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Journal articles on the topic 'Health aspects of Dental clinics'
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Abdelnaby, Asmaa, Laila Mahmoud Kamel, Jylan Elguindy, Reham Yousri Elamir, and Eman Elfar. "Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention." Open Access Macedonian Journal of Medical Sciences 8, E (September 2, 2020): 509–15. http://dx.doi.org/10.3889/oamjms.2020.4941.
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BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care.
AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University.
METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used.
RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated.
CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.
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Oltean, Flavia Dana, Manuela Rozalia Gabor, Aurélia-Felicia Stăncioiu, Mihaela Kardos, Marta Kiss, and Roxana Cristina Marinescu. "Aspects of Marketing in Dental Tourism—Factor of Sustainable Development in Romania." Sustainability 12, no. 10 (May 25, 2020): 4320. http://dx.doi.org/10.3390/su12104320.
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Dental tourism is a growing and emerging phenomenon that is becoming more attractive to patients due to its potential for decreased expenses, increased convenience, and immediacy of treatment. The necessity for travel is the primary motivation for seeking dental treatment due to the successful cooperation between tourism and healthcare. While dental tourism has been largely researched from the perspective of the patient, our research is the first research to apply a concomitant approach on dental clinics and tourism agencies. The aim of our study wasto provide comprehensive empirical evidence from the perspective of the dental clinics and tourism agencies in Romanian dental tourism. We used a representative sampling with an online questionnaire on 160 dental clinics and 32 tourism agencies. The results indicate that both entities have small amounts of information, but they are interested in investing, promoting, and creating a partnership to create a sustainable industry of dental tourism. Dental tourism could strongly contribute to the country’s image and help to prolong the seasonality of tourism activity by enhancing the strategic marketing of dental clinics and tourism agencies toward sustainable health tourism.
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Orenha, Eliel Soares, Suely Mutti Carvalho Naressi, Symone Cristina Teixeira, Enzo Rosetti, José Carlos Plácido da Silva, Mariana Falcão Bormio, Artemis Rodrigues Fontana, Marcelo de Castro Meneghim, and Angélica Cristiane Búlio Soares. "Assessment of Ergonomic Aspects in Dental Clinic Rooms." Work 41 (2012): 6103–6. http://dx.doi.org/10.3233/wor-2012-1068-6103.
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Kostenko, Yevhen Ya, Volodymyr S. Melnyk, and Liudmyla F. Horzov. "SOCIO-PSYCHOLOGICAL ASPECTS IN THE PREVENTION OF DENTAL DISEASES." Wiadomości Lekarskie 72, no. 5 (2019): 769–72. http://dx.doi.org/10.36740/wlek201905109.
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Introduction: Measures to prevent dental diseases are included in the list of medical care provided by dentists. Modern socio-economic transformations, including in health care, have contributed to the gradual evolution of the patient from the recipient of medical care to the consumer of services. The aim: To study the position of patients regarding the need and effectiveness of preventive dental care. Materials and methods: Study was conducted among 310 patients who were admitted in various municipal and state medical institutions, dental clinics and private dental offices in Uzhhorod. The average age of respondents is 26 years. The survey was conducted using questionnaires. Results: 90% of respondents are willing to pay for dental treatment based on the use of innovative technologies; 64% of people refer to paid services aesthetic therapeutic treatment; 87% of patients agree to pay for orthopedic treatment and 48% - for surgical intervention. Only 16% of respondents consider additional professional hygiene services and ready to pay for it themselves. Survey data show that 43.2% of patients give a doctor the main role in the treatment process. 42.8% of respondents need medical help in the form of advice or counseling for a decision on treatment. 14% of patients prefer to choose their own medical care and control the treatment. Conclusions: Dental prophylactic measures that are implemented in the practice of regulating social and labor relations, the presence of relationships between the physician and the patient develop by socio-psychological laws.
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Alshammari, Abdullah Faraj, Abdulmjeed Sadoon, Ahmed Mohmmed Aldakhil, Alanoud Naif Alotaibi, and Rawan Turki Alturki. "Oral and dental health comorbidity in COVID-19 era: social aspects and impacts on community dentistry in Saudi Arabia." International Journal Of Community Medicine And Public Health 7, no. 11 (October 26, 2020): 4261. http://dx.doi.org/10.18203/2394-6040.ijcmph20204449.
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Background: The World Health Organization (WHO) announced COVID-19 a public health emergency of global concern. The most vulnerable populations are elderly and/or medically compromised people. it is recommended that non-emergency and elective procedures be postponed while dental clinics remain open to patients with urgent needs. Providing oral-health instruction is important to limit the needs of patients to leave their homes for treatment. The aim of this study is to evaluate the knowledge and behaviour of residents in Saudi Arabia towards their oral health during the COVID-19 outbreak.Methods: This study was a cross-sectional descriptive survey. Data was collected through online self-administration of the questionnaire on the Google forms platform. Any relationships between the variables were analysed using Pearson’s chi-squared test. A p value less than 0.05 was considered statistically significant.Results: This study included 1000 participants. 70.7% reported that their oral-health care practices became worse during the COVID-19 pandemic. Participants’ medical histories revealed that 17.8% had multiple chronic illnesses. Of all respondents, 48.2% believed that COVID-19 is a serious health problem and only 33.4% of respondents were aware that only emergency treatment is being offered at dental clinics during the COVID-19 pandemic.Conclusions: An alarming percentage of participants do not see COVID-19 as threatening to their health. A number of people needed urgent treatment but preferred to stay home because of fear and anxiety connected to the pandemic. The lack of information can lead to the exacerbation of such fear, which in turn causes individuals to neglect their oral health.
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Rams, Thomas E., Burton E. Balkin, Thomas W. Roberts, and Arthur K. Molzan. "Microbiological Aspects of Human Mandibular Subperiosteal Dental Implants." Journal of Oral Implantology 39, no. 6 (December 1, 2013): 714–22. http://dx.doi.org/10.1563/aaid-joi-d-11-00023.
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Clinical, microbiological, and biochemical features of human mandibular subperiosteal dental implants exhibiting peri-implantitis were compared with those experiencing long-term peri-implant health. After evaluation of clinical parameters, submucosal plaque samples were obtained from permucosal implant abutment posts exhibiting probing depths ≥5 mm and bleeding on probing in subjects with peri-implantitis (n = 3) and from posts with peri-implant health in subjects with long-term subperiosteal implant health (n = 8). The microbial specimens were transported in VMGA III and plated onto enriched Brucella blood agar and Hammond's selective medium with anaerobic incubation, and onto selective TSBV with 5% CO2 incubation. Total anaerobic viable counts and selected bacterial species were identified using established phenotypic methods and criteria. In vitro resistance to doxycycline (2 μg/mL), amoxicillin (2 μg/mL), or metronidazole (4 μg/mL) was recorded per subject when bacterial pathogen growth was noted on antibiotic-supplemented isolation plates. Interleukin (IL)–1β levels were measured with an enzyme-linked immunosorbent assay in peri-implant crevicular fluid samples from 5 study subjects. Significantly higher Plaque Index scores, higher total anaerobic viable counts, more red complex species, and lower proportions of gram-positive facultative viridans streptococci and Actinomyces species were detected on peri-implantitis–affected subperiosteal implants as compared with subperiosteal implants with long-term peri-implant health. No in vitro resistance to the 3 test antibiotic breakpoint concentrations studied was found, except a Fusobacterium nucleatum strain resistant to doxycycline at 2 μg/mL from 1 peri-implantitis subject. Subperiosteal implants with peri-implantitis tended to yield higher peri-implant crevicular fluid IL-1β levels. The level of peri-implant supramucosal plaque control and the composition of the peri-implant submucosal microbiome may be important determinants of the long-term clinical status of mandibular subperiosteal dental implants.
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Harwood, M. P., and J. T. Newton. "Dental aspects of bulimia nervosa: Implications for the health care team." European Eating Disorders Review 3, no. 2 (June 1995): 93–102. http://dx.doi.org/10.1002/erv.2400030205.
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Settineri, Salvatore, Amelia Rizzo, Angela Ottanà, Marco Liotta, and Carmela Mento. "Dental aesthetics perception and eating behavior in adolescence." International Journal of Adolescent Medicine and Health 27, no. 3 (August 1, 2015): 311–17. http://dx.doi.org/10.1515/ijamh-2014-0031.
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AbstractBackground:This correlational study explored the psychosocial aspects related to eating behavior in different age samples of adolescents in treatment from 0 to 60 months at the Clinic of Orthodontics and Dentistry of Messina, Messina, Italy. The aim of the study was to investigate the relationship between psychosocial impact, levels of self-esteem, and the possible connection with eating habits of adolescents under orthodontic treatment.Methods:Sixty-one adolescents, aged between 12 and 22 years (mean=15.6±2.8) participated to the study. Each adolescents was interviewed with the Eating Attitudes Test, the Rosenberg Self Esteem Scale, and the Psychosocial Impact of Dental Aesthetics Questionnaire.Results:Data did not show a direct connection between eating disorder and dental aesthetics, nevertheless, adolescents under orthodontic treatment, especially in the earliest phase of wearing braces, showed peculiar eating habits and underwent a higher psychological impact of dental aesthetics. Eating behaviors are strictly linked to global self-esteem. The processing of the results was made through the Student’s t-test and using Pearson’s correlation analysis.Conclusion:Increased knowledge of the psychological aspects involved in orthodontic treatment compliance may have positive effects in the relationship between adolescent patients and orthodontists. More attention should be paid to aspects that are often underestimated in clinical practice, thus, influencing the outcome of treatment and patient satisfaction, not only in terms of dental health, but also of mental health.
