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Biomedical subjects

J G Whittle

Publications and source records attributed to J G Whittle.

12 recordsLinked to original sources

Dental caries in 12-year-old children in Salford, UK: changes over 28 years.

A sample of 111 12-year-old children in Salford, UK was examined in 1988, and the findings compared with those of a survey carried out in 1960 of 12-year-old children in the same city. Between 1960 and 1988, the mean DMFT of the boys fell from 6.04 to 2.34 and that of the girls from 6.54 to 3.40. All types of teeth were affected by caries in 1960 but in 1988 none of the canines and mandibular lateral incisors were affected. In 1960 the permanent first molars contributed 57% of the boys' and 54% of the girls' total DMFT while in 1988 they contributed 87% of the boys' and 73% of the girls' DMFT. Jackson's Treatment Index showed that the dental services were making a greater impact in 1988; for the boys it rose from 29.5 to 63.2 and for the girls from 27.8 to 62.3.

Child

A classification of residential neighbourhoods (ACORN) in relation to dental health and dental health behaviours.

Five-year-old children in two district health authorities in the North Western Region of England were examined during 1989-90. Questionnaires were issued to parents to determine whether dental health and related behaviours were associated with socio-economic status. Parents of 1858 children in Salford (response rate = 78 per cent) and 1691 in Trafford (response rate = 81 per cent) returned the questionnaires. Their replies were analysed by dividing the children into a hierarchy according to a classification of residential neighbourhood (ACORN). Significantly fewer in the highest of three Divisions in both districts had suffered from toothache and had undergone a general anaesthetic to have teeth extracted. They were also more likely to have had their teeth brushed with toothpaste by their first birthday and to have visited the dentist by their second. Because ACORN had detected these differences in dental health related behaviour it was possible to identify localities towards which dental health promotion activities can be directed.

Carbonated Beverages

Some parental views on the Community Dental Service.

A sample of 220 adults accompanying children to Community Dental Service (CDS) clinics in two adjacent health districts in the North Western Health Region of England were questioned to gain insight into their views about the service. Seventy-five per cent reported that they had a dentist of their own; 82% of these claimed to have visited him/her in the previous 12 months. They had chosen the CDS for four broad reasons: 51% saw it as providing a specialised service, 27% came as a result of a school inspection, 15% used it because it was convenient, and 7% had been unhappy with the care provided by a general dental practitioner. Seventy-six per cent thought that the CDS should be allowed to treat adults. There were no significant differences between those with dentists of their own and those without, or between those who gave the specialised nature of the CDS as the reason for attending and those who did not. Those who came by car were significantly less likely to believe that the CDS should treat adults; nevertheless, 69% of these were in favour.

Adult

Dental health education: training of homecarers of mentally handicapped adults.

A seven week induction course for homecarers of mentally handicapped adults, organised by the Social Services Department in Salford, UK, includes a dental health education session of one and a half hours. The session is divided into three parts; an illustrated discussion, a demonstration of tooth-brushing and a practical component session where carers are divided into pairs and carry out oral hygiene measures for each other. The effectiveness of the session has been assessed using a questionnaire. This was completed by 33 carers who attended the session and 31 carers who had not. Many members of both groups knew about the shape and colour of healthy gums and what plaque was. However significantly fewer of the control group knew that gum disease resulted from a lack of toothbrushing, what to do with bleeding gums and the amount of toothpaste to use on the toothbrush.

Female

Field testing of an information system for planning and evaluating dental services.

A survey of the dental health and need for treatment of 796 children, one in 10 of those in the 1st and 3rd years of high schools in a health administrative area, was carried out using a comprehensive, computerized, epidemiological information system. The system was designed to aid in planning and evaluating services and expressed treatment need on the Resource Related Index as well as utilizing conventional indices. A baseline profile of the dental condition of children in four districts was obtained. This was compared with findings from other surveys. The problem of interexaminer reliability was also discussed.

Adolescent

Factors influencing the local planning of dental services.

Findings from a survey of 796 high school children in four districts constituting a health administrative area were examined to ascertain the factors influencing their dental disease experience, treatment received and attendance pattern. In three of the four districts, over 60% of the children were regular attenders, enjoying the benefit of less active caries than irregular attenders. However, in the remaining district, much of which consisted of depressed, inner city areas undergoing re-development, only one third were regular attenders. Several local factors, such as availability and accessibility of services, probably influenced the numbers seeking regular care, but one of the most important appeared to be the level of provision in the salaried Community Dental Service. The implications of the findings for planning improvements in local services are discussed.

Adolescent