Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.195
Filtrar
1.
J Dent Child (Chic) ; 87(2): 110-115, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32788005

RESUMO

Purpose: To assess the attitudes and preferences of caregivers accompanying children to dental appointments toward greetings by dental staff.
Methods: English-speaking caregivers accompanying children to dental appointments completed a sex-specific survey consisting of 21 questions pertaining to the current visit, demographics, subject's relationship to the child, preference for greeting by providers, and previous uncomfortable experiences with greetings by providers.
Results: The sample included 238 subjects: 197 (82.8 percent) biological parents; 17 (7.1 percent) biological grandmothers/grandfathers; and 24 (10.0 percent) adults had a different relationship to the child. The single most preferred greeting was "mom" (70.0 percent) or "dad" (72.2 percent), with some variation in preferences among caregivers who were not biological parents. The second most preferred greeting was the first name for both males and females. African-American females preferred to be greeted by the first name compared to white females (P <.03). Older females preferred to be greeted by "grandma" compared to younger females (P <.01).
Conclusion: No single greeting was acceptable to all subjects. Using "mom" or "dad" was acceptable to most caregivers but not universally accepted. First name was acceptable to most, including caregivers who were not biological parents.


Assuntos
Cuidadores , Pais , Adulto , Criança , Recursos Humanos em Odontologia , Feminino , Humanos , Masculino , Inquéritos e Questionários
2.
Braz Oral Res ; 34: e011, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32130361

RESUMO

Telehealth has been applied in the Unified Health System (SUS) as a tool for qualifying professionals and improving the healthcare provided to the population served by the system. The aim of the present study was to evaluate the impact of teleconsultations on the qualifications of the clinical approach of the oral health teams involved in primary health care (PHC) in the state of Rio Grande do Sul under the Telehealth Brazil Networks Programme. The sample population of the study was composed of 285 dentists and 132 oral health assistants belonging to the Family Health Teams. A chi-square test was used to investigate possible associations between the absolute number of teleconsultations performed and several independent variables, namely, gender, age, dental specialty, time since graduation, time working in the Family Health Strategy (FHS), employment status, type of training institution, familiarity with information technology, and work satisfaction at the health facility. The level of significance was p < 0.05. Use of the oral health teleconsultation service led to a reduction of more than 45% in the number of referrals to other levels of care. However, no significant association was found between the number of teleconsultations and the independent variables analysed. The use of teleconsultations proved to be a powerful tool for professional training, for increasing the effectiveness of PHC, and for improving the oral healthcare provided.


Assuntos
Recursos Humanos em Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , Adulto , Brasil , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Serviços de Saúde Bucal/normas , Recursos Humanos em Odontologia/educação , Odontólogos/educação , Educação a Distância/métodos , Educação a Distância/estatística & dados numéricos , Feminino , Humanos , Masculino , Saúde Bucal , Atenção Primária à Saúde/métodos , Valores de Referência , Inquéritos e Questionários , Telemedicina/métodos , Fatores de Tempo
3.
Artigo em Chinês | MEDLINE | ID: mdl-32062892

RESUMO

Objective: To understand the status of blood-borne occupational exposure and protection among health care workers (HCWs) in dental practice, and provide evidence for making effective prevention. Methods: From April 1 to 15, 2019, a stratified random sampling method was conducted to investigate the data of blood-borne occupational exposure among 221 dental HCWs in 2018, and Chi-squared Test was used to evaluate the differences of status on occupational exposure and protection among different professionals, such as nurses, doctors and trainees, and among different-grade hospitals. Results: A total of 166 HCWs were exposed to occupational exposure 269 times, with the annual incidence of 75.11% (166/221) , and 37.55% (101/269) of exposures were reported. However, all source patients of exposures had failed to be traced. 89.59% (241/269) of exposures were sharp injuries. The top three instruments caused injuries were syringe/bilan needles, suture needles and vehicle needles, accounting for 35.68% (86/241) 、16.60% (40/241) and 16.18% (39/241) , respectively; and the top three exposure operations were removal/disposal of needles or instruments, suture/assisting suture and injection of anesthetic, accounting for 37.17% (100/269) 、22.30% (60/269) and 17.84% (48/269) , respectively. There were statistically significant differences among different professionals in occupational exposure frequency, reporting rate, the types of instruments caused injuries, exposure operations and hepatitis B vaccinated time (P<0.01) . The compliance rate of standard precautions, safe operation, post-exposure reporting and prevention, and training on occupational protection were generally poor among HCWs, with significant differences in different-grade hospitals (P<0.01) . Conclusion: There is a high incidence, low reporting rate and poor self-protection of blood-borne occupational exposure among dental HCWs. Strongly suggesting that standard precautions, safe use and disposal of oral instruments, active post-exposure report and prevention must be improved for everyone.


