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1.
Orv Hetil ; 162(11): 419-424, 2021 03 14.
Artigo em Húngaro | MEDLINE | ID: mdl-33714940

RESUMO

Összefoglaló. Bevezetés: A kiégés jelensége fokozottan érinti az egészségügyi dolgozókat, a nagyfokú stressz, a folyamatos fizikai és emocionális megterhelés miatt. A kiégés mérését fogorvosok körében végeztük, mivel Magyarországon még nem készült csak fogorvosokat méro keresztmetszeti vizsgálat. Célkituzés: Elsodleges célunk a fogorvosi kiégés elofordulásának, súlyosságának mérése, a rizikófaktorok kiszurése volt. Másodlagos célul a kiégés veszélyére való figyelem felkeltését tuztük ki az érintett csoportban. Módszer: Az adatgyujtés a 'Maslach Burnout Inventory - Human Services Survey' 22 tételes magyar, validált változatával történt online formában. Eredmények: Online kérdoívünket 407 fogorvos töltötte ki. A következo eredményeket kaptuk: az emocionális kimerülés esetében a válaszadók 20%-a (81 fo) tartozik a magas kategóriába, a cinizmus dimenziójának esetében a válaszadók 17,5%-át (70 fo) jellemzi a magas pontszám. A teljesítményvesztés magas dimenziója a minta 75%-ában (302 fo) volt igazolható. Szignifikáns (p≤0,05) védofaktornak találtuk a harmonikus kollegiális viszonyt, a hobbi meglétét, a 2-4 óra napi munkát, a támogató otthoni és munkahelyi légkört, az egészségi probléma és a saját vállalkozás hiányát. Szignifikáns negatív eltérést 6-10 éve dolgozó férfiak körében találtunk. Következtetés: Az eredmények felhívják a figyelmet a legfontosabb protektív tényezokre, melyek segítségével csökkentheto a kiégés mértéke. Orv Hetil. 2021; 162(11): 419-424. INTRODUCTION: Burnout has an increased impact on healthcare workers due to severe stress, constant physical and emotional strain. Burnout was measured among dentists, as no such cross-sectional study has been made in Hungary. OBJECTIVE: Our primary goal was to measure the incidence and severity of dental burnout and to screen for the risk factors. Our secondary goal was to raise awareness of the risk of burnout in the affected group. METHOD: Data collection was performed online with the 22-item Hungarian validated version of Maslach Burnout Inventory - Human Services Survey. RESULTS: 407 dentists completed our online questionnaire. The following results were obtained: in the case of emotional exhaustion, 20% of the respondents belong to the high category, in the cynicism dimension, 17.5% of the respondents have high scores. The high dimension of performance loss is typical in 75% of the sample. We found that harmonious collegial relationships, the existence of a hobby, 2-4 hours of daily work, a supportive home and work atmosphere, the lack of health problems and self-employment are significant (p≤0.05) protective factors. Significant negative differences were found among men who had been working for 6-10 years. CONCLUSION: The results draw attention to the most important protective factors that can help reduce the rate of burnout. Orv Hetil. 2021; 162(11): 419-424.


Assuntos
Esgotamento Profissional , Odontólogos , Esgotamento Profissional/epidemiologia , Estudos Transversais , Odontólogos/psicologia , Odontólogos/estatística & dados numéricos , Humanos , Hungria/epidemiologia , Masculino , Inquéritos e Questionários
2.
Av. odontoestomatol ; 36(4): 191-199, sept.-dic. 2020. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-198589

RESUMO

INTRODUCCIÓN: El análisis de la sonrisa en Odontología es fundamental al efectuar un tratamiento estético dentario. El propósito de este estudio es evaluar la percepción de distintos parámetros estéticos de la sonrisa entre Odontólogos, estudiantes de odontología y pacientes. MATERIALES Y MÉTODOS: Odontólogos, estudiantes de odontología y pacientes evaluaron 5 sets de fotografías de sonrisas a través de encuestas calificadas. Las fotografías fueron agrupadas de acuerdo a modificaciones efectuadas en 3 parámetros estéticos de la sonrisa: contorno gingival, línea labial (subdividida en A y B), y proporción dentaria (subdividida en ancho y largo). Los datos se analizaron mediante Chi-cuadrado. RESULTADOS: Un 80% de los Odontólogos y estudiantes consideran más atractivo un contorno gingival simétrico, un 73% de los pacientes consideran más atractivo hasta 1 mm de discrepancia del contorno gingival. Con respecto a la Línea labial A, tanto Odontólogos (67%) como estudiantes (77%) encontraron más atractiva una sonrisa con 2 mm de exposición gingival, 67% de los pacientes optaron 1 mm de exposición gingival. Para Línea labial B, 1 mm de exposición gingival fue considerado más atractivo por todos los encuestados. La proporción dentaria considerada mas atractiva entre el ancho del incisivo central y lateral fue 71%, y para ancho/largo del incisivo central fue más atractiva una proporción del 75% esto para los tres grupos encuestados. DISCUSIÓN: El contorno gingival fue el parámetro más sensible al momento de evaluar la estética de la sonrisa, para los otros dos parámetros no se encontraron diferencias significativas en las percepciones


