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M A J Eijkman

Publications and source records attributed to M A J Eijkman.

15 recordsLinked to original sources
PubMed2006

Job resources in Dutch dental practice.

AIM: To develop an instrument measuring job resources among dentists, and to assess the relative importance of these resources and relate them to job satisfaction. METHODS: 848 Dutch general dental practitioners (GDPs) received a questionnaire to monitor work experiences, including the Dentists' Experienced Job Resources Scale (DEJRS, 46 items, score range: 1 (not satisfying) to 5 (very satisfying), and the Dentist Job Satisfaction Scale (DJSS, 5 items, Cronbach's alpha = 0.85). RESULTS: A total of 497 (58.6%) dentists responded. Factor analysis (PCA) on the DEJRS resulted in 8 factors (Cronbach's alpha: 0.75 > alpha < 0.89), representing distinguishable categories of job resources. In rank order: Immediate Results / Aesthetics (M = 4.04, sd = 0.5); (Long-term) Patient Results (M = 4.03, sd = 0.6); Patient Care (M = 3.90, sd = 0.6); Craftmanship (M = 3.77, sd = 0.7); Idealism / Pride (M = 3.65, sd= 0.6); Entrepreneurship (M = 3.55, sd = 0.9); Material Benefits (M = 3.05, sd = 0.7); and Professional Contacts (M = 3.03, sd = 0.7). MANOVA indicated gender differences on: (Long-term) Patient Results (F(1,548) = 10.428, p = .001), and Patient Care (F(1,548) = 11.036, p < .001). Subscale correlations with the total DEJRS are: 0.57 > r < 0.88. All subscales show a positive correlation with the DJSS. DISCUSSION: The DEJRS is a valuable and psychometrically sound instrument to monitor job resources as experienced by GDPs. Dentists report immediate results and aesthetics, and long-term results of working with patients to be the most rewarding aspects. All job resources showed a positive correlation with job satisfaction. The discussion includes conjecture that stimulating a greater awareness of job resources serves a major role in burnout prevention.

Adult↗
PubMed2005

[Sports diets and oral health].

During competition and exercise sessions, (elite) sportsmen may need additional carbohydrates, resulting in an increased number of food intakes during the day. An increased number of food intakes may induce an increased caries risk. Additionally, almost all carbohydrate-containing sportdrinks and sportpowders have a high acidity level. Where low body weights are essential for the competition, sportsmen are at risk for disordered eating or eating disorders. Dentists should be aware of oral health risks of sportsmen and should advise them properly.

Beverages↗
PubMed2005

[Oral conditions in swimmers].

Swimmers, for several hours a week in contact with pool-water, may develop two different types of pool-water related oral conditions: dental erosion and dental staining. Dental erosion may occur when the acidity of the pool-water is below a pH-value of 5, dental staining when the pH-value of the pool-water is above 6.5. Of the two conditions mentioned, dental erosion is the most harmful, because it involves an irreversible process. The clinical significance is clarified by a few case-reports. In Dutch pools, the pH-value of the pool-water has to be checked daily. Therefore, among Dutch swimmers there is only a slight possibility of arising oral conditions caused by pool-water.

Chlorine↗
PubMed2005

[Oral problems in divers].

Divers can have several oral problems. Firstly, problems caused by pressure changes. These are barodontalgia and odontocrexis. Barodontalgia is toothache by barotrauma. Odontocrexis is restorations coming lose or breaking or tooth fractures by expansion of air beneath restorations. Other problems can occur by cements used to fix casted restorations, by inflammations in the orofacial region, and by not yet fully healed oral wounds. Secondly, there are problems related to the diver's mouthpiece. To keep the mouthpiece in place, the mandible has to be forced in a forward position. Holding this position often and for long periods of time, may develop or aggravate temporomandibular dysfunction. Insufficient fit of the mouthpiece may induce oral mucosal lesions. Therefore, it is recommended to produce individual diver mouthpieces. It is also recommended to produce individual diver mouthpieces for complete dentures wearing divers and for divers with fixed orthodontic appliances.

Barotrauma↗
PubMed2005

[The use of mouthguards].

A mouthguard is a useful appliance to prevent oral injuries, and their emotional and financial consequences. Most sportsmen are aware of the benefits of a mouthguard. Nevertheless, a relatively small percentage of sportsmen in contact sports are using a mouthguard actually. Whether or not a mouthguard is used, is predominantly determined by its comfort. Therefore, a mouthguard must be optimally comfortable. However, to make sportsmen using an even optimal mouthguard, needs motivation. Stimulating of motivation is the task of parents, coaches, (team) physicians, and (team) dentists. Especially coaches seem to have great influence on sportsmen. Children are very much influenced by their parents. It is the task of general dental practitioners not only to inform sportsmen and their parents, but also their coaches and team physicians about the risks of oral injuries and about the benefits of preparing a mouthguard. General dental practitioners must put themselves disposal to prepare mouthguards for their individual patients as well as for all players of a team who wish to have a mouthguard prepared.

