Academic literature on the topic 'Community dental services Dental public health Dental Health Services Public Health Dentistry'
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Journal articles on the topic "Community dental services Dental public health Dental Health Services Public Health Dentistry"
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Williams, Sonia. "Dental public health: Dental services for the Bangladeshi community." British Dental Journal 186, no. 10 (1999): 511. http://dx.doi.org/10.1038/sj.bdj.4800154.
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Bailit, H. L. "Health Services Research." Advances in Dental Research 17, no. 1 (2003): 82–85. http://dx.doi.org/10.1177/154407370301700119.
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The major barriers to the collection of primary population-based dental services data are: (1) Dentists do not use standard record systems; (2) few dentists use electronic records; and (3) it is costly to abstract paper dental records. The value of secondary data from paid insurance claims is limited, because dentists code only services delivered and not diagnoses, and it is difficult to obtain and merge claims from multiple insurance carriers. In a national demonstration project on the impact of community-based dental education programs on the care provided to underserved populations, we have developed a simplified dental visit encounter system. Senior students and residents from 15 dental schools (approximately 200 to 300 community delivery sites) will use computers or scannable paper forms to collect basic patient demographic and service data on several hundred thousand patient visits. Within the next 10 years, more dentists will use electronic records. To be of value to researchers, these data need to be collected according to a standardized record format and to be available regionally from public or private insurers.
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Sushanth, V. Hirekalmath, Mohamed Imranulla, and Priyanka P. Madhu. "Dental Education: Challenges and Changes." Journal of Oral Health and Community Dentistry 11, no. 2 (2017): 34–37. http://dx.doi.org/10.5005/jp-journals-10062-0008.
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ABSTRACT The aim of dental health education is to impart knowledge on the causes of oral diseases and providing the ways and possibilities of their prevention and adequate treatment. Health education would highlight the necessity of proper nutrition, maintenance of oral hygiene with the use of fluoride products, and other regimen as well as drive attention toward the significance of regular check-ups with a dentist. Public health dentistry in India has become the only key toward future dental workforce and strategies. There have been numerous challenges which exist for expanding oral health care in India, in which the biggest challenge is the need for dental health planners with relevant qualifications and training in public health dentistry. There is a serious lack of authentic and valid data for assessment of community demands, as well as the lack of an organized system for monitoring oral health care services to guide planners. Based on the aim for sustained development, human resource planning and utilization should be used along with a system of monitoring and evaluation. Hence, both demand and supply influence the ability of the dental workforce to adequately and efficiently provide dental care to an Indian population which is growing in size and diversity. How to cite this article Nair AR, Prashant GM, Kumar PGN, Sushanth VH, Imranulla M, Madhu PP. Dental Education: Challenges and Changes. J Oral Health Comm Dent 2017;11(2):34-37.
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Tellez, Marisol, and Mark S. Wolff. "The Public Health Reach of High Fluoride Vehicles: Examples of Innovative Approaches." Caries Research 50, Suppl. 1 (2016): 61–67. http://dx.doi.org/10.1159/000443186.
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Fluorides and sealants have been shown to reduce caries in populations, making fluoride interventions a large part of the dental public health effort. Although public health programs have traditionally focused on fluoride vehicles delivering less than 1,000 ppm of fluoride, more recent efforts have shifted toward the use of high fluoride vehicles such as varnishes and prescription toothpastes. In the USA, states are developing innovative strategies to increase access to dental services by using primary care medical providers to deliver early preventive services as part of well-child care visits. Currently, Medicaid programs in 43 states reimburse medical providers for preventive services including varnish application. Still, there is uncertainty about the cost-effectiveness of such interventions. In many resource-strained environments, with shortages of dental health care providers, lack of fluoridated water and lower dental awareness, it is necessary to develop sustainable programs utilizing already established programs, like primary school education, where caries prevention may be set as a priority. Dental caries among the elderly is an ongoing complex problem. The 5,000-ppm F toothpaste may be a reasonable approach for developing public health programs where root caries control is the main concern. Fluoride varnish and high concentration fluoride toothpaste are attractive because they can easily be incorporated into well-child visits and community-based geriatric programs. Additional research on the effectiveness and costs associated with population-based programs of this nature for high risk groups is needed, especially in areas where a community-based fluoride delivery program is not available.
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Rani, Haslina, Bashirah Arjunaidy, Nur Asyiqin Roslan, Wan Nur Syuhada Azwa Wan Muhamad, and Nurul Asyikin Yahya. "A DESCRIPTIVE SUMMARY OF UNLICENSED DENTAL PRACTICE." Malaysian Journal of Public Health Medicine 20, no. 2 (2020): 252–60. http://dx.doi.org/10.37268/mjphm/vol.20/no.2/art.548.
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Despite the fines and action taken by authorities against illegal dental practise, it could not be eliminated and remain a threat to the public’s oral health. The aim of this study was to gather holistic evidence on unlicensed dental practice by collating news coverage, scientific research publications, and information on social media activities of illegal dental practitioners. Information on news coverage was collated via Google, Yahoo and Bing while information on research publications was obtained through three databases, Scopus, Pubmed and Google Scholar. Public data from Facebook and Instagram were extracted to gain information on illegal dental services actively provided. Out of 195 news reported regarding unlicensed dental practitioner, only 110 news reported on legal actions received with 81 news reports were on financial punishments, and the rest was on jail terms or probation. For scientific publications, only 13 related publications were found, and the majority were case reports. Despite having a law that stated an unlicensed dentist would be punished, there were more than 170 Facebook, and Instagram users with thousands of followers found actively offering illegal dental services to the public. In conclusion, not much attention was paid by the scientific community on illegal dental practice despite it being a significant public health issue and covered quite thoroughly in the news, and services are still actively offered through social media. This descriptive report helps give a holistic perspective on the illegal dental service providers issue, especially in Malaysia.
