... A public health model of the dental care process. Grembowski D, Andersen RM, Chen M. ... Pati... more ... A public health model of the dental care process. Grembowski D, Andersen RM, Chen M. ... Patient Acceptance of Health Care*; Practice Management, Dental; Public Health Dentistry*; Social Class; Social Environment; Socioeconomic Factors; United States. Grant Support. ...
The aim of this study was to assess the relative contribution of dental services to the changes a... more The aim of this study was to assess the relative contribution of dental services to the changes and geographical variations in caries status of 5- and 12-year-old children in England and Wales in the 1980s. A secondary aim was to assess the association between caries experience and social factors. An ecological study analysing data at a district health authority level in England and Wales was conducted. Twenty-eight, 43 and 34 per cent of the variations in 5-year-old dmft in 1985, 1987 and 1989 respectively were explained by dental service activity indicators and 53, 62 and 57 per cent by social factors. Twenty-nine per cent of the variation in 12-year-old DMFT in 1988 was explained by dental service activity indicators and 46 per cent by social factors.
Review copies also can be provided to instructors who would like to examine a text for course ado... more Review copies also can be provided to instructors who would like to examine a text for course adoption. These review copies will be provided at the publisher's discretion, and only selected titles are available for this purpose. Where you see a link on the book's web page ...
The purpose of this investigation was to initiate the study of dental fear in Japan. 415 college ... more The purpose of this investigation was to initiate the study of dental fear in Japan. 415 college students, aged 18-22 yr were surveyed. A standardized questionnaire which has been used in the United States was translated into Japanese and was administered to the students. More than 80% of those surveyed reported some dental fear. Six to 14% of the students reported extreme fear of the dentist. The majority of the subjects admitted that they delayed making dental appointments due to fear. Muscle tension was the most common physiological symptom reported. The dental drill and needle were the most fear-provoking stimuli.
... Another characteristic of public health is that, through his ef-forts to attain prevention of... more ... Another characteristic of public health is that, through his ef-forts to attain prevention of disease, the ... Fortunately, few of the ethical decisions in the realm of public health are as difficult as that ... reason in the near future to fear either a declining population and cultural suicide or a ...
To assess the prevalence, severity and impact of dental pain. Cross-sectional survey. Schools in ... more To assess the prevalence, severity and impact of dental pain. Cross-sectional survey. Schools in the London Borough of Harrow, England, in the summer term of 1995. The base population were all 2,300 8-year-old school children in Harrow. A cluster sampling of schools based on quotas from all postcode areas in Harrow was used. Data were collected through interviews with the children. Prevalence of previous toothache; prevalence of toothache in the previous 4 weeks; prevalence of toothache in the previous 4 weeks which resulted in a visit to the dentist, in stopping playing, eating, sleeping, going to school and taking painkillers. Of the 664 sample of children in the participating schools, 589 were interviewed (88.7%). The frequency of previous toothache was 47.5% (95% CI, 44-52) and dental pain caused crying in 17.7% (95% CI, 15-21) of children. 7.6% (95% CI, 5-11) of children had pain in the previous 4 weeks (45 children). Among these 45 children, this recent pain resulted in a visit to the dentist in 41.9% (19 children, i.e. 3.2% of all children), in stopping playing in 26.7% (12 children, i.e. 2.0% of all children), eating in 73.3% (33 children, i.e. 5.6% of all children), sleeping in 31.1% (14 children, i.e. 2.4% of all children) and in going to school in 11.1% (5 children, i.e. 0.8% of all children). Toothache in children is a sizeable problem in Harrow and had substantial consequences for children and their guardians. Freedom from disabling dental pain/discomfort is an outcome indicator of oral health and could be used as an explicit goal by dental systems. It is important to note however, that the present study did not assess the extent to which the dental pain was associated with avoidable dental problems as opposed to normal physiological processes. It is important that future work try and separate the prevalence of dental pain caused by physiological from avoidable pathological factors. In addition, future work is needed to assess how effectively and efficiently dental services are responding to people suffering with dental pain.
Dental public health is essential to the practice of dentistry as it puts dentistry in context wi... more Dental public health is essential to the practice of dentistry as it puts dentistry in context within society and seeks to answer questions at a population level. This introductory book aims to stimulate the readers interest and encourage a questionning approach to dental ...
The dental profession has prime responsibility for the care of oral health problems in the U.S. M... more The dental profession has prime responsibility for the care of oral health problems in the U.S. Medicine has essentially relinquished responsibility for that part of the body. Dental public health primarily evolved from within the dental profession and it is unique in that a special area in public health was created to address the problems of a particular part of the body. Although one may not think of the major dental diseases--dental caries and periodontal disease--as particularly serious ones, the magnitude of the problem, as evidenced by the universality of the diseases and the extensive levels of untreated pathology, results in a public health problem of major proportions. The field has been expanding in scope and complexity with more emphasis being placed on the total dental care delivery system and its impact on oral health status. The concept of oral health has a very different meaning and value for people in different cultures and socio-economic classes. The prevalent philosophy in the U.S. places the prime responsibility for dental health on the individual.
