[The dental care system during 1974-1981. Comprehensive dental care in private dental practice].
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PURPOSE: The purpose of this study was to characterize the patient population utilization of a dental home as grouped by: (1) age; (2) sex; and (3) payment method. METHODS: A retrospective chart review of 1,020 patients, who initially presented for an emergency visit, was performed. From the original data pool, 2 groups were delineated: (1) those patients who returned for comprehensive dental care; and (2) those who did not return for comprehensive dental care. RESULTS: Patients with private dental insurance or Medicaid dental benefits were statistically more likely to return for comprehensive oral health care than those with no form of dental insurance. Younger patients (< or =3 years of age) were least likely to return for comprehensive dental care. CONCLUSIONS: Socioeconomic factors play a crucial role in care-seeking behaviors. These obstacles are often a barrier to preventive and comprehensive oral health care.
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The purpose of this survey was to solicit information about comprehensive dental care (CDC) programs in various dental schools. Seventy-four schools responded to a questionnaire that sought information about a range of topics pertaining to CDC. The 19 questions used were categorized under the following headings: implementation and success, physical nature of clinics, staffing, and student involvement. The diverse nature of the responses is thought to be an expression of differing philosophies and of the presence of numerous constraints to the introduction of CDC. The various approaches to CDC make it very difficult to gauge the relative merits of the many systems reported. It appears from this study that departments will continue to play an important role in preparing students to participate in CDC programs and that it would be safer to introduce students to CDC during their final year of study.
The purpose of this survey was to solicit information about comprehensive dental care (CDC) programmes in various dental schools. Seventy-four schools responded to a questionnaire which sought information about a range of topics pertaining to CDC. The 19 questions used were categorized under the following headings: implementation and success; physical nature of clinics; staffing; and, student involvement. The diverse nature of the responses is thought to be an expression of differing philosophies and of the presence of numerous constraints to the introduction of CDC. The various approaches to CDC make it very difficult to gauge the relative merits of the many systems reported. It appears from this study that departments will continue to play an important role in preparing students to participate in CDC programmes and that it would be safer to introduce students to CDC during the final year of study.
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Providing treatment to pediatric patients with bleeding disorders can present a challenge for the dentist. In the past, this group of patients may have avoided regular dental care, attending the dentist only in acute situations requiring immediate attention. Today, with the recent advances in medical management, patients with bleeding disorders can undergo comprehensive dental care. However, the dentist must have an understanding of the patient's specific coagulation defect, and use a team approach with the patient's physician and hematologist prior to undertaking any treatment. This paper reviews the key aspects of patient assessment and provides specific management protocols for all phases of dental treatment. Supported by a strong preventive program, the use of indicated replacement therapy where necessary, conservative treatment approaches, and the use of local hemostatic measures to control hemorrhage, most cases can be successfully managed. Thus, a valuable and once neglected service can be delivered in a safe and thorough manner.
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UNLABELLED: The city of Kuopio in central Finland had fluoridated piped water for 33 years, beginning in 1959. Due to strong opposition by various civic groups, water fluoridation was stopped at the end of 1992. There is little information on the consequences of stopping fluoridation in a community with comprehensive dental care for all children and adolescents, who are frequently exposed to different fluoride measures both at home and in the dental office. OBJECTIVES: The aim of this repeated cross-sectional survey was to examine how discontinuation of water fluoridation in Kuopio affected caries in the primary dentition. Changes in the mean dmfs values between 1992 and 1995 in Kuopio were compared to those in Jyväskylä, a low-fluoride community that has repeatedly been used as the reference area for Kuopio. METHODS: In 1992 and 1995, independent random samples of all children aged 3, 6 and 9 years were drawn in Kuopio and Jyväskylä. The total number of subjects examined was 421 in 1992 and 894 in 1995. Calibrated dentists registered caries clinically and radiographically. RESULTS: In all age groups both in 1992 and 1995, the point estimates for mean dmfs values were lower in the non-fluoridated town. In both towns, the observed mean dmfs values were smaller in 1995 than in 1992. CONCLUSION: Despite discontinuation of water fluoridation, no increase of caries frequency in primary teeth was observed in Kuopio within a three-year period.
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