THE DENTAL MEDICINE SECTOR IN THE AGE OF THE COVID-19 PANDEMIC – RECOVERY BETWEEN RISKS AND CHALLENGES

Author(s):  
Andra-Teodora Porumb ◽  
◽  
Adina Săcara-Oniţa ◽  
Cristian Porumb ◽  
◽  
...  

In this paper we will show how the COVID-19 pandemic has affected one of the sectors that have undergone a booming development in recent years, namely the sector of dental medicine. This is an industry that includes numerous and diversified activities: treatments and surgical interventions in dental practices and clinics, dental aesthetics interventions in luxury clinics, the organization of specialization courses, conferences and congresses, the development of extremely innovative procedures and materials. Dental tourism has also had a spectacular trend, especially in Eastern European countries. Within a very short period of time, this highly profitable field, but which presents a huge risk of transmitting potential viruses, has recorded significant financial losses. In March 2020, in some European countries a lockdown was imposed by governmental decree or ordinance, all private practices having ceased their activity, whereas in other countries a significant number of clinics closed on their own initiative, and those remaining open recorded a staggering decrease in the number of patients. Courses, conferences, and congresses have been cancelled one after another throughout Europe. As a result of the cancellation of many flights, the activity in the branch of dental tourism has ceased almost entirely. For two months, an extremely small number of medical units, especially hospitals, were reorganized to provide care in dental emergencies, according to a very strict protocol to limit the risk of contamination. In view of resuming their activity as of May, professionals in the sector had to meet several severe protection conditions, regulated by institutional documents by the National Orders/Colleges of Dentists. In October, in the face of the second wave of the pandemic, the governments of European countries took less restrictive measures in an attempt to avoid a new lockdown and the decrease in the supply of goods and services to the population to such a great extent, so this time, governments have not closed private practices, despite the fact that in some countries the beginning of November has brought about a new isolation – albeit a partial one – and a renewed closedown of some businesses. We will analyze, in the context of the ongoing pandemic, the situation of this sector in several European countries. Given that the demand for dental services has only decreased very little, professionals in the sector have tried in various ways to continue their work so as not to sacrifice the dental health of the population. The risk/benefit ratio is very hard to manage in this field, so precautions, prevention, and protection measures in dental practices remain of the utmost importance. If the branch of organization of courses, conferences, congresses can compensate to a certain extent the sharp decline in revenues during the lockdown period by moving the activity on online platforms, the branch of dental tourism is still suffering massively, and the possibilities of recovery are greatly reduced. Dentists remain the most exposed to risks. They are facing medical and financial concerns and have to make final treatment decisions amidst an uncertain and dangerous situation.

2010 ◽  
Vol os17 (3) ◽  
pp. 111-114 ◽  
Author(s):  
Maryam Izadi ◽  
Daljit S Gill ◽  
Farhad B Naini

Aim The aim of this study was to determine the possible effects of the 2006 National Health Service General Dental Services contract changes on the referral pattern to the orthodontic department at St George's Hospital, South West London. Method This study was carried out on a retrospective basis. The notes of consecutive patients referred between 1st May and 30th September in 2005 and 2008 were assessed, and the patient's Index of Orthodontic Treatment Need (IOTN) and the source of referral noted. Results The total numbers of referrals increased from 260 in 2005 to 405 in 2008. The number of referrals from general dental practitioners decreased slightly from 165 to 156, as did the numbers of referrals from other sources, such as tertiary referrals. The number of referrals made by specialist practitioners increased from 41 in 2005 to 207 in 2008, representing an increase from 16% to 51% of overall referrals. Overall, the number of patients being referred with an IOTN dental health component grade of 5 increased from 27% to 55%. Conclusion The increase in referrals from specialist practitioners may be partly due to the changes brought to the commissioning of orthodontic services for specialist practitioners. Overall, the number of cases being referred with IOTN grades 4 and 5 remains high at St George's Hospital, indicating that appropriate referrals are being made.


2018 ◽  
Vol 69 (8) ◽  
pp. 2115-2120
Author(s):  
Kinga Dorner ◽  
Bernadette Kerekes Mathe ◽  
Andreea Bors ◽  
Cristina Molnar Varlam ◽  
Vanda Roxana Nimigean ◽  
...  

In Romania dental health services are provided mainly through user pays private practices and there is a limited reimbursement of dental services from the government. The economic recession lead to substantial lack of insurance coverage for oral health care of low-income population. The aim of this six-year retrospective study was to assess the prevalence of patients requesting public dental emergency care and to determine the characteristics of dental affections for which emergency interventions were requested in Tirgu-Mures, Romania. During the analyzed period, a total number of 38610 patients were treated in the Emergency Dental Office of Mures County Emergency Hospital. Of the total number of treated emergency patients 8017 (20.76%) were children and 30593 (79.25%) were adults. Significantly more adults requested emergency care than children (p[0.0001). Out of the investigated adults 3051 (9.98%) were aged 60 years or over. The high demand for emergency dental care reflects that dental care in private practices is unaffordable to socially disadvantaged patients and also the need for community based public dental care in Tirgu-Mures.


