Dental Facilities Research Articles

Maternal and child oral health barriers and solutions: Case studies from South Africa, Brazil, and Indonesia.

The World Federation of Public Health Associations (WFPHA) has introduced a maternal oral health framework and launched its Global Maternal and Child Oral Health Initiative, advocating for maternal and child health as a strategic entry point for oral health to be integrated into primary healthcare systems. This article delves into maternal oral health initiatives in South Africa, Brazil, and Indonesia, exploring challenges and proposing context-specific solutions aligned with the WFPHA maternal oral health framework and its Global Maternal and Child Oral Health Initiative. The apartheid legacy in South Africa has led to the gross health inequalities, including oral health disparities characterized by maldistribution of dental facilities and dental professionals in the public sector. The proposed objectives focus on effective leadership, human resource capacity building, and integration of maternal and child oral health policy into existing health policies. Brazil faces challenges in reaching pregnant women, especially pregnant teens, due to workforce shortages. Brazil's Oral Health National Program mandates all pregnant women undergo at least one dental appointment, but a shortage of oral health teams persists and impedes timely access to dental care during pregnancy. Dental students' outreach to vulnerable pregnant teens can enhance the future oral health workforce's sensitivity to maternal oral health matters. In Indonesia, the Antenatal Care Innovative (iANC) Project has introduced a co-training model for midwives and oral health professionals addressing oral health needs of mothers and their spouses and fostering a comprehensive understanding of the interplay between oral health and maternal well-being. These country cases demonstrate the importance of tailored policies, health promotion, and care delivery interventions in maternal oral health. All cases highlight the importance of workforce training and distribution, fostering cross-disciplinary collaboration and future oral health workforce who can promote health beyond treatment delivery.

A Three Delays theoretical framework to describe social determinants as barriers to dental care.

The Three Delays model is a well-established global public health framework for the utilization of obstetric services where each delay represents a series of factors affecting utilization: (1) Delay #1-Deciding to seek care, (2) Delay #2-Reaching an appropriate facility and (3) Delay #3-Receiving adequate care. The aim of this qualitative study was to explore the application of the Three Delays model to dental service utilization and describe factors attributed to delayed utilization within this framework. This study utilized a framework analysis, underpinned by the Three Delays model, to examine delays in dental care utilization. A criterion purposive sample of English-speaking adults (18+ years) in Massachusetts and Florida, USA with limited dental care access was recruited. Data were collected via semi-structured interviews conducted in two phases: 17 individual interviews, followed by interviews with a subset of five participants over 3 months (a total of 18 interviews). The analysis involved inductive thematic coding and systematic organization within the framework. Major themes and subthemes were constructed from the participants' narratives, identified and categorized as factors in the Three Delays framework. Each of the delays was interrelated to the other two, and Delay #1 was the most common delay based on the participants' interviews. The themes and subthemes contributing to one or more delays included interpersonal communication, prior dental experience, financial considerations, childcare costs, social connection, technology literacy, time constraints, competing priorities, stressors such as eviction and immigration status and microaggressions including racism and stigma. The Three Delays model was applicable to the study of dental care utilization and factors that impact the decision to seek dental care, reaching an appropriate dental facility and receiving adequate dental care in this study context.

Revolutionizing Dental Health Care: An In-Depth Exploration of Technological Advancements

AbstractThe present scenario caused by the coronavirus disease 2019 pandemic—and the recession in the dental industry—a newer approach modality is on every dentist's mind. As the future is always questionable in the present situation, we can expect remarkable changes in the dental field, which will revolutionize dental health care facilities worldwide. Several upcoming trends are introduced every year. Recent studies demonstrate that in the future dental field will be presented with exciting new technologies, improved business practices, and novel ways to optimize patient experience, and even nanorobotic dentistry will be in practice.Future dentistry is expected to have more innovation as it is adopting the latest technologies and facilitating the growth of global dentistry. This is because the increasing frequency of the treatment of dental disorders and related risk factors, combined with the introduction of advanced technology will be some of the major factors driving technological growth over the next few years.This article communicates the newer changes taking place in dentistry which will have an impact on the future dental field.

