-
Journal of Dentistry Aug 2023The objective of this study was to develop and operationally define procedural performance metrics for the Class II posterior composite resin restoration procedure and...
OBJECTIVE
The objective of this study was to develop and operationally define procedural performance metrics for the Class II posterior composite resin restoration procedure and to obtain face and content validity through a consensus meeting.
METHODS
A Metrics Group consisting of 4 experienced Consultants in Restorative Dentistry, an experienced member of staff from the Restorative Dentistry department in CUDSH and a senior behavioural scientist and education/training expert deconstructed the performance of the Class II posterior composite resin restoration and defined performance metrics. At a modified Delphi meeting, 20 experts in the field of Restorative Dentistry from 11 different Dental Institutions critiqued these metrics and their operational definitions before reaching consensus.
RESULTS
Initially performance metrics consisting of 15 Phases, 45 steps, 42 errors and 34 critical errors were identified that characterize the performance of the Class II posterior resin composite procedure. During the Delphi panel these were modified and consensus was reached on 15 Phases (with a change to the initial sequence) with 46 Steps (1 added, 13 modified), 37 Errors (2 added, 1 deleted, 6 reclassified as Critical Error), and 43 Critical Errors (9 added). Consensus on the resulting metrics was obtained and face and content validity verified.
CONCLUSIONS
It is possible to develop and objectively define performance metrics that comprehensively characterize a Class II posterior composite resin restoration. It is also possible to achieve consensus on the metrics from a Delphi panel of experts and to confirm the face and content validity of those procedure metrics.
Topics: Humans; Composite Resins; Benchmarking; Dental Restoration, Permanent; Dental Care; Dental Caries
PubMed: 37295548
DOI: 10.1016/j.jdent.2023.104584 -
Annals of Hematology Jul 2017Hematopoietic cell transplantation (HCT) is now one of the frequent procedures used for treatment of malignant and non-malignant blood diseases, autoimmune disorders,... (Review)
Review
Hematopoietic cell transplantation (HCT) is now one of the frequent procedures used for treatment of malignant and non-malignant blood diseases, autoimmune disorders, and certain solid tumors. Despite improvements of therapeutic protocols, HCT still carries a high risk of non-relapse mortality due to early and late complications. Side effects of the therapy regimen frequently occur in the oral cavity and often significantly decrease the patients' quality of life. The complications may result from or may be exacerbated by improper oral preparation of the patient before transplantation. Therefore, it is mandatory that all patients referred to HCT undergo thorough dental examination and receive appropriate treatment before the procedure. It is also very important to develop an individual post-transplantation oral care protocol with special concerns to oral hygiene before implementation of the conditioning. This paper presents a review of dental management methods intended for patients before HCT proposed in literature as well as recommendations based on the experience of the Department of Comprehensive Dental Care and the Department of Conservative Dentistry of Warsaw Medical University and the Warsaw Institute of Hematology and Blood Transfusion. The article pays special attention to the problem of potential foci of infection and bleeding. It also presents protocol of oral hygiene in post-transplantation period, used by patients of Warsaw Medical University and Institute of Hematology and Blood Transfusion.
Topics: Adult; Dental Care; Graft vs Host Disease; Hematologic Diseases; Hematopoietic Stem Cell Transplantation; Humans; Mouth Diseases; Oral Health; Oral Hygiene; Transplantation Conditioning
PubMed: 28194493
DOI: 10.1007/s00277-017-2932-y -
BioMed Research International 2021The oral health care of autistic children is elaborated; they often fail to define dental problems, and a family-centered approach can be useful to improve and intercept...
BACKGROUND
The oral health care of autistic children is elaborated; they often fail to define dental problems, and a family-centered approach can be useful to improve and intercept these disorders.
AIM
To assess the oral status of autistic children, comparing it with no autistic patients.
MATERIALS AND METHODS
A retrospective study analyzed the oral health status of 70 children, 35 with autism and 35 without the disorder. Conditions assessed were dental trauma type, periodontal tissue injuries, soft tissue lip injuries, different treatments carried out, associated soft tissue findings and disorders, and the long-term management. All patients (≤15 years of age) were chosen consecutively.