2011 ◽  
Vol 26 (S2) ◽  
pp. 60-60
Author(s):  
J. Kemm ◽  
R. Holland ◽  
D. Rumball

IntroductionSeveral studies show that despite poor oral health substance users fail to access dental care. This was confirmed locally by audit in 2005; 63% (n = 82) were not registered with a dentist and 72% had dental problems, of whom 83% were not receiving treatment.ObjectivesTo examine issues affecting substance users use of dental services.AimsTo identify factors influencing whether substance users visit the dentist, in particular whether having a ‘regular’ dentist is important. Secondly, to compare this with perceptions of dental care staff.MethodsA cross sectional survey was conducted across Norfolk & Waveney Mental Health Trust's Alcohol and Drugs Service and Norwich dental practices. 87 substance users participated, half of Norwich dentists (n = 67) and 66 reception staff from Norwich dental practices.ResultsParticipants reported high levels of dental problems, most commonly toothache (71%). Those having a dentist they normally saw were more likely to have visited the dentist in the previous year (X2 = 14.06, p < 0.01). The most common reasons for not receiving treatment were difficulty finding a dentist, difficulty keeping appointments and few available appointments. Dental staff acknowledged similar dental problems, but were more likely to think lack of motivation caused non-attendance. Drug use, substitute prescribing or duration in treatment did not influence frequency of dental visits. Dentists hi-lighted remuneration issues for providing services to substance users.ConclusionsHaving a ‘regular’ dentist could improve use of dental services. Examining capacity and revisiting payments for this group under the new dental contract could improve treatment rates.


2018 ◽  
Vol 2 (2) ◽  
pp. 27-32
Author(s):  
Nishant Mehta ◽  
Asha Wadhwa ◽  
Nitika Chawla

The Indian healthcare industry is experiencing rapid transformation owing to the ever-rising demand for quality healthcare. With the increased standard of living in India people are becoming health conscious, shaping a new market which is giving increasing importance to healthy teeth and dental cosmetics. Though great deals of funds have been raised and numerous acts and institutions formulated to up bring the health status of poor and needy ones and ensure equitable distribution of dental health care facilities. To deliver the dental services to masses and improve the quality in dental practices, standards have been set which will ensure that masses receive high quality of dental care and treatment. Various modes to measure the quality in dental care have been implemented but still certain challenges act as hindrance to deliver proper quality of dental practice. Despite of that improvement has taken place in the field of dental practice. Still further improvement can be done by increasing manpower, its equal distribution, raising funds to improve the quality, opening new government colleges and timely inspection of existing educational institution. Properly synchronized strategies need to be developed for improving quality in dental practice in India harbouring all the needs of the consumers and dental personnel.


2021 ◽  
pp. 75-79
Author(s):  
S.O. Turchenenko ◽  
S.P. Yarova ◽  
O.P. Reva ◽  
Yu. Yu. Yarov ◽  
A. A. Komlev

The need to improve the dental health of the population does not lose its relevance and remains an unresolved medical, economic and social problem, with the need to find new approaches to the provision of dental care.The aim of the study was to determine the effectiveness of preventive measures and public awareness of the course and consequences of dental pathology in order to improve dental health.To achieve this goal, the data of the annual reports of municipal dental services of Donetsk region were analyzed and a survey with additional functional (electromyography and digital analysis of occlusion) examination of the dental status of 200 people was conducted.Thus, in 2018, the number of primary visitors to therapeutic departments within the region included 718097 people. Patients who underwent primary preventive measures included: hygienic training and education, individual choice of prevention only 21.09% of the total number of people.Within the survey, 82.5 % did not understand the dependence of hygiene and carious processes, 75.5% had no information about the need for quality restoration of the anatomy of the dentition, and 21.5 % did not understand the need to replace the final defects of the dentition. It has been found some reflection of these facts in the analysis of annual reports. Thus, the percentage of filled teeth due to caries or its complications to removed teeth, for the same reasons, was 46.46 %. A similar result in 46.58 % was the number of patients who applied after the removal of teeth to the orthopedic department in order to restore the integrity of the dentition (removable, conditionally removable, non-removable structures). But in addition to the lack of full restoration of the dentition, it was found that the ratio of total filled teeth to cement fillings was 44.5 percent of all filled teeth due to both caries and its complications. 44.5 % was the restoration of lost tooth tissues using cements (zinc phosphate and SIC). Due to the impossibility of restoring quality anatomy, and as a result of the function of the tooth, such a percentage does not meet the needs of today in understanding quality dental services.Based on the results of the analysis of the study data, we concluded that patients are poorly informed about their condition, variations in their treatment and the consequences of lack of comprehensive treatment, the causes and consequences of certain dental conditions and prevention. The results of our surveys and diagnostic tests revealed the need for modern and objectively motivated approach to diagnosis and informing patients about their condition, which leads to a better understanding of the cause-and-effect relationships and the desire for full rehabilitation.In turn, this not only improves dental health at the end of treatment, but also helps to maintain it for a long time, which in turn improves the social and economic life of the patient.


