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1.
Braz Oral Res ; 33: e115, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939497

RESUMO

The aim of this study was to investigate how Brazilian dentists perceive and manage dentin hypersensitivity (DH) in their clinical routine. A 13-item questionnaire-based survey was developed and sent electronically to a convenience sample of dentists. The questionnaire assessed the personal and dental practice characteristics of the sample, the occurrence of DH in their daily clinical practice, and management strategies. The data were analyzed descriptively and together with the chi-square test (a = 0.05). A total of 353 responses were obtained from September 2017 to March 2018. Of all the respondents, 62% were females, 49.9% reported fewer than five years of dental practice, and 70.5% were self-identified as private practitioners. Most of the dentists reported an estimated frequency (30-60%) of patients with DH in their practice. The most frequently cited (91.79%) trigger of DH was air blast and/or scratching with a probe. The first-choice strategy to manage DH was a dentin desensitizer (48.16%). The number of years in clinical practice did not influence DH relapse frequency (p = 0.76) significantly, or consider DH treatment as a problem (p = 0.22). The present findings indicate that, regardless of clinical experience, dentists in Brazil still consider DH management a challenge in their daily dental practice. In addition, the results suggest that guidelines should be developed to disseminate the available knowledge regarding this condition in ways that may influence decision-making processes among practitioners.


Assuntos
Sensibilidade da Dentina/terapia , Gerenciamento Clínico , Padrões de Prática Odontológica/estatística & dados numéricos , Brasil , Tomada de Decisão Clínica , Dessensibilizantes Dentinários/uso terapêutico , Odontólogos/estatística & dados numéricos , Feminino , Humanos , Masculino , Inquéritos e Questionários
2.
J Forensic Leg Med ; 68: 101863, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31494526

RESUMO

INTRODUCTION: Dental malpractice/negligence litigations against dentists in India is not widely studied. The aim of this study is to report the Indian dentist related litigation landscape in consumer redressal forum (CRF) and to understand more of the nature of the same. MATERIAL AND METHOD: 111 cases of judgments of dental malpractice in Indian CRF were collected. Useful information was extracted, reported in a grid and statistically analyzed. Data was compared by claim, specialty, treatment offered, days lapsed and compensation awarded. P ≤ 0.05 was taken as statistically significant. RESULTS: In all, 44 (39.63%) dentists were found guilty. Thirty dentists had produced at least one evidence in their favor. Among them, 23 outcomes were in dentist's favor.(P = 0.02) The mean wait for final judgment was 1945 ±â€¯1286(193-6762) days. The mean compensation claimed was INR 577287 ±â€¯905898. Presence of evidence (dentists/patients) had an impact on the days to reach a judgment as well as compensation. CONCLUSION: Indian dental litigation landscape CRF has been described for the first time. We identified that CRF litigation of dental malpractice are few, as compared to number of procedures performed in India. Oral surgical procedures were often involved and 40% of instances, dentists were guilty and mean compensation awarded was INR 103998 ±â€¯158976.


Assuntos
Odontólogos/legislação & jurisprudência , Imperícia/legislação & jurisprudência , Compensação e Reparação/legislação & jurisprudência , Odontólogos/estatística & dados numéricos , Odontologia Baseada em Evidências/legislação & jurisprudência , Odontologia Baseada em Evidências/estatística & dados numéricos , Prova Pericial/legislação & jurisprudência , Prova Pericial/estatística & dados numéricos , Humanos , Índia , Imperícia/estatística & dados numéricos , Procedimentos Cirúrgicos Bucais/legislação & jurisprudência , Procedimentos Cirúrgicos Bucais/estatística & dados numéricos
3.
Community Dent Health ; 36(3): 195-197, 2019 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-31436923

RESUMO

OBJECTIVES: To evaluate the relationship between dentists' demographic changes and their uneven geographical distribution. METHODS: Secondary analysis of nationwide government surveys, to assess trends in the geographical distribution of dentists by gender and age from 1996 to 2014 in Japan. RESULTS: The Gini-coefficient for the number of dentists per population from 47 prefectures decreased from 0.084 in 1996 to 0.069 in 2014. The coefficients for female (0.124-0.144) were higher than for male dentists (0.058-0.081). Coefficients for dentists aged 60 and older were lower than those for dentists younger than 40 in 2014 (male: 0.060 vs. 0.112; female: 0.107 vs. 0.169). CONCLUSION: The geographical maldistribution of dentists in Japan has improved. Demographic changes among dentists, including the increasing number of female dentists, could moderate this improvement.


