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Community Dental Health Jun 2015Pregnancy is a period in which several physical and emotional changes occur. These changes in pregnant women's mouths promote changes that need to be known by dentists,... (Review)
Review
UNLABELLED
Pregnancy is a period in which several physical and emotional changes occur. These changes in pregnant women's mouths promote changes that need to be known by dentists, so that they can provide the necessary care to women.
PURPOSE
To gather data from published studies on the knowledge of dentists about the oral health of pregnant women.
METHODS
Papers published between 2003 and 2013 containing surveys on the topic under study were searched. Fourteen studies were selected and grouped into work areas.
RESULTS
Dentists have doubts and fears about the care of pregnant women, to a greater or lesser degree, especially with regard to the use of X-rays, prescriptions and ideal gestational period of treatment.
CONCLUSION
The results suggest a need to improve dentists' knowledge regarding dental care of pregnant women especially as during pregnancy women may acquire new habits relevant to the oral health of their children.
Topics: Attitude of Health Personnel; Dental Care; Dentists; Education, Dental; Female; Humans; Oral Health; Practice Patterns, Dentists'; Pregnancy; Pregnant Women; Prenatal Care
PubMed: 26263599
DOI: No ID Found -
BMJ Open Oct 2019To explore the extent to which doctors and dentists in training within the UK and Republic of Ireland (RoI) engage in and with evidence-based practice (EBP), and to... (Observational Study)
Observational Study
OBJECTIVES
To explore the extent to which doctors and dentists in training within the UK and Republic of Ireland (RoI) engage in and with evidence-based practice (EBP), and to identify motivators and barriers to them doing so.
DESIGN
An observational, prepiloted web-based survey developed by a trainee-led focus group.
SETTING
The survey instrument was disseminated to doctors and dentists in training within the UK and RoI during June 2017 via social media and through deaneries, Royal Colleges and specialty-specific mailing lists.
PARTICIPANTS
Data from 243 trainees were analysed; 188 doctors from 31 specialties and 55 dentists from 9 specialties. Responses were received from trainees at all stages of postgraduate training though the overall response rate was low.
PRIMARY AND SECONDARY OUTCOME MEASURES
The motivators and barriers to, and the extent of, trainee engagement with EBP.
RESULTS
Cronbach's α was 0.83. Most trainees (87.6% (n=148) of doctors and 75.1% (n=39) of dentists) consulted the evidence base at least monthly, while 23.1% [n=39 doctors, 12 dentists] of both specialties did so daily. The two most commonly cited barriers to engagement with EBP for both doctors and dentists, respectively, were insufficient time (57.6% (n=95) and 45.1% (n=23)) and a tendency to follow departmental practice (40.6% (n=67) and 45.1% (n=23)). Key motivators for EBP included curiosity, following the example set by senior colleagues and a desire to avoid harm. Most trainees reported high levels of confidence interpreting evidence yet for 26.8% (n=45) of doctors and 36.5% (n=19) of dentists, medical hierarchy would impede them querying a colleague's management plan based on their own reading of the evidence.
CONCLUSIONS
Time, accepted departmental practice and the behaviour of senior clinicians all highly impact on trainee engagement with EBP. Given the low response rate, the extent to which these data represent the overall population is unclear.
Topics: Attitude of Health Personnel; Clinical Competence; Cross-Sectional Studies; Dentists; Education, Medical, Graduate; Evidence-Based Practice; Focus Groups; Humans; Ireland; Motivation; Physicians; Surveys and Questionnaires; United Kingdom
PubMed: 31628131
DOI: 10.1136/bmjopen-2019-031809 -
Brazilian Oral Research 2020The aim of this study was to investigate how Brazilian dentists perceive and manage dentin hypersensitivity (DH) in their clinical routine. A 13-item questionnaire-based...
