Organization Of Dental Care Research Articles

ОЦЕНКА ОРГАНИЗАЦИИ ПРОФИЛАКТИКИ СТОМАТОЛОГИЧЕСКИХ ЗАБОЛЕВАНИЙ И СТОМАТОЛОГИЧЕСКОЙ ПОМОЩИ ВОЕННЫМ ПЕНСИОНЕРАМ

Цель работы. На основе изучения самооценки состояния здоровья в целом и стоматологического здоровья, оценки уровня оказания стоматологической помощи дать характеристику организации профилактики стоматологических заболеваний и стоматологической помощи военным пенсионерам.Материалы и методы исследования. В основу исследования положены материалы социологического исследования самооценки состояния здоровья военных пенсионеров (300 анкет) и анализ карт выборки из медицинской документации по поводу обращения за стоматологической, в том числе ортопедической, помощью в учреждения здравоохранения, оказывающие медицинскую помощь данному контингенту (300 карт).Результаты. Получена медико-социальная характеристика военных пенсионеров и их отношения к организации стоматологической помощи и профилактике стоматологических заболеваний. Среди причин обращения к стоматологу абсолютно превалирует необходимость протезирования в связи с частичной утратой зубов (76%). Выполнение рекомендаций стоматолога имеет место только у 24,1% респондентов и в их семьях. В большинстве случаев врачу стоматологу-ортопеду удается оказать необходимую стоматологическую помощь, однако в 7,2% отмечается отсутствие результата, что связано с отсутствием данных пациентов на повторном приеме.Заключение. Отмечается низкий уровень медицинской грамотности и информированности военных пенсионеров по вопросам профилактики и лечения стоматологических заболеваний. Данное исследование подтверждает необходимость разработки комплекса мероприятий по стоматологической реабилитации военных пенсионеров.

Становление советской стоматологии Воронежской губернии

The authors highlight the issues of creating a new system of public dentistry after the revolution of 1917, consider the decision of the Narkomzdrav of the RSFSR "On the organization of dental care in the Republic", they analyze the reform of the transition from private dentistry in Russia to the organization of free dental care. Organization of accounting and collecting information on available staffing privately practicing dentists and their material and technical equipment, as well as the issues of labor service dentists and dental technicians are considered. The article presents the process of nationalization of dental equipment ambulatory care in privately practicing dentists. The authors study the problems of mobilization of dentists to the front in the Red army, they highlight the role of Narkomzdrav of the RSFSR in the development of policies and guidelines for the establishment of a state dentistry and systematic financing of city departments to create and supply free dental clinics, as well as the problems of reform of the state organization of dentistry in the Soviet Republic. The au-thors show the changes affecting dental care because of the new economic policy. A review of documents of the state archive of the Voronezh region, which reflect the work of dental subsections of the Voronezh Region in the first years after the revolution, is presented. The authors conduct a detailed analysis of the dental work the sub-section on the establishment and organization of a network of dental clinics to provide free dental care to the population of the Voronezh province.

Comparison of oral health status between children with cerebral palsy and normal children in India: A case-control study.

Background:The aim of the present research was to describe and compare the oral health of children with cerebral palsy (CP) with the normal children in India.Materials and Methods:Fifty children with CP of the age range 7-17 years and fifty normal children were selected for the study. An oral examination was carried out and decayed, missing, and filled teeth (dmft/DMFT) index, oral hygiene index-simplified (OHI-S) index, Angles malocclusion were charted along with other significant dental findings. Data were analyzed using Student's t-test and Kruskal–Wallis one-way ANOVA test.Results:The mean dmft/DMFT of the CP group was 4.11 ± 2.62, while that of controls was 2.95 ± 2.75, which showed higher caries prevalence in the CP group. There was a significant association between the dmft/DMFT (P = 0.03), OHI-S (P = 0.001), and Angles Class 2 malocclusion and CP.Conclusions:Cerebral palsy group had higher caries, poor oral hygiene and Class 2 malocclusion when compared to controls primarily because of their compromised general health condition and also less dental awareness. Effort should be made for better organization of preventive dental care and promoting dental health of this challenged population.