Assuntos
Odontólogos , Adulto , Fatores Etários , Idoso , Odontólogos/estatística & dados numéricos , Feminino , Geografia , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários
4.
BMC Oral Health ; 19(1): 179, 2019 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-31387573

RESUMO

BACKGROUND: Screening for medical conditions (MCs) of public health importance is a first step in disease prevention and control. Prior studies in the United States found oral health care providers (OHCPS) embrace screening for increased risk of medical conditions in the dental setting. Our objectives were to assess Saudi Arabian (SA) dentist's attitudes, willingness and perceived barriers towards implementing screening for MCs into their dental practices. METHODS: A self-administered, 5-point Likert Scale (1 = very important/willing to 5 = very unimportant/unwilling) questionnaire was given to a convenience sample of 190 practicing dentists. Friedman nonparametric analysis of variance was used to compare responses within each question. RESULTS: Of the 143 responding dentists the mean age was 31 years; 102 (71%) were men. The majority felt it was important for a dentist to screen for cardiovascular disease (98.6%), hypertension (97.9%), diabetes (97.9%), human immunodeficiency virus (HIV) (97.9%), and hepatitis C virus (98.6%). Respondents were willing to refer a patient to a physician (97.9%); send samples to an outside laboratory (96.1%); conduct screening that yields immediate results (96.2%); and discuss results immediately with the patient (93.7%). Respondents were willing to measure/collect blood pressure (67.2%); weight and height (63.7%); and finger stick blood (54.6%). The whole responding dentists (100%) reported time as an important barrier. Respondents were significantly more willing to refer a patient for consultation than send samples to an outside laboratory (mean ranks: 2.32, 2.81, P < 0.001); significantly more willing to measure blood pressure than take oral fluids for salivary diagnostics (mean ranks 2.22, 2.75, p = 0.003). Insurance was significantly (P < 0.05) less important barrier than time, cost, patients' willingness or liability (mean ranks 3.56, 2.63, 3.00, 2.79, 3.02, respectively). CONCLUSIONS: The majority of dentists in this study reported positive attitudes towards and willingness to perform medical screenings in their practice. Time was an important factor.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica/métodos , Odontólogos/psicologia , Programas de Rastreamento/métodos , Padrões de Prática Odontológica/estatística & dados numéricos , Adulto , Estudos Transversais , Serviços de Saúde Bucal , Odontólogos/estatística & dados numéricos , Feminino , Humanos , Masculino , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Arábia Saudita , Inquéritos e Questionários
5.
Cien Saude Colet ; 24(7): 2609-2616, 2019 Jul 22.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31340278

RESUMO

Physical abuse of children is defined as any non-accidental injury or omission of their caregivers that causes risk to the child's integrity. This study aimed to evaluate whether health professionals perceive and report physical abuse in children/adolescents. A total of 62 health professionals (dentists, physicians and nurses) from Diamantina/MG who attend to children and adolescents answered a questionnaire. The collected variables were related to the identification of abuse; denunciation to the authorities and difficulties in making the complaint. Frequency analysis, chi-square test and content analysis were performed. All professionals had identified and reported the occurrence of physical abuse in children/adolescents. Significant association was observed between the specialty of the professional and the recognition of abuse as well as denunciation to the authorities. The main difficulties presented to denounce the cases to the authorities were lack of knowledge in identifying the abuse and how to make the complaint. Most participants expressed that they would like to receive training in identifying and reporting abuse. Health professionals perceive child abuse, and physicians are the ones who most report the cases.


Assuntos
Maus-Tratos Infantis/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Médicos/estatística & dados numéricos , Adolescente , Adulto , Atitude do Pessoal de Saúde , Brasil , Criança , Estudos Transversais , Humanos , Notificação de Abuso , Pessoa de Meia-Idade , Inquéritos e Questionários
6.
PLoS One ; 14(5): e0217249, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31150438

RESUMO

OBJECTIVES: First, to assess the psychometric properties of key questions included in a public sector evaluation of primary dental care in Brazil; and second, to evaluate the performance of dental teams in relation to these items. METHODS: Secondary analysis of a national primary care dataset monitoring quality and access to dental care. Data were collected through face-to-face interviews with representatives of dental teams participating in the 'National Programme for Improving Access and Quality of Primary Care'. Twenty-three mandatory questions about the dentists' reported delivery of dental procedures were included in the analysis. Item Response Theory (IRT) modelling was applied to measure the psychometric properties of the instrument-level of difficulty and discrimination parameter of each item-and then to estimate dental team performance scores based on these parameters. Based on IRT, possible scores ranged from -4 to +4. RESULTS: Three of the 23 mandatory items were removed due to poor internal consistency, resulting in a scale of 20 items for assessing dental team performance. The results showed variation in procedures delivered by the dental teams; whilst more than a half of the procedures were executed by at least 80% of the dental teams, those relating to dentures (partial/total) and frenectomy (lingual/labial) were performed by less than 30%. Amongst the 20 items included in the model, those related to partial/total dentures and oral cancer follow-up presented higher levels of difficulty and were less frequently provided. The items relating to the treatment of deciduous teeth and access to the dental pulp of permanent teeth had the highest discrimination parameters and, consequently, greater weight in the performance's score estimation; therefore, dental teams that did not perform these items had the lowest performance scores. In the present study, dental team performance scores ranged from -3.66 to +1.87 with a mean/median of -0.06/+0.01. CONCLUSION: The findings suggest that whilst the items within the instrument demonstrated some potential to discriminate between poor and very poor teams, they were ineffective in discriminating between poor and good teams. Whilst Brazilian dental teams perform many mandatory procedures, variation in the nature of their delivery of care requires further investigation to enhance service provision to the population.


