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1.
Minerva Stomatol ; 69(4): 251-255, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32945634

RESUMO

Following the publication of the Italian Ministerial recommendations relating to dentistry in Phase 2 of the COVID-19 pandemic (focusing on operational protocols for all dental staff), we believe that the patient/dentist relationship should increasingly take into account the heightened fears and anxious thoughts of patients. This particularly regards patients who are about to undergo dental work. Moreover, dentists should also pay close attention to recent events, which have determined the new recommendations regarding SARS-COV-2 biocontainment. Furthermore, the authors of this paper consider it appropriate to make suggestions and develop interventionist techniques regarding the interface with the patient starting from the initial consultation. The latter is invariably determinant in establishing clear communication of the Ministerial recommendations in encouraging a relaxed atmosphere with the patient. This interface is also a decisive factor in promoting patient empowerment, including specifying the time period envisaged for treatment in the new COVID-19 era in as calm a manner as possible. Such an approach will have a positive impact on the dentistry team.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica , Relações Dentista-Paciente , Pandemias , Pneumonia Viral , Humanos , Itália
2.
Rev. ADM ; 77(3): 137-145, mayo-jun. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1128241

RESUMO

Catalogada su labor como Servicios de Salud Indispensables, el profesional de la odontología se ha mantenido al pendiente de sus pacientes durante la pandemia de COVID-19, brindando atención de urgencia a quien lo solicita. A su regreso a la práctica típica, el odontólogo encontrará un entorno distinto o NUEVA NORMALIDAD, viéndose obligado a hacer modificaciones clínicas pertinentes y preparar a su equipo de trabajo para continuar brindando atención de calidad con un margen de seguridad amplificado, que de igual manera proteja a pacientes y al equipo de trabajo. Ante la falta de una vacuna que brinde protección y de tratamiento específico contra el SARS-CoV-2 (COVID-19), elevar el nivel de control de infecciones en el consultorio se vuelve ineludible y posiblemente irreversible en el quehacer odontológico cotidiano. En este artículo se propone un Protocolo de Control de Infecciones en la consulta odontológica que permita brindar seguridad en la atención bucal, considerando COVID-19, útil también para control infeccioso de otros patógenos virales o bacterianos (AU)


Considered dentistry as an Indispensable Health Services, during the COVID-19 pandemic the dental professional has been providing mostly emergency care. Upon return to typical dental practice, the dentist will find a different environment or NEW NORMALLY, being forced to make relevant clinical modifications and prepare his team to continue providing quality care with an amplified safety margin, which equally protects patients and dental team. In the absence of an available vaccine that provides protection or a specific treatment against SARSCoV- 2 (COVID-19), raising the level of infection control at the dental office will become unavoidable and possibly irreversible in the future quotidian dental work. This article proposes an Infection Control Protocol for the dental consultation that allows provide safety oral care, considering COVID-19, also useful for other viral or bacterial pathogens control (AU)


Assuntos
Humanos , Assistência Odontológica/normas , Infecções por Coronavirus/prevenção & controle , Controle de Infecções Dentárias/métodos , Pandemias , Medidas de Segurança , Controle de Doenças Transmissíveis/métodos , Equipamentos Odontológicos/normas , Consultórios Odontológicos/normas , Relações Dentista-Paciente
3.
Pediatr Clin North Am ; 67(3): 513-524, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443990

RESUMO

Children who have a dental home are more likely to receive preventative care, require fewer dental treatments, and are less likely to have dental disease. Many children demonstrate behavior management concerns that may impede families from establishing a dental home for their children. Conceptually, behavior concerns develop through a process of conditioning. Prevention of such problems should focus on providing positive experiences related to dental care. Treatment components to address behavior management concerns include graduated exposure, contingent reinforcement, modeling and prompting, distraction/relaxation, and cognitive behavior therapy. Further support, training, and reimbursement for time required to administer such treatment is needed.


