Dental Organizations Research Articles

The organization of the dental service in the Voronezh region

Introduction: The article «Organization of dental services in the Voronezh region» - a large subject of the Russian Federation (RF), the features of the organization of dental care for adults and children are considered. Materials and methods: Analytical methods and extracts of data from reports of medical organizations of the dental profile of the Voronezh Region for 2017-2019 were used. In accordance with the action plan of the Department of Health of the Voronezh Region, the issues of primary prevention of dental diseases among the population of the Voronezh Region are covered within the framework of the state program of the Russian Federation «Development of Health Care». When considering. Results: The current state of science and practical health care to preserve the health of the population is reflected, and at the same time, the relevance of dental research remains unchanged. The working dental organizations of the region are described. The analysis of literature sources and reporting materials showed the importance of dynamic observation of medical and social indicators, conditions and lifestyle, the level and structure of dental morbidity, and the demographic situation. The author of the work is well aware of the importance of the background of dental measures aimed at prevention (first of all) and treatment (if necessary). Speaking about the indicators of morbidity in dentistry, the author emphasizes the need to study it to assess the public health of the entire population. Conclusion: It is emphasized that the priority directions of the development of the dental service of the Voronezh region can be considered (including recommended to other regions): strict implementation of the Program of State Guarantees to the population of the region, equipping dental departments and offices in accordance with the standards of equipment, improving the availability, safety and quality of dental care to the population, as well as the priority of prevention in the field of health protection, including through the school dental service.

The contrasting short-term effects of COVID-19 on dental care practices in the United States.

ObjectivesThe study utilized a cross‐sectional survey to determine the short‐term effects of the COVID‐19 pandemic on dental care practices. The authors hypothesized that the effects of the pandemic would indicate differences based on the ethnicity of the participating dentist.Materials and MethodsThe survey was available online between June 1, 2020 and July 10, 2020, a period when many dental offices remained closed, and for the most part, unable to provide non‐emergency dental care. The link to the survey was made available to dentists through outreach to several national dental organizations. Descriptive statistics summarized the characteristics of the entire sample and Fisher's exact test was used to examine respondents' answers stratified by ethnicity using frequencies and percentages.ResultsAll ethnic groups reported decreased revenue and African American dentists were the least likely to report a decrease in revenue compared to White and Other ethnic groups (84.2%, 87.2% and 92.9%). African American dentists were the most likely to report willingness to contribute to a task force to address the new challenges resulting from COVID‐19 when compared to White and Other ethnic groups (46.4%, 18.8%, and 29.6%, respectively). African American dentists were more likely to indicate a need for a stronger connection to academic programs as compared to White or Other dentists in order to address current and future challenges (12.3%, 0.0%, and 9.1%).ConclusionThe COVID‐19 pandemic has affected dental practices differently, highlighting racial disparities, and strategies that factor in the race or ethnicity of the dentist and the communities in which they practice need to be considered to ensure that underserved communities receive needed resources.

Assessing oral health content in nondental professional association websites.

Determine the prevalence and type of oral health (OH) content among nondental health professional associations' websites. Fifty-nine organizations were selected from three lists of health professional associations and categorized as physician-, nurse- and other healthcare-related professions. Eight dental search terms were used on searchable websites. Six types of OH information were collected. Websites were assessed for any OH content and comparisons made. Frequencies, chi-square, and Fisher extract test statistics were calculated. Thirty-five (59 percent) of websites had any OH information content. Twenty (34 percent) had OH authored content, 10-19 percent had OH webpages, interest groups, or initiatives, CE courses or webinars, or curriculum information. The term "oral hygiene" gave the greatest yield and "dentistry" the least. No significant differences in existence of "Any OH content" was found between each organization type versus others. Many nondental professional associations could increase OH website content and education with assistance from dental organizations.

