Mark Gussy | La Trobe Melbourne (original) (raw)

Papers by Mark Gussy

Research paper thumbnail of La Trobe University

Research paper thumbnail of A qualitative study of the factors that influence mothers when choosing drinks for their young children

BMC Research Notes

The consumption of sweetened beverages is a known common risk factor for the development of obesi... more The consumption of sweetened beverages is a known common risk factor for the development of obesity and dental caries in children and children consume sweet drinks frequently and in large volumes from an early age. The aim of this study was to examine factors that influence mothers when choosing drinks for their children.

Research paper thumbnail of Community Participation and Cultural Competence in Child Oral Health Research

Objectives: Early Childhood Caries (ECC) is one of the most common chronic diseases of childhood.... more Objectives: Early Childhood Caries (ECC) is one of the most common chronic diseases of childhood. Despite clear evidence of consistent health inequities for migrant and refugee communities, there is limited evidence for effective oral health interventions targeting these communities. This study will inform the design of future culturally competent oral health interventions by exploring social and cultural determinants of child oral health. Methods: Refugee and migrant community members were invited to participate in all stages of the research process as community researchers'. This paper describes the culturally competent processes used to involve the community researchers in the thematic analysis of qualitative data. This iterative process included: immersion, coding, categorisation and generation of themes. Results: Nine focus groups were conducted with Iraqi, Pakistani and Lebanese communities living in Melbourne, Australia. The findings revealed: Each community approached da...

Research paper thumbnail of Teeth Tales: a community-based child oral health promotion trial with migrant families in Australia

BMJ open, 2015

The Teeth Tales trial aimed to establish a model for child oral health promotion for culturally d... more The Teeth Tales trial aimed to establish a model for child oral health promotion for culturally diverse communities in Australia. An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from migrant backgrounds. Mixed method, longitudinal evaluation. The intervention was based in Moreland, a culturally diverse locality in Melbourne, Australia. Families with 1-4-year-old children, self-identified as being from Iraqi, Lebanese or Pakistani backgrounds residing in Melbourne. Participants residing close to the intervention site were allocated to intervention. The intervention was conducted over 5 months and comprised community oral health education sessions led by peer educators and follow-up health messages. This paper reports on the intervention impacts, process evaluation and descriptive analysis of health, knowledge and behavioural changes 18 months after baseline data collection. Significant differences in the Debris Inde...

Research paper thumbnail of Health Promotion Training in Dental and Oral Health Degrees: A Scoping Review

Journal of dental education, 2015

Dental diseases are a major burden on health; however, they are largely preventable. Dental treat... more Dental diseases are a major burden on health; however, they are largely preventable. Dental treatment alone will not eradicate dental disease with a shift to prevention required. Prevention of dental diseases is a role of dental professionals, with most countries having formalized health promotion competencies for dental and oral health graduates. In spite of this, there may be minimal health promotion being undertaken in clinical practice. Therefore, the aim of this study was to conduct a scoping review to identify some published studies on health promotion training in dental and oral health degrees. Key search terms were developed and used to search selected databases, which identified 84 articles. Four articles met the inclusion/exclusion criteria and were included in the review. Of these studies, the type of oral health promotion tasks and instructions received before the tasks varied. However, for all studies the health promotion content was focused on health education. In term...

Research paper thumbnail of Natural history of dental caries in very young Australian children

International Journal of Paediatric Dentistry, 2015

Whilst the global burden of caries is increasing, the trajectory of decay in young children and t... more Whilst the global burden of caries is increasing, the trajectory of decay in young children and the point at which prevention should occur has not been well established. To identify the 'natural history' of dental caries in early childhood. A birth cohort study was established with 467 mother/child dyads followed at 1, 6, 12, 18, and 36 months of age. Parent-completed surveys captured demographic, social, and behavioural data, and oral examinations provided clinical and data. Eight per cent of children (95% confidence interval (CI): 5-12%) at 18 months and 23% (95% CI: 18-28%) at 36 months experienced decay. Interesting lesion behaviour was found between 18 and 36 months, with rapid development of new lesions on sound teeth (70% of teeth, 95% CI: 63-76%) and regression of many lesions from non-cavitated lesions to sound (23% of teeth, 95% CI: 17-30%). Significant associations were found between soft drink consumption and lesion progression. Findings suggest optimal time periods for screening and prevention of a disease which significantly impacts multiple health and well-being outcomes across the life course.