Assuntos
Terapia Comportamental/métodos , Transtornos do Comportamento Infantil/terapia , Assistência Odontológica para Crianças/métodos , Saúde Bucal , Criança , Pré-Escolar , Relações Dentista-Paciente , Humanos , Lactente
5.
Eur J Oral Sci ; 128(2): 110-119, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32154607

RESUMO

Trust has a central role in healthcare encounters. This review explored concepts relevant to trust in dentist-patient relationships. The findings were demonstrated by drawing visual system maps for better understanding of the inherent complexity. A pragmatic approach was employed to search for evidence. The approach was initiated with a systematised searching protocol and followed by an iterative process of drawing maps and complementing references. The analysis-synthesis process found relevant key concepts and sub-concepts presented within three frameworks: the continuum of studying trust (utilisation, measurement, and establishment); beneficiaries of trust utilisation (patients, dentists, and oral health system); and a transformational model of trust development (identification-based, knowledge-based, and deterrence/calculus-based trust). Trust in dentist-patient relationships needs to be assessed in a multidisciplinary approach for interconnectedness among relevant concepts. The findings are represented in patient-centred care and quality of care with common underlying values. Despite the centrality of trust in medical/dental contexts, empirical evidence is insufficient beyond normative suggestions from previous studies. Based on the implications of thematic analysis and interpretation of the system maps, this paper can serve as a guide and source of information for further research of trust in dentist-patient relationships.


Assuntos
Relações Dentista-Paciente , Confiança , Humanos , Saúde Bucal
6.
BMC Oral Health ; 20(1): 13, 2020 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-31937291

RESUMO

BACKGROUND: The aim of this study was to evaluate the dentists' knowledge and practice regarding HIV positive individuals' oral care in Rio de Janeiro State. METHODS: Dentists from Rio de Janeiro State (n = 242) answered an electronic questionnaire on biosafety procedures, oral manifestations of AIDS, and knowledge of HIV infection. Collected information was stratified by gender, and data were analyzed using Chi-square and t tests. RESULTS: From the 14 oral manifestations investigated, oral candidiasis, necrotizing ulcerative gingivitis, and hairy leucoplakia were more associated with HIV, with no differences between the responses from men and women. Above 85% of the participants would be concerned about becoming infected with HIV after a needle/ sharp object injury and more than 80% of them were willing to be tested for HIV. However, significantly more women (98.8%), compared to men (91.3%), said they knew that HIV/ AIDS patients can contaminate dental care professionals, p = 0.007. There was a significant difference in the answers for the questions: "Are there special dental clinics for treatment of HIV/AIDS patients in Brazil?" (p = 0.044), and "Do the negative HIV tests surely indicate that the persons are free of viruses?" (p = 0.005). Significant differences between men and women were also observed regarding use of disposable mask (p = 0.01), and cap (p < 0.0001). CONCLUSION: Most dentists who participated in the study presented a good knowledge on the care of HIV/ AIDS individuals, including biosafety protocols and in terms of the oral manifestations commonly associated to AIDS.


Assuntos
Relações Dentista-Paciente , Odontólogos/psicologia , Infecções por HIV/complicações , Infecções por HIV/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Saúde Bucal , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Adulto , Idoso , Brasil , Criança , Assistência Odontológica para Doentes Crônicos , Feminino , Infecções por HIV/transmissão , Humanos , Controle de Infecções Dentárias , Masculino , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Prática Profissional , Inquéritos e Questionários , Precauções Universais
9.
Ned Tijdschr Tandheelkd ; 126(11): 571-578, 2019 Nov.
Artigo em Holandês | MEDLINE | ID: mdl-31730134

RESUMO

Dentists frequently have to deal with anxious children and adults. Whether these patients can be treated successfully in a regular dental office depends on the type of fear and its severity. Proper diagnostic procedures are therefore paramount. This article gives an overview of how dental fear develops, is sustained, and can be treated. It elaborates on the communication skills important in reducing anxiety and preventing children from developing dental fear.


Assuntos
Ansiedade ao Tratamento Odontológico , Relações Dentista-Paciente , Adulto , Criança , Comunicação , Assistência Odontológica , Consultórios Odontológicos , Humanos
10.
Cien Saude Colet ; 24(11): 4285-4296, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31664400

RESUMO

It was investigated the perception of service users in relation to the professional practice of dentists, based on gender differences. The Primary Care Assessment Tool (PCATool) was applied to 900 users of the Public Service in Curitiba, PR, Brazil. Sixty clinics were selected using random sampling, divided between conventional Primary Health Care (PHC) Units and PHC with Family Health System Units. The attributes of PHC that compound the PCATool were analyzed. A question was added about user preference regarding the gender of the dental professional, thus generating four dyads derived from user gender/dentist gender (FF, FM, MM, MF). The attributes were linked to the dyads by applying the independent sample t test. Using logistic regression, the dyads were linked to 23 factors relating to scaled-up care in PHC. Many users showed a clear preference for being attended by female dentists. Users who prefer to be cared for by women tend to better evaluate PHC on issues related to "active listening", while those who prefer to be cared for by male dentists highlight the attributes of "care integration" and "community guidance". In other factors and attributes studied, there is no difference between the care given by men or women, regardless the unit.


