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      Reasons for use and non-use of dental services among people visiting a dental college hospital in India: A descriptive cross-sectional study

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          Abstract

          Objective:

          To find out the reasons for use and non-use of dental services among people visiting a dental college hospital in India.

          Methods:

          A descriptive cross-sectional study was carried out on 180 people, aged 15–65 years visiting the outpatient department of a dental college hospital in India. A self-administered questionnaire was used to collect data about the history of dental visits and reasons for use and non-use of dental services.

          Results:

          For a majority of the people (38.5%), time since the last dental visit was more than 2 years, and the main reason for visiting a dentist was dental pain (35.3%). Majority of the people had undergone extraction of teeth in their previous dental visit (44.3%). The major reason cited for not visiting a dentist was the presence of dental problem that was not severe enough to go to a dentist (43.1%).

          Conclusion:

          Majority of the people were “problem-oriented visitors” rather than “prevention oriented visitors.”

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          Most cited references18

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          Global policy for improvement of oral health in the 21st century--implications to oral health research of World Health Assembly 2007, World Health Organization.

          Poul Petersen (2009)
          The World Health Organization (WHO) Global Oral Health Programme has worked hard over the past 5 years to increase the awareness of oral health worldwide as oral health is important component of general health and quality of life. Meanwhile, oral disease is still a major public health problem in high income countries and the burden of oral disease is growing in many low- and middle income countries. In the World Oral Health Report 2003, the WHO Global Oral Health Programme formulated the policies and necessary actions to the continuous improvement of oral health. The strategy is that oral disease prevention and the promotion of oral health needs to be integrated with chronic disease prevention and general health promotion as the risks to health are linked. The World Health Assembly (WHA) and the Executive Board (EB) are supreme governance bodies of WHO and for the first time in 25 years oral health was subject to discussion by those bodies in 2007. At the EB120 and WHA60, the Member States agreed on an action plan for oral health and integrated disease prevention, thereby confirming the approach of the Oral Health Programme. The policy forms the basis for future development or adjustment of oral health programmes at national level. Clinical and public health research has shown that a number of individual, professional and community preventive measures are effective in preventing most oral diseases. However, advances in oral health science have not yet benefited the poor and disadvantaged populations worldwide. The major challenges of the future will be to translate knowledge and experiences in oral disease prevention and health promotion into action programmes. The WHO Global Oral Health Programme invites the international oral health research community to engage further in research capacity building in developing countries, and in strengthening the work so that research is recognized as the foundation of oral heath policy at global level.
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            Dental care for aging populations in Denmark, Sweden, Norway, United kingdom, and Germany.

            Poul Holm, M Vigild, Ina Nitschke … (2005)
            This article reviews access to and financing of dental care for aging populations in selected nations in Europe. Old age per se does not seem to be a major factor in determining the use of dental services. Dentition status, on the other hand, is a major determinant of dental attendance. In addition to perceived need, a variety of social and behavioral factors as well as general health factors have been identified as determinants of dental service use. Frail and functionally dependent elderly have special difficulties in accessing dental care; private dental practitioners are hesitant to provide dental care to these patients. One reason may be that the fee for treating these patients is too low, considering high dental office expenses. Another reason may be problems related to management of medically compromised patients. This raises an important question: does inadequate training in geriatric dentistry discourage dentists from seeking opportunities to treat geriatric patients? Overall, the availability of dental services, the organization of the dental health care delivery system, and price subsidy for dental treatment are important factors influencing access to dental care among older people in Europe as well as in the United States.
            Article 0 comments Cited 23 times – based on 0 reviews     Review now
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              Barriers to seeking preventive dental care by Kuwaiti adults.

              Sisko Honkala, Ahmad Shammari, M. Azim Ansari (2006)
              The aim of this study was to assess the prevalence of preventive dental visits and to identify self-reported barriers for this practice among Kuwaiti adults. A self-administered, anonymous, structured questionnaire was distributed to a random sample of Kuwaiti nationals 18 years of age or older recruited from all six health districts of Kuwait. A total of 2,400 questionnaires were distributed. Multiple logistic regression analysis was performed to identify factors independently associated with not having a preventive dental visit for more than 1 year. Of the 2,400 questionnaires, 1,925 (80.2%) were completed. Of these, 620 (32.2%) had a dental visit within the previous 6 months, 504 (26.2%) between 6 and 12 months and 801 (41.6%) more than 12 months ago. The most common reasons for the last dental visits were pain or a dental emergency, need for restorative treatment, and an examination/prophylaxis. The strongest factors for not having preventive visits were not using a mouthrinse daily, flossing less than once a day, dental fear, belief that there is no need for visits unless pain was present, brushing the teeth less than twice a day, and believing that appointments are too far ahead. Also older respondents (>30 years), female gender, and those having only high school education or less were less likely to visit a dentist for preventive reasons. More than half of the studied population reported not having had a preventive visit for more than 1 year. Unfavorable self-care habits, dental fear and belief that visiting a dentist is necessary only for pain relief were the strongest factors for the nonattendance behavior. Copyright 2007 S. Karger AG, Basel.
              Article 0 comments Cited 15 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Eur J Dent
                Journal ID (iso-abbrev): Eur J Dent
                Journal ID (publisher-id): Eur J Dent
                Title: European Journal of Dentistry
                Publisher: Dental Investigations Society
                ISSN (Print): 1305-7456
                ISSN (Electronic): 1305-7464
                Publication date (Print): October 2012
                Volume: 6
                Issue: 4
                Pages: 422-427
                Affiliations
                [1 ]Department of Periodontology and Implanatology, Mahatma Gandhi Dental College and Hospital, RIICO Institutional area, Sitapura, Jaipur -302002, Rajasthan, INDIA
                [2 ]Department of Public Health Dentistry, Mahatma Gandhi Dental College and Hospital, RIICO Institutional area, Sitapura, Jaipur -302002, Rajasthan, INDIA
                Author notes
                Corresponding author: Dr. CG Devaraj, Department of Periodontology and Implantology, Mahatma Gandhi Dental College and Hospital, RIICO Institutional area, Sitapura, Jaipur -302022, Rajasthan, INDIA, Tel: +91 978 3515551, Fax: +91 141 2770326, Email: dr_devarajcg@ 123456yahoo.com
                Article
                Publisher ID: dent6_p0422
                DOI: 10.1055/s-0039-1698982
                PMC ID: 3474558
                PubMed ID: 23077423
                SO-VID: 1ffc6c18-8724-40c8-bb9d-5c2c762ba6f1
                Copyright © Copyright 2012 European Journal of Dentistry. All rights reserved.
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                Subject: Articles

                ScienceOpen disciplines: Dentistry
                Keywords: india,utilization,dental college hospital,barriers,dental services
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: india, utilization, dental college hospital, barriers, dental services

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