Athletic Injuries↗
PubMed2005

[Oral care delivery and top-class sports. Relationships according to dentists who are top-class sportsmen].

The aim of this qualitative study was to determine the opinions of eight top-class sports dentists, two women and six men, about the possible relationship between their performance of top-class sports and their oral care delivery as a general practitioner. Seven of the eight dentists interviewed, indicated a connection between their performance of top-class sports and their oral care delivery. In particular, it concerns aspects as working very disciplined and systemicly, the pursuit of perfection, having the capability to concentrate very much, and working with an achievement-oriented attitude, such as the repeated search for challenges and always being active in exercising. Furthermore, some dentists interviewed stated that in delivering oral care, on the one hand they are trying to back frontiers, and on the other hand they have experienced their limitations. In the discussion, the questions are pointed out how quality of oral care delivery can be assessed, if there is any top-class oral care, and if so, which the personal characteristics are of dentists delivering this top-class care.

Delivery of Health Care↗
PubMed2005

[Dissertations 25 years after the date 5. The dentist and patient education: 25 years later].

In 1979 the thesis 'The dentist and patient education' was published. Based on theory and research, it was the aim of the thesis to provide physicians, dentists, dental students, and dental hygienists theoretical and practical tools to be of assistance in daily patient education. During the last 25 years the insights in patient education and shared decision making were further developed. Two literature studies were published in books. Some research projects were carried out and published in articles. Nowadays, individual based patient education is an essential part of dentists' and dental hygienists' daily work. When compared with the period 1970-1985, at present, multimedia campaigns on oral disease prevention are extremely scarce. Communication skills of dentists appeared to be strongly related to patients' satisfaction of oral care delivery. In the Netherlands, the ethical principle of informed consent has been legislated in 1995 and, as a consequence, activities in the field of patient education are more juridically characterized.

Dentistry↗
PubMed2004

Information and participation preferences of dental patients.

Dutch dentists have a moral and legal obligation to inform their patients and involve them in the decision-making process. It is unclear, though, to what extent patients prefer information and involvement in decision-making. Therefore, the aim of this study was to determine levels of preference for information and participation in decision-making among emergency patients (n = 96) and regular patients (n = 245). It was hypothesized that female gender, higher education, younger age, and a monitoring coping style are positively associated with higher preferences for information and participation. The results demonstrated that emergency and regular patients have high preferences for information, but that their preferences for actual involvement are significantly lower. Only weak associations were found between the antecedent variables and patients' preferences. It is concluded that, in the study of the etiology of patients' preferences for information and participation, future research should incorporate factors such as dental anxiety and seriousness of the dental condition.

Adaptation, Psychological↗
PubMed2003

Dentists' and patients' communicative behaviour and their satisfaction with the dental encounter.

OBJECTIVE: The aim of this study was to examine the relations between patients' and dentists' communicative behaviour and their satisfaction with the dental encounter. PARTICIPANT: The sample consisted of 90 patients receiving emergency care from 13 different dentists. BASIC RESEARCH DESIGN: Consultations were videotaped in order to assess dentists' and patients' communicative behaviour. Dentists' behaviour was coded by means of the Communication in Dental Setting Scale (CDSS), scores for patients' behaviour included among other things, the number of questions asked during the consultation. MAIN OUTCOME MEASURES: After treatment, patients filled out a questionnaire that assessed their satisfaction with their own and their dentist's communicative behaviour. Dentists also filled out a satisfaction questionnaire after each consultation. RESULTS: Results showed that dentists' satisfaction could not be explained by patients' or dentists' communicative behaviour. Patients' satisfaction was mainly influenced by the communicative behaviour of the dentist. CONCLUSION: Not only is patients' satisfaction positively related to the communicative behaviour of dentists, but the principle of informed consent requires dentists also to inform their patients adequately enough for them to reach a well-informed decision about the treatment. Therefore, it remains important to train dentists in communicative skills.

Adolescent↗
PubMed2002

Dentists' perceptions of dentine hypersensitivity and knowledge of its treatment.

