Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Dentistry, Operative”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,045 records · Page 58Linked to original sources
PubMed1990

The merit of the practice-profile-time study.

The practice-profile-time study is a method developed by Joint FDI/WHO Working Group 9 on the study of 'Economic factors related to the delivery of oral services and oral health' to record the time spent by general dental practitioners on different practice activities. The method was developed to support the policies of National Dental Associations, but can also be used by general dental practitioners themselves. This method was tested in nine countries. The method has proved to be reliable and valid, and produces a vast amount of useful information for Dental Associations and for individual practitioners.

Adult↗
PubMedDate not supplied

Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice?

This review focuses on the clinical interactions between patients and the dental team, not on caries prevention at a public health level. Many dentists no longer take a narrow surgical view seeking to apply interventive treatment as a one-off event at a certain trigger point of disease severity and the evidence that caries is an initially reversible, chronic disease with a known multi-factorial aetiology is being appreciated more widely. The caries process should be managed over time in an individualized way for each patient. Very few individuals can be considered to be truly 'caries free' when initial lesions as well as more advanced dentine lesions are considered. It is now very clear that, by itself, restorative treatment of the disease does not 'cure' caries. The caries process needs to be managed, in partnership with patients, over the changing challenges of a lifetime. The answer to the question posed in the title should be, in many cases, that we are ready to move to non-operative/preventive care (if we have not done so already). However, this should be for appropriate stages of lesion extent and in patients who respond to advice on recall frequency and preventive behaviours.

Consensus↗
PubMed2006

Demographic factors associated with dental utilization among community dwelling elderly in the United States, 1997.

OBJECTIVES: The purpose of this study was to characterize dental service utilization in 1997 by community dwelling Medicare beneficiaries. METHODS: The Medicare Current Beneficiary Survey, or MCBS, is a continuous annual series of nationally representative surveys of Medicare beneficiaries. Univariate comparisons were made between dependent variables (dental utilization and types of dental services) by each of the independent variables (age group, gender, race, income, education, population density, marital status and U.S. Census Bureau regions using weighted proportions to test for independence between dependent and independent variables. RESULTS: Overall, an estimated 41% of the population had a dental visit. Although utilization declined with aging, 24% of those 85 and older visited a dentist. CONCLUSIONS: This descriptive study provides important information about dental utilization and services in the American elderly population. Younger, high income, white or educated elderly Americans had higher dental utilization.

Age Factors↗
PubMed1994

Trends in work effort among private general dental practitioners.

Trends in the distribution and volume of dental services provide an empirical base upon which hypotheses on future service provision can be tested. The aim of this study was to examine changes in the distribution and volume of service provided in private general dental practice, and compare these with an existing conceptual model. A weighted, stratified random sample of Australian dentists was surveyed in 1983 (730 respondents, response rate 73 per cent) and 1988 (855 respondents, response rate 75 per cent). The data were weighted to provide population estimates for private general dental practitioners in 1983 and 1988. Service-mix data were converted to relative value units, a common scale based on work effort, and annual estimates of this work effort were calculated. Work effort was divided into low, medium and high level interventions. Medium level interventions comprised the greatest volume of work effort, followed closely by low level interventions, with high level interventions having the smallest volume. The pattern of work effort was in contrast to the conceptual model of service distribution, with low level interventions higher and high level interventions lower than expected. While there was a significant increase in work effort among high level interventions, there was no increase in work effort among low level interventions and no decrease in work effort among medium level interventions over the five year period 1983-88 as expected in the conceptual model for changing service provision.

Adult↗
PubMed2005

A survey of self-perceived educational needs of general dental practitioners in the Merseyside region.

AIM: The aim of this study was to evaluate the self-perceived educational needs of a randomly selected group of general dental practitioners (GDPs) in the Merseyside region (UK). MATERIALS AND METHODS: Eighty-seven GDPs were randomly selected from 850 in the region and asked to complete a self-evaluation questionnaire regarding their self-perceived educational needs. RESULTS: Seventy-five (86%) responded, of which 52 (69.3%) were male and 23 (30.7%) female. There was no significant difference in self-perceived knowledge in any of the dental disciplines when gender and period of time since qualification were used as predictor variables. The majority of the GDPs felt they had a good knowledge of restorative dentistry and dental radiography. Some of the GDPs felt they had poor knowledge in implant dentistry, oral medicine, orthodontics, dental sedation techniques, oral surgery, endodontics, periodontics and dental radiography. None of the respondents felt they had poor knowledge in restorative dentistry, prosthodontics and paediatric dentistry. Seventy-four (98.7%) of the responding GDPs were motivated to attend continuing professional development (CPD) courses because of an interest in a particular dental discipline and only one reported attending out of personal learning needs. Implant dentistry was indicated by 30 (40.0%) of the respondents as their training programme of choice. CONCLUSIONS: The respondents had high self-perceived knowledge of restorative dentistry, dental radiography, periodontics, endodontics, paediatric dentistry and prosthodontics. The respondents had low self-perceived knowledge of implant dentistry, orthodontics, oral medicine and dental sedation techniques. Of GDPs surveyed, 98.7% applied for courses they liked to attend, rather than needed to attend. Fifty-two per cent of male GDPs surveyed expressed a desire for training in implant dentistry.

