ABSTRACT
Introduction: Oral status has a clear impact on systemic health, a key component of successful aging. Awareness of oral disorders permits early diagnoses and treatments. This study investigates oral disorders awareness among community-dwelling elders. Methods: Community-based survey through face-to-face interviews undertaken in four cities at busy commercial and administrative areas. Results: A total of 789 people were recruited, mostly nonsmoker (60.3%) males (56.9%) with basic education (65.6%). The most frequently recalled disorder was bruxism, followed by periodontal diseases and ulcerations/aphthae. Caries was mentioned by 3.91%. Dentate participants were more aware of dental-related disorders, such as bruxism (p = .001) and periodontitis (p = .010), except for caries (p = .100). Caries awareness was related to educational level (p = .018) and smoking (p = .020), as was oral cancer (p = .019) with former smokers more aware of this neoplasm. Education was strongly related with periodontal awareness (p = .001). Conclusion: Awareness of the main oral disorders is worryingly poor among the elderly population and immediate action is required by taking advantage of the position of family nurses in the treatment of systemic chronic disorders and through educational interventions on this population subgroup to ease preventive behaviors, favor early diagnoses, and promote simpler, more effective treatments with a lower financial burden.
Subject(s)
Bruxism , Periodontal Diseases , Aged , Educational Status , Female , Humans , Independent Living , Male , Oral Health , Periodontal Diseases/epidemiology , Periodontal Diseases/prevention & control , SmokingABSTRACT
OBJECTIVE: To describe family nurses self-reported oral hygiene practices and to compare them with those of their potential patients in a public, free, and universal primary healthcare system. MATERIAL AND METHODS: Cross-sectional study using an anonymous questionnaire applied to randomly selected participants and their family nurses. RESULTS: A total of 1,394 people entered the study (1,326 laypersons, 66 nurses). Not all nurses reported to brush their teeth daily. Daily interdental cleaning scored percentages lower than mouthwashes. Devices like oral irrigators or tongue scrappers were not used by family nurses. CONCLUSIONS: Nurses' oral self-care routines are similar to those of university graduates, with poor reported interdental cleaning. Oral health promotion activities may contribute to nurse's oral health and could have a positive effect on their patients.
Subject(s)
Oral Health , Oral Hygiene , Cross-Sectional Studies , Humans , Mouthwashes , Surveys and QuestionnairesSubject(s)
Humans , Male , Female , Mouth Mucosa/cytology , Mouth Neoplasms/classification , Mouth Neoplasms/diet therapy , Mouth Neoplasms/diagnosis , Mouth Neoplasms/drug therapy , Mouth Neoplasms/epidemiology , Mouth Neoplasms/prevention & control , Mouth Neoplasms/physiopathology , Mouth Neoplasms/rehabilitation , Mouth Neoplasms/radiotherapy , Mouth/anatomy & histology , Mouth/blood supply , Mouth/cytology , Mouth/embryology , Mouth/growth & development , Mouth/injuries , Mouth/radiation effects , Mouth/surgerySubject(s)
Life Expectancy , Mouth Neoplasms/mortality , Aged , Aged, 80 and over , Catchment Area, Health , Female , Humans , Male , SpainABSTRACT
AIM: To ascertain the impact of routine application of the informed consent form at the primary dental care units of the Galician Health Service. STUDY DESIGN: Non random selection of consecutive patients seeking tooth extraction between 9 January and 7 March 2007 at the dental care units of Burela, Praza do Ferrol and Viveiro (Lugo). The study included sociodemographic, clinical, utilization, behavioural and IC-related variables. MAIN RESULTS: A total of 462 patients, mainly males (n=249; 53.9%) entered the study. The mean age of the participants was 57.87+/-17.54 years. 93.7% of the patients gave their consent for tooth extraction, whereas 47.3% did not want to be informed. The average time employed for obtaining the informed consent was 3.40+/-1.87 minutes, with a median of 4 and the same mode. The referred stress values did not differ before and after reading the informed consent form 3.28+/-2.52 vs 3.41+/-2.45 (p=0.661). CONCLUSION: Routine application of the informed consent form before tooth extraction under local anaesthesia did not impair clinical practice nor is it a barrier to dental care. The use of this form does not require changes beyond the allocation of the time necessary for its completion.
