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PubMedDate not supplied

[Dental health practices of 506 Greek adults attending a dental clinic].

A recording of dental education and oral hygiene practices of 506 adults attending the clinics of Preventive Dentistry and Periodontics of the University of Thessaloniki, by answering a questionnaire, has been attempted. The answers were treated statistically using the chi 2 test according to sex, age and educational status. It appears that 49% of men and 27% of women do not brush their teeth daily (7% of men never do), while age, sex and education are significant parameters of most dental practices examined. Only 24% have been shown brushing technique by a dentist, whilst toothbrush selection is mainly based on advertisement or non-professional advice. Although about 84% of the dentifrices sold in Thessaloniki contain fluoride, only 20% of this sample were aware of its usefulness. The results call for urging the public to higher dental education and motivation to practicing oral hygiene procedures.

Adult↗
PubMed2005

Safety-net dental clinics.

BACKGROUND: Federal policy supports and funds community-based clinics to provide health care to low-income and underserved groups. This study examines the role of community dental safety-net clinics in providing dental care for these populations. METHODS: The authors administered a cross-sectional survey of all identified safety-net dental clinics in Illinois. Seventy-one of 94 clinics responded (response rate, 76 percent), describing their history, operations, patients, staffing and dentist relationships. An in-depth analysis of 57 clinics presents comparisons of three categories of clinics, sponsored by community health centers (23), local health departments (21) and private services agencies (13). RESULTS: Clinics were distributed across the state; 80 percent were located in facilities with other health care providers, and all provided dental care to low-income and other underserved groups. Clinics provided more than 3100 annual dental visits, operated with limited staffing and budgets, and had referral relationships with local dentists. Clinics with full-time dentists or any dental hygienists had higher annual numbers of dental visits. CONCLUSIONS: These clinics provide dental care to groups with traditional access barriers. Although they represent a small portion of all dental care, their mission and role make them a key component of strategies to address the dental access problem. PRACTICE IMPLICATIONS: Local and state dental practitioners and coalitions seeking to expand dental access should consider their community dental safety-net clinics as partners. Efforts to expand theese clinics should include considering optimizing staffing for better dental productivity.

Budgets↗
PubMed2003

[Respiratory emergencies in the pediatric dental clinic: prevention and treatment].

Emergency situations can occur in the Pediatric Dental Clinic. The purpose of this article is to focus on signs and symptoms of emergencies involving the airway, such as aspiration of foreign bodies, asthma attacks, obstruction of the airway as a consequences of physiological and pathological causes and sedation-induced apnea. Preventive and diagnostic tools, and protocols are presented, as well as a schematic flow chart of the management of airway obstruction due to foreign bodies. A new classification of risk factors that considers the parameters of sleep apnea risk, tonsil size, sedation level, patient's health status and dentist's qualification is also suggested.

Airway Obstruction↗
PubMed1980

The effects of patient-initiated phone confirmation strategies on appointment keeping at a hospital dental clinic.

This research reports the effectiveness of three interventions utilized to reduce broken appointments at a hospital dental clinic. Subjects in this study were 306 outpatients receiving dental care at Harborview Medical Center in Seattle. Prior to this investigation the clinic was not using any confirmation strategy; the no show rate was 30.2 percent (N=169). The first intervention was the traditional clinic-initiated phone reminder one day prior to the appointment; the second intervention made use of a mailed reminder, requesting patient-initiated confirmation by phone; and the third gave the same postcard reminder to the patient at the appointment desk, also requesting telephone confirmation. The two patient-initiated strategies were considered more consistent than the traditional phone reminders with the concept of patient responsibility for his own health care. The broken appointment rate for the phone reminder group was 23.5 percent, while for the postcard and the appointment card groups, the rates were 21.2 percent and 11.5 percent respectively. The rate for the appointment card group differed significantly from the phone reminder group and also from the baseline sample.

Adolescent↗
PubMed1991

Large database management in clinical dental research.

Previously the management and analysis of large databases for longitudinal clinical dental research has been severely restricted by the costs of custom-made software and access to suitable computing equipment. However, the recent availability of powerful personal computers and the use of the Scientific Information Retrieval Database Management System (SIR/DBMS) in association with BMDP Statistical Software has now created an enormously powerful tool for extensive and fast data manipulation requiring relatively few commands and the capability to easily perform detailed statistical analyses.

Computer Graphics↗
PubMed1979

Ridit analysis in dental clinical studies.

