Academic literature on the topic 'Dental public health Dental Health Services Public Health Dentistry'
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Journal articles on the topic "Dental public health Dental Health Services Public Health Dentistry"
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Bader, James. "Health Services Research in Dental Public Health." Journal of Public Health Dentistry 52, no. 1 (1992): 23–26. http://dx.doi.org/10.1111/j.1752-7325.1992.tb02234.x.
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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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Vasthare, Ramprasad, Anil V. Ankola, Arron Lim Yan Ran, and Prateek Mansingh. "Geriatric oral health concerns, a dental public health narrative." International Journal Of Community Medicine And Public Health 6, no. 2 (2019): 883. http://dx.doi.org/10.18203/2394-6040.ijcmph20185509.
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Across the world, the segment of the elderly in populations is seen to be increasing at a rapid rate. There also exists a trend in which more teeth are retained as age increases due to effective dental public health measures like fluoridation. This inevitably places an increased need for dental healthcare among the geriatric populations. Since oral health greatly affects the systemic health of aged individuals, it is imperative for dentists and physicians to work together as a team to impart treatment to the best of one’s abilities for geriatric patients. It is therefore, necessary to first assess the oral health concerns surrounding the geriatric population from the perspective of public health dentistry. Relationship of the elderly with periodontal disease, dental caries, salivary hyposalivation and xerostomia, cognitive changes, and simultaneous usage of diverse medications was discussed. This paper reviewed the literature and then examined and discussed the various problems mentioned in depth and suggested recommendations for a plan of action. Knowledge about the specific oral health concerns and issues will help to better position us in developing strategies for providing better oral healthcare to the geriatric population in addition to the existing systemic healthcare. In the future, the elderly will make up a huge portion of the demographic visiting dentist regularly for a myriad of oral health problems. Dental health professionals therefore, must have adequate training and competency to deal with the predicament of this geriatric population. Preventive and treatment services can ensure healthy aging which will improve the quality of life.
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Pewa, Preksha, Rushabh Dagli, Jitendra Solanki, Bharath K. Garla, and Geetika Arora Bhateja. "Utilization of Dental Services in Public Health Center: Dental Attendance, Awareness and Felt Needs." Journal of Contemporary Dental Practice 16, no. 10 (2015): 829–33. http://dx.doi.org/10.5005/jp-journals-10024-1765.
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ABSTRACT Background In rural India, dental diseases occur due to many factors, which includes inadequate or improper use of fluoride and a lack of knowledge regarding oral health and oral hygiene, which prevent proper screening and dental care of oral diseases. The objective of the study was to evaluate the dental attendance, awareness and utilization of dental services in public health center. Materials and methods A cross-sectional study was conducted among 251 study subjects who were visiting dental outpatient department (OPD) of public health centre (PHC), Guda Bishnoi, and Jodhpur using a pretested proforma from month of July 2014 to October 2014. A pretested questionnaire was used to collect the data regarding socioeconomic status and demographic factors affecting the utilization of dental services. Pearson's Chi-square test and step-wise logistic regression were applied for the analysis. Results Statistically significant results were found in relation to age, educational status, socioeconomic status and gender with dental attendance, dental awareness and felt needs. p-value <0.05 was kept as statistically significant. Conclusion The services provided in public health center should be based on the felt need of the population to increase attendance as well as utilization of dental services, thereby increasing the oral health status of the population. How to cite this article Pewa P, Garla BK, Dagli R, Bhateja GA, Solanki J. Utilization of Dental Services in Public Health Center: Dental Attendance, Awareness and Felt Needs. J Contemp Dent Pract 2015;16(10):829-833.
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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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RONCALLI, Angelo Giuseppe, Suzely Adas Saliba MOIMAZ, Adrielle Mendes de Paula GOMES, Cléa Adas Saliba GARBIN, and Nemre Adas SALIBA. "Demand organization in public oral health services: analysis of a traditional model." RGO - Revista Gaúcha de Odontologia 64, no. 4 (2016): 393–401. http://dx.doi.org/10.1590/1981-863720160003000053143.
