Consensus Report : 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals

Tobacco use has been identified as a major risk factor for oral disorders such as cancer and periodontal disease. Tobacco use cessation (TUC) is associated with the potential for reversal of precancer, enhanced outcomes following periodontal treatment, and better periodontal status compared to patients who continue to smoke. Consequently, helping tobacco users to quit has become a part of both the responsibility of oral health professionals and the general practice of dentistry. TUC should consist of behavioural support, and if accompanied by pharmacotherapy, is more likely to be successful. It is widely accepted that appropriate compensation of TUC counselling would give oral health professionals greater incentives to provide these measures. Therefore, TUC-related compensation should be made accessible to all dental professionals and be in appropriate relation to other therapeutic interventions. International and national associations for oral health professionals are urged to act as advocates to promote population, community and individual initiatives in support of tobacco use prevention and cessation (TUPAC) counselling, including integration in undergraduate and graduate dental curricula. In order to facilitate the adoption of TUPAC strategies by oral health professionals, we propose a level of care model which includes 1) basic care: brief interventions for all patients in the dental practice to identify tobacco users, assess readiness to quit, and request permission to re-address at a subsequent visit, 2) intermediate care: interventions consisting of (brief) motivational interviewing sessions to build on readiness to quit, enlist resources to support change, and to include cessation medications, and 3) advanced care: intensive interventions to develop a detailed quit plan including the use of suitable pharmacotherapy. To ensure that the delivery of effective TUC becomes part of standard care, continuing education courses and updates should be implemented and offered to all oral health professionals on a regular basis

The oral health status of preschool Caucasian and Afro Caribbean children in South London

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Η "Μετανακτορική" Περίοδος στην Ακραία Ανατολική Κρήτη: οι ενδείξεις από τη Ζάκρο

Κύριο στόχο της παρούσας μελέτης αποτελεί η προσπάθεια ανάπλασης του αρχαιολογικού τοπίου στην ακραία ανατολική Κρήτη, κατά το δεύτερο μισό του 15ου αιώνα π.Χ. και κατά το 14ο αιώνα π.Χ., έπειτα, δηλαδή, από τον εκτεταμένο ορίζοντα της καταστροφής που έπληξε τις σημαντικότερες θέσεις της περιοχής στο τέλος της Νεονακτορικής περιόδου. Βασικό μεθοδολογικό εργαλείο αποτελεί η μελέτη των αρχιτεκτονικών και στρωματογραφικών δεδομένων καθώς και η μελέτη των κεραμεικών αποθέσεων των υπό εξέταση περιόδων (Υστερομινωική ΙΙ έως Υστερομινωική ΙΙΙΑ2/πρώιμη Υστερομινωική ΙΙΙΒ), από τον οικισμό της Κάτω Ζάκρου Σητείας.Principal goal of this PhD study is the reconstruction of the archaeological landscape in far east Crete, during the second half of 15th century B.C. and during the 14th century B.C., after the extended destruction horizon, documented in the major archaeological sites of the region, at the end of the Neopalatial period. The main methodological tools are the study of architectural and stratigraphical data, as well as the the study of the Late Minoan II to Late Minoan IIIA2/early Late Minoan IIIB ceramic deposits from the settlement of Kato Zakros, Siteia

The final palatial period in far east Crete: the case of Kato Zakros settlement

Principal goal of this PhD study is the reconstruction of the archaeological landscape in far east Crete, during the second half of 15th century B.C. and during the 14th century B.C., after the extended destruction horizon, documented in the major archaeological sites of the region, at the end of the Neopalatial period. The main methodological tools are the study of architectural and stratigraphical data, as well as the the study of the Late Minoan II to Late Minoan IIIA2/early Late Minoan IIIB ceramic deposits from the settlement of Kato Zakros, Siteia.Κύριο στόχο της παρούσας μελέτης αποτελεί η προσπάθεια ανάπλασης του αρχαιολογικού τοπίου στην ακραία ανατολική Κρήτη, κατά το δεύτερο μισό του 15ου αιώνα π.Χ. και κατά το 14ο αιώνα π.Χ., έπειτα, δηλαδή, από τον εκτεταμένο ορίζοντα της καταστροφής που έπληξε τις σημαντικότερες θέσεις της περιοχής στο τέλος της Νεονακτορικής περιόδου. Βασικό μεθοδολογικό εργαλείο αποτελεί η μελέτη των αρχιτεκτονικών και στρωματογραφικών δεδομένων καθώς και η μελέτη των κεραμεικών αποθέσεων των υπό εξέταση περιόδων (Υστερομινωική ΙΙ έως Υστερομινωική ΙΙΙΑ2/πρώιμη Υστερομινωική ΙΙΙΒ), από τον οικισμό της Κάτω Ζάκρου Σητείας

Oral health patterns of independently living dentate older people: a cross-sectional survey of dental attendees in south-east London.

BACKGROUND: The oral health needs of older adults present increasing challenges to dental services. OBJECTIVES: To examine the clinical oral health status of dentate older people living in the community and attending dental services. METHODS: One hundred and eighty-six dentate adults, aged ≥60 years, underwent clinical examination (DMFS, Plaque and Gingival Indexes), salivary analysis and completed a questionnaire. RESULTS: Participants had an average of 21.4 (±6.2) teeth present and 1.2 (±3.0) decayed, 51.0 (±28.8) missing and 32.6 (±20.5) restored surfaces. Individuals living in the most deprived areas had significantly lower numbers of teeth than those in the least deprived areas (19.1 ± 7.5 cf 23.8 ± 4.1; p < 0.001). Whilst there were no significant differences in DMFS score, residents in the most deprived areas had significantly more missing and fewer filled surfaces than those in the least deprived areas (p = 0.001 and p < 0.001, respectively). Participants with ≥21 teeth (64%) had lower plaque scores, fewer decayed root surfaces, higher stimulated saliva flow rates and lower salivary lactobacilli and yeast counts than those with <21 teeth (p < 0.05 for all). CONCLUSIONS: The findings highlight differences in clinical oral health by age and deprivation status and underline the importance of saliva and retaining a functional dentition