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AQUILANTI, LUCA. "Oral Healthy Ageing: the impact of oral health and masticatory performance on nutrition and general health of older adults." Doctoral thesis, Università Politecnica delle Marche, 2022. https://hdl.handle.net/11566/295422.
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La percentuale della popolazione anziana tenderà ad aumentare nei prossimi anni, implicando la necessità di porre maggiore attenzione allo stato di salute di questa categoria di popolazione, per promuovere un sano invecchiamento. La salute orale è parte integrante della salute generale di un individuo, condizionandone la qualità della vita. Le patologie orali, associate a una riduzione della funzione masticatoria, possono influenzare negativamente lo stato nutrizionale di un individuo, esponendolo a un aumentato rischio di outcomes di salute avversi. Durante la pratica clinica quotidiana, i clinici potrebbero avere la necessità di misurare oggettivamente la performance masticatoria del proprio assistito, con lo scopo di valutarne la funzione orale e il grado di disabilità orale. Lo scopo dello studio è di proporre un metodo oggettivo in grado di misurare la performance masticatoria umana e di verificarne l’impatto sullo stato di salute generale di soggetti anziani auto-sufficienti e di soggetti istituzionalizzati. In generale, sebbene la salute orale sia ritenuta un fattore determinante per la salute sistemica e per il benessere di un individuo, questa è spesso trascurata, specialmente nei soggetti fragili che hanno bisogno di assistenza quotidiana, a causa delle difficoltà ad accedere alle cure odontoiatriche. Lo sviluppo di nuove strategie (Teledentistry) potrebbe essere utile per promuovere un sano invecchiamento. In una società che sta invecchiando, programmi di educazione alla salute orale, adeguate politiche sanitarie e un aumento della consapevolezza tra la cittadinanza, possono contribuire al raggiungimento di un sano invecchiamento orale. In generale, il team sanitario geriatrico dovrebbe ricoprire un ruolo di primaria importanza nell’iniziale bilancio di salute orale del proprio assistito, co-operando in un ambiente volto a promuovere la salute orale, prendendosi quindi cura della salute generale e del benessere della popolazione anziana.According to recent studies, the percentage of elderly population will significantly increase over the next few decades, implying the need to pay more attention to the health of elderly to promote healthy ageing. Oral health is an important part of general health, affecting the quality of life of an individual. Oral disorders, associated with a reduced masticatory function, negatively affect the nutritional status of older adults, exposing them to several acute and chronic diseases. The subjects with oral impairment may not have an adequate nutritional status, increasing the risk of general health related adverse effects. During their daily office practice, clinicians should be required to objectively evaluate human mastication, aiming not only at evaluating oral function, but also at providing information about patient impairment. The Research Project aims at proposing an objective method able to assess human masticatory performance and investigating the impact of masticatory performance on general health status of self-dependent and institutionalized elderly. Overall, even if oral health is deemed to be a crucial factor for general health and well-being, it is often neglected, especially in older adults and in those who are frail and care dependent. Several older adults face difficulties in accessing dental care, so that the development of new strategies aimed at enhancing general and oral health status, such as Teledentistry, should be pursued. In an ageing society, educational interventions about oral health addressed to patients themselves and caregivers, appropriate oral health policies, and citizens empowerment and involvement can contribute to the promotion of oral health in elderly. Geriatric healthcare team members should play an important role in the initial oral health assessment, achieving an interprofessional collaborative environment aimed at promoting oral health and, thus, taking care of the overall health and well-being of older adults.
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Queale, Peter R. "Oral health beliefs /." Title page, contents and abstract only, 1994. http://web4.library.adelaide.edu.au/theses/09AR.PS/09ar.psq3.pdf.
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Schützhold, Svenja [Verfasser]. "Aspects of oral health in the German Oral Health Studies / Svenja Schützhold." Greifswald : Universitätsbibliothek Greifswald, 2016. http://d-nb.info/1082577367/34.
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Joshi, Ajay. "Childcare center directors' oral health literacy and attitudes towards pediatric oral health." Thesis, NSUWorks, 2014. https://nsuworks.nova.edu/hpd_cdm_stuetd/43.
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A thesis submitted to the College of Dental Medicine of Nova Southeastern University of the degree of Master of Science in Dentistry.
Goal and Objectives. The main goal of this study is to assess childcare center directors (CCCDs) oral health literacy, knowledge, and attitudes towards pediatric oral health. We also determined the associations between CCCDs oral health literacy, knowledge, attitudes towards pediatric oral health, and 1) number of oral health preventive strategies (OHPS) implemented in their child care center (CCC), and 2) intent to adopt OHPS in the future. Background. Childcare utilization has substantially increased over the past decade with children enrolled in these centers spending substantial amount of time. CCCs, a non-traditional setting, can be used to actively promote pediatric oral health. However, before this setting can be used to promote oral health, a better understanding of Florida CCCDs' oral health literacy, knowledge, and attitudes on pediatric oral health is needed. Methods. In this cross-sectional study we used a 45-item pre-tested questionnaire to survey Florida CCCDs working primarily in licensed CCCs through survey monkey online portal. Descriptive, bivariate statistics and multivariate regression analyses were conducted using SAS analysis software. Results. Of the 877 CCCD participants, 90% did not train staff about traumatic dental injuries, 87% did not have an oral health consultant, and 82% did not promote enrollees to brush their teeth after meals or snacks. Mean oral health literacy (12.3±2.3) and attitude levels (16.8±2.7) were high, however mean oral health knowledge (1.6±2.0) was low. CCCDs with more years of experience (p=0.01), who work at Head Start CCCs ( p<0.0001), and have more positive attitudes (p<0.0001), were more likely to have implemented OHPS in their centers compared to their counterparts. Non-White CCCDs (p=0.03), those with more positive attitudes(p=0.001), and who reported to have already implemented one or more OHPS (p=0.002) were more willing to implement OHPS in the future compared to their counterparts. Conclusions. No significant associations between oral health literacy, knowledge and number of OHPS implemented were observed. Similarly, oral health literacy, oral health knowledge was not associated with intent to implement OHPS in the future. CCCDs with more positive attitudes towards pediatric oral health had implemented more OHPS within their CCCs, and also were willing to implement more OHPS in the future compared to their counterparts.
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Kistler, James Oliver. "Defining oral microbiological health." Thesis, King's College London (University of London), 2014. http://kclpure.kcl.ac.uk/portal/en/theses/defining-oral-microbiological-health(c7654c41-3220-46d6-a645-82ed2da7ffdf).html.
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Background: The composition of the oral microbiota in periodontal health and the microbial changes associated with the early stages of gingivitis are poorly defined. Aims: The aims of this work were to: (i) characterise the bacterial composition of dental plaque in subjects with experimentally-induced gingivitis; (ii) identify candidate oral probiotic taxa; (iii) evaluate alternative approaches for oral Neisseria spp. differentiation. Methods: Twenty volunteers abstained from oral hygiene in the mandible for two weeks. Clinical indicators of inflammation were monitored and samples of plaque were analysed, together with 20 control samples from periodontitis patients, by pyrosequencing of 16S rRNA genes and culture. A panel of oral bacterial isolates were screened for inhibition of six indicator organisms using a deferred antagonism assay. Sequencing of seven ‘housekeeping’ genes and a ribosomal protein gene (rplF) were evaluated as methods to differentiate Neisseria species. Results: All volunteers developed gingivitis after two weeks. 344,267 16S rDNA sequences were clustered into a median of 299 species-level Operational Taxonomic Units (OTUs) per sample. Principal Coordinate Analysis plots revealed shifts in community structure with gingivitis development, and the mean Simpson’s inverse diversity index increased from 32 at baseline to 47.5 after two weeks (P < 0.0001). Fusobacterium nucleatum subsp. polymorphum, Lautropia sp. HOTA94, Lachnospiraceae sp. HOT100 and Prevotella oulorum were significantly associated with gingivitis, whilst Rothia dentocariosa was health-associated. Of 80 isolates screened, two strains of Streptococcus cristatus and a Streptococcus sp. HOT071 strain, inhibited the growth of one or more of Streptococcus anginosus, Solobacterium moorei, Porphyromonas gingivalis and Filifactor alocis. rplF gene sequences were found to reliably differentiate oral Neisseria species, although some taxonomic revision to the genus is indicated. Conclusions: A highly species-rich bacterial community in health-associated plaque was revealed and new health- and gingivitis-associated taxa were identified. Three strains were found with potential for use as oral probiotics.
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Liebe-Harkort, Carola. "Oral Health Care and Humanitarian Health Praxis." Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2276.
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Background: Oral and dental diseases is a major part of the global disease burden. Poor oral health has a significant impact on the general well-being of people. In contrast with prior decades high rates of oral diseases may be found in low- and middle income countries. Populations that are particularly vulnerable are more likely to develop poor oral health. As a consequence of human distress related to war, poverty and natural disasters the accomplishments of humanitarian aid organizations has a direct impact on people´s health and well-being. Purpose: The aim of the present study is to examine the International Red Cross and Red Crescent Movement as well as Doctors without borders concerning documents and guidelines on oral health. A further aim is to explore the knowledge of oral health related topics of delegates from the International Federation of the Red Cross and Red Crescent Societies (IFRC). Method: The study is designed as a literature review and a questionnaire survey. Results: Within the International Red Cross and Red Crescent Movement and Doctors Without Borders there are a limited number of guidelines on oral health and they are rarely mentioned in the same documents as non-communicable diseases (NCDs). The responses of the study revealed that the participants generally have a limited knowledge about measures on oral health in the IFRC. Conclusion: Both the literature review and the questionnaire survey study confirms that there is an absence of clear and specific guidelines on oral health care related activities within IFRC.Bakgrund: Mun- och tandsjukdomar utgör en stor del av den globala sjukdomsbördan. Dålig mun- och tandhälsa har en stark påverkan på det allmänna välbefinnandet. I motsats till tidigare, ses idag höga frekvenser av karies även i låg- och medelinkomstländer. Populationer vilka befinner sig i extra utsatta kontexter löper större risk att utveckla dålig munhälsa. Som en följd av mänskligt lidande i form av händelser relaterade till krig, fattigdom och naturkatastrofer har aktiviteter utförda av humanitära hjälporganisationer en direkt inverkan på hälsa och välbefinnande. Syfte: Syftet med föreliggande studie är att studera dokument och riktlinjer rörande munhälsa inom Internationella Röda korset och Röda halvmånen och Läkare utan gränser. Ett ytterligare syfte är att undersöka kunskapen om hälsorelaterade frågor kring munhälsa hos delegater från Internationella federationen för Röda Korset och Röda Halvmånen (IFRC). Metod: Studien är utförd som en litteratur-sammanställning och som en enkätundersökning. Resultat: Inom Internationella Röda korset och Röda halvmånen samt Läkare utan gränser återfinns begränsat antal riktlinjer rörande oral hälsa vilka dock sällan nämns i samma dokument som icke-smittsamma sjukdomar (NCDs). Av enkätsvaren i studien framgår det att de medverkande generellt har en begränsad kunskap kring åtgärder rörande munhälsa inom IFRC. Konklusion: Deltagarna i denna studie bekräftar resultaten i litteraturstudien om en avsaknad av tydliga och konkreta riktlinjer för munhygienrelaterade aktiviteter inom IFRC.
