scholarly journals Planning Oral Health and Clinical Discharge in Primary Care: The Comprehensive Dental Care Protocol Outcome

2015 ◽  
Vol 16 (3) ◽  
pp. 172-177 ◽  
Author(s):  
Yuri Wanderley Cavalcanti ◽  
Leopoldina de Fátima Dantas de Almeida ◽  
Ailma de Souza Barbosa ◽  
Wilton Wilney Nascimento Padilha
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Oral Health ◽  
Dental Care ◽  
Dental Service ◽  
Service Planning ◽  
Wilcoxon Test ◽  
Oral Health Promotion ◽  
Care Protocol ◽  
Public Dental Service

ABSTRACT Introduction The dental care must be driven by preventive and curative measures that can contribute to the population's oral health promotion. Objective To evaluate the impact of the actions proposed by a comprehensive dental care protocol (CDCP) on the oral health condition of primary care users. Materials and methods The sample consisted of 32 volunteers, assisted throughout the six phases proposed by the CDCP: diagnosis of dental needs; resolution of urgencies; restorative interventions; application of promotional measures; evaluation of the achieved health level; and periodic controls. Data were collected through clinical exams, which measured the simplified oral hygiene index (OHI-S), gingival bleeding index (GBI) and the decayed, missing and filled teeth (DMFT) Index, before and after the CDCP was implemented. Statistical analysis consisted of the Wilcoxon test, at 5% significance level (α = 0.05). Results The OHI-S and GBI indices showed a significant reduction (p < 0.05) from the initial (1.4 ± 0.6 and 46.3 ± 19.9) to final condition (0.9 ± 0.3 and 21.5 ± 7.5). The decayed, missing and filled teeth and the missing teeth component were not significantly altered (p > 0.05), showing final values equal to 12.7 ± 9.6 and 5.6 ± 7.8, respectively. Decayed elements were fully converted into filled elements, and the final values of the decayed and filled elements were, respectively, 0.0 ± 0.0 and 7.3 ± 5.7 (p < 0.05). Conclusions The enactment of the CDCP had a beneficial effect on the oral health of the population assisted by the dental services offered in primary care and this protocol seems to fit the public dental service demands. Clinical significance The CDCP can be useful to public dental service planning since it showed an efficient clinical outcome to the patients. We consider that this protocol should be employed in primary care oral health services in order to achieve overall upgrade, access enlargement and public oral health promotion. How to cite this article Cavalcanti YW, de Fátima Dantas de Almeida L, de Souza Barbosa A, Padilha WWN. Planning Oral Health and Clinical Discharge in Primary Care: The Comprehensive Dental Care Protocol Outcome. J Contemp Dent Pract 2015;16(3):172-177.

scholarly journals Dental service coverage and oral health promotion community actions in primary care in Brazil between 2003 and 2019

2020 ◽  
Vol 1 ◽  
pp. 100022
Author(s):  
Sonia Cristina Lima Chaves ◽  
Thaís Regis Aranha-Rossi ◽  
Ana Maria Freire de Souza Lima
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Oral Health ◽  
Dental Service ◽  
Oral Health Promotion ◽  
Service Coverage

scholarly journals Impacto de Ações Educacionais Sobre o Índice de Higiene Bucal de Escolares de um Município do Sul do Brasil

2020 ◽  
Vol 24 (3) ◽  
pp. 211-218
Author(s):  
Letícia Ribeiro Coqueiro Barros ◽  
Danielle Gregorio ◽  
Márjori Frítola Yokoyama ◽  
Alessandra Vaz Pinto Hapner ◽  
Gabriela Fleury Seixas ◽  
...  
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Oral Hygiene ◽  
San Diego ◽  
Wilcoxon Test ◽  
Motivational Strategies ◽  
Oral Health Promotion ◽  
Dental Biofilm ◽  
Parametric Data ◽  
Significant Difference