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Bhayat, Ahmed, and Usuf Chikte. "Human Resources for Oral Health Care in South Africa: A 2018 Update." International Journal of Environmental Research and Public Health 16, no. 10 (2019): 1668. http://dx.doi.org/10.3390/ijerph16101668.
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To describe the current oral health care needs and the number and category of dental personnel required to provide necessary services in South Africa (SA). This is a review of the current disease burden based on local epidemiological studies and the number of oral health personnel registered with the Health Professions Council of South Africa (HPCSA). In SA, oral health services are rendered by oral hygienists, dental therapists, dentists, and dental specialists. Dental caries remains one of the most prevalent conditions, and much of them are untreated. The majority of oral care providers are employed in the private sector even though the majority of the population access the public sector which only offers a basic package of oral care. The high prevalence of caries could be prevented and treated by the public sector. The infrastructure at primary health care facilities needs to be improved so that dentists performing community service can be more effectively utilized. At present, SA requires more dental therapists and oral hygienists to be trained at the academic training institutions.
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Farahanny, Wandania, Ika Andryas, Rini Octavia N, and Olivia A. Hanafiah. "Mobile dental clinic revitalization to improve oral health services in the covid-19 pandemic era at Sambirejo District Community Health Center, Kabupaten Langkat." ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat 5, no. 2 (2020): 350–60. http://dx.doi.org/10.32734/abdimastalenta.v5i2.5066.
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One of pandemic effect is that people being afraid to have their regular dental treatment and tends to have their own medication. Dentist and dental nurses as workerin public health provider also afraid on doing dental treatment on a reason highly contamination and transmission of the virus. Delaying aerosol generating procedures is found as the only choice, except for emergency case. However, the uncertainty of pandemic era and dental treatment needs, urge the health workers to have innovation in dental treatment service. Using mobile dental clinic Dinas Kesehatan Kabupaten Langkat di Puskesmas Sambirejo is a solution. The implementation of service activities in mobile dental clinic are mainly in self Protection equipment, SOP in Standart Precaution, sterlisation and aseption and also patients admision flow in pandemic era for health care providers as a way to improve their knowledge in handling patient in pandemic era. The delay of action in dental procedur can be solved by facilitating mobile dental clinic according to standard health protocol. Instead of only reaching rural area, this mobile dental clinic can also be used in narrow building with limited space. The SOP protocol can also be used by dentis and dental nurses to control infection in mobile dental clinic. This article tries to support government in raising the degree of mouth and dental health services in pandemic era.
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Nemeth, Orsolya, Mercedesz Orsos, Fanni Simon, and Peter Gaal. "An Experience of Public Dental Care during the COVID-19 Pandemic: Reflection and Analysis." International Journal of Environmental Research and Public Health 18, no. 4 (2021): 1915. http://dx.doi.org/10.3390/ijerph18041915.
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Since its emergence in China, the COVID-19 pandemic has become the number 1 health challenge in the world with all affected countries trying to learn from each other’s experiences. When it comes to health services, dental care does not seem to be a priority area, despite the fact that it is among the highest risk medical specialisations in terms of spreading the infection. Using the Department of Community Dentistry of Semmelweis University as a case study, the objective of this paper is to introduce and analyze the system and organizational level measures, which have been implemented in dental care in Hungary during the first months of the COVID-19 outbreak. The system level measures to promote social distancing, to reduce the use of health services and to protect high risk health professionals, together with the deployment of protective equipment and the reorganization of patient pathways at the organizational level proved to be effective in keeping the outbreak in control. There are two, less frequently mentioned ingredients of successful coping with the COVID-19 challenge. First, mental health support is at least as important as physical protection. Second, most of the interventions do not require big financial investments, but behavioural change, which in turn requires leadership and change management skills.
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Khaleeq-Ur-Rehman. "Emergency Dental Services: Review of the Community Health NHS Trust Service in Birmingham between 1997 and 2000." Primary Dental Care os10, no. 3 (2003): 93–96. http://dx.doi.org/10.1308/135576103322497066.
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Aims and Objectives To confirm the need for an emergency dental service in Birmingham and to review the emergency dental service run by the South Birmingham Community Health NHS Trust. Design A retrospective study of patients attending the emergency dental service from March 1997 to August 2000, using computerised patient records and a supplementary questionnaire for a nine-month period between August 1997 and April 1998. Setting Birmingham Dental Hospital. Results A review of the computerised records revealed that a total of 10,799 patients were seen during the study period. In the first year, on average five patients were seen on weekday evening sessions and 13 patients at weekends/public holidays. By the final year of the study, these figures increased to ten on weekday evenings and 16 at weekends/public holidays. Forty-three per cent of the attendees were in the 31–50 year age group and 33% in 19–30 year age group. Twenty-five per cent of patients required extractions, 20% received temporary dressings, 17% a prescription for antibiotics and 9% were treated for acute mucosal conditions such as pericoronitis. The remainder received other items of treatments, such as for dry sockets. The supplementary questionnaire revealed that during the period August 1997 to April 1998, 67% of the patients lived in Birmingham and the other 33% in the surrounding areas, and some 59% of patients claimed that they were registered with a dentist of whom 60% of patients were not exempt from NHS charges. Conclusions The results indicate that the service was widely and increasingly used during the study period. A similar pattern of emergency dental care in dedicated clinics could be established throughout the United Kingdom. A profile of users of the service during its first three-and-a-half years has been established.