RESULTS
Females (57%) suffered more traumatic injuries than males (43%) in the autistic group, whereas males affected by dental trauma (54%) are predominant in the control group. The enamel fracture was the main finding among the dental trauma types in both groups followed by enamel/dentin/pulp fracture (31%), root fracture (11%), and avulsions (3%) in the autistic group and by avulsions (20%), root fracture (11%), and enamel/dentin/pulp fracture (6%) in the control group. The comparison of all variables of the two groups showed a statistically significant difference ( < 0.012). The lower lip was statistically more injured than the upper lip ( < 0.005).
CONCLUSIONS
The composite restorative technique was the most common approach carried out; the long-term evaluation, when possible, was predominantly managed through root canal therapy in the control group (81%), and root canal therapy (50%) and tooth extraction (50%) in the sample group.
Topics: Adolescent; Age Factors; Autistic Disorder; Child; Dental Care; Dental Care for Children; Dentin; Female; Humans; Male; Periodontium; Retrospective Studies; Root Canal Therapy; Sex Factors; Tooth Fractures
PubMed: 34540992
DOI: 10.1155/2021/3125251 -
Oral Diseases Jan 2017Zika virus (ZIKV) infection has been recognised since 1947, but just recently it became a worldwide major public health problem. The most common features of ZIKV... (Review)
Review
Zika virus (ZIKV) infection has been recognised since 1947, but just recently it became a worldwide major public health problem. The most common features of ZIKV infection are fever, cutaneous rash, arthralgia and conjunctivitis but most affected patients with the clinical disease present with only mild symptoms. However, severe neurological complications have been described: there is an occasional association with Guillain-Barre syndrome, and emerging data indicate an association between vertical transmission of ZIKV infection and microcephaly, but no specific orofacial manifestations have yet been reported. ZIKV is present in body fluids and has also been demonstrated in the saliva, but there is as yet no reliable evidence to support ZIKV transmission via this pathway. Transmission in oral health care should be effectively prevented using standard infection control measures. There are currently no specific treatments for Zika virus disease and no vaccines available, so prevention of ZIKV is based on vector control.
Topics: Dental Care; Humans; Infectious Disease Transmission, Patient-to-Professional; Zika Virus; Zika Virus Infection
PubMed: 27232461
DOI: 10.1111/odi.12512 -
International Journal For Equity in... Oct 2019Socioeconomic inequalities in dental care utilization in Iran are rarely documented. This study aimed to provide insight into socioeconomic inequalities in dental care...
PURPOSE
Socioeconomic inequalities in dental care utilization in Iran are rarely documented. This study aimed to provide insight into socioeconomic inequalities in dental care utilization and its main contributing factors among Iranian households.
DESIGN/METHODOLOGY/APPROACH
A total of 37,860 households from the 2017 Household Income and Expenditure Survey (HIES) were included in the study. Data on dental care utilization, age, gender and education attainment of the head of household, socioeconomic status of households, health insurance coverage, living areas and provinces were obtained for the survey. The concentration curve and the normalized concentration index (C) was used to illustrate and quantify socioeconomic inequalities in dental care utilization among Iranian households. The C was decomposed to identify the main determinants of the observed socioeconomic inequality in dental care utilization in Iran.
FINDINGS
The study indicated that the prevalence of dental care utilization among Iranian's households was 4.67% (95% confidence interval [CI]: 4.46 to 4.88%). The results suggested a higher concentration of dental care utilization among socioeconomically advantaged households (C = 0.2522; 95% CI: 0.2258 to 0.2791) in Iran. Pro-rich inequality in dental care utilization also found in rural (C = 0.2659; 95%CI: 0.2221 to 0.3098) and urban (C = 0.0.2504; 95% CI: 0.0.2159 to 0.2841) areas. The results revealed socioeconomic status of households, age and education status of head of households and residing provinces as the main contributing factors to the concentration of dental care utilization among the wealthy households.
ORIGINALITY/VALUE
This study revealed pro-rich inequalities in dental care utilization among households in Iran and its provinces. Thus, health policymakers should focus on designing effective evidence-based interventions to improve healthcare utilization among household with the older head of households, lower education status, and living in relatively poor provinces to reduce socioeconomic inequality in dental care utilization in Iran.