INTRODUCTION: Smile analisis in dentistry is essential when performin dental aesthetic treatments. The purpose of this study is to evaluate the perception of different aesthetic parameters of the smile among dentists, dental students and patients. MATERIALS AND METHODS: Dentists, dental students and patients evaluated 5 sets of smile pictures through qualified surveys. The photographs were grouped according to modifications made in 3 smile aesthetic parameters: gingival contour, lip line (subdivided into A and B), and dental proportion (further subdivided in width and length). Data was statistically analyzed using Chi-square test. RESULTS: 80% of dentists and students considered more attractive a symmetrical gingival contour, 73% of patients consider more attractive a gingival contour discrepancy up to 1 mm. Regarding Lip Line A, both Dentists (67%) and students (77%) found more attractive a smile with 2 mm of gingival exposure, 67% of patients prefered 1 mm of gingival exposure. Lip Line B, with 1 mm of gingival exposure, was considered more attractive by all respondents. The dental proportion between the width of the central and lateral incisors considered more attractive was 71%; for the width / length of the central incisors, a proportion of 75% was more attractive for the all the groups surveyed. DISCUSSION: Gingival contour was the most sensitive parameter when evaluating the aesthetics of the smile. No significant diffrences in perception were found for the other two parameters included in this study


Assuntos
Humanos , Feminino , Adulto Jovem , Adulto , Percepção , Estética Dentária , Estudantes de Odontologia/estatística & dados numéricos , Sorriso/fisiologia , Odontólogos/estatística & dados numéricos , Chile
3.
Pan Afr Med J ; 36: 108, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32821319

RESUMO

Introduction: novel corona virus infection has become a public health crisis leading the world to a standstill including dentistry. However, since the dental services cannot be stopped for a long period it is important that dentist be fully prepared before resuming their services. Therefore, the current study was carried out for evaluating knowledge, attitude and practices (KAP) along with perceived barriers to practice dentistry during pandemic. Methods: this cross-sectional study was conducted through an online survey questionnaire on dentists of India. Dentists were enquired for demographics, KAP and perceived barriers regarding practicing dentistry during pandemic. The knowledge was assessed based on 16 items in true or false or multiple choice questions format getting score of 1 or 0. The attitude and practices by 8 items each, on 5-point Likert scale and 4 items perceived barriers were enquired. The differences between the median scores among demographic variables were determined by applying student's t-test and keeping level of significance at below 0.05. Results: out of 500 dentists who were approached through email, a total of 296 dentists returned the questionnaire (response rate, 59.2%) among which 22 questionnaires were incomplete and thus excluded making 274 as final study participants. Overall poor median scores of knowledge and practices were obtained whereas for attitude total median score was good. Median practice scores were significantly higher among female respondents (20(6)). Median knowledge and practice scores were significantly better in study participants with age <40 years (6(4) and 19(5), respectively). Conclusion: with the recent claims of authorities that virus is going to stay in world for quite some time it is essential that dentists must be fully prepared before resuming their services and must attain proper awareness to limit the disease spread.


Assuntos
Betacoronavirus , Assistência Odontológica/organização & administração , Odontólogos , Pesquisas sobre Serviços de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Adulto , Atitude do Pessoal de Saúde , Infecções por Coronavirus , Estudos Transversais , Odontólogos/estatística & dados numéricos , Feminino , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral
4.
Artigo em Inglês | MEDLINE | ID: mdl-32629915

RESUMO

The coronavirus infectious disease 2019 (COVID-19) pandemic has put enormous pressure on health care systems around the world. Dentistry has had to adjust to the new epidemic situation to not only bring relief to suffering patients but also to avoid becoming a source of SARS-CoV-2 transmission. METHODS: A comprehensive, cross-sectional survey was conducted between April 6 and 16, 2020 among 875 Polish dental practitioners. The aim of the research was to assess dentists' attitudes and professional approaches resulting from the COVID-19 pandemic. RESULTS: 71.2% of dentists who responded to the questionnaire decided to suspend their clinical practice during that particular time. The main factors for this fact were the shortage of personal protective equipment (PPE), the respondents' subjective perceptions of the risk of COVID-19 contraction and a general feeling of anxiety and uncertainty regarding the COVID-19 situation. The authors observed a significant decrease in the number of patients admitted weekly in April 2020 (12.06; SD, 11.55) in comparison to that in the time before the state of pandemic was declared on March 11, 2020 (49.21; SD, 24.97). CONCLUSIONS: Due to the unpreparedness of the dental sector, both in national health and private settings, most of the Polish dentists decided to voluntarily suspend their clinical practice in order to mitigate the spread of the disease. The COVID-19 outbreak has revealed numerous shortcomings in the dental care system, especially regarding the insufficient coordination of health services related to the pandemic and lack of advanced PPE. This has led to an overwhelming feeling of fear, confusion and anxiety among dental professionals in Poland and a sudden decrease in the number of performed dental procedures. Hopefully enriched with the recent experience and due to the implementation of proper strategic and long-term measures, dental practitioners will be better prepared and adapted to global health care disruptions in the future.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Odontólogos/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Betacoronavirus , Infecções por Coronavirus/transmissão , Estudos Transversais , Odontólogos/estatística & dados numéricos , Humanos , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/transmissão , Polônia/epidemiologia , Padrões de Prática Odontológica
5.
Artigo em Inglês | MEDLINE | ID: mdl-32570842

RESUMO

COVID-19 has severely impacted dentists, who are at a great risk of infection. This study aimed to investigate if dentists are anxious about returning to their daily activities, and what the perception of the risk is for dentists and orthodontists regarding orthodontic procedures. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was sent to Italian dentists during the final days of the lockdown with items about anxiety, fear, distress, perceived risk for operators, and concerns about orthodontic patients caused by working during the COVID-19 outbreak. Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set as p < 0.05. A total of 349 dentists completed the survey, including 183 orthodontists. Returning to their daily work activity was a source of anxiety for 192 participants and this was associated with the level of distress (odds ratio (OR) = 3.7; p < 0.001). Most of the orthodontists (67.6%) thought that they would increase the number of working hours during the week (OR = 1.8; p = 0.007). Italian dentists were mostly scared to return to their daily activities because they considered their jobs a high risk to them and their families. Dentists with an exclusive/prevailing orthodontic activity were forced to increase their working day during the week.


Assuntos
Infecções por Coronavirus/transmissão , Odontólogos/psicologia , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador , Pneumonia Viral/transmissão , Padrões de Prática Odontológica/estatística & dados numéricos , Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Odontólogos/estatística & dados numéricos , Surtos de Doenças , Humanos , Itália/epidemiologia , Ortodontistas/psicologia , Ortodontistas/estatística & dados numéricos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
6.
Braz Oral Res ; 34: e054, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32490887

RESUMO

Currently, the whole world is under the threat of the COVID-19 pandemic, and dentists are at high risk. The aim of this study was to investigate what kind of precautions Turkish dentists take in dental clinics during the COVID-19 pandemic. The study population consisted of dentists in Turkey. An online questionnaire (23 questions-57 items) was sent to a sample of Turkish dentists from March 16 to March 20, 2020. The questionnaire comprised a series of questions about dentists' demographic characteristics, their concerns, and the measures taken in dental clinics against COVID-19. This study included a total of 1,958 Turkish dentists. A total of 1,274 (65.1%) were general dentists, and 684 (34.9%) were specialists. Five hundred twenty-two (26.7%) dentists attended an informational meeting on COVID-19. Of these dentists, 69.8% were aware of COVID-19 according to their self-assessed knowledge scores. More than 90% of the dentists were concerned about themselves and their families. Only 12% of the dentists wore an N95 mask. Although Turkish dentists took some precautionary measures, they did not take enough precautions to protect themselves, the dental staff, and other patients from COVID-19. As the number of COVID-19 cases increased, the measures taken slightly increased in dental clinics as well. Dentists are strongly recommended to take maximum precautions in the clinical setting. The guidelines about the COVID-19 pandemic should be sent to all dentists by the regional and national dental associations.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Odontólogos/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/normas , Adulto , Idoso , Infecções por Coronavirus/epidemiologia , Clínicas Odontológicas , Odontólogos/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Padrões de Prática Odontológica/estatística & dados numéricos , Fatores de Risco , Distribuição por Sexo , Especialidades Odontológicas/normas , Especialidades Odontológicas/estatística & dados numéricos , Inquéritos e Questionários , Turquia/epidemiologia
7.
Dent Med Probl ; 57(1): 11-17, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32307930

RESUMO

BACKGROUND: Coronavirus Disease 2019 (COVID-19) has been declared a global public health emergency that is affecting people across the globe. OBJECTIVES: The aim of this study was to assess the Knowledge, Attitudes and Practices (KAP) of dental practitioners regarding the Coronavirus Disease 2019 (COVID-2019) pandemic. MATERIAL AND METHODS: An online questionnaire was distributed among dentists across the globe using a combination of convenience and snowball sampling. The questionnaire was divided into 4 sections: the 1st one contained personal information, whereas the 2nd, 3rd and 4th sections assessed knowledge (11 questions), attitudes (6 questions) and practices (7 questions) of the dentists. The data was subjected to the Shapiro-Wilk test, one-way analysis of variance (ANOVA), multivariate linear regression, and Pearson's correlation; 95% confidence interval (CI) was calculated and odds ratio (OR) was obtained. The analysis was done using IBM SPSS for Windows, v. 21.0. RESULTS: The total number of the responses received (860) was divided with regard to various continents (Asia, Americas - North and South, Europe, Africa, and other - Australia and Antarctica). The largest number of dentists came from the Asian continent (264; 30.7%). Most dentists had a degree of MDS (Master of Dental Science) (301; 35.0%), followed by BDS (Bachelor of Dental Surgery) (282; 32.8%) and DDS (Doctor of Dental Surgery) (226; 26.3%). High/Good knowledge and practice scores were observed among 92.7% and 79.5 % of the dentists, respectively. Good knowledge scores were significantly associated with qualifications (p = 0.04) and years of practice (p = 0.02); good practice scores were associated with qualifications only (p = 0.03). CONCLUSIONS: The dentists were found to have good knowledge and practice scores, which is important to combat COVID-19. They are advised to follow the Centers of Disease Control and Prevention (CDC) and World Health Organization (WHO) guidelines in their clinics, and sensitize their staff so that no stone is left unturned in defeating this pandemic.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Odontólogos , Conhecimentos, Atitudes e Prática em Saúde , Pandemias , Pneumonia Viral , Odontólogos/educação , Odontólogos/estatística & dados numéricos , Humanos , Inquéritos e Questionários , Fatores de Tempo
8.
Artigo em Inglês | MEDLINE | ID: mdl-32325888

RESUMO

An outbreak of novel coronavirus disease (COVID-19) in China has influenced every aspect of life. Healthcare professionals, especially dentists, are exposed to a higher risk of getting infected due to close contact with infected patients. The current study was conducted to assess anxiety and fear of getting infected among dentists while working during the current novel coronavirus diseases (COVID-19) outbreak. In addition, dentists' knowledge about various practice modifications to combat COVID-19 has been evaluated. A cross-sectional study was conducted using an online survey from 10th to 17th March 2020. The well-constructed questionnaire was designed and registered at online website (Kwiksurveys) and validated. A total of 669 participants from 30 different countries across the world responded. After scrutiny, completed questionnaires (n = 650) were included in the study. Statistical analysis was performed using SPSS version 25. Chi-Square and Spearman correlation tests were applied to control confounders and assess the relation of dentists' response with respect to gender and educational level. More than two-thirds of the general dental practitioners (78%) from 30 countries questioned were anxious and scared by the devastating effects of COVID-19. A large number of dentists (90%) were aware of recent changes in the treatment protocols. However, execution of amended treatment protocol was recorded as 61%. The majority of the dentists (76%) were working in the hospital setting out of which 74% were from private, and 20% were from government setups. Individually we received a large number of responses from Pakistan and Saudi Arabia, but collectively more than 50% of the responses were from other parts of the world. Despite having a high standard of knowledge and practice, dental practitioners around the globe are in a state of anxiety and fear while working in their respective fields due to the COVID-19 pandemic impact on humanity. A number of dental practices have either modified their services according to the recommended guidelines to emergency treatment only or closed down practices for an uncertain period.


Assuntos
Ansiedade/psicologia , Infecções por Coronavirus/psicologia , Coronavirus , Odontólogos/psicologia , Surtos de Doenças , Medo , Pandemias , Pneumonia Viral/psicologia , Padrões de Prática Odontológica , Adulto , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Estudos Transversais , Odontólogos/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Estresse Psicológico , Inquéritos e Questionários
9.
Cient. dent. (Ed. impr.) ; 17(1): 27-34, ene.-abr. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-189746

RESUMO

INTRODUCCIÓN: El objetivo del presente trabajo fue evaluar las técnicas convencionales más utilizadas por el odontólogo para el manejo de la conducta del paciente infantil en la consulta dental. Diversas técnicas pueden ser aplicadas dependiendo del desarrollo físico y emocional del paciente y de la capacidad del profesional. La Academia Americana de Odontopediatría, en su guía sobre técnicas del comportamiento, las divide en: técnicas de comunicación, otras técnicas básicas y técnicas avanzadas, recomendando las pertenecientes al primer grupo. MATERIAL Y MÉTODO: Se realizó un cuestionario en la plataforma de Google, remitido vía email a 190 odonto/estomatólogos que tratasen pacientes infantiles, obteniendo un total de 115 respuestas adecuadas para el análisis de 8 técnicas convencionales de manejo de la conducta. El estudio estadístico se realizó en el programa SPSS aplicando el test de ANOVA para una significación de p= 0,05. RESULTADOS: La técnica más utilizada por los diferentes profesionales fue la técnica decir-mostrar-hacer seguida de refuerzo positivo y control de voz. Técnicas de modificación de la conducta ocuparon un segundo término: desensibilización seguida muy de cerca por imitación. La técnica menos empleada fue la anestesia general. No encontramos diferencias significativas en relación al sexo en ninguna de las técnicas analizadas excepto en el uso de premedicación (p: 0,027), siendo los varones los que más frecuentemente la utilizaban. No se encontraron diferencias significativas en relación a la especialidad ni con la edad de los profesionales. CONCLUSIONES: Las técnicas comunicativas fueron las preferidas por los odontoestomatólogos siendo las técnicas avanzadas las menos utilizadas


INTRODUCTION: The objective of this work was to evaluate the conventional techniques most used by the dentist for the management of the behavior of the child patient in the dental office. Various techniques can be applied depending on the physical and emotional development of the patient and the professional's ability. The American Academy of Pediatric Dentistry, in its guide on behavioral techniques, divides them into: communication techniques, other basic techniques and advanced techniques, recommending those belonging to the first group. MATERIAL AND METHOD: A questionnaire was carried out on the Google platform, sent via email to 190 dentists / stomatologists who treated child patients, obtaining a total of 115 appropriate responses for the analysis of 8 conventional behavior management techniques. The statistical study was carried out in the SPSS program by applying the ANOVA test for a significance of p = 0.05. RESULTS: The technique most used by different professionals was the say-show-do technique followed by positive reinforcement and voice control. Behaviour modification techniques occupied a second term: desensitization followed closely by imitation. The least used technique was general anesthesia. We found no significant differences in relation to sex in any of the techniques analyzed, except in the use of premedication (p: 0.027), with men being the most frequently used. No significant differences were found in relation to the specialty or the age of the professionals. CONCLUSIONS: The communication techniques were preferred by the professionals, with the advanced techniques being the least used


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Infantil/psicologia , Odontólogos/psicologia , Assistência Odontológica para Crianças/psicologia , Odontólogos/estatística & dados numéricos , Inquéritos e Questionários , Análise de Variância , Odontopediatria/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos
10.
Artigo em Inglês | MEDLINE | ID: mdl-32130358

RESUMO

Hepatitis B is a severe public health problem. The main world health centers have discussed it due to its pandemic proportion, high pathogenicity and infectivity. This study aimed to determine the immunization profile of dental surgeons - against hepatitis B virus (HBV) in the Public Health System (PHS) through the detection of anti-HBsAg antibodies by immunochromatography and associations with dental surgeons' social and educational profile, factors related to professional knowledge and practices. This is a cross-sectional study on the prevalence of vaccination and immune status to HBV in dentists of Sao Paulo State PHS. Data collection occurred in three stages: questionnaire application, analysis of adhesion to the vaccination protocol and anti-HBsAg tests. Statistical analysis used the Bivariate Analysis and the Binary Logistic Regression. From the total of 219 interviewees, 74.9% reported having received three doses of the vaccine, but 35.6% were not immune to HBV. The dependent variable was associated with years in the public service (years) (OR [Odds Ratio]=1.04; 95% CI 1.00-1.08); knowledge on the subject (OR=6.93; 95% CI 1.39-34.40); incorrect answer concerning the etiological agent of the disease (OR=2.60; 95% CI 1.30-5.22); ignorance on the number of vaccine doses that have been administered (OR=3.43; 95% CI 1.14-10.30); and less than three doses of the vaccine in the immunization schedule (OR=8.76; 95% CI 3.50-21.91). A considerable portion of professionals non-immune to the HBV were found. We concluded that knowledge, years of practice and completion of the vaccination schedule (three doses) affected dental surgeons' immune status to HBV.


Assuntos
Odontólogos/estatística & dados numéricos , Vacinas contra Hepatite B/administração & dosagem , Hepatite B/prevenção & controle , Doenças Profissionais/prevenção & controle , Exposição Ocupacional , Adulto , Cromatografia de Afinidade , Competência Clínica , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Pública , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
11.
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
12.
Work ; 65(3): 563-571, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32116274

RESUMO

BACKGROUND: Dentistry is a profession where musculoskeletal disorders are prevalent. Physical demands and static awkward postures increase the risks of dentists developing musculoskeletal disorders. In addition, researchers have identified psychosocial factors that can influence the health of workers. OBJECTIVE: The aim of this research is to present self-reported pain regions and to assess psychosocial work factors as they relate to dentistry. METHOD: Fourteen dentists participated in the study. Data was collected via a questionnaire administered prior to the start of and during the study. Descriptive statistics were used for data analysis. RESULTS: All dentists self-reported to be in good to excellent health and only 50% sought medical treatment for work-related discomfort and pain. Thirteen of 14 reported being at least occasionally mentally and physically exhausted after work. A musculoskeletal disorder-work hour relationship model was created. Feedback given was linked to four psychosocial factors -job demand, job control, social interactions, and job future and career issues. CONCLUSIONS: The dental profession is considered a highly cognitive profession where much attention has been placed on the physical demands due to awkward postures. While physical demands are validated, additional research will further validate the link between psychosocial and mental and physical demands.


Assuntos
Odontólogos/estatística & dados numéricos , Doenças Musculoesqueléticas/epidemiologia , Dor/epidemiologia , Ergonomia , Feminino , Humanos , Masculino , Doenças Profissionais/epidemiologia , Estresse Ocupacional/psicologia , Postura , Carga de Trabalho , Local de Trabalho/psicologia
13.
Support Care Cancer ; 28(11): 5397-5404, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32144584

RESUMO

PURPOSE: To assess the current knowledge regarding medication-related osteonecrosis of the jaw (MRONJ); the adverse effects of anti-resorptive (AR) and anti-angiogenic (AA) drugs; strategies for MRONJ prevention and treatment; and perception of the dentist's role in assisting patients who use these drugs among physicians, dentists, and nurses. METHODS: Using questionnaires, the current knowledge of MRONJ was assessed among dentists, physicians, and nurses, who were divided into group I, which included specialties that directly assist cancer patients, and group II, which included other specialties. The questionnaires assessed the characteristics of the health professionals, training time, and specialties; their knowledge of AR and AA drugs; and their knowledge of MRONJ. RESULTS: A total of 1370 health professionals participated in the study, including 1032 dentists, 239 physicians, and 99 nurses. Among dentists and physicians, the training time (p = 0.036 and p < 0.001, respectively) and specialization in group I domains (p < 0.001 and p < 0.001, respectively) had a significant impact on MRONJ knowledge, while nurses showed no significant impact regardless of the training time and specialty. Less than 10% of the physicians and dentists could correlate the signs and symptoms of all stages of MRONJ. CONCLUSION: The findings indicated a notable lack of knowledge regarding MRONJ among dental surgeons and physicians, and especially among nurses. More experienced professionals and specialists in the areas that assist cancer patients usually have a greater understanding of the dentist's role in MRONJ prevention, diagnosis, treatment, and patient care and will introduce or are already using AR and AA drugs.


Assuntos
Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/diagnóstico , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/terapia , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Conhecimento , Adulto , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/prevenção & controle , Conservadores da Densidade Óssea/uso terapêutico , Brasil/epidemiologia , Estudos Transversais , Odontólogos/psicologia , Odontólogos/estatística & dados numéricos , Diagnóstico Diferencial , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Médicos/psicologia , Médicos/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Inquéritos e Questionários
14.
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
15.
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
16.
Med. oral patol. oral cir. bucal (Internet) ; 25(1): e144-e149, ene. 2020. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-196207

RESUMO

BACKGROUND: To determine agreement among the most commonly used methods for assessing the gingival biotype. MATERIAL AND METHODS: An electronic survey was sent to a sample of dentists practicing in Spain. The question-naire was based on the evaluation of 5 cases involving different gingival biotype assessment methods. Dentists were required to classify the cases as having a "thin", "thick" or "not able to classify" biotype. Each case was as-sessed using a frontal intraoral photo of the anterior teeth; an enlarged photo of the buccal aspect of the tooth with a periodontal probe inserted inside the sulcus; and the real thickness measured in mm with a calibrated needle. Agreement among the classifications was assessed using Cohen's kappa coefficient. RESULTS: A total of 104 surveys were analyzed. The most commonly used assessment method was visual evaluation of the morphology of the gingiva and the teeth (62.5%). Concordance among the three different methods was weak (kappa = 0.278). Agreement among the classification methods was greater in extreme cases (thinner and thicker gingival thickness). CONCLUSIONS: The most commonly used methods for assessing gingival biotype are not reliable. The three tested methods show poor to weak agreement, which leads to non-reliable estimation of the gingival biotype


No disponible


Assuntos
Humanos , Gengiva/anatomia & histologia , Odontólogos/estatística & dados numéricos , Estudos Transversais , Inquéritos e Questionários , Variações Dependentes do Observador , Implantes Dentários , Espanha
17.
Am J Addict ; 29(1): 35-42, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31600029

RESUMO

BACKGROUND AND OBJECTIVES: Forty-nine out of 50 states have implemented Prescription Drug Monitoring Programs (PDMPs) to monitor controlled substance (CS) prescribing. PDMPs change health care provider behavior, but few studies have examined changes in CS prescription by health care provider type. METHODS: Aggregated yearly data, including number of CS prescriptions, doses, and doses per prescription by health care provider type (physician, advanced practice registered nurse [APRN], and dentist) for each year from 2011 to 2017 was provided by the state PDMP, Kentucky All Schedule Prescription Electronic Reporting System (KASPER). In aggregate, this data set included 64,578,307 total prescriptions and 3,982,130,994 total doses of Schedule II-V medications. RESULTS: Physicians and dentists showed a trend of decreasing prescriptions and doses for Schedule II opioids from 2012 to 2017 (27-32% reduction in 2017 compared to 2011). APRNs showed a substantive increase in the number of doses and prescriptions (121-204% increase in 2017 compared to 2011), with increases remaining when controlling for number of providers. Physicians increased doses and prescriptions of Schedule II stimulants (37% increase for both doses and prescriptions), but by a smaller magnitude than APRN increases in stimulants (334-360% increase). Dentists showed decreases in Schedule II stimulants prescribed (69-80% reduction). Similar trends, but more modest in magnitude, were observed for Schedule III-IV. DISCUSSION AND CONCLUSIONS: Although monitoring and continuing education requirements are similar across all providers in Kentucky, differences in prescription trends for Schedule II opioids and stimulants were noted for physicians, APRNs, and dentists. SCIENTIFIC SIGNIFICANCE: Changes in prescribing following introduction of mandatory use of KASPER markedly differed based on provider type, with increases observed for APRNs compared with physicians and dentists. These findings advance prior research by providing a detailed examination of prescribing trends by provider type subsequent to a PDMPs mandatory use law. (Am J Addict 2019;00:00-00).