Assuntos
Assistência Odontológica/psicologia , Assistência Odontológica/estatística & dados numéricos , Odontólogos/psicologia , Odontólogos/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Brasil , Dentaduras/psicologia , Dentaduras/estatística & dados numéricos , Humanos , Saúde Bucal/estatística & dados numéricos , Inquéritos e Questionários
7.
BMC Musculoskelet Disord ; 20(1): 189, 2019 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-31054566

RESUMO

BACKGROUND: Prolonged static postures (PSPs) may predispose dentists to develop cervical herniated intervertebral disc (C-HIVD); however, there is limited evidence supporting this in the literature thus far. We conducted this study to fit the data gap. METHODS: We conducted a retrospective nationwide population-based study using the Taiwan National Health Insurance Research Database to identify 10,930 dentists, an identical number of age- and sex-matched participants from the general population, and 73,718 other health care providers (HCPs, non-dentists). Comparisons for the risk of developing C-HIVD between dentists and the general population, and between dentists and other HCPs were performed by tracing their medical histories between 2007 and 2011. RESULTS: Dentists had a cumulative incidence rate of 1.1% for C-HIVD during the 5-year follow-up period. Overall, there was no difference of the risk for C-HIVD between dentists and the general population after adjusting for hypertension, hyperlipidemia, liver disease, mental disorders, diabetes mellitus, coronary artery disease, chronic obstructive pulmonary disease, malignancy, stroke, and renal disease (adjusted odds ratio [AOR]: 1.2, 95% confidence interval [CI]: 0.9-1.6). However, stratified analysis showed that younger dentists (≤ 34 years) had a trend of higher risk for C-HIVD than members of the younger general population (AOR: 1.9, 95% CI: 0.9-4.1). There was no difference found between dentists and other HCPs (AOR: 0.9, 95% CI: 0.8-1.1). CONCLUSION: Younger dentists had a trend of higher risk of developing C-HIVD than members of the general population.


Assuntos
Odontólogos/estatística & dados numéricos , Degeneração do Disco Intervertebral/epidemiologia , Deslocamento do Disco Intervertebral/epidemiologia , Disco Intervertebral/fisiopatologia , Doenças Profissionais/epidemiologia , Postura/fisiologia , Adulto , Fatores Etários , Feminino , Humanos , Degeneração do Disco Intervertebral/etiologia , Degeneração do Disco Intervertebral/fisiopatologia , Deslocamento do Disco Intervertebral/etiologia , Deslocamento do Disco Intervertebral/fisiopatologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Doenças Profissionais/fisiopatologia , Sistema de Registros/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Taiwan/epidemiologia
8.
J Dent Educ ; 83(9): 1000-1011, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31133618

RESUMO

Maldistribution of the dental workforce contributes to poor access to oral health care. Community-based dental education (CBDE) may help to address this problem by using experiential learning to encourage new dentists to practice in underserved areas. The East Carolina University School of Dental Medicine (East Carolina University SoDM) employs a multifaceted strategy, including CBDE, to increase the number of dentists practicing in underserved areas of North Carolina. The aim of this study was to assess the influence of CBDE and other factors on practice choice among East Carolina University SoDM graduates. This cross-sectional study assessed practice intentions before and after a senior-year CBDE experience. Data were obtained for students in three graduating years from written student reflections and self-reported practice plans solicited at graduation. Of the total 156 students between 2015 and 2017 (52 each year), all students participated in at least one component of this evaluation: all students (100%) completed required student reflections, and 148 (95%) provided pre-graduation practice plans. Data were also obtained on alumni practice characteristics via a survey of recent graduates; 72 alumni (46% response rate) participated in the alumni survey. The assessments found positive attitudes towards the CBDE program before and after participation, although areas for improvement relating to business management and financial viability were reported. The majority of alumni respondents (67%) remained in the state to practice after graduation, with half reporting practicing in rural areas. For most alumni respondents (>75%), debt, salary, benefits, type of patient population, and desire to own/run a business were important factors other than the CBDE program influencing their practice choice. Nearly half of them (45.8%) rated desire to work in a public health setting as an important factor. This study provides preliminary evidence of the effectiveness of this educational model in retaining new dentists within the state to address the critical shortage of dentists in North Carolina.


