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Dental Treatment in a State-Funded Primary Dental Care Facility: Contextual and Individual Predictors of Treatment Need?

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  • Kristina L Wanyonyi
  • David R Radford
  • Jennifer E Gallagher

Abstract

Objective: This study examined individual and contextual factors which predict the dental care received by patients in a state-funded primary dental care training facility in England. Methods: Routine clinical and demographic data were extracted from a live dental patient management system in a state-funded facility using novel methods. The data, spanning a four-year period [2008–2012] were cleaned, validated, linked by means of postcode to deprivation status, and analysed to identify factors which predict dental treatment need. The predictive relationship between patients’ individual characteristics (demography, smoking, payment status) and contextual experience (deprivation based on area of residence), with common dental treatments received was examined using unadjusted analysis and adjusted logistic regression. Additionally, multilevel modelling was used to establish the isolated influence of area of residence on treatments. Results: Data on 6,351 dental patients extracted comprised of 147,417 treatment procedures delivered across 10,371 courses of care. Individual level factors associated with the treatments were age, sex, payment exemption and smoking status and deprivation associated with area of residence was a contextual predictor of treatment. More than 50% of children (

Suggested Citation

  • Kristina L Wanyonyi & David R Radford & Jennifer E Gallagher, 2017. "Dental Treatment in a State-Funded Primary Dental Care Facility: Contextual and Individual Predictors of Treatment Need?," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-17, January.
    • Handle: RePEc:plo:pone00:0169004
    DOI: 10.1371/journal.pone.0169004
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    References listed on IDEAS

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    4. Julia Csikar & Jing Kang & Ceri Wyborn & Tom A Dyer & Zoe Marshman & Jenny Godson, 2016. "The Self-Reported Oral Health Status and Dental Attendance of Smokers and Non-Smokers in England," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-13, February.
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