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Muirhead, V. E., C. Quiñonez, R. Figueiredo, and D. Locker. "Predictors of dental care utilization among working poor Canadians." Community Dentistry and Oral Epidemiology 37, no. 3 (2009): 199–208. http://dx.doi.org/10.1111/j.1600-0528.2009.00471.x.
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Tellez, Marisol, and Mark S. Wolff. "The Public Health Reach of High Fluoride Vehicles: Examples of Innovative Approaches." Caries Research 50, Suppl. 1 (2016): 61–67. http://dx.doi.org/10.1159/000443186.
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Fluorides and sealants have been shown to reduce caries in populations, making fluoride interventions a large part of the dental public health effort. Although public health programs have traditionally focused on fluoride vehicles delivering less than 1,000 ppm of fluoride, more recent efforts have shifted toward the use of high fluoride vehicles such as varnishes and prescription toothpastes. In the USA, states are developing innovative strategies to increase access to dental services by using primary care medical providers to deliver early preventive services as part of well-child care visits. Currently, Medicaid programs in 43 states reimburse medical providers for preventive services including varnish application. Still, there is uncertainty about the cost-effectiveness of such interventions. In many resource-strained environments, with shortages of dental health care providers, lack of fluoridated water and lower dental awareness, it is necessary to develop sustainable programs utilizing already established programs, like primary school education, where caries prevention may be set as a priority. Dental caries among the elderly is an ongoing complex problem. The 5,000-ppm F toothpaste may be a reasonable approach for developing public health programs where root caries control is the main concern. Fluoride varnish and high concentration fluoride toothpaste are attractive because they can easily be incorporated into well-child visits and community-based geriatric programs. Additional research on the effectiveness and costs associated with population-based programs of this nature for high risk groups is needed, especially in areas where a community-based fluoride delivery program is not available.
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Kimura, Yasuyuki, Ken-ichi Tonami, Akira Toyofuku, and Hiroshi Nitta. "Analysis of Incident Reports of a Dental University Hospital." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8350. http://dx.doi.org/10.3390/ijerph18168350.
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Incident reports are important for improving the quality and safety of medical care. Healthcare workers with less than one year of work experience have been reported to cause the most incidents, and the most common incident is “drug-related”. However, few studies have comprehensively analyzed incidents in dentistry, and the characteristics of dental incidents have not been understood. In this study, to understand the characteristics of dental incidents, we comprehensively analyzed 1291 incident reports submitted to the Tokyo Medical and Dental University Dental Hospital from April 2014 to March 2019. As a result, dental outpatient and dental wards had different types of incidents. In outpatient wards, incidents included many dentistry-specific incidents related to “procedures”. Among them, “poor physical condition of the patient during dental treatment” was the most common incident. In contrast, the most common incident from subjects with less than one year of work experience was “damage to soft tissues around the teeth”. Thus, to improve the quality and safety in dentistry, it is was considered necessary to analyze and understand the characteristics of dentistry-specific incidents and to take appropriate measures and educate dental professionals.
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Badner, Victor, and Mana Saraghi. "Using Dental Health Care Personnel During a Crisis." Public Health Reports 136, no. 2 (2021): 143–47. http://dx.doi.org/10.1177/0033354920976577.
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The first few months of the coronavirus disease 2019 (COVID-19) pandemic challenged health care facilities worldwide in many ways. Inpatient and intensive care unit (ICU) beds were at a premium, and personnel shortages occurred during the initial peak of the pandemic. New York State was the hardest hit of all US states, with a high concentration of cases in New York City and, in particular, Bronx County. The governor of New York and leadership of hospitals in New York City called upon all available personnel to provide support and patient care during this health care crisis. This case study highlights the efforts of Jacobi Medical Center, located in the northeast Bronx, from March 1 through May 31, 2020, and its use of nontraditional health care personnel, including Department of Dentistry/OMFS (Oral and Maxillofacial Surgery) staff members, to provide a wide range of health care services. Dental staff members including ancillary personnel, residents, and attendings were redeployed and functioned throughout the facility. Dental anesthesiology residents provided medical services in support of their colleagues in a step-down COVID-19–dedicated ICU, providing intubation, ventilator management, and critical and palliative care. (Step-down units provide an intermediate level of care between ICUs and the general medical–surgical wards.) Clear communication of an acute need, a well-articulated mission, creative use of personnel, and dedicated staff members were evident during this challenging time. Although not routinely called upon to provide support in the medical and surgical inpatient areas, dental staff members may provide additional health care personnel during times of need.
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DeLia, Derek, Kristen Lloyd, Cecile A. Feldman, and Joel C. Cantor. "Patterns of emergency department use for dental and oral health care: implications for dental and medical care coordination." Journal of Public Health Dentistry 76, no. 1 (2015): 1–8. http://dx.doi.org/10.1111/jphd.12103.
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Abiko, Yoshihiro, Durga Paudel, Hirofumi Matsuoka, Mitsuru Moriya, and Akira Toyofuku. "Psychological Backgrounds of Medically Compromised Patients and Its Implication in Dentistry: A Narrative Review." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8792. http://dx.doi.org/10.3390/ijerph18168792.
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The number of medically compromised dental patients is increasing every year with the increase in the super-aged population. Many of these patients have underlying psychiatric problems and diseases, which need to be recognized by dental professionals for better treatment outcomes. The aim of this narrative review article is to summarize the psychological and psychiatric backgrounds of medically compromised patients who are frequently visited and taken care of by dentists using findings from recent systematic reviews and meta-analyses. Anxiety and symptoms of depression, post-traumatic stress disorders, panic disorders, poor cognitive functions, and poor quality of life were some of the common psychological backgrounds in medically compromised patients. Additionally, the consequences of these psychological problems and the considerations that need to be taken by the dentist while treating these patients have been discussed. Dental professionals should be aware of and recognize the different psychological backgrounds of medically compromised dental patients in order to provide appropriate dental treatment and to prevent oral conditions from worsening.
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Marta, Sara Nader, Maria SA Matsumoto, Marcia AN Gatti, Marta HS de Conti, Sandra F. de AP Simeão, and Solange de Oliveira Braga Franzolin. "Determinants of Demand in the Public Dental Emergency Service." Journal of Contemporary Dental Practice 18, no. 2 (2017): 156–61. http://dx.doi.org/10.5005/jp-journals-10024-2008.
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ABSTRACT Introduction Although dental emergencies are primarily aimed at pain relief, in practice, dental emergency services have been overwhelmed by the massive inflow of patients with less complex cases, which could be resolved at basic levels of health care. They frequently become the main gateway to the system. We investigated the determinant factors of demand at the Central Dental Emergency Unit in Bauru, São Paulo, Brazil. Materials and methods The questionnaire was applied to 521 users to evaluate sociodemographic profile; factors that led users to seek the service at the central dental emergency; perception of service offered. Results About 80.4% of users went directly to the central dental emergency, even before seeking basic health units. The reasons were difficulty to be attended (34.6%) and incompatible time (9.8%). To the perception of the necessity of the service, responses were problem as urgent (78.3%) and pain was the main complaint (69.1%). The profile we found was unmarried (41.5%), male (52.2%), white (62.8%), aged 30 to 59 (52.2%), incomplete basic education (41.6%), family income up to 2 minimum wages (47.4%), and no medical/dental plan (88.9%). Conclusion It was concluded that the users of central dental emergency come from all sectors of the city, due to difficult access to basic health units; they consider their complaint urgent; and they are satisfied with the service offered. Clinical significance To meet the profile of the user urgency's service so that it is not overloaded with demand that can be fulfilled in basic health units. How to cite this article Matsumoto MSA, Gatti MAN, de Conti MHS, de AP Simeão SF, de Oliveira Braga Franzolin S, Marta SN. Determinants of Demand in the Public Dental Emergency Service. J Contemp Dent Pract 2017;18(2):156-161.
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Abdullah, Ahmed, Saira Afridi, and Syed Imran Gillani. "Evaluation of Infection Control Measures in a Public Sector Dental Hospital of Peshawar." Journal of Gandhara Medical and Dental Science 2, no. 1 (2015): 32–36. http://dx.doi.org/10.37762/jgmds.2-1.61.