Assuntos
Atitude do Pessoal de Saúde , Odontologia Comunitária/educação , Educação em Odontologia/métodos , Dados Preliminares , Universidades , Escolha da Profissão , Estudos Transversais , Currículo , Assistência Odontológica , Serviços de Saúde Bucal , Odontólogos/estatística & dados numéricos , Mão de Obra em Saúde , Humanos , North Carolina , Administração da Prática Odontológica , Saúde Pública , Faculdades de Odontologia , Autorrelato , Estudantes de Odontologia/psicologia , Estudantes de Odontologia/estatística & dados numéricos , Inquéritos e Questionários
9.
Asian Pac J Cancer Prev ; 20(5): 1531-1536, 2019 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-31128059

RESUMO

Background: Oral cancer signifies a public health concern of international importance. Early detection of oral cancer can improve the prognosis and the 5-year survival rate. Objective: The aim of this study was to assess the level of oral cancer knowledge, opinion, attitudes and practices among dentists working at the primary oral health care centers in Kuwait. Methods: In this cross-sectional study, self-reported questionnaire was distributed to the dentists working at the primary oral health care centers in Kuwait. A total of 289 dentists participated in the present study. The questionnaire included 23- questions on oral cancer knowledge, opinion, attitudes and practices. Results: The mean age of the dentists was 35.2 ± 10.9 years. Approximately, all dentists (99.7%) were aware of the major risk factors that were most likely associated with oral cancer. Overall, majority of the participants knew the most common form of oral cancer (80.6%), most common site (80.3%) and the likely lesions associated with oral cancer occurrence (87.9%). A large number of dental practitioners (81%) would routinely refer a patient with a suspicious lesion to a specialist. Nearly one-third (32%) reviewed their patients' oral cancer risk factors. Approximately two-thirds (62%) assessed the use of tobacco in their practice. Almost, all (92.4%) were interested in attending continuing education courses on oral cancer. Conclusions: Majority of the participants presented good knowledge about various aspects of oral cancer. More continuing education programs on risk factors and diagnosis of oral cancer should be organized to train the dentists. Oral cancer screening should be a routine procedure for the high risk patients at the primary oral health care centers in Kuwait.


Assuntos
Odontólogos/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias Bucais/diagnóstico , Padrões de Prática Odontológica/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Detecção Precoce de Câncer/estatística & dados numéricos , Feminino , Humanos , Kuweit , Masculino , Saúde Bucal , Fatores de Risco , Autorrelato , Inquéritos e Questionários
10.
J Int Med Res ; 47(6): 2381-2393, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30991868

RESUMO

OBJECTIVE: To evaluate dentist-related factors associated with the use of vital pulp therapy (VPT) for the treatment of pulp exposures in permanent teeth. METHODS: This survey-based study sent an online questionnaire to collect data on the demographics of the respondents, the use of VPT and the choice of materials for VPT, to all members of the Society of Endodontology of Guangdong, China. RESULTS: A total 183 of 380 members responded (48.2%). The majority (89.6%; 164 of 183) had performed direct pulp capping (DPC) while 55.2% (101 of 183) had performed partial pulpotomy (PP) at least once. The most-cited reason for not performing VPT was unfamiliarity with the technique. Mineral trioxide aggregate was the most commonly used material for both DPC (67.1%; 110 of 164) and PP (73.3%; 74 of 101). Endodontists, compared with general practitioners, preferred to perform DPC and chose calcium silicate materials (CSMs) for VPT (odds ratios 5.81 and 8.07, respectively). DPC and CSMs for VPT were also favoured more by respondents who had practised for > 5 years. Senior respondents were more likely to use PP. CONCLUSIONS: Speciality, years of practise and age of dentists influenced the decision making and the choice of materials for VPT. Continuing education is essential to promote the clinical use of VPT.


Assuntos
Compostos de Alumínio/uso terapêutico , Compostos de Cálcio/uso terapêutico , Capeamento da Polpa Dentária/métodos , Doenças da Polpa Dentária/terapia , Odontólogos/estatística & dados numéricos , Óxidos/uso terapêutico , Pulpotomia/métodos , Silicatos/uso terapêutico , Adulto , China/epidemiologia , Doenças da Polpa Dentária/epidemiologia , Combinação de Medicamentos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Inquéritos e Questionários
11.
Epidemiol Serv Saude ; 28(1): e2018351, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30970077

RESUMO

OBJECTIVE: to analyze the availability of public specialized dental care services at Dental Specialties Centers (CEO) in Brazil in 2014. METHODS: secondary data on the CEO ratio and dental surgeon ratio were analyzed by population as well as the adequacy of the quantity of complete dental consulting rooms per CEO type, the adequacy of the ratio between the working hours of dental auxiliaries /technicians and those of dental surgeons and the adequacy of the availability of recommended minimum specialties. Possible statistical differences between macro-regions were verified. RESULTS: we found a ratio of one CEO per 217,797 inhabitants and one dental surgeon per 26,811 inhabitants; 97% of CEOs had the recommended number of dental consulting rooms; 26% had equivalent working hours between dental auxiliaries /technicians and dental surgeons; 60% offered the recommended minimum specialties. CONCLUSION: there were limitations in the provision of National Health System specialized oral health care services as well as regional differences.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Serviços de Saúde Bucal/provisão & distribução , Acesso aos Serviços de Saúde/estatística & dados numéricos , Programas Nacionais de Saúde/estatística & dados numéricos , Brasil , Serviços de Saúde Bucal/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Odontólogos/provisão & distribução , Humanos , Programas Nacionais de Saúde/organização & administração , Cirurgiões Bucomaxilofaciais/estatística & dados numéricos , Cirurgiões Bucomaxilofaciais/provisão & distribução , Especialidades Odontológicas/estatística & dados numéricos
12.
Ann Saudi Med ; 39(2): 104-111, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30905925

