scholarly journals The “business” of dentistry: Consumers’ (patients’) criteria in the selection and evaluation of dental services

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0253517
Author(s):  
Laura Gray ◽  
Lisa McNeill ◽  
Weiming Yi ◽  
Anastasia Zvonereva ◽  
Paul Brunton ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Treatment Options ◽  
Clinical Effectiveness ◽  
Healthcare Services ◽  
Geographic Region ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Services ◽  
Dental Practitioners ◽  
Chi Square Analysis

The dimensions of patient-centred care include not only clinical effectiveness and patient safety, but, importantly, the preferences of patients as consumers of healthcare services. A total of 249 participants were included in the study, with a balanced population proportional representation by age, gender, ethnicity and geographic region of New Zealand. An online questionnaire was used to identify participants’ decision-making process, and what factors and barriers for participants to seek dental treatment. Cross-tabulations, Spearman correlation analysis and Pearson Chi-Square analysis were used for the statistical analyses. Three most common reasons for visit were check-up (77%), clean (57%) and relief of pain 36%). A desire to treat a perceived problem was the most common encouraging factor to seek dental care. Cost was the most common barrier to seeking dental services. The majority of participants attended a private practice (84%), with convenience of location and referral from professionals the most likely to influence their choice. Participants felt the most important trait a dental practitioner could demonstrate was to discuss treatment options with them before any treatment. Dental check-up, teeth cleaning and relief of pain were the most common reasons for patients to choose dental services. Cost and ethnicity of the consumers had a significant impact on how dental services were perceived and sought. Dental practitioners may need to reorientate how they express value of oral health practice, not just in regard to communication with patients, but also with government funding agencies.

Dental Disease Nonbattle Injury Rates of Deployed NATO Militaries in the Middle East Region: A Scoping Review

2020 ◽  
Author(s):  
Matthew Vaughan ◽  
Troy McGowan ◽  
Greg Mahoney
Keyword(s):  
Scoping Review ◽  
Dental Treatment ◽  
Significant Proportion ◽  
Healthcare Services ◽  
Dental Disease ◽  
Operational Effectiveness ◽  
Dental Services ◽  
Injury Rates ◽  
East Region ◽  
Middle East Region

ABSTRACT Introduction The occurrence of dental emergencies, now termed as dental disease nonbattle injuries (D-DNBIs), has long been an impacting factor on militaries’ operational effectiveness. Owing to D-DNBIs contributing to low morale, the removal of personnel from duty, causing logistical hardships, and requiring deployable dental teams to operate in theater, there remains a significant benefit in the reduction in the occurrence of D-DNBIs. No study to date has reviewed D-DNBI rates specific to a modern military, and insight into whether militaries are seeing improvements in their dental preparedness remains to be gained. Materials and Methods A scoping review was conducted in accordance with the guidelines set out by Joanna Briggs Institute. Databases searched included SCOPUS, PubMed, OVID, and DOSS. Six hundred and one articles were initially screened, and six articles were included in the final review. Results A D-DNBI rate of 172 per 1,000 members per year was reported across the coalition, with the U.S., UK, and French militaries reporting on their dental experience. Both the French data and one UK study reported significantly higher D-DNBIs than their U.S. counterparts, who described 124 D-DNBIs per 1,000 members per year. A significant proportion of these D-DNBIs were reported to be “preventable,” which raises questions on the efficacy of garrison healthcare services. Dental disease nonbattle injury rates appear to be largely consistent with what was first reported decades ago, and there remains ongoing and significant value in expeditionary dental services providing supportive healthcare for any deployed military personnel. Conclusion Rates of D-DNBIs appear to be stable with what was historically reported when an international coalition is considered, with national variation. There remains a significant number of D- DNBIs which require dental treatment within the operational theater, and further efficiencies can be gained from predeployment treatment of “preventable” D-DNBIs.