Para evitar doenças como cárie dentária e problemas periodontais é importante estimular hábitos de higiene bucal adequados para que o biofilme seja eficientemente removido pelos indivíduos. O presente estudo objetivou-se a comparar o índice de higiene bucal de um grupo de crianças antes e após estratégias motivacionais de higiene bucal e promoção de saúde. A amostra foi constituída por 43 crianças, 10 a 15 anos, de uma escola pública. Os dentes foram evidenciados com fucsina e o índice de Higiene Oral Simplificado (IHOS) foi avaliado, por um único pesquisador, 7 dias antes (IHOS-1) e 60 dias após (IHOS-2) a uma estratégia de motivação educacional em saúde bucal. Para análise dos dados utilizou-se GraphPad Prism 6 (GraphPad Software Inc., San Diego, CA, EUA), teste de normalidade D’Agostino & Pearson seguido do teste Wilcoxon para dados não paramétricos, e para paramétricos teste T-Student. Foi possível observar uma redução significativa da presença de biofilme (p = 0,028), principalmente no dente 26 (p = 0,023), enfatizando que após a realização de estratégias de promoção de saúde bucal são eficazes. Tanto no IHOS-1 quanto no IHOS-2, a arcada superior foi a arcada com maior presença de biofilme evidenciado (p < 0,001). Em relação aos gêneros, não houve diferença significante entre cada avaliação, no entanto, o gênero feminino apresentou redução significante dos valores do índice (p = 0,003). Conclui-se que as estratégias educativas- motivacionais, tendo como foco o controle do biofilme dental, impactaram positivamente na prática de higiene bucal pelos escolares.   Palavras-chave: Crianças. Saúde Bucal. Higiene Bucal. Placa Dental. Abstract To avoid diseases such as dental caries and periodontal problems, it is important to encourage oral hygiene habits, so that biofilm is efficiently removed by individual. This study aimed to compare the oral hygiene index of a group of children before and after motivational strategies for oral hygiene and health promotion. The sample consisted of 43 children, 10 to 15 years old, from a public school. The teeth were evidenced with fuchsin and the Simplified Oral Hygiene Index (IHOS) was evaluated, by a single researcher, 7 days before (IHOS-1) and 60 days after (IHOS-2) to an educational motivation strategy in oral health. For data analysis, GraphPad Prism 6 (GraphPad Software Inc., San Diego, CA, USA) was used, D’Agostino & Pearson normality test followed by the Wilcoxon test for non-parametric data, and for parametric T-Student test. It was possible to observe a significant reduction in the presence of biofilm (p = 0.028), mainly in tooth 26 (p = 0.023), emphasizing that after carrying out oral health promotion strategies, they are effective. In both IHOS-1 and IHOS-2, the upper arch was the arch with the highest presence of biofilm evidenced (p <0.001). Regarding genders, there was no significant difference between each evaluation, however, the female gender showed a significant reduction in the index values (p = 0.003). It is concluded that educational-motivational strategies, focusing on the control of dental biofilm, had a positive impact on the practice of oral hygiene by students.   Keywords: Child. Oral Health. Oral Hygiene. Dental Plaque.  

Evaluation of oral health promotion in the workplace: the effects on dental care costs and frequency of dental visits

2001 ◽  
Vol 29 (3) ◽  
pp. 213-219 ◽  
Author(s):  
Reiko Ide ◽  
Tetsuya Mizoue ◽  
Yuji Tsukiyama ◽  
Masato Ikeda ◽  
Takesumi Yoshimura
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Dental Care ◽  
Oral Health Promotion ◽  
Dental Visits ◽  
Care Costs

scholarly journals Dental caries and attendance to dental care in Finnish children with operated congenital heart disease. A practice based follow-up study

2021 ◽  
Author(s):  
H. Karhumaa ◽  
E. Lämsä ◽  
H. Vähänikkilä ◽  
M. Blomqvist ◽  
T. Pätilä ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Oral Health ◽  
Dental Caries ◽  
Dental Care ◽  
Congenital Heart ◽  
Oral Health Promotion ◽  
Grade 8

