Skip to main content
Top
Published in: BMC Oral Health 1/2014

Open Access 01-12-2014 | Research article

Preventive and clinical care provided to adolescents attending public oral health services New South Wales, Australia: a retrospective study

Authors: Angela V Masoe, Anthony S Blinkhorn, Jane Taylor, Fiona A Blinkhorn

Published in: BMC Oral Health | Issue 1/2014

Login to get access

Abstract

Background

Dental Therapists and Oral Health Therapists (Therapists) working in the New South Wales (NSW) Public Oral Health Service are charged with providing clinical dental treatment including preventive care for all children under 18 years of age. Adolescents in particular are at risk of dental caries and periodontal disease which may be controlled through health education and clinical preventive interventions. However, there is a dearth of evidence about the type or the proportion of clinical time allocated to preventive care.
The aim of this study is to record the proportion and type of preventive care and clinical treatment activities provided by Therapists to adolescents accessing the NSW Public Oral Health Service.

Methods

Clinical dental activity data for adolescents was obtained from the NSW Health electronic Information System for Oral Health (ISOH) for the year 2011. Clinical activities of Therapists were examined in relation to the provision of different types of preventive care for adolescents by interrogating state-wide public oral health data stored on ISOH.

Results

Therapists were responsible for 79.7 percent of the preventive care and 83.0 percent of the restorative treatment offered to adolescents accessing Public Oral Health Services over the one year period. Preventive care provided by Therapists for adolescents varied across Local Health Districts ranging from 32.0 percent to 55.8 percent of their clinical activity.

