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www.usask.ca
Risk determinants of dental caries and oral hygiene
status in 3-15 year-old recent immigrant and refugee
chil...
www.usask.ca
Purpose
 identify the risk determinants of caries and record oral
hygiene status in recent immigrant and ref...
www.usask.ca
Background
 Recent immigrants & refugees at risk for oral diseases
 Face access to care barriers
a) Languag...
www.usask.ca
Methods
 Convenience samples:
a) 3-15 year-old recent immigrant and refugee children (n=
133)
b) adult guard...
www.usask.ca
Methods
 Clinical examination of children
 2 calibrated examiners(one in each locale)
 portable dental uni...
www.usask.ca
Methods
 dmft/DMFT calculated excluding second molars
 Simplified Oral Hygiene Index (debris & calculus)
 ...
www.usask.ca
Methods – Survey Instrument
 All adults accompanying children completed a
questionnaire aimed at:
a) oral he...
www.usask.ca
Methods - Analysis
 descriptive analysis SPSS 20.0 & SAS 9.3
 regression analysis
 Immigrant/refugee - Ind...
www.usask.ca
Results
 Refugee children had statistically significant higher DMFT
scores than immigrant children (p<0.001)...
www.usask.ca
Results – Treatment Needs
Need Immigrants Refugees p-value
Urgent (pain/infection) 3 (6.8%) 4 (4.5%) 0.68*
Ex...
www.usask.ca
Results
 Significant differences between adult immigrants vs.
refugees & adult immigrants had:
a) significan...
www.usask.ca
Summary
 Refugee children > immigrant children re: disease
 Immigrants/refugee children > oral disease expe...
www.usask.ca
Limitations
 Convenience sample
 Small sample size
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Oral health status, needs and risk determinants of caries in 3-15 year old recent immigrant and refugee children in saskatchewan

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May 16th 2016

Published in: Healthcare
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Oral health status, needs and risk determinants of caries in 3-15 year old recent immigrant and refugee children in saskatchewan

  1. 1. www.usask.ca Risk determinants of dental caries and oral hygiene status in 3-15 year-old recent immigrant and refugee children in Saskatchewan, Canada: A Baseline Study. J. Hoover, H. Vatenparast*, G. Uswak College of Dentistry *College of Pharmacy & Nutrition
  2. 2. www.usask.ca Purpose  identify the risk determinants of caries and record oral hygiene status in recent immigrant and refugee children residing in Saskatoon and Regina, Saskatchewan, Canada
  3. 3. www.usask.ca Background  Recent immigrants & refugees at risk for oral diseases  Face access to care barriers a) Language barriers b) Lack of dental benefits c) Difficulty in paying out-of-pocket d) Variability in oral health KAP  Lack of published data  Desire to fill knowledge gaps & inform policy decisions
  4. 4. www.usask.ca Methods  Convenience samples: a) 3-15 year-old recent immigrant and refugee children (n= 133) b) adult guardians (n=86) c) All arrived in Canada within last 7 years d) Participants part of larger study Healthy Immigrant Children Research study • assessed general health, nutrition, socioeconomic and food security status
  5. 5. www.usask.ca Methods  Clinical examination of children  2 calibrated examiners(one in each locale)  portable dental unit, dental mirror & explorer
  6. 6. www.usask.ca Methods  dmft/DMFT calculated excluding second molars  Simplified Oral Hygiene Index (debris & calculus)  +/- gingivitis  Treatment needs: a) urgent treatment for pain/infection b) Extractions c) Restorations d) Orthodontics e) OHI & periodontal therapy
  7. 7. www.usask.ca Methods – Survey Instrument  All adults accompanying children completed a questionnaire aimed at: a) oral health KAP b) perceived oral health status c) perceived barriers to oral care in Saskatchewan  face–to-face interview with trained interpreters  Approval from U of S Behavioral Research Ethics Board University of Saskatchewan
  8. 8. www.usask.ca Methods - Analysis  descriptive analysis SPSS 20.0 & SAS 9.3  regression analysis  Immigrant/refugee - Independent t-test & Mann- Whitney U Tests, (continuous variables)  Chi Square test & Fisher's Exact Tests (categorical variables), as applicable for categorical variables  outcome of interest for logistic regression was presence/absence of at least one carious tooth
  9. 9. www.usask.ca Results  Refugee children had statistically significant higher DMFT scores than immigrant children (p<0.001) a) Refugee mean dmft/DMFT score 5.80±4.24 b) Immigrant mean dmft/DMFT score 3.52±3.78 c) Significant difference only in f/F between populations d) mean score of 0.48 ±1.52 (immigrant) and 1.55±2.36 (refugees) p<0.001  Significantly higher than dmft/DMFT scores for Canadian children
  10. 10. www.usask.ca Results – Treatment Needs Need Immigrants Refugees p-value Urgent (pain/infection) 3 (6.8%) 4 (4.5%) 0.68* Extraction or surgery 3 (6.8%) 10 (11.2%) 0.54* Restorations 24 (54.5%) 51 (57.3%) 0.76** Plaque Control Instruction 42 (95.5%) 81 (91%) 0.50* Scaling and root planning 20 (45.5%) 41 (46.1%) 0.95** Orthodontic Treatment 15 (34.1%) 35 (39.3%) 0.56** *-Fisher's Exact test **-Pearson's chi-square test
  11. 11. www.usask.ca Results  Significant differences between adult immigrants vs. refugees & adult immigrants had: a) significantly higher proficiency in English language b) More knowledge about oral health • Brushing after meals (p<0.009) • Causes of tooth decay (p<0.002) • Benefits of fluoride (p<0.001) • Knowledge of plaque (p<0.003) components like fluoride and dental floss compared to refugee adults.
  12. 12. www.usask.ca Summary  Refugee children > immigrant children re: disease  Immigrants/refugee children > oral disease experience & treatment needs than Canadians  in line with other at-risk population groups  Other priorities take precedent over dental care & lack of financial resources becomes barrier when seeking care  Language is key barrier (p<0.0001)  Need to link immigrants/refugees with resources
  13. 13. www.usask.ca Limitations  Convenience sample  Small sample size

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