Analysis of means and methods of endodontic treatment in dental organizations according to the data of a survey of dentists of the Samara region (Russia)

Analysis of means and methods of endodontic treatment in dental organizations according to the data of a survey of dentists of the Samara region (Russia)

Analysis of the quality of orthodontic care for children with partial defects of dentition in the dental organizations of various forms of ownership

To conduct a comparative analysis of the quality of medical care for children and adolescents with dentoalveolar anomalies in dental medical organizations of different organizational and legal basis and forms of ownership. The analysis of orthodontic records of children and adolescents with dentoalveolar anomalies and factors predisposing to their development in 1032 patients aged from 6 months to 18 years was carried out with the use of orthodontic patient records classification of L.S. Persin (2020). The effectiveness of orthodontic care for children and adolescents with various forms of anomalies of the dentition was analyzed. The draft clinical guidelines have been developed depending on the patient model. As shown by the data of orthodontic records of patients, 12% of patients applied during the formation of occlusion of deciduous teeth, 9.2% of children in the early mixed dentition phase, 66.5% of patients in the late mixed dentition phase, and 12.2% of patients first admitted in the permanent dentition phase. As for the analysis of the quality of orthodontic care for children and adolescents with dentoalveolar anomalies in dental organizations of various forms of ownership, the results are controversial. Most often in the orthodontic charts data on dentition anomalies were filled, followed by the anomalies of the teeth, anomalies of occlusion in the sagittal direction, anomalies of occlusion in the vertical direction and partial defects of the dentition. Anomalies of soft tissue attachment, anomalies of occlusion of molars on the right and left with palatoocclusion, and anomalies of occlusion of molars on the right and left with linguo-occlusion were less common in orthodontic charts.

The Organization of the Dental Service in the Voronezh Region

Introduction: The article «Organization of dental services in the Voronezh region» - a large subject of the Russian Federation (RF), the features of the organization of dental care for adults and children are considered. Materials and methods: Analytical methods and extracts of data from reports of medical organizations of the dental profile of the Voronezh Region for 2017-2019 were used. In accordance with the action plan of the Department of Health of the Voronezh Region, the issues of primary prevention of dental diseases among the population of the Voronezh Region are covered within the framework of the state program of the Russian Federation «Development of Health Care». When considering. Results: The current state of science and practical health care to preserve the health of the population is reflected, and at the same time, the relevance of dental research remains unchanged. The working dental organizations of the region are described. The analysis of literature sources and reporting materials showed the importance of dynamic observation of medical and social indicators, conditions and lifestyle, the level and structure of dental morbidity, and the demographic situation. The author of the work is well aware of the importance of the background of dental measures aimed at prevention (first of all) and treatment (if necessary). Speaking about the indicators of morbidity in dentistry, the author emphasizes the need to study it to assess the public health of the entire population. Conclusion: It is emphasized that the priority directions of the development of the dental service of the Voronezh region can be considered (including recommended to other regions): strict implementation of the Program of State Guarantees to the population of the region, equipping dental departments and offices in accordance with the standards of equipment, improving the availability, safety and quality of dental care to the population, as well as the priority of prevention in the field of health protection, including through the school dental service.

The results of quantitative assessment of the level of adherence to treatment in patients of dental medical organizations

To determine the level of adherence to treatment in patients applying to dental organizations of different forms of ownership. 1.067 patients of both sexes and various ages who applied to public and private dental organizations of Moscow, Omsk, and Tyumen have been surveyed using the Questionnaire for Quantitative Assessment of Adherence to Treatment (KOP-25), which allows to obtain a quantitative evaluation of the level of adherence to drug treatment, medical support, lifestyle modification, and characterize the level of integral adherence to treatment in patients. Basing on a point rating system of assessment of the responses of the interviewed patients, integrative and structural indicators have been calculated using special formulas. The level of up to 50% has been interpreted as «low», from 51 to 75% as «medium», over 75% as «high». Patients applying to state and privately owned dental organizations have an insufficient level of adherence to treatment (50% medium and 37.4% low), 12.6% of the respondents show high adherence to treatment; adherence to treatment is higher in women, with the highest shown in the group of over 60 years old, independently of the form of ownership of the medical organizations; the interviewed men of all age groups are more inclined to apply for treatment to private medical organizations; all interviewed patients are the least ready for lifestyle modification, women are the most prone to using medication, and the least inclined to treatment are young patients interviewed when applying to public medical organizations. Individual treatment adherence assessment allows creating optimal treatment plans with treatment volume most acceptable for patients.