Conclusions

Therapists provided the majority of clinical care to adolescents accessing NSW Public Oral Health Services. The proportion of time spent undertaking prevention varied widely between Local Health Districts. The reasons for this variation require further investigation.
Appendix
Available only for authorised users
Literature
2.
go back to reference Centre for Oral Health Strategy NSW: Practice Oversight of Dental Therapists, Dental Hygienists & Oral Health Therapists. 2008, Sydney: Department of Health, Australia Centre for Oral Health Strategy NSW: Practice Oversight of Dental Therapists, Dental Hygienists & Oral Health Therapists. 2008, Sydney: Department of Health, Australia
3.
go back to reference Ford PJ, Farrah CS: Oral health therapists: what is their role in Australian health care?. Int J Dent Hyg. 2012, 11 (1): 22-27.CrossRefPubMed Ford PJ, Farrah CS: Oral health therapists: what is their role in Australian health care?. Int J Dent Hyg. 2012, 11 (1): 22-27.CrossRefPubMed
4.
go back to reference Australian Dental Association: Adolescent Oral Health-Dental Health Week 2006. In National Dental Update. 2006, NSW: Australian Dental Association Inc. Sydney Australian Dental Association: Adolescent Oral Health-Dental Health Week 2006. In National Dental Update. 2006, NSW: Australian Dental Association Inc. Sydney
5.
go back to reference Armfield JM, Spencer AJ, Brennan DS: Dental Health of Australia’s Teenagers and pre-Teen Children: The Child Dental Survey, Australia2003-04, Dental Statistics and Research Series no. 52.Cat.No.DEN 199. 2009, Canberra: AIHW Armfield JM, Spencer AJ, Brennan DS: Dental Health of Australia’s Teenagers and pre-Teen Children: The Child Dental Survey, Australia2003-04, Dental Statistics and Research Series no. 52.Cat.No.DEN 199. 2009, Canberra: AIHW
6.
go back to reference American Academy of Pediatric Dentistry: Guideline on caries risk assessment and management for infants, children, and adolescents. Pediatr Dent. 2010, 32 (6): 101-108. American Academy of Pediatric Dentistry: Guideline on caries risk assessment and management for infants, children, and adolescents. Pediatr Dent. 2010, 32 (6): 101-108.
7.
go back to reference Chown P, Kang M, Sanci L, Newnham V, Bennett DL: Adolescent Health: Enhancing the Skills of General Practitioners in Caring for Young People from Culturally Diverse Backgrounds, GP Resource Kit 2nd Edition. 2008, Sydney: NSW Centre for the Advancement of Adolescent Health and Transculture Mental Health Centre, 2 Chown P, Kang M, Sanci L, Newnham V, Bennett DL: Adolescent Health: Enhancing the Skills of General Practitioners in Caring for Young People from Culturally Diverse Backgrounds, GP Resource Kit 2nd Edition. 2008, Sydney: NSW Centre for the Advancement of Adolescent Health and Transculture Mental Health Centre, 2
8.
go back to reference American Academy of Pediatric Dentistry: Guideline on oral health care for the pregnant adolescent. Pediatr Dent. 2010, 32 (6): 127-131. American Academy of Pediatric Dentistry: Guideline on oral health care for the pregnant adolescent. Pediatr Dent. 2010, 32 (6): 127-131.
9.
go back to reference Davies RM, Blinkhorn AS: Preventing dental caries: part 1 the scientific rationale for preventive advice. Dent Update. 2013, 40 (9): 719-722.PubMed Davies RM, Blinkhorn AS: Preventing dental caries: part 1 the scientific rationale for preventive advice. Dent Update. 2013, 40 (9): 719-722.PubMed
10.
go back to reference American Academy of Pediatric Dentistry: Guideline on oral health adolescent care. In Clinical Guidelines. 2010, 35 (6): 137-144. American Academy of Pediatric Dentistry: Guideline on oral health adolescent care. In Clinical Guidelines. 2010, 35 (6): 137-144.
11.
go back to reference Broadbent JM, Thomson WM, Poulton R: Oral health beliefs in adolescence and oral health in young adulthood. J Dent Res. 2006, 85 (4): 339-343. 10.1177/154405910608500411.CrossRefPubMedPubMedCentral Broadbent JM, Thomson WM, Poulton R: Oral health beliefs in adolescence and oral health in young adulthood. J Dent Res. 2006, 85 (4): 339-343. 10.1177/154405910608500411.CrossRefPubMedPubMedCentral
