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Self-perceived need for dental care

Identifieur interne : 000371 ( Pmc/Corpus ); précédent : 000370; suivant : 000372

Self-perceived need for dental care

Auteurs : Ramyaa Dhanasekaran ; Sanjna Nayar

Source :

RBID : PMC:4439726

Abstract

Aims:

The aim of this study is to evaluate the self-perceived need for dental care among medical professionals and general public.

Setting and Design:

(1) To determine the perceived oral health status. (2) To evaluate the results in understanding the perception of oral health. (3) To determine the patients attitude toward dentist.

Subjects and Methods:

The study was carried out on 537 patients who came for their regular checkup and treatment.

Statistical Analysis Used:

The statistical analysis of this study was based on Chi-square test evaluation. The study was performed among in 537 participants. The participants included from age group of both <30 and >30. The study was made in the form of questionnaires enquiring how they would perceive their personal dental care and their attitude towards dentist.

Results:

Self-perceived questionnaires in evaluating general public in age group of <30 and >30 shows, that people in age group more than 30 has good oral hygiene maintenance, whereas attitude toward dentist and attending dental problems were more among group less than 30 of age.

Conclusions:

I conclude that there must be more awareness created by public health dentist among people about various dental problems, their complications and the treatment needs. Hence, that people be aware of their dental problem at the small stage and get cured. By conducting varies Public Health Programs and camp they became very free to contact their dentist for their varies dental problems and people attitude about dentist and toward dentist completely changes.


