An overview of Maternal and Child Health dental activities, and the Dental Head Start Program.
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The aims of the study were to investigate frequencies of low unstimulated whole saliva (UWS) levels and low serum ferritin (S-f) levels among individuals with active dental caries (ADC) and dental caries inactive (DCI) individuals and to compare the relationship between UWS and S-f levels. In this descriptive study, 48 ADC patients and 48 DCI individuals were compared. The two groups were matched regarding age and sex (30 females and 18 males in each group, age range 15-40 years). In the ADC group, 32 individuals (67%) had low (< or = 0.20 ml/min) UWS levels compared with 13 individuals (27%) in the DCI group. This difference was statistically significant (P < 0.001). The mean values of UWS were significantly lower in the ADC group compared to the DCI group (mean ml/min +/- SD) 0.20 +/- 0.13 and 0.33 +/- 0.24, respectively (P = 0.002). There were significant differences for females but not for males when comparing frequencies of low UWS levels (P < 0.001) and mean UWS levels (P = 0.002). There was no difference in S-f levels between the two groups. Neither was any correlation between UWS and S-f found. In conclusion, the significant negative relationship found between UWS and ADC indicates that a suppressed defense for dental caries activity could play a more important role in ADC than previously presumed, especially among females. The absence of a correlation between UWS and S-f might indicate that saliva secretion will not be stimulated by iron supplementation.
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The Health Belief Model is currently receiving substantial attention in the field of health education, not only because the Model attempts to explain health behavior but also because it specifies variables which are presumed to be modifiable. This article presents data from an adolescent population which contradict both of these assumptions. In addition, the data suggest that compliance with new preventive dental activities seems to be higher for children who have practiced similar activities before, with some minimal but not high level of parental involvement. However, in general, both health beliefs and acceptance of new activity were relatively unrelated to prior dental experiences and behavior among these children.
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A technique for the fabrication of light-activated maxillary record bases is described. The use of a segmental polymerization process provides improved palatal adaptation by minimizing the effects of polymerization shrinkage. Utilization of this technique results in record bases that are well adapted to the corresponding master casts.
The present study was undertaken in order to evaluate whether electrodermal activity was a useful tool with which to measure dental anxiety in a group of drug addicts. Electrodermal activity was compared to the subjects' self-reported feelings during ordinary dental treatment sessions. In the first part of the study the level of electrodermal activity during treatment sessions was videotaped and recorded on paper by means of a polygraph. The patients were interviewed using a semi-structured questionnaire dealing with the addicts' dental anxiety and fear. In connection with the interviews the addicts completed Corah's Dental Anxiety Scale (CDAS). There was no recognizable pattern in electrodermal activity when this was compared with the patients' feelings during the treatments. Median CDAS was 9.5. In the second part of the study, electrodermal activity was recorded on the polygraph only. This group also completed a CDAS questionnaire. No correlation between the patients' self-reported highest level of anxiety and level of electrodermal activity, number of fluctuations or amplitude in relation to specific dental stimuli was found; agreement was found in two, three and none of 10 cases respectively. Median CDAS was 10.0. It could be concluded that, although the study revealed apprehension and situational anxiety among the addicts, no correlation to electrodermal activity was found. This discrepancy between the physiological and cognitive data probably reflects the uncertainty of these measures under the given circumstances.
This article reviews studies of dental practice and essays on practice management that have included information on the economic contributions of oral hygiene services. Several studies found that these services were less remunerative than other services and recommended that dentists delegate these functions when possible. However, one study noted that performance time, as well as delegation, influenced practice productivity and also reflected the practice's concept of care. Some practice management authors indicated that poorly managed practices without an excess of patients do not benefit economically from hiring a hygienist; but for practices with good management capabilities and an excess of patients, a hygienist may be able to make a major contribution to practice productivity. The lower remuneration for hygiene services and the high percentage of practice time required to provide a complete prophylaxis once or twice a year to each patient led several authors to doubt that dentists would or could provide these services themselves. The data in the reported studies, however, are insufficient to support firm conclusions about the profitability of hygienists' activities in dental practice.
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As part of two new school-based experiments, the dental health beliefs of adolescents were measured by questionnaires that emphasized personal and vicarious dental experiences. Premeasured beliefs showed zero order or negative relationships with adherence to at-home mouthrinsing in both a 1-year experiment and in the first year of a 2-year experiment; neither premeasured beliefs, nor new measures of beliefs obtained at the end of the first year, predicted adherence in the second year of the 2-year program. Behavior in the first year was inversely related to beliefs obtained at the end of that year. These new data, along with those collected as part of two earlier experiments which measured beliefs in a different manner, representing a total population of over 1500 subjects, cast doubt on the value of the Health Belief Model in either predicting or helping to explain behavior of adolescents in novel disease preventive programs.
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The exact determination of the demands on, and the allowed times for, the stomatological activity is an essential prerequisite of fixing measures for the increase in quality and efficiency of the stomatological care and for the control of their success. The results of a discriminating work analysis on the basis of an independent study on a representative sample of dentist-nurse collectives are compared with the findings of other authors. After resolution of the stomatological basic activities into partial activities and after calculations of the arithmetic means of the respective allowed times, the authors establish synthetic allowed times for the basic activities by summing up the adjustable, necessary and defined partial activities.