Abstract Purpose Oral health of children with congenital heart disease (CHD) is of utmost importance. This study aimed to investigate the prevalence of dental caries and attendance to dental care in Finnish heart-operated CHD patients born in 1997–1999. Methods The cohort of children born in 1997–1999 was selected using a national register on all heart-operated children in Finland. Gender, general health problems, diagnosis, type of the heart defect (shunting, stenotic and complex defects), and number of operations were available and included in the analyses. Dental records from primary health care were collected from municipalities with their permission. The data comprised of the number of dental examinations and data on caries status (dt, DT, dmft, DMFT) at the age of 7 (grade 1), 11 (grade 5) and 15 (grade 8) years and at the most recent examination. The control group consisted of dental data on patients born in 1997–1999 provided by the City of Oulu, Finland (n = 3356). Results Oral patient records of 215/570 children were obtained. The difference between the defect types was statistically significant both for DT (p = 0.046) and DMFT (p = 0.009) at the age of 15 (grade 8). The prevalence of caries did not differ between the study population and the controls. High present and past caries experiences were not associated with higher number of visits to oral health care, especially to oral hygienist, or with oral health promotion. National obligations concerning dental visits were not implemented in all municipalities. Conclusion There seems to be a need for oral health promotion and preventive means implemented by oral hygienists among those with CHD.

scholarly journals Twelve years with a capitation payment system in Swedish dental care: longitudinal development of oral health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charlotte Andrén Andås ◽  
Magnus Hakeberg
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Dental Service ◽  
Payment System ◽  
Capitation Payment ◽  
Caries Prevalence ◽  
The Public ◽  
Public Dental Service ◽  
Payment Models

Abstract Background Since 2007, patients receiving oral health care within the Public Dental Service in Sweden have had the possibility to choose between the traditional fee-for-service (FFS) payment system or the new capitation payment system, ‘Dental Care for Health’ (DCH). Payment models are believed to involve different incentive structures for patients and caregivers. In theory, different incentives may lead to differences in health-related outcomes, and the research has been inconclusive. This 12-year longitudinal prospective cohort study of patients in regular dental care analyzes oral health development and self-reported oral health in relation to the patients’ level of education in the two payment systems, and compares with the results from an earlier 6-year follow-up. Methods Information was obtained through a questionnaire and from a register from n = 5877 individuals who kept their original choice of payment model for 12 years, 1650 patients in DCH and 4227 in FFS, in the Public Dental Service in Region Västra Götaland, Sweden. The data comprised manifest caries prevalence, levels of self-reported oral health and education, and choice of dental care payment model. Analyses were performed with chi square and multivariable regression analysis. Results The findings from the 6-year follow-up were essentially maintained at the 12-year examination, showing that the pre-baseline caries prevalence is the most influential factor for less favorable oral health development in terms of the resulting caries prevalence. Educational level (≥ university) showed an increased influence on the risk of higher caries prevalence after 12 years and differed between payment models with regard to the relation to self-rated oral health. Conclusions Differences in health and health-influencing properties between payment models were sustained from 6 to 12 years. Strategies for making use of potential compensatory mechanisms within the capitation payment system to increase oral health equality should be considered.

scholarly journals Exploring the opinions of secondary school students on the strengths and weaknesses of the school dental service in Selangor, Malaysia: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazirah Ab Mumin ◽  
Zamros Yuzadi Mohd Yusof ◽  
Jamaludin Marhazlinda ◽  
Unaizah Obaidellah
Keyword(s):  
Oral Health ◽  
Secondary School ◽  
Low Income ◽  
Dental Care ◽  
Secondary School Students ◽  
Dental Treatment ◽  
Dental Service ◽  
School Students ◽  
Oral Health Promotion ◽  
Low Income Families

Abstract Background The Malaysian School Dental Service (SDS) was introduced to provide systematic and comprehensive dental care to school students. The service encompasses promotive, preventive, and, curative dental care. This study aimed to undertake a process evaluation of the SDS based on the perspectives of government secondary school students in Selangor, Malaysia. Methods The study adopted a qualitative approach to explore the opinions of secondary school students on the SDS implementation in their schools. Data from focus group discussions involving Form Two (14-year-olds) and Form Four (16-year-olds) students from the selected schools were transcribed verbatim and coded using the NVivo software before framework method analysis was conducted. Results Among the strengths of the SDS were the convenience for students to undergo annual oral examination and dental treatment without having to visit dental clinics outside the school. The SDS also reduced possible financial burdens resulting from dental treatment costs, especially among students from low-income families. Furthermore, SDS helped to improve oral health awareness. However, the oral health education provided by the SDS personnel was deemed infrequent while the content and method of delivery were perceived to be less interesting. The poor attitude of the SDS personnel was also reported by the students. Conclusion The SDS provides effective and affordable dental care to secondary school students. However, the oral health promotion and education activities need to be improved to keep up with the evolving needs of the target audience.

