ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02368.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02369.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives:The purpose of this study is to determine the relationship of self‐rated oral health to a comprehensive battery of clinical, sociodemographic, physical health, and mental health measures in a well‐elderly urban population.Methods: Results are based on telephone interviews and clinical assessments of 550 subjects over 65 years of age participating in a Los Angeles‐based Medicare project during 1990. Subjects were mostly female, white (89%), with above‐average income.Results: Findings show that: (1) the DMF measure is not as strongly related to self‐rated oral health as was a single measure of missing teeth; (2) the major predictors of self‐rated oral health were “worry about teeth” and “appearance of teeth” followed by total missing teeth, race, education, and depression scores; and (3) self‐rated general health is related to self‐rated oral health.Conclusion: Self‐rated oral health may be, for older adults, a better measure of “

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02370.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives: This study investigated variations in impact of oral disorders between older black adults and older white adults living in North Carolina.Methods: Using the Oral Health Impact Profile (OHIP) questionnaire, 440 participants aged 70 and older provided data on their perceptions of the impact of oral disease on aspects of their lives during the previous 12 months.Results: For 22 of the 49 items queried in the OHIP questionnaire, older blacks reported more frequent impact than older whites(P<.05). For none of the OHIP items did whites report more frequent impact. The impacts reported were diverse and included items reflecting pain, physical disability, psychological disability, and social disability. When the number of items occurring fairly often or very often were summed for dentate participants, blacks reported more items than did whites (3.7 vs 1.1, P<.0001). This difference decreased to 2.7 vs 2.0(P<.346) after controlling statistically for greater mean periodontal pocket depth, more unreplaced missing teeth, and more episodic dental visits among blacks.Conclusions: Older dentate blacks reported more impact from oral problems than older dentate whites. The differences in reported impact likely are linked to differences in oral status and dental visit history between these two racial groups in North Carolina.

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02371.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives:Studies examining satisfaction with dental health care among the poor are quite rare. This study was done to confirm the internal structure and reliability of the Dental Satisfaction Questionnaire (DSQ), a measure of dental care satisfaction, among a low‐income population, and provide normative data regarding dental satisfaction among low‐income people.Methods: Subjects were 895 mothers of school‐aged children who were administered the DSQ as part of a larger study of dental utilization and dental fears in Seattle.Results: Factor analysis largely confirmed the factor structure of the DSQ. Results also suggested subjects in this sample were less satisfied with pain management than nonpoor people. Self‐reported dental health and dental appearance were associated with satisfaction with pain management, quality of care, access to care, and overall satisfaction. Race/ethnicity, education level, marital status, nation of origin, and type of insurance predicted differences in satisfaction with pain management and access.Conclusions: Barriers to dental care and quality of care among low‐income populations are discussed. Uses and research with the DSQ are

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02372.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives: This study assessed associations between exposure to fluoride in water and dental caries experience among children in two Australian states.Methods: Cross‐sectional data were obtained from 9, 690 South Australian children aged 5–15 years and 10, 195 Queensland children aged 5–12 years. School dental service practitioners recorded DMFS and dmfs data. A questionnaire to parents gained information about residential history that was used to calculate children's percent of lifetime exposed to fluoridated water.Results: Greater exposure to fluoride in water was associated with lower dmfs and DMFS in both states(P<.01), although in South Australia the effect for DMFS was statistically significant only after controlling for extent of unknown fluoridation exposure and for fluoride supplements. Caries‐fluoridation associations were stronger for dmfs compared with DMFS and for Queensland (5% of population fluoridated) compared with South Australia (70% of population fluoridated). Effects for DMFS persisted after controlling for socioeconomic factors.Conclusions: Fluoridation was associated with lower caries experience. The weaker association with DMFS in South Australia may be due to less caries and more fissure sealants in that state, and is consistent with a “diffusion” effect, whereby a high proportion of the population exposed to fluoridation diminishes differences among expo

