Abstract:ObjectiveTo evaluate the effects of oral health promotion programmes (OHPP) on adolescents' oral health‐related quality of life (OHRQoL).MethodsAn electronic search was performed in five databases (MEDLINE via PubMed, Scopus, Virtual Health Library, Web of Science, Cochrane, Grey Literature databases), and specific indexers were used in the manual search. Clinical/community trials, cross‐sectional or cohort studies, published in any language, were included. Studies meeting the inclusion criteria were analysed … Show more
“…A systematic review has shown positive effects of oral health promotion programs on OHRQoL 6 evaluating educational preventive programs, school‐based dental programs, and outcomes of dental caries, gingivitis, and atraumatic restorative treatment. Concerning TDI, only one article has evaluated cases of TDI treated in individuals aged between 7 and 13 years in the Dentoalveolar Trauma Care Service, 21 but it did not assess the pre‐ and post‐treatment changes in OHRQoL.…”
Section: Discussionmentioning
confidence: 99%
“…However, they are more sustainable and can reduce inequalities through actions directed at the underlying determinants to improve oral health 4 . There is evidence that preventive approaches and oral health promotion programs are more effective, both clinically and in terms of cost‐effectiveness, than standard dental care 4–6 . Benefits from an oral health intervention program are not only clinical, but may be reflected in improvements in the OHRQoL 6 …”
Background/Aim
A traumatic dental injury (TDI) may have physical and psychosocial consequences for children and their families, and it may impact their oral health‐related quality of life (OHRQoL). The aim of this study was to assess the OHRQoL of children affected by TDI and their families after enrollment in the Dental Trauma Care Program (DTCP).
Methods
This longitudinal clinical study involved a consecutive sample of 2‐ to 6‐year‐old children registered in the DTCP over a period of six years. Parents/caregivers were interviewed and the OHRQoL questionnaire was completed. The Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) was used before and after treatment. The Andreasen criteria were used to classify TDIs. The patients were treated (minimal intervention/invasive intervention) according to TDI severity (uncomplicated/complicated). Based on the Kolmogorov–Smirnov test, the Wilcoxon non‐parametric test was used to compare the ECOHIS total scale/subscales/domains before and after enrollment in the DTCP. The longitudinal changes were calculated using effect size measured by the Standardized Response Means (SRM). TDI severity and treatments were also evaluated.
Results
The total ECOHIS mean scores were 7.4 ± 9.2 and 0.8 ± 2.5, before and after TDI treatment (p < .001), respectively. ECOHIS scores dropped by 6.6 points after treatment, demonstrating a positive reduction in the impact on OHRQoL, as reflected by the satisfactory responsiveness of ECOHIS (0.9). The changes following treatment, independent of TDI severity and type of treatment, were significant (p < .001) in children and the family section.
Conclusions
The impact of TDI on OHRQoL reduced after the enrollment of patients and their families in the DTCP.
“…A systematic review has shown positive effects of oral health promotion programs on OHRQoL 6 evaluating educational preventive programs, school‐based dental programs, and outcomes of dental caries, gingivitis, and atraumatic restorative treatment. Concerning TDI, only one article has evaluated cases of TDI treated in individuals aged between 7 and 13 years in the Dentoalveolar Trauma Care Service, 21 but it did not assess the pre‐ and post‐treatment changes in OHRQoL.…”
Section: Discussionmentioning
confidence: 99%
“…However, they are more sustainable and can reduce inequalities through actions directed at the underlying determinants to improve oral health 4 . There is evidence that preventive approaches and oral health promotion programs are more effective, both clinically and in terms of cost‐effectiveness, than standard dental care 4–6 . Benefits from an oral health intervention program are not only clinical, but may be reflected in improvements in the OHRQoL 6 …”
Background/Aim
A traumatic dental injury (TDI) may have physical and psychosocial consequences for children and their families, and it may impact their oral health‐related quality of life (OHRQoL). The aim of this study was to assess the OHRQoL of children affected by TDI and their families after enrollment in the Dental Trauma Care Program (DTCP).
Methods
This longitudinal clinical study involved a consecutive sample of 2‐ to 6‐year‐old children registered in the DTCP over a period of six years. Parents/caregivers were interviewed and the OHRQoL questionnaire was completed. The Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) was used before and after treatment. The Andreasen criteria were used to classify TDIs. The patients were treated (minimal intervention/invasive intervention) according to TDI severity (uncomplicated/complicated). Based on the Kolmogorov–Smirnov test, the Wilcoxon non‐parametric test was used to compare the ECOHIS total scale/subscales/domains before and after enrollment in the DTCP. The longitudinal changes were calculated using effect size measured by the Standardized Response Means (SRM). TDI severity and treatments were also evaluated.
