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Castro MS, Meira GDF, Mendes RGF, Castilho AVSS, Trench LDA, Segalla CR, Vettore MV, Sales-Peres SHDC. The Relationship between Professional Variables and Burnout Syndrome in Brazilian Dentists during the COVID-19 Pandemic. Int J Environ Res Public Health 2024; 21:435. [PMID: 38673346 PMCID: PMC11050417 DOI: 10.3390/ijerph21040435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 03/20/2024] [Accepted: 03/26/2024] [Indexed: 04/28/2024]
Abstract
Burnout syndrome (BS) is a highly prevalent occupational disease among dentists who, during the COVID-19 pandemic, have been at greater risk of contracting the disease, generating stress and distancing. The aim of this study was to assess the association of social conditions, professional factors and perceptions of COVID-19 with Burnout Syndrome. This was a cross-sectional study of 302 Brazilian dentists working in the clinical and private sectors. The professionals completed the Oldenburg Burnout Inventory online and answered sociodemographic and professional questions and questions related to their perception of the pandemic. Poisson regression with unadjusted and adjusted robust variance was used to estimate the association between burnout syndrome (dependent variable) and the independent variables. The presence of BS was strongly associated with age, training in a private institution, professionals who claimed to have sufficient protective knowledge and fear of being contaminated by SARS-CoV-2 during patient care (p < 0.05). The findings of this study show that there has been an impact of the COVID-19 pandemic on the occurrence of Burnout syndrome in dentists, especially, those who worked in the public sector and those who were afraid to work with other health professionals.
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Affiliation(s)
- Marcelo Salmazo Castro
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, SP, Brazil; (M.S.C.); (G.d.F.M.); (R.G.F.M.); (A.V.S.S.C.); (L.d.A.T.)
| | - Gabriela de Figueiredo Meira
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, SP, Brazil; (M.S.C.); (G.d.F.M.); (R.G.F.M.); (A.V.S.S.C.); (L.d.A.T.)
| | - Rharessa Gabrielly Ferreira Mendes
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, SP, Brazil; (M.S.C.); (G.d.F.M.); (R.G.F.M.); (A.V.S.S.C.); (L.d.A.T.)
| | - Ana Virgínia Santana Sampaio Castilho
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, SP, Brazil; (M.S.C.); (G.d.F.M.); (R.G.F.M.); (A.V.S.S.C.); (L.d.A.T.)
| | - Leonardo de Aguiar Trench
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, SP, Brazil; (M.S.C.); (G.d.F.M.); (R.G.F.M.); (A.V.S.S.C.); (L.d.A.T.)
| | | | - Mario Vianna Vettore
- Department of Dentistry and Oral Health, Aarhus University, Vennelyst Boulevard 9, DK-8000 Aarhus, Denmark;
| | - Silvia Helena de Carvalho Sales-Peres
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, SP, Brazil; (M.S.C.); (G.d.F.M.); (R.G.F.M.); (A.V.S.S.C.); (L.d.A.T.)
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Phan D, Wen ZT, Fidel PL, Chapple AG, Collins A, Johnson JT. Silver Diammine Fluoride Usage in General Dentistry Offices in Louisiana. J Dent Child (Chic) 2024; 91:3-9. [PMID: 38671573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/28/2024]
Abstract
Purpose: To evaluate the current knowledge and usage of silver diammine fluoride (SDF) by general dentists in Louisiana and to identify primary barriers to the imple- mentation of SDF. Methods: A 16-item survey was emailed to 1719 Louisiana Dental Association members to identify factors influencing general dentists' usage of SDF. Results: Eighty-two surveys were completed with a response rate of 4.8 percent, with 69 identified as general dentists. Over half of the respondents were male (53.6%) and their practice experience ranged from less than one year to 48 years. The majority were solo owners (43.5%) while 7.3 percent had jobs in the corporate setting. Most agreed/strongly agreed that their knowledge of SDF was from either dental journals or online resources, while fewer stated they were taught about SDF (25%) or used SDF (8%) in dental school. The majority knew the advantages and off-label usage of SDF. However, only 40 percent recognized that SDF was officially approved for tooth hypersensitivity only. The most reported perceived barrier to SDF implementation was not learning about SDF in dental school (36%). Conclusion: There is a lack of understanding of SDF usage among Louisiana general dentists. The main reason for not incorporating SDF into their practice is the lack of training in their dental education.
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Affiliation(s)
- Dean Phan
- Private practice, Corinth, Texas, USA;,
| | - Zezhang Tom Wen
- Department of Oral and Craniofacial Biology, School of Dentistry
| | - Paul L Fidel
- Department of Oral and Craniofacial Biology, School of Dentistry
| | - Andrew G Chapple
- Stanley S. Scott Cancer Center, School of Medicine, LSU Health Sciences Center, New Orleans, La., USA
| | - Alexa Collins
- Department of Oral and Craniofacial Biology, all at the School of Dentistry
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Taylor HL, Menachemi N, Holmes A, Sen B, Schleyer T, Blackburn J. The Relationship Between Dental Provider Density and Receipt of Dental Care Among Medicaid-enrolled Adults. J Health Care Poor Underserved 2024; 35:209-224. [PMID: 38661867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
OBJECTIVE We sought to measure the association of dental provider density and receipt of dental care among Medicaid-enrolled adults. METHODS We used four years of Indiana Medicaid claims and enrollment data (2015 to 2018) and the Area Health Resources File to examine the relationship between any dental visit (ADV) or any preventive dental visit (PDV) and three county-level measures of dental provider density (the total number of Medicaid-participating dentists, a binary indicator of a federally qualified health center (FQHC) with a Medicaid-participating dentist, and the overall county dentist-to-population ratio). RESULTS The likelihood of ADV or PDV increased with greater density of Medicaid-participating dentists as well as dentists accepting Medicaid working at an FQHC within the county. The overall dentist-to-population ratio was not associated with dental care use among the adult Medicaid population. CONCLUSION Dentist participation in Medicaid program may be a modifiable barrier to Medicaid-enrolled adults' receipt of dental care.
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Dobrovolska A. Professional self-determination of future dentists in the modern realities of Ukraine. Wiad Lek 2024; 77:557-565. [PMID: 38691800 DOI: 10.36740/wlek202403126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2024]
Abstract
OBJECTIVE Aim: To research how the future dentists' professional self-determination (reflects the cognitive-reflexive component of higher medical education applicants' readiness to use digital technologies in their professional activities) develops within the formation of information technology competence in the modern realities of Ukraine. PATIENTS AND METHODS Materials and Methods: The author's questionnaire consisted of 15 questions. The questionnaire surveys covered 98 future dentists who studied 'Medical Informatics' and 'Information Technology in Dentistry' at the Ivano-Frankivsk National Medical University in the September-December 2017-2018 and September- December 2022-2023 academic years. The research results were assessed according to the algorithm described. The research used such methods as analysis, synthesis, comparison, concretisation, systematisation, and generalisation, as well as methods of mathematical statistics for evaluating data, namely correlation analysis, Kolmogorov-Smirnov test, Cronbach's alpha, Fisher's test (F-test of equality of variances), Student's t-test and ranking. RESULTS Results: The research found positive dynamics of the professional self-determination levels (in 2022 compared to 2017, the low level decreased by 20.5%, the satisfactory level - by 19.0%, the average level increased by 20.6%, the high level - by 18.9%) and their quality, which within the research increased by 39.5%. CONCLUSION Conclusions: By forming information technology competence, future dentists changing the priorities of professional self-determination in the modern realities of Ukraine and acquiring readiness (within the cognitive-reflexive component) to use digital technologies in professional activities.
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Affiliation(s)
- Anna Dobrovolska
- IVANO-FRANKIVSK NATIONAL MEDICAL UNIVERSITY, IVANO-FRANKIVSK, UKRAINE
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Subhan R, Ismail WA, Musharraf S, Khan M, Hafeez R, Alam MK. Teledentistry as a Supportive Tool for Dentists in Pakistan. Biomed Res Int 2021; 2021:8757859. [PMID: 34540998 PMCID: PMC8443341 DOI: 10.1155/2021/8757859] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 08/27/2021] [Indexed: 11/27/2022]
Abstract
The current scenario of the COVID-19 pandemic has forced dentists to seek different options for delivering healthcare services other than the in-person direct examination in clinical practice. Teledentistry is one of the options for remote patient care and monitoring. Objective. The present survey was conducted to assess the knowledge and perception of the dentists in Pakistan regarding teledentistry as an emergent supportive tool. Materials and Methods. A self-administered, close-ended, and prevalidated survey questionnaire was used, comprising 21 questions, and distributed electronically via e-mail, WhatsApp, and Facebook Messenger to evaluate the knowledge and perception of dentists regarding teledentistry. The data collected was compiled in a systematic manner and analyzed in terms of frequency (yes/no). Results. Out of a total of 350 dentists, 325 responded to the questionnaire, and it was seen that 62.5% of them did not have knowledge about teledentistry prior to COVID-19. 65.8% of dentists considered the practice of teledentistry in nonpandemic situations in the future. Conclusion. In the present study, it was observed that most of the dental professionals had inadequate knowledge about teledentistry before COVID-19, but the awareness and perception regarding teledentistry were currently satisfactory among the dental professionals in Pakistan. This emerging trend gives a positive hope for the implementation of teledentistry in the healthcare setup of Pakistan in the near future, as it will prove to be beneficial for safe dental practice during times of pandemic and even after.
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Affiliation(s)
- Rootab Subhan
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
| | - Waleed A. Ismail
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
- Periodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kota Bharu, Kelantan, Malaysia
| | - Sadia Musharraf
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
| | - Mylla Khan
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
| | - Resham Hafeez
- Department of Periodontology, Army Medical College, National University of Medical Sciences, Rawalpindi 46000, Pakistan
| | - Mohammad Khursheed Alam
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Al Jouf 72345, Saudi Arabia
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Tiwari R, Bhayat A, Chikte U. Forecasting for the need of dentists and specialists in South Africa until 2030. PLoS One 2021; 16:e0251238. [PMID: 33999933 PMCID: PMC8128226 DOI: 10.1371/journal.pone.0251238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 04/23/2021] [Indexed: 12/03/2022] Open
Abstract
To manage the increasing burden of dental diseases, a robust health system is essential. In order to ensure the oral health system operates at an optimal level going into the future, a forecast of the national shortfall of dentists and dental specialists in South Africa (SA) was undertaken. There is currently a shortage of dentists and specialists in SA and given the huge burden of dental diseases, there is a dire need to increase the number of these health care workers. The aim was to determine the projected shortfall of dentists and specialists in each of the nine provinces in SA. The projected shortfall was calculated based on the SA Disability-Adjusted Life Years (DALYs) for each province. The estimate for the evaluation of the Global Burden of Disease (GBD) for SA was obtained from the Institute of Health Metrics and Evaluation (IHME) Global Burden of Disease website. For each province, age standardized DALYs were calculated with mid-year population estimates obtained from Statistics SA 2018. In order to reduce the existing human resources for health (HRH) inequity among the provinces of SA, three scenarios were created focussing on attaining horizontal equity. The best-case scenario estimates a shortfall of 430, 1252 and 1885 dentists and specialists in 2018, 2024 and 2030 respectively. In an optimistic scenario, the national shortfall was calculated at 733, 1540 and 2158 dentists and specialists for the years 2018, 2024 and 2030 respectively. In an aspirational scenario, shortfalls of 853 (2018), 1655 (2024) and 2267 (2030) dentists and specialists were forecasted. Access to oral health services should be ensured through the optimum supply of trained dentists and specialists and the delivery of appropriate oral health services. Thus, the roadmap provided for upscaling the oral health services recognizes the influence of both demand and supply factors on the pursuit of equity.
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Affiliation(s)
- Ritika Tiwari
- Division of Health Systems and Public Health, Department of Global Health, Faculty of Health and Medical Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa
| | - Ahmed Bhayat
- Department of Community Dentistry, University of Pretoria, Pretoria, Gauteng, South Africa
- * E-mail:
| | - Usuf Chikte
- Division of Health Systems and Public Health, Department of Global Health, Faculty of Health and Medical Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa
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Banks J, Hill C, Chi DL. Plan Type and Opioid Prescriptions for Children in Medicaid. Med Care 2021; 59:386-392. [PMID: 33528236 PMCID: PMC8026560 DOI: 10.1097/mlr.0000000000001504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Opioids are generally an inappropriate acute pain management strategy in children, particularly because of the risk for diversion and subsequent misuse and abuse. OBJECTIVES To examine associations between Medicaid plan type [coordinated care organization (CCO), managed care (MC), fee-for-service (FFS)] and whether a child received an opioid prescription. RESEARCH DESIGN Secondary analysis of Oregon Medicaid data (January 1, 2016 to December 31, 2017). SUBJECTS Medicaid-enrolled children ages 0-17 (N=200,169). MEASURES There were 2 outcomes: whether a child received an opioid prescription from (a) any health provider or (b) from a visit to the dentist. Predictor variables included Medicaid plan type, age, sex, race, and ethnicity. RESULTS About 6.7% of children received an opioid from any health provider and 1.2% received an opioid from a dentist visit. Children in a CCO were significantly more likely than children in a MC (P<0.01) or FFS (P=0.02) plan to receive an opioid from any health provider. Children in a CCO were also significantly more likely than children in MC or FFS to receive an opioid from a dentist visit (P<0.01). CONCLUSIONS Pediatric opioid prescriptions vary by plan type. Future efforts should identify reasons why Medicaid-enrolled children in a CCO plan are more likely to be prescribed opioids.
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Affiliation(s)
- Jordan Banks
- Department of Oral Health Sciences, University of Washington, Seattle, WA
| | - Courtney Hill
- Department of Oral Health Sciences, University of Washington, Seattle, WA
| | - Donald L. Chi
- Department of Oral Health Sciences, University of Washington, Seattle, WA
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Mandasari M, Rahmayanti F, Derbi H, Wimardhani YS. Special care dentistry perception among dentists in Jakarta: An online survey study. PLoS One 2021; 16:e0249727. [PMID: 33826661 PMCID: PMC8026065 DOI: 10.1371/journal.pone.0249727] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 03/23/2021] [Indexed: 11/18/2022] Open
Abstract
Special Care Dentistry (SCD) or Special Needs Dentistry is a branch of dentistry concerned with the oral health of people with a variety of medical conditions or limitations that require more than routine delivery of care. There were reports on oral status of special care patients and special interest group for SCD dentists in Indonesia has existed. However, there was not perception report on SCD amongst dentists in Jakarta. This paper will describe the perception of dentists in Jakarta towards SCD. A cross-sectional questionnaire, translated and cross adapted to Indonesian, was distributed online through Whatsapp to dentists registered in Jakarta late 2019. Quantitative data was analyzed using statistical software for proportion and correlation using Chi-Square test. The questionnaire explored dentists’ perception towards SCD. A total of 250 dentists participated in this study, of them 173 general practitioners and 77 specialist dentists. Most respondents reported that they did not have SCD component during undergraduate dental school and did not provide treatment to patients with special needs in their clinical practice. Most respondents have poor perception of SCD, however, most of the respondents showed motivation and interest towards SCD training. Dentists in Jakarta involved in this study had poor perception of SCD. More efforts should be performed to improve SCD education and awareness.
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Affiliation(s)
- Masita Mandasari
- Oral Medicine Residency Program, Faculty of Dentistry Universitas Indonesia, Jakarta, Indonesia
- Oral Medicine Department, Faculty of Dentistry Universitas Indonesia, Jakarta, Indonesia
- * E-mail:
| | - Febrina Rahmayanti
- Oral Medicine Department, Faculty of Dentistry Universitas Indonesia, Jakarta, Indonesia
| | - Hajer Derbi
- DCD Special Needs Dentistry Program, Melbourne Dental School, The University of Melbourne, Victoria, Australia
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Algudaibi LY, AlMeaigel S, AlQahtani N, Shaheen NA, Aboalela A. Oral and oropharyngeal cancer: Knowledge, attitude and practices among medical and dental practitioners. Cancer Rep (Hoboken) 2021; 4:e1349. [PMID: 33660423 PMCID: PMC8388168 DOI: 10.1002/cnr2.1349] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 11/27/2020] [Accepted: 01/19/2021] [Indexed: 01/09/2023] Open
Abstract
Background Oral and oropharyngeal cancer are significant health problems. They are both life‐threatening conditions usually diagnosed at an advanced stage causing survival rates to decline. Aim To assess and compare practices, knowledge and attitude regarding oral and oropharyngeal cancer between dental and medical practitioners. Methods A cross‐sectional study was conducted to assess knowledge, attitude and practices of oral and oropharyngeal cancer among dental and medical practitioners at King Abdulaziz Medical City, Riyadh, Saudi Arabia. 360 participants were included in the study using a convenient sampling technique. Participants were approached in their clinics and printed self‐administered questionnaire were handed over to them after signing a written consent form. Frequency distribution and Chi‐Square test were used for the statistical analysis and the level of significance was set at P value of .05 or less. Results A total of 174 participants responded. Assessment of oral and oropharyngeal cancer knowledge between dental practitioners and medical practitioners showed comparable results. Regarding practices, a significant difference was seen between medical practitioners and dental practitioners in determining the duration of intra‐oral ulcer to consider urgent referral (P = .006) and in number of referrals made in relation to suspicious oral lesions (P = .002). Moreover, a significant difference (P = .006) was seen between medical practitioners and dental practitioners in determining the duration of intra‐oral ulcer to consider urgent referral. Conclusion Medical and dental practitioners showed areas of differences in practice, attitude and knowledge of oral and oropharyngeal cancer that when addressed would lead to improved survival rates.
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Affiliation(s)
- Latifa Yousef Algudaibi
- College of DentistryKing Saud bin Abdulaziz University for Health SciencesRiyadhKingdom of Saudi Arabia
- King Abdullah International Medical Research CenterRiyadhKingdom of Saudi Arabia
- National Guard Health AffairsRiyadhKingdom of Saudi Arabia
| | - Shahad AlMeaigel
- College of DentistryKing Saud bin Abdulaziz University for Health SciencesRiyadhKingdom of Saudi Arabia
- King Abdullah International Medical Research CenterRiyadhKingdom of Saudi Arabia
- National Guard Health AffairsRiyadhKingdom of Saudi Arabia
| | - Nouf AlQahtani
- College of DentistryKing Saud bin Abdulaziz University for Health SciencesRiyadhKingdom of Saudi Arabia
- King Abdullah International Medical Research CenterRiyadhKingdom of Saudi Arabia
- National Guard Health AffairsRiyadhKingdom of Saudi Arabia
| | - Naila A. Shaheen
- King Abdullah International Medical Research CenterRiyadhKingdom of Saudi Arabia
- National Guard Health AffairsRiyadhKingdom of Saudi Arabia
- King Saud Bin‐Abdulaziz University for Health SciencesRiyadhKingdom of Saudi Arabia
| | - Ali Aboalela
- College of DentistryKing Saud bin Abdulaziz University for Health SciencesRiyadhKingdom of Saudi Arabia
- King Abdullah International Medical Research CenterRiyadhKingdom of Saudi Arabia
- National Guard Health AffairsRiyadhKingdom of Saudi Arabia
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Tseng W, Pleasants E, Ivey SL, Sokal-Gutierrez K, Kumar J, Hoeft KS, Horowitz AM, Ramos-Gomez F, Sodhi M, Liu J, Neuhauser L. Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California. Int J Environ Res Public Health 2020; 18:ijerph18010216. [PMID: 33396682 PMCID: PMC7795206 DOI: 10.3390/ijerph18010216] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 12/24/2020] [Accepted: 12/28/2020] [Indexed: 11/16/2022]
Abstract
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.
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Affiliation(s)
- Winston Tseng
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
- Correspondence: ; Tel.: +1-925-699-4016
| | - Elizabeth Pleasants
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Susan L. Ivey
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Karen Sokal-Gutierrez
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Jayanth Kumar
- Office of Oral Health, California Department of Public Health, Sacramento, CA 95899, USA;
| | - Kristin S. Hoeft
- Department of Preventive & Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, CA 94143, USA;
| | - Alice M. Horowitz
- Department of Behavioral Health & Community Health, School of Public Health, University of Maryland, College Park, MD 20742, USA;
| | - Francisco Ramos-Gomez
- Division of Pediatric Dentistry, School of Dentistry, University of California, Los Angeles, CA 90095, USA;
| | - Miku Sodhi
- Shasta Cascade Health Centers, McCloud, CA 96057, USA;
| | - Jessica Liu
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Linda Neuhauser
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
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Di Murro B, Pranno N, Raco A, Pistilli R, Pompa G, Papi P. Knowledge and Attitude towards Retrograde Peri-Implantitis among Italian Implantologists: A Cross-Sectional Survey. Int J Environ Res Public Health 2020; 17:ijerph17228356. [PMID: 33198070 PMCID: PMC7696335 DOI: 10.3390/ijerph17228356] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/06/2020] [Accepted: 11/10/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND Retrograde peri-implantitis (RPI) is a pathological entity with an unclear etiology (e.g., overheating during implant insertion, residual infection of the tooth replaced by the implant or the endodontic lesion of neighboring teeth) and an extremely low prevalence and has been scarcely investigated. Therefore, the aim of this cross-sectional survey was to evaluate the knowledge and attitude of Italian implantologists regarding RPI. METHODS An anonymous questionnaire was sent via email to implantologists randomly selected, including a section about demographic information and questions related to RPI origin, radiographic representation, symptoms and treatment options. All questions were multiple answer and close-ended. Binomial logistic regression was performed to investigate the relationship between correct answers and the following independent variables: age, years of experience and number of dental implants placed per year. RESULTS In total, 475 implantologists completed the questionnaire, with a response rate of 46.3%. Based on the results of the study, incorrect answers were associated with less experienced participants (<80 implants/year) for all questions evaluated, with the exception of treatment strategies. Furthermore, 26.7% of the survey takers did not recognize radiographic representation of RPI and 35.5% picked "implant removal" when asked about treatment modality. CONCLUSIONS The majority of participants were able to recognize symptoms and indicated the probable causes of RPI; however, around 30% of them showed very limited knowledge of available management strategies.
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Affiliation(s)
- Bianca Di Murro
- Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy; (B.D.M.); (N.P.); (A.R.); (G.P.)
| | - Nicola Pranno
- Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy; (B.D.M.); (N.P.); (A.R.); (G.P.)
| | - Andrea Raco
- Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy; (B.D.M.); (N.P.); (A.R.); (G.P.)
| | - Roberto Pistilli
- Oral and Maxillofacial Unit, San Camillo Hospital, 00152 Rome, Italy;
| | - Giorgio Pompa
- Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy; (B.D.M.); (N.P.); (A.R.); (G.P.)
| | - Piero Papi
- Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy; (B.D.M.); (N.P.); (A.R.); (G.P.)
- Correspondence:
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Abstract
Background Teledentistry is believed to improve dentalcare provided to patients and time management efficiency. In addition, teledentistry can be a useful tool for peer education, consultations and ensures proper channeling for referrals. Objective This study aimed to explore Saudi Arabian dental professionals' perceptions of teledentistry's benefits in improving dental practice and patient care. Methods A descriptive cross-sectional study involving an electronic survey of a sample of Saudi Arabian dental professionals. A validated 26-item, 5-point Likert-scale questionnaire was used to assess perceptions of dental professionals in four domains: usefulness of teledentistry for patients, the usefulness of teledentistry for dental practice; the potential of teledentistry to improve practice; and existing concerns about the use of teledentistry. Statistical analyses involved descriptive statistics, bivariate analysis using SPSS software. Significant differences were considered at a p-value of 0.05. Results With an overall response rate of 28.6%, 286 dental professionals participated in the study. More than 70% of respondents agreed or strongly agreed that teledentistry would improve dental practice through enhancing communication with peers, guidance and referral of new patients. A substantial proportion of respondents (60–70%) expressed uncertainty with technical reliability, privacy and diagnostic accuracy. The participants' qualification was statistically significant with usefulness of teledentistry for patients (p = 0.027), while work experience in years was statistically significant with both usefulness of teledentistry for dental practice and patients (p = 0.046 and <0.0001 respectively). Conclusion Generally, the feedback gained by this study showed readiness of the dental professionals to be engaged in the teledentistry approach. Further investigation of the business model of teledentistry is needed to understand the readiness and challenges. Directed campaign to educate dentists and the public of the technology and it is potential is necessary.