Research paper thumbnail of An exploration of the views of Australian mothers on promoting child oral health

Australian Dental Journal, 2015

An important role for parents and caregivers in the prevention of dental caries in children is th... more An important role for parents and caregivers in the prevention of dental caries in children is the early establishment of health-promoting behaviours. This study aimed to examine mothers' views on barriers and facilitators to promoting child and family oral health. Semi-structured interviews were undertaken with a purposive sample of mothers (n=32) of young children. Inductive thematic analysis was conducted. Parental knowledge and beliefs, past experiences and child behaviour emerged as major influences on children's oral health. Child temperament and parental time pressures were identified as barriers to good oral health with various strategies reported for dealing with uncooperative children at tooth brushing time. Parental oral health knowledge and beliefs emerged as positive influences on child oral health, however while most mothers were aware of the common causes of dental caries, very few knew of other risk factors such as bedtime feeding. Parents own oral health experiences were also seen to positively influence child oral health, regardless of whether these were positive or negative experiences. Understanding parental oral health beliefs is essential to overcoming barriers, and promoting enablers, for good child oral health. Improving child oral health also requires consideration of child behaviour, family influences, and increasing awareness of lesser-known influencing factors. This article is protected by copyright. All rights reserved.

Research paper thumbnail of Case study: caries in young children

International journal of dental hygiene, 2012

This article describes the aetiology and specific diagnoses of two different children that presen... more This article describes the aetiology and specific diagnoses of two different children that presented to the dental surgery with a form of dental caries. The management of both cases is being discussed as well as the differences in the prevention of early childhood caries.

Research paper thumbnail of Patterns of dental therapists' scope of practice and employment in Victoria, Australia

Journal of dental education, 2009

In Australia, dental therapists have practiced only within the state-operated School Dental Servi... more In Australia, dental therapists have practiced only within the state-operated School Dental Services (SDS) for around forty years providing preventive, diagnostic, restorative, and health promotion services to children and adolescents in a collaborative and referral relationship with dentists. Changes to legislation in 2000 have seen limits to dental therapists' employment removed, allowing private sector employment. This study examines the changes to dental therapists' employment since 2000 using a self-completed questionnaire with a response rate of 82 percent. Approximately one-third of responding dental therapists reported that they spent some time employed outside the SDS in community health services and private orthodontic and general practices, which indicates an acceptance of this type of dental care provider in these areas. The clinical services that dental therapists are currently providing are a complex mix with significant variations according to type and geograp...

Research paper thumbnail of The role parenting aspects play in children's oral hygiene practices

Research paper thumbnail of Mother’s perceptions of mainstream dental health messages for their children: a qualitative study

7JRMK\Q^M[" <W M`XTWZM \PM XMZKMX\QWV[ WN K]ZZMV\ LMV\IT PMIT\P UM[[IOM[ PMTL Ja UW\PMZ[ WN XZM[K... more 7JRMK\Q^M[" <W M`XTWZM \PM XMZKMX\QWV[ WN K]ZZMV\ LMV\IT PMIT\P UM[[IOM[ PMTL Ja UW\PMZ[ WN XZM[KPWWT KPQTLZMV QVKT]LQVO JIZZQMZ[ \W \ZIV[TI\QVO \PM[M UM[[IOM[ QV\W PMIT\P MVPIVKQVO JMPI^QW]Z[ ,M[QOV" .WK][ OZW]X LQ[K][[QWV[ ;M\\QVO" .W]Z Z]ZIT TWKIT OW^MZVUMV\ IZMI[ QV >QK\WZQI )][\ZITQI ;]JRMK\[ IVL 5M\PWL[" 5W\PMZ[ WN aW]VO KPQTLZMV TQ^QVO QV \PM NW]Z TWKIT OW^MZVUMV\ IZMI[ XIZ\QKQXI\ML QV NWK][ OZW]X LQ[K][[QWV[ <PMUI\QK IVITa[Q[ WN \ZIV[KZQX\[ _I[ \PMV KWVL]K\ML :M[]T\[" )TT OZW]X[ IXXZMKQI\M \PM QUXWZ\IVKM WN \PM \PZMM KWZM UM[[IOM[ QM LQM\ \WW\P KTMIVQVO IVL LMV\IT I\\MVLIVKM NWZ WZIT PMIT\P NWZ \PMQZ KPQTLZMV ,M[XQ\M OWWL SVW_TMLOM TM^MT[ \PQ[ [\]La PI[ QLMV\QÅML U]T\QXTM JIZZQMZ[ \W \PM MNNMK\Q^M IVL KWUXTM\M WXMZI\QWVITQ[I\QWV WN \PM \PZMM KWZM LMV\IT PMIT\P UM[[IOM[ Ja UW\PMZ[ 1UXWZ\IV\ JIZZQMZ[ QVKT]LML KWUXM\QVO TQNM XZM[[]ZM[ QVAE]MVKM WN W\PMZ[ KWVKMZV[ ZMOIZLQVO OZW_\P IVL V]\ZQ\QWV IKKM[[ JIZZQMZ[ \W XZWNM[[QWVIT LMV\IT KIZM IVL I TIKS WN KWV[Q[\MV\ []XXWZ\Q^M QVNWZUI\QWV -`XW[]ZM \W []XXWZ\Q^M QVNWZUI\QWV UIa JM N]Z\PMZ PQVLMZML Ja TW_MZ LMV\IT I\\MVLIVKM QV \PQ[ IOM OZW]X _PQKP UIa Q\[MTN JM ZMTI\ML \W QVKWV[Q[\MV\ IL^QKM +WVKT][QWV" <PM XZM[MV\ [\]La PI[ QLMV\QÅML QUXWZ\IV\ Q[[]M[ _PQKP UMLQI\M \PM IKKMX\IVKM IVL WXMZI\QWVITQ[I\QWV WN UIQV[\ZMIU LMV\IT PMIT\P UM[[IOM[ <PM XI[\ TQUQ\I\QWV[ WN LMV\IT PMIT\P ML]KI\QWV KW]TL JM W^MZKWUM \W [WUM LMOZMM Ja ]VLMZ[\IVLQVO NIK\WZ[ \PI\ XZM^MV\ \ZIV[TI\QWV WN SVW_TMLOM QV\W PMIT\Pa JMPI^QW]Z[ IVL \IZOM\QVO \PM[M NIK\WZ[ NWZ KPIVOM I[ _MTT I[ \ZILQ\QWVIT QVNWZUI\QWV OQ^QVO