Risk factors of dental disease in working age population of a large industrial city

Back in 2005, the WHO has identified European targets by 2020, that provide specific measures for improving dental health and define clear rates of intensity and prevalence of dental diseases. Most EU countries that adopted the WHO recommended principles have already achieved the goals regarding dental health. Level of diseases of the teeth and oral cavity among the population of Ukraine is higher than in the EU countries. Consistently high prevalence of dental diseases among population of all age groups, especially prevalence of dental caries, which is confirmed by the results of various epidemiological studies is a cause of concern. Nowadays factors that influence occurrence of the teeth and oral cavity diseases among the working age population of a large industrial city are not enough studied.The aim of the study was to determine the factors leading to the worsening of the working age population of the large industrial city dental health. To establish the risk factors was developed a special closed-type questionnaire, careful attention in which was paid to personal oral hygiene.Methods and results.The most influential factors leading to the increase of the Green - Vermilon index are personal oral hygiene factors and lifestyle of the individual: brushing teeth less than 2 times a day (odds ratio OR=2,64, 95% СІ: 0,97-7,14; р<0,05); smoking (odds ratio OR=2,07, 95% СІ: 0,78-5,53; р<0,05); alcohol intake 1-2 times a week and more often (odds ratio OR=1,82, 95% СІ: 0,61-5,42; р<0,05) lead to increased chances of a low level of oral hygiene.The level of oral hygiene is also affected by the socio-economic factors: higher education in 1.9 times decreases chances of a low level of oral hygiene (odds ratio OR=1,88, 95% СІ: 0,68-5,22; р<0,05); income at subsistence level and below (odds ratio OR=1,20, 95% СІ: 0,45-3,19; р<0,05).According to our research, level of oral hygiene is also influenced by medical and organizational factors: choice of toothpaste with doctor’s aid (odds ratio OR=1,77, 95% СІ: 0,67-4,69; р<0,05); changing of toothbrush every 3 months (odds ratio OR=2,14, 95% СІ: 0,77-5,93; р<0,05), about whout the physician should inform population.Visiting the dentist therapist once every 6 months in 1.5 times reduces the chances of a low level of oral hygiene (odds ratio OR=1,52, 95% СІ: 0,45-5,16; р<0,05), and visiting the dentist for preventive treatment (preventive hygiene) almost 4 times reduces the chances of a low level of oral hygiene (odds ratio OR=3,97, 95% СІ: 0,84-18,76; р<0,05). As a result, visiting of a constant dentist 5 times reduces the chances of a low level of oral hygiene (odds ratio OR=5,07, 95% СІ: 1,54-16,62; р<0,05).The study of factors that lead to increase in the intensity of caries (DMF index) proved, that the most influential factor is the reason for seeking dental help: seeking medical help because of acute pain and unscheduled visit, leads to the increased chances of DMF index growth in 7 times (odds ratio OR=6,77, 95% СІ: 1,75-26,19; р<0,05), while visiting one constant dentist 2 times reduces the chances of growth of the DMF index (odds ratio OR=1,86, 95% СІ: 0,63-5,49; р<0,05). Also, we have proved that on the chances of DMF index increase influence the availability of dental care (odds ratio OR=2,53, 95% СІ: 0,86-7,47; р<0,05) and economic situation of the population – presence of income at subsistence level and below (odds ratio OR=2,20, 95% СІ: 0,78-6,22; р<0,05).Smoking and tooth brushing less than 2 times a day are less influential on the intensity of caries compared with the level of oral hygiene.Conclusion. All mentioned above demands to make adjustments to the system of providing dental care to the population. Regulations of the organization and management of dental care are obsolete in current conditions and do not allow to implement the necessary management and treatment and preventive measures.

ANALYSIS OF THE HUMAN CAPACITY OF DENTAL SERVICES IN THE NORTHERN TERRITORIES OF KRASNOYARSK REGION (FOR EXAMPLE, EVENKIA)

It was the study of the dynamics of human resources , providing dental care to the population of Evenkia. The importance of training in the organization of dental care to the population of the northern territories. Emphasized the crucial role of human resources in the formation of health information that is used in the broad areas of research. Objective: to improve the activities of dental services of the northern territories of the Krasnoyarsk Territory, by optimizing the personnel policy. Methods: We used to analyze the data and report forms № 30 and № 47 for the years 2008-2012 in the Krasnoyarsk territory . Results. Analysis of staffing dental service of the Krasnoyarsk Territory. The possibility of increasing the efficiency of the organization of dental care Evenkiya by optimizing human resources. Conclusions. The findings have important practical value for the organization of specialized medical care to adult population of the northern territories of the Krasnoyarsk Territory. DOI: http://dx.doi.org/10.12731/2218-7405-2013-12-6

