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Ciencia & Saude Coletiva May 2018This integrative literature review aimed to analyze studies about factors associated with the utilization of dental health services by the pediatric population between... (Review)
Review
This integrative literature review aimed to analyze studies about factors associated with the utilization of dental health services by the pediatric population between zero and 15 years old, published between 2006 and 2016 and available in Portuguese, English or Spanish. A survey of articles in the Lilacs and Medline databases was carried out, using the search strategy: ("dental care/utilization" OR "dental health services/utilization") AND ("child" OR "child, preschool") AND NOT adult. To analyze the methodological quality, the adapted Critical Appraisal Skill Programme (CASP) and the Agency for Healthcare and Research and Quality (AHRQ) were used. The following predictors of use of dental health services stood out: factors associated with children or adolescents (age, frequency of tooth brushing, chronic conditions), caregivers (schooling, perception of child's dental health, perceived oral health needs), dentists (availability at night and on the weekends) and follow up of oral health by the family health team. These are inherent factors for the planning of oral health policies or programs for the pediatric population. However, these factors vary according to the context, and therefore, a contextual analysis should be conducted.
Topics: Adolescent; Age Factors; Child; Child, Preschool; Dental Care; Dental Health Services; Dentists; Health Policy; Humans; Infant; Oral Health
PubMed: 29768610
DOI: 10.1590/1413-81232018235.20422016 -
Health Services Research 1974Definitions and aspects of the concept of access to medical care are reviewed and integrated into a framework that views health policy as designed to affect...
Definitions and aspects of the concept of access to medical care are reviewed and integrated into a framework that views health policy as designed to affect characteristics of the health care delivery system and of the population at risk in order to bring about changes in the utilization of health care services and in the satisfaction of consumers with those services. Indicators are suggested for the measurement of the various relevant aspects of access, with the system and population descriptors seen as process indicators and utilization and satisfaction as outcome indicators in a theoretical model of the access concept.
Topics: Attitude to Health; Consumer Behavior; Delivery of Health Care; Demography; Dentists; Health Facilities; Health Services; Health Workforce; Hospitals; Models, Theoretical; Organization and Administration; Physicians; Population; Socioeconomic Factors
PubMed: 4436074
DOI: No ID Found -
The Journal of Clinical Pediatric... Sep 2023Stainless steel crowns (SSCs) are the preferred restoration of pediatric dentists for children requiring a pediatric dental rehabilitation due to their low cost and...
Stainless steel crowns (SSCs) are the preferred restoration of pediatric dentists for children requiring a pediatric dental rehabilitation due to their low cost and durability. Despite low technique sensitivity SSC placement can be challenging in some clinical situations including when placed on primary canines. Primary canines restored with SSCs often result in premature contacts and posterior open bite making acquiring an "as the patient presented" (ATPP) occlusion difficult when providing a pediatric dental rehabilitation. Opening of the posterior occlusion due to premature canine contact in a dental rehabilitation is often viewed as unavoidable. This technique article describes a simple method to address this clinical situation and reviews basic principles and techniques for placing SSCs.
Topics: Child; Humans; Dentists; Open Bite
PubMed: 37732429
DOI: 10.22514/jocpd.2023.047 -
Dental Press Journal of Orthodontics 2021This study aimed to assess the knowledge, attitudes, and aspects of the clinical practice of orthodontists and periodontists, regarding lower fixed orthodontic retainers. (Observational Study)
Observational Study
OBJECTIVE
This study aimed to assess the knowledge, attitudes, and aspects of the clinical practice of orthodontists and periodontists, regarding lower fixed orthodontic retainers.
METHODS
The orthodontists (n=502) and periodontists (n=269) who participated in this cross-sectional observational study received, via e-mail, questions related to the type of lower fixed retainer, dental biofilm accumulation, oral hygiene, and potential periodontal changes. The data were subjected to chi-square and Fisher's exact tests, at 5% significance level.
RESULTS
Both orthodontists (72.3%) and periodontists (58.7%) reported that hygienic retainers accumulate more dental biofilm (p< 0.05), and 64.1% of orthodontists and 58.7% of periodontists considered that modified retainers may lead to periodontal changes (p< 0.05). There was no significant difference between the dental specialties, regarding the type of lower fixed retainer considered the easiest for the patient to perform hygiene (p> 0.05), whereas 48.6% of professionals chose the modified type.
CONCLUSION
The modified retainer accumulates a greater amount of dental biofilm and, in the perception of orthodontists and periodontists, it may cause periodontal changes.
Topics: Cross-Sectional Studies; Health Knowledge, Attitudes, Practice; Humans; Orthodontic Appliance Design; Orthodontic Retainers; Orthodontists
PubMed: 34468561
DOI: 10.1590/2177-6709.26.4.e2119276.oar -
American Journal of Public Health May 2017
Topics: Attitude of Health Personnel; Dentists; Humans; Medicaid; Social Responsibility; United States
PubMed: 28661812
DOI: 10.2105/AJPH.2017.303780 -
Journal of the American Dental... Feb 2021
Topics: Dentists; Humans; Workforce
PubMed: 33168141
DOI: 10.1016/j.adaj.2020.09.001 -
Journal of the Royal Society of Medicine May 1978
Topics: Attitude of Health Personnel; Dentistry; Dentists; Research; United Kingdom
PubMed: 650645
DOI: 10.1177/014107687807100503 -
British Dental Journal Dec 2008
Topics: Dentists; Education, Dental; Financial Management; Humans; Malaysia; Motivation; Students, Dental; Training Support; United Kingdom
PubMed: 19079084
DOI: 10.1038/sj.bdj.2008.1034 -
Journal of Dentistry Oct 2023Dentists in Australia are the second largest prescriber group, and are generally not formally taught how to prescribe. The objective of this review is to describe the... (Review)
Review
OBJECTIVES
Dentists in Australia are the second largest prescriber group, and are generally not formally taught how to prescribe. The objective of this review is to describe the Prescribing Competencies Framework and its relevance to dentistry.
DATA
The four-model stage of prescribing by Coombes and colleagues, and the seven competencies within the Prescribing Competencies Framework devised by the Australian National Prescribing Service MedicineWise, are discussed and applied to dentistry.
SOURCES AND STUDY SELECTION
Each of the seven competencies are analysed and detailed in the context of clinical dental practice. Competencies 1-5 describe the skillset and tasks required by dentists to safely prescribe, whereas Competencies 6 and 7 describe the clinical environment and recommended resources to support dentists to prescribe safely and effectively.
CONCLUSIONS
The Prescribing Competencies Framework provides an overview of safe and effective prescribing. Prescribing is a process, and a separate skillset to clinical dentistry. The process involves information gathering, clinical assessment, effective communication and review of the patient. Access to timely and appropriate resources and relevant electronic sources of health information for clinicians are important to provide the support required for better informed prescribing decisions. The framework describes a patient-centered prescribing process, and ultimately prescribing should be a shared decision between the dentist and the patient.
CLINICAL SIGNIFICANCE
Safe and effective prescribing is an integral part of dentistry and dentists are the second largest prescriber group. However, dentists display high rates of inappropriate and unnecessary prescribing, and to minimise errors, the Prescribing Competencies Framework has been established. This article details how the Framework applies to clinical practice dentistry.
Topics: Humans; Australia; Dentistry; Dentists
PubMed: 37574106
DOI: 10.1016/j.jdent.2023.104654 -
BMC Oral Health Jun 2023This study is to investigate the referral pattern and treatment modality of dentists in the management of peri-implant diseases between periodontists and...
OBJECTIVES
This study is to investigate the referral pattern and treatment modality of dentists in the management of peri-implant diseases between periodontists and non-periodontist dentists (NPDs).
MATERIALS AND METHODS
A total of 167 validated questionnaires were obtained from periodontists and NPDs, who had experience of placing implants for at least one year. Question I to IV asked how the dentist would respond if a patient came for treatment of their peri-implant diseases with four different scenarios according to resource of patient and disease severity. For each Scenario, dentists also replied which treatment procedures they would use if they decide to treat the patient.
RESULTS
Periodontal training, resource of patient, and disease severity were shown to significantly influence the referral pattern and treatment modality in the management of peri-implant disease (p < 0.05). Periodontists were more likely to use variable treatment procedures, including occlusal adjustment (OR = 2.283, p < 0.01), oral hygiene instruction (OR = 3.751, p < 0.001), topical antiseptic agent (OR = 2.491, p < 0.005), non-surgical mechanical therapy (OR = 2.689, p < 0.001), surgical therapy (OR = 2.009, p < 0.01), and remove implant (OR = 3.486, p < 0.001) to treat peri-implant diseases, compared to NPDs.
CONCLUSION
The periodontal specialty training, resource of patient, and disease severity significantly influenced the referral pattern and treatment modality of dentist treating an implant diagnosed with peri-implant disease. This study also highlighted the importance of educating basic periodontal and peri-implant disease-related knowledge to all dentists regularly performing dental implant treatments.
CLINICAL RELEVANCE
Peri-implant diseases are highly prevalent among patients with dental implants. Periodontal specialty training could enhance using variable treatment procedures to treat peri-implant diseases for dentists.
Topics: Humans; Peri-Implantitis; General Practice, Dental; Dental Implants; Dentists; Referral and Consultation
PubMed: 37370067
DOI: 10.1186/s12903-023-03135-3