Integration of oral health into primary health care: A systematic review

Prasad, M. V. R.; Manjunath, C; Murthy, Archana Krishna; Sampath, Aishwarya; Jaiswal, Shefali; Mohapatra, Ankit

doi:10.4103/jfmpc.jfmpc_286_19

Cited by 75 publications

(68 citation statements)

References 23 publications

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“…However, access to health services in general is still harder for the rural population [ 16 , 17 ], and the dental services in particular are very limited. It is predominantly found in the private sector as well as in secondary and tertiary referral public hospitals which are largely located in the cities and bigger towns [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia

et al. 2021

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Background Ethiopia is a developing sub-Saharan African country with increasing prevalence of non-communicable diseases (NCDs), including oral conditions. Oral health and dental care have been given little consideration, and there is limited information relating to population oral health and use of dental services in the country. The aim of this study was to examine the burden and associated factors of dental caries experience and investigate access to dental care amongst adults within Ethiopia. Methods This community-based oral health survey is a baseline study for the ASSET - Health System Strengthening in sub-Saharan Africa project undertaken in the Butajira area, south-central Ethiopia. A stratified random sample of households and individuals participated in the study. The survey instruments were mainly based on the WHO Oral Health Survey Methods manual (5th ed.). Face-to-face interviews and clinical dental examinations were conducted. The data were analysed for descriptive statistics; and Poisson regression models were built to assess the association of dental caries and predictor variables in adults (≥18 years). Results Most of the study population (n = 626) were female (63.9%), married (71.4%) and Muslim (76.0%). Just over half (53.2%) lived in rural areas and many (44.4%) had no formal education. A majority (74.0%) reported never utilising dental care services, and the main reason was never experiencing any dental problem (71.3%). Sixty percent (n = 377) of the adults had experienced dental caries, 88.0% (n = 332) of whom had untreated carious teeth. Pain or discomfort was reported by 16.5, and 7.2% had one or more PUFA component. Most (59.9%) adults with dental caries experience reported tooth pain or discomfort during the last year. In the fully adjusted Poisson regression model, increasing age, dental care utilisation and Khat chewing had positive significant associations with dental caries experience, whilst education status was negatively associated (p < 0.05). Conclusion This study demonstrated a high burden of dental caries and considerable consequences resulting from untreated disease in this population of adults. There was evidence of social inequity, limited utilisation of dental care and oral health awareness. This highlights the need for oral health system strengthening focusing on health promotion and expanding overall access to care.

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Section: Introductionmentioning

confidence: 99%

Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia

et al. 2021

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“…Access to health services in general is harder for the rural population (17,18). Furthermore, dental services in particular are very limited, predominantly found in the private sector as well as in secondary and tertiary referral public hospitals which are largely located in the cities and bigger towns (19,20), with implications for patient access.…”

Section: Introductionmentioning

confidence: 99%

Dental caries experience in adults: a cross-sectional community survey within Ethiopia

Bogale¹,

Engida²,

Hanlon³

et al. 2020

Preprint

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Background Ethiopia is a large and diverse developing sub-Saharan African country with increasing prevalence of non-communicable diseases, including oral conditions. Oral health and dental care have been given little consideration, and there is limited information relating to population oral health and use of dental services in the country. The aim of this study was to examine the burden and impact of dental caries experience and investigate access to dental care amongst adults within Ethiopia. Methodology This community-based oral health survey is a baseline study for the ASSET - Health System Strengthening in sub-Saharan Africa project undertaken in the Butajira area, south-central Ethiopia. A stratified random sample of households and individuals were participated in the study. The survey was informed by the World Health Organization (WHO) Oral Health Survey Methods (5th ed.) at International Caries Detection and Assessment System (ICDAS) threshold 4 and the UK Adult Dental Health Survey 2009. Face-to-face interviews and clinical dental examinations were conducted. The data were analysed using descriptive statistics; and a binary logistic regression model was built to assess the association of dental caries and predictor variables: demographics, health behaviours, quality of life, dentition status and consequences of untreated caries data in adults (≥18 years).Result Most of the study population (n=626) were female (63.9%), married (71.4%) and Muslim (76.0%). Just over half (53.2%) lived in rural areas and many (44.4%) had no formal education. A majority (74.0%) reported never attending a dental service. Sixty percent (n=377) of the adults had experienced dental caries, 88.0% (n=332) of whom had untreated carious teeth. In the fully adjusted logistic regression model; increasing age, dental attendance and Khat chewing had a positive significant association with dental caries experience, whilst education status was negatively associated (p<0.05).Conclusion This study demonstrated a high burden of dental caries and considerable impact resulting from untreated disease in this population of adults. There was also evidence of social inequity and limited overall access to dental care, highlighting the need for health system strengthening.

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“…18 It has been applied to a range of studies, including qualitative and survey-based research and systematic reviews. [21][22][23][24] This conceptual framework was adopted in this study as a theoretical lens through which the barriers to, and facilitators of, integrating MRONJ prevention and oral healthcare into the role of the pharmacist could be explored in practice. Themes from each individual study were used as a mechanism of collective guidance in the initial critical synthesis.…”

Section: Methodsmentioning

confidence: 99%

A critical synthesis of the role of the pharmacist in oral healthcare and management of medication-related osteonecrosis of the jaw

et al. 2020

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To consolidate extant published evidence in relation to the potential of integrating oral healthcare for patients at risk of developing medication-related osteonecrosis of the jaw (MRONJ). METHODS: A critical synthesis and consolidation of five publications was undertaken. As a mechanism of situating the extant work within the context of primary healthcare provision, the Rainbow Model of Integrated Care was applied as a theoretical lens through which the conceptual findings could be collectively applied to practice. RESULTS: The critical synthesis revealed a thematic emergence relating to both formative and normative integration. The most salient of these were the identification of limited shared clinical records, and disconnection of oral healthcare provision from patients' general medical care. The three levels of the Rainbow Model of Integrated Care reflected a series of issues for address. CONCLUSION: In the context of collaborative, multidisciplinary working for patients at risk of development of MRONJ, pharmacists are a professional group which this research reveals to be an underutilised resource. Reduction of oral health inequality at all levels of patient care is a key priority and this research highlights areas for address in relation to requirements for interprofessional education, optimal communication and policies reflective and facilitative of these.

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Integration of oral health into primary health care: A systematic review

Cited by 75 publications

References 23 publications

Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia

Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia

Dental caries experience in adults: a cross-sectional community survey within Ethiopia

A critical synthesis of the role of the pharmacist in oral healthcare and management of medication-related osteonecrosis of the jaw

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