scholarly journals Dental care for drug users in Norway: Dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

2020 ◽  
Author(s):  
Ewa Hovden ◽  
Vibeke Ansteinsson ◽  
Ingrid Volden Klepaker ◽  
Eeva Widström ◽  
Rasa Skudutyte-Rystad
Keyword(s):  
Drug Users ◽  
Dental Treatment ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Dental Service ◽  
Poor Compliance ◽  
Dental Hygienists ◽  
Interprofessional Communication ◽  
Study Results ◽  
Dental Professionals

Abstract Objective: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and experiences with interprofessional collaboration with the rehabilitation institutions. Materials and methods: The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with rehabilitation institutions (RIs). The Norwegian Centre for Research Data (NSD) approved the study. Results: The majority of dentists and dental hygienists in the present study used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs . Most of the respondents agreed that personnel from rehabilitation institutions could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment. Conclusions: Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.

scholarly journals Dental care for drug users in Norway: Dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

2020 ◽  
Author(s):  
Ewa Hovden ◽  
Vibeke Ansteinsson ◽  
Ingrid Volden Klepaker ◽  
Eeva Widström ◽  
Rasa Skudutyte-Rystad
Keyword(s):  
Drug Users ◽  
Dental Treatment ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Dental Service ◽  
Poor Compliance ◽  
Dental Hygienists ◽  
Interprofessional Communication ◽  
Study Results ◽  
Dental Professionals

Abstract Objective: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and experiences with interprofessional collaboration with the rehabilitation institutions. Materials and methods: The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with rehabilitation institutions (RIs). The Norwegian Centre for Research Data (NSD) approved the study. Results: The majority of dentists and dental hygienists in the present study used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs . Most of the respondents agreed that personnel from rehabilitation institutions could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment. Conclusions: Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.

scholarly journals Dental care for drug users in Norway: Dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

2020 ◽  
Author(s):  
Ewa Hovden ◽  
Vibeke Ansteinsson ◽  
Ingrid Volden Klepaker ◽  
Eeva Widström ◽  
Rasa Skudutyte-Rystad
Keyword(s):  
Drug Users ◽  
Dental Treatment ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Dental Service ◽  
Poor Compliance ◽  
Dental Hygienists ◽  
Background Characteristics ◽  
Interprofessional Communication ◽  
Dental Professionals

Abstract Background: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs).Methods: The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study.Results: Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p < 0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs . Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment.Conclusions: Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.

scholarly journals Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ewa S. Hovden ◽  
Vibeke E. Ansteinsson ◽  
Ingrid Volden Klepaker ◽  
Eeva Widström ◽  
Rasa Skudutyte-Rysstad
Keyword(s):  
Drug Users ◽  
Dental Treatment ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Dental Service ◽  
Poor Compliance ◽  
Dental Hygienists ◽  
Background Characteristics ◽  
Interprofessional Communication ◽  
Dental Professionals

Abstract Background The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs). Methods The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study. Results Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p <  0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs. Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment. Conclusions Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.

scholarly journals Dental care for drug users in Norway: Dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

2020 ◽  
Author(s):  
Ewa Hovden ◽  
Vibeke Ansteinsson ◽  
Ingrid Volden Klepaker ◽  
Eeva Widström ◽  
Rasa Skudutyte-Rystad
Keyword(s):  
Drug Users ◽  
Dental Treatment ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Dental Service ◽  
Poor Compliance ◽  
Dental Hygienists ◽  
Background Characteristics ◽  
Interprofessional Communication ◽  
Dental Professionals

Abstract Background: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs). Methods: The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study.Results: Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p < 0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs . Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment.Conclusions: Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.

scholarly journals Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey

2021 ◽  
Vol 2 ◽  
Author(s):  
Neel Shimpi ◽  
Aloksagar Panny ◽  
Ingrid Glurich ◽  
Po-Huang Chyou ◽  
Amit Acharya
Keyword(s):  
Integrated Care ◽  
Dental Treatment ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Current Status ◽  
Dental Hygienists ◽  
Time Investment ◽  
Practice Behaviors ◽  
Patient Reported ◽  
Dental Providers