Effects of simulation-based flipped classroom in developing head and neck examination skills in dental students.

To evaluate the effectiveness of a simulation-based flipped classroom in developing dental students' head and neck examination skills. Second-year dental students (n=118) participated in a simulation-based flipped classroom experience. A pre-class recorded lecture and video were posted online one week before the simulation date. In class, students completed a pre-quiz assessing pre-class coursework understanding of head and neck examination content. Then, students attended a question-and-answer session before the patient simulation. A formative assessment of head and neck examination simulation on a patient in the clinic was completed. Lastly, students completed an in-class post-quiz assessing understanding of head and neck examination content after the simulation, classroom simulation discussion, and open-response survey. Student post-quiz scores were significantly higher than pre-quiz scores, with an average improvement of 4.8 ± 7.2 percentage points. There was no difference between male and female improvement in scores. Student survey responses indicated that students liked combining simulation and flipped classroom methodology, flexibility with their schedules, learning at their pace, and opportunities for a deeper level of learning. Students reported wanting more practice sessions for their technical skills and more accessibility to faculty. According to this study's results, students had significantly higher post-quiz scores than pre-quiz scores and reported positive perceptions of this combined teaching technique. A simulation-based flipped classroom might be an effective teaching approach for developing head and neck examination skills that can be applied at other dental facilities with potentially similar results.

Evaluation of medical equipment maintenance and skilled manpower requirement among private dental centres in Riyadh, Saudi Arabia: A pilot study.

Adequate equipment maintenance is necessary to ensure efficient dental care facilities and satisfactory medical equipment performance. This study aimed to assess maintenance practices and manpower adequacy in private dental centres (DCs) across Riyadh, Saudi Arabia. A questionnaire was designed to evaluate equipment maintenance and manpower strength based on international and national standards. Thirty-three private DCs were visited in-person with the designed questionnaire to conduct the study. The Chi-square test and t-test were performed. Only 21 dental centres had a scheduled maintenance plan for medical equipment, whereas the rest had no plan. Furthermore, only 22 DCs maintained equipment maintenance records, while 11 DCs did not have any records. Additionally, the study found a lack of trained personnel to handle medical equipment and overall inadequate maintenance practices. Significant differences were observed between the responses for many questions (p< 0.05). These findings increase health risks to both the patient and the user. To address these issues, DC administrators should implement stricter measures to adhere to local DCs standards and hire qualified personnel who can periodically maintain and repair medical equipment.

The Role of Teleconsultations in Remote Oral Radiology Interpretation.

Teleconsultations have gained prominence as a viable method for delivering medical services remotely. In oral radiology, the ability to interpret radiographic images accurately is crucial for diagnosing and treating various dental conditions. The use of teleconsultations in this domain holds promise for extending specialized care to patients who are geographically distant from dental healthcare facilities. A total of 50 patients' oral radiographic images were collected for analysis in this study. These images were obtained from diverse geographical locations, showcasing the applicability of teleconsultations. Two groups of dental professionals, one conducting in-person evaluations and the other performing remote interpretations through teleconsultations, participated in the study. The radiographic findings were assessed for concurrence between the two groups. Statistical analysis included the calculation of P values to determine the level of agreement between the in-person and teleconsultation interpretations. The results of this study revealed a substantial level of agreement between in-person and teleconsultation interpretations of oral radiographic images. The calculated P values indicated a statistically significant concordance between the two evaluation methods (P < .05). This suggests that teleconsultations can be a reliable approach for oral radiology interpretation, offering comparable results to traditional in-person evaluations. In conclusion, teleconsultations have demonstrated their potential as an effective means of interpreting oral radiographic images remotely.

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey.

Oropharyngeal throat packs (OPTPs) are frequently used to administer general anesthesia during oral surgery and dental procedures. However, the use of OPTPs has remained controversial, with concerns about their effectiveness, the potential for falling short of expectations, and the inherent risk of serious oversight in removing them. This study aimed to assess the awareness of dental anesthesiologists in the United States of America(USA) and Japan regarding the use of OPTPs. An online questionnaire was distributed to 41 dental anesthesia education facilities in May 2023and responses were obtained from 32 facilities. The responses to the questionnaire indicated that dental anesthesiologists in both the USA and Japan believe that using OPTPs during general anesthesia with airway securement is of significant importance, albeit with varying primary purposes for their application. In contrast, notable disparities were observed between the USA and Japan regarding the perceived importance and routine use of OPTPs during open-airway general anesthesia. In both countries, there is a common understanding that the residual risks of OPTPs are severe and that multiple preventive procedures are required. The present study showed that dental anesthesiologists in the USA and Japan believed that the use of OPTPs was generally necessary for dental anesthesia. However, there was a difference in awareness between Japan and the USA regarding the importance of OPTPs for open-airway general anesthesia. Therefore, there should be a consensus among dental anesthesiologists in Japan and the USA on using OPTPs during open-airway general anesthesia in the near future.

Effects of different orthodontic appliances on Actinomyces spp.

This study aims to identify the presence of Actinomyces species in the oral flora during orthodontic treatments using removable appliances and fixed wire technique, and to track changes throughout the treatment process. In this study, subgingival and supragingival plaque samples obtained from 48 patients undergoing orthodontic treatment at a dental facilities of Ataturk University, Türkiye were utilized as the primary material. The study groups comprised individuals undergoing fixed orthodontic treatment, those using removable appliances, and individuals who had not undergone any orthodontic treatment. Plaque samples were collected from the patients at the initiation of treatment and six months thereafter. After selective culturing in a specific medium, dental plaque samples were purified and subjected to microbial analysis using the VITEK 2 system (Biomerieux). The study aimed to identify and compare the microbial content of plaque samples from different orthodontic treatment groups. Actinomyces species were identified in all groups at both the initiation of treatment (T0) and six months later (T1) periods. At the beginning of treatment, Actinomyces species were found in 33 samples, while at six months, they were present in 18 samples. The curent study revealed similar microorganisms among the groups at both T0 and T1 periods. The Actinomyces species identified in this study include Actinomyces meyeri, Actinomyces naeslundii, and Actinomyces odontolyticus. It is evident that orthodontic treatments significantly impact oral health and that Actinomyces microorganisms are always likely to be present in the oral flora. Asian J. Med. Biol. Res. 2024, 10(1), 1-8

Comparison of Periodontal Status between Koraga Tribes and Malavettuvan Tribes in Kasargod District of Kerala: A Cross-sectional Study

Introduction: The lack of a healthcare system is one of the serious problems among the Koragas. The Koraga tribal community in the Kasargod district has a community health center in the area, but it lacks advanced medical and dental facilities, making it difficult for them to seek treatment in the few private hospitals in the area due to their economic backwardness. The Malavettuvan tribes are distributed only in the ghat areas of the Kasaragod District of Kerala. Their major occupation is agriculture, and they are educationally, economically, and socially backward. Aim: To compare the periodontal status of the Koraga and Malavettuvan tribes of the Kasargod district. Materials and Methods: This cross-sectional study was conducted among randomly selected 304 participants from both Koraga and Malavettuvan tribes aged 35-55 years. Clinical parameters such as the oral hygiene index, Community Periodontal Index (CPI), and loss of attachment were measured. A questionnaire was used to assess the oral hygiene habits, lifestyle, and other habits of the populations. Statistical analysis was carried out using the Mann-Whitney U-test. Results: The results of the present study showed a significant difference in the oral hygiene index (Median OHI of Koraga-0.40, Malavettuvan-1.20 respectively, p-value &lt;0.001) and CPI (Median CPI of Koraga-0.60, Malavettuvan-1.50, respectively, p-value &lt;0.001) between both groups, while there was no difference in the loss of attachment (p-value-0.991). The majority of the Koragas and Malavettuvans used toothbrush and toothpaste as cleaning aids (70.06% and 78.28%, respectively). Smokeless tobacco was prevalent among Koragas compared to Malavettuvans (36.18% and 29.60%, respectively), while cigarette smoking was more common among Malavettuvans (50.98% and 42.10% for Koragas and Malavettuvans, respectively). Conclusion: Even though the Koragas and Malavettuvans do not routinely seek dental care and have a primitive lifestyle with less formal education, a lower level of periodontal disease was observed among both groups. There is a need to promote more healthcare programs that emphasise oral health among these populations.

Risk of SARS-CoV-2 infection in dental healthcare workers - a systematic review and meta-analysis.

Mounting evidence supports an association between the use of personal protective equipment (PPE) and the risk of infection from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in dental healthcare workers (DCW). However, the prevalence and incidence of SARS-CoV-2 infections in the setting of dental care remains poorly characterized. A systematic review and meta-analysis of studies published prior to Mai 2023 providing epidemiological data for the occurrence of SARS-CoV-2 in DCW was performed. A random-effects model was used to calculate pooled estimates and odds ratios (ORs) with corresponding 95% confidence intervals (CIs). The associated factors were narratively evaluated. Risk of bias was assessed using the Joanna Briggs Institute tool for prevalence studies. Twenty-nine eligible studies were identified including a total of 85,274 DCW at risk; 27 studies met the criteria for the meta-analysis. Among the included DCW, the overall prevalence of SARS-CoV-2 was 11.8% (13,155/85,274; 95%CI, 7.5%-17%), whereby the degree of heterogeneity between the studies was considerable (I2=99.7%). The pooled prevalence rate for dentists and dental hygienists alone was 12.7% (1943/20,860; 95%CI, 8.0%-18.0%), showing significantly increased odds of contracting a SARS-CoV-2 infection compared to dental assistant personnel, the prevalence rate for which was less than half, at 5.2% (613/15,066; OR=2.42; 95% CI, 2.2-2.7). In the subgroup of 17 studies from countries with high income there was a significantly lower prevalence rate of 7.3% (95% CI, 5%-10%) in DCW compared to the prevalence rate in low- and middle-income countries, which came to 20.8% (95% CI, 14%-29%; p<0.001). In 19 out of the 29 studies (65.5%), specific information on the use of and adherence to PPE was absent while in the reports with concrete figures the wearing of N95 (or at least surgical masks) by DCW appeared to be associated with lower SARS-CoV-2 prevalence rates. DCW were, depending in each case on their proximity to patients, at particular risk of SARS-CoV-2 infection during the COVID-19 pandemic. Until a significant level of vaccination protection against newer SARS-CoV-2 variants can be built up in the population, dental healthcare facilities should further maintain their focus on using PPE according to current guidelines.

Pediatric Oral Health Service Access in Racial/Ethnic Minority Neighborhoods: A Geospatial Analysis in Washington, D.C., USA.

Oral health plays a crucial role in overall well-being. One of the goals set by the US Department of Health and Human Service, Healthy People 2030 is to reducing dental caries in children and adolescents. The study aims to investigate the accessibility of pediatric dental care in neighborhoods with mixed-race and predominantly African American populations in the Washington District of Columbia (DC) area. Our objective is to uncover and highlight the disparities that exist in pediatric dental care within these communities. We have specifically examined the geographic and socio-demographic aspects of pediatric dental care facilities, utilizing geospatial tools such as modeling and mapping, as well as data from the clinical database at Howard University College of Dentistry. The detailed analysis of dental care access revealed significant disparities among various Wards in the region. Specifically, Wards 5, 7, and 8 stood out as having both the highest concentrations of African American residents and the lowest availability of pediatric dentistry providers when compared to the more affluent Wards 1, 2, and 3. Howard University College of Dentistry's pediatric dentistry department played a crucial role in providing dental care services to the community. Over the course of the year 2022, they recorded a total of 3,855 visits from residents of the DC area. Notably, a substantial portion of these visits, specifically 1,566 visits, were from individuals residing in Wards 5, 7 and 8. This data underscores the significant demand for pediatric dental services in these underserved communities and highlights the importance of addressing the disparities in access to care.

From classroom to clinic: A cross sectional survey on fostering awareness of biomedical waste management among the dental students

ABSTRACT Background: In dental practices, biomedical waste (BMW) management is essential to preserving a clean and safe atmosphere for patients and medical personnel. Dental facilities generate different forms of BMW, which include sharps, contaminated materials, and/or potentially infectious substances, which require proper handling, storage, and disposal to minimize the risk of infection and environmental contamination. Aim: The study aimed to assess the knowledge and awareness of BMW management among dental students in Chennai city using paper-based questionnaire. Materials and Methods: An observational cross-sectional survey containing 28 questions was framed to assess the knowledge and awareness of BMW management among the final-year BDS, interns, and postgraduate students (a total of 100 students). Statistical analysis was done using SPSS version 27.0. Results: The results of our study showed statistically significant results with P = 0.01 among the study groups. The overall knowledge, attitude, and practice score was observed to be 67.5% for final-year BDS students, 68.09% for interns, and 71.76% for postgraduates. Conclusion: The knowledge assessed was found to be average among the participants. Hence, proper training and assessment are necessary for the proper handling and practice of BMW management.

Pengetahuan dan Keinginan Pasien pada Sarana Pelayanan Kesehatan Gigi di Kecamatan Padang Utara Melakukan Vaksinasi COVID-19

Background: Vaccination is an action to raise immunity actively by injecting an antigen substance to trigger the formation of antibodies to be immune from the disease or only experience mild symptoms. According to data from the Padang City Health Office, the North Padang sub-district is included in 5 sub-districts with low vaccination coverage. Objective: This study aims to determine the relationship between knowledge and the intention of dental clinic patients to carry out COVID-19 vaccination in the sub-district area of Padang Utara. Methods: This research is an analytical study using a Cross-Sectional design study approach with chii-square test. The sample in this study was 107 respondents using purposive sampling techniqueobtained from research questionnaires filled out by respondents. Data analysis using univariate and bivariate analysis processed by using SPSS.Results: 58.9% of respondents have good knowledge about vaccinating, and 66.4% are willing to vaccinate. 23.8% of respondents who had good knowledge but had a low intention to carry out COVID-19 vaccination, and as many 76.2% of respondents who had good knowledge with a high intention to carry out COVID-19 vaccination and obtained significant results with a p-value = 0.005 (&lt;0.05)..Conclusion: There is a correlation between dental clinic patients’ knowledge of dental health service facilities in the sub-district area of Padang Utara with the intent to conduct COVID-19.

Artificial intelligence in oral health surveillance among under-served communities.

A sizable percentage of the population in India still does not have easy access to dental facilities. Therefore, it is of interest to document the role of artificial intelligence (AI) in oral surveillance of underserved communities. Available data shows that AI makes it possible to screen, diagnose, track, prioritize, and monitor dental patients remotely via smart devices. As a result, dentists won't have to deal with simple situations that only require standard treatments; freeing them up to focus on more complicated cases. Additionally, this would allow dentists to reach a broader, more underprivileged population in difficult-to-reach places. AI fracture recognition and categorization performance has shown promise in preliminary testing. Methods for detecting aberrations are frequently employed in public health practise and research continues to be focused on them.

