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Increases in fees for New York State Medicaid Dentistry. Will there be an increase in care?

A legal settlement was reached in 200 between the New York State Dental Association and the State of New York to increase spending and improve the processes and procedures for Medicaid dental services for the 3.4 million New York State residents eligible for care. Baseline data by state counties are provided for comparisons with information in future years to determine the effects of this settlement.

Adolescent↗

[The state of dentistry education in Europe].

In order to find out what branches of Dentistry are recognized in Europe as Dental specialties a questionnaire was designed and sent to various Associations and groups across Europe. It contained eight main questions covering the various specialties that were recognised or were to be recognised. Responses were obtained from 28 countries, 15 EU member states and 13 non member states. The results from the questionnaire indicated that there was a broad agreement on many of the questions but a considerable variety of opinions. There seems to be a desire to harmonize standards across Europe for the benefit of the profession and the public.

Education, Dental↗

[Oral health state in dentistry students of Medical College, Jagiellonian University in Cracow].

The aim of the study was to analyse the oral health status of the fourth and fifth year dentistry students of Collegium Medicum of the Jagiellonian University in Cracow. The data were collected using the anonymous questionnaire concerning the general health, using medications, dietary habits, smoking and drinking alcohol, present and previous oral complaints and selected health behaviour patterns (follow-up examination of oral cavity, teeth brushing and other hygienic procedures, using dental floss). The oral cavity status was estimated by clinical examination conducted with the use of artificial lighting and basic diagnostic set: dental probe and dental mirror. The data for 120 persons were analysed: 75 (62.5%) fourth year students and 45 (37.5%) fifth year students aged 21-27 years (mean age 23.2). Among the examined persons 84.2% descended from cities and 15.8% from the villages. During the medical review it was stated that among chronic diseases allergies (27.5%) were on the first position, cardio-vascular diseases (8.33%) were on the second and respiratory system diseases were on the third position. The review about smoking and drinking alcohol stated that 71.7% never smoked cigarettes, 10% gave up smoking and 18.3% were daily smokers, 81.7% of students occasionally drink alcohol, mainly beer. The dental history stated that all of examined students (100%) were subjected to teeth caries treatment, 48.7% had endodontic treatment, 38.1% extraction (mainly for orthodontic reasons), 5.9% prosthetic, 3.9% apicoectomy, 0.8% had dental implant. The estimation of oral cavity hygiene (API index) and frequency of decay (DMF index-Decayed Missing Filling) was included in the examination. The mean value of DMF was 13.56, API 22.51 in the whole examined group. The assessment of periodontal tissues was made with the support of treatment needs: 60.0% of examined persons don't need any periodontal treatment, 14.17% need to improve their oral cavity hygiene and 25.83% require the dental calculus removal. The study revealed that 39.1% suffer from temporo-mandibular arthropathies. Normal occlusion is characteristic for 45.69% of examined students, small abnormalities for 48.28 and 6.03% have advanced malocclusion. The presented results are a part of examination performed in four Polish academic centres that estimates oral health status of students of dentistry in our country.

Adult↗

TB infection control recommendations from the CDC, 1994: considerations for dentistry. United States Centers for Disease Control and Prevention.

Between 1989 and 1992, reports of outbreaks and transmissions of tuberculosis in institutional settings prompted the Centers for Disease Control and Prevention to review the guidelines for TB infection control it had published in 1990. The CDC published an updated version of the guidelines in October 1994. This article gives dentists an overview of the guidelines' recommendations that are applicable to most outpatient dental settings.

Dental Care for Chronically Ill↗