ABSTRACT
Resumen Introducción: El objetivo de la investigación fue establecer cuál es la simbología utilizada por los profesionales en odontología para documentar los hallazgos odontológicos más comunes en sus expedientes; con la finalidad de incluirla en un formato único odontológico estandarizado con fines de identificación en Costa Rica. Materiales y métodos: Mediante un cuestionario se identificó y comparó la simbología utilizada por profesionales en odontología generales y especialistas para registrar los hallazgos odontológicos en sus expedientes. Se realizó una fase piloto con 8 cuestionarios y posterior a las correcciones se aplicó a una muestra de 49 odontólogos que incluyó a profesionales en odontología generales y de todas las especialidades. Las técnicas estadísticas utilizadas para el análisis de la información recolectada en las encuestas son las distribuciones de frecuencia, cruce de variables, comparación de medias con base en el análisis de variancia. El nivel mínimo de confianza para las comparaciones fue del 95%. El procesamiento estadístico de los datos se diseñó una base de datos creada en EPI-INFO 6.4, el procesamiento estadístico de los datos se realizó en SPSS versión 13.0 y en Excel. Resultados: De los 49 participantes, 56% fueron hombres y 44% mujeres. La edad varía entre 25 y 65 años; la edad promedio fue de 44,5 años (IC 95%: 41,7 - 47,3) y una edad mediana [1] de 43 años, la cual no tuvo diferencia estadísticamente significativa (p = 0,552) entre la edad promedio entre los hombres y mujeres. El 70% de los odontólogos usan expediente físico, mientras que sólo un 17% usan expediente digital, y el 13% usan ambos; en el expediente digital es en el que se presenta la mayoría de problemas con un 62,5 %, en comparación al físico que tiene una prevalencia de 36,4% donde el principal problema es que no se comprendió la letra en un 86,7%. Conclusiones: El examen clínico odontológico es de extrema utilidad para colaborar en el proceso de identificación de víctimas mortales, sin embargo, se logró identificar, que no todos los profesionales en odontología en Costa Rica realizan una adecuada documentación en sus expedientes clínicos. Se propone una simbología estandararizada para dicha documentación.
Abstract Introduction: The objective of the research was to establish what is the symbology used by dentistry professionals to document the most common dental findings in their records; with the purpose of including it in a single standardized dental format for identification purposes in Costa Rica. Materials and methods: Through a questionnaire the symbology used by general dentists and specialists was identified and compared to record the dental findings in their files. A pilot phase with 8 questionnaires was carried out and after the corrections, it was applied to a sample of 49 dentists that included general and all specialties dentists. The statistical techniques used for the analysis of the information collected in the surveys are frequency distributions, crossing of variables, comparison of means based on the analysis of variance. The minimum level of confidence for the comparisons was 95%. The statistical processing of the data was designed a database created in EPI-INFO 6.4, the statistical processing of the data was performed in SPSS version 13.0 and in Excel. Results: The sample was conformed by 49 participants, 56% were men and 44% women. The age varies between 25 and 65 years; the average age was 44.5 years (95% CI: 41.7 - 47.3) and a median age [1] of 43 years, which had no statistically significant difference (p = 0.552) between the average age between men and women. A 70% of dentists use physical records, while only 17% use digital records, and 13% use both; digital files present the majority of problems with 62.5%, compared to the written format who has a prevalence of 36.4% where the main problem is that the letter was not understood in an 86.7 %. Conclusions: Dental records are extremely useful to collaborate in the process of human identification in fatalities; however, it was possible to identify that not all dental professionals in Costa Rica make adequate documentation in their clinical records. A standardized symbology is proposed for such documentation.
Subject(s)
Dental Care/organization & administration , Dentistry , Forms and Records Control , Practice Management, Dental/organization & administrationABSTRACT
Dental bodies corporate are not a new phenomenon with companies having practised dentistry in the UK for over a hundred years. At the turn of the twentieth century, unregistered practice was common with dental companies resulting in extensive malpractice. Corporate dentistry introduced commercial interests into the profession and brought further dangers such as treatment not being patient-centred. The British Dental Association (BDA) was among those who continuously worked to mitigate these effects. Increasingly strict measures were introduced by governments to protect the public from harm from corporate practice with the government eventually remedying concerns, in the 1950s, by restricting corporate practice. In 2006 this restriction was lifted, with the support of the BDA, in an effort to increase competition and choice and open up the market to new providers. While the profession continues to develop, concerns remain. Some are long held with others, such as a negative effect on working conditions and UDA values, being relatively recent developments.
Subject(s)
Practice Management, Dental/history , Professional Corporations/history , Societies, Dental/history , History, 20th Century , History, 21st Century , Humans , Practice Management, Dental/organization & administration , United KingdomABSTRACT
Efficient responses to emergencies in the oral and maxillofacial surgery office require preparation, communication, and thorough documentation of the event and response. The concept of team anesthesia is showcased with these efforts. Emergency medical services training and response times vary greatly. The oral and maxillofacial surgery office should be prepared to manage the patient for at least 15 minutes after making the call to 911. Patient outcomes are optimized when providers work together to manage and transport the patient. Oral and maxillofacial surgery offices should develop and rehearse emergency plans and coordinate these protocols with local Emergency medical services teams.
Subject(s)
Emergencies , Emergency Medical Services , Emergency Treatment , Practice Management, Dental/organization & administration , Surgery, Oral , Humans , Interprofessional Relations , Time FactorsABSTRACT
Los caninos maxilares incluidos por palatino constituyen un trastorno eruptivo frecuente cuyo tratamiento en nuestras clínicas depende en gran medida de la formación y la experiencia previas del profesional. Como consecuencia de ello, los resultados no son uniformes. Presentamos siete casos de caninos maxilares incluidos por palatino tratados con distintos abordajes por diferentes dentistas con un distinto bagaje profesional (dentista general, cirujano oral, experto en estética dental, prostodoncista y ortodoncista respectivamente). La discusión de los casos pone de manifiesto los criterios que habían justificado las correspondientes opciones terapéuticas (AU)
The palatally displaced maxillary cuspids are a common eruption disorder whose management in our clinics mainly depends on the previous experience of the involved professional. As a result, the outcome of the treatment is not uniform. We present seven cases of palatally impacted maxillary cuspids managed with different approaches by several dentists with a different professional background (general dentist, oral surgeon, expert in dental esthetics, prosthodontist and orthodontist). The discussion of these cases reveals the criteria that had justified the corresponding treatment approaches (AU)
Subject(s)
Humans , Female , Adolescent , Young Adult , Adult , Cuspid/surgery , Malocclusion/therapy , Professional Competence , Practice Management, Dental/organization & administration , Orthodontics/methods , Photography, Dental/instrumentation , Dental OcclusionABSTRACT
The unpredictability of unscheduled emergency dental care carries its own clinical, communication and management challenges with associated medico-legal risks. Providing emergency dental treatment for unfamiliar patients in an unfamiliar environment amplifies the hidden pitfalls which failure to avoid can create potentially damaging critical incidents in a practitioner's professional life. These are preferably avoided through consistent attention to best practice and risk management. Day to day processes, such as excellent record-keeping, valid consent and effective communication are under the spotlight in the event that a patient complains, raises a concern with a regulator or seeks compensation following alleged negligent care. This paper aims to highlight the dento-legal pitfalls that may be pertinent in such a challenging situation.