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Objective:To evaluate infection control measure in a public sector dental hospital of Peshawar.Methodology:It was a cross sectional study conducted in Khyber college of Dentistry. Study subjects were Dental health care providers who were willing to participate in the study. A structured questionnaire was designed that included various categories of infection control. Data was entered into SPSS version 17. Descriptive statistics were applied and frequencies and percentages were obtained.Results:The results from the data shows that the overall score for the infection control standards were less than 50%. Among the various categories of infection control only personal hygiene standards showed good score (77.3%). Personal protective equipment score was adequate (61%) while hand hygiene score was inadequate (52%). The rest of the categories showed poor scores.Conclusion:The result of the study shows that majority of categories of infection control measures at Khyber college of Dentistry are inadequate or poor.
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Glurich, Ingrid, Kelsey M. Schwei, Sara Lindberg, Neel Shimpi, and Amit Acharya. "Integrating Medical-Dental Care for Diabetic Patients: Qualitative Assessment of Provider Perspectives." Health Promotion Practice 19, no. 4 (2017): 531–41. http://dx.doi.org/10.1177/1524839917737752.
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Globally, periodontal disease and diabetes have achieved epidemic proportions and have become a top health care priority. Mutual bidirectional exacerbation of these conditions is promoting creation of cross-disciplinary integrated care delivery (ICD) models that bridge the traditionally siloed health care domains of dentistry and medicine. By engaging focus groups inclusive of both medical and dental providers and one-on-one interviews, this qualitative study investigated provider knowledgeability, receptiveness, and readiness to engage ICD and sought input from the medical-dental primary care practitioner participants on perceived opportunities, benefits, and challenges to achieving ICD models for patients with diabetes/prediabetes. Statewide regional representation and inclusivity of diverse practice settings were emphasized in soliciting participants. Thematic analysis of focus group and interview transcripts was undertaken to establish current state of the art, gauge receptivity to alternative ICD models, and seek insights from practitioners surrounding opportunities and barriers to ICD achievement. Forty providers participated, and thematic analyses achieved saturation. Providers were well informed regarding disease interaction; were receptive to ICD, including implementation of better screening and referral processes; and favored improving interdisciplinary communication inclusive of access to integrated electronic health records. Perceived barriers and opportunities communicated by participants for advancing ICD were documented.
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Nemeth, Orsolya, Mercedesz Orsos, Fanni Simon, and Peter Gaal. "An Experience of Public Dental Care during the COVID-19 Pandemic: Reflection and Analysis." International Journal of Environmental Research and Public Health 18, no. 4 (2021): 1915. http://dx.doi.org/10.3390/ijerph18041915.
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Since its emergence in China, the COVID-19 pandemic has become the number 1 health challenge in the world with all affected countries trying to learn from each other’s experiences. When it comes to health services, dental care does not seem to be a priority area, despite the fact that it is among the highest risk medical specialisations in terms of spreading the infection. Using the Department of Community Dentistry of Semmelweis University as a case study, the objective of this paper is to introduce and analyze the system and organizational level measures, which have been implemented in dental care in Hungary during the first months of the COVID-19 outbreak. The system level measures to promote social distancing, to reduce the use of health services and to protect high risk health professionals, together with the deployment of protective equipment and the reorganization of patient pathways at the organizational level proved to be effective in keeping the outbreak in control. There are two, less frequently mentioned ingredients of successful coping with the COVID-19 challenge. First, mental health support is at least as important as physical protection. Second, most of the interventions do not require big financial investments, but behavioural change, which in turn requires leadership and change management skills.
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Bailit, Howard. "Managed Care and Dental Education and Research: Should Academicians Be Concerned?" Critical Reviews in Oral Biology & Medicine 8, no. 2 (1997): 129–35. http://dx.doi.org/10.1177/10454411970080020201.
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This paper examines the restructuring of the delivery system resulting from managed care. As HMOs consolidate to a few large companies in urban areas, they put great pressure on medical providers to reduce their costs and excess delivery capacity. In this environment, academic health centers face serious problems, because HMOs are reluctant to pay their higher charges, and public educational subsidies are declining. Managed care is unlikely to have the same impact on dentistry. Although managed dental care is growing, most Americans will not be enrolled, since they do not have dental insurance. Also, the supply of dentists is starting to decline, increasing the relative demand for dental services. Managed care will have only a limited direct impact on most dental schools, but a significant indirect effect. As academic health center budgets are reduced, all health professional schools can expect to contribute to solving the financial problems of University hospitals and medical schools. The response of dental academicians to these challenges will determine the future of dental education and research for the next decade. Bold new initiatives are needed to find new sources of revenue to support educational and research programs.
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Opydo-Szymaczek, Justyna, Maria Borysewicz-Lewicka, Kinga Andrysiak, et al. "Clinical Consequences of Dental Caries, Parents’ Perception of Child’s Oral Health and Attitudes towards Dental Visits in a Population of 7-Year-Old Children." International Journal of Environmental Research and Public Health 18, no. 11 (2021): 5844. http://dx.doi.org/10.3390/ijerph18115844.
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This cross-sectional study aimed to assess the occurrence of the consequences of dental caries and factors affecting dental service utilization in a population of 7-year-old children. The research included oral examination of 7-year-old schoolchildren and socio-medical study of their parents/legal caregivers. It was carried out in five primary schools of two provinces, i.e., Greater Poland and Lubusz. Dental examination was performed in accordance with World Health Organization (WHO) recommendations. The socio-medical study consisted of questionnaires with close-ended questions concerning socioeconomic characteristics of the family, reasons and time of the last visit at the dental office, consequences of child’s oral health problems, parents’ attitude towards dental visits, and parental opinion about their child’s teeth. Factors affecting utilization of dental services were statistically analyzed using univariate logistic regression assuming p < 0.05. The pufa index of examined children ranged from 0 to 7 (mean 0.80 ± 1.49), while the dmf index ranged from 0 to 14 (3.86 ± 3.32). Low financial burden of oral health expenditures and university education of at least one of the parents significantly increased the chance of visiting a dentist despite lack of pain (OR = 3.0 and 2.5, respectively). In spite of the availability of free dental care for children, socioeconomic factors still determine the utilization of dental services in Poland. Poor oral health status of examined population and negligence of regular dental check-ups emphasize a need to strengthen oral health literacy of parents and children, promoting proper attitudes towards dental care.
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Leader, Ross, Tom Thayer, Bridget Maher, and Chris Bell. "Hypertension − an update for the dental (sedation) team." Dental Update 46, no. 6 (2019): 508–13. http://dx.doi.org/10.12968/denu.2019.46.6.508.
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Hypertension is the commonest risk factor contributing to the global burden of disease. Public Health England estimates that, in England, 24% of the population are hypertensive, with 40% possibly undiagnosed. With this in mind, dentists, in particular those undertaking sedation, are in a perfect position to screen for high blood pressure and refer on for further detailed assessment. This paper outlines when a referral to the General Medical Practitioner (GP) should be considered, when sedation should be deferred and how hypertension is diagnosed and managed in primary care based on the National Institute for Health and Care Excellence (NICE)/British Hypertension Society (BHS) guidelines.CPD/Clinical Relevance: The purpose of this article is to update General Dental Practitioners (GDPs), including those who practise IV Midazolam sedation, on how patients who present with suspected hypertension are managed by their GP. Consideration is given to what blood pressures are deemed safe to sedate and what blood pressures should be referred for further assessment, even if considered safe to sedate.
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Gururaju, CR, KM Raghu, R. Thanuja, and K. Jayaprakash. "Management of Syncope in Dental Camps." Journal of Oral Health and Community Dentistry 7, no. 2 (2013): 72–74. http://dx.doi.org/10.5005/johcd-7-2-72.
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ABSTRACT Syncope is a transient, self-limiting, self-correcting loss of consciousness, usually leading to fall on prolonged standing. The normal circulation is restored immediately after the collapse lest the patient is suffering from any underlying diseases. Dental camps as an adjunct to public health dentistry provide awareness and treatment but lack hospital level management or emergency support system. Hence, in a dental camp, a dental practitioner should be well aware of the prevention and treatment practices to manage patients experiencing syncope with available limited resources. The present article summarizes such treatment guidelines for efficient management of syncope in dental camps till the medical emergency unit arrive thus facilitating better health care delivery.
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Shimpi, Neel, Ingrid Glurich, Dixie Schroeder, Callahan Katrak, Po-Huang Chyou, and Amit Acharya. "Patient Awareness of Association of Diabetes and Periodontal Disease." Health Promotion Practice 21, no. 3 (2018): 464–72. http://dx.doi.org/10.1177/1524839918801909.
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This cross-sectional study sought to assess the current awareness, knowledge, and behavior regarding diabetes mellitus (DM) and periodontal disease (PD) association among a convenience sample of patients from a large Wisconsin-based integrated medical-dental health care organization serving largely rurally based communities. An anonymous 10-question survey was distributed at regional medical and dental centers of dental and medical clinics of a single health care institution over a 4-week period, to achieve a cross-sectional sampling of patients aged 18 to 80 years. Among 946 respondents, 616 were female. Patient-reported periodicity for dental visits was highest between 6 months and 1 year (56.4%). Respondents reporting “poor-fair” knowledgeability surrounding DM–PD association correlated with highest interest in learning more about DM–PD relationship ( p <.0001). While over 80% of respondents correctly answered questions about gum disease symptomology and contribution of oral health practices on diabetes prevention, only 51% knew that PD affected blood sugar control. Willingness to comply with medical screening conducted by dental providers for diseases affecting oral health was indicated by 44% of respondents ( p < .0001). Study results indicated that knowledgeability levels among patients surrounding the effect of PD on DM needed improvement. Strategic educational interventions targeting improved health literacy among patients may further promote prevention of DM–PD complications. Health literacy gaps remain to be addressed in patient understanding of the importance of detecting and managing dysglycemia for maintenance of periodontal health, creating opportunities for patient education.
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Radwan, Waseem, Abeer A. AlNasser, Hesah Aloqab, Khalid Al-Saggaf, Nora A. Almuhtab, and Bothinah Alnasyan. "Knowledge and Use of Caries Detection Methods among Dental Students and Dental Practitioners in Riyadh, Saudi Arabia." International Journal of Dentistry 2020 (December 2, 2020): 1–7. http://dx.doi.org/10.1155/2020/8825890.
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Aim. Accurate detection and diagnosis of dental caries is an integral part of achieving adequate comprehensive dental care. Furthermore, the high prevalence of caries and generally poor oral health in Saudi Arabia is a public health concern. In addition to necessary preventive programs and awareness initiatives, understanding diagnostic practices plays an important role in garnering broad background knowledge regarding the routine diagnostic means utilized by our targeted respondents. Therefore, this study aimed to assess the methods of caries detection among dental students and dental practitioners in Riyadh using a cross-sectional observational study design. Methods. The sample comprised 496 dental students, interns, postgraduate residents, general dental practitioners, specialists, and consultants from the Riyadh region of Saudi Arabia. A survey was designed to assess caries detection methods, risk assessment practices, and knowledge of advanced diagnostic methods. The responses were correlated with demographic and educational variables. Regression models were used to predict associations. Results. 42.3% and 32.7% use sharp explorers in diagnosing caries always and most of the time, respectively. When conducting caries risk assessment practices, 64.4% was very likely to review the patient’s medical history and lifestyle. In terms of knowledge of advanced diagnostic methods, 47.8% know “much” to “very much” about FOTI. The knowledge of advanced caries diagnostic methods and practices of advanced diagnostic methods were significantly positively correlated (r = 0.388, P < 0.001 ). Linear regression analysis indicated that higher experience (10+ years) was associated with higher knowledge regarding advanced caries diagnostic methods ( β = 0.27, P = 0.009 ). The mean rank for risk assessment practices was significantly lower in GPs compared to consultants P < 0.05 . Conclusions. The use of traditional and invasive methods of caries detection is prevalent among our respondents, while the usage of advanced diagnostic methods is for the most part low. Therefore, we advocate for more minimally invasive approaches and as such encourage the practice and availability of advanced diagnostic methods.
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Ordoñez, Dora, and Gustavo Sinisterra. "Characterization of patients who attend the Register, Diagnostic and Emergency Clinic at School of Dentistry, Universidad del Valle, Cali Colombia in 2011." Revista Estomatología 20, no. 2 (2017): 24–28. http://dx.doi.org/10.25100/re.v20i2.5738.
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There is little information available regarding the characterization of patients who attend Dentistry public school Clinics in Colombia. The records of patients who attended a public Dental school clinic (CIDU) were analyzed. The characterization was developed using the following variables: origin, age, medical history, gender, medical treatment at the time of consultation, dental care treatment at the time of consultation, medication intake , marital status, affiliation to a health service, education level, and more frequent diagnoses using the International Code of diseases (ICD). The main goal of this research is the characterization of 612 patients who attend and register in the dental diagnostic and emergency clinic (CIDU) at Universidad del Valle, school of dentistry,in Cali Colombia. The fieldwork for this research was carried out between February 7 and December 16, 2011. The purpose is to have reliable information about the profiles of the patients and thus encourage proper planning from an infrastructural, teaching and health care perspective.
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Murphy, Denise C., and Fariba S. Younai. "Risk of Tuberculosis Transmission in Dentistry." AAOHN Journal 45, no. 8 (1997): 377–85. http://dx.doi.org/10.1177/216507999704500803.
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This pilot project was conducted for the purpose of performing a retrospective chart review on selected clients and using the results for evaluating purified protein derivative (PPD) conversion rates among the student population. The occupational risk of exposure to active tuberculosis was assessed in a large dental educational setting. Charts of clients seen in the College's Oral Medicine Clinic, referred out for health care consultation for one of several reasons potentially associated with active tuberculosis disease over a 1 year period, were reviewed. Data sources included the medical consultation log and the tuberculosis log, which were maintained by faculty in the Oral Medicine Clinic. Ninety-six clients met the authors' criteria. However, compiling data was severely hampered for two reasons: missing charts (19 of 96, or 19.8%) and non-returning clients (55, or 57%). Four clients with potentially active cases of tuberculosis were identified. Follow up revealed, however, that none of these four clients was contagious when seen at the Dental Center. The protocol and definition recommended by the Centers for Disease Control and Prevention 1994 Guidelines, and the results of PPD screening and chart audit conducted by the authors, suggest that the employees and students of the College of Dentistry are at low risk for workplace exposure to active tuberculosis.
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Okunseri, Christopher, Elaye Okunseri, Qun Xiang, Joshua M. Thorpe, and Aniko Szabo. "Prescription of opioid and nonopioid analgesics for dental care in emergency departments: Findings from the National Hospital Ambulatory Medical Care Survey." Journal of Public Health Dentistry 74, no. 4 (2014): 283–92. http://dx.doi.org/10.1111/jphd.12055.
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Heslin, Kevin C., William E. Cunningham, Marvin Marcus, et al. "A Comparison of Unmet Needs for Dental and Medical Care Among Persons with HIV Infection Receiving Care in the United States." Journal of Public Health Dentistry 61, no. 1 (2001): 14–21. http://dx.doi.org/10.1111/j.1752-7325.2001.tb03350.x.
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Bahaadinbeigi, Kambiz, Fatemeh Tabatabaei, and Maryam Eslami Jahromi. "Attitude and readiness of Dentistry students in Kerman University of Medical Sciences concerning Tele-dentistry in 2017." Medical Technologies Journal 1, no. 4 (2017): 91–92. http://dx.doi.org/10.26415/2572-004x-vol1iss4p91-92.
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Introduction: Tele-dentistry is the use of information and telecommunications technology for dental care, counseling, education and public awareness in the same way as remote medical. Tele-dentistry is a relatively new field that can change the dental care system. However, many dentists are unaware of the goals, benefits, and how to participate. Therefore, this study was conducted to determine the knowledge and attitude of dental students regarding telemedicine.
 Methods:The present study is descriptive-analytic. The study population consisted of all dental students in Kerman in year 2017 and sample of 230 students selected by proportional sampling. For data collection, a complete English translation of an English-language article in the Journal of Clinical and Diagnostic Research, whose validity was confirmed by three of the leading medical informatics specialists in English, was then used to analyze the data using the software SPSS 19.
 Results: The findings of this study showed that there is no significant difference between the students' age, sex and term of education with their knowledge of tele-dentistry (P>0.05). Knowledge and attitude of 72% of students in tele-dentistry is very low. 40% of them said tele-dentistry would be very beneficial and more than half of them would be willing to do tele-dentistry in the future. 81% of them agreed that tele-dentistry could be a good tool for health education and oral health, and effective in educating the health of a large number of people. 75% of them felt that distance dental care saves time, and 81% of students believed that tele-dentistry was not financially feasible.
 Conclusion: The results of this study showed that many respondents lacked adequate knowledge and knowledge about tele-dentistry. Hence, there is a huge need for awareness among dentists to further the future of dentistry in the future. Therefore, it is suggested that the related institutions take more serious measures for awareness and education about tele-dentistry for students.
