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Long working hours are associated with unmet dental needs in south Korean male adults who have experienced dental pain

Long working hours are associated with unmet dental needs in south Korean male adults who have experienced dental pain

Because average workload, occupation, and physical abil- ities differ considerably according to gender [21], we stratified all analysis by gender. For binary variables, we calculated the frequency and proportions of each vari- able and compared them using chi-square tests. The as- sociation was quantified using logistic regression analyses after adjusting for demographic, socioeconomic, health-related, and dental care indicators. Additionally, we performed subgroup analyses according to drinking habits, region of residence, and tooth-brushing habit. Cochran–Armitage trend tests were used to determine the p for trend between working hours and unmet den- tal needs. For this test, working hours were defined as a continuous variable (with an interval of 1 h) and unmet dental needs as a binary variable. All analyses were con- ducted using SAS 9.4 (SAS Inc., Cary, NC, USA). There were no human subjects involved in this study.

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Planning oral health care using the sociodental approach and the index of family living conditions: a cross-sectional study in Brazilian adolescents.

Planning oral health care using the sociodental approach and the index of family living conditions: a cross-sectional study in Brazilian adolescents.

Resources for dental care should not be equally dis- tributed for the whole community since the need for dental care among adolescents from poor families (very severe FDI families) was higher than those from better- off socioeconomic families. According to the socio- dental approach, individuals with dental needs should start dental treatment while those with moderate and low propensity needs would require oral health educa- tion before initiating dental treatment [3, 4, 6]. However, the evidence of the benefit of dental health education in changing health-related behaviours is questionable [23]. Thus, a critical issue when using propensity-related need as part of the sociodental approach is the potential risk to increase inequalities in access to oral health care. The purpose of using propensity-related need is not to determine who should receive treatment or not since treatment must be prescribed to all individuals with pro- gressive oral diseases such as dental caries, even with- out the impact being assessed [4, 6]. Instead, it allows the identification of priorities among those with differ- ent levels of propensity-related need. Adolescents with moderate and low propensity-related need should receive dental treatment and oral health promotion activities.

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Socioeconomic and family influences on dental treatment needs among Brazilian underprivileged schoolchildren participating in a dental health program

Socioeconomic and family influences on dental treatment needs among Brazilian underprivileged schoolchildren participating in a dental health program

Home ownership, an environmental living condition, was another protective factor associated with fewer cura- tive dental needs in schoolchildren, differing from the findings of Pereira et al. [40], which did not observe any associations with the DMFT index in 12 year-olds in the same city as the one of this study. However, their study sample was composed of children from public and pri- vate schools in Piracicaba, São Paulo, Brazil and the ma- jority of their families had a monthly family income of over 2 Brazilian minimum wages. Studies have shown that home ownership may improve the psychological well-being of homeowners and support better parenting practices, which may lead to better child outcomes even in disadvantaged families [41-43]. Therefore, it is im- portant that this variable be taken into account by health managers when planning their actions, in order to re- duce inequities in oral health of this population, and in- crease its access to oral health services.

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Inequalities in the dental health needs and access to dental services amongst looked after children in Scotland : a population data-linkage study

Inequalities in the dental health needs and access to dental services amongst looked after children in Scotland : a population data-linkage study

2 in Primary 7 (P7) aged approximately 11-years-old. NDIP is collected annually and we accessed the years 2008/9 to 2012/13 ending in the 31st July 2013. The Basic Inspection involves a simple assessment of the mouth of each child using a light, mirror and ball-ended probe. Each child is placed into one of three categories depending on the level of dental health and a letter sent to their parents. Letter A (Urgent dental needs) – severe dental decay and/or abscess and should seek immediate dental care; or Letter B (Non-urgent dental needs) – some decay experience and should seek dental care in the near future; or Letter C (Low dental needs) – no obvious decay but should continue to see the family dentist on a regular basis. If a child refuses an inspection or is absent on the day of inspection the data is recorded with an ‘X’.

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Dental Health Needs Assessment in Merseyside, Liverpool Public Health Observatory

Dental Health Needs Assessment in Merseyside, Liverpool Public Health Observatory

Getting ‘access’ to dental care is often cited as one of the most important concerns that the population and therefore politicians have, regarding dentistry. In the 1990s in many areas of the country NHS dentists decided to move their practices into the private sector, thereby limiting the amount of NHS services available. Since dental practices can provide a mix of NHS and private care it is often difficult to measure the complete extent of provision of dental services to the population (data on private dental services are not available). The needs assessment does not include consideration of the contribution of the private sector to meeting the population’s dental needs. However, for completeness the information we gathered during the telephone survey with every registered CQC dental practice in Merseyside is presented in chapter 6. Nevertheless, because the private sector contributes, sometimes significantly to the supply of dental services, and hinges on an individual’s ability to pay, the availability of NHS dental services is often an equity and therefore a public health issue.