Research paper thumbnail of An Exploration of Mothers' Perceptions About Dental Health

Research paper thumbnail of An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds: a protocol paper for Teeth Tales

Research paper thumbnail of The self-concept of adolescents with cleft lip and palate: a pilot study using a multidimensional/hierarchical measurement instrument

International Journal of Paediatric Dentistry, 2006

Objective. To pilot the use of a multidimensional/hierarchical measurement instrument called the ... more Objective. To pilot the use of a multidimensional/hierarchical measurement instrument called the self-description questionnaire II to determine whether specific areas of self-concept in a group of adolescents with cleft lip and palate would be affected by their condition when compared with a normative sample. Participants and design. The self-concept of 23 adolescents with a cleft of the lip and palate was compared to an Australian normative sample. Setting. Adolescents attending the dental department of a paediatric hospital in Australia. Main outcome measure. The main outcome measure was a self-report questionnaire (102 items) with 10 domain-specific scales and a global measure of general self-concept. Results. When compared to the normative data the study group showed significant differences in 4 of the 11 domainspecific scales: Parent Relations ( P < 0·001), Physical Abilities ( P < 0·001), Opposite-Sex Relations ( P < 0·01) and Physical Appearance ( P < 0·01) self-concepts. These differences were in a positive direction. Global self-concept as measured by the General Self scale was not significantly different from the normative sample. Conclusion. These results suggest that adolescents with clefts of the lip and palate have normative if not better selfconcept than their peers. The study also suggests that having a cleft of the lip and palate has specific rather than broad associations with psychosocial adjustment. This justifies the use of instruments designed to assess specific areas of selfconcept rather than more global measures.

Research paper thumbnail of Nepalese dental hygiene and dental students’ career choice motivation and plans after graduation: a descriptive cross-sectional comparison

BMC Medical Education, 2015

This is the first study of its kind to provide data regarding the self-reported career choice mot... more This is the first study of its kind to provide data regarding the self-reported career choice motivation and intentions after graduation of dental and dental hygiene students in Nepal. The findings of this study can be used to inform future oral health workforce planning in Nepal. A cross-sectional survey of dentistry and dental hygiene students attending a large accredited dental college in Kathmandu, Nepal. Quantitative data were analysed using IBM® SPSS® 22. The respondents were given the opportunity to provide clarifying comments to some of the questions. Two hundred questionnaires were distributed, and 171 students completed the anonymous survey (response rate 86 %). Working in health care and serving the community were the most important initial motives for career choice, with significantly more dentistry students selecting their degree course because of the possibility to work flexible working hours (p &lt; .001) compared to dental hygiene students. A majority of the students expressed concern about finding a suitable job (58 %) after graduation. Almost a quarter (23 %) reported intent to seek a job immediately after graduation, while 46 % plan further studies. Dentistry students were more likely to report planning further studies (p = .007) compared to the dental hygiene students. Dental hygiene students express a higher interest in going abroad (p = .011) following graduation. Only 10 % of all students plan to live or work in rural areas after study. Most common preferred locations to live after graduation are urban (33 %) or abroad (38 %). Data suggest a preference to combine working in a hospital with working in their own practice (44 %) while interest in solely working in their own practice is low (&lt;2 %). Many students, though enthusiastic about their profession and expressing the ambition to serve the community, fear unemployment or envision better chances abroad. Most of the students in this study expressed a preference to live in an urban area after graduation. Findings indicate that strong measures are required to incentivise students to consider rural work.

