Factors That Drive Dentists towards or Away from Dental Caries Preventive Measures: Systematic Review and Metasummary (original) (raw)
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Australian Dental Journal, 2007
Background: This introductory paper details the recruitment and standardization of a group of dentists participating in a clinical trial. The trial is being undertaken to determine the cost-effectiveness of a structured preventive programme compared to standard care within private dental practices. We recruited private dental practitioners from a variety of locations in New South Wales (NSW) and the Australian Capital Territory (ACT). We sought to quantify the diagnostic reliability of dentists involved, and to define, quantify, and analyse standard care. Methods: This is a multi-centre, clustered randomized controlled trial, where dentists are allocated to an intervention preventive or control group. Recruitment was facilitated with the support of key stakeholders and included oral presentations at divisional meetings of the Australian Dental Association, NSW Branch (ADA). A detailed timein-motion study of 426 dental procedures was undertaken in order to define the parameters of standard care. The reliability study involved each dentist reading a set of 12 pairs of bitewing radiographs that had been produced and reviewed under standardized conditions. The reliability analysis was undertaken blind to allocation status of the dentist. Results: Recruitment ceased three months into the planned six-month recruitment period, 31 practices having approached the researchers. Eight suburban, five Central Business District (CBD), five rural (in fluoridated communities), and four rural (in nonfluoridated communities) practices have been recruited. Standard care did not differ significantly between intervention and control practices (Mann-Whitney U: z = -0.50; P = 0.6). Diagnostic reliability was substantial (Kappa = 0.79 [range 0.73-0.81] and 0.78 [range 0.72-0.82]) in relation to the intervention and control practices, respectively; P = 0.6.
Journal of Healthcare Leadership, 2015
Background: Oral diseases, particularly dental caries, remain one of the most common chronic health problems for adolescents, and are a major public health concern. Public dental services in New South Wales, Australia offer free clinical care and preventive advice to all adolescents under 18 years of age, particularly those from disadvantaged backgrounds. This care is provided by dental therapists and oral health therapists (therapists). It is incumbent upon clinical directors (CDs) and health service managers (HSMs) to ensure that the appropriate clinical preventive care is offered by clinicians to all their patients. The aims of this study were to 1) explore CDs' and HSMs' perceptions of the factors that could support the delivery of preventive care to adolescents, and to 2) record the strategies they have utilized to help therapists provide preventive care to adolescents. Subjects and methods: In-depth, semistructured interviews were undertaken with 19 CDs and HSMs from across NSW local health districts. A framework matrix was used to systematically code data and enable key themes to be identified for analysis. Results: The 19 CDs and HSMs reported that fiscal accountability and meeting performance targets impacted on the levels and types of preventive care provided by therapists. Participants suggested that professional clinical structures for continuous quality improvement should be implemented and monitored, and that an adequate workforce mix and more resources for preventive dental care activities would enhance therapists' ability to provide appropriate levels of preventive care. CDs and HSMs stated that capitalizing on the strengths of visiting pediatric dental specialists and working with local health district clinical leaders would be a practical way to improve models of preventive oral health care for adolescents. Conclusion: The main issue raised in this study is that preventive dentistry per se lacks strong support from the central funding agency, and that increasing prevention activities is not a simple task of changing regulations or increasing professional education.
European Annals of Dental Sciences
2021
This study aimed to evaluate the patient's knowledge, attitude, and practice of cross-infection control in dentistry. Materials & Methods: This cross-sectional study was conducted at the Faculty of Dentistry, Trakya University. In this study, 250 patients (134 female and 116 male) aged 18 years and older (35.5±13.9) participated and data were collected using a questionnaire containing questions to determine the knowledge, attitudes, and practices related to cross-infection and infection control. Required personal and socio-demographic data were obtained. A chi-square test was conducted for categorical variables. Kruskal Wallis and Mann-Whitney U tests were used to compare questionnaire scores (p <0.05). Results: Most of the participants (30.5%) reported that their sources of information on dental infection control were social media. Knowledge scores of females were statistically significantly higher than males (p=0.005) and participants living in the city were significantly higher than those living in the town (p=0.015). Knowledge scores of health-care workers were significantly higher than both other workers and unemployed/students (p=0.001, p=0.004, respectively). Regarding participants' attitudes and practices, only 29.2% of the participants questioned the dentists about the contagious disease, and only 36% asked about the sterilization method of the dental instruments. Most of the participants perceived that wearing gloves, masks, eyewear, and face shield would protect both patients and dentists. Conclusion: Participants in this study seem to have a satisfactory level of knowledge about cross-infection and infection control methods in the nowadays' pandemic condition. However, dental health professionals should make additional efforts to educate and encourage dental patients.