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Affiliation(s)
- Khalifa S. Al-Khalifa
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
- * E-mail:
| | - Rasha AlSheikh
- Restorative Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Tysiąc-Miśta M, Dziedzic A. The Attitudes and Professional Approaches of Dental Practitioners during the COVID-19 Outbreak in Poland: A Cross-Sectional Survey. Int J Environ Res Public Health 2020; 17:ijerph17134703. [PMID: 32629915 PMCID: PMC7370196 DOI: 10.3390/ijerph17134703] [Citation(s) in RCA: 73] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 06/20/2020] [Accepted: 06/23/2020] [Indexed: 12/23/2022]
Abstract
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.
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Affiliation(s)
- Monika Tysiąc-Miśta
- Department of Dental Prosthetics and Dental Materials, Medical University of Silesia, 40-055 Katowice, Poland;
| | - Arkadiusz Dziedzic
- Department of Conservative Dentistry and Endodontics, Medical University of Silesia, 40-055 Katowice, Poland
- Correspondence:
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Singh KT, Mishra G, Shukla AK, Behera S, Tiwari AK, Panigrahi S, Chhabra KG. Preparedness among dental professionals towards COVID-19 in India. Pan Afr Med J 2020; 36:108. [PMID: 32821319 PMCID: PMC7406455 DOI: 10.11604/pamj.2020.36.108.23694] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 05/26/2020] [Indexed: 12/23/2022] Open
Abstract
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.
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Affiliation(s)
- Kumar Tathagat Singh
- Department of Oral and Maxillofacial Surgery, Dr BR Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar, India
| | - Gaurav Mishra
- Department of Public Health Dentistry, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Alok Kumar Shukla
- Department of Prosthodontics, Crown and Bridge and Implantology, Dental College Azamgarh, Azamgarh, Uttar Pradesh, India
| | - Subasish Behera
- Department of Conservative Dentistry and Endodontics, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India
| | - Arun Kumar Tiwari
- Department of Prosthodontics, Crown and Bridge and Implantology, Maharana Pratap Dental College and Hospital, Kanpur, Uttar Pradesh, India
| | | | - Kumar Gaurav Chhabra
- Department of Public Health Dentistry, Sharad Pawar Dental College and Hospital, DMIMS (Deemed to be University), Sawangi, (Meghe) Wardha, Maharashtra, India
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Attiya N, Fattahi R, El-Haidani A, Lahrach N, Amarouch MY, Filali-Zegzouti Y. [Mercury exposure and dentists' health status in two regions of centrall Morocco: descriptive cross-sectional survey]. Pan Afr Med J 2020; 36:110. [PMID: 32821321 PMCID: PMC7406463 DOI: 10.11604/pamj.2020.36.110.19623] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Accepted: 05/11/2020] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION mercury exposure is recognized as a worldwide public health concern. However, the effect of long-term exposure to low-doses of this heavy metal is still subject to debate. Due to the use of mercury in dental amalgam, dental health care professionals are chronically exposed to low-doses of this metal. In this context, we have conducted a descriptive cross-sectional survey among liberal dentists in two regions of the center of Morocco. In parallel, the global health status of participants was investigated to assess the relevance of a subsequent etiological survey. METHODS data were collected through a self-reported questionnaire. Occupational exposure of dentists to mercury was evaluated based on their use of dental amalgam. Moreover, the other common factors increasing the background pollution or inducing exposure peaks were also investigated. On the other hand, smoking, vaccination, fish consumption, and the number of dental amalgam in mouth were considered as non-occupational exposure sources. Finally, the self-reported global health problems of participants were collected. RESULTS 192 dentists were included in the present study. Seventy-six percent (76.04%) of them declared using dental amalgam in their practice. Moreover, the presence of dental amalgam in mouth was identified as the main non-occupational source of exposure to mercury (63.45% of participants). Finally, most of participants (46.35%) have expressed neuropsychological complaints. CONCLUSION altogether, our results revealed a real mercury exposure in the studied population. Thus, effective preventive measures should be promoted to minimize the mercury exposure in dental offices. Moreover, an etiological study will be of great interest to reveal the impact of mercury exposure in this population.
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Affiliation(s)
- Nourdine Attiya
- Laboratoire Bioactifs, Santé et Environnement, Université Moulay Ismaïl, Meknès, Maroc
| | - Rkia Fattahi
- Laboratoire Bioactifs, Santé et Environnement, Université Moulay Ismaïl, Meknès, Maroc
- Institut Supérieur des Professions Infirmières et Techniques de Santé, Errachidia, Maroc
| | - Ahmed El-Haidani
- Equipe Ethnopharmacologie et Pharmacognosie, Faculté des Sciences et Technique Errachidia, Université Moulay Ismaïl, Maroc
| | - Nadia Lahrach
- Equipe Ethnopharmacologie et Pharmacognosie, Faculté des Sciences et Technique Errachidia, Université Moulay Ismaïl, Maroc
| | - Mohamed-Yassine Amarouch
- Laboratoire Ressources Naturelles et Environnement, Faculté Polydisciplinaire de Taza, Université Sidi Mohamed Ben Abdellah de Fès, Fès, Maroc
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Denis F, Guimelli B, Nicolas E, Meymandi-Nejad B, de Fontagalland C, Diot P. [Dentistry demographics of Center Val de Loire region: Opportunities and prospects]. Sante Publique 2020; 31:711-714. [PMID: 32372609 DOI: 10.3917/spub.195.0711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
The Center Val de Loire region is particularly affected by the shortage of health professionals. The demographics of dentists are not immune to this situation and the retirement of a practitioner has become a real public health issue. For this purpose, bridges were created between the faculties of odontology of Nantes, Clermont-Ferrand and the Faculty of Medicine of Tours, to welcome short cycle students in Center Val de Loire region, to create a link with the liberal practitioners and to allow the students to confront the health issues of this territory.
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Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, Khurshid Z. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int J Environ Res Public Health 2020; 17:E2821. [PMID: 32325888 PMCID: PMC7216192 DOI: 10.3390/ijerph17082821] [Citation(s) in RCA: 308] [Impact Index Per Article: 77.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 04/16/2020] [Accepted: 04/18/2020] [Indexed: 01/08/2023]
Abstract
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.
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Affiliation(s)
- Muhammad Adeel Ahmed
- Department of Restorative Dentistry and Endodontics, College of Dentistry, King Faisal University, Al-Ahsa 31982, Saudi Arabia;
| | - Rizwan Jouhar
- Department of Restorative Dentistry and Endodontics, College of Dentistry, King Faisal University, Al-Ahsa 31982, Saudi Arabia;
| | - Naseer Ahmed
- Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi 75500, Pakistan;
| | - Samira Adnan
- Department of Operative Dentistry, Sindh Institute of Oral Health Sciences, Jinnah Sindh Medical University, Karachi 75510, Pakistan;
| | - Marziya Aftab
- Department of Operative Dentistry, Dr. Ishrat-ul-ebad khan Institute of Oral Health Science, Dow University of Health Sciences, Karachi 74200, Pakistan;
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al-Madina Al-Munawwarah 41311, Saudi Arabia;
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
| | - Zohaib Khurshid
- Department of Prosthodontics and Dental Implantology, College of Dentistry, King Faisal University, Al-Ahsa 31982, Saudi Arabia;
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Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, Behnamfar N, Shyeback M, Badakhsh M, Allahyari J, Al Mawali A, Ebadi A, Dezhkam A, Daley KA. Global Prevalence and Device Related Causes of Needle Stick Injuries among Health Care Workers: A Systematic Review and Meta-Analysis. Ann Glob Health 2020; 86:35. [PMID: 32346521 PMCID: PMC7181946 DOI: 10.5334/aogh.2698] [Citation(s) in RCA: 68] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Background Healthcare workers (HCWs) suffer more than 2 million occupational needle-stick injuries (NSIs) annually. Goal To determine the global prevalence and causes of NSIs among HCWs. Methods In this systematic review and meta-analysis, three databases (PubMed, Web of science, and Scopus) were searched for reports from January 1, 2000 to December 31, 2018. The random effects model was used to determine the prevalence of NSIs among HCWs. Hoy et al.'s instrument was employed to evaluate the quality of the included studies. Findings A total of 87 studies performed on 50,916 HCWs in 31 countries worldwide were included in the study. The one-year global pooled prevalence of NSIs among HCWs was 44.5% (95% CI: 35.7, 53.2). Highest prevalence of NSIs occurred in the South East Asia region at 58.2% (95%, CI: 36.7, 79.8). By job category, prevalence of NSIs was highest among dentists at 59.1% (95% CI: 38.8, 79.4), Hypodermic needles were the most common cause of NSIs at 55.1% (95% CI: 41.4, 68.9). Conclusion The current high prevalence of NSIs among HCWs suggests need to improve occupational health services and needle-stick education programs globally.
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Affiliation(s)
- Salehoddin Bouya
- Internal Medicine and Nephrology, Clinical Immunology Research Center, Ali-Ebne Abitaleb Hospital, Zahedan University of Medical Sciences, Zahedan, IR
| | - Abbas Balouchi
- Student Research Committee, Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, IR
| | - Hosien Rafiemanesh
- Student Research Committee, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, IR
| | | | - Majid Dastres
- Nursing and Midwifery school, Zahedan University of Medical Sciences, Zahedan, IR
| | - Mahdieh Poodineh Moghadam
- Department of Nursing, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, IR
| | - Niaz Behnamfar
- Department of Nursing, Faculty of nursing and midwifery, Tehran medical sciences, Islamic Azad university, Tehran, IR
| | | | - Mahin Badakhsh
- Department of Nursing, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, IR
| | | | - Adhra Al Mawali
- Centre of Studies and Research, Oman Ministry of Health, Muscat, OM
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Life style institute, Baqiyatallah University of Medical Sciences, Tehran, IR
- Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR
| | - Asiyeh Dezhkam
- Department of Pediaterics, Iranshahr University of Medical Sciences, Iranshahr, IR
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Chou CF, Holtzman JS, Rogers S, Chen C. The Impact of Title VII Dental Workforce Programs on Dentists' Practice Location: A Difference-in-Differences Analysis. Acad Med 2020; 95:442-449. [PMID: 31517681 DOI: 10.1097/acm.0000000000002974] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
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.
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Affiliation(s)
- Chiu-Fang Chou
- C.-F. Chou is social scientist, National Center for Health Workforce Analysis, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, Rockville, Maryland. J.S. Holtzman is dental officer, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, Rockville, Maryland. S. Rogers is chief, Oral Health Branch, Division of Medicine and Dentistry, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, Rockville, Maryland. C. Chen is associate professor, Milken Institute School of Public Health, George Washington University, Washington, DC
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Baudet A, Kichenbrand C, Pulcini C, Descroix V, Lesclous P, Thilly N, Clément C, Guillet J. Antibiotic use and resistance: a nationwide questionnaire survey among French dentists. Eur J Clin Microbiol Infect Dis 2020; 39:1295-1303. [PMID: 32062724 DOI: 10.1007/s10096-020-03849-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Accepted: 02/10/2020] [Indexed: 12/17/2022]
Abstract
The aim of this survey was to describe the attitudes and self-reported practices of French dentists towards antibiotic use and resistance and to compare practices with national guidelines. A nationwide cross-sectional internet-based survey was conducted among the 41,800 French dentists. The online questionnaire was distributed through professional networks from April 2017 to April 2018. Seven-hundred seventy-five dentists participated but only 455 questionnaires were complete enough to be included in the analyses. Amoxicillin was the most frequently prescribed antibiotic (65.8%, 1783/2711), followed by spiramycin + metronidazole fixed-dose combination (11.6%, 312/2711) and amoxicillin-clavulanic acid (10.3%, 279/2711). The main indications for use were abscess (349/423, 82.5%), cervicofacial cellulitis (74.2%, 314/423), and pericoronitis (58.6%, 239/408). Most dentists (90.5%, 381/421) considered that antibiotic resistance is of concern but only half of them (56.3%, 238/423) felt adequately informed about antibiotic use. Many dentists did not comply with the national guidelines: the majority of them declared inappropriate antibiotic prescriptions for 11/17 clinical situations. They did not prescribe antibiotics for 5/6 clinical situations requiring prophylaxis. They reported that the publication of clinical guidelines is the main factor influencing their prescriptions (71.0%, 299/421). They wished to receive regular updates of national guidelines in the form of practical sheets (93.0%, 172/185). French dentists should urgently be targeted by antibiotic stewardship initiatives.