Correlation Between Teeth Alignment and Oral Diseases in New India

Systemic Health goes together with oral health. In India, Oral health remains a big challenge. It is connected tightly to overall individual’s health. Basic oral hygiene such as brushing teeth twice a day is still foreign to most, while such practices are widely practiced in the west. In India, economic factors, coupled with normally accepted behavior and acceptance of poor oral hygiene, prevention of awareness contributed to vast populace with dental issues, like cavities, gum diseases, premature teeth loss, and oral cancers in some cases. With almost 60% of 1.4 billion living in rural areas, initiatives like oral hygiene awareness, preventative care, lifestyle changes and increased dental facilities including universities, colleges and dental care facilities are needed today.&#x0D; We investigate whether there is an association between awareness of teeth alignment, good oral health to overall systemic health. We developed a questionnaire for dental patients falling between the age of 13 - 21 years. This range was selected as most of the patients are old enough to know their oral habits, and other health issues. The patient’s data was collected over a range of 8 months (April 2023 to November 2023) between two states in southern India. The research had 191 patients who were from rural areas, and their awareness on oral hygiene activities were found to be far worse than their urban counterparts (both genders). Based on the data collected, we establish a close relationship between awareness of teeth alignment, to gum bleeding, caries, and pollinosis in young Indians.&#x0D; Int. J. Appl. Sci. Biotechnol. Vol 11(4): 209-216.

The Relationship Between Parental Knowledge and Attitudes About Dental Health on The Dental Health Status of Elementary School Age Children

Children who are still growing and developing in health prevention and care really need the role of parents. Students who experience dental and oral problems often do not receive attention from their parents so these children are not taken to dental health service facilities for treatment. The research carried out was included in the type of analytical observational research or analytical survey, using a cross- sectional approach design. The sample in the study consisted of 34 students and 34 parents taken using total sampling technique. Data collection was carried out using examination sheets and questionnaires. Data analysis was carried out using univariate and bivariate analysis, Chi-square test to determine the relationship between parental behavior regarding dental health and the dental health status of elementary school age children. The results of the Chi-square statistical test showed that the p-value was 0.05, so Ha was rejected and Ho was accepted, so there was no significant relationship between parents' knowledge and attitudes towards the dental health status of elementary school aged children at SDN 3 Medayu

Tooth avulsion and its consequences: Case series

On an average about 30% of all school children suffer traumatic dental injury in primary dentition, whereas 22% suffer in permanent dentition. Avulsion is a serious injury which causes damage to dental and supportive tissues, ranging from 0.5-16 % among dental injuries and it mostly occurs in maxillary incisors. Tooth avulsion can be described as the complete displacement of the entire tooth out of its alveolar socket as a result of force generated due to external injury. The accepted management of choice is immediate replantation of the tooth into its socket provided dental facilities are nearby available and if it is delayed, placement of the tooth in an appropriate storage media until dental treatment can be initiated. Replantation of avulsed incisors in children has shown successful prognosis. The replanted teeth with time may lead to ankylosis followed by inflammatory or replacement resorption, as immediate replantation is practically rare. This case series showcases management of an avulsed maxillary left central incisor which was kept in patient oral cavity from the moment of trauma until its replantation in a eight year old boy. The avulsed tooth was replanted back into the alveolar socket after completion of endodontic treatment extra orally in same visit and splinted with composite resin. The other 2 case reports are 01 &amp; 1.5 years follow up of replantated avulsed central incisors. During the follow up of these cases it was found that the teeth reported in these cases have remained in a stable, functional position but revealed external root resorption &amp; replacement resorption even after completion of endodontic treatment. The amount of damage to tooth and supporting structures like bone, gingiva, emergency management and follow up period play a vital role in the prognosis of the avulsed tooth. It can be recommended to keep the avulsed tooth in saline solution as it is easily available when more appropriate storage media like HBSS are not available immediately.

