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The Journal of Forensic... Dec 2019The present research aims at reviewing the oral health conditions and treatment needs of people with disabilities in Europe. (Review)
Review
AIM
The present research aims at reviewing the oral health conditions and treatment needs of people with disabilities in Europe.
METHODS
A comprehensive literature search was conducted using Medline and Embase with a timeframe from January 2008 until December 2017. Subsequently, a citation tracking was undertaken. Articles in English, French and Dutch were included.
RESULTS
Forty-two articles were included. A variety of oral health problems and treatment needs was reported. More untreated carious lesions, less restorations, a higher number of extractions and less prosthetic rehabilitations were seen in people with disabilities compared with other individuals without disabilities. The oral hygiene level and the periodontal conditions were poor. Moreover, a higher risk of dental trauma, orthodontic problems and tooth wear were reported.
DISCUSSION
Different determinants contribute to the oral health condition and treatment needs of people with disabilities. These determinants can be inherent in persons with a disability (biological factors), their lifestyle, the environment or the organization of oral health care. A treatment backlog was a common finding in people with disabilities. However, results need to be interpreted with caution because of the variety of people with disabilities included in this literature review. Proposed solutions can be put at the level of daily oral care, through oral health promotion programs and the creation of a supportive environment, but also at the level of dental attendance, facilitating the access to oral health care services and focusing the training of dental students and dentists.
CONCLUSION
This comprehensive review clearly shows a dental treatment backlog in people with disabilities. Solutions require efforts from the caregivers and dental professionals.
Topics: Dental Care; Disabled Persons; Europe; Humans; Oral Health; Oral Hygiene
PubMed: 31894137
DOI: No ID Found -
Journal of the American Dental... Oct 2020
Topics: Adverse Drug Reaction Reporting Systems; Dental Care; Humans; Product Surveillance, Postmarketing
PubMed: 32979949
DOI: 10.1016/j.adaj.2020.08.010 -
The Angle Orthodontist Nov 2019
Topics: Dental Care; Humans; Orthodontics
PubMed: 31622565
DOI: 10.2319/0003-3219-89.6.953 -
Journal of Applied Oral Science :... 2020The rapid and abrupt transmission pattern of the SARS-CoV-2 unleashed the current COVID-19 pandemic, as recognized by the World Health Organization in March 2020.... (Review)
Review
The rapid and abrupt transmission pattern of the SARS-CoV-2 unleashed the current COVID-19 pandemic, as recognized by the World Health Organization in March 2020. Considering the high risk of transmission of the virus in dental environments and the specificities in clinical practice, COVID-19 posed immediate challenges for dental care and education. Due to the need to establish infection prevention and control guidance in dental health settings to enable a safe clinical practice, this review aims to list the challenges and perspectives in managing dental care in services and schools. This review employed materials collected from PubMed and the main guidelines and studies on the novel coronavirus to provide an overview of the clinical procedures and decisions made by health care personnel in dental offices and dental schools. We expect the COVID-19 scenario to promote significant changes in clinical practice and dental education; dentists should seek specific and particular regulations for dental practice established by their state or country. Biosafety checklists are strongly recommended for appointments at dental services and face-to-face activities in dental schools.
Topics: Betacoronavirus; COVID-19; Coronavirus Infections; Dental Care; Dentistry; Education, Dental; Humans; Pandemics; Pneumonia, Viral; SARS-CoV-2
PubMed: 32997092
DOI: 10.1590/1678-7757-2020-0358 -
European Journal of Paediatric Dentistry Sep 2022The aim of the paper is to verify the impact of the current dental services market in Poland on the society decisions regarding dental treatment as well as to assess the...
AIM
The aim of the paper is to verify the impact of the current dental services market in Poland on the society decisions regarding dental treatment as well as to assess the differences in the valuation of commercial and public dental services.
METHODS
Study Design: In the first step 1,444 subjects including children, adults and elderly were subjected to a questionnaire survey to characterise them in terms of sex, age, place of residence and level of education, type of dental treatment used including services privately funded and reimbursed by the National Health Fund and the reasons of his/her decisions. In the second step we compared the results of the survey to the average price of commercial and reimbursed procedures to verified a possible correlations between them. The research tool was a questionnaire survey by the author. The questionnaires were distributed among randomly selected kindergartens, schools, workplaces, senior clubs, social care homes and random passers-by in the streets. Average prices of dental procedures were based on price lists of 12 commercial offices and National Health Fund's contract conditions for the reimbursed services.
CONCLUSION
Regardless of the age, Poles are far more likely to use private dental care. The level of education affects the form of financing of the dental treatment of children. There is a large disproportion between the revenues of private and public dental offices providing the same dental services.