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Daugherty, Karen Ruth Ortlip. "Oral health behaviors and beliefs : a basis for oral health care in Africa /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487331541708332.
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Taylor, C. E. "Observations on oral health and the oral care system." Thesis, Faculty of Dentistry, 1989. http://hdl.handle.net/2123/4303.
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Almabadi, Eman Suraihan S. "Oral health education and the relationship between oral health and general health in an at-risk population." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29865.
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Background: Poor oral health can negatively affect the rest of the body, not just the mouth. To achieve satisfactory oral health, it is necessary to include oral health education as a vital part of dental treatment care to educate populations, especially those at higher risk for poor oral health.
Aims: In this thesis, two separate study projects were conducted to achieve the following main aims. Firstly, to investigate the effectiveness of a personalised oral health education program, in addition to routine dental treatment on oral and general health, targeted to participants from a low socio-economic community. Secondly, to develop, implement and determine the effectiveness of a short video which included the integration of general health-related information of the relationship between oral health and diabetes management, with oral hygiene instructions as effective way to encourage positive change in oral health -related behaviours in patients with type 2 diabetes mellitus.
Materials and Methods: Chapter 1 provides a broad background of the importance of good oral health and introduces the epidemiology of oral health and risk factors. This is followed by a focus on oral health education based on psychological and behavioural theories. Study 1 covered the analysis of the data from a pragmatic randomised controlled trial of a personalised oral health education program (OHEP), combined with routine dental treatment over a follow-up period of 3 years. The study was conducted at the Logan Hospital Oral Health Care Clinics, Queensland, Australia. A total of 579 participants (aged 18–60 years) were randomly assigned into the intervention group (n = 292) and received a personalised oral health education program in combination with routine dental care, and the control group (n = 287) received routine dental care. Oral health-related behaviours, dental plaque, and periodontal status were assessed at baseline, 12 months, and 24 months. The serum biomarkers of general health changes, including a lipid profile, high sensitivity C-reactive protein (hs-CRP), and glycated hemoglobin (HbA1c) levels, were assessed at baseline and 12 months.
In Study 2, A total of 304 participants ( ≥18 years of age ) diagnosed with type 2 diabetes were recruited from the Family Medicine department in King Fahad Armed forces (KFAFH) Hospital, Jeddah, Saudi Arabia, based on inclusion and exclusion criteria. All participants' demographic and medical information records were obtained from the patient's files. Participants completed an oral health questionnaire and a periodontal questionnaire. Participants were randomly grouped into two groups: the intervention group, which included 152 participants who received a short video containing information about oral health, the relationship between oral health and diabetes, and the importance of oral hygiene instructions. The standard care group included 152 participants who received a standard oral health information through a short video containing oral hygiene instructions. The participants were contacted after three months via telephone to collect answers on possible changes in oral health-related behaviour.
Results: Study1 found that although the clinical parameters of periodontal health were improved in both study groups over the study period, there was a lack of significant additional effects of the personalised oral health education program used in the current study on oral health-related behaviours, dental plaque, and periodontal health compared with routine restorative dental care per se. We found a significant reduction in hs-CRP levels after dietary behavioural changes in the intervention group. Study 2 found that there were more participants in the intervention group who started to increase the time needed for teeth brushing (P=0.031), used interdental cleaning (p=0.001), and used interdental cleaning at least once per day (p=0.003).
Conclusion: Future oral health education research can utilise these findings and approaches in designing, implementing, and evaluating oral health education interventions, especially in the groups at higher risk of poor oral health.
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Koopu, Pauline Irihaere, and n/a. "Kia pakari mai nga niho : oral health outcomes, self-report oral health measures and oral health service utilisation among Maori and non-Maori." University of Otago. School of Dentistry, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070502.152634.
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Health is determined by the past as well as the present; the health status of indigenous peoples has been strongly influnced by the experience of colonisation and their subsequent efforts to participate as minorities in contemporary society while retaining their own ethnic and cultural identities. Colonial journays may have led to innovation and adaptation for Maori, but they have also created pain and suffering from which full recovery has yet to be felt (Durie, 2001).
The oral health area can be described as having considerable and unacceptable disparities between Maori and non-Maori (Broughton 1995; Thomson, Ayers and Broughton 2003). Few reports have been conducted concerning Maori and patterns of oral health service utilisation, however a lower service utilisation among Maori than non-Maori has been noted (TPK 1996; Broughton and Koopu 1996). Overall, Maori oral health is largely unknown due to a paucity of appropriate research.
This research aims to provide new information by describing Maori oral health outcomes over the life course, within a Kaupapa Maori Research (KMR) methodology. In general, the basic tenets presented for KMR are: (1) to prioritise Maori - from the margin to the centre; (2) to be Maori controlled - by Maori, for Maori; (3) to reject �victim-blame� theories; and (4) to be a step towards action and change in order to improve Maori oral health outcomes.
The aims of this research are to:
1. Describe the occurrence of caris at ages 5, 15, 18 and 26 and periodontal disease at age 26 years for Maori.
2. Describe self-reported oral health, self-reported dental aesthetics and oral health service utilisation among Maori at ages 5, 15, 18 and 26.
3. Compare the above oral health characteristics between Maori and non-Maori .
4. Investigate the determinants of any differences in oral health outcomes between Māori and non-Maori using a KMR methodology.
The investigation involves a secondary analysis of data from the Dunedin multidisciplinary Health and Development study (DMHDS). The existing data-set was statistically analysed using SPSS (SPSS Inc, Chicago, USA). Descriptive statistics were generated. The levels of statistical significance were set at P< 0.05. Chi-square tests were used to compare proportions and independent sample t-tests or ANOVA were used for comparing means.
A summary of the Maori/non-Maori analysis shows that, for a cohort of New Zealanders followed over their life-course, the oral health features of caries prevalence, caries severity, and periodonal disease prevalence are higher among Maori compared to non-Maori. In particular, it appears that while Maori females did not always have the highest prevalence of dental caries, this group most often had a higher dmfs/DMFS for dental caries, compared to non-Maori. As adolescents and adults, self-reported results of oral health and dental appearance indicate that Maori males were more likely to report below average oral health and below average dental appearance, when compared to non-Maori. However, at age 26, non-Maori males made up the highest proportion of episodic users of oral health services.
This study has a number of health implications: these relate specifically to the management of dental caries, the access to oral health services, and Maori oral health and the elimination of disparities. These are multi-levelled and have implications for health services across the continuum of care from child to adult services; they also have public health implications that involve preventive measures and the broader determinants of health; and involve KMR principles than can be applied to oral health interventions and dental health research in general.
Dental diseases and oral health outcomes, such as dental anxiety and episodic use of services, are a common problem in a cohort of New Zealanders with results demonstrating ethnic disparities between Maori and on-Maori. As an area of dentistry that has had very little research in New Zealand, the findings of this study provide important information with which to help plan for population needs.
The KMR approach prioritises Maori and specifically seeks to address Maori oral health needs and the elimination of disparities in oral health outcomes. While the issues that are raised may be seen as the more difficult to address, they are also more likely to achieve oral health gains for Maori and contribute to the elimination of disparities.
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Odisho, Helen, and Hina Khan. "Oral health knowledge among nursing students." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Oral hälsa, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-36308.
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Background: Oral health is a part of general health and it is therefore important that nurses are able to detect abnormalities in the mouth to refer to dental care. Aim: The aim of this study was to examine oral health knowledge regarding oral diseases and oral hygiene among nursing students at two universities - InHolland University and University of Victoria [UVic]. Method: This study has a quantitative cross-sectional design based on a questionnaire. Chi-square tests were made to discover differences between the two universities. Results: The study consists of a total of 105 questionnaires. The participants had good knowledge of oral hygiene. Concerning knowledge about dental caries, gingivitis, and periodontitis, limited knowledge and several statistical significant differences between the universities were found. The extent of the oral health education was between 1-10 hours in the respective universities. Several nurses considered that they did not feel ready or were unsure if they have enough knowledge about oral health for their future work. Conclusion: The study has shown that the nursing students at both InHolland University and UVic have basic knowledge regarding oral hygiene but moderate knowledge in oral diseases regarding development and prevention of dental caries, gingivitis and periodontitis.Bakgrund: Oral hälsa är en del av allmän hälsa och därför är det viktigt att sjuksköterskor kan upptäcka eventuella avvikelser i munnen för att remittera vidare till tandvård. Syfte: Syftet med studien var att undersöka kunskap om oral hälsa gällande orala sjukdomar och munhygien bland sjuksköterskestudenter vid InHolland University och University of Victoria [UVic]. Metod: En kvantitativ tvärsnittsstudie med enkät som datainsamlingsmetod genomfördes bland tredje års sjuksköterskestudenter vid InHolland University och UVic. Chi-2 tester utfördes för att jämföra variabler mellan universiteten. Resultat: Studien består av totalt 105 enkäter. Resultatet avseende munhygien visade på goda kunskaper inom ämnet. Resultatet avseende kunskaper om karies, gingivit samt parodontit visade på en begränsad kunskap och skillnader återfanns mellan universiteten. Omfattningen av utbildning inom oral hälsa på programmen låg mellan 1-10 timmar på båda universiteten. Flera sjuksköterskestudenter ansåg att de inte kände sig redo eller var osäkra på om de var redo att tillämpa sina kunskaper inom oral hälsa, genom att upptäcka och jobba preventivt, i framtida arbetet. Slutsats: Studien visar att sjuksköterskestudenter har grundläggande kunskaper avseende munhygienen men måttlig kunskap inom orala sjukdomar avseende uppkomst och prevention av karies, gingivit och parodontit.
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Holmlund, Anders. "Oral health and cardiovascular disease." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8708.
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Selikowitz, Harry-Sam. "Oral health and immigrants a study of the oral health and oral health behavior in groups of Vietnamese refugees and Pakistani immigrants in Norway /." [Oslo] : University of Oslo, 1987. http://books.google.com/books?id=QwlqAAAAMAAJ.
