Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.526
Filtrar
1.
Braz Oral Res ; 33: e076, 2019 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-31432927

RESUMO

The aim of this study was to assess the frequency of opioid analgesics prescribed by Brazilian dentists, potential regional differences and their association with socioeconomic and health-related factors. Data for all opioid prescriptions by dentists was obtained from the 2012 database of the National Controlled Substances Management System, regulated by the Brazilian Health Surveillance Agency. The number of defined daily doses (DDD) and DDDs per 1,000 inhabitants per day for each Brazilian state were calculated as the primary outcomes. DDDs were compared by regions and Brazilian states. Spearman's rho correlation coefficient was used to determine the influence of the states' characteristics, such as the Human Development Index; poverty; education; number of dentists per 100,000 inhabitants; visit to the dentist; dental care plan; good or very good oral health; number of pharmaceutical establishments per 100,000/inhabitants; and ability to get all prescribed medications. Data analysis was performed using IBM SPSS Statistics 25.0. A total of 141,161 prescriptions for opioids analgesics by 36,929 dentists were recorded, corresponding to 658,855 doses of opioids dispensed in 2012. The most commonly dispensed opioids were codeine associated with paracetamol (83.2%; n = 117,493). The national DDDs per 1,000 inhabitants per day was 0.0093 (range: 0.0002-0.0216). DDD per 1,000 inhabitants per day was positively associated to visits to dentists (rs = 0.630; P < 0.001) and inversely associated to poverty (rs = -0.624; p = 0.001). There are significant differences in opioid prescriptions in dentistry among the Brazilian states. These differences may be associated with non-clinical factors.


Assuntos
Analgésicos Opioides/uso terapêutico , Assistência Odontológica/estatística & dados numéricos , Prescrições de Medicamentos/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Acetaminofen/uso terapêutico , Brasil , Codeína/uso terapêutico , Estudos Transversais , Uso de Medicamentos/estatística & dados numéricos , Humanos , Farmácias/estatística & dados numéricos , Valores de Referência , Fatores Socioeconômicos , Estatísticas não Paramétricas , Tramadol/uso terapêutico
2.
Prim Dent J ; 8(1): 24-29, 2019 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-31122327

RESUMO

This paper examines antibiotic prescribing by dental practitioners delivering private dental care in the UK. An online questionnaire utilising the online Surveymonkey tool was used to collate data on aspects of therapeutic and prophylactic antibiotic prescribing in private dental practice. In total, 53 private dental practitioners registered with Simplyhealth professionals (formerly DENPLAN Ltd) responded to this study. All respondents recognised that an elevated temperature associated with a dental infection requires a prescription of systemic antibiotics. Other reported indications for prescribing antibiotics, as an adjunct to definitive management of the cause, included gross diffuse swelling (50%), difficulty in swallowing (48%) or closure of the eye due to swelling (51%). The majority of respondents were found to prescribe the appropriate antibiotic at the correct dose, frequency and duration. Overall, private dental practitioners prescribed or dispensed fewer than six courses of antibiotics each month and just less than half the respondents did not audit their prescribing.
The results of this limited pilot study suggest that most dental practitioners providing private dental care prescribe appropriately and at lower levels than NHS dental practitioners. A definitive larger study of private dental practitioners antibiotic prescribing would be of value in determining their contribution to reducing the development of antimicrobial resistance.


Assuntos
Antibacterianos , Odontólogos , Padrões de Prática Odontológica , Humanos , Projetos Piloto , Reino Unido
3.
Rev. ADM ; 76(2): 91-96, mar.-abr. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1008991

RESUMO

El expediente clínico se define como el conjunto de datos médicos y clínicos ordenados y detallados en forma cronológica, que permiten al profesional de la salud plantear un diagnóstico sindrómico y nosológico, con su posterior pronóstico, para finalmente llevar un registro del desarrollo de un tratamiento. Refleja la capacidad resolutiva de la clínica o consultorio, así como la capacidad profesional de su personal, de ahí la importancia de tener un expediente clínico bien integrado, ordenado, completo, legible y en apego a la normatividad vigente (AU)


The clinical file is defined as a set of medical and clinical data, which are ordered and chronologically detailed, allows the health professional to identify a syndromic and nosological diagnosis, with a later prognosis, to finally make a treatment plan. It reflects the resolutive capacity and the professional capacity of the clinician and his staff. Therefore, it becomes a legal document of the greatest importance, having to have the characteristics of being well integrated, orderly, complete, legible and in compliance with current regulations (AU)


