DSpace Community:
https://hdl.handle.net/2440/15
2024-03-18T15:55:31Z
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Decision-Making on Extracting Impacted Third Molars: Information for Dental Practitioners
https://hdl.handle.net/2440/140371
Title: Decision-Making on Extracting Impacted Third Molars: Information for Dental Practitioners
Author: Hanna, K.M.
Abstract: Third molar surgery is the most commonly performed oral surgical procedure with most of the young adults having one or more impacted third molars. When impacted third molars are associated with pathology or recurrent symptoms, there is a consensus among clinicians about the need for extraction. However, there is a debate regarding the need for prophylactically removing asymptomatic disease- free impacted third molars.
Description: Colgate Dental Education Programs, Special Topic No. 16.
A joint program by Colgate Oral Care and The University of Adelaide.
2018-01-01T00:00:00Z
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Socioeconomic Status and Toothbrushing in Indigenous and Non-Indigenous Australian Children
https://hdl.handle.net/2440/140173
Title: Socioeconomic Status and Toothbrushing in Indigenous and Non-Indigenous Australian Children
Author: Fernando, C.; Ha, D.H.; Do, L.G.; Tadakamadla, S.K.
Abstract: Introduction: Dental caries in children is a multifactorial and complex condition. Toothbrushing helps maintain good oral hygiene and delivers fluoride. However, determinants of toothbrushing could vary based on Indigenous status. Objective: This study aimed to assess the association between socioeconomic status and adequate toothbrushing practice (brushing twice or more a day) in Indigenous and nonIndigenous Australian children. Methods: Data were acquired from the National Child Oral Health Survey (NCOHS) 2012 to 2014. NCOHS administered questionnaires to parents of a representative sample of 24,215 Australian children aged 5 to 14 y recruited using a complex sampling method. Data on the frequency of toothbrushing and socioeconomic status were collected through the questionnaires. Statistical analysis was conducted progressively from bivariate to multivariable regression modeling, stratified by Indigenous status. Results: Just over half of Indigenous children and over two-thirds of nonIndigenous children reported adequate toothbrushing. The prevalence of adequate brushing (twice or more a day) was 42% (95% confidence interval [CI], 1.10–1.84) higher among children with an overseas-born parent than those with Australianborn parents. Among non-Indigenous children, sex and age, parents’ country of birth, number of children in the family, and other family socioeconomic indicators (education, income, private health insurance) were associated with adequate toothbrushing. The prevalence of adequate brushing was 1.09 (95% CI, 1.03–1.15) and 1.15 (95% CI, 1.10–1.21) times higher when their parent possessed vocational training and tertiary education, respectively, compared to those children whose parents had school-level education. Conclusions: There were differences in patterns of socioeconomic disparities for toothbrushing practices between Indigenous and non-Indigenous Australian children. Knowledge Transfer Statement: To promote positive toothbrushing practices in children, dental clinicians and public health professionals must be aware of the determinants of toothbrushing practices. Socioeconomic disparities in toothbrushing frequency were more apparent in non-Indigenous children. These results will help develop population-specific interventions that tackle the determinants to help improve oral hygiene behavior in Indigenous and non-Indigenous children.
2023-01-01T00:00:00Z
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The Indigenous Australian Human Papillomavirus (HPV) Cohort Study 2, Continuation for 5 to 10 Years: Protocol for a Longitudinal Study
https://hdl.handle.net/2440/140095
Title: The Indigenous Australian Human Papillomavirus (HPV) Cohort Study 2, Continuation for 5 to 10 Years: Protocol for a Longitudinal Study
Author: Hedges, J.; Sethi, S.; Garvey, G.; Whop, L.J.; Canfell, K.; Dodd, Z.; Larkins, P.; Antonsson, A.; Smith, M.A.; Mittinty, M.; Leane, C.; Reid, N.; Ooi, E.H.; Ju, X.; Logan, R.; Jamieson, L.