... A public health model of the dental care process. Grembowski D, Andersen RM, Chen M. ... Pati... more ... A public health model of the dental care process. Grembowski D, Andersen RM, Chen M. ... Patient Acceptance of Health Care*; Practice Management, Dental; Public Health Dentistry*; Social Class; Social Environment; Socioeconomic Factors; United States. Grant Support. ...
The aim of this study was to assess the relative contribution of dental services to the changes a... more The aim of this study was to assess the relative contribution of dental services to the changes and geographical variations in caries status of 5- and 12-year-old children in England and Wales in the 1980s. A secondary aim was to assess the association between caries experience and social factors. An ecological study analysing data at a district health authority level in England and Wales was conducted. Twenty-eight, 43 and 34 per cent of the variations in 5-year-old dmft in 1985, 1987 and 1989 respectively were explained by dental service activity indicators and 53, 62 and 57 per cent by social factors. Twenty-nine per cent of the variation in 12-year-old DMFT in 1988 was explained by dental service activity indicators and 46 per cent by social factors.
Review copies also can be provided to instructors who would like to examine a text for course ado... more Review copies also can be provided to instructors who would like to examine a text for course adoption. These review copies will be provided at the publisher's discretion, and only selected titles are available for this purpose. Where you see a link on the book's web page ...
The purpose of this investigation was to initiate the study of dental fear in Japan. 415 college ... more The purpose of this investigation was to initiate the study of dental fear in Japan. 415 college students, aged 18-22 yr were surveyed. A standardized questionnaire which has been used in the United States was translated into Japanese and was administered to the students. More than 80% of those surveyed reported some dental fear. Six to 14% of the students reported extreme fear of the dentist. The majority of the subjects admitted that they delayed making dental appointments due to fear. Muscle tension was the most common physiological symptom reported. The dental drill and needle were the most fear-provoking stimuli.
... Another characteristic of public health is that, through his ef-forts to attain prevention of... more ... Another characteristic of public health is that, through his ef-forts to attain prevention of disease, the ... Fortunately, few of the ethical decisions in the realm of public health are as difficult as that ... reason in the near future to fear either a declining population and cultural suicide or a ...
To assess the prevalence, severity and impact of dental pain. Cross-sectional survey. Schools in ... more To assess the prevalence, severity and impact of dental pain. Cross-sectional survey. Schools in the London Borough of Harrow, England, in the summer term of 1995. The base population were all 2,300 8-year-old school children in Harrow. A cluster sampling of schools based on quotas from all postcode areas in Harrow was used. Data were collected through interviews with the children. Prevalence of previous toothache; prevalence of toothache in the previous 4 weeks; prevalence of toothache in the previous 4 weeks which resulted in a visit to the dentist, in stopping playing, eating, sleeping, going to school and taking painkillers. Of the 664 sample of children in the participating schools, 589 were interviewed (88.7%). The frequency of previous toothache was 47.5% (95% CI, 44-52) and dental pain caused crying in 17.7% (95% CI, 15-21) of children. 7.6% (95% CI, 5-11) of children had pain in the previous 4 weeks (45 children). Among these 45 children, this recent pain resulted in a visit to the dentist in 41.9% (19 children, i.e. 3.2% of all children), in stopping playing in 26.7% (12 children, i.e. 2.0% of all children), eating in 73.3% (33 children, i.e. 5.6% of all children), sleeping in 31.1% (14 children, i.e. 2.4% of all children) and in going to school in 11.1% (5 children, i.e. 0.8% of all children). Toothache in children is a sizeable problem in Harrow and had substantial consequences for children and their guardians. Freedom from disabling dental pain/discomfort is an outcome indicator of oral health and could be used as an explicit goal by dental systems. It is important to note however, that the present study did not assess the extent to which the dental pain was associated with avoidable dental problems as opposed to normal physiological processes. It is important that future work try and separate the prevalence of dental pain caused by physiological from avoidable pathological factors. In addition, future work is needed to assess how effectively and efficiently dental services are responding to people suffering with dental pain.
Dental public health is essential to the practice of dentistry as it puts dentistry in context wi... more Dental public health is essential to the practice of dentistry as it puts dentistry in context within society and seeks to answer questions at a population level. This introductory book aims to stimulate the readers interest and encourage a questionning approach to dental ...
The dental profession has prime responsibility for the care of oral health problems in the U.S. M... more The dental profession has prime responsibility for the care of oral health problems in the U.S. Medicine has essentially relinquished responsibility for that part of the body. Dental public health primarily evolved from within the dental profession and it is unique in that a special area in public health was created to address the problems of a particular part of the body. Although one may not think of the major dental diseases--dental caries and periodontal disease--as particularly serious ones, the magnitude of the problem, as evidenced by the universality of the diseases and the extensive levels of untreated pathology, results in a public health problem of major proportions. The field has been expanding in scope and complexity with more emphasis being placed on the total dental care delivery system and its impact on oral health status. The concept of oral health has a very different meaning and value for people in different cultures and socio-economic classes. The prevalent philosophy in the U.S. places the prime responsibility for dental health on the individual.
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