Assuntos
Recursos Humanos em Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Exposição Ocupacional , Patógenos Transmitidos pelo Sangue , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional
5.
BMC Public Health ; 19(1): 1529, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31729969

RESUMO

BACKGROUND: Human papillomavirus (HPV) has been associated with certain types of oropharyngeal cancers and yet, the level of knowledge that dental professionals and the lay public have in terms of HPV transmission, oral sexual activities, and oral cancer development needs exploration. The aim of this study was to assess the knowledge held by practicing dental professionals as well as the lay public regarding Human Papillomavirus (HPV) transmission through oral sex and subsequent oropharyngeal cancer development. METHODS: Textual data were collected from a public forum with dental professionals in. Vancouver, who discussed the HPV-oral sex-oral cancer triad, and from survey data gathered from 212 lay public participants (also in Vancouver) who answered a 13-item questionnaire on the perceived risks of oral sex in terms of HPV infection and oropharyngeal cancer development. The data were analyzed statistically by age group, gender, and sexual orientation using descriptive statistics, while an ANOVA test was used to compare variation in the responses to the survey (p-value = 0.05). RESULTS: The forum engaged 46 health care professionals, many of whom were aware of the potential risks for head and neck cancer development due to HPV infection, while also questioning "how to effectively talk about HPV with patients." The survey revealed that 34.5% of the participants believed that oral sex is an activity with no or low risk for the transmission of HPV, while 84% of participants believed the same sexual practices were of low or no-risk for HIV (Human Immunodeficiency Virus) transmission. Most participants (82%) never discussed oral sexual activities with their physicians or dentists/dental hygienists. CONCLUSIONS: The general public remains mostly unaware of the potential links between HPV infection and oropharyngeal cancer. Physicians and dental providers should discuss oral sexual practice with their patients to raise awareness.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Neoplasias Bucais/psicologia , Neoplasias Orofaríngeas/psicologia , Infecções por Papillomavirus/psicologia , Comportamento Sexual/psicologia , Adulto , Recursos Humanos em Odontologia/psicologia , Feminino , Infecções por HIV/psicologia , Infecções por HIV/transmissão , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/virologia , Neoplasias Orofaríngeas/virologia , Papillomaviridae , Infecções por Papillomavirus/transmissão , Infecções por Papillomavirus/virologia , Inquéritos e Questionários
6.
Workplace Health Saf ; 67(9): 461-469, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31288626

RESUMO

Work-related musculoskeletal (MS) disorders are considered one of the most frequent occupational diseases among dental workers. Dental work consists of static, demanding tasks that involve repeated gripping of small-sized instruments. The purpose of this study was to investigate the prevalence of MS pain, the areas of pain, and the risk factors for MS pain in dental workers. A self-administrated questionnaire was used as a data collection instrument for dental workers who voluntarily responded to the invitation. To determine the prevalence and severity location of MS pain, the Cornell Musculoskeletal Discomfort Questionnaire was administered among 87 dental workers, with a total of 79.8%, who reported at least one MS complaint. MS pain occurred in 82.6% of general dentists, 75.0% of dental specialists, 66.7% of dental assistants, and 33.3% of dental technicians. Pain most frequently occurred in the neck (60.7%), upper back (52.4%), right shoulder (44.0%), lower back (41.7%), hips/buttocks (29.8%), and the right wrist (23.8%). The prevalence of pain among dental workers could be reduced by ergonomic working environment, regular breaks, maintenance of health, and performing specific exercises designed to dental workers.


Assuntos
Recursos Humanos em Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Dor Musculoesquelética/epidemiologia , Adulto , Idoso , Estudos Transversais , Exercício Físico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Prevalência , Eslovênia/epidemiologia , Inquéritos e Questionários
7.
J Am Dent Assoc ; 150(7): 609-617.e5, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31153549