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ABSTRACT Objective: To discuss the municipal experience of the organization and the demand for dental services, based on the guidelines of the Unified Health System (UHS), which point to the structuring of an assistance model based on universality and integrality of care and equity in access to services. Methods: The research, realized in Araçatuba/SP, was based on documentary analysis and interviews with key-informants of the UHS dental service. The traditional court model has a care system for schoolchildren and a basic network with priority for pregnant women. Results: In total, the network has 59 dental surgeons, 31 oral health auxiliaries and 17 Oral Health Teams; however, the school attendance model persists, with 10 professionals attending public schools. Based on the discussions, it is concluded that there are no established criteria for the organization of demand. Conclusion: Most of the attendance occurs by free demand, and the reference and counter-referral system is incipient, damaging the service's resoluteness.
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Vichathai, Charay, and Simon Barraclough. "Equity Issues in Dental Health Care Services in Thailand." Australian Journal of Primary Health 4, no. 2 (1998): 32. http://dx.doi.org/10.1071/py98018.
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Thailand's dental health care system and provisions for public services are described. The Thai Ministry of Public Health has sought to pursue the goal of oral health for all by creating greater equity in opportunities for dental care. Severely disadvantaged Thais are able to seek free treatment, and a subsidized health card system offers medical and dental care to those able to purchase it. Despite these efforts, inequities related to socio-economic status and geography remain. The growth of the private sector has contributed to inequities by drawing dentists away from the public sector. Most dentists wish to work in the more lucrative private sector and to offer curative treatment. The organisational structure of the dental health system in Thailand and certain attitudes of the dental profession have also worked against equity, despite statements of support for equity in the country's Constitution and on the part of policy makers. More research is needed on equity in dental care in Thailand, and ways to reduce shortages of dentists in the public sector and in rural areas need to be explored. The most effective way of promoting equity in dental health care in Thailand is through reinforcing primary dental care with its emphasis upon education and prevention.
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Lam, Raymond, Estie Kruger, and Marc Tennant. "Conundrums in merging public policy into private dentistry: experiences from Australia’s recent past." Australian Health Review 39, no. 2 (2015): 169. http://dx.doi.org/10.1071/ah14038.
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Oral disease continues to be a major problem in Australia impacting quality of life, the economy and broader health system. Although the understanding of caries and periodontal disease has improved along with increased government support, oral diseases continue to be the most prevalent among all health conditions. This is despite unprecedented levels of funding in the Chronic Disease Dental Scheme and the Teen Dental Plan. Access to primary care dentistry in the private sector, where the majority of dental services are provided, remains a critical issue. Under the current system of dentistry, it cannot be assumed that the practice of dentistry represents a prioritised approach to combat disease patterns based on scientific evidence in primary health and prevention. Drawing on data in relation to these two programs, the present study highlights issues impacting dental service provision. This includes issues such as access and affordability to dental care, sustainability of policy and its unintended consequences, private practice pressures and the impact of remuneration on treatment. This paper argues that without structural reform there will continue to be barriers in implementing policies capable of improving oral health. What is known about the topic? The burden of oral diseases remains high and there continue to be problems in accessing and affording dental treatment. What does this paper add? This paper highlights factors impacting dental service provision and offers potential solutions to improve access to primary care dentistry. What are the implications for practitioners? A consideration of these factors may assist policy makers and governments in formulating effective policies.
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Arpalahti, I., M. Järvinen, J. Suni, and K. Pienihäkkinen. "Acceptance of oral health promotion programmes by dental hygienists and dental nurses in public dental service." International Journal of Dental Hygiene 10, no. 1 (2011): 46–53. http://dx.doi.org/10.1111/j.1601-5037.2011.00517.x.
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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.
Dissertations / Theses on the topic "Dental public health Dental Health Services Public Health Dentistry"
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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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Smith, Angel. "Oral Health Literacy of Parents and Dental Service Use for Children Enrolled in Medicaid." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/73.
