title: Oral health in rural and remote Western Australian indigenous communities: a two-year retrospective analysis of 999 people.
abstract: OBJECTIVE
  Remoteness is a significant factor determining the level of basic health, education and infrastructure services to which Aboriginal people have access. This study examines the oral health status and oral health behaviours of Aboriginal people attending rural and remote dental clinics.
  
  
  METHODS
  Data were collected as part of routine delivery of dental services in five rural and remote dental clinics.
  
  
  RESULTS
  The average DMFT score of patients in all the clinics was 8.5 (sd 6.6). Advanced periodontal disease (a CPI score of 3 and/or 4) was present in 60.8% of all patients. Almost 88% of patients had experienced toothache in the previous six months. Almost a third (31.4%) of people could not remember the last time they went to the dentist. Less than half of the people reported brushing their teeth daily (40.4%) with 37.9% cleaning occasionally. A total of 52.4% of patients identified themselves as a 'smoker' of tobacco products. Past smokers accounted for 10.5% of the participants. The most common self-reported reason for visiting the clinic was for 'hole in tooth/fillings required' (37.4%), followed by 'pain/urgent problem' (24.8%).
  
  
  CONCLUSIONS
  This study emphasises the urgent need for the development of strategies targeting Aboriginal oral health, both as stand alone, and as part of a multifactorial risk factor approach where oral health is integral to general health activities.
authors.affiliation: The Centre for Rural and Remote Oral Health, The University of Western Australia, Crawley, Australia.
authors.forename: K
authors.initials: K
authors.lastname: Smith
authors.forename: E
authors.initials: E
authors.lastname: Kruger
authors.forename: K
authors.initials: K
authors.lastname: Dyson
authors.forename: M
authors.initials: M
authors.lastname: Tennant
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004245:DMF Index; D003729:Dental Care / Q000706:statistics & numerical data; D003731:Dental Caries / Q000453:epidemiology; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010510:Periodontal Diseases / Q000453:epidemiology; D012189:Retrospective Studies; D012423:Rural Health / Q000706:statistics & numerical data*; D019035:Rural Health Services / Q000706:statistics & numerical data; D012907:Smoking / Q000453:epidemiology; D014098:Toothache / Q000453:epidemiology; D014099:Toothbrushing / Q000706:statistics & numerical data; D014904:Western Australia / Q000453:epidemiology