Introduction: To conduct a statewide survey among Wisconsin-based dental providers evaluating current knowledgeability, attitudes and practice behaviors surrounding management of patients with diabetes/prediabetes in the dental setting. The study explored perceptions on feasibility, value, barriers, and current status of integrated care model (ICM) adoption by dental practicesMaterials and Methods: A 32-question paper-based survey was mailed to all licensed dentists and dental hygienists practicing in Wisconsin. The study was conducted over a 4 week period in 2019. The survey instrument was adapted from a previous validated survey and was expanded to include questions on ICM adoption. Content and validity analyses and beta testing were conducted prior to dissemination of the survey. Descriptive statistics and chi-square tests were applied for data analyses. Thematic analyses was performed on open-ended questions.Results: Survey response rate was 12% (N = 854/7,356) representing 41% dentists and 59% dental hygienists. While 68% reported educating patients on oral health-diabetes association, only 18% reported medical consultations to inform dental treatment, and “frequent” (22%) or “occasional” (40%), medical triage. Knowledge-based questions were correctly answered by &gt;70% of participants. While 50% valued chair-side glycemic screening and 85% supported non-invasive chair-side screening to identify at-risk patients,&gt;88% relied on patient-reported diabetic status. Barriers to ICM adoption included time investment (70%), patient activation/cooperation (62%), cost (50%), insurance coverage (50%), infrequent interdisciplinary communication (46%), lack of equipment (33%) and provider (31%).Conclusion: Low rates of ICM adoption, chair-side testing, medical consultation and triage, and need for educational curricula reform were identified.

scholarly journals PARENTAL ATTITUDE TOWARDS THEIR CHILD'S DENTAL TREATMENT DURING COVID19 PANDEMIC -A QUESTIONNAIRE STUDY.

2021 ◽  
pp. 61-63
Author(s):  
M. Kiranmayi ◽  
S. Srikanth Raju ◽  
E. Rajendra Reddy ◽  
Srujana M P ◽  
P. Snehitha ◽  
...  
Keyword(s):  
Infection Control ◽  
Dental Treatment ◽  
Control Measures ◽  
Parental Attitude ◽  
Cross Sectional ◽  
Infection Control Measures ◽  
The People ◽  
Study Results ◽  
Set Up ◽  
Dental Professionals

Background: Dental practice has considerably changed in this COVID-19 era. Since the outbreak of COVID-19, worldwide healthcare systems & dental professionals have been severely challenged furthermore; paediatric dentists are at higher level as children act as carriers due to their innate immunity.The purpose of the study was to assess the Parental attitude towards their child's dental treatment during COVID-19 pandemic. Methods: A cross-sectional questionnaire-based survey which consisted of 16 self-prepared questions was conducted. A total of 100 parents of patients who visited hospital for various treatments have participated in this study. Results: Ninety percent of patients have heard about COVID-19 and they have chosen dental treatment is recommended in this scenario.About 83% of the patients were aware that television is the main source of information about COVID-19. Most of the patients (85%) were aware of the infection control measures to be followed by dentist and by themselves at their home.Regardless of gender and generation most of the people are aware about the present pandemic.Conclusion: Most of the parents of patients were aware about COVID-19 and infection control measures to be followed by paediatric dentists in the dental set-up, and also precautions to be taken by them at the home environment.Through this study it can be concluded that most of the parents were not apprehensive about undergoing dental treatment in this pandemic.

The Role of Human Factors in Dental Education

1970 ◽  
Vol 12 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Luigi F. Lucaccini ◽  
Dale W. Podshadley ◽  
Leonard H. Kreit
Keyword(s):  
Human Factors ◽  
Dental Treatment ◽  
Dental Education ◽  
The United States ◽  
Dental Service ◽  
Education Programs ◽  
High Quality ◽  
Treatment Services ◽  
Dental Professionals

Current projections of the growth in demand for dental treatment services in the United States indicate that the increase in demand anticipated by the end of the coming decade will far outstrip the expected growth in the number of practicing dental professionals. A significant increase in the productivity of the average practitioner is necessary if the anticipated demand for services is to be met. More efficient means of delivering high quality dental service must be developed and reflected in the training of dental and dental auxiliary students. Current research and development activities in dental education toward this goal are described. Some areas of dental education particularly amenable to human factors technology are considered. Suggestions are offered for means whereby the human factors community can become more closely acquainted with the goals of dental education programs and contribute effectively to the attainment of these goals.

