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Results for “LEGISLATION, DENTAL”

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PubMed1982

[Legal questions in data processing in dental practice].

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Computers↗

PubMed1998

[The dentist in the circle of care of dependent elderly].

By preventing avoidable causes of death, man usually dies at advanced age after a prolonged period of increasing dependency often in homes for the elderly and in nursing homes. This dependency means problems in self care, walking, cognition, communication and in oral health. Geriatric dentistry can be incorporated in a model arranging care (the care circle) in which the dentist operates independently, or organised in teams with other caregivers or central directed by a nursing home doctor (so-called multidisciplinary dentistry). Multidisciplinary dentistry means that the dentist is a member of a multidisciplinary team, contributing to the reduction of individual problems with eating, drinking and oral health. The dentist involves the team in the indications of dental treatment. He operates within the rules of recent Dutch legislation. These laws are based on self-determination of the patient, institutional quality-assurance and individual skills-guarantees of the care provider.

Aged↗

PubMed1995

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); expanded active duty dependents dental benefit plan--DoD. Final rule.

The rule establishes an expanded dental program for dependents of active duty members of the Uniformed Services. The amendment specifically describes: the legislative authority for expansion of dental benefits outside the United States; the continuation of dental benefits for active duty survivors; eligibility for pre-adoptive wards; the enhanced benefit structure; enrollment and eligibility requirements; premium cost-sharing; and benefit payment levels. The provisions of this rule will provide military families with the high quality of care they desire at an affordable price.

Government Agencies↗

PubMed2002

Dentists' perception of their treatment practices versus documented evidence.

OBJECTIVE: To compare the quality of real-life treatment practices to dentists' perceptions of treatment rendered. SETTING: One administrative unit of the Finnish public oral health service. METHODS: The original oral health records of a randomly selected sample of young adults who received treatment during 1994-1996 provided data on actual clinical examinations (n=208), radiographs (n=312), and root canal treatment courses (n=148) carried out by 50 dentists. Dentists' perceptions of the treatment rendered were obtained through a structured questionnaire completed during their working hours in 1996. OUTCOME MEASURES: Criteria for assessing the quality of treatment practices were based on Finnish health legislation, authoritative instructions, and consensus reports. RESULTS: Based on responses, 77% of the dentists followed the prevailing instructions on oral health record keeping (82%, if partial agreement included). Most dentists (88% fully agreed, 95% at least partly) perceived that their knowledge gained through continuing education was being applied in practice; no one answered no. A gap was found between dentists' perception of the treatment rendered and everyday treatment practices as recorded on patient documents. CONCLUSIONS: Overall, dentists' perception of the quality of their treatment practices exceeded that found in patient documents. This gap deserves consideration while planning research, education, or quality-improvement projects that relate to dentists' opinions.

Adult↗

PubMed2000

Bill would establish pilot project for denturism in Kentucky.

HB 238 has been reported favorably to the floor of the House of Representatives by the Committee on Licensing and Occupations, but has not yet been acted upon by the full House. When asked whether he thought his legislation would be approved, Representative Burch said he thought the bill had a "50-50" chance of passing the Kentucky legislature this year. Sources within the Kentucky dental laboratory and dental communities disagree on the legislation's chances for passage. Some within the industry feel the legislation simply does not have enough votes to pass the General Assembly, primarily because of opposition from the Kentucky Dental Association. Others speculate that the bill has a better opportunity to be approved this year than it did in the previous years when it was introduced. The Kentucky General Assembly adjourns its session for the year 2000 on April 12, so there will be a quick answer to the question of whether HB 238 will be approved. The May issue of this column will provide details.

Dentists↗

PubMed1987

Controls relating to the safety, performance, and sale of dental products.

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Dental Materials↗

PubMed1978

Effectiveness of community preventive programs on improving oral health.

Although sizable community efforts in the United States have been made to educate children and adults about periodontal disease and its control, valid inferences regarding their effectiveness cannot be made because, for the most part, invalid methods of evaluation have been used. Confusion about these methods may exist because there has been little conviction that the available methods of control will stop the progress of periodontal pathology. Many recommended oral hygiene practices are probably applicable only to certain motivated individuals. An effective, comprehensive community-program for the prevention of periodontal disease remains to be developed. It is unlikely that sufficient sums of money and personnel could be diverted from the budgets of lesser-developed countries to initiate mass oral hygiene programs. Therefore, it appears that, organized community efforts appear to be promising only for the control of dental caries. However, it must be remembered that community fluoridation may not be applicable in many countries. Therefore, new strategies and vehicles to bring fluorides to all segments of the world's population are needed.

Audiovisual Aids↗

PubMed1979

Dental care in a socialized health system.

Given the chronic, all-pervasive nature of dental disease and given the currently available methods of prevention and treatment, the only rational approach is a public delivery system. Such a system will function best and will be most responsive to people's needs if based upon local community control. At the same time, financing and operational guidelines should be a federal responsibility. The Dellums bill for a National Health Service is such a plan. This socialized program need not result in mediocrity and can be cost-effective in the provision of high quality dental care. There is nothing inherent in either government control or salaries practice which will led to inefficient and ineffective dentistry. In particular, prevention and health promotion can be given their rightful prominent place in the dental system. The organic ties between delivery and education will lead to the training of more appropriate numbers and types of health professionals. Career ladders will provide for advancement of health workers based upon performance and additional training. Unfortunately, such a program cannot function properly within our existing governmental and social system. However, some of iits goals can be achieved and discussion of its concept can lead to heightened awareness of future possibilities.

Delivery of Health Care↗

PubMed2001

Is the fluoride concentration limit of 1,500 ppm in cosmetics (EU guideline) still up-to-date?

The 1,500 ppm fluoride (F(-)) concentration limit set up for European cosmetic toothpaste needs to be considered in terms of effectiveness and toxicity. There is clear evidence for a dose-response relationship between F(-) concentration and caries-preventive effect (25-30% caries reduction achieved with a 1,000 ppm F(-) dentifrice). Clinical significance of higher F(-) concentration has not been totally proven. Low F(-) toothpastes (<500 ppm F(-)) have been marketed to reduce F(-) ingestion by young children in order to minimize the risk of dental fluorosis. Their effectiveness is, however, unclear. Fluoride intake and caries risk assessment should be performed by dental professionals and prescription of topical fluoride should be adjusted individually.

Cariostatic Agents↗

PubMed1967