Subject(s)
Informed Consent/statistics & numerical data , Informed Consent/standards , Oral Surgical Procedures , Adolescent , Adult , Aged , Child , Child, Preschool , Dental Clinics , Female , Hospitals, Public , Humans , Infant , Male , Middle Aged , Records , SpainABSTRACT
Aim: To ascertain the impact of routine application of the informed consent form at the primary dental care units of the Galician Health Service. Study design: Non random selection of consecutive patients seeking tooth extraction between 9 January and 7 March 2007 at the dental care units of Burela, Praza do Ferrol and Viveiro (Lugo). The study included sociodemographic, clinical, utilization, behavioural and IC-related variables. Main results: A total of 462 patients, mainly males (n=249; 53.9%) entered the study. The mean age of the participants was 57.87±17.54 years. 93.7% of the patients gave their consent for tooth extraction, whereas 47.3% did not want to be informed. The average time employed for obtaining the informed consent was 3.40±1.87 minutes, with a median of 4 and thesame mode. The referred stress values did not differ before and after reading the informed consent form 3.28±2.52 vs 3.41±2.45 (p=0.661). Conclusion: Routine application of the informed consent form before tooth extraction under local anaesthesia did not impair clinical practice nor is it a barrier to dental care. The use of this form does not require changes beyond the allocation of the time necessary for its completion
Subject(s)
Humans , Consent Forms , Dental Service, Hospital/organization & administration , Tooth Extraction/standards , Anesthesia, Dental/standardsABSTRACT
AIMS: to determine the prevalence of dental fear amongst primary dental care units (PDCU) patients and to characterize them according to socio-demographic features. STUDY DESIGN: non-probabilistic sampling on new and consecutive patients demanding exodontia at the Burela, Praza do Ferrol and Viveiro (Lugo) PDCUs from 9 january to 7 march and from 18 june to 21 september 2007. The variables considered were "demographic" (age, gender, address and educational level), "treatment-related" (reason for extraction, root extraction), "attitudes" (accompanied yes/no, spontaneous fear comments yes/no) and "stress" determined using a visual analogue scale (VAS). RESULTS: A total of 804 patients entered the study. The mean VAS value was 3.54+/-2.63 (range 0 to 10; median 2.95; mode 0). A 96.8% referred some degree of stress, and a 10.1% of the sample scored high values (>7.5 in the scale). These values resulted to be influenced by sex (p=0.000), address (p=0.025) and by the presence of an accompanying person in the room (p=0.008). Logistic regression analysis identifies female gender (OR=3.26; 95%CI: 1.93 , 5.49), urban (OR=2.02 95%CI: 1.04 , 3.91) or rural (OR=2.16; 95%CI: 1.15 , 4.08) address and the absence of an accompanying person in the room (OR=1.68; 95%CI: 1.05 , 2.70) as predictors for a high level of stress. CONCLUSION: A 10.1% of the patients experience a high level of stress before tooth extraction. This phenomenon is more common among unaccompanied women from rural or urban areas.
