Online first
Original article
Published online: 2024-10-11

open access

Page views 158
Article views/downloads 96
Get Citation

Connect on Social Media

Connect on Social Media

Dental and periodontal findings in seafarers: A single-center retrospective study in Bangkok, Thailand

Sirada Chaichanachuchird1, Narissara Temvanich2, Atipong Sujiratana3, Hansa Premmaneesakul3

Abstract

Background. Dental problems are common among seafarers due to unique environmental, occupational,
and lifestyle factors that may impact their dental health. This study aims to assess the prevalence of dental
and periodontal problems among Thai seafarers.

Material and methods. A cross-sectional study was conducted among 602 Thai seafarers who received oral
health assessments and were subsequently categorized based on dental readiness classification (DRC)
from dentists at Somdech Phra Pinklao Hospital from November 2021 to October 2023.

Results. The prevalence of dental caries among seafarers was 43.5% with significant differences in the number
of dental caries between officers and non-officers (p < 0.0001). The mean (SD) of decayed, missing,
and filled teeth were 1.2 (± 2.0), 2.9 (± 3.3), and 1.6 ± (2.8), respectively. About fifty percent of the seafarers
were categorized as DRC 1, 44.9% as DRC 2, and 5.3% as DRC 3. Dental findings of non-officers were
significantly more likely to be not dentally fit compared to officers (AOR = 2.179, 95% CI: 1.396-3.402).
Dental scaling was the most required treatment, needed by 53.7% of the study population.

Conclusion. High rates of dental caries and periodontal disease are found among seafarers. Incorporating
comprehensive dental assessments into pre-boarding fitness evaluations for seafarers can help reduce
the likelihood of dental emergencies while at sea.

