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Orvosi Hetilap Mar 2021Összefoglaló. Bevezetés: A kiégés jelensége fokozottan érinti az egészségügyi dolgozókat, a nagyfokú stressz, a folyamatos fizikai és emocionális...
UNLABELLED
Összefoglaló. Bevezetés: A kiégés jelensége fokozottan érinti az egészségügyi dolgozókat, a nagyfokú stressz, a folyamatos fizikai és emocionális megterhelés miatt. A kiégés mérését fogorvosok körében végeztük, mivel Magyarországon még nem készült csak fogorvosokat mérő keresztmetszeti vizsgálat. Célkitűzés: Elsődleges célunk a fogorvosi kiégés előfordulásának, súlyosságának mérése, a rizikófaktorok kiszűrése volt. Másodlagos célul a kiégés veszélyére való figyelem felkeltését tűztük ki az érintett csoportban. Módszer: Az adatgyűjtés a 'Maslach Burnout Inventory - Human Services Survey' 22 tételes magyar, validált változatával történt online formában. Eredmények: Online kérdőívünket 407 fogorvos töltötte ki. A következő eredményeket kaptuk: az emocionális kimerülés esetében a válaszadók 20%-a (81 fő) tartozik a magas kategóriába, a cinizmus dimenziójának esetében a válaszadók 17,5%-át (70 fő) jellemzi a magas pontszám. A teljesítményvesztés magas dimenziója a minta 75%-ában (302 fő) volt igazolható. Szignifikáns (p≤0,05) védőfaktornak találtuk a harmonikus kollegiális viszonyt, a hobbi meglétét, a 2-4 óra napi munkát, a támogató otthoni és munkahelyi légkört, az egészségi probléma és a saját vállalkozás hiányát. Szignifikáns negatív eltérést 6-10 éve dolgozó férfiak körében találtunk. Következtetés: Az eredmények felhívják a figyelmet a legfontosabb protektív tényezőkre, melyek segítségével csökkenthető a kiégés mértéke. Orv Hetil. 2021; 162(11): 419-424.
INTRODUCTION
Burnout has an increased impact on healthcare workers due to severe stress, constant physical and emotional strain. Burnout was measured among dentists, as no such cross-sectional study has been made in Hungary.
OBJECTIVE
Our primary goal was to measure the incidence and severity of dental burnout and to screen for the risk factors. Our secondary goal was to raise awareness of the risk of burnout in the affected group.
METHOD
Data collection was performed online with the 22-item Hungarian validated version of Maslach Burnout Inventory - Human Services Survey.
RESULTS
407 dentists completed our online questionnaire. The following results were obtained: in the case of emotional exhaustion, 20% of the respondents belong to the high category, in the cynicism dimension, 17.5% of the respondents have high scores. The high dimension of performance loss is typical in 75% of the sample. We found that harmonious collegial relationships, the existence of a hobby, 2-4 hours of daily work, a supportive home and work atmosphere, the lack of health problems and self-employment are significant (p≤0.05) protective factors. Significant negative differences were found among men who had been working for 6-10 years.
CONCLUSION
The results draw attention to the most important protective factors that can help reduce the rate of burnout. Orv Hetil. 2021; 162(11): 419-424.
Topics: Burnout, Professional; Cross-Sectional Studies; Dentists; Humans; Hungary; Male; Surveys and Questionnaires
PubMed: 33714940
DOI: 10.1556/650.2021.32010 -
The Angle Orthodontist Jan 2022To evaluate and compare the perception of different dental professionals and laypersons toward altered gingival characteristics (microesthetics) and to identify those...
OBJECTIVES
To evaluate and compare the perception of different dental professionals and laypersons toward altered gingival characteristics (microesthetics) and to identify those characteristics that are most negatively and positively rated.