Assuntos
Substâncias Controladas , Padrões de Prática Médica/tendências , Programas de Monitoramento de Prescrição de Medicamentos/tendências , Analgésicos Opioides/uso terapêutico , Estimulantes do Sistema Nervoso Central/uso terapêutico , Odontólogos/estatística & dados numéricos , Humanos , Kentucky , Enfermeiras e Enfermeiros/estatística & dados numéricos , Médicos/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Programas de Monitoramento de Prescrição de Medicamentos/estatística & dados numéricos
18.
Acad Med ; 95(3): 442-449, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31517681

RESUMO

PURPOSE: To examine the potential impact of Health Resources and Services Administration (HRSA) funding (predoctoral [PD] and postdoctoral [PDD] programs) on dentists' practice location in the United States. METHOD: The authors linked 2011-2015 data from HRSA's Electronic Handbooks to 2015 data from the American Dental Association Masterfile, dental health professional shortage areas, and rural-urban commuting area codes. They examined the associations between PD and PDD funding and dentists' practice location between 2004 and 2015 using a difference-in-differences analysis and multiple logistic regressions, adjusting for covariates. RESULTS: From 2004 to 2015, 21.2% (1,588/7,506) of dentists graduated from institutions receiving PD funding and 26.8% (2,014/7,506) graduated from institutions receiving PDD funding. Among dentists graduating from institutions receiving PDD funding, after adjusting for covariates, those graduating between 2011 and 2015 were more likely to practice in a rural area than those graduating between 2004 and 2010 (odds ratio [OR] = 1.98; 95% confidence interval [CI] = 1.04-3.76). The difference-in-differences approach showed that PD and PDD funding significantly increased the odds that a dentist would practice in a rural area (respectively, OR = 2.70; 95% CI = 1.31-5.79/OR = 2.84; 95% CI = 1.40-5.77). CONCLUSIONS: HRSA oral health training program funding had a positive effect on dentists choosing to practice in a rural area. By increasing the number of dentists practicing in rural communities, HRSA is improving access to, and the delivery of, oral health care services to underserved and vulnerable rural populations.


Assuntos
Unidade Hospitalar de Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Financiamento Governamental/legislação & jurisprudência , Área de Atuação Profissional/legislação & jurisprudência , Área de Atuação Profissional/estatística & dados numéricos , Recursos Humanos/legislação & jurisprudência , Recursos Humanos/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Área Carente de Assistência Médica , Pessoa de Meia-Idade , Estudos Retrospectivos , Serviços de Saúde Rural , Estados Unidos
19.
J Telemed Telecare ; 26(1-2): 45-52, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30134778

RESUMO

INTRODUCTION: The aim of the study was to test the reliability of mobile phone teledentistry in the diagnosis and treatment planning of dental caries of children in mixed dentition. METHODS: A total of 57 cases, aged 6-12 years, among six examiners were used yielding 342 comparisons. The patients were examined by a dentist who was calibrated in the recording of oral findings in children using the World Health Organization (WHO) oral health assessment form for children (version 2013), which served as the gold standard for diagnosis. Six paediatric dentists calibrated using the same WHO form served as the teledentistry group and made their diagnoses using only the images sent to them without the use of radiographs. The pictures obtained were stored on an online cloud platform (Google Drive). The sharing links for these pictures were forwarded to participating dentists using a social media application (WhatsApp Messenger, Facebook Corp., Mountain View, CA). RESULTS: This study showed greater sensitivity than specificity, and though both sensitivity and specificity were constantly above 80%, it can be stated that the current model has a higher chance of false positive results than false negative results. The reliability of teledentistry in this study is greater in primary teeth than in permanent teeth. DISCUSSION: Although the use of teledentistry without radiographs is not as accurate as clinical examination, mobile phone teledentistry offers acceptable reliability for the initial diagnosis of caries in children.


Assuntos
Assistência Odontológica/métodos , Cárie Dentária/diagnóstico , Dentição Mista , Telemedicina/métodos , Criança , Pesquisa Comparativa da Efetividade , Odontólogos/estatística & dados numéricos , Feminino , Humanos , Masculino , Exame Físico/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
20.
Artigo em Inglês | MEDLINE | ID: mdl-33396682

RESUMO

Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association's (AMA) recommended communication techniques and only 3 of the 7 AMA's basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.


Assuntos
Barreiras de Comunicação , Assistentes de Odontologia/estatística & dados numéricos , Higienistas Dentários/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Comunicação em Saúde , Letramento em Saúde , Saúde Bucal , California , Feminino , Letramento em Saúde/estatística & dados numéricos , Humanos , Idioma , Masculino , Saúde Bucal/estatística & dados numéricos , Estados Unidos
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