The quality of life can be defined, as the perception of the individuals about their position in life, embedded in a cultural context and a value system in relation to their goals, expectations, standards and concerns (1). During the past few decades, there has been an increasing interest in evaluating and measuring the quality of life in the literature (2). It has been reported to be important for both, the individual and the society since it is assessing relevant patient outcomes, help assessing the outcome of clinical trials, comparing the efficacy of different treatments, evaluating the cost-utility and cost-effectiveness of health-care programs and assisting quality assurance(3). A number of instruments for measuring Oral Health Related Quality of Life (OHRQoL) in relation to oral conditions have been designed (4, 5). They include assessment of impairment and the emotional, social and behavioural domains (6).
The Oral Health Impact Profile (OHIP) (7) is one of the most widely used instrument to measure OHRQoL in dentistry (6). It has been translated into many languages including Swedish (OHIP-S) (8), the score has been evaluated and found to have good reliability and validity and it is recommended to be used in further studies (8).
Activity of Daily Living (ADL) is a different construct that assesses the impact of a certain conditions on daily activities. Von Korff included questions measuring disability in a self-report questionnaire, which was used to compare differences between different pain conditions(9). Impact on the ADL was part of the disability score. Research Diagnostic Criteria for Tempomandibular disorder(10) incorporated von Korff instrument(9) concerning disability to measure ADL.
Several oral conditi...
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...onent of this study. Only a few population studies described OHRQoL (14). On the other hand, several OHRQoL study have evaluated elderly people (6, 8, 14) or on group sample with special illness(21, 32, 33). Investigating wide-range aged adults normally living in their community gives more understanding of how different oral conditions might affect this community.
Therefore the aim of the present study was to determine self-reported prevalence of different conditions (TMD, BMS, dry mouth and bad breath) together with comparing their influences on OHRQoL, how much impact each condition exerts on activity of daily Living (ADL), and perceived need for treatment. Our hypothesis is that TMD exerts more impact on OHRQoL and negatively affect ADL other than the three conditions. Conditions accompanied with pain and discomfort; TMD and BMS will report more treatment need
For each client I collect several different assessments to help determine a diagnosis and individualized care plans. First, I start with assessing their oral hygiene routine and get a general idea of how important oral hygiene is to the client. After this, I preform an oral cancer screening to make sure all soft tissues appear normal. Next, I preform an assessment of the periodontal tissue color, contour and texture as well as recording a periodontal chart. Once all this information is gathered we take a look at all the information and determine a diagnosis. Then, we set goals and select appropriate interventions
(1) LOW INCOME AND LACK OF INSURANCE: A number of studies have linked poor oral health with low socioeconomic status. Affordability is identified as major challenge in accessing dental care. “For instance, 17.3 per cent of the whole population (i.e., approximately
reminders about common misconceptions regarding null hypothesis significance testing. Quality Of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. Retrieved from http://ehis.ebscohost.com
15-Mutneja. P, Dhawan. P, et al. Menopause and the oral cavity. Indian Journal of Endocrinology and Metabolism (2010); 16(4): 548-551.
Not only do they face the obvious challenges with their memory but also often have diminished physical ability and when one adds the possibility of xerostomia from medication it only makes the situation worse. Dental professionals should strive to do the best they can to help all people. Practicing dentistry should not be limited to the people who can take care of themselves. It is clear that people are living longer in the world today and with that comes mental and physical deficits. Oral health care does not become less valuable because a person suffers from life threatening diseases, it should continue to maintain its importance. Many of the problems our geriatric population face can be linked directly to lack of proper nutrition and loss of joy from being able to eat certain foods. Furthermore, oral diseases can cause the manifestation of systemic ailments that ultimately will lead to certain health decline. If people do not consider oral hygiene a priority then it is up to Dental professionals to convince them and encourage them to take responsibility. The general populous has neglected the geriatric population, but health care providers seem to be at the forefront by keeping them in focus. Dental health care providers have a duty to be apart of our older populations
The RLT model is holistic, as it identifies five components, including the activities of Daily living (ADL), life span, dependence/independence, factors influencing AL and individuality in living, which are interrelated (Healy & Timmins, 2003; Holland et al, 2004; Roper et al, 1996). Roper et al (2000) view the patient as an individual that lives through the life span, with changing levels of dependence and independence, depending on age, circumstances and the environment (Healy & Timmins, 2003). The twelve ADL are influenced by five factors, namely; biological, psychological, sociocultural, and environmental and politico economic (Healy & Timmins, 2003; Holland et al, 2004; Roper et al, 1996).
The child is at stage three linguistic speech in oral development (Fellows & Oakley, 2014). They show evidence of this in both their receptive and expressive language meeting the criteria for this stage (Fellows & Oakley, 2014). They show evidence of their receptive language by their ability in being able to understand opposites (Fellows & Oakley, 2014). While they had some issues with the differences between soft and scratchy they were able to demonstrate the differences between big and little several times during the dialogue. They showed evidence of their expressive language by their use of telegraphic speech, expanding vocabulary and in the ability to take in turns of speaking and listening (Fellows & Oakley, 2014). Telegraphic
“In 2007, the nation spent $98.6 billion on dental services, yet many children and adults went without the services they need to prevent and control oral disease. We have interventions that can not only prevent disease but also save money” (CDC 34). Oral health for the general public, especially the underserved, has been consistently overlooked. Low-income families and developing countries, who are the most vulnerable to oral problems, are the population that is the most ignored. Five and a half percent of people, in 2007, either could not receive dental care or were putting it off. The main cause of this is money. Many insurances are not accepted by dental clinics because of the high costs of dental exams (Institute of Medicine. 38, 88). If this is not the case, why are these people delaying in protecting their oral health? What most people do not know is that oral health affects overall health. This realization began in 1944 with the Public Health Service Act; it was asking for a movement protecting oral health as it was linked to overall health (Imes par. 4). More research is coming out on this subject, but already bacteria from periodontal disease has been found in the brain, lungs, and heart (Institute of Medicine. 33). With oral health being increasingly important and low-income families and countries being underserved, the government has started to initiate programs to improve oral health geared towards the underprivileged. The water fluoridation and school-based dental sealants are two successful programs started by the government (“Oral health.” CDC par. 41). These programs however do not reach enough people, especially the people who are part of the underserved. With oral health as important as it is, more...
Each country in today’s world has their own growth and their own dental care system. As you can see in appendix 5 and 6 you will see “Scorecard assessment of state of evidence for action, leadership, resources and health systems in important areas of oral health”(Beaglehole Pg 90). The global scale is organized in 3 categories high income, middle income and low income countries. High income countries world population is on...
A quality-adjusted life year (QALYs) is one of the most widely used measures for measuring the quality of life and is used for the assessment of health outcomes. Health is a function of length of life and quality of life (Prieto and Sacristán, 2003) and this measure serves as composite indicator which allows quantity and quality of life in a single ind...
Over time as individuals age and are faced with access to care issues they may begin to neglect their oral health. As time passes between dental hygiene cleanings or dentist visits the presence of oral disease may begin to increase.
Introduction: In Canada, general dental health is not part Canada’s national system of health insurance (Medicare) (1) except for some dental surgical procedures that are performed at hospitals. Since Oral health does not come under the Health Act about ninety-five percent of the oral health care services are offered on a fee-for-service basis. Oral health care is under provincial or territorial jurisdiction like other health care services and publically financed dental care programs provide the remaining five percent of oral health care services (2). Thus, majority of Canadians receive oral health via privately owned dental clinics. Privately owned dental care gives these services providers control over dental service charges, types of available treatment for the patients and number of follow-up appointment for treatments or routine care. Service users pay for the dental expenses from their own pockets or utilize insurance coverage (1).
Assessment. Maricela started by taking the patient’s blood pressure, as well as added new medical information to her chart and let the Dentist evaluate her medical history. After that she proceeded with the intra/extra oral exams. Since the patient had dentures, Maricela made sure to pay extra attention to her maxillary hard palate. There was definite signs of irritation, redness, and a few sores from constant rubbing. Next, Maricela did a periodontal assessment. Even though the patient had a lot of tooth loss, her gums were decently healthy. She had a few pockets, but it surprised me how healthy the gums actually were. When documenting caries and dental charting, it was documented that the patient had a low plaque score that did end up being a little higher than the last appointment. No radiographs where
There are many contributing factors when it comes to geriatric dentistry. Dentist and Hygienist should understand that is not just the treatment they provide in the office that concludes the realm of geriatric dentistry. The dental team must understand an elderly patient’s background and use their knowledge of statistics concerning geriatric patients in order to decide what steps need to be taken for treatment. As a provider, if you know the different statistics surrounding various patients, you will have a good idea what risk factors and oral diseases will be prevalent for certain patients.
It is among the most common chronic inflammatory diseases known to mankind and is recognized as the major cause of tooth loss in adults (1). In the USA, the prevalence of periodontal disease, in some form, is known to affect up to 48% of the adult population, distributed as 8.7% for mild, 30.0% for moderate, and 8.5% for severe periodontitis, making it a leading problem in oral healthcare, which also has systemic implications (2).