Topics: Adult; Aged; Child; Dental Care; Female; Humans; Male; Poland; Surveys and Questionnaires
PubMed: 36172905
DOI: 10.23804/ejpd.2022.23.03.10 -
Dental Clinics of North America Apr 2022In March 2020, the World Health Organization declared a global public health emergency due to the spread of COVID-19, and medical and dental elective care was suspended,... (Review)
Review
In March 2020, the World Health Organization declared a global public health emergency due to the spread of COVID-19, and medical and dental elective care was suspended, disproportionally affecting persons with special needs. As many of the special needs population live in a communal environment, they were at higher risk of being infected with and dying of COVID-19. Consequently, their access to medical and dental services was limited to emergency care. A method of reaching these populations evolved by the expansion of telehealth, including dentistry, to provide diagnosis, management, prevention, and provision of psychosocial support for patients.
Topics: COVID-19; Dental Care for Disabled; Humans; Oral Health; Public Health
PubMed: 35365272
DOI: 10.1016/j.cden.2022.01.001 -
International Dental Journal Jun 2021The coronavirus 2019 (COVID-19) pandemic dramatically changed all aspects of life. In the context of clinical dental care, a significant number of new recommendations... (Review)
Review
The coronavirus 2019 (COVID-19) pandemic dramatically changed all aspects of life. In the context of clinical dental care, a significant number of new recommendations have been implemented to comply with public health policies, ensuring the safety of dental care professionals, staff, and patients and preventing further spread of the virus. This article is the third in a series of 3 on the management of COVID-19 in clinical dental care and presents a set of recommendations and standards to be implemented in the context of the COVID-19 pandemic. These include remote contact with all patients for triage and guidance before scheduling a clinical visit to know if they have COVID symptoms or are positive for COVID, if they belong to a risk group, and if there is a suggestion that aerosol-generating procedures (AGPs) will be required during their visit. It also reviews additional precautionary measures in the waiting room and reception area, where the environment is reorganised to protect patients and clinical staff, avoiding situations that could result in cross contamination. The dental office operates under a strict set of guidelines, namely, use of personal protective equipment by professionals, contact with patients, a strategy to avoid aerosol-generating procedures, as well as disinfection procedures for the dental office before, during, and after each patient visit. The implementation of these protocols to mitigate cross infection and spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the dental office will help improve safety and restore the confidence required to provide dental care to patients during the COVID-19 pandemic.
Topics: COVID-19; Dental Care; Dental Offices; Humans; Infection Control; Pandemics; SARS-CoV-2
PubMed: 33736867
DOI: 10.1016/j.identj.2020.12.028 -
British Dental Journal May 2020
Topics: COVID-19; Career Mobility; Dental Care; Dentists; Humans; SARS-CoV-2
PubMed: 32444710
DOI: 10.1038/s41415-020-1696-2 -
BMC Health Services Research Dec 2022Dental diseases have detrimental effects on healthcare systems and societies at large. Providing access to dental care can arguably improve health outcomes, reduce... (Review)
Review
BACKGROUND
Dental diseases have detrimental effects on healthcare systems and societies at large. Providing access to dental care can arguably improve health outcomes, reduce healthcare utilization costs, and improve several societal outcomes.
OBJECTIVES
Our objective was to review the literature to assess the impacts of dental care programs on healthcare and societal outcomes. Specifically, to identify the nature of such programs, including the type of services delivered, who was targeted, where services were delivered, and how access to dental care was enabled. Also, what kind of societal and healthcare outcomes have been attempted to be addressed through these programs were identified.
METHODS
We conducted a scoping review by searching four databases, MEDLINE, EMBASE, CINAHL, and Sociological Abstracts. Relevant articles published in English language from January 2000 to February 2022 were screened by four reviewers to determine eligibility for inclusion.
RESULTS
The search resulted in 29,468 original articles, of which 25 were included in the data synthesis. We found minimal evidence that answers our proposed research question. The majority of identified programs have demonstrated effectiveness in reducing medical and dental healthcare utilization (especially for non-preventive services) and avert more invasive treatments, and to a lesser degree, resulting in cost-savings. Moreover, some promising but limited evidence about program impacts on societal outcomes such as reducing homelessness and improving employability was reported.
CONCLUSION
Despite the well-known societal and economic consequences of dental problem, there is a paucity of studies that address the impacts of dental care programs from the societal and healthcare system perspectives.
MESH TERMS
Delivery of Health Care, Dental Care, Outcome assessment, Patient acceptance of Health Care.
Topics: Humans; Delivery of Health Care; Patient Acceptance of Health Care; Outcome Assessment, Health Care; Dental Care
PubMed: 36564768
DOI: 10.1186/s12913-022-08951-x -
Dental Clinics of North America Apr 2022
Topics: Dental Care for Disabled; Education, Dental; Humans
PubMed: 35365281
DOI: 10.1016/j.cden.2022.01.008