Publications by authors named "Hossein HessarI"

Background: To appreciate dental care utilization in ‌the context of socio-economic inequalities, it is imperative to identify sources of inequalities and evaluate the extent to which dental care utilization is still related to socio-economic status. This study aimed to quantify the influence of contributed determinants on dental care utilization in the context of socio-economic inequalities amongst adults residing in Tehran metropolis.

Methods: In this cross-sectional community-based study, a stratified random sample of 1,510 subjects aged over 18 years was investigated by the zero-inflated Poisson analysis to measure the effect of determinants on utilization of dental care, and concentration index as well as the decomposition approach to identify the contributions of deterministic variables to the socio-economic inequality.

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Background: Insurance databases contain valuable information related to the use of dental services. This data is instrumental in decision-making processes, enhancing risk assessment, and predicting outcomes. The objective of this study was to identify patterns and factors influencing the utilization of dental services among complementary insured individuals, employing a data mining methodology.

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Introduction: The World Health Organization (WHO) places great importance on oral health promotion programs in schools, given that approximately one billion people worldwide are students. This demographic not only includes the students themselves, but also extends to school staff, their families, and the broader community, all of whom are interconnected. The objectives of this study were firstly to assess the knowledge of health personnel conducting fluoride varnish treatment (FVT) in schools, and secondly to solicit their views on the effectiveness of their training methods.

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Background: Community-based dental education (CBDE) has been an essential advancement in dental education in recent decades, enhancing it in many aspects. This study aimed to determine the characteristics and improvements of CBDE in dental schools in Iran.

Methods: In the present descriptive study, an electronic questionnaire, including 18 "yes/no", "multiple choice", and "short answer" questions about the nature and extent of CBDE and students' experience in CBDE, was used.

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Background: Financial protection is crucial for attaining universal health coverage. The inclusion of costly dental services in insurance plans poses a significant challenge for all parties involved in the insurance sector. This study aimed to investigate the challenges of covering dental services by complementary insurance in Iran during 2020-2021.

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Objectives: Improving the oral health of the elderly is crucial to improving their general health and quality of life. To reach this goal, it is necessary to start with a comprehensive oral health assessment and a detailed treatment plan. The aim of this study was, therefore, to develop a comprehensive Oral Health Assessment Tool for the geriatric population.

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Article Synopsis
  • The study aimed to evaluate the trend of dental caries in Iran from 1990 to 2017, focusing on the decayed-missing-filled teeth index (DMFT) across different age groups.
  • Results showed a significant increase in the mean DMFT by 58% during this period, with notable rises in decayed and missing teeth, especially among young adults and seniors.
  • The findings highlight a growing dental health issue in Iran, urging policymakers to implement nationwide strategies, such as managing sugar consumption, to address and improve oral health outcomes.
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Background: Lead (Pb) and Cadmium (Cd) are important environmental contaminants. There is no biological monitoring of exposure to these heavy metals and their potential effect on dental caries in children in Tehran, Iran, a polluted megacity. Therefore, the present study investigated the potential association between Pb and Cd levels in primary teeth and saliva and dental caries.

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Promoting schoolchildren's oral health is important, particularly in developing countries. This study was conducted to monitor the oral health of schoolchildren aged 6-7 years old following the implementation of an oral health promotion program in Tehran, Iran. The protocol was registered in the Iranian Registry of Clinical Trials (Code: IRCT20090307001749N4).

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Background: Genetics, environment, and ethnic factors are major contributors to the prevalence and variations of malocclusion.

Aim: The aim of study was to determine the prevalence of interarch problems in school-aged children, 9 - 11 years, living in Tehran; and to describe the role of ethnicity, education, and economic status on them.

Methods: The present data were part of the Comprehensive Evaluation of Skeleto-Dental Anomalies (CESDA) study conducted in 2015 among children living in Tehran, Iran.

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Article Synopsis
  • Dental caries is a significant health issue among children globally, and the study aims to analyze trends in deciduous (baby) teeth caries in Iran from 1990 to 2017 to inform effective interventions.
  • The research examined national oral health surveys and utilized statistical models to assess increases in dental caries, revealing that 22% of children had caries in 1990, which rose to over 15% by 2017, predominantly due to untreated decay.
  • The findings indicate an urgent need for improved oral health policies and interventions in Iran, including strategies like supervised tooth brushing and better dietary practices to combat rising dental caries rates among children.
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Dental caries is among the most common chronic diseases of the childhood. This study sought to assess the effect of caries experience in primary molars on caries development in the adjacent permanent first molars. This cross-sectional study evaluated 413 students aged 7 and 8 years.

