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public health dentistry

William R Phillips, Toby Keys
BACKGROUND AND OBJECTIVES: Primary care (PC) requires interprofessional teamwork and training. Although clinical training in PC settings is well developed in some professions, classroom teaching on the principles and practice of PC provides additional opportunities for interprofessional education. METHODS: We offered an elective one-credit classroom course on PC over 3 years, 2013 through 2015, enrolling students from dentistry, medicine, nursing, pharmacy, physician assistant, public health, social work, and other fields...
March 2018: Family Medicine
M Grindefjord, J Persson, L Jansson, G Tsilingaridis
AIM: This was to examine healthy children and adolescents treated under general anaesthesia (GA) and a matched control group not receiving GA to compare treatment and preventive care received prior to GA treatment. METHODS: This retrospective cohort study included 71 healthy subjects and 213 age- and gender-matched control subjects. The treatment group had been consecutively referred from the Public Dental Health Service (PDS) in Stockholm to the Department of Paediatric Dentistry, Eastman Institute, Stockholm during 2006-2007...
February 26, 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Burton L Edelstein
Health care costs have traditionally been provider generated whereas payment has been split between public and private sources. There has been little pressure on health care providers to demonstrate value. The quest for value in health care financing is now widely evident as demonstrated by governmental and private sector pursuits of a 3-part aim: better health outcomes at lower cost with improved patient and population experience. Value-based approaches involve payment innovation with its attendant constraints and opportunities for innovation...
April 2018: Dental Clinics of North America
Ralph Dana, Amir Azarpazhooh, Nima Laghapour, Katie J Suda, Christopher Okunseri
Opioid analgesics and antibiotics prescribed by dentists is a useful and cost-effective measure when prescribed appropriately. Common dental conditions are best managed by extracting the offending tooth, restoring the tooth with an appropriate filling material, performing root canal therapy, and/or fabricating a prosthesis for the edentulous space. Unnecessary prescription of opioid analgesics and antibiotics to treat dental pain and bacterial infection is a growing public health concern. This article highlights the state of the literature on opioid analgesic and antibiotic prescribing practices in dentistry, the impact of opioid analgesic overdose, and prevention strategies to reduce opioid analgesics and antibiotic overprescription...
April 2018: Dental Clinics of North America
Astha Singhal, Susan C McKernan, Woosung Sohn
Dental public health is a unique specialty of dentistry that focuses on prevention of oral diseases among populations rather than individual patients. It encompasses several complementary disciplines and greatly varies in its functions and activities. Several federal, state, local, and nonpublic entities operationalize the mission of dental public health to improve population oral health through a diverse and vibrant workforce.
April 2018: Dental Clinics of North America
Luiz C de Jesus Júnior, Tamara K Tedesco, Mary C Macedo, Carlos M Agra, Anna C Mello-Moura, Susana Morimoto
BACKGROUND: Musculoskeletal disorders (MSD) are an occupational health problem that demands a high cost and may also reduce the quality of life and productivity of the dentists. The aim of this study was to evaluate the prevalence of MSD and its association with self-reported joint damage in dentists from São Paulo (Brazil). METHODS: This was a cross-sectional study performed from two self-administered questionnaires - the Nordic Musculoskeletal Questionnaire and the other containing demographic and occupational data - in 6072 dentists...
April 2018: Minerva Stomatologica
Vítor Falcão de Oliveira, Mariana Fonseca Bittencourt, Ícaro França Navarro Pinto, Alessandra Lamas Granero Lucchetti, Oscarina da Silva Ezequiel, Giancarlo Lucchetti
BACKGROUND: Despite the growth in the interprofessional literature, there are still few studies that have evaluated the differences among courses and periods in relation to Readiness for Interprofessional Learning. Likewise, the relationship between the influences of contact among students from different professions is still controversial. OBJECTIVES: To evaluate whether greater contact among students from diverse health courses could be associated with improved Readiness for Interprofessional Learning (RIPLS) at the undergraduate level and to compare the RIPLS among healthcare courses, analyzing differences among courses and periods of their academic training...