Topics: Adolescent; Adult; Aged; Dental Care; Family Characteristics; Female; Health Expenditures; Healthcare Disparities; Humans; Iran; Male; Middle Aged; Patient Acceptance of Health Care; Socioeconomic Factors; Surveys and Questionnaires; Young Adult
PubMed: 31640703
DOI: 10.1186/s12939-019-1072-5 -
BMC Oral Health Mar 2011To analyze the regular dental care behavior and prevalence of edentulism in adult Danes, reported in sequential cross-sectional oral health surveys by the application of...
BACKGROUND
To analyze the regular dental care behavior and prevalence of edentulism in adult Danes, reported in sequential cross-sectional oral health surveys by the application of a marginal approach to consider the possible clustering effect of birth cohorts.
METHODS
Data from four sequential cross-sectional surveys of non-institutionalized Danes conducted from 1975-2005 comprising 4330 respondents aged 15+ years in 9 birth cohorts were analyzed. The key study variables were seeking dental care on an annual basis (ADC) and edentulism. For the analysis of ADC, survey year, age, gender, socio-economic status (SES) group, denture-wearing, and school dental care (SDC) during childhood were considered. For the analysis of edentulism, only respondents aged 35+ years were included. Survey year, age, gender, SES group, ADC, and SDC during childhood were considered as the independent factors. To take into account the clustering effect of birth cohorts, marginal logistic regressions with an independent correlation structure in generalized estimating equations (GEE) were carried out, with PROC GENMOD in SAS software.
RESULTS
The overall proportion of people seeking ADC increased from 58.8% in 1975 to 86.7% in 2005, while for respondents aged 35 years or older, the overall prevalence of edentulism (35+ years) decreased from 36.4% in 1975 to 5.0% in 2005. Females, respondents in the higher SES group, in more recent survey years, with no denture, and receiving SDC in all grades during childhood were associated with higher probability of seeking ADC regularly (P < 0.05). The interaction of SDC and age (P<0.0001) was significant. The probabilities of seeking ADC were even higher among subjects with SDC in all grades and aged 45 years or older. Females, older age group, respondents in earlier survey years, not seeking ADC, lower SES group, and not receiving SDC in all grades were associated with higher probability of being edentulous (P<0.05).
CONCLUSIONS
With the use of GEE, the potential clustering effect of birth cohorts in sequential cross-sectional oral health survey data could be appropriately considered. The success of Danish dental health policy was demonstrated by a continued increase of regular dental visiting habits and tooth retention in adults because school dental care was provided to Danes in their childhood.
Topics: Adolescent; Adult; Age Factors; Aged; Cohort Studies; Cross-Sectional Studies; Denmark; Dental Care; Dental Health Surveys; Female; Health Behavior; Health Policy; Humans; Linear Models; Logistic Models; Male; Middle Aged; Mouth, Edentulous; Prevalence; School Dentistry; Sex Factors; Social Class; Space-Time Clustering; Young Adult
PubMed: 21410991
DOI: 10.1186/1472-6831-11-9 -
American Journal of Public Health Feb 2014We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage.
OBJECTIVES
We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage.
METHODS
We used data from the 2008 Health and Retirement Study to estimate a multinomial logistic model to analyze the influence of personal characteristics in the grouping of older US adults into those with and those without dental care coverage and dental care use.
RESULTS
Compared with persons with no coverage and no dental care use, users of dental care with coverage were more likely to be younger, female, wealthier, college graduates, married, in excellent or very good health, and not missing all their permanent teeth.
CONCLUSIONS
Providing dental care coverage to uninsured older US adults without use will not necessarily result in use rates similar to those with prior coverage and use. We have offered a model using modifiable factors that may help policy planners facilitate programs to increase dental care coverage uptake and use.
Topics: Age Factors; Aged; Aged, 80 and over; Dental Care; Female; Health Knowledge, Attitudes, Practice; Health Status; Health Surveys; Humans; Insurance Coverage; Insurance, Dental; Male; Middle Aged; Models, Theoretical; Residence Characteristics; Sex Factors; Socioeconomic Factors
PubMed: 24328635
DOI: 10.2105/AJPH.2013.301693 -
HERD Jan 2021In recent times, numerous scientific articles have been published on the risks of exposure to infectious microorganisms in dental care settings. The main mode of...