Anesthesiology↗
PubMedDate not supplied

Procedures provided to Medicaid recipients by pediatric, general and public health dentists in the commonwealth of Virginia: fiscal years 1994 and 1995.

PURPOSE: The purpose of this study was to report any differences found among the mean percentages of procedures performed by three types of dental providers for each type of service performed. The study focused on the types of services provided by dentists to Medicaid children in Virginia. METHODS: Medicaid claims field for dental patients younger than age 21 were obtained and analyzed for fiscal years 1994 and 1995. Dental providers were categorized according to their practice: general practice (GP), pediatric dentist (PD) and public health dentist (PH). Each type of practitioner (GP, PD, and PH) was evaluated for percentages of diagnostic, preventive, and corrective services provided to their Medicaid patients. The preventive category was subdivided into preventive services (scaling, prophy, fluoride and oral hygiene instruction) and sealant services. RESULTS: For each type of service, the mean percentages of procedures performed were compared among the three types of dental providers. The evaluation of the diagnostic procedure variable resulted in the finding that GP practitioners performed a significantly greater percentage of diagnostic procedures to their Medicaid patients than do PD and PH dentists (p < 0.0001). The percentage of preventive procedures performed by PD and GP dentists was not significantly different but was significantly lower than those performed by PH dentists (p < 0.0001). Finally, PD dentists performed a significantly greater percentage of corrective procedures than both GP and PH dentists (p > 0.0037). CONCLUSION: Differences were found among the mean percentages of procedures performed by the three types of dental providers for each type of service performed.

Adolescent↗
PubMed1989

[Caridex--conscious sedation association. A new approach in pedodontics].

Psycological approach and analgesia are very important in paediatric dentistry. Sometimes the first is not enough and it is necessary the use of pharmacological methods. They are represented with sure and useful technique like "relative analgesia" with N2O/O2. The use of Caridex method is also very good in operative paediatric dentistry because there is not the necessity of local anesthesia with injection and the use of burns and drills. The AA. have connected together these two methods, and they present some very interesting clinical reports. With Caridex it's possible to remove only decayed dentine saving so the healthy dentine and reducing fear and stress in very young children. The association with relative analgesia permits to do a very early and global therapy in children also very young (24-36 months). The AA. have obtained a reduction of hemotivity, of odontogenous stress, and last but not least with this method there is the opportunity to avoid the general anesthesia.

Aminobutyrates↗
PubMed1994

[Structure of dental services in a social security system: Córdoba, Argentina].

We describe here the results of a survey carried out to determine the nature, extent and distribution of the dental service provided by the Board of the University Personnel Social Assistance (Dirección de Asistencia Social del Personal Universitario [DASPU] From 1988 to 1990. Such survey was performed on the bases of a representative sample of assistance recipients. The greatest dental service demand was registered among the group of persons of 25-44 years-old (40.3% of the total), although the rendered services per person/years increased with the member's ages. Restorative Dental and Prosthesis registered the highest occurrence (50.2% of the total). Preventive Odontology practices were infrequent (1.2%) while Odontopediatric was the less demanded (0.3%). 31.8% of the assistance was provided by DASPU own services, Prothesis being the most predominant kind. As for external effectors (62.3%), the most frequent were those of Dental Operating. It is concluded that the demanded dental services were mainly curative and reparative. The reorganization of the Odontology Service may increase the system' performance efficiency and effectiveness.

Adolescent↗
PubMed1999

A survey of oral implantology teaching in the university dental hospitals and schools of the United Kingdom and Eire.

AIM: To provide an overview of the currently available academic teaching and clinical training in oral implantology at the university dental schools and hospitals of the United Kingdom and Eire. METHOD: A questionnaire was sent to the dean or director of dental studies and forwarded to the respective units involved in the academic teaching and clinical training of oral implantology. The setting was the university dental hospitals, and dental schools of the UK and Eire. Information was collected between July 1997 and March 1999. The main outcome measures were course availability, duration and emphasis for undergraduate and postgraduate study in the clinical discipline of oral implantology. The units or departments responsible for training and teaching were identified and formal degree courses were distinguished from non-degree courses. RESULTS: All institutions replied to the survey. All university dental schools provide undergraduate training in oral implantology in accordance with the guidelines provided by the General Dental Council. However, the courses vary with regard to the departments involved and the level of student participation. Thirteen centres provide informal postgraduate training with the duration ranging from one to eighteen days. Just eight centres provide formal academic graduate training based on oral implantology leading to recognised degrees. CONCLUSION: All university dental schools provide undergraduate teaching in oral implantology. Most centres also provide informal postgraduate training based on oral implantology. However, opportunities for academic graduate training, leading to recognised qualifications in this subject, appear limited at present.