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Yang, Stella Xinchen, Katherine Chiu Man Leung, Chloe Meng Jiang, and Edward Chin Man Lo. "Dental Care Services for Older Adults in Hong Kong—A Shared Funding, Administration, and Provision Mode." Healthcare 9, no. 4 (2021): 390. http://dx.doi.org/10.3390/healthcare9040390.
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Hong Kong has a large and growing population of older adults but their oral health conditions and utilization of dental services are far from optimal. To reduce the financial barriers and to improve the accessibility of dental care services to the older adults, a number of programmes adopting an innovative shared funding, administration, and provision mode have recently been implemented. In this review, an online search on the Hong Kong government websites and the electronic medical literature databases was conducted using keywords such as “dental care,” “dental service,” and “Hong Kong.” Dental care services for older adults in Hong Kong were identified. These programmes include government-funded outreach dental care service provided by non-governmental organizations (NGOs), provision of dentures and related treatments by private and NGO dentists supported by the Community Care Fund, and government healthcare vouchers for private healthcare, including dental, services. This paper presents the details of the operation of these programmes and the initial findings. There is indirect evidence that these public-funded dental care service programmes have gained acceptance and support from the government, the service recipients, and the providers. The experience gained is of great value for the development of appropriate dental care services for the older adults in Hong Kong and worldwide.
Dissertations / Theses on the topic "Community dental services Dental public health Dental Health Services Public Health Dentistry"
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Strandberg, Oskar, and Ahmed Azzawi. "Community-based clinical teaching set in a Swedish public dental service – Students and mentors perception regarding their experience." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19613.
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Introduktion: Under den tionde terminen av tandläkarprogrammet på Malmö högskola genomgår studenterna verksamhetsförlagd utbildning (VFU) sedan 2004. Detta sker i samarbete med Folktandvården Skåne och under 15 veckor arbetar studenterna en dag i veckan under handledning på folktandvårdens kliniker i närliggande område.Syfte: Att utvärdera erfarenheter efter genomgången VFU ur deltagarnas perspektiv.Metod: Alla tandläkarstudenter och handledare som genomgått VFU 2006 och 2015 tillfrågades om att besvara en utvärderingsenkät med numerisk bedömningsskala och utrymme för tillhörande kommentarer. Sex studenter och fem handledare som genomgått VFU år 2015 intervjuades även med en semistrukturerad intervjumetodik som sammanfördes genom en tematiserad innehållsanalys. Resultat: Enkät: Poängsättningen var genomgående hög för både 2006 och 2015. Studenterna poängsatte påstående 6 ”Det nuvarande upplägget med 15 veckor och en dags tjänstgöring i veckan är tillfredställande.” signifikant högre 2015 än 2006. Påstående 8 ”Det finns en samsyn avseende metoder och behandlingsval mellan skola och folktandvård.” poängsatte studenterna signifikant lägre än handledarna 2015. 2006 poängsatte studenterna påstående tre ”Sammansättningen av patienter var bra.” signifikant lägre än vad handledarna gjorde. Intervju: Studenter och handledare ansåg att VFU är fördelaktigt i utbildningssyfte och ger studenterna självsäkerhet och trygghet i ansvarstagande. Förslag på förbättringar förekom även under intervjuerna.Slutsats: Verksamhetsförlagd utbildning ger fördelaktigheter både för studenter och deras handledare. Studenter och handledare uttrycker uppskattning och är generellt nöjda efter VFU.<br>Introduction: The tenth semester of the dentistry program at Malmö university students undergoes an outreach program (internship) since 2004 and this is in collaboration with Folktandvården Skåne. During 15 weeks the students work at their assigned clinics one day a week under supervision from their tutors.Objective: To evaluate experiences after placement from the participants' perspective.Method: All dental students and tutors who have completed internship in 2006 and 2015 were asked to answer an evaluation questionnaire with numeric rating scale and scope for comments. Six students and five mentors who have completed internship in 2015 were interviewed with a semi-structured interview methodology, later analysed by content analysis method.Results: Questionnaire: rating was consistently high for both 2006 and 2015. The students scored significantly higher on question six “The set-up of one day of clinical work over 15 weeks were satisfying.” 2015 than in 2006. Students scored question eight“There is a consensus regarding methods and treatment options between the dental school and Folktandvården Skåne” significantly lower than their supervisors in 2015. In 2006 students scored question three “The composition of patients was good” significantly lower than the supervisors did. Interview: Students and tutors felt that the internship had been beneficial for training purposes, giving the students more self-esteem and confidence in taking responsibility. Improvements for the outreach program where proposed. Conclusion: The clinical training program is favourable, both for the students and their tutors. In general terms, the students and the supervisors were satisfied with the cooperation.
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Brennan, David S. "Factors influencing the provision of dental services in private general practice /." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phb838.pdf.
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Dean, Lesa. "Dental Care in Long-Term Care Facilities of Warren County, Kentucky." TopSCHOLAR®, 1986. https://digitalcommons.wku.edu/theses/2252.
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Many physical changes occur as one ages, including changes associated with the oral cavity. A review of the literature suggests that the provision of dental care to institutionalized elderly patients presents problems due to a variety of factors. The purpose of this study is to assess the level or dental care provided to residents of long-term care facilities located in Warren County, Kentucky. In addition, secondary objectives Include the ascertainment of who provides dental care to residents and the amount or in-service dental training made available to staff members of the facility.
Each administrator of the long term care facilities located in Warren County participated in an *interview conducted by the author. During the interview, information was obtained for a 21 item questionnaire concerning the facility, the number and age range or the residents, and types of dental services provided within the facility.
Results obtained from the questionnaire indicated that 77 percent or the residents in long-tern care facilities in Warren County are 70 years of age or older. No significant differences were noted in the types or dental services provided to residents. However, the dental services provided ranged from those that were obtained in a private dental office via transportation or the resident to outside dental facilities to routine oral hygiene measures carried out by staff members employed by the facility.
The findings revealed significant differences in the dental status of the MRDD residents when compared to the nursing home residents. Other findings indicated that none of the long-term care facilities had dental operatories or dental radiographic equipment on the premises.
Additional research would be required in order to address uncertainties discovered in the study. A followup to the questionnaire Interview with the consulting dentists may be included to determine to what capacity and to what extent they are utilized by the facilities. Other recommendations include the utilization of entrance dental examinations to determine if services offered do meet the needs of the residents and periodic dental examinations to aid in detection and thus reduce the prevalence of dental diseases in this population.
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Al, Darwish Mohammed S. "Dental caries, oral health and life style variables among school children in Qatar." Thesis, University of Gloucestershire, 2014. http://eprints.glos.ac.uk/940/.
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Background: Effective delivery of dental services must be based on reliable information regarding the prevalence and severity of disease in the target population. Evaluation of the various factors known to influence the severity and progression of disease is essential for health policy makers to promote oral health resources and address oral health needs. Objective: The overall aim of this research is to describe the situation of dental caries and investigate the associations of level of oral health knowledge, teeth irregularity, BMI and other life style variables (TV viewing, internet use, passive smoking and dietary habits) with dental caries, including the impact of socio-demographic factors amongst school children in Qatar. Materials and methods: A cross-sectional study was conducted in Qatar from October 2011 to March 2012. A total of 2,113 children aged 12-14 years were randomly selected from 16 schools from different areas. Clinical examination was conducted by three calibrated examiners using World Health Organization criteria for diagnosing dental caries. Teeth irregularity was determined clinically according to a method described by Björk et al (1964). A pre-tested and structured questionnaire was used to assess oral health knowledge and life style data. Data analyses were performed. Results: The mean decayed, missing and filled teeth index values was 4.62 (±3.2), 4.79 (±3.5), and 5.5 (±3.7), respectively, for the 12, 13 and 14 year old children. The caries prevalence was 85%. The mandibular incisors and canines were least likely to be affected by dental caries, while maxillary and mandibular molars were the most frequently attacked by dental caries. Of the total sample, only one quarter reported a high level of oral health knowledge. There were more incidences of teeth crowding (44.1%) than teeth spacing (9.5%). The overall prevalence of underweight, overweight, and obesity was 5%, 10%, and 5% respectively. Almost half of the children spent > two hours watching television and 46% spent > two hours using internet. Approximately 35.8% of children had exposure to passive smoking. Concerning dietary habits, 99.4% of children consumed sugar containing snacks in between meals. Approximately 65% consumed sugar containing snacks within one hour of bed time. Almost 49.1% skipped eating breakfast regularly and 22.7% skipped eating lunch regularly. Around 83.8% consumed diary snacks in between meals. Overall, 74.2% drank tea in-between meals and 80.1% chewed gum in-between meals. All variables were affected by socio-demographic factors, but significant differences were found in female children in that they were more at risk to dental caries than male children. Also, children who resided in semi-urban areas were more at risk to dental caries than children who resided in urban areas. The occurrence of dental caries is significantly associated with the level of oral health knowledge, teeth irregularity, and other life style variables. Conclusion: The need to reduce sedentary behaviors and to promote a more active and healthy lifestyle is becoming increasingly essential in Qatar. Implementation of a community-based preventive oral health programs on a healthy diet and practices of adequate oral hygiene should be promoted in schools through integration into the school curriculum and services to combat the growing problem of dental caries.
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Holt, Nicole. "An Investigation of the Relationship Between Child, Family, and Community Factors and Early Childhood Oral Health and the Utilization of Dental Health Services." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3242.
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Background / Objective: Children under the age of 5 years bear a disproportionate burden of oral disease. The aim of this study is to investigate how child, family, and community determinants impact dental care utilization, and parental report of child’s oral health. Methods: Data for this study came from the 2011/2012 National Survey of Children’s Health for children aged 1 to 5 years old. Dependent variables evaluated were if the child had an oral health problem, been to a dentist in the past year, and parents description of the child’s teeth. Independent variables were selected from child, family, and community levels. Binary logistic methods were applied to each outcome and predictor variable. Stepwise logistic regression models were constructed for child, family, and community variables. Additionally the mediating effect of oral health services utilization in the association between child, family and community factors and parental perception of child’s oral health was evaluated. National results and Health Resource Service Area (HRSA) region IV results were compared.
Results: In the national (n=24,875) and HRSA region IV sample (n=4,017) 9.7% and 10.2% of caregivers, reported that the child had an oral health problem in the past 12 months. Fewer than half (46.7%) of caregivers reported that their child had visited a dentist in the past 12 months. Absence of neighborhood cohesion, neighborhood amenities, and residence in metropolitan statistical area all had positive significant effects on children seeing a dentist. There was a mediating effect by utilization of oral health services between child with special health care needs (p=0.005), number of children (p=0.045) and adults (p=0.046) in the household, and tobacco use (p=0.018) and parents perception of oral health in the HRSA region IV population.