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Schlenz, Maximiliane Amelie, Alexander Schmidt, Bernd Wöstmann, Andreas May, Hans-Peter Howaldt, Dennis Albert, Doreen Ziedorn, Norbert Krämer, and Nelly Schulz-Weidner. "Perspectives from Dentists, Dental Assistants, Students, and Patients on Dental Care Adapted to the COVID-19 Pandemic: A Cross-Sectional Survey." International Journal of Environmental Research and Public Health 18, no. 8 (April 9, 2021): 3940. http://dx.doi.org/10.3390/ijerph18083940.
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Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.
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Gomes, Mario Augusto Gori, Mauro Henrique Nogueira Guimarães Abreu, Fernanda Morais Ferreira, Fabian Calixto Fraiz, and José Vitor Nogara Borges Menezes. "No-shows at public secondary dental care for pediatric patients: a cross-sectional study in a large Brazilian city." Ciência & Saúde Coletiva 24, no. 5 (May 2019): 1915–23. http://dx.doi.org/10.1590/1413-81232018245.19312017.
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Abstract Missed appointments have a great economic, social and administrative impact on the management of public health services. This research aimed to study factors associated with non-attendance to the first appointments of pediatric patients in secondary dental care services in the city of Curitiba, Brazil. A cross-sectional study was performed using secondary data from the electronic health records of the Curitiba Municipal Secretary of Health. The study included all children (0-12 years) referred to secondary dental clinics in the years 2010 to 2013. Data were analyzed by the chi-square test and Pearson linear trend chi-square (α = 0.05). Binary logistic regression models were built. Data from 1,663 children were assessed and the prevalence of non-attendance was 28.3%. The variables associated with the non-attendance in inferential analysis (p < 0.05) and in the final model were the household income per capita (95% CI: 1.93-2.82) and the waiting time in virtual queue (95% CI: 1.000-1.002). Socioeconomic aspects and the waiting time in virtual queue, should be considered in the strategic planning of health services as they may influence the attendance of pediatric patients in secondary dental referral service.
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Save, Siddhesh Sandip, Sanpreet Sachdev Singh, Dheeraj D. Kalra, Smit Tushar Jhaveri, and Sanket Keshav Avhad. "An overview of teledentistry with a cross-sectional study on relevant knowledge and attitude of dentists in Mumbai." Journal of Global Oral Health 3 (November 19, 2020): 101–9. http://dx.doi.org/10.25259/jgoh_30_2020.
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Objectives: Teledentistry is a relatively novel aspect, wherein digital telecommunication modalities are effectively employed for transferring data such as images and videos between dental professionals and patients that are physically separated across a distance. The concept could be essentially beneficial in improving the provision of oral health care to patients in rural areas and remote locations, especially in situations such as the present COVID-19 pandemic. Materials and Methods: Dental professionals having at least a graduation degree (BDS) were considered eligible for the study. A self-constructed e-questionnaire comprising 15 questions was validated and then circulated online with the aid of messenger applications and emails to the eligible participants. The data were analyzed based on age, gender, qualification, and years of experience for the dentist-based survey using the Chi-square test. Results: Our results indicate that only 55.6% of respondents had come across this relatively novel concept of digitalized health care provision with only 43% being aware of the modalities that can be utilized for the same. A significant portion (70–80%) of the respondents supported the utility of teledentistry in various specialization branches of dental practice. Conclusion: Despite multiple benefits of teledentistry in various aspects of the field of dental practice and education, its use is still limited due to relative unawareness. With the present technology available across dental clinics even in rural areas, it is now more feasible and simpler to incorporate teledentistry into one’s dental practice subsequently improving the quality of the oral health care system.
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Lo Giudice, Roberto, and Fausto Famà. "Health Care and Health Service Digital Revolution." International Journal of Environmental Research and Public Health 17, no. 14 (July 8, 2020): 4913. http://dx.doi.org/10.3390/ijerph17144913.
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The digital revolution has changed many aspects of the medical profession. Medical doctors and doctors in the dental sciences have been pushed to modify their workflow using new instruments such as decisional software, intraoral and extraoral scanners, and CAD-CAM technologies, which have improved diagnostics and the clinical/surgical phase of treatment and follow-up, and nowadays it is clear that medical professional life will continue in the era of digital medicine.
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Cunha, Leonardo Fernandes da, and Nilce Emy Tomita. "Dental fluorosis in Brazil: a systematic review from 1993 to 2004." Cadernos de Saúde Pública 22, no. 9 (September 2006): 1809–16. http://dx.doi.org/10.1590/s0102-311x2006000900011.
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The current article proposes a reflection on several aspect pertaining to dental fluorosis in Brazil, based on a systematic review of epidemiological surveys. The authors assess the prevalence and degrees of severity found in different studies and show that in methodological terms, there is a need for progress in procedures for population-based studies on fluorosis. Despite the different data collection approaches, there is some consensus among the different studies as to the limited severity of fluorosis in Brazil, as well as its association with the independent variables age and socioeconomic status. The authors also highlight the importance of adding subjective aspects to the normative diagnosis as a contribution to public health policy decisions, since the use of exclusively clinical criteria gives dental fluorosis more space than society ascribes to it. There is a lack of empirical evidence to reassess the fluoride content in public water supplies, a method that is known to be necessary to improve dental caries epidemiological indicators.
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Pereira, Maria Laura Diniz, Raphaela Carneiro Borsoi da Silva, Caio de Alcântara Ferreira Augusto, Ana Clara Fort, Rodrigo de Morais e. Moura, Priscila Christiane Suzy Liporoni, and Rayssa Ferreira Zanatta. "Social, nutritional, and behavioral aspects associated with erosive tooth wear - considerations and preventive aspects." Research, Society and Development 10, no. 1 (January 18, 2021): e37310111897. http://dx.doi.org/10.33448/rsd-v10i1.11897.
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Erosive tooth wear is a multifactorial condition resulting from the loss of mineralized dental structure by chemical, physical and / or mechanical processes, in the absence of microorganisms (biofilm), being modulated by biological, behavioral and occupational factors. The increase in the prevalence of non-carious tooth wear is mainly related to changes in eating habits, lifestyle and behavior in the last three decades, which has been cause for concern by the dental community. Due to the increase in life expectancy, especially in more developed countries, maintaining oral health is essential to improve quality of life and prevent comorbidities, increase self-esteem, in addition to improving chewing, speech and social life. Currently, the diagnosis of erosive tooth wear is based on clinical aspects of the lesions, however, knowing the factors associated with nutrition, occupation and lifestyle are essential to define the risk and the susceptibility of the patient to the development of lesions and indication of preventive measures and control. In view of the increase in its incidence and prevalence in young adults, the dental surgeon must know about its etiology, prevention, and treatment. Still, public policies focused on this issue need to be created and adopted. Thus, this study describes the main etiological, nutritional, behavioral, and social aspects associated with non-carious tooth wear, offering important information regarding treatment and mainly prevention.
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Oliveira, Francisco Artur Forte, Clarissa Pessoa Fernandes, Kenia Samara Barbosa Araujo, Ana Paula Negreiros Nunes Alves, Fabrício Bitu Sousa, and Mário Rogério Lima Mota. "Clinical Aspects and Conservative Dental Management of a Patient with Fibrodysplasia Ossificans Progressiva." Journal of Contemporary Dental Practice 15, no. 1 (2014): 122–26. http://dx.doi.org/10.5005/jp-journals-10024-1501.
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ABSTRACT Aim To present the clinical findings of a patient with Fibrodysplasia Ossificans Progressiva (FOP), highlighting peculiarities of dental treatment in patients with this condition. Background FOP is a rare genetic disease characterized by skeletal malformations and ectopic ossifications in skeletal muscles, tendons, ligaments and aponeurosis. Exacerbation of these ossifications can be caused by dental treatment, resulting in disease progression. Case description A 26-year-old male patient with a diagnosis of FOP was referred to our service for dental treatment. The patient presented decreased mobility in peripheral joints (knees and elbows), postural disability (ankylosis of the vertebral column), lateral deviation and shortness of the hallux, as well as heterotopic ossifications on the hands and back. The implementation of conservative dental procedures, such as oral hygiene instructions and recurrent topical fluoride applications, were performed in addition to endodontic and restorative treatments. Brief dental appointments were conducted without using regional anesthesia or dental dam clamps. The dental chair was positioned at 45° to provide more comfort and to avoid exacerbating the disease. The patient has now completed 6 months of follow-up and is free of heterotopic ossifications resulting from dental treatment. Conclusion The dental treatment modifications implemented for the present case were sufficient to establish good oral health and to prevent the formation of heterotopic ossifications in the maxillofacial region. Clinical significance FOP is a rare disease dentists must familiarize themselves with to provide adequate, personalized treatment, which minimizes traumas that may exacerbate the disease. How to cite this article Oliveira FAF, Fernandes CP, Araujo KSB, Alves APNN, Sousa FB, Mota MRL. Clinical Aspects and Conservative Dental Management of a Patient with Fibrodysplasia Ossificans Progressiva. J Contemp Dent Pract 2014;15(1):122-126.
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Bhargava, Abhinav, Bhavna Sabbarwal, Amrita Jaggi, Sachin Chand, and Shourya Tandon. "Teledentistry: A literature review of evolution and ethicolegal aspects." Journal of Global Oral Health 2 (February 29, 2020): 128–33. http://dx.doi.org/10.25259/jgoh_68_2019.