Research paper thumbnail of Hard to reach communities or hard to access services? Migrant mothers' experiences of dental services

Good oral health is an important component of overall health which can help migrants settle in a ... more Good oral health is an important component of overall health which can help migrants settle in a new country. Infant oral health is intimately associated with maternal oral health knowledge and behaviours and therefore, encounters with dental services. This study aimed to explore the experiences of dental service use from the perspective of migrant mothers living in Melbourne, Australia. A participatory research approach utilizing qualitative methods was adopted. Women from Iraq, Lebanon and Pakistan participated. Semi-structured focus groups and interviews were conducted and thematic analysis of the data was completed. Focus groups (n = 11) and interviews (n = 7) were conducted with 115 women. Despite an understanding that visiting the dentist was important for promoting oral health, the first dental contact for both the women and their children was typically for emergency care. Accessibility, cost and waiting lists were identified as significant barriers to attendance. Problematic interpreter encounters often led to negative experiences which were compounded by a perception that public services provided poorer quality of care. Despite evidence of poorer oral health, migrant women face significant barriers in accessing mainstream dental services. Reorientation of such services, to address the accessibility and experience for migrant communities may help reduce oral health inequalities.

Research paper thumbnail of A scoping review of qualitative research in peer-reviewed dental publications

International Journal of Dental Hygiene, 2012

Objectives: Qualitative research designs are being used increasingly in dental research. This pap... more Objectives: Qualitative research designs are being used increasingly in dental research. This paper describes the extent and range of dental research in which qualitative methods have been employed as well as the techniques of data collection and analysis preferred by dental researchers. Methods: A scoping review was conducted to locate studies published in dental journals, which reported the use of qualitative methods. Data concerning the focus of the research and the reported qualitative techniques were extracted. Results: Studies included in the review totalled 197. The majority of qualitative research captured in this scoping study focussed on three main areas: dental education, professional dental and dental educators' activities and experiences and the patient/public perceptions. Interviews and focus group discussions were the most commonly selected techniques for data collection. Conclusions: The majority of the studies included in the scoping review had a focus on education of dental professionals the activities of dental professionals or the reported perceptions of or experiences with dental services by patients or members of the public. Little research was located, which explored peoples' personal experience of dental conditions. Research reported in dental publications has a heavy bias towards the use of focus groups and interview data collection techniques.

Research paper thumbnail of A qualitative study of the factors that influence mothers when choosing drinks for their young children

BMC Research Notes, 2014

Background: The consumption of sweetened beverages is a known common risk factor for the developm... more Background: The consumption of sweetened beverages is a known common risk factor for the development of obesity and dental caries in children and children consume sweet drinks frequently and in large volumes from an early age. The aim of this study was to examine factors that influence mothers when choosing drinks for their children.

Research paper thumbnail of A systematic review of risk factors during first year of life for early childhood caries

International Journal of Paediatric Dentistry, 2012

Background. Early childhood caries (ECC) describes dental caries affecting children aged 0-71 mon... more Background. Early childhood caries (ECC) describes dental caries affecting children aged 0-71 months. Current research suggests ECC has important aetiological bases during the first year of life. Gaps in knowledge about disease progression prevent the effective and early identification of 'at risk' children.

Research paper thumbnail of Community-based, population level interventions for promoting child oral health

Protocols, 1996

This is a reprint of a Cochrane protocol, prepared and maintained by The Cochrane Collaboration a... more This is a reprint of a Cochrane protocol, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2012, Issue 5 http://www.thecochranelibrary.com ... Community-based, population level interventions for promoting child oral health (Protocol) Copyright © 2012 The Cochrane Collaboration. Published by John Wiley &amp;amp; Sons, Ltd. ... Community-based, population level interventions for promoting child oral health (Protocol) Copyright © 2012 The Cochrane Collaboration. Published by John Wiley &amp;amp; Sons, Ltd.

