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Updated: Jul 13, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Overview of oral health status and associated risk factors in maritime settings: An updated systematic review
Tuan P A Nguyen1,2, Sanju Gautam3, Sweta Mahato2
1DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.
Objectives:
The aim of this study is to provide an updated overview of the oral health status and associated risk factors in maritime settings.
Methods:
We systematically searched PubMed, Ovid Embase, Web of Science, CINAHL and SCOPUS from January 2010 to April 2023. Two independent reviewers extracted the data. The quality of included studies was assessed using relevant assessment tools.
Results:
A total of 260 records were found in the initial search; 24 articles met the inclusion criteria. Most studies had descriptive design, and only two randomized controlled trials were found. The main oral health issues noted are oral cancer, dental caries, periodontal diseases, oral mucosal lesions, and dental emergency. Male seafarers have higher risk of oral cancers in the tongue, lips, and oral cavity while oral mucosal lesions are more prevalent among fishermen.
Conclusions:
Dental caries and periodontal diseases are prevalent in both seafarers and fishermen. The consumption of tobacco, alcohol, fermentable carbohydrate, and poor oral hygiene are risk factors that affect the oral health status at sea. The occurrence of oral diseases in maritime setting requires more attention of researchers and authorities to develop strategies to tackle these issues.
Trial Registration:
Systematic review registration number in PROSPERO: CRD42020168692.
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