Assuntos
Relações Dentista-Paciente , Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Brasil , Estudos Transversais , Odontólogas/estatística & dados numéricos , Saúde da Família/estatística & dados numéricos , Feminino , Humanos , Masculino , Saúde Bucal , Preferência do Paciente/estatística & dados numéricos , Prática Profissional , Inquéritos e Questionários
11.
BMC Oral Health ; 19(1): 162, 2019 07 24.
Artigo em Inglês | MEDLINE | ID: mdl-31340799

RESUMO

BACKGROUND: There is a paucity of research concerning paediatric dental consultations in primary care. This is potentially due to the difficulty of measuring the communication behaviours in the complex triadic consultations. The present study aims to describe the development and refinement of a coding scheme to record the triadic communication between dental professionals, child patients and parents. METHODS: The PaeD-TrICS was developed from video observation of triadic communications and refined through an iterative process. Its practical applicability was assessed via implementation of the scheme on specialised behavioural coding software. Reliability was calculated using Cohen's Kappa. RESULTS: The PaeD-TrICS contains 45 codes. Forty-four dental professional-child-parent communications were successfully coded through administering the scheme on The Observer XT 10.5 system. Cohen's Kappa was 0.83 (inter-coder) and 0.90 (intra-coder). "Parental verbal facilitation" (mean = 1.68/min) was the most frequent behaviour. Dental professionals' "dentally engaging talk" (mean = 1.24/min), "praise" (mean = 1.10/min) and "instruction" (mean = 0.62/min) were frequently seen. Children's common behaviours included "speech other" (mean = 0.66/min) and non-verbal behaviour i.e. "non-verbal agreement" and verbal behaviour "speech yes" (mean = 0.26/min). CONCLUSIONS: The PaeD-TrICS is developed to capture the communication behaviour of the triadic consultations in a preventive dental setting. It demonstrates satisfactory intra- and inter-coder reliability and has been successfully used in paediatric dental consultations.


Assuntos
Codificação Clínica , Comunicação , Relações Dentista-Paciente , Odontólogos/psicologia , Pais/psicologia , Encaminhamento e Consulta , Criança , Comportamento Infantil , Pré-Escolar , Codificação Clínica/métodos , Humanos , Pacientes , Serviços Preventivos de Saúde/organização & administração , Psicometria , Reprodutibilidade dos Testes , Gravação em Vídeo
12.
Br Dent J ; 227(2): 69, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31350470
13.
J Dent Educ ; 83(10): 1174-1198, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31285365

RESUMO

Health humanities usually includes such disciplines as philosophy, ethics, history, literature, performing arts, and cultural anthropology. The aims of this scoping review were, first, to search the published literature for references to the humanities in predoctoral dental education and, second, to determine if any research studies found that introducing humanities in dental education improved the overall profile of dental graduates. Literature searches were run in Ovid MEDLINE, Embase, ERIC, CINAHL, and Dentistry and Oral Sciences Source. A total of 248 articles were included in the review, with inclusion criteria comprising the areas of the curriculum, the scope of humanities, and predoctoral dental education. Of those articles, 101 referred in a targeted way to ethics in predoctoral dental education, while others mainly referred to the humanities in general or pointed out the role and place of humanities topics in predoctoral dental curricula. Topics covered included professional ethics, music, narrative learning, theater, art, communication skills, empathy, emotional intelligence, and cultural competence in the context of general humanistic education. The review found limited evidence of a clear impact, either short-term or long-term, of humanities education in predoctoral dental education. Reflections on humanistic education in the practice of clinical dentistry were sparse, as mainly documented by development of the ideal dentist-patient relationship, enhancement of empathy for patients, and most importantly, construction of professional moral values.


