Patients Attendance for Emergency Dental Services in Mures County

2018 ◽  
Vol 69 (8) ◽  
pp. 2115-2120
Author(s):  
Kinga Dorner ◽  
Bernadette Kerekes Mathe ◽  
Andreea Bors ◽  
Cristina Molnar Varlam ◽  
Vanda Roxana Nimigean ◽  
...  
Keyword(s):  
Emergency Care ◽  
Low Income ◽  
Dental Care ◽  
Dental Health ◽  
Insurance Coverage ◽  
Economic Recession ◽  
Dental Services ◽  
Private Practices ◽  
Emergency Interventions ◽  
The Government

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.

scholarly journals Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

2020 ◽  
Vol 11 (1) ◽  
pp. 23-33
Author(s):  
Richie Kohli ◽  
Sonya Howk ◽  
Melinda M. Davis
Keyword(s):  
African American ◽  
Oral Health ◽  
Qualitative Study ◽  
Low Income ◽  
Dental Care ◽  
Insurance Coverage ◽  
Barriers And Facilitators ◽  
Dental Services ◽  
Cross Sectional ◽  
Free Care

Objective: To identify African-American seniors’ perceptions of the barriers and facilitators to their dental care. Materials and Methods: In this cross-sectional qualitative study, we conducted in-depth interviews with 16 community-based, self-identified African-American seniors from March 2017 to August 2017 in Oregon. We coded data in ATLAS.ti and used thematic analysis to identify emergent themes within the social ecological framework and a cross-case comparative analysis to explore variation by participant characteristics. Results: Regardless of dental insurance status, cost and perceived urgency of treatment were the primary drivers of participant’s ability and interest in seeking dental care. Participants identified four solutions to improve oral health care in African-American seniors: affordable/free care and vouchers for dental work, better oral health education at a younger age, onsite community dental services, and navigators who can educate patients about insurance and dental providers who see low-income patients. Conclusions: Oral health decisions by African-American seniors were primarily driven by cost and perceived urgency irrespective of insurance coverage. Affordable dental care, early intervention, on-site services, and navigation may help to address key barriers and reduce oral health disparities faced by African-Americans.

Private Dentistry after COVID-19 – A Clinician’s Personal Experience

2020 ◽  
Author(s):  
Reginald O’Neill
Keyword(s):  
Dental Care ◽  
Private Practice ◽  
Personal Experience ◽  
Dental Practice ◽  
Health Practice ◽  
Dental Services ◽  
Face To Face ◽  
The United Kingdom ◽  
The Government ◽  
The Uk

Face to face dental care in the UK was largely suspended from March until June and beyond is very limited still in many cases. Both NHS and Private dental services in the four nations of the United Kingdom aligned with the government in lockdown and dental emergencies could be accessed face to face in specific urgent centres only (UDC’s). Return to dental practice has been challenging for the profession with a lack of clarity from regulators and a gulf between financial support of private practice (almost none) and National Health practice (at 100% of their contact value pre-COVID). Dramatic changes to the provision of dental care are likely to persist and the COVID crisis may precipitate significant change to both private and NHS dental services.

scholarly journals Emergency Intervention Need for Community Dental Services (Pathfinder Survey in North Mamuju Regency, West Sulawesi, Indonesia)

2021 ◽  
Vol 2 (4) ◽  
pp. 1-5
Author(s):  
Burhanuddin Daeng Pasiga ◽  
Arifurrahman Burhanuddin
Keyword(s):  
Dental Care ◽  
Dental Health ◽  
Age Groups ◽  
Routine Care ◽  
Urgent Care ◽  
Observational Research ◽  
Care Needs ◽  
Dental Services ◽  
Cross Sectional ◽  
Cross Sectional Design