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MoyseÌs, Samuel Jorge. "Oral health and healthy cities : an analysis of intra-urban differentials in oral health outcomes in relation to 'Healthy Cities' policies in Curitiba, Brazil." Thesis, University College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.314169.
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Karki, S. (Saujanya). "Oral health status, oral health-related quality of life and associated factors among Nepalese schoolchildren." Doctoral thesis, Oulun yliopisto, 2019. http://urn.fi/urn:isbn:9789526223384.
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Abstract This national cross-sectional study aimed to measure the oral health status, and oral health related-quality of life (OHRQoL) among Nepalese schoolchildren. Another aim was to investigate the association of dental caries and its consequences with OHRQoL, sociodemographic factors, oral health-related behaviours, anthropometrics, and school attendance and performance. The study was conducted in 18 out of total 75 randomly selected districts of Nepal representing 5 developmental, and concurrently 3 simultaneously ecological regions. Altogether 1137 of the invited 1157 schoolchildren from 27 conveniently selected schools participated both in the survey and clinical examination. Information on sociodemographic factors and oral health-related behaviours was collected using a structured questionnaire. Validated Nepali Child-OIDP was used for assessing children’s OHRQoL. Clinical oral examinations were conducted as per the WHO guidelines and assessed dental caries, its consequences (pufa/PUFA) and periodontal status. BMI, waist-to-hip ratio, and waist-to-height ratio were computed from anthropometric measurements. School-related information included data on school absenteeism was collected from school registry and school performance (percentage of the sum of scores in three core subjects). Gingival bleeding was highly prevalent among all participants. The youngest ones had most often need for dental caries treatment; 79% vs. 64% among the oldest ones. Dental caries and its consequences were most prevalent among those living in the Kathmandu Valley or in the rural areas or in mountain or hilly ecological regions, as well as those consuming sweets or candy, or tea with sugar, and brushing teeth infrequently. Most of the participants had problem with eating, cleaning the mouth, and sleeping. Dental caries and its consequences were associated with poor OHRQoL. They were also associated with both high and low BMI and central obesity (high waist-to-hip and waist-to-height ratios) as well as high school absenteeism (>13% of total schooldays missed) and poor school performance. Both low and high BMI, and poor OHRQoL, as well as high school absenteeism were all inversely associated with school performance. In conclusion, dental caries and gingival bleeding are common among Nepalese schoolchildren. Dental caries and its consequences are associated with poor OHRQoL. These conditions are also associated with sociodemographic factors, poor oral health-related behaviours, and anthropometrics (BMI and central obesity) as well as high school absenteeism and poor school performanceTiivistelmä Tämän poikkileikkaustutkimuksen tavoitteena oli tutkia nepalilaisten koululaisten suunterveyttä ja siihen liittyvää elämänlaatua (OHRQoL). Toiseksi tavoitteena oli tutkia karieksen ja sen seurausten mm. oireet ja tulehdus, yhteyttä suunterveyteen liittyvään elämänlaatuun, sosiodemografisiin ja antropometrisiin tekijöihin, suunterveyskäyttäytymiseen, koulupoissaoloihin sekä -menestykseen. Tutkimus toteutettiin 18/75 satunnaisesti valitussa Nepalin piirikunnassa, jotka edustivat sekä viittä kehitysaluetta että kolmea ekologista aluetta. Mukaan kutsutuista 1157 koululaisesta (27 koulua, mukavuusotos), 1137 osallistui sekä kysely- että kliiniseen tutkimukseen. Sosiodemografiset taustatiedot sekä tiedot suunterveyskäyttäytymisestä kerättiin strukturoidulla kyselylomakkeella. Suunterveyteen liittyvää elämänlaatua arvioitiin käyttäen validoitua nepalin kielistä Child-OIDP –lomaketta. Kliinisessä tutkimuksessa tutkittiin kariestilanne, sen kliiniset seuraukset (pufa/PUFA) sekä kiinnityskudosten tila WHOn ohjeiden mukaan. BMI, vyötärön ja lantion ympärysmitan suhde sekä vyötärön ympärysmitan ja pituuden suhde laskettiin mittaustulosten perusteella. Kouluista saatiin tiedot poissaoloista viimeisen kouluvuoden aikana sekä koulumenestys kolmessa keskeisimmässä oppiaineessa viimeisimmässä todistuksessa. Lähes kaikilla todettiin ienverenvuotoa. Nuorimmassa ikäryhmässä oli muita useammin korjaavan karieshoidon tarvetta (79% vs. 64%). Kariesta sekä sen seurauksia esiintyi eniten niiden keskuudessa, jotka asuivat Kathmandun laaksossa tai vuoristossa. Karieksen esiintyvyys oli myös yhteydessä mm. sokerin, makeisten ja sokeriteen kulutukseen sekä epäsäännölliseen hampaiden harjaukseen. Karies seurauksineen oli yhteydessä huonoon suunterveyteen liittyvään elämänlaatuun (OHRQoL), erityisesti syömiseen, suun puhdistamiseen sekä nukkumiseen. Sillä oli myös yhteys sekä matalaan että korkeaan BMIhin, lisääntyneisiin koulupoissaoloihin sekä huonoon koulumenestykseen. Matala ja korkea BMI, huono suunterveyteen liittyvä elämänlaatu sekä poissaolot olivat käänteisesti yhteydessä koulumenestykseen. Karies ja ienverenvuoto ovat yleisiä nepalilaisten koululaisten keskuudessa. Karies seurauksineen on yhteydessä huonoon suunterveyteen liittyvään elämänlaatuun (OHRQoL), haitalliseen suunterveyskäyttäytymiseen, sosiodemografisiin ja antropometrisiin tekijöihin (BMI, keskivartalolihavuus) sekä lisääntyneisiin koulupoissaoloihin ja huonoon koulumenestykseen
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Sturesson, Annika, and Sara Håkansson. "Oral hygiene experience, knowledge of oral health and oral diseases and attitudes about oral health care : A questionnaire study among students of nursing in Zambia." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-7367.
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The aim of the study was to investigate oral hygiene experience, knowledge of oral health and oral diseases and attitudes about oral health care among students of nursing at the School of Nursing in Livingstone, Zambia. The respondents were women and men in the ages between 20 and 43. A questionnaire consisting of 29 questions was handed out to 119 students. The results showed that the majority of the students brushed their teeth every day. Visits to dental clinics, however, were few. The most common reason for dental visits was pain. Most of the respondents knew about one or more HIV-related oral diseases, and the most common answer was oral candidosis. The overall knowledge of HIV/AIDS-related oral lesions was very high, and the majority of the respondents were interested to receive more information about the subject. The respondents had good knowledge in oral health and oral diseases, and the majority had a positive attitude concerning oral health care providers. The majority also considered collaboration between dental care and regular health care as essential. Although the knowledge about oral health was good, the result showed infrequent dental visits among the respondents.Syftet med studien var att undersöka sjuksköterskestudenters munhygienvanor, deras kunskaper om oral hälsa och orala sjukdomar samt attityder till munhälsovård. Ett frågeformulär med 29 frågor delades ut till 119 andra- och tredje års studenter på sjuksköterskeskolan i Livingstone, Zambia. Respondenterna var både kvinnor och män mellan 20 och 43 år. Resultatet visade att flertalet studenter borstade sina tänder dagligen. Däremot var det ovanligt med täta tandvårdsbesök och den vanligaste orsaken till besök var smärta. Majoriteten av studenterna hade goda kunskaper om HIV-relaterade orala lesioner och det vanligaste svaret de uppgav var oral candida. De generella kunskaperna om HIV/AIDS- relaterade orala lesioner var väldigt goda och majoriteten av respondenterna var intresserade av mer information i ämnet. Generellt hade respondenterna goda kunskaper om oral hälsa, orala sjukdomar och majoriteten hade en positiv attityd till munhälsovård. Flertalet ansåg att ett samarbete mellan tand- och sjukvård var betydelsefullt. Trots den höga kunskapsnivån om oral hälsa visar resultatet att respondenterna inte besöker tandvården regelbundet.
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Chapman, Stellina M. Aubuchon. "Oral Health Beliefs as Predictors of Behavior: Formative Research for Oral Health Campaigns in South Africa." Ohio University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1385140049.
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Shingler, Arshia Ahmadi. "Oral Health in a Medical Setting." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd_retro/91.
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Objective: This purpose of this study was to describe pediatric medical residents' knowledge of oral health and dental-referral behavior and to examine factors that may influence whether providers can identify tooth decay, provide risk assessment or refer children to dental providers. The objective was to provide baseline data of pediatric medical residents prior to receiving the oral health education and training in the provision of preventive oral health services.Methods: This project utilized a cross-sectional prospective cohort study design. An oral health knowledge and referral behavior questionnaire was delivered to pediatric medical residents in training at two academic health centers. This project aimed to describe pediatric medical residents' knowledge of oral health and dental referral behavior as measured by the questionnaire. This study was designed to provide baseline information for a larger project called "Bright Smiles" developed by the Virginia Department of Health's Division of Dental Health. The self-administered questionnaire focused on extracting knowledge and opinions of residents and faculty in selected areas of infant oral- health services along with their confidence in providing these services. Results: The frequency of dental examinations correlated with how often providers see tooth decay in infants and toddlers. The frequency of examining for signs of dental decay was correlated with confidence in detecting tooth decay. The frequency of assessing the potential for developing tooth decay in infants and toddlers was correlated with the providers' confidence in evaluating risk of tooth decay. All above findings were correlated to a statistically significant value. Conclusion: Providers, while able to identify tooth decay in infants and toddlers, lack confidence in the ability to refer children to dental providers and the ability to perform certain aspects of oral-health risk assessment.
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Jones, Judith Ann. "Oral health and quality of life." Thesis, Boston University, 2002. https://hdl.handle.net/2144/37813.
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Thesis(D.Sc.D.)--Boston University, Henry M. Goldman School of Dental Medicine, 2002.Includes bibliographical references (leaves 161-166).