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Many people in the United States have untreated dental disease due to a lack of dental insurance, a lack of oral health knowledge, and a lack of priority placed on dental health. Despite an increase in dental service use by Medicaid recipients as a result of local programs, children enrolled in Medicaid often have low rates of use of dental services. Using the health literacy framework of the Paasche-Orlow and Wolf (POW) model, the purpose of this study was to explore to the relationship between oral health literacy of parents and dental service use for children enrolled in Medicaid and the differences in use rates between preventive and restorative services. A cross-sectional research design was employed within a convenience sample of parents who presented to a nonprofit clinic for a medical appointment. Participants completed a demographic profile, an oral health questionnaire, and REALD-30 survey. Responses were correlated with dental claims retrieved from 1 reference child for each parent. Pearson's correlation revealed no significant relationship between oral health literacy and dental service utilization, r = -.056 (p = .490). An ANOVA revealed no difference in utilization between preventive and restorative services, F (2, 149) = .173, p = .841, ç2 = .002. However, high rates of use for restorative services were observed, suggesting a high prevalence of tooth decay in children. Although this study did not find a significant relationship between oral health literacy and dental utilization, barriers continue to exist that contribute to the high rates of tooth decay in children enrolled in Medicaid. This study impacted social change by highlighting the importance of preventive care in reducing the prevalence of tooth decay.
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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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Willenberg, Danae Joy. "Dental Service Utilization in HIV-Infected Adults." Case Western Reserve University School of Graduate Studies / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1333744766.
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Garcia, Sanchez Carolina. "Investigation on Time Spent on Caries Prevention in Västerbotten Public Dental Service Clinics : A secondary analysis of data from a longitudinal caries study." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-391674.
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Introduction: Despite being preventable, dental caries is the most widespread noncommunicable disease (NCD) globally. Being de most prevalent condition, and the attempts of dentists and dental auxiliaries to give oral health the right attention, transparent, reliable, and up-to-date data about the type and level of oral health care costs are of significant societal relevance to present feedback about health system–level efficiency. Methods: Using records from a prospective cohort of 452 12-year-old children from 14 Västerbotten Public Dental Service Clinics an investigation on time spent on caries prevention was done. Time spend on caries prevention per patient per year was used as a proxy for caries prevention costs to understand variation in values in these cohort. Result: Time spend on caries prevention was associated with individual caries experience, clinics caries prevalence and number of dentists and dental auxiliaries in a 1:2 ratio. Besides,the patient’s caries risk assessment could not explain oral health professionals time spent oncaries prevention. Discussion: Time spent on caries prevention was not evenly distributed (median= 6.8 minutes). As a consequence of improved dental health and scarce resources it has been essential to optimize the efficiency in the dental service. Thus, the amount of individualized preventive intervention offered and given by dentists, hygienists and nurses, to the patients in the various risk groups needs to be further clarified.
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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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Gaskin, Elizabeth Bowles. "Knowledge, attitudes, and behaviors of federal service and civilian dentists concerning minimal intervention dentistry." Diss., University of Iowa, 2006. http://ir.uiowa.edu/etd/57.
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Machado, Geovanna de Castro Morais. "Urgência odontológica na primeira infância: perfil do atendimento das Unidades de Saúde de Urgência da Secretaria Municipal de Saúde de Goiânia." Universidade Federal de Goiás, 2013. http://repositorio.bc.ufg.br/tede/handle/tede/3713.
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Previous issue date: 2013-02-26<br>Aim: The aim of this study was to describe how the community centers from the the city of Goiania handled dental emergency care in children under 6 years during 2011. Methods: This quantitative study evaluated the dental charts of children under 6 years old of age focusing on emergent dental care and assessed dental emergency risk classification, child’s age and gender, chief complaint, involved teeth, clinical procedures performed, medications prescribed and referral. Data were recorded on forms for later descriptive analysis. Results: 1,108 children under 6 years old (4.0%) were treated, 556 male (50.2%), with a mean age of 3.7 years old (±1.4). The most reported chief complaints were toothache (47.9%, n=531) and dental trauma (20.0%, n=221). The most frequently performed clinical procedures were extraction (13.0%) and endodontic treatment (13.0%). No clinical procedures were performed in 58.5% of the cases (n=649). Conclusion: Emergency dental care for children under 6 years occurs mainly as a result of dental decay. It is necessary that emergency dental public services have a more effective management of these situations.<br>Objetivo: O objetivo desse estudo foi verificar o perfil do atendimento das urgências odontológicas em crianças menores de 6 anos nas Unidades de Saúde de Urgência da Secretaria Municipal de Saúde de Goiânia-Goiás. Material e Métodos: Neste estudo descritivo, foram analisadas as fichas de crianças menores de 6 anos atendidas nestes serviços de urgência, entre os meses de janeiro e dezembro de 2011. Foram observados: classificação de risco, idade e sexo da criança, queixa principal, procedimentos executados, dentes acometidos, prescrição de medicamentos e encaminhamentos. Resultados: Foram atendidas 1108 crianças menores de 6 anos (4.0% do total de atendimentos nos serviços de urgência), sendo que 556 eram meninos (50,2%). A idade média das crianças foi de 3,7 anos (DP ±1,4). As queixas mais descritas foram dor de dente (47,9%, n=531) e trauma dentário (20,0%, n=221). Os procedimentos clínicos mais executados foram a exodontia (13,0%) e intervenção pulpar (13,0%). Em 58,5% (n=649) dos casos de urgência não houve realização de procedimento clínico local. Conclusão: A urgência odontológica em crianças menores de 6 anos ocorre, principalmente, como consequência da cárie dentária. Os serviços públicos voltados à urgência/emergência em saúde necessitam de um manejo mais efetivo dessas situações.