Background: Oral health is considered an important component of public health, but there are still many people who are less concerned with oral and dental health. Objective: to describe emergency dental care interventions for communities based on age groups in North Mamuju.West of Sulawesi, Indonesia. Materials, and Methods: The age categories in the survey were three age groups: children (6-12 years old), young (12-17 years old), and adults (18-60 years old). Analytical observational research with Cross-sectional design, which is a survey of oral pathfinder, determined by simply taking, they are Sarjo and Bambaira Districts. Results: The sample of 935 men with male sex was 39.7% and women 63.3%. The percentage of distribution of dental care needs is 97.4%. Emergency care needed is preventive care / routine care needed as much as 13.5%, rapid care needs as much as 65.8%, urgent care needs due to pain, and dental infections as much as 17.2%. Conclusion: The need for emergency and immediate dental care in the community is still quite high.

scholarly journals Barriers of utilisation of dental services among children and adolescent: A systematic review

2018 ◽  
Vol 30 (3) ◽  
pp. 150
Author(s):  
Avlien Farlina ◽  
Diah Ayu Maharani
Keyword(s):  
Systematic Review ◽  
Low Income ◽  
Dental Care ◽  
Dental Service ◽  
Oral Diseases ◽  
Dental Services ◽  
Children And Adolescent ◽  
Care Utilisation ◽  
Economic Barriers ◽  
Low Income Families

Introduction: Underutilisation of dental services among children and adolescent is a worldwide problem that increases caries prevalence. Younger children are less likely to receive dental care and, thus, experience oral diseases more often. This systematic review was aimed to explore the barriers of utilisation of dental services among children and adolescent. Methods: The literature search was conducted in the electronic database of Pubmed©/Medline©. The literature exclusion criteria were adults and qualitative study. Keywords were verified in MeSH. Boolean “AND” and “NOT” was used to specify the search. Twenty-four literature were filtered from Pubmed©, and twenty-three literature fit the inclusion criteria. Result: The result revealed that low-income families, minority ethnic, and disability condition have lower dental care utilisation. Conclusion: The identified potential determinants of oral health and dental care utilisation among children and adolescent are economic barriers, uninsurance, and availability of dental service providers.Keywords: Dental care, dental services, utilisation, barrier, children, adolescent.

scholarly journals Dental Service Utilization of a Rural Population in Nigeria

2019 ◽  
Vol 4 (2) ◽  
pp. 62-65
Author(s):  
O.O Osadolor ◽  
◽  
E.A Akaji ◽  
U Otakhoigbogie ◽  
H.C Amuta ◽  
...  
Keyword(s):  
Service Utilization ◽  
Dental Care ◽  
Rural Population ◽  
Household Income ◽  
Dental Health ◽  
Health Centre ◽  
Dental Service ◽  
Dental Clinic ◽  
Dental Services ◽  
Socio Demographic Factors

Background: Dental health is often neglected by a vast majority of the population and has contributed to the global burden of oral diseases. Prevention of disease, disability and suffering should be a primary goal of any society that hopes to provide a decent quality of life for its people. Dental care/service utilization is an indispensable facilitator of oral health, as dental caries and gingivitis are preventable with regular access to preventive dental services. Several reasons have been attributed to use and non-use of dental services and include socio-demographic factors such as age, sex, educational attainment, and household income. Objective: To determine dental service utilization of a rural population in South-east Nigeria. Methodology: A cross sectional study of 268 participants was carried out at Ozalla Model Primary Health Centre, Ozalla Health Centre and Umueze Awkunanaw Health Centre located in Ozalla community and Umueze Awkunanaw community respectively. Ethical clearance for this study was sought and obtained. Permission was sought from the head of each health centre, while individual verbal consent was obtained from the respondents before giving out the pretested questionnaire which was interviewer-administered. Data was analysed using Statistical Package for Social Sciences (SPSS) Version 20. Results: 126(47 %) males and 142(53%) females were seen. The age of the participants ranged from 18 - 86 years with a mean age of 32.4 ± 13.3 years. 131(48.9%) were married, 133(49.6%) were single and 4(1.5%) were divorced. 39(14.6%) had only primary level of education, 142(52.6%) secondary, 67(25.0%) tertiary and 21(7.8%) had no formal education. 64(23.9%) had utilized dental service, while 204(76.1%) had not visited a dental clinic (had not utilized dental service). The common reason for dental service utilization was dental pain. The predominant occupation was farming and small scale business/trading. P= 0.038. Conclusion: Dental health was neglected by a vast majority of the participants, The poor utilization of dental service by the respondents could be due to poor awareness, absence of dental insurance, financial constraints , lack of perceived need for dental care, economic difficulties ,socio-demographic factors such as age, sex, educational attainment, and household income. Effort needs to be applied to create better awareness and possibly increase dental clinic attendance. Emphasis should be placed on benefits of utilizing preventive dental services rather than only curative through dental awareness programms.