MATERIALS AND METHODS
A smiling photograph of a female dental student was selected and digitally manipulated to create changes in different microesthetic parameters. These altered images were rated by the following five groups: 120 orthodontists, 45 periodontists, 49 prosthodontists, 130 general dentists, and 172 laypersons. Smile esthetics scores were calculated, and comparisons between groups were performed using the univariate general linear model.
RESULTS
The presence of black triangles between the upper incisors was the most negatively rated, and the ideal smile was the most positively rated. Significant differences were detected in the rating scores among the different study groups (P < .05). Orthodontists, prosthodontists, and general dentists scored the presence of a black triangle in the smile as the least attractive, whereas periodontists and laypersons perceived the inflamed gingiva and pigmented gingiva as the least attractive, respectively. Dental specialists tended to give the altered smile images lower scores than the laypersons.
CONCLUSIONS
The ideal smile and that with black triangles between the upper incisors were rated as the most and the least attractive smiles, respectively. Orthodontists, prosthodontists, and general dentists scored the presence of black triangles in the smile as the least attractive, whereas periodontists and laypersons perceived the inflamed gingiva and pigmented gingiva as the least attractive smiles, respectively. Dental specialists tended to give the altered smile images lower scores than the laypersons.
Topics: Attitude of Health Personnel; Attitude to Health; Dentists; Esthetics, Dental; Female; Gingiva; Humans; Smiling
PubMed: 34520516
DOI: 10.2319/020521-108.1 -
General Dentistry 2015
Topics: Dentists; Humans; Practice Management, Dental
PubMed: 25574710
DOI: No ID Found -
British Dental Journal Jun 2024
Topics: Humans; Dentists; Burnout, Professional; Global Health
PubMed: 38877228
DOI: 10.1038/s41415-024-7511-8 -
International Dental Journal Oct 2017A spatially unequal distribution of dentists or dental care professionals (D/DCPs), such as therapists or hygienists, could reduce the quality of health services and... (Review)
Review
BACKGROUND
A spatially unequal distribution of dentists or dental care professionals (D/DCPs), such as therapists or hygienists, could reduce the quality of health services and increase health inequities. This review describes the interventions available to enhance this spatial distribution and systematically assesses their effectiveness.
METHODS
Electronic databases (Cochrane CENTRAL, Medline, Embase, CINAHL) were searched and cross-referencing was performed using a standardised searching algorithm. Randomised and non-randomised controlled trials, controlled before-and-after studies and interrupted time series were included. Studies investigating a minimum of one of four interventions (educational, financial, regulatory and supportive) were included. The primary outcome was the spatial distribution of D/DCPs. Secondary outcomes were access, quality of services and equity or adverse effects. This review was registered (CRD42015026265).
RESULTS
Of 4,885 articles identified, the full text of 201 was assessed and three (all investigating national policy interventions originally not aiming to change the distribution of D/DCPs) were included. In one Japanese study spanning 1980 to 2000, the unequal spatial distribution of dentists decreased alongside a general increase in the number of dentists. It remained unclear if these findings were associated. In a second Japanese study, an increase in the number of dentists was found in combination with a postgraduate training programme implemented in 2006, and this occurred alongside an increasingly unequal distribution of dentists, again without proof of cause and consequence. A third study from Taiwan found the introduction of a national universal-coverage health insurance to equalise the distribution of dentists, with statistical association between this equalisation and the introduction of the insurance.
CONCLUSIONS
The effectiveness of interventions to enhance the spatial distribution of D/DCPs remains unclear.
Topics: Dental Assistants; Dental Care; Dental Hygienists; Dentists; Health Policy; Humans; Workforce
PubMed: 28643435
DOI: 10.1111/idj.12316 -
International Journal of Environmental... Apr 2023The advent of new technology has caused significant changes in the field of dentistry, enabling dentists and orthodontists to provide more efficient and effective...
The advent of new technology has caused significant changes in the field of dentistry, enabling dentists and orthodontists to provide more efficient and effective treatments to their patients [...].