Research paper thumbnail of La Trobe University

Research paper thumbnail of A qualitative study of the factors that influence mothers when choosing drinks for their young children

BMC Research Notes

The consumption of sweetened beverages is a known common risk factor for the development of obesi... more The consumption of sweetened beverages is a known common risk factor for the development of obesity and dental caries in children and children consume sweet drinks frequently and in large volumes from an early age. The aim of this study was to examine factors that influence mothers when choosing drinks for their children.

Research paper thumbnail of Community Participation and Cultural Competence in Child Oral Health Research

Objectives: Early Childhood Caries (ECC) is one of the most common chronic diseases of childhood.... more Objectives: Early Childhood Caries (ECC) is one of the most common chronic diseases of childhood. Despite clear evidence of consistent health inequities for migrant and refugee communities, there is limited evidence for effective oral health interventions targeting these communities. This study will inform the design of future culturally competent oral health interventions by exploring social and cultural determinants of child oral health. Methods: Refugee and migrant community members were invited to participate in all stages of the research process as community researchers'. This paper describes the culturally competent processes used to involve the community researchers in the thematic analysis of qualitative data. This iterative process included: immersion, coding, categorisation and generation of themes. Results: Nine focus groups were conducted with Iraqi, Pakistani and Lebanese communities living in Melbourne, Australia. The findings revealed: Each community approached da...

Research paper thumbnail of Teeth Tales: a community-based child oral health promotion trial with migrant families in Australia

BMJ open, 2015

The Teeth Tales trial aimed to establish a model for child oral health promotion for culturally d... more The Teeth Tales trial aimed to establish a model for child oral health promotion for culturally diverse communities in Australia. An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from migrant backgrounds. Mixed method, longitudinal evaluation. The intervention was based in Moreland, a culturally diverse locality in Melbourne, Australia. Families with 1-4-year-old children, self-identified as being from Iraqi, Lebanese or Pakistani backgrounds residing in Melbourne. Participants residing close to the intervention site were allocated to intervention. The intervention was conducted over 5 months and comprised community oral health education sessions led by peer educators and follow-up health messages. This paper reports on the intervention impacts, process evaluation and descriptive analysis of health, knowledge and behavioural changes 18 months after baseline data collection. Significant differences in the Debris Inde...

Research paper thumbnail of Health Promotion Training in Dental and Oral Health Degrees: A Scoping Review

Journal of dental education, 2015

Dental diseases are a major burden on health; however, they are largely preventable. Dental treat... more Dental diseases are a major burden on health; however, they are largely preventable. Dental treatment alone will not eradicate dental disease with a shift to prevention required. Prevention of dental diseases is a role of dental professionals, with most countries having formalized health promotion competencies for dental and oral health graduates. In spite of this, there may be minimal health promotion being undertaken in clinical practice. Therefore, the aim of this study was to conduct a scoping review to identify some published studies on health promotion training in dental and oral health degrees. Key search terms were developed and used to search selected databases, which identified 84 articles. Four articles met the inclusion/exclusion criteria and were included in the review. Of these studies, the type of oral health promotion tasks and instructions received before the tasks varied. However, for all studies the health promotion content was focused on health education. In term...

Research paper thumbnail of Natural history of dental caries in very young Australian children

International Journal of Paediatric Dentistry, 2015

Whilst the global burden of caries is increasing, the trajectory of decay in young children and t... more Whilst the global burden of caries is increasing, the trajectory of decay in young children and the point at which prevention should occur has not been well established. To identify the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;natural history&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; of dental caries in early childhood. A birth cohort study was established with 467 mother/child dyads followed at 1, 6, 12, 18, and 36 months of age. Parent-completed surveys captured demographic, social, and behavioural data, and oral examinations provided clinical and data. Eight per cent of children (95% confidence interval (CI): 5-12%) at 18 months and 23% (95% CI: 18-28%) at 36 months experienced decay. Interesting lesion behaviour was found between 18 and 36 months, with rapid development of new lesions on sound teeth (70% of teeth, 95% CI: 63-76%) and regression of many lesions from non-cavitated lesions to sound (23% of teeth, 95% CI: 17-30%). Significant associations were found between soft drink consumption and lesion progression. Findings suggest optimal time periods for screening and prevention of a disease which significantly impacts multiple health and well-being outcomes across the life course.

