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At least 991 records · Page 55Linked to original sources
PubMed1991

The prediction of dentists' work behaviour; factors affecting choice or intention in the treatment of special need patients.

The present study was undertaken as part of an overall strategy to develop a co-ordinated dental health care programme for special need patients between general dental practitioners and the community dental service. The beliefs, attitudes and work behaviours of the practitioners were examined, using the theory of reasoned action, in order to highlight perceived difficulties associated with treating this particular patient group as well as to find those dentists willing to treat and carry out domiciliary dental care for them. The results demonstrated that those dentists who had previous experience of treating special need patients and carrying out a variety of domiciliary dental treatments intended to provide dental care for this group. Furthermore, the dentists differed in their evaluations with regard to beliefs and attitude. Those dentists who intended to provide dental care appeared to have more positive attitudes and were able to assess and perceive the relevance as well as the reality of their own beliefs in the light of their previous working behaviours.

Adult↗
PubMed1997

Attitudes, beliefs, and practices regarding smoking and smoking cessation among African-American physicians and dentists.

African-American physicians and dentists in metropolitan Atlanta were surveyed to assess smoking cessation practices and perceptions. Questionnaires were mailed to 373 physicians and 90 dentists. A total of 154 questionnaires were returned, for an overall response rate of 33.3%. More physicians than dentists considered smoking a "very serious" threat to patients' health, and physicians were more likely to document smoking status in charts and to counsel smokers to quit. Physicians also were approached more frequently by patients seeking cessation advice. Both types of practitioners considered the nicotine patch, formal cessation programs, and behavior modification/psychotherapy to be among the most effective cessation methods, and nicotine gum and acupuncture to be among the least effective. These results indicate African-American physicians are much more involved than dentists in promoting smoking cessation among patients. Advice of health professionals generally is viewed as a powerful influence for African-American patients. Further work is needed to utilize fully the power of health care providers, especially dentists, in the fight against tobacco-related morbidity and mortality.

Adult↗
PubMed1994

Glove use by dentists in England and Wales: results of a 2-year follow-up survey.

This paper reports the findings of a 2-year follow-up study of glove use by dentists practising within the NHS regulations in England and Wales. The questionnaire for this study was distributed in November/December 1991 to 1950 dentists. The response rate was 61.5%. Analysis of the data obtained from the replies indicated that 83% of respondents wore gloves routinely for all patients and all procedures, 15% wore gloves for either selected patients or procedures and 2% never wore gloves. Glove wearing patterns were found to be related to gender, practice type and frequency of attendance at postgraduate courses. Overall, the results indicate increasing levels of compliance with recommendations concerning glove wearing while treating patients.

Adult↗
PubMed1987

The impact of changing patterns in dental diseases on the practice of orthodontics.

The caries decline occurring in most industrialized countries has undoubtedly had an impact on the dental care of children and adolescents. Such an epidemiological change is of consequence both for the undergraduate and the postgraduate training of dentists. It raises questions about the relevance to present needs of specialists in paedodontics and in orthodontics. Although high levels of skill have been reached in these two fields, such skills cannot always be applied to the full benefit of the child. This refers not so much to the care of the individual but rather to group care within the framework of school programmes. Whilst the caries decline is evident there is no conclusive evidence of a parallel reduction in dentofacial anomalies by preventive measures within the population, although there has been some demonstration of this in the 'International Collaborative Study of Dental Manpower Systems' (ICS-I) of the WHO. The decline in total childhood treatment demand will set free, in the first instance, the working capacity of the paedodontist and enable him to embrace new tasks, including the prevention of dentofacial anomalies by interceptive measures. In those countries where separate specialties of paedodontics and orthodontics exists, such as in the USA and the German Democratic Republic, their gradual merging should be considered. The epidemiological change in oral diseases will require that in future one specialist shall provide comprehensive dental care for the child. For the relatively few complicated dentofacial anomalies which will still exist a super specialist service will be needed for individual cases.

Adolescent↗
PubMed1993

Factors associated with fissure sealant delegation: dentist characteristics and office staffing patterns.

The purpose of this research was to identify dentist characteristics and dental office staffing patterns related to delegation of sealant applications. Results from a 1989 mailed survey were used to characterize Michigan general dentists (N = 300) who did or did not delegate sealant applications to auxiliaries and to identify factors associated with delegation. Nearly 50 percent of respondents were applying all sealants themselves. In offices that delegated the procedure, the mean proportion of sealants being applied by dentists was 39.9 percent. Registered dental hygienists were applying 51 percent, while registered dental assistants were applying 6.5 percent. Delegating dentists were more knowledgeable about sealant procedures, held more favorable attitudes, treated more young patients, placed more sealants, and were better informed about the legality of delegation according to the state practice act. Logistic regression analysis found that employing a registered dental hygienist was the most significant factor associated with sealant delegation, followed by employing a registered dental assistant. Findings suggest that dental auxiliaries, and particularly registered dental assistants, are underutilized for applying sealants. Approaches to increasing delegation of sealants may include changing dentists' traditional hiring patterns, highlighting the skills of auxiliaries such as the registered dental hygienist (RDH) and the registered dental assistant (RDA), and increasing awareness of legally allowable procedures that RDHs and RDAs can perform.

Adolescent↗
PubMed1992

Health services research in oral health care: an empirical example.

Health services research is mainly applied research which can contribute to the production of knowledge necessary to appropriate decisions in health care. As an example, a study of the occurrence of tooth extractions is presented. Two hypotheses were tested: a negative relationship between provider density and consumer income, and the probability of tooth extractions and the number of teeth extracted, conditional upon extraction. A nationwide sample of 1286 non-institutionalized Norwegians 20 yr and above was interviewed by a public survey institute. The data were analyzed using a two-part model including logistic regression and multiple regression analysis. One third of the sample had had a tooth extraction during the last 5 yr. The majority of the sample had few teeth extracted at the time of extraction. The probability of tooth extraction was related to provider density and not to consumer income. The number of teeth extracted was related neither to provider density nor to income. Tooth extraction was not related to age. Some policy implications are discussed.

