Abstract
Objectives: To establish the predictors of advanced curative care when dental services are provided free at the point of delivery.
Methods: Electronic data over a 1 year period were extracted from the patient management systems of the University of Portsmouth Dental Academy, a training and primary care setting offering state funded services free. The data included patients’ age, sex, smoking status and deprivation (from post code and indices of multiple deprivation (IMD), together with whether they received oral health instruction and advice. and any instance of advanced curative care (tooth extraction, endodontics and partial dentures). Data were analysed descriptively and a logistic regression model to predict advanced curative care while controlling for other variables.
Results: Records of 6,351 dental patients aged 1-94 years, comprised of 147,417 treatment procedures. The majority were adult (82%), male (52.2%), and non-smokers (81% of 3,436 patients who had smoking status as a variable). Oral health instructions and advice was received by 49% of patients Treatments were received as follows; tooth extractions (25.1%), endodontics (7%): partial dentures (5%). Advanced curative care (ACC) involving at least one instance of tooth extraction, endodontics or partial dentures was experienced by 69.6% (4,424) patients. When examined by quintile of deprivation there was a social gradient with ACC significantly more likely to be received by patients from the most deprived quintile (27.2%) c.f. the least deprived (11.4%). Logistic regression suggests significant (p<0.05) increased likelihood of ACC of 3% per increasing year of age,(x2.1) for a smoker or (x1.4) if received oral health advice. The most deprived were 1.3 times more likely to have ACC c.f least deprived.
Conclusions: Advanced curative treatments in this service was more likely to be received by those in the society with higher needs, which is equitable. However, targeted health promotion for these groups could reduce the need for advanced care.
Methods: Electronic data over a 1 year period were extracted from the patient management systems of the University of Portsmouth Dental Academy, a training and primary care setting offering state funded services free. The data included patients’ age, sex, smoking status and deprivation (from post code and indices of multiple deprivation (IMD), together with whether they received oral health instruction and advice. and any instance of advanced curative care (tooth extraction, endodontics and partial dentures). Data were analysed descriptively and a logistic regression model to predict advanced curative care while controlling for other variables.
Results: Records of 6,351 dental patients aged 1-94 years, comprised of 147,417 treatment procedures. The majority were adult (82%), male (52.2%), and non-smokers (81% of 3,436 patients who had smoking status as a variable). Oral health instructions and advice was received by 49% of patients Treatments were received as follows; tooth extractions (25.1%), endodontics (7%): partial dentures (5%). Advanced curative care (ACC) involving at least one instance of tooth extraction, endodontics or partial dentures was experienced by 69.6% (4,424) patients. When examined by quintile of deprivation there was a social gradient with ACC significantly more likely to be received by patients from the most deprived quintile (27.2%) c.f. the least deprived (11.4%). Logistic regression suggests significant (p<0.05) increased likelihood of ACC of 3% per increasing year of age,(x2.1) for a smoker or (x1.4) if received oral health advice. The most deprived were 1.3 times more likely to have ACC c.f least deprived.
Conclusions: Advanced curative treatments in this service was more likely to be received by those in the society with higher needs, which is equitable. However, targeted health promotion for these groups could reduce the need for advanced care.
| Original language | English |
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| Publication status | Published - 26 Jul 2018 |
| Event | International Association of Dental Research 96th General Session - Excel, London, United Kingdom Duration: 25 Jul 2018 → 28 Jul 2018 https://iadr2018.zerista.com/event/member/489651 |
Conference
| Conference | International Association of Dental Research 96th General Session |
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| Country/Territory | United Kingdom |
| City | London |
| Period | 25/07/18 → 28/07/18 |
| Internet address |