Oral health in rural and remote Western Australian Indigenous communities: A two-year retrospective analysis of 999 people

Smith, Kirrilee; Kruger, Estie; Dyson, Kate; Tennant, Marc

doi:10.1111/j.1875-595x.2007.tb00444.x

Cited by 46 publications

(55 citation statements)

References 11 publications

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“…One study collected data from two jurisdictions, 14 one study collected data from all jurisdictions except the Australian Capital Territory and Tasmania 20 and one study 17 did not report the location from where the data were collected. Across these jurisdictions, four studies 16,18,26,36 (40%) reported on Indigenous adults living only in rural locations, five studies 14,20,24,27,28 reported on Indigenous adults living in both urban and rural locations (with most reporting data for the total population in the sample rather than reporting the data by urban or rural location) and one study reported only on an urban sample. 17 Figure 2 summarises the number of studies publishing data for each jurisdiction, with total Indigenous population numbers.…”

Section: Search Resultsmentioning

confidence: 99%

“…Table 2 presents temporal and geographical information about the studies included in the review. In most (seven) studies, 16,18,24,26,27,28,36 data were collected in only one jurisdiction. One study collected data from two jurisdictions, 14 one study collected data from all jurisdictions except the Australian Capital Territory and Tasmania 20 and one study 17 did not report the location from where the data were collected.…”

Section: Search Resultsmentioning

confidence: 99%

“…A summary of these papers is provided in Table 1. Of the 18 papers, 10 were primary studies 14,[16][17][18]20,24,[26][27][28]36 and eight were associated papers, reporting the same data in a different way 21,23,[30][31][32][33][34][35] (Table 1). Table 2 presents temporal and geographical information about the studies included in the review.…”

Section: Search Resultsmentioning

confidence: 99%

“…Three studies reported periodontal disease ranging from 12% to 27%, 17,20,24 although these studies only reported periodontal disease at the more severe levels (CPI 3 and/or 4). Four studies 16,18,26,28 reported the prevalence of periodontal disease to be above 85%; three of these studies included all four CPI scores, which may explain the high reported prevalence (one of the studies reporting high periodontal disease prevalence only reported CPI 3 and 4).…”

Section: Periodontal Disease Prevalence and Severitymentioning

confidence: 99%

“…10,11 Dental caries and periodontal disease were uncommon at this time within Indigenous communities. 10 Current research indicates that Indigenous people now experience considerably poorer general health 12 and oral health [13][14][15][16][17][18][19] than that of the non-Indigenous population. Although several reports suggest that Indigenous people suffer from more dental caries and periodontal disease than non-Indigenous people, 13,19 there are very few studies that provide data on the oral health of Indigenous adults in Australia.…”

Section: Introductionmentioning

confidence: 99%

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Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data