Adult↗
PubMed1975

Patterns of dental practice in the United States: solo vs group practice.

This overview of selected characteristics of group and solo practices provides baseline information on the dimensions and structures of two general practice types in the United States. It appears that although a dentist spends no more hours or sees no more patients on the average in a group practice, the structure in terms of use of auxiliaries, appointment flexibility, and structured programs provides the dentist in a group practice more opportunity to participate in other professional activities and generate a higher income. Further analysis on the interrelation of these variables will provide a more conclusive comparison of group and solo practices. Also, more conclusive research on variations among different types of group arrangements is needed to appreciate differences in partnerships, groups, and incorporations.

Allied Health Personnel↗
PubMedDate not supplied

Gender differences in the characteristics of dental services provided for children.

The purpose of this project was to describe the differences and similarities in the practice of dentistry for children by male and female dentists. A once-mailed survey with a series of questions regarding the characteristics of their dental practices was sent to a random sample of 3,000 dentists. There were 1,154 useable responses (39 percent). Approximately 8 percent of the respondents were women, which is representative of the percentage of female dentists practicing in the United States. Chi square analysis was employed. There were differences in the practice characteristics of the male and female dentists responding to this survey. The female respondents were: significantly younger; had been in practice for a shorter period of time; more likely to be employees rather than solo practitioners; more likely to treat younger patients; less likely to do comprehensive orthodontic treatment and more likely to use physical restraints than their male counterparts.

Adolescent↗
PubMedDate not supplied

Continuing potential for pediatric dental services in nonurban areas.

Recently published pediatric dental-use-pattern data (into the second half of the 1980s), based on a distribution by urban vs nonurban residents, permit a review of the proposal for pediatric dentists to increase practice activities in nonurban areas. Despite a major concentration of the population in metropolitan areas of the country, there are 13.4 million children (between two and seventeen years of age) living in nonmetropolitan areas.

Adolescent↗
PubMed1990

Fixed restorations produced for recipients of dental prosthodontic treatment. A comparison between general dental practice and a dental school.

Fixed prosthodontic work ordered by general dental practitioners was examined through registrations made in commercial dental laboratories. A comparison was made with similar data from student files on fixed prosthodontic treatment at the University Clinic in Bergen, Norway, which is located in the same geographic area. The results indicated that the distributional pattern of fixed restorations within the dentition was much the same in the individuals attending the general dental practitioners as in those treated at the dental school. While the practicing dentists preferred metal-ceramics in most cases, most of the restorations inserted at the dental school were based on the metal-resin technique.

Crowns↗
PubMedDate not supplied

A survey of local anesthetic usage in pediatric patients by Florida dentists.

Local anesthetic toxicity in the child dental patient is a concern of the dental profession. A survey of 117 Florida dentists was conducted to determine their local anesthetic practices in treating children. Results indicated that a fifth of the respondents might use local anesthetic levels that could cause potential CNS toxicity in the smaller and younger children they treat. It is the responsibility of the dental profession to recognize the differences in treating this group of patients, and the serious consequences that might occur when maximum recommended levels of local anesthetic are exceeded.

Age Factors↗
PubMed1995

A study of partial denture designs produced by an alumni group of dentists in health service practice.

Seventy-three dental surgeons working in general dental practice, all members of an alumni group, were given identical casts and produced designs for a mandibular partial denture. The designs were subsequently analysed and the dentists' skills in communicating their design intentions to technicians were also assessed. In this instance a preference for simple straightforward designs was demonstrated with a tendency to favour stereotype responses to detailed design challenges, which were not necessarily apposite. More recent graduates produced designs which were more likely to be understood by the technician.

Communication↗
PubMed1995

Removable partial denture design habits in general dental practice in Sweden.

An investigation was made concerning Swedish general dental practitioners' habits in removable partial denture design and their opinion of the undergraduate training programme in this matter. The investigation showed that many dentists failed to provide adequate prescriptions and that they relied heavily on the dental technician for partial dental design. A clear majority of the participants, educated at Umea dental school, considered the undergraduate training programme to be adequate, whilst a similar percentage educated at Gothenburg dental school was dissatisfied. The faculties in Stockholm and Malmo were placed between Umea and Gothenburg in this respect. The majority of the participants in this survey declared that the opportunity to attend small group postgraduate courses in the subject was desirable. A prerequisite for dentists to have control of the treatment they are responsible for, is that they at least have the necessary knowledge. This knowledge may have to be achieved after qualification instead of during their undergraduate training.

Attitude of Health Personnel↗
PubMed1995

History of treatment received by patients with TMD: a preliminary investigation.

A retrospective investigation of 257 patient records from a university-based facial pain center for patients with temporomandibular disorders examined the "natural history" of patients with temporomandibular disorders for consultation and treatment of their complaints. Data were obtained on a variety of demographic variables, referral patterns, types of providers seen for consultation, and the types of diagnostic tests ordered by these providers. Results showed that patients with temporomandibular disorders see more than three providers prior to their referral to a tertiary care center, that a considerable proportion of those providers are physicians, that patients reported undergoing a variety of diagnostic tests, and that patients reported receiving a variety of diagnoses for their condition. Results also showed that patients who initially consulted a physician were somewhat more likely to be referred to another physician, while patients who consulted a dentist were highly likely to be referred to another dentist.

Adult↗