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Khasanova, I. K., N. M. Khakimov, I. G. Zakirov, L. M. Zorina, M. I. Timerzyanov, and R. R. Shakirov. "Medical waste monitoring in a dental outpatient clinic." Kazan medical journal 95, no. 5 (2014): 658–63. http://dx.doi.org/10.17816/kmj2211.
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Aim. To estimate the amounts and weight of medical waste in the dental outpatient clinic. Methods. Amounts and weight of types A and B medical waste, as well as the number of patients treated in the branch №1 of OAO «City Dentistry», Kazan, Russia from June 2012 to May 2013 were analyzed using the methods of public health statistics. Results. Total amount of type A medical waste was 7516 pieces, with the average amount of 300.6±9.21 per month. Total weight was 8995.3 kg, with the average of 359.8±11.03 kg per month. Total amount of type B medical waste was 6804 per year, with the average of 272.2±5.19 per month, and their total weight was 12090.6 kg, with the average of 483.6±13.39 kg per month. Despite the trend of increasing the absolute amounts and weight of type A and B waste, if calculated per patient treated, these values had a trend for reduction. Medical waste amounts differed between the departments of the outpatient clinics, even between departments providing same medical care. In general, types A and B waste weight was increasing, while amount of waste decreased. Conclusion. Types A and B waste weight depended mainly on the number of treated patients compared to waste amount. Waste weight and amount, if calculated per patient treated, had different trends and were different not only between the departments of surgery, orthopedics and conservative dentistry, but also between different departments of conservative dentistry.
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Mathu-Muju, Kavita R., Jessica Y. Lee, Leslie P. Zeldin, and R. Gary Rozier. "Opinions of Early Head Start Staff about the Provision of Preventive Dental Services by Primary Medical Care Providers." Journal of Public Health Dentistry 68, no. 3 (2008): 154–62. http://dx.doi.org/10.1111/j.1752-7325.2007.00052.x.
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Blagojevic, Duska, Ljubica Pavlovic-Trifunovic, Milica Sipovac, Isidora Neskovic, Sanja Vujkov, and Bojan Petrovic. "The first dental visit - comparative analysis of two successive five-years periods." Srpski arhiv za celokupno lekarstvo 147, no. 3-4 (2019): 148–51. http://dx.doi.org/10.2298/sarh180309032b.
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Introduction/Objective. An important moment in oral health care and preventive dentistry is the first dental visit, recommended to be undertaken between the child?s sixth and 12th month of life. Worldwide evidence shows a considerable delay. This study evaluates characteristics of the first dental visit in a public health care center in Novi Sad, Serbia, during 2006?2015 period, and changes in occurrence driven by the healthcare reform. Methods. The study design was retrospective, evaluating available data on age and the main reason for the first dental visit of 270 children, who come to the same dentist and pediatrician in a public health care center during the 2006?2015 period. Results. Collected data determined the third and the fourth year of life as the dominant age (45.8% of children) for the first dental visit in 2006?2010, initiated mostly by a dental check-up (53.8%). During the second period (2011?2015), most of the first visits (31.1%) were done by the age of one, while the main reason for 80.1% of the visits was dental check-up. Conclusion. Considerable progress regarding the first dental visit was made in the observed period, which is, at least partially, due to the health care reform and emphasized preventive versus curative measures, by means of advanced communication between parents and chosen medical staff in prenatal and pediatric clinics.
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Uikey, Aishwary Arun, Mithilesh M. Dhamande, Kashish Mangal, Anjali G. Bhoyar, Seema R. Sathe, and Rupali M. Patel. "Evaluation of Knowledge and Attitude toward Dental Implant Supported Prosthesis among Medical Practitioners of Wardha Region." Journal of Evolution of Medical and Dental Sciences 10, no. 30 (2021): 2286–89. http://dx.doi.org/10.14260/jemds/2021/467.
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BACKGROUND Dental knowledge of qualified medical practitioners is different when compared to the general public. Even though they are qualified in the medical field their knowledge about dental diseases, relationship of oral health with systemic diseases and life-threatening dental diseases are scarce. The role that a medical practitioner can play in improving oral health of the population depends on his own knowledge about oral diseases and their effect on general health, his attitude towards dentistry and their routine practice to maintain oral health. The purpose of this study was to assess the level of awareness regarding the use of implants in dentistry among the medical practitioners. METHODS Custom made questionnaire comprising of 10 closed-ended questions was designed and validated. 50 medical practitioners from different walks of medicine were randomly selected and provided with the questionnaire. Answers of all the subjects were then tabulated and subjected to statistical analysis. RESULTS After statistical analysis, the results obtained showed a large number of medical practitioners’ negative response to maximum questions. CONCLUSIONS It was inferred that a huge gap in knowledge exists which needs to be addressed KEY WORDS Edentulism, Dental Implants, Health Care Workers
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Cassie, Heather, Vinay Mistry, Laura Beaton, Irene Black, Janet E. Clarkson, and Linda Young. "An evaluation of the implementation of quality improvement (QI) in primary care dentistry: a multi-method approach." BMJ Open Quality 10, no. 2 (2021): e000839. http://dx.doi.org/10.1136/bmjoq-2019-000839.
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ObjectivesEnsuring that healthcare is patient-centred, safe and harm free is the cornerstone of the NHS. The Scottish Patient Safety Programme (SPSP) is a national initiative to support the provision of safe, high-quality care. SPSP promotes a coordinated approach to quality improvement (QI) in primary care by providing evidence-based methods, such as the Institute for Healthcare Improvement’s Breakthrough Series Collaborative methodology. These methods are relatively untested within dentistry. The aim of this study was to evaluate the impact to inform the development and implementation of improvement collaboratives as a means for QI in primary care dentistry.DesignA multimethod study underpinned by the Theoretical Domains Framework and the Kirkpatrick model. Quantitative data were collected using baseline and follow-up questionnaires, designed to explore beliefs and behaviours towards improving quality in practice. Qualitative data were gathered using interviews with dental team members and practice-based case studies.ResultsOne hundred and eleven dental team members completed the baseline questionnaire. Follow-up questionnaires were returned by 79 team members. Twelve practices, including two case studies, participated in evaluation interviews. Findings identified positive beliefs and increased knowledge and skills towards QI, as well as increased confidence about using QI methodologies in practice. Barriers included time, poor patient and team engagement, communication and leadership. Facilitators included team working, clear roles, strong leadership, training, peer support and visible benefits. Participants’ knowledge and skills were identified as an area for improvement.ConclusionsFindings demonstrate increased knowledge, skills and confidence in relation to QI methodology and highlight areas for improvement. This is an example of partnership working between the Scottish Government and NHSScotland towards a shared ambition to provide safe care to every patient. More work is required to evaluate the sustainability and transferability of improvement collaboratives as a means for QI in dentistry and wider primary care.
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Edwards, Dave, Richard Ramsey, John Breeze, and Mark Dermont. "Exploring Dentist Opinions on the Provision of Intravenous Sedation in Primary Dental Care for UK Armed Forces Personnel." Military Medicine 185, no. 7-8 (2019): e1187-e1192. http://dx.doi.org/10.1093/milmed/usz451.
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Abstract Introduction: Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states that serving UK AF personnel requiring sedation to tolerate routine dental treatment are to have their Joint Medical Employment Standard (JMES) reviewed to restrict their deployability and employability. This article explores current sedation delivery, dentist opinion, and adherence to policy. Materials and Methods: The total number and type of intravenous (IV) sedation appointments over a 6-month period was assessed using surgical logbooks. Questionnaires were sent to all dentists in primary care responsible for treating military patients to ascertain their attitudes toward the requirement for sedation in support of recruitment and deployability. Ten-year retrospective data analyses were used to identify current trends in sedation use in the UK AF. Results: Responses were received from 117/137 (85%) dentists. All of the responding Civilian Dental Practitioners felt that there was a requirement for IV sedation in contrast to the Royal Navy (RN), where over a quarter (28%) disagreed. The majority, 48 (81%), of Army dentists felt that military patients unable to tolerate routine treatment under local anesthesia alone should not deploy on operations, compared with 7 (63%) of their civilian counterparts. Overall, 72 (62%) respondents felt that patients unable to tolerate routine treatment without sedation should not be recruited. Conclusions: Civilian Dental Practitioners in the sample indicated that they were less likely to recommend a patient for JMES review, less likely to prevent patients from deploying and less likely to believe that individuals requiring sedation for routine treatment should not be recruited into the UK AF. These attitudes are contrary to current Defence direction and could increase the risk of UK AF personnel experiencing morbidity on deployment requiring aeromedical evacuation. Over the longer term, civilianization of Defence dentistry is likely to reduce collective operational experience and Defence must ensure that clinicians understand the management of anxious patients in the military context and their responsibilities in relation to JMES. Furthermore, policy limiting the recruitment of personnel with significant dental anxiety is not being robustly adhered to. Based on the number of dental procedures undertaken under IV sedation in the UK AF, consistent application of this policy would not affect recruitment at an organizational level, but would limit the risk of deploying these personnel. Further work is required to understand dental anxiety within the UK Armed Forces so that the operational morbidity risks can be quantified and provision appropriately planned.