Assessment of Knowledge and Practice of Fresh Dental Graduates, Dental Surgeons and Specialists of Multan about Different LA Techniques for Mandibular Teeth: A cross-sectional survey

2021 ◽  
Vol 15 (7) ◽  
pp. 1745-1748
Author(s):  
Zaid Bin Sohail ◽  
Muhammad Salman Chishty ◽  
M. Shairaz Sadiq ◽  
Farhan Riaz ◽  
Mehwish Munawar ◽  
...  
Keyword(s):  
Nerve Block ◽  
Dental Treatment ◽  
Inferior Alveolar Nerve ◽  
Mandibular Nerve ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Dental Practitioners

Objective: To assess the knowledge about different mandibular nerve block techniques of fresh dental graduates, dental surgeons and specialists to attain mandibular nerve block for dental treatment in Multan. Design of the Study: It was a cross-sectional survey. Study Settings: This study was carried out at Department of Dentistry at Multan Medical & Dental College, Nishtar Institute of dentistry (Nishtar Medical University) and Bakhtawer Amin Dental College from August 2019 to August 2020. Material and Methods: The study involved 220 respondents. The questionnaire was administered to fresh dental graduates (house officers) and dental surgeons in 3 dental colleges of Multan, and was collected on the same day. House officers who did not return the forms were reminded personally and contacted on the phone thrice over the following week. Results of the Study: The frequency of respondants who could administer Gow-Gates without supervison was 20.9% (n=46). Participants from NID, Multan had the highest frequency (35.3%) with the lowest in BIMDC (16.6%)and MMDC(20.6%). The differences were non-significant (p=0.19). Significantly higher frequency of male respondants (10%, n=22) claimed they could administer Gow-Gates without supervison compared to female respondants (5.4%, n=12, p=0.012, Chi-Square). Training for Gow-Gates had been received by 12.7% (n=28) of the House Officers and dental surgeons. The Highest frequency of training was in NID, Multan (5.4%, n= 12, p= 0.016, chi-square). Conclusion: The majority of the dental practitioners of Multan used IANB as their primary LA technique and intraligamental injections as a supplemental LA technique in their clinics to attain mandibular molars anesthesia for general dental procedures like fillings, root canals and extractions. Keywords: Mandibular local anesthesia, Inferior alveolar nerve block, Gow-Gates technique

An Investigation of West Sussex General Dental Practitioners’ Awareness, Attitudes and Adherence to NICE Dental Recall Guidelines

2012 ◽  
Vol os19 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Alison D van den Berg ◽  
Nikolaus OA Palmer
Keyword(s):  
Risk Factors ◽  
Periodontal Disease ◽  
Primary Care Trust ◽  
Clinical Excellence ◽  
Postal Questionnaire ◽  
Chi Square ◽  
Dental Services ◽  
Statistical Probability ◽  
Nice Guidelines ◽  
Dental Practitioners

Aims The overall aim of this study was to determine whether general dental practitioners (GDPs) in West Sussex were aware of and followed National Institute for Health and Clinical Excellence (NICE) guidelines on dental recalls. The study also aimed to identify factors in the GDPs’ practice of dentistry that could affect their adherence to NICE guidelines and to gain some insight into their views on this topic and how these might affect their adherence. Methods A postal questionnaire, which had previously been piloted, and an explanatory letter were sent to a random sample of 195 GDPs representing 50% of the GDPs contracted to the West Sussex Primary Care Trust. Those who did not respond were sent the questionnaire and letter for a second time. The questionnaire consisted of 50 questions that covered awareness of, attitudes towards and adherence to the NICE guidelines on dental recalls, risk factors, and the GDPs’ practising profile. Resulting data were entered into a database and, where appropriate, statistically tested with the chi-square test, with the level of statistical probability set at P<0.5. Results Data were obtained from the 50 questions in the questionnaires. Only key results are presented in this abstract. Ten of the 195 GDPs had either moved away from the area or were orthodontists. The final sample was therefore 185, of whom 117 returned questionnaires, a response rate of 63%. Seventy-three per cent of the respondents had qualified in United Kingdom. Sixty-five per cent were male. The mean age of respondents was 43 years. Seventy-one per cent worked as GDPs within the General Dental Services (GDS) or Personal Dental Services. Concerning NICE recall guidelines, 94% stated that they were aware of them, 61% said they agreed with them, and 64% that they adhered to them. Female GDPs were statistically far more likely to state that they followed NICE guidelines ( P=0.0043). Seventy per cent of GDPs reported that they still recalled their patients at six-month intervals and only 3% that they recalled their patients according to need. Eighty-five per cent reported taking radiographs at two-year intervals and/or according to patient need, and 68% that they gave oral hygiene advice six monthly or at every recall. Risk assessments were reported as being always carried out by 65% of responding GDPs for caries, 83% for periodontal disease, and 81% for oral cancer. Ninety per cent reported that they thought risk factors were relevant when setting the recall interval and 82% thought that six-monthly recalls allowed appropriate screening to take place. Conclusions Only 3% of responding GDPs recalled their patients according to patient need, in line with NICE recall guidelines, although the majority of GDPs agreed with the guidelines and stated that they adhered to them; however, this was in contrast to the 70% of GDPs who continued to recall at six-month intervals. The majority of GDPs thought that less frequent recalls would not allow for early caries, periodontal disease and oral malignancy diagnosis, and did not think that access to NHS dentistry would be improved. They also did not believe that excessive NHS money was spent on over-frequent dental examinations. There would appear to be significant obstacles to altering the recall habits of dentists because of the way that dentists practise.