Dental organisations investigate discrimination

Dental organisations investigate discrimination

Analysis of the application of lean manufacturing tools in the dental service

Synchronization of methods and tools of lean manufacturing (BP) and the possibility of their practical application in the organization of the dental service. The methods of synthesis and analysis of data from scientific sources and regulatory documents and the empirical method were used to study the use of various BP tools in the management of dental organizations. In the course of studying the possibility of using BP tools in the dental service, their systematization was carried out on the basis of the principle of use in dental medical organizations. The use of BP tools in the management of dental organizations allows them to correspond to a certain extent to the new model of a medical organization.

Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California.

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.

Fidelity of motivational interviewing with families in high-caries-risk children.

Motivational interviewing (MI) is a promising behavioural intervention for prevention of dental caries in children. Few studies have reported on fidelity of MI delivered in dental settings. The aim of this paper is to explore the fidelity of implementing MI in a clinical dental practice setting, as part of an intervention study investigating caries-preventive effects of MI delivered to high-caries-risk children and their primary caregivers. Three oral health therapy clinicians trained in MI (counsellors) provided MI to high-caries-risk children and their primary caregivers. All MI sessions (n=34) were audio-recorded and analysed using the MI Treatment Integrity code 4.2.1. Qualitative analysis of counsellor self-reflections identified barriers to MI delivery. All counsellors were found to adhere to the MI process and demonstrated fair to good MI proficiency for global scores, with a mean (95% CI) of 3.3 (3.1-3.4) recorded for technical scores and 3.6 (3.5-3.8) for relational scores. The mean (95% CI) per cent complex reflections was 23% (19.4-27.1) and the mean reflection:question ratio was 0.7 (0.6-0.9). No significant differences were observed between counsellors for MI proficiency. Cultural barriers, environmental distractions, participant dental anxiety and counsellor tendency towards prescriptive advice-giving were identified by counsellors as hindrances to effective MI. Motivational interviewing is a skill which requires multifaceted training, practice and mentoring to meet accepted proficiency thresholds. Monitoring of MI using a validated tool is essential to ensure delivery as intended and accurately attribute outcomes to the intervention. Dental organizations intending to implement MI for caries prevention should be aware of the demands on time and resources required to deliver proficient MI and monitor fidelity.

COVID-19 and its impact in the dental setting: A scoping review.

IntroductionThe scoping review examined the evidence related to infection control and transmission measures of the SARS-CoV-2 virus in a dental setting during this pandemic. Dental practitioners are normally guided in practice by set ethical principles, thus the researchers wanted to determine how these rules are managed during this pandemic.MethodsA protocol specific for the objectives of this study was developed according to the criteria for a scoping review. Relevant databases (Pubmed, Scopus, Elsevier, Science Direct, Wiley), including online access to health/ dental organizations (World Health Organization/ American Dental Association), were searched to identify evidence which was restricted to the English language for the period 2015–2020. Predetermined eligibility criteria were applied, evidence was assessed and data extracted for each included article. Relevant outcomes assessed were: infection control measures, transmission of the SARS-CoV-2 virus, such as modes and sources of transmission and the ethical principles related to the dental setting with a focus on the COVID-19 pandemic.ResultsSearches yielded a total of 402 articles: 387 from electronic databases and 15 from other sources. Of these, 231 were unrelated to the objectives of the current scoping review. The full text of 69 studies was assessed for eligibility, of which 26 were finalized for inclusion following the objectives and inclusion criteria set for the scoping review. Most of the included articles were reviews, recommendations and guidelines for dentists. A narrative explanation of the pre-specified outcomes is reported for the 3 areas covered for this review. There is no clinical evidence available that can support the recommendations by individuals, dental organizations or health authorities related to the objectives of this review, but these may be considered as the much needed guidelines during the unprecedented COVID-19 pandemic. A different ethical framework is required during a pandemic and these must be informed by evidence.

Covid 19 Gadgets and Equipments for A Dental Clinic-An Overview and Update

COVID-19 is a viral disease caused by a specific variant of corona virus family which had started in Wuhan province of China in December 2019 and became a pandemic now. This virus is of zoonotic origin and continued its spread through human-human transmission. One of the serious suspected route of transmission is through the droplets and also air which makes the dental professional highly vulnerable, who most commonly deal with saliva related treatments and to be therefore, more responsible in avoiding or reducing cross infection/ nosocomial infection. This literature overview provides the information about the current armamentarium and gadgets requirements in a dental clinic so as to enable practicing dentists to follow the preventive protocol recommended for COVID-19 recommended by various dental organisations.