Assuntos
Humanos , Registros Odontológicos , Registros Eletrônicos de Saúde , Administração da Prática Odontológica , Avaliação da Tecnologia Biomédica , Padrões de Prática Odontológica
4.
Pediatr Dent ; 41(2): 127-131, 2019 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-30992110

RESUMO

Purpose: Dental caries affects 23 percent of U.S. children aged two to five years old. 1 Stainless steel crowns (SSCs) are used for extensive caries and offer greater longevity than other restorations; however, disparity exists between pediatric and general dentists in restoration type provided. The purpose of this study was to evaluate utilization of stainless steel crowns among pediatric and general dentists by reviewing insurance claims. Methods: Data were obtained from a commercial dental insurance claims data warehouse from more than 50 dental insurance plans and multiple carriers in the United States for children 12 years old and younger. Data were examined for treatment of the primary dentition using SSCs or direct restorations. A generalized linear mixed effects model tested differences in the utilization of SSCs by general dentists (GDs) versus pediatric dentists (PD). Results: The data included 107,487 GDs and 5,395 PDs. The records included 2,555,726 claims for direct restorations and 440,423 claims for SSCs. PDs are more likely to place SSCs compared to GDs (odds ratio equals 3.2; P<0.0001). Conclusions: Pediatric dentists are more likely to restore carious primary dentitions with stainless steel crowns than general dentists. Perhaps increased training at the dental undergraduate level and access to more continuing education courses for general dentists would increase the utilization of SSCs.


Assuntos
Coroas , Odontologia Geral/estatística & dados numéricos , Odontopediatria/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Aço Inoxidável , Criança , Pré-Escolar , Humanos , Lactente , Estados Unidos
5.
Lima; Perú. Ministerio de Salud; 20190300. 27 p. graf.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-987347

RESUMO

Mejorar el uso del odontograma con el fin de poder disponer de información estandarizada, proteger los intereses legales de los usuarios y delimitar las responsabilidades de los cirujanos dentistas y de las unidades prestadoras de servicios estomatológicos.


Assuntos
Atenção Primária à Saúde , Medicina Bucal , Padrões de Prática Odontológica , Registros Médicos , Normas Técnicas
6.
Rev Saude Publica ; 53: 15, 2019 Jan 31.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30726496

RESUMO

OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units' well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Brasil , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Distribuição de Poisson
7.
J Dent Educ ; 83(2): 173-182, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30709992

RESUMO

Silver diamine fluoride (SDF) is an inexpensive treatment for arresting cavitated carious lesions in a minimally invasive way. The aims of this study were to assess U.S. pediatric dentists' SDF educational experiences, knowledge, attitudes, and professional behavior and to explore the relationships among these constructs. For the cross-sectional survey, recruitment emails were sent to all 6,230 members of the American Academy of Pediatric Dentistry (AAPD). Responses were received from 582 members (response rate 9.34%). In the results, only 3% of the respondents reported having been well/very well educated about SDF in classroom settings in dental school and only 9.6% during their residency. Positive SDF professional development was reported frequently (education through publications 53%, online resources 41%, continuing education courses 38%). The majority knew much/very much about what SDF is used for in dentistry (77%), about treating caries in pediatric patients (80%), and which problems SDF use can have (62%). Their SDF attitudes were positive: SDF use was considered a good treatment alternative for restorations in children with behavioral problems (85%) and for patients who were medically fragile (85%) or had severe dental anxiety (81%). Among the respondents, 31% used SDF often/very often to arrest carious lesions in primary teeth, and 87% expected increased future SDF use. The more SDF professional education the respondents had, the more self-reported knowledge they had (r=0.52; p<0.001), the more positive their SDF-related attitudes (r=0.25; p<0.001), and the more likely they were to use SDF (r=0.37; p<0.001). These results suggest that expanded education about the proper use, benefits, and limitations of SDF is needed and is likely to increase pediatric dentists' SDF utilization.


