The oral health-related lifestyle of Vancouver inner city elementary school-aged children

Objectives: To describe the oral health-related lifestyle of Vancouver inner city elementary school-aged children and relate different aspects of their oral health-related lifestyle with demographic and socioeconomic factors. Methods: This cross-sectional study used a structured questionnaire with some open-ended items to survey 424 school-aged children in Vancouver inner city elementary schools (53.3% boys and 46.7% girls). There were two versions of the questionnaire: the shortened version was used for grades 1-3 and included only multiple choice questions while the comprehensive version for grade 4-7 comprised both structured and open-ended questions. In the questionnaire, different items were used such as ordinal, interval and qualitative to acquire information about different aspects of oral health-related knowledge, attitudes and behaviours. Results: Overall, there was a deficiency in oral-health related knowledge and corresponding behaviours in all age groups and both genders. Thus awareness about oral health in this cohort of children needs to be improved. The oral health-related lifestyle did not differ between boys and girls except for the interdental cleaning behaviour (P=0.033). Oral health-related lifestyle did not differ according to socio-demographic characteristics except for the difference in consumption of sugar-containing drinks among age groups (P<0.001). The diet-related knowledge differed between children born inside and outside Canada (P<0.050). Conclusion: Oral health-related knowledge, attitudes and behaviours among elementary school-aged children in inner-city Vancouver areas was deficient and professional guidance from oral health care workers concerning oral health self-care was lacking. There were no distinct socio-economic or demographic differences in lifestyle factors among the inner city Vancouver school-aged children.Dentistry, Faculty ofGraduat

Improving the oral health of elderly long-term care residents with support of an oral health coordinator

Objective: The goal of this project was to determine whether an oral health coordinator (OHC) could improve the oral hygiene of residents in long term care facilities. Methods: This prospective study utilized 4 LTCFs in Courtenay, Comox Valley on Vancouver Island and included 126 residents with natural teeth (66% female, age range 63–101 years, and 34% male age range 62 -108 years). Residents’ oral hygiene was assessed at baseline and again at a 6-month using the Geriatrics Debris Index-Simplified (GDI-S) and Geriatrics Calculus Index-Simplified (GCI-S). The OHC provided in-service education & training of care aides and nursing staff with respect to daily mouth care over the six-months of the project. Results: The mean number of teeth per resident was 18. At baseline, 73% did not receive help for their daily mouth care, and after examination, 95.2% were recommended to receive assistance with their daily mouth care. A paired-samples t-test revealed no statistically significant difference in (GDI-S) and (GCI-S) measurements between baseline and 6-month follow-up. Conclusion: Although the OHC provided extensive training of care staff, the oral hygiene did not improve.Dentistry, Faculty ofGraduat