scholarly journals Integrality of care for hemodialysis patient in Brazil: an analysis of access to dental care

2020 ◽  
Vol 25 (2) ◽  
pp. 533-540
Author(s):  
Bruna Mara Ruas ◽  
Lia Silva Castilho ◽  
Natália Cristina Ruy Carneiro ◽  
Natália Mendes de Matos Cardoso ◽  
Augusto Barbosa Reis ◽  
...  
Keyword(s):  
Dental Caries ◽  
Dental Care ◽  
Formal Education ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
Care Services ◽  
Access To Dental Care ◽  
Belo Horizonte

Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.

scholarly journals Dental Caries and the Influence of Associated Factors – A Cross-Sectional Study

2021 ◽  
Vol 10 (21) ◽  
pp. 1616-1620
Author(s):  
Aliya Ehsan ◽  
Jawwad Iqbal Afridi ◽  
Hina Abid ◽  
Muhammad Yusuf
Keyword(s):  
Socioeconomic Status ◽  
Dental Caries ◽  
Dental Care ◽  
Oral Hygiene ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Access To Dental Care ◽  
The Difference

BACKGROUND The study was carried out to determine the prevalence of dental caries among urban and suburban population in Pakistan to assess the association of dental caries with oral hygiene status, socioeconomic status, and dental service availability. METHODS A total of 200 patients was enrolled in this cross-sectional study. Decayed, filled, and missing teeth (DMFT), oral hygiene status, socioeconomic status (SES), and presence / absence of dental care facility were recorded. A specially designed proforma was used to record the data regarding oral hygiene practices, dental treatment availability and socioeconomic background, for the study. The data obtained was statistically analysed using SPSS version 15 software. Chi-square test was applied for association between categorical variables. Analysis of variance (ANOVA) was done to test the difference in DMFT scores of various age groups. Student t test was applied to test the difference in DMFT scores in both sexes. RESULTS Comparison of mean D, M and F status revealed a high tendency towards decayed teeth. Mean DMFT score was found to be 4.41. Maximum DMFT was recorded among 50 years and above age group, followed closely (2.39) by 40 - 49 years. Increased caries prevalence was seen in people with poor oral hygiene and belonging to low socioeconomic status. Caries rate was also high in areas with lack of dental care facilities. CONCLUSIONS Oral hygiene practices, dietary habits, and access to dental care services played an important role in prevalence of dental caries. Socio-economic status has been found to play an important role in access to dental care facilities. From the current report, importance for public health was noted; the socioeconomic status, educational status of parents, and family structure, affect oral health in under-privileged communities. The prevalence of dental caries also plays an important role in oral hygiene procedures, eating patterns, and access to dental care services. KEY WORDS Dental Caries, SES, Oral Hygiene, Dental Care Facility, DMFT.

scholarly journals Fatores associados ao edentulismo em indivíduos com doença renal crônica em hemodiálise: um estudo transversal

2021 ◽  
Vol 62 (1) ◽  
pp. 5-14
Author(s):  
Natalia Mendes De Matos Cardoso ◽  
Natália Cristina Ruy Carneiro ◽  
Lia Silva de Castilho ◽  
Maria Elisa Souza e Silva ◽  
Ana Cristina Borges-Oliveira
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Dental Care ◽  
Group Discussion ◽  
Cross Sectional Study ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
Public Health Policies ◽  
Factors Associated ◽  
Human Research Ethics

Introduction: Chronic kidney disease (CKD) is a progressive condition characterized by structural or functional abnormalities of the kidney. CKD may be associated with several oral alterations, such as higher prevalence rate of dental caries, periodontal disease, xerostomia, candidiasis and burning mouth. The aim of the study was to identify risk factors associated with edentulism in adults with CKD undergoing hemodialysis. Methods: A cross-sectional study was conducted with 650 individuals aged 18 to 90 years undergoing hemodialysis in southeastern Brazil. Oral clinical examination and administration of a questionnaire addressing demographic characteristics and dental history were performed. The study received approval from the Human Research Ethics Committee of UFMG. Findings: A total of 183 participants were edentulous (28.2%). Individuals with less schooling (OR= 3.99; 95% CI: 2.34-6.79), those who had not been to a dentist in the previous six months (OR = 2.49; 95% CI: 1.52-4.08), those who rated their own smile as excellent or good (OR = 2.00; 95% CI: 1.35-2.97) and those with some mucosal alteration (OR= 4.17; 95% CI: 2.83-6.13) had a greater chance of belonging to the edentulous group. Discussion: The present findings can contribute to the establishment of public health policies aimed at guiding dental care programs for individuals with chronic kidney disease that take into account the specific needs of this population. Conclusion: Edentulism was associated with low schooling, a lack of dental care in the previous six months, a positive self-perception of one’s smile and alterations in the oral mucosa.