12.
go back to reference Levine AB, Stillman-Lowe C: The Scientific Basis of Oral Health Education. 2009, London: British Dental Journal, 6 Levine AB, Stillman-Lowe C: The Scientific Basis of Oral Health Education. 2009, London: British Dental Journal, 6
13.
go back to reference Armfield JM, Spencer AJ, Slade G: Changing inequalities in the distribution of caries associated with improving child oral health in Australia. J Public Health Dent. 2009, 69 (2): 125-134. 10.1111/j.1752-7325.2008.00110.x.CrossRefPubMed Armfield JM, Spencer AJ, Slade G: Changing inequalities in the distribution of caries associated with improving child oral health in Australia. J Public Health Dent. 2009, 69 (2): 125-134. 10.1111/j.1752-7325.2008.00110.x.CrossRefPubMed
14.
go back to reference Skinner J, Johnson G, Phelan C, Blinkhom A: Dental Caries in 14-and 15- year-olds in New South Wales, Australia. BioMed Central Public Health. 2013, 13 (1060): 1-8. Skinner J, Johnson G, Phelan C, Blinkhom A: Dental Caries in 14-and 15- year-olds in New South Wales, Australia. BioMed Central Public Health. 2013, 13 (1060): 1-8.
16.
go back to reference Petersen PE, Kwan S: Evaluation of community-based oral health promotion and oral disease prevention-WHO recommendations for improved evidence in public health practice. Community Dent Health. 2004, 21: 319-329.PubMed Petersen PE, Kwan S: Evaluation of community-based oral health promotion and oral disease prevention-WHO recommendations for improved evidence in public health practice. Community Dent Health. 2004, 21: 319-329.PubMed
17.
go back to reference Sheiham A, Watt RG: The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000, 28 (6): 399-406. 10.1034/j.1600-0528.2000.028006399.x.CrossRefPubMed Sheiham A, Watt RG: The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000, 28 (6): 399-406. 10.1034/j.1600-0528.2000.028006399.x.CrossRefPubMed
19.
go back to reference Marinho VC, Higgins JP, Logan S, Sheiham A: Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003, 4: CD002782 Marinho VC, Higgins JP, Logan S, Sheiham A: Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003, 4: CD002782
20.
go back to reference Tickle M, Milsom KM, King D, Blinkhorn AS: The influences on preventive care provided to children who frequently attend the UK general dental service. Br Dent J. 2003, 194 (6): 329-332. 10.1038/sj.bdj.4809947.CrossRefPubMed Tickle M, Milsom KM, King D, Blinkhorn AS: The influences on preventive care provided to children who frequently attend the UK general dental service. Br Dent J. 2003, 194 (6): 329-332. 10.1038/sj.bdj.4809947.CrossRefPubMed
21.
go back to reference Yevlahova D, Satur J: Models for individual oral health promotion and their effectiveness: a systematic review. Aust Dent J. 2009, 54 (3): 190-197. 10.1111/j.1834-7819.2009.01118.x.CrossRefPubMed Yevlahova D, Satur J: Models for individual oral health promotion and their effectiveness: a systematic review. Aust Dent J. 2009, 54 (3): 190-197. 10.1111/j.1834-7819.2009.01118.x.CrossRefPubMed
22.
go back to reference Walsh MM, Buchanan SA, Hoover CI, Newbrun E, Taggart EJ, Armitage GC, Robertson PB: Clinical and microbiologic effects of single-dose metronidazole or scaling and root planing in treatment of adult periodontitis. J Clin Periodontol. 1986, 13 (2): 151-157. 10.1111/j.1600-051X.1986.tb01449.x.CrossRefPubMed Walsh MM, Buchanan SA, Hoover CI, Newbrun E, Taggart EJ, Armitage GC, Robertson PB: Clinical and microbiologic effects of single-dose metronidazole or scaling and root planing in treatment of adult periodontitis. J Clin Periodontol. 1986, 13 (2): 151-157. 10.1111/j.1600-051X.1986.tb01449.x.CrossRefPubMed
29.
go back to reference IBM: SPSS Statistics V21. 2012, New York, U.S.A: IBM Corp IBM: SPSS Statistics V21. 2012, New York, U.S.A: IBM Corp
32.