Article available in PDF format

View PDF Download PDF file

References

  1. Ali SN, Cioca LI, Kayati RS, et al. A Study of Psychometric Instruments and Constructs of Work-Related Stress among Seafarers: A Qualitative Approach. Int J Environ Res Public Health. 2023; 20(4).
  2. Jensen OC, Sørensen JFL, Thomas M, et al. Working conditions in international seafaring. Occup Med (Lond). 2006; 56(6): 393–397.
  3. Brooks SK, Greenberg N. Mental health and psychological wellbeing of maritime personnel: a systematic review. BMC Psychol. 2022; 10(1): 139.
  4. Lefkowitz RY, Slade MD, Redlich CA. "Injury, illness, and work restriction in merchant seafarers". Am J Ind Med. 2015; 58(6): 688–696.
  5. Çakır E, Arslan Ö. Turkish Telemedical Assistance Service: last four years of activity. Int Marit Health. 2018; 69(3): 184–191.
  6. Bilir NA, Scheit L, Dirksen-Fischer M, et al. Accidents, diseases and health complaints among seafarers on German-flagged container ships. BMC Public Health. 2023; 23(1): 963.
  7. Svensson L, Hakeberg M, Wide U. Dental pain and oral health-related quality of life in individuals with severe dental anxiety. Acta Odontol Scand. 2018; 76(6): 401–406.
  8. Aldosari M, Mendes Sd, Aldosari A, et al. Factors associated with oral pain and oral health-related productivity loss in the USA, National Health and Nutrition Examination Surveys (NHANES), 2015-2018. PLoS One. 2021; 16(10): e0258268.
  9. Nazir MA, AlGhamdi L, AlKadi M, et al. The burden of Diabetes, Its Oral Complications and Their Prevention and Management. Open Access Maced J Med Sci. 2018; 6(8): 1545–1553.
  10. Tonetti MS, Van Dyke TE. Working group 1 of the joint EFP/AAP workshop. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Clin Periodontol. 2013; 40 Suppl 14: S24–S29.
  11. Hajishengallis G. Interconnection of periodontal disease and comorbidities: Evidence, mechanisms, and implications. Periodontol 2000. 2022; 89(1): 9–18.
  12. Sobotta BAJ, Reiber T, Nitschke I. Oral health of seafarers - a review. Int Marit Health. 2011; 62(1): 8–16.
  13. Pereira CR, Jalihal S, Ankola AV, et al. Prevalence of dental caries, oral hygiene status and treatment needs among seafarers and trainee sailors in the state of Goa, India: a descriptive cross-sectional study. Int Marit Health. 2023; 74(2): 105–111.
  14. Lefkowitz RY, Slade MD, Redlich CA. Injury, illness, and disability risk in American seafarers. Am J Ind Med. 2018; 61(2): 120–129.
  15. Mahdi SS, Sibilio F, Amenta F. Dental hygiene habits and oral health status of seafarers. Int Marit Health. 2016; 67(1): 9–13.
  16. Joseph RS, Sindhu R, Prabu D, et al. AN ANALYSIS ON THE SENSE OF COHERENCE AMONG ONBOARD SEAFARERS IN TANDEM WITH DIETARY HABITS AND SELF–PERCEIVED ORAL HEALTH. Life Science Informatics Publications. 2023.
  17. Binaisse P, Dehours E, Bodéré C, et al. Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service. J Telemed Telecare. 2020; 26(5): 285–293.
  18. Dahl E. Crew referrals to dentists and medical specialist ashore: a descriptive study of practice on three passenger vessels during one year. Int Marit Health. 2006; 57(1–4): 127–135.
  19. Sae-Jia T, Sithisarankul P. Medical evacuations among offshore oil and gas industries in the Gulf of Thailand. Int Marit Health. 2020; 71(2): 114–122.
  20. Westlund K, Attvall S, Nilsson R, et al. Telemedical Maritime Assistance Service (TMAS) to Swedish merchant and passengers ships 1997-2012. Int Marit Health. 2016; 67(1): 24–30.
  21. Faurby MD, Jensen OC, Hjarnoe L, et al. The costs of repatriating an ill seafarer: a micro-costing approach. Health Econ Rev. 2017; 7(1): 46.
  22. Henny C, Hartington K, Scott S, et al. The business case for telemedicine. Int Marit Health. 2013; 64(3): 129–135.
  23. Aapaliya P, Shinde K, Deswal AK, et al. Assessment of oral health among seafarers in Mundra Port, Kutch, Gujarat: a cross-sectional study. Int Marit Health. 2015; 66(1): 11–17.
  24. Singh MK, Abdulrahman SA, Rashid A. Assessment of oral health status and associated lifestyle factors among Malaysian Fishermen in Teluk Bahang, Penang: An analytical cross-sectional study. Indian J Dent Res. 2018; 29(3): 378–390.
  25. Armstrong S, Dermont M. Defence dentistry: an occupationally focused health service with worldwide deployable capability. Br Dent J. 2021; 230(7): 417–423.
  26. Leiendecker T. The Department of Defense oral health and readiness classification system. Mil Med. 2008; 173(1 Suppl): 1–2.
  27. Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. Biometrics. 1988; 44(1): 317.
  28. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363(9403): 157–163.
  29. Martinez-Herrera M, Silvestre-Rangil J, Silvestre FJ. Association between obesity and periodontal disease. A systematic review of epidemiological studies and controlled clinical trials. Med Oral Patol Oral Cir Bucal. 2017; 22(6): e708–e715.
  30. Suvan JE, Petrie A, Nibali L, et al. Association between overweight/obesity and increased risk of periodontitis. J Clin Periodontol. 2015; 42(8): 733–739.
  31. Russo A, Mulić R, Kolčić I, et al. Longitudinal Study on the Effect of Onboard Service on Seafarers' Health Statuses. Int J Environ Res Public Health. 2023; 20(5).
  32. Nittari G, Tomassoni D, Di Canio M, et al. Overweight among seafarers working on board merchant ships. BMC Public Health. 2019; 19(1): 45.
  33. Varkey NS, Vas R, Uppala H, et al. Dental caries, oral hygiene status and treatment needs of fishermen and non-fishermen population in South Goa, India. Int Marit Health. 2022; 73(3): 125–132.
  34. Nithya VR, Krithika C, Sridhar C, et al. Assessment of Oral Health Care Needs among Fishermen Living in North Chennai, India – A Cross Sectional Study. Journal of Pharmaceutical Research International. 2021: 379–385.