February 1, 2018: Nurse Education Today
A Plessas, M B Delgado, M Nasser, Y Hanoch, D R Moles
INTRODUCTION: Dentistry is recognised as a stressful profession and dentists perceive their profession to be more stressful than other healthcare professions. While earlier studies have shown a link between stress and well-being among dentists, whether stress negatively impacts their clinical performance is an important and open question. We do know, however, that stress is associated with reduced performance in other health (and non-health) related professions. OBJECTIVES: This systematic review aimed to answer the question: how does stress impact on dentists' clinical performance? METHODS: This systematic review was registered in PROSPERO (CRD42016045756)...
January 12, 2018: Community Dental Health
Jonas Golde, Florian Tetschke, Julia Walther, Tobias Rosenauer, Franz Hempel, Christian Hannig, Edmund Koch, Lars Kirsten
As dental caries is one of the most common diseases, the early and noninvasive detection of carious lesions plays an important role in public health care. Optical coherence tomography (OCT) with its ability of depth-resolved, high-resolution, noninvasive, fast imaging has been previously recognized as a promising tool in dentistry. Additionally, polarization sensitive imaging provides quantitative measures on the birefringent tissue properties and can be utilized for imaging dental tissue, especially enamel and dentin...
January 2018: Journal of Biomedical Optics
Ben Darlow, Melanie Brown, Peter Gallagher, Lesley Gray, Eileen McKinlay, Gordon Purdie, Christine Wilson, Sue Pullon
INTRODUCTION: Interprofessional practice is recognised as an important element of safe and effective healthcare. However, few studies exist that evaluate how preregistration education contributes to interprofessional competencies, and how these competencies develop throughout the early years of a health professional's career. This quasiexperimental study will gather longitudinal data during students' last year of preregistration training and their first 3 years of professional practice to evaluate the ongoing development of interprofessional competencies and the influence that preregistration education including an explicit interprofessional education (IPE) programme may have on these...
January 21, 2018: BMJ Open
Ibrahim Hassan El-Kalla, Hanaa Mahmoud Shalan, Rabaa Abo Bakr
Background: Traumatic injuries are common dental problems in pediatric dentistry that may influence the children's quality of life. Aim: the aim of this study is to assess the impact of traumatic dental injuries (TDI) and oral health-related quality of life (OHRQoL) among Egyptian schoolchildren aged 11-14 years. Materials and Methods: A cross-sectional study was carried out involving a sample of 11700 schoolchildren from public and private schools of Mansoura city, Egypt...
October 2017: Contemporary Clinical Dentistry
Ana Paula Hermann, Maria Ribeiro Lacerda, Jaqueline Dias do Nascimento, Ingrid Meireles Gomes, Débora Cristina Paes Zatoni
OBJECTIVE: to identify possibilities for improvement in the process of teaching and learning homecare in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy courses. METHOD: qualitative research using the Grounded Theory approach. Sixty-three semi-structured interviews were conducted with students, teachers and graduates of the six mentioned courses at a public university in the south of Brazil. Data analysis was performed through open, axial and selective coding...
January 2018: Revista Brasileira de Enfermagem
Juliana Schaia Rocha, Letícia Yumi Arima, Renata Iani Werneck, Samuel Jorge Moysés, Márcia Helena Baldani
Despite the fact that dental care attendance during pregnancy has been recommended by guidelines and institutions, the demand for dental services is still low among pregnant women. The aim of this study was to identify and analyze the determinants of dental care attendance during pregnancy. We performed a systematic literature search in the electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Brazilian Library in Dentistry, Cumulative Index to Nursing and Allied Health Literature, and Medline using relevant keywords...
January 10, 2018: Caries Research
Rogério Heládio Lopes Motta, Cristiane de Cássia Bergamaschi, Natalia Karol de Andrade, Caio Chaves Guimaraes, Juliana Cama Ramacciato, Jimmy de Oliveira Araújo, Luciane Cruz Lopes
INTRODUCTION: The management of patients undergoing oral surgical procedures using anticoagulants raises concerns regarding the risk of bleeding. Bleeding rates in those patients during or after oral surgical procedures are uncertain. The aim of this study will be to determine the bleeding rate during and after oral surgeries in patients using anticoagulants. METHODS AND ANALYSIS: A systematic review will be conducted and if appropriate, a meta-analysis of randomised clinical trials evaluating the bleeding risk during and after oral surgical procedures in patients using anticoagulants were selected...
