Paediatric dentists’ stress during dental care for children under sedation: a cross-sectional study

Author(s):  
A. A. Anabuki ◽  
P. Corrêa-Faria ◽  
A. C. Batista ◽  
L. R. Costa

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jonas Czwikla ◽  
Annika Schmidt ◽  
Maike Schulz ◽  
Ansgar Gerhardus ◽  
Guido Schmiemann ◽  
...  

Abstract Background Nursing home residents have high medical care needs. Their medical care utilization is, however, lower compared to community-dwelling elderly and varies widely among nursing homes. This study quantified the utilization of general practitioners (GPs), dentists, and medical specialists among nursing homes and residents, and investigated whether dentist utilization is associated with individual and nursing home characteristics. Methods Forty-four nursing homes invited 2124 residents to participate in a cross-sectional study. For 10 medical specialties, data on contacts in nursing homes, practices, and by telephone in the last 12 months were assessed at individual and nursing home level. The proportion of nursing homes and residents with any form of contact, and the median number and interquartile range (IQR) of contacts among individuals with contact were determined. Using multilevel logistic regression, associations between the probability of individual dental care utilization and sex, age, LTC grade, years of residence, sponsorship, number of nursing home beds, and transport and medical escort services for consultations at a practice were investigated. Results The proportion of nursing homes with any form of contact with physicians ranged from 100% for GPs, dentists, and urologists to 76.7% for gynecologists and orthopedists. Among the nursing homes, 442 residents participated (20.8% response). The proportion of residents with any contact varied from 97.8% for GPs, 38.5% for neurologists/psychiatrists, and 32.3% for dentists to 3.0% for gynecologists. Only for GPs, neurologists/psychiatrists, dentists, otorhinolaryngologists, urologists, and dermatologists, the proportion was higher for nursing home contacts than for practice and telephone contacts. Among residents with any contact, the median number of contacts was highest for GPs (11.0 [IQR 7.0-16.0]), urologists (4.0 [IQR 2.0-7.0]), and neurologists/psychiatrists (3.0 [IQR 2.0-5.0]). Dentist utilization varied widely among nursing homes (median odds ratio 2.5) and was associated with higher age. Conclusions Almost all residents had regular contact to GPs, but only one third had contact with dentists. Lower proportions with contact were found for medical specialists, except for neurologists/psychiatrists. Reasons for the large variations in dental care utilization among nursing homes should be identified. Trial registration DRKS00012383 [2017/12/06].



2019 ◽  
Vol 53 ◽  
pp. 15 ◽  
Author(s):  
Gustavo Essvein ◽  
Alexandre Baumgarten ◽  
Rafaela Soares Rech ◽  
Juliana Balbinot Hilgert ◽  
Matheus Neves

OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.



Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa N. Borrell

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in adults aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for the years 2006 (before the crisis), 2014, and 2017 (after the crisis). Log-binomial regression was used to quantify the association between place of birth and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR: 1.36, 95% CI: 1.10–1.67) and Africa (PR: 1.16, 95% CI: 1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants relative to natives, with the greatest probability for those from Africa (PR: 1.71, 95% CI: 1.46–2.01) and Asia (PR: 1.3, 95% CI: 1.23–1.47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.



2020 ◽  
Vol Volume 12 ◽  
pp. 281-289
Author(s):  
Arwa M. Mahasneh ◽  
Maram Alakhras ◽  
Omar F. Khabour ◽  
Amani G. Al-Sa'di ◽  
Dana S. Al-Mousa


2015 ◽  
Vol 20 (6) ◽  
pp. 1317-1327 ◽  
Author(s):  
Kristina Bertl ◽  
Stefanie Loidl ◽  
Ulana Kotowski ◽  
Gregor Heiduschka ◽  
Dietmar Thurnher ◽  
...  


2017 ◽  
Vol 8 (1-2) ◽  
pp. 52-57 ◽  
Author(s):  
Salwa A. AlSadhan ◽  
Amel G. Darwish ◽  
Norah Al-Harbi ◽  
Arwa Al-Azman ◽  
Hala Al-Anazi


BDJ ◽  
2021 ◽  
Vol 231 (1) ◽  
pp. 43-48
Author(s):  
Vivian Yung Yee Wong ◽  
Yoke Kwan Chua ◽  
Holy JR Koh ◽  
Kenneth Meng Tze Low


Author(s):  
Aziza Jamaan Alalmaie ◽  
Hind Khalaf Alkhalaf ◽  
Reema Mashhour Aldakheel ◽  
Roa’a Rafa Al Shehri ◽  
Shahzeb Hasan Ansari

Introduction: Children with ASD face various obstacles to professional dental care that are prominent causes to stop seeking dental care. The main barriers are behavioral problems and trouble finding a dentist who treats ASD children. Materials and Methods: This is a cross sectional study conducted among the dental practitioners of Saudi Arabia using an online survey. Online questionnaire was constructed consisting of questions related to personal, professional, and demographic data followed by questions including knowledge, experience and confidence in managing patients with ASD. Results: Only 18% had previously treated an autistic child, 14% had treated autistic adults and 16% having treated both with 52% with no past exposure. Maximum score of 3.86 was attained when inquired about knowing where to find further information and guidance for treating autistic patients. Conclusion: Overall knowledge and confidence level of participants is low regarding autistic patients.



Sign in / Sign up

Export Citation Format

Share Document