Safeguarding in the dental practice

2022 ◽  
Vol 18 (1) ◽  
pp. 22-24
Author(s):  
Priya Sharma

Priya Sharma outlines the types of abuse and the responsibilities of dental professionals

2020 ◽  
Author(s):  
Stacey Bracksley-O'Grady ◽  
Karen Anderson ◽  
Mohd Masood

Abstract Oral diseases, place a significant burden on individual and population health. These diseases are largely preventable; health promotion initiatives have been shown to decrease the disease rates. However, there is limited implementation of health promotion in dentistry, this could be due to a number of factors; the ethos and philosophy of dentistry is focused on a curative, individualised approach to oral diseases, confusion around health promotion as a concept. Oral health academics are well placed to implement health promotion, training of these professionals needs to include prevention, as training influences dental practice. However, there is a little understanding about how oral health academics (dental professionals who educate dental and oral health students) view health promotion. The aim of this study is to understand how oral health academics conceptualise health promotion and perceive the barriers and possible opportunities for health promotion implementation in dental practice. Methods: Nominal group technique (NGT), a highly structured face-to-face meeting, was conducted with 24 oral health academics to explore how they conceptualize health promotion and the barriers and opportunities for health promotion in practice. An additional 4 questions were emailed to oral health educators after the NGT meeting to gather additional data, 6 oral health academics were involved. The data was analyzed using thematic analysis. Results: Four board themes were identified: “health education”; “structure of dental practice”; “work in progress”; “collaboration”. The oral health academics in this study discussed health promotion in a holistic way, however, health education and behaviour change were mentioned more than other aspects of health promotion. The structure of dental practice specifically the curative approach that underpins dentistry and the lack of funding, and value placed on health promotion could act as a barrier to health promotion being implemented in practice. There has been a shift towards prevention in dentistry, however the participants acknowledge there needs to be a change in the curative culture of the profession. Collaboration with other health professionals and using a common risk factor approach were the identified opportunities for health promotion practice. Conclusions: Oral health academics have a holistic understanding of health promotion, but still focus more on behavioural approaches which is common within dentistry. For a change to occur in health promotion practice a change in the structure, curative approach and funding model of dentistry is required. Collaboration with other health professionals is an opportunity to be capitalised on. Training of future dental professionals is the perfect place to start to implement the changes and opportunities for health promotion presented in this paper.


2020 ◽  
Vol 1 (2) ◽  
pp. 106-120
Author(s):  
Joo Ming Cheong

 Coronavirus disease 2019 (COVID-19) has caused widespread public health concerns and many disruptions in our daily life. Dental professionals may encounter patients with COVID-19 infections in their practice. This technical report provides suggestions andrecommendations for implementing infection control in the dental office during COVID-19 pandemic.


Author(s):  
Ashutosh Kumar Singh ◽  
Manoj Humagain ◽  
Nikita Khanal

The shutdown of dental practices after the announcement of COVID-19 has been implemented worldwide. Aerosol generating procedures and face to face contact with the patients put dental professionals at highest risk of disease transmission. There is a looming risk of increasing severity of dental conditions and burden on treatment providers if required dental treatments are kept on hold for an indefinite time. There is a need for definite guidelines to safely resume dental practice in Nepal, based on international experiences during COVID-19 pandemic and international dental societies recommendations. We have compiled multiple recommendations and guidelines from reputed international organizations and collected evidence from dental professional’s work from China and Italy during COVID-19 crisis and attempted to put forward some recommendations and guidelines that can be followed for a safe dental practice in Nepal.


Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 644
Author(s):  
Syed Sarosh Mahdi ◽  
Zohaib Ahmed ◽  
Raheel Allana ◽  
Alessandro Peretti ◽  
Francesco Amenta ◽  
...  

Background and Objectives: The aims of this systematic review were to identify additional infection control measures implemented in dental practice globally to prevent cross-infection and evaluate the psychological impacts of the pandemic among dental professionals. Materials and Methods: A sequential systematic literature search was conducted from December 2019 to 30 April 2020 through PubMed, CINAHL, Scopus, Google Scholar, Embase, and Web of Science databases. The search yielded the following results: “COVID-19” (n = 12,137), “Novel corona virus” (n = 63), “COVID-19 and dentistry” (n = 46), “COVID-19 and oral health” (n = 41), “Novel Corona virus and Dentistry” (n = 0), “dental health and Novel Coronavirus” (n = 26), and “dental practice and Novel Coronavirus” (n = 6). Results: After a careful review and eliminating articles based on inclusion and exclusion criteria, the final review included 13 articles. Management of infection control is discussed extensively in the literature and remains the main theme of many Coronavirus Disease 2019 (COVID-19) articles on dentistry. Telephone triage using a questionnaire, hand hygiene, personal protective equipment (PPE) for clinical and nonclinical staff, a preprocedural mouth rinse, and aerosol management have been discussed and implemented in few countries. Three studies recommended that elective treatments for patients with a temperature of >100.4 F or 38 °C should be postponed or performed in an airborne infection isolation room (AIIR) or negative-pressure room. Limiting the number of patients in the waiting area, the removal of shared objects, proper ventilation, and physical distancing were highly recommended. Psychological distress among dental professionals in relation to existing medical conditions and self-efficacy has been discussed. Conclusions: Although the COVID-19 pandemic has had a substantial impact on the dental profession worldwide, our review highlights many practice management approaches to adopt the new norm. More research highlighting evidence-based safety practices and multisectoral collaboration is required to help dental professionals make informed decisions and make the profession safe, both for the patient and dental professionals.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 653-658
Author(s):  
Roshan A ◽  
Jeevitha M ◽  
Sridevi G

Given the existence of a standardized tool and infection control recommendations for COVID-19, many dental professionals lack the minimum infection control requirements. As the disease outbreak continues to evolve and health centres respond to unique situations in their communities, the Department of Health recognizes that dental settings may also be necessary to provide non-emergency dental care. The dental environment will balance the need to include the resources available whilst reducing the harm to patients and dental health staff. The aim of the study is to assess the awareness of infection control in dental practice in the COVID-19 outbreak among dental practitioners. A Self-administered questionnaire was designed based on awareness of infection control for a dental practice in the COVID-19 outbreak. The questionnaire was distributed through an online google form link. The study population included dental professionals in Tamil Nadu. The data was collected and statistically analysed. 81% use PPE (personal protective equipment) during the procedure, 82.7% of patients are made to rinse their mouth with an antimicrobial mouth rinse before the dental procedure. Based on the findings, awareness level and infection control in dental practice can be improved.


2019 ◽  
Vol 7 (2) ◽  
pp. 51 ◽  
Author(s):  
David G. Gillam ◽  
Huda Yusuf

Motivational Interviewing has been demonstrated to be effective for a wide range of health behaviors. It is an effective behavior change method, which can be utilized in the dental practice setting. It can be used as a brief intervention to increase motivation to improve patients’ oral hygiene behaviors as well as providing a framework for delivering diet, smoking cessation, oral health changes, and alcohol advice. It involves four processes: engaging, focusing, evoking, and planning, guiding, which supports the patient towards a positive behavior change. Motivational Interviewing is a collaborative, patient-centered approach evoking the patient’s own motivation to change, thereby enhancing the relationship between the clinician and patient and improving patient outcomes. This review will provide an overview on the topic for dental professionals as well as helpful suggestions for supporting a positive behavior change in their dental practices.


2020 ◽  
Vol 3 ◽  
pp. 101-109
Author(s):  
Siddhesh Sandip Save ◽  
Sanpreet Sachdev Singh ◽  
Dheeraj D. Kalra ◽  
Smit Tushar Jhaveri ◽  
Sanket Keshav Avhad

Objectives: Teledentistry is a relatively novel aspect, wherein digital telecommunication modalities are effectively employed for transferring data such as images and videos between dental professionals and patients that are physically separated across a distance. The concept could be essentially beneficial in improving the provision of oral health care to patients in rural areas and remote locations, especially in situations such as the present COVID-19 pandemic. Materials and Methods: Dental professionals having at least a graduation degree (BDS) were considered eligible for the study. A self-constructed e-questionnaire comprising 15 questions was validated and then circulated online with the aid of messenger applications and emails to the eligible participants. The data were analyzed based on age, gender, qualification, and years of experience for the dentist-based survey using the Chi-square test. Results: Our results indicate that only 55.6% of respondents had come across this relatively novel concept of digitalized health care provision with only 43% being aware of the modalities that can be utilized for the same. A significant portion (70–80%) of the respondents supported the utility of teledentistry in various specialization branches of dental practice. Conclusion: Despite multiple benefits of teledentistry in various aspects of the field of dental practice and education, its use is still limited due to relative unawareness. With the present technology available across dental clinics even in rural areas, it is now more feasible and simpler to incorporate teledentistry into one’s dental practice subsequently improving the quality of the oral health care system.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Rootab Subhan ◽  
Waleed A. Ismail ◽  
Sadia Musharraf ◽  
Mylla Khan ◽  
Resham Hafeez ◽  
...  

The current scenario of the COVID-19 pandemic has forced dentists to seek different options for delivering healthcare services other than the in-person direct examination in clinical practice. Teledentistry is one of the options for remote patient care and monitoring. Objective. The present survey was conducted to assess the knowledge and perception of the dentists in Pakistan regarding teledentistry as an emergent supportive tool. Materials and Methods. A self-administered, close-ended, and prevalidated survey questionnaire was used, comprising 21 questions, and distributed electronically via e-mail, WhatsApp, and Facebook Messenger to evaluate the knowledge and perception of dentists regarding teledentistry. The data collected was compiled in a systematic manner and analyzed in terms of frequency (yes/no). Results. Out of a total of 350 dentists, 325 responded to the questionnaire, and it was seen that 62.5% of them did not have knowledge about teledentistry prior to COVID-19. 65.8% of dentists considered the practice of teledentistry in nonpandemic situations in the future. Conclusion. In the present study, it was observed that most of the dental professionals had inadequate knowledge about teledentistry before COVID-19, but the awareness and perception regarding teledentistry were currently satisfactory among the dental professionals in Pakistan. This emerging trend gives a positive hope for the implementation of teledentistry in the healthcare setup of Pakistan in the near future, as it will prove to be beneficial for safe dental practice during times of pandemic and even after.


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