scholarly journals Place of Birth Inequalities in Dental Care Use before and after the Economic Crisis in Spain

2019 ◽  
Vol 16 (10) ◽  
pp. 1691
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa N. Borrell
Keyword(s):  
Economic Crisis ◽  
Dental Care ◽  
Cross Sectional Study ◽  
Place Of Birth ◽  
Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Binomial Regression ◽  
Before And After

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in adults aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for the years 2006 (before the crisis), 2014, and 2017 (after the crisis). Log-binomial regression was used to quantify the association between place of birth and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR: 1.36, 95% CI: 1.10–1.67) and Africa (PR: 1.16, 95% CI: 1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants relative to natives, with the greatest probability for those from Africa (PR: 1.71, 95% CI: 1.46–2.01) and Asia (PR: 1.3, 95% CI: 1.23–1.47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

scholarly journals Prevalence of Dental Caries, Periodontal Diseases, and Periapical Pathoses among Patients attending a Tertiary Dental Care Center in Central Gujarat: A Hospital-based Cross-sectional Study

2016 ◽  
Vol 5 (2) ◽  
pp. 89-92
Author(s):  
Manjiri Joshi ◽  
Mansi Tailor ◽  
Ajay Pala
Keyword(s):  
Dental Caries ◽  
Dental Care ◽  
Periodontal Diseases ◽  
Care Center ◽  
Standard Procedure ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Oral Infections

ABSTRACT Introduction Dental caries and periodontal disease are the two globally leading oral infections. There is considerable variation in the prevalence of these diseases. Also, these may lead to various periapical pathoses like periapical abscess, cysts, and so on. These may be attributed to differences in age, gender, sample size, geographical distribution, and protocol followed for diagnosis. Objectives To estimate the prevalence of dental caries, gingivitis/periodontitis, and periapical pathoses in patients of all ages in a dental institute in central Gujarat. Materials and methods After obtaining approval from the Institutional Ethics Committee, a hospital-based cross-sectional study was carried out in a dental institute of central Gujarat. A total of 4,642 patients were screened, out of which 2,849 subjects were included in the present study. Intraoral examination was done under all aseptic conditions by using a diagnostic set of instruments by trained professionals and the status of the pathology recorded according to the standard procedure. Data were stored in an Excel spreadsheet for analysis. Results It was observed that dental caries/pulp pathoses were more prevalent in the younger age group with mean age 23.1 years. All the other pathoses were observed among the middle age group (above 35 years). Overall prevalence of dental caries/pulp pathoses, gingivitis/periodontitis, and periapical pathoses was observed in 54.8% of males as compared to 45.2% females. Conclusion The current study collected significant data for the prevalence of three different odontogenic oral lesions in the central Gujarat geographical location at a tertiary level. There is male preponderance in the prevalence of these diseases in general. There is a need to generate awareness about oral health and the prevention of dental caries and gingivitis/periodontitis and to institute measures for the provision of dental care services at the primary level. How to cite this article Joshi M, Tailor M, Pala A. Prevalence of Dental Caries, Periodontal Diseases, and Periapical Pathoses among Patients attending a Tertiary Dental Care Center in Central Gujarat: A Hospital-based Cross-sectional Study. Int J Experiment Dent Sci 2016;5(2):89-92.

scholarly journals Impact of COVID-19 on Dental Emergency Services in Cluj-Napoca Metropolitan Area: A Cross-Sectional Study

2020 ◽  
Vol 17 (21) ◽  
pp. 7716
Author(s):  
Nausica Bianca Petrescu ◽  
Ovidiu Aghiorghiesei ◽  
Anca Stefania Mesaros ◽  
Ondine Patricia Lucaciu ◽  
Cristian Mihail Dinu ◽  
...  
Keyword(s):  
Dental Care ◽  
Emergency Services ◽  
Cross Sectional Study ◽  
Dental Service ◽  
Care Needs ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Number Of Patients ◽  
Dental Care Needs

This study aimed to assess dental care needs in Cluj region during the State of Emergency, declared due to the COVID-19 pandemic, compared to the same period of the year 2019. A descriptive retrospective analysis was conducted, which retrieved patients seeking emergency dental services at the Emergency Department of County General Hospital and “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania, the only dental service available in April 2020. Recorded data cover the month of April 2020 and is compared with the same period of 2019. During April 2020, 724 patients received dental care, whereas only 160 patients were treated in April 2019 in the same facility. The number of patients with acute apical periodontitis, abscess, and acute pulpitis was significantly higher in 2020. The percentage of patients receiving sedative filling for the treatment of acute pulpitis in 2020 was significantly higher than in 2019, while the proportion of patients receiving pulpectomy was higher in 2019. The percentage of patients receiving endodontic drainage for the treatment of acute periapical periodontitis in 2020 was higher. This study demonstrates that the COVID-19 pandemic impacted the use of medical care services and could further impact the oral health and quality of life of patients.

