Children with mental retardation/developmental disabilities: do physicians ever consider needed dental care?
Explore the source record for details and available documents.
Child↗
Biomedical subjects
H B Waldman
Publications and source records attributed to H B Waldman.
Replacing New York State dentists.
Explore the source record for details and available documents.
Dentists↗
Community-based dental services for patients with special needs.
Deinstitutionalization of individuals with mental retardation and developmental disabilities has increased the demand for dental services for these patients by community practitioners. There are numerous difficulties associated with the delivery of care to this population with special needs. Nevertheless, a county-by-county review for New York State indicates that in most instances, if all dentists are willing to help, there would be a relatively small number of these patients per dental practitioner.
Child↗
Favorable dental economics could belie coming crisis.
In the 1990s, the general economy, as well as the economics of dental practice, were favorable. Should there be an extended period of economic downturn, three factors could be cause for economic concern; the wide ranges in spending for dental services in different parts of the country, the reliance on out-of-pocket spending for dental care, and the minimal level of government spending for these services.
Economics, Dental↗
Orthodontics and the population with special needs.
During the past 30 years, more than three quarters of individuals with mental retardation/developmental disabilities have been deinstitutionalized and now reside in our communities, relying on community physicians and dentists (even orthodontists) for needed services. A presentation is made to increase orthodontic practitioner awareness of the magnitude and dimension of the increasing numbers of youngsters and adults with special needs who now reside in their communities and require their services, and to provide some insight and response for the query, "Why orthodontics?"
Adolescent↗
Periodontics and patients with special needs.
Explore the source record for details and available documents.
Adolescent↗
Dental economics. Doing better into the second half of the 1990s.
Explore the source record for details and available documents.
American Dental Association↗
NYSDA Membership Survey provides insight into the composition of the dental profession in New York State.
How are dentists in New York State doing? How does their experience compare with that of dental practitioners throughout the country? Are there differences between the way male and female, minority and nonminority, younger and older dentists practice? These are but a few of the questions that the NYSDA 1999 Member Survey sought to answer. What follows are some of the findings.
Adult↗
NYSDA Membership Survey. How the components stack up.
There are many similarities and differences between the demographic characteristics of dentists, their practice arrangements, business activities, income and other factors, which do not follow the purported "downstate-upstate" dichotomy. In each district society, most respondents are sole proprietors, and 26+ years is the most frequently reported period of time in practice. A great majority of dentists in most component societies work 32+ hours per week, and average 50 to 56 scheduled and six to nine emergency visits per week. $175,000+ was reported most frequently as the net income of dentists in eight component societies. A small percent of practitioners belong to IPAs and capitation plans. A small percent accepts Medicaid patients. A somewhat larger percent belongs to DR plans. A much greater percent belongs to PPO arrangements. Approximately 25% of respondents expect that their primary occupation will change in the next 10 years, with the vast majority anticipating no longer being in dental practice.
Demography↗
Some factors that endodontists may consider when selecting a practice location.
The distribution of endodontists per population is considered in terms of the ranking of states by the availability of a graduate endodontic training program and selected population demographic characteristics. Statistically significant positive relationships were found for the endodontist to population ratios, and (i) overall health and social conditions, (ii) per capita income, (iii) per capita spending for health care, and (iv) percentage of the population that is Hispanic and Asian-American. Negative relationships were found for (i) increases in the population that is underserved by dentists, (ii) higher levels of out-of-pocket spending for health care, and (iii) increases in the population below the poverty level. Further analysis at the local level (and for individual practitioners) is needed to better understand the decision process in the selection of a practice site.
Decision Making↗
Selecting a practice location: factors that periodontists may consider.
BACKGROUND: The decision to locate a periodontal practice is based upon a complex series of interrelated variables. An understanding of this process is essential if planning for the distribution of periodontists is to be considered. METHODS: Non-parametric statistical tests were used to determine the relationships between the rankings of states by periodontist-to-population ratios and 1) the availability of a periodontal training program, and 2) selected population demographic characteristics. RESULTS: A statistically significant positive relationship was found between the ranking of states by periodontist-to-population ratios and 1) the availability of a periodontal training program; 2) per capita income; 3) per capita spending for health services; 4) availability of health insurance; and 5) the percentage of the population that is African-American, Hispanic, and Asian-American. CONCLUSIONS: This study provides a broad analysis of some of the factors in the practice location decision process. Further analysis at the local level (and for individual practitioners) is needed to better understand the decision process in the selection of a practice site.
Decision Support Techniques↗
Why not Medicaid dentistry?
Charitable dental services and Medicaid dentistry are two components of services provided to patients with limited financial resources. An approach to making the case for improvements in Medicaid dentistry may best be made by increasing the public's awareness of the charitable services provided by individual dentists.
Aged↗
Fluctuations in the number and distribution of prosthodontists: 1987-1995.
PURPOSE: This article presents a review that used three ADA studies on the distribution of dentists to determine whether the number of private practice prosthodontists in the mid 1990s has kept pace with the population in the various regions and states. RESULTS: Findings indicate that between 1987 and 1991 there was a marked national increase in numbers of prosthodontists followed by a marked decrease during the first half of the 1990s. There continued to be major differences, however, in practitioner-to-population ratios in different geographic areas. Since the mid 1980s, there has been a general increase in the number of graduates from prosthetic programs, but an increasing percentage of these graduates were foreign trained dentists. CONCLUSION: There continues to be a need to determine the adequacy of the number and distribution of prosthodontists.
American Dental Association↗
Changing number and distribution of endodontists: a continuing imbalance--1987-1995.
A review of the 1995 and past American Dental Association studies on the distribution of dentists provides specific information on the evolving numbers of endodontists at the national, regional, and state levels. Despite an increase in numbers of endodontists, major differences continue in practitioner-to-population ratios in different geographic areas.
Dentists↗
Changing number and distribution of orthodontists: 1987-1995.
A review of the 1995 and earlier American Dental Association studies on the distribution of dentists provides specific information in the evolving numbers of orthodontists at the national, regional, and state levels. During the 1990s, the number of orthodontists decreased at the national level and in 22 states, whereas the number of orthodontists per population of youngsters decreased in 41 states. Previous projections on the potential decreasing ratio of orthodontists-to-population appear to be borne out.
American Dental Association↗
Error of omission.
Explore the source record for details and available documents.
Dental Health Services↗
Changing number and distribution of periodontists: a continuing imbalance--1987-1995.
A review of the 1995 and past American Dental Association (ADA) studies on the distribution of dentists provides information on the evolving numbers of periodontists. Despite an overall increase in the number of periodontists, major differences continue in practitioner-to-population ratios in different geographic areas. Suggestions include 1) efforts by the ADA and/or The Academy of Periodontology to draw attention to the limited numbers of periodontists in particular locales and states; 2) increased general efforts to educate the public on the need and value of periodontal services; and 3) increase in the profession's awareness of the growing diversity in the population of the nation and the need to modify and adjust its efforts to attract underserved populations with different familial, cultural, and educational backgrounds.
American Dental Association↗