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Guest, Gary F. "Internet Resources for Dentistry: Government and Medical Sites for the Dental Professional." Journal of Contemporary Dental Practice 1, no. 2 (1999): 12–19. http://dx.doi.org/10.5005/jcdp-1-2-12.
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Abstract As society transitions deeper into the Information Age, Information Technology has become a critical tool that supports all facets of the global economy. The Internet, via the World-Wide Web (WWW), has become a major component of business operations for corporate and educational organizational entities. An estimated 10,000 or more health-related websites are providing information for both consumers and healthcare professionals. In addition to private and state-supported institutions being present on the Internet, the federal government has moved rapidly toward disseminating information electronically, with significant utilization of the WWW as the technological vehicle. All branches of the US Government and federal-related agencies are now represented on the Internet in an effort to deliver content to their end users, primarily the public. The intent of this article is to complement the previous publication, “Internet Resources for Dentistry: Utilization of the Internet to Support Professional Growth, Decision Making, and Patient Care,” by presenting dental healthcare professionals with information on additional governmental and medical “Internet” sites. In addition, healthcare professionals must arm themselves with more than just access itself, but also the ability to critically judge the quality of information retrieved from the WWW.1,2,5
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Ермаков, V. Ermakov, Антоненков, Yu Antonenkov, Косолапов, and Vladimir Kosolapov. "Modeling of Acute Medicamental Hepatitis in the Rats." Journal of New Medical Technologies 21, no. 4 (2014): 148–52. http://dx.doi.org/10.12737/7290.
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End of the twentieth and the beginning of the XXI century in Russia were characterized by profound political and socio-economic changes in all spheres of state and society. This is reflected in medicine, in the article on the basis of literature data and data reporting dental services in the Krasnodar Territory analyzed the state of dental care in this region of the Federation. It is shown that the study of preventive dentistry may complete scientific discovery. Number of people seeking dental care, especially through primary – health centers, and grows up to 25% of the total incidence. Even physicians dentists are among the patients, their colleagues, and the defeat of diseases of the oral cavity is close to 100% coverage among the population. Why it is so necessary preventive techniques presented in the article di-rection, contributing to the improvement of preventive measures.
 Special role in the study of dental health plays information about dental education to the public, features of preventive dental techniques people of different ages. Health child and adolescent population is an integral part of public health, as by adding a set of attributes of individual health and integrating socio-economic features of a society, it takes on new features and quality. It is also important to have an idea about the features of the dental health of geriatric age, which constitute a large, all growing part of our population. Level of health of these groups in terms of dentistry not only illustrates the diversity of human exposure to natural, socio-economic and organizational health problems, but also indirectly reflects the health of the nation as a whole. Therefore, it is important to characterize the medical and social factors that influence the health, at least in a particular region of the Russian Federation.
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Moghbeli, Fateme, Mostafa Langarizadeh, Yashil Ahadi Moghadam, and Susan Hasanpour Heidari. "Design the Conceptual Model of Teleconsultation System for Dental Diseases." Frontiers in Health Informatics 8, no. 1 (2019): 22. http://dx.doi.org/10.30699/fhi.v8i1.205.
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Introduction: Worldwide, people living in rural and remote area with the lack of access to medical care are vulnerable. Despite of improvement in dentistry, dental caries is still one of the prevalent problems among people. By using tele-dentistry and transforming electronic patient information, dental services can be delivered specially in remote area so leads to improve public dental health.Methods: This is an applied development study and 24 dentists and dental radiologists were participated in this survey. The questionnaire was filled out by participant to obtain information about requirement for designing the conceptual model for teleconsultation system for dental problems. Collected data was analyzed by descriptive statics with SPSS version 22 software.Results: According to results patient name and last name, gender, emergency level, sign of the problem, patient history in patient demographic and clinical information section and in system capabilities section, dedicate the space for dentist to diagnosis and the space for seeing diagnosis report by patient was the 100 percent requirement considered. After requirement analysis conceptual model as use case diagram was designed.Conclusion: According to results, using tele-dentistry can improve relationship between specialists and patients without considering the distance and eventually improve public oral health in society.
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Mustafa, Alaa, Heran Hassan, and Fighan Huseen. "The motives for seeking dental health services in a sample of children attending a College of Dentistry." Erbil Dental Journal 3, no. 2 (2020): 93–97. http://dx.doi.org/10.15218/edj.2020.13.
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Background and Objectives: The chief complaints of the patients are essential components, being useful for several reasons, including monitoring of oral health services and measuring the effectiveness of the oral health awareness programs. The objective of the study was to explore the common chief complaints of patients seeking treatment and distribution of cases according to the demographic data among patients attending a dental college in Erbil, Iraq. Patients and methods: The age, gender, and the chief complaints or the main reason for the visit were recorded for each consecutive patient of a total of 1233 patients who visited the oral hygiene clinics in the College of Dentistry at Hawler Medical University (Erbil city, Iraq), from October 2016 to June 2017 were recruited. Patients at the age of 3 - 14 years old. The chi-square test was used to find any statistical association between the variables. P value of less than 0.01 was considered statistically significant. Results: The pain was found to be the most common chief complaint reported by 51.1% of the patients. Followed by oral hygiene reported by 26%, among which 658 (53.4%) were males and 575 (46.6%) were females. When the age groups were considered separately, “toothache” or pain was the most common chief complaints reported by all ages except for the <5 years’ group patients for whom that oral hygiene was the most common chief complaint. In the age group of 10-14 years, in addition to pain and oral hygiene, significantly more subjects complained of or-thodonitc treatment need. Conclusion: Chief complaints denote the demand for dental care and thus, helps in proper plan-ning of the public dental health care system. So the reason for dental visit varies across differ-ent age groups and to some extent, gender differences was a considering issue. Keywords: Distribution, Paedodontics, Diagnosis, Dental chief complaints.
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��������, Nikita Fedchishin, �����, and Igor Kitsul. "SOCIOLOGICAL CHARACTERISTICS OF THE CURRENT STATE OF THE LABORATORY PHASE OF PROVIDING DENTAL ORTHOPEDIC TREATMENT TO THE POPULATION (ON THE EXAMPLE OF THE IRKUTSK REGION)." Byulleten-Vostochno-Sibirskogo-nauchnogo-tsentra-Sibirskogo-otdeleniya-Rossiyskoy-Akademii-meditsinskih-nauk 1, no. 2 (2016): 45–47. http://dx.doi.org/10.12737/20614.
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Key problems of the dental laboratories in public health sector include insufficient material and technical equipment,
 weakly theoretically and practically trained personnel and often a mismatch between the structure and organization
 of the laboratories themselves and modern requirements. To improve the functioning of the dental service, the actual
 problem remains the laboratory phase of providing dental orthopedic treatment to the population, which has an extremely
 important medical and organizational value in the quality assurance of orthopedic treatment and achievement
 of optimal final result. Until not distributed modern technology, they are not accessible to the majority of the population.
 Low competition in the field of high-tech prosthetics causes a high cost. The lag in manufacturing technologies and
 professional development leads to lowering the quality of public assistance, often inefficient and low-quality dental
 prosthetics, further enhances the problem, increases the level of need in dental orthopedic care for most of the population
 using the services of the state dentistry.
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Riedy, Christine A., Kiet A. Ly, Vickie Ybarra, and Peter Milgrom. "An FQHC Research Network in Oral Health: Enhancing the Workforce and Reducing Disparities." Public Health Reports 122, no. 5 (2007): 592–601. http://dx.doi.org/10.1177/003335490712200506.