Certification↗
PubMed2000

Patient knowledge concerning their referral to a restorative dental unit in a community clinic: a pilot study.

One hundred patients referred to a Community Dental Service completed a questionnaire, the purpose of which was to find out why they perceived they had been referred and to whom they thought they had been referred. The results showed that most patients (64) perceived they would see a Specialist rather than a Consultant and most (63) thought they had been referred because their dentist could not treat their problem. There was no significant relationship between age and to whom the patient thought they had been referred, and further analysis to estimate the effect of age, gender and length of time with the current dentist or the reasons for referral failed to show any significant relationships.

Adolescent↗
PubMed1984

[Prevention of hemorrhagic complications in surgical interventions in the maxillofacial area in acute leukemia patients].

On the basis of an analysis of results of the surgical treatment of 97 patients with different forms of acute leukosis with the hemorrhagic syndrome the authors make a conclusion that the application of hemostatic means of the general and local action, the thrombotic mass included, allows preventing hemorrhage in operative procedures in the maxillofacial area (extraction of teeth, opening of abscesses and phlegmons, interventions on the maxillary sinus etc).

Acute Disease↗
PubMed2000

A prospective randomised controlled study of patient-controlled propofol sedation in phobic dental patients.

The safety and effectiveness of patient-controlled propofol sedation was prospectively assessed in 18 healthy, phobic dental patients. Using a randomised, crossover design each patient received two sessions of equivalent dental treatment under patient-controlled or clinician-controlled propofol sedation. The patient-controlled technique used 29.8% less drug (time-weighted dose) than the clinician-controlled method (p = 0.011). There was a high correlation between number of demands and number of doses actually infused during the patient-controlled technique (r = 0.99, p < 0. 001). Clinically, the level of sedation was lighter and the degree of operator satisfaction was higher with patient-controlled sedation. Blood pressure and arterial oxygen saturation showed minimal changes and remained within normal ranges during both techniques. Patient-controlled sedation produced a greater reduction in dental and general anxiety compared with clinician-controlled sedation, but the difference did not reach statistical significance. Three times the number of patients expressed a preference for the patient-controlled, compared with the clinician-controlled, technique. Patient-controlled sedation provides safe and acceptable intra-operative anxiolysis for phobic dental patients, but with reduced propofol dosage.

Adult↗
PubMed1997

A sociodemographic analysis of inpatient oral surgery: 1989-1994.

This retrospective study was designed to assess the socioeconomic status of patients who underwent inpatient oral operations from 1989 to 1994 in the area covered by the West Midlands Regional Health Authority and to compare the distribution with those people treated by other specialties. A total of 4,926,438 hospital inpatient finished consultant episodes within 56 specialties that were recorded on the Hospital Episode Statistics database, of which 61,360 (1.25%) were dental (coded as oral surgery, restorative dentistry, orthodontics, and paediatric dentistry). The main outcome measure was the socioeconomic status of patients as assessed by the Townsend score (a measure of material deprivation that covers car ownership, home ownership, overcrowding, and unemployment). There was a highly significant correlation between the use of all inpatient services and social deprivation (R2 = 0.98, P < 0.001). This observation was consistent across all specialties except oral surgery, in which the correlation was reversed (R2 = 0.69, P < 0.001), indicating that patients who avail themselves of inpatient oral surgery are from a higher socioeconomic group. The application of a deprivation index to hospital episode data will enable purchasers and providers to measure more accurately the impact of their services on groups within the community.

Automobiles↗
PubMed1978

[Evaluation of Faustan (diazepam) in the premedication of ambulatory stomatologic-surgical interventions].

The author presents the results obtained with Faustan (diazepam) in the premedication of ambulatory stomatological interventions at a university clinic of stomatology. Experience was acquired in particular with intravenous premedication in a climical study involving 340 patients. The findings from this study and the experience with hundreds of ambulatory interventions in the past several years characterize Faustan, on condition of individual dosage, as a premedicant that is well suited for stomatological interventions, does not impair vital functions, increases the patients' willingness to co-operate and is of considerable anxiolytic activity. The use of Faustan is recommended for stomatological emergency situations and risk patients.

Ambulatory Care↗