Abstract:
OBJECTIVES:The purpose of this cross-sectional study was to identify risk markers and risk indicators for periodontal attachment loss in a remote Canadian community. Of special interest was the association between smoking and periodontal disease experience. METHODS:Data were collected from a convenience sample of 187 adult patients attending a dental office in a rural community located in Northern Ontario. Information was obtained via a questionnaire and a periodontal examination. The questionnaire included the use of dental services, self-care behaviors, general health status, smoking, and personal characteristics. Periodontal health was assessed using the mean periodontal attachment loss (MPAL), measured at two sites on all remaining teeth and the proportions of sites examined with loss of 2 mm or more and 5 mm or more. Plaque scores and measures of the number of missing teeth also were obtained. The relationships between mean periodontal attachment loss, the proportion of sites with 5 mm or more of loss and independent variables such as age, sex, current smoking status, mean tooth plaque scores, flossing frequency, and regularity of preventive dental visits were examined in bivariate and multivariate analyses. RESULTS:The data revealed a mean periodontal attachment loss of 3.9 mm (SD=1.5). The mean proportion of sites examined with loss of 2 mm or more was 0.89 and the mean proportion with loss of 5 mm or more was 0.35. In linear regression analysis, plaque scores, the number of missing teeth, age, current smoking status, regularity of dental visits, and flossing frequency had statistically significant independent effects and explained 60.0 percent of the variance in mean periodontal attachment loss. Just over 30 percent of subjects had severe periodontal disease, defined as 50 percent or more of sites examined with loss of 5 mm or more. In logistic regression analysis, missing teeth, dental visiting, smoking status, age, and flossing frequency had significant independent effects. The strongest association observed was with smoking, which had an odds ratio of 6.3. The logistic regression model correctly predicted 64.3 percent of cases with severe disease. CONCLUSIONS:The data indicate that the periodontal health of these patients is poor. Risk indicators or markers of poor periodontal health in the population studied included missing teeth, plaque scores, age, current smoking status, regularity of dental visits, and flossing frequency. This supports previous findings that behavioral factors play an important role in periodontal disease.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Sbaraglia M,Turnbull RS,Locker Ddoi
10.1111/j.1752-7325.2002.tb03421.xsubject
Has Abstractpub_date
2002-01-01 00:00:00pages
51-6issue
1eissn
0022-4006issn
1752-7325journal_volume
62pub_type
杂志文章abstract::The racial and ethnic diversity of the US oral health care workforce remains insufficient to meet the needs of an increasingly diverse population and to address persistent health disparities. The findings from a recent national survey of underrepresented minority dentists are reviewed and recommendations are made for ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/jphd.12219
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVES:An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults. METHODS:At baseline, 681 Washington State employees and their spouses, aged 20 to 34 years and residing in the Olympia or Pullman areas, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1997.tb02469.x
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVES:Childhood obesity is a major US health concern, and oral health professionals have opportunities to participate in an interprofessional effort to intervene owing to their access to young patients and their abilities in addressing obesity-related dietary habits like consumption of sugar-sweetened beverages (S...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12240
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:The objective of the study was to describe and compare the prevalence and severity of dental fluorosis in children who participated in an eight-year clinical trial of the effectiveness of school-based fluoride procedures according to three treatment regimens and age of regimen initiation. METHODS:At baselin...
journal_title:Journal of public health dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1752-7325.1995.tb02361.x
更新日期:1995-07-01 00:00:00
abstract::The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spendin...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12412
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:Methamphetamine (MA) is a widely used illicit drug and a nationwide public health concern. Although dental complications are consistently reported among MA users, yet limited nationally representative studies on the associations between MA use and oral health currently exist. METHODS:Using the National Heal...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12389
更新日期:2020-08-18 00:00:00
abstract:OBJECTIVE:This paper reviews case definitions and clinical diagnostic criteria of early childhood caries (ECC) and severe ECC (S-ECC) in children aged 1 to 5 years old. The acronym S-ECC as used in this paper refers to nursing caries, baby bottle tooth decay, rampant caries, labial caries, maxillary anterior caries, an...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,meta分析
doi:10.1111/j.1752-7325.1999.tb03267.x
更新日期:1999-07-01 00:00:00
abstract::When used properly, sealants result in improved dental health. However, their use on all occlusal tooth surfaces for preventive reasons will result in wasted dental care resources. To optimize the preventive effects of sealants, a delivery model should be initiated that uses specially trained dental hygienists or dent...
