An advocacy project to fluoridate toothpastes in Nepal

Yee, Robert; McDonald, Neil; Walker, Deborah Klein

doi:10.1111/j.1875-595x.2003.tb00749.x

Cited by 20 publications

(36 citation statements)

References 18 publications

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“…The income in and around Kathmandu is four to five times of that in the rural areas (1, 3). The literature supports the view that poverty is a substantial barrier to health (6).…”

Section: General Health Statussupporting

confidence: 68%

“…In Nepal there is a high amount of infectious diseases, malnutrition and high maternal and child mortality (1, 6).…”

Section: General Health Statusmentioning

confidence: 99%

“…About $3 (US) per capita is publicly spent on health. The real amount of money spent on health is higher, because of the fact that a substantial amount of money is coming from different international organizations (1, 6).…”

Section: General Health Statusmentioning

confidence: 99%

“…However more recent research, published in 2002, concludes that the recorded prevalence of untreated dental caries in schoolchildren requires an appropriate oral health response based primarily on prevention and health promotion. It looks like the 12‐year‐old DMFT Nepal seems to be doubling every 10 years (6, 10). Studies carried out in a number of locations in Nepal have indicated that the country is fast moving towards being a country with high caries.…”

Section: Oral Health Statusmentioning

confidence: 99%

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Dental hygienists on top of the world: supporting oral health education in Nepal

Knevel

2005

Int J Dental Hygiene

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This article describes the oral health situation in Nepal. Based on research and strategic planning reports from the WHO and the Ministry of Health in Nepal the value of Oral Health Promotion in Nepal is being promoted. The implications of possible dental treatment and/or oral health promotions are being discussed. A plan for support of improvement of the oral health in Nepal is presented. The main focus is the support of the development of the dental hygiene education and profession in Nepal. Another focus of attention is the ability of dental hygienists in Nepal to develop them individually and to create independent professionalization. This article forms the basis for developing a 5-year collaborative programme with Kantipur School of Dentistry and the Dental Hygiene Education, Amsterdam. It can be a means to inspire dental hygienists around the world to put efforts into improving oral health in developing countries.

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“…The income in and around Kathmandu is four to five times of that in the rural areas (1, 3). The literature supports the view that poverty is a substantial barrier to health (6).…”

Section: General Health Statussupporting

confidence: 68%

“…In Nepal there is a high amount of infectious diseases, malnutrition and high maternal and child mortality (1, 6).…”

Section: General Health Statusmentioning

confidence: 99%

Section: General Health Statusmentioning

confidence: 99%

Section: Oral Health Statusmentioning

confidence: 99%

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Dental hygienists on top of the world: supporting oral health education in Nepal

Knevel

2005

Int J Dental Hygiene

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“…Experience of oral pain was high with 31% of school children reporting experiencing dental pain. Another study conducted in Nepal among 9–11 years old schoolchildren had reported that 45% of children suffered from tooth pain [13]. In the same study, it was reported that 93% of children had never visited a dentist and the decayed component constituted almost entire dmft/DMFT index.…”