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Teledentistry is about delivering data from one point (spoke site) to another point (hub site) using telecommunications technology. Teledentistry is a relatively new field that combines telecommunication technology and dental care. It provides new opportunities for education and delivery of care that offers much potential and challenges. Teledentistry is also useful in long-distance clinical training and continuing education, screening, and dentist laboratory communication. In rural areas, where there is a shortage of specialists, lack of comprehensive and sophisticated health-care teledentistry can extend care to remote patient populations at a reasonable cost as well as ease the problem of a shortage of specialized dental consultants.
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Mekhemar, Mohamed, Jonas Conrad, Sameh Attia, and Christof Dörfer. "Oral Health Attitudes among Preclinical and Clinical Dental Students in Germany." International Journal of Environmental Research and Public Health 17, no. 12 (June 15, 2020): 4253. http://dx.doi.org/10.3390/ijerph17124253.
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Oral health care providers are expected to show good examples of oral health behaviours and attitudes to their community. Previous studies displayed the constructive effect of dental education on oral hygiene manners of undergraduate students. The aim of this survey was to assess and compare aspects of oral health attitudes and behaviours between preclinical and clinical dental students in German universities. The German-language version of the HU-DBI was distributed to preclinical and clinical students from different German universities. Dichotomized (agree/disagree) responses to 20 HU-DBI items were provided in this study, with a maximum possible score of 19. A quantitative estimate of oral health attitudes and behaviours was provided by the total of appropriate answers given to every statement by each group. Data were analysed statistically. The overall mean score of answers favouring good oral hygiene was marginally higher in preclinical (14.62) than clinical students (14.31) but showed no statistical significance. Similarly, the analysis of each item individually displayed no statistically significant differences between preclinical and clinical participants, except in a single item of the survey. This study showed no effective differences in oral hygiene attitudes and behaviour between preclinical and clinical students in German universities. This reveals a weak effect of dental education on improving students’ oral health attitudes in Germany and might demand the introduction of more courses emphasizing the importance of correct oral health behaviour of health care providers.
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Lacruz, Rodrigo S., Stefan Habelitz, J. Timothy Wright, and Michael L. Paine. "Dental Enamel Formation and Implications for Oral Health and Disease." Physiological Reviews 97, no. 3 (July 1, 2017): 939–93. http://dx.doi.org/10.1152/physrev.00030.2016.
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Dental enamel is the hardest and most mineralized tissue in extinct and extant vertebrate species and provides maximum durability that allows teeth to function as weapons and/or tools as well as for food processing. Enamel development and mineralization is an intricate process tightly regulated by cells of the enamel organ called ameloblasts. These heavily polarized cells form a monolayer around the developing enamel tissue and move as a single forming front in specified directions as they lay down a proteinaceous matrix that serves as a template for crystal growth. Ameloblasts maintain intercellular connections creating a semi-permeable barrier that at one end (basal/proximal) receives nutrients and ions from blood vessels, and at the opposite end (secretory/apical/distal) forms extracellular crystals within specified pH conditions. In this unique environment, ameloblasts orchestrate crystal growth via multiple cellular activities including modulating the transport of minerals and ions, pH regulation, proteolysis, and endocytosis. In many vertebrates, the bulk of the enamel tissue volume is first formed and subsequently mineralized by these same cells as they retransform their morphology and function. Cell death by apoptosis and regression are the fates of many ameloblasts following enamel maturation, and what cells remain of the enamel organ are shed during tooth eruption, or are incorporated into the tooth’s epithelial attachment to the oral gingiva. In this review, we examine key aspects of dental enamel formation, from its developmental genesis to the ever-increasing wealth of data on the mechanisms mediating ionic transport, as well as the clinical outcomes resulting from abnormal ameloblast function.
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Rahman, Betul, and Sausan Al Kawas. "The relationship between dental health behavior, oral hygiene and gingival status of dental students in the United Arab Emirates." European Journal of Dentistry 07, no. 01 (January 2013): 022–27. http://dx.doi.org/10.1055/s-0039-1698991.
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ABSTRACTObjective: The purpose of this study is to assess the impact of knowledge acquired in preventive aspects of dental education on dental students’ own health attitudes, oral hygiene and gingival status in the United Arab Emirates.Methods: To compare the self-reported oral health behavior of first year dental students in the University of Sharjah with their actual oral hygiene and gingival conditions, 93 volunteers who participated in the study completed the Hiroshima University-Dental Behavioral Inventory (HU-DBI) questionnaire. Subsequently a clinical examination for their Plaque Scores (Modified Quigley Hein Plaque Index) and Gingival Bleeding Index was performed by a calibrated dentist.Results: 29% of the participants reported bleeding gums; 83% were concerned by the color of their gums while 63% reported that it was impossible to prevent gum disease with brushing alone; and only 10% noticed some sticky white deposits on their teeth. However, approximately 92% were not in agreement that they would have false teeth when they grew older. 56% mentioned that they used dental floss regularly and 86% brushed twice daily or more. Male students had higher bleeding and plaque scores than female students. There appeared to be a significant relationship between plaque scores and HU-DBI responses; in addition to the significant relationship noted between recorded bleeding percentages and HU-DBI responses.Conclusion: Female students have shown better dental care behavior than male students. The dental students with better self-reported oral health attitudes were expected to have lower plaque scores but instead had moderate plaque and gingival bleeding scores. This indicates the need for more emphasis on preventive measures in oral health education. (Eur J Dent 2013;7:22-27)
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Tan, Si-lei, Shu-ya Peng, Lei Wan, Jie-min Chen, and Wen-tao Xia. "Analysis of dental injuries with clinical implications: A forensic case report." Medicine, Science and the Law 58, no. 1 (January 2018): 58–61. http://dx.doi.org/10.1177/0025802417750807.
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Dental injuries, especially of the incisors, caused by punches in violent criminal attacks could be seen in daily forensic casework involving the identification of injuries to a living body. Sometimes, when there is neither circumstantial evidence nor information about the surrounding circumstances, it is difficult to discern the cause of these injuries and the manner in which they were inflicted. As an example of clinical forensic medicine, we present the case of a 58-year-old woman whose teeth were injured when fighting with her son-in-law over household affairs with no witnesses present. The two parties had conflicting stories about the cause of the woman’s injury. The woman claimed that her teeth were lost while she was being beaten by her son-in-law, and the man argued that the damage to his mother-in-law’s teeth was self-inflicted when she bit his fingers. The police attending the crime called for a forensic examination. Forensic practitioners analysed the mechanism of the tooth loss using multi-slice spiral computed tomography (MSCT) and imaging reconstruction technology. Local alveolar bone (medial alveolar) fracture and a small area of alveolar bone loss were found on MSCT. Thus, forensic medical experts speculated that the woman’s lower central and lateral incisors were lost as a result of a violent attack and were not self-inflicted. Finally, forensic practitioners helped police in avoiding a miscarriage of justice and wrongful conviction.
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Puzin, S. N., I. V. Pryanikov, N. B. Vanchenko, K. G. Karakov, and M. A. Shurgaya. "MEDICAL AND SOCIAL ASPECTS OF CHRONIC GENERAL PARODONTITIS." Medical and Social Expert Evaluation and Rehabilitation 21, no. 3-4 (December 15, 2018): 129–33. http://dx.doi.org/10.18821/1560-9537-2018-21-3-4-129-133.
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A healthy smile is one of the main components of a person’s attractiveness, which makes it possible to improve the quality of communication with others in a personal and social aspect. Dental health depends on the state of the periodontal complex. The vast majority of people of different ages suffer from periodontal disease and seek dental care. The significant prevalence, the adverse effect of foci of periodontal infection on the body, the large loss of teeth cause both medical and social significance of this problem. In this regard, the tasks for the treatment of inflammatory diseases of periodontal tissues are determined before the dentist. The treatment of gingivitis and periodontitis is a complex and lengthy process that requires a comprehensive approach from the dentist, finding new remedies and methods of treatment. The article presents the results of the treatment of chronic generalized periodontitis of moderate severity using the drug “Galavit”. After the course of treatment, the index indicators reflected the achievement of positive dynamics. The content of the total aerobic and anaerobic microflora of the periodontal pockets was eliminated 1.5 - 2 times. In the comparison group in the dynamics of treatment to the end of therapy, there was a decrease in the number of aerobic and anaerobic microorganisms to etiologically significant indicators. The results of the study indicate the superiority of the use of complex therapeutic measures with the use of the drug “Galavit” over the traditional treatment of chronic generalized periodontitis of moderate severity. It is proposed for practicing dentists to use the drug in question in a complex scheme for the treatment of periodontal tissue diseases, since this drug has shown its high clinical efficacy.
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Shah, Rachana, Rupal Shah, Sujal Shah, and Upendra Bhojani. "Integrating tobacco cessation into routine dental practice: protocol for a qualitative study." BMJ Open 9, no. 8 (August 2019): e028792. http://dx.doi.org/10.1136/bmjopen-2018-028792.
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IntroductionCombined efforts to encompass different aspects of tobacco control have been in place for some time. Despite the recognition of the need to offer support to tobacco users to quit tobacco use, such support remains highly inadequate in India. However, little is known about the practice of oral health professionals (OHP) and the experiences and expectations of dental patients in the context of tobacco cessation (TC) services. In this article, we describe the protocol of a doctoral research project that explores OHPs and their patients in an Indian city. The aims are (A) to understand the functioning of the oral healthcare system towards TC and what changes to it will be needed to benefit TC and (B) to capture the views of dental patients on TC services provided by OHPs.Methods and analysisA cross-sectional qualitative study based on individual interviews with OHPs and dental patients will be carried out in the city of Ahmedabad, Gujarat, India. The OHP will be purposively selected from two major organisation types: (1) single-doctor dental clinics and (2) dental hospital attached to teaching institutions. The sample population will be divided into two subgroups: general OHP (dentists practising general dentistry irrespective of their qualification) and prosthodontists (dentists with a specialisation in prosthodontics). We will sample dental patients through convenient sampling from a public teaching hospital and select private dental care facilities. The sampling of OHPs and dental patients will continue until we reach data saturation. Interviews will be audio recorded, transcribed verbatim and coded by hand. The interview transcript will subsequently be analysed using thematic content analysis.Ethics and disseminationThe study received ethical approval from the Institutional Ethical Committee of the Government Dental College and Hospital, Ahmedabad. The findings will be disseminated through conference presentations, peer-reviewed publications and to the study participants.