Results
The total ECOHIS mean scores were 7.4 ± 9.2 and 0.8 ± 2.5, before and after TDI treatment (p < .001), respectively. ECOHIS scores dropped by 6.6 points after treatment, demonstrating a positive reduction in the impact on OHRQoL, as reflected by the satisfactory responsiveness of ECOHIS (0.9). The changes following treatment, independent of TDI severity and type of treatment, were significant (p < .001) in children and the family section.
Conclusions
The impact of TDI on OHRQoL reduced after the enrollment of patients and their families in the DTCP.
“…Finalmente, existe en odontología, un espacio desde la promoción de la salud y la prevención de la enfermedad, que puede y debe incorporarse dentro del ejercicio profesional durante la era de la pandemia, factible sin involucrar aerosoles y controlando por aislamiento social el riesgo de infección por COVID-19 en el equipo profesional y en los pacientes, pero a su vez, favoreciéndose de la efectividad demostrada de medidas de educación en salud oral y medidas preventivas para el control de la caries dental, principalmente en los grupos poblacionales de mayor riesgo a esta patología oral, como son los preescolares, escolares y adultos mayores, favoreciéndose también la aplicación de la teleodontología 178,[206][207][208][209][210][211][212][213][214] .…”
En Colombia la implementación de procesos de detección, prevención y disminución de riesgos en salud y seguridad en el trabajo, es responsabilidad de los prestadores de servicios de salud, y tienen por objetivo prevenir daños en la salud de los trabajadores y los pacientes. En el contexto de la pandemia por SARS-CoV-2/COVID-19 es necesario evaluar el riesgo de exposición al virus, según las características propias de cada servicio y los procedimientos efectuados en la atención en salud, para posteriormente implementar estrategias de control a los riesgos identificados.Si bien la mejor forma de controlar un peligro es su eliminación sistemática, el contexto de emergencia y la imposibilidad de eliminar el peligro obligan a tomar las mejores medidas disponibles, en este caso, los controles de ingeniería, los controles administrativos y el uso de elementos de protección personal.Dado que la situación de emergencia impone el enfrentarse a una patología de muy reciente descripción, para la cual gran parte de la información se encuentra en construcción, se hace necesario recurrir a la experiencia acumulada disponible, proveniente de aquellas latitudes impactadas inicialmente por el SARS-CoV-2/COVID-19, especialmente Asia y Europa, así como a las experiencias similares del pasado, en este caso los brotes previos de Síndrome Respiratorio Agudo Severo de 2002 – 2003 y el Síndrome Respiratorio del Oriente Medio por coronavirus (SARS y MERS, respectivamente por sus siglas en inglés), complementadas con información científica fundamental obtenida de experimentación en ciencias básicas.A partir de los preceptos descritos y en aras de brindar información útil a todos los actores del ámbito nacional y en especial a los servicios de salud, se presentan recomendaciones basadas en información previa y evidencia disponible a la fecha, que buscan ayudar en la minimización del riesgo en el contexto de “prevención intrahospitalaria” diferenciada por actividades y servicios de acuerdo al riesgo de exposición al virus y la realización de procedimientos generadores de aerosoles como principal vehículo de diseminación de la infección; “prevención ambulatoria” y “prevención domiciliaria” con énfasis en el uso de elementos de protección personal, descripción de métodos de manejo y aislamiento de pacientes infectados en el hogar y centros de cuidado especial, así como también los escenarios de tamización prequirúrgica en cirugía electiva; la sección de “elementos de protección personal” presenta una descripción esquemática y visual de los elementos recomendados en diferentes escenarios de práctica clínica según su nivel de riesgo; adicionalmente se realizan recomendaciones en temas de cuidados durante el transporte de pacientes, y de limpieza y desinfección de equipos e insumos.
“…Oral health is considered an integral part of general health as well as quality of life [6][7][8]. The most common oral diseases are caries and periodontal diseases [9,10], complex diseases of infectious nature, which are caused by the imbalance between the host and the host microorganisms of the biofilm in the oral cavity [11].…”
The importance of the oral microbiota is strictly linked to global human health. When imbalance of the oral microbiota occurs, and it is characterized by shifts in bacterial composition and diversity; a state called dysbiosis is settled. There is an increasing amount of scientific evidence that this condition is associated with oral diseases caries, gingivitis and periodontitis. Diet seems to be a key factor for oral and dental health, impacting upon the oral microbiota. In an attempt to clarify the role of diet, as well as other implicating risk factors predisposing to oral disease, in the present study we enrolled an urban area of north-eastern Greece. Socio-demographical as well as hygienic and nutritional habits of a target group consisting of adult and children were entered in our study through a survey. People of the studied area are less interested in preventive and other dental therapies. Children and adults are less interested in healthy eating, yet they often consume sugary foods and often outside of their main meal. The partial shifting to the standard of the Mediterranean diet and less to the standard of the western type foods is notable. It is important to raise the awareness of both children and adults through strategical campaigns and education on oral health, oral hygiene and the benefits of a balanced diet.
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