URGENT ISSUES OF LAW IN INTERACTION BETWEEN DENTAL SERVICE AND STAKEHOLDERS OF HEALTHCARE ORGANIZATION

This article describes the main innovations, as well as possible ways to improve the organization of medical care in the Russian Federation, in particular, dental care. The article considers legal and regulatory acts, laws and orders regulating the process of providing medical assistance to the population of the Russian Federation. The main problems and shortcomings in the organization of dental care - are the lack of programs for prevention of dental disease, the lack of standards and protocols for the treatment of patients, the lack of qualification characteristics of dentists. DOI: http://dx.doi.org/10.12731/2218-7405-2013-5-6

The invisible work with tobacco cessation – strategies among dental hygienists

This study elucidates dental hygienists' experiences of work with tobacco cessation among patients who smoke or use snuff. Data were obtained and categorized by interviewing 12 dental hygienists, who worked actively with tobacco cessation interventions. Qualitative content analysis was used for analysis. The latent content was formulated into the core category 'the invisible oral health promotion work'. The informants thought that they had a responsibility to work with tobacco cessation. They perceived the financial system in which they perform the activity as frustrating, because tobacco cessation has no treatment code in the dental care insurance. This was one of several reasons why they had to integrate it in other treatment procedures. The results identified three categories: 'balance in the meeting', 'possibilities and hindrance' and 'procedures'. In the narratives, both positive and negative aspects were displayed. The financial conditions for tobacco cessation interventions need to be reformed and the activity has to be given a higher priority in the organization of dental care. Practical training in performing tobacco cessation interventions is important during the dental hygiene education; otherwise, tobacco cessation interventions will remain invisible in oral health promotion in the future.

Specialist paediatric dentistry in Sweden 2008 – a 25‐year perspective

International Journal of Paediatric Dentistry 2010; 20: 313-321 Background. Paediatric dentistry in Sweden has been surveyed four times over the past 25 years. During this period postgraduate training, dental health, and the organization of child dental care have changed considerably. Aim. To investigate services provided by specialists in paediatric dentistry in Sweden in 2008, and to compare with data from previous surveys. Design. The same questionnaire was sent to all 30 specialist paediatric dental clinics in Sweden that had been used in previous surveys. Comparisons were made with data from 1983, 1989, 1996 and 2003. Results. Despite an unchanged number of specialists (N = 81 in 2008), the number of referrals had increased by 16% since 2003 and by almost 50% since 1983. There was greater variation in reasons for referrals. The main reason was still dental anxiety/behaviour management problems in combination with dental treatment needs (27%), followed by medical conditions/disability (18%), and high caries activity (15%). The use of different techniques for conscious sedation as well as general anaesthesia had also increased. Conclusions. The referrals to paediatric dentistry continue to increase, leading to a heavy work load for the same number of specialists. Thus, the need for more paediatric dentists remains.

Dental service provision in Victorian residential aged care facilities

The Australian population is ageing, and a growing proportion of elderly Australians are now living in residential aged care facilities (RACFs). These residents are at high risk of developing dental diseases, have more teeth present now than at any time in the past 50 years and often have difficulty maintaining adequate oral hygiene. Traditionally, dental service provision has been problematic and sporadic for these residents. A postal survey of a random sample of Victorian general dentists and Directors of Nursing (DONs) of Victorian RACFs was undertaken in 2006 to ascertain the participation of dentists in the provision of dental care and to identify factors impacting on the organization and provision of dental care for residents. The response rate for dentists was 57.3 per cent, and for DONs 64.4 per cent. Half of the dentists reported that they had provided care to residents of aged care facilities in the past 12 months, and they spent an average of one hour per month providing care. Overall, dentists were concerned with their level of undergraduate education and training in various aspects of dentistry for residents of aged care facilities. DONs reported significant difficulty obtaining adequate dental care for their residents. Common problems identified by both dentists and DONs included a preference for dentists to treat residents in their own practice, dentists not willing to go to RACFs and a lack of portable dental equipment for dentists to use. There were low levels of interest and participation from Victorian dentists in providing dental care for residents of aged care facilities. Dentists had a strong preference for treating patients at their own practice, and there were a number of significant barriers that appeared to impact on the provision of dental care in RACFs.