Practicing what we preach: A pilot study on oral health practices of dentists in Massachusetts
Journal of Investigative and Clinical Dentistry, 2018
AimDentists are perceived as leaders and role models of good oral health, but do dentists practice what they preach? The current study was a pilot evaluation dentists of the oral health and oral health practices of dentists in Massachusetts.MethodsThe Massachusetts Dental Society sent emails to 3957 member dentists for whom an email contact was available. One reminder was sent 3 months later, and there was no incentive offered. Institutional review board approval was acquired prior to administering the survey through the Harvard Medical School Committee on Human Studies.ResultsA total of 4.9% of dentists had a comprehensive oral examination more than 8 years ago, and 3.1% had diagnostic bitewings 3‐5 years ago. Our study revealed that 5.8% had untreated caries and only 70.8% reported having no oral health problems. A total of 37% reported that lack of time was a barrier in seeking care, and 7.8% reported financial barriers. Finally, 4.1% reported that a non‐dentist coworker examined...
New Understanding of Dental Public Health: A Review
Journal of Pharmaceutical Research International
Oral disorders are a most important public health issue in most of the developing countries, and their prevalence is on the rise. To enhance the population's oral wellbeing by providing preventive and therapeutic services is the main aim of dental public health (DPH). However, due to low requirement of capability and ability among DPH personnel, its accomplishment in India is being probed [1]. For many people, dental care has grown expensive, and a huge number of patients around the world are delaying or ignoring important dental procedures. in addition, the ageing of the worldwide populace, as well as the resulting growth in common and dental concern needs, raises worries about the long-term viability of healthcare organization. These changes underscore the critical requirement for a new dental care representation that is both sustainable and efficient [2]. In this regard, the favorable approach for transforming the scene of oral healthcare is the adoption of scientific advance...
Am: To determine if the structure of clinical dental consideration, by means of the principle remedial structures indicated in Primary Health Care, is related to the community of underlying values, thought about the existence of a basic arrangement of facilities, equipment and materials in the critical medical care authorities in Pakistan. Methods: A cross-sectional exploratory study, based on information obtained from 18,114 major health care facilities for dental well-being groups in Pakistan in 2019. Our current research was conducted at Jinnah Hospital, Lahore from May 2019 to April 2020. The outcome was the confirmation of five therapeutic techniques undertaken by the dental surgeon, reflecting the involvement of the least tools, equipment and supplies required to do so. Variables have been compared to the fundamental values. Poisson relapse with powerful shift was used to get rough also, adjusted pervasiveness proportions, with 95 percent certainty period. Results: A total of 1,190 (6.8%) dental well-being groups did not present the basic tools for therapeutic dental consideration, and only 2,498 (14.8%) had all the instruments and materials available, according to the five healing techniques assessed. There was a favorable association between the results and the synthesis of dental well-being classes, a higher residual challenge at hand, a physical test, and the observation of oral well-being markers. Also, dental well-being groups that organized and tailored oral well-being events for the critical concern group on a month-to-month basis became more regular in the context of the strategies. Dental professionals with enhanced company standing, vocational plans, general well-being graduation or people who have completed perpetual preparation activities have all the more time invested on tactics. Decisions: A large number of primary health care authorities did not have a system for clinical dental consideration. However, greater results were observed in dental well-being classes of oral well-being experts, with higher residual stresses and organizing their exercises, as well as in dental specialists with better working relations, who had dental specialists with general well-being degrees and who had long-term instruction exercises.