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Tomar, S. L., S. S. Hecht, I. Jaspers, R. L. Gregory, and I. Stepanov. "Oral Health Effects of Combusted and Smokeless Tobacco Products." Advances in Dental Research 30, no. 1 (September 20, 2019): 4–10. http://dx.doi.org/10.1177/0022034519872480.
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The oral cavity is usually the first part of a consumer’s body exposed to the constituents of tobacco products or their emissions. Consequently, the oral cavity is a frequent site for carcinogenic, microbial, immunologic, and clinical effects of tobacco use. This article summarizes 5 presentations on various aspects of oral health affected by combusted or noncombusted tobacco products from a recent conference, “Oral Health Effects of Tobacco Products: Science and Regulatory Policy,” sponsored by the American Association for Dental Research and the Food and Drug Administration.
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Fidalgo, Tatiana Kelly da Silva, Carla Nogueira, Marcia Rejane Thomas Canabarro Andrade, Andrea Graciene Lopez Ramos Valente, and Patricia Nivoloni Tannure. "Oral Rehabilitation and Management for Secondary Sjögren’s Syndrome in a Child." Case Reports in Dentistry 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/3438051.
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The aim of this paper is to describe a rare case report of a pediatric patient with secondary Sjögren’s syndrome (SSS). A 12-year-old female child was referred to the Pediatric Dentistry Clinic with the chief complaint of tooth pain, dry mouth, and tooth sensibility. The patient was submitted to orthodontic treatment prior to syndrome diagnosis. The clinical treatment consisted of the interruption of orthodontic treatment and restoring the oral condition with dental treatment and the use of artificial saliva in an innovative apparatus. Dental therapy involved the control of dental caries, periodontal disease, and opportunistic fungal infections and the use of fluoride-rich solutions. The present clinical case describes clinical and laboratory aspects of SSS in pediatric patients. The management of the oral findings promoted an improvement in the oral health status and quality of life of the child.
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MOREIRA, Geovane Evangelista, Laura Ferreira SILVA, Marina Reis OLIVEIRA, Larissa Soares Reis MAIA, Leandro Araújo FERNANDES, and Daniela Coelho LIMA. "Dental self-perception and clinical dental description of participants in the Open University programme for elderly people." RGO - Revista Gaúcha de Odontologia 66, no. 4 (December 2018): 297–304. http://dx.doi.org/10.1590/1981-863720180004000023482.
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ABSTRACT Objective: This study verified both the self-perception and oral characteristics of a group of elderly participants of the Open University for the Elderly (UNATI). Methods: The sample consisted of a cross-sectional epidemiological study with elderly subjects (50 years of age or older), who attended the UNATI-UNIFAL/MG program. Data collection was carried out using a semi-structured questionnaire consisting of open- and closed-ended questions regarding oral health, its interference with self-esteem and nutrition, among other features. In addition, an application form based on the proposals by the Oral Health Survey 2010, was used. Univariate and multivariate descriptive analyses were performed. Results: The study sample consisted of 106 subjects (mean age of 62.4 years), of whom 59.4% had attended a dental appointment in the last year for routine and/or aesthetic examinations (38.7%). The clinical conditions showed that only 19.8% of the subjects were completely edentulous, an average DMFT of 26.1, and 37.7% used some kind of complete upper dentures, complete lower dentures, or both. Regarding self-perception of oral conditions, 34.9% considered it a regular perception, however in the applied statistics the presence of pain demonstrated a worse perception which was not correlated with teeth loss, presence of dentures and/or restored teeth. Conclusion: The self-perception of oral conditions is regular and the clinical and odontological characteristics evaluated revealed partial edentulous subjects with high DMFT. By evaluating the odontological aspects, it was observed that the majority of the subjects did not have difficulties to look for a dentist, they attended dental appointments in the last year and the preventive treatment had been the most required.
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Pacurar, Mariana, Bogdan Dragomir, Alina Silvana Szalontay, and Cristian Romanec. "Orthodontic Aspects on the Chronological and Dental Age in Children with Down Syndrome." Revista de Chimie 69, no. 1 (February 15, 2018): 208–13. http://dx.doi.org/10.37358/rc.18.1.6075.
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Genetics is a key discipline in medicine, but also a clinical discipline with medical and social implications. The interest in reducing the number of genetic disorders and recognizing the risk of them repeating when a family confronts itself with a genetic anomaly becomes more and more important in the hierarchy of prophylactic emergencies. Presenting themselves as metabolic diseases (monogenic mutations) or malformations (polygenic and multifactorial heredity) because of their frequency, these disorders position themselves on an ascendant curve. They become difficult to deal with for the society, for the family and for the interested individual and cause emotional disorders. The Down syndrome is the most frequent type of genetic disorder. It is characterized by a specific set of signs and symptoms. People with Down syndrome require special medical care that, apart from the family, must include a team of doctors of various specializations and also a dentist. They are predisposed to hearing and sight disorders and thyroid problems as well. In 50% of the cases there are also anomalies of the heart, and the risk of leukaemia is 20 times higher. Some of them even develop an Alzheimer type dementia during their life. The people with Down syndrome can have an average IQ up to a moderate form of handicap. In particular, the studies on Down syndrome in dentistry are quite frequent, but they focus more on cavities, periodontal disease and hypodontia. In spite of this, the connection of Down syndrome and dental eruption is less studied. Consequently, the present study is intended to fill this missing part from the specialized literature, focusing on the relation between the Down syndrome and the chronological and dental ages in children. The health of the oral cavity is neglected in these patients, their parents focusing more on the treatment of the other systemic disorders of their children; the lack of interest is reflected in their poor oral hygiene.The trial group included 94 children with mixt dentition, aged between 6 and 12, divided as follows: 36 children with Down syndrome enrolled at the Educational Centre for Inclusive Education no. 1 of Tg. Mures and Alpha Transilvana Foundation. The chronology and the eruption sequences are subjected to certain variations and they are influenced by the presence of cavities, the premature loss or, on the contrary, the prolonged retention of deciduous teeth as well as dental anchylosis. Dental maturation is less subjected to variations, as it is a progressive, continuous and cumulative process. The presence of Down syndrome in children generates a delay in teeth eruption by 1.27 years compared to the data identified in the specialized literature and to the information obtained on the healthy children included in the study.
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Noaman, Bushra Rashid. "Assessment of behavioral factors associated with dental caries in pre-school children of high socioeconomic status families." Dental Journal (Majalah Kedokteran Gigi) 52, no. 2 (June 30, 2019): 66. http://dx.doi.org/10.20473/j.djmkg.v52.i2.p66-70.
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Background: Many Iraqi children of high socioeconomic status (SES) families attend dental clinics presenting predominantly cavitated and painful multiple carious lesions. The factors responsible for dental caries within this sector of society need to be identified. Purpose: The aim of this study is to assess the dental care behavior of mothers and its relationship with the prevalence of dental caries in pre-school age children drawn from high SES families in northern Iraq. Methods: A study was conducted to assess the prevalence of dental caries and its relationship to oral hygiene habits in 440 pre-schoolers living in Erbil, northern Iraq. An oral hygiene questionnaire was distributed among the families. Dental examination of the children was performed to calculate the dependent factor of decayed, missing and filled teeth due to caries (dmf). All data was analyzed by means of the SPSS Microsoft statistical system using descriptive tables to identify the relationship between the dependent and independent variable dmf indexes. In order to find the significances, a Chi-square test, a Fisher’s exact test and a likelihood ratio test were used at level of p<0.05. Results: 67% of the children in the sample had dental caries (mean dmf=3.25±3.77) with 5-year-olds being more affected by dental caries (74%) than 4-year-olds (60%). A strong correlation was found in this study between the dependent factor, dmf, and the following independent factors: frequency of snack consumption, the need to assist the child during brushing, maternal caries and the mother’s education. Conclusion: Despite being members of high SES families, the children examined were significantly subject to dental caries, a fact directly correlated with inappropriate behavior on the part of their caregivers in relation to the essential aspects of oral health care.
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Agrawal, Riya. "Assessment of oral health attitude & behaviour among dental student of Bhopal Madhya Pradesh: a comparative study." International Journal of Dental Research 5, no. 1 (March 11, 2017): 22. http://dx.doi.org/10.14419/ijdr.v5i1.7290.
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Introduction: Attitudes & behavior towards their own oral health affect their oral health habits and also have a possible influence for the improvement of the oral health of their patients and society.Aim: To evaluate oral health attitude & behavior among a group of dental students of one of the dental colleges of M.P. & to compare a difference in oral health.Material & Method: A descriptive cross study was carried out between 200 dental students of people dental academy Bhopal M.P. India. Subjects were divided into 2 groups, i.e. group 1 pre-clinical group (first & second year) group 2 clinical group (third & fourth year). A self-administered questionnaire consisting of 13 questions on attitudes and practice towards oral health care.Results: In the present study, 130 students were from preclinical group, and 70 students were from clinical group. Most of the students brush their teeth once daily for 2 min following roll technique of brushing before breakfast using only toothpaste as a cleaning aid. All students from clinical years routinely examined their oral cavity while most of the students visited the dentist only when required. Majority of students considered oral health as important as general health and believed that oral health affects the general health. Students were also aware of the harmful effects of tobacco while only few of them were indulged in them.Conclusion: With increasing years of the study, some aspects of dental student's oral health attitude and behavior improved but this improvement was limited. Thus, the students should be motivated to become an example of oral health in the society, for which few steps to motivate them toward better oral health are proposed.
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Zubkova, A. A., Vitaliy Yu Skorikov, M. S. Grishechkin, and E. V. Izhnina. "EVALUATION OF CLINICAL ASPECTS OF APPEARANCE OF TEETH NONCARIOUS DEFECTS IN BROXISM PATIENTS." Russian Journal of Dentistry 23, no. 2 (April 15, 2019): 59–63. http://dx.doi.org/10.18821/1728-2802-2019-23-2-59-63.
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Purpose - to study the etiology, prevalence, clinical course, functional examination and treatment of non-carious lesions located in the cervical area of patients with bruxism. Materials and methods. A prospective study of 200 outpatient cards of dental patients at the dental clinic of the Federal State Budgetary Educational Institution of Higher Medical Education of the KMGU of the Ministry of Health of Russia (Kursk) and Federal State Budgetary Educational Institution of Higher Medical Care of the Kuban State Medical University of the Ministry of Health of Russia (Krasnodar) in the age range from 18 to 55 years, whose average age was 38 ± 6.7 years. We studied the localization of cervical defects, etiological factors of occurrence, and also conducted an electromyographic study of the chewing muscles at rest, when the jaws were compressed and when chewing. Results. When studying the localization of cervical defects in different functional groups of teeth, defects in the cervical area of premolars were noted in 41 patients - 57%, in 18 - on canines (25%), in 10 - on incisors (13.8%), in 3 - on molars (4.2%). It was revealed that the trigger mechanism was a number of factors: partial loss of teeth (20 patients were diagnosed with partial absence of teeth of both jaws - Kennedy class III-IV without correct orthopedic treatment), 17 respondents had flattened occlusal surfaces of teeth after therapeutic treatment, 31 were diagnosed abrasion of varying severity and localization, in all patients - a violation of occlusal relationships. In 56 patients (77.77 %) a combination of several etiological factors was noted. A comparative analysis of EMG indices of paired masticatory muscles in the studied group showed that before the start of dental treatment, patients had uncontrolled bursts of bioelectric activity (BEA) in opposite muscles from opposite sides, an increase in the amplitude of muscle contractions during compression in both muscles (mostly in actually chewing ), decrease in the amplitude of muscle contractions during compression due to the rapid fatigability of muscles at rest. Conclusion. Thus, questions of etiology are still open and subject to further study. Of the many known causes, the most common are violation of occlusal relationships, muscular parafunctions, external traumatic factors, etc. The appearance of bruxism is associated with a significant risk of disturbing the occlusal relationship with a subsequent increase in the load on the tooth enamel. In this regard, a rational comprehensive dental treatment of patients with the studied combined pathology should be carried out after conducting electromyographic studies with samples of “rest”, “compression” and “chewing” strictly in accordance with the indications and timing of dynamic observation at least 1 time in 3 months.
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Bågedahl-Strindlund, M., M. Hie, A.-K. Furhotf, Y. Tomson, K. S. Larsson, G. Sandborgh-Englund, B. Torstenson, and K. Wretlind. "A multidisciplinary clinical study of patients suffering from illness associated with mercury release from dental restorations: psychiatric aspects." Acta Psychiatrica Scandinavica 96, no. 6 (December 1997): 475–82. http://dx.doi.org/10.1111/j.1600-0447.1997.tb09950.x.
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Milward, Mike R., and Anthony Roberts. "Assessing periodontal health and the british society of periodontology implementation of the new classification of periodontal diseases 2017." Dental Update 46, no. 10 (November 2, 2019): 918–29. http://dx.doi.org/10.12968/denu.2019.46.10.918.
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Periodontal disease is a highly prevalent, chronic, inflammatory condition which is a major contributor to tooth loss and poor oral health-related quality of life. For the vast majority of patients, the disease is entirely preventable/manageable often aided by input from dental health professionals. As dental health professionals, understanding the periodontal disease process, the risk factors associated with it, standardized ways of detecting, diagnosing and monitoring the disease, along with the special tests needed to aid this process are essential skills for successful disease management. This article summarizes the need for assessing periodontal disease including key aspects of detection, a brief history of periodontal disease classification and the new classification. The paper goes on to discuss the British Society of Periodontology implementation plan of new classification and how this can be utilized for use in general dental practice. CPD/Clinical Relevance: This paper introduces the practitioner to the 2017 Classification of Periodontal Disease along with how this is implemented in general dental practice. The paper provides useful cases for practice as well as flowcharts to aid diagnosis.
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Mroczek, Bożena, Małgorzata Anna Lichota, Grzegorz Trybek, and Anna Grzywacz. "Change in Patients’ Self-Reported Quality of Life before and after Dental Implantation." Balkan Journal of Dental Medicine 23, no. 1 (March 1, 2019): 15–19. http://dx.doi.org/10.2478/bjdm-2019-0003.
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SummaryBackground/Aim: The loss of teeth and its consequences for health, as well as the psychological discomfort it entails, have a negative impact on both self-reported health state and quality of life (QoL). Dental implantation aims to increase patients’ health and satisfaction and to improve all aspects of QoL. The purpose of this cross-sectional correlational study was to compare the patients’ QoL before and after dental implantation.Material and Methods: The study comprised 62 patients aged between 24 and 77, including 28 (45.16%) women and 34 (54.84%) men, who reported to a private dental clinic in Szczecin, Poland to replace missing teeth with implants. The survey was carried out twice: prior to the treatment, when the decision to use implants had been made, and three months after implantation, during the first check-up. QoL was measured using the 36-Item Short Form Health Survey (SF-36), and sociodemographic data were collected using a questionnaire of the author.Results: There were statistically significant differences between the assessment of health and QoL before and after implantation treatment. Both the patients’ health and comfort of life improved after therapy.Conclusions: Replacement of missing teeth with dental implants brought overall improvement in patients’ QoL, social comfort, and general health. Dental implantation should be recommended in the early phase of edentulism, after tooth loss.
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Gomes, Monalisa C., Érick T. B. Neves, Matheus F. Perazzo, Saul M. Paiva, Fernanda M. Ferreira, and Ana F. Granville-Garcia. "Contextual and individual determinants of oral health-related quality of life among five-year-old children: a multilevel analysis." PeerJ 6 (August 29, 2018): e5451. http://dx.doi.org/10.7717/peerj.5451.
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Background Contextual factors may influence oral health-related quality of life (OHRQoL) in children. The aim of the present study was to evaluate the influence of individual and contextual determinants of OHRQoL based on the perceptions of children. Methods A cross-sectional study was conducted with a representative sample of 769 five-year-old children from public and private preschools in a city in the countryside of northeast Brazil. Parents/caregivers answered questionnaires addressing psychological aspects, sociodemographic data and aspects of the child’s oral health. The children answered the child version of the Scale of Oral Health Outcomes for five-year-old children and were submitted to oral examinations. Variables related to the context were obtained from the schools and official municipal publications. Unadjusted and adjusted multilevel Poisson regression models were used to investigate associations between variables. Results In the adjusted analysis, parent’s/caregiver’s schooling, household income, parent’s/caregiver’s age, a history of dental pain, dental caries and its consequences and traumatic dental injury were considered individual determinants of OHRQoL according to the children’s self-reports. After the incorporation of the contextual determinants, the association between parent’s/caregiver’s schooling and OHRQoL lost its significance. Type of school was the context variable that remained associated with OHRQoL. Discussion Besides the clinical and sociodemographic individual characteristics, characteristics of the school environment in which the child studies are associated with self-reported impacts on OHRQoL.
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Rodríguez Franco, Norma Idalia, José Moral de la Rubia, and Andrea Guadalupe Alcázar Pizaña. "Predictive Model of Clinical Attachment Loss and Oral Health-Related Quality of Life through Depressive Symptomatology, Oral Hygiene Habits, and Proinflammatory Biomarkers: A Pilot Study." Dentistry Journal 8, no. 1 (February 21, 2020): 20. http://dx.doi.org/10.3390/dj8010020.
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Subjective aspects such as oral health-related quality of life (OHRQoL) and depression are important aspects in the periodontal care. The objectives of the study were to test a predictive model of clinical attachment loss and OHRQoL in a pooled sample of dental patients with periodontitis and mental health patients with depressive symptomatology, and test the invariance of the model across both types of patients. Three self-report scales were applied to assess depression, OHRQoL and oral hygiene habits, saliva samples were collected for three proinflammatory biomarkers, and the clinical attachment loss was measured in 35 patients with periodontitis and 26 patients with depressive symptomatology. Data were analyzed through structural equation modeling. The one-group analysis revealed a psychosomatic complaint model of disagreement between the complaint and the clinically observable. In the multi-group analysis, the model was not invariant. It was necessary to introduce a singularity in relation to depressive symptomatology for each population. Thus, a good and equivalent fit was achieved between the six nested models in constraints, as well as equivalent parameters between both types of patients. The study of a dental population in conjunction with a mental health population with a psychosomatic risk factor reveals interesting and unexpected results.