December 19, 2017: BMJ Open
Gary Douglas Slade, Anne Elizabeth Sanders
OBJECTIVE: To describe trends in income disparities in dental caries among U.S. children and adolescents during two decades of fluctuating economic growth. METHODS: Data were from National Health and Nutrition Examination Surveys conducted in 1988-1994, 1999-2004, and 2011-2014. The number of tooth surfaces with dental caries experience per child was computed for three age groups: 2-5, 6-11, and 12-17 years. Absolute and relative measures of inequality compared caries experience in families below the poverty level with families where income was at least three times the poverty threshold...
December 15, 2017: Journal of Public Health Dentistry
Ítalo de Macedo Bernardino, Luzia Michelle Santos, Alysson Vinicius Porto Ferreira, Tomás Lucio Marques de Almeida Lima, Lorena Marques da Nóbrega, Sérgio d'Avila
INTRODUCTION: Intimate partner violence (IPV) is a serious public health problem that frequently results in oral-maxillofacial traumas, generating high social and economic costs. The aim of this study was to describe the profile of women victims of IPV and determine the pattern of oral-maxillofacial traumas, according to a medical-legal and forensic perspective. An exploratory study of 1361 suspected cases of women victims of IPV was carried out based on database of an Institute of Legal Medicine and Forensic Dentistry of Northeastern Brazil during a period of 4 years...
December 4, 2017: Legal Medicine
B Daly, A Thompsell, J Sharpling, Y M Rooney, L Hillman, K L Wanyonyi, S White, J E Gallagher
This is the fourth and final paper of a series of reviews undertaken to explore the relationships between oral health and general medical conditions, in order to support teams within Public Health England, health practitioners and policy makers. This review aimed to explore the most contemporary evidence on whether poor oral health and dementia occurs in the same individuals or populations, to outline the nature of the relationship between these two health outcomes and to discuss the implication of any findings for health services and future research...
January 2018: British Dental Journal
Caroline L Pankhurst, Crispian Scully, Lakshman Samaranayake
The perceived threat to public health from dental unit water line (DUWL) contamination comes from opportunistic and respiratory pathogens such as Legionella spp, Nontuberculous Mycobacteria (NTM) and pseudomonads. These organisms can grow and multiply in the DUWL biofilm to reach infective concentrations, with the potential for inhalation leading to respiratory infections or direct contamination of surgical wounds. In this paper we discuss current legislation and practical methods for delivering water within the DUWL that meets the standards for safety...
April 2017: Dental Update
Anwen L Cope, Michael A O Lewis
The increasing emergence of antibiotic resistance is a major international public health problem. As a consequence, it is essential that steps are taken to conserve the effectiveness of existing antimicrobial agents. Consumption of antibiotics is the prime contributor to the development of resistance. General dental practitioners write almost 1 out of 10 prescriptions for antibiotics in primary care within the UK and therefore the prudent prescribing of antibiotics in dentistry has never been more vital. This paper outlines the impact of antimicrobial resistance on modern healthcare, describes the current use of antibiotics in general dental practice, and recommends pragmatic ways in which dental practitioners can evaluate and optimize their prescribing...
April 2017: Dental Update
Caio Chaves Guimaraes, Rogério Heládio Lopes Motta, Cristiane de Cássia Bergamaschi, Jimmy de Oliveira Araújo, Natalia Karol de Andrade, Mabel Fernandes Figueiró, Juliana Cama Ramacciato, Luciane Cruz Lopes
INTRODUCTION: The use of vasoconstrictors combined with local anaesthetics (LAs) in dentistry for patients with cardiovascular disease (CVD) is still controversial in the scientific literature. It raises concerns regarding the possibility of transient episodes, triggering negative cardiovascular outcomes. METHOD/DESIGN: Trials eligible for our systematic review will enrol patients with CVD who have undergone dental treatments carried out with the use of LAs by comparing two arms: LAs with vasoconstrictors and LAs without vasoconstrictors...
November 22, 2017: BMJ Open
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