RESUMO

BACKGROUND: Childhood caries is a major oral and general health problem, particularly in certain populations. In this study, the authors aimed to evaluate the adequacy of the supply of pediatric dentists. METHODS: The authors collected baseline practice information from 2,546 pediatric dentists through an online survey (39.1% response rate) in 2017. The authors used a workforce simulation model by using data from the survey and other sources to produce estimates under several scenarios to anticipate future supply and demand for pediatric dentists. RESULTS: If production of new pediatric dentists and use and delivery of oral health care continue at current rates, the pediatric dentist supply will increase by 4,030 full-time equivalent (FTE) dentists by 2030, whereas demand will increase by 140 FTE dentists by 2030. Supply growth was higher under hypothetical scenarios with an increased number of graduates (4,690 FTEs) and delayed retirement (4,320 FTEs). If children who are underserved experience greater access to care or if pediatric dentists provide a larger portion of services for children, demand could grow by 2,100 FTE dentists or by 10,470 FTE dentists, respectively. CONCLUSIONS: The study results suggest that the supply of pediatric dentists is growing more rapidly than is the demand. Growth in demand could increase if pediatric dentists captured a larger share of pediatric dental services or if children who are underserved had oral health care use patterns similar to those of the population with fewer access barriers. PRACTICAL IMPLICATIONS: It is important to encourage policy changes to reduce barriers to accessing oral health care, to continue pediatric dentists' participation with Medicaid programs, and to urge early dental services for children.


Assuntos
Recursos Humanos em Odontologia , Odontólogos , Criança , Acesso aos Serviços de Saúde , Humanos , Medicaid , Estados Unidos , Recursos Humanos
8.
Prim Dent J ; 8(1): 30-33, 2019 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-31122328

RESUMO

Changes in social structure and advances in technology will influence oral healthcare and the dental workforce. The Council of European Dentists (CED) acknowledges distinct differences between existing dentists and dentists of the future, identifying skills and competencies necessary to make the dentist of the future fit for purpose. These skills and competences are discussed in the context of the profile of the dentist of the future, highlighting the need to review arrangements for the recruitment and retention of future dental workforce.


Assuntos
Recursos Humanos em Odontologia , Odontólogos , Seleção de Pessoal , Previsões , Humanos
10.
Niger J Clin Pract ; 22(4): 573-577, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30975965

RESUMO

Aims: Recently, Vitamin D deficiency is pandemic now. The main reason of vitamin D deficiency is inadequate exposure to sunlight. Vitamin D level in nutrients is low and it can be ineffective to meet the daily requirements. Vitamin D is synthesized in the skin by ultraviolent radiation. In the present study, the authors aimed to investigate serum 25(OH) D levels of the medical staff working in different positions in the Faculty of Dentistry. Subjects and Methods: A total of 51 dentists, 28 dental assistants, 11 secretaries, and 10 nurses working in the Faculty of Dentistry, Erciyes University between November and December 2014 were included to the study. The serum 25(OH) D levels of the participants were evaluated. Results: Of the participants, 62 were females and 38 were males with a mean age of 30.17 ± 5.77 (range: 20-49) years. The mean vitamin D levels were found to be 12.1 ± 8.37 ng/mL (range: 2.1-38.3). A total of 51 participants had severe vitamin D insufficiency, while three participants had normal vitamin D levels with only one dentist. Conclusion: According to the results of present study, dental staff should be considered as a high-risk group for vitamin D deficiency. Vitamin D deficiency and insufficiency is a common problem among medical staffs as in several working groups such as white-collar workers and bankers. Results of present study suggest that insufficient exposure to the sunlight may lead to severe vitamin D deficiency in dental professionals. Vitamin D supplementation may be recommended to the dental staff.


Assuntos
Recursos Humanos em Odontologia , Deficiência de Vitamina D/epidemiologia , Vitamina D/sangue , Adulto , Clínicas Odontológicas , Suplementos Nutricionais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Luz Solar , Vitamina D/análogos & derivados , Deficiência de Vitamina D/prevenção & controle , Vitaminas/administração & dosagem , Adulto Jovem
11.
Br Dent J ; 226(3): 162-163, 2019 02 08.
Artigo em Inglês | MEDLINE | ID: mdl-30734760
12.
Dent Clin North Am ; 63(1): 1-16, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30447786

RESUMO

Constructing an evidence-based dental practice requires leadership, commitment, technology support, and time, as well as skill practice in searching, appraising, and organizing evidence. In mastering the skills of evidence-based dentistry, clinicians can implement high-quality science into practice through a variety of opportunities including the development of clinical care guidelines, procedural technique protocols, and electronic dental record auto-note templates, as well as treatment planning, care prioritization, and case presentation. The benefits of building an evidence-based dental practice are many, including improvements in patient care and satisfaction, increased treatment predictability and confidence in care approaches, as well as potential cost savings.