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Cook, J., C. Mullings, R. Vowles, R. Ireland, and C. Stephens. "Online orthodontic advice: a protocol for a pilot teledentistry system." Journal of Telemedicine and Telecare 7, no. 6 (December 1, 2001): 324–33. http://dx.doi.org/10.1258/1357633011936958.
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A prototype teledentistry service was established that incorporated a PC-based expert system designed to assist in orthodontic cases. It guided the general dental practitioner (GDP) through the assessment of a patient's malocclusion and helped ensure that all relevant clinical observations were made and details recorded. The resulting data file, containing radiographic images and clinical data, was then transferred via the Internet to a dental specialist. The specialist's recommendations were returned by the same route or, where appropriate, a realtime videoconference was conducted. During an eight-month trial, six GDPs referred 158 cases through the teledentistry system; another 24 cases were referred directly to a local consultant. The protocol used during the trial worked satisfactorily. The GDPs found that it was straightforward and covered all aspects of the cases they submitted.
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Leme, Pedro Augusto Thiene, Antônio Carlos Pereira, Marcelo de Castro Meneghim, and Fábio Luiz Mialhe. "Undergraduate dental sudents' perspectives about experiences in primary care for their education in the field of health." Ciência & Saúde Coletiva 20, no. 4 (April 2015): 1255–65. http://dx.doi.org/10.1590/1413-81232015204.00812014.
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Supervised training periods in primary care have been used as spaces for teaching and extension in the area of health, making it feasible to include undergraduates in concrete teaching-learning scenarios. The aim of this study was to analyze the perceptions of dental students about the importance of supervised training periods in Family Health Units to their professional education. The sample consisted of 185 students who answered the question: What is your opinion about the importance of this training period in SUS to your professional education? Comment on this experience and its positive and negative aspects The responses were analyzed by the quali-quantitative Collective Subject Discourse (CSD) technique. The students appreciated learning through practice in the service; contact with professionals from other areas; opportunity for technical-operative improvement and demonstrated sensitivity in the face of social reality, although they appeared to be concerned about being absent from the faculty, arguing that they were being prejudiced as regards their intramural clinical productivity, exhaustively demanded of them. It was concluded that students placed value on the extramural experience, however, it was perceived that there was still a predominant influence of focus on intramural clinical training.
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Nathalie, Escutia-Lopez Karina, Sanchez Pardo Ma Elena, and Rosalva Mora Escobedo. "A comprehensive review on the nutritional and therapeutical aspects of Stevia rebaudiana bertoni." Journal of Applied Biotechnology & Bioengineering 6, no. 6 (December 6, 2019): 297–301. http://dx.doi.org/10.15406/jabb.2019.06.00207.
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In late years there has been an increase of scientific evidence that supports the use of Stevia rebaudiana Bertoni (S. rebaudiana) as an alternative to sucrose and artificial sweeteners. In addition to its utility in different industries, S.rebaudiana contains various chemical components with potential benefits for human health such as polyphenols, chlorophylls, carotenoids, among others, which can be extracted for the production of nutraceuticals and functional foods. So far no adverse effects on human health have been proven after ingestion and favorable results have been documented when S.rebaudiana or its derivates are included in treatments against diabetes, certain types of cancer, glucose intolerance, obesity, dental cavities, among others. The purpose of this review is to provide an overview of the clinical, chemical and biochemical literature that presents evidence of the beneficial role of Stevia rebaudiana Bertoni and its metabolites in health promotion properties, as well as its relevance in the pharmaceutical and food industries
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DENYSIUK, Olena, and Olena VLASIUK. "Features of the pricing policy in the dental market of Ukraine." Economics. Finances. Law, no. 10 (October 26, 2020): 32–37. http://dx.doi.org/10.37634/efp.2020.10.6.
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Dental care is one of the most popular and market-oriented type of care provided to the population. It is developing rapidly, offering advanced medical technologies on the market. But some issues such as market competition in the health services sector, social partnership in dental services delivery to the population are not fully considered. There are some difficulties in analyzing dental market in Ukraine due to the presence of some problems: lack of official information about amount of dental services; incomplete coverage of information about production of dental services by statistics; a large part of the market for dental services are individuals – entrepreneurs, who are not obliged to publicly information about their commercial results (much of the producers in dentistry (at least 50 %) is in the shadow sector). The aim of the article is to investigate the current state of price aspects of the market of dental services in Ukraine. The article identifies the main problems in the market of dental services in Ukraine, the characteristics of medical services and factors that affect the formation of prices for these services, and also the aspects that consumers are guided with in choosing a medical institution in today’s competitive environment. In paper we analyzed price and non-price factors of demand for dental services, compared prices for dental services in private and public institutions, calculated their average value. Using standard deviation, we calculated how significant are the differences in prices for dental services within the industry. The cost of dental treatment in Ukraine depends on many factors: the orientation of the clinic, its form of ownership, popularity and competence of specialists. After performing the analysis, we saw that the prices for the same service differ significantly and vary depending on the company. Therefore, the dental market is characterized by the emergence of a large number of private dental institutions, where prices range significantly. In these conditions, the issues of modern management and marketing in dentistry have become especially relevant. To ensure the effective functioning of all subjects of the dental market, it is necessary to form their information field, within which they would exchange information about their activities, provide effective communication and work to create and maintain a positive reputation. Therefore, taking into account the current difficult epidemiological, economic and social situation in Ukraine, it is obvious that the health care sector needs constant improvement.
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Yanko, N. V., L. F. Kaskova, O. S. Pavlenkova, Y. I. Soloshenko, and L. I. Amosova. "ASSESSMENT OF IMPACT OF ORAL HEALTH PARAMETERS ON ORAL HEALTH-RELATED QUALITY OF LIFE IN FUTURE DENTISTS." Ukrainian Dental Almanac, no. 2 (June 26, 2020): 47–52. http://dx.doi.org/10.31718/2409-0255.2.2020.07.
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WHO estimates health as complete physical, mental and social well-being. Clinical indicators of oral diseases are not entirely suitable to capture this concept of health. Standardized questionnaires have been developed to evaluate the physical, psychological, and social impact of oral conditions on an individual. Oral health-related quality of life (OHRQoL) identifies the impact of oral health on aspects of everyday life in terms of a person’s functional, social, and psychological well-being. The oral health impact profile (OHIP) is widely used to measure OHRQoL in adults, its short version includes 14 items (OHIP-14).
The aim was to investigate how self-reported and clinically-assessed parameters of oral health are related to OHRQoL measured by OHIP-14 in dental students of UMSA.
101 third- and fourth-year dental students aged 19–26 years attending UMSA in Poltava, Ukraine, took a questionnaire in Ukrainian. The first part of the questionnaire includes information on age, sex, self-assessed oral health, self-assessed dental aesthetic, satisfaction with mouth and teeth, and oral health behaviour. Questions on oral health behaviour included regularity of dental visits and frequency of tooth brushing. All these items were categorized into different groups. The question on dental aesthetic had the response option “difficult to answer”. When that response was chosen (n = 2 questionnaires), this data was considered missing and the students were excluded from the analysis.
The second part of the questionnaire included the OHIP-14 to measure OHRQoL. There were seven dimensions of negative impact on OHRQoL: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. There were two items for each dimension, which added up to a total of 14 items. Participants rated the frequency with which they experienced each of these items in the last 12 months using a 5-point Likert scale (“never” = 0, “hardly ever” = 1, “occasionally” = 2, “fairly often” = 3, and “very often” = 4). In addition, each item had the response option “I do not know”. When a student missed one answer or chose the option “I do not know” (for at least one item), the data was considered missing, and the student was excluded from the analysis (n=2).
A clinical dental examination was performed. All permanent teeth were taken into consideration to measure dental caries experience using the DMF index. The Green-Vermillion index was applied for oral hygiene estimation. To assess the extent of gingivitis, the PMA index was used. The chi-square test was applied to compare the percentage of students with low and high OHRQoL between categories of self-reported oral health characteristics, and oral health behaviour. When comparing data on clinically-assessed oral health (the DMF, Green-Vermillion, and PMA indices), the Mann–Whitney U test was used for the two independent groups (with low and high OHRQoL). p-values<0.05 were considered as statistically significant.
A total of 97 students were included in the statistical analysis, 43 of which were males and 54 were females. The highest mean scores in OHIP-14 were observed for the dimensions of physical pain (39,17%). Students with poor self-assessed oral health, poor self-assessed dental aesthetic, and who reported dissatisfaction with mouth and teeth more frequently fell into the group with low OHRQoL (p<0,05). The mean DMF was 5,41, Green-Vermillion hygienic index was 0,54, and РМА – 4,48%. However, a higher DMF index score, high Green-Vermillion index, and high PMA in students were not associated with low OHRQoL (р>0,5).
In this study, the self-reported assessment of oral health affects the dental students' quality of life, while the clinical characteristics do not. Physical pain was the most frequently reported OHIP-14 dimension with an impact on OHRQoL. Poor self-assessed dental aesthetic and dissatisfaction with mouth and teeth were the strongest factors associated with low OHRQoL.
The line of research pertaining to other parameters of oral health in youth that impact dental aesthetic and oral health, and thus oral health-related quality of life, is considered promising.
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Vollú, Ana Lúcia, Maria da Encarnação Perez Requejo da Costa, Lucianne Cople Maia, and Andréa Fonseca-Gonçalves. "Evaluation of Oral Health-Related Quality of Life to Assess Dental Treatment in Preschool Children with Early Childhood Caries: A Preliminary Study." Journal of Clinical Pediatric Dentistry 42, no. 1 (January 1, 2018): 37–44. http://dx.doi.org/10.17796/1053-4628-42.1.7.
