A brief history of the Indiana Dental Practice Act and jury duty exemption.
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Californians face significant dental public health problems. To address these problems, state government, professional organizations, and philanthropic entities in some areas have joined forces. Major issues such as fluoridation, access to care, and the role of the Dental Board of California are examined in terms of the varying roles these critical segments play in affecting the oral health of Californians. This issue of the Journal is dedicated to an examination of public health dentistry in California. While often thought of as innovative and at the "cutting-edge," the state presents a mixed picture of publicly funded oral health programs. Public health concerns sometimes take a lower priority or are overlooked by state government in an era of cutbacks. California lags behind other states in many public goods crucial to the overall quality of life of its residents. This dichotomy is evident in dental public health as it is in education, general health, and air quality. This paper assesses selected dental public health programs, identifying those where innovations have occurred and other program areas where the state has inadequately addressed the dental public health needs of its population.
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In Europe, over 96.5% of dental hygienists are women. The objective of this report was to examine the impact of gender role stereotyping on the image of the dental hygiene profession and on disparities in educational attainment and work regulations within Europe. Data pertaining to regulated or non-regulated dental hygiene practice in 22 European countries were analysed according to possible gender impact on access to education and on the structure of the delivery of care. It was examined whether there is a correlation between national differences found in the dental hygiene profession and gender related disparities found in other work-related areas. Results show that the gender bias in the dental hygiene profession has an effect on equal access to education, and on equal occupational opportunities for dental hygienists within the European Union (EU) and beyond. In northern Europe, higher educational attainment in the field of dental hygiene, more extensive professional responsibilities and greater opportunities for self-employment in autonomous practice tend to correlate with greater equality in the work force. In eastern Europe, lower educational and professional opportunities in dental hygiene correlate with greater gender disparities found in other work-related areas. In some western European countries, the profession has not been implemented because of the political impact of organised dentistry, which expects financial loss from autonomous dental hygiene practice. In order to fulfil mandates of the EU, initiatives must be taken to remove the gender bias in the delivery of preventive care and to promote equal access to educational attainment and to professional development in the whole of Europe for those who choose to do so.
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The practising environment in health care is ever changing in both clinical and management areas. Within dentistry, two major changes have occurred with the development of implantology into a sound treatment approach and a burgeoning of dental litigation. There are medico-legal issues that relate to dental implant treatment with which clinicians must become familiar and there are medico-legal implications that impact on risk management by Medical Indemnity Organizations (MDOs) and the indemnity premiums they set for their members. The aim of this paper is to discuss these issues and highlight those areas of significance to clinicians.
In The Netherlands a new law, concerning the doctrine of informed consent, will be incorporated in the Dutch civil code. Some consequences for dental practitioners are discussed. The conclusion is that it is necessary that the dental profession has to re-examine its standards of conduct towards patients.
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Dental practices are under scrutiny every day. The dynamics of the public, the media, the lawmakers, the regulators, and other special-interest groups create endless possibilities for influence over a practice and continue to challenge a dentist's ability to provide quality dental care to patients. This article describes examples of laws and regulations affecting dentistry and the impetus for them, whether real or perceived.
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The epidemic of acquired immunodeficiency syndrome has initiated a number of regulations, at both the federal and state level, that impact directly on the practice of dentistry. During the past 5 to 6 years, guidelines have been published that specifically and generally state those procedures which should be implemented in the dental practice with regard to infectious disease control. However, confusion remains regarding these procedural guidelines and the differences that exist between municipal, state, and federal regulations. The ensuing discussion (1) reviews the historical background of the guidelines, (2) reflects on the current Occupational Safety and Health Administration guidelines as they relate to the dental practice, (3) summarizes the role of the regulatory agencies, (4) discusses federal and state statutes that have impact on the dental practitioner, and (5) describes the possible legal implications that these regulations may have on the dental practice.
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Dealing with the varied and often changing requirements and regulations that affect every dental practice can be a daunting task for the dentist and dental staff. Knowing how and where to access accurate and timely information provides relief for the busy dental professional. This article explores the impact of regulatory mandates and government agency standards on dentistry and provides suggestions for simplifying the search for reliable information.
For Dutch physicians being sued is one of their worst nightmares in professional life. Dutch dentists as a group do not seem to bother. This article shows that the light-heartedness of the dental profession is incorrect. A Dutch dentist has the same reason for being worried about the chance of facing a (disciplinary) council, about the procedure and about (disciplinary) measures as Dutch physicians have. For dentists who actually had to face a disciplinary council, their experience was very frightening and affected their professional satisfaction. Knowledge of public health legislation and a basic knowledge of legal procedures can be useful weapons in the battle against burnout.
Legislation now before Parliament proposes changes to the traditional role of dental technicians which will permit them to deal directly with the public in the supply of removable dental prostheses. This paper examines the historical perspectives of the role, and applies principles of social dynamics to predict probable effects and reactions to the change. The dental profession should play an important part in the training of clinical technicians; it should also ensure that the concerns and demands on resources for clinical technicians are not such that they weaken the viability of the traditional role of technicians in the supply of the technically sophisticated appliances and prostheses required in the delivery of modern dental care.