scholarly journals COVID-19 and Its Implications in Dental Care

2020 ◽  
pp. 53-57
Author(s):  
H. Inegbenosun ◽  
E. P. Ofiri ◽  
C. C. Azodo
Keyword(s):  
Public Health ◽  
Low Income ◽  
Dental Care ◽  
Public Health Problem ◽  
Low Income Countries ◽  
Dental Procedures ◽  
The World ◽  
Huge Impact ◽  
Dental Practices ◽  
The Government

COVID-19 was first reported in Wuhan, Hubei Province of China a few months ago (December 2019) and had since become a major challenging public health problem for not only China but also many countries around the world. It was on March 11, 2020, characterized by WHO as a pandemic. The pandemic so far has killed more than 526,465 people and infected more than 11,046,917 people around the world as of 05 July 2020. Nigeria currently has 28,167 confirmed COVID-19 cases with 11,462 (40%) discharged, 16,071 (57%) currently receiving treatment at designated facilities across the country and unfortunately 634 (3%) deaths as at the time of writing this manuscript. As far as the authors are aware, there are little or no work carried out on the implications of COVID-19 on dental practices in Nigeria. Recently, COVID-19 was identified in saliva of infected patients and so transmission via aerosols and splatter generated during dental procedures is sure. To limit exposure, there was a need to avoid scheduling patients except for emergency dental care during this outbreak. This limitation on activities of the dental sector has a very huge impact on the economy of the sector as it has already resulted in serious monetary implications for dental practices worldwide. While dental practices in the high-income countries are getting help from their respective Government, those in the middle and low-income countries like Nigeria have been left to wallow in bankruptcy without support. The authors highly recommend that the Government of these neglected countries, step up and support dental practices that are on the brink of closing down due to the low turnout of patients to their practice during this outbreak.

scholarly journals Two-year supervised tooth brushing program evaluation in preschools in Southern Israel

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Dekel ◽  
S P Zusman ◽  
V Pikovsky ◽  
L Natapov
Keyword(s):  
Preschool Children ◽  
Dental Care ◽  
Dental Health ◽  
Dental Service ◽  
Tooth Brushing ◽  
Favorable Effect ◽  
Caries Experience ◽  
Dental Services ◽  
National Health Insurance Law ◽  
Carious Teeth

Abstract Background Dental care for children was included into National Health Insurance Law in 2010 and eligibility age went up gradually to 18 in 2019, providing universal dental care. As a part of dental care reform, community based preventive School Dental Services were extended to preschool children. School dental service (SDS), funded entirely by the State, was extended to younger ages providing supervised tooth brushing module. The national supervised teeth brushing program (STBP) was first implemented in 2015-2016 amongst 3-4 year old children attending 600 nurseries in Israel. Due to the program’s success, it was gradually extended to more nurseries in low socio economic regions across the country, reaching 2200 settings in 2019. The objective of this study was to assess dental health among preschool children participating in the program during the last two years, comparing to those who did not. Methods Participant and non-participant kindergartens were randomly selected in Jewish and Bedouin Arab towns in the Southern district matched according to SES level. DMFT index measuring mean number of decayed, missing and filled teeth was recorded among preschool 5 years-old children. Results 283 children were examined, 157of them Jewish (86 participants in STBP, 71 non-participants) and 126 Bedouins (59 vs 67 respectively). Mean untreated carious teeth (d) was 1.15 vs 1.8 for Jews and 3.22 vs 3.9 for Bedouins. Percent of treated teeth within total caries experience index (f/dmf) was higher in tooth brushing group: 37% vs. 29% for Jews and 23% vs. 8% for Bedouins. Key messages Supervised tooth brushing shows favorable effect. Less carious teeth and more treated caries were recorded in STBP group.