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Purpose: The oral health-related quality of life (OHRQoL) of preschool children with Early Childhood Caries (ECC) was used to assess the outcome of dental treatment. Study design: Children (3.56±1.31years) affected by ECC were selected. Anamnesis, clinical and radiographic exams were performed. Data about sociodemographic aspects, OHRQoL and dmf-t index were collected. The Brazilian version of Early Childhood Oral health Impact Scale (B-ECOHIS) was applied in two time intervals: before and after 30 days of treatment. B-ECOHIS scores and effect size (ES) were used to evaluate the OHRQoL of preschool children. The Student's-t test was used for comparison between the B-ECOHIS averages, considering the following aspects: gender, age, socioeconomic status, severity of caries and type of treatment. Results: The mean dmf-t was 6.25±4.20 and no differences between boys (6.00±4.32) and girls (6.83±4.35) (p=0,942) were found. Pain and psychological problems among children and parents feeling upset and guilty were the most frequently reported impacts at baseline. There was a greater impact on girls (17.67±8.68) than on boys (13.30±10.53) (p<0.001); and on children younger than 4 years (16.71±9.96) (p<0.05). The highest B-ECOHIS scores were observed in treatments involving dental extractions and space maintainers. There was no difference between the total B-ECOHIS scores of subjects from middle (16.24±10.30) and lower socioeconomic classes (15.97±10.26). The total scores of B-ECOHIS and its domains decreased after 30-day follow-up. Dental rehabilitation of preschool children showed a large effect size for these subjects (ES=1.19) and their families (ES=1.00). Conclusion: Dental treatment resulted in significant improvement of the preschool children's OHRQoL.
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ROCHA, Najara Barbosa, Cléa Adas Saliba GARBIN, Artênio José Isper GARBIN, Orlando SALIBA, and Suzely Adas Saliba MOIMAZ. "Longitudinal study into the determining factors of dental caries in children aged 4: socio-behavioral aspects and oral health of pregnant women." RGO - Revista Gaúcha de Odontologia 65, no. 1 (March 2017): 52–61. http://dx.doi.org/10.1590/1981-863720170001000083221.
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ABSTRACT Objective: To analyze the influence of oral health conditions and socio-behavioral characteristics of pregnant women on the development of caries and their children's experiences, after 4 years of follow-up. Methods: It was conducted a longitudinal study of mother/child pairs by interview and oral clinical examination during pregnancy. Regular observations were made until the child had reached four years of age, at which time we performed a clinical examination of the children (n=73). The variables studied were: presence of caries in pregnancy (DMFT) and the child (deft), visit to the dentist, oral hygiene habits, diet, socioeconomic and behavioral factors, and were related to two study outcomes: presence of caries during the examination and experience of caries (deft≥1) in children of 4 years of age. Bivariate and logistic regression analyses were conducted with the variables (p<0.05 and 95% CI). Results: The average DMFT index of mothers during pregnancy was 12.09 (±2.88) and average deft index of children at 4 years was 1.79 (± 6.1). In the multiple logistic regression analysis, the presence of caries in children was associated with the presence of harmful habits (p=0.04). Caries in the child was statistically associated with brush sharing among family members (p=0.02). Conclusion: The results suggest that behavioral aspects are related to the presence and experience of caries in childhood.
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Militi, Angela, Federica Sicari, Marco Portelli, Emanuele Maria Merlo, Antonella Terranova, Fabio Frisone, Riccardo Nucera, Angela Alibrandi, and Salvatore Settineri. "Psychological and Social Effects of Oral Health and Dental Aesthetic in Adolescence and Early Adulthood: An Observational Study." International Journal of Environmental Research and Public Health 18, no. 17 (August 27, 2021): 9022. http://dx.doi.org/10.3390/ijerph18179022.
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Background: Is well known that oral health and dental aesthetic have significant effects on the sociality of human beings. The aim of the present study was to assess some aspects of oral health with possible repercussions in adolescent and youth, with particular reference to gender differences. Methods: A total of 190 subjects with female prevalence (F = 62.6%, M = 37%) and ages between 14 and 29 years old (Mean = 23.8; SD = 3.27) participated. Evaluation was carried using standardized instruments to assess quality of oral life (PIDAQ), negative impact of oral conditions (OHIP-14), and self-esteem (Rosenberg Self Esteem Scale). Correlational and difference analyses and linear regressions were performed. Results: Significant gender differences were found in terms of gender, in reference to variables such as self-confidence and convictions. Positive correlations emerged between psychological impact and social impact, aesthetic concern and social impact, convictions and self-confidence, oral health with psycho-social impact, and aesthetic concern, self-esteem with oral health. Inverse correlations emerged between psycho-social impact and self-confidence, aesthetic concern and self-confidence, oral health, and self-confidence. Multivariate linear regression indicated relations between age and psychological impact, sex and self-confidence, crooked teeth and conviction. Conclusions: The impact of oral health on the psychological well-being of young people is relevant. These factors, if considered within clinical practice, can improve the quality of life of the subject.
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Berezin, konstantin, Aleksey Shulaev, Rinat Saleev, Irina Usmanova, Elena Statseva, Veniamin Berezin, and Oskar Ismagilov. "MODERN ASPECTS OF THE ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH LEUKOPLAKIA OF THE ORAL MUCOSA." Actual problems in dentistry 16, no. 4 (February 9, 2021): 6–12. http://dx.doi.org/10.18481/2077-7566-20-16-4-6-12.
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Subject. At the present stage, the organization of medical care for patients with precancerous diseases of the oral mucosa is one of the most important tasks of the dental service. This is due to the fact that timely detection and treatment of patients at the early stages of the disease provide a long-term and persistent clinical effect and allows you to achieve satisfactory clinical results.
The purpose of the review: the work contains a review of the literature of recent years with a detailed review of measures in the management of medical care for patients with keratosis of the oral mucosa.
Methodology. The article deals with current issues about the key points of early detection and treatment of precancerous diseases of the oral mucosa. It is noted that approaches to solving the problems of medical and social care for patients with leukoplakia of the oral mucosa are not only in the field of medicine, but also in the social side of human activity. Attention is paid to the discussion of the use of the screening method for determining diseases of the oral mucosa. The issues of perspective development of issues of improvement of scientifically based and acceptable for dental institutions methods of conducting medical preventive examinations are highlighted. Measures to improve the detection of patients with hyperkeratosis of the oral mucosa, as well as to improve the results of treatment of identified patients, are due to the interaction of various practical health services and should be solved comprehensively from the standpoint of a single systematic approach. The necessity of conducting this study as a criterion for evaluating the system of organization of dental services for patients with keratosis is shown.
Results and conclusions. The conducted research review allowed us to identify areas for improving the organization of dental care for patients with hyperkeratosis of the oral mucosa. The study of the results obtained should be taken into account when forming prevention programs, taking into account the implementation of the developed standards and recommendations.
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Reshma Thirunavakarasu, Dhanraj Ganapathy, and Subhashree Rohinikumar. "Awareness Of Herpangina And Its Management Among Dental Students." International Journal of Research in Pharmaceutical Sciences 11, SPL3 (October 7, 2020): 1060–64. http://dx.doi.org/10.26452/ijrps.v11ispl3.3335.
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Herpangina or otherwise known as hand-foot and mouth disease is caused by enteroviral infection and are two common related clinical syndromes. These diseases are mostly seen in the paediatric population. It is occasionally seen among adult patients. Herpangina is caused by one particular strain of coxsackievirus A and Enterovirus -A71. The aim of the study was to determine if dental students are aware of the various managements done for herpangina.A survey with nine close-ended questions and three multiple-choice questions were formed and distributed to 100 dental students, respectively. Their responses will determine the level of awareness of students regarding the management of herpangina. The questions elicited awareness on the various aspects of Herpangina disease among dental students. These responses to these questions were tabulated and analysed. 55% of the respondents said Herpangina affected people aged between 3-10yrs . 75% respondents said Herpangina is caused by Group A coxsackieviruses followed by 20% said Streptococcusand 5% said Staphylococcus are responsible. 83% of respondent prescribed antivirals, followed by analgesics 15% and 2% used antibiotics to treat Herpangina. The awareness about the management strategies of Herpangina among dental students was moderate. Awareness of dental students can always be enhanced by promoting more educational programmes regarding various diseases such as herpangina. It is important as they will play an important role in delivering better health care in the future.
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Patil, Pavan Manohar, and Seema Pavan Patil. "Williams–Beuren syndrome: a complete guide for oral healthcare." Journal of Oral Medicine and Oral Surgery 27, no. 2 (2021): 21. http://dx.doi.org/10.1051/mbcb/2020060.
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Introduction: Williams–Beuren syndrome is a rare, congenital, multisystem disorder, resulting from genetic alterations on chromosome 7q11.23. Characteristic features of WBS are the developmental, physical and mental abnormalities associated with it. Typical facial features and a spectrum of tooth disorders are associated with this condition. Cardiac and renal involvement may be so severe that sudden death during oral healthcare procedures is a possibility. Photophobia and hyperacusis further make dental treatment a challenge in these patients. Corpus: Routine dental treatment in the dental office pose a significant risk, depending upon the mental and physical compromise of the patient, thereby making hospital admission a safer approach. A multispeciality approach is necessary to provide effective and safe oral healthcare to such patients. This article provides undergraduates, residents, general dental practitioners, and specialists involved in oral healthcare with a comprehensive overview of the condition with emphasis on its genetic basis, pathology, clinical features, diagnosis, and management of general and oral health. Conclusion: Adequate knowledge regarding the various aspects of Williams–Beuren syndrome allows the oral health care student or specialist to plan and manage oral procedures safely and effectively. Specialist referral and multidisciplinary care may be considered when appropriate.