Assuntos
Atitude do Pessoal de Saúde , Cárie Dentária/tratamento farmacológico , Conhecimentos, Atitudes e Prática em Saúde , Odontopediatria , Padrões de Prática Odontológica , Compostos de Amônio Quaternário/uso terapêutico , Compostos de Prata/uso terapêutico , Adulto , Idoso , Estudos Transversais , Feminino , Fluoretos Tópicos/uso terapêutico , Pesquisas sobre Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Odontopediatria/educação
8.
J Clin Pediatr Dent ; 43(2): 86-90, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30730795

RESUMO

OBJECTIVE: The objective of this survey was to assess attitudes of pediatric dentists in Israel toward using "knee-to-knee" positioning for dental examinations and for minor procedures in infants and toddlers. STUDY DESIGN: An anonymous questionnaire was distributed among specialists in pediatric dentistry. Eleven questions accessed demographic data, professional experience and attitudes toward the use of the "knee-to-knee" position. RESULTS: Of 68 respondents, 66 (97%) reported using "knee-to-knee" positioning for dental checkups. In addition, 52 (76%) reported performing other procedures in the "knee-to-knee" position. Fluoride application and oral hygiene instructions are the most common procedures performed in the "knee-to-knee" position. CONCLUSIONS: "Knee-to-knee" positioning was found very convenient for dental examinations and other simple procedures in very young children.


Assuntos
Atitude do Pessoal de Saúde , Odontopediatria , Postura , Padrões de Prática Odontológica , Pré-Escolar , Odontólogos , Humanos , Lactente , Israel , Joelho , Inquéritos e Questionários
9.
J Dent Educ ; 83(4): 474-482, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30745348

RESUMO

The Isovac system was introduced into the Virginia Commonwealth University dental curriculum with the intention that it would be used as a substitute when the dental dam could not be placed. The aim of this study was to determine the usage and factors that influenced dental students' decisions to use the dental dam or Isovac. All third-and fourth-year dental students (n=210) were asked in 2017 to complete a 26-item survey. The survey asked about students' operative procedures completed using the dental dam and Isovac, their own and their patients' preferences, basic dental dam knowledge, full-time and adjunct faculty recommendations of method, importance of factors influencing their decisions, and anticipated dental dam use after graduation. Comments were also allowed. A total of 164 students responded to the survey, for a 78% response rate. Of the respondents, 58% said they used the Isovac only when they could not use the dental dam. Among the eight general practice groups in which students are educated in delivery of comprehensive dental care, preference was significantly different for placement of Class II restorations. Overall, the students' dental dam knowledge was low, and the knowledge results were not associated with its use. According to the students, recommendations by full-time and adjunct faculty members were significantly different. Factors ranked by importance from greatest to least for determining which isolation method to use were as follows: moisture control, procedure, patient comfort, application time, ease of placement, and attending faculty. Student comments overwhelmingly favored dental dam usage if a dental assistant was available. This study found that dental dam and Isovac use was not standardized among the general practice groups and faculty. Student education, faculty calibration, and increased use of trained dental assistants are required to ensure education is consistent among all general practice groups.


Assuntos
Equipamentos Odontológicos , Diques de Borracha , Estudantes de Odontologia/psicologia , Equipamentos Odontológicos/estatística & dados numéricos , Humanos , Padrões de Prática Odontológica/estatística & dados numéricos , Diques de Borracha/estatística & dados numéricos , Sucção/instrumentação , Inquéritos e Questionários
10.
Pediatr Dent ; 41(1): 25-30, 2019 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-30803473

RESUMO

Purpose: The purposes of this study were to investigate prescribing patterns of antibiotics for the management of common pediatric oral infections, and to and identify the independent predictors of antibiotic preference across different groups of dental practitioners in Massachusetts, USA. Methods: A cross-sectional survey assessed antibiotic prescribing practices of general dentists, pediatric dentists, endodontists, and oral surgeons based on a series of clinical scenarios where antibiotic coverage may be warranted. Results: The appropriate therapeutic management of patients with facial cellulitis occurred across all clinical groups. Endodontists were least likely to prescribe antibiotics for patients with irreversible pulpitis, and those with pulpal necrosis with associated parulis. Seventy-four percent of respondents prescribed antibiotics for patients suffering from pericoronitis and trismus. Conclusion: With the exception of the management of facial cellulitis, adherence to published guidelines for the prescription of antibiotics is low. Specifically, antibiotics are being prescribed too often for patients with tooth pain or localized abscesses and infrequently when the systemic spread of infection is less obvious, such as with trismus but no fever. Universally promulgated guidelines formulated by professional bodies may lead to improved adherence and a reduction in negative outcomes resulting from the overprescription of antibiotics.


