experience before and after the implementation of an oral health promotion program

Objective. (1) To evaluate the dental status of 5-year-old children in Clermont-Ferrand (France) in 2009; (2) To measure changes in children's dental status between 2003 and 2009; and (3) To estimate the impact of an Oral Health Promotion (OHP) program implemented in nine schools since 2005. Materials and methods. All 5-year-olds attending public schools in deprived areas (n = 15) and six randomly selected other schools in Clermont-Ferrand were invited to participate. Dental status was recorded using d3mft, as in 2003. Parents responded to questions about their child's oral hygiene and provided socio-demographic information. Results. Of children invited, 478 (77%) were examined. Mean dmft was 1.18 (SD 2.61); 27.6% had at least one tooth affected. Caries experience varied significantly with deprivation status, oral hygiene and household SES indicators. The only difference observed between 2003 and 2009 was an increase in the ‘f’ component (p < 0.001). Dental status had slightly deteriorated in areas characterized in 2003 by low caries levels (p=0.07). In deprived areas, mean dmft increased in schools without the OHP program (p = 0.04). Changes between 2003 and 2009 were studied at school level using Multiple Factorial Analysis; it tended to improve in four schools, which had the OHP program. Household indicators of SES changed little. Oral hygiene levels varied differently from one school to another.Conclusions. Caries experience was high, with large inequalities between children. No major differences were observed between 2003 and 2009. The OHP program has done little to reduce disparities in oral health, even if dental status improved in four schools.

California’s State Oral Health Infrastructure: Opportunities for Improvement and Funding

California has virtually no statewide dental public health infrastructure leaving the state without leadership, a surveillance program, an oral health plan, oral health promotion and disease prevention programs, and federal funding. Based on a literature review and interviews with 15 oral health officials nationally, the paper recommends hiring a state dental director with public health experience, developing a state oral health plan, and seeking federal and private funding to support an office of oral health.

Periodontal status in patients undergoing hemodialysis

The aim of the study was to assess the periodontal status of patients among group of patients receiving hemodialysis in two super specialty renal institutes in the state of Gujarat. A cross-sectional study of 304 subjects, 152 subjects each in dialysis, and control group was conducted. Oral hygiene status was assessed using a Simplified Oral Hygiene Index, and periodontal status was assessed using the Community Periodontal Index (CPI) and Loss of Attachment (LOA) as per WHO methodology 1997. The dialysis group had poor oral hygiene than the control group (P<0.001). There was high severity of periodontitis in the dialysis group as compared with the control group (P<0.001). None of the subjects had healthy periodontium. There was high severity of periodontitis (for both in terms of CPI and LOA) in the dialysis group as compared with control group that was found to be statistically highly significant (P<0.001). However, no statistically significant difference was observed (P>0.05) when the intergroup comparison for CPI and LOA were made among the subgroups according to the duration of dialysis. Periodontal disease is prevalent in chronic renal failure patients who showed the unacceptable level of oral hygiene and hence there is need for oral health promotion and preventive programs among the patients receiving dialysis.

Distribution of between socio-economic state of the parents and Child-Oral Impact on Daily Performances (C-OIDP) for children in Gangneung city

Copyright © 2012 by Journal of Korean Academy of Oral Health This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives: The study assessed the status of Child-Oral Impact on Daily Performances (C-OIDP) and association between socio-economic status (SES) and C-OIDP in Korean children. Methods: The study population was the citizens of Gangneung, aged 4-10 year-old, who were registered at a preschool and primary school. Finally, 1,943 among 2,489 finished the question and response (response rate 74.3%). The children completed the C-OIDP by a face-to-face interview or self-response questions evaluation. The ethic approval of the study protocol was approved form GWNUDH-IRB. Results: Twenty-five percent of the participants answered that they had difficulties on their daily performances from oral health. Problem with cleaning of the mouth was the most frequent performance to be reported and the percentage of the children who had this experience was 20.7%. Fifteen percent of the participants answered that they had difficulties on their daily performances from oral health on a daily basis. Among the children who experienced difficulties on daily performances from oral health on a daily basis, 59.3% of the difficulties on daily performances were moderate or severe effect. Lower SES was significantly associated with the rate of their daily performances from oral health. Conclusions: This study showed the status of C-OIDP in Korean children. It is suggested to establish the oral health strategy to school-based oral health promotion program. Future longitudinal research is required to determine the specific role to the relation between SES and OHRQoL for children.