Abstract: Background: Human papillomavirus (HPV) infection, a common sexually transmitted disease, is associated with cancers of the cervix, vulva, vagina, penis, anus, and head and neck. Oropharyngeal squamous cell carcinoma (OPSCC; throat cancer) is a type of cancer involving the head and neck area that is rapidly increasing across the globe. There are higher rates of OPSCC among Indigenous populations relative to non–Indigenous Australian populations, although the HPV-attributable fraction remains unknown. For the first time at a global level, we plan to extend an Indigenous Australian adult cohort to monitor, screen, and ultimately prevent HPV-associated OPSCC and to undertake extensive cost-effectiveness modelling around HPV vaccination. Objective: This study aims to (1) extend follow-up to a minimum of 7 years post recruitment to describe the prevalence, incidence, clearance, and persistence of oral HPV infection; and (2) conduct clinical examinations of the head and neck, oral cavity, and oropharynx and collect saliva samples for early-stage OPSCC testing. Methods: We will continue to implement a longitudinal design for the next study phase, where we will ascertain the prevalence, incidence, clearance, and persistence of oral HPV infection at 48, 60, and 72 months; undertake clinical examinations/saliva assessments to detect early-stage OPSCC; and refer for treatment. The primary outcome measures are changes in oral HPV infection status, biomarker measures of early HPV-related cancer, and clinical evidence of early-stage OPSCC. Results: Participant 48-month follow-up will commence in January 2023. The first results are expected to be submitted for publication 1 year after 48-month follow-up begins. Conclusions: Our findings have potential to change the way in which OPSCC among Australian Indigenous adults is managed, with desired impacts including cost-savings on expensive cancer treatments; improved nutritional, social, and emotional outcomes; and improved quality of life for both Indigenous adults and the Indigenous community more broadly. Continuing a large, representative Indigenous adult cohort to track oral HPV infection and monitor early OPSCC is essential to yield critical information to include in the management armamentarium of health and well-being recommendations for Australia’s First Nations.
2023-01-01T00:00:00Z
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Self-reported oral health status, edentulism and all-cause mortality risk in 12 809 Australian older adults: a prospective cohort study
https://hdl.handle.net/2440/139873
Title: Self-reported oral health status, edentulism and all-cause mortality risk in 12 809 Australian older adults: a prospective cohort study
Author: Khan, S.; Chen, Y.; Crocombe, L.; Ivey, E.; Owen, A.J.; McNeil, J.J.; Woods, R.L.; Wolfe, R.; Freak-Poli, R.; Britt, C.; Gasevic, D.
Abstract: Objective: To investigate the association between oral health status and all-cause mortality in older adults using prospective cohort study design. Setting and Participants: In total, 12 809 adults aged ≥70 years (54.3% females) were participants of the ASPREE Longitudinal Study of Older Persons (ALSOPs). Methods: Participants self-reported the presence of natural teeth and oral health status. The association of self-reported oral health, edentulism and the integrative measure of the two with all-cause mortality were explored using the Cox-regression models adjusted for age, gender, socio-economic status, health-related behaviours, weight status, aspirin and polypharmacy. Hazard ratios (HRs) and 95% confidence intervals (CIs) were reported. Results: In total, 22.2% of participants reported edentulism and 13.8% had fair/poor oral health. After adjustment for confounders, risk of all-cause mortality was higher among those with edentulism (vs. no edentulism) HR (95% CI) 1.43 (1.18, 1.73); and those with edentulism and reporting poor/fair oral health HR (95% CI) 1.69 (1.02, 2.82), or with no edentulism but reporting poor/fair oral health HR (95% CI) 1.46 (1.19-1.80) vs. no edentulism and reporting good/very good/excellent oral health. No association was observed between self-reported oral health alone and all-cause mortality. Conclusions: The risk of all-cause mortality was 69% higher among older adults reporting both edentulism and poor/fair oral health compared with those with teeth and more favourable self-reported oral health. © 2023 Australian Dental Association.
Description: OnlinePubl
2023-01-01T00:00:00Z