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Pilotto, Luciane Maria. "Os planos privados de saúde no Brasil e sua influência no uso de serviços de saúde : análise dos dados da PNAD 1998, 2003, 2008 e da PNS 2013." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/148219.
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O Brasil possui um sistema de saúde com cobertura universal (Sistema Único de Saúde- SUS) defendendo a saúde como um direito de todos os cidadãos e dever do estado. Apesar deste sistema público universal, o sistema de saúde brasileiro é composto por um mix público-privado que favorece cobertura duplicada aos serviços de saúde para a parcela da população com posse de plano privado de saúde. Um quarto dos brasileiros possui plano privado de saúde e, portanto, tem acesso duplicado aos serviços de saúde. A posse de plano privado de saúde e o uso dos serviços médicos e odontológicos precisam ser analisados neste contexto. Os objetivos desta tese são analisar as tendências no uso dos serviços de saúde médicos e odontológicos e verificar sua relação com a posse de planos privados de saúde. Os resultados desta tese estão organizados em dois manuscritos. O primeiro manuscrito “The relationship between private health plans and use of dental and medical health services among Brazilians: a cross-sectional study, 2008” teve por objetivo descrever o uso de serviços de saúde médico e odontológico de acordo com o tipo de serviço utilizado (público, privado ou por plano privado de saúde) e analisar o efeito do cadastro na Estratégia de Saúde da Família (ESF). Neste estudo foram analisados 391.868 indivíduos provenientes do banco da Pesquisa Nacional de Amostra Domiciliar (PNAD) de 2008. Como esperado, indivíduos sem plano privado de saúde utilizaram mais o serviço público, enquanto aqueles com plano utilizaram mais os serviços do seu plano. Ainda, os indivíduos com plano privado de saúde tendem a utilizar mais os serviços de saúde. Por outro lado, estar cadastrado em ESF aumenta o uso do serviço público e reduz o uso do privado e do plano entre os indivíduos sem plano e aumenta a chance de usar qualquer serviço entre aqueles que têm plano. Assim, políticas para a expansão da ESF devem ser incentivadas e a posse de plano privado precisa ser monitorada e regulada para evitar gastos desnecessários em saúde e o aumento das iniqüidades no acesso, principalmente em países com sistema universal de saúde. O segundo manuscrito “Tendências no uso de serviços de saúde médicos e odontológicos e a relação com nível educacional e posse de plano privado de saúde no Brasil, 1998 a 2013” teve como objetivo analisar as tendências no uso de serviços de saúde médico e odontológicos por adultos no Brasil entre 1998 e 2013 em relação à posse de planos privados de saúde e nível educacional. Foram analisados 760.678 indivíduos oriundos dos bancos de dados nacionais da PNAD de 1998, 2003, 2008 e da Pesquisa Nacional de Saúde de 2013. Adultos (18 a 59 anos) com posse de plano privado de saúde apresentaram chance maior de usar os serviços de saúde comparados àqueles sem plano em todos os anos analisados. No entanto, houve tendência de diminuição do uso dos serviços médicos entre indivíduos com posse de plano privado de 1998 para 2013. Em relação ao uso dos serviços odontológicos, o declínio foi observado de 2003 para 2013. O percentual de adultos com plano privado para assistência médica diminuiu de 24,9% para 22,2%, enquanto a tendência de posse de plano exclusivamente odontológico aumentou de 1,0% para 6,3% de 1998 para 2013. Tendência de aumento no uso de serviços de saúde, médico e odontológico, entre adultos sem plano privado de saúde também foi verificada. Acompanhar as tendências na posse de planos privados e no uso dos serviços, bem como avaliar o estado de saúde e o tipo de serviço utilizado (público, pagamento direto do bolso ou através do plano) são necessários para auxiliar o estado na regulação dos planos e evitar o aumento das iniquidades no acesso e uso dos serviços entre os cidadãos.