The aim of this study was to investigate how Brazilian dentists perceive and manage dentin hypersensitivity (DH) in their clinical routine. A 13-item questionnaire-based survey was developed and sent electronically to a convenience sample of dentists. The questionnaire assessed the personal and dental practice characteristics of the sample, the occurrence of DH in their daily clinical practice, and management strategies. The data were analyzed descriptively and together with the chi-square test (a = 0.05). A total of 353 responses were obtained from September 2017 to March 2018. Of all the respondents, 62% were females, 49.9% reported fewer than five years of dental practice, and 70.5% were self-identified as private practitioners. Most of the dentists reported an estimated frequency (30-60%) of patients with DH in their practice. The most frequently cited (91.79%) trigger of DH was air blast and/or scratching with a probe. The first-choice strategy to manage DH was a dentin desensitizer (48.16%). The number of years in clinical practice did not influence DH relapse frequency (p = 0.76) significantly, or consider DH treatment as a problem (p = 0.22). The present findings indicate that, regardless of clinical experience, dentists in Brazil still consider DH management a challenge in their daily dental practice. In addition, the results suggest that guidelines should be developed to disseminate the available knowledge regarding this condition in ways that may influence decision-making processes among practitioners.
Topics: Brazil; Clinical Decision-Making; Dentin Desensitizing Agents; Dentin Sensitivity; Dentists; Disease Management; Female; Humans; Male; Practice Patterns, Dentists'; Surveys and Questionnaires
PubMed: 31939497
DOI: 10.1590/1807-3107bor-2019.vol33.0115 -
BioMed Research International 2021The current scenario of the COVID-19 pandemic has forced dentists to seek different options for delivering healthcare services other than the in-person direct...
The current scenario of the COVID-19 pandemic has forced dentists to seek different options for delivering healthcare services other than the in-person direct examination in clinical practice. Teledentistry is one of the options for remote patient care and monitoring. . The present survey was conducted to assess the knowledge and perception of the dentists in Pakistan regarding teledentistry as an emergent supportive tool. . A self-administered, close-ended, and prevalidated survey questionnaire was used, comprising 21 questions, and distributed electronically via e-mail, WhatsApp, and Facebook Messenger to evaluate the knowledge and perception of dentists regarding teledentistry. The data collected was compiled in a systematic manner and analyzed in terms of frequency (yes/no). . Out of a total of 350 dentists, 325 responded to the questionnaire, and it was seen that 62.5% of them did not have knowledge about teledentistry prior to COVID-19. 65.8% of dentists considered the practice of teledentistry in nonpandemic situations in the future. . In the present study, it was observed that most of the dental professionals had inadequate knowledge about teledentistry before COVID-19, but the awareness and perception regarding teledentistry were currently satisfactory among the dental professionals in Pakistan. This emerging trend gives a positive hope for the implementation of teledentistry in the healthcare setup of Pakistan in the near future, as it will prove to be beneficial for safe dental practice during times of pandemic and even after.
Topics: Adolescent; Adult; Aged; Attitude of Health Personnel; COVID-19; Dentistry; Dentists; Female; Humans; Male; Middle Aged; Pakistan; Surveys and Questionnaires; Telemedicine; Young Adult
PubMed: 34540998
DOI: 10.1155/2021/8757859 -
Ciencia & Saude Coletiva Sep 2022The purpose of this study was to evaluate, through a scope review, studies that address the perceptions and attitudes of dentists regarding the care of women in... (Review)
Review
The purpose of this study was to evaluate, through a scope review, studies that address the perceptions and attitudes of dentists regarding the care of women in situations of violence. Using the descriptors women violence, dentist attendance or dentist care, 473 articles were identified, of which 13 were included at the end of the selection process. Although the need for training was predominant, it was not sufficient. There is a weakness in understanding violence as a health problem, in understanding the role of the professional in solving this problem, and the factors that can contribute to its growth or its control. The results revealed that the dentist had greater difficulty than other professionals in coping with the issue and required extensive training. The recognition of these cases of abuse by the dentist requires the incorporation of educational measures that cause cultural changes, deconstruction of gender norms and the denaturalization of this social phenomenon.