Research paper thumbnail of An exploration of the views of Australian mothers on promoting child oral health

Australian Dental Journal, 2015

An important role for parents and caregivers in the prevention of dental caries in children is th... more An important role for parents and caregivers in the prevention of dental caries in children is the early establishment of health-promoting behaviours. This study aimed to examine mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; views on barriers and facilitators to promoting child and family oral health. Semi-structured interviews were undertaken with a purposive sample of mothers (n=32) of young children. Inductive thematic analysis was conducted. Parental knowledge and beliefs, past experiences and child behaviour emerged as major influences on children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s oral health. Child temperament and parental time pressures were identified as barriers to good oral health with various strategies reported for dealing with uncooperative children at tooth brushing time. Parental oral health knowledge and beliefs emerged as positive influences on child oral health, however while most mothers were aware of the common causes of dental caries, very few knew of other risk factors such as bedtime feeding. Parents own oral health experiences were also seen to positively influence child oral health, regardless of whether these were positive or negative experiences. Understanding parental oral health beliefs is essential to overcoming barriers, and promoting enablers, for good child oral health. Improving child oral health also requires consideration of child behaviour, family influences, and increasing awareness of lesser-known influencing factors. This article is protected by copyright. All rights reserved.

Research paper thumbnail of Case study: caries in young children

International journal of dental hygiene, 2012

This article describes the aetiology and specific diagnoses of two different children that presen... more This article describes the aetiology and specific diagnoses of two different children that presented to the dental surgery with a form of dental caries. The management of both cases is being discussed as well as the differences in the prevention of early childhood caries.

Research paper thumbnail of Patterns of dental therapists' scope of practice and employment in Victoria, Australia

Journal of dental education, 2009

In Australia, dental therapists have practiced only within the state-operated School Dental Servi... more In Australia, dental therapists have practiced only within the state-operated School Dental Services (SDS) for around forty years providing preventive, diagnostic, restorative, and health promotion services to children and adolescents in a collaborative and referral relationship with dentists. Changes to legislation in 2000 have seen limits to dental therapists' employment removed, allowing private sector employment. This study examines the changes to dental therapists' employment since 2000 using a self-completed questionnaire with a response rate of 82 percent. Approximately one-third of responding dental therapists reported that they spent some time employed outside the SDS in community health services and private orthodontic and general practices, which indicates an acceptance of this type of dental care provider in these areas. The clinical services that dental therapists are currently providing are a complex mix with significant variations according to type and geograp...

Research paper thumbnail of The role parenting aspects play in children's oral hygiene practices

Research paper thumbnail of Mother’s perceptions of mainstream dental health messages for their children: a qualitative study

7JRMK\Q^M[" <W M`XTWZM \PM XMZKMX\QWV[ WN K]ZZMV\ LMV\IT PMIT\P UM[[IOM[ PMTL Ja UW\PMZ[ WN XZM[K... more 7JRMK\Q^M[" <W M`XTWZM \PM XMZKMX\QWV[ WN K]ZZMV\ LMV\IT PMIT\P UM[[IOM[ PMTL Ja UW\PMZ[ WN XZM[KPWWT KPQTLZMV QVKT]LQVO JIZZQMZ[ \W \ZIV[TI\QVO \PM[M UM[[IOM[ QV\W PMIT\P MVPIVKQVO JMPI^QW]Z[ ,M[QOV" .WK][ OZW]X LQ[K][[QWV[ ;M\\QVO" .W]Z Z]ZIT TWKIT OW^MZVUMV\ IZMI[ QV >QK\WZQI )][\ZITQI ;]JRMK\[ IVL 5M\PWL[" 5W\PMZ[ WN aW]VO KPQTLZMV TQ^QVO QV \PM NW]Z TWKIT OW^MZVUMV\ IZMI[ XIZ\QKQXI\ML QV NWK][ OZW]X LQ[K][[QWV[ <PMUI\QK IVITa[Q[ WN \ZIV[KZQX\[ _I[ \PMV KWVL]K\ML :M[]T\[" )TT OZW]X[ IXXZMKQI\M \PM QUXWZ\IVKM WN \PM \PZMM KWZM UM[[IOM[ QM LQM\ \WW\P KTMIVQVO IVL LMV\IT I\\MVLIVKM NWZ WZIT PMIT\P NWZ \PMQZ KPQTLZMV ,M[XQ\M OWWL SVW_TMLOM TM^MT[ \PQ[ [\]La PI[ QLMV\QÅML U]T\QXTM JIZZQMZ[ \W \PM MNNMK\Q^M IVL KWUXTM\M WXMZI\QWVITQ[I\QWV WN \PM \PZMM KWZM LMV\IT PMIT\P UM[[IOM[ Ja UW\PMZ[ 1UXWZ\IV\ JIZZQMZ[ QVKT]LML KWUXM\QVO TQNM XZM[[]ZM[ QVAE]MVKM WN W\PMZ[ KWVKMZV[ ZMOIZLQVO OZW_\P IVL V]\ZQ\QWV IKKM[[ JIZZQMZ[ \W XZWNM[[QWVIT LMV\IT KIZM IVL I TIKS WN KWV[Q[\MV\ []XXWZ\Q^M QVNWZUI\QWV -`XW[]ZM \W []XXWZ\Q^M QVNWZUI\QWV UIa JM N]Z\PMZ PQVLMZML Ja TW_MZ LMV\IT I\\MVLIVKM QV \PQ[ IOM OZW]X _PQKP UIa Q\[MTN JM ZMTI\ML \W QVKWV[Q[\MV\ IL^QKM +WVKT][QWV" <PM XZM[MV\ [\]La PI[ QLMV\QÅML QUXWZ\IV\ Q[[]M[ _PQKP UMLQI\M \PM IKKMX\IVKM IVL WXMZI\QWVITQ[I\QWV WN UIQV[\ZMIU LMV\IT PMIT\P UM[[IOM[ <PM XI[\ TQUQ\I\QWV[ WN LMV\IT PMIT\P ML]KI\QWV KW]TL JM W^MZKWUM \W [WUM LMOZMM Ja ]VLMZ[\IVLQVO NIK\WZ[ \PI\ XZM^MV\ \ZIV[TI\QWV WN SVW_TMLOM QV\W PMIT\Pa JMPI^QW]Z[ IVL \IZOM\QVO \PM[M NIK\WZ[ NWZ KPIVOM I[ _MTT I[ \ZILQ\QWVIT QVNWZUI\QWV OQ^QVO