RESUMO

BACKGROUND: Approximately 3-6% of the general population have carpal tunnel syndrome (CTS). CTS is more prevalent among people with occupations that involve repetitive and forceful maneuvers, such as dentists. It is important to identify risk factors for these symptoms and to understand the impact they may have on clinical practice. OBJECTIVES: Measure the prevalence of CTS-symptoms and identify factors associated with CTS. DESIGN: Cross-sectional. SETTING: Dentists working in Riyadh. SUBJECTS AND METHODS: In-person interviews from 15 July to 10 September 2017 of subjects obtained using random cluster sampling. MAIN OUTCOME MEASURES: Prevalence of CTS-related symptoms among dentists. SAMPLE SIZE: 223 dentists (134 males and 89 females). RESULTS: The prevalence of CTS-related symptoms among dentists working in Riyadh was 30.5% (95% CI 0.25 to 0.36). Female dentists had a significantly greater risk of having CTS symptoms than male dentists (OR 2.13; 95% CI 1.09-4.17). Obese dentists were also more likely to complain of CTS symptoms than dentists within normal weight limits (OR 3.66; 95% CI 1.55-8.64). Left-hand dominance was strongly associated with CTS symptoms, with an estimated OR of 6.28 (95% CI 1.24-31.90). However, there was no relationship between CTS symptoms and age, marital status, history of smoking, exercise, dental specialty, occupation period, or having other educational degrees. CONCLUSION: Thirty percent of dentists working in Riyadh had experienced severe or mild symptoms related to CTS. Several risk factors for CTS have been identified. Future research could explore the reasons behind these risk factors to identify and implement prevention measures. LIMITATIONS: Cannot be generalized to the whole of Saudi Arabia, or the region. Larger controlled studies are needed to further identify the risk factors associated with CTS among dentists. In addition, since the Boston Carpal Tunnel Questionnaire was used, the self-reporting nature of the study might be affected by external bias. CONFLICT OF INTEREST: None.


Assuntos
Síndrome do Túnel Carpal/epidemiologia , Odontólogos/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Arábia Saudita/epidemiologia , Autorrelato
13.
Cien Saude Colet ; 24(3): 705-714, 2019 Mar.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30892493

RESUMO

The present study highlighted the labour process of the dental surgeon (DS) in the private healthcare sector from the healthcare professional's perspective based on intervention bioethics. An observational, cross-sectional survey study was performed within the Federal District (Distrito Federal) region. Data were collected from 108 questionnaires completed by DSs affiliated with two types of private health insurers, self-insurance and group insurance, to assess job perception and the degree of job satisfaction in the dentistry market. The main source of dissatisfaction for healthcare professionals was related to the pay for dental procedures by insurers. For self-insurer 1, 38.1% healthcare professionals replied that the pay was satisfactory, whereas in self-insurance 2 and in the group insurance, 100% of healthcare professionals were dissatisfied. Another finding was that the group insurer considerably restricted elective treatments. In conclusion, loss of professional autonomy, depreciation of insurance claims and precarisation of dentistry occurs in the private healthcare sector, thus demonstrating the ethical conflicts in this relationship.


Assuntos
Atitude do Pessoal de Saúde , Odontologia/organização & administração , Odontólogos/estatística & dados numéricos , Satisfação no Emprego , Bioética , Estudos Transversais , Odontólogos/economia , Odontólogos/psicologia , Setor de Assistência à Saúde/economia , Setor de Assistência à Saúde/organização & administração , Humanos , Seguro Saúde/economia , Setor Privado/economia , Setor Privado/organização & administração , Autonomia Profissional , Inquéritos e Questionários
14.
J Occup Health ; 61(3): 227-234, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30839158

RESUMO

OBJECTIVES: Dentists may have a higher risk of developing lumbar herniated intervertebral disc (HIVD) due to prolonged sitting and improper postures during work. We conducted this study to delineate this issue, which is still unclear. METHODS: This nationwide population-based study was conducted using Taiwan National Health Insurance Research Database. We identified 10 734 dentists, 72 066 non-dentist health-care providers (HCPs), and an identical number of age- and gender-matched participants from the general population. The risk of developing lumbar HIVD among dentists, non-dentist HCPs, and general population was compared by tracing their medical histories between 2007 and 2011. RESULTS: The cumulative incidence rate of lumbar HIVD among dentists during the 5-year follow-up period was 1.40%. After adjusting for age, gender, and comorbidities, the risk of developing lumbar HIVD was found to be lower among dentists than that among the general population (adjusted odds ratio [AOR]: 0.80, 95% confidence interval [CI]: 0.64-1.00) and non-dentist HCPs (AOR: 0.81, 95% CI: 0.68-0.96). CONCLUSIONS: Dentists in Taiwan have a lower risk of developing lumbar HIVD than that among other occupations. Although this result is different from the general cognition, it does not imply that the prevention of lumbar HIVD in dentists is not important. Further studies are warranted to better address this issue.