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Grover, Shekhar, Charu Mohan Marya, J. Avinash, and Nidhi Pruthi. "Estimation of dental age and its comparison with chronological age: accuracy of two radiographic methods." Medicine, Science and the Law 52, no. 1 (November 30, 2011): 32–35. http://dx.doi.org/10.1258/msl.2011.011021.
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Introduction Accurate age data are always necessary in medicine and dentistry, and are also important to assess maturity and estimate age in a number of disciplines, such as forensic odontology, paediatric and preventive dentistry, orthodontics, etc. Aim This investigation determines the accuracy of dental age estimation and its comparison with chronological age by two methods: Demirjian's and Willems’. Materials and methods Tooth development was assessed in seven left mandibular teeth from 215 orthopantomograms (OPGs) belonging to healthy children aged 6–15 years selected by convenience sampling, from patients of the Sudha Rustagi College of Dental Sciences & Research, Faridabad, and were staged according to Demirjian's and Willems’ scales. The statistical analysis was performed using the unpaired ‘ t’-test and the correlation was analysed using Karl Pearson's correlation coefficients test. Results Overall, Willems’ method was found to be more accurate with a mean age overestimation of 0.36 years (SD = 0.38) in boys and 0.24 years (SD = 0.36) in girls, and Demirjian's method produced a mean overestimation of 0.66 years (SD = 0.41) in boys and 0.56 years (SD = 0.43) in girls, respectively. Also, correlation between the two methods revealed a high coefficient value, 0.9947 for boys and 0.9944 for girls ( P < 0.05). Conclusion Despite the favourable result of Willems’ method in comparison with Demirjian's method, this study demonstrated a high correlation coefficient between both chronological and obtained dental age, thus confirming their potential applicability in clinical practice and forensic dentistry.
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Townsend, Grant, Lindsay Richards, Louise Brearley Messer, Toby Hughes, Sandra Pinkerton, Kim Seow, Theo Gotjamanos, Neville Gully, and Michelle Bockmann. "Genetic and Environmental Influences on Dentofacial Structures and Oral Health: Studies of Australian Twins and Their Families." Twin Research and Human Genetics 9, no. 6 (December 1, 2006): 727–32. http://dx.doi.org/10.1375/twin.9.6.727.
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AbstractOur studies of the teeth and faces of Australian twins commenced at the School of Dentistry, The University of Adelaide in the early 1980s. There are now over 900 pairs of twins enrolled in our continuing investigations, together with 1200 relatives. There are 3 main cohorts of participants. The first cohort comprises around 300 pairs of teenage twins for whom various records have been collected, including dental casts, facial photographs, finger and palm prints and information on laterality, including handedness. The second cohort comprises around 300 pairs of twins who have been examined at 3 stages of dental development from approximately 4 years of age to about 14 years: at primary, mixed, and permanent dentition (excluding 3rd molars) stages. The most recent study of tooth emergence and oral health, for which we are currently recruiting twins, will provide a third cohort of around 500 twin pairs aged from around birth to 3 to 4 years of age. Our broad aim in these studies has been to improve our understanding of how genetic and environmental factors contribute to variation in dental and facial features, and to oral health. We have also used our data to investigate aspects of the determination of laterality, particularly the fascinating phenomenon of mirror imaging. We plan to maximize the use of the longitudinal data and DNA we have collected, and continue to collect, by performing genome-wide scans for putative genetic linkage peaks for a range of dental features, and then to test for association between a series of likely candidate genes and our phenotypes.
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Arenholt-Bindslev, D. "Dental Amalgam— Environmental Aspects." Advances in Dental Research 6, no. 1 (September 1992): 125–30. http://dx.doi.org/10.1177/08959374920060010501.
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Increasing knowledge about the risk of toxic effects caused by anthropogenic mercury accumulation in ecosystems has resulted in a growing pressure for reduction of the discharge of mercury waste. Consequently, the mercury waste problems of dental clinics have been given increased attention, and restrictions on handling and discharge of contaminated waste have been established in several countries. Major amalgam particles from trituration surplus of those produced during the carving and burnishing of new amalgam restorations are generally collected in coarse filters and sold for refinement. Minor amalgam particles released by production of new fillings or by removal of old restorations partly sediment in tubes and drains. The remaining particles are carried with the waste water stream to the local purifying plant. In Scandinavia, the industrial discharge of mercury-contaminated waste water has been reduced to a minimum. According to recent investigations, dental clinics appear to be responsible for the major amount of mercury collected in the sludge generated in purifying plants. If threshold values for heavy metal content, including mercury, are exceeded, the sludge is not allowed to be recycled as fertilizer. Installation of an approved amalgam-separating apparatus in dental clinics is now mandatory in several countries-for example, Switzerland, Germany, Sweden, and Denmark. Approval of amalgam separators is based on national testing programs, including clinical or laboratory tests demanding 95-99% separating efficiency.
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Aranha, Ana Cecília Corrêa, Carlos de Paula Eduardo, and Táki Athanassios Cordás. "Eating Disorders Part I: Psychiatric Diagnosis and Dental Implications." Journal of Contemporary Dental Practice 9, no. 6 (2008): 73–81. http://dx.doi.org/10.5005/jcdp-9-6-73.
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Aim The aim of this article is to present a review of the literature on eating disorders and related oral implications in order to provide oral healthcare professionals and psychiatrists with information that will enable them to recognize and diagnose these disorders and render appropriate treatment. Methods and Materials A comprehensive review of the literature was conducted with special emphasis on the oral implications of anorexia nervosa and bulimia nervosa. Results Currently, available knowledge that correlates eating disorders with dental implications is supported by data derived from well-conducted psychiatric and psychological literature. However, little is known about the aspects of oral medicine concerned with the subject. Dental erosion, xerostomia, enlargement of the parotid gland, and other dental implications might be present in individuals with eating disorders. Conclusions Eating disorders are a serious concern with regard to the oral health of patients. They represent a clinical challenge to dental professionals because of their unique psychological, medical, nutritional, and dental patterns as well as their unique characteristics. However, there is a general lack of awareness of the fundamental importance of the dentist's role in the multidisciplinary treatment of affected patients. Clinical Significance The failure of oral healthcare professionals to recognize dental characteristics of eating disorders may lead to serious systemic problems in addition to progressive and irreversible damage to the hard tissues. Considering the increasing incidence and prevalence rates of eating disorders the participation of oral healthcare professionals in a multidisciplinary team to provide care for affected patients rises to greater importance. Citation Aranha ACC, Eduardo CP, Cordás TA. Eating Disorders Part I: Psychiatric Diagnosis and Dental Implications. J Contemp Dent Pract 2008 September; (9)6:073-081.
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Hulme, Claire, Peter Robinson, Gail Douglas, Paul Baxter, Barry Gibson, Jenny Godson, Karen Vinall-Collier, et al. "The INCENTIVE study: a mixed-methods evaluation of an innovation in commissioning and delivery of primary dental care compared with traditional dental contracting." Health Services and Delivery Research 4, no. 18 (May 2016): 1–126. http://dx.doi.org/10.3310/hsdr04180.
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BackgroundOver the past decade, commissioning of primary care dentistry has seen contract currency evolving from payment for units of dental activity (UDAs) towards blended contracts that include key performance indicators such as access, quality and improved health outcome.ObjectivesThe aim of this study was to evaluate a blended/incentive-driven model of dental service provision. To (1) explore stakeholder perspectives of the new service delivery model; (2) assess the effectiveness of the new service delivery model in reducing the risk of and amount of dental disease and enhancing oral health-related quality of life (OHQoL) in patients; and (3) assess cost-effectiveness of the new service delivery model.MethodsUsing a mixed-methods approach, the study included three dental practices working under the blended/incentive-driven (incentive) contract and three working under the UDAs (traditional) contract. All were based in West Yorkshire. The qualitative study reports on the meaning of key aspects of the model for three stakeholder groups [lay people (patients and individuals without a dentist), commissioners and the primary care dental teams], with framework analysis of focus group and semistructured interview data. A non-randomised study compared clinical effectiveness and cost-effectiveness of treatment under the two contracts. The primary outcome was gingivitis, measured using bleeding on probing. Secondary outcomes included OHQoL and cost-effectiveness.ResultsParticipants in the qualitative study associated the incentive contract with more access, greater use of skill mix and improved health outcomes. In the quantitative analyses, of 550 participants recruited, 291 attended baseline and follow-up. Given missing data and following quality assurance, 188 were included in the bleeding on probing analysis, 187 in the caries assessment and 210 in the economic analysis. The results were mixed. The primary outcome favoured the incentive practices, whereas the assessment of caries favoured the traditional practices. Incentive practices attracted a higher cost for the service commissioner, but were financially attractive for the dental provider at the practice level. Differences in generic health-related quality of life were negligible. Positive changes over time in OHQoL in both groups were statistically significant.LimitationsThe results of the quantitative analysis should be treated with caution given small sample numbers, reservations about the validity of pooling, differential dropout results and data quality issues.ConclusionsA large proportion of people in this study who had access to a dentist did not follow up on oral care. These individuals are more likely to be younger males and have poorer oral health. Although access to dental services was increased, this did not appear to facilitate continued use of services.Future workFurther research is required to understand how best to promote and encourage appropriate dental service attendance, especially among those with a high level of need, to avoid increasing health inequalities, and to assess the financial impact of the contract. For dental practitioners, there are challenges around perceptions about preventative dentistry and use of the risk assessments and care pathways. Changes in skill mix pose further challenges.FundingThe National Institute for Health Research Health Services and Delivery Research programme.