scholarly journals The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hanie Ahmadi ◽  
Alireza Ebrahimi ◽  
Farhad Ghorbani
Keyword(s):  
Personal Protective Equipment ◽  
Dental Health ◽  
Protective Equipment ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Dental Services ◽  
Emergency Procedures ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
The Impact

Abstract Background The highly contagious nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), besides the fact that dental procedures commonly generate blood and saliva droplets that could lead to the contagion have resulted in the closure of many dental clinics. In the present study, we aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic on dental practice by conducting an online questionnaire among the Iranian dental practitioners and finding their perspectives on the subject. Methods This report is based on a questionnaire that was conducted among Iranian dentists. The survey included questions that evaluate the dentists’ perceptions and attitudes toward the COVID-19 pandemic and its effect on their personal life, financial status, and the quality of dental services for patients. Results Overall, 240 dentists contributed to this study (214 general dentists and 26 specialists). The majority of the participants (n = 170, 70%) did not perform non-emergency procedures during the pandemic. The dental practitioners have suggested several strategies to decrease the risk of contagion, such as reducing treatment sessions (n = 90, 37%), strict triage of patients (n = 156, 64%), and using personal protective equipment (n = 108, 45%). However, most of the dentists (n = 210, 87%) had problems, providing personal protective equipment during the pandemic. Moreover, 97% (n = 234) of the participants reported that they encountered a decrease in their financial income since the eruption of the pandemic. Conclusion Dental health care workers are at the highest risk of contracting COVID-19. Thus, dental practitioners ought to execute the standard protocols more cautiously during the pandemic. They could also lower their work hours and limit dental procedures to emergency treatments to reduce the risk of COVID-19 transmission. Besides, the public organizations should provide proper equipment for the dental practitioners to decrease the risk of contagion.

scholarly journals Gamification user types and game playing preferences of university students

2021 ◽  
Vol 11 (2) ◽  
pp. 55-67
Author(s):  
Osman Gazi Yildirim ◽  
Nesrin Ozdener ◽  
Ali Geris
Keyword(s):  
University Students ◽  
Digital Games ◽  
Online Games ◽  
Descriptive Study ◽  
Descriptive Statistics ◽  
Game Playing ◽  
State University ◽  
Online Questionnaire ◽  
Chi Square ◽  
Chi Square Analysis

Students' widespread use of games has attracted scientists' attention, and it has been a matter of curiosity whether games can be used in education. The primary purpose of this descriptive study is to examine gamification user types of university students. In addition, the digital game playing characteristics and preferences of students were identified. The participants comprised one hundred and eighty-one (181) university students enrolled at a state university in Turkey. An online questionnaire prepared by researchers and the Gamification User Types Hexad Scale were used as data collection tools. Descriptive statistics (mean, percentage, frequency), Kruskal Wallis H, and chi-square analysis were utilized for data analysis. The results revealed that the highest ratio of students stemmed from achievers, philanthropists, and players. Furthermore,  participants mostly preferred to play online games, and most of the students played digital games daily. Keywords: Digital games, game preferences, game genre, gamification user types.

