Three hundred and forty 5 year old children from 18 state primary schools in Lambeth were examined as part of the BASCD oral epidemiological programme in 2008. The collection of the data was undertaken between February and June 2008. The children were recruited from local state schools using a two stage stratified sampling strategy. The dental examination was undertaken by trained and calibrated examiners and recorded the children’s caries experience, oral hygiene levels and presence of acute infection. Caries was diagnosed at the level of dentinal involvement by visual inspection. No personal demographic data were recorded for the children, though parents and guardians were asked to supply the postcodes of the children’s main residences. The post code of the state primary school was also recorded. The child’s and the school’s postcode allowed the identification of the Index of Multiplied Deprivation (IMD) score and rank of the school the child attended and the child’s residence.
In this study it was hypothesised that children from more socio-economically deprived areas would have more experience of dental caries than children from less deprived areas as measured by the IMD 2007. The IMD is a composite score derived from seven domains (income, employment, health, housing, education, local environment and crime measured using 38 different measures). Each area reflects a local area population of 1500 people. The calculation of the IMD 2007 is based on the Super Output Area (SOAs) and this was according the Government Office for London 2007. There are six measures for the IMD at every local authority level: average score, average rank, extent, local concentration, income scale, employment scale. In this study the measures used fo...
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...The Scatter plot was prepared for the depravities variable and the components of the dmft (s). Then the correlation of this study was presented by Spearman’s to test the relationship between the continuous variables of oral health indices and area deprivation (table 4.5) and there was no significant difference between indices
Figure 4.4 Scatter diagram between the score and the decayed surfaces
Table 4.5 presents the correlation Spearman’s for the score and the rank of IMD and dental components.
Spearman’s
IMD Score P Value Spearman’s
IMD Rank P Value
DS .039 0.607 -.039 .607
DT .053 .484 -.053 .484
MS -.045 0.558 .045 .558
MT -.045 0.558 .045 .558
FS .026 0.736 -.026 .736
FT 008 917 -.008 .917
DMFT -.004 .954 .004 .954
[8] Garcia R, Henshaw M, Krall A. Relationship between periodontal disease and systemic health. Periodontology 2000, 25: 21–36
I am fortunate that my experiences have made me aware of these things so that when I do return to these communities as a dentist, I can not only better serve my patients as a provider, but I can also be a leading advocate for the change that is so desperately needed by the individuals in these communities. As I continue along my career path in dentistry, I intend to keep volunteering in dental clinics in underserved communities as well as participating in formal organizations such as Saving Smiles to more effectively address these issues as well as enhance my understanding of the dental field. Perhaps while I serve in these communities, I can inspire and support future health professionals that will continue to advance the incredible changes that our health fields are currently
A person’s health along with the health of a community are influenced heavily by the social determinants of health. These determinants create a strong foundation for a healthy and proper development of a community (Public Health Agency of Canada, 2013). Further, a proper foundation will allow the children within the community to develop properly, which will foster their potential for intellectual and physical intelligence. This paper will explore the effects of healthy childhood development, personal health practices and coping skills, health services and income and social statuses with in the Maple Leaf neighbourhood. Further, this paper will explore how the above social determinants of health directly affect the students of St. Fidelis school. Lastly, this paper will explain how the rise in cavities within these children is an issue as well as approached to overcome this issue.
The Faculty of General Dental Practice is responsible for continued professional development of dental clinicians. It is committed to improving standards of patient care within dentistry by providing up to date publications and guidelines for clinicians. The standards and guidelines by the FGDP are evidence based and are recognised as authoritative statements of good practice within the profession (REF). The FGDP have produced standards and evidence-based guidelines detailing the Selection Criteria for Dental Radiography (REF).
Therefore the assessment of patient 's health history and radiographs, would be a great tools for the dental hygiene to identify risk factors and compare bone density between previous and actual x-rays, respectively. Based on the information gathered during the patient 's annual dental visit, the hygienist may want to suggest the patient to see a physician who can check for bone mineral density . Overall, the dental hygiene appointment may be a perfect scenario for nutritional counseling about osteoporosis, for those patients that are predisposed to low bone density since many times osteoporosis remains silent for
Sundby, A., & Petersen, P. E. (2003). Oral health status in relation to ethnicity of children in the Municipality of Copenhagen, Denmark. International Journal of Paediatric Dentistry, 13(3), 150-157.
People living in areas such as Playford, has shown to have a lower socioeconomic position, which made them at highest risk of poor health (WHO, 2017). Then, the social determinants of health support the understanding the difference between populations health levels, but also the reasons behind why some groups are healthier than others (Marmot, 2005) and the issue becomes a little bit deeper as people living in different areas related to others differently, so then the social stratification of health is affected by differences in gender, marital status, residential areas and ethnicity (Elstad,
Each country in today’s world has their own growth and their own dental care system. As you can see in appendix 5 and 6 you will see “Scorecard assessment of state of evidence for action, leadership, resources and health systems in important areas of oral health”(Beaglehole Pg 90). The global scale is organized in 3 categories high income, middle income and low income countries. High income countries world population is on...
Over time as individuals age and are faced with access to care issues they may begin to neglect their oral health. As time passes between dental hygiene cleanings or dentist visits the presence of oral disease may begin to increase.
In the Dental Hygiene field, many challenges come about every day and during different situations. Every day there are new challenges and unusual situations that occur in the dental field, but one challenge that continues to come about and has been a big dispute over the years is the ability to provide beneficial information about oral health care for the underprivileged. For the individuals that are not fortunate enough to pay to have services done in the dental office, lack the knowledge of how important good oral health care is. They do not receive the one on one conversations explaining the significance of taking care of your teeth and gums that the patients who can afford to make appointments and receive essential services do. That
(1) LOW INCOME AND LACK OF INSURANCE: A number of studies have linked poor oral health with low socioeconomic status. Affordability is identified as major challenge in accessing dental care. “For instance, 17.3 per cent of the whole population (i.e., approximately
In New Zealand, children who meet certain eligibility criteria for publicly funded health and disability services are entitled to free basic oral health services until they are 18 (Publicly Funded Dental Care). As a result, there are drastically less untreated cavities for children covered by this plan compared to children on tribal reserves. Oral health for children in New Zealand is significantly better than the rest of the world, and we can definitely learn from their success by incorporating a government dental care system, at least on a small
At the previous appointment, the patient received education in regards to flossing more frequently and brushing more efficiently. Probing was completed to measure bone health,
Another factor in the prevention of poor personal hygiene is addressing the prevention of dental diseases and infections. I brush my teeth at least twice a day in a vertical or circ...
Abstract: The aim of this study was to investigate the reasons for primary teeth extraction and to identify the most frequently extracted tooth among Jordanian children who were seen at a pedodontic clinic at King Hussein Medical Center in Amman – Jordan.