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Validation of the Polish Version of the Oral Health Impact Profile-14

Validation of the Polish Version of the Oral Health Impact Profile-14

Results. The total OHIP-14 score was 8.72 ± 13.39, out of which the highest value was for item 4 (uncomfortable to eat 0.89 ± 1.19). The value of the alpha Cronbach coefficient was above 0.9 for all 14 items of the OHIP-14 instrument indicating excellent internal consistency. Positive relationships between all items of the matrix of the inter-items correlation coefficients were found. The value of coefficients ranged from 0.56 to 0.90 at a significance level of p < 0.01. Construct validity was supported by the fact that oral health condition was correlated with total OHIP score. It was observed that there is a correlation between the quality of life evaluated with the OHIP-14 test and dental condition, dental needs, wearing removable dentures and self-assessment of general health and oral health condition.

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Oral health status, dental treatment needs, and&nbsp;barriers to dental care of elderly care home residents in Lodz, Poland

Oral health status, dental treatment needs, and&nbsp;barriers to dental care of elderly care home residents in Lodz, Poland

The disproportion between the serious objective needs, especially in the field of prosthetic treatment, and small needs experienced and expressed by care home residents results both from low dental health awareness among the elderly people as well as ignoring the dental needs by care home personnel. In the Polish model of dental care, among other things, due to financial constraints, no dental programs, even those limited to periodic inspection of oral health and education in the field of oral hygiene, are currently being implemented. The circumstances in which the present study was conducted seem to validate the claim that the sugges- tion to perform oral examination in the residents’ rooms, or even directly at the bed of a severely disabled person was positively received by both the residents themselves and the staff. Group education sessions arranged immediately after completion of the study in individual rooms and the lounge in each nursing home were received with equal enthusiasm.

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Dental treatment needs in the Canadian population: analysis of a nationwide cross-sectional survey

Dental treatment needs in the Canadian population: analysis of a nationwide cross-sectional survey

This study also found that those who had access to public programs were worse off in terms of having un- met dental needs, when compared to those with private insurance or without any insurance coverage. The Na- tional Survey of Adult Oral health 2004–06 conducted in Australia found something similar, noting that un- treated decay was more frequent among those eligible for public dental care [17]. These findings support a key issue noted by Leake and Birch (2008) [18], who stated that although the public funding of dental care provides a means of overcoming the divergence between the abil- ity to pay for care and need for care, having such cover- age is not enough. There are other factors at play other than just affordability, such as the availability, accommo- dation, and acceptability of dental care. For example, as noted by Quiñonez et al., (2010) [19], Canadian dentists have consistently voiced their dissatisfaction with public insurance plans, and approximately a third have reported limiting the number of patients they accept who have public insurance. Therefore, solely increasing public sub- sidies for these groups may not fully increase their

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Inequality in unmet dental care needs among South Korean adults

Inequality in unmet dental care needs among South Korean adults

The different types of ‘need’ have been proposed on the previous psychosocial literatures, and a wide variety of definitions of ‘need’ has been developed. Maslow hier- archized the need five levels from fundamental levels of needs for physiology to the need for self-actualization [17]. Bradshaw also set out 4 types of need; normative need, felt need, expressed need, and comparative need [18]. Most of all, ‘health needs’ should include personal, social, and health care, and the definition of ‘need’ has significant values for healthcare provision [19], and the different elements of need relate to one another. Previ- ous studies examining unmet dental needs have mainly focused on children [20–25], and high levels of unmet dental needs have been observed among children. A few studies have investigated the factors affecting profession- ally assessed dental treatment needs as the outcome variable [26, 27]. Most studies of unmet dental needs have also used self-perceived oral health status to replace professionally assessed dental treatment needs [28–30]. However these studies did not take into consideration professionally assessed treatment needs and were limited in that they did not consider sufficient evaluations of dental treatment needs. Although self-assessment can provide a quick overall picture of self-perceived needs, the reliability and validity of this method remain unclear [31, 32]. Therefore, it is necessary to consider both clinically examined dental treatment needs and the subjective oral health status to examine comprehen- sive unmet dental care needs. Although professionally assessed treatment needs (we operationalized and named it as normative needs to discern with subject- ive self-perceived oral health needs) represent a reli- able and valid tool to examine dental needs, it may not represent true dental needs, in that normative dental treatment needs were perceived differently by individuals and might not always be realized to dental demands.