Purpose: To describe the testing of oral health outcomes measures. Methods: This is a cross-sectional study of clinical and self-reported oral health in two samples of veterans: 538 users of Department of Veterans Affairs (VA) outpatient medical clinics (VHS) and 278 veterans from VA’s Dental Longitudinal Study (DLS). Clinical data incIuded number of teeth, tooth mobility, periodontal treatment need, an index of root caries, coronaI caries, oral mucosal status and denture stability and retention. Health-related quality of life (HRQOL) was measured by the Veterans SF-36. Oral-specific heaith-related quaIity of life (OQOL) measures included the single item seIf-report of oral health (OH1), the Oral Health Impact Profile (OHIP), the Geriatric (General) Oral Health Assessment Instrument (GOHAI), the D-E-N-T-A-L, a screening measure of need for care and the Oral Health Quality of Life (OHQOL) measure. Results: Self-reported oral problems are significant burdens on the health and function of users of VA outpatient care. Self-reported oral health, as measured by the GOHAI, is associated with the general well-being of users of VA care. VA patients have worse clinical and self-reported oral health than community dwelling men of similar age. Clinically determined need for dental care was universai in the VHS and present in two-thirds of the DLS. The OH1 and the DENTAL are useful in identifying who needs dental care in the combined population. Criterion and construct validity of self-reported measures of oraI heaIth (OH1, OHIP, GOHAI) are supported by their associations with selected sociodemographic, behavioral and dental conditions in users of VA care. Validity is further supported by the association with recency of dental care and reason for last visit in the VHS. Conclusions: VA outpatients have significant oral health needs as measured by self-report and clinical measures. Users of VA care have worse oral health than the general population. The OH1 and the DENTAL can help identify veterans who are in need of dental care. Longitudinal studies are needed to evaluate the impact of oral health care on general health and well-being and to estimate the resources needed to meet the needs of veterans eligible for care in VA.
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Tanner, T. (Tarja). "Healthy young adults' oral health and associated factors:cross-sectional epidemiological study." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526208558.
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Abstract The aim of this epidemiological study was to investigate the oral health situation and associated factors among a group of Finnish healthy males born in the early 1990s. A pilot study was carried out in two garrisons of the Finnish Defence Forces in July 2010 to evaluate and time the various parts of the protocol (n = 256 men and women). In the main study, oral health of 13,564 men and 255 women who entered the military service in 2011 was screened for restorative treatment need (DT), dental history (DMFT) and periodontal status (CPI and BOP). In this cross-sectional study, a representative sample of the entire group of draftees in 2011 was achieved by examining all conscripts in 15 out of 20 garrisons and every fifth conscript in alphabetical order randomising the subjects in the five largest garrisons. Also 8,539 men answered a questionnaire covering their smoking and snuffing habits and alcohol use as well as other behaviour and background factors. BOP was available on 6,596 conscripts. The findings suggested stagnation in the improvement or even deterioration of the caries status in young healthy males. Among the study group of young male adults, caries burden was polarised, mainly due to primary caries. Prevalence of smoking was alarmingly high (39.6%). Smoking significantly increased the odds for restorative treatment need, high BOP or high CPI and was associated with other behaviour related to poor health. Snuffing and alcohol use were not associated with caries prevalence, BOP and CPI in the study group. The importance of the place of residence to caries experience was evident, but the impact decreased when health behaviours were included in the statistical analyses. Sociodemographic factors were associated with oral health among young men. In conclusion, health behaviour of young Finnish males does not support good oral health, and therefore caries control continues to be a challenge. Both health behaviours and environmental factors are associated with oral health, which should be considered in oral health promotionTiivistelmä Tämän epidemiologisen tutkimuksen tavoitteena oli tutkia 1990-luvulla syntyneiden perusterveiden suomalaisten nuorten miesten suun terveyden tilannetta ja siihen vaikuttavia taustatekijöitä. Pilottitutkimuksessa heinäkuussa 2010 testattiin tutkimusprotokolla ja arvioitiin sen soveltuvuus epidemiologiseen tutkimukseen. Pilottitutkimus tehtiin kahdessa Puolustusvoimien varuskunnassa, ja siihen osallistui yhteensä 256 varusmiestä Epidemiologinen tutkimus tehtiin tammikuussa ja heinäkuussa 2011 kahdessakymmenessä varuskunnassa. Kliininen tarkastus tehtiin kaikille alokkaille lukuun ottamatta viittä suurinta varuskuntaa, joissa tutkimukseen valittiin joka viides alokas. Tutkimukseen osallistui yhteensä 13 564 miestä ja 255 naista. Heiltä selvitettiin korjaavan hoidon tarve (DT) ja hoidon historia (DMFT) sekä korkein parodontaalisen hoidon tarve indeksihampaista (CPI). Ikenien vuotoindeksi (BOP) mitattiin 6 596 varusmieheltä. Kliinisen tarkastuksen lisäksi 8 539 varusmiestä vastasi kyselyyn, jolla selvitettiin muun muassa heidän tupakointi-, nuuskaus- ja alkoholinkäyttötottumuksiaan sekä muuta terveyskäyttäytymistä ja sosioekonomisia ja -demografisia taustatietoja. Tulosten perusteella suomalaisten nuorten miesten kariologinen tilanne ei ole enää parantunut vaan jopa hieman huonontunut aiempiin tutkimuksiin verrattuna. Karieskertymä on polarisoitunut tutkimusjoukossa, ja suurin osa löydöksistä oli uusia kariesleesioita. Varusmiehistä jopa 39,6 % tupakoi päivittäin. Tupakoinnin ja lisääntyneen kariologisen ja parodontaalisen hoidon tarpeen sekä huonon terveyskäyttäytymisen välillä havaittiin yhteys. Nuuskaaminen ja alkoholin käyttö eivät vaikuttaneet todettuun kariologisen ja parodontaalisen hoidon tarpeeseen tässä tutkimuksessa. Varusmiehen asuinpaikka vaikutti kariologisen hoidon tarpeeseen, mutta vaikutus väheni, kun terveyskäyttäytyminen otettiin analyyseihin mukaan. Myös varusmiehen omalla sekä hänen vanhempiensa koulutustaustalla oli vaikutusta nuorten miesten suun terveyteen. Tutkimuksen perusteella voidaan sanoa, että suomalaisten nuorten miesten terveyskäyttäytyminen ei tue hyvää suun terveyttä, jonka takia karieksen hallinta tulee olemaan haastavaa myös tulevaisuudessa. Sekä terveyskäyttäytyminen että ympäristö vaikututtavat suun terveyteen, mikä on tärkeä pitää mielessä terveyden edistämistyössä
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Shoajei, Azadeh. "Improving the oral health of elderly long-term care residents with support of an oral health coordinator." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/58908.
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Objective: The goal of this project was to determine whether an oral health coordinator (OHC) could improve the oral hygiene of residents in long term care facilities. Methods: This prospective study utilized 4 LTCFs in Courtenay, Comox Valley on Vancouver Island and included 126 residents with natural teeth (66% female, age range 63–101 years, and 34% male age range 62 -108 years). Residents’ oral hygiene was assessed at baseline and again at a 6-month using the Geriatrics Debris Index-Simplified (GDI-S) and Geriatrics Calculus Index-Simplified (GCI-S). The OHC provided in-service education & training of care aides and nursing staff with respect to daily mouth care over the six-months of the project. Results: The mean number of teeth per resident was 18. At baseline, 73% did not receive help for their daily mouth care, and after examination, 95.2% were recommended to receive assistance with their daily mouth care. A paired-samples t-test revealed no statistically significant difference in (GDI-S) and (GCI-S) measurements between baseline and 6-month follow-up. Conclusion: Although the OHC provided extensive training of care staff, the oral hygiene did not improve.Dentistry, Faculty of
Graduate
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Schou, Lone. "The role of oral health promotion in oral health policy : a comparative analysis of two European countries." Thesis, University of Edinburgh, 1992. http://hdl.handle.net/1842/20170.
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The aim of this study was to examine the role of oral health promotion in oral health policy. Oral health promotion was defined as: 'Any action to protect or enhance oral health, including legal, fiscal, educational and social measures'. The study examined such actions within the four policy areas of sugar consumption, oral hygiene, fluoride exposure and visits to a dentist. In order to increase understanding of the application of policy work in dentistry a comparative perspective was taken. Two northern European countries, the United Kingdom and Denmark were chosen for the analysis as countries with similar patterns of dental disease. Due to the novelty and complexity of the research area, a rather comprehensive and thorough analysis of existing documents and scientific literature was conducted and presented as part of the thesis. This includes a review of policy literature as well as a comparative analysis of dental health, dental health services, dental manpower and structure and organisation of dental health education in the two countries. In addition data were collected using qualitative, specialised elite interview techniques. The study population comprised 39 Danish and 19 British experts. The interviews were tape-recorded and comprehensive notes were taken during all interviews. The comparative analysis using Leichter's health policy framework was based on tapes and notes from all 58 interviews and also on information gained from the document and literature analysis. The results showed differences both between the two countries and between the four policy areas in terms of what the policies were and the way in which they had developed.
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Schill, Katie D. "Oral Health Literacy and Oral Hygiene Habits in a Kentucky Appalachian Community." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6663.
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This study sought to identify the level of oral health literacy held by people who live in transitional and distressed Kentucky Appalachian areas and if this effects how often they are using oral hygiene techniques. Data were also collected to describe the attitudes Kentucky Appalachian adults hold toward oral hygiene and oral health status. Current documentation shows that poor oral health remains a public health threat in this population despite efforts such as school-based sealant programs and increased dental insurance coverage. This study followed a quantitative design and 99 participants were polled using a survey specifically developed for this study's use. Composite median scores and Spearman's correlation values established the existence of a low oral health literacy level across the participant pool, an also documented that oral hygiene techniques are not used in frequencies recommended for proper oral health. A poor self-efficacy towards the ability to utilize these techniques properly was also identified. Using the Mann-Whitney U test, responses were compared based on county designation and few significant differences were found. These findings show that oral health status and related beliefs are similar across the region and not just isolated to the economically poorest areas as the currently available literature suggests. Applying the health belief model it is predicted that Kentucky Appalachians are unlikely to adopt proper oral hygiene habits until their self-efficacy is improved. A recommendation of this study is that public health officials should promote personal control when designing public health programs geared towards improving the oral health status of this population. To do so would introduce a positive social change in that people with good oral health are less likely to experience the pain, malnutrition, and negative social stigma that is associated with poor oral health.
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Andiappan, Manoharan. "Methodological issues in oral health related quality of life research using the Oral Health Impact Profile (OHIP-14)." Thesis, King's College London (University of London), 2018. https://kclpure.kcl.ac.uk/portal/en/theses/methodological-issues-in-oral-health-related-quality-of-life-research-using-the-oral-health-impact-profile-ohip14(019a1b37-865d-42eb-aab6-c79b05b63ff5).html.