Prescribing for the prevention of infective endocarditis: A study into the use of prophylactic antibiotics in the Armed Forces Dental Services

1984 ◽  
Vol 70 (3) ◽  
pp. 149-159
Author(s):  
A. J. Woodman
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Dental Treatment ◽  
Armed Forces ◽  
Prophylactic Antibiotics ◽  
High Dose ◽  
Dental Services ◽  
Dental Practitioners ◽  
Armed Services ◽  
Responsible Manner

SummaryA review of the rationale for the use of antibiotic prophylaxis to prevent the effects of bacteraemia associated with dental treatment is presented with the background to the development of currently recommended high-dose prescribing. The results of a survey within the Armed Services into the current use of antibiotic prophylaxis indicate a wide variety of prescribing schedules, mostly considered effective by accepted standards. However, the use of antibiotics when penicillin hypersensitivity exists was often associated with doses considered ineffective against bacteraemia. The readiness to prescribe repeated prophylaxis was indicative of a lack of awareness of the problems of resistance within the Services for oral prophylaxis which was provided for most medical conditions in a responsible manner. Most replies indicated that there was room for improvement in communication between the patient and medical and dental practitioners regarding the dental involvement in infective endocarditis.

scholarly journals The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019

2021 ◽  
Vol 18 (8) ◽  
pp. 4153
Author(s):  
Dima Nassar ◽  
Nirit Tagger-Green ◽  
Haim Tal ◽  
Carlos Nemcovsky ◽  
Eitan Mijiritsky ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Dental Treatment ◽  
Categorical Variables ◽  
P Value ◽  
Fisher Exact Test ◽  
Final Decision ◽  
Chi Square ◽  
Exact Test ◽  
Malpractice Claims ◽  
Dental Practitioners

Background: In recent years, worldwide dental malpractice claims have dramatically increased. The purpose of the present study is to analyze periodontal therapy related claims in Israel that led to legal decisions. Methods: This retrospective cohort study includes malpractice claims against dental practitioners related to periodontology between 2005 and 2019. Only closed cases where a final decision was made were included. The chi-square test or Fisher exact test for categorical variables were performed and a p value of <0.05 was considered statistically significant. Results: During the study period there were 508 legal claims related to periodontal disease. Most plaintiffs were women (63.4%), and 71.3% of the patients were >35 years old. Most claims (82.8%) were settled out of court and ended in compromise. Claims concerning the treatment of periodontal disease by periodontists accounted only for 4.5% (23/508) of the cases while 95.5% (485/508) of the claims were for complications secondary to another treatment. Prosthodontic treatment was involved with the highest number 54.5%, followed by dental implants 17.7%, and endodontics 11.6%. The allegations were related to pain and distress (84.8%), aggravation of existent periodontal disease (83.3%), tooth loss (78.1%), and violation of autonomy (47%). Conclusions: The main cause for lawsuits was related to aggravation of periodontal disease during prosthetic or implant therapy and related to suspected faulty or inexistent preoperative diagnosis and planning. Practical implications: Periodontal consultation before dental treatment may reduce malpractice risks, adverse events, and un-necessary changes of treatment plans.

scholarly journals Knowledge and practice modifications regarding COVID-19 among dental practitioners of Nepal

2021 ◽  
Vol 6 (2) ◽  
pp. 1454-1459
Author(s):  
Rebicca Ranjit ◽  
Pratik Manandhar ◽  
Soni Bista ◽  
Elijma Ranjit
Keyword(s):  
Knowledge Score ◽  
Good Knowledge ◽  
Age Group ◽  
Online Questionnaire ◽  
Dental Services ◽  
Cross Sectional ◽  
The Poor ◽  
Dental Practitioners ◽  
Minimum Requirements ◽  
Knowledge And Practice

Introduction: COVID-19 has adversely gridlocked many sectors including dentistry. A good knowledge regarding the disease eventually determines the preparedness of dentists to provide relatively safe dental services. Objectives: This research was conducted to evaluate knowledge and relevant practice modifications among dental practitioners of Nepal during COVID-19 pandemic. Methodology: A cross-sectional online questionnaire survey was conducted among dental practitioners of all the provinces of Nepal. They were enquired for sociodemographic details and their knowledge, and the modifications they adopted while practising dentistry during this pandemic. The scores were summed up, and mean scores for knowledge and practice were calculated respectively which were further expressed as a percentage. Inferential statistics (Independent t-test and ANOVA, p < 0.05) were used to examine differences between study variables. Results: Out of 422 participants, most of them belonged to 31-40 years age group (178, 42.2%) and majority were females (246, 58.3%). Mean knowledge scores were significantly higher among practitioners of age ≥51 years, males, specialists, those working in both clinic and hospital, and those who have been practising dentistry for ≥10 years.  Mean practice scores were significantly better among specialists. Conclusion: The overall mean scores for knowledge was good (81.3%) while for practice, overall mean score was poor (44.6%). The main reason behind the poor practice modifications despite good knowledge score could be the lack of minimum requirements for infection control in developing countries like Nepal.