Subject(s)
Dental Anxiety/epidemiology , Stress, Psychological/epidemiology , Adolescent , Adult , Aged , Dental Care , Female , Humans , Male , Middle Aged , PrevalenceSubject(s)
Tooth Extraction/statistics & numerical data , Adolescent , Adult , Aged , Dental Caries/surgery , Female , Humans , Male , Middle Aged , SpainABSTRACT
No disponible
Aims: to determine the prevalence of dental fear amongst primary dental care units (PDCU) patients and to characterize them according to socio-demographic features. Study design: non-probabilistic sampling on new and consecutive patients demanding exodontia at the Burela, Praza do Ferrol and Viveiro (Lugo) PDCUs from 9 january to 7 march and from 18 june to 21 september 2007. The variables considered were demographic (age, gender, address and educational level), treatment-related (reason for extraction, root extraction), attitudes (accompanied yes/no, spontaneous fear comments yes/no) and stress determined using a visual analogue scale (VAS). Results: A total of 804 patients entered the study. The mean VAS value was 3.54±2.63 (range 0 to 10; median 2.95; mode 0). A 96.8% referred some degree of stress, and a 10.1% of the sample scored high values (>7.5 in the scale). These values resulted to be influenced by sex(p=0.000), address (p=0.025) and by the presence of an accompanying person in the room (p=0.008). Logistic regression analysis identifies female gender (OR=3.26; 95%CI: 1.93 , 5.49), urban (OR=2.02 95%CI: 1.04 , 3.91) or rural (OR=2.16; 95%CI: 1.15 , 4.08) address and the absence of an accompanying person in the room (OR=1.68; 95%CI: 1.05 , 2.70) as predictors for a high level of stress. Conclusion: A 10.1% of the patients experience a high level of stress before tooth extraction. This phenomenon is more common among unaccompanied women from rural or urban areas
Subject(s)
Humans , Male , Female , Dental Anxiety/epidemiology , Primary Health Care/statistics & numerical data , Tooth Extraction/psychology , Educational Status , Sex Distribution , Age DistributionABSTRACT
No disponible
No disponible
Subject(s)
Humans , Male , Female , Child , Adult , Middle Aged , Surgery, Oral/methods , Surgery, Oral/trends , Primary Health Care/methods , Surgery, Oral/statistics & numerical data , Surgery, Oral/classification , Dental Caries/epidemiology , Periodontitis/epidemiology , Orthodontics/classification , Orthodontics/methodsABSTRACT
Enseñar el correcto cepillado de dientes a alumnos de enseñanza primaria en el propio colegio es un recurso ampliamente empleado en la educación sanitaria. El artículo analiza los resultados de una intervención educativa de instrucciones en higiene oral sobre 58 escolares de seis años del ayuntamiento de Burela (Lugo). Tras recibir instrucciones de cepillado mediante la técnica rotatoria, presentan dificultades en las hemiarcadas derechas, la arcada inferior en general y las caras linguales de los molares en particular(AU)
To teach how to correctly brush teeth to elementary students in their own school is a method widely used by health educators. This article analyses the results of an educational project promoted by the Burela, Lugo mayors office which instructed 58 six-year-old students in oral hygiene. After receiving instructions how to brush their teeth using a rotational technique, those students had problems with their right side half arches, lower dental arch in general, and the molar tongue faces(AU)
Subject(s)
Humans , Male , Female , Child , Health Education/methods , Dental Caries/prevention & control , Toothbrushing/methods , Health Promotion/methods , Dental Caries/epidemiology , Nursing Care/methods , School Health ServicesABSTRACT
Fundamento: La literatura muestra muy dispares prevalencias de cáncer oral que podrían reflejar distinto consumo de alcohol y tabaco. Por ello, el objetivo de este estudio ha sido determinar el riesgo de padecer cáncer oral atribuible al consumo de alcohol y tabaco en una zona básica de salud. Material y método: Estudio de casos y controles, donde los casos fueron los tratados en el Centro Oncológico de Galicia durante los años 1996-2000 y los controles fueron obtenidos entre los pacientes asignados al Centro de Salud de Burela (Lugo) mediante un muestreo consecutivo no probabilístico, realizado en marzo de 2000. Resultados: Fumadores entre los casos: 83,8% (n=62), por 26,4% (n=32) entre controles (p=0,000). Cigarrillos consumidos por día (37,43±25,99 por 17,67±13) p=0,000. El riesgo de cáncer oral fue 5,90 veces mayor en fumadores. De cada 100 cánceres orales en fumadores, 83 se explicarían por el hábito tabáquico. El riesgo de cáncer oral atribuible al consumo de alcohol, fue de 0,23 con un riesgo relativo de 2,04 y una fracción etiológica de riesgo del 0,51. Conclusión: A la vista de los resultados, nuestra responsabilidad en la información, consejo y ayuda a los pacientes con prácticas de riesgo no puede ser obviada (AU)