Assuntos
Registros Odontológicos/normas , Odontologia Baseada em Evidências , Padrões de Prática Odontológica/normas , Redução de Custos , Assistência Odontológica/normas , Consultórios Odontológicos , Recursos Humanos em Odontologia , Educação em Odontologia , Implementação de Plano de Saúde , Humanos , Internet , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Guias de Prática Clínica como Assunto , Administração da Prática Odontológica , Garantia da Qualidade dos Cuidados de Saúde/normas , Sociedades Odontológicas
13.
Int J Paediatr Dent ; 29(1): 36-42, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30350432

RESUMO

BACKGROUND: There is a lack of studies about how adolescents experience the interaction during dental visits. The experienced interaction during dental visits will influence how adolescents take care of their oro-dental health, and how they attend at the dentist's office. AIM: To explore the interaction experiences during dental visits of 18-year-olds with or without a history of caries. DESIGN: The dental health status at age 15 years was used as a predictor of subsequent interaction experiences with the dental staff. The dental health status was assessed by the Decayed Missed Filled Teeth index and interaction experiences by the Patient Dental Staff Interaction Questionnaire. RESULTS: Adolescents with a history of caries experienced the interaction at dental visits significantly more often negatively than adolescents with healthy teeth. The association was significant after adjustment for potential confounding factors (sense of coherence, gender, and duration of maternal basic education). CONCLUSIONS: Understanding, encouraging, and appropriate interaction with adolescents with caries may make patients more positive and receptive for treatment and self-care.


Assuntos
Cárie Dentária/epidemiologia , Recursos Humanos em Odontologia , Psicologia do Adolescente , Adolescente , Seguimentos , Humanos , Inquéritos e Questionários
14.
Int J Occup Saf Ergon ; 25(3): 423-428, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28980879

RESUMO

Purpose. To determine the prevalence of undesirable skin reactions to latex in dental professionals and students of the School of Dental Medicine in Zagreb, Croatia. Methods. Our research included 444 participants, of which 200 agreed to undergo a skin prick test (SPT). All participants answered a questionnaire in which we asked about incidence of skin lesions, duration of occupational exposure to latex, localization of skin lesions and symptoms. Statistical analysis of the questionnaire and test results was then carried out. Results. Of the total 444 participants surveyed, 249 (56.1%) reported lesions on their skin (professionals 64.8%, students 6.1-58.5%). From the questionnaire, 239 (96.0%) respondents reported lesions on the hands and fingers, mostly in the form of erythema (37.0%) and occasional dryness of skin (29.0%). Positive SPT results were found in 14 (7.0%) out of the 200 respondents who underwent the test. Conclusions. While a large number of subjects (56.1%) reported skin lesions when using latex products at their workplace, the SPT test was positive only in 7.0%. The results show that the prevalence of self-reported skin lesions was significantly related to the length of occupational exposure, with a substantial effect size (p < 0.001; V = 0.334).


Assuntos
Dermatite Ocupacional/epidemiologia , Hipersensibilidade ao Látex/epidemiologia , Látex/imunologia , Exposição Ocupacional , Croácia/epidemiologia , Recursos Humanos em Odontologia , Odontólogos , Dermatite Ocupacional/imunologia , Feminino , Humanos , Látex/efeitos adversos , Hipersensibilidade ao Látex/imunologia , Masculino , Prevalência , Testes Cutâneos , Estudantes de Odontologia , Inquéritos e Questionários
16.
J Health Care Poor Underserved ; 29(4): 1570-1586, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30449764

RESUMO

Residents of long-term care (LTC) facilities have a significantly higher risk of poor oral health status compared with those living independently; moreover, the provision of oral health services to LTC residents is often limited. This study identifies and classifies state-level policies and funding sources for dental services that are available to LTC residents. The research details variability in coverage levels, payment sources, workforce capacity, and care delivery configuration, finding little coherence between policy and the needs of patients or providers. Reforms to address the oral health care needs of vulnerable populations in LTC settings should start with defining a clearer standard of oral care required for this population. This will allow best practices in policy, practice, and accountability to be structured around care that improves patients' oral health.


Assuntos
Assistência Odontológica/organização & administração , Instituição de Longa Permanência para Idosos/organização & administração , Assistência de Longa Duração/organização & administração , Casas de Saúde/organização & administração , Políticas , Assistência Odontológica/normas , Recursos Humanos em Odontologia/provisão & distribução , Mão de Obra em Saúde , Instituição de Longa Permanência para Idosos/normas , Humanos , Reembolso de Seguro de Saúde/normas , Assistência de Longa Duração/normas , Medicaid/organização & administração , Medicare/organização & administração , Casas de Saúde/normas , Estados Unidos
17.
Br Dent J ; 225(5): 425-430, 2018 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-30215416