Parents and guardians perceptions of primary school students accessibility to dental health services in Riyadh City, Saudi Arabia: A cross-sectional study

The success of healthcare delivery systems depends on accessibility. This study aimed to assess parental and guardian perceptions of dental health service accessibility among primary school students in Riyadh, Saudi Arabia. A descriptive cross-sectional survey was conducted among the parents and guardians of primary school students. A 23-item questionnaire was developed on the basis of previous studies. Demographic information, accessibility details, and barriers to dental services were recorded. A total of 385 participants responded to the questionnaire. Approximately 46.2 % of students encountered barriers to accessing dental services. Eighty (20.8 %) male students visited dental facilities more often than female students (72 [18.7 %]) within a 6-month period. Approximately 21 % of students had never visited a dental facility. The lowest number of preventive treatments were administered (15.4 %). Parents and guardians reported that private dental facilities were more accessible (185 [48 %]) than government dental facilities. There was an association between dental facilities and difficulties in accessing dental care services (χ2(4) = 42.753; p < 0.001). In conclusion, parents and guardians reported experiencing difficulties accessing dental services. However, parents and guardians must change their perspectives on accessibility, particularly for preventative care, because primary school children received the lowest.

How dentists in Egypt perceive their knowledge, attitudes, and barriers they face in providing oral healthcare to geriatric patients: a cross-sectional study

BackgroundGeriatric dentistry is an understudied area in dental schools in Egypt. Our study aimed to assess the knowledge and attitudes of Egyptian dentists regarding geriatric oral health and identify barriers to delivering dental care to geriatric patients.MethodsWe conducted an anonymous online cross-sectional study in November and December 2022, targeting dentists with varying levels of experience working in different Egyptian institutions. A 30-item questionnaire assessed the respondent’s views on geriatric oral health, perceived knowledge, attitudes, and barriers. The Google form was distributed through emails and commonly used social media platforms.ResultsA total of 421 dentists responded to this online questionnaire. Of the respondents, 44.9% were male, 45.0% were between 20 and 29 years old, and 31.5% worked in more than one dental setting. Multivariate analysis revealed that female sex negatively affected attitude β = -1.72 [95%CI,-2.43 – -1.11]. The proportion of older patients who visited the respondents’ clinics per day (11–30%) and more than 30% increased perceived knowledge [β = 1.01 (95%CI, 0.41 –1.62), β = 1.50 (95%CI, 0.71–2.22)] and attitude [β = 0.70 (95%CI, 0.06–1.40), β = 0.73 (95%, 0.13–1.61)] while decreased the perceived barriers [β = -1.10 (95%CI, -1.91 – -0.32)] respectively. On the other hand, years of experience increased perceived knowledge only after 5–10 years [β = 1.02 (95%CI, 0.04–2.10)] and after more than 10 years [β = 1.30 (95%CI, 0.21–2.70)]. Governmental work only increased perceived barriers [β = 1.33 (95%CI, 0.10–2.54)], while living in the middle and west delta decreased perceived barriers [β = -0.91 (95%CI, -2.12 – -0.01 and β = -1.33, (95%CI, -2.22 – -0.40) respectively].ConclusionsOur study highlights the need to improve the knowledge and attitudes of young dentists towards geriatric dentistry. Furthermore, working conditions in dental facilities, particularly in the government sector and Upper Egypt, need to be improved to reduce barriers to delivering dental care to geriatric patients.

Design and development of web-based dental electronic medical records according to ministry of health standards

Background: Implementation of electronic medical records in health facilities is still very rare. The issuance of Regulation No. 24 of 2022 by the Minister of Health, which requires electronic medical records, means that all health facilities in Indonesia must be prepared to use electronic medical records. The results show that the format of electronic medical records, especially in dental facilities, is incomplete and non-standardized.&#x0D; Objective : The purpose of this study is to create an electronic medical record application for dentistry according to the standards of the Ministry of Health and works well.&#x0D; Method: The methods type is research and development with an action research approach. The method used to create the application is SDLC (Systems Development Life Cycle), which includes problem identification, design, application development, testing, implementation and maintenance.&#x0D; Result:, The results of dental electronic medical record system application has 100% complete formats according to the minimum requirements of the minister of health regulations, including patient identity formats, patient medical record formats, odontogram formats, medical treatment formats, supporting examination upload formats, and informed consent upload formats .&#x0D; Conclusion: This research has succeeded in creating an web-based application for an electronic medical record system for dentistry that has standard specifications of the Ministry of Health