Suitability and effectiveness of ART approach in patients with disability

Objective: To assess the effectiveness and suitability of Atraumatic Restorative Treatment (ART) protocol in people with a disability. Method: Three treatment protocols were distinguished: ART (hand instruments/high-viscosity glass-ionomer); conventional restorative treatment (rotary instrumentation/resin composite) in the clinic (CRT/clinic) and under general anesthesia (CRT/GA). People were referred for restorative care to a special care centre and treated by two specialists. Treatment allocation was performed by patients/parents/caregivers following a brochure-based selection procedure. Reasons for selection, need for changing the treatment selected and difficulties in performing the restorative procedures were recorded. Treatment satisfaction was determined using the Visual Analogue Scale (VAS). Evaluation was performed by two trained and calibrated examiners using the ART restoration assessment codes. The Proportional Hazard model with frailty corrections was applied to calculate survival estimates after 0.5 and 1 year. Result: 66 patients (13.6±7.8 years) with 16 different medical disorders participated. CRT/clinic was chosen by 15 respondents (22.7%) but proved feasible for 5 (13%). 43 respondents (65.2%) chose the ART approach and proved feasible for 47 patients (71.2%), and 14 patients received CRT/GA (21%). In all, 298 dentine carious lesions were restored in primary and permanent teeth, 182 (ART), 21 (CRT/clinic) and 95 (CRT/GA). The 1-year survival rates and jackknife standard error of ART and CRT restorations were 97.8±1.0% and 90.5±3.2%, respectively (p=0.01). Level of satisfaction was highest for ART (mean VAS-score: 9.2±0.86) and lowest for CRT/clinic (mean VAS-score: 7.4±1.14) (p=0<0001). Conclusion: The short-term results indicate that ART appears to be a suitable and effective treatment protocol for treating patients with disability restoratively, many of whom have difficulty coping with the conventional restorative treatment.https://iadr.confex.com/iadr/14iags/webprogram/Paper188896.htmlFil: Molina, Gustavo Fabían. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Materiales Dentales; Argentina.Fil: Faulks, Denise. Université Clermont Auvergne; Francia.Fil: Mulder, Jan. Radboud University Medical Centre; Netherlands.Fil: Frencken, Jo. Radboud University; Netherlands.Otras Ciencias de la Salu

Comparative optimism about infection and recovery from COVID‐19; Implications for adherence with lockdown advice

Background Comparative optimism, the belief that negative events are more likely to happen to others rather than to oneself, is well established in health risk research. It is unknown, however, whether comparative optimism also permeates people’s health expectations and potentially behaviour during the COVID-19 pandemic. Objectives Data were collected through an international survey (N = 6485) exploring people’s thoughts and psychosocial behaviours relating to COVID‐19. This paper reports UK data on comparative optimism. In particular, we examine the belief that negative events surrounding risk and recovery from COVID-19 are perceived as more likely to happen to others rather than to oneself. Methods Using online snowball sampling through social media, anonymous UK survey data were collected from N = 645 adults during weeks 5-8 of the UK COVID-19 lockdown. The sample was normally distributed in terms of age and reflected the UK ethnic and disability profile. Findings Respondents demonstrated comparative optimism where they believed that as compared to others of the same age and gender, they were unlikely to experience a range of controllable (eg accidentally infect/ be infected) and uncontrollable (eg need hospitalization/ intensive care treatment if infected) COVID-19-related risks in the short term (P < .001). They were comparatively pessimistic (ie thinking they were more at risk than others for developing COVID-19-related infection or symptoms) when thinking about the next year. Discussion This is one of the first ever studies to report compelling comparative biases in UK adults’ thinking about COVID-19

A national cross-sectional survey of dental anxiety in the French adult population

<p>Abstract</p> <p>Background</p> <p>Dental anxiety is a public health problem but no epidemiological study has been undertaken in France to evaluate its prevalence. The aim of this study was to estimate the prevalence, severity and associations of dental anxiety in a sample of the French adult population.</p> <p>Methods</p> <p>A convenience sample of 2725 adults (mean age = 47 years, SD16, minimum = 16, maximum = 101 years), representative of the French population with regard to age and urban distribution, completed a French version of the Corah Dental Anxiety scale (DAS) and a questionnaire relating to their dental appointments.</p> <p>Results</p> <p>Moderate dental anxiety (14≥DAS≥13) was revealed for 172 persons (6.2%), while 195 (7.3%) had severe dental anxiety (DAS≥15), giving an overall prevalence of dental anxiety of 13.5%. Prevalence was lower proportionally with age (P < 0.001) and was higher in French overseas territories and in the countryside (P < 0.01). Farmers and low skilled workers were significantly more anxious than executives and shopkeepers (P < 0.001). Anxiety was associated with avoidance of care (p < 0.001) and lack of regular dental appointments (p < 0.001).</p> <p>Conclusion</p> <p>Dental anxiety in France appears to concern a similar proportion of the population as in other industrialised European, Australasian or North American countries. Recommendations for prevention and management of dental anxiety are made with reference to dental education and health care services in France.</p

Special care in dentistry

International audienc

Oral health inequalities and disability: Closing the gap

Abstract The social determinants of health impact disproportionately on disabled people creating a cumulative risk of unequal oral health outcomes, compounded by impairment. Problems in early life, education and employment, poor social status and support, social exclusion, poverty and stress characterize the life course of many disabled people. Ableism and exclusion combine to ensure that disabled voices are rarely heard, ignorance and indifference lead to prejudice in policy‐making and enforcement and negative media attitudes fuelled by political austerity lead to stigmatization. Yet, the health disparities experienced by disabled people are still perceived as being uniquely caused by a medical condition or impaired body function, excluding disabled people from the inequalities discourse. In parallel, the influence of medical conditions within other marginalized groups are minimized (e.g. mental health), leading to the underestimation of the impact of disability on oral health generally. The common ground between all groups subject to oral health inequalities can be conceptualized using the WHO International Classification of Functioning. Outcomes for all might be improved by emphasizing this common ground; by considering disability as a primary variable, such as gender or age; by identifying disabled people within existing inequalities research; and by explicitly including disabled people in future research

Etude comparative de l'état de santé orale d'un groupe de jeunes personnes porteuses de trisomie 21 et d'un groupe d'étudiants en chirurgie dentaire

CLERMONT FD-BCIU Odontol. (631132226) / SudocCLERMONT FD-BCIU-Santé (631132104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Etude de la santé orale des enfants et des jeunes adultes pris en charge par l'institut départemental de jeunes sourds de Clermont-Ferrand

CLERMONT FD-BCIU Odontol. (631132226) / SudocCLERMONT FD-BCIU-Santé (631132104) / SudocSudocFranceF