Access to care - what can the United States learn from other countries?*

This paper briefly describes the US system for dental care services; asserts that there is much to be learned by considering the experience of other countries; identifies a few lessons that may be learned from comparisons with England, Australia, and other nations; and encourages the monitoring of outcomes associated with innovations in financing and delivery of services elsewhere. Oral health is affected by more factors than access to dental care. Because so many factors at the individual, environmental, and delivery system levels affect oral health, interpreting the findings from international studies is difficult. Furthermore, the findings of these international studies are confounded by significant intra-country variation in outcomes and expectations. While public funding and the public provision of services (such as programs in schools or community health centers) can be powerful instruments of change, they have their limitations. Examination of all types of public subsidization of dental care may reveal inadvertent distributions that may increase disparities. The discovery of best practices and lessons learned in the financing and organization of dental care may begin by comparing US experiences with those of other countries.

Policy issues in early childhood caries.

Policy on early childhood caries (ECC) is assessed by examining the performance of governments, educational and research institutions, professional associations, and insurers. Generally, this review suggests that major players are aware of ECC as a significant pediatric health issue but that they lack sufficient political will or coordinated activity to address this problem effectively. The eradication of ECC will depend upon the development of new policies that are science based and reflect individual and population variability, the role of parenting behaviors, the impact of changing organization and financing of dental care, the contribution of public and dental education, and the need for integration with pediatric and public health efforts.

Organization of antenatal dental care for children

A feature of the medical examination of children is that care for the health of the child should begin before his birth. There is a great positive experience of successive work between obstetricians-gynecologists and pediatricians of children's polyclinics. Unfortunately, there is no such continuity in the work of a dentist at this stage of time.

Dental care in psychiatric hospitals in The Netherlands.

This study determined the method of organization of dental care in psychiatric hospitals in the Netherlands, investigated patients' dental problems, and examined hospital nurses' role in prevention and diagnosis of dental problems. A bad oral condition, bad oral hygiene, and badly fitting dentures were the problems most frequently noticed. If the patients neglected brushing their teeth, 70% of the nurses interviewed never took over, 20% sometimes did, and 8% always did. It was concluded that, although most psychiatric hospitals had their own dental clinic or alternative dental facilities, adequate dental care had not yet been realized everywhere. The role of the nursing staff in preventing and diagnosing dental disease can further be strengthened.

Public health aspects of periodontal diseases in Europe

There is relatively little severe periodontal disease in populations in Europe. The public health significance is therefore debateable. The fact that the costs of treating the disease are high because of the organization of dental care, qualifies it as a dental public problem. In addition, the symptoms of periodontal diseases such as bleeding, halitosis, gingival recession and tooth loss have an impact on many people, and we have sufficient information to control the common forms of the disease. The goals for dental health can be expressed in terms of health, disease, health education and health promotion and training. A reasonable objective is to achieve a rate of loss of attachment compatible with maintaining at least upper and lower shortened arches for a lifetime. 4 strategies are considered: a high risk, a population, a secondary prevention strategy or a combination of the three. A combination of the 3 is needed to achieve the objective of maintaining a functional, aesthetically and socially acceptable natural dentition for the lifespan of most people. The balance of effort should be heavily weighted towards the population strategy. If the strategy is adopted, the need for treatment will be reduced and treatment will be more successful.

Organization of dental care for rural workers

The dental service of the Zelenodolsk district of the TASSR is represented by a dental polyclinic of the first category in Zelenodolsk, dental departments in two medical units, a department in the Vasilievsky district hospital, six dental and two dental prosthetic offices in rural areas. In total, 15 general dentists or 2.5 units of a doctor per 10 thousand population work in the village. Meanwhile, Zelenodolsk district is endemic for dental caries due to the low content of fluoride in drinking water (0.2-0.3 mg/l). In this regard, there is a need to develop new organizational forms of dental care in rural areas.