Oral health-related knowledge, attitude, and practices among 12-year-old schoolchildren studying in rural areas of Panchkula, India

Oral health is fundamental to general health and well being. Schools can provide a supportive environment for promoting oral health. School policies and education on health-related matters are imperative for the attainment of good oral health and control of related risk behaviors. This study was conducted to assess oral health-related knowledge, attitude, and practices among 12-year-old schoolchildren studying in rural areas of Panchkula, India. The ultimate goal was to implement an oral health-promotion program in this area. A total of 440 children (216 males and 224 females) from 12 schools were included in this study. All the participants were requested to complete a 13-question closed-ended questionnaire. The statistical significance of any difference between the two genders was determined using the Chi-square test. Only 25% of the participants said that they cleaned their teeth more than once in a day. Thirty-two percent did not clean their teeth daily. Over the preceding 1 year, 45.5% of the childern had had some problem with their teeth and/or gums, but only 35.9% visited the dentist. Among these children, 8.2% used tobacco in some form. Oral health-related knowledge of girls was significantly better than that of boys. Based upon the findings of the present study, the knowledge, attitude, and practices of the surveyed children with regard to oral health is poor. Hence, there is a need for regular oral health education of the children, as well as their parents and school teachers.

Enhancing the quality of life in elderly women through a programme to improve the condition of salivary hypofunction

The purposes of this study were to examine the effects of oral exercise intended to improve the function of the oral cavity in the elderly and their quality of life to pave the way for the development of oral-health promotion programmes geared towards the elderly. The subjects were 78 female Koreans who resided in Seoul and were aged 65 years and older. During a 3-month period, an oral function promotion programme was conducted twice a week, between 10.00 am and 12.00 pm, applying oral exercise suggested by a Japanese public health centre. A survey was conducted by interviewing the selected women to determine the state of their subjective dry mouth, quality of life related to oral health and jaw functional limitation. Their opening, unstimulated whole saliva and pronunciation speed were measured before and after the oral function exercise programme. The subjects showed a significant improvement in subjective dry mouth symptoms, relevant behaviour, the level of discomfort caused by dry mouth and subjective jaw functional limitation during mastication and swallowing and emotional expression after receiving the oral exercise. After the oral exercise, there was a significant increase in mouth opening, unstimulated whole saliva and speaking speed ('patakala' pronunciation) after oral exercise. There was also significant progress in their quality of life related to oral health. Overall improvement in subjective dry mouth symptoms and relevant behaviour over time after oral exercise had a positive correlation with the level of improvement in discomfort triggered by dry mouth and mastication. The level of improvement in OHIP-14 had a positive correlation with the level of overall improvement in dry mouth symptoms and behaviour, the level of improvement in discomfort by dry mouth and that in mastication and swallowing. This study showed the effects of the oral function promotion programme and correlation of oral condition and oral health-related quality of life. It is suggested that this oral function promotion programme has positive effects on both objective and subjective oral conditions. It is strongly recommended that this programme, along with other oral health promotion programmes, be implemented to improve oral function and oral health-related quality of life for the elderly.

The incidence of dental caries in children and adolescents who have cerebral palsy and are participating in a dental program in Brazil

The aim of this study was to describe the incidence of caries among children and adolescents who have cerebral palsy. The authors conducted baseline and follow-up dental examinations of 118 children and adolescents with cerebral palsy in a specialized healthcare unit in São Paulo, Brazil. Family care-givers completed a questionnaire that provided socioeconomic and behavioral information. The analysis used multivari-ate Poisson regression models adjusted for age. More than half (52.5%) of the subjects had at least one permanent or deciduous tooth affected by new caries during the longitudinal assessment (2004-2008). The incidence of caries was associated with the baseline prevalence of caries (incidence ratio = 1.92), a higher frequency of sugar intake (IR = 1.56), and having at least one sibling (IR = 1.64). Participants whose family care-givers had more education had a significantly lower incidence (IR = 0.68). The factors associated with a higher incidence of caries are similar to those in the general population. This evidence can potentially be used to develop an effective oral health promotion program for these patients.

Access to oral health services for urban low‐income Latino children: social ecological influences

Using an ecological conceptual model, this study examined the social context, structural, and behavioral factors within an immigrant community that contribute to increased access and use of oral health services by Latino children. The predictors of health service use at the level of the individual, the family, the provider, and the health service system were studied for their effects on the initiation of care, continuity of care, and frequency of planned visits. In-depth face-to-face interviews were conducted with 320 Latino mothers regarding their use of oral health services for 4-8-year-old children [Mexican (n = 221), Puerto Rican (n = 69), and Central and South American (n = 30)]. Outcome measures of dental care utilization were early age at initiation of care, continuity of care, and frequency of planned dental visits. Regular planned dental visits were significantly related to the structural variables of household income and provider availability. The initiation of dental care was related to the mother's beliefs about the value of early preventive dental care. Mothers were more likely to continue care if they believed that the purpose was to keep the child's teeth healthy and had satisfactory communication with the dentist. Identifying the structural and behavioral factors that increase the likelihood of the use of oral health services can provide the basis for developing effective interventions specific to Latino children at the neighborhood level. The study findings can be also used for designing culturally appropriate oral health promotion programs and provider coordination of care.

School teachers’ knowledge of oral disease prevention: a survey from Dharwad, India

To assess knowledge and the associated factors among Indian school teachers towards oral disease. A cross-sectional design was employed using a self-administered questionnaire. A total of 215 school teachers were selected, with a response rate of 95.3% (n = 205). A total of 35.6% of school teachers had "good" knowledge, while 42.4% had "medium" knowledge of the prevention of oral disease. Knowledge of dental caries was highest, as opposed to oral cancer, which was lowest. School teachers aged >50 years and those with postgraduate degrees had greater knowledge. A significant association was observed between teachers' levels of knowledge and their age groups (χ(2) = 20.9950, P < 0.05) and education level (χ(2) = 13.9740, P < 0.05). However, the multivariate stepwise regression analysis showed that education, age group, sex, and type of institutional funding (public/private) was significantly correlated to knowledge (R(2) = 0.1250, P < 0.05). The study revealed that school teachers, in particular younger teachers and those with only basic educational qualifications, need to be further motivated to improve their awareness and knowledge about oral diseases. Therefore, the establishment of school-based oral health promotion programs in India with immediate effects is essential.

Sociodemographic Factors and Oral Health Conditions in Drug Users

Objetivo: Identificar clinicamente e por meio de questionario anamnesico, as condicoes de saude bucal em individuos, causadas pelo uso de drogas e suas relacoes com fatores sociodemograficos. Metodo: O estudo foi do tipo descritivo transversal, com abordagem pelo metodo indutivo, sendo a amostra composta de 70 pacientes que buscaram atendimento no CAPS-ad (Centro de atencao psicossocial – alcool e outras drogas). Os dados foram coletados de forma sistematica por uma unica examinadora previamente calibrada, atraves de exame clinico e aplicacao de formulario especifico para identificacao e classificacao de provaveis alteracoes. Resultados: Os resultados encontrados mostraram que a idade media dos pacientes pesquisados foi de 40,44 anos; o genero masculino (90%) foi predominante na amostra; mais da metade dos pacientes eram da raca branca (57,1); o nivel de escolaridade encontrado nos mesmos e baixo; as drogas mais consumidas pelos mesmos foram respectivamente o alcool (68,6%), maconha(17,1%), cocaina(7,1%), crack (4,3%) e farmacos psicotropicos (2,8%); a maioria dos dependentes apresentou saude bucal deficiente; eram dependentes quimicos ha mais de cinco anos; a deficiencia na saude bucal pode estar associada ao descaso com a higiene corporal provocado pelo uso abusivo de drogas. Observou-se ainda que quanto maior o periodo de dependencia mais precaria a saude bucal do usuario (p= 0,002) e que a precariedade da saude bucal dos mesmos, esta relacionada aos seus habitos de higiene bucal (p=0,029). Conclusao: Observou-se a necessidade da insercao do profissional de odontologia nos projetos de recuperacao oferecidos a estes pacientes, para a realizacao de programas de promocao e de recuperacao da saude bucal melhorando assim, a qualidade de vida desses pacientes.