<br>Brazil has a health care system with universal coverage (Unified Health System, or SUS) advocating health as a right to all citizens and a duty of the state. Despite this universal public system, the Brazilian health system is composed of a public-private mix that favors doubled coverage for part of the population with private health plan. About a quarter of Brazilians has private health insurance and therefore has duplicate access to health services. The private health plan possession and the use of medical and dental services need to be analyzed in this context. The objectives of this thesis are to analyze trends in possession of private health plans and verify their relation to the use of medical and dental health services. The results this thesis is organized in two manuscripts. The first manuscript "The relationship between private health plans and use of dental and medical health services among Brazilians: a cross-sectional study, 2008" aimed to describe the use of medical and dental health services according to the type of service used (public, private or private health plan) and assess the effect of being registered in the Family Health Strategy (ESF). This study analyzed 391,868 individuals from the 2008 National Household Survey (PNAD). As expected, individuals without private health plan used more public health services, while those with private health plan tend to use more their plan. Overall, those with private health plan tend to use more the health services. On the other hand, being registered in ESF increased the use of public service and reduced the use of private service among individuals without private health plan, and increased the chance to use any service among those with plan. Thus, policies for expanding ESF should be encouraged and private health plans need to be monitored and regulated to avoid unnecessary expenses on health and increasing inequities in access, especially in countries with universal health systems. The second manuscript " Trends in use of dental and medical services and its association with education and having private health plan in Brazil, 1998 to 2013" aimed to analyze trends in use of medical and dental health services among Brazilian adults between 1998 and 2013 in relation to private health plans and educational level. The sample included 760,678 individuals from the PNAD in the years 1998, 2003, 2008 and the National Health Survey in 2013. Adults (18-59 year-old) with private health plan were more likely to use health services compared to those without a plan in every years analyzed. However, there was a trend of decrease in the use of medical services among adults with private health plan from 1998 to 2013. In relation to the use of dental services, a decrease was observed from 2003 to 2013. The percentage of individuals with medical plans has decreased from 24.9% to 22.2%, while the trend in exclusively dental private plan has increased from 1.0% to 6.3% from 1998 to 2013. Trend the increase to use health services between adults without private health plan was found in medical and dental service. Monitoring trends in the private health plan possession, and health services use, and to assess the health conditions and the type of service used (public, private out-of-pocket or through the plan) are important for the state regulation and to avoid increasing inequities in access and use of health services among citizens.
Books on the topic "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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Great Britain. Parliament. House of Commons. National Audit Office. Reforming NHS Dentistry: Ensuring effective management of risks. Stationery Office, 2004.
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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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Durocher, Jacques. Evaluation de l'application du programme public de services dentaires préventifs. Gouvernement du Québec, Ministére de la santé et des services sociaux, Direction générale de la santé publique, 1998.
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Office, General Accounting. Oral health: Factors contributing to low use of dental services by low-income populations : report to congressional requesters. The Office, 2000.
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Association of State and Territorial Health Officials (U.S.). Guide to public health practice: HIV partner notification strategies. Public Health Foundation, 1988.
Find full textBook chapters on the topic "Dental public health Dental Health Services Public Health Dentistry"
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Guarnizo-Herreño, Carol C., Paulo Frazão, and Paulo Capel Narvai. "Epidemiology, Politics, and Dental Public Health." In Textbooks in Contemporary Dentistry. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-50123-5_28.