Ridit analysis is presented as an appropriate method of analyzing dental clinical data which fall somewhere between the purely categorical (e.g., improved vs. not improved) and the bona fide quantitative (e.g., mg % salivary calcium) scales of measurement. The key feature of the method is the estimation of the probability that a randomly-selected patient from one treatment group is "better-off" than a randomly-selected patient from another. Methods are presented for testing statistical significance and constructing confidence intervals. The method is illustrated on data from a comparative clinical trial of ibuprofen, aspirin and placebo in the relief of post-extraction pain. There were no significant differences in efficacy among the active treatments, but each was significantly superior to placebo.

Aspirin↗
PubMed2005

Characteristics of infection control programs in U.S. Air Force dental clinics: a survey.

BACKGROUND: National organizations and regulatory agencies have issued a number of guidelines on proper infection control procedures in dentistry. The objective of the authors' research was to gather information about current infection control practices in U.S. Air Force (USAF) Dental Corps clinics for the purpose of updating previously issued guidelines and developing infection control training programs. METHODS: The authors mailed a 60-item self-administered survey to the commanders of all USAF dental clinics located in the United States and overseas (n=82). The survey used primarily fixed-response questions to gather information about aspects of the clinics' infection control programs. The authors obtained descriptive statistics of the returned data by means of a statistical software package. RESULTS: The results indicated a high degree of compliance with existing USAF dental infection control guidelines. All clinics had personnel assigned to manage their programs, had a written exposure control plan and took measures to improve dental unit water quality. Facilities used a number of approaches to achieve and monitor compliance and exhibited a considerable amount of variation in infection control procedures when specific guidelines did not exist. CONCLUSIONS: In general, USAF dental clinics reported high levels of compliance with current infection control policies and procedures. Recurrent training, continual oversight, a highly motivated staff and teamwork are essential for reaching and maintaining these levels. Clinical Implications. Although compliance with recommended infection control guidelines is challenging, the results of this survey indicate that compliance is achievable, even in large group practices.

Dental Clinics↗
PubMed1984

Use of services, care-seeking behavior and satisfaction among university dental clinic patients in Finland.

This paper analyzes use of services, behavioral features and their intercorrelations among a random sample of 94 patients visiting University of Connecticut dental clinics. The data were collected in interviews and patient records. In care seeking the greatest percentage (34%) of respondents relied on the advice of friends, relatives or neighbors. This finding confirms the importance of the lay referring system. The influence of regular source of care was apparent when patients' frequency of visits in clinics exceeded considerably their visit frequency in the past. Even earlier irregular visitors made many visits during the past 12 months. The following dimensions of satisfaction were measured: difficulty in getting an appointment, general satisfaction with care, costs of care in general, convenience in treatment and satisfaction with oral health. The results show that opinions toward care and about dental health were dominantly positive ranging from 60 to 94% of all the answers. Costs were regarded as high by 54% of the subjects. There was a positive and significant correlation between degree of utilization and satisfaction with care. The correlation between satisfaction with oral health and number of teeth was non-significant. There were several cumulative correlations, which suggests that one health related feature may predict a similar tendency in other health behaviors.

Adult↗
PubMedDate not supplied

The integrity of latex gloves in clinical dental practice.

BACKGROUND: The aim of the study was to assess the integrity of non-sterile latex gloves (Biogel Diagnostic (A), Biogel Dental (B), Gentle Skin (C) and Manufix (D)) in clinical dental practice. MATERIALS AND METHODS: After use, the gloves were collected and examined for perforations using the water inflation test according to the EN 455-1 Standard. Over a 12-month period 847 used gloves were collected and assessed. The mean duration of use for gloves A/B/C/D was 175/112/78/79 min respectively. In spite of these differences favoring gloves C and D, 16% of glove A, 14% of glove B, 21% of glove C and 29% of glove D were found to leak. The proportion of perforated gloves increased slightly if a hygienic handrub using an alcoholic hand disinfectant had been carried out immediately prior to gloving. CONCLUSION: The results indicate striking differences between the quality of medical gloves. As all the gloves comply with the European regulations in terms of integrity, it is very difficult for the user to distinguish between gloves of superior or inferior quality. In a clinical setting it is therefore recommended that the appropriate glove should be determined for each situation. Hands must be thoroughly dry if they are disinfected prior to gloving, since hands still wet with alcoholic disinfectant may increase the risk of glove perforation.

Dental Care↗
PubMed2000

Technology meets ergonomics in the dental clinic: new toys for old games?

Although there have been considerable advances in dental equipment, the introduction of such technology has often been piecemeal and "rushed to market." As a result there has been insufficient attention paid to ergonomic considerations and a systematic approach to, and theory of, dental ergonomics have not yet emerged.

Commerce↗