go back to reference Evans RW, Dennison PJ: The caries management system: an evidence- based preventive strategy for dental practitioners. Application for children and adolescents. Aust Dent J. 2009, 54 (4): 381-389. 10.1111/j.1834-7819.2009.01165.x.CrossRefPubMed Evans RW, Dennison PJ: The caries management system: an evidence- based preventive strategy for dental practitioners. Application for children and adolescents. Aust Dent J. 2009, 54 (4): 381-389. 10.1111/j.1834-7819.2009.01165.x.CrossRefPubMed
33.
go back to reference Marinho VC: Cochrane reviews of randomized trials of fluoride therapies for preventing dental caries. Eur Arch Paediatr Dent. 2009, 10 (3): 183-191. 10.1007/BF03262681.CrossRefPubMed Marinho VC: Cochrane reviews of randomized trials of fluoride therapies for preventing dental caries. Eur Arch Paediatr Dent. 2009, 10 (3): 183-191. 10.1007/BF03262681.CrossRefPubMed
34.
go back to reference Featherstone JD: The caries balance: the basis for caries management by risk assessment. Oral Health Prev Dent. 2004, 2 (1): 259-264.PubMed Featherstone JD: The caries balance: the basis for caries management by risk assessment. Oral Health Prev Dent. 2004, 2 (1): 259-264.PubMed
35.
go back to reference Bonetti D, Johnston M, Clarkson JE, Grimshaw J, Pitts NB, Eccles M, Steen N, Thomas R, Maclennan G, Glidewell L, Walker A: Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants. Implement Sci. 2010, 5 (25): 1-14. Bonetti D, Johnston M, Clarkson JE, Grimshaw J, Pitts NB, Eccles M, Steen N, Thomas R, Maclennan G, Glidewell L, Walker A: Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants. Implement Sci. 2010, 5 (25): 1-14.
36.
go back to reference Grol R, Grimshaw J: From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003, 362 (9391): 1225-1230. 10.1016/S0140-6736(03)14546-1.CrossRefPubMed Grol R, Grimshaw J: From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003, 362 (9391): 1225-1230. 10.1016/S0140-6736(03)14546-1.CrossRefPubMed
37.
go back to reference Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL: Primary care: is there enough time for prevention?. Am J Public Health. 2003, 93 (4): 635-641. 10.2105/AJPH.93.4.635.CrossRefPubMedPubMedCentral Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL: Primary care: is there enough time for prevention?. Am J Public Health. 2003, 93 (4): 635-641. 10.2105/AJPH.93.4.635.CrossRefPubMedPubMedCentral
38.
go back to reference Ahovuo-Saloranta A, Hiiri A, Nordblad A, Makela M, Worthington HV: Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2008, 4: CD001830-PubMed Ahovuo-Saloranta A, Hiiri A, Nordblad A, Makela M, Worthington HV: Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2008, 4: CD001830-PubMed
39.
go back to reference Clarkson JE, Turner S, Grimshaw JM, Ramsay CR, Johnston M, Scott A, Bonetti D, Tilley CJ, Maclennan G, Ibbetson R, Macpherson LM, Pitts NB: Changing clinicians’ behavior: a randomized controlled trial of fees and education. J Dent Res. 2008, 87 (7): 640-644. 10.1177/154405910808700701.CrossRefPubMed Clarkson JE, Turner S, Grimshaw JM, Ramsay CR, Johnston M, Scott A, Bonetti D, Tilley CJ, Maclennan G, Ibbetson R, Macpherson LM, Pitts NB: Changing clinicians’ behavior: a randomized controlled trial of fees and education. J Dent Res. 2008, 87 (7): 640-644. 10.1177/154405910808700701.CrossRefPubMed
40.
go back to reference Featherstone JD, Domejean-Orliaguet S, Jenson L, Wolff M, Young DA: Caries risk assessment in practice for age 6 through adult. J Calif Dent Assoc. 2007, 35 (10): 703-707. 710–703PubMed Featherstone JD, Domejean-Orliaguet S, Jenson L, Wolff M, Young DA: Caries risk assessment in practice for age 6 through adult. J Calif Dent Assoc. 2007, 35 (10): 703-707. 710–703PubMed
41.
go back to reference Satur J, Gussy M, Marino R, Martini T: Patterns of dental therapists’ scope of practice and employment in Victoria, Australia. J Dent Educ. 2009, 73 (3): 416-425.PubMed Satur J, Gussy M, Marino R, Martini T: Patterns of dental therapists’ scope of practice and employment in Victoria, Australia. J Dent Educ. 2009, 73 (3): 416-425.PubMed
43.