scholarly journals TELEDENTISTRY DURING COVID 19

2021 ◽  
Vol 9 (03) ◽  
pp. 395-400
Author(s):  
Palak Srivastava ◽  
Pranjan Mitra
Keyword(s):  
Health Care ◽  
Dental Care ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Face To Face ◽  
Dental Health Care ◽  
Dental Professionals

The ongoing COVID19 pandemic has been a jarring blow to dental professionals as dental treatment requires close face-to-face encounters. To sustain the dental practice, Teledentistry is a cogent solution to continue providing dental care without adding to the risk of cross-infection via information technology. It is a necessary tool to obtain a balance between the safety of health care professionals still providing dental care to patients needing immediate intervention. The future of teledentistry is not limited to the pandemic its improvident to restrict the use of teledentistry when it has the potential to enhance the present dental health care delivery system.

scholarly journals A retrospective cohort study of how alveolar ridge preservation affects the need of alveolar ridge augmentation at posterior tooth implant sites

2021 ◽  
Author(s):  
Kai-Fang Hu ◽  
Ying-Chu Lin ◽  
Yu-Ting Huang ◽  
Yu-Hsiang Chou
Keyword(s):  
Treatment Modality ◽  
Alveolar Bone ◽  
Dental Treatment ◽  
Ridge Preservation ◽  
Alveolar Ridge ◽  
Ridge Augmentation ◽  
Posterior Tooth ◽  
Alveolar Ridge Preservation ◽  
Study Results ◽  
Treatment Plans

Abstract Objectives The aim of this study was to assess whether alveolar ridge preservation (ARP) can reduce the need of ridge augmentation at posterior tooth sites. Material and methods This study enrolled patients who received dental implants at posterior tooth sites during 2013–2019. Demographic data and dental treatment histories were collected. Based on healing patterns after tooth extraction, patients were divided into ARP and spontaneous healing (SH) groups. Three surgical treatment plans were devised according to the alveolar bone volume on cone-beam computed tomography (CBCT). The three treatment plans were to perform implant alone, simultaneous guided bone regeneration (GBR) and implantation, and staged GBR before implantation. Statistical analyses were performed to determine relationships. Results There were 92 implant records in the ARP group and 249 implant records in the SH group. A significant intergroup difference was observed regarding the frequency distribution of the treatment modality of staged GBR before implant (χ2 = 15.07, p = 0.0005). Based on the implant alone treatment modality and simple logistic regression, the SH pattern was related to staged GBR before implant (SH vs. ARP: crude odds ratio (OR) = 4.65, 95% confidence interval (CI) = 2.15–11.61, p = 0.0003). After adjusting confounding factors, the risk was still significant (adjusted OR = 5.02, 95% CI = 2.26–12.85, p = 0.0002). Conclusions The study results suggested that ARP is more likely to lead to the treatment modality of implant alone and reduce the need for staged GBR before implantation. Clinical relevance This study describes ARP capable of minimizing the need for staged GBR before implantation and shortening the treatment duration.

scholarly journals Effects of Extraoral Suction on Droplets and Aerosols for Infection Control Practices

2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  
Keyword(s):  
Infection Control ◽  
Adenosine Triphosphate ◽  
Dental Care ◽  
Dental Treatment ◽  
Effective Area ◽  
Infection Risk ◽  
Physical Characteristics ◽  
Dental Hygienist ◽  
Increased Risk ◽  
Dental Professionals

Dental professionals are at increased risk of being infected with airborne pathogens such as SARS-CoV-2 because they are often exposed to droplets/aerosols production during dental treatment. To scientifically clear the effects of extraoral and oral suctions on the droplets and aerosols produced by dental treatments using an ultrasonic scaler was analyzed. The adenosine triphosphate and bacteria in droplets and aerosols produced during simulated scaling were quantitatively observed by reactions with luciferin/luciferase and incubation in culture plates to grow bacteria, respectively. The protection against spreading droplets and aerosols by oral and extraoral suctions was recognized, and the areas were limited to the left and posterior sides of the dental chair head when a right-handed dentist and dental hygienist performed scaling. Extraoral suction is a very useful tool for reducing the infection risk of COVID-19 in dental care, but the effective area is limited depending on physical characteristics of dentist and dental hygienist.

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