Assuntos
Antibacterianos/uso terapêutico , Padrões de Prática Odontológica/estatística & dados numéricos , Estudos Transversais , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Massachusetts , Odontopediatria/estatística & dados numéricos , Odontopatias/tratamento farmacológico
11.
Med. oral patol. oral cir. bucal (Internet) ; 24(1): e76-e83, ene. 2019. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-180409

RESUMO

Background: To compare the accuracy of implant placement using the conventional freehand method and a dynamic navigation system; to assess the role of the surgeon's experience in implant placement using these two methods. Material and Methdos: A randomized in-vitro study was conducted. Six resin mandible models and 36 implants were used. Two researchers with differing clinical experience (novice and experienced) placed implants using either the Navident dynamic navigation system (navigation group) or the conventional freehand method (freehand group). Accuracy was measured by overlaying the real position in the postoperative CBCT on the virtual presurgical placement of the implant in a CBCT image. Descriptive and bivariate analyses of the data were performed. Results: The navigation group showed significantly higher accuracy for all the variables studied except 3D entry and depth deviation. This system significantly enhanced the accuracy of the novice professional in several outcome variables in comparison with the freehand implant placement method. However, when the implants were placed by the experienced clinician the dynamic navigation system only improved angulation deviation. Significant differences were found between the 2 professionals when the freehand method was employed. Similar deviations were observed for the implants placed with the navigation system. Conclusions: Dynamic computer assisted surgery systems allow more accurate implant placement in comparison with the conventional freehand method, regardless of the surgeon's experience. However, this system seems to offer more advantages to novice professionals, since it allows them to reduce their deviations significantly and achieve similar results to those of experienced clinicians


No disponible


Assuntos
Humanos , Cirurgia Assistida por Computador/métodos , Implantação Dentária Endo-Óssea/métodos , Modelos Anatômicos , Técnicas In Vitro/métodos , Padrões de Prática Odontológica , Marcadores Fiduciais
13.
Dent Clin North Am ; 63(1): 1-16, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30447786

RESUMO

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


Assuntos
Registros Odontológicos/normas , Odontologia Baseada em Evidências , Padrões de Prática Odontológica/normas , Redução de Custos , Assistência Odontológica/normas , Consultórios Odontológicos , Recursos Humanos em Odontologia , Educação em Odontologia , Implementação de Plano de Saúde , Humanos , Internet , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Guias de Prática Clínica como Assunto , Administração da Prática Odontológica , Garantia da Qualidade dos Cuidados de Saúde/normas , Sociedades Odontológicas
14.
Dent Clin North Am ; 63(1): 83-95, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30447794

RESUMO

Oral medicine is "the discipline of dentistry concerned with the oral health care of medically complex patients, including the diagnosis and primarily nonsurgical treatment and/or management of medically related conditions affecting the oral and maxillofacial region." In each of these areas, evidence-based medicine has shaped theoretic understanding and clinical practice. The available evidence allows for improved patient management. Further evidence, as it becomes available, should be reviewed on a regular basis to guide our clinical practice.


Assuntos
Odontologia Baseada em Evidências/normas , Medicina Baseada em Evidências/normas , Medicina Bucal/normas , Padrões de Prática Odontológica/normas , Antibioticoprofilaxia , Assistência Odontológica , Consultórios Odontológicos , Dor Facial , Humanos , Boca , Doenças da Boca , Saúde Bucal , Doenças das Glândulas Salivares
16.
BMC Med Educ ; 18(1): 301, 2018 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-30526570

RESUMO

BACKGROUND: Patient safety is an integral part of all health care specialties, including dentistry. Dental students are exposed to patient safety culture during their clinical training. The aim of this study was to evaluate the perception of female students enrolled in dental degrees and dental hygiene programs towards patient safety culture and to determine its associated factors at a Middle Eastern setting. METHODS: This is a cross sectional study, based on a self-administered, English language questionnaire distributed by convenience among female dental students enrolled in two major Colleges of dentistry in Riyadh, Saudi Arabia. Participants had fulfilled at least one year of clinical training. Sample characteristics included the specialty and years of clinical training. Student's perception was measured using the validated Safety Attitude Questionnaire (SAQ) that consists of 36 statements, distributed over six domains. Responses were rated on a five point Likert scale and the average positive response rate (APRR) was calculated. Binary logistic regression models were constructed to determine factors significantly associated with positive perceptions. RESULTS: The response rate of both student programs was 221/312(70.8%). Students of dental sciences and dental hygiene programs were 133(60.2%) and 88(39.8%) respectively. Almost 42% of students were in their 1st and 2nd years of clinical training. The APRR of: Team Work Climate domain was 54.4 ± 28.0, Safety Climate domain was 51.4 ± 29.7, Job Satisfaction domain was 64.5 ± 33.8, Stress Recognition domain was 56.2 ± 37.8, Perceived Management Support domain was 50.7 ± 37.7, and Working conditions was 55.3 ± 32.1. Female students in their 3rd and 4th year of clinical were adj.OR = 2.3[1.3-4.0] times more likely to have positive perception regarding the team work climate domain when compared to 1st and 2nd year clinical students, P = 0.005. At each of the six individual domains, the odds of having a positive perception were also significantly higher among dentistry students in comparison to dental hygiene students with a range of adj.OR 2.6-4.6. CONCLUSIONS: Apparently patient safety is a concern among female dental students enrolled in dental degree and dental hygiene programs. This requires more attention from the staff, dental college's leadership/management, and faculty/students. Perception of dental students towards patient safety culture is expected to improve with the increase of clinical training.