Topics: Humans; Dentists; Public Health; Orthodontists; Dental Care; Technology
PubMed: 37047978
DOI: 10.3390/ijerph20075364 -
Mymensingh Medical Journal : MMJ Oct 2022In the past few decades, many medical professionals and dentists have paid close notice to their own fields, specializing in medicine pertaining to body and oral cavity...
Knowledge and Awareness about Systemic Effects of Periodontal Disease among Medical, Dental and Alternate Medical Practitioners and Their Referral Practice to Periodontists.
In the past few decades, many medical professionals and dentists have paid close notice to their own fields, specializing in medicine pertaining to body and oral cavity respectively. Currently, this void is rapidly closing between all medical specialties, in presence of significant findings that supports association between periodontal disease and systemic conditions. Till now, some practitioners are not aware about the specialties of dentistry that results in improper referral practices. There are few studies on referral practice pertaining to periodontist, not with standing the fact that clear and effective communication between all health practitioners is essential for good practice. A cross-sectional study was carried out to assess the knowledge and awareness about systemic effects of periodontal disease among medical, dental and alternate medical practitioners and their referral practice to periodontist in Kanpur city. This cross-sectional study was carried out using self-reported questionnaire, distributed to 560 practitioners of various medical fields from January 2020 to August 2021. A total of 206(36.8%) Medical, 194(34.6%) Dentists and 160(28.6%) alternative practitioners participated in study. More than half participants agreed about relationship between periodontal diseases and Diabetes Mellitus, Cardio-VascularDisease and Adverse Pregnancy Outcomes. Among all 31.3% showed good knowledge level while 2.7% showed perfect level of practitioner's referral practice to periodontist. Dentists had statistically higher level of awareness compared to physicians. Referral practice to periodontist was deficit by medical and alternate medical practitioners despite of fact; they have good knowledge of relationship between periodontal disease and systemic health. Hence, interdisciplinary dental and medical training of practitioners is recommended.
Topics: Cross-Sectional Studies; Dentists; Humans; Periodontal Diseases; Referral and Consultation; Surveys and Questionnaires
PubMed: 36189566
DOI: No ID Found -
Community Dentistry and Oral... Feb 2015Occupational determinants of ill health in dentists were systematically reviewed in literature. The methodological quality of the studies was evaluated. Studies were... (Review)
Review
Occupational determinants of ill health in dentists were systematically reviewed in literature. The methodological quality of the studies was evaluated. Studies were included if they evaluated health-related risk factors in dental practice by means of quantitative methods and statistical analysis of collected data. Despite all the factors affecting dentists' physical and mental health, evidence of the predictive value of all these risk factors remains scarce. More than one-third (37%) of the studies appraised were found to be low quality research (weak or invalid). Results from studies investigating the factors associated with ill health in dentists do not allow for conclusions at the meta-level. More prospective and retrospective case-control studies should be conducted and attention should be paid to measuring outcomes with validated instruments to enable comparative studies and statistical summation of findings.
Topics: Dentists; Health Status; Humans; Mental Health; Occupational Health
PubMed: 25178388
DOI: 10.1111/cdoe.12122 -
Journal of the American Dental... Oct 2022In the absence of a full spectrum of evidence-based guidelines for the appropriate use of antimicrobial agents, dentists, including periodontists, remain a highly...
BACKGROUND
In the absence of a full spectrum of evidence-based guidelines for the appropriate use of antimicrobial agents, dentists, including periodontists, remain a highly frequent antibiotic prescribing group. With the goal of understanding antibiotic prescribing practices, the authors surveyed a convenience sample of dental practitioners and periodontists to identify differences between the 2 cohorts and assess the factors that affect prescribing practices.
METHODS
An institutional review board-approved 15-item survey was developed to capture antibiotic prescribing practices addressing the main research question, factors affecting systemic antibiotic prescription patterns, and prescription timing. The authors collaborated with the American Dental Association (ADA) and the American Academy of Periodontology (AAP) for survey dissemination. Responses were summarized using descriptive statistics. Multivariable models were developed to identify antibiotic prescription predictors.
