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1

Goldthorpe, Joanna, Iain Pretty, Jo Hart, Sarah Cotterill, and Sarah Peters. "How to Maximize the Usefulness of Behaviour Change Conversations with Patients during Routine Dental Consultations." Dental Update 49, no. 3 (March 2, 2022): 233–37. http://dx.doi.org/10.12968/denu.2022.49.3.233.

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Clinicians can use behaviour change techniques effectively in routine consultations in healthcare settings, including dentistry. Professional guidelines support their use for preventing and managing a range of dental diseases. Theory and evidence from behavioural science can inform effective behaviour change interventions. This article examines the relevance of these techniques to the whole dental team and how they can be implemented within routine dental consultations. CPD/Clinical Relevance: Guidance and recommendations on how to support patients to change behaviours to promote oral (and general) health.
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Holbein, Christina E., James Peugh, Gruschen R. Veldtman, Silke Apers, Koen Luyckx, Adrienne H. Kovacs, Corina Thomet, et al. "Health behaviours reported by adults with congenital heart disease across 15 countries." European Journal of Preventive Cardiology 27, no. 10 (September 17, 2019): 1077–87. http://dx.doi.org/10.1177/2047487319876231.

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Background Health behaviours are essential to maintain optimal health and reduce the risk of cardiovascular complications in adults with congenital heart disease. This study aimed to describe health behaviours in adults with congenital heart disease in 15 countries and to identify patient characteristics associated with optimal health behaviours in the international sample. Design This was a cross-sectional observational study. Methods Adults with congenital heart disease ( n = 4028, median age = 32 years, interquartile range 25–42 years) completed self-report measures as part of the Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study (APPROACH-IS). Participants reported on seven health behaviours using the Health Behaviors Scale-Congenital Heart Disease. Demographic and medical characteristics were assessed via medical chart review and self-report. Multivariate path analyses with inverse sampling weights were used to investigate study aims. Results Health behaviour rates for the full sample were 10% binge drinking, 12% cigarette smoking, 6% recreational drug use, 72% annual dental visit, 69% twice daily tooth brushing, 27% daily dental flossing and 43% sport participation. Pairwise comparisons indicated that rates differed between countries. Rates of substance use behaviours were higher in younger, male participants. Optimal dental health behaviours were more common among older, female participants with higher educational attainment while sports participation was more frequent among participants who were younger, male, married, employed/students, with higher educational attainment, less complex anatomical defects and better functional status. Conclusions Health behaviour rates vary by country. Predictors of health behaviours may reflect larger geographic trends. Our findings have implications for the development and implementation of programmes for the assessment and promotion of optimal health behaviours in adults with congenital heart disease.
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Juárez-López, Maria Lilia Adriana, Miriam Marin-Miranda, Jesús Lavalle-Carrasco, Alberto Pierdant, Leonor Sánchez-Pérez, and Nelly Molina-Frechero. "Association of Age and Temperamental Traits with Children’s Behaviour during Dental Treatment." International Journal of Environmental Research and Public Health 19, no. 3 (January 29, 2022): 1529. http://dx.doi.org/10.3390/ijerph19031529.

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During paediatric dental treatment, cooperation by children is essential, and temperament can determine their behaviour style. This study aimed to associate temperamental traits and age with behaviour during paediatric dental treatment. This was an observational and cross-sectional study of patients aged 3–10 years. To determine the temperamental traits, an Emotionality Activity and Sociability Temperament Survey (EAS) was performed with the children’s parents. The type of behaviour was determined with Frankl’s criteria. The total scores for temperamental traits, means, and standard deviations were obtained. The chi-squared test, one-way ANOVA and Student’s t-test were applied. A total of 140 patients, who were 5 ± 2.1 years old, participated in the study. Age was determinant for negative behaviour, with a greater frequency in children ≤5 years old (p < 0.05), and a significant negative correlation between age and behaviour (rho = −0.245, p = 0.001). Patients with higher emotionality and activity presented negative and definitely negative behaviours more frequently (p < 0.01). The values for sociability and shyness were similar for positive or negative behaviours. In conclusion, the temperamental traits of emotionality and activity were more frequent in children with disruptive behaviours; therefore, conducting a survey on temperamental traits can be useful for planning behavioural approaches in paediatric dentistry.
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Mueller, Maxi, Sarah Schorle, Kirstin Vach, Armin Hartmann, Almut Zeeck, and Nadine Schlueter. "Relationship between dental experiences, oral hygiene education and self-reported oral hygiene behaviour." PLOS ONE 17, no. 2 (February 24, 2022): e0264306. http://dx.doi.org/10.1371/journal.pone.0264306.

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Many preventive approaches in dentistry aim to improve oral health through behavioural instruction or intervention concerning oral health behaviour. However, it is still unknown which factors have the highest impact on oral health behaviours, such as toothbrushing or regular dental check-ups. Various external and internal individual factors such as education, experience with dentists or influence by parents could be relevant. Therefore, the present observational study investigated the influence of these factors on self-reported oral heath behaviour. One hundred and seventy participants completed standardized questionnaires about dental anxiety (Dental Anxiety Scale (DAS), and dental self-efficacy perceptions (dSEP)). They also answered newly composed questionnaires on oral hygiene behaviours and attitudes, current and childhood dental experiences as well as parental oral hygiene education and care. Four independent factors, namely attitude towards oral hygiene, attitude towards one’s teeth, sense of care and self-inspection of one’s teeth were extracted from these questionnaires by rotating factor analysis. The results of the questionnaires were correlated by means of linear regressions. Dental anxiety was related to current negative emotions when visiting a dentist and negative dental-related experiences during childhood. High DAS scores, infantile and current negative experiences showed significant negative correlations with the attitude towards oral hygiene and one’s teeth. Dental anxiety and current negative dental experiences reduced participants’ dental self-efficacy perceptions as well as the self-inspection of one’s teeth. While parental care positively influenced the attitude towards one’s teeth, dental self-efficacy perceptions significantly correlated with attitude towards oral hygiene, self-inspection of one’s teeth and parental care. Dental anxiety, dental experiences, parents’ care for their children’s oral hygiene and dental self-efficacy perceptions influence the attitude towards oral hygiene and one’s own oral cavity as well as the autonomous control of one’s own dental health. Therefore, oral hygiene instruction and the development of patient-centred preventive approaches should consider these factors.
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Holloway, Jessica. "Understanding behaviour change to promote regular dental attendance." Primary Dental Journal 10, no. 3 (September 2021): 55–61. http://dx.doi.org/10.1177/20501684211029424.

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Regular dental attendance is a key oral health behaviour. Behaviour change interventions are increasingly being used to promote positive oral health behaviours. A systematic approach to understanding behaviour has led to the development of frameworks which aim to guide the process of designing behaviour change interventions. One such framework is the Behaviour Change Wheel (BCW). This article aims to explore and identify barriers to regular dental attendance which may be targeted using behaviour change interventions based on the Capability, Opportunity and Motivation Behaviour model (COM-B) and the BCW, and suggests potential behaviour change techniques which could be utilised into a behaviour change intervention with the aim to promote regular dental attendance.
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Riad, Abanoub, Nuraldeen Maher Al-Khanati, Julien Issa, Mazen Zenati, Nèziha Ben Abdesslem, Sameh Attia, and Martin Krsek. "Oral Health-Related Knowledge, Attitudes and Behaviours of Arab Dental Students: Multi-National Cross-Sectional Study and Literature Analysis 2000–2020." International Journal of Environmental Research and Public Health 19, no. 3 (January 31, 2022): 1658. http://dx.doi.org/10.3390/ijerph19031658.

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Dental students are the future leaders of oral health in their respective communities; therefore, their oral health-related attitudes and behaviours are of practical value for primary disease prevention. The present study aimed to evaluate oral health-related knowledge, attitudes, and behaviours of dental students in Arab countries and explore the potential sociodemographic predictors of their oral health outcomes. A multi-centre, cross-sectional study was conducted during the academic year 2019/2020 in three Arab countries: Lebanon, Syria, and Tunisia. The study used a validated Arabic version of the Hiroshima University Dental Behavioural Inventory (HU-DBI) composed of original twenty items that assess the level of oral health-related knowledge, attitudes, and behaviours, and four additional dichotomous items related to tobacco smoking, alcohol drinking, problematic internet use, and regular dental check-up The HU-DBI score ranges between 0 and 12. A total of 1430 students took part in this study, out of which 60.8% were females, 57.8% were enrolled in clinical years, 24.5% were tobacco smokers, 7.2% were alcohol drinkers, and 87% reported internet addiction. The mean HU-DBI score was 6.31 ± 1.84, with Lebanon having the highest score (6.67 ± 1.83), followed by Syria (6.38 ± 1.83) and Tunisia (6.05 ± 1.83). Clinical students (6.78 ± 1.70) had higher HU-DBI scores than their preclinical peers (5.97 ± 1.86). The year-over-year analysis revealed that dental public health and preventive dentistry courses had significantly and positively impacted the undergraduate students’ knowledge, attitudes, and behaviours. The gender-based differences were not statistically significant, with a modest trend favouring males, especially oral health behaviours. Tobacco smoking, alcohol drinking, and problematic internet use were associated with lower HU-DBI scores. In the Arab world, the economic rank of the country where the dental students live/study was weakly correlated with the students’ mean HU-DBI score.
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Zhu, M. H., H. Y. Yu, and Z. R. Zhou. "Radial fretting behaviours of dental ceramics." Tribology International 39, no. 10 (October 2006): 1255–61. http://dx.doi.org/10.1016/j.triboint.2006.02.042.

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Sabbah, Wael, Anna L. Suominen, Miira M. Vehkalahti, Arpo Aromaa, and Eduardo Bernabé. "The Role of Behaviour in Inequality in Increments of Dental Caries among Finnish Adults." Caries Research 49, no. 1 (November 11, 2014): 34–40. http://dx.doi.org/10.1159/000366491.

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Background: Evidence from cross-sectional studies implies that dental behaviours partially explain inequalities in oral health. Objective: To assess whether dental behaviours completely eliminate inequality in increments of dental caries in a sample of Finnish adults. Methods: The baseline data were collected from the Health 2000 survey, a nationally representative survey of 8,028 individuals aged 30 years or older living in mainland Finland. Four years later, 1,248 subjects were invited for oral re-examination, and 1,049 agreed to participate (84% response rate). At baseline, participants provided information on demographics, education and dental behaviours (dental attendance, tooth brushing with fluoride toothpaste, sugar consumption and daily smoking). Oral examinations at baseline and follow-up were identical. Results: Adults with basic education had significantly greater increments of DMFT (incidence rate ratio 1.41, 95% CI 1.07-1.85) and DT (incidence rate ratio 2.23, 95% CI 1.27-3.90) than those with high education. Adjusting for single behaviours attenuated but did not eliminate education inequality in DMFT and DT increments, tooth brushing having the greatest impact on inequality. Simultaneous adjustment for all behaviours eliminated the significant relationship between education and caries increment. Conclusions: Accounting for important dental behaviours appears to explain all education inequality in dental caries in Finnish adults. The results should be interpreted with caution when applied to less egalitarian populations.
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Liu, Pearl Pei, Weiye Wen, Ka Fung Yu, Xiaoli Gao, and May Chun Mei Wong. "Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study." International Journal of Environmental Research and Public Health 16, no. 14 (July 23, 2019): 2621. http://dx.doi.org/10.3390/ijerph16142621.

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Background: Pregnant women are at risk of oral health problems. This qualitative study aims to understand dental care-seeking behaviours of pregnant women and their oral health-related information acquisition, to identify barriers to and motivators for, dental visits, and further explore their expectations and possible strategies to improve oral health care during pregnancy. Methods: Semi-structured interviews were conducted with 30 pregnant women (after 32 gestational weeks) enrolled in the antenatal care programme in a public hospital in Hong Kong. Two main areas of interest were probed: Dental care-seeking behaviour and oral health information acquisition. Their expectations and suggestions on oral health care service for pregnant women were also explored. An inductive thematic approach was adopted to analyse the data. Results: Pregnant women’s dental care-seeking behaviour was deterred by some internal factors, such as misunderstandings on oral health, and priority on other issues over oral health. External factors such as inconvenient access to dental service during pregnancy also affected their care-seeking behaviours. Oral health information was passively absorbed by pregnant women through mass media and the social environment, which sometimes led to confusion. Oral health information acquisition from antenatal institutions and care providers was rare. Greater attention was paid to dental visit when they obtained proper information from previous dental visit experience or family members. A potential strategy to improve oral health care suggested by the interviewees is to develop a health care system strengthened by inter-professional (antenatal-dental) collaboration. Efficient oral health information delivery, convenient access to dental service, and improved ‘quality’ of dental care targeting the needs of pregnant women were identified as possible approaches to improve dental care for this population. Conclusion: Dental care-seeking behaviour during pregnancy was altered by various internal and external factors. A lack of, or conflict between, information sources result in confusion that can restrict utilisation of dental service. Integrating dental care into antenatal service would be a viable way to improve dental service utilisation.
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Faisal, Mehreen Riaz, Masuma Pervin Mishu, Faisal Jahangir, Sabahat Younes, Omara Dogar, Kamran Siddiqi, and David J. Torgerson. "The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting children’s oral health: A systematic review and meta-analysis." PLOS ONE 17, no. 1 (January 11, 2022): e0262118. http://dx.doi.org/10.1371/journal.pone.0262118.

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Objectives Dental caries is the most common preventable childhood condition. Non-dental professionals and health workers are often well placed to support parents in adopting positive oral health behaviours for their children. The aim of this study was to determine the effectiveness of behaviour change interventions and their individual component behaviour change techniques (BCTs), that were delivered by non-dental professionals and health workers. Methods A systematic search of Ovid MEDLINE, PubMed, CINAHL, Cochrane Library, Web of Science, TRoPHI and PROQUEST from inception until March 2021 was conducted. Randomised controlled trials and quasi-experimental studies for improving oral health outcomes in children were included. Quality assessment was carried out using Cochrane Risk of Bias tool and ROBINS-I tool. Publication bias was assessed using funnel plots and Egger’s regression intercept. Effect sizes were estimated as standardised mean difference (SMD) and odds ratio/risk ratio for proportions. Meta-analyses were performed for studies reporting mean decayed, missing, filled surfaces (dmfs) and mean decayed, missing, filled, teeth (dmft) indices. Behaviour change technique coding was performed using behaviour change technique taxonomy v1 (BCTTv1). Results Out of the 9,101 records retrieved, 36 studies were included with 28 showing a significant effect either in clinical and/or behavioural/knowledge outcomes. Most studies (n = 21) were of poor methodological quality. The pooled SMD for caries experience showed statistically significant result for caries prevention at surface level -0.15 (95% CI -0.25, -0.04) and at the tooth level -0.24 (95% CI -0.42, -0.07). In 28 effective interventions, 27 individual BCTs were identified and the most frequently used were: “Instructions on how to perform the behaviour” and “Information about health consequences”. Conclusion There is low quality of evidence suggesting non-dental professionals and health workers may help improve oral health outcomes for children. To confirm these findings, further high-quality studies incorporating a variety of BCTs in their interventions for adoption of good oral health behaviours are needed.
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Mekhemar, Mohamed, Jonas Conrad, Sameh Attia, and Christof Dörfer. "Oral Health Attitudes among Preclinical and Clinical Dental Students in Germany." International Journal of Environmental Research and Public Health 17, no. 12 (June 15, 2020): 4253. http://dx.doi.org/10.3390/ijerph17124253.

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Oral health care providers are expected to show good examples of oral health behaviours and attitudes to their community. Previous studies displayed the constructive effect of dental education on oral hygiene manners of undergraduate students. The aim of this survey was to assess and compare aspects of oral health attitudes and behaviours between preclinical and clinical dental students in German universities. The German-language version of the HU-DBI was distributed to preclinical and clinical students from different German universities. Dichotomized (agree/disagree) responses to 20 HU-DBI items were provided in this study, with a maximum possible score of 19. A quantitative estimate of oral health attitudes and behaviours was provided by the total of appropriate answers given to every statement by each group. Data were analysed statistically. The overall mean score of answers favouring good oral hygiene was marginally higher in preclinical (14.62) than clinical students (14.31) but showed no statistical significance. Similarly, the analysis of each item individually displayed no statistically significant differences between preclinical and clinical participants, except in a single item of the survey. This study showed no effective differences in oral hygiene attitudes and behaviour between preclinical and clinical students in German universities. This reveals a weak effect of dental education on improving students’ oral health attitudes in Germany and might demand the introduction of more courses emphasizing the importance of correct oral health behaviour of health care providers.
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Gao, Xiaoli, Mun Loke Wong, Ashish Chetan Kalhan, Joshua Jiaming Xie, Hamzah Siti Hajar, Alvin Boon Keng Yeo, and Patrick Finbarr Allen. "Theory-derived intervention to improve oral health of older adults: study protocol for a randomised controlled trial." BMJ Open 12, no. 12 (December 2022): e064791. http://dx.doi.org/10.1136/bmjopen-2022-064791.

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IntroductionChanging health behaviours is an important and difficult task. Despite growing interest in behavioural theories and models, there is a paucity of research examining their validity in explaining oral health behaviours, and there is a need for interventional studies to assess their effectiveness in improving oral health. This study aims to test the explanatory power of the dominant psychological theories, develop theory-derived intervention and evaluate its effectiveness in improving oral health of older adults.Methods and analysis440 community dwelling older adults will be recruited. To be eligible for this trial, one needs to be 55–79 years old, having at least 8 natural teeth, and with no life-threatening disease, impaired cognitive function, or radiotherapy in the head and neck region. At the initial visit, each participant will be required to complete a detailed questionnaire which collects information on sociodemographic background, oral health behaviours and domains of three psychological theories and models: (1) health belief model, (2) theory of planned behaviour and (3) social cognitive theory. The theory or model that best explains the health behaviours will be selected for designing the oral health intervention. The effectiveness of the theory-derived intervention will be evaluated in a randomised controlled trial. Participants will be randomly assigned to two groups, receiving theory-derived intervention and conventional health education, respectively. At baseline and at 12 and 24 months post intervention, each participant will complete a short questionnaire and undergo an oral examination (dental check-up). The effectiveness of the interventions will be evaluated using behavioural outcomes (diet, toothbrushing, interdental cleaning) and clinical outcomes (oral hygiene, dental caries and periodontal conditions).Ethics and disseminationThis study has been approved by the Institutional Review Board of National University of Singapore (Ref: NUS-IRB-2020-417). Findings will be presented in international conferences and peer-reviewed journals.Trial registration numberNCT04946292.
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Kitsaras, George, Michaela Goodwin, Michael P. Kelly, and Iain A. Pretty. "Bedtime Oral Hygiene Behaviours, Dietary Habits and Children’s Dental Health." Children 8, no. 5 (May 19, 2021): 416. http://dx.doi.org/10.3390/children8050416.

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Background: Oral hygiene behaviours as well as dietary habits before bed can affect children’s dental health resulting in higher prevalence of dental disease. Dental disease can affect children’s health, development and even school performance. If left untreated, dental disease can progress and it can lead to extractions under general anaesthetic causing further distress for children and families. Consistent and appropriate oral hygiene behaviours and dietary habits can prevent dental diseases from occurring in the first place. Objective: This cross-sectional study examines the relationship between oral hygiene behaviours, dietary habits around bedtime and children’s dental health. Methods: A total of 185 parents with children between the ages of 3 and 7 years from deprived areas participated in the study. Data on bedtime routine activities were collected using an automated text-survey system. Children’s dental health status was established through examination of dental charts and dmft (decayed, missed, filled teeth) scores. Results: In total, 52.4% of parents reported that their children’s teeth were brushed every night. The majority of children (58.9%) had dmft scores over zero. In total, 51 (46.7% of children with dmft score over 0 and 27.5% of all children) children had active decay. The mean dmft score for those experiencing decay was 2.96 (SD = 2.22) with an overall mean dmft score of 1.75 (SD = 2.24). There were significant correlations between frequency of tooth brushing, frequency of snacks/drinks before bed and dmft scores (r = −0.584, p < 0.001 and r = 0.547, p = 0.001 respectively). Finally, higher brushing frequency was associated with a lower likelihood of a dmft score greater than 0 (Exp(B) = 0.9). Conclusions: Despite families implementing oral hygiene behaviours as part of their bedtime routines those behaviours varied in their consistency. Results of this study highlight the need for additional studies that consider bedtime routine-related activities and especially the combined effects of oral hygiene practices and dietary habits due to their potentially important relationship with children’s dental health.
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Uerlich, Magdalena F., Sarah R. Baker, Peter F. Day, Lucy Brown, and Mario V. Vettore. "Common Determinants of Dental Caries and Obesity in Children: A Multi-Ethnic Nested Birth Cohort Study in the United Kingdom." International Journal of Environmental Research and Public Health 18, no. 23 (November 29, 2021): 12561. http://dx.doi.org/10.3390/ijerph182312561.

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The article examines the common determinants of childhood dental caries and obesity. Longitudinal data from the Born in Bradford cohort study (BiB1000) (n = 1735) and dental data (dental general anaesthetics (GA) and oral health survey 2014/15) (n = 171) were used to test a framework on the social determinants of childhood dental caries (decayed, missing, filled teeth (dmft) index) and obesity (body mass index (BMI)). The BiB1000 data were collected at pregnancy week 26–28 and after birth at 6, 12, 18, 24 and 36 months. The determinants were demographics, wellbeing, socio-economic status (SES), dietary behaviours and physical activity behaviour of the children. Missing data were accounted for through multiple imputation (MI). The framework was tested through structural equation modelling. Overall, the model fit was adequate. No alcohol consumption of the mother after giving birth, higher frequency of child drinking sugar-sweetened beverages, emotional and behavioural difficulties of the child and being male were directly associated with both BMI and dental caries. Caregivers uninvolved or indulgent feeding style were associated with higher BMI and less dental caries. Social deprivation was associated with lower BMI and higher dmft. Five determinants were directly associated with BMI only. Fifteen indirect paths were significant for both child dental caries and BMI. The findings suggest common determinants for both childhood obesity and dental caries. Common risk factor approach seems appropriate for planning future health promotion programmes.
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Sufia, Shamta, Ayyaz Ali Khan, and Saima Chaudhry. "Maternal Factors and Child's Dental Health." Journal of Oral Health and Community Dentistry 3, no. 3 (2009): 45–48. http://dx.doi.org/10.5005/johcd-3-3-45.

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ABSTRACT Aim This study was carried out to investigate the effect of mother's age, education, occupation and income on the dental health behaviours and caries experience of her pre-school children in the District of Lahore, Pakistan. Methods This questionnaire based cross-sectional study evaluated the dental health status and oral health behaviors of 600 children in relation to the mother's age, education, family income and her domicile of residence. Chi square test was used to see the association between the different variables. The level of significance was taken as p<0.05. Result Tooth cleaning behaviors were found to be associated with all the maternal factors under study. Sugary food consumption was associated with mother's level of education and her family income while dental decay positively correlated with her residence and family income. Conclusion Younger age of the mother, high level of educational attainment, higher income and urban residence, all have a positive influence on the dental health practices of her pre-school children. Key Points 1. Dental health practices of the pre-school children are greatly influenced by the maternal characteristics. 2. Dental decay status of pre-school children is independent of the mother's education, income and residence. 3. Dental decay status of the pre-school children is low in Lahore, Pakistan.
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Riad, Abanoub, Ave Põld, Jana Olak, Hans-Peter Howaldt, Miloslav Klugar, Martin Krsek, and Sameh Attia. "Estonian Dental Students’ Oral Health-Related Knowledge, Attitudes and Behaviours (KAB): National Survey-Based Study." International Journal of Environmental Research and Public Health 19, no. 3 (February 8, 2022): 1908. http://dx.doi.org/10.3390/ijerph19031908.

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The strategic plan for dentistry and oral health in Estonia of 2030 focuses on oral health promotion and disease prevention through undergraduate dental curricula and fostering public health-oriented research among students. The present study was designed as a descriptive cross-sectional study to evaluate oral health-related knowledge, attitudes, and behaviours (KAB) of dental students in Estonia. The study was carried out in the spring semester of 2020, and it used a modified version of the Hiroshima University Dental Behavioural Inventory (HU-DBI). A total of 129 students responded to the survey, constituting a response rate of 93.5% due to the total population sampling (census) technique used in this study and the small target population size. Out of the 124 students included in the final analysis, 79% were females, 62.1% were clinical students, 11.3% reported smoking tobacco at least once a week, and 86.3% reported problematic internet use. The present study found that mean HU-DBI score of Estonian dental students was 8.09 ± 1.22 which is so far the highest recorded HU-DBI score in Europe. There was no significant difference between female vs. male or preclinical vs. clinical students in terms of HU-DBI score. While clinical students reported less faulty oral hygiene practices, such as hard toothbrush use and aggressive toothbrushing, preclinical students reported a slightly higher mean HU-DBI score. Smoking behaviour was more common among male and clinical students, and it was also associated with alcohol drinking and worry about teeth colour and halitosis.
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Macgregor, I. D. M., D. Regis, and J. Balding. "Self-concept and dental health behaviours in adolescents." Journal of Clinical Periodontology 24, no. 5 (May 1997): 335–39. http://dx.doi.org/10.1111/j.1600-051x.1997.tb00766.x.

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Freeman, Ruth. "The determinants of dental health attitudes and behaviours." British Dental Journal 187, no. 1 (July 1999): 15–18. http://dx.doi.org/10.1038/sj.bdj.4800192.

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Freeman, Ruth. "The determinants of dental health attitudes and behaviours." British Dental Journal 187, no. 1 (July 10, 1999): 15–18. http://dx.doi.org/10.1038/sj.bdj.4800192a.

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Yuan, Siyang, Ruth Freeman, Kirsty Hill, Tim Newton, and Gerry Humphris. "Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours." Dentistry Journal 8, no. 4 (October 13, 2020): 118. http://dx.doi.org/10.3390/dj8040118.

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Effective communication forges the dentist-patient treatment alliance and is thus essential for providing person-centred care. Social rank theory suggests that shame, trust, communication and anxiety are linked together, they are moderated by socio-economic position. The study is aimed to propose and test an explanatory model to predict dental attendance behaviours using person-centred and socio-economic position factors. A secondary data analysis was conducted on a cross-sectional representative survey of a two-stage cluster sample of adults including England, Wales and Northern Ireland. Data were drawn from structured interview. Path analysis of proposed model was calculated following measurement development and confirmation of reliable constructs. The findings show model fit was good. Dental anxiety was predicted negatively by patient’s trust and positively by reported dentist communication. Patient’s shame was positively associated with dental anxiety, whereas self-reported dental attendance was negatively associated with dental anxiety. Both patient’s trust and dentist’s communication effects were moderated by social class. Manual classes were most sensitive to the reported dentist’s communications. Some evidence for the proposed model was found. The relationships reflected in the model were illuminated further when social class was introduced as moderator and indicated dentists should attend to communication processes carefully across different categories of patients.
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Berggren, Ulf. "Psychosocial effects associated with dental fear in adult dental patients with avoidance behaviours." Psychology & Health 8, no. 2-3 (April 1993): 185–96. http://dx.doi.org/10.1080/08870449308403178.

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Ha, Diep, and Loc Do. "Early Life Professional and Layperson Support Reduce Poor Oral Hygiene Habits in Toddlers—A Prospective Birth Cohort Study." Dentistry Journal 6, no. 4 (October 8, 2018): 56. http://dx.doi.org/10.3390/dj6040056.

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Oral health behaviours of children are formulated from a very young age. Formation of those behaviours among very young children is dependent on their mothers/caregivers who may themselves require support from the health profession or laypersons. The study aimed to investigate if early life visits for check-up and dental advice and perceived support improved oral health behaviours as practiced by mothers of toddlers aged 24–30 months old. Data from a population-base birth cohort study in South Australia was used. The study recruited and followed mothers of newborn children from birth to age 24–30 months. Parental questionnaires collected information about socioeconomic factors, dental visiting patterns, and oral health behaviours as practiced by the mothers for their child. Self-reported putting a child to bed with a bottle and brushing a child’s teeth were the outcome variables. The two main exposures of this study were (1) early visiting for a dental advice, and (2) layperson support that a mother received in the first two years of having the child. Data were analysed progressively from bivariate to multivariable regression models. A total of 1183 mother/child dyads had complete data. The retained sample was representative of the population. Approximately 36% of mothers put their child to bed with a bottle and 26% of mothers did not brush their child’s teeth the night before. Around 29% of children had a visit for dental check-up and 80% of mothers reported having lay support. There were gradients in the outcome variables by socioeconomic factors and the main exposures. Multivariable regression models reported that having no dental visit for advice and having no lay support were associated with 1.30 and 1.21 imes higher rates of putting a child to bed with a bottle, respectively. Having no dental visit for advice was associated with a 1.37-times higher rate of not brushing a child’s teeth, controlling for other factors. This population-based birth cohort study confirmed importance of early life dental visit for check-up and support for mothers of young children in establishing oral health behaviours of young children.
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Sfeatcu, Ruxandra, Beatrice Adriana Balgiu, Christina Mihai, Ana Petre, Mihaela Pantea, and Laura Tribus. "Gender Differences in Oral Health: Self-Reported Attitudes, Values, Behaviours and Literacy among Romanian Adults." Journal of Personalized Medicine 12, no. 10 (September 29, 2022): 1603. http://dx.doi.org/10.3390/jpm12101603.

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A topic that has been less researched on, especially in Romania, is the identification of gender differences in oral health. The present scientific research used an online survey to assess the attitudes (dental beliefs survey-R/R-DBS), the values (oral health values scale/OHVS), the behaviours (dental neglect scale/DNS), and the literacy (oral health literacy scale/OHLS) related to oral health and to dental professional services in the case of a sample of 600 Romanian adults (Meanage = 30.84). The relation between the level of knowledge as a predictor of attitudes and values related to oral health was analysed by the means of a structural equation based on the partial least square method (PLS-SEM). The results show that women have more positive attitudes towards dental medical services, higher oral health values, better self-care behaviours, and higher oral health literacy than men. In the case of men, attitudes and behaviours related to self-care are influenced by their oral health literacy and level of education; in the case of women, the latter are influenced only by their level of oral health literacy. The impact that knowledge in oral health has on attitudes, values, and behaviours was highlighted. The differences in attitudes and values related to oral health between the two genders can be accounted for by the differences in formal and informal education (studies and oral health literacy, respectively).
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Lodhi, Fahad Saqib, Unaib Rabbani, Adeel Ahmed Khan, Saidul Abrar, Ayesha Laraib, and Saadia Irum. "GENDER DIFFERENCE IN AWARENESS AND BEHAVIOURS OF MEDICAL AND DENTAL STUDENTS ABOUT CORONA VIRUS DISEASE (COVID-19) IN PAKISTAN." Journal of Ayub Medical College Abbottabad 34, no. 1 (January 1, 2022): 101–7. http://dx.doi.org/10.55519/jamc-01-8480.

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Background: Medical and dental students are the future of health workforce and a potential volunteer pool in the COVID-19 crises. This study aimed to assess the level and gender differences in the awareness, attitude and behaviours of medical and dentals students about COVID-19 in Pakistan. Methods: An online cross-sectional survey was conducted among medical and dental undergraduate students in Khyber Pakhtunkhwa province. Data was collected using a structured questionnaire having four sections: socio-demographics, knowledge, attitude and practices. Results: A total of 1770 medical and dental students participated and completed the questionnaire. About 1239 (70%) of the respondents were female and 1526 (87%) were MBBS students. We found that 1685 (95%) of the students had adequate knowledge. Majority, 1565 (89%) of the students was concerned about COVID-19 and 1480 (84%) believed that disease will ultimately be controlled. Only about 1129 (64%) of the participants in our study had adequate practices. Male gender was associated with higher risk of inadequate practices. Conclusion: There were good knowledge and attitudes about COVID-19 among medical and dental students. However, one third of the participants did not have adequate practices and female had better practices than male students. This gap in the knowledge and practice calls for urgent interventions to improve practices.
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Furuta, Michiko, Kenji Takeuchi, Toru Takeshita, Yukie Shibata, Shino Suma, Shinya Kageyama, Mikari Asakawa, et al. "10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study." BMJ Open 11, no. 8 (August 2021): e048114. http://dx.doi.org/10.1136/bmjopen-2020-048114.

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ObjectivesWe examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors.DesignProspective cohort study.SettingA population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study).ParticipantsResidents of a Japanese community aged 40–79 years undergoing dental examination in 2007 (n=2665), 2012 (n=2325) and 2017 (n=2285).Outcome measuresThe number of missing teeth, periodontal condition, dental caries experience, dental plaque index and oral health behaviours were evaluated each year. The longitudinal analysis of variation in these factors were assessed using mixed models.ResultsThe age-adjusted and sex-adjusted mean number of missing teeth decreased with time (6.80 in 2007, 6.01 in 2012 and 4.99 in 2017). The mean clinical attachment level (CAL), prevalence of periodontitis and dental plaque index decreased over the study period, while dental caries experience slightly increased. The level of oral health behaviour increased over time. Poisson mixed models showed that changes in mean CAL and dental caries experience were positively associated with the change in the number of missing teeth over time. Linear mixed models showed that changes in dental plaque index and no regular dental visit were positively associated with changes in mean CAL.ConclusionsThese findings suggest that a decreasing trend regarding the number of missing teeth in Japan might be associated with improvements in the periodontal condition due to changes in oral hygiene level and oral health behaviour.
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Zhang, Zhong Pu, Ke Ke Zheng, Ting Ting Le, Wei Li, Michael V. Swain, and Qing Li. "Numerical Simulation of Biomechanical Behaviours in Novel Dental Restorations." Applied Mechanics and Materials 553 (May 2014): 327–31. http://dx.doi.org/10.4028/www.scientific.net/amm.553.327.

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Besides the prevention strategies against early stage dental caries, restoration is a preferable way to prevent decayed tooth from further deterioration. This study aimed to compare the mechanical strengths of carious tooth, traditionally restored tooth, and novel conservatively restored teeth under occlusal loading. The two-dimensional (2D) finite element method (FEM) was applied to quantify and compare maximum tensile stresses thereby predicting the initiation of crack. Taking into consideration of peak tensile stresses, it was found that the conservative (minimal intervention) restorations exhibited better fracture resistance than traditional restoration.
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Abuhaloob, L., and Y. Abed. "Dietary behaviours and dental fluorosis among Gaza Strip children." Eastern Mediterranean Health Journal 19, no. 7 (July 1, 2013): 657–63. http://dx.doi.org/10.26719/2013.19.7.657.

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Mak, KK, and JR Day. "Dental health behaviours among early adolescents in Hong Kong." International Journal of Dental Hygiene 9, no. 2 (April 12, 2011): 122–26. http://dx.doi.org/10.1111/j.1601-5037.2010.00452.x.

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Bloomfield, Ellain Muscroft. "HBV/HIV+: General dental practitioners' knowledge, attitudes and behaviours." International Journal of Health Education 35, no. 1 (January 1997): 21–24. http://dx.doi.org/10.1080/13681222.1997.10806019.

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Burns, Jacky, Niall McGoldrick, and Morag Muir. "Oral health literacy, oral health behaviours and dental outcomes." Evidence-Based Dentistry 19, no. 3 (October 2018): 69–70. http://dx.doi.org/10.1038/sj.ebd.6401318.

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Reynolds, Kaitlyn, Navira Chandio, Ritesh Chimoriya, and Amit Arora. "The Effectiveness of Sensory Adaptive Dental Environments to Reduce Corresponding Negative Behaviours and Psychophysiology Responses in Children and Young People with Intellectual and Developmental Disabilities: A Protocol of a Systematic Review and Meta-Analysis." International Journal of Environmental Research and Public Health 19, no. 21 (October 22, 2022): 13758. http://dx.doi.org/10.3390/ijerph192113758.

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People with Intellectual and Developmental Disabilities (IDDs) are disproportionately vulnerable to poorer oral health due to their complex needs specifically sensory processing difficulties. This leads to increased maladaptive behaviours and psychophysiology responses of dental anxiety amplified by the overstimulating aspects of the dental environment. Although, there is a growing body of evidence to suggest that sensory adaptions are an effective strategy for individuals with IDDs in a wide range of settings, there is a lack of high-quality evidence detailing the effectiveness in a dental setting. The objective of this review is to assess the effectiveness of sensory adaptive dental environments (SADE) to reduce dental anxiety, corresponding negative behaviours and psychophysiology responses in children and young people with IDDs. The systematic review will include all Randomized Controlled Trials (RCTs) that investigate the effectiveness of SADE compared to control (no intervention), waitlist or usual care (regular dental environment) to reduce dental anxiety and the corresponding negative behaviours and psychophysiology responses in children and young people (upto the ages of 24 years) with IDDs. This review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases including MEDLINE (Ovid), The Cochrane Library, Embase, Google Scholar, Web of Science and OT Seeker will be searched using appropriate keywords. Additionally, citation searching will be conducted. Screening based on titles and abstracts will be done after de-duplication, followed by full-text reading for selection based on the inclusion criteria. Data extracted from the included studies will be tabulated and assessed for risk of bias. If applicable, a meta-analysis of the pooled data will be conducted. The review is registered with PROSPERO (CRD42022322083).
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Falasinnu, Titilola O. "A Population-Based Evaluation of the Intention to Quit Smoking, Cervical Cancer Screening Behaviour, and Multiple Health Behaviours Among Female Canadian Smokers." Journal of Smoking Cessation 6, no. 2 (December 1, 2011): 119–25. http://dx.doi.org/10.1375/jsc.6.2.119.

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AbstractIntroduction:Proschaska's transtheoretical model (TTM) of behaviour change suggests that a population of smokers varies along many dimensions, including readiness to quit and the presence of other risk factors. This study examines whether smokers contemplating quitting are more likely to be contemplating another change (e.g., Pap testing and physical activity).Methods:The study used self-reported cross-sectional data (n= 2,873) from the Canadian Community Health Survey (CCHS) Cycle 4.1 2007/2008. The association between the smoking stage of change (SOC) and Pap testing behaviour was assessed. Control variables included sociodemographic and behavioural characteristics (e.g. doctor visits and number of cigarettes smoked). The distribution of health behaviours (e.g., dietary changes and exercise) by smoking SOC among women with recent Pap tests was also examined.Results:Female smokers contemplating or preparing to quit smoking had higher odds of having a recent Pap test, OR = 1.40, 95% CI (1.19, 1.65), and OR = 1.82, 95% CI (1.47, 2.25) respectively, compared to smokers who had no intention of quitting. This association remained statistically significant after adjusting for confounders, AOR = 1.28, 95% CI (1.08, 1.52), and AOR = 1.63, 95% CI (1.31, 2.04) respectively. Fruit and vegetable consumption, physical activity, and recent dental visit were associated with advanced smoking SOC among women with recent Pap tests (P< .05).Conclusions:Advanced smoking SOC was associated with the increased likelihood of having a recent Pap test and engaging in other healthy behaviours. These findings show that targeting several health behaviours simultaneously may be an effective health promotion strategy.
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Mazurek, Mateusz, Anna Szyszkowska, Agata Mazurek, and Jolanta Szymanska. "Selected issues concerning oral health in female patients with eating disorders: a survey study." Current Issues in Pharmacy and Medical Sciences 29, no. 3 (September 1, 2016): 139–41. http://dx.doi.org/10.1515/cipms-2016-0029.

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Abstract The study aimed to evaluate behaviours relevant to oral health and the condition of the teeth and gums in women with eating disorders. A survey study covered a group of 30 patients aged 14-36 years suffering from diagnosed eating disorders and treated in closed psychiatric wards. The control group included 30 healthy women at the mean age corresponding to that of the patient group. The questions concerning oral health-relevant behaviours referred to the frequency of tooth brushing and the kind of toothbrush used, the frequency of dental visits, fear of dental visits, and self-evaluation of the selected items of oral health status. The survey results were analysed statistically. Behaviours relevant to oral health in women with eating disorders include increased oral hygiene and the attitude to dental visits that does not diverge from the customary one. The patients found the presence of enamel damage to be as frequent as in the healthy subjects. Eating disorders are, however, conducive to more frequent gum disorders and the feeling of dryness in the mouth.
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A. Patenaude, Sara, Petros Papagerakis, and Jessica R.L. Lieffers. "Development of a Nutrition Questionnaire for Dental Caries Risk Factors." International Journal of Environmental Research and Public Health 17, no. 5 (March 10, 2020): 1793. http://dx.doi.org/10.3390/ijerph17051793.

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Background: Few existing tools quickly identify dietary behaviours related to dental caries. The objectives of this study were to (i) create a patient-generated questionnaire identifying these dietary behaviours, (ii) capture information on these dietary behaviours in two specific populations via questionnaire pilot testing and (iii) determine questionnaire test-retest reliability. Methods: After development, the questionnaire was reviewed by an expert panel. Cognitive interviewing was conducted, followed by pilot testing in a general university campus population (n = 80) and a university dental clinic (n = 10). Retesting was done with the general campus group (n = 53). Results: Most participants reported never receiving dietary advice from professionals regarding caries. Sugary foods were most often consumed as snacks in the evening or afternoon, then breakfast. In total, 41.3% of campus participants consumed high risk items at least a few times per week or more often. Weekly or more frequent consumption of “other” sugary drinks (e.g., iced tea) was common. In total, 77.6% of questionnaire items had a kappa value representing moderate agreement or greater. Conclusions: Dietary behaviours related to caries were common in this pilot study. Given the high prevalence of caries and low occurrence of prior dietary advice for the same, increased preventive efforts may be warranted.
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Riad, Abanoub, Veronika Chuchmová, Ján Staněk, Barbora Hocková, Sameh Attia, Martin Krsek, and Miloslav Klugar. "Czech and Slovak Dental Students’ Oral Health-Related Knowledge, Attitudes, and Behaviours (KAB): Multi-Country Cross-Sectional Study." International Journal of Environmental Research and Public Health 19, no. 5 (February 25, 2022): 2717. http://dx.doi.org/10.3390/ijerph19052717.

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Dentists play a key role in the primary prevention of oral diseases and related systemic complications; therefore, their views on behavioural interventions need to be aligned with the current agendas for oral health. Likewise, dental students’ oral health-related knowledge, attitudes, and behaviours (KAB) are of practical importance, as they are the future opinion leaders for oral health in their respective communities. A cross-sectional survey-based study was designed to evaluate the oral health KAB of dental students in both the Czech Republic and Slovakia. The study utilized translated versions of the Hiroshima University Dental Behavioural Inventory (HU-DBI), and it aimed to recruit students from all Czech and Slovak dental schools. A total of 487 students were included in this study, out of which 372 (76.4%) were females, 271 (55.6%) were enrolled in preclinical years, 68 (14%) reported smoking tobacco at least once a week, and 430 (88.3%) reported problematic internet use. The mean HU-DBI score of Czech and Slovak dental students (8.18 ± 1.80) was comparable with the previously reported scores of dental students in Nordic and Western European countries. Czech students (9.34 ± 1.29) had a significantly higher score than their Slovak counterparts (7.56 ± 1.73). In both countries, preclinical students (8.04 vs. 8.35), the students who reported tobacco smoking (7.63 vs. 8.27), and those who reported problematic internet use (8.11 vs. 8.70) had significantly lower HU-DBI scores than their counterparts, respectively. In the Czech Republic, the significant increases in HU-DBI scores occurred after the first academic year when the students received preventive dentistry courses; therefore, one can put forward that early implementation of preventive elements in undergraduate dental curricula may yield better and more sustainable oral health gains for the students. Future research on Czech and Slovak dental curricula need to re-evaluate the oral hygiene and anti-smoking components and their impact on students’ views and attitudes.
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Poudel, Prakash, Rhonda Griffiths, Amit Arora, Vincent W. Wong, Jeff R. Flack, George Barker, and Ajesh George. "Oral Health Status, Knowledge, and Behaviours of People with Diabetes in Sydney, Australia." International Journal of Environmental Research and Public Health 18, no. 7 (March 26, 2021): 3464. http://dx.doi.org/10.3390/ijerph18073464.

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This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06–6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85–7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.
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Prabu, D., M. Shylaja, RU Vidhya, S. Manipal, A. Ahmed, and P. Adusumilli. "Parsimonious Prediction Model for the Prevalence of Dental Visits in Chennai, India." Journal of Oral Health and Community Dentistry 8, no. 2 (2014): 86–90. http://dx.doi.org/10.5005/johcd-8-2-86.

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ABSTRACT OBJECTIVE The aim of the study is to analyze the prevalence of dental visits within the last year in the Behavioural Risk Factor Surveillance System or BRFSS by the simple sociodemographic factors among the adults in 10 different areas of Chennai, Tamil Nadu. METHODS Cross sectional telephone survey (Behavioural Risk Factor Surveillance System) conducted among 500 adults. Data was collected based on a standardized questionnaire to determine the distribution of risk behaviours and health practices among non-institutionalized adults. A multivariable logistic regression model considers the complex sample design of the BRFSS was used to predict the prevalence of dental visits based on four non-clinic parsimonious variables. RESULTS Results showed that the adults with the High household income, Religion (Hindu), High Education(> High School Diploma), and marital status were associated with an annual dental visit with the odd ratios of 0.943, 1.161, 1.243, 0.876 respectively. Besant Nagar had the highest percentage (13%) of estimated annual users, while Redhills had the lowest percentage(8%). CONCLUSION Health promotion organizations, Local governments, Insurance companies, and organizations that administer public health programs will benefit by applying this model to the available nonclinical databases, and will be able to improve planning of dental health services and required dental workforce.
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J. Noori, Arass. "Oral Health Behaviours, Knowledge and Attitudes Among Dental College Students in Sulaimani City, Iraq." Sulaimani dental journal 8, no. 1 (January 6, 2021): 8–16. http://dx.doi.org/10.17656/sdj.10125.

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Zhu, M. H., H. Y. Yu, Z. B. Cai, and Z. R. Zhou. "Radial fretting behaviours of dental feldspathic ceramics against different counterbodies." Wear 259, no. 7-12 (July 2005): 996–1004. http://dx.doi.org/10.1016/j.wear.2005.02.010.

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Polychronopoulou, Argy, and Makoto Kawamura. "Oral self-care behaviours: comparing Greek and Japanese dental students." European Journal of Dental Education 9, no. 4 (November 2005): 164–70. http://dx.doi.org/10.1111/j.1600-0579.2005.00387.x.

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Messer, L. B., and H. Calache. "Oral health attitudes and behaviours of final-year dental students." European Journal of Dental Education 16, no. 3 (February 1, 2012): 144–55. http://dx.doi.org/10.1111/j.1600-0579.2012.00738.x.

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Tan, Haiping. "Dental behaviours among older adults over an 11-year period." Australian Dental Journal 58, no. 2 (May 28, 2013): 262–65. http://dx.doi.org/10.1111/adj.12067.

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Nguyen, Jennifer Gia-linh, Shanika Nanayakkara, and Alexander C. L. Holden. "Knowledge, Attitudes and Practice Behaviour of Midwives Concerning Periodontal Health of Pregnant Patients." International Journal of Environmental Research and Public Health 17, no. 7 (March 27, 2020): 2246. http://dx.doi.org/10.3390/ijerph17072246.

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Maternal gum disease is associated with adverse pregnancy outcomes such as preterm birth and low birthweight. This study aims to evaluate the knowledge, attitudes and practice behaviour of Australian midwives regarding the periodontal health of pregnant women to inform interprofessional antenatal care. This was an observational, cross-sectional study. We circulated an online questionnaire to Australian midwives from August 2018 to February 2019. Key outcome variables were knowledge, attitudes, and practice behaviours related to oral health. Key predictor variables were years of practice, practice location, and dental history. We summarized responses with frequency tables and assigned tallied scores for analysis using non-parametric statistical tests. 100 responses were analysed, including from rural (n = 23) and urban (n = 77) midwives. Eighty percent of midwives agreed that maternal dental care can positively affect pregnancy outcomes. Fluoridated toothpaste use (19.1%) was incorrectly answered to prevent gum disease more often than psychological stress control (7.9%), a correct answer. Rural midwives demonstrated a significantly higher knowledge score (p = 0.001) and significantly more positive practice behaviours towards oral health (p = 0.014) than urban midwives. Australian midwives have positive attitudes towards antenatal oral health but misunderstand gum disease aetiology and prevention. This study highlights areas to improve interprofessional education for optimal oral health and pregnancy outcomes.
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Brizuela-Velasco, Aritza, Esteban Pérez-Pevida, Antonio Jiménez-Garrudo, Francisco Javier Gil-Mur, José María Manero, Miquel Punset-Fuste, David Chávarri-Prado, Markel Diéguez-Pereira, and Francesca Monticelli. "Mechanical Characterisation and Biomechanical and Biological Behaviours of Ti-Zr Binary-Alloy Dental Implants." BioMed Research International 2017 (2017): 1–10. http://dx.doi.org/10.1155/2017/2785863.

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The objective of the study is to characterise the mechanical properties of Ti-15Zr binary alloy dental implants and to describe their biomechanical behaviour as well as their osseointegration capacity compared with the conventional Ti-6Al-4V (TAV) alloy implants. The mechanical properties of Ti-15Zr binary alloy were characterised using Roxolid© implants (Straumann, Basel, Switzerland) via ultrasound. Their biomechanical behaviour was described via finite element analysis. Their osseointegration capacity was compared via an in vivo study performed on 12 adult rabbits. Young’s modulus of the Roxolid© implant was around 103 GPa, and the Poisson coefficient was around 0.33. There were no significant differences in terms of Von Mises stress values at the implant and bone level between both alloys. Regarding deformation, the highest value was observed for Ti-15Zr implant, and the lowest value was observed for the cortical bone surrounding TAV implant, with no deformation differences at the bone level between both alloys. Histological analysis of the implants inserted in rabbits demonstrated higher BIC percentage for Ti-15Zr implants at 3 and 6 weeks. Ti-15Zr alloy showed elastic properties and biomechanical behaviours similar to TAV alloy, although Ti-15Zr implant had a greater BIC percentage after 3 and 6 weeks of osseointegration.
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Erwin, Jo, Martha Paisi, Robert Witton, Sarah Neill, Lorna Burns, Isaac Vassallo, Abigail Nelder, Jemma Facenfield, Urshla Devalia, and Tara Vassallo. "Factors Influencing Oral Health Behaviours, Access and Provision of Dental Care for Autistic Children and Adolescents in Countries with a Very High Human Development Index: Protocol for a Mixed Methods Systematic Review." International Journal of Environmental Research and Public Health 18, no. 23 (November 24, 2021): 12346. http://dx.doi.org/10.3390/ijerph182312346.

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Autistic children and adolescents are at high risk of dental disease and experience oral health inequalities. They consistently show high levels of unmet needs in relation to their oral health and access to dental care. There are no systematic reviews that bring together the evidence on the factors that influence oral hygiene behaviours, and access to and provision of dental care for autistic children and adolescents. A systematic search will be carried out in eight international databases and in grey literature of qualitative, quantitative and mixed method research studies from countries with a High Development Index which relate to oral health behaviours, and access to and provision of dental care. Only studies where participants are autistic children and adolescents aged 19 years or under, parents/guardians/caregivers, support staff, or oral health care providers will be included. Quantitative and qualitative data will be synthesized together through data transformation using a convergent integrated approach. Thematic synthesis will be used to carry out an inductive analysis of the data. The findings from the systematic review which this protocol generates will be used in the development of an appropriate local clinic care pathway for autistic children/adolescents and to inform national policies and practices. Prospero registration: CRD 42021248764.
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Stennett, Michelle, and Georgios Tsakos. "The impact of the COVID-19 pandemic on oral health inequalities and access to oral healthcare in England." British Dental Journal 232, no. 2 (January 28, 2022): 109–14. http://dx.doi.org/10.1038/s41415-021-3718-0.

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AbstractWhile the impact of the coronavirus disease (COVID-19) pandemic on health inequalities is documented, oral health has been absent from this discussion. This commentary highlights the potential impacts of the COVID-19 pandemic on oral health inequalities in England in February 2021. It includes a literature review, Public Health England and Kantar Worldpanel sales data on health behaviours and analysis of NHS dental services data. Purchasing data indicate, except for smoking, increases in health-compromising behaviours. Since the resumption of dental services, NHS general dental service use modestly recovered among adults but not children by October 2020. There are clear inequalities among children and older adults, with more deprived groups having lower uptake of dental service use than more affluent groups. Oral cancer referrals and hospital admissions for tooth extractions in children dramatically declined, with the latter primarily affecting children in more deprived areas. Many oral health programmes in schools and care homes were disrupted or suspended throughout this period. All these indicate that oral health inequalities have widened due to the COVID-19 pandemic. An oral health plan of action requires prioritising long-term investment in public health programmes and transforming commissioning pathways to support those with the greatest needs to access oral healthcare services.
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Barsevičienė, Šarūnė, Eglė Žymantienė, and Jurgita Andruškienė. "GENDER DIFFERENCES IN ORAL CARE HABITS, ATTITUDES AND BEHAVIOURS OF ADOLESCENTS IN THE CITY OF KLAIPEDA." CBU International Conference Proceedings 6 (September 25, 2018): 870–75. http://dx.doi.org/10.12955/cbup.v6.1263.

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Background. For many, the adolescent years can be a difficult emotional period and a time when dental and medical needs may be neglected. Oral health is one of the most unmet health care needs of adolescents. Oral diseases can have a profound effect on overall health, including pain, missed school, heart disease, and even death (Silk and Kwok, 2017).Aim of the survey: to study the gender differences in oral hygiene habits, attitudes and behaviours in Klaipeda city adolescents sample.Methods: There were 1206 questionnaires distributed (response rate 95.3 %). A total of 1150 adolescents participated in the study, with 52.4 % being girls, and the mean age was 13.4 years.Results. The study results demonstrated girls more often brushed their teeth than boys, 86.8 % and 68.5 %, respectively (p<0.001). Almost all the participants (98.5 %) used toothpaste and a toothbrush on a daily basis, but girls more often used dental floss (66.3 % as compared to boys 33.7 %, p<0.001), mouthwash (60.3 % as compared to boys 39.7 %, p<0.001) and other dental care products (79.5 % as compared to boys 20.5 %, p<0.05) for toothbrushing and daily dental care. The girls brushed their teeth in the morning (92.9 %) and before bedtime (91.0 %), as well as the boys (85.0 % and 77.5 %, respectively, p<0.001).Conclusions. Girls demonstrated better oral health care habits, comparing to boys. Boys had greater, as compared to girls, dental fear, restricting them from having regular appointments for check-ups at the dental office. Girls more frequently than boys had an attitude that teeth should be kept clean for aesthetic purposes and in order to ensure their longevity. Girls preferred to seek a dentist’s help as soon as it is needed and to maintain good oral health, because it’s essential to human health in general.
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Quinn, Grainne, and Ruth Freeman. "Health visitors as dental health educators: their knowledge, attitudes and behaviours." Health Education Journal 50, no. 4 (December 1991): 191–94. http://dx.doi.org/10.1177/001789699105000409.

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49

Mascarenhas, A. K., A. Deshmukh, and T. Scott. "New England, USA dental professionals' attitudes and behaviours regarding domestic violence." British Dental Journal 206, no. 3 (January 16, 2009): E5. http://dx.doi.org/10.1038/sj.bdj.2009.7.

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50

Bradnock, G., D. A. White, N. M. Nuttall, A. J. Morris, E. T. Treasure, and C. M. Pine. "Dental attitudes and behaviours in 1998 and implications for the future." British Dental Journal 190, no. 5 (March 2001): 228–32. http://dx.doi.org/10.1038/sj.bdj.4800935.

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