Assuntos
Odontólogos/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Degeneração do Disco Intervertebral/epidemiologia , Deslocamento do Disco Intervertebral/epidemiologia , Doenças Profissionais/epidemiologia , Ocupações/estatística & dados numéricos , Adulto , Feminino , Humanos , Incidência , Degeneração do Disco Intervertebral/etiologia , Deslocamento do Disco Intervertebral/etiologia , Vértebras Lombares , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Razão de Chances , Fatores de Risco , Taiwan/epidemiologia
15.
J Dent Educ ; 83(5): 585-594, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30858274

RESUMO

Motivational interviewing (MI) is an approach that uses dialogue about behavioral change to encourage a constructive relationship between professionals and patients. The aim of this study was to evaluate the maintenance of basic MI skills in the daily practice of dentists and oral health technicians (OHTs) after a training course and for two years of follow-up in the context of primary health care (PHC). A randomized community trial, from September 2012 to September 2014, was conducted at the Community Health Service of Conceição Hospital Group in Porto Alegre, RS, Brazil. The experimental group consisted of all 41 dentists and OHTs who received an intensive eight-hour training course in basic MI principles; the control group consisted of 31 dentists and OHTs who did not receive MI training. The follow-up assessments were at one and two years using three instruments validated for MI. In the one- and two-year follow-ups, improvement was maintained in responses with a statistically significant difference for use of open questioning, reflective listening, and total percentage of correct answers (p<0.001), with a large effect size (ES=1.12). On the Helpful Responses Questionnaire, the participants continued using open questioning and reflective listening (p<0.001), maintaining an increase in the percentage of responses compatible with MI (p<0.001). Likewise, the effect size remained large (ES=1.33) over time. These results suggest that the training course with dentists and OHTs of the PHC oral health staff was effective over the two-year follow-up in enabling them to act in the spirit and techniques of MI.


Assuntos
Técnicos em Prótese Dentária/educação , Educação em Odontologia , Entrevista Motivacional , Adulto , Odontólogos/estatística & dados numéricos , Educação em Odontologia/métodos , Avaliação Educacional , Feminino , Seguimentos , Humanos , Masculino
16.
J Pak Med Assoc ; 69(2): 205-210, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30804585

RESUMO

OBJECTIVE: To determine the frequency and reasons of digital radiography and cone-beam computed tomography usage among paediatric dental practitioners, and to assess their knowledge and need for specific education.. METHODS: The cross-sectional study was conducted from January to July 2017 and comprised paediatric dentists present at the European Academy of Paediatric Dentistry Interim Seminar in Turin, Italy, and members of the Turkish Society of Paediatric Dentistry who did not attend the event. Data about sociodemographics and their attitude towards, use of, and knowledge of digital radiography and cone beam computed tomography was collected by means of a 20-item questionnaire that was mailed to all the subjects. SPSS 22 was used to evaluate data. RESULTS: Of the 435 questionnaires distributed, 245(56%) were returned, while 194 (45%) were deemed usable. The mean age of the responding paediatric dentists was 35.84±9.10 (range: 24-67 years) and 126(64.9%) were female. Users of digital radiography identified its advantages, such as lower radiation dose 166(85.7%), ease of image storage 150(77.3%), and the possibility to change image settings and to carry out measurements 106(54.5%). Overall, 70(36%) paediatric dentists had no knowledge of cone beam computed tomography. Dental trauma was cited as the reason for using cone beam computed tomography by 70(61.3%) subjects, dental development issues by 138(71%) and pathology in the jaws by 147(75.8%). CONCLUSIONS: Digital radiography and cone beam computed tomography users are increasing in the world.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Tomografia Computadorizada de Feixe Cônico , Odontólogos , Radiografia Dentária Digital , Adulto , Tomografia Computadorizada de Feixe Cônico/métodos , Tomografia Computadorizada de Feixe Cônico/estatística & dados numéricos , Estudos Transversais , Odontólogos/educação , Odontólogos/normas , Odontólogos/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Utilização de Procedimentos e Técnicas/estatística & dados numéricos , Radiografia Dentária Digital/métodos , Radiografia Dentária Digital/estatística & dados numéricos , Inquéritos e Questionários , Turquia/epidemiologia
17.
J Dent ; 82: 38-44, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30711602