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02373.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives:This study assessed the treatment and posttreatment effects of a school‐based, fluoride mouthrinse regimen.Methods: Children in a nonfluoridated community in Japan participated in a daily rinse program using a 0.05 percent NaF solution in nursery and primary schools, and a weekly rinse with 0.2 percent NaF in junior high school. Students were examined at least annually for dental caries and dental treatment was provided in a public dental clinic through the ninth grade. Incipient carious lesions with no cavitation were not restored.Results: The percent of children in grades one through nine (6–14 years of age) with caries‐free permanent teeth increased from 13.4 percent in 1974 to 73.0 percent in 1991, while the mean DMFT decreased by 86 percent during this period. For 12‐year‐olds, mean DMFT scores declined to about one tooth per child after 1982. For adults 20 years of age, there was a 64 percent difference in DMFS between the treatment group who started the rinse regimen at 4 years of age and continued for 11 years, and the controls who lived in different districts and did not participate in a fluoride rinse regimen.Conclusions: Children who began rinsing at 4 or 5 years of age benefited the most from the program. The program was inexpensive, simple to implement and well accepted by families and teachers. The conservative treatment policy in the public clinic likely contributed to the benefits derived by par

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02374.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives:The aim of the present study was to investigate the effects of a community‐based milk fluoridation project on dental caries.Methods: Fluoridated milk was provided to about one‐half of kindergarten and other schoolchildren in Asenovgrad, a town in the southern part of Bulgaria. The estimated daily milk consumption was 200 ml containing 1 mg of fluoride (∼5 ppm F). Cross‐sectional samples of 61/2‐year‐olds in Asenovgrad and Panaguriche (a nearby town selected as the reference community) were examined at the start of the study in 1988 and after three years. Additional cross‐sectional samples of 7 1/2‐year‐olds in Asenovgrad who were and were not drinking fluoridated milk were examined at baseline and at three years to provided an internal control group. Samples of 6 1/2‐and 8 1/2‐year‐olds from Asenovgrad and Karlovo were examined in 1993 to provide for five‐year follow‐up comparisons.Results: In 6 1/2‐year‐old children who had consumed fluoridated milk for three years, there was a decrease in the mean dmft per child of 40 percent and in the mean DMFT of 89 percent compared to children examined at baseline. Children in Asenovgrad who were 4 1/2 years old at the start of the study and had been drinking fluoridated milk for three years had on average 44 percent fewer dmft and 83 percent fewer DMFT at 7 1/2 years of age than those not drinking fluoridated milk. After five years the dmft index was 40 percent less and the DMFT index 79 percent less in those children who had participated in the full five years of the program compared to the control group.Conclusions: Results seem to confirm the caries‐reducing effects of milk fluoridation found in previous studies. Unexpected large caries reductions obtained in this nonexperimental study, however, probably cannot be attributed to the fluoridation of milk alone. The mere introduction of the project might have led to other changes affecting dental caries, such as improved oral

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02375.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractPurpose: The purpose of this study was to determine an improved estimate of the critical period for susceptibility to fluorosis in human maxillary central incisors.Methods: The fluorosis score, S, of the incisal (I), middle (M), and cervical (C) third divisions on the labial surface of right maxillary central incisors of subjects (a representative sample of 1,085 Hong Kong Chinese children aged 7 to 12 years surveyed in 1986) was determined according to the Chronological Fluorosis Assessment (CFA) Index. Subject data were grouped by month of birth relative to June 1978, when the designated concentration for waterborne fluoride in the community water supply was reduced from 1.0 to 0.7 mg/L. The analytical task was one of finding the correlation maximum in a system of 12 variates and adjustable parameters including the waterborne fluoride concentration, [F‐], and the fluorosis score.Results: The main findings were: (1) the peak correlation of S vs [F‐] for the male incisal third centered at 17.5 months after birth; (2) and six months later for females; (3) the correlation of S with [F‐] is maximized for S(M) following S(I) by two months, and S(C) following S(M) by a further two months for both males and females; and (4) the critical period for exposure to fluoride is of about four months' duration for each third.Conclusions: The maxillary central incisor, as a whole, appears most at risk to fluorosis from dietary fluoride between age 15 and 24 months for males and between 21 and 30 months for fe

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02376.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractObjectives: This study examined the reasons for tooth loss in an adult population with dental insurance.Methods: Computerized records were used to identify Kaiser Permanente Dental Care patients aged 40–69 years who had an extraction during 1992 (n=1,877). A random sample of 839 dental charts were reviewed.Results: Slightly more than 51 percent of the teeth were extracted for periodontal disease, 35.4 percent for caries, 9.5 percent for a combination of the two, and 3.5 percent for other reasons. When considering patients as the unit of analysis, 58.4 percent of the patients had an extraction for caries, 39.9 percent for periodontal disease, 5.0 percent for both, and 2.6 percent for other reasons.Conclusions: In this population both caries and periodontal disease play a role in tooth loss. For this reason, prevention programs focusing on the prevention of both disease processes should be developed for adult

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1995.tb02377.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY