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Oral health disparities in Appalachia: orthodontic treatment need and demand.

Identifieur interne : 001A70 ( PubMed/Checkpoint ); précédent : 001A69; suivant : 001A71

Oral health disparities in Appalachia: orthodontic treatment need and demand.

Auteurs : Chris A. Martin ; Daniel W. Mcneil ; Richard J. Crout ; Peter W. Ngan ; Robert J. Weyant ; Hilda R. Heady ; Mary L. Marazita

Source :

RBID : pubmed:18451377

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English descriptors

Abstract

Significant oral health disparities affect people in West Virginia and elsewhere in Appalachia. Although oral diseases such as caries are a major problem, little is known about the occlusal status of this under-served group.

PubMed: 18451377


Affiliations:


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pubmed:18451377

Le document en format XML

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<title xml:lang="en">Oral health disparities in Appalachia: orthodontic treatment need and demand.</title>
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<nlm:affiliation>Department of Othodontics, West Virginia University School of Dentistry, Morgantown.</nlm:affiliation>
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<name sortKey="Mcneil, Daniel W" sort="Mcneil, Daniel W" uniqKey="Mcneil D" first="Daniel W" last="Mcneil">Daniel W. Mcneil</name>
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<name sortKey="Crout, Richard J" sort="Crout, Richard J" uniqKey="Crout R" first="Richard J" last="Crout">Richard J. Crout</name>
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<name sortKey="Ngan, Peter W" sort="Ngan, Peter W" uniqKey="Ngan P" first="Peter W" last="Ngan">Peter W. Ngan</name>
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<name sortKey="Weyant, Robert J" sort="Weyant, Robert J" uniqKey="Weyant R" first="Robert J" last="Weyant">Robert J. Weyant</name>
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<term>Adolescent</term>
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<term>Appalachian Region (epidemiology)</term>
<term>Child</term>
<term>Dental Health Surveys</term>
<term>Female</term>
<term>Health Services Needs and Demand (statistics & numerical data)</term>
<term>Health Status Disparities</term>
<term>Humans</term>
<term>Male</term>
<term>Malocclusion (diagnosis)</term>
<term>Malocclusion (epidemiology)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Orthodontics, Corrective (statistics & numerical data)</term>
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<term>Parents</term>
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<term>West Virginia (epidemiology)</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Besoins et demandes de services de santé ()</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Disparités de l'état de santé</term>
<term>Enfant</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
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<term>Malocclusion dentaire (diagnostic)</term>
<term>Malocclusion dentaire (épidémiologie)</term>
<term>Mâle</term>
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<term>Orthodontie correctrice (utilisation)</term>
<term>Parents</term>
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<term>Malocclusion</term>
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<term>Orthodontie correctrice</term>
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<term>Orthodontics, Corrective</term>
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<term>Bouche édentée</term>
<term>Malocclusion dentaire</term>
<term>Région des Appalaches</term>
<term>Virginie occidentale</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Dental Health Surveys</term>
<term>Female</term>
<term>Health Status Disparities</term>
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<front>
<div type="abstract" xml:lang="en">Significant oral health disparities affect people in West Virginia and elsewhere in Appalachia. Although oral diseases such as caries are a major problem, little is known about the occlusal status of this under-served group.</div>
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<DateCompleted>
<Year>2008</Year>
<Month>08</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>04</Month>
<Day>08</Day>
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<ISSN IssnType="Print">0002-8177</ISSN>
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<Volume>139</Volume>
<Issue>5</Issue>
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<Month>May</Month>
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<Title>Journal of the American Dental Association (1939)</Title>
<ISOAbbreviation>J Am Dent Assoc</ISOAbbreviation>
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<ArticleTitle>Oral health disparities in Appalachia: orthodontic treatment need and demand.</ArticleTitle>
<Pagination>
<MedlinePgn>598-604; quiz 627</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Significant oral health disparities affect people in West Virginia and elsewhere in Appalachia. Although oral diseases such as caries are a major problem, little is known about the occlusal status of this under-served group.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Fifty-eight adolescents (ages 12-17 years) and 78 of their parents underwent an orthodontic examination as part of a larger study on oral health in two rural West Virginia counties. Two orthodontists used a standardized index to rate their need for orthodontic care. Participants were interviewed regarding their demand for and history of orthodontic care.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The study results show that parents had a high rate of complete or partial edentulism, an infrequent history of orthodontic treatment, great unmet orthodontic need and less demand for orthodontic care than was suggested by their clinically determined need. The adolescents were similar to national norms with regard to orthodontic treatment history and need, but lower with regard to demand.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The adolescents' similarity to general population norms with regard to previous orthodontic care and level of occlusal status is promising. Nevertheless, their lower recognition of a need for treatment suggests possible future oral health problems and a lower oral health quality of life. Their parents, however, were considerably worse off, in comparison with their adolescent children and adult comparison samples, with regard to orthodontic care and other oral health status measures.</AbstractText>
<AbstractText Label="CLINICAL IMPLICATIONS" NlmCategory="CONCLUSIONS">Culturally sensitive psychoeducational methods to promote recognition of oral health needs may be required among adolescents in Appalachia to have an impact on oral health values and to prevent oral health problems. Issues of orthodontic care utilization and, perhaps, access to care need to be addressed among adults in Appalachia.</AbstractText>
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<Affiliation>Department of Othodontics, West Virginia University School of Dentistry, Morgantown.</Affiliation>
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<Language>eng</Language>
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<GrantID>R01 DE014899</GrantID>
<Acronym>DE</Acronym>
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<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D009971" MajorTopicYN="N">Orthodontics, Corrective</DescriptorName>
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<DescriptorName UI="D012423" MajorTopicYN="N">Rural Health</DescriptorName>
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<DescriptorName UI="D014903" MajorTopicYN="N" Type="Geographic">West Virginia</DescriptorName>
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<name sortKey="Marazita, Mary L" sort="Marazita, Mary L" uniqKey="Marazita M" first="Mary L" last="Marazita">Mary L. Marazita</name>
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