In recent times, numerous scientific articles have been published on the risks of exposure to infectious microorganisms in dental care settings. The main mode of transmission of such infectious organisms is primarily through bioaerosols generated during routine dental procedures which put both dental care providers and their patients at an increased risk of exposure. Other frequent modes of infection transmission often reported include cross contamination and inadequate adoption of infection control protocols. The main objective of this article is to highlight the findings of those studies that have reported on the routes and modes of transmission of infectious organisms in dental settings, to report possibilities of cross contamination in dental care settings, and also to report any breach in adherence to infection control protocols in dental care settings. We also intend to emphasize on standard infection control protocols and strategies that need to be considered in dental care settings during disease outbreaks like coronavirus disease (COVID-19).
Topics: COVID-19; Dental Care; Humans; Infection Control; Risk Factors; SARS-CoV-2
PubMed: 32865019
DOI: 10.1177/1937586720950746 -
Acta Veterinaria Scandinavica Nov 2020Dental disease is very common in dogs and veterinary professional dental cleaning and examination, together with daily dental home care, is the foundation for good...
BACKGROUND
Dental disease is very common in dogs and veterinary professional dental cleaning and examination, together with daily dental home care, is the foundation for good dental health. To our knowledge, no previous study has investigated professional dental cleaning routines in small animal veterinary practice. A validated questionnaire survey was distributed to all veterinarians and veterinary nurses with registered e-mail addresses in the Swedish national registry (veterinarians; n = 3657, veterinary nurses; n = 1650). Response rates were 32% for veterinarians (V) and 38% for veterinary nurses (VN).
RESULTS
In total, 73% (V)/96% (VN) of respondents reported that professional dental cleaning was performed at their work place under general anesthesia, and 27% (V)/18% (VN) that dental cleaning was performed under sedation. Of the respondents, 43% (V)/96% (VN) considered regular dental cleaning under general anesthesia fairly or very important, and 49% (V)/47% (VN) stated that it was sometimes important for good dental health in dogs. A majority of respondents, 84% (V)/97% (VN), reported that dental extractions were performed at their clinic, and 72% (V)/90% (VN) had access to dental radiography equipment.
CONCLUSION
A majority of Swedish veterinarians and veterinary nurses perform professional dental cleaning under general anesthesia with access to dental radiography equipment, in accordance with national and international recommendations. However, a considerable proportion of professional dental cleanings were performed under sedation only, and extractions performed without access to dental radiography equipment were common, suggesting several areas of improvement in the routines in Swedish veterinary clinics and hospitals. Our results clearly indicate the need for improved educational efforts to increase the awareness among veterinary health professionals regarding guidelines and official recommendations in canine dental care.
Topics: Anesthesia, General; Animal Technicians; Animals; Conscious Sedation; Dental Care; Dogs; Practice Patterns, Physicians'; Sweden; Veterinarians
PubMed: 33176852
DOI: 10.1186/s13028-020-00559-7 -
International Journal of Environmental... Mar 2020Given the widespread lack of access to dental care for many vulnerable Americans, there is a growing realization that integrating dental and primary care may provide...
Given the widespread lack of access to dental care for many vulnerable Americans, there is a growing realization that integrating dental and primary care may provide comprehensive care. We sought to model the financial impact of integrating dental care provision into a primary care practice. A microsimulation model was used to estimate changes in net revenue per practice by simulating patient visits to a primary dental practice within primary care practices, utilizing national survey and un-identified claims data from a nationwide health insurance plan. The impact of potential changes in utilization rates and payer distributions and hiring additional staff was also evaluated. When dental care services were provided in the primary care setting, annual net revenue changes per practice were -$92,053 (95% CI: -93,054, -91,052) in the first year and $104,626 (95% CI: 103,315, 105,316) in subsequent years. Net revenue per annum after the first year of integration remained positive as long as the overall utilization rates decreased by less than 25%. In settings with a high proportion of publicly insured patients, the net revenue change decreased but was still positive. Integrating primary dental and primary care providers would be financially viable, but this viability depends on demands of dental utilization and payer distributions.
Topics: Dental Care; Humans; Primary Health Care; United States
PubMed: 32213882
DOI: 10.3390/ijerph17062154