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Affiliation(s)
- A Baudet
- Faculté d'Odontologie de Lorraine, Université de Lorraine, F-54000, Nancy, France
- CHRU-Nancy, Service d'Odontologie, F-54000, Nancy, France
| | - C Kichenbrand
- Faculté d'Odontologie de Lorraine, Université de Lorraine, F-54000, Nancy, France
- CHRU-Nancy, Service d'Odontologie, F-54000, Nancy, France
| | - C Pulcini
- Université de Lorraine, APEMAC, F-54000, Nancy, France
- CHRU-Nancy, Infectious Diseases Department, F-54000, Nancy, France
| | - V Descroix
- Hôpital Pitié-Salpêtrière, Service d'Odontologie, F-75013, Paris, France
| | - P Lesclous
- CHU Nantes, Service d'Odontologie, F-44000, Nantes, France
| | - N Thilly
- Université de Lorraine, APEMAC, F-54000, Nancy, France
- CHRU-Nancy, Département Méthodologie Promotion Investigation, F-54000, Nancy, France
| | - C Clément
- Faculté d'Odontologie de Lorraine, Université de Lorraine, F-54000, Nancy, France
- CHRU-Nancy, Service d'Odontologie, F-54000, Nancy, France
| | - J Guillet
- Faculté d'Odontologie de Lorraine, Université de Lorraine, F-54000, Nancy, France.
- CHRU-Nancy, Service d'Odontologie, F-54000, Nancy, France.
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Bohm N, Karlsson C, Skoogh Andersson J, Almståhl A. Variations in odontological care routines for patients undergoing treatment for head and neck cancer in county councils/regions of Sweden. Clin Exp Dent Res 2020; 6:3-15. [PMID: 32067404 PMCID: PMC7025979 DOI: 10.1002/cre2.242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 07/11/2019] [Accepted: 08/02/2019] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To investigate current odontological care routines for patients treated for head and neck cancers in the county councils/regions (C/Rs) of Sweden. METHODS An invitation to fill in a web-based questionnaire was sent to dentists/dental hygienists working in dental clinics in the 12 C/Rs, treating and responsible for the odontological care of patients undergoing treatment for cancer of the head and neck. The questionnaire started with two mandatory and one non-mandatory questions, followed by questions regarding routines before (n = 28), during (n = 23), and after (n = 9) treatment, plus two additional questions, totalling 65 questions. RESULTS Four dental hygienists and six dentists in 10 of the 12 C/Rs answered the questionnaire. Three C/Rs stated that they measure both the unstimulated and stimulated salivary secretion rate, and another C/R stated that they measure the stimulated secretion rate only. Similar recommendations were given regarding oral hygiene, salivary stimulants and substitutes, and extra fluoride. However, great variations were seen regarding recommendations for preventing and relieving oral mucositis. There were also discrepancies regarding information about the importance of avoiding smoking and alcohol. In seven C/Rs, patients visited the dental hygienist once a week during cancer treatment. CONCLUSION The results suggests that there are great variations in odontological care given to patients undergoing treatment for cancer of the head and neck region in different county councils/regions in Sweden. There is a need to develop and implement evidence-based guidelines to decrease the risk of oral complications and increase both the quality of life and the quality of care.
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Affiliation(s)
- Niklas Bohm
- Department of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - Charlott Karlsson
- Clinic of Oral and Maxillofacial Surgery, Department of Orofacial Medicine, Institute of OdontologyJönköping UniversityJönköpingSweden
| | - Jessica Skoogh Andersson
- Department of Periodontology, Institute of Odontology, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - Annica Almståhl
- Department of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
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Meadows AL, Strickland JC, Qalbani S, Conner KL, Su A, Rush CR. Comparing Changes in Controlled Substance Prescribing Trends by Provider Type. Am J Addict 2020; 29:35-42. [PMID: 31600029 PMCID: PMC6941737 DOI: 10.1111/ajad.12962] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 09/03/2019] [Accepted: 09/06/2019] [Indexed: 11/29/2022] Open
Abstract
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).
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Affiliation(s)
- Amy Lynn Meadows
- University of Kentucky College of Medicine Department of Psychiatry, 245 Fountain Court, Suite 225, Lexington KY 40509
| | - Justin C. Strickland
- University of Kentucky College of Arts and Sciences, Department of Psychology, Lexington, KY
| | - Shiraz Qalbani
- River Valley Behavioral Health, 1100 Walnut St. PO BOX 1637, Owensboro, KY 42302
| | - Kailyn L. Conner
- University of Kentucky College of Pharmacy, 789 S Limestone St, Lexington, KY 40506
| | - Amanda Su
- University of Kentucky College of Medicine, 800 Rose Street, Lexington, KY 40536
| | - Craig R. Rush
- University of Kentucky College of Medicine Department of Psychiatry, 245 Fountain Court, Suite 225, Lexington KY 40509
- University of Kentucky College of Medicine Department of Behavioral Science, Lexington, KY
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Sabitova A, Sajun SZ, Nicholson S, Mosler F, Priebe S. Job morale of physicians in low-income and middle-income countries: a systematic literature review of qualitative studies. BMJ Open 2019; 9:e028657. [PMID: 31796473 PMCID: PMC6924858 DOI: 10.1136/bmjopen-2018-028657] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 11/14/2019] [Accepted: 11/14/2019] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVES To systematically review the available literature on physicians' and dentists' experiences influencing job motivation, job satisfaction, burnout, well-being and symptoms of depression as indicators of job morale in low-income and middle-income countries. DESIGN The review was reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for studies evaluating outcomes of interest using qualitative methods. The framework method was used to analyse and integrate review findings. DATA SOURCES A primary search of electronic databases was performed by using a combination of search terms related to the following areas of interest: 'morale', 'physicians and dentists' and 'low-income and middle-income countries'. A secondary search of the grey literature was conducted in addition to checking the reference list of included studies and review papers. RESULTS Ten papers representing 10 different studies and involving 581 participants across seven low-income and middle-income countries met the inclusion criteria for the review. However, none of the studies focused on dentists' experiences was included. An analytical framework including four main categories was developed: work environment (physical and social), rewards (financial, non-financial and social respect), work content (workload, nature of work, job security/stability and safety), managerial context (staffing levels, protocols and guidelines consistency and political interference). The job morale of physicians working in low-income and middle-income countries was mainly influenced by negative experiences. Increasing salaries, offering opportunities for career and professional development, improving the physical and social working environment, implementing clear professional guidelines and protocols and tackling healthcare staff shortage may influence physicians' job morale positively. CONCLUSIONS There were a limited number of studies and a great degree of heterogeneity of evidence. Further research is recommended to assist in scrutinising context-specific issues and ways of addressing them to maximise their utility. PROSPERO REGISTRATION NUMBER CRD42017082579.
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Affiliation(s)
- Alina Sabitova
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
| | - Sana Zehra Sajun
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
| | - Sandra Nicholson
- Institute of Health Sciences Education, Queen Mary University of London, London, UK
| | - Franziska Mosler
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
| | - Stefan Priebe
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
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Kaufmann ME, Hofer D, Wiedemeier DB, Attin T, Schmidlin PR. Oral status and aesthetics after nonsurgical periodontal treatment: Do patient's perception and dentist's evaluation agree? Clin Exp Dent Res 2019; 5:601-610. [PMID: 31943916 PMCID: PMC9514215 DOI: 10.1002/cre2.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 07/05/2019] [Accepted: 07/07/2019] [Indexed: 12/03/2022] Open
Abstract
Objectives Periodontal healing is often accompanied by side effects, which may cause an aesthetic deficit. The present investigation was focussed to compare patient's subjective perception of their posttherapy aesthetics with the objective measures of the results. Materials and methods Survey results from patients (subjective parameters) on oral status and aesthetics were compared against routine clinical parameters and corresponding survey results from treating dentists (objective parameters), both before and after periodontal treatment. Subjective outcome parameters were then suitably transformed and compared with the objective ones to investigate the agreement between patients' perception and actual outcomes. Results Objective recordings of periodontal status by the dentist and subjective awareness of the patient are quite contradictory to each other for almost all participants. Further, it was found that their aesthetics in the front were better after treatment, but dentist professionals targeted for future treatment needs. Conclusions In this study, it was found that patients improved aesthetically on the upper jaw front after the therapy, which was not shared by the dentists. This discrepancy was due to the clinicians' view on more aesthetic corrective procedures than on patients' need.
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Affiliation(s)
- Manuela Elena Kaufmann
- Clinic of Conservative and Preventive Dentistry, Center of Dental MedicineUniversity of ZurichZurichSwitzerland
| | - Deborah Hofer
- Clinic of Conservative and Preventive Dentistry, Center of Dental MedicineUniversity of ZurichZurichSwitzerland
| | - Daniel B. Wiedemeier
- Statistical Services, Center of Dental MedicineUniversity of ZurichZurichSwitzerland
| | - Thomas Attin
- Clinic of Conservative and Preventive Dentistry, Center of Dental MedicineUniversity of ZurichZurichSwitzerland
| | - Patrick R. Schmidlin
- Clinic of Conservative and Preventive Dentistry, Center of Dental MedicineUniversity of ZurichZurichSwitzerland
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Richards MR, Wing C. Recruiting and retaining dental labor in federal facilities: Harder than pulling teeth? Health Econ 2019; 28:1356-1369. [PMID: 31469481 DOI: 10.1002/hec.3949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 07/05/2019] [Accepted: 08/05/2019] [Indexed: 06/10/2023]
Abstract
The U.S. Veterans Administration (VA) is a large publicly financed health system that has long struggled with provider shortages. Shortages may arise at the VA because it offers different compensation than private sector employment options or because of differences in the way that labor is supplied to public versus private employers. In the mid-2000s, the VA adopted a more generous and flexible pay schedule for its dentists. We exploit this salary schedule change to study the impact of a positive wage shock on dental labor supplied to the VA, within a difference-in-differences framework. We find limited effects on VA separation and new hire rates overall-though early career dentists appear more sensitive to the wage change. More generous pay has its clearest effects on employment type for VA dentists, reducing the likelihood of being part-time by roughly 10%.
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Affiliation(s)
| | - Coady Wing
- O'Neill School of Public & Environmental Affairs, Indiana University, Bloomington, USA
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Rukundo GZ, Byakwaga H, Kinengyere A, Bapolisi AM, Betancourt M, Akena D. Prevalence and factors associated with suicide among medical professionals in low/middle-income countries: a systematic review protocol. BMJ Open 2019; 9:e028884. [PMID: 31427329 PMCID: PMC6701610 DOI: 10.1136/bmjopen-2018-028884] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION A number of studies in low/middle-income countries (LMICs) have reported varying prevalence of suicide among medical professionals with low rates. This may be because of the methods used in suicide assessment and the stigma associated with it. For this study, the prevalence of suicidal ideation, attempt and completed suicide, as well as the factors associated with suicidality and methods used during suicidal acts, will be documented. METHODS AND ANALYSIS Studies published in peer-reviewed journals in which the prevalence and factors associated with suicidal ideation, attempt and completion among medical professionals in LMICs will be included. The Cochrane Library (CENTRAL), PsychINFO, PubMed and Embase will be systematically searched. We will search for all the papers available in the databases up to March 31 2019. Methodological quality of the articles will be assessed using the quality in prognostic studies tool. The risk of bias of the articles will be assessed using Cochrane risk of bias assessment tool for non-randomised studies. In the event of no statistical heterogeneity, a meta-analysis of the findings will be conducted. ETHICS AND DISSEMINATION Ethical permission will not be required since this work does not involve the use of participant data that can be used to identify individuals. Findings from this study will be available for clinicians and other medical professionals, scientists and policy makers. On request, a data set of the study can be provided. TRIAL REGISTRATION NUMBER CRD42018095990.
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Affiliation(s)
- Godfrey Zari Rukundo
- Department of Psychiatry, Mbarara University of Science and Technology Faculty of Medicine, Mbarara, Uganda
- African Centre for Suicide Prevention and Research, Mbaarara University, Mbarara, Uganda
| | - Helen Byakwaga
- Department of Community Health, Mbarara University of Science and Technology Faculty of Medicine, Mbarara, Uganda
| | - Alison Kinengyere
- Albert Cook Library, Makerere College of Health Sciences, Kampala, Uganda
| | - Achille Mwira Bapolisi
- Department of Psychiatry, Mbarara University of Science and Technology Faculty of Medicine, Mbarara, Uganda
| | - Miriela Betancourt
- Department of Physiology, Mbarara University of Science and Technology Faculty of Medicine, Mbarara, Uganda
| | - Dickens Akena
- Department of Psychiatry, Makerere University, Kampala, Uganda
- Africa Centre for Systematic Reviews, Kampala, Uganda
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Imbery TA, Carrico CK. Dental dam utilization by dentists in an intramural faculty practice. Clin Exp Dent Res 2019; 5:365-376. [PMID: 31452948 PMCID: PMC6704055 DOI: 10.1002/cre2.191] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 04/12/2019] [Accepted: 04/15/2019] [Indexed: 11/09/2022] Open
Abstract
Objectives From casual observation of our colleagues, only a few individuals use the dental dam for operative procedures in their faculty practice. The purpose of this study was to obtain faculty perceptions of the dental dam, quantify its utilization in their intramural faculty practice, and determine the factors that influence dental dam usage. Material and Methods A survey containing 11 questions was sent to 19 faculty members who teach full time and maintain an intramural dental practice involving operative dentistry. Thirty electronic dental health records of the 19 providers were reviewed to gather the following information from restorative procedures they completed: isolation methods, tooth location and involved surfaces, and dental restorative material. Results Overall, dental dam was utilized for 30% of all restorative procedures and was used less than 20% of the time for placement of class II and class III composite resins. Dental dam utilization rate by general dentists was 37% and 17.6% for prosthodontists. Those general dentists with prior history of military dental practice had a utilization rate of 78.6% and nonmilitary dentists only 7.6%. Eight faculty members responded to the questionnaire for a 42% return rate. Those who practiced dentistry in the military strongly agreed that the dental dam is the standard of care, improves their quality of restorative work, and should be documented in the dental record. Conclusions There were significantly different dental dam utilization rates between general dentists and prosthodontists and between dentists with prior military experience and those without.
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Affiliation(s)
- Terence A. Imbery
- Department of General PracticeVirginia Commonwealth University School of DentistryRichmondVirginia
| | - Caroline K. Carrico
- Department of Oral Health Promotion and Community Outreach, Oral Health Services Research Core, VCU Philips Institute for Oral Health ResearchVirginia Commonwealth University School of DentistryRichmondVirginia
- Department of BiostatisticsVCU School of MedicineRichmondVirginia
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Sturrock A, Preshaw PM, Hayes C, Wilkes S. General dental practitioners' perceptions of, and attitudes towards, improving patient safety through a multidisciplinary approach to the prevention of medication-related osteonecrosis of the jaw (MRONJ): a qualitative study in the North East of England. BMJ Open 2019; 9:e029951. [PMID: 31213454 PMCID: PMC6597093 DOI: 10.1136/bmjopen-2019-029951] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVE To explore general dental practitioners' (GDPs') perceptions of, and attitudes towards, the risks of medication-related osteonecrosis of the jaw (MRONJ) and the current/potential multidisciplinary approach(es) to prevention of the condition. DESIGN Interpretivist methodology using a grounded theory approach and constant comparative analysis to undertake an iterative series of semistructured interviews. Ritchie and Spencer's framework analysis facilitated the identification and prioritisation of salient themes. SETTING Primary care general dental practices in the North East of England. PARTICIPANTS 15 GDPs. RESULTS GDPs are aware of the risk of MRONJ with commonly implicated medicines; however, they report limited collaboration between professional groups in person-centred avoidance of complications, which is a key requirement of the preventive advice recommended in extant literature. Four salient and inter-related themes emerged: (1) perception of knowledge; indicating the awareness of the risk, limited knowledge of implicated medications and experience of managing the condition; (2) risk; indicating the importance of accurate medication histories, the treatment of low risk patients in primary dental care, counselling of poorly informed patients, the fear of litigation and perceived low priority of oral health in the context of general health and well-being; (3) access and isolation; referring to access to general medical records, professional isolation and somewhat limited and challenging professional collaborative relationships; (4) interprofessional working; indicating oral health education of other professional groups, collaboration and communication, and a focus on preventive care. CONCLUSIONS Patients continue to be at risk of developing MRONJ due to limited preventive interventions and relatively disparate contexts of multidisciplinary team healthcare. Effective collaboration, education and access to shared medical records could potentially improve patient safety and reduce the potential risk of developing MRONJ.
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Affiliation(s)
- Andrew Sturrock
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
| | - Philip M Preshaw
- National University Centre for Oral Health, National University of Singapore, Singapore
| | - Catherine Hayes
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
| | - Scott Wilkes
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
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Mendes SR, Martins RC, Mambrini JVM, Matta-Machado ATG, Mattos GCM, Gallagher JE, Abreu MHNG. Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care. PLoS One 2019; 14:e0217249. [PMID: 31150438 PMCID: PMC6544346 DOI: 10.1371/journal.pone.0217249] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 05/07/2019] [Indexed: 11/18/2022] Open
Abstract
Objectives First, to assess the psychometric properties of key questions included in a public sector evaluation of primary dental care in Brazil; and second, to evaluate the performance of dental teams in relation to these items. Methods Secondary analysis of a national primary care dataset monitoring quality and access to dental care. Data were collected through face-to-face interviews with representatives of dental teams participating in the ‘National Programme for Improving Access and Quality of Primary Care’. Twenty-three mandatory questions about the dentists’ reported delivery of dental procedures were included in the analysis. Item Response Theory (IRT) modelling was applied to measure the psychometric properties of the instrument—level of difficulty and discrimination parameter of each item—and then to estimate dental team performance scores based on these parameters. Based on IRT, possible scores ranged from -4 to +4. Results Three of the 23 mandatory items were removed due to poor internal consistency, resulting in a scale of 20 items for assessing dental team performance. The results showed variation in procedures delivered by the dental teams; whilst more than a half of the procedures were executed by at least 80% of the dental teams, those relating to dentures (partial/total) and frenectomy (lingual/labial) were performed by less than 30%. Amongst the 20 items included in the model, those related to partial/total dentures and oral cancer follow-up presented higher levels of difficulty and were less frequently provided. The items relating to the treatment of deciduous teeth and access to the dental pulp of permanent teeth had the highest discrimination parameters and, consequently, greater weight in the performance’s score estimation; therefore, dental teams that did not perform these items had the lowest performance scores. In the present study, dental team performance scores ranged from -3.66 to +1.87 with a mean/median of -0.06/+0.01. Conclusion The findings suggest that whilst the items within the instrument demonstrated some potential to discriminate between poor and very poor teams, they were ineffective in discriminating between poor and good teams. Whilst Brazilian dental teams perform many mandatory procedures, variation in the nature of their delivery of care requires further investigation to enhance service provision to the population.
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Affiliation(s)
- Suellen R. Mendes
- Graduate Program in Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Renata C. Martins
- Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Antônio Thomaz G. Matta-Machado
- Department of Preventive and Social Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Grazielle C. M. Mattos
- Kings College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Centre for Host Microbiome Interactions, London, United Kingdom
| | - Jennifer E. Gallagher
- Kings College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Centre for Host Microbiome Interactions, London, United Kingdom
| | - Mauro H. N. G. Abreu
- Department of Community and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- * E-mail:
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Alhusain FA, Almohrij M, Althukeir F, Alshater A, Alghamdi B, Masuadi E, Basudan A. Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh. Ann Saudi Med 2019; 39:104-111. [PMID: 30905925 PMCID: PMC6464669 DOI: 10.5144/0256-4947.2019.07.03.1405] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Accepted: 01/26/2019] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Approximately 3-6% of the general population have carpal tunnel syndrome (CTS). CTS is more prevalent among people with occupations that involve repetitive and forceful maneuvers, such as dentists. It is important to identify risk factors for these symptoms and to understand the impact they may have on clinical practice. OBJECTIVES Measure the prevalence of CTS-symptoms and identify factors associated with CTS. DESIGN Cross-sectional. SETTING Dentists working in Riyadh. SUBJECTS AND METHODS In-person interviews from 15 July to 10 September 2017 of subjects obtained using random cluster sampling. MAIN OUTCOME MEASURES Prevalence of CTS-related symptoms among dentists. SAMPLE SIZE 223 dentists (134 males and 89 females). RESULTS The prevalence of CTS-related symptoms among dentists working in Riyadh was 30.5% (95% CI 0.25 to 0.36). Female dentists had a significantly greater risk of having CTS symptoms than male dentists (OR 2.13; 95% CI 1.09-4.17). Obese dentists were also more likely to complain of CTS symptoms than dentists within normal weight limits (OR 3.66; 95% CI 1.55-8.64). Left-hand dominance was strongly associated with CTS symptoms, with an estimated OR of 6.28 (95% CI 1.24-31.90). However, there was no relationship between CTS symptoms and age, marital status, history of smoking, exercise, dental specialty, occupation period, or having other educational degrees. CONCLUSION Thirty percent of dentists working in Riyadh had experienced severe or mild symptoms related to CTS. Several risk factors for CTS have been identified. Future research could explore the reasons behind these risk factors to identify and implement prevention measures. LIMITATIONS Cannot be generalized to the whole of Saudi Arabia, or the region. Larger controlled studies are needed to further identify the risk factors associated with CTS among dentists. In addition, since the Boston Carpal Tunnel Questionnaire was used, the self-reporting nature of the study might be affected by external bias. CONFLICT OF INTEREST None.
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Affiliation(s)
- Faisal Ahmed Alhusain
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Mashael Almohrij
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Fadwa Althukeir
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Alanoud Alshater
- College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Bassam Alghamdi
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Emad Masuadi
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Aisha Basudan
- Dental Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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Giray FE, Peker S, Yalcinkaya SE, Kargul B, Aps J. Attitudes and knowledge of paediatric dentists' on digital radiography and cone beam computed tomography. J PAK MED ASSOC 2019; 69:205-210. [PMID: 30804585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To determine the frequency and reasons of digital radiography and cone-beam computed tomography usage among paediatric dental practitioners, and to assess their knowledge and need for specific education.. METHODS The cross-sectional study was conducted from January to July 2017 and comprised paediatric dentists present at the European Academy of Paediatric Dentistry Interim Seminar in Turin, Italy, and members of the Turkish Society of Paediatric Dentistry who did not attend the event. Data about sociodemographics and their attitude towards, use of, and knowledge of digital radiography and cone beam computed tomography was collected by means of a 20-item questionnaire that was mailed to all the subjects. SPSS 22 was used to evaluate data. RESULTS Of the 435 questionnaires distributed, 245(56%) were returned, while 194 (45%) were deemed usable. The mean age of the responding paediatric dentists was 35.84±9.10 (range: 24-67 years) and 126(64.9%) were female. Users of digital radiography identified its advantages, such as lower radiation dose 166(85.7%), ease of image storage 150(77.3%), and the possibility to change image settings and to carry out measurements 106(54.5%). Overall, 70(36%) paediatric dentists had no knowledge of cone beam computed tomography. Dental trauma was cited as the reason for using cone beam computed tomography by 70(61.3%) subjects, dental development issues by 138(71%) and pathology in the jaws by 147(75.8%). CONCLUSIONS Digital radiography and cone beam computed tomography users are increasing in the world.
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Affiliation(s)
- Figen Eren Giray
- Department of Pediatric Dentistry Dental School, Marmara University, Istanbul, Turkey
| | - Sertac Peker
- Department of Pediatric Dentistry Dental School, Marmara University, Istanbul, Turkey
| | | | - Betul Kargul
- Department of Pediatric Dentistry Dental School, Marmara University, Istanbul, Turkey
| | - Johan Aps
- Department of Pediatric Dentistry, School of Dentistry, University of Washington, Seattle, USA
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Chandrupatla SG, Ramachandra R, Dantala S, Pushpanjali K, Tavares M. Importance and Potential of Dentists in Identifying Patients at High Risk of Diabetes. Curr Diabetes Rev 2019; 15:67-73. [PMID: 29852874 DOI: 10.2174/1573399814666180531121921] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Revised: 04/09/2018] [Accepted: 05/25/2018] [Indexed: 01/20/2023]
Abstract
OBJECTIVES The study was conducted to assess the utilization of medical and dental services by dental patients at two dental school hospitals and to approximate the number of patients having no known previous diagnosis of type 2 diabetes but are at high risk of acquiring it. METHODS A cross-sectional study was conducted at two dental school hospitals in India. A 20-item questionnaire was administered as interviews among the dental patients aged 35 to 55 years. Data was collected on past dental and medical visits, medical history, family history relevant to diabetes, cardiovascular health, BMI and waist circumference (measured). RESULTS A total of 413 adult patients (males 61.26%, females 38.74%) participated in the surveys. The mean age was 43.06 years. Results revealed that nearly 50% did not have a medical or a dental visit in the last 1 year, 33% had Cardiovascular Diseases (CVD). Among those who did not have medical visit in last one year 45% had BMI >25 kg, 55% had waist circumference above the normal range and 38% were at high risk of diabetes. CONCLUSION The high number of patients without a medical visit in the past year or more, as well as the high levels of diabetes risk indicators, affirms the need for dentists to perform chair-side screenings for diabetes. These results suggest the need for additional training among dental students to improve early detection and identification of high-risk patients to minimize potential morbidity due to diabetes.
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Affiliation(s)
- Siddardha G Chandrupatla
- Department of Oral Epidemiology and Health Policy, Harvard School of Dental Medicine, Boston, MA, United States
| | - Ranadheer Ramachandra
- Department of Public Health Dentistry, M.S. Ramaiah Dental College and Hospital, Bangalore, India
| | - Satyanarayana Dantala
- Department of Public Health Dentistry, Panineeya Dental College and Hospital, Hyderabad, India
| | - Krishnappa Pushpanjali
- Department of Public Health Dentistry, M.S. Ramaiah Dental College and Hospital, Bangalore, India
| | - Mary Tavares
- Department of Oral Epidemiology and Health Policy, Harvard School of Dental Medicine, Boston, MA, United States
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AlShwaimi E, Idrees M, Berri Z, El-Sakka H, Kujan O. Association between Diabetes Mellitus and Periodontal Diseases: A Survey of the Opinions of Dental Professionals. Med Princ Pract 2019; 28:141-149. [PMID: 30497082 PMCID: PMC6546030 DOI: 10.1159/000495881] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 11/29/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE This cross-sectional survey aimed to assess the knowledge of dentists and dental assistants practicing in Saudi Arabia regarding diabetes mellitus (DM) and periodontal diseases. SUBJECTS AND METHODS We used a pretested, closed-ended, multiple-choice questionnaire covering 2 principal sections: the assessment of previous educational training and practice, and the knowledge and scientific background regarding DM and periodontal diseases. The responses were grouped using the Likert-type scale. RESULTS The questionnaire showed a high reliability value of 0.805 as determined by a Cronbach's α. Out of 365 subjects who were initially interviewed, 239 subjects participated (response rate 65.5%): general dentists (45.6%) and dental hygienists and assistants (54.4%). Of the participating dentists, 70.4% were males; in contrast, 87.7% of dental assistants were female. Eighty-five percent of the participants strongly agreed that evidence supports the association between periodontal diseases and DM. Remarkably, dental assistants (78%) agreed more than dentists (68.5%) that diabetic patients with periodontal conditions would have worse glycemic control compared to diabetic patients with no periodontal diseases. Seventy-five percent of the respondents were confident about performing oral health screening for diabetic patients. Significantly more dental assistants showed their desire to expand their practice to include oral health screening (85%) and education compared to dentists (74%). CONCLUSIONS Both dentists and dental assistants in Saudi Arabia revealed a satisfactory knowledge level regarding the periodontal disease-diabetes interactions with no significant difference between the two groups. Further studies are recommended to assess the attitude of dental care providers while dealing with diabetic patients.
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Affiliation(s)
- Emad AlShwaimi
- Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University (University of Dammam), Dammam, Saudi Arabia
| | | | - Zeina Berri
- Department of Oral Medicine and Diagnostic Sciences, Al-Farabi College for Dentistry and Nursing, Al-Farabi Colleges, Riyadh, Saudi Arabia
| | - Haytham El-Sakka
- UWA Dental School, University of Western Australia, Nedlands, Washington, Australia
| | - Omar Kujan
- UWA Dental School, University of Western Australia, Nedlands, Washington, Australia,
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Ketel N, Leuven E, Oosterbeek H, van der Klaauw B. Do Dutch dentists extract monopoly rents? J Health Econ 2019; 63:145-158. [PMID: 30658150 DOI: 10.1016/j.jhealeco.2018.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 10/30/2018] [Accepted: 11/02/2018] [Indexed: 06/09/2023]
Abstract
We exploit lottery-determined admission to dental school to estimate the payoffs to the study of dentistry in the Netherlands. Using data from up to 22 years after the lottery, we find that in most years after graduation dentists earn around 50,000 Euros more than they would earn in their next-best profession. The payoff is larger for men than for women but does not vary with high school GPA. The large payoffs cannot be attributed to longer working hours, larger investments while studying (opportunity costs and direct costs), or unpleasant aspects of working as a dentist. A plausible explanation is that dentists earn a monopoly rent. Results from regressions of dentists' earnings on dentists density are consistent with this, as are the facts that the supply of dentists in the Netherlands is low and that the payoff does not vary with high school GPA.
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Affiliation(s)
- Nadine Ketel
- University of Gothenburg, Department of Economics, PO Box 640, SE 405 30 Göteborg, Sweden.
| | - Edwin Leuven
- University of Oslo, Department of Economics, Norway.
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Rostamzadeh M, Afkhamzadeh A, Afrooz S, Mohamadi K, Rasouli MA. Dentists' knowledge, attitudes and practices regarding Hepatitis B and C and HIV/AIDS in Sanandaj, Iran. BMC Oral Health 2018; 18:220. [PMID: 30563497 PMCID: PMC6299669 DOI: 10.1186/s12903-018-0685-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Accepted: 12/04/2018] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Healthcare workers including physicians, dentists, nurses and laboratory workers are considered to be among the groups at the risk of blood-borne pathogen transmission. Thus, it is necessary to evaluate the Knowledge, Attitude, and Practices (KAP) of dentists regarding infection control and basic principles. METHODS This cross-sectional study recruited 106 dentists in Sanandaj, Iran. The dentists' KAP regarding hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV/AIDS were evaluated. Chi-square test, student's t-test, and one-way ANOVA were used to assess differences between the groups. Data were analyzed in Stata 12. RESULTS The results showed that the majority of the subjects in the study population (53.8%) were female. The mean ± standard deviation (SD) for age and work experience was 39.6 ± 9.80 and 10.6 ± 8.7 years, respectively. The mean ± SD for knowledge, attitude and practices of participants was 37.3 ± 3.01, 22.9 ± 4.80 and 24.07 ± 5.06, respectively. The results also indicated that dentists' higher level of knowledge about HBV, HCV and HIV/AIDS was significantly influenced by work experience (≥10 years; P < 0.001) and graduation year (after 2006: P < 0.001). Positive attitude towards HBV, HCV and HIV/AIDS was considerably influenced by age group (< 30 years: P = 0.021), work experience (≥10 years: P < 0.001), and workplace (dental office: P = 0.016). CONCLUSIONS The results of this study demonstrated a satisfactory level of knowledge and attitude of dentists about HBV, HCV and HIV/AIDS infections, but some gaps were observed, suggesting that higher knowledge level of dentists plays a very important role in forming the attitudes and practices regarding patients with HBV, HCV and HIV/AIDS.
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Affiliation(s)
- Masomeh Rostamzadeh
- Department of Prosthodontics, Faculty of Dentistry, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Abdorrahim Afkhamzadeh
- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Sirus Afrooz
- Dentistry Student, Faculty of Dentistry, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Kaveh Mohamadi
- DDS & Fellowship Oral Implantology (ICOI Fellowship), Faculty of Dentistry, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Mohammad Aziz Rasouli
- Vice Chancellor for Educational and Research, Kowsar Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
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Gamboa GCS, Lee GHM, Ekambaram M, Yiu CKY. Knowledge, perceptions, and clinical experiences on molar incisor hypomineralization among dental care providers in Hong Kong. BMC Oral Health 2018; 18:217. [PMID: 30545337 PMCID: PMC6293514 DOI: 10.1186/s12903-018-0678-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Accepted: 11/27/2018] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Molar incisor hypomineralization (MIH) is an alarming problem with considerable challenges in management. This study aimed to evaluate and compare the knowledge, perceptions, and clinical experiences of molar incisor hypomineralization (MIH) between general dental practitioners (GDPs) and paediatric dentists (PDs) in Hong Kong. METHODS A cross-sectional survey of 557 randomly selected GDPs (approximately 25% of all registered dentists) and all registered PDs (n = 31) were invited. They were asked to complete a 4-section questionnaire adapted and modified from a study by Gambetta-Tessini and co-workers on sociodemographic profiles, knowledge, experience, and perceptions regarding MIH. Data were analyzed with chi-square, Fisher's exact, and multiple factor ANCOVA tests. RESULTS The overall response rate was 43.37% (255/588). Majority (74.1%) of the respondents encountered MIH in their practices. A significantly higher mean knowledge score (46.33 ± 7.1) was observed among PDs than GDPs (43.09 ± 7.0) (P < 0.01) and among PDs who are 40 years old or younger (P < 0.001). Differences in treatment of MIH were also observed between PDs and GDPs (P < 0.05). Paediatric dentists were more confident in diagnosing and treating MIH (P < 0.001). Most respondents (87.8%) expressed a need for continuing education on MIH. CONCLUSION Continuing education on MIH is needed to assure that the highest quality of evidence-based care is given to patients with MIH. Dissemination of latest best evidence on MIH, especially to GDPs, will assure that the condition is accurately diagnosed and well managed.
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Affiliation(s)
- Gianina Camille Sicangco Gamboa
- Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR China
| | - Gillian Hiu Man Lee
- Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR China
| | - Manikandan Ekambaram
- Paediatric Dentistry, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Cynthia Kar Yung Yiu
- Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong, SAR China
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Pereira FA, de Mendonça IA, Werneck RI, Moysés ST, Gabardo MC, Moysés SJ. Human Development Index, Ratio of Dentists and Inhabitants, and the Decayed, Missing or Filled Teeth Index in Large Cities. J Contemp Dent Pract 2018; 19:1363-1369. [PMID: 30602642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
AIM This study aimed to investigate the associations between human development and the demographic ratio of dentists with the prevalence of dental caries at 12 years of age in large Brazilian cities. MATERIALS AND METHODS Data were collected from 27 state capitals, Secondary databases were used: the municipal human development index (MDHI); the ratio of dentists qualified to exercise their profession according to the number of inhabitants; and the decayed, missing or filled teeth index (DMFT). Pearson correlation coefficient analysis and multiple logarithmic regression analysis were performed. RESULTS The MDHI showed a strong correlation with DMFT and explained 48.1% of the variation in the cities. The ratio of dentists to the number of inhabitants displayed an insignificant, weak correlation with the variations in the DMFT. CONCLUSION Social factors strongly influence the oral health/ disease process in Brazilian capitals, thus actions are needed for the promotion of health at more distal, or structural levels that modify the environment, thus enabling healthier choices for individuals. These results challenge traditional beliefs that only the ratio of professional dentists to inhabitants and the provision of dental services have beneficial effects on the prevention and control of oral health problems. CLINICAL SIGNIFICANCE The prevalence of dental caries is strongly correlated with social factors, as the MDHI.