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Dental Health Needs Assessment in Cheshire, Liverpool Public Health Observatory

Dental Health Needs Assessment in Cheshire, Liverpool Public Health Observatory

Getting ‘access’ to dental care is often cited as one of the most important concerns that the population and therefore politicians have, regarding dentistry. In the 1990s in many areas of the country NHS dentists decided to move their practices into the private sector, thereby limiting the amount of NHS services available. Since dental practices can provide a mix of NHS and private care it is often difficult to measure the complete extent of provision of dental services to the population (data on private dental services are not available). The needs assessment does not include consideration of the contribution of the private sector to meeting the population’s dental needs. However, for completeness the information we gathered during the telephone survey with every registered CQC dental practice in Merseyside is presented in chapter 6. Nevertheless, because the private sector contributes, sometimes significantly to the supply of dental services, and hinges on an individual’s ability to pay, the availability of NHS dental services is often an equity and therefore a public health issue.

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Dental Management of Children with Special Health Care Needs (SHCN) – A Review

Dental Management of Children with Special Health Care Needs (SHCN) – A Review

Every child is unique. Children are emotionally and physically immature and cannot independently meet their social and cultural exceptions. The AAPD defines Special Health Care Needs (SHCN) as “any physical, developmental, mental, sensory, behavioural, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and/or use of specialized services or programs. The condition may be congenital, developmental, or acquired through disease, trauma, or environmental cause and may impose limitations in performing daily self-maintenance activities or substantial limitations in a major life activity. Health care for individuals with special needs requires specialized knowledge acquired by additional training, as well as increased awareness, attention, adaptation, and accommodative measures beyond what are considered routine [1].

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Preparedness and willingness of dental care providers to treat patients with special needs

Preparedness and willingness of dental care providers to treat patients with special needs

Studies about dental care providers and patients with special needs were reviewed from several electronic databases, such as PubMed and Medline. A total of 40 studies were reviewed from different countries around the world, including the USA, Malaysia, Taiwan, ROC, and Saudi Arabia. From the reviewed studies, 16 scales that measure the preparedness and willingness of dental care providers were assessed for their reliability and validity (Table 1).

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Objective and Subjective Dental Treatment Needs among Nursing Home Residents

Objective and Subjective Dental Treatment Needs among Nursing Home Residents

The standardized checklist included year of birth, gender, and level of nursing care, a classification system to classify need for nursing care in the German health insurance system (0 = no need for nursing care, only mental impairments; I = need for nursing care at least 90 minutes per day; II = need for nursing care at least 3 hours per day; III = intensive need for nursing care, at least 5 hours per day). The checklist also included need for dental treatment, information regarding the oral and denture care conditions, frequency of oral and dental care (once a day, more often, less often), and if dental hygiene was either performed alone by the resident or with the assis- tance by nurses. Furthermore, the need for dental treatment related to dental diseases, oral mucosal diseases, denture defects, missing dentures (objective need for treatment), the request for treatment (subjective need for treatment), and the option of treatment as well were documented. Statistical differences between groups were tested by using Pearson’s chi-square test, the level of significance was set at α < 0.05.

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Dental prosthetic treatment needs of inpatients with schizophrenia in Taiwan: a cross-sectional study

Dental prosthetic treatment needs of inpatients with schizophrenia in Taiwan: a cross-sectional study

tooth for the bridge follows Ante’s Law, which states that the root surface area of the abutment teeth should equal or surpass that of the pontics [22]. An FP with cantilever extension units usually has higher failure rates than con- ventional designs [23]; thus, a bridge with an end abut- ments was used in this study. Dental implants were excluded from the treatment plans because of financial limitations.

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Oral Health Care in CSHCN: State Medicaid Policy Considerations

Oral Health Care in CSHCN: State Medicaid Policy Considerations

gram include the Early and Periodic Screening, Diagnosis, and Treatment services that are mandated for cate- gorically qualified people younger than 21 years. Mandated dental ser- vices include oral screening; preven- tive services including instruction in self-care for oral hygiene, cleanings, and sealants to prevent pit and fissure caries; general dental care needed for the relief of pain, infections, tooth res- toration, and maintenance of dental health; and other, more advanced procedures.

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Parent Mentors and Insuring Uninsured Children: A Randomized Controlled Trial

Parent Mentors and Insuring Uninsured Children: A Randomized Controlled Trial

RESULTS: We enrolled 237 participants (114 controls; 123 in PM group). PMs were more effective ( P < .05 for all comparisons) than traditional methods in insuring children (95% vs 68%), and achieving faster coverage (median = 62 vs 140 days), high parental satisfaction (84% vs 62%), and coverage renewal (85% vs 60%). PM children were less likely to have no primary care provider (15% vs 39%), problems getting specialty care (11% vs 46%), unmet preventive (4% vs 22%) or dental (18% vs 31%) care needs, dissatisfaction with doctors (6% vs 16%), and needed additional income for medical expenses (6% vs 13%). Two years post-PM cessation, more PM children were insured (100% vs 76%). PMs cost $53.05 per child per month, but saved $6045.22 per child insured per year.

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Validation of a Persian version of the OIDP index

Validation of a Persian version of the OIDP index

Regarding criterion validity, the results indicated that adults who perceived a need for dental treatment had much higher OIDP scores than those who did not per- ceive dental treatment need (p < 0.001) (Table 5). For construct validity, there was a highly significant relation- ship (p < 0.001) between OIDP and perceived general health, oral health, oral health in relation to general health, satisfaction with mouth and pain in mouth in the past 6 months. Those who perceived their oral health or general health to be worse were more likely to have a higher OIDP score. People who ranked their oral health higher compared to their general health were less likely to have oral impacts on their quality of life. In addition, the association between OIDP scores and perceived satisfac- tion with mouth revealed that those with higher OIDP

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Children and adolescents´ dental treatment in 2001–2013 in the Finnish public dental service

Children and adolescents´ dental treatment in 2001–2013 in the Finnish public dental service

A limitation of the study is that the PDS units use many different database systems and produce slightly different data, making it impossible to compare between the units without massive adjustments. Thus, we chose five medium sized or large PDS units in southern Finland using the same patient database system. The total number of Finnish PDS units is 194, most of them are small (< 5000 inhabitants). So, the results of this study can be gen- eralized to medium or large towns in southern Finland. A further limitation of this study is that no information on social background is collected in the PDS register. Also, the information collected on treatment needs and the in- dicators used were rather crude.

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Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches

Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches

This is the first study to compare dental treatment needs and skill mix workforce requirements for prosthodontic care between the Normative Need and the Sociodental Need approaches. The need for prosthodontic treatment was more than 90% lower when SDA was used instead of NN. Although criteria used to assess prosthodontic treatment need were different from other studies on adult or elderly populations [4,6], differences between NN and SDA were similarly large. This may be because the normative need criteria generally recommend re- placing all tooth spaces due to missing teeth [22]. That leads to a high prevalence of prosthodontic treatment need. However, only a small proportion of people with oral impacts had impacts related to prosthodontic needs [19]. In the present study, 54.2% had NN but only 4% of them had oral impacts related to missing teeth or ill- fitting denture. The reason for the large differences be- tween normative and sociodental approach may partly be due to the fact that normative assessments do not consider subjective measures of function and oral im- pacts [1]. NN assessment is based on clinical signs which could appear before any symptoms are experienced, while people are more concerned about the functional and social aspects arising from oral diseases that might affect their daily performances [23]. In prosthodontics care, loss of teeth may not lead people to seek for treat- ment if they are free of pain and are satisfied with their function and aesthetics.

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THE FACTORS AFFECTING COMMUNICATION COMPETENCY OF DENTAL HYGIENE STUDENTS

THE FACTORS AFFECTING COMMUNICATION COMPETENCY OF DENTAL HYGIENE STUDENTS

Nursing students got stress due to lack of experience in interpersonal relationships, lack of communication skills, and apprehension caused by the differences between theories and practice in clinical practice 26 . This is why training and education regarding interpersonal relationships and communication are necessary. Han et al. suggested the need of training to improve self- efficacy as well as desirable communication types and Choi et al. 9 suggested the need of a systematic learning course that allows dental hygiene students to have in-depth learning of patients' psychology on the basis of the fundamental understanding of human beings, instead of acquiring skills alone. Besides, a training course is necessary to reduce communication apprehension.

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