Research paper thumbnail of An Exploration of Mothers' Perceptions About Dental Health

Research paper thumbnail of An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds: a protocol paper for Teeth Tales

Research paper thumbnail of The self-concept of adolescents with cleft lip and palate: a pilot study using a multidimensional/hierarchical measurement instrument

International Journal of Paediatric Dentistry, 2006

Objective. To pilot the use of a multidimensional/hierarchical measurement instrument called the ... more Objective. To pilot the use of a multidimensional/hierarchical measurement instrument called the self-description questionnaire II to determine whether specific areas of self-concept in a group of adolescents with cleft lip and palate would be affected by their condition when compared with a normative sample. Participants and design. The self-concept of 23 adolescents with a cleft of the lip and palate was compared to an Australian normative sample. Setting. Adolescents attending the dental department of a paediatric hospital in Australia. Main outcome measure. The main outcome measure was a self-report questionnaire (102 items) with 10 domain-specific scales and a global measure of general self-concept. Results. When compared to the normative data the study group showed significant differences in 4 of the 11 domainspecific scales: Parent Relations ( P < 0·001), Physical Abilities ( P < 0·001), Opposite-Sex Relations ( P < 0·01) and Physical Appearance ( P < 0·01) self-concepts. These differences were in a positive direction. Global self-concept as measured by the General Self scale was not significantly different from the normative sample. Conclusion. These results suggest that adolescents with clefts of the lip and palate have normative if not better selfconcept than their peers. The study also suggests that having a cleft of the lip and palate has specific rather than broad associations with psychosocial adjustment. This justifies the use of instruments designed to assess specific areas of selfconcept rather than more global measures.

Research paper thumbnail of Nepalese dental hygiene and dental students’ career choice motivation and plans after graduation: a descriptive cross-sectional comparison

BMC Medical Education, 2015

This is the first study of its kind to provide data regarding the self-reported career choice mot... more This is the first study of its kind to provide data regarding the self-reported career choice motivation and intentions after graduation of dental and dental hygiene students in Nepal. The findings of this study can be used to inform future oral health workforce planning in Nepal. A cross-sectional survey of dentistry and dental hygiene students attending a large accredited dental college in Kathmandu, Nepal. Quantitative data were analysed using IBM® SPSS® 22. The respondents were given the opportunity to provide clarifying comments to some of the questions. Two hundred questionnaires were distributed, and 171 students completed the anonymous survey (response rate 86 %). Working in health care and serving the community were the most important initial motives for career choice, with significantly more dentistry students selecting their degree course because of the possibility to work flexible working hours (p &lt; .001) compared to dental hygiene students. A majority of the students expressed concern about finding a suitable job (58 %) after graduation. Almost a quarter (23 %) reported intent to seek a job immediately after graduation, while 46 % plan further studies. Dentistry students were more likely to report planning further studies (p = .007) compared to the dental hygiene students. Dental hygiene students express a higher interest in going abroad (p = .011) following graduation. Only 10 % of all students plan to live or work in rural areas after study. Most common preferred locations to live after graduation are urban (33 %) or abroad (38 %). Data suggest a preference to combine working in a hospital with working in their own practice (44 %) while interest in solely working in their own practice is low (&lt;2 %). Many students, though enthusiastic about their profession and expressing the ambition to serve the community, fear unemployment or envision better chances abroad. Most of the students in this study expressed a preference to live in an urban area after graduation. Findings indicate that strong measures are required to incentivise students to consider rural work.

