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      Reasons for use and nonuse of dental services among people visiting a dental hospital in urban India: A descriptive study

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          Abstract

          AIMS AND OBJECTIVES:

          The aim and objective of this study was to sort out the reasons for use and nonuse of dental services among people visiting a private dental hospital in urban India.

          MATERIALS AND METHODS:

          A descriptive cross-sectional study was carried out on 1800 people, aged 18–65 years, visiting a multispecialty dental hospital in urban India. A self-administered questionnaire was used to collect data about the history of dental visits and reasons for use and nonuse of dental services.

          RESULTS:

          For a majority of the people (45%), time since the last dental visit was more than 2 years, and the main reason for visiting a dentist was dental pain (38%). Majority of the people had received restoration of teeth in their previous dental visit (46%). The major reason cited for not visiting a dentist was lack of knowledge toward dental problems and their consequences (30%). Only few people visited dentists for preventive reasons. More patients with better educational levels visited dentists than patients with poor educational status.

          CONCLUSION:

          Majority of the people visited dentists when their problem was severe enough to have a dental appointment. Dental practitioners across locations should also educate the patients regarding the importance of regular dental care, discuss barriers for dental care, and promote attitudinal changes toward a positive health-seeking behavior.

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          Most cited references12

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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.
          Article 0 comments Cited 115 times – based on 0 reviews     Review now
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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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              Reasons for use and non-use of dental services among people visiting a dental college hospital in India: A descriptive cross-sectional study

              CG Devaraj, Pranati Eswar (2012)
              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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                Author and article information

                Journal
                Journal ID (nlm-ta): J Educ Health Promot
                Journal ID (iso-abbrev): J Educ Health Promot
                Journal ID (publisher-id): JEHP
                Title: Journal of Education and Health Promotion
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 2277-9531
                ISSN (Electronic): 2319-6440
                Publication date Collection: 2018
                Publication date (Electronic): 02 August 2018
                Volume: 7
                Electronic Location Identifier: 99
                Affiliations
                [1] Department of Conservative Dentistry and Endodontics, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India
                [1 ] Department of Periodontics, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India
                Author notes
                Address for correspondence: Dr. Suneetha Koneru, Department of Periodontics, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India. E-mail: konerusuneetha@ 123456gmail.com
                Article
                Publisher ID: JEHP-7-99
                DOI: 10.4103/jehp.jehp_193_17
                PMC ID: 6088817
                PubMed ID: 30159345
                SO-VID: b2e6816c-9abe-4687-b73b-3ab3b5cd0d59
                Copyright © Copyright: © 2018 Journal of Education and Health Promotion
                License:

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                Date received : 18 December 2017
                Date accepted : 20 June 2018
                Categories
                Subject: Original Article

                Keywords: dental services,private dental hospital,urban india,utilization
                Data availability:
                Keywords: dental services, private dental hospital, urban india, utilization

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