Background: Wide differences in oral cancer prevalence have been reported that may account for disparities in alcohol and tobacco consumption. Thus, the aim of this study was to ascertain the risk of oral cancer attributable to alcohol and tobacco consumption in a primary health zone. Methods and materials: A case-control study of oral cancer patients treated at the Galician Cancer Centre from 1996 to 2000. Controls: primary care patients, selected by a non-random, consecutive method, from those treated at the Burela Primary Care Clinics in March 2000. Results: The number of case smokers was: 83.8% (n=62), vs. 26.4% (n=32) in the controls (p=0,000). The number of cigarettes consumed per day was (37.43±25.99 vs. 17.67±13) p=0.000. The risk of oral cancer was 5.90 fold among smokers. Out of every 100 oral cancers in smokers, 83 could be attributed to smoking tobacco. The risk of oral cancer attributable to alcohol was 0.23 with a relative risk of 2.04 and the etiological risk fraction was 0.51. Conclusion: The dentist plays a key role in providing information, counselling and help to those patients with risk habits (AU)
Subject(s)
Humans , Smoking/adverse effects , Alcohol Drinking/adverse effects , Mouth Neoplasms/etiology , Carcinogens/analysis , Risk Factors , Primary Prevention/methods , Case-Control StudiesABSTRACT
Fundamento: La literatura muestra muy dispares prevalencias de cáncer oral que podrían reflejar distinto consumo de alcohol y tabaco. Por ello, el objetivo de este estudio ha sido determinar el riesgo de padecer cáncer oral atribuible al consumo de alcohol y tabaco en una zona básica de salud. Material y método: Estudio de casos y controles, donde los casos fueron los tratados en el Centro Oncológico de Galicia durante los años 1996-2000 y los controles fueron obtenidos entre los pacientes asignados al Centro de Salud de Burela (Lugo) mediante un muestreo consecutivo no probabilístico, realizado en marzo de 2000. Resultados: Fumadores entre los casos: 83,8% (n=62), por 26,4% (n=32) entre controles (p=0,000). Cigarrillos consumidos por día (37,43±25,99 por 17,67±13) p=0,000. El riesgo de cáncer oral fue 5,90 veces mayor en fumadores. De cada 100 cánceres orales en fumadores, 83 se explicarían por el hábito tabáquico. El riesgo de cáncer oral atribuible al consumo de alcohol, fue de 0,23 con un riesgo relativo de 2,04 y una fracción etiológica de riesgo del 0,51. Conclusión: A la vista de los resultados, nuestra responsabilidad en la información, consejo y ayuda a los pacientes con prácticas de riesgo no puede ser obviada
Background: Wide differences in oral cancer prevalence have been reported that may account for disparities in alcohol and tobacco consumption. Thus, the aim of this study was to ascertain the risk of oral cancer attributable to alcohol and tobacco consumption in a primary health zone. Methods and materials: A case-control study of oral cancer patients treated at the Galician Cancer Centre from 1996 to 2000. Controls: primary care patients, selected by a non-random, consecutive method, from those treated at the Burela Primary Care Clinics in March 2000. Results: The number of case smokers was: 83.8% (n=62), vs. 26.4% (n=32) in the controls (p=0,000). The number of cigarettes consumed per day was (37.43±25.99 vs. 17.67±13) p=0.000. The risk of oral cancer was 5.90 fold among smokers. Out of every 100 oral cancers in smokers, 83 could be attributed to smoking tobacco. The risk of oral cancer attributable to alcohol was 0.23 with a relative risk of 2.04 and the etiological risk fraction was 0.51. Conclusion: The dentist plays a key role in providing information, counselling and help to those patients with risk habits