scholarly journals Born in Belo Horizonte: the trajectory of parturient women and their reproductive outcomes

2019 ◽  
Vol 53 ◽  
Author(s):  
Torcata Amorim ◽  
Mariana Santos Felisbino-Mendes ◽  
Rafaela Siqueira Costa Schreck ◽  
Sabrina Paiva Ribeiro ◽  
Edna Maria Rezende ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Delivery Care ◽  
Reproductive Outcomes ◽  
Cross Sectional ◽  
Care Services ◽  
Belo Horizonte

ABSTRACT Objective: To analyze the trajectory taken by pregnant women for delivery care in Belo Horizonte and its relation with the reproductive outcomes. Method: A cross-sectional study using a database from a study conducted in Belo Horizonte. The studied variables were referent to the trajectory of women seeking delivery care, to their social, demographic and health care characteristics, and to the reproductive outcomes. Odds Ratios were estimated with their 95% confidence intervals to evaluate the factors associated with unfavorable trajectory and outcomes. Results: A total of 1,087 cases were studied, of which 39.3% had an unfavorable trajectory. The chance of having an unfavorable trajectory was higher for women who were not Belo Horizonte residents, with lower education, non-white race/color, and who had undergone prenatal care in public healthcare service. The prevalence of reproductive outcomes was similar regardless of the trajectory status, except for vaginal delivery. Conclusion: An unfavorable trajectory remains high, and shows weaknesses in the health care services network to guarantee timely and qualified access to pregnant women. However, the care received in the health services outweighs the risks of an unfavorable trajectory.

scholarly journals Obesity is associated with lack of access to dental care and physical activity among older adults: a cross-sectional study

2021 ◽  
Vol 15 ◽  
Author(s):  
Natália Rigon Scalco ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
Nathália Prigol Rosalen ◽  
Diandra Genoveva Sachett ◽  
Nathalia Ribeiro Jorge da Silva ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Dental Care ◽  
Smoking Status ◽  
Cross Sectional Study ◽  
Obesity Prevalence ◽  
Sectional Study ◽  
Cross Sectional ◽  
Access To Dental Care ◽  
Prevalence Of Obesity

OBJECTIVE: This study evaluated the prevalence of obesity and associated factors among older adults. METHODS: This was a household-based cross-sectional study involving 282 individuals aged ≥ 60 years recruited in the city of Veranópolis, Brazil, using random probabilistic sampling. Participants underwent a clinical oral examination and completed a structured questionnaire. Obesity was determined based on body mass index (BMI). Individuals were divided into two groups based on the presence (BMI ≥ 30 kg/m2) or absence of obesity (BMI < 30 kg/m2). Uni- and multivariate analyses were performed using Poisson regression with robust variance. RESULTS: The prevalence of obesity was 34% (n = 96). Each 1-year increase in age resulted in a 3.09% decrease in the likelihood of being classified as having obesity (prevalence ratio [PR] = 0.969; 95% confidence interval [95%CI] 0.949 – 0.989). Older adults that reported walking < 5 or ≥ 5 times per week were 39.65 and 37.20% less likely to be classified as obese. The PRs of obesity in former and non-smokers were 4.40 and 5 times higher, respectively, than in current smokers (p < 0.05). Older adults with no access to dental care were 51.72% (p = 0.013) more likely to present with obesity. CONCLUSIONS: There was a high prevalence of obesity among older adults. Obesity was associated with lower age, smoking status, no access to dental care, and a lack of physical activity.

scholarly journals Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

2019 ◽  
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa N. Borrell
Keyword(s):  
Economic Crisis ◽  
Dental Care ◽  
Cross Sectional Study ◽  
Place Of Birth ◽  
Region Of Origin ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Binomial Regression ◽  
Before And After

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in the population aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for years 2006 (before the crisis), 2014 and 2017 (after the crisis). Log-binomial regression was used to quantify the association between region of origin and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR:1.36, 95% CI:1.10&ndash;1.67) and Africa (PR:1.16; 95% CI:1.05&ndash;1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants compared to the natives, with the greatest odds for those from Africa (PR:1.71; 95% CI:1.46&ndash;2.01) and Asia (PR:1.3; 95% CI:1.23&ndash;1. 47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

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