Acceptance of oral health promotion programmes by dental hygienists and dental nurses in public dental service

The aim of this study was to analyse how dental hygienists and in-service trained dental nurses accepted new health promotion programmes, how did they experience them in practice, and how did these programmes affect their attitudes to work. The subjects were all the dental hygienists and in-service trained dental nurses (n = 28) involved in health promotion of small children. Education and written instructions on two new programmes had been given to the professionals in two areas of Vantaa and those in the third area used the routine programme. The transtheoretical model (TTM) was selected as the theoretical framework for counselling. A structured questionnaire of 31-35 items was sent to all subjects. Independent samples Mann-Whitney U and Fisher's exact tests were used as statistical methods. The response rate was 89%. All respondents felt that the work they had carried out had always been important during their working career. Twenty-one of 25 respondents reported that the instructions and education were suitable for oral health promotion. The respondents within the new programmes felt they had advanced more as health professionals (P = 0.020) and acquired more confidence from the education (P = 0.018) compared with the routine programme. The new programmes for small children were well accepted by the dental hygienists and the in-service trained dental nurses, and the majority of them gained some new practices for their work.

The strength of age effect on tooth loss and periodontal condition in Korean elderly

Aging is a well-known risk factor associated with oral diseases. The aim of this cross-sectional study was to compare tooth loss and periodontal health between the relatively young elderly (65–74 years) and the old elderly (≥75 years) and to investigate the strength of the age effect on oral health status in the Korean elderly. Study population 65 years of age or older were selected from the participants of the Korean National Oral Health Survey (2006) ( n = 1193). Oral examination was conducted by eight dentists trained in the World Health Organization (WHO) recommended examination procedure. The chi-square test, multiple regression analyses and multinomial logistic regression analyses were performed using SAS 9.1.3. The oral health status including decayed, missing, and filled teeth (DMFT), missing teeth, and residual teeth significantly differed between the young elderly and the old elderly ( p < 0.01). Moreover, the regression coefficients of tooth loss linearly increased across different age groups (5-year intervals, starting at age 65 years) ( p < 0.05). However, the odds ratios of periodontal health did not significantly differ across 5-year interval age groups. The findings that age and the number of missing teeth are significantly and linearly related could contribute to the development of oral health care and promotion programs for the elderly tailored to their own age.

Elite Athletes and Oral Health

Elite athletes follow demanding training regimes to achieve optimal performance. Training incorporates strategies which coincide with risk factors for dental caries and erosion. The important role of a disease-free oral cavity for peak performance is often overlooked and oral health may be compromised. This initial exploratory study aimed to identify risk factors for dental caries and erosion in elite triathletes. Questionnaires regarding training, diet and oral health were distributed to a sample of elite triathletes in New Zealand. A further sample of 10 athletes was randomly selected from the Dunedin triathlon club to participate in a clinical oral examination. Sports drinks were consumed by 83.9% of the triathletes while training; for 48.4% consumption of both sports drinks and water was described as 'little sips often, from a bottle'. Eating during training sessions was reported by 93.5% of participants; of those 62.1% ate only during cycling training. Only 3.2% perceived training as high risk to oral health. All clinical examination cases were assessed as high risk for developing caries. The diet of elite triathletes is consistent with a high risk profile for caries and erosion. Future research should be aimed at oral health promotion programs for the athletes, coaches and oral-health providers.