Silva¹,

Martin-Kerry

McKee³

et al. 2017

Aust. Health Review

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Objective. The aim of the present study was to identify all evidence about the prevalence and severity of clinically measured caries and periodontal disease in Indigenous adults in Australia published in peer-reviewed journals and to summarise trends over time. In addition, we examined whether the studies investigated associations between putative risk factors and levels of caries and periodontal disease.Methods. PubMed was searched in September 2014, with no date limitations, for published peer-reviewed articles reporting the prevalence rates and/or severity of caries and periodontal disease in Indigenous adults living in Australia. Articles were excluded if measurement was not based on clinical assessment and if oral disease was reported only in a specific or targeted sample, and not the general population.Results. The search identified 18 papers (reporting on 10 primary studies) that met the inclusion criteria. The studies published clinical data about dental caries and/or periodontal disease in Australian Indigenous adults. The studies reported on oral health for Indigenous adults living in rural (40%), urban (10%) and both urban and rural (50%) locations. Included studies showed that virtually all Indigenous adults living in rural locations had periodontal disease. The data also showed caries prevalence ranged from 46% to 93%. Although 10 studies were identified, the peer-reviewed literature was extremely limited and no published studies were identified that provided statistics for a significant proportion of Australia (Victoria, Tasmania, Queensland or the Australian Capital Territory). There were also inconsistencies in how the data were reported between studies, making comparisons difficult.Conclusions. This review highlights a lack of robust and contemporary data to inform the development of policies and programs to address the disparities in oral health in Indigenous populations living in many parts of Australia.What is known about the topic? Many studies report that Indigenous people in Australia have poorer general health compared with non-Indigenous people. What does this paper add? This paper documents the available caries and periodontal disease prevalence and experience for Indigenous adults in Australia published in peer-reviewed journals. It demonstrates significant limitations in the data, including no data in several large Australian jurisdictions, inconsistency with reporting methods and most data available being for Indigenous adults living in rural locations. Therefore, the oral health data available in the peer-reviewed literature do not reflect the situation of all Indigenous people living in Australia. What are the implications for practitioners? It is important for oral health practitioners to have access to current and relevant statistics on the oral health of Indigenous Australians. However, we have highlighted significant evidence gaps for this population group within the peer-reviewed literature and identified the limitations of the available data upon which INDIGENOUS HEAL...

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Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Periodontal Disease Prevalence and Severitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data

Silva¹,

Martin-Kerry

McKee³

et al. 2017

Aust. Health Review

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show abstract

Challenges in the provision and utilization of oral health services among the Australian Indigenous population: a scoping review

Bastani

Sarikhani

Ghanbarzadegan

et al. 2021

J Public Health (Berl.)

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Cross-sectional analysis of dental treatment under general anaesthesia in hospitalised Western Australian children in 2018–19

et al. 2021

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ObjectiveTo date, there has been little research that has comprehensively analysed dental treatment under general anaesthesia (DGA) at Perth Children’s Hospital (PCH) for dental emergencies (dental pain and sepsis). This cross-sectional descriptive analysis of the PCH dental department analysed the demographic of children admitted and the type of treatment used, and assessed the cost. MethodsThis was a retrospective descriptive study analysing the dental records of patients ranging from 2 to 16 years of age at PCH in Western Australia. Of the 310 cases randomly selected from the 2018–19 study period, 202 were admitted for DGA. Two outcome measures were derived: cumulative count of treatment mix and cost analysis. ResultsThe mean (±s.d.) age at the time of admission was 6.2 ± 2.6 years and the mean (±s.d.) decayed (d/D), missing, (m/M) and filled (f/F) teeth (dmft/DMFT) was 2.1 ± 0.8. Of the 429 teeth affected, 282 were molars. Treatments were grouped therapeutically; of the 856 treatments performed, 465 were extractions (54%). The total cost, consisting of direct and indirect costs, was A$313 823, and equated to an approximate mean (±s.d.) of A$1554 ± 109 per case. ConclusionUntreated dental caries was the most common cause for hospital admission. Most cases presenting at the emergency department were young children (<7 years old) who underwent extractions under DGA. What is known about the topic?The Child Dental Benefits Schedule (CDBS) was introduced to improve access and affordability to oral health care for children without private dental insurance. However, a significant number of children are still being admitted to hospital for emergency dental treatment. What does this paper add?Despite the availability of the CDBS, untreated dental caries remains one of the most common reasons for dental emergency in the PCH. What are the implications for practitioners?Not only are direct costs a burden on the health budget, but indirect and intangible costs also affect children and their families.

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Oral health in rural and remote Western Australian Indigenous communities: A two-year retrospective analysis of 999 people

Abstract: This study emphasises the urgent need for the development of strategies targeting Aboriginal oral health, both as stand alone, and as part of a multifactorial risk factor approach where oral health is integral to general health activities.

Cited by 46 publications

References 11 publications

Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data

Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data

Challenges in the provision and utilization of oral health services among the Australian Indigenous population: a scoping review

Cross-sectional analysis of dental treatment under general anaesthesia in hospitalised Western Australian children in 2018–19

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