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Journal of Immigrant and Minority Health

, Volume 21, Issue 3, pp 461–465 | Cite as

Dental Caries Experience and Utilization of Oral Health Services Among Tibetan Refugee-Background Children in Paonta Sahib, Himachal Pradesh, India

  • Sumeet BhattEmail author
  • Ambika Gaur
Original Paper

Abstract

The study was done to describe the dental caries experience and dental care utilization among Tibetan refugee-background children in Paonta Sahib, India. The study was conducted on 254 school children in a Tibetan settlement in Paonta Sahib. Examination was done as per World Health Organization Oral Health Assessment criteria (2013). Data on dental services utilization was obtained from the parents of children using a structured questionnaire. Oral examination of 254 school children aged 6–18 years revealed an overall dental caries prevalence of 79.5%. The dental caries experience was greater in the mixed dentition (84%) than secondary dentition (77.3%). The mean DMFT was associated with sex and dental visiting patterns. About 60% children had never visited a dentist before. The main reason for dental visit was tooth removal (43%). The prevalence of dental caries among Tibetan refugee-background school children was high and utilization of dental care was low. A comprehensive oral health program focusing on preventive care and oral health education is recommended.

Keywords

Tibetan refugee Dental caries Dental utilization School children 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no competing interests.

References

  1. 1.
    Williams B, Cassar C, Siggers G, Taylor S. Medical and social issues of child refugees in Europe. Arch Dis Child. 2016;101(9):839–42.  https://doi.org/10.1136/archdischild-2016-310657.CrossRefGoogle Scholar
  2. 2.
    United Nations High Commissioner for Refugees. World at war. Global trends. Forced displacement in 2014. Geneva: UNHCR; 2015.Google Scholar
  3. 3.
    Riggs E, Yelland J, Shankumar R, Kilpatrick N. ‘We are all scared for the baby’: promoting access to dental services for refugee background women during pregnancy. BMC Pregnancy Childbirth. 2016;16:12.  https://doi.org/10.1186/s12884-015-0787-6.CrossRefGoogle Scholar
  4. 4.
    Riggs E, Rajan S, Casey S, Kilpatrick N. Refugee child oral health. Oral Dis. 2017;23(3):292–9.  https://doi.org/10.1111/odi.12530.CrossRefGoogle Scholar
  5. 5.
    Riggs E, Gibbs L, Kilpatrick N, Gussy M, van Gemert C, Ali S, Waters E. Breaking down the barriers: a qualitative study to understand child oral health in refugee and migrant communities in Australia. Ethn Health. 2015;20(3):241–57.  https://doi.org/10.1080/13557858.2014.907391.CrossRefGoogle Scholar
  6. 6.
    World Health Organization. Oral health surveys—basic methods. 5th ed. Geneva: World Health Organization; 2013.Google Scholar
  7. 7.
    Robertson JA, Reade PC, Steidler NE, Spencer AJ. A dental survey of Tibetan children in Dharamshala. Commun Dent Oral Epidemiol. 1989;17(1):44–6.CrossRefGoogle Scholar
  8. 8.
    Sivakumar V, Jain J, Haridas R, Paliayal S, Rodrigues S, Jose M. Oral health status of Tibetan and local school children: a comparative study. J Clin Diagn Res. 2016;10(11):ZC29-ZC33.  https://doi.org/10.7860/JCDR/2016/22853.8887.Google Scholar
  9. 9.
    Havaldar KS, Bhat SS, Hegde SK. Oral health status of Tibetan and local school children of Kushalnagar, Mysore district, India: a comparative study. J Indian Soc Pedod Prev Dent. 2014;32(2):125–9.  https://doi.org/10.4103/0970-4388.130959.CrossRefGoogle Scholar
  10. 10.
    Cote S, Geltman P, Nunn M, Lituri K, Henshaw M, Garcia RI. Dental caries of refugee children compared with US children. Pediatrics. 2004;114(6):e733–e740.CrossRefGoogle Scholar
  11. 11.
    Locker D, Clarke M, Murray H. Oral health status of Canadian-born and immigrant adolescents in North York, Ontario. Commun Dent Oral Epidemiol. 1998;26:177–81.CrossRefGoogle Scholar
  12. 12.
    Almerich-Silla JM, Montiel-Company JM, Ruiz-Miravet A. Caries and dental fluorosis in a western Saharan population of refugee children. Eur J Oral Sci. 2008;116(6):512–7.  https://doi.org/10.1111/j.1600-0722.2008.00583.x.CrossRefGoogle Scholar
  13. 13.
    Geltman PL, Radin M, Zhang Z, Cochran J, Meyers AF. Growth status and related medical conditions among refugee children in Massachusetts, 1995–1998. Am J Public Health. 2001;91(11):1800–5.CrossRefGoogle Scholar
  14. 14.
    Quach A, Laemmle-Ruff IL, Polizzi T, Paxton GA. Gaps in smiles and services: a cross-sectional study of dental caries in refugee-background children. BMC Oral Health. 2015;15:10.  https://doi.org/10.1186/1472-6831-15-10.CrossRefGoogle Scholar
  15. 15.
    Shailee F, Sogi GM, Sharma KR, Nidhi P. Dental caries prevalence and treatment needs among 12- and 15- Year old schoolchildren in Shimla city, Himachal Pradesh, India. Indian J Dent Res. 2012;23(5):579–84.  https://doi.org/10.4103/0970-9290.107330.CrossRefGoogle Scholar
  16. 16.
    Kundu H, Patthi B, Singla A, Jankiram C, Jain S, Singh K. Dental caries scenario among 5, 12 and 15-year-old children in India—a retrospective analysis. J Clin Diagn Res 2015;9(7):ZE01–5.  https://doi.org/10.7860/JCDR/2015/12439.6150.Google Scholar
  17. 17.
    Kandelman D, Arpin S, Baez RJ, Baehni PC, Petersen PE. Oral health care systems in developing and developed countries. Periodontol 2000. 2012;60(1):98–109.  https://doi.org/10.1111/j.1600-0757.2011.00427.x.CrossRefGoogle Scholar
  18. 18.
    Lamb CE, Whelan AK, Michaels C. Refugees and oral health: lessons learned from stories of Hazara refugees. Aust Health Rev. 2009;33(4):618–27.CrossRefGoogle Scholar
  19. 19.
    Nicol P, Al-Hanbali A, King N, Slack-Smith L, Cherian S. Informing a culturally appropriate approach to oral health and dental care for pre-school refugee children: a community participatory study. BMC Oral Health. 2014;14:69.  https://doi.org/10.1186/1472-6831-14-69.CrossRefGoogle Scholar
  20. 20.
    Sheikh-Mohammed M, Macintyre CR, Wood NJ, Leask J, Isaacs D. Barriers to access to health care for newly resettled sub-Saharan refugees in Australia. Med J Aust. 2006;185(11–12):594–7.Google Scholar
  21. 21.
    Hjern A, Kocturk-Runefors T, Jeppson O, Tegelman R, Hojer B, Adlercreutz H. Health and nutrition in newly resettled refugee children from Chile and the Middle East. Acta Paediatr Scand. 1991;80(8–9):859–67.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Public Health DentistryHimachal Institute of Dental SciencesPaonta SahibIndia
  2. 2.Himachal Institute of NursingPaonta SahibIndia

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