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This study aims to identify and address the methodological issues that may occur in the analysis of data for assessing Oral Health Related Quality of Life using the OHIP-14 instrument. The four main methodological issues addressed in this work are the handling of missing data, presence and management of floor and ceiling effects, number of dimensions in OHIP-14 and the responsiveness of OHIP items to change. A total of 360 participants who came for dental treatment at King’s College London Dental Hospital, Denmark Hill, London participated in this study. Baseline data were collected from participants at the time of treatment. Data were also collected at two follow-ups, two and four months after baseline. At baseline, data were collected from all the 360 participants whereas in the first and second follow-ups, 89 and 75 patients respectively provided data. Different techniques for managing missing data, namely completed case, Item mean, subject mean, interpolation, regression, trend, EM algorithm and multiple imputation were tested. The floor and ceiling effects were handled using the Tobit model. Structural Equation Modelling was used to test the existence of one, three, six and seven factor models and these models were compared. The missing data in OHIP items followed a missing completely at random (MCAR) pattern. The mean values obtained from different missing data handling techniques were similar. No significant difference in mean OHIP scores was observed between dropout and non dropout cases and the dropouts followed a Missing At Random (MAR) pattern. Education, Profession and treatment needs significantly predicted (p < 0.05) the change in OHIP scores. There was a greater floor effect than the ceiling effect. Use of the Tobit model, to adjust for floor and ceiling effects showed improved estimates for the effect of predictors. The comparison of Ordinary Least Squares (OLS) and Tobit model revealed that the Tobit model fitted the data well. OHIP-14 has good psychometric properties with the Cronbach’s alpha value of 0.93 for measuring the OHRQoL. None of the four models identified from the literature (one, three, six and seven factor models) fitted the data well. OHIP-14 was responsive to change and the individuals were classified as “Improved”, “No Change” and “Worsened” groups. The results were tested with national data from the Adult Dental Health Survey 2009, UK which showed similar results. In conclusion, the missing data in OHIP items can be handled either by multiple imputation or EM algorithm and OHIP-14 items suffer from floor and ceiling effects which can be handled with the Tobit model. As none of the four models reported in the literature fitted the data well, further research is required to explore the dimensions of OHIP-14. OHIP-14 is responsive to change and can be used to measure the treatment effect over a period of time.
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Myers-Wright, Noreen. "Oral health for young adults living with HIV| An evaluation of oral healthcare needs." Thesis, Teachers College, Columbia University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3704509.
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Background: Social and health supports provided during young adulthood can have long lasting health implications. Racial and ethnic minorities will soon comprise the majority of this population in the US and are more likely to experience poverty with poor access to health services. Oral health has been identified as a health disparity for young adults in the general population as well as those living with HIV (YALWH). Identifying and addressing barriers to oral healthcare are important for the long-term improvement of overall health outcomes for YALWH.
Methods: This mixed methods cross-sectional study includes: 1) an in-person quantitative survey and a semi-structured qualitative interview of YALWH between the ages of 17 and 25 years of age, 2) an online and in person survey of general and pediatric dentists and clinical dental hygienists and 3) a focus group with dental clinic support staff of a hospital based dental clinic.
Results: YALWH expressed the importance of oral health in their lives; a clean mouth and straight white teeth impacts how they judge others and, they assume, how others judge them. Barriers to care identified across all study groups included dental insurance, HIV disclosure and dental fear.
Conclusions: Oral healthcare for YALWH can be affected by individual and systemic factors including provider communication skills, provider knowledge of HIV, limitations of healthcare delivery systems and the expectations of the individual patient. These factors are important considerations for health policy makers and oral health professionals in their efforts to address oral health disparities for YALWH.
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Savolainen, J. (Jarno). "A salutogenic perspective to oral health:sense of coherence as a determinant of oral and general health behaviours, and oral health-related quality of life." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:951427881X.
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Abstract
Dental diseases such as dental caries and periodontal disease could well be seen as being behaviour-related. The high prevalence of periodontal disease in the Finnish adult population mirrors the need for improving oral health behaviours in a comprehensive manner. Thus far, scant attention has been drawn to the underlying psycho-social factors that could, in part, explain oral health and oral health behaviours. Deficiencies in oral health behaviour may also be indicative of an individual's poor health behaviour in general. The aim of this study was to introduce the salutogenic approach, called sense of coherence, into the domain of oral health and health behaviour.
The present study uses data from the nationally representative Health 2000 survey carried out in 2000–2001 by the National Public Health Institute of Finland. The subjects of this study numbered 4175 in article I, 4131 in article II, 4039 in article III, and 4096 in article IV, and were 30- to 64-year-old dentate men and women. The cross-sectional data was collected via home interviews, self-administered questionnaires, or clinical examinations.
Sense of coherence was positively associated with oral health behaviours, such as dental attendance and tooth-brushing frequency. In addition to tooth-brushing frequency, sense of coherence was also positively associated with the level of oral hygiene. The association between sense of coherence and level of oral hygiene weakened only marginally after controlling for tooth-brushing frequency. A strong sense of coherence was strongly associated with a positive oral health-related quality of life (OHIP). Sense of coherence was also associated with all of the OHIP sub-scales, and the association was most evident in the psychological discomfort, psychological disability and handicap sub-scales. Among males, health behaviours seemed multidimensional, whereas they tended to be unidimensional among females. A strong sense of coherence was a common determinant of healthy behaviours in general, as well as of a good subjective health status.
The present study recognizes the sense of coherence as a common health-promoting determinant of oral and general health behaviours, good oral health, and a good oral health-related quality of life. The results thus suggest that the role of psycho-social factors should not be underestimated in health promotion.
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Wang, Tomas Hu, and Shawgar Shekhani. "Sambandet mellan oral hälsa, oral hälsorelaterad livskvalitet och socioekonomi." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19617.
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Syfte: Syftet med studien är att undersöka sambandet mellan socioekonomiska faktorer, oral hälsa och oral hälsorelaterad livskvalitet. Material och metod: Det gjordes en systematisk litteratursökning som gav totalt 454 träffar varav 24 artiklar var relevanta. Artiklarna granskades efter relevans och kvalitet och inkluderades därefter i studien. Resultat: Socioekonomiska faktorerna inkomst, utbildning, yrke, social status, kön och etnicitet var associerade med oral hälsa, dock var inkomst och utbildning det som var mest korrelerat med oral hälsa. Sämre oral status kunde verifieras med klinisk undersökning som oftast undersökte antal tänder, karies och parodontit, vilket antogs kunna påverka oral hälsorelaterad livskvalitet. Detta tillsammans med patientens självskattade orala hälsa formar patientens egentliga orala hälsa ur ett biomedicinskt och biopsykosocialt perspektiv. Slutsats: Denna studie har beskrivit sambanden mellan oral hälsorelaterad livskvalitet, socioekonomiska faktorer och oralt hälsostatus. De socioekonomiska faktorer som har mest påverkan på oral hälsa är inkomst och utbildning för alla ålderskategorier.Purpose: The purpose of this study is to examine the relationship between socio-economic factors, oral health and oral health-related quality of life. Material and methods: A systematic literature search yielded a total of 454 hits of which 24 articles were relevant. The articles were reviewed for relevance and quality before inclusion in the study. Results: Socio-economic factors such as income, education, occupation, social status, gender and ethnicity were associated with oral health status. However, income and education were strongly correlated with oral health status. Poorer oral health status such as fewer number of teeth, dental caries and periodontal disease could affect the oral health-related quality of life. This, together with the patient's self-rated oral health mold the patient's actual oral health from both a biomedical and biopsychosocial perspective. Conclusions: This study described links between oral health-related quality of life, socioeconomic factors and oral health status. The socio-economic factors that have the most impact on oral health in all age categories are income and education.
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Songpaisan, Yupin. "Community oral health care projects in Thailand." Malmö, Sweden : Dept. of Cariology, Faculty of Odontology, Lund University, 1994. http://books.google.com/books?id=ZAxqAAAAMAAJ.
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Veerasamy, Arthi. "Oral Health Literacy of Parents of Preschoolers." Thesis, University of Canterbury. Health Sciences, 2010. http://hdl.handle.net/10092/5116.
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Aim: The aim of this project was to find the level of oral health literacy of parents of preschool
age children regarding their child’s oral health. The primary objective was to improve
the oral health status of preschoolers and to prevent early childhood caries.
Methods: 117 participants (parents of preschoolers) completed a self-administered oral health
literacy questionnaire. Data obtained from the study was analysed using a statistical package
(SPSS). Firstly, descriptive analysis was undertaken generating tables and graphs of sociodemographic
variables. Later, associations between oral health literacy and sociodemographic
variables were identified and also relation between parents’ oral health literacy
and their attitude towards water fluoridation in Christchurch was identified using bivariate
and multivariate analysis. Psychometric analysis was generated to test validity and reliability
of the oral health literacy questionnaire.
Results: In the total sample, 38% of participants had poor oral health literacy regarding their
child’s oral health. The results also indicated that there were associations present between
parents’ oral health literacy and socio-demographic variables such as ethnicity, education and
family income. Nearly half of the parents opted for water fluoridation in Christchurch. A
strong association between parents’ oral health literacy and their attitude towards water
fluoridation was identified. In the total sample, 40% of parents were not aware of need for
first dental visit before the school age. Reliability was good for the developed oral health
literacy instrument.
Conclusions: This study of parents’ oral health literacy in Christchurch, New Zealand
identified association of oral health literacy and socio-demographic variables which gives
future guidance to improving oral health status of New Zealand children. The relation
6
between parents’ oral health literacy and their attitude towards water fluoridation was shown
in this study. This result might be used in future water fluoridation surveys. Future studies are
needed to examine health care provider’s perspective in improving parents’ oral health
literacy and to tailor more effective public health interventions to improve parents’ oral health
literacy.
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Melo, José Manuel Santos. "OralCard: web information system for oral health." Master's thesis, Universidade de Aveiro, 2011. http://hdl.handle.net/10773/7651.
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Mestrado em Engenharia de Computadores e TelemáticaOs sistemas de informação na web assumem-se cada vez mais como um recurso indispensável para os que estudam as ciências biomédicas. Uma das áreas de estudo destas ciências incide na cavidade oral e nas proteínas que nela residem. Existem variadas plataformas online que permitem a pesquisa de dados específicos a microorganismos e a proteínas associadas, mas estes dados são genéricos e não são desenhados para casos de estudo específicos. Este trabalho tem como objectivo desenvolver uma estratégia e um protótipo para o armazenamento de informação relacionada com a cavidade oral, visando a sua utilização em investigação. Uma preocupação diferenciadora prende-se com o objectivo de integrar dados obtidos experimentalmente com referências existentes na web e estudadas por outras entidades. O protótipo desenvolvido permite aos investigadores na área das ciências biomédicas, sem conhecimentos específicos em bases de dados, pesquisar proteínas, doenças e genes, e integrar novos resultados de ensaios na base de dados existente.