Assuntos
Currículo , Educação em Odontologia , Ética Odontológica , Ciências Humanas , Arte , Comunicação , Competência Cultural , Relações Dentista-Paciente , Inteligência Emocional , Empatia , Humanos , Aprendizagem , Música
14.
Ned Tijdschr Tandheelkd ; 126(7-8): 377-383, 2019 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-31309936

RESUMO

Dentists will increasingly have to treat patients with a variety of cultural backgrounds. They will consequently have to deal with various preconceptions about health and how people ought to behave with each other. In order to develop a good dentist-patient relationship and provide appropriate care, the dentist will have to learn to communicate in a culturally competent manner. That requires an open, empathetic attitude and an awareness of one's own norms, values and views. The dentist will have to consider how they differ from those of people from another (sub) culture. With the help of a number of examples, this article will provide an impulse to do that.


Assuntos
Comunicação , Competência Cultural , Relações Dentista-Paciente , Odontólogos , Humanos
15.
J Dent Educ ; 83(10): 1134-1141, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31235504

RESUMO

A successful health care provider may be described as a clinician capable of establishing a comprehensive diagnosis including identifying related risk factors. However, an equally important quality a clinician should possess is the ability to understand the experiences and feelings of others to allow better communication for better outcomes. It is likely that faculty empathy levels influence students' ability to demonstrate this attribute. The aim of this study was to assess the levels of empathy of dental faculty members relative to dental students at the Universidad San Sebastian in Chile. Using a cross-sectional design of survey-collected data collected with the Jefferson Scale of Empathy, the authors compared the perceptions of the dental faculty involved in teaching fourth- and fifth-year dental students (n=116) to the perceptions of basic and preclinical students (n=346) and clinical students (n=189). The data were collected in 2016-17. The results showed that the mean faculty scores were higher than that of the students in compassionate care (90.1%) and perspective adoption (89.7%); however, for putting oneself in the other's shoes, the faculty had a lower score (57.8%) than the clinical students (58.2%). Future investigations are needed to understand the impact of faculty empathy scores on students and whether pedagogical interventions can increase empathy scores.


Assuntos
Relações Dentista-Paciente , Empatia , Docentes de Odontologia/psicologia , Estudantes de Odontologia/psicologia , Atitude do Pessoal de Saúde , Chile , Comunicação , Estudos Transversais , Humanos , Faculdades de Odontologia , Inquéritos e Questionários
16.
J Dent Educ ; 83(10): 1142-1150, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31235505

RESUMO

Simulation may help translate didactic learning to patient care in areas such as communication skills and medical emergency management. The aims of this study were to investigate how multiple cohorts of dental students evaluated simulations utilizing standardized patients and manikins and to explore evaluations of a simulation that combined social determinants of health with oral health education. All approximately 600 second- and fourth-year dental students at one U.S. dental school participated in simulation activities for five years (2014-18). The activities involved clinical communication skills with an urgent care patient, medical emergency management, and communication skills with a parent with low income. After the simulations, students were invited to complete an evaluation of the experience. Questionnaire items addressed perceived applicability to patient care, value of the experience, and fulfillment of objectives; and open-ended questions asked for comments specific to the parent with low income simulation. A total of 497 responses from D2 and D4 students were collected over the five-year period, as well as from all 12 periodontics residents in 2017, for an overall 91.7% response rate. The vast majority (>90.6%) positively evaluated all items for each simulation. The positive ratings ranged from a mean of 99.3% for the urgent care simulation to 93.8% for the parent with low income simulation. Positive student comments often related to learning from/with others and effective practice of teach back and patient education tactics. Students' most frequent suggestions for improvement called for better preparation. In this study, simulations with both standardized patients and manikins led to positive evaluations as well as anticipated improvement of clinical performance. These results suggest that incorporating simulation into an already-crowded curriculum is worth it from the student perspective, especially for reinforcement of clinical skills not easily amenable to classroom instruction.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Comunicação , Relações Dentista-Paciente , Educação em Odontologia/métodos , Simulação de Paciente , Estudantes de Odontologia/psicologia , Assistência Ambulatorial , Estudos de Coortes , Currículo , Serviços Médicos de Emergência , Humanos , Manequins , Pobreza , Faculdades de Odontologia , Inquéritos e Questionários , Estados Unidos
18.
Endodoncia (Madr.) ; 37(1): 10-18, jun. 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-186291