Conclusion: This study identified several factors as correlates of poor oral health outcomes. Our results expand our knowledge of early childhood oral health by studying how oral health is impacted not only by child factors but also the family and community at large. Our results begin identifying the unique constellation of risk factors that contribute to early childhood oral health.
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Pendharkar, Bhagyashree. "Fourth year dental students' barriers to tobacco intervention services." Thesis, University of Iowa, 2009. https://ir.uiowa.edu/etd/419.
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In order to facilitate effective tobacco cessation services within dental school clinics, it is necessary to understand the perceived barriers encountered by dental students while providing these services. The aim of this study was to identify which factors fourth year dental students perceive to be associated with barriers to providing tobacco intervention services. A written survey was developed and completed by the incoming fourth year dental students at the University of Iowa College of Dentistry in 2008. The survey assessed the perceived barriers to providing tobacco intervention services and related factors. Descriptive, bivariate and logistic regression analyses were conducted. The response rate was 97 percent. Some of the most frequently reported barriers included: patient's resistance to tobacco intervention services (96%), inadequate time available for tobacco intervention services (96%) and forgetting to give tobacco intervention advice (91%). The following variables were significantly (p<0.05) related to greater perceived barriers in providing tobacco intervention services: lower "adequacy of tobacco intervention curriculum coverage of specific topics covered over the previous three years" and "perceived importance of incorporating objective structured clinical examination teaching method for learning tobacco intervention." Students could benefit from additional didactic training and enhanced clinical experience in order to facilitate effective intervention services in the dental school.
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Young, Mairi Anne. "Optimising the role of the dental health support worker in Childsmile Practice : a comparative Realist approach." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8111/.
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Background: Childsmile, the national oral health improvement programme for children in Scotland, aims to reduce oral health inequalities and improve access to dental services. Childsmile is delivered, in part, by a new category of lay or community-based worker known as a Dental Health Support Worker (DHSW) who supports families to improve oral health behaviours and attend a dental practice. Findings from Childsmile’s national process evaluation indicated there was widespread variation in delivery of the DHSW role and additional research was required to further understand and develop programme theory for the DHSW role; and clarify areas of variation which were adaptive and which were a risk to the programme meeting its desired objectives. Aims: The overarching aim was to gain further understanding of which factors and variants (contextual and those associated with programme delivery) impact on effectiveness of the DHSW role within Childsmile Practice. This research is a component study of the national Childsmile evaluation strategy. Findings will be fed back to the Childsmile programme to optimise delivery of the role and to enable future evaluation of the role’s impact. Methods: Learning and evidence generation was triangulated from two phases of research, comprising three component studies. Phase 1 comprised the sensitising study and comparative case studies: both provided learning from within Childsmile. The sensitising study was designed as a scoping exercise using qualitative data collection methods. The aim was to establish existing programme theory and explicate delivery of the DHSW role, while uncovering deviation (from programme theory) and variation within and between NHS boards. Findings were used to design three comparative case studies, comprising one DHSW and key stakeholders involved in delivery of the role from three NHS boards. The comparative case studies employed qualitative data collection methods; and were designed to address the overarching aim, and explore the casual links between context, delivery, and outcomes in delivery of the role using Realist-inspired analysis. Phase 2 comprised a Realist Review to provide learning from out with Childsmile. The aim was to gain an understanding of which components of child health interventions, delivered by lay health workers to parents, could influence ‘child health parenting behaviours’. Findings and Conclusions: Findings indicated that in terms of motivational readiness to engage with positive oral health parenting behaviours (POHPBs) there were three types of families referred to the DHSW for support: low, moderate, and high-risk. It was established that to address programme aims DHSWs ought to support moderate-high risk families, yet DHSWs only had capacity to support low-moderate risk families. Findings demonstrated that the Public Health Nurses/Health Visitors were best placed to triage families according to their needs and motivational readiness. The peer-ness of the DHSW role was found to positively influence parental engagement with the programme and facilitate person-centred support. However, an embedded ‘sweetie culture’ and health damaging environments were found to negatively impact on parents’ self-efficacy and perceived locus of control to engage with POHPBs. Learning indicated that: delivery over a prolonged period of time; incorporation of the programme into the Early Years Pathway and GIRFEC policy; and recent changes to the Children and Young Person (Scotland) Act (2014), served to embed Childsmile within the NHS boards and facilitated stakeholder buy-in, which positively impacted on delivery of the role. From the learning derived within and out with Childsmile the recommendations for the DHSW role included: (1) DHSW support should move away from a primarily information provision and facilitation of families into dental practice role, and incorporate socio-emotional and person-centred support; (2) The DHSW role should be redefined to support moderate-high risk families; and interpretation and application of referral criteria should be addressed to ensure continuity with who is referred for support; and (3) Programme theory for the DHSW role should be refined and future evaluative effort should concentrate on assessing impact.
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Nakanaga, Motoki. "The Evaluation of the School-Based Flouride Mouthrinse Program in a Fluoridated Community." TopSCHOLAR®, 1991. https://digitalcommons.wku.edu/theses/2678.
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The purpose of this study was to evaluate the effect of a school-based fluoride mouthrinse program in a fluoridated community. Such an evaluation is important because the effect of such programs may decrease over time due to the widespread use of fluoride.
Two elementary schools were chosen. One had a fluoride mouthrinse program: the other did not. The subjects were children in grades one and six. Their caries experience was examined using dft. dfs. DFT, and DFS scores.
There were no statistically significant differences between the two schools. The program had no significant effect in the community studied.