DENTAL SERVICES

PEDIATRICS ◽  
1953 ◽  
Vol 12 (3S) ◽  
pp. 26-28
Keyword(s):  
Dental Care ◽  
Health Program ◽  
Dental Health ◽  
The United States ◽  
Dental Service ◽  
Minimal Amount ◽  
Major Theme ◽  
Dental Services ◽  
True Relationship

WHEN the Study was first projected, its content was a major theme of discussion. It is of interest that the Study Committee unanimously gave children's dental care a high priority among the items for examination. This decision was significant because pediatricians and general practitioners as a group are not particularly interested or wellinformed in this area of medicine. It may have been their very lack of dental knowledge which promoted this part of the Study. The question might be asked, "Is the over-all health of children correlated in any way with the condition of their teeth?" In one of the state reports, a correlation was made between the quality of medical services and dental facilities but this does not answer the question of the true relationship between dental health and over-all health. However, the Committee felt that dental health is generally accepted as an important item in a health program for children. Although the exact cause of tooth decay is not yet determined, it is known that restoration of cavities prolongs the life of the tooth. Areas of Need The findings of the Study do not tell precisely how much dental care is actually required by children in various sections and communities in the country. However, even without exact information on the amount of dental care needed, it is evident that at present not even a minimal amount of dental service can be offered to every child in the United States. The study of dental facilities for children shows that even states and counties which have the highest service ratings are unable to provide adequately for their entire child population.

scholarly journals Regular dental care in preschoolers in rural Southern Brazil

2020 ◽  
Vol 54 ◽  
pp. 37
Author(s):  
Adriana Vieira Camerini ◽  
Alexandre Emidio Ribeiro Silva ◽  
Silvio Omar Macedo Prietsch ◽  
Rodrigo Dalke Meucci ◽  
Mariane Pergher Soares ◽  
...  
Keyword(s):  
Dental Care ◽  
School Attendance ◽  
Dental Health ◽  
Care Center ◽  
Population Based ◽  
Southern Brazil ◽  
Dental Services ◽  
Daycare Centers ◽  
Use Of Services ◽  
Estimate Prevalence

OBJECTIVE: To evaluate if factors related to the mother’s previous guidance on her children’s dental health and the school attendance of children influence the regular dental care of preschoolers living in the rural area of a municipality in Southern Brazil. METHODS: A population-based study was conducted with 264 children under five years of age and their mothers. Socioeconomic and behavioral data were collected using a questionnaire, and the children were subjected to dental health tests. The outcome was the regular use of dental services. The main exposure variables were children’s care in daycare centers or schools and maternal guidance on the child’s dental health. Poisson regression analysis with robust variance adjustment was used to estimate prevalence ratios, considering a 95% confidence interval. RESULTS: The prevalence of regular use was 11.4% (95%CI 7.5–15.2). In the adjusted analysis, the regular use of services was associated with the child attending day care center/school (PR = 2.44; 95%CI 1.38–4.34), and the mother received dental health guidance (PR = 4.13; 95%CI 1.77–9.61), even with control for socioeconomic, maternal and child variables. CONCLUSION: When mothers receive previous information on child dental health care and children attend schools or daycare centers, the likelihood of regular dental appointments in preschoolers living in rural locations increases.

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