Topics: Attitude of Health Personnel; Dentists; Emergency Medical Services; Female; Humans; Violence
PubMed: 36000658
DOI: 10.1590/1413-81232022279.22532021 -
Australian Journal of General Practice Sep 2020Oral health and general medical health are intimately linked. However, medical and dental practitioners often work in isolation from each other and have separate...
BACKGROUND
Oral health and general medical health are intimately linked. However, medical and dental practitioners often work in isolation from each other and have separate training, funding, regulatory and administrative systems.
OBJECTIVE
The aim of this article is to explore the history behind the divide between medicine and dentistry, and the challenges this raises.
DISCUSSION
The siloed nature of the two professional groups may be attributed to historical backgrounds, deficiencies in interdisciplinary education, government funding discrepancies and differing models of care. The two professions have evolved with different social drivers and scientific underpinnings, with only a recent appreciation of the many connections between the health of the mouth and the health of the body. Solutions to overcome this divide should be considered in order to ensure better outcomes for patients, the community and perhaps the professions themselves.
Topics: Australia; Dentistry; Dentists; General Practice; History, 19th Century; History, 20th Century; Humans; Professional Role; Schools, Dental
PubMed: 32864667
DOI: 10.31128/AJGP-06-20-5482 -
PloS One 2022This questionnaire-based validation study investigated if the dental examination of children and adolescents with autism spectrum disorder is viewed by dentists with key...
Is examining children and adolescents with autism spectrum disorders a challenge?-Measurement of Stress Appraisal (SAM) in German dentists with key expertise in paediatric dentistry.
OBJECTIVES
This questionnaire-based validation study investigated if the dental examination of children and adolescents with autism spectrum disorder is viewed by dentists with key expertise in paediatric dentistry as a challenge or a threat in terms of transactional stress theory. The Stress Appraisal Measure (SAM) was used for this purpose and it's feasibility and validity was examined as a first part of a multi-stage process for validation in dentistry with a sample of German dentists. It has hardly been investigated how the treatment of children and adolescents with a disorder from the autism spectrum is perceived by dentists.
METHODS
An online-based survey (39 questions) plus the SAM as an add-on as well as a preceding short story of imagination on the topic (appointment for a dental check-up in a special school) were developed. Via e-mail members of the German Society of Paediatric Dentistry (DGKiZ) received a link which enabled interested members to participate. The majority of the members of the DGKiZ have additional qualifications in the treatment of children and adolescents and further training in the area of special needs care in dentistry. The data analysis was based on the SAM and its subscales.
RESULTS
Out of the 1.725 members of DGKiZ 92 participants (11 male, 81 female) fully completed the questionnaire and the SAM. All in all the dentists rated their own psychological and physical stress in course of treating children and adolescents with a disorder from the autism spectrum between less and partly stressful. Although the structure of the SAM could not be fully mapped by means of a factor analysis, the different ratings "challenge" or "threat" could be comprehensibly evaluated after reading the story. The participants rated the situation from the story in general as challenging but not as threatening. Intercorrelations between the subscales of the SAM (e.g threat and centrality) of r = .56 showed that the scales are not clearly independent of one another. According to the transactional stress model, the SAM bases on, stress (perceived stressfulness) arises from appraisal processes (e.g. threat, controllable-by-self) that bring about a comparison between the requirements for the described situation and one's own possibilities in terms of a person-environment-fit. In the hierarchical regression a variance of R2 = .48 could be explained with all six subscales (appraisal processes) to predict perceived stressfulness of the SAM within a sample of dentists.
CONCLUSIONS
Due to the response rate the results of the SAM are not representative for all German dentists, but it offers an insight into topics of special needs dentistry in Germany that have not yet been examined. Overall, the feasibility and validity of the SAM in the context of mapping cognitive appraisal processes and stress could be confirmed. Taking into account the result that the treatment of children and adolescents with autism spectrum disorder is seen as a challenge, it is concluded that there is a need to improve the education of dental students and graduated dentists in Germany in the field of special needs dentistry.