go back to reference Shelley D, Cantrell J, Faulkner D, Haviland L, Healton C, Messeri P: Physician and dentist tobacco use counselling and adolescent smoking behaviour: results from the 2000 National Youth Tobacco Survey. Pediatrics. 2005, 115 (3): 719-725. 10.1542/peds.2004-0873.CrossRefPubMed Shelley D, Cantrell J, Faulkner D, Haviland L, Healton C, Messeri P: Physician and dentist tobacco use counselling and adolescent smoking behaviour: results from the 2000 National Youth Tobacco Survey. Pediatrics. 2005, 115 (3): 719-725. 10.1542/peds.2004-0873.CrossRefPubMed
44.
go back to reference Trotter L, Worcester P: Training for dentists in smoking cessation intervention. Aust Dent J. 2003, 48 (3): 183-189. 10.1111/j.1834-7819.2003.tb00030.x.CrossRefPubMed Trotter L, Worcester P: Training for dentists in smoking cessation intervention. Aust Dent J. 2003, 48 (3): 183-189. 10.1111/j.1834-7819.2003.tb00030.x.CrossRefPubMed
45.
go back to reference Choo A, Delac DM, Messer LB: Oral hygiene measures and promotion: review and considerations. Aust Dent J. 2001, 46 (3): 166-173. 10.1111/j.1834-7819.2001.tb00277.x.CrossRefPubMed Choo A, Delac DM, Messer LB: Oral hygiene measures and promotion: review and considerations. Aust Dent J. 2001, 46 (3): 166-173. 10.1111/j.1834-7819.2001.tb00277.x.CrossRefPubMed
47.
go back to reference Cullinan MP, Ford PJ, Seymour GJ: Periodontal disease and systemic health: current status. Aust Dent J. 2009, 54 (1): 62-69.CrossRef Cullinan MP, Ford PJ, Seymour GJ: Periodontal disease and systemic health: current status. Aust Dent J. 2009, 54 (1): 62-69.CrossRef
48.
go back to reference Clerehugh V: Periodontal diseases in children and adolescents. Br Dent J. 2008, 204 (8): 469-471. 10.1038/sj.bdj.2008.301.CrossRefPubMed Clerehugh V: Periodontal diseases in children and adolescents. Br Dent J. 2008, 204 (8): 469-471. 10.1038/sj.bdj.2008.301.CrossRefPubMed
50.
go back to reference Jenson L, Budenz AW, Featherstone JD, Ramos-Gomez FJ, Spolsky VW, Young DA: Clinical protocols for caries management by risk assessment. J Calif Dent Assoc. 2007, 35 (10): 714-723.PubMed Jenson L, Budenz AW, Featherstone JD, Ramos-Gomez FJ, Spolsky VW, Young DA: Clinical protocols for caries management by risk assessment. J Calif Dent Assoc. 2007, 35 (10): 714-723.PubMed
51.
go back to reference Buchanan H, Coulson NS: Consumption of carbonated drinks in adolescents: a transtheoretical analysis. Child Care Health Dev. 2007, 33 (4): 441-447. 10.1111/j.1365-2214.2006.00691.x.CrossRefPubMed Buchanan H, Coulson NS: Consumption of carbonated drinks in adolescents: a transtheoretical analysis. Child Care Health Dev. 2007, 33 (4): 441-447. 10.1111/j.1365-2214.2006.00691.x.CrossRefPubMed
52.
go back to reference Waterhouse PJ, Auad SM, Nunn JH, Steen IN, Moynihan PJ: Diet and dental erosion in young people in south-east Brazil. Int J Paediatr Dent. 2008, 18 (5): 353-360. 10.1111/j.1365-263X.2008.00919.x.CrossRefPubMed Waterhouse PJ, Auad SM, Nunn JH, Steen IN, Moynihan PJ: Diet and dental erosion in young people in south-east Brazil. Int J Paediatr Dent. 2008, 18 (5): 353-360. 10.1111/j.1365-263X.2008.00919.x.CrossRefPubMed
53.
go back to reference Lee JG, Brearley Messer LJ: Contemporary fluid intake and dental caries in Australian children. Aust Dent J. 2011, 56 (2): 122-131. 10.1111/j.1834-7819.2011.01313.x.CrossRefPubMed Lee JG, Brearley Messer LJ: Contemporary fluid intake and dental caries in Australian children. Aust Dent J. 2011, 56 (2): 122-131. 10.1111/j.1834-7819.2011.01313.x.CrossRefPubMed
54.
go back to reference Osberg A, Bengtsson C, Lissner L, Hakeberg M: Oral health and obesity indicators. Biomed Central Oral Health. 2012, 12 (50): 2-7. Osberg A, Bengtsson C, Lissner L, Hakeberg M: Oral health and obesity indicators. Biomed Central Oral Health. 2012, 12 (50): 2-7.
Metadata
Title
Preventive and clinical care provided to adolescents attending public oral health services New South Wales, Australia: a retrospective study
Authors
Angela V Masoe
Anthony S Blinkhorn
Jane Taylor
Fiona A Blinkhorn
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2014
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-14-142

Other articles of this Issue 1/2014

BMC Oral Health 1/2014 Go to the issue