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Cruise medicine: the dental perspective on health care for passengers during a world cruise.
J Travel Med. 2008 Jan-Feb; 15(1):19-24.JT

Abstract

BACKGROUND

Although more than 100 million passengers have taken a cruise since 1980, it is not known what dental treatment needs occur at sea.

METHODS

The routine dental documentation of a 2-month period at sea on a cruise ship carrying 1,619 passengers was analyzed. The subjects for the study were 57 passengers (3.5% of 1,619), with a mean age of 71 years (+/-9.8 y). Age, gender, number of natural teeth and implants, prosthetic status, diagnosis, treatment performed, percentage of emergency and routine procedures, number of appointments, duration of appointment, time since last visit to the dentist, and cabin category as indicator of socioeconomic status were extracted. Oral health-related quality of life (OHRQoL) was measured using the 14-item Oral Health Impact Profile.

RESULTS

Passengers had a mean number of 20 natural teeth plus substantial fixed and removable prosthodontics. Emergency dental treatment accounted for 97% of the chairside time. The three most frequent emergency diagnoses were defective restorations (36%), pulpal disease (20%), and defective prosthesis and caries (both 11.5%). Common emergency therapies provided were complex surgical-prosthodontic rehabilitation, various endodontic treatments, and extractions. Per 1,000 persons/month, passengers required 21.6 emergency plus 2.5 routine appointments; 49% of passengers had seen a dentist within 3 months before going to sea.

CONCLUSIONS

Passengers do attend their dentist for routine care/checkups before the voyage, yet experience complex dental emergencies. This is due to the presence of a high number of restorations that fail unexpectedly. Some failures are so severe that they would have forced the passenger to abort the cruise had there been no dental service available. The ease of access to quality dental care may explain the relatively low level of perceived problems as characterized by OHRQoL scores.

Authors+Show Affiliations

Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany. bernhard.sobotta@medizin.uni-leipzig.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18217865

Citation

Sobotta, Bernhard A J., et al. "Cruise Medicine: the Dental Perspective On Health Care for Passengers During a World Cruise." Journal of Travel Medicine, vol. 15, no. 1, 2008, pp. 19-24.
Sobotta BA, John MT, Nitschke I. Cruise medicine: the dental perspective on health care for passengers during a world cruise. J Travel Med. 2008;15(1):19-24.
Sobotta, B. A., John, M. T., & Nitschke, I. (2008). Cruise medicine: the dental perspective on health care for passengers during a world cruise. Journal of Travel Medicine, 15(1), 19-24. https://doi.org/10.1111/j.1708-8305.2007.00162.x
Sobotta BA, John MT, Nitschke I. Cruise Medicine: the Dental Perspective On Health Care for Passengers During a World Cruise. J Travel Med. 2008 Jan-Feb;15(1):19-24. PubMed PMID: 18217865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cruise medicine: the dental perspective on health care for passengers during a world cruise. AU - Sobotta,Bernhard A J, AU - John,Mike T, AU - Nitschke,Ina, PY - 2008/1/26/pubmed PY - 2008/4/1/medline PY - 2008/1/26/entrez SP - 19 EP - 24 JF - Journal of travel medicine JO - J Travel Med VL - 15 IS - 1 N2 - BACKGROUND: Although more than 100 million passengers have taken a cruise since 1980, it is not known what dental treatment needs occur at sea. METHODS: The routine dental documentation of a 2-month period at sea on a cruise ship carrying 1,619 passengers was analyzed. The subjects for the study were 57 passengers (3.5% of 1,619), with a mean age of 71 years (+/-9.8 y). Age, gender, number of natural teeth and implants, prosthetic status, diagnosis, treatment performed, percentage of emergency and routine procedures, number of appointments, duration of appointment, time since last visit to the dentist, and cabin category as indicator of socioeconomic status were extracted. Oral health-related quality of life (OHRQoL) was measured using the 14-item Oral Health Impact Profile. RESULTS: Passengers had a mean number of 20 natural teeth plus substantial fixed and removable prosthodontics. Emergency dental treatment accounted for 97% of the chairside time. The three most frequent emergency diagnoses were defective restorations (36%), pulpal disease (20%), and defective prosthesis and caries (both 11.5%). Common emergency therapies provided were complex surgical-prosthodontic rehabilitation, various endodontic treatments, and extractions. Per 1,000 persons/month, passengers required 21.6 emergency plus 2.5 routine appointments; 49% of passengers had seen a dentist within 3 months before going to sea. CONCLUSIONS: Passengers do attend their dentist for routine care/checkups before the voyage, yet experience complex dental emergencies. This is due to the presence of a high number of restorations that fail unexpectedly. Some failures are so severe that they would have forced the passenger to abort the cruise had there been no dental service available. The ease of access to quality dental care may explain the relatively low level of perceived problems as characterized by OHRQoL scores. SN - 1195-1982 UR - https://www.unboundmedicine.com/medline/citation/18217865/Cruise_medicine:_the_dental_perspective_on_health_care_for_passengers_during_a_world_cruise_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/j.1708-8305.2007.00162.x DB - PRIME DP - Unbound Medicine ER -