RESULTS
Overall, 32.4% of the participants prescribed systemic antibiotics with scaling and root planing. When comparing the 2 groups, the authors found that 46.4% and 18.7% of the AAP and ADA members, respectively, prescribed systemic antibiotics with scaling and root planing (P = .0001). The authors found a significant difference between the AAP and ADA groups in prescription timing (P = .01). The multivariable model revealed that practitioner sex (P = .03), AAP membership (P = .0001), and years of practitioner experience (P = .04) predicted antibiotic prescription practices. The geographic location, practice setting, and occupation type did not predict antibiotic prescription patterns.
CONCLUSION
The authors found a lack of clarity related to prescription timing, factors determining prescription patterns, and selection of patient population who would benefit more from antibiotics.
PRACTICAL IMPLICATIONS
This study confirmed a lack of clarity related to antibiotic prescription patterns in combination with nonsurgical periodontal treatment.
Topics: Anti-Bacterial Agents; Dental Care; Dentists; Humans; Practice Patterns, Dentists'; Prescriptions; Professional Role
PubMed: 36038399
DOI: 10.1016/j.adaj.2022.06.013 -
JDR Clinical and Translational Research Jul 2020Over the past 100 y, there have been an unprecedented number of innovations that have improved oral health and functioning. Variations in lag times between discovery and...
INTRODUCTION
Over the past 100 y, there have been an unprecedented number of innovations that have improved oral health and functioning. Variations in lag times between discovery and clinical adoption are related to dentist education, the clinical availability of technology, and the perceived value of an innovation.
OBJECTIVES
The purposes of this cross-sectional study were 1) catalogue research discoveries and innovations over the past 30 y and 2) from that list identify those which practicing dentists believe have maximally affected patient care.
METHODS
Thirty International Association for Dental Research leaders identified innovations over the past 30 y that have significantly affected dental care. The 30 most cited innovations were included in a questionnaire that was sent to a random sample of US dentists who graduated dental school during or before 1995 (before the recency of identified discoveries) and devoted ≥50% of their time to patient care. Eighty-two percent of respondents identified as general dentists and 18% as specialists. Respondents were asked to identify 5 to 7 items whose loss would have the most adverse effects on patient care.
RESULTS
The most cited advances were adhesive dental materials (74.5%), dental implants (71.9%), direct bonding systems (71.2%), dental loupes (54.7%), universal precautions for infection control (48.6%), and digital imaging (46.0%). There were differences in the ranking of responses between generalists and specialists. For the oral surgeons and periodontists (OMSPER, = 51), top choices were dental implants (82%), cone beam computed tomography (CBCT) imaging (74%), regenerative dentistry and tissue engineering (68%), universal precautions (58%), digital imaging (56%), and dental loupes (48%).
CONCLUSIONS
There was agreement among generalists and specialists about the importance of dental implants, digital imaging, use of dental loupes, and universal precautions in improving patient care. However, generalists also cited the importance of adhesive dental materials and bonding, and OMSPER cited CBCT and biological-based tissue restoration as major advances.
KNOWLEDGE TRANSFER STATEMENT
Many advances in dental patient care capitalize on innovations and technologies that have emerged after dentists graduate from dental school. Adoption of new technologies is influenced by information acquired from professional journals, continuing education, industry marketing activities, and interactions with colleagues. The results of this study suggest that innovations that are directly related to clinical procedures were rated most impactful. Future research should consider cost-effectiveness and patient perceptions on the impact of innovations and technologies.
Topics: Attitude of Health Personnel; Cross-Sectional Studies; Dentists; Humans; Oral and Maxillofacial Surgeons; Surveys and Questionnaires
PubMed: 31590599
DOI: 10.1177/2380084419879391