RESUMO

Introduction The share of the dental market held by corporate bodies continues to increase. With the profession currently facing many challenges it is important to understand their place in the profession and their effect.Aim This exploratory study aims to provide an insight into dental associates in relation to their working environment. Specifically, the differences between working in corporate and non-corporate environments in England.Materials and methods Secondary analysis of a self-report questionnaire examining demographics, pay, working conditions, job satisfaction and morale using a combination of closed and open-ended responses sent to randomly selected associate dentists who are BDA members. Responses from associates working in England solely in either the corporate or non-corporate sector were analysed.Results Significant differences were seen between associates working in corporate practice when compared to those in non-corporates practice, for example, significantly less corporate associates were female and corporate associates reported relatively lower levels of autonomy and control.Discussion The differences seen between sectors could be related to rationalisation and should this be the reality it could have far reaching effects on the profession and its ability to manage itself.Conclusion This study highlights some differences between the corporate and non-corporate dental sectors. Further work is needed to build a deeper understanding of the sector.


Assuntos
Odontologia , Odontólogos/psicologia , Prática Privada , Corporações Profissionais , Local de Trabalho , Adulto , Idoso , Tomada de Decisões , Recursos Humanos em Odontologia/psicologia , Inglaterra , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Moral , Motivação , Autonomia Pessoal , Administração da Prática Odontológica , Relações Profissional-Paciente , Autorrelato , Inquéritos e Questionários
18.
Br Dent J ; 225(5): 391-394, 2018 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-30140045

RESUMO

All members of the clinical dental team face a daily risk of a personal sharp injury. A wide range of sharp instruments are used, some of which are specifically designed to easily pierce the skin and mucosa. The instruments are placed, moved, passed between colleagues, used for treatment, replaced and cleaned, all in relatively confined areas. The clinical dental workplace and the decontamination unit are both therefore sharp-risk environments. There is a clear risk of a sharp injury and the potential consequences of occupational exposure to blood-borne pathogens are at least inconvenient and at worst, career and even life threatening. However, good sharp safety is not universally understood and practised throughout the dental profession. This paper considers the risk of sharp injury in dentistry and discusses some of the methods used to improve sharp safety.


Assuntos
Instrumentos Odontológicos/efeitos adversos , Odontologia , Segurança de Equipamentos/estatística & dados numéricos , Local de Trabalho/normas , Patógenos Transmitidos pelo Sangue , Descontaminação , Recursos Humanos em Odontologia , Humanos , Incidência , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Ferimentos Penetrantes Produzidos por Agulha/etiologia , Ferimentos Penetrantes Produzidos por Agulha/prevenção & controle , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/estatística & dados numéricos , Medição de Risco , Fatores de Risco , Reino Unido/epidemiologia
19.
Int J Occup Environ Med ; 9(3): 113-119, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29995016

RESUMO

BACKGROUND: Dental staff may be at increased risk of adverse pregnancy outcome secondary to their chronic exposure to mercury. OBJECTIVE: To investigate obstetric outcome among dental staff and explore the oxidative stress induced by mercury exposure. METHODS: A cohort of 64 pregnant dental staff (exposed group) and 60 pregnant employees (non-exposed group) were studied. Urinary mercury level and blood antioxidant activity were measured. Participants were followed to assess their obstetric outcome. RESULTS: The exposed group had a higher mean urinary mercury level and a lower blood antioxidant activity during the three trimesters compared to non-exposed group (p<0.001). Women in the exposed group were experienced more frequently spontaneous abortion and pre-eclampsia (p<0.05). Babies born to the women in the exposed group tended to be smaller for gestational age compared to those of non-exposed group (p<0.001). CONCLUSION: Pregnant dental staff suffered higher odds of developing spontaneous abortion and pre-eclampsia and giving birth to babies smaller for gestational age. This may be linked to oxidative stress induced by exposure to mercury.


Assuntos
Recursos Humanos em Odontologia , Exposição Materna/efeitos adversos , Mercúrio/toxicidade , Estresse Oxidativo/efeitos dos fármacos , Resultado da Gravidez , Adulto , Estudos de Coortes , Recursos Humanos em Odontologia/estatística & dados numéricos , Feminino , Humanos , Exposição Materna/estatística & dados numéricos , Mercúrio/urina , Intoxicação por Mercúrio/complicações , Intoxicação por Mercúrio/epidemiologia , Intoxicação por Mercúrio/metabolismo , Intoxicação por Mercúrio/urina , Exposição Ocupacional/análise , Pré-Eclâmpsia/etiologia , Pré-Eclâmpsia/metabolismo , Gravidez , Resultado da Gravidez/epidemiologia , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA