The oral health of individuals with dental phobia: a multivariate analysis of the Adult Dental Health Survey, 2009

Heidari, Ellie; Andiappan, Manoharan; Banerjee, Avijit; Newton, Tim

doi:10.1038/sj.bdj.2017.361

Cited by 27 publications

(21 citation statements)

References 20 publications

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“…16,17 In addition, some people fear the diagnosis and treatment of periodontal diseases (dental phobia) and are negligent with regard to prevention, maintenance and early detection. 18 Therefore, the actions of individuals are governed by the personal misconceptions about their dental needs. An individual´s perception of control is regarded as an important socio-behavioral factor in general.…”

Section: Evidence For the Population (Individual-level Measures)mentioning

confidence: 99%

Strategies for the prevention of periodontal disease and its impact on general health in Latin America. Section III: Prevention

et al. 2020

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Dental plaque removal and the understanding of risk factors, risk indicators and social determinants are important components in the prevention of periodontal disease. Periodontal diseases and dental caries are largely preventable conditions, but require a "common risk factor approach" with non-communicable diseases with the purpose of improving their prevention and control, and positive impact on health. The aim of this consensus was to identify the evidence and gaps in periodontal prevention in Latin American, and to propose individual and collective recommendations for the population, health professionals, dental practice and government. The prevention of periodontal diseases in Latin America has mainly been focused on oral hygiene instruction, use of toothbrushes and interproximal devices, but in some patients, it is necessary to use adjuncts to these measures, such as antimicrobial and/or probiotic products that are backed by broad scientific evidence. Some evidence has shown that there are inadequate knowledge, attitudes and practices among patients, dentist and other health professionals. The prevention of periodontal diseases and caries should be adopted as a healthy lifestyle routine, because of their local and systemic effects. Recently, new empowerment strategies have been proposed in order to generate behavioral changes. Periodontal diseases can often be prevented, or controlled by joined efforts between government health systems, scientific associations, universities, health professionals, private companies and communities. In conclusion, the relations between periodontal diseases, caries, healthy lifestyles and NCD's offer an ideal opportunity to change Latin American prevention strategies at both the individual level and population levels.

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Section: Evidence For the Population (Individual-level Measures)mentioning

confidence: 99%

Strategies for the prevention of periodontal disease and its impact on general health in Latin America. Section III: Prevention

et al. 2020

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“…A longitudinal study among the Gullah African Americans also showed that uncontrolled T2DM relates to a nearly two times higher magnitude of periodontal tissue destruction compared to their counterparts (controlled diabetics and non-diabetics) [24]. The results are further substantiated by other investigations from the United Kingdom [25], United States of America [26], India [27], and Spain [28]. A systematic review and meta-regression of longitudinal studies also con rms this association.…”

Section: Discussionmentioning

confidence: 63%

Effect of uncontrolled type-2 diabetes mellitus on the periodontal status of Saudi Arabian adults: A case-control study

Quadri

Fageeh

Ibraheem

et al. 2020

Preprint

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Background The relationship between uncontrolled type-2 diabetes mellitus (T2DM) and periodontitis have been investigated among people from different nations. But, the current report is first from Saudi Arabia that utilized the gold standard measures to study the effect of uncontrolled T2DM on the periodontal status of ethnically similar Arab adults. Methods A case-control study was conducted, wherein cases were adults with clinically diagnosed periodontitis (clinical-attachment-loss ≥ 1 mm). Concurrent controls were recruited from the same dental facility; matched with age, sex, and location. Uncontrolled T2DM was recorded using HbA1c readings; and other health conditions including hypertension, epilepsy, bronchitis, thyroid disorders, and arthritis were retrieved from the participant’s medical records. Data on tobacco consumption and related products (smoking, khat/qat, sheesha, shammah) was gathered using a self-perceived questionnaire. Frequencies, percentages, p-values, crude and adjusted odds ratios (OR) with 95% confidence intervals were computed. Results Overall sample comprised of 166 cases and 332 controls with a mean age of 37.5 years. Multivariate analysis indicated uncontrolled T2DM as an important predictor for periodontitis among Saudi Arabian adults, and they had nearly three times greater odds (OR: 2.779; 95% CI: 1.425–5.419; p = 0.003) of being diagnosed with periodontitis in contrast to non-diabetics. Secondary findings revealed that cigarette ever-users were 2 times more likely to be suffering from periodontitis than never-users, and those brushing once per day or less had 5 times greater odds of developing periodontitis as compared to those brushing twice daily. Conclusion To conclude, the current case-control study is the first from Saudi Arabia to indicate that increased HbA1c level significantly effects periodontal status of Arab adults. An awareness of this association among health care providers and patients will contribute towards prevention of periodontitis in Saudi Arabia.

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“…It happens that patients do not attend another appointment after the diagnosis has been made. Reasons for this are, for example, a removal or even fear of treatment [52].…”

Section: Discussionmentioning

confidence: 99%

Dental Care for Asylum-Seekers in Germany: A Retrospective Hospital-Based Study

Freiberg

Wienke

Bauer

et al. 2020

IJERPH

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Background: The growing immigration to Germany led to more patients whose medical needs are divergent from those of the domestic population. In the field of dental health care there is a debate about how well the German health system is able to meet the resulting challenges. Data on asylum-seekers’ dental health is scarce. This work is intended to reduce this data gap. Methods: We conducted this retrospective observational study in Halle (Saale), Germany. We included all persons who were registered with the social welfare office (SWO) in 2015 and received dental treatments. From the medical records, we derived information such as complaints, diagnoses, and treatments. Results: Out of 4107 asylum-seekers, the SWO received a bill for 568 people. On average, there were 1.44 treatment cases (95%-CI: 1.34–1.55) and 2.53 contacts with the dentist per patient (95%-CI: 2.33–2.74). Among those, the majority went to the dentist because of localized (43.2%, 95%-CI: 38.7–47.7) and non-localized pain (32.0%, 95%-CI: 27.8–36.2). The most widespread diagnosis was caries (n = 469, 98.7%, 95%-CI: 97.7–99.7). Conclusion: The utilization of dental care is lower among asylum-seekers than among regularly insured patients. We assume that the low prevalence rates in our data indicate existing access barriers to the German health care system.

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The oral health of individuals with dental phobia: a multivariate analysis of the Adult Dental Health Survey, 2009

Cited by 27 publications

References 20 publications

Strategies for the prevention of periodontal disease and its impact on general health in Latin America. Section III: Prevention

Strategies for the prevention of periodontal disease and its impact on general health in Latin America. Section III: Prevention

Effect of uncontrolled type-2 diabetes mellitus on the periodontal status of Saudi Arabian adults: A case-control study

Dental Care for Asylum-Seekers in Germany: A Retrospective Hospital-Based Study

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