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Valencia, Alejandra. "Racial and ethnic disparities in access and utilization of dental services among children in Iowa:." Thesis, University of Iowa, 2010. https://ir.uiowa.edu/etd/754.
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Even though the oral health of Americans has improved greatly in the last 50 years, some specific groups of the population have been left behind. Latinos, children and adults, bear a disproportionate burden of oral diseases. Latino children, the fastest growing minority group of children in the US, are affected disproportionately by oral diseases like dental caries compared to other groups. Understanding the difficulties and barriers that these children have to utilize dental care will help us in the future to develop effective programs to reduce health disparities in this segment of the population.
The purpose of this study is to identify the factors that determine dental services access and utilization by children in the state of Iowa. Emphasis will be given to differences in utilization of dental services among different racial/ethnic groups. Additionally, the study will describe and compare difficulties in utilization of care among Latino children whose parents answered the survey in English (LE) and those who answered it in Spanish (LS). In order to address these objectives existing data from the Iowa Child and Family Household Health Survey 2005 (HHS) were analyzed.
The dependent variable for the study was utilization of dental services. This outcome variable was dichotomized as whether or not the child had a dental visit in the last year. Characteristics of study subjects were first analyzed through descriptive statistics. Bivariate analyses were conducted to assess associations between the dependent variable and independent variables. Multiple logistic regression was used to identify factors associated with utilization of dental services in Iowa's children, and for each different racial and ethnic group.
Seven factors were related to the time of the last dental visit for Iowa children: Having a regular source of dental care, dental insurance status, having a dental need in the past 12 months, brushing habits, the age of the children, and family income. The same seven factors were correlated to having a dental visit for white children. For African-American children, having a regular source of dental care, dental insurance status, and having a dental need in the last 12 months were the factors that were found associated to the time of the last dental check-up. For the Latino Spanish children, having a regular source of dental care and the age of the children were factors associated to dental utilization. Finally, for the Latino English children, the only factor associated with having a dental visit was having a regular source of dental care.
Information from this research gives policy makers, public health workers, and clinicians an overview of oral health disparities affecting children in the state. For those agencies in Iowa interested in the improvement of access and utilization of dental services for minority children, this project gives important inside about the factors related to the use of services for different racial/ethnic groups in the state.
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Khalfe, Abdulrasheed Dawood. "A comparative analysis of delivering different modes of dental care at district level." Thesis, University of the Western Cape, 1995. http://etd.uwc.ac.za/index.php?module=etd&.
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The aim of this study is to analyse and compare the delivery of oral health care services based on the prevailing curative paradigm and WHO-treatment norms for the school-going community of Mitchells Palin district in relation to selected alternative methods of dental care delivery. The optimal use of auxiliary personnel, purchasing care from private dental practitioners and intriducing water fluoridation was examined.
Books on the topic "Community dental services Dental public health Dental Health Services Public Health Dentistry"
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Community oral health practice for the dental hygienist. 3rd ed. Elsevier/Saunders, 2012.
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Institute of Medicine (U.S.). Committee on an Oral Health Initiative. Advancing oral health in America. National Academies Press, 2011.
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Association of State and Territorial Health Officials (U.S.). Guide to public health practice: HIV and the dental community. Public Health Foundation, 1989.
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Kough, Mary Beth Winkeljohn. Special report--state health agency dental health activities, 1983. Public Health Foundation, 1986.
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A, Eklund Stephen, Lewis Donald W, and Striffler David F. 1922-, eds. Dentistry, dental practice, and the community. 4th ed. Saunders, 1992.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Overview of epidemiology." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0010.
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How tall is the human race? What is meant by being short? Walking down the street, one will see people of various heights and a degree of variation exists. Some people are shorter than others, but when is someone abnormally so? How is it possible to make this judgement? By recording the height of everyone it is possible to start to produce a picture of people as a whole. Such terms as minimum, maximum, and mean give an indication of the distribution of heights. The science used to collect and examine data in this way is known as epidemiology. Epidemiology is defined as: . . . The orderly study of diseases and conditions where the group and not the individual is the unit of interest. . . . Mausner and Kramer ( 1985 ) state that epidemiology is concerned with the frequencies of illnesses and injuries in groups of people as well as the factors that influence their distribution. By investigating differences between subgroups of the population and their exposure to certain factors it is possible to identify causal factors and consequently to develop programmes to alleviate the problems. The critical issue is that knowledge is gained by studying patterns in groups as opposed to concentrating solely on the individual. This chapter gives an overview of the uses of epidemiology in dentistry and describes the main principles of this subject. Epidemiology in dentistry operates in three broad fields. These are: . . . 1 the measurement of dental disease among groups within the population in order to understand factors that influence the distribution; . . . . . . 2 identification of factors that cause conditions; . . . . . . 3 evaluation of effectiveness of new materials and treatment in clinical trials and assessment of needs and requirements for dental services within the community. . . . Undertaking epidemiological investigations requires a series of standards and procedures; measures must be made to an agreed common standard, in a methodological manner, and, when necessary, using an appropriate random sample.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Problems with health care delivery." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0030.
