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Dental practice during a world cruise: treatment needs and demands of crew.
Int Marit Health. 2007; 58(1-4):59-69.IM

Abstract

AIMS

To describe dental treatment needs and demands of crew on a cruise ship during a world cruise.

METHODS

The routine dental documentation of a two months period at sea on a cruise ship carrying 999 crew was analysed. Age, gender, diagnosis, treatment performed, percentage of emergency and routine procedures, number of appointments, duration of appointment and time since last visit to the dentist were recorded. Oral health-related quality of life (OHRQoL) was measured using the 14-item Oral Health Impact Profile.

RESULTS

Subjects were n = 56 crew with a mean age of 37 (+/- 12.0) years. Out of 114 patient contacts n = 29 (25%) were for emergency treatment. Caries and its sequelae accounted for 85% of time spent treating emergencies and 50% of routine treatment time. The two most frequent treatment options during emergency appointments were extractions and endodontics. In routine cases fillings and periodontal treatment were dominating. Per 1000 persons per month crew required 14.5 emergency plus 42.5 routine appointments. 80 % of crew had seen a dentist within 12 months before their shipboard dental appointment. Oral health-related quality of life was most impaired in case of emergency patients with a particular emphasis on the diagnosis of pulpal disease.

CONCLUSION

High numbers of dental emergencies largely due to caries indicated that International Labour Organisation (ILO) recommendations requiring seafarers to be dentally fit were not adhered to. It is suggested that some doctors performing pre-sea medical examinations may not adequately diagnose caries. A pre-sea examination by a dental professional has the potential to reduce the number of emergency port referrals to dentists. Treatment costs and attitude to preventive dental care were identified as barriers impeding the access of low-wage crew to the ship's dental clinic. Cosmetic dentistry and prophylaxis attracted those crew with an interest in prevention and the ability to pay the fees. In large cruise ships there is a substantial demand for both emergency and routine dental care among crew.

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

Language

eng

PubMed ID

18350976

Citation

Sobotta, Bernhard A J., et al. "Dental Practice During a World Cruise: Treatment Needs and Demands of Crew." International Maritime Health, vol. 58, no. 1-4, 2007, pp. 59-69.
Sobotta BA, John MT, Nitschke I. Dental practice during a world cruise: treatment needs and demands of crew. Int Marit Health. 2007;58(1-4):59-69.
Sobotta, B. A., John, M. T., & Nitschke, I. (2007). Dental practice during a world cruise: treatment needs and demands of crew. International Maritime Health, 58(1-4), 59-69.
Sobotta BA, John MT, Nitschke I. Dental Practice During a World Cruise: Treatment Needs and Demands of Crew. Int Marit Health. 2007;58(1-4):59-69. PubMed PMID: 18350976.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dental practice during a world cruise: treatment needs and demands of crew. AU - Sobotta,Bernhard A J, AU - John,Mike T, AU - Nitschke,Ina, PY - 2008/3/21/pubmed PY - 2008/4/11/medline PY - 2008/3/21/entrez SP - 59 EP - 69 JF - International maritime health JO - Int Marit Health VL - 58 IS - 1-4 N2 - AIMS: To describe dental treatment needs and demands of crew on a cruise ship during a world cruise. METHODS: The routine dental documentation of a two months period at sea on a cruise ship carrying 999 crew was analysed. Age, gender, diagnosis, treatment performed, percentage of emergency and routine procedures, number of appointments, duration of appointment and time since last visit to the dentist were recorded. Oral health-related quality of life (OHRQoL) was measured using the 14-item Oral Health Impact Profile. RESULTS: Subjects were n = 56 crew with a mean age of 37 (+/- 12.0) years. Out of 114 patient contacts n = 29 (25%) were for emergency treatment. Caries and its sequelae accounted for 85% of time spent treating emergencies and 50% of routine treatment time. The two most frequent treatment options during emergency appointments were extractions and endodontics. In routine cases fillings and periodontal treatment were dominating. Per 1000 persons per month crew required 14.5 emergency plus 42.5 routine appointments. 80 % of crew had seen a dentist within 12 months before their shipboard dental appointment. Oral health-related quality of life was most impaired in case of emergency patients with a particular emphasis on the diagnosis of pulpal disease. CONCLUSION: High numbers of dental emergencies largely due to caries indicated that International Labour Organisation (ILO) recommendations requiring seafarers to be dentally fit were not adhered to. It is suggested that some doctors performing pre-sea medical examinations may not adequately diagnose caries. A pre-sea examination by a dental professional has the potential to reduce the number of emergency port referrals to dentists. Treatment costs and attitude to preventive dental care were identified as barriers impeding the access of low-wage crew to the ship's dental clinic. Cosmetic dentistry and prophylaxis attracted those crew with an interest in prevention and the ability to pay the fees. In large cruise ships there is a substantial demand for both emergency and routine dental care among crew. SN - 1641-9251 UR - https://www.unboundmedicine.com/medline/citation/18350976/Dental_practice_during_a_world_cruise:_treatment_needs_and_demands_of_crew_ L2 - https://medlineplus.gov/toothdisorders.html DB - PRIME DP - Unbound Medicine ER -