bluuebunny/crossref_metadata_2025_split huggingface dataset:
Weekly Rinsing with a Fluoride Mouthrinse in an Unfluoridated Community: Results after Seven Years
Authors: Leverett Dennis H. , Sveen Odd B. , Jensen Oivind E. 
Published: May 2007

Abstract In the fall of 1975, 1,915 children in grades K through eight began a school‐based program of supervised weekly rinsing with 0.2 percent aqueous solution of sodium fluoride in an unfluoridated community in the Finger Lakes area of upstate New York. At baseline and annually thereafter, a random sample of children in grades K through 11 received clinical dental caries examinations. The prevalence of dental caries by grade at each of the follow‐up dental examinations was compared to the grade‐specific prevalence of dental caries at baseline. Overall, there was a decline of 57.8 percent in prevalence of caries in permanent teeth after seven years of rinsing. Among children in grades K through five, there was a decline of 35.4 percent in the prevalence of caries in primary teeth during the same time period. Tenth and eleventh grade children, after not rinsing for one and two years, respectively, continued to show the same trend toward lower caries prevalence as active rinsers. Caries prevalence among seventh and eighth graders after seven years of rinsing was not significantly different from caries prevalence among seventh and eighth grade lifetime residents of a nearby fluoridated community. A decline in the prevalence of caries in primary teeth among kindergartners prior to rinsing suggests that factors in addition to the mouthrinse program may have contributed to the decline in caries prevalence.
Dental Disease Prevalence in a Prison Population
Authors: Cunningham Marsha A. , Glenn Robert E. , Field Howard M. , Jakobsen Jane R. 
Published: May 2007

AbstractThis study compares dental disease prevalence in a prison population and a nonprison population in the same state. The prison population in this study consisted of 99 male residents (age 18–30) of a medium‐security prison in eastern Iowa. Data were collected during a pretreatment screening using a standard DMFT index. This prison population is compared to a nonprison male population (N = 101, age 18–30) from the Iowa Survey of Oral Health (1980).Data indicated that there are statistically significant differences (p<.0001) between the two populations in each of the individual components of the DMF. In the prison population, the mean number of decayed teeth (3.0) and the mean number of missing teeth (1.7) are significantly higher in comparison to the nonprison population (0.8 and 0.6, respectively). The prison population demonstrated significantly fewer filled teeth (5.6) in comparison to the nonprison population (9.0). The data indicated, however, that there are no statistically significant differences in the total DMFT between the prison population (x = 10.53) and the nonprison population (x = 10.55).In summary, the prison population demonstrated a significantly higher number of decayed and missing teeth and fewer filled teeth in comparison to a nonprison population in the same state and in the same year (1980).
Smoking Cessation Practices in Dental Offices
Authors: Seeker‐Walker R. H. , Hill H. C. , Solomon L. J. , Flynn B. S. 
Published: May 2007

AbstractWe have surveyed the health promotion efforts of dentists and dental hygienists in general dental practice in Chittenden County, Vermont, in relation to smoking. The response rate was 61 percent. Smoking issues were addressed by 76 percent of dentists and 81 percent of dental hygienists in approximately one quarter of their smoking patients. Although the majority of both dentists and dental hygienists advised their patients to change their smoking behavior, their advice was usually to cut down rather than to quit. Most of the respondents—78 percent of dentists and 93 percent of dental hygienists—considered it appropriate to give advice about smoking during visits for routine dental care and 68 percent and 89 percent, respectively, were willing to learn brief methods of advising their patients about smoking. Experience with giving advice about smoking and agreement that it was appropriate to give such advice were both strongly related to willingness to learn brief methods of giving such advice.In individual dental practices, there were virtually no correlations between the dentist's and the dental hygienist's behaviors as far as the proportion of patients from whom a smoking history was taken, the proportion of smokers advised about smoking, the content of the advice, or the nature of the advice.Only nine percent of dentists and 11 percent of dental hygienists were current smokers.
Saudi Arabian Dentistry: a Factual and Conceptual View
Authors: Guile E. Ernest , Al Shammary Abdullah 
Published: May 2007

AbstractThe dental health system of Saudi Arabia is discussed. Despite greater than average resources, crucial decisions are required to develop an effective dental health system. The development of dental policy may be benefited by modifying the curative‐treatment model of care to one that is preventive‐behavioralist oriented.
The Adoption and Implementation of the Fluoride Mouthrinse Program: Descriptive Results from School Districts*
Authors: Ann Scheirer Mary , Allen Bruce F. , Rauch H. John 
Published: May 2007