Section: Discussionmentioning

confidence: 99%

Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal

Dixit

Shakya

Shrestha³

et al. 2013

BMC Oral Health

121

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BackgroundChepang communities are one of the most deprived ethnic communities in Nepal. According to the National Pathfinder Survey, dental caries is a highly prevalent childhood disease in Nepal. There is no data concerning the prevalence of caries along with knowledge, attitude and oral hygiene practices among Chepang schoolchildren. The objectives of this study were to 1) record the prevalence of dental caries 2) report experience of dental pain 3) evaluate knowledge, attitude and preventive practices on oral health of primary Chepang schoolchildren.MethodA cross sectional epidemiological study was conducted in 5 government Primary schools of remote Chandibhanjyang Village Development Committee (VDC) in Chitwan district. Ethical approval was taken from the Institutional Review Board within the Research Department of the Institute of Medicine (IOM) Tribhuvan University. Consent was obtained from parents for conducting clinical examination and administrating questionnaire. Permission was taken from the school principal in all schools. Data was collected using a pretested questionnaire on 131 schoolchildren aged 8-16-year- olds attending Grade 3–5. Clinical examination was conducted on 361 school children aged 5–16 –year-olds attending grade 1–5. Criteria set by the World Health Organization (1997) was used for caries diagnosis. The questionnaires, originally constructed in English and translated into Nepali were administered to the schoolchildren by the researchers. SPSS 11software was used for data analysis.ResultsCaries prevalence for 5–6 –year-old was above the goals recommended by WHO and Federation of Dentistry international (FDI) of less than 50% caries free children. Caries prevalence in 5-6-year-olds was 52% and 12-13-year-olds was 41%. The mean dmft/DMFT score of 5–6 –year-olds and 12 -13-year -olds was 1.59, 0.31 and 0.52, 0.84 respectively. The DMFT scores increased with age and the d/D component constituted almost the entire dmft/DMFT index. About 31% of 8-16-year-olds school children who participated in the survey reported having suffered from oral pain. Further, the need for treatment of decayed teeth was reported at 100%. About 76% children perceived teeth as an important component of general health and 75% reported it was required to eat. A total 93% children never visited a dentist or a health care service. Out of 56% children reporting cleaning their teeth daily, only 24% reported brushing their teeth twice daily. About 86% of the children reported using toothbrush and toothpaste to clean their teeth. Although 61% children reported to have received oral health education, 82% children did not know about fluoride and its benefit on dental health. About 50% children reported bacteria as the main cause of tooth decay and 23% as not brushing teeth for gingivitis. Frequency of sugar exposure was low; 75% of children reported eating sugar rich food once daily.ConclusionsCaries prevalence of 5–6 –year- old Chepang school children is above the recommended target set by FDI/WHO. The study reported 31% sc...

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Economic Evaluations of Preventive Interventions for Dental Caries and Periodontitis: A Systematic Review

Nguyen

Tonmukayakul

et al. 2022

Appl Health Econ Health Policy

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Objectives To critically examine the methods used for full economic evaluations of preventive interventions for dental caries and periodontitis. Methods Published literature post-2000 was searched to April 2021. Based on a developed intervention classification framework for dental caries and periodontitis, only universal, selective or indicated interventions were included in this review. The Drummond 10-point checklist was used for quality appraisal. Results Of 3,007 unique records screened for relevance, 73 studies were reviewed. Most model-based studies (61/73) used cost-effectiveness analysis (49%) or cost-benefit analysis (28%). Trial-based studies (16/73) commonly used cost-effectiveness analysis (59%). Four studies used both economic evaluation methods. Sixty-four papers (88%) were on dental caries, eight papers (11%) focused on periodontitis, and one paper (1%) included both oral diseases; 72% of model-based and 82% of trial-based studies were of good quality. The most frequently investigated dental caries preventive interventions were water fluoridation (universal intervention; cost-saving or cost-effective), fissure sealant and fluoride varnish (selective and indicated interventions; cost-effectiveness outcomes were inconsistent). Supportive periodontal therapy with oral health education (indicated intervention; cost-effective) was the most frequently evaluated preventive intervention for periodontitis. Thirty percent of studies with a time horizon > 1 year did not apply an appropriate discount rate and 26% did not comprehensively discuss other important considerations beyond the technical analysis. Conclusions Generic health outcome measures should be incorporated for economic evaluations on preventive interventions for dental caries and periodontitis, and an increased focus to prevent periodontitis using economic evaluation methods is needed to inform resource allocation and policy decision-making.

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An advocacy project to fluoridate toothpastes in Nepal

Cited by 20 publications

References 18 publications

Dental hygienists on top of the world: supporting oral health education in Nepal

Dental hygienists on top of the world: supporting oral health education in Nepal

Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal

Economic Evaluations of Preventive Interventions for Dental Caries and Periodontitis: A Systematic Review

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