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Federally Qualified Health Centers (FQHCs) contribute greatly to reducing health disparities by providing care to underserved communities. Yet these safety-net clinics face chronic manpower shortages and turnover. Practice-Based Research Networks aid in translating medical science from bench to clinical practice. These networks have been used to understand and improve health-care delivery and reduce disparities. Initiatives to strengthen lagging translational research in dentistry have begun, but there is no FQHC research network that addresses oral health. This article reviews the potential for, and outlines a model of, an Oral Health FQHC Research Network. It characterizes the needs for an FQHC research network, describes a successful FQHC research-oriented program, and outlines an Oral Health FQHC Research Network conceptual model. It argues that strengthening FQHCs through involvement of their dental staff in clinical research may enhance their jobs, draw staff closer to the community, and strengthen their ability to reduce health disparities.
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Sharma, Ajay, Allauddin Siddiqi, Sobia Zafar, and Alessandro Quaranta. "Awareness of Diabetic Patients Regarding the Bidirectional Association between Periodontal Disease and Diabetes Mellitus: A Public Oral Health Concern." Journal of Contemporary Dental Practice 21, no. 11 (2020): 1270–74. http://dx.doi.org/10.5005/jp-journals-10024-2974.
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ABSTRACT Aim and objective The literature regarding the perception of the two-way relationship between diabetes mellitus and periodontal disease representing diabetic patients living in Australia is scarce. The study aimed to evaluate the knowledge and attitudes of diabetic patients regarding the bidirectional link and the role of medical healthcare professionals in providing oral health advice to their patients. Materials and methods A convenience sample of diabetic patients attending general practice-based medical and dental centers was invited to complete a questionnaire-based survey. The survey was anonymous, and the responses of the participants were not identifiable. Results A total of 241 participants completed the questionnaire; however, three survey responses were excluded as most of the critical questions were not answered. The majority (87.81%) of the participants reported with type 2 diabetes mellitus, while 11.76% had type 1 diabetes mellitus. Just over 61% of the participants reported brushing their teeth twice a day. The majority of participants (66.38%) said that their medical practitioner/diabetic educator never asked or examined their oral hygiene or any issues with the gums or teeth. The study noted that 54% of the participants never received any information regarding the bidirectional relationship between periodontal disease and diabetes mellitus and were unaware of the association. Conclusion Patients with diabetes mellitus lack knowledge of the bidirectional association between periodontal disease and diabetes mellitus. In this regard, the study urged the need to implement European Federation of Periodontology and International Diabetes Federation guidelines effectively. Medical healthcare professionals and dentists should provide mutual care and should consider every patient as a shared responsibility. Clinical significance Early detection of the disease, timely referrals, and a collaborative approach will enhance patient care and improve the quality of life of individuals living with periodontal disease. How to cite this article Siddiqi A, Zafar S, Sharma A, et al. Awareness of Diabetic Patients Regarding the Bidirectional Association between Periodontal Disease and Diabetes Mellitus: A Public Oral Health Concern. J Contemp Dent Pract 2020;21(11):1270–1274.
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Tiwari, Tamanna, Jennie Marinucci, Eric P. Tranby, and Julie Frantsve-Hawley. "The Effect of Well Child Visit Location on Preventative Dental Visit." Children 8, no. 3 (2021): 191. http://dx.doi.org/10.3390/children8030191.
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Recent emphasis has been placed on the integration of dental and medical primary care in an effort to promote recommendations from both American Academy of Pediatrics (AAP) and American Academy of Pediatric Dentistry (AAPD) that highlight the importance of preventing, intervening, and managing oral disease in childhood. The study aims to provide a population level insight into the role of location of service of medical well-child visit (WCV) and its association to preventative dental visit (PDV) for children between the ages of 0–20 years. Administrative claims data for 3.17 million Medicaid-enrolled children aged 0 to 20 years of age in 13 states in 2016 and 2017 were identified from the IBM Watson MarketScan Medicaid Database. Descriptive and survival analysis reveals most Medicaid enrolled children receive their WCV at an office and hospital, as compared to federally qualified health center, or rural or public health clinic. Further, this study demonstrates increased utilization of dental preventive services for children who receive a WCV. Hispanic children, female children, and children 5–9 years of age had a higher rate of PDV after a WCV at all three locations. This study contributes to the understanding of medical-dental integration among Medicaid-enrolled children and offers insight into the promotion of oral health prevention within medical primary care.
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Ayaz, Ayesha, Sheh Mureed, Zubair Ahmed Abbasi, Neelofar Ayaz, Naveen Farooq, and Sahar . "PERCEPTIONS OF ANTENATAL CARE PROVIDERS ABOUT ORAL HEALTH OF PREGNANT WOMEN AT THE HOSPITALS OF KARACHI." Pakistan Journal of Public Health 9, no. 2 (2019): 64–68. http://dx.doi.org/10.32413/pjph.v9i2.306.
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Background: WHO has recommended a positive pregnancy experience for a healthy mother and her newborn and for achievement of positive motherhood. Oral disease of the mother during pregnancy is an important public health issue due to its prevalence and life course connections with adverse pregnancy outcomes. Methods: A cross-sectional study was conducted of 200 ANC providers and questionnaires were filled by 100 obstetricians, 65 medical officers and 35 post graduate trainees practicing in gynecological department in twenty hospitals of Karachi. Results: The results indicated insufficient knowledge among ANC providers about effect of poor maternal oral health on pregnancy and birth consequences. Majority of the participants agreed on importance of oral health during pregnancy even minority was engaged in discussing the importance of dental care or referring them to a dental surgeon. Those participants who had more knowledge about oral health during pregnancy were also seen engaged with their practices. Conclusion: The findings indicate that in Karachi ANC providers are not well knowledgeable about maternal oral health. The main reasons may be lack of practices guidelines in oral health care during pregnancy, no refresher courses for ANC providers keep them updated. ANC providers seem cooperative to discuss oral health if they are having adequate knowledge in this domain.
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Daly, Jeanette M., Steven M. Levy, Yinghui Xu, et al. "Changes in Parental Perceptions of Their Care of Their Children’s Oral Health From Age 1 to 4 Years." Journal of Primary Care & Community Health 10 (January 2019): 215013271983690. http://dx.doi.org/10.1177/2150132719836908.
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Introduction: In this 3-year longitudinal study, parent/child attended 3 dental visits and in between, parents were called every 4 months and asked if their child had visited the dentist and if fluoride varnish had been applied. Methods: Objectives were to assess changes in parents’ perceptions of how well they do in taking care of their children’s teeth and/or gums across these 3 time points (at age 1, 2.5, and 4 years), assess differences in parents’ perceptions of how well they do taking care of their children’s teeth and/or gums versus taking care of their children’s medical health, and determine factors associated with parental perceptions of how well they do in taking care of the children’s teeth and/or gums longitudinally. Results: Participant pairs (1325) were enrolled and over time there was a significant improvement in parental perceptions of their job taking care of their children’s teeth and/or gums, increasing from 86% perceiving it to be excellent/very good/good at their child’s 1 year of age to 92% at child’s age 4 years. The estimated odds of parents perceiving they provided excellent/very good/good versus fair/poor care for the children’s teeth and/or gums were higher for those who cleaned and checked inside the children’s mouth and/or gums daily (odds ratio 4.74) or took their children to the dentist yearly or twice yearly (odds ratio; 2.73). Conclusions: Parents’ perceptions of the care of their children’s teeth and/or gums improved over time. Parents consistently perceived that they provided better medical care than dental care for their child.
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Khamadeeva, AM M., IuA A. Shukhorova, МА A. Semina, and AP P. Myshentceva. "THE RESEARCH OF AWARENESS OF MEDICAL PERSONNEL REGARDING ORAL PATHOLOGY PREVENTION DURING PREGNANCY." Science and Innovations in Medicine 1, no. 1 (2016): 58–61. http://dx.doi.org/10.35693/2500-1388-2016-0-1-58-61.
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During the pregnancy period woman repeatedly seeks medical aid and consults different medical specialists. Meanwhile, there is no continuity for dynamic monitoring of pregnant woman’s health. The level of knowledge of medical personnel concerning prevention of main dental diseases must be high enough, as the influence on manageable risk factors is under their responsibilities. However, this level is confirmed neither in Russian, nor in the foreign literature. Aim - study of awareness of medical personnel who monitor pregnant women on the issues concerning prevention of dental caries and periodontal diseases. Data and methods. A survey was conducted among 127 medical doctors of different specialities (obstetrician-gynecologists, dentists, pediatricians), working for state budgetary public health organizations of Samara. Results. The study highlighted a low level of primary health care doctors’ awareness on preventive measures for the main dental diseases of pregnant women (absence of motivation for dental diseases prevention and oral hygiene, inadequate knowledge about fluoride importance for caries prevention, exaggeration of the influence of non-manageable risk factors (heredity, ecological environment) on dental pathology development, a high level of reliance on information from the mass media about preventive measures in dentistry). Conclusion. It is necessary to improve the level of knowledge of doctors who monitor pregnant women. It can be achieved by the increase of doctors’ awareness (organization of lectures and seminars, development and production of visual aids for doctors of different specialities and mid-level medical staff).