journal_title:Journal of public health dentistry
pub_type: 评论,杂志文章,评审
doi:10.1111/j.1752-7325.1995.tb02384.x
更新日期:1995-01-01 00:00:00
abstract::An evaluation of the effectiveness of the Toothkeeper program was performed in Houston to determine if participation in the program by elementary school children would result in their having cleaner teeth and better gingival health than seen in similar children not in the program. Assessments for plaque and gingivitis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1975.tb04029.x
更新日期:1975-04-01 00:00:00
abstract::Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1984.tb03077.x
更新日期:1984-10-01 00:00:00
abstract:OBJECTIVES:Few health literacy instruments are available to clinicians to help understand the implications of patient difficulty understanding health information. Those that do exist are lengthy and would not be conducive to use in a busy clinical setting. Long-term dental and medical outcomes may improve if health car...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12005
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Clinical guidelines for tobacco use cessation (TUC) counseling recommend that healthcare professionals should provide brief tobacco counseling for all tobacco users. Widespread implementation of these guidelines seems to be insufficient. To enhance adherence to TUC counseling guidelines, it is essential to i...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12019
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental rec...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12435
更新日期:2020-12-06 00:00:00
abstract:OBJECTIVE:This study compares dental caries experience in fluoridated and nonfluoridated communities. METHODS:A dental health survey designed to collect data on caries experience and treatment needs for community-specific public health planning purposes was conducted in public elementary schools during the 1996-97 sch...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2001.tb03385.x
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVES:This paper reports the results of a three-year evaluation of access to dental care and its associated costs for Aid to Families with Dependent Children (AFDC) beneficiaries enrolled in a hospital-based health maintenance organization (HMO) or a fee-for-service (FFS) option. METHODS:Medicaid enrollees (n = 3...
journal_title:Journal of public health dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1752-7325.1996.tb02462.x
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVES:This paper describes the development of a new literacy assessment instrument, the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (HKOHLAT-P). Its relationship to literacy theory is analyzed to establish content and face validity. Implications for construct validity are examined by an...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12033
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:The majority of Canadians believe that the government should play some role in providing dental care within Canada's health care system. However, it is unclear whether Canadians consider this as a top public priority. This study determines whether dental care is a public priority among Canadian adults relati...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00324.x
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVES:The "optimal" intake of fluoride has been widely accepted for decades as between 0.05 and 0.07 mg fluoride per kilogram of body weight (mg F/kg bw) but is based on limited scientific evidence. The purpose of this paper is to present longitudinal fluoride intake data for children free of dental fluorosis in t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2008.00108.x
更新日期:2009-04-01 00:00:00
abstract::This paper presents a review of the literature on glass ionomer cements used as fissure sealants. An objective assessment of the presently available scientific literature on the use of glass ionomer materials as pit and fissure sealants is not encouraging in terms of retention, but appears somewhat more positive for c...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.1996.tb02425.x
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006-2007 data to update available knowledge on dentist productivity. METHODS:In 2006-2007, the authors surveyed 1,604 Oregon general dentists regarding-hours worked, practice size, payment and patient mix, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2010.00180.x
更新日期:2010-10-01 00:00:00
abstract::Since 1973 the government of Alberta, a Canadian province of 2.4 million people, has funded a dental care plan for all residents over 64 years old and their dependents. It is the only dental plan in North America that covers all seniors and their dependents residing in a state or province. Under this plan, just over 2...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02286.x
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (E...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00369.x
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:This study sought to determine (1) knowledge of risk factors for oral cancer, (2) knowledge of signs and symptoms of oral cancers, and (3) factors associated with having had an oral cancer examination among 916 Maryland adults 18 years of age and older. METHODS:A statewide, random-digit dial, computer-assis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1998.tb03010.x
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relativ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00148.x
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:We estimated the effect of South Carolina's (SC) Medicaid fluoride varnish (FV) reimbursement policy on children's receipt of fluoride varnish in medical (MFV) and dental (DFV) settings. METHODS:We obtained data from SC Medicaid enrollment and claims files for children ≤ 47 months of age across State Fiscal ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12163
更新日期:2016-09-01 00:00:00
abstract::The objective of this paper is to describe the purpose, rationale and key elements of the special issue, Improving Oral Healthcare Delivery Systems through Workforce Innovations. The purpose of the special issue is to further develop ideas presented at the 2009 Institute of Medicine (IOM) workshop, Sufficiency of the ...
journal_title:Journal of public health dentistry
pub_type:
doi:10.1111/j.1752-7325.2010.00179.x
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVES:Bottled water consumption in the United States has greatly increased in the past decade. Because the majority of commercial bottled water is low in fluoride, there is the potential for an increase in dental caries. In these secondary data analyses, associations between bottled water use and dental caries wer...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2007.00013.x
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To explore whether there are socioeconomic, ethnic, and geographical inequalities in dental caries among 12-year-old Chinese children. METHODS:Data from 2,307 12-year-old children living in Guangxi, Hubei, Jilin, and Shanxi and who participated in the Third National Oral Health Survey in China were used for ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12091
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:Community water fluoridation (CWF) is one of the greatest public health achievements of the 20th century. Despite this achievement, there are still misunderstandings about the safety of water fluoridation. Previous communication campaigns advocating CWF have been unsuccessful in combating these misunderstand...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12404
更新日期:2020-10-15 00:00:00
abstract:OBJECTIVES:Currently, there is a deficit of information on policies regarding oral hygiene practices in Toronto daycares. It is unknown if any tooth-brushing programs are in existence and if children are permitted to follow professional advice on oral hygiene. The main objectives of this investigation were to a) determ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00123.x
更新日期:2009-07-01 00:00:00