The impact of COVID-19: Considerations for future dental conferences.

The onset of coronavirus disease 19 (COVID-19) impacted all facets of global communities. As such, dental organizations must reconsider the traditional format of conferences in order to abide by public health guidelines. Such an adjustment is required in an effort to limit the footprint and ensure the safety of its participants. This article aims to provide guidance to reformat a traditional conference to a virtual platform. Recommendations are made pertaining to the structure of organizational committees, the intricacies of digital platforms, any associated costs, and adjustments to advertising and sponsorships. The authors also provide direction regarding changes in scheduling, and suggestions in order to replicate the social aspect of academic conferences. Careful consideration of the existing format can help design an efficient virtual platform that will continue to yield professional growth and drive the frontier of research in dentistry during this pandemic.

Each for Equal: Gender Inequity in Dentistry in Australia.

While there is an increasing number of women entering the dental profession, they are still underrepresented in leadership roles in major dental organizations, academia, and journal boards. Keynote and invited speaking roles in professional and scientific conferences recognize expertise and leadership and are key factors in career advancement and academic promotions. The aim of this study was to investigate gender differences in representation at dental continuing professional development (CPD) events and conferences in Australia. An analysis of the gender of speakers was conducted with CPD and conference programs that are publicly available online from the federal and Victorian branches of the Australian Dental Association, the peak national body for dentists. The planned 2020 Victorian Branch CPD program featured 30 events, with a mean 2.5 speakers per event. There were 58 scientific presentations in the schedule, 22 (38%) of which were allocated to female speakers. Seven CPD events in 2020 included only female speakers, and 13 included only male speakers.The 37th and 38th Australian Dental Congresses featured 25% and 36% of female speakers, respectively. All keynote speakers were male for both events, and men accounted for 86% and 93% of international speakers. While women are approaching parity in local and state-level CPD events, there is a large discrepancy in the male-to-female speaker ratio for major national conferences. Suggestions to improve gender imbalance include having women on the convening committee and developing and implementing policies to address the imbalance. There has been significant progress in addressing gender inequity in dentistry, but gender-balanced leadership in major conferences still needs to be addressed. The findings of this study show that while women may be approaching parity with small continuing professional development events, they are still underrepresented as speakers in major conferences. It is recommended that active policies be implemented to reduce the imbalance to ensure gender-balanced leadership in one aspect of the dental profession in Australia.

The medical social characteristic of patients of private stomatological clinics

The article deals with results of anonymous questionnaire survey of patient in private dental clinics "LiderDent" (241 respondents of able-bodied age) and "GelioDent" (419 respondents of able-bodied age). The purpose of the study was to investigate peculiarities of medical and social characteristics. The questionnaire included questions concerning social status of respondents, their financial condition, self-assessment of dental health and its maintenance at the proper level for a number of parameters, as well as evaluation of work of private dental organizations. The assessment of dental health of elderly patients established that 58.1% of respondents rated their dental health as good, 27.8% as satisfactory; and 4.1% of respondents estimated their dental health as bad. The analysis included also evaluation of negative health habits of respondents resulting in dental diseases and afflict damage to teeth and oral cavity. It was found that more than half of respondents had higher education. They consider themselves as financially secure, they did not smoke and had good condition of oral cavity. They choose dentists according recommendation of friends and seek dental care only in case of obvious signs of disease. The analysis of possible reasons for seeking dental professional revealed that 75.5% of respondents seek dental care when there are "obvious signs of disease and deterioration of health", 21.2% "when first signs of disease occurred" and 3.3% "only in critical situation". It is concluded that dental professional of private medical centers should be more widely carried out sanitary and educational work with population in order to increase the medical activity of patient, as well as to increase their awareness of ways and means of maintaining the dental health.

