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Biomedical subjects

D Holst

Publications and source records attributed to D Holst.

At least 91 records · Page 5Linked to original sources
PubMed1985

Adequacy and effectiveness of a public dental care program for old-age pensioners.

The purpose of the present work was to assess the adequacy and effectiveness of a public dental program for old-age pensioners. The dental care program offered free consultation and treatment at reduced prices to all pensioners (3072) in a municipality near Oslo in 1979. To study treatment need and access to dental care, a random sample of 430 pensioners was drawn from the total population of old-age pensioners; 371 persons were clinically examined. Of the 3072 old-age pensioners 23.7% responded positively and indicated that they were interested in the program, whereas 19.8% accepted, and 14.6% had the treatment carried out. The program adequacy was low and became lower when more restricted criteria for access to dental services were used. The program effectiveness was 18% or 16%, depending on which criteria were used for access. Acceptance of the program was highest among people who were aware of it, had natural teeth, had a dental problem, did not have their own dentist, had limited education, or were among the young pensioners.

Aged↗
PubMed1982

Causal analysis on the use of dental services among old-age pensioners in Norway.

The purpose of the present paper was to establish and evaluate a causal model on the use of dental services in Norwegian old-age pensioners living at home. Data were derived from the Health Survey of 1975. The independent variables sex, age, education and dental status were dichotomized and arranged in this assumed temporal sequence. The dependent variable was also dichotomized into use versus non-use of dental services last year. The analysis started with the bivariate percentage table for sex and use, and then proceeded by adding one by one of the independent variables in the order of their time sequence. In this way the statistical relationship between an independent and the dependent variable was decomposed into direct, indirect and spurious effects. Dental status was the most influential determinant of use of services, having the greatest direct effect (0.40) and mediating indirect effect of the prior variables. Education came second with a direct effect of 0.18 and an indirect effect (0.11) by affecting dental status. There were only negligible differences in use rates between the age groups (less than 75 / greater than or equal to 75 years of age) when the other variables were held constant (0.05, P greater than 0.05). The greater part of the direct effect of sex (0.11) was limited to dentate persons aged 65-74 with low education. Both age and sex affected use of services indirectly through dental status (0.09 and --0.04, respectively).

Age Factors↗
PubMed1980

Less fillings--cheaper dental care? A longitudinal investigation of the treatment profile during 10 years organized child dental care.

Little attention has been paid to the cost savings of reducing the number of filled surfaces in an ongoing dental program for children. The purpose of the present investigation was to analyze how projected reductions in filled surfaces affect costs. Records from 173 pupils leaving ninth grade in Lier District were collected and all treatments through 10 years were registered. Applying time-estimates provided through a separate investigation and the estimated costs of the public dental service in the district to the treatment profile, total time and cost investment were calculated. Of the total treatment time per person 41 per cent was used for fillings. The cost saving of a planned 30 and 50 per cent reduction is estimated. It is suggested that substantial savings may be obtained rather from changes in the structure of an organized program than from preventive efforts.

Adolescent↗
PubMed1979

Relationship between age, dental status and regular dental care in Norway illustrated by a model.

The purpose of this paper was to describe the relationship between age, dental status, and patterns of dental visits. Data from a national health survey of 11,014 persons in Norway 1975 were used. The model shows that though the absolute number of regular attenders decreased with increasing age their relative number among dentate persons increased with increasing age. Different examples of how the model may be used are described. Finally three explanations are given of the dental attendance pattern among Norwegian adults.

Adolescent↗
PubMed1978

Choice of dental care among 16--18 year olds in Oslo.

One of the objectives of organized school dental service is to create ability and willingness among young adults to maintain a preventive oral health care, e.g. regular dental visits. In order to investigate the decisions about and plans for dental care among school dental service leavers a questionnaire was sent to a probability sample of 258 young adults who had finished ninth grade eight months earlier. The participation rate of the Youth Dental Program (YDP) was approximately 90%. The drop-outs were made up of at least two rather distinct groups. One of them was dominated by subjects with a high social background and they chose to a great extent care in private practice. The other group was dominated by young men with a low social background. They finished school early and expressed pessimistic expectations to the life-time of their own teeth.

Adolescent↗
PubMed1977

[Study of living conditions, 1973. Some odontological results].

The central Bureau of Statistics has conducted an interview survey of the level of living in Norway in 1973. The level of living is made up of many welfare components such as: Employment, working conditions, income and consumption, housing conditions, health, education, etc. The purpose of this publication is to inform about results concerning dental health. A sample of 3874 persons born 1957 or earlier was drawn among persons in 4707 households which made up the sample in the survey of consumption expenditure 1973. The sample was a stratified, self-weighting two stage sample drawn among all private households in the country. The material and methods are described in English in the preface of the publication (Levekårsundersøkelsen 1973 1975). Because of the way of coding answers for time since last visit to dentist, the group: "During the last year" covers a period of 10-14 months. Very few had never been to a dentist and included only men in age group 67 years and more.Fifty-five percent of the total sample had been to a dentist within the last year in the south-eastern part of Norway. This was longer travelling time to the dentist in the sparsely populated middle and northern part of Norway. Almost equally many people had visited a dentist regardless of whether their self-assessed condition of their teeth was: Few fillings and restorations or many fillings and resotrations. The role of age is uncertain in these findings. The role of age is uncertain in these findings. One half of the persons with natural teeth said that they had few cavities and fillings.

Adolescent↗
PubMed1976

A comparative radiographic investigation of caries prevalence in Danish schoolchildren.

In order to assess the prevalence of untreated caries in two groups of Danish 7th grade (13- to 14-year-old) school children in a blind study, a radiographic investigation was carried out. Only half of the children (394) had received regular school dental care during their years of attendance of primary school; the other children (368) had not. A bitewing radiograph of the right side of the mouth of each child was taken, employing a standardized technique. The radiographs were read without the examiner knowing the group identity of the radiographs. The criteria for discarding poor radiographs, teeth, and tooth surfaces are described. Some of the radiographic results are compared with the clinical caries score of the same group. Most of the radiographs without untreated caries were found among those of the children who received school dental service. Uncertainty of method in connection with radiographic investigation is discussed.

Adolescent↗
PubMed1976

Prevalence of gingivitis among children with and without school dental service.

In order to evaluate the effect of school dental care on the prevalence of gingivitis in children, two groups of children in the 7th grade (approx. age 13-14 years) were compared, only one of the groups having had school dental service. A total of 758 children from eight different provincial towns in Denmark were studied. Gingivitis was recorded by the method of Löe & Silness. The results are given as the average sum of sound, inflamed, and severely inflamed gingival zones and in frequency tables. There were only small differences between those children who had had school dental service and those who had never received it.

Adolescent↗
PubMed1975

Dental caries in schoolchildren in some Danish communities with and without school dental service.

The purpose of the investigation was to compare the caries prevalence (DMF-T) among 762 7th grade children, of whom one-half had never received school dental care. The children were grouped according to social status in order to see if there was any difference in the caries prevalence between the social groups. The caries prevalence in children both with and without school dental service was high, 9.5 DMF-T and 10.5 DMF-T. The prevalence of untreated caries and secondary caries was lowest in the group with school dental service.

Adolescent↗