2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.


Author(s):  
Hosung Shin ◽  
Han-A Cho ◽  
Bo-Ra Kim

Since 2009, the National Health Insurance in Korea (NHI) has been implementing a series of policies to expand the scope of dental benefits. This study reviewed the changes in co-payments and dental use patterns before (2008 to 2012) and after (2013 to 2017) the NHI’s dental health insurance reform. The study used Korea Health Panel data of 7681 households (16,493 household members) from a 10-year period (2008–2017). Dental expenditures and equivalent income using square root of household size were analyzed. Dental services were categorized into 13 types and a concentration index and 95% confidence interval using the delta method was calculated to identify income-related inequalities by a dental service. Dental expenditures and the number of dental services used increased significantly, while the proportion of out-of-pocket spending by the elderly decreased. The expenditure ratio for implant services to total dental expenditures increased substantially in all age groups, but the ratio of expenditures for dentures and fixed bridges decreased relatively. The concentration index of implant services was basically in favor of the rich, but there was no longer a significant bias favoring the better-off after the reforms. The dental health insurance reform in Korea appears to contribute not only to lowering the ratio of out-of-pocket to total dental expenses per episode in the elderly but also to improving the inequality of dental expenses.


2021 ◽  
Vol 11 (8) ◽  
pp. 3365
Author(s):  
Benjie Law ◽  
Hui Yuh Soh ◽  
Syed Nabil ◽  
Rama Krsna Rajandram ◽  
Abd Jabar Nazimi ◽  
...  

Osteoradionecrosis (ORN) of the jaws and medication-related osteonecrosis of the jaws (MRONJ) are uncommon but serious diseases affecting the oral and maxillofacial region with clinically similar appearance but distinct pathophysiology. Management of ORN and MRONJ is inherently challenging and the treatment outcomes are unpredictable. The use of autologous platelet concentrates (APCs) to promote hard and soft tissue healing is well described in the literature, and the efficacy of leucocyte and platelet-rich fibrin (L-PRF) has been well documented in a number of clinical studies. The aim of this study was to present our treatment strategy and the outcomes of incorporating L-PRF as a surgical adjunct in management of ORN and MRONJ in our centre. Methods: eight cases of ORN and MRONJ were treated with a combination of sequestrectomy and L-PRF as a surgical adjunct. Results: the overall success was 87.5%. Using L-PRF as an adjunct, we were able to predictably manage ORN and MRONJ without causing significant morbidity. Conclusion: our experience shows that L-PRF may be used as a valuable and cost-effective adjunct to surgical management of ORN and MRONJ. However, due to a limited number of patients, and a short period of review, the true effectiveness of the method is yet to be demonstrated in a longer follow-up study including a greater number of patients, besides the inclusion of a control group.


2021 ◽  
Vol 35 ◽  
pp. 00023
Author(s):  
Nikolay Vinokurov

The work provides data on the dynamics of the abundance of 205 taxa from 19 genera: Cleptes, Colpopyga, Elampus, Omalus, Philoctetes, Pseudomalus, Hedychridium, Hedychrum, Holopyga, Chrysidea, Chrysis, Euchroeus, Chrysura, Pseudochrysis, Spinolia, Spinolia, including species rare and new for the fauna of the North Caucasus and Russia. By the nature of the population dynamics, five groups of cuckoo wasps were identified: spring – represented by 7 species from 4 genera; spring-summer – 76 species from 10 genera; summer – 113 species from 16 genera; summer-autumn – 4 species from 2 genera and spring-summer-autumn – 5 species from 3 genus. According to the duration of flight, eurychronous species of cuckoo wasps were identified, which are found throughout the season from spring to autumn; mesochronous – the years of which affect the end of May and summer months and stenochronous – confined to a short period of time. Eurychronic accounted for 2.4%, mesochronous 24.9%, stenochronic 72.7%. The number of generations of cuckoo wasps is related to the dynamics of the number of the host. In the mountains, the peaks of activity shift towards the middle of summer, most species have one peak of activity; due to the frequent changes in weather conditions in the mountains, the phenological characteristics of the cuckoo wasps and their hosts do not coincide in terms with the lowland populations and the periods of activity can be extended in time. Phenological characteristics of rare and new species for the fauna of the North Caucasus and Russia are presented for the first time. The data obtained expand the understanding of the biodiversity and dynamics of the abundance of cuckoo wasps in the North Caucasus and can be used for environmental protection measures and rational nature management in the south of Russia.


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