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The purpose of the present study was to assess the level of job satisfaction among dentists in Tehran, according to background determinants, working environment elements, and type of workplace in 2018. In this cross-sectional study, 350 dentists, selected by convenience sampling, completed a validated Persian job satisfaction questionnaire in a dental congress (with about 1100 participants) in Tehran, and in 59 dental clinics. The questionnaire included 39 structured questions (in 12 domains) on job satisfaction, reporting the satisfaction level according to a 5-point Likert scale.

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Objectives: The purpose was to evaluate the impact of an oral health promotion program including supervised toothbrushing and educational packages for parents on parent's knowledge and oral health status of 6- to 7-year-old schoolchildren.

Materials And Methods: A multi-stage cluster random sampling method was applied, and schools were allocated to intervention and control groups. After ethical clearance and baseline evaluation, an intervention package consisting of supervised toothbrushing at the school setting, an educational package for parents, and a home package containing toothbrush and fluoridated toothpaste (1000 parts-per-million) were delivered.

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Objective:  It is believed that the payment method to dentists may affect their treatment decisions. Although payment systems may enhance job satisfaction, reduce the costs, and make better treatment decisions, there is little information about how to achieve these objectives. The aim of the present study was to survey the payment methods and the related factors in dental clinics of Tehran.

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Background: This study aimed to investigate the relationship between complementary health insurance and frequency of dental visits.

Methods: The present study was performed using the Urban Health Equity Assessment and Response Tool (Urban HEART). A cross-sectional study was conducted in Tehran (Iran) to assess inequalities in health status among different socioeconomic and ethnic groups, genders, geographical areas, and social determinants of health.

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Background: The index of Caries Assessment Spectrum and Treatment (CAST) reveals a range of caries development from a non-cavitated status to advanced lesions. The aim of the present study was to explore the oral health status of 6- to 7-year-old children based on the CAST index in relation to oral health knowledge and background determinants.

Methods: A multi-stage cluster random sampling method was applied and after ethical clearance, clinical examination was performed (Kappa = 0.

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Impacted tooth is common in dental practice. Dentists usually remove them if they are associated with any pathologic sign or symptom. The challenge is whether to extract the asymptomatic tooth or not.

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The anterior maxilla is the most prone region to the trauma during childhood, and tooth loss sometimes happens due to trauma. Replacing the missing teeth has always been one of the dentists' challenges in children and adolescents, since their dentofacial growth is not complete. Autotransplantation of mandibular premolars with two-thirds or three-quarters of root formation provides the best prognosis for the tooth survival.

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Introduction: To evaluate the impact of mother's literacy on child dental caries based on a national oral health survey in Iran and to investigate the possibility of ecological fallacy in aggregate data analysis.

Materials And Methods: Existing data were from second national oral health survey that was carried out in 2004, which including 8725 6 years old participants. The association of mother's literacy with caries occurrence (DMF (Decayed, Missing, Filling) total score >0) of her child was assessed using individual data by logistic regression model.

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Objectives: To evaluate the association between dental service utilization and mental health in an adult population in the context of the socioeconomic status of the participants.

Subjects And Methods: Multi-stage cluster random sampling was performed in Tehran, Iran, in 2011. Data were collected on dental service utilization, barriers of dental visit, self-perceived oral health, mental health, age, gender, education, and wealth status.

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Background: Oral diseases, as a group of chronic diseases, are among the major public health problems that lead to disability throughout the world. The major part of burden of oral diseases is caused by dental caries, periodontal diseases, edentulism, mouth cancer, cleft lip, and cleft palate. The aim of the present paper is to report the global results for the burden of oral disease in Iran from 1990 to 2010, derived from GBD study 2010 by sex and age.

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Background: The predictors of missing data when parents fill out questionnaire about their children's diet are not defined. The aim of this study was to evaluate predictors which affect unresponsiveness to diet questions based on " Oral Health Situation of Iranian Children" Survey carried out in 1998.

Materials And Methods: A dummy variable was created as dependent variable according to responding eight questions relating to diet.

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Background: Non-communicable chronic diseases are the greatest preventable cause of death. One of the most prevalent groups of chronic diseases, are oro-facial diseases. The major burden of oral diseases is caused by dental caries, periodontal diseases, tooth loss, oral cancer and oral clefts.

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