Topics: Adolescent; Autism Spectrum Disorder; Child; Dentists; Female; Germany; Humans; Male; Pediatric Dentistry; Surveys and Questionnaires
PubMed: 35921352
DOI: 10.1371/journal.pone.0271406 -
Journal of Oral Rehabilitation Apr 2022Regular dental attendance is important in order to receive preventive care, maintain good oral health and identify oral and dental disease at an early stage; however,...
BACKGROUND
Regular dental attendance is important in order to receive preventive care, maintain good oral health and identify oral and dental disease at an early stage; however, many people do not visit their dentist regularly. Barriers to regular attendance have been studied in small patient groups but not in the wider general population.
OBJECTIVE
To outline concerns about visiting the dentist and suggestions about how dentists could help using a general population sample.
METHOD
A survey was constructed using Qualtrics XM software and circulated. Respondents completed questionnaires about dental anxiety and about their concerns and suggestions around dental appointments including the option for free-text answers.
RESULTS
One hundred and fifty-four people completed the survey. Common concerns were the unknown element (62.58%) and worries about 'bad teeth' (60.54%). The most popular request for change was for dentists to inform patients of the condition of all their teeth including those in good health (86.30%). A thematic analysis of qualitative responses identified themes of control, shame, discomfort, long-term impact and cost. Several concerns and suggestions for improvement were expressed.
CONCLUSION
Although the pain associated with dental treatment was identified as important, concerns about the unknown and feeling vulnerable were seen as a higher priority. People in the general population want dentists to help them to feel informed and in control at dental appointments and to be involved in discussions about how they are feeling and what is important to them.
Topics: Dental Care; Dentists; Humans; Oral Health; Surveys and Questionnaires
PubMed: 35032077
DOI: 10.1111/joor.13305 -
International Dental Journal Oct 2018
Topics: Dentists; Humans; Occupational Diseases; Respiratory Tract Diseases
PubMed: 30255940
DOI: 10.1111/idj.12438 -
The Pan African Medical Journal 2021this study aimed at finding out current practice of endodontics amongst Nigerian dentists undergoing postgraduate training (also referred to as dental resident doctors)...
INTRODUCTION
this study aimed at finding out current practice of endodontics amongst Nigerian dentists undergoing postgraduate training (also referred to as dental resident doctors) in different institutions across the nation.
METHODS
a questionnaire-based, cross sectional study was conducted amongst dentists undergoing postgraduate training. Questions were asked on demographics, protocol for root canal treatment (RCT), materials employed in different stages. Opinions were also sought on satisfaction with their practice and training needs in endodontics. Data were analyzed with SPSS version 20.0 and presented as tables and charts. Significance level was set at p≤0.05.
RESULTS
ninety dentists undergoing postgraduate training (57 males and 33 females) with mean age of 34.81 ± 5.9 years participated in the study. Root canal treatment was mostly done in multiple visits in both single and multi-rooted teeth (p=0.01), only about 15% performed the procedure on multi rooted teeth. Sixty-five (72.2%) never used Rubber dam, stainless steel files were being used by 69%, step down technique of preparation by 53.9% and Sodium hypochlorite was the major irrigant (80%) used. Obturation was majorly with Cold lateral compaction technique (94%), 57.2% delayed definitive restoration for maximum of 1 week and amalgam was still the major material used for posterior teeth as reported by 62.9% of the participants. The majority (55.6%) were not satisfied with their current knowledge and practice and most were those that did not have good undergraduate training (p = 0.05).
CONCLUSION
the practice of endodontics needs standardization across the nation as it is being advocated in other countries. There is need for hands on-training on endodontics to encourage adoption of new advances in technology, as well as improve the training of postgraduate dentists in endodontics. Also, emphasis should be placed on use of rubber dam in order to minimize the spread of infection and protect the patients from aspiration of small instruments involved in endodontic procedure.
Topics: Adult; Cross-Sectional Studies; Dentists; Education, Dental, Graduate; Endodontics; Female; Humans; Male; Nigeria; Root Canal Therapy; Rubber Dams; Surveys and Questionnaires
PubMed: 34630830
DOI: 10.11604/pamj.2021.39.218.23205