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Böning, Klaus W., Burkhard H. Wolf, and Michael H. Walter. "Evidence-based dentistry and dental Public Health: a German perspective." In Public Health in Europe. Springer Berlin Heidelberg, 2004. http://dx.doi.org/10.1007/978-3-642-18826-8_24.
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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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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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Allukian, Myron, and Alice M. Horowitz. "Oral Health." In Social Injustice and Public Health. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190914653.003.0020.
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Oral diseases are often called a neglected or silent epidemic. They are largely due to social injustice in which private wealth overrides the public’s health. Although oral diseases affect almost everyone, prevention of them and access to dental services have not been high priorities in the United States. This chapter, after defining oral health, describes the neglected epidemic of oral diseases and then discusses the roles that the food and tobacco industries play in contributing to oral disease and poor oral health. Although organized dentistry has done much to improve oral health, it also has limited access to dental care for millions of Americans. The chapter discusses health literacy and social inequality, national issues concerning oral health, state and local issues, school programs, the dental public health infrastructure, and the dental workforce. It discusses what needs to be done. A text box addresses oral health in low- and middle-income countries.
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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. "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. "Overview of health care systems." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0024.
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The World Health Organization defines a health care system as: . . . all organizations, people and actions whose primary intent is to promote, restore or maintain health. This includes efforts to influence determinants of health as well as more direct health-improving activities. . . . . . . (WHO 2007) . . . Such a definition covers a myriad of potential elements and factors, of which the dental element is but one. A health care system is not static: it evolves as part of the more general social and welfare arrangements in a society. As a member of a health care profession, all dental care providers need to have an appreciation of the wider aspects of any arrangements of health, its determinants, and care delivery, if only to understand how the pressures on a system may impact on their current and future activities. This chapter provides an overview of health care systems and provides the framework for Chapters 18–23. Health care systems are complex organizations that are in a constant process of change and evolution. Dentistry is one very small component of the wider health care system, which is itself part of the overall social welfare system within society. Dentists, as health professionals, need to understand the basic elements of the health care system within which they are working. The development of health care systems is an ongoing process in which all societies try to meet the health needs of its citizens. There is no society that has yet designed a system that meets the needs of all its citizens. Indeed, historically in many countries it was only the wealthy that were able to access health care in a society. As societies evolved, the pressures to make the health care system accessible to all its members grew. Mays (1991) has highlighted the political importance of health care, showing that many health care systems reforms were designed to prevent political instability and improve the fitness of army recruits. Indeed, the development of the then School Dental Service in the UK was brought about following questions in Parliament about the poor state of soldiers’ teeth in the Boer War.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Principles of oral health promotion." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0014.
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Dental diseases affect a large number of people, cause much discomfort and pain, and are costly to treat. Their impact is therefore considerable, to both the individual and wider society (see Chapters 3 and 21 for a more detailed overview of oral health impacts). A particular concern is the pervasive nature of oral health inequalities with the burden of oral diseases now increasingly experienced amongst less educated and socially excluded groups in society. The causes of dental diseases are well known and effective preventive measures have been identified. However, treatment services still dominate oral health systems around the world. There is growing recognition within the dental profession that treatment services will never successfully treat away the causes of dental diseases (Blinkhorn 1998). In the Lancet , one of the top medical journals, an editorial on oral health highlighted the need to reorient dental services towards prevention (Lancet 2009). What type of preventive approach should be adopted to promote oral health and reduce inequalities? It is essential that preventive interventions address the underlying determinants of oral disease and inequalities to achieve sustainable improvements in population oral health. Effectiveness reviews of clinical preventive measures and health education programmes have highlighted that these approaches do not reduce oral health inequalities and only achieve short-term positive outcomes. A radically different preventive approach is therefore needed. If treatment services and traditional clinical preventive approaches are not capable of dealing effectively with dental diseases, then other options need to be considered. In recent decades, the health promotion movement has arisen, partly in response to the recognized limitations of treatment services to improve the health of the public. With escalating costs and wider acceptance that doctors and dentists are not able to cure most chronic conditions, increasing interest has focused on alternative means of dealing with health problems. The origins of health promotion date back to the work of public health pioneers in the 19th century. At that time, rapid industrialization led to the creation of poor and overcrowded working and living conditions for the majority of the working classes in the large industrial towns and cities of Europe and North America.
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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.