AbstractSystematic research is needed about the dissemination and use of effective caries prevention measures to establish adoption trends and to examine factors related to desired practice. This paper examines the adoption and implementation of the fluoride mouthrinse program (FMRP) in public school districts. It extends a similar study by Silversin and Coombs in 1979 by reporting telephone interview data from the same sample of school districts. The results indicate that the extent of FMRP adoption has increased since 1979, but that the recent rate of new adopters has slowed considerably. About one‐quarter of the districts that had ever offered the FMRP have since discontinued it, most frequently by gradual abandonment. The reported accuracy of school level implementation was assessed in terms of seven required components of the FMRP. Only 57 percent of the sample reported implementing six or seven components correctly, showing at best only moderate accuracy of delivery at the local level.
Comparison of Dentists' Treatment and Management of Normal and Handicapped Patients
Authors: Seller Conny L. , Casamassimo Paul S. 
Published: May 2007

AbstractForty‐eight of 120 dentists (40%) responded to a survey using a two‐questionnaire time‐series design. Responding dentists with a median age of 36 years and 9.5 years in practice had received education in care of the handicapped mainly in dental school (42%) and continuing education (40%). They were asked to make the same treatment and practice management decisions for both normal and handicapped patients. No significant differences were found between normal and handicapped patients in the amount of time dentists spend on diagnosis, treatment, planning, or recall (p<0.05). For both normal and handicapped patients, the dentists as a group always chose the same option as treatment of choice for both normal and handicapped patients most frequently from a list of treatment or management options. Individual dentist consistency between normal and handicapped patients in treatment and management was good, with four out of five dentists choosing the same first treatment of choice for both normal and handicapped patients for similar circumstances. Only about one out of six dentists maintained a consistent priority sequence for both normal and handicapped patients when asked to rank a list of four or five possible treatment or management choices.
The New Mexico Sealant Program: A Progress Report
Authors: Calderone James J. , Davis Jeffrey M. 
Published: May 2007

AbstractIn 1979, the dental health program of the New Mexico Health and Environment Department began a school‐based sealant activity. Children in the first, second, third, sixth, and seventh grades in selected New Mexico communities were offered sea/ants through this sealant activity. During the 1984–85 school year, program staff began seeing several hundred sixth‐grade students who had received sealants in either the first, second, or third grade. Tooth‐ and surface‐specific data on the current condition of all the previously sealed occlusal surfaces were collected from all these previous recipients of sealants. During the 1985–86 school year, we found that sixth‐grade students who received sealants as first, second, or third graders had 5.6 percent of the occlusal surfaces of their first permanent molars either decayed, missing, or filled. Their classmates who had not previously received sealants had 26.85 percent of the same tooth surfaces either decayed, missing, or filled. During the 1985–86 school year, the complete retention rates for sealants were found to be 67.36 percent after six years, 78.53 percent after five years, and 93.47 percent after one year. The partial retention rates were found to be 10.46 percent after six years, 10.63 percent after five years, and 3.04 percent after one year.
Two‐year Follow‐up of 11,000 Dental Sealants in First Permanent Molars in the Saskatchewan Health Dental Plan
Authors: Whyte Robert J. , Leake J. L. , Howley T. P. 
Published: May 2007

AbstractThe follow‐up study examines the clinical success of sealing pits and fissures of permanent molars in a large auxiliary‐based children's dental care program. The success of sealant use after one and two years was assessed using the following independent variables, (1) total number of sealants, (2) tooth location, (3) age of patient, and (4) initial caries status. The computerized records of 4,525 patients with 11,237 sealants were analyzed using the Statistical Analysis System (SAS). Success occurred where no further treatment services were performed or where the tooth was resealed.The success rate after one year was 98.7 percent and after two years 97.0 percent. In considering tooth location, number of sealants per patient, age of patient, and initial caries status, the success rate varied only 2.2 percent over the two years.
Estimates of the Effects of a Statewide Sealant Initiative on Dentists' Knowledge and Attitudes
Authors: Bader James D. , Sams Darlene H. , O'Neil Edward H. 
Published: May 2007

AbstractThe effects of a statewide initiative promoting the use of dental sealants were evaluated by assessing dentists' knowledge and attitudes before the initiative and 18 months later. Immediate changes also were determined for participants in continuing education (CE) sessions, a principal component of the initiative. Results of these assessments indicate that minor improvements in knowledge and attitudes occurred, that the effects were stronger but still modest for those dentists who participated in CE sessions, and that respondents believed the initiative had resulted in increased use of sealants. This evaluation highlights the need for controlled assessments of the effectiveness of future promotional campaigns.
Longitudinal Study of the Caries Susceptibility of Occlusal and Proximal Surfaces of First Permanent Molars
Authors: Ripa Louis W. , Leske Gary S. , Varma Andre O. 
Published: May 2007