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Affiliation(s)
- Fabio A Pereira
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, Curitiba, Paraná, Brazil
| | - Iranilda A de Mendonça
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, Curitiba, Paraná, Brazil
| | - Renata I Werneck
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, Curitiba, Paraná, Brazil
| | - Simone T Moysés
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, Curitiba, Paraná, Brazil
| | - Marilisa Cl Gabardo
- School of Health and Biological Sciences, Universidade Positivo, Rua Prof. Pedro Viriato Parigot de Souza, Curitiba, Paraná, Brazil, Phone: +55 41 3526-5121, e-mail:
| | - Samuel J Moysés
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, Curitiba, Paraná, Brazil
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Isett KR, Rosenblum S, Barna JA, Hicks D, Gilbert GH, Melkers J. Missed Opportunities for Detecting Alternative Nicotine Product Use in Youth: Data From the National Dental Practice-Based Research Network. J Adolesc Health 2018; 63:587-593. [PMID: 30348281 PMCID: PMC7249256 DOI: 10.1016/j.jadohealth.2018.06.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 05/27/2018] [Accepted: 06/07/2018] [Indexed: 11/24/2022]
Abstract
PURPOSE With growing rates of youth e-cigarette and hookah use, and the fact that use of these products is difficult to detect, surveillance and early detection efforts need to be reassessed. Physicians and pediatricians both report that their level of knowledge about these products is low. Given that over 80% of youth have had dental visits in the past year and that the effects of nicotine use are visible early in routine dental examinations, it is likely that dental professionals are well positioned to play a critical role in detection. Currently, the knowledge about alternative nicotine among practicing dental clinicians is unknown. METHODS One thousand seven hundred and twenty-two dental professionals in community practice in the United States National Dental Practice-Based Research Network responded to a survey in the summer/fall of 2016. These data were supplemented with network membership enrollment data, and the American Community Survey, and were analyzed using descriptive statistics, measures of association, and logistic regression. RESULTS Only 25%-36% of dental professionals feel knowledgeable about the most common types of alternative nicotine products, including e-cigarettes and hookahs. Thirty-eight percent of respondents reported not screening at all for e-cigarettes. CONCLUSIONS A substantial percentage of dental professionals do not have a working understanding of alternative nicotine products, nor are aware of their patients' use rates. Better access to information and training on alternative nicotine products could provide an opportunity to improve surveillance for early use of these products in youth populations.
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Affiliation(s)
- Kimberley R Isett
- Georgia Institute of Technology School of Public Policy, Atlanta, Georgia.
| | - Simone Rosenblum
- Georgia Institute of Technology School of Public Policy, Atlanta, Georgia
| | | | - Diana Hicks
- Georgia Institute of Technology School of Public Policy, Atlanta, Georgia
| | - Gregg H Gilbert
- University of Alabama at Birmingham, School of Dentistry, Birmingham, Alabama
| | - Julia Melkers
- Georgia Institute of Technology School of Public Policy, Atlanta, Georgia
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Sarode SC, Sarode GS, Gaikwad T, Patekar D, Gadbail A, Gondivkar S, Panta P, Patil S. Usage Analysis of WhatsApp for Dentistry-related Purposes among General Dental Practitioners. J Contemp Dent Pract 2018; 19:1267-1272. [PMID: 30498184 DOI: 10.5005/jp-journals-10024-2415] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
INTRODUCTION To assess the knowledge and extent of WhatsApp usage for dentistry related purposes among general dental practitioners (GDPs). MATERIALS AND METHODS A cross-sectional study was conducted among 105 randomly selected GDPs from Pune, Maharashtra, India. Data was collected in a personalized manner by means of validated questionnaire. Results and observations: A total of 105 dentists participated in the survey: 96.19% of dentists had WhatsApp installed in their phones; 67.32% of dentists sought second opinion on WhatsApp; 60.29% of dentists received prompt replies, while 38.23% received late replies; 98.52% of dentists sent clinical photographs and radiographs for second opinion. 88.11% of dentists were a part of various 'dentistry related groups' and 72.27% of dentists told that patients ask their queries on WhatsApp. 36.76% of GDPs obtained verbal consent from the patients for sending clinical materials for second opinion. Majority of population of GDPs 63.23% (43) did not obtain any form of consent from the patients. CONCLUSION Majority of GDPs uses WhatsApp for 'dentistry related purposes' and it has become an integral part of their day-to-day practice. GDPs should obtain written consent before sending clinical materials for second opinion. CLINICAL SIGNIFICANCE Till date, the extent of WhatsApp usage by general dental practitioners was not reported in the literature. It appears that, WhatsApp application has become an integral part of general dental practice in India. By virtue of this, obtaining second opinion, taking appointments and solving queries of patients are no longer a time consuming events. In future, instant messaging services might play major role in providing efficient services in health care industry.
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Affiliation(s)
- Sachin C Sarode
- Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India, Tel.: +919823871462, e-mail:
| | - Gargi S Sarode
- Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India
| | - Trupti Gaikwad
- Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India
| | - Deepali Patekar
- Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India
| | - Amol Gadbail
- Department of Dentistry, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India
| | - Shailesh Gondivkar
- Department of Oral Medicine and Radiology, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Prashanth Panta
- Department of Oral Medicine and Radiology, MNR Dental College and Hospital, Sangareddy, Telangana, India
| | - Shankargouda Patil
- Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
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Rawat P, Goswami RP, Kaur G, Vyas T, Sharma N, Singh A. Knowledge, Attitude, and Behavior toward Evidence-based Dentistry among Dental Professionals in Jodhpur Rajasthan, India. J Contemp Dent Pract 2018; 19:1140-1146. [PMID: 30287718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Rendering quality care to the patient, dentists needs to update their skills and knowledge with latest diagnostics and treatment modalities. Evidence-based dentistry can provide best-known treatments. AIM To assess knowledge, attitude, and practice of oral healthcare professionals toward evidence-based dentistry among dental professionals. MATERIALS AND METHODS A cross-sectional study was conducted for a period of 3 months from April 2017 to June 2017 in Jodhpur city, Rajasthan, India. The data were collected by using closed-ended questionnaires. A total of 240 study subjects participated in the survey, which include dental practitioners and dentists attached to the two private dental colleges in the Jodhpur. Chi-square test was used to determine significant difference among the three groups. RESULTS Statistically significant difference among the three groups (academicians, practitioners, and academicians into dental practice) was found with regard to awareness of dentists about extracting journals, review publications, and databases relevant in carrying out evidence-based practice (EBP); 72.4% of academician felt lack of personal time was one of the major perceived barriers and about 50.7% of academician believe that learning skills of evidence-based dentistry helps them to utilize evidence-based dentistry in daily practice. CONCLUSION Majority of the oral health practitioners were not aware about the concept of evidence-based dentistry. The regulatory body of dental sciences in India should make some necessary changes in the dental curriculum to include the concept of evidence-based dentistry in detail. CLINICAL SIGNIFICANCE To improve the clinical expertise of the dental professional, to aid dental professional to reach best decision regarding dental treatment of the patient, to improve patient safety, and to improve the success rate of dental treatments, evidence-based dentistry should be the integral part of everyday dental practice.
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Affiliation(s)
- Parul Rawat
- Department of Pedodontics and Preventive Dentistry, Pacific Dental College & Hospital, Udaipur, Rajasthan, India
| | - Rahul P Goswami
- Department of Dentistry, Jawaharlal Nehru Medical College Ajmer, Rajasthan, India, Phone: +91941374320, e-mail:
| | - Gagandeep Kaur
- Department of Pedodontics and Preventive Dentistry, College of Dental Sciences, Amargadh, Gujarat, India
| | - Tarun Vyas
- Department of Oral Medicine and Radiology, R.R. Dental College & Hospital, Udaipur, Rajasthan, India
| | - Neha Sharma
- Department of Conservative Dentistry and Endodontics, Kalka Dental College & Hospital, Meerut, Uttar Pradesh, India
| | - Abhinav Singh
- Department of Orthodontics and Dentofacial Orthopedics Divya Jyoti College of Dental Sciences & Research, Modinagar Uttar Pradesh, India
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Kapoor D, Bhatia S, Garg D. Assessment of the Attitude and Knowledge of the Principles and Practices of Orthodontic Treatment Among the Non-orthodontic Specialists and General Practitioner Dentists. JNMA J Nepal Med Assoc 2018. [PMID: 30387466 PMCID: PMC8827549 DOI: 10.31729/jnma.3674] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Introduction General practitioner dentists and non-orthodontic specialties ought to have the knowledge of the basic principles and practices of orthodontics in order to educate the patients, diagnose their problems correctly and for proper referral. The objective of the present study is to assess the attitude and knowledge of the general practitioner dentists and non-orthodontic specialists towards the basic principles and practices of orthodontics. Methods This study was performed by presenting a closed questionnaire to a total of 78 participants out of which 46 were general practitioners and 32 were non-orthodontic specialists. A questionnaire consisting of a total of 21 questions was distributed and each question was allocated 0.5 marks for correct response whereas no deduction for wrong answer. Results In this present study, the total mean score of the evaluation of the questionnaire came out for general practitioner dentist and the non-orthodontic dental specialists was 13.92 and 16.69 respectively. The present study showed a statistically highly significant knowledge and attitude difference between Group A and Group B ( P<0.001). Conclusions This study shows a need for a increased clinically oriented education in the undergraduate courses and a multi-disciplinary inter department seminar presentations and forums set up for the post graduation courses for them to understand the scope of each other's specialties.
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Affiliation(s)
- Deepika Kapoor
- Department of Pedodontics, College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal
- Correspondence: Dr. Deepika Kapoor, Department of Pedodontics, College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal, , Phone: +977-9811541778
| | - Sandeep Bhatia
- Department of Orthodontics and Dentofacial Orthopedics, Daswani Dental College, Kota, Rajasthan
| | - Deepanshu Garg
- Department of Oral Medicine and Radiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal
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Garus-Pakowska A, Górajski M, Gaszyńska E. Occupational Safety and Hygiene of Dentists from Urban and Rural Areas in Terms of Sharp Injuries: Wound Structure, Causes of Injuries and Barriers to Reporting-Cross-Sectional Study, Poland. Int J Environ Res Public Health 2018; 15:E1655. [PMID: 30081539 PMCID: PMC6121448 DOI: 10.3390/ijerph15081655] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 07/29/2018] [Accepted: 08/02/2018] [Indexed: 11/26/2022]
Abstract
(1) Background: Frequent contact of the dentist with potentially infectious material (PIM) is undeniable. The aim of the study was to determine the frequency and type of injuries, as well as to identify barriers to reporting and barriers to the implementation of post-exposure prophylaxis (PEP) among dentists from urban and rural areas. (2) Methods: We surveyed 192 dentists using an anonymous questionnaire. (3) Results: During the 12 months preceding the survey, 63% of dentists from the village and 58.8% of dentists from the city suffered at least one superficial cut, and deep cuts 15.1% and 17.6% respectively. Contact with PIM through spitting on the conjunctiva was 58.9% and 52.1% (village vs. city). Needle stick injuries were 50.4% and fingers were affected in 48.8% cases. The causes of injuries were: inattention 54.7%, rush 27%, unpredictable behavior of the patient 19%, recapping 18.2%. Work in the countryside was associated with a 1.95-times greater chance of not reporting injuries. The distance from a hospital with antiretroviral treatment may be a barrier to the implementation of PEP. (4) Conclusion: The circumstances of the injuries and the reasons for not applying for antiretroviral treatment point to the areas of necessary dentist education in this topic.
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Affiliation(s)
- Anna Garus-Pakowska
- Department of Hygiene and Health Promotion, Medical University of Lodz, 90-647 Lodz, Poland.
| | - Mariusz Górajski
- Department of Econometrics, Faculty of Economics and Sociology, University of Lodz, 90-214 Lodz, Poland.
| | - Ewelina Gaszyńska
- Department of Hygiene and Health Promotion, Medical University of Lodz, 90-647 Lodz, Poland.