Url:
DOI: 10.4103/0975-7406.155825
PubMed: 26015766
PubMed Central: 4439726

Links to Exploration step

PMC:4439726

Le document en format XML

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<name sortKey="Dhanasekaran, Ramyaa" sort="Dhanasekaran, Ramyaa" uniqKey="Dhanasekaran R" first="Ramyaa" last="Dhanasekaran">Ramyaa Dhanasekaran</name>
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<nlm:aff id="aff1">Department of Prosthodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India</nlm:aff>
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<name sortKey="Nayar, Sanjna" sort="Nayar, Sanjna" uniqKey="Nayar S" first="Sanjna" last="Nayar">Sanjna Nayar</name>
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<title>Aims:</title>
<p>The aim of this study is to evaluate the self-perceived need for dental care among medical professionals and general public.</p>
</sec>
<sec id="st2">
<title>Setting and Design:</title>
<p>(1) To determine the perceived oral health status. (2) To evaluate the results in understanding the perception of oral health. (3) To determine the patients attitude toward dentist.</p>
</sec>
<sec id="st3">
<title>Subjects and Methods:</title>
<p>The study was carried out on 537 patients who came for their regular checkup and treatment.</p>
</sec>
<sec id="st4">
<title>Statistical Analysis Used:</title>
<p>The statistical analysis of this study was based on Chi-square test evaluation. The study was performed among in 537 participants. The participants included from age group of both <30 and >30. The study was made in the form of questionnaires enquiring how they would perceive their personal dental care and their attitude towards dentist.</p>
</sec>
<sec id="st5">
<title>Results:</title>
<p>Self-perceived questionnaires in evaluating general public in age group of <30 and >30 shows, that people in age group more than 30 has good oral hygiene maintenance, whereas attitude toward dentist and attending dental problems were more among group less than 30 of age.</p>
</sec>
<sec id="st6">
<title>Conclusions:</title>
<p>I conclude that there must be more awareness created by public health dentist among people about various dental problems, their complications and the treatment needs. Hence, that people be aware of their dental problem at the small stage and get cured. By conducting varies Public Health Programs and camp they became very free to contact their dentist for their varies dental problems and people attitude about dentist and toward dentist completely changes.</p>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Pharm Bioallied Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Pharm Bioallied Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPBS</journal-id>
<journal-title-group>
<journal-title>Journal of Pharmacy & Bioallied Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">0976-4879</issn>
<issn pub-type="epub">0975-7406</issn>
<publisher>
<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26015766</article-id>
<article-id pub-id-type="pmc">4439726</article-id>
<article-id pub-id-type="publisher-id">JPBS-7-98</article-id>
<article-id pub-id-type="doi">10.4103/0975-7406.155825</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Dental Science - Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Self-perceived need for dental care</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Dhanasekaran</surname>
<given-names>Ramyaa</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nayar</surname>
<given-names>Sanjna</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Prosthodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
Prof. Dr. Sanjna nayar, E-mail:
<email xlink:href="Sanjna101@yahoo.com">Sanjna101@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>4</month>
<year>2015</year>
</pub-date>
<volume>7</volume>
<issue>Suppl 1</issue>
<fpage>S98</fpage>
<lpage>S100</lpage>
<history>
<date date-type="received">
<day>31</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>31</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>11</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © Journal of Pharmacy and Bioallied Sciences</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Aims:</title>
<p>The aim of this study is to evaluate the self-perceived need for dental care among medical professionals and general public.</p>
</sec>
<sec id="st2">
<title>Setting and Design:</title>
<p>(1) To determine the perceived oral health status. (2) To evaluate the results in understanding the perception of oral health. (3) To determine the patients attitude toward dentist.</p>
</sec>
<sec id="st3">
<title>Subjects and Methods:</title>
<p>The study was carried out on 537 patients who came for their regular checkup and treatment.</p>
</sec>
<sec id="st4">
<title>Statistical Analysis Used:</title>
<p>The statistical analysis of this study was based on Chi-square test evaluation. The study was performed among in 537 participants. The participants included from age group of both <30 and >30. The study was made in the form of questionnaires enquiring how they would perceive their personal dental care and their attitude towards dentist.</p>
</sec>
<sec id="st5">
<title>Results:</title>
<p>Self-perceived questionnaires in evaluating general public in age group of <30 and >30 shows, that people in age group more than 30 has good oral hygiene maintenance, whereas attitude toward dentist and attending dental problems were more among group less than 30 of age.</p>
</sec>
<sec id="st6">
<title>Conclusions:</title>
<p>I conclude that there must be more awareness created by public health dentist among people about various dental problems, their complications and the treatment needs. Hence, that people be aware of their dental problem at the small stage and get cured. By conducting varies Public Health Programs and camp they became very free to contact their dentist for their varies dental problems and people attitude about dentist and toward dentist completely changes.</p>
</sec>
</abstract>
<kwd-group>
<title>KEY WORDS</title>
<kwd>Dental care</kwd>
<kwd>oral hygiene</kwd>
<kwd>self perceived</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<p>The self-perceived need for dental care is influenced by self-evaluation of dental health and by service use.[
<xref rid="ref1" ref-type="bibr">1</xref>
] Self-perceived need for dental care results oral health condition of an every individual.[
<xref rid="ref2" ref-type="bibr">2</xref>
] The degree of deficiencies and dysfunctions shows the oral health condition, along with individual's perception and attitudes regarding their condition.[
<xref rid="ref3" ref-type="bibr">3</xref>
] It completely reflects the impact that a disease has on individual.[
<xref rid="ref4" ref-type="bibr">4</xref>
] Self-perceived need for dental care is based on the individual's oral health condition like number of decayed, missing and filled teeth; periodontal condition; and normative treatment needs.[
<xref rid="ref5" ref-type="bibr">5</xref>
] Thus, self-perceived assessment data have neither been found as useful nor successful in the assessment of individual dental health status.[
<xref rid="ref6" ref-type="bibr">6</xref>
<xref rid="ref7" ref-type="bibr">7</xref>
]</p>
<sec sec-type="methods" id="sec1-1">
<title>Subjects and Methods</title>
<p>The study was conducted in from June 1 to July 30 in the Department of Preventive and Community Dentistry. Ethical clearance was taken from the board before starting the study. Before starting my main study pilot study was also conducted for 30 participants.</p>
<p>My main study totally consists of 542 participants. The 30 question were asked for both male and female aged from 18 and above who are willing for the study. The informed consent is also taken from the patient who had undergone the study.</p>
