The impact of attendance patterns on oral health in a general dental practice

Richards, Wayne; Ameen, Jamal

doi:10.1038/sj.bdj.4801664

Cited by 76 publications

(70 citation statements)

References 18 publications

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“…This is in line with the results of a previous study which showed RAs had fewer teeth than IRAs (p<0.05) 24) . Here, IRAs had fewer teeth extracted than RAs during the observation period, although the difference was not significant.…”

Section: Discussionsupporting

confidence: 82%

“…To our knowledge, this is the first study to show that, after adjusting for confounding factors, and in contradiction to previous reports, tooth loss was lower in RAs than in POAs at dental offices, even though the definition of POAs, IRAs, and RAs adopted here differed somewhat to that used earlier 3,24,25) . This anomaly may be due to the longer period of time or higher patient age range and lower number of PT involved than in previous reports.…”

Section: Discussioncontrasting

confidence: 52%

“…Bullock et al 3) found no significant difference between RAs and POAs in mean number of PT. Richards and Ameen 24) reported that RAs had fewer teeth than IRAs (p<0.05).…”

Section: Introductionmentioning

confidence: 99%

“…Some studies using data obtained from dental offices to investigate attendance patterns among patients found no clear advantage for RAs over IRAs or POAs in number of present teeth (PT) 3,24,25) . Bullock et al 3) found no significant difference between RAs and POAs in mean number of PT.…”

Section: Introductionmentioning

confidence: 99%

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Tooth Loss in Problem-oriented, Irregular, and Regular Attenders at Dental Offices

Yoshino

Itō²,

Kuroda³

et al. 2016

Bull. Tokyo Dent. Coll.

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The aim of this retrospective study was to compare number of teeth lost among regular attenders (RAs), irregular attenders (IRAs), and problem-oriented attenders (POAs) at dental offices over a 10-yr observation period. Information on tooth loss was obtained from general practitioners. Patients were divided into 3 groups based on appointment adherence. A total of 1,886 teeth were lost in 1,400 patients. The mean number of teeth lost in men was 2.2±2.6 per patient over 10 yr in POAs, 1.2±1.7 in IRAs, and 1.5±1.5 in RAs. This number was significantly lower in IRAs (p=0.011) or RAs (p=0.012) than in POAs. When the dependent variable was defined as "a patient with at least 2 or more extracted teeth", the independent variables showed the following correlations with tooth loss: IRAs (OR: 0.54; 95%CI: 0.35-0.84), RAs (OR: 0.65; 95%CI: 0.47-0.89), man (OR: 1.43; 95%CI: 1.11-1.83), hypertension (OR: 1.38; 95%CI: 1.04-1.85), 20-25 present teeth (OR: 2.41; 95%CI: 1.81-3.22), and 1-19 present teeth (OR: 3.75; 95%CI: 2.73-5.16). The risk of tooth loss showed a 0.65-fold increase in RAs undergoing maintenance compared with POAs. Motivating patients to visit the dentist more regularly and undergo maintenance is important. The present results may be of use to dental professionals in providing patients with detailed information on potential tooth loss and associated risk factors with the aim of achieving such a change in behavior.

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Section: Discussionsupporting

confidence: 82%

Section: Discussioncontrasting

confidence: 52%

“…Bullock et al 3) found no significant difference between RAs and POAs in mean number of PT. Richards and Ameen 24) reported that RAs had fewer teeth than IRAs (p<0.05).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tooth Loss in Problem-oriented, Irregular, and Regular Attenders at Dental Offices

Yoshino

Itō²,

Kuroda³

et al. 2016

Bull. Tokyo Dent. Coll.

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“…In the U.K., the national health system focuses on prevention, thereby encouraging regular dental attendance. This regular access to dental health care is likely to promote awareness in patients about the importance of oral health 24) . A relationship between health educational intervention and preference weight given to health state utilities was clearly indicated in one of the utilities: gum bleeding.…”

Section: Discussionmentioning

confidence: 99%

Dental Patient Preferences and Choice in Clinical Decision-Making

Fukai¹,

Yoshino

Ohyama

et al. 2012

Bull. Tokyo Dent. Coll.

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In economics, the concept of utility refers to the strength of customer preference. In health care assessment, the visual analogue scale (VAS), the standard gamble, and the time trade-off are used to measure health state utilities. These utility measurements play a key role in promoting shared decision-making in dental care. Individual preference, however, is complex and dynamic. The purpose of this study was to investigate the relationship between patient preference and educational intervention in the field of dental health. The data were collected by distributing questionnaires to employees of two companies in Japan. Participants were aged 18-65 years and consisted of 111 males and 93 females (204 in total). One company (Group A) had a dental program of annual check-ups and health education in the workplace, while the other company (Group B) had no such program. Statistical analyses were performed with the t-test and Chi-square test. The questionnaire items were designed to determine: (1) oral health-related quality of life, (2) dental health state utilities (using VAS), and (3) time trade-off for regular dental check-ups. The percentage of respondents in both groups who were satisfied with chewing function, appearance of teeth, and social function ranged from 23.1 to 42.4%. There were no significant differences between groups A and B in the VAS of decayed, filled, and missing teeth. The VAS of gum bleeding was 42.8 in Group A and 51.3 in Group B (p<0.05). The percentage of persons having a regular dental check-up every three months was 34.1 and 31.3% in Groups A and B respectively. These results suggest that low preference results from lack of opportunity or utilization of dental care in the worksite. Ascertaining the factors involved in patient preference may have significant potential benefits in shared decision-making.

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