RESUMO

OBJECTIVES: Although stress is prevalent amongst dentists, there is a paucity of data on the impact of stressors on dentists' clinical performance. To address this gap in the literature, the aim of the present study was to explore the role of time pressure, representing one common stressor, on dentists' radiographic diagnostic performance. METHODS: Forty dentists were randomised to examine and provide a radiographic report on two sets of radiographs (six bitewings in each set) under two conditions on a cross-over basis: time-pressure vs. no-time-pressure. The radiographic report of an experienced consultant was considered the gold standard against which participants diagnostic decisions were compared to calculate sensitivity and specificity. Participants rated their stress after each experimental condition using a 100 mm visual analogue scale (VAS). RESULTS: The VAS scores for stress were significantly higher in the time pressure condition vs. no time pressure condition (mean: 55.78 versus 10.73, p < 0.0001), indicating that the time pressure acted as a source of stress. Dentists' diagnostic performance was affected; the sensitivity was significantly lower under time pressure (median: 0.50 versus 0.80, p < 0.0001), but by contrast, the median diagnostic specificity was 1.00 under both conditions. CONCLUSIONS: Time pressure negatively impacts one aspect of dentists' diagnostic performance, namely sensitivity (increased diagnostic errors and omissions of pathology), which can potentially affect patient safety and the quality of care delivered. However, time pressure was found to have less influence on diagnostic specificity. CLINICAL SIGNIFICANCE: The present study demonstrated a significant deterioration of dentists' diagnostic performance (sensitivity) under time-pressure when examining bitewing radiographs. Diagnostic errors may put patient safety at risk, with patients potentially being harmed if pathology is missed. Such errors can have medicolegal implications on the dentists' practice.


Assuntos
Odontólogos , Diagnóstico , Estresse Ocupacional , Padrões de Prática Odontológica , Tempo , Adulto , Tomada de Decisões , Odontólogos/psicologia , Odontólogos/estatística & dados numéricos , Diagnóstico por Imagem/psicologia , Diagnóstico por Imagem/normas , Feminino , Humanos , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Padrões de Prática Odontológica/estatística & dados numéricos , Distribuição Aleatória
18.
Arch. Health Invest ; 8(2): 63-67, fev. 2019. tab
Artigo em Português | BBO - Odontologia | ID: biblio-1006739

RESUMO

Dentre a categoria odontológica, Cirurgiões-Dentistas (CDs) são os únicos profissionais que tem atribuição exclusiva de prestar assistência clínica direta ao público de forma independente, apresentando um papel importante na Odontologia. O objetivo deste trabalho é caracterizar o panorama da distribuição de CDs no Brasil, considerando-a entre estes profissionais em si e entre a população brasileira, apresentando considerações sobre o perfil profissional e mercadológico dos CDs. O trabalho consiste em um levantamento de dados acerca dos números de CDs no Brasil e do número de habitantes da população brasileira. Os dados mostram que existem 309.088 CDs em exercício no Brasil, os quais concentram-se principalmente nos estados de São Paulo, Minas Gerais, Rio de Janeiro e Paraná. Em nível nacional, há 1CD para 617,1 habitantes.Dentre os estados, Distrito Federal, São Paulo, Santa Catarina, Rio de Janeiro e Paraná apresentam os menores valores proporcionais. As regiões brasileiras Sudeste e Sul concentram os maiores percentuais de CDs do país, enquanto o Norte possui o menor percentual. Paralelamente, Sudeste e Centro-Oeste apresentam as menores proporções de CD/habitantes, enquanto o Nordeste apresenta a maior razão dessa distribuição. Os resultados apontam o atual perfil de distribuição profissional e mercadológica de CDs no Brasil, evidenciando disparidades entre as diferentes localidades do país, podendo assim representar um indicador importante acerca do planejamento mercadológico para os CDs, bem como fornecer reflexões acerca da discrepância entre a quantidade de CDs e o quadro de saúde bucal ainda presente no país(AU)


Among the dental category, dentists are the only professionals that have exclusive attribution of providing direct clinical assistance to the public independently, presenting an important prominence in Dentistry. The aim of this paper is to characterize the dentists' distribution overview in Brazil, considering it among these professionals in them and among the Brazilian population, presenting considerations in the job market. The paper consists of a survey of data about the numbers of dentists in Brazil and the number of inhabitants of the Brazilian population. The data show that there are 309.088 practicing dentists in Brazil, which are mainly concentrated in the states of São Paulo, Minas Gerais, Rio de Janeiro and Paraná. At the national level, there is 1 dentist for 617,1 inhabitants. Among the states, the Federal District, São Paulo, Santa Catarina, Rio de Janeiro and Paraná present the lowest proportional values. The Brazilian regions Southeast and South concentrate the largest percentage of dentists in the country, while the North has the lowest percentage. At the same time, the Southeast and Center-West have the lowest proportions of dentists/inhabitants, while the Northeast has the highest ratio of this distribution. The results show the current profile and job market of these professionals in Brazil, evidencing disparities between the different localities in the country, thus being able to represent an important indicator about market planning for dentists, as well as to provide reflections on the discrepancy between the quantity of dentists and the oral health situation still present in the country(AU)