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Earlier chapters have highlighted the influence the medical model of health has had on both the philosophy of health care and the structures devised to deliver health care including dental care. The overriding influences of the medical model are the downstream focus on treatment of disease and the communication gap caused by differing concepts of health and need held by lay people and health professionals. Problems with health care delivery operate at a macro level (i.e. overall policy for and structure of health care) and at a micro level (how health care is delivered, one-to-one communication, and interaction with the patient and members of the dental team). Chapter 18 has described some of the specific problems with health care at the macro level. In this chapter we shall also look at some of the problems with how health care is delivered and problems with health services at the level of the user and the provider of health care. What should good health care look like? Maxwell (1984) defined six characteristics of a high-quality health care. Services should to be equitable (fair), accessible, relevant to health care needs, effective, efficient, and socially acceptable. There are recognized inequities in how health care is distributed; urban areas are often better provided for compared to rural areas, and hospital-based health care consumes more resources than community-based care. Not everyone has equal access to health care; for example, people living in deprived communities with greater health need have fewer doctors and dentists compared to richer areas with fewer health care needs. This phenomenon has been described as the inverse care law (Tudor Hart 1971). Uncomfortable choices and rationing have to take place in allocating health care resources. Ideally, these decisions should be based on the greatest health need (and the capacity to benefit) rather than who has the loudest voice. The focus on treatment inherent in the medical model of health means that resources are spent on high-technology medicine and hospitals, while programmes to prevent disease are poorly supported and resourced. There is an expectation that there will be a magic bullet for every health problem, yet most chronic diseases have no cure. People learn to adapt and cope with their chronic illness rather than recover.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Planning dental services." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0028.
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Planning is an integral part of dental care provision that can operate at many different levels. At a national level, government NHS policy impacts upon dental services in different ways. For example, in the General Dental Service, patient charge bands in England are currently set by the government. In the future, at the national level, the National Health Service Commissioning Board (NHSCB) will determine national policy and national delivery requirements. The NHSCB will be responsible for commissioning primary dental services and contractual arrangements with dentists. At the Health and Wellbeing Board (HWB) level in England, planners (in conjunction with general medical practioner (GMP) consortia/clinical care commissioning groups (CCGs)) will make decisions over the priorities for local services, and the types and range of services offered locally. Within a dental practice, dental practitioners and their team members may develop a range of practice policies aimed at improving the services provided. Finally, every day clinicians develop treatment plans for individual patient care based upon their oral health needs. All these activities are planning in action. This chapter will examine the basic principles of planning, and review the different steps in the planning process. At the most basic level, planning aims to guide choices so that decisions are made in the best manner to reach the desired outcomes. Planning provides a guide and structure to the process of decision-making to maximize results within the limited resources available. Is planning really necessary when there are so many other demands on practitioners’ time? Planning can be justified for the following reasons: . . . ● It provides an opportunity to be proactive in decision-making rather than constantly reacting to pressures and demands. . . . . . . ● It enables priorities to be set. . . . . . . ● It identifies where resources can be directed to have the greatest impact. . . . Various planning models have been proposed to act as a guide to the different steps in the planning process. The rational planning model provides a basic guide to the process (McCarthy 1982), and involves the following steps: . . . 1 Assessment of need: e.g. identification of the oral health problems and concerns of the population. . . . . . . 2 Identifying priorities: agreeing the target areas for action. . . .
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Kakodkar, Pradnya, and Mamatha GS. "Public Health and Dental Public Health." In Questions and Answers in Community Dentistry. Jaypee Brothers Medical Publishers (P) Ltd., 2010. http://dx.doi.org/10.5005/jp/books/11018_1.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "The structure of dental services in the UK." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0026.
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This chapter will briefly describe how oral health care may be managed and organized and how health workers may be remunerated. This will be followed by a short outline of the ways in which oral health care is provided in the UK. A separate overview of dental care professionals (DCPs) is presented in this chapter. The reform of the NHS is ongoing, so this chapter discusses principles rather than detail. Since the devolution of health care to governments in Scotland, Wales, and Northern Ireland, variations in provision are occurring across the UK and some of these differences are highlighted. If oral health care is to be provided it has to be funded. The money has to be derived from the public and this can be either from individuals or from taxation. Within the UK there are a variety of ways in which oral health care is funded. Figure 19.1 shows the possible flows of money. The model that exists in the UK is in the main centred on routes 1 and 3, based on taxation, either direct or through national insurance contributions, and its subsequent allocation to various public-funded services, including dentistry. In Germany, the arrangement is slightly different in that third-party insurance groups are involved and a proportion of an individual’s annual salary is allocated to health care. A third model operates in the USA under the guise of managed care. Individuals buy into a care plan that is organized by a health care company, which subsequently contracts with dentists to provide a level of care. In route 2, the public pays the dentist directly for his or her services; this is a private arrangement. A third party may intervene to control pricing. For example, Dutch and Swedish adult dental care is now mostly in the private sector, but each year the profession negotiates the scale of fees with their government. The subsequent distribution process for paying oral care workers is illustrated in Figure 19.2. There are again three mechanisms: . . . 1 A purely private arrangement. . . . . . . 2 The state pays the total cost. . . .
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Atchison, Kathryn A., and Jay W. Friedman. "Ethics and Dental Public Health." In Burt and Eklund's Dentistry, Dental Practice, and the Community. Elsevier, 2021. http://dx.doi.org/10.1016/b978-0-323-55484-8.00004-6.
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Longridge, Nicholas, Pete Clarke, Raheel Aftab, and Tariq Ali. "Statistics, Epidemiology, and Dental Public Health." In Oxford Assess and Progress: Clinical Dentistry, edited by Katharine Boursicot and David Sales. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198825173.003.0026.
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The content of this subject is frequently overlooked, as it is often ‘not seen as pertinent’ to practitioners’ day- to- day work. However, the impact of dental public health (DPH) as a discipline can be far reaching. DPH is concerned with improving the oral health of the population, rather than the individual. It has been described as the science and art of preventing oral disease, promoting oral health, and improving quality of life through the organized efforts of society. DPH teams have numerous responsibilities, including oral health surveillance, developing and monitoring quality dental services, oral health improvement, policy and strategy development and implementation, and strategic leadership and collaborative working for health. As such, the impact of DPH can frequently been seen at a local level, e.g. through health promotion campaigns or provision of new/ redistribution of services (in conjunction with commissioners) to meet local needs. DPH is predominantly a postgraduate subject, and although the undergraduate curriculum does not cover the whole topic, some core knowledge is valuable. In particular, understanding research methodology and basic statistics is a useful skill to help interpret the dental literature appropriately. This is ever more necessary in the modern era of evidence- based dentistry. The questions in this chapter will predominantly cover the fundamentals of statistics relevant to medical research, along with the basics of study design. Additional questions will touch on the concepts of health promotion and epidemiology, with further reading suggested to supplement the content. Key topics include: ● Study design ● Data analysis ● Critical appraisal ● Epidemiology ● Health promotion ● Strategic working and collaboration ● Assessing evidence on oral health and dental interventions, programmes, and services ● Developing and monitoring quality dental services.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Health economics." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0029.
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Haycox (2009) describes economics as the science of scarcity. Economics analyses how choices about scarce goods and services are structured and prioritized by individuals in order to maximize welfare (Haycox 2009). Should economic theory have any relationship to health and health care? Clinicians will often state that they make their decisions based on their clinical judgement (what is best for the patient in front of them) and that they should not be influenced by concerns over money. Is this view entirely valid? Despite the improvements in health seen in the majority of countries, costs of health care have continued to rise above the general rate of inflation. For example, in the USA, health care costs account for 15% of Gross Domestic Product (GDP), compared to 17% in the UK (Morris et al. 2007). This is due to a number of factors, such as the price of materials, personnel salaries and wages, and the ever-increasing use of more advanced technology. There is little evidence, however, that the increased spending has contributed to better health (Abel-Smith 1996). Indeed, the evidence from Chapters 2 and 4 suggests that health will not be improved just by spending more money on health care. There is a growing awareness that health care resources are finite, while the demand for health care is apparently infinite (Cohen 2008). Economic analysis provides a systematic framework for answering questions about the justification for using these finite and scarce health resources and helps identify solutions to some common problems in health care (Morris et al. 2007). Health economics is therefore the study of the application of economic theory to decision-making about health and health care (Mooney 2003 ; Morris et al. 2007). In this context, health care decision-makers must prioritize choices about interventions informed by an analysis of both the costs and the benefits (Haycox 2009). Getting value for money involves a desire to achieve a health goal at the least cost or a desire to maximize benefits to patients where there is a limited pot of resources (Haycox 2009).
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Kohli, Richie, and Eli Schwarz. "Health Education and Health Literacy in Dental Public Health." In Burt and Eklund's Dentistry, Dental Practice, and the Community. Elsevier, 2021. http://dx.doi.org/10.1016/b978-0-323-55484-8.00022-8.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Introduction to the principles of public health." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0005.
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Public health is now recognized as being a core component of the undergraduate medical and dental curricula in many parts of the world (Association for Dental Education in Europe 2010; General Dental Council 2011; General Medical Council 2009). This recognition acknowledges that public health is an important subject relevant to the practice of medicine and dentistry. This chapter will outline what is meant by public health and, in particular, its relevance to clinical dental practice. The philosophical and historical background of public health will be reviewed and the limitations of the traditional system of health care highlighted. Finally, a dental public health framework will be outlined to highlight the central importance of public health to the future development of dentistry. Dental public health can be defined as the science and practice of preventing oral diseases, promoting oral health, and improving quality of life through the organized efforts of society. The science of dental public health is concerned with making a diagnosis of a population’s oral health problems, establishing the causes and effects of those problems, and planning effective interventions. The practice of dental public health is to create and use opportunities to implement effective solutions to population oral health and health care problems (Chappel et al. 1996). Dental public health is concerned with promoting the health of the population and therefore focuses action at a community level. This is in contrast to clinical practice which operates at an individual level. However, the different stages of clinical and public health practice are broadly similar. Dental public health is a broad subject that seeks to expand the focus and understanding of the dental profession on the range of factors that influence oral health and the most effective means of preventing and treating oral health problems. Dental public health is underpinned by a range of related disciplines and sciences that collectively enrich the value and relevance of the subject (Box 1.1) The practice of dentistry is undergoing a period of rapid change due to a wide range of factors in society ( Box 1.2 ).
Conference papers on the topic "Community dental services Dental public health Dental Health Services Public Health Dentistry"
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Lucey, Siobhán, Frank Burke, Briony Supple, and Jennie Foley. "Learning spaces in community-based dental education." In Learning Connections 2019: Spaces, People, Practice. University College Cork||National Forum for the Enhancement of Teaching and Learning in Higher Education, 2019. http://dx.doi.org/10.33178/lc.2019.17.
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In response to various institutional and national policy drivers (University College Cork, 2018; Department of Health, 2019), a community-based dental education (CBDE) initiative in a non-dental setting has been proposed as a new curriculum offering in Paediatric Dentistry in University College Cork. The student-led clinic for children aged 0-5 years will be located in a new primary healthcare centre, which serves as a community hub for health and wellbeing services. The innovative use of learning spaces to imbue a culture of community-engaged scholarship in higher education is widely encouraged (Campus Engage, 2014; Galvin, O’Mahony, Powell & Neville, 2017). This work seeks to explore the features of the proposed learning environment, which may impact upon teaching and learning practice.