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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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Segal, Leonie, Claire Marsh, and Rob Heyes. "The real cost of training health professionals in Australia: it costs as much to build a dietician workforce as a dental workforce." Journal of Health Services Research & Policy 22, no. 2 (2016): 91–98. http://dx.doi.org/10.1177/1355819616668202.
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Objectives We explored the real cost of training the workforce in a range of primary health care professions in Australia with a focus on the impact of retention to contribute to the debate on how best to achieve the optimal health workforce mix. Methods The cost to train an entry-level health professional across 12 disciplines was derived from university fees, payment for clinical placements and, where relevant, cost of internship, adjusted for student drop-out. Census data were used to identify the number of qualified professionals working in their profession over a working life and to model expected years of practice by discipline. Data were combined to estimate the mean cost of training a health professional per year of service in their occupation. Results General medical graduates were the most expensive to train at $451,000 per completing student and a mean cost of $18,400 per year of practice (expected 24.5 years in general practice), while dentistry also had a high training cost of $352,180 but an estimated costs of $11,140 per year of practice (based on an expected 31.6 years in practice). Training costs are similar for dieticians and podiatrists, but because of differential workforce retention (mean 14.9 vs 31.5 years), the cost of training per year of clinical practice is twice as high for dieticians ($10,300 vs. $5200), only 8% lower than that for dentistry. Conclusions Return on investment in training across professions is highly variable, with expected time in the profession as important as the direct training cost. These results can indicate where increased retention and/or attracting trained professionals to return to practice should be the focus of any supply expansion versus increasing the student cohort.
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Iordanishvili, A. K. "The opinion of health care organizer and therapist on current problems of modern dentistry (in memory of academician Komarov F. I.)." Periodontology 25, no. 1 (2020): 75–77. http://dx.doi.org/10.33925/1683-3759-2020-25-1-75-77.
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Relevance. Getting acquainted with biographies and scientific works of prominent figures of medicine of the past years, you can find not only interesting facts from history, but also analogies with modernity, answers to many clinical problems of medicine today.Purpose. To present the contribution to dentistry of academician Fyodor Ivanovich Komarov, in connection with his death on January 25, 2020.Materials and methods. Based on the analysis of the life, professional activity and scientific works of the academician of the Russian Academy of Sciences, Professor Fyodor Ivanovich Komarov, it was necessary to identify studies on the dental aspects of modern medicine and health care.Results. Illuminated the scientific, clinical, pedagogical and public activity of the scientist, Clinician, teacher and public figure, an outstanding figure of Russian and world medicine of Hero of Socialist Labor, laureate of USSR State prize, honored scientist of Russia, academician of the Russian Academy of Sciences, doctor of medical Sciences, Professor, Colonel-General of medical services of Fedor Ivanovich Komarov. Special attention is paid to the little-known areas of his research in the field of dentistry.Conclusion. Scientific works of F. I. Komarov were included in the gold Fund not only in the world and domestic military medicine, gastroenterology, cardiology, pulmonology, biorhythmology, gerontology, geriatrics, but also in a number of other scientific areas of medicine and health care, including dentistry.
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Lyznicki, James, Italo Subbarao, Georges C. Benjamin, and James J. James. "Developing a Consensus Framework for an Effective and Efficient Disaster Response Health System: A National Call to Action." Disaster Medicine and Public Health Preparedness 1, S1 (2007): S51—S54. http://dx.doi.org/10.1097/dmp.0b013e31814622e2.
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ABSTRACTEighteen national organizations, representing medicine, dentistry, nursing, hospital systems, public health, and emergency medical services, have worked together to create a framework for a national and regional disaster response health system that is scalable, multidisciplinary, and seamless, and based on an all-hazards approach. In July 2005 and June 2006 the American Medical Association (AMA) and the American Public Health Association (APHA) convened the AMA/APHA Linkages Leadership Summit, with funding from the Centers for Disease Control and Prevention under the Terrorism Injuries: Information Dissemination and Exchange (TIIDE) program. As cofacilitators, James J. James, MD, DrPH, MHA, director of the AMA Center for Public Health Preparedness and Disaster Response, and Georges Benjamin, MD, FACP, FACEP(E), APHA executive director, met with leaders from 16 national medical, dental, hospital, nursing, hospital systems, public health, and emergency medical services organizations in Chicago (2005) and New Orleans (2006) to deliberate the deficiencies in the medical and public health disaster response system and the lack of necessary linkages between key components of this system: the health care, emergency medical services, and public health sectors. The goal was to reach consensus on a set of overarching recommendations to improve and sustain health system preparedness and to combine each organization's advocacy expertise and experience to promote a shared policy agenda. The full summit report contains 53 consensus-based recommendations, which will serve as the framework for a coordinated national agenda for strengthening health system preparedness for terrorism and other disasters. The 9 most overarching critical recommendations from the report are highlighted here. Although the summit report presents important perspectives on the subject of preparedness for public health emergencies, we must understand that preparedness is a process and that these recommendations must be reviewed and refined continually over time. (Disaster Med Public Health Preparedness. 2007;1(Suppl 1):S51–S54)
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Togoo, Rafi A., Balsam Al-Almai, Fatimah Al-Hamdi, Salha H. Huaylah, Mashael Althobati, and Safeyah Alqarni. "Knowledge of Pregnant Women about Pregnancy Gingivitis and Children Oral Health." European Journal of Dentistry 13, no. 02 (2019): 261–70. http://dx.doi.org/10.1055/s-0039-1693236.
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Abstract Objective A cross-sectional questionnaire-based study was carried out among 251 pregnant women to assess their level of knowledge and perception regarding pregnancy gingivitis and the oral health of new born children. Materials and Methods A self-administered validated questionnaire was distributed among pregnant women visiting the Child and Maternity Hospital, Ministry of Health, Aseer, Saudi Arabia. The questionnaire included the questions related to their knowledge/awareness about cause, treatment, preventive measures, and the adverse effects of gingivitis on oral health of a woman. Statistical Analysis The data was entered into Microsoft excel sheet and put to statistical analysis using SPSS (version 17). Descriptive analysis and also chi-squared test was used for comparison. Results Majority of pregnant women were found unaware about developing of pregnancy gingivitis as well as the cause, effects, treatment, and preventive measures for the same. Most of the subjects agreed that it was essentially required to have oral health education before their pregnancy term would start. Conclusion Most of the pregnant women said that they were unaware about pregnancy gingivitis, though few reported of being aware about it. It is inferred that the collaborative efforts between general dentists, pediatric dentists, public health dentists, and medical professionals are needed to raise awareness among pregnant women regarding timely dental care to avoid the adverse pregnancy related outcomes due to gingivitis and periodontitis.
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Khalid, Tamsal, Syed Sarosh Mahdi, Mariam Khawaja, Raheel Allana, and Francesco Amenta. "Relationship between Socioeconomic Inequalities and Oral Hygiene Indicators in Private and Public Schools in Karachi: An Observational Study." International Journal of Environmental Research and Public Health 17, no. 23 (2020): 8893. http://dx.doi.org/10.3390/ijerph17238893.
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Background: The study investigated the relationship between socioeconomic status and oral hygiene indicators in two schools located in Karachi, Pakistan. Oral hygiene indicators of public and private school children were compared. Private schools cater to children of relatively wealthier families compared to public school, whose attendees are generally children from less affluent backgrounds. The aim of this study was to determine whether socio-economic differences and inequalities have an impact on key oral hygiene indicators. Methodology: Primary data for this research was collected from community school visits conducted by the community dentistry department of Jinnah Medical and Dental and Medical College from January to September 2019. A convenience sample of the two schools, comprising 300 school students was selected. Data was collected using modified World Health Organization (WHO) oral health care forms. A pre-tested/customized dental hygiene form based on WHO forms was created by the research team. This form was used to measure DMFT/dmft scores and key oral hygiene indicators in the sample. Results: A total sample size of 300 school-children affiliated with public and private schools was selected. The children’s age ranged from 2 to 18 years. The mean DMFT scores of private and public-school children were not significantly different (private (1.82) vs. public (1.48)). (p = 0.257). The mean of carious teeth was 1.69 in private school children compared to 1.34 in government school children, whereas the mean values of other key indicators of oral hygiene including plaque deposition (p = 0.001), dental stains (p < 0.001) and bleeding gums/gingivitis (p < 0.001), were statistically significant between public and private school children. Conclusion: Oral health inequalities can be reduced with increased awareness and public funding to cater for the oral health needs of children of less affluent families. A dynamic and practical community-oriented program is fundamental for enhancing pediatric oral hygiene status, particularly for children attending government schools.