scholarly journals CLINICAL AND PSYCHOLOGICAL FRAMEWORK OF LIFE QUALITY FORMATION IN COURSE OF BIOLOGICAL BONE RELIEF RECONSTITUTION BY MEANS OF TITANIUM SILK

2018 ◽  
Vol 14 (3) ◽  
pp. 56-63
Author(s):  
Араик Бадалян ◽  
Araik Badalyan ◽  
Александр Чернавский ◽  
Aleksandr Chernavskiy ◽  
Иван Петров ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Life Quality ◽  
Quality Criteria ◽  
Quality Parameters ◽  
Emotional Reactions ◽  
Psychological Status ◽  
Quality Level ◽  
Dental Services ◽  
Dental Practitioners ◽  
Psychophysiological Functions

Life quality is an integral part of an individual’s psychophysiological functioning in society. Its features include one’s individual health, psychological status, level of independence, social intercourse, personal beliefs formed by society and environment, as well as the individual’s capability to function in public settings in accordance with their status and to derive satisfaction from life. Subject. When rendering high-technology dental services, dental practitioners conducting a clinical examination of a patient most commonly do not consider the patient’s psychological readiness for long-term stomatological treatment and neglect their psychological constitution. Relevance. The relevance of this research stems from immaturity of medical and psychological issues of diagnosing a patient’s life quality level and correcting emotional reactions patients tend to have in the process of receiving complex dental care. The necessity of this research arose as well from clinical needs of dental practitioners. Objective. The research objective is to study life quality parameters and a patient’s attitude to dental treatment in the context of complex surgical interference. Methodology. The study employed methods of observation, questionnaire survey, and introspection of a number of the patient’s mental and psychophysiological functions during complex stomatological interference. Results. Our research showed that medical staff directly interacting with patients should have soft skills, anticipate potential risks resulting in patients’ life quality reduction, analyze such risks in a certain way, and have the opportunity and methods to solve arising questions to mutual benefit. Conclusions. For the purpose of forming life quality criteria in a patient, a dental practitioner should use not only specialized medical skills and technologies, but also skills of communicating and overcoming negative views on occurring situations in the process of conducting extensive, complex dental interference.

scholarly journals Dental Practitioners and their Perceptions Regarding the Use of Antioxidants in the Promotion of Oral Health

2020 ◽  
Vol 4 (1) ◽  
pp. 10-14
Author(s):  
Nadia Khan ◽  
Anam Khan ◽  
Burshida Khalid ◽  
Gauri Sharma
Keyword(s):  
Rank Correlation ◽  
Central India ◽  
Online Questionnaire ◽  
Chi Square ◽  
Spearman’S Rank Correlation ◽  
Dental Practitioners ◽  
Significant Difference ◽  
High Knowledge ◽  
Chi Square Test

INTRODUCTION: The role of free radicals is well established as a crucial component of the immune system. AIM: To assess the perception of dental practitioners of Northern and Central India regarding the role of antioxidants in oral health.MATERIALS AND METHOD: A pre-tested and pre-validated online questionnaire was distributed among various dental practitioners in Northern and Central India which consisted of dichotomous responses. Descriptive statistics were used to summarize the data, followed by the Chi square test to check significant differences between the responses. Correlation between responses were analysed through the Spearman’s rank correlation. Statistical analysis was done using Statistical Package for Social Sciences version 20 (SPSS 20).RESULTS: A statistically significant difference was observed among the genders, with females 126 (43.7%) having lesser knowledge than males 162(56.3%) regarding the use of antioxidants in their clinical practice. High knowledge scores were observed in 288 (69.2%) dental professionals. Postgraduates were found to have (p=0.05) a higher level of knowledge as compared to graduates.CONCLUSION: The use of antioxidants in dentistry should be increased through the conduction of various CDE programmes. workshops and evidence-based practice guidelines.

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