RESUMO

El doctor J. E. Groves, psiquiatra estadounidense, en un artículo publicado en el New England Journal of Medicine en 1978, fue el primero en atreverse a plantear de forma sincera y abierta la existencia de pacientes a los que definió como "odiosos" o "indeseables" (hateful patient). El paciente endodóncico que padece el "síndrome de Groves" se caracteriza por provocar en el dentista sentimientos de contratransferencia tales como el odio, la aversión, el aborrecimiento, o, incluso, el recelo, el temor y el miedo, todo ello sin que el paciente pueda ser encuadrado en un cuadro psiquiátrico específico. En este artículo se analiza, desde un punto de vista muy personal, la epidemiología, etiología, formas clínicas, el diagnóstico diferencial y el manejo terapéutico de este síndrome cuando se presenta en pacientes que necesitan tratamiento endodóncico


No disponible


Assuntos
Humanos , Síndrome , Medo , Endodontia/métodos , Relações Dentista-Paciente , Emoções , Pacientes/psicologia , Teoria Ética , Abscesso Periapical/diagnóstico , Abscesso Periapical/terapia , Atitude do Pessoal de Saúde , Comportamento Autodestrutivo , Recusa do Paciente ao Tratamento
19.
J Dent Educ ; 83(9): 1039-1046, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31133617

RESUMO

The aim of this study was to assess older adults' experience of care in an academic dental practice to identify opportunities to improve the patient experience for older adults. A cross-sectional descriptive survey design with a sample of adults aged 65 and older was conducted using the Consumer Assessment of Healthcare Providers and Systems Clinician and Group (CG-CAHPS) 12-month survey 2.0, with supplemental survey item sets addressing cultural competence and health literacy. A total of 850 older adults were invited to participate in the survey in fall 2016, and a 43% response rate was achieved. Overall, participants reported a positive experience of care and high ratings for their dental providers. Significant differences were found based on age, education level, race, and health status. A significantly more favorable experience of care was reported by patients aged 75 and older, as well as adults without any college education. Non-white patients were less likely to highly rate their dental providers and gave lower ratings for experiencing trust with their dental providers than white patients. Patients reporting good/fair/poor health were also less likely than those reporting very good/excellent health to highly rate their dental providers, and they gave lower ratings for patient-provider communication. This study demonstrated the feasibility of using the CG-CAHPS survey to assess the patient experience for older adults in an academic dental practice. Results identified opportunities for improving the dental practice and underscored the importance of enhancing dental curricula in areas of cultural competence, health literacy, and diversity.


Assuntos
Competência Cultural , Assistência Odontológica para Idosos , Clínicas Odontológicas , Pacientes/psicologia , Qualidade da Assistência à Saúde , Faculdades de Odontologia , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Estudos Transversais , Relações Dentista-Paciente , Feminino , Pesquisas sobre Serviços de Saúde , Nível de Saúde , Humanos , Masculino , Satisfação do Paciente , Assistência Centrada no Paciente , Inquéritos e Questionários , Confiança , Estados Unidos
20.
J Public Health Dent ; 79(3): 246-252, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31063236

RESUMO

OBJECTIVES: Integrating smoking cessation interventions into dental care is an efficient way to intervene with smokers. This study of dentists and dental hygienists who provide dental care to Medicaid-insured patients explores awareness of Medicaid smoking cessation benefits, awareness of Quitline resources, beliefs about perceived role in providing tobacco interventions, and behaviors around clinical intervention. METHODS: In 2015, we conducted a survey of dentists and hygienists who serve Medicaid patients in New York State. RESULTS: A total of 182 dentists and 92 hygienists completed the survey. Ninety percent reported that helping patients quit smoking is part of their role, while 51.0 percent reported feeling confident in their ability to counsel a patient about quitting. Most respondents (73.4 percent) asked patients about tobacco use, 83.7 percent advised smokers to quit, and 49.1 percent assisted with quit attempts. We found that 26.7 percent were aware that dentist smoking cessation counseling is covered by Medicaid, and 15.5 percent were aware that hygienist smoking cessation counseling is covered. A total of 38.9 percent were aware of any Medicaid coverage for smoking cessation. Awareness of the Medicaid smoking cessation benefit was associated with intervention behaviors of asking and assisting. CONCLUSIONS: Most dental care providers see smoking cessation as part of their role, but few are aware of the Medicaid benefits available to help patients. Expanding coverage of and promoting Medicaid benefits for smoking cessation have the potential to increase the reach and quality of smoking cessation interventions for Medicaid-insured smokers, a population disproportionately affected by tobacco use.


Assuntos
Abandono do Hábito de Fumar , Aconselhamento , Higienistas Dentários , Relações Dentista-Paciente , Odontólogos , Humanos , Medicaid , Estados Unidos
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