Assuntos
Educação em Odontologia/normas , Higiene Bucal/normas , Segurança do Paciente/normas , Padrões de Prática Odontológica/estatística & dados numéricos , Gestão da Segurança , Estudantes de Odontologia , Atitude do Pessoal de Saúde , Estudos Transversais , Educação em Odontologia/organização & administração , Feminino , Humanos , Percepção , Arábia Saudita , Faculdades de Odontologia , Estudantes de Odontologia/psicologia , Adulto Jovem
17.
Med. oral patol. oral cir. bucal (Internet) ; 23(5): e608-e618, sept. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-176381

RESUMO

Background: The use of antibiotics to prevent dental implant failures and postoperative infections remains a controversial issue. The objectives of this study were to assess the current antibiotic prescribing patterns and antibiotic prescribing frequency of dentists in Biscay (Spain) in conjunction with routine dental implant surgery among healthy patients and to determine whether any consensus has been reached by such practitioners and last published evidence was being followed. Material and Methods: Observational cross-sectional study: electronic survey. This study was reported according to the STROBE guidelines. This anonymous questionnaire contained open-ended and close-ended questions. An email was sent 26 October 2017 to all the registered members of the Biscay dentists' College (n=989). The collected data were analyzed using STATA(R) 14 software, and 95% confidence intervals (CI) were used to assess the frequency of prescription for each antibiotic regimen. Results: The survey was responded to by a total of 233 participants (response rate=23.56%). Overall, 210 participants finished the survey completely, and 23 surveys were answered partially. The questionnaire was responded to by 122 females (58.1%) and 88 males (41.9%). Of the participants, 88% (n=207) always routinely prescribed prophylactic antibiotics in conjunction with dental implant surgery (95% CI: 84.79-92.88%). Approximately 9% (n=22) prescribed antibiotics sometimes (95% CI: 5.68-13.19%), and only 4 dentists (1.72%) never prescribed antibiotics (95% CI: 0.04-3.38%). Overall, 179 of 233 respondents prescribed both pre- and postoperative antibiotics (78.85%, 95% CI: 72.96-83.97%), 13 prescribed antibiotics only preoperatively (5.73%, 95% CI: 3.08-9.59%), and 35 prescribed antibiotics exclusively after routine dental implant surgery (15.42%, 95% CI: 10.98-20.78%). Conclusions: Most of the dentists working in Biscay routinely prescribe prophylactic antibiotics in conjunction with dental implant surgery among healthy patients. A large range of prophylactic regimens are prescribed and the most recently published evidence is not being followed


No disponible


Assuntos
Humanos , Masculino , Feminino , Antibioticoprofilaxia , Profilaxia Dentária , Odontólogos/estatística & dados numéricos , Padrões de Prática Odontológica , Dentística Operatória/estatística & dados numéricos , Estudos Transversais , Estudo Observacional , Espanha
18.
Acta Odontol Scand ; 76(6): 394-400, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29707990