<sec id="sec2-1">
<title>Sampling method</title>
<p>Simple random sampling.</p>
</sec>
<sec id="sec2-2">
<title>Study conducted</title>
<p>Cross-sectional study.</p>
</sec>
<sec id="sec2-3">
<title>Inclusion criteria</title>
<p>
<list list-type="bullet">
<list-item>
<p>Patients from age 18 and above were taken into consideration</p>
</list-item>
<list-item>
<p>Patients willing for the study were taken into consideration.</p>
</list-item>
</list>
</p>
</sec>
<sec id="sec2-4">
<title>Exclusion criteria</title>
<p>
<list list-type="bullet">
<list-item>
<p>Patient below 18 years was excluded</p>
</list-item>
<list-item>
<p>Patient who were physically challenged and mentally disabled were excluded.</p>
</list-item>
</list>
</p>
</sec>
</sec>
<sec sec-type="results" id="sec1-2">
<title>Results</title>
<p>A total of 538 people (301 males and 237 females; 18–81 years of age) agreed to participate and responded to the questionnaires. Approximate time required for the participant to fill out the questionnaires ranged from 5 to 10 min. In this study were separated into two groups (<30 years and >30 years of age).</p>
<sec id="sec2-5">
<title>Perception of oral hygiene</title>
<p>In this perception of oral hygiene, the questions mostly given to evaluate their own self-perception of oral hygiene in which totally 78.1% says their oral hygiene is good and rest 21.9% has poor oral hygiene. In which 50.6% where of <30 years people and 27.5% where from >30 years. The most commonly acquired problem in this group of people where decayed teeth (39.2%), stains in teeth where about 18.2%, gum bleeding where of found in 15.5% of people and pain in 7.6% of people. The rest of the people had combined problem. The gum bleeding (<30 years = 15.2%; >30 years = 17.5%), pain (<30 years = 20.4%; >30 years = 25.3%), bad breath (<30 years = 12.3%; >30 years = 14.9%), poor chewing ability and sensitivity where found more in > 30 years of age group whereas decayed teeth (<30 years = 28.3%; >30 years = 27.5%) is more in <30 years of age group people.</p>
</sec>
<sec id="sec2-6">
<title>Maintenance of oral hygiene status</title>
<p>In the maintenance of oral hygiene status is really good in <30 years of age group when compared >30 years of age group. Frequency of brushing teeth: Once daily (<30 years = 40%; >30 years = 33.8%) and twice daily (<30 years = 17.7%; >30 years = 8.6%), use of mouth wash (<30 years = 13.9%; >30 years = 4.1%), awareness of interdental aids (<30 years = 14.3%; >30 years = 1.7%), use of interdental aids (<30 years = 7.4%; >30 years = 0.7%), decay in already filled tooth is more in > 30 years (<30 years = 6.5%; >30 years = 7.4%).</p>
</sec>
<sec id="sec2-7">
<title>Attitude towards dentist</title>
<p>The people attitude toward dentist for their dental problem seems to be less <30 years when compared with >30 years of age. Since for few problems like decayed teeth (<30 years = 23.2%; >30 years = 26.2%) visited dentist; missing teeth (<30 years = 13.4%; >30 years = 23.8%); gum bleeding (<30 years = 18%; >30 years = 11.2%) visit dentist; replacement of missing teeth (<30 years = 2.8%; >30 years = 7.6%); tooth pain (<30 years = 13%; >30 years = 10.4%) visit dentist and (<30 years = 10.2%; >30 years = 14.1%) take self-medication, bad breath problem (<30 years = 15.2%; >30 years = 17.5%), restorations (<30 years = 6.7%; >30 years = 2.2%), extractions (<30 years = 15.2%; >30 years = 23%).</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec1-3">
<title>Discussion</title>
<p>Self-perceived detrimental effects of tooth loss were considered high by patients at the time and after extraction. Esthetics and discomfort were mentioned as a major benefit and risk related to prosthodontics. Immediate replacement of extracted teeth was scarce and was mainly associated to anterior teeth and large edentulous spaces. Treatment demand was low, frequently due to financial restriction.</p>
<p>At the time of extraction self-perception of impacts ranged from 20.9% to 75.8% and a great part of patients expressed a desire for immediate reposition. The psychological effects of tooth loss and previous experiences of different degrees of edentulousness justify the extent of these frequencies. Most patients had previous tooth loss and had more than one tooth extracted.[
<xref rid="ref7" ref-type="bibr">7</xref>
] found that almost half of patients (47%) expressed a desire for reposition at the time of extraction. Sociocultural characteristics and access to dental service may explain discrepancies in expressed desire for teeth reposition.</p>
<p>Gender and age can influence self-perception of impacts and prosthodontics need. As observed at the time and after tooth loss in the present study[
<xref rid="ref8" ref-type="bibr">8</xref>
] found that women perceive greater impacts in oral health related quality of life measures than men. Likewise, intention for dental replacement was greater in older patients (>40 years) as observed at the time of extraction.[
<xref rid="ref9" ref-type="bibr">9</xref>
]</p>
<p>An individual's perception of oral health measures the value attached to oral health and the likelihood of seeking oral care to achieve optimal oral health status. Pain and discomfort, due to toothache, were mainly perceived as the causes of impact.[
<xref rid="ref10" ref-type="bibr">10</xref>
] The most common measure of utilization of dental services is the annual number of dental visits per person.[
<xref rid="ref11" ref-type="bibr">11</xref>
] Studies involving the assessment of the utilization of service serve as an important tool for oral health policy decision-making.[
<xref rid="ref12" ref-type="bibr">12</xref>
]</p>
<p>A survey on perceived oral health of adult population in a deprived district of Karachi showed that just about half of the participants perceived that they had dental problems which included aesthetic issue, pain, cavities and difficulty in chewing.[
<xref rid="ref13" ref-type="bibr">13</xref>
] The reality of the situation revealed by the study was that the majority of the participants had lost many of their teeth, leaving them with only 20 teeth or less.[
<xref rid="ref14" ref-type="bibr">14</xref>
] This implies that there is a gap between their perceived need and the actual need.</p>
<p>A previous Nigerian study has shown poor utilization of the available oral health services,[
<xref rid="ref15" ref-type="bibr">15</xref>
] and most people, especially males, only access such services when in pain. Some studies have showed that men tend to visit the dentist more when they are in pain.[
<xref rid="ref16" ref-type="bibr">16</xref>
<xref rid="ref17" ref-type="bibr">17</xref>
<xref rid="ref18" ref-type="bibr">18</xref>
] The reasons for nonutilization range from not knowing that there is a need for such services to unsatisfactory previous dental visit to the fear of the dentist. The poor utilization is not limited to patients alone. It has been found that oral health caregivers may actually perceive the need for dental care, but will give a relatively low priority to receiving the needed dental care.[
<xref rid="ref18" ref-type="bibr">18</xref>
<xref rid="ref19" ref-type="bibr">19</xref>
] Since the establishment and maintenance of good general and oral health is a priority, and a key factor in enabling adults to achieve overall well-being and improved quality of life, it is important to assess how individual rate their oral health status, their perceived dental need.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="supported-by">
<p>
<bold>Source of Support:</bold>
Nil</p>
</fn>
<fn fn-type="conflict">
<p>
<bold>Conflict of Interest:</bold>
None declared.</p>
</fn>
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