The aim of the present investigation was to determine by questionnaire, UK dentists' perception of Dentine Hypersensitivity (DH) and knowledge of its treatment. A total of 403 questionnaires were sent to a selected group of UK dentists who had either inquired about further postgraduate education or had attended a course at the Eastman Dental Institute/Hospital. A total of 181 of 403 dentists (44.9%) (118M; 36F, 17 no response, mean age 38.2 years [s.d. 8.97]) returned the questionnaire. About 92.8% (n=168) of responding dentists claimed to see patients with DH in their practice. According to the dentists' replies at least one of four of their patients suffered from the complaint. About 71.8% (n=130) of dentists reported that DH was a severe problem in at least 10% of their patients and that pain from DH lasted no more than 4 weeks. Most of responding dentists claimed to be asked about DH by their patients and stated that they offered advice or treatment to their patients. Nearly 87.3% (n=158) of responding dentists provided a wide range of treatment options/advice which included both in-office and over-the-counter (OTC) products. Popular responses included desensitizing pastes/gels, Topical F(-) varnishes and toothpastes/rinses/gels, advice on atraumatic tooth brushing, dentine bonding agents (DBA), glass-ionomer cements (GIC) and other unspecified restorations. Of the various in-office treatments Duraphat was the most cited choice of varnish/primer options. Sensodyne toothpaste was the most popular of the specified OTC products. Most dentists appeared to understand the aetiological features associated with DH and provided a wide range of factors including the effects of incorrect tooth brushing, dietary acids as well as the possible influence on non-dental topics such as stress. Most responding dentists believed that their advice on DH was generally effective although they did highlight that certain aspects on the condition were lacking such as appropriate scientific information including the prevention of DH and its treatment. The results from the present study highlight several discrepancies in the perception and knowledge of the treatment of DH between dentists and their patients. The results from this study are, however, reasonably consistent with those previously reported by Dutch investigators. The results from this study also highlighted a need for guidelines on the aetiology, prevention and treatment of DH for both dentists and their patients. The reported average frequency and duration of discomfort from DH by the responding dentists appeared to be consistent with the available literature.

Adult↗
PubMed2002

[Career expectations and the type of dentist in the light of burnout].

The aim of this study was to measure if dentists with unfulfilled career expectations have higher burnout scores than dentists who succeeded in realising their expectations. Furthermore, the relation between type of dentist and burnout was investigated. It appeared that dentists who experienced reality being worse than expected, showed higher burnout levels, as did dentists putting more interest in life outside practice. It is recommended that attention for realistic career expectations is a regularly recurring topic in dental education. Also, introspection upon the type of dentist one prefers to be is something a professional should not neglect.

Burnout, Professional↗
PubMed2002

[Dental care for young people insured by health insurance fund 1. Prevalence and treatment of dental caries between 1987 and 1999].

In 1987, 1993 and 1999 an epidemiological study was performed on oral health in youngsters, aged 5, 11, 17 or 23 years, in whom oral health care was covered by a health insurance fund. The prevalence of caries in the deciduous teeth of the 5-year-olds (examined without radiographs) did not change significantly between 1987 and 1999. Only a small proportion of dmfs was filled. Caries prevalence in permanent teeth of the 11-, 17- and 23-year olds decreased significantly. The number of filled surfaces decreased also. Between 1993 and 1999 the number of clinically found DS increased. However, this rise in dentinal caries lesions was not confirmed by similar findings in a simultaneous performed study with bitewing radiographs.

Adolescent↗
PubMed2002

[Oral health care in young people insured by a health insurance fund 3. Dental attendance and oral hygiene habits in the Netherlands between 1987 and 1999].

In 1987, 1993 and 1999 an epidemiological study on oral health was performed in youngsters aged 5, 11, 17 or 23 years, in whom oral health care was covered by a health insurance fund. To obtain data on dental attendance, oral hygiene habits and the use of fluoride tablets questionnaires were used; data on the prevalence of dental plaque and calculus was obtained by clinical observations. The percentage of 5-year-olds attending a dentist at least once a year decreased between 1987 and 1999. In 23-year-olds a shift was observed from an attending frequency of twice to once a year, probably as a result of a change of the regulations of the Health Insurance Funds in 1995. The questionnaire data show that frequency of tooth brushing of 5- and 11-year-old children increased between 1987 and 1999. However, this change did not result in a lower prevalence of dental plaque. In the 17- and 23-year-olds a significant decrease of the prevalence of calculus was found. The use of fluoride tablets by children 5 year of age declined between 1987 and 1999. As the Dutch Society for Oral Health Education, Ivoren Kruis (Ivory Cross), altered the recommendations on the use of these tablets, this change could be expected.

Adolescent↗
PubMed2002

[Differences in the assessment of restorative dental care].

Caries diagnosis and assessment of restorations show a considerable variation between examiners. It can therefore be questioned whether a professional standard is available on this topic. In this study the judgement of general dental practitioners of the quality of restorative care and the number of adequately and inadequately treated teeth was compared to the judgement of dentists working in teaching institutes. Thirty general dental practitioners and 7 university dentists assessed occlusal photographs and bitewing radiographs of 20 patients with respect to the presence of caries and the quality of restorations. The general dental practitioners gave lower scores on a traditional schoolmark scale than the university dentists, but the latter scored more homogeneous. The agreement (Cohen's kappa) between pairs of examiners was similar for GDPs and experts. The expert group tended to have a more conservative attitude towards the level of restorative treatment to be judged. A univocal professional standard with respect to caries diagnosis and restoration assessment seems difficult to establish.

Clinical Competence↗