RESUMO

OBJECTIVE: To assess the occurrence of interproximal grinding as a caries therapy in primary molars, to what degree grinding replaced conventional restorative caries therapy, to what extent anaesthesia was used while grinding and to assess open comments about attitudes about grinding. MATERIALS AND METHODS: A questionnaire was sent to 108 public dental service clinics with questions concerning the use of grinding as a therapy and alternative to restorative treatment, the use of anaesthesia prior to conventional caries therapy and grinding, respectively. In addition, a content analysis of open comments about grinding was performed. RESULTS: Grinding had been performed in 96% of the clinics. Two-thirds of the dentists used grinding as an alternative to conventional restorative treatment at some point. Most dentists used anaesthesia prior to restorative therapy. Prior to grinding, the frequency of anaesthesia was lower (median 5.0) than for conventional restorative therapy (median 8.7) (p < .001). The open comment analysis revealed complex reasons for the use of grinding. CONCLUSIONS: Grinding has been widely practiced in parts of Sweden, is presently a technique employed by a multitude of dentists, and that anaesthesia is used less frequently prior to grinding, in comparison to conventional restorative therapy. Dentist considered grinding as a treatment option in specific situations.


Assuntos
Cárie Dentária/terapia , Restauração Dentária Permanente/métodos , Dente Molar , Padrões de Prática Odontológica , Atitude do Pessoal de Saúde , Relações Dentista-Paciente , Odontólogos , Humanos , Suécia , Dente Decíduo
19.
Wiad Lek ; 71(3 pt 2): 738-745, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29783259

RESUMO

OBJECTIVE: Introduction:The problem of temporomandibular disorders (TMD) is relevant in today's world and is considered one of the most common pathologies causing nonodontogenic pain syndromes of maxillofacial region. The morbidity of temporomandibular disorders is 27 to 76% among patients who seek dental care. There is now a significant number of classifications of TMD, however, clinically convenient, morphologically and pathogenetically substantiated classification of temporomandibular joint's (TMJ) conditions has not yet been developed. Therefore, the patient's examination protocols differ substantially. The aim: To analyze and assess the quality of classifications and examination protocols for the patients with suspected TMD. PATIENTS AND METHODS: Materials and methods: A comparative analysis of 5 TMD classifications and 3 protocols for the examination of patients with suspected TMDs were performed. RESULTS: Review: A comparative analysis of following TMD classifications was conducted: American Academy of Orofacial Pain, Research Diagnostic Criteria for TMD, by B.W.Neville, D.D.Damm, C.M.Allen, J.E.Bouquot, by Christian Köneke, international classification of diseases ICD-10. The analysis of the following protocols for the examination of patients with suspected TMDs was conducted: M. Helkimo index, Hamburg protocol, M. Kleinrok protocol. CONCLUSION: Conclusions: Difficulties in interpreting diagnoses by dentists are caused by ambiguities in classifications, a considerable number of clinical entities and their construction principles. Organ principle of structure has proved to be the most convenient for clinical application. The evaluation protocols are cumbersome and duplicate each other. Owing to the lack of a common opinion about the origin and development of TMD, use of the evaluation protocols is based on the experience of dental practitioners.


Assuntos
Exame Físico/classificação , Padrões de Prática Odontológica/normas , Transtornos da Articulação Temporomandibular/classificação , Transtornos da Articulação Temporomandibular/diagnóstico , Diagnóstico Diferencial , Dor Facial/diagnóstico , Feminino , Cefaleia/diagnóstico , Humanos , Luxações Articulares/diagnóstico , Masculino , Mialgia/diagnóstico , Terminologia como Assunto
20.
Biomed Res Int ; 2018: 4536707, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29607319

RESUMO

Objectives: To describe dental prosthesis provision in the Brazilian public health service and report the performance of dental prosthesis procedures according to the Brazilian macroregions. Methods: A structured interview was conducted with senior-level health professionals from each of the 18,114 oral health teams (OHT). The dependent variables were performance of removable prostheses and prosthesis procedures, including provision of fixed prostheses by OHT. Descriptive statistics were produced together with performing a cluster analysis using SPSS version 19.0. Results: The manufacture of any type of prosthesis was done by a minority of OHT (43%). The most commonly provided types of dental prosthesis were removable full and partial dentures. Cluster 1 (teams that performed prosthesis procedures the most) was composed of a smaller number of teams (n = 5,531), and Cluster 2 (composed of teams that do not perform prosthetics or that perform them in small amounts) consisted of 12,583 teams. The geographic distribution of clusters reveals that the largest proportion of Cluster 1 teams is located in the Northeast (33.9%) and Southeast (33.6%). Conclusions: A minority of OHT produce dental prostheses. There is an unequal geographical distribution of clusters.


Assuntos
Implantação Dentária , Prótese Dentária , Padrões de Prática Odontológica , Atenção Primária à Saúde , Brasil , Feminino , Humanos , Masculino
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA