Prescribing antibiotics in an urgent dental care service during the COVID-19 pandemic

2021 ◽  
Vol 12 (3) ◽  
pp. 131-137
Author(s):  
Brontё Chandrasekara ◽  
Vikash Patel ◽  
Shrina Nathwani ◽  
Naomi Rahman ◽  
Thayalan Kandiah
Keyword(s):  
Dental Care ◽  
Care Service

scholarly journals Influence of the COVID-19 Pandemic on Dental Emergency Admissions in an Urgent Dental Care Service in North Italy

2021 ◽  
Vol 18 (4) ◽  
pp. 1812 ◽  
Author(s):  
Maria Grazia Cagetti ◽  
Araxi Balian ◽  
Nicole Camoni ◽  
Guglielmo Campus
Keyword(s):  
Retrospective Study ◽  
Dental Care ◽  
Tooth Extraction ◽  
Care Service ◽  
Emergency Admissions ◽  
Exact Test ◽  
Remarkable Increase ◽  
Time Period ◽  
Dental Emergency ◽  
Second Wave

A retrospective study was performed to verify if the number of admissions for urgent dental care in the Urgent Dental Care Service of San Paolo Hospital in Milan (Italy) was directly related to the different phases of the COVID-19 pandemic. Different periods were analyzed: 25 March–5 April 2019 (pre-COVID); 23 March–3 April 2020 (lockdown); 8 June–19 June 2020 (reopening); and November 9–November 20 (second wave). Raw data regarding admissions, diagnoses, and treatments were extracted. Descriptive and bivariate analyses were performed. The survey included 901 admissions, 285 in pre-COVID, 93 during lockdown, 353 in reopening, and 170 in the second wave. In each time period, statistically significant differences were found in the prevalence of each kind of diagnoses (χ2(3) = 20.33 p = 0.01 for endodontic emergencies, χ2(3) = 29.05 p < 0.01 for cellulitis/phlegmon, χ2(3) = 28.55 p < 0.01 for periodontal emergencies, Fisher’s Exact Test p < 0.01 for trauma, and χ2(3) = 59.94 p < 0.01 for all other kinds of diagnosis). A remarkable increase in consultations (+186.36%) and other treatments (+90.63%) occurred during reopening. Tooth extraction was the most frequently delivered treatment, but suffered the largest reduction during lockdown (−79.82%). The COVID-19 pandemic has highly affected dental activity in north Italy, underling the weaknesses of a private dental system in a pandemic scenario.

scholarly journals Patient assessment of the quality of dental care services in a Nigerian hospital

2014 ◽  
Vol 3 (6) ◽  
pp. 20 ◽  
Author(s):  
Ezekiel Taiwo Adebayo ◽  
Bola Ayodele Adesina ◽  
Lilian Ejije Ahaji ◽  
Nurudeen Ayoola Hussein
Keyword(s):  
Service Quality ◽  
Urban Communities ◽  
Dental Care ◽  
Care Service ◽  
Quality Care ◽  
Dental Clinic ◽  
Care Services ◽  
Nigerian Government ◽  
The Difference

Dental care services are available in many urban communities worldwide where discerning and sophisticated clients expect quality care. Many available studies evaluated satisfaction rather than quality of dental care; others did not reveal the patients’ perception of gaps in the quality of care. Service quality (SERVQUAL) tool assesses quality of service based on the dimensions of tangibles, reliability, responsiveness, assurance and empathy as described by Parasuraman et al. (1985). The aim of this study was to assess the gaps in quality of dental care in a Nigerian government owned dental clinic using an unweighted SERVQUAL tool to determine the difference between expectations and perceptions of patients. Consenting patients seen during the study period were given a 32-items questionnaire divided equally between expectations and perception of quality of dental care services received. Out of 112 questionnaires analysed, patients had the most expectation for neatness (4.69 ± 0.85) and least for pain free treatment (3.76 ± 1.16). Highest perception was for knowledgeable clinic staff (4.34 ± 0.71) while support to enable staff work well was the least perceived quality (3.73 ± 0.86). Overall, among the 5 dimensions of quality, there were marked statistically significant quality gaps in assurance (p = .0001) and tangibles (p = .0006). This study showed that patients in a Nigerian government-owned dental clinic, there is need for greater attention to be paid to assurance, tangibles and reliability dimensions of service quality to improve patient perceptions.

Edentulism and Trajectories of Cognitive Functioning Among Older Adults: The Role of Dental Care Service Utilization

2019 ◽  
Vol 32 (7-8) ◽  
pp. 744-752 ◽  
Author(s):  
Sae Hwang Han ◽  
Bei Wu ◽  
Jeffrey A. Burr
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Service Utilization ◽  
Dental Care ◽  
Care Service ◽  
Health Care Expenditures ◽  
Self Report ◽  
Dental Services

Objective: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults. Method: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years. Results: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline. Discussion: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.

Effects of School Dental Care Service in Hong Kong-primary teeth

1992 ◽  
Vol 20 (4) ◽  
pp. 193-195 ◽  
Author(s):  
R. Wendell Evans ◽  
Edward C. M. Lo
Keyword(s):  
Hong Kong ◽  
Dental Care ◽  
Primary Teeth ◽  
Care Service

scholarly journals The first 6 weeks – setting up a UK urgent dental care centre during the COVID-19 pandemic

2020 ◽  
Author(s):  
Emily Carter ◽  
Charlotte C Currie ◽  
Abisola Asuni ◽  
Rachel Goldsmith ◽  
Grace Toon ◽  
...  
Keyword(s):  
Dental Care ◽  
Care Service ◽  
Clinical Care ◽  
Service Evaluation ◽  
Urgent Care ◽  
List Type ◽  
Care Centre ◽  
North East ◽  
The North ◽  
Patient Pathways

AbstractIntroductionThe COVID-19 pandemic has posed many challenges, including provision of urgent dental care. This paper presents a prospective service evaluation during establishment of urgent dental care in the North-East of England over a six-week period.AimTo monitor patient volumes, demographics and outcomes at the North-East urgent dental care service and confirm appropriate care pathways.Main Outcome MethodsData were collected on key characteristics of patients accessing urgent care from 23rd March to 3rd May 2020. Analysis was with descriptive statistics.ResultsThere were 1746 patient triages, (1595 telephone and 151 face-to-face) resulting in 1322 clinical consultations. The most common diagnoses were: symptomatic irreversible pulpitis or apical periodontitis. 65% of clinical consultations resulted in extractions, 0.5% an aerosol generating procedure. Patients travelled 25km on average to access care, however this reduced as more urgent care centres were established. The majority of patients were asymptomatic of COVID-19 and to our knowledge no staff acquired infection due to occupational exposure.ConclusionThe urgent dental care centre effectively managed urgent and emergency dental care, with appropriate patient pathways established over the 6-week period. Dental preparedness for future pandemic crisis could be improved and informed by this data.Three In Brief PointsA summary is given of how urgent dental care was established in the North East of England during the COVID-19 pandemic which may help with future preparedness for pandemics.Aerosol generating procedures were almost always avoided in the delivery of urgent dental careA telephone triage system was effectively used to determine who needed clinical care, and to separate symptomatic, asymptomatic and shielding patients, with very few failures in triage noted.

scholarly journals Medical, social, and economic significance of school dental care service

2011 ◽  
Vol 27 (63) ◽  
pp. 1043-1058 ◽  
Author(s):  
Ljiljana Kostadinovic ◽  
Borivoje Aleksic ◽  
Marija Igic ◽  
Dusan Surdilovic ◽  
Olivera Trickovic-Janjic
Keyword(s):  
Dental Care ◽  
Care Service ◽  
Economic Significance

Author response for "COVID‐19 affected patients’ utilization of dental care service"

2020 ◽  
Author(s):  
Yuanyuan Jiang ◽  
Tianyi Tang ◽  
Li Mei ◽  
Huang Li
Keyword(s):  
Dental Care ◽  
Care Service ◽  
Author Response

scholarly journals System dynamics analysis of dental caries status among Thai adults and elderly

2019 ◽  
Vol 34 (2) ◽  
pp. 134-146 ◽  
Author(s):  
Nipaporn Urwannachotima ◽  
Piya Hanvoravongchai ◽  
John Pastor Ansah ◽  
Piyada Prasertsom
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Dental Caries ◽  
System Dynamics ◽  
Simulation Model ◽  
Dental Care ◽  
Care Service ◽  
Care Utilization ◽  
Content Type ◽  
Policy Experimentation

Purpose The purpose of this paper is to estimate the changes of dental caries status among Thai adults and elderly under the different policy options using system dynamics modeling. Design/methodology/approach A multi-sector system dynamics model was developed to capture the dynamic interrelationship between dental caries status changes and oral health behavior – including self-care, dental care utilization and sugar consumption. Data used to populate the model was obtained from the Thai national oral health survey in 2000, 2006, 2012 and Thailand Official Statistics Registration. Three policy scenarios were experimented in the model: health promotion policy, dental personnel policy and affordable dental care service policy. Findings Dental caries experiences among Thai adults and elderly were projected to increase from now to 2040, as the elderly population increases. Among all policies experimented herein, the combined policies of health promotion, increased affordability and capacity of dental health service were found to produce the highest improvement in dental caries status with 3.7 percent reduction of population with high decayed, missing and filled teeth (DMFT) and 5.2 percent increase in population with very low DMFT. Originality/value This study is the first comprehensive simulation model that attempts to explore the dynamic interrelationship among dental caries experiences and behavioral factors that impact on oral health outcomes. In addition, the simulation model herein offers a framework for policy experimentation that provides policymakers with additional insights to inform health policy planning.

Factors affect on implementation of home dental care

2019 ◽  
Author(s):  
Yoshiaki Nomura ◽  
Erika Kakuta ◽  
Ayako Okada ◽  
Ryoko Otsuka ◽  
Hideaki Saito ◽  
...  
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Dental Care ◽  
Care Service ◽  
Oral Care ◽  
Postal Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Dental Home

Abstract Background In Japanese super aging society, there is a need to establish home dental care service supply system. Current situation of home dental care should be analyzed.Methods A cross-sectional survey was conducted using a self-administered postal questionnaire distributed to all members of Iwate Dental Association. Implementation of home and nursing home dental care, number of staffs of dental clinic and the contents of dental home care were analyzed. For the analysis, correspondence analysis, item response theory, and zero-inflated model were used.Results Among 354 dental clinics, 187 (52.8%) were implemented home dental care and 195 (55.1%) were implemented nursing home dental care. Dental clinics handle home dental care by part-time workers. Denture treatment and oral care was the common treatment of dental home care.Conclusion More than half of the dental clinics were not managed the home dental care. Infrastructure improvement is necessary for the sufficient supply of dental home care service.

scholarly journals The INCENTIVE protocol: an evaluation of the organisation and delivery of NHS dental healthcare to patients--innovation in the commissioning of primary dental care service delivery and organisation in the UK

BMJ Open ◽  
2014 ◽  
Vol 4 (9) ◽  
pp. e005931-e005931 ◽  
Author(s):  
S. H. Pavitt ◽  
P. D. Baxter ◽  
P. A. Brunton ◽  
G. Douglas ◽  
R. Edlin ◽  
...  
Keyword(s):  
Service Delivery ◽  
Dental Care ◽  
Care Service ◽  
The Uk
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