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PubMed1994

Ontario dentists: practice variation in referrals to pediatric dentists.

Variations in the pediatric referral practices of general dentists for children aged zero to 14 years may be related to issues concerning quality and standards of care, cost containment, and predictability in third-party payment programs. In September 1992, a survey mailed to a random sample of approximately 10 per cent of Ontario general dentists was used to gather information about pediatric referral practices as well as economic and demographic factors associated with these practices. Responses were received from 381 of the 540 dentists surveyed (69 per cent). Most dentists who gave reasons for pediatric referrals (85.6 per cent) named behavior management problems as the primary cause. However, 21.5 per cent did not refer any children under 14 to pediatric dentists. Due to the variable results obtained using assorted statistical tests to regrade the outcomes of interest, the self-reported nature of the data, and the large amount of pediatric referral practice variation left unexplained by the multivariate analysis (95 per cent), this study's findings are equivocal.

Adolescent↗
PubMed1989

Dentists and dental health education: a study of the perceptions of 28 community dentists.

The aim of this paper is to describe the perceived problems and difficulties of 28 community dentists when carrying out dental health education. Their perceptions are discussed in relation to some wider implications for prevention and dental health education. Sociological literature has identified two differing approaches to health education; these are the lifestyle/individualistic and the socio-structural approaches. The dentists' responses were found to be congruent with the former. The format of the paper is first, to highlight the increasing emphasis in the official literature on the need for dentists to practise dental health education in the dental surgery. Second, the study method, which is essentially qualitative, is outlined, and third, the findings of interviews carried out with the 28 dentists are presented. These findings raise issues for discussion. An underlying concern of this paper is that before enthusiastically endorsing dental health education in the dental surgery it is necessary to clarify what the people involved understand by it, and the extent to which they are willing and able to adopt new practices.

Adult↗
PubMed2002

[Dentists and mutual practice visitation. Results of a descriptive study on the effects on mutual visitation by dentists].

In 1998 mutual practice visitation has been introduced in the Dutch dental practice as a method to improve quality of dental care. The method is called 'mutual visitation' because groups of three dentists visit and evaluate each others practices. An independent research institute (Nivel) investigated the perceived effects, advantages and barriers of visitation. A postal questionnaire was sent to all 235 dentists who, by that time, participated in visitation. The response was 57%. The results showed that the effects reported most frequently were: a more critical attitude to dental practice, more insight into practices of colleagues and actual improvements in dental care. The majority of the respondents considered visitation suitable to improve practice-organization. A minority considered visitation suitable to increase professional expertise. The mutuality of the visitation was highly valued by the participants. The main disadvantage of visitation appeared to be the time investment (a mean of three days per dentist). In general, the respondents held the view that the positive effects outweighed the time and efforts, however, many dentists regretted the lack of financial compensation for visitation.

Adult↗
PubMed1989

[Thoughts on the rate of training of dentists as well as the total number of dentists in Hungary].

The rate of the education of dentists and the trend of the number of dentists from 1938 until present days are analysed. Due to the imminent social changes the number of dentists has not met the demand. The merits of Károly Tóth in realisation of the decentralization of the training of dentists and in rational forming of the development thereof is emphasized. Attention is called to the co-ordination of instructive and receiving places, and to the necessity of establishing regional faculties of dentistry.

Dental Health Services↗
PubMed2002

Better opportunities for women dentists: a review of the contribution of women dentists to the workforce.

In June 2000 the Department of Health commissioned a review to examine the need for improvements to the employment opportunities for women dentists in the National Health Service (NHS) across England. Dame Margaret Seward carried out the review, which was published in September 2001. The review was considered necessary for four main reasons. Firstly, workforce panning, because now more than 50% of new entrants to dental undergraduate courses in the UK are female and by 2020 over 50% of all practising dentists will be female. Secondly, evidence that 50% of women in dentistry work for no more than two days per week for the NHS. Thirdly, most women work either as associates in general dental practice (GDP) or in the Community Dental Service (CDS). Lastly, the perception that women find it difficult to return to dentistry after taking a career break.

Attitude of Health Personnel↗
PubMed2004

Should dentists become 'oral physicians'? Yes, dentists should become 'oral physicians'.

In summary, a new designation for the dental profession is warranted, not because paramedical professionals have done it, but because the new designation is appropriate for what they are able to do. Moreover, it can be done now with little resistance or fanfare. As has been suggested by others, changing the name "dentist" to the name "oral physician" would result in several benefits: dentists' being recognized as providers of services such as tobacco-use cessation, oral cancer screenings, nutritional counseling and, most recently, as a major health care resource for dealing with bioterrorism; the public's visiting dental professionals for services other than traditional dental procedures; the profession's being more likely to teach and provide services outside of traditional dental procedures; third-party payers' being more likely to pay for services other than traditional dental procedures; the improvement in the public's oral health that would result from patients' visiting "oral physicians" for services other than traditional dental procedures.

Delivery of Health Care↗
PubMed1992

[Mercury exposure of the population. IV. Mercury exposure of male dentists, female dentists and dental aides].

Urinary mercury levels were determined in 22 dentists and 46 dental nurses and assistants working in 15 private dental offices in West-Germany. For comparison, urinary mercury levels of 29 subjects without occupational mercury exposure were studied. On average, urinary mercury in dental personnel was higher than in the reference group. Individual mercury levels, however, were all significantly below present occupational exposure limits. Urinary mercury was significantly correlated with the number of amalgam fillings in dental personnel as well as in the reference group. Following administration of Dimaval a significant increase of mercury excretion was observed in both groups. Regarding total exposure to mercury in dental personnel, the contribution of mercury exposure from the occupational environment is of the same order of magnitude as their exposure from their own amalgam fillings. Dental nurses were found to be more exposed than dentists. This finding seems to be related predominantly to the larger number of amalgam fillings in dental nurses.

Adult↗
PubMed2001

Clinical practice guidelines in dentistry: Part II. By dentists, for dentists.

There is a growing interest in clinical practice guidelines (CPGs) for all health care providers. As discussed in the first paper of this 2-part series, there are many misperceptions about guidelines and their potential risks and benefits. The dental profession in Canada, cognizant of both the importance and the challenges of developing sound, credible and relevant guidelines for dentists, has created a unique, autonomous collaboration of multiple stakeholders, the Canadian Collaboration on CPGs in Dentistry (CCCD). This paper discusses the history, structure and processes of the CCCD and introduces the first guideline under development by and for Canadian dentists.

Canada↗