scholarly journals Needs-led human resource planning for Sierra Leone in support of oral health

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Swapnil Gajendra Ghotane ◽  
Patric Don-Davis ◽  
David Kamara ◽  
Paul R. Harper ◽  
Stephen J. Challacombe ◽  
...  
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Sierra Leone ◽  
Preventive Care ◽  
Low Income ◽  
Dental Care ◽  
Oral Disease ◽  
Treatment Needs ◽  
Oral Health Promotion ◽  
Low Income Country

Abstract Background In Sierra Leone (SL), a low-income country in West Africa, dental care is very limited, largely private, and with services focused in the capital Freetown. There is no formal dental education. Ten dentists supported by a similar number of dental care professionals (DCPs) serve a population of over 7.5 million people. The objective of this research was to estimate needs-led requirements for dental care and human resources for oral health to inform capacity building, based on a national survey of oral health in SL. Methods A dedicated operational research (OR) decision tool was constructed in Microsoft Excel to support this project. First, total treatment needs were estimated from our national epidemiological survey data for three key ages (6, 12 and 15 years), collected using the ‘International Caries Classification and Management System (ICCMS)’ tool. Second, oral health needs were extrapolated to whole population levels for each year-group, based on census demographic data. Third, full time equivalent (FTE) workforce capacity needs were estimated for mid-level providers in the form of Dental Therapists (DTs) and non-dental personnel based on current oral disease management approaches and clinical timings for treatment procedures. Fourth, informed by an expert panel, three oral disease management scenarios were explored for the national population: (1) Conventional care (CC): comprising oral health promotion (including prevention), restorations and tooth extraction; (2) Surgical and Preventive care (S5&6P and S6P): comprising oral health promotion (inc. prevention) and tooth extraction (D5 and D6 together, & at D6 level only); and (3) Prevention only (P): consisting of oral health promotion (inc. prevention). Fifth, the findings were extrapolated to the whole population based on demography, assuming similar levels of treatment need. Results To meet the needs of a single year-group of childrens’ needs, an average of 163 DTs (range: 133–188) would be required to deliver Conventional care (CC); 39 DTs (range: 30–45) to deliver basic Surgical and Preventive care (S6P); 54 DTs for more extended Surgical and Preventive care (S5&6P) (range 38–68); and 27 DTs (range: 25–32) to deliver Prevention only (P). When scaled up to the total population, an estimated 6,147 DTs (range: 5,565–6,870) would be required to deliver Conventional care (CC); 1,413 DTs (range: 1255–1438 DTs) to deliver basic Surgical and Preventive care (S6P); 2,000 DTs (range 1590–2236) for more extended Surgical and Preventive care (S5&6P) (range 1590–2236); and 1,028 DTs to deliver Prevention only (P) (range: 1016–1046). Furthermore, if oral health promotion activities, including individualised prevention, could be delivered by non-dental personnel, then the remaining surgical care could be delivered by 385 DTs (range: 251–488) for the S6P scenario which was deemed as the minimum basic baseline service involving extracting all teeth with extensive caries into dentine. More realistically, 972 DTs (range: 586–1179) would be needed for the S5&6P scenario in which all teeth with distinctive and extensive caries into dentine are extracted. Conclusion The study demonstrates the huge dental workforce needs required to deliver even minimal oral health care to the Sierra Leone population. The gap between the current workforce and the oral health needs of the population is stark and requires urgent action. The study also demonstrates the potential for contemporary epidemiological tools to predict dental treatment needs and inform workforce capacity building in a low-income country, exploring a range of solutions involving mid-level providers and non-dental personnel.

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