Sustainability in Dentistry: A Multifaceted Approach Needed

This article provides an introduction to environmentally sustainable dentistry and offers perspectives on managing drivers to reduce carbon emissions and make dentistry more environmentally sustainable. A sustainable world must meet the needs of the present without compromising the ability of future generations to meet their own needs. Global commitment to sustainability and demands for a sustainable world are growing. Within dentistry, travel creates the highest carbon emissions and also contributes to human health damage. Internally, there are a number of ways to reduce impact by decreasing travel and energy use, as well as carefully considering the types of items purchased (and how they are disposed of). Larger dental organizations can influence their suppliers and industry by choosing to purchase from sustainable companies with environmentally friendly products. From an external driver perspective policy, guidance and research are essential. Governments need to reevaluate decontamination policy from an environmental perspective. Decontamination documents need revision to consider both planetary and public health. Dental organizations need to support dental teams in this area. Insurance providers and health care purchasers should review policies to influence the sustainability of dental providers. Sustainability education needs to be considered as part of the curriculum of undergraduate and postgraduate students. Guidance could also be developed for the dental industry to produce sustainable products. Research needs to be prioritized. Identifying hot spots or areas of high environmental contributions using other assessments such as life cycle analysis (LCA) would allow dentistry to identify products or practices that have a disproportionate adverse impact on the environment and might be prioritized for change. This should include an analysis of single-use instruments, chemicals, and products. Building research capacity by training students and creating virtual or physical centers for sustainability is essential. Financial support is needed for priority areas of research.

Challenges in providing oral and dental health services in COVID-19 pandemic.

Coronavirus disease (COVID-19) pandemic has rendered the world completely unaware and off-balance. Most of the countries of the world are in a lockdown of varying severity to break the chain of transmission. Many non-essential healthcare practices have been shut down to impose social distancing against a population whose slogan has been freedom of movement. Several healthcare providers have also been caught off guard. Many are not well-versed in the use of transmission-based safeguards, and the dental community, is no different. In this article, we identify the challenges faced by the oral and dental care providers, whose procedures generate a significant amount of aerosol, which can be a significant source of disease transmission within the community. It further describes the dynamics of aerosol spread and various strategies to minimise aerosol generation. Guidelines for the delivery of emergency dental treatment are formulated based on different guidelines from various international dental associations and organisations.

Economic model of scientific rationale for the real expenses on modernization of material resources

The study convincingly showed the presence of negative trends in the provision of medical dental organizations with material supplies. Thus, in 2014-2018 the basic growth rate of financial resources allocate for these purposes was only 15.96%. The corresponding value for the renewal of drugs and dressing materials equaled 12.28%, for reagents and chemicals, glass, chemical glassware - 6.62%, a decrease was revealed in the costs of medical instruments and food. The real amount of expenses for updating inventory in 1 working day for 1 doctor in the profile of dentistry and dental hygienist should correspond to 2067.16 rubles, which is 3.49 times higher than the allocated financial resources. Dentistry is still not included in the priority areas of healthcare in terms of financing. Under such circumstances, medical dental organizations cannot satisfy the growing need of the population for high-quality dental care. New technologies integration in the daily dental practice dictates the need for of new standards formation and a list of expenditure of inventories in the provision of medical and diagnostic assistance in the field of «dentistry».

Stakeholder Perception of the Professional Role and Competence of Swedish Dental Hygienists: A Questionnaire and Interview Study.

Objectives:This study investigated stakeholder opinions on the competence and role of dental hygienists in Sweden.Materials and Methods:A questionnaire was sent by e–mail to 94 stakeholders in eight Swedish counties. The survey queried the competence of recently graduated dental hygienists in skills in collaboration, communication, and problem–solving, and in clinical skills. In addition, 10 stakeholders from different Swedish dental organizations agreed to one–on–one deep interviews. Open–ended questions focused on dental hygienist competence to perform dental hygienist skills and tasks and to collaborate with other dental professionals and health–care professionals. Further topics concerning the dental hygienist included their future role and working in other European countries. The interviews were transcribed and then coded using qualitative conventional content analysis methods.Results:The stakeholder consensus in both the questionnaires and the interviews was that the dental hygienist profession is essential to modern dental care. The professional knowledge possessed by dental hygienists is unique and their role has developed and broadened over the years. Furthermore, the qualitative content analysis of the deep interviews identified a core category: The dental hygienist is an important profession for good oral health.Conclusion:Dental hygienists, responsible for prevention and oral health promotion, are an important members of the modern dental team. The need for dental hygienists to collaborate with other dental and general health–care professionals to meet the future demands of society will increase.