September 2016

Volume 33, Issue 3

Challenges identified in a pilot outreach dental service for Traveller children in Hackney, East London

Authors: J Doughty D Simons N Pearson P Evans D Wright
doi: 10.1922/CDH_3909Doughty04

Abstract

Dental Public Health in Action Impetus for action: Inequity of dental health and dental service use for Travellers in the UK. National guidance on improving community oral health, stresses an imperative to involve and engage with “those whose economic, social and environmental circumstances or lifestyle place them at high risk of poor oral health or make it difficult for them to access dental services”. Solution: Oral health promotion and simple treatments were provided on two Traveller sites from a mobile dental unit (MDU) over a 5-day period and patients with extensive oral disease were referred to a fixed-site clinic for continued care. Outcomes: Most children, 60%, reportedly brushed once daily or less, only 40% brushed twice daily. Obvious visual caries were evident in 23 out of the 35 children (66%). A moderate to high risk of developing future caries was identified in 92% of Traveller children based on their existing diet, oral hygiene practices and caries experience. Future: Oral care was successfully provided on an MDU, but this is an expensive resource and should not be considered a permanent solution. Oral health promotion messages delivered in the families’ homes or local community settings through their established health services, such as health visitors or community nurses, may help to reinforce good oral hygiene and diet practices and needs robust evaluation. Key words: travellers, access, mobile dental unit, children, oral health, England

£10 single article

Other articles in this issue

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Editorial: Selling a sugar tax: the sweet smell of success? 174-176 Download
The teaching of Dental Public Health – 50 years on 177-180 £10 single article
The teaching of Dental Public Health and its relation to Children’s Dentistry 181-184 £10 single article
Challenges identified in a pilot outreach dental service for Traveller children in Hackney, East London 185-188 £10 single article
Lay public’s use of a support group for general dental problems 189-194 £10 single article
Understanding avoidance and non-attendance among adolescents in dental care - an integrative review 195-207 £10 single article
Variations in survival time for amalgam and resin composite restorations: a population based cohort analysis 208-212 £10 single article
Impact of providing free preventive dental products without health workers’ counselling on infants’ tooth-brushing and bottle-feeding termination practices: a randomised controlled trial 213-217 £10 single article
The dental public health implications of cosmetic dentistry: a scoping review of the literature 218-224 £10 single article
Development of life story experience (LSE) scales for migrant dentists in Australia: a sequential qualitative-quantitative study 225-231 £10 single article
Dental pain and its determinants in an adult population in Tehran, Iran, Urban HEART-2 232-236 £10 single article

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