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Abstract
BACKGROUND Oral diseases affect most of the global population. The aim of this paper was to provide a contemporary analysis of 'human resources for oral health' (HROH) by examining the size and distribution of the dental workforce according to World Health Organization (WHO) region and in the most populous countries. METHOD Publically available data on HROH and population size were sourced from the WHO, Central Intelligence Agency, United Nations, World Bank and the UK registration body. Population-to-dentist and dental-workforce ratios were calculated according to WHO region and for the 25 most populous countries globally. Workforce trends over time were examined for one high-income country, the UK. RESULTS The majority of the world's 1.6 million dentists are based in Europe and the Americas, such that 69% of the world's dentists serve 27% of the global population. Africa has only 1% of the global workforce and thus there are marked inequalities in access to dental personnel, as demonstrated by population to dental-workforce ratios. Gaps exist in dental-workforce data, most notably relating to mid-level clinical providers, such as dental hygienists and therapists, and HROH data are not regularly updated. Workforce expansion and migration may result in rapid changes in dentist numbers. CONCLUSION Marked inequalities in the distribution of global HROH exist between regions and countries, with inequalities most apparent in areas of high population growth. Detailed contemporary data on all groups of HROH are required to inform global workforce reform in support of addressing population oral health needs.
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Affiliation(s)
| | - Lynn Hutchinson
- Population and Patient Health, King’s College London Dental Institute, London, UK
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Hermanson BP, Burgdorf GC, Hatton JF, Speegle DM, Woodmansey KF. Visual Fixation and Scan Patterns of Dentists Viewing Dental Periapical Radiographs: An Eye Tracking Pilot Study. J Endod 2018; 44:722-727. [PMID: 29551205 DOI: 10.1016/j.joen.2017.12.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Revised: 12/17/2017] [Accepted: 12/26/2017] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The visual search patterns of dentists and the areas that attract their attention when interpreting dental periapical radiographs are currently unknown. This research identifies areas and patterns of visual fixation when observing dental periapical radiographs. METHODS In an observational study using eye tracking technology and a convenience sample of 44 observers, the interpretations of 4 dental periapical radiographs were recorded using Camtasia Software (TechSmith, Okemos, MI) with a gaze tracking "bubble" denoting where within the radiograph the observers' eyes gazed. The recorded observations included the scanning pattern, the area of first fixation, and revisits of areas. Also noted was whether the area of first fixation or revisit was radiopaque, radiolucent, or of normal radiodensity and whether it was a coronal or radicular area. RESULTS The first fixation is more likely to be an area of high contrast that is either radiopaque or radiolucent compared with areas that were normal or of average gray scale. Significantly more revisits occurred on areas that were radiopaque and located in the radicular area. Of the 4 categorized scanning patterns, tooth by tooth scanning predominated. CONCLUSIONS When interpreting dental periapical radiographs, significantly more observers initially fixated on areas of the radiograph that were of high contrast (ie, radiopaque or radiolucent) compared with "normal areas." A tooth by tooth scanning pattern was most commonly used.
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Affiliation(s)
| | | | - John F Hatton
- Center for Advanced Dental Education, Saint Louis University, St Louis, Missouri
| | - Darrin M Speegle
- Mathematics and Statistics, Saint Louis University, St Louis, Missouri
| | - Karl F Woodmansey
- Center for Advanced Dental Education, Saint Louis University, St Louis, Missouri.
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Pham L, Tanbonliong T, Dizon MB, Huang A, Cooke M. Trends in General Anesthesia Utilization by Board-Certified Pediatric Dentists. Pediatr Dent 2018; 40:124-130. [PMID: 29663913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
PURPOSE The purpose of this study was to explore the trends and utilization of general anesthesia services among board-certified pediatric dentists practicing in the United States. METHODS A 26 item survey was sent to 4,216 board-certified pediatric dentists by REDCap or mail. Results were tabulated, and trends were analyzed. RESULTS A response rate of 31.8 percent was obtained. All American Academy of Pediatric Dentistry districts were represented proportionally. Most respondents (87 percent) reported using general anesthesia (GA) in their practices. Those who used GA, 50.4 percent reported using a hospital setting, and 60.5 percent used a physician anesthesiologist. Endotracheal intubation was the most common (88.5 percent) method of anesthesia delivery. Most diplomates (62.6 percent) favored dental anesthesiology as a recognized specialty by the American Dental Association. CONCLUSIONS The majority of American Board of Pediatric Dentistry diplomates used general anesthesia in their practice. The preferred modality of delivery is oral/nasal intubation, with most services provided by physician anesthesiologists in a hospital/ambulatory setting. Physician anesthesiologists are inclined to provide care in a hospital-based setting. Dentist anesthesiologists provided care in the dental office. Most respondents support dental anesthesiology as a recognized specialty of the American Dental Association.
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Affiliation(s)
- Lan Pham
- Clinical Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif., USA
| | - Thomas Tanbonliong
- Clinical Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif., USA.
| | - Marie Beverly Dizon
- Clinical Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif., USA
| | - Annie Huang
- Clinical Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif., USA
| | - Matthew Cooke
- School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA
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Nett RJ, Cummings KJ, Cannon B, Cox-Ganser J, Nathan SD. Dental Personnel Treated for Idiopathic Pulmonary Fibrosis at a Tertiary Care Center - Virginia, 2000-2015. MMWR Morb Mortal Wkly Rep 2018. [PMID: 29518070 PMCID: PMC5844279 DOI: 10.15585/mmwr.mm6709a2] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
In April 2016, a Virginia dentist who had recently received a diagnosis of idiopathic pulmonary fibrosis (IPF) and was undergoing treatment at a specialty clinic at a Virginia tertiary care center contacted CDC to report concerns that IPF had been diagnosed in multiple Virginia dentists who had sought treatment at the same specialty clinic. IPF is a chronic, progressive lung disease of unknown cause and associated with a poor prognosis (1). Although IPF has been associated with certain occupations (2), no published data exist regarding IPF in dentists. The medical records for all 894 patients treated for IPF at the Virginia tertiary care center during September 1996-June 2017 were reviewed for evidence that the patient had worked as a dentist, dental hygienist, or dental technician; among these patients, eight (0.9%) were identified as dentists and one (0.1%) as a dental technician, and each had sought treatment during 2000-2015. Seven of these nine patients had died. A questionnaire was administered to one of the living patients, who reported polishing dental appliances and preparing amalgams and impressions without respiratory protection. Substances used during these tasks contained silica, polyvinyl siloxane, alginate, and other compounds with known or potential respiratory toxicity. Although no clear etiologies for this cluster exist, occupational exposures possibly contributed. This cluster of IPF cases reinforces the need to understand further the unique occupational exposures of dental personnel and the association between these exposures and the risk for developing IPF so that appropriate strategies can be developed for the prevention of potentially harmful exposures.
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Raghuvanshi M, Sinha S, Mohiddin G, Panda A, Dash KC, Bhuyan L. Awareness of Biomedical Waste Management among Dentists associated with Institutions and Private Practitioners of North India: A Comparative Study. J Contemp Dent Pract 2018; 19:273-277. [PMID: 29603697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM The present study aimed to obtain information about knowledge, execution, and attitude toward biomedical waste (BMW) and its management. MATERIALS AND METHODS In the present study, a self-administered closed-ended questionnaire was designed to conduct a cross-sectional survey. It was distributed among 614 dentists (institution associated or private practitioners) in the cities of North India. The questionnaire comprised 36 questions regarding knowledge, execution, and attitude toward BMW and its management. Frequency distribution and chi-square test along with paired t-test were used to compare the data obtained between the private practitioners and institution-associated dentists. RESULTS The study showed that 80% private practitioners were aware of the categories of BMW as compared with 100% of institution-associated dentists. However, 41% dentists associated with institution were disposing the chemical waste directly into sewer and a surprising high number of private practitioners were discarding directly without any treatment. Furthermore, regarding the mandatory maintenance of BMW records, 100% institution-associated respondents were aware, whereas only 6.5% private practitioners knew about it. Regarding BMW management not frequently being followed, 78% of private practitioners believed extra burden as the reason. CONCLUSION Most of the dentists had adequate knowledge regarding BMW policies and its management. Although it was being practiced in mostly all the institutes on a regular basis, the majority of private practitioners were not practicing it due to various reasons, such as financial burden, lack of availability of service, and poor attitude toward its management. CLINICAL SIGNIFICANCE There is a need to make it compulsory and organize training sessions to educate the dental personnel and to establish the importance of proper management.
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Affiliation(s)
- Malvika Raghuvanshi
- Department of Oral Pathology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India, e-mail:
| | - Shruti Sinha
- Department of Oral Pathology, Saraswati Dental College Lucknow, Uttar Pradesh, India
| | - Gouse Mohiddin
- Department of Oral Pathology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
| | - Abikshyeet Panda
- Department of Oral Pathology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
| | - Kailash C Dash
- Department of Oral Pathology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
| | - Lipsa Bhuyan
- Department of Oral Pathology, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
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Al-Shehri Z, Al Zoughool M. Prevalence and risk factors of musculoskeletal symptoms among dental students and dental practitioners in Riyadh City, Saudi Arabia. Arch Environ Occup Health 2018; 73:56-63. [PMID: 28409663 DOI: 10.1080/19338244.2017.1299085] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 02/19/2017] [Indexed: 06/07/2023]
Abstract
This study assessed the nature, prevalence, and risk factors of musculoskeletal symptoms (MS) in dental clinics. A self-administered questionnaire was completed by 515 dental students and dentists about nature of work and prevalence and frequency of MS symptoms. Chi-square and logistic regression were used to determine the association of MS with a number of important variables. Pain in the lower back (64%) and neck (60%) were the most prevalent MS. Working in the dental colleges' clinics was associated with increased risk of MS (adjusted OR 2.30, 95% CI [1.27, 4.18]). A stronger association was observed for dentists working in the private clinics (adjusted OR 2.58, 95% CI [1.28, 5.17]). Female dentists were at more risk of MS than male participants (OR 1.63, 95% CI [1.02, 2.59]). The higher risk of reported MS symptoms in women and for those working in the dental colleges and private clinics underscores the importance of recognition and prevention of MS symptoms even early in the dental profession.
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Affiliation(s)
- Zaina Al-Shehri
- a Department of Community and Environmental Health , King Saud Bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia
| | - Mustafa Al Zoughool
- a Department of Community and Environmental Health , King Saud Bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia
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Acharya A, Schroeder D, Schwei K, Chyou PH. Update on Electronic Dental Record and Clinical Computing Adoption Among Dental Practices in the United States. Clin Med Res 2017; 15:59-74. [PMID: 29229631 PMCID: PMC5849439 DOI: 10.3121/cmr.2017.1380] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Revised: 11/08/2017] [Accepted: 11/21/2017] [Indexed: 11/18/2022]
Abstract
This study sought to re-characterize trends and factors affecting electronic dental record (EDR) and technologies adoption by dental practices and the impact of the Health Information Technology for Economic and Clinical Health (HITECH) act on adoption rates through 2012. A 39-question survey was disseminated nationally over 3 months using a novel, statistically-modeled approach informed by early response rates to achieve a predetermined sample. EDR adoption rate for clinical support was 52%. Adoption rates were higher among: (1) younger dentists; (2) dentists ≤ 15 years in practice; (3) females; and (4) group practices. Top barriers to adoption were EDR cost/expense, cost-benefit ratio, electronic format conversion, and poor EDR usability. Awareness of the Federal HITECH incentive program was low. The rate of chairside computer implementation was 72%. Adoption of EDR in dental offices in the United States was higher in 2012 than electronic health record adoption rates in medical offices and was not driven by the HITECH program. Patient portal adoption among dental practices in the United States remained low.
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Affiliation(s)
- Amit Acharya
- Center for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
| | - Dixie Schroeder
- Center for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
| | - Kelsey Schwei
- Center for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
| | - Po-Huang Chyou
- Biomedical Informatics Research Center, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
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Affiliation(s)
- Marko Vujicic
- chief economist and vice president, Health Policy Institute, American Dental Association, Chicago, Illinois
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