Information systems on the web are becoming important resources for those studying biomedical sciences. One area of study of these sciences focuses on the oral cavity and on proteins that reside in it. Several online platforms provide specific knowledge on multiple microorganisms and associated proteins, but these are generic and are not designed for specific case studies. This work aims to develop a strategy and a prototype for the storage of information related to the oral cavity, aiming their use in research. It will integrate data collected from experimental results with existing references on the web and explored by other entities. The prototype allows researchers in the biomedical sciences, without particular expertise in databases, searching for proteins, genes and diseases, and integrating new test results in the existing database.
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Mansman, Robert William II. "Oral Health Services in a Medical Setting." VCU Scholars Compass, 2007. http://scholarscompass.vcu.edu/etd/753.
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Purpose: The purpose of this study is to examine the baseline oral health status of infants and the level of their caregiver's oral health knowledge for families who received preventive oral health services in a medical setting. Methods: Using a prospective cohort study, children 0-3 years of age received an oral health screening, risk assessment, caregiver education, and a fluoride varnish treatment in an ambulatory pediatric medical clinic. A 16-item oral health knowledge and socio-demographic questionnaire was delivered to the caregiver of child. This questionnaire included knowledge, behavior and opinion items on risk factors for dental diseases, care of child's teeth, and socio-demographic characteristics of the family. Six-months after the medical visit, dental claims were examined to see if children had made a dental visit. Results: One hundred and ninety-five children received preventive oral health services in this clinic. Of these, 103 caregivers agreed to complete the oral health knowledge and socio-demographic questionnaire. Twenty-percent of children screening had visible signs of tooth decay, according to risk-assessment 72% were categorized as high-risk for tooth decay, and 83% received a fluoride varnish treatment. At 6-months, 9% of children were found to have had a dental visit. According to the caregiver questionnaire the likelihood of having a dental visit was correlated with the caregiver's knowledge of when a child should have their first dental visit and having been told by a medical professional when their child should be going to the dentist. Conclusion: Children are more likely to have a dental visit when caregivers are aware of the age 1 dental visit, or when advised to seek care by a medical professional. With increased education of medical providers, starting in medical residency training, more children can be seen for preventive oral health care resulting in an earlier establishment of a dental home.
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Brown, Jacqueline. "Oral Health Disparities Across Racial/Ethnic Groups." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/honors/37.
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Oral health disparities persist across various sociodemographic groups in the United States. Data were obtained from the 2007-2008 National Health and Nutrition Examination Survey(NHANES)to investigate differences in tooth count, self-rated condition of teeth, decay in at least one tooth, and ownership of dentures across racial/ethnic groups.
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Krishnamoorthi, Prithviraj. "Gender differences in oral health of seniors." Thesis, Boston University, 2010. https://hdl.handle.net/2144/37815.
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Thesis (MSD) -- Boston University, Henry M. Goldman School of Dental Medicine, 2010 (Department of Health Policy and Health Services Research).Includes bibliographic references: leaves 73-75.
Objectives: To describe the oral health of Rhode Island Seniors and to evaluate gender differences in oral health. Methods: This is a cross-sectional study of individuals who underwent oral screening at the HeathLink Wellness Health Fair, RI, in June, 2008. Data was collected using a self-administered questionnaire on self-reported general and oral health, and a dental examination for those who attended the HealthLink Wellness Progran’s health fair. Data was coded and entered into Epi-Info version 3.4.1, then analyzed using SAS version 9.1. The clinical oral health outcome variables studied were: number of teeth, edentulousness, root tips, untreated caries, dentures, and DMFT. The self-perceived oral health outcome variables were: difficulty relaxing, avoided going out or feeling nervous or self-conscious, felt pain or distress due to teeth, gums or denture, and overall poor self-perceived oral health. The main predictor variable was gender. Other predictor variables included age, self-reported chronic diseases (diabetes, hypertension, heart disease, and dry mouth), smoking history and current smoking status, self-perceived oral health, number of teeth, dentures, and DMFT. Descriptive statistics, bivariate analyses, and multivariate logistic and linear regression analyses were performed. Results: The study sample consisted of 166 subjects with a mean age of 72.3[plus or minus]7.8 years (range=42-89 years). Descriptive analyses of the study sample’s oral health showed that the subjects had overall good oral health, with 47% having good oral hygiene, 19% had untreated caries, 8% had root tips, 46% had at least one denture (upper or lower, complete or partial), and 12% were completely edentulous. On average, study subjects retained at least half of their natural dentition (mean=16.8[plus or minus]0.8 teeth). The mean DMFT score was 18.5[plus or minus]0.5 teeth. The mean number of teeth with untreated caries was 0.4[plus or minus]0.1 teeth. Multiple logistic regression models and linear regression models were performed after controlling for potential confounders and statistically significant associations were found between the main predictor, gender; and the outcome variables, self-perceived oral health, and clinical oral health. Females were 3.3 times more likely to feel difficulty relaxing due to their teeth, gums or denture (95% CI=1.5-7.6, p=0.002), were 10 times more likely to avoid going out or felt nervous or self-conscious due to their teeth, gums or denture (95%CI=2.1- 48.2, p=0.004), were 5.9 times more likely to have felt pain or distress due to their teeth, gums or denture (95% CI=1.8-19.8, p=0.005), and were 3.2 times more likely to avoid eating some foods due to their teeth gums or denture (95% CI=1.0-10.1, p=0.03). When a new variable was constructed, that reflected an overall score for self-perceived oral health, a multiple linear regression model showed that females had overall poorer self-perceived oral health (p=[less than]0.0001) than males. When clinical oral health outcome variables and gender was analyzed, females were less likely to have decayed teeth (p=0.005), had lower DMFT (p=0.02), and had a greater number of teeth (p=0.03) than males. Conclusion: In this study sample, there is an association between clinical oral health and self-perceived oral health and gender compared to the national data. Also, despite the fact that males had poorer clinical oral health than females, females reported poorer self-perceived oral health than males.
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Ullman, Amanda. "The oral health of critically ill children." Thesis, Queensland University of Technology, 2009. https://eprints.qut.edu.au/31765/1/Amanda_Ullman_Thesis.pdf.
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Introduction. In adults, oral health has been shown to worsen during critical illness as well as influence systemic health. There is a paucity of paediatric critical care research in the area of oral health; hence the purpose of the Critically ill Children’s Oral Health (CCOH) study is to describe the status of oral health of critically ill children over time spent in the paediatric intensive care unit (PICU). The study will also examine the relationship between poor oral health and a variety of patient characteristics and PICU therapies and explore the relationship between dysfunctional oral health and PICU related Healthcare-Associated Infections (HAI).
Method. An observational study was undertaken at a single tertiary-referral PICU. Oral health was measured using the Oral Assessment Scale (OAS) and culturing oropharyngeal flora. Information was also collected surrounding the use of supportive therapies, clinical characteristics of the children and the occurrence of PICU related HAI.
Results. Forty-six participants were consecutively recruited to the CCOH study. Of the participants 63% (n=32) had oral dysfunction while 41% (n=19) demonstrated pathogenic oropharyngeal colonisation during their critical illness. The potential systemic pathogens isolated from the oropharynx and included Candida sp., Staphylococcus aureus, Haemophilus influenzae, Enterococcus sp. and Pseudomonas aeruginosa. The severity of critical illness had a significant positive relationship (p=0.046) with pathogenic and absent colonisation of the oropharynx. Sixty-three percent of PICU-related HAI involved the preceding or simultaneous colonisation of the oropharynx by the causative pathogen.
Conclusion. Given the prevalence of poor oral health during childhood critical illness and the subsequent potential systemic consequences, evidence based oral hygiene practices should be developed and validated to guide clinicians when nursing critically ill children.
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Valdez, Eduardo. "Relationship between Frailty, Oral Health and General Health of Older People." Thesis, The University of Sydney, 2021. https://hdl.handle.net/2123/24678.
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Dentate older people are vulnerable to oral diseases like dental caries, periodontitis and consequently, tooth loss. Dental caries, periodontitis and tooth loss not only have local effects on the dentition and tooth-supporting tissues but also may impact frailty and several chronic diseases.
This thesis contributes to the current state of knowledge on the evidence on the relationship between oral health and the general health in older people and how frailty status impacts oral health and oral health behaviours. The specific aims of the thesis were to: a) review and appraise the evidence on the longitudinal associations between oral health and major chronic diseases in older people through a systematic review of the literature; b) to describe the longitudinal associations between oral health condition and the major chronic diseases in community-dwelling older people and assess the impact of poor oral health on chronic diseases in this population c) to determine what aspects of oral health are worse in frail, compared to non-frail, older men; d) determine whether frailty in older men is associated with poorer oral health and lower levels of dental service utilisation;
To address the first and second aims, a systematic review of longitudinal studies on the relationship between oral health and the four leading causes of death in the older Australian population was conducted. MEDLINE, EMBASE and Scopus databases were searched for published literature up to October 2019 using predefined search strategy (age > 65 and cohort design). A total of 4839 records were identified in the initial database search but only 11 were selected for qualitative analysis. Two studies found that a lower number of teeth was associated with increased risk of dementia (hazard ratio [HR]: 1.85 (95% CI 1.04-3.31), HR: 2.20 (95% CI: 1.1-4.5)), and one study did not show any significant association among oral health status and dementia onset. Four studies found significant associations between tooth loss or lack of posterior occlusal support and an increased likelihood of developing cognitive impairment (OR: 3.31 (95% CI: 1.07–10.2), OR: 1.61 (95% CI 1.03–2.49), OR 2.39 (95% CI: 1.48–3.86), beta estimate: –5.6955 (0.9194) P < 0.0001). One study reported that swallowing difficulties and denture wearing during sleep were independently associated with an approximately 2.3-fold higher risk of incident pneumonia. Another showed that the increase in teeth with periodontal pockets was associated with increased mortality from pneumonia in older people (HR: 3.9 (95%CI 1.1-13.9). Two studies explored the associations between oral health and cancer and cardiovascular diseases mortality during a 4-year follow up period. In both studies, impaired dentition with poor masticatory ability was an independent risk factor for cardiovascular disease mortality (HR: 1.83 (95% CI: 1.12-2.98), HR: 4.60 (95% CI: 1.01–21.1)) but not cancer mortality. The systematic review concluded that, overall, in community-dwelling older adults, there is evidence of a longitudinal relationship between poor oral health and cognitive disorders, respiratory diseases and cardiovascular mortality but not with specific cardiovascular diseases or cancer. However, the findings should be interpreted with caution given the heterogeneity between studies, particularly concerning the definition of the exposure and the most relevant outcomes.
