Utilization of Dental Services in Southern China

Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital.
Journal of Dental Research (Impact Factor: 4.14). 06/2001; 80(5):1471-4. DOI: 10.1177/00220345010800051701
Source: PubMed


A population's utilization of dental services is an important parameter in oral health care planning, which has rarely been studied in China. The objectives of this report were to describe the dental service utilization pattern of middle-aged and elderly Chinese and to analyze the influence of selected variables on the use of dental services. A Guangdong Province population of 1,573 35- to 44-year-olds and 1,515 65- to 74-year-olds recruited from urban and rural communities was interviewed in their local dialect. It was found that 23% of the middle-aged and 24% of the elderly subjects had visited a dentist within the preceding year. The two most commonly cited reasons for not having seen a dentist for at least 3 years were: no perceived need, and no serious dental problems. Among subjects who had visited a dentist within 3 years, the 3 most commonly received treatments were: fillings, extractions, and dental prostheses. Furthermore, a logistic regression analysis showed that women, subjects who lived in urban areas, were better educated, were wealthier, and had better oral health knowledge were more likely to be a recent dental service user. In conclusion, dental service utilization among the adult Southern Chinese was found to be low, problem-driven, and influenced by some socio-economic factors.

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    • "Dental caries and periodontal diseases may contribute to many serious conditions, such as diabetes and respiratory diseases. Poor oral health can affect the quality of life, appearance, and self-esteem, and has been linked to sleeping problems, as well as behavioral and developmental.[2] It has been proven that early diagnosis and appropriate treatment can prevent worsening of the oral diseases.[3] Thus, maintaining good oral health includes both prevention of oral disease occurrence as well as treatment of any existing condition. "
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    ABSTRACT: The availability of oral health services are very scarce in rural India; therefore the unmet treatment needs of rural population are very high. Hence, a retrospective study was conducted to evaluate the types of patients, disease pattern, and services rendered in outreach programs in rural areas of Haryana. A The data were obtained from records of outreach programs conducted, in last 3 months, by Swami Devi Dyal Hospital and Dental College. The data from were analyzed using descriptive statistics. A total of 1371 individuals in the age group of 4--70 years (56.8% males and 43.2% females) attended the outreach program seeking the treatment. Dental caries (43.7%), gingivitis (27.2%), and periodontitis (22.9%) were commonly observed dental diseases. The services provided were oral prophylaxis (51.2%), restoration (22.9%), referral (20%), and extractions (8.8%). The attendance and utilization of dental services in the out reach programs seem to be influenced by sociodemographic characteristics of the population.
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    • "The high prevalence of decay in rural subjects might be related to the economic development of the rural area over the last two decennia. Residents in both rural and urban areas today have similar access to cariogenic food, but in rural areas preventive programs are lacking and dental health knowledge is low [5,20,21]. However, urban residents showed an almost 5 times higher chance for having their teeth filled than rural residents. "
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    • "This reflects the fact that dental visits are very unpleasant because the service often rendered for pain relief is extraction of teeth. This observation accords with findings about oral health service utilization among adults in China [31,32]. "
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