Research paper thumbnail of Hard to reach communities or hard to access services? Migrant mothers' experiences of dental services

Good oral health is an important component of overall health which can help migrants settle in a ... more Good oral health is an important component of overall health which can help migrants settle in a new country. Infant oral health is intimately associated with maternal oral health knowledge and behaviours and therefore, encounters with dental services. This study aimed to explore the experiences of dental service use from the perspective of migrant mothers living in Melbourne, Australia. A participatory research approach utilizing qualitative methods was adopted. Women from Iraq, Lebanon and Pakistan participated. Semi-structured focus groups and interviews were conducted and thematic analysis of the data was completed. Focus groups (n = 11) and interviews (n = 7) were conducted with 115 women. Despite an understanding that visiting the dentist was important for promoting oral health, the first dental contact for both the women and their children was typically for emergency care. Accessibility, cost and waiting lists were identified as significant barriers to attendance. Problematic interpreter encounters often led to negative experiences which were compounded by a perception that public services provided poorer quality of care. Despite evidence of poorer oral health, migrant women face significant barriers in accessing mainstream dental services. Reorientation of such services, to address the accessibility and experience for migrant communities may help reduce oral health inequalities.

Research paper thumbnail of A scoping review of qualitative research in peer-reviewed dental publications

International Journal of Dental Hygiene, 2012

Objectives: Qualitative research designs are being used increasingly in dental research. This pap... more Objectives: Qualitative research designs are being used increasingly in dental research. This paper describes the extent and range of dental research in which qualitative methods have been employed as well as the techniques of data collection and analysis preferred by dental researchers. Methods: A scoping review was conducted to locate studies published in dental journals, which reported the use of qualitative methods. Data concerning the focus of the research and the reported qualitative techniques were extracted. Results: Studies included in the review totalled 197. The majority of qualitative research captured in this scoping study focussed on three main areas: dental education, professional dental and dental educators' activities and experiences and the patient/public perceptions. Interviews and focus group discussions were the most commonly selected techniques for data collection. Conclusions: The majority of the studies included in the scoping review had a focus on education of dental professionals the activities of dental professionals or the reported perceptions of or experiences with dental services by patients or members of the public. Little research was located, which explored peoples' personal experience of dental conditions. Research reported in dental publications has a heavy bias towards the use of focus groups and interview data collection techniques.

Research paper thumbnail of A qualitative study of the factors that influence mothers when choosing drinks for their young children

BMC Research Notes, 2014

Background: The consumption of sweetened beverages is a known common risk factor for the developm... more Background: The consumption of sweetened beverages is a known common risk factor for the development of obesity and dental caries in children and children consume sweet drinks frequently and in large volumes from an early age. The aim of this study was to examine factors that influence mothers when choosing drinks for their children.

Research paper thumbnail of A systematic review of risk factors during first year of life for early childhood caries

International Journal of Paediatric Dentistry, 2012

Background. Early childhood caries (ECC) describes dental caries affecting children aged 0-71 mon... more Background. Early childhood caries (ECC) describes dental caries affecting children aged 0-71 months. Current research suggests ECC has important aetiological bases during the first year of life. Gaps in knowledge about disease progression prevent the effective and early identification of 'at risk' children.

Research paper thumbnail of Community-based, population level interventions for promoting child oral health

Protocols, 1996

This is a reprint of a Cochrane protocol, prepared and maintained by The Cochrane Collaboration a... more This is a reprint of a Cochrane protocol, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2012, Issue 5 http://www.thecochranelibrary.com ... Community-based, population level interventions for promoting child oral health (Protocol) Copyright © 2012 The Cochrane Collaboration. Published by John Wiley &amp;amp; Sons, Ltd. ... Community-based, population level interventions for promoting child oral health (Protocol) Copyright © 2012 The Cochrane Collaboration. Published by John Wiley &amp;amp; Sons, Ltd.