Entre la categoría odontológica, los odontólogos son los únicos profesionales que tienen atribución exclusiva de prestar asistencia clínica directa al público de forma independiente, presentando un papel importante en la Odontología. El objetivo de este trabajo es caracterizar el panorama de la distribución de odontólogos en Brasil, considerándola entre estos profesionales en sí y entre la población brasileña, presentando consideraciones sobre el perfil profesional y mercadológico de los mismos. El trabajo consiste en un levantamiento de datos sobre los números de odontólogos en Brasil y del número de habitantes de la población brasileña. Los datos muestran que existen 309.088 odontólogos en ejercicio en Brasil, los cuales se concentran principalmente en los estados de São Paulo, Minas Gerais, Río de Janeiro y Paraná. A nivel nacional, hay 1 odontólogo para 617,1 habitantes. En los estados, Distrito Federal, São Paulo, Santa Catarina, Río de Janeiro y Paraná presentan los menores valores proporcionales. Las regiones brasileñas Sudeste y Sur concentran los mayores porcentuales de odontólogos del país, mientras que el Norte tiene el menor porcentaje. Paralelamente, Sudeste y Centro-Oeste presentan las menores proporciones de odontólogos/habitantes, mientras que el Nordeste presenta la mayor razón de esa distribución. Los resultados apuntan al actual perfil de distribución profesional y mercadológica de odontólogos en Brasil, evidenciando disparidades entre las diferentes localidades del país, pudiendo así representar un indicador importante acerca del planeamiento mercadológico, así como proporcionar reflexiones acerca de la discrepancia entre la cantidad de profesionales y el cuadro de salud bucal todavía presente en el país(AU)


Assuntos
Odontólogos/provisão & distribução , Odontólogos/estatística & dados numéricos , Demografia , Saúde Bucal , Recursos Humanos em Odontologia , Odontólogos , Mercado de Trabalho
19.
Niger J Clin Pract ; 22(1): 24-33, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30666016

RESUMO

Purpose: To identify the acquaintance of dental implant (DI) as a treatment modality in edentulous states among health workers in the Aseer region and also to assess the level of understanding about DI among them. Materials and Methods: A questionnaire set of 18 questions was used for 500 health workers from the concerned area about DI. Questionnaire set basically consists of questions to assess the attitude, perception, and knowledge among them about DI. The data collected and association with the factors were tested for significance using the Chi-square test and P < 0.05 was considered statistically significant. Results: The response rate was 89%. More than 75% were aware of DI, but only 50% of the total respondents were knowing about the difference between the DI, fixed prosthesis, and removable prosthesis. Of the latter, 47.4% have suggested implants for patients and about 55% respondents were agreeing to get DI done for themselves. Dental health care workers have more knowledge than the medical health workers, and the difference was found to be statistically significant. Of respondents, >90% were willing to know more about DI. Conclusion: The practice of implant dentistry is growing in the Aseer region. However, general health workers are not fully aware of proper DI information. In addition, all the efforts should be made to include basic implant education in all the branches of health sciences and the CDE program should be conducted regularly to enhance the knowledge, so that correct information can be channelized to the patients.


Assuntos
Atitude do Pessoal de Saúde , Implantação Dentária Endo-Óssea , Implantes Dentários , Odontólogos/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Médicos/estatística & dados numéricos , Adulto , Estudos Transversais , Prótese Dentária Fixada por Implante , Odontólogos/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Médicos/psicologia , Arábia Saudita , Inquéritos e Questionários , Resultado do Tratamento
20.
Aust J Prim Health ; 25(1): 54-59, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30674395

RESUMO

The vast distances across Australia and the uneven population distribution form a challenging environment in providing the population with health and dental care. The Australian dental workforce distribution was analysed by using statistics from the open Census source available on the Australian Bureau of Statistics (ABS) website. This study aimed to construct a detailed analysis of the large differences in the practice-to-population (PtP) ratios across Australia, as well as the effect of maldistribution for rural and remote areas, where economics plays an important role. The national Census data at the level of Statistical Area Level 2 (SA2) (approximating suburbs) from 2011 was integrated with the location of all private dental practices in Australia (collected in late 2015) using modern geographic tools. All private dental practice (n=7597) location coordinates were mapped nationwide, across 2157 statistical areas. The population in Australia without a dental practice in their area was 31.6%. The PtP ratio differed from one practice per 40 people to one practice per 27773 people. The nationwide calculation of the PtP ratio shines light on issues about the dental workforce. The study results confirmed the uneven distribution of dental practices in rural and remote areas and socioeconomically disadvantaged areas.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Prática Privada/estatística & dados numéricos , Serviços de Saúde Rural/estatística & dados numéricos , Austrália , Assistência Odontológica/estatística & dados numéricos , Humanos , Fatores Socioeconômicos
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