To address the third and fourth aims, cross sectional data from the Concord Health and Ageing in Men Project were used. Australian men aged 70 years or older participated in the study. Data on 601 participants with both frailty status and oral health information were collected between 2015 and 2016. There were significant associations between frailty and dentition status (odds ratio [OR]: 2.49, 95% confidence interval [CI]: (1.17‐5.30), and frailty and active coronal decayed surfaces (ACDS) (OR: 3.01, CI: 1.50‐6.08) but only the frailty association with ACDS remained significant after adjusting for confounders (adjusted OR: 2.46, CI: 1.17‐5.18). There was no association between frailty and dental service utilisation and frailty and self-rated oral health. In summary, frailty was independently associated with the presence of dental caries. However, dental service utilisation and other oral health markers were not significantly associated with frailty after adjusting for confounders.
From the results presented in the chapters of this thesis, important conclusions can be observed: a) there is some evidence of longitudinal relationships between poor oral health and cognitive disorders, respiratory diseases and respiratory and cardiovascular mortality but not cardiovascular disease and cancer in community-dwelling older men; b) the analysis of CHAMP data showed that frailty was independently associated with the presence of the active coronal dental caries in community-dwelling older Australian men. However, frailty was not independently associated with any other oral health conditions, dental service utilisation and self-rated oral health. In combination, the finds of the research conducted for this thesis strongly suggest that a far greater emphasis in the education of dental personnel should be placed on the principles of understanding the ageing of individuals, chronic diseases and the mechanisms underlying the development of frailty and its impact on personal and public health aspects of oral health care.
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Samuelsson, Yvonne, and Erik Samuelsson. "Oral Health and Tools for Oral Hygiene in Adolescents in Detema Secondary School." Thesis, Umeå universitet, Institutionen för odontologi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-154721.
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Abstract The aim of this epidemiologic pilot field study was to determine if the oral health problem in Detema was periodontal or caries disease. If periodontal disease, was it induced by a certain virulent microflora or by inadequate oral hygiene? A second specific aim was to educate local oral health instructors, to raise the awareness of the importance of oral health, and in that way improve the general health. Methods were that with the use of WHO oral health questionnaire, interview 117 participants in index ages 15-19 years, inform about oral diseases, instruct techniques for optimized oral cleansing, assess dental status and periodontal health on index teeth. Local oral health instructors were educated for maintaining the knowledge and to reinstruct the toothbrush and toothpaste methods. Susceptibility to caries and periodontal disease in relation to ethnicity was investigated. The prevalence of caries disease was 32% a decrease compared to 44% in 1995. The prevalence of periodontal disease was 82%, attachment loss and gingival retractions 8% each, and gingival retractions 6%. This result was an impairment compared to 73% in 1995, when there were no pockets, retractions or any attachment loss in this index age. Results could not significantly show association between oral disease and lack of, or infrequent use of cleansing devices and fluoridated toothpaste, neither to a diet with high and frequent carbohydrate intake. There was indication of susceptibility to periodontal disease in the population. The conclusion was that the non-optimized technique for oral hygiene affected this population´s oral health.
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Wendling, April Lee. "Oral Health Status and Oral Hygiene Knowledge, Attitudes, and Practices of Jail Inmates." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2303.
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The oral health and hygiene of incarcerated populations, both in the United States and globally, is known to be poorer than that of the general population. This study examined the prevalence of dental caries and periodontal disease and the relationships between oral health status and the oral health knowledge, attitudes, and practices of jail inmates housed in a large metropolitan jail located in the midwestern United States. This cross-sectional study collected data from 100 inmates using a 21-item closed-ended questionnaire in addition to oral examinations conducted by the jail's dentist to determine the extent of dental caries and periodontal disease (DMFT and CPI scores) in this population. Neither oral health and hygiene studies nor studies of oral health knowledge, attitudes, and practices have been examined in U.S. jails. The conceptual frameworks of this study were the health belief model and social cognitive theory. The data were analyzed with the use of bivariate correlation tests, as well as binary logistic analyses. The results of this study revealed that the total number of correct answers on the oral health attitudes (OHA) questionnaire appeared to be the strongest predictor of high DMFT, with significance of 0.05 and an odds ratio of 1.522 (95% CI [1.000, 2.334]). In the analysis that included the total number of correct answers for the OHA questionnaire, years incarcerated was the strongest predictor of high CPI (p = 0.027), with an odds ratio of 0.340 (95% CI [0.131, 0.883]). This study advances social change by aiding in understanding the oral health status and oral health knowledge, attitudes, and practices of inmates - an underserved population. Results from this study can be used to assist jail administrators in understanding the types of dental care that is needed in correctional facilities.
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Deutsch, Alan Abraham. "Advanced training of nurses in oral health care and oral assessments to formulate and deliver comprehensive preventive oral care plans to improve oral health of residents with early dementia: A Feasibility study." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15738.
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A10 week residential care feasibility study investigated whether ‘Lead advocate’ nurses after 12 hours of advanced oral health training could be trained to be primary oral health care assessors to create oral health care plans for early dementia residents. Trained nurses were able to complete multi-factor oral health risk assessments using Shortened Xerostomia Index (SXI-D), Oral Health Impact Profile (OHIP14), Oral Health Assessment Tool (OHAT) and a modified saliva test to formulate individualised Nurse Scheduled Comprehensive Oral Care Plans (NSCOCPs). NSCOCPs allowed nurses to schedule appropriate multi-component preventive interventions and products multiple times over 3 nursing shift throughout a 24 hour period. Nurses were responsible for implementing and monitoring care plans. Nurse assessments, saliva tests and oral care plans were validated against Oral Health Therapist (OHT) assessments and tests blind to each other’s results. A high correlation was found between nurse and OHT results. Compliance of NSCOCPs was very high with untrained nurses able to follow the many scheduled interventions despite initially not understanding the reason for each intervention. Using multi-component interventions integrated into an overall “nurse scheduled, comprehensive oral care plan” is a new approach that may be a more effective strategy than concentrating on individual risk factors or single preventive interventions. Similar approaches are found in other geriatric studies in which more than one risk factor is related to outcomes. The combination of all or some of the preventive interventions acting together may have an additive effect on positive outcomes. Low mouth pH was found to be an important risk factor. Periodic interventions to raise mouth pH using sodium bicarbonate toothpaste, chewing and oral moisturisers were important components of NSCOCP to change an unhealthy oral environment to a healthier state. This approach allows trained nurse to assess new residents soon after entry into a residential facility and periodically thereafter to implement oral care plans. NSCOCPs initiated and monitored by lead advocate nurses offer another dimension in the delivery of oral care where timely visits by dental professionals to examine residents and prescribe preventive interventions are infrequent or unlikely.
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Ravaghi, Vahid. "Socioeconomic status and self-reported oral health in Iranian adolescents : the role of selected oral health behaviours and psychological factors." Thesis, Queen Mary, University of London, 2010. http://qmro.qmul.ac.uk/xmlui/handle/123456789/605.
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Health inequality according to socioeconomic status has been established. There is evidence for inequality for self-reported oral health outcomes. There has been interest in exploring the factors that explain general health inequality such as health behaviours and psychological factors. However, few studies have examined whether oral health behaviours and psychological factors explain oral health inequality among adults from industrialised countries. The aim of this thesis is to investigate whether oral health behaviours and psychological factors explain inequality in self-reported oral health among Iranian adolescents. This study tested four conditions according to the hypothesis of mediation; the final condition is that adjusting for the mediating factors attenuates the relationship between socioeconomic status and oral health. A questionnaire was used to collect data on four sets of variables from 639 males and females aged 15-17 studying at secondary schools in Sanandaj, Iran: socioeconomic status, oral health behaviours, psychological factors, and self-reported oral health outcomes. Indicators of socioeconomic status were subjective socioeconomic status, wealth index, mother‟s education and father‟s education. Oral health behaviours were toothbrushing, dental flossing, and visiting dentist. Psychological factors were selfesteem, depression, and anxiety. Self-reported oral health outcomes were single item self-rated oral health, and the experience of dental pain. Several regression models were conducted to examine the four conditions of the hypothesis of mediation. This study found a graded relationship between indicators of socioeconomic status and self-reported oral health outcomes, but no strong evidence to support the hypothesis that oral health behaviours and psychological factors mediate oral health inequality for self-reported oral health outcomes. Adjustment for oral health behaviours and psychological factors led to only small changes in the associations between socioeconomic status and self-reported oral health outcomes. In conclusion, oral health behaviours and psychological factors explained a little extent of oral health inequality for self-reported oral health outcomes.
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Cinar, Ayse Basak. "Preadolescents and their mothers as oral health-promoting actors : non-biologic determinants of oral health among Turkish and Finnish preadolescents /." Helsinki : University of Helsinki, 2008. https://oa.doria.fi/bitstream/handle/10024/42564/preadole.pdf?sequence=1.
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Öhrn, Kerstin. "Oral health and experience of oral care among cancer patients during radio- or chemotherapy." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-602.
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Oral complications and symptoms are common among patients with cancer. The aim of this thesis is to study several aspects of oral status, oral health and its relation to quality of life, and oral care among patients treated with radiotherapy or chemotherapy. Descriptive, comparative and correlational designs were used.
A series of consecutive patients admitted to a university hospital or a regional hospital to receive radiotherapy for head and neck cancer or chemotherapy for haematological malignancies, were studied prospectively with regard to oral symptoms and their relation to health-related quality of life using interviews and questionnaires, examination of the oral cavity and saliva tests. All nurses and enrolled nurses who worked with these patients or with patients with lung cancer were interviewed about their education and knowledge in oral care and performed oral care. The medical and nursing records on patients with these cancer diseases at the two hospitals were reviewed.
The results indicate that patients receiving radiotherapy experienced increasing oral symptoms, which remained to a large extent one month after treatment. Patients receiving chemotherapy did not experience oral symptoms to the same extent. The oral symptoms were significantly related to patients' health-related quality of life, particularly among those receiving radiotherapy. Data also indicate that there is a lack of adequate education and continuing education in oral care among nursing staff. All patients were not examined orally before or during treatment, nor did they receive sufficient information or instruction related to oral hygiene. Patient compliance with oral hygiene procedures was acceptable, although some patients reported difficulties. Oral status and oral care were insufficiently documented, particularly in nursing records. The attitudes to oral examination and discussion on oral hygiene differed between nursing staff and patients. Nursing staff objected to examining the oral cavity referring to patient integrity. This was not considered as a hindrance among patients. In conclusion, oral health is related to health-related quality of life, which motivates a multi-disciplinary approach to oral care.