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Zablotska, I., A. Frankland, J. Imrie, et al. "Current issues in care and support for HIV-positive gay men in Sydney." International Journal of STD & AIDS 20, no. 9 (2009): 628–33. http://dx.doi.org/10.1258/ijsa.2008.008432.
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We explored current access to care among HIV-positive people in Australia. In 2006, 270 HIV-positive gay men from a community-based Positive Health cohort in Sydney were asked about their health (including medical and social) service needs and, subsequently, about difficulty in accessing services. We report the prevalence of specific needs, barriers and associated factors. Participants most commonly used general practitioners (64%) for HIV management and needed at least one HIV-related medical service (usually several: doctors experienced in HIV management, dentists and hospital pharmacies). Most participants were able to access them. Barriers in accessing services were related to their convenience rather than lack or quality. Cost emerged as a substantial barrier to dental care and psychological counselling (91% and 48% respectively of those in need). Need for an HIV-related social service was reported by 46% of respondents. Difficulties in accessing these related to poor services and staff attitudes. Income was associated with limited access to multiple services. In Australia, HIV-related medical service needs outweigh those for social services. Complex health services remain essential to HIV-positive people, but some services are currently not meeting their needs. To remain adequate, services need to understand and constantly adapt to the changing needs of HIV-positive people.
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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 (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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Verbovska, R. I. "DEONTOLOGICAL APPROACH TOWARD PROFESSIONAL TRAINING OF FUTURE DENTAL DOCTORS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 19, no. 1 (2019): 93–96. http://dx.doi.org/10.31718/2077-1096.19.1.93.
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The article is devoted to the issues of medical ethics and deontology, the essence of the deontological approach to the training of future dental doctors. The moral and ethical components are one of the important criteria demonstrating the readiness of future doctors to a high quality professional activity that would meet at demands of the latest medical achievements. Modern medical reform requires the improvement of the medical education system in order to prepare highly skilled health care specialists. A new generation of healthcare professionals should continuously improve and deepen their professional knowledge, be quick in handling complicated clinical situations and making adequate decisions, and demonstrate a high level of deontological culture. Scientists point out the growing requirements for the professional training of the doctors in general and for the level of their deontological culture in particular: "A few decades ago, the content of medical ethics was exhausted by two problems: first, the rules of the behaviour of medical personnel in relation to patients, and, secondly, the rules of the relationship in the medical corporation Today, radical revisions are subject to traditional problems, as well as many new problems. All this led to the need for an integrated approach to these problems and, above all, to the need and integration of theoretical and practical medicine and ethics". General moral and ethical requirements for the activities of medical workers are represented in a number of leading state and international regulatory documents that regulate the theoretical, organizational and methodological basis for the training of future health care professionals and outline the main directions toward the fostering their deontological culture, namely: the International Code of Medical Ethics adopted The General Assembly of the World Medical Association (London, 1949), the provisions of the Geneva Declaration (International Oath of Physicians) (1948), the Ethical Code Doctor I of Ukraine (2009), the Concept of development of public health care for the population of Ukraine "(2000) and others. In this regard, one of the most pressing issues the modern medical institutions of higher education are facing is to raise deontological culture among the future doctors. After all, the unfair performance of doctor’s professional duties, careless or non-ethical attitude to the patient can lead to undesirable and even tragic consequences. Each of us, seeking for a doctor’s advice, wants to be sure of his / her high professional and moral qualities. This imposes a huge responsibility on the doctors and the system of their professional training, because health and life are the most valuable treasure that a person can possess. The doctors of all specialties, including those in dentistry, have a direct relation to the performance of their professional duties by their general professional training, responsibility, decency, respectful attitude to colleagues and patients, high personal culture. These components are the essence of the deontological approach to the training of future dental doctors. If the dentists perform their work poorly, in most cases this remains unnoticed by the patient and does not cause any special conflicts. In such cases, the professional ethics of the doctors and their decency are of particular importance. It is the deontological approach to the training of future dentists that ensures fostering their moral and ethical standards, the acquisition of appropriate skills, abilities, their awareness of moral and ethical values, the development of the required traits of character. Among the prospects for further research within this direction we can single out the synthesis of the results obtained by of the analysis of scientific sources in order to distinguish the actual aspects of the training of future dental doctors.
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Santos, Paulo. "A Transcrição de Exames na Consulta de Medicina Geral e Familiar: Perspetiva Ética Sobre o Caso do Pedido de Tomografia Computorizada Maxilofacial para Realização de Implantes Dentários." Acta Médica Portuguesa 32, no. 6 (2019): 415. http://dx.doi.org/10.20344/amp.11964.
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In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private settings is not always easy, especially when services need to interact and actively collaborate in order to find answers to the patient’s problems. Dental implant procedures and the need to perform a previous maxillofacial computerized tomography to study the bone bed where osseointegrated dental implants are placed are a common situation. The current governmental regulation, blinded to the clinical context, may limit the accessibility to the tests. Based on this scenario, we discuss the possible options from an ethical point of view, framing the patient’s and the physician’s perspective and the relation between both.We conclude that the medical decision can’t be disregarded from the clinical evaluation, in the intimacy of the medical consultation. This is an ethical duty that overrules the administrative and bureaucratic constraints. A good management of this apparent dichotomy may enhance better health and greater empowerment for the patient.
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Gill, Balraj. "Every Contact Matters: the Role of the GDP." Dental Update 47, no. 4 (2020): 345–52. http://dx.doi.org/10.12968/denu.2020.47.4.345.
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‘Making Every Contact Count’ (MECC) is a government initiative headed by Public Health England and other organizations to provide support for patients to make positive behaviour changes to their health and wellbeing. The aim of MECC is to reduce the number of long-term diseases in the population that are attributable to behavioural risks factors. Primary dental practitioners are well positioned to provide the recommended brief advice on smoking, alcohol consumption and other factors. This article will highlight current guidance relating to these modifiable risk factors, and explain how dentists can interact with general medical practitioners in order to improve patient health. The aim of this paper is to provide details on what health issues the dentist should screen for, as well as the ways in which information can be passed onto the doctor in order to provide the best possible care for the patient. CPD/Clinical Relevance: Dentists are well positioned to ask and investigate issues relating to the patient's general health. This key information can be passed onto the general practitioner in order to address patient needs effectively.
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Joshi, Shambhu. "P.1.15 Mercury hazards and how the community responses in developing country." Occupational and Environmental Medicine 76, Suppl 1 (2019): A81.1—A81. http://dx.doi.org/10.1136/oem-2019-epi.218.
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IntroductionHeavy metal like mercury was used directly or indirectly since long ago before it was stopped around the world. Since, the value of the metal and its availability in different use in medical appliances is still one of the burdens in developing country like Nepal. The main uses of mercury are in dental amalgam, sphygmomanometers, and thermometers. The mercury once released into the environment can remain for a longer period. Both acute and chronic poisoning can be caused by it. Half of the mercury found in the atmosphere is human generated and health care contributes the substantial part to it. WHO and UNEP issued new guideline for health care sector to become mercury free.Aim and methodsTo find out the Knowledge, attitude and practice due to hazards of mercury contact among paramedics and patients.Results and conclusion938 paramedics and 890 patients were asked indepth structured questions about mercury hazards and update knowledge. Overall 18% of the paramedics have no knowledge of mercuryfree with respect to 69% of the patients. Around 49% of paramedics have broken mercury thermometer in their career and contact with skin. However, 1.2% patient only have a similar history in their life time. 4% of the contamination with mercury having SKIN problems. 32% of the patients still have mercury thermometer and sphygmomanometer in their home with respect of 0.6% of paramedics. The above study showed that Healthcare worker has more knowledge of Mercury hazards than patients groups. However, paramedics have broken the mercury instruments than patients party. Similarly, Paramedics have Mercury free device at home than patients groups. It means awareness, literate people having more knowledge towards its practice making mercury free society in a resource poor country like Nepal.