AbstractTen‐to 13‐year‐old children were examined annually for three years to determine the caries activity in the proximal and occlusal surfaces of first permanent molars. Almost every tooth with an unsound (carious or filled) proximal surface also had an unsound occlusal surface. Caries scores in proximal surfaces remained relatively constant and low. The percentage of teeth with occlusal caries or fillings increased throughout the study, even though the teeth had been erupted for seven to ten years by the end of the study. Within the age range studied, the time that teeth were in the mouth had little effect on the vulnerability of occlusal surfaces to caries attack.
The Use of Pit and Fissure Sealants in Private Practice: A National Survey
Authors: Cohen Leonard , LaBelle Ann , Romberg Elaine 
Published: May 2007

AbstractThe slowness in the adoption of sealant use has been caused by many interrelated professional, scientific, social, and economic factors. To study these factors, data were collected by the use of mail questionnaires sent to a representative sample of 3,504 private practice general dentists. The average percent of patients 18 years of age and younger receiving sealants was 18.7. Nearly one‐third of the respondents indicated that none of their patients received sealants. Data describing the following factors were obtained: demographic background, sealant awareness, attitudes and knowledge about sealants, and decision‐making factors. We concluded that professional organizations should take a more active role in promoting sealants to dentists, professional organizations and governmental agencies should increase efforts to inform patients/consumers of the benefits of sealants, guidelines for sealant use should be developed, state boards should permit the delegation of sealants to trained auxiliaries, and sealant manufacturers should make more effort to advertise and promote sealants.
AIDS and Dental Practice
Authors: Gerbert Barbara , Badner Victor , Maguire Bryan 
Published: May 2007

AbstractDental health care workers (DHCWs) can provide important diagnostic, treatment, and referral services for patients with AIDS and at risk for AIDS. They also have a responsibility to protect all patients in their practices, and themselves, from infectious disease transmission through the use of infection control. To determine the extent to which DHCWs are prepared to assume these responsibilities, a randomized survey of California DHCWs was conducted. Responses were obtained from 297 dentists, 128 hygienists, and 177 dental assistants. DHCWs who expressed a greater willingness to treat people with AIDS or HIV infection also practiced more thorough infection control. Respondents in all groups who perceived a greater percent of their patients to be at risk for AIDS were more likely to use infection control procedures (P<.0001). They also were more willing to treat such patients (P<.004) and were more likely to assess patients for AIDS by taking a thorough medical history (P<.02) and sexual history (P<.04). Since attitudes toward AIDS and perception of the percent of patients at risk in one's practice affect patient assessment and infection control procedures used by dental health care workers, educational programs designed to enhance DHCWs’response to the HIV epidemic should alert them to the extent of the problem and help them cope with their concerns.
Future Elementary Schoolteachers’Knowledge and Opinions about Oral Health and Community Programs
Authors: Glasrud Patricia H. , Frazier P. Jean 
Published: May 2007

AbstractDental public health practitioners can play a critical role in assuring that elementary schoolteachers have current, scientifically accurate oral health information upon which to base decisions on behalf of the children they teach. Teachers traditionally have educated children about oral health and often participate in school‐based prevention programs. This project examined the knowledge and opinions about oral health and community programs, and the perceived future roles and responsibilities in school‐based preventive oral health programs, of 313 elementary education majors enrolled at the University of Minnesota. Descriptive results indicate that these future teachers were ill informed and held inconsistent opinions about basic concepts and information related to oral health and oral health promotion. Findings suggest the need for greater public health efforts directed toward improving oral health knowledge and opinions of this influential population about effective community oral health programs.
Development of an Oral Health Survey: Columbus, Ohio
Authors: Kuthy Raymond A. , Martin Barbara W. , Siegal Mark D. , Eklund Stephen A. 
Published: May 2007

AbstractThis article describes the method used to develop and implement a local oral health survey (Columbus, Ohio) conducted in 1986. With the shift in the national dental disease pattern in the past decade, local oral health information is essential for program planning purposes. A collaborative effort by a city health department, a state health department, a dental school, and a school of public health demonstrated how this group worked harmoniously in a relatively inexpensive venture to determine the oral status of various age groups (grades 1–2, grades 6–7, age 35–44, and age 65 +). This information provided part of the framework for a five‐year dental plan at the Columbus Health Department. The survey design will serve as a basis for conducting a similar survey statewide. Modifications of existing oral health survey instruments are discussed.
Importance of Variables Associated with Practitioners' Estimates of Pit and Fissure Sealant Use
Authors: Romberg Elaine , Cohen Leonard A. , LaBelle Ann D. 
Published: May 2007

AbstractPractitioner acceptance of pit and fissure sealants has been slow. To assess the factors that relate to the dentist's decision to use or not to use sealants, a comprehensive survey of 3,504 general dentists and 591 pediatric dentists was undertaken. Response rate to the mailed questionnaire was 37.6 percent (n = 1, 193) for general dentists and 61.2 percent (n = 329) for pediatric dentists. Items were grouped into ten scales believed to portray major variables associated with level of sealant use. Level of use, measured as an estimated percent of child patients receiving sealants, served as the dependent variable. A stepwise multiple regression was used to study the relationship between the scales and estimated level of use. Overall, the preventive orientation, opinion, and patient influence scales contributed the most to the explanation of the estimated level of use. These scales, for both general dentists and pediatric dentists, had the strongest simple correlations with sealant use and they also were the three scales that showed up most consistently as the prime scales in the multiple regression analyses. These results suggested that efforts aimed at encouraging a preventive philosophy and improving patient and practitioner opinion and knowledge about sealants should be undertaken.
School Dental Health in Honduras
Authors: Flanders Raymond A. 
Published: May 2007

AbstractProject HOPE has been working with the Honduran government since 1983 to establish educational programs for health workers and improve the country's health care services. The Ministry of Health in Honduras, under the direction of the president, is planning a new emphasis on preventive dentistry. The feasibility of community water fluoridation is being examined, and dental health programs have been implemented in pilot schools around the country. The Ministry of Health plans to expand these pilot programs to include all elementary schools in Honduras. This article describes the dental health services in Honduras and the government's effort to establish a nationwide school dental health program with emphasis on preventive dentistry.
Time Estimates for Dental Treatment in Four Age Cohorts of an Adult Population
Authors: Tellervo Tervonen E. A. , Virtanen Kauko K. , Raustia Aune M. , Ainamo Jukka K. 
Published: May 2007

AbstractNeeds for tooth extractions, conservative dental treatment—including periodontal and caries treatment—and occlusal rehabilitation—including stomatognathic and prosthetic treatment or a combination of these—in a Finnish adult population were summarized and time estimates for the treatment calculated. The study population consisted of 1,275 adults in four age cohorts—25, 35, 50, and 65 years. A decrease was observed from five hours of total dental treatment time needed at ages 25 and 35 years to four hours at age 50 years and three hours at 65 years. At the age of 25 years, 86 percent of the treatment time (255 min) was needed for conservative therapy, the corresponding figures at 65 years being 35 percent (66 min). On the other hand, a fivefold increase (from 13% to 62%) in the proportion of time needed for occlusal rehabilitation was observed between age 25 and 65. A combination of Stomatognathic and prosthetic treatment was most frequently needed. The percent of time needed for tooth extractions varied from 1 to 3 percent among the four age cohorts.
Water Fluoridation: a Response to Critics in Australia and New Zealand
Authors: Burl Brian A. , Beltran Eugenio D. 
Published: May 2007

AbstractRecent questions about the effectiveness of water fluoridation have come from Diesendorf in Australia and Colquhoun in New Zealand. This report examines the arguments of both authors in detail and finds errors in each. Diesendorf employed an outdated view of how fluoride exerts its anticariogenic action and took a number of quotations out of context. Colquhoun's data are questionable. Neither author has produced evidence to challenge the established safety and effectiveness of water fluoridation.
Evaluation of a Clinic‐based Sealant Program
Authors: Sterritt Gene R. , Frew Ralph A. 
Published: May 2007

AbstractIn 1984 a comprehensive sealant program was initiated for Guamanian children in grades one through eight. The goal of the program was to reduce caries rates in children on the fluoride‐deficient island to a level at or below US mainland scores. At the initiation of the program, decayed, missing, and filled surfaces (DMFS) scores on Guam were approximately double those for US mainland children under 17 years of age. For the clinic‐based preventive program, children in grades one through eight were bussed to one of two public health clinics for preventive services. These services included oral health education, toothbrushing instructions, and sealant application. Baseline and follow‐up dental examinations (DMFS) were conducted in 1984 and 1986 on 1,061 and 987 children respectively, in grades one through eight to evaluate program impact. From 1984 to 1986, after the advent of a pit and fissure sealant program where over 15,000 children annually had sealants applied to their teeth, DMFS scores decreased 45 percent. The entire reduction in DMFS scores occurred on pitted and grooved surfaces and the effect reduced the DMFS by 2.4 surfaces/child in two years. The overall participation rate for both the elementary and middle schools was 80 percent and the first annual follow‐up showed an overall sealant retention rate of 94 percent.
Is It Time to Reassess the Public Health Implications of Periodontal Diseases? A Review of Current Concepts
Authors: Hunt Ronald J. 
Published: May 2007

AbstractIn 1981 the American Association of Public Health Dentists' Subcommittee on Preventive called for a national initiative toward controlling periodontal disease, including the development of national policy statements from national dental organizations and the development of education programs for the public and the profession. Since the 1981 report, the findings of a diverse group of studies raises a variety of questions about the prevalence of periodontal diseases, the etiology and progression of the diseases, and the feasibility and practicality of controlling them. An examination of this new information leads to the conclusion that it is time to reassess the public health implications of periodontal diseases.