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Öhrn, Kerstin. "Oral health and experience of oral care among cancer patients during radio- or chemotherapy /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-4940-9/.
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Dong, Mei 1966. "Oral health beliefs and dental health care-seeking behaviors among Chinese immigrants." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=101114.
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Understanding culturally related health values and identifying ethnically specific health seeking pathways can help health care providers supply culturally competent services and enhance cooperation with patients of different backgrounds. Cultural competency training, notably through cultural awareness courses, promotes understanding of the impact of social factors on illness and thus prepares medical and dental students to better serve their patients. Cultural awareness can also help preventive health programs fit community needs and cultural contexts.Despite the fact that Chinese immigrants are the fastest growing ethnic minority in North America, few studies have been published on their beliefs and health-seeking behaviours following immigration. We thus lack information on how Chinese immigrants regard dental health and manage their dental problems. Objective. The aims of this study were to explore how oral illness is viewed by Chinese immigrants in Montreal, Canada and how they manage dental problems. Methods. We conducted a qualitative research study based on semi-structured, one-on-one interviews and thematic analyses of the transcribed interviews. Twelve adult Montreal Chinese immigrants with a high level of education participated in the study.
Results. Chinese immigrants in Montreal have a good understanding of dental caries in terms of its etiology, process, and ways to prevent and treat it. It thus seems that there is no major cultural barrier between this type of immigrant and oral health care professionals in regard to dental caries. However, we also observed that traditional beliefs and medications coexist with scientific dental knowledge and professional treatments concerning problems such as gingival swelling, gingival bleeding, and bad breath. In the case of gingival swelling, for instance, participants identified etiological factors that referred to both cultures: local factors referred to oral hygiene and were related to scientific culture, whereas general factors referred to traditional knowledge ("internal fire"). Chinese immigrants' dental health seeking pathways include self-treatment, consulting a dentist in Canada or in China during a return visit, and obtaining Chinese traditional medicine. The dental health seeking pathways varied depending on the circumstances. For dental caries and other acute diseases such as toothache, Chinese immigrants prefer to consult a dentist. For chronic diseases, some of them rely on self-treatment or an alter-native treatment such as traditional Chinese medicine. The language barrier, financial problems and lack of trust are the main factors affecting Chinese immigrants' access to dental care services in Canada. Former bad medical or dental experience among Chinese immigrants causes a loss of trust in Western medicine and dentistry and influences the decision to seek alternative treatments.
Conclusion. This study suggests that, in order to facilitate dentist-patient communication; oral health professionals should be informed of immigrants' representation of oral health and illness, and that Chinese immigrants should be provided with basic scientific knowledge.
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Kõll, Piret. "Oral lactoflora in chronic periodontitis and periodontal health /." [Tartu] : Tartu University Press, 2006. http://dspace.utlib.ee/dspace/bitstream/10062/789/5/piretkoll.pdf.
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Sakki, T. (Tero). "Lifestyle and oral health of 55-year-olds." Doctoral thesis, Oulun yliopisto, 1999. http://urn.fi/urn:isbn:9514252659.
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Abstract
Oral diseases are, to a notable extent, behavioral diseases. The concept of lifestyle makes it possible to study behavior in a broad sense. The aim was to study the association of lifestyle with oral health and dental health behavior. All of the 1,012 55-year-old citizens of Oulu were invited to a clinical examination, and 780 of them participated. A lifestyle variable to measure health orientation was constructed. Smoking, alcohol consumption, dietary habits and physical activity were used as indicators of lifestyle. The association of lifestyle with dental caries, periodontal health, denture stomatitis and dental health behavior was studied with a cross-sectional design.
An unhealthy lifestyle was associated with a higher number of dental decay, periodontal pockets and a higher prevalence of denture stomatitis. Lifestyle accounted for a large part of the differences between socioeconomic groups and between men and women in number of dental decay and periodontal pockets. An unhealthy lifestyle was associated with an increased prevalence of denture stomatitis in yeast carriers. A higher toothbrushing frequency and the use of extra cleaning methods were related to healthier lifestyle. Socioeconomic status was more important than lifestyle as a determinant of dental visits. Smoking was associated with higher lactobacillus counts and the presence of yeasts in saliva.
Lifestyle explained a great part of the differences between the socioeconomic groups and between men and women in oral health. It seems that part of the association between oral and general health can be explained by lifestyle. It is important to control for general lifestyle when the biological connections between oral and general health are studied.
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Zhu, Haiwei. "Oral health-related quality of life after stroke." Click to view the E-thesis via HKUTO, 2006. http://sunzi.lib.hku.hk/hkuto/record/B37922567.
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Gabre, Pia. "Studies on oral health in mentally retarded adults /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4525-x/.
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Zhu, Haiwei, and 竺海瑋. "Oral health-related quality of life after stroke." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B37922567.
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Zhang, Yan, and 张琰. "Relationship between family members' oral health behaviours andstatus." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hub.hku.hk/bib/B50662284.
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Introduction: Oral diseases such as dental caries and periodontal diseases are among the most common diseases in Hong Kong. Family as a basic societal unit has an important role to play in shaping the individual member’s behaviours and health status. However, most dental research studies focus on modifiable risk factors of individuals rather than those of a family.
Objectives: 1. to describe the oral health behaviours and oral health status of family members in a selected sample of families in Hong Kong; 2. to assess the relationships between oral health behaviours and oral health status amongst the family members; 3. to assess the influence of socio-economic factors, lifestyle factors and oral health knowledge, attitudes, and behavioural factors on oral health status of the spouses; and 4. to assess the influence of parental factors on the child’s oral health behaviours and status.
Methods: A cross-sectional survey using a combination of a random household and a purposive sampling was conducted. The study population was 5 to 7-year-old children and their parents in Hong Kong. A clinical examination and a questionnaire survey were conducted on the core family members (parents and children) of the recruited families. Structural Equation Modeling (SEM) was employed to test the hypothesized multivariate models which tried to investigate the complex relationships among different risk factors and oral health status.
Results: A total of 432 families with targeted children, 373 fathers and 424 mothers were recruited. The mean DMFT/dmft score of the father, the mother, and their children were 7.2, 6.2, and 2.6, respectively. Around half (52%) of the fathers and one-third (35%) of the mothers had periodontal probing pocket(s) deeper than 3mm. In the structural equation models, strong positive correlations were found between the oral health behaviours of fathers and mothers (∅=0.98, p<0.05), mothers and children (∅=0.79, p<0.05), and fathers and children (∅=0.74, p<0.05). Positive correlations were also found between the oral health status of fathers and mothers (∅=0.43, p<0.05), mothers and children (∅=0.33, p<0.05), and fathers and children (∅=0.30, p<0.05). Fathers’ oral health status was directly affected by their oral health behaviours and smoking habit, and indirectly affected by their socio-economic status and oral health knowledge and attitudes. The explained variance of fathers’ oral health status was 47%. The mothers’ oral health status was only directly affected by their oral health behaviours and indirectly by their socio-economic status and oral health knowledge and attitudes. The explained variance of mothers’ oral health status was 53%. Children’s oral health status was only directly affected by their oral health behaviours and indirectly by their mother’s socio-economic status, mother’s oral health knowledge and attitudes, and mother’s oral health behaviours. The explained variance of children’s oral health status was 26%.
Conclusion: Oral health behaviours and status are correlated among family members. Children’s oral health status is affected by their oral health behaviours, which may be affected by parents’ socio-economic status, oral health knowledge, attitudes, and behaviours.published_or_final_version
Dentistry
Doctoral
Doctor of Philosophy
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Parthasarathy, Srinivasan Divya. "Oral health literacy : implications for Hong Kong's children." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/197104.
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BACKGROUND: Researchers in the fields of health, education and psychology have established a causal relationship between levels of education and both health status and its management amongst adults and children. This has resulted in largescale ‘health literacy’ intervention programmes. The relationship between oral health literacy (OHL), health status and management is less understood. Indeed, ‘OHL’ is a relatively new field with limited research to date in Asia. Measurements of OHL on the whole have focused on the match or mismatch between reading fluency, vocabulary, background knowledge, and oral and written communication demands. While it may be difficult or impractical to comprehensively capture and measure all possible dimensions of OHL, several instruments have been developed to date, albeit mostly in English dominant contexts.
OBJECTIVES: The major objectives of this study were to: a) to describe the relationship between caregiver reading habits and their OHL, and their child’s oral health status; b) assess the functional OHL levels of primary caregivers in an Asian population using two new instruments; c) to describe the relationship between caregiver OHL and the oral health status of their children.
METHODS: A cross-sectional study using two locally-developed and validated OHL instruments; Hong Kong Rapid Estimate of Adult Literacy in Dentistry-30 (HKREALD-30) and Hong Kong OHL Assessment Task for Paediatric Dentistry (HKOHLAT-P) was adopted. A random sample of 301 child/caregiver dyads was recruited from kindergartens in Hong Kong Island. Data included: socio-demographic information; caregivers’ self-reported reading habits and OHL levels; and child oral health status as a) dental caries experience - number of decayed, missing and filled teeth (dmft); and b) oral hygiene status - by the Visible Plaque Index (VPI).
RESULTS: Caregivers’ reported reading of print Chinese was significantly associated with their OHL scores: HKREALD-30 and HKOHLAT-P (p<0.01). No associations were found between caregiver’s reading habits and their children’s oral health status (p>0.05). Both OHL assessment tasks were associated with children’s oral health status. Both HKOHLAT-P and HKREALD-30 remained associated with dmft in the adjusted negative binomial regression models (accounting for socio-demographics), but HKOHLAT-P had a stronger association (IRR 0.97, P=0.02 versus 0.96, P=0.03). HKOHLAT-P was associated with VPI in the adjusted model (IRR 0.90, P<0.05), but no significant association between HKREALD-30 and VPI was evident.
CONCLUSIONS AND IMPLICATIONS: Caregivers’ habits of reading print and digital texts were significantly associated with their OHL scores. No significant associations were found between caregivers’ reading habits and their children’s oral health status, indicating that reading habits is a different attribute that may not directly affect their child’s oral health. Caregivers’ functional OHL was associated with their children’s oral health status in Hong Kong. A comprehension task tool (HKOHLAT-P) was more robust in determining such associations when compared to a simple word recognition based test (HKREALD-30).published_or_final_version
Dentistry
Doctoral
Doctor of Philosophy