TY - JOUR
T1 - Oral health in Hlabisa, KwaZulu/Natal - a rural school and community based survey
AU - Brindle, Renu
AU - Wilkinson, David
AU - Harrison, Abigail
AU - Connolly, Cathy
AU - Cleaton-Jones, Peter
PY - 2000
Y1 - 2000
N2 - Aims: To investigate rates of dental caries and periodontal disease, available dental services and resources and perceived needs in a rural South African community. Design: A cross-sectional field study including situational analysis and focus group discussions. Setting: KwaZulu/ Natal, South Africa. Participants: A total of 520 children, adolescents and adults. Methods: WHO caries scores and periodontal CPI score were determined through clinical examinations in five age groups, 5-6 years, 12y, 15y, 35-54y, 55y+. Focus groups included ten 15-year-old children and ten adults. Results: Caries prevalences and (mean scores) were 5-6y 64% (dmft 3.0), 12y 24% (DMFT 0.4), 15y 27% (DMFT 0.8), 35-54 69% (DFT 2.6) and 55y+ 80% (DFT 2.7). Most caries was untreated and where present, treatment had been extraction. Dental caries rates were low and except for 5-6y were within WHO targets for the year 2000. Periodontal disease prevalence was high but would respond to improved oral hygiene. Knowledge of oral health was rudimentary. Conclusions: A district-wide oral health promotion programme is required preceded by research to define effective health education messages. Access to simple but effective preventive and curative services would seem reasonable. In view of the lack of resources ART is suggested as caries treatment.
AB - Aims: To investigate rates of dental caries and periodontal disease, available dental services and resources and perceived needs in a rural South African community. Design: A cross-sectional field study including situational analysis and focus group discussions. Setting: KwaZulu/ Natal, South Africa. Participants: A total of 520 children, adolescents and adults. Methods: WHO caries scores and periodontal CPI score were determined through clinical examinations in five age groups, 5-6 years, 12y, 15y, 35-54y, 55y+. Focus groups included ten 15-year-old children and ten adults. Results: Caries prevalences and (mean scores) were 5-6y 64% (dmft 3.0), 12y 24% (DMFT 0.4), 15y 27% (DMFT 0.8), 35-54 69% (DFT 2.6) and 55y+ 80% (DFT 2.7). Most caries was untreated and where present, treatment had been extraction. Dental caries rates were low and except for 5-6y were within WHO targets for the year 2000. Periodontal disease prevalence was high but would respond to improved oral hygiene. Knowledge of oral health was rudimentary. Conclusions: A district-wide oral health promotion programme is required preceded by research to define effective health education messages. Access to simple but effective preventive and curative services would seem reasonable. In view of the lack of resources ART is suggested as caries treatment.
KW - preventive dentistry
KW - epidemiology
KW - caries
KW - periodontal disease
KW - oral health promotion
UR - http://www.scopus.com/inward/record.url?scp=0034136160&partnerID=8YFLogxK
U2 - 10.1111/j.1875-595X.2000.tb00541.x
DO - 10.1111/j.1875-595X.2000.tb00541.x
M3 - Article
C2 - 10945175
AN - SCOPUS:0034136160
SN - 0020-6539
VL - 50
SP - 13
EP - 20
JO - International Dental Journal
JF - International Dental Journal
IS - 1
ER -