PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Practice Patterns, Dentists'”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 181 records · Page 10Linked to original sources
PubMed2006

Dentist preferences for patients: dimensions and associations with provider, practice, and service characteristics.

Provider-patient relations may influence the nature of care provided. The aim of this study was to examine dentist preferences for patients, relate these to characteristics of dentists and practices, and to services provided. A random sample of Australian dentists completed mailed questionnaires (response = 60.3%). Four factor-based subscales and an overall scale (Selectivity) were derived from a 37-item battery. The 4 subscales comprised treatment adherence (behavior relevant to the treatment situation), personal adaptability (willingness to cooperate when expected to do so), social interactiveness (positive affect, communicativeness, and appreciativeness), and enabling characteristics (willing and able to pay, and good dental knowledge). Reliability was adequate (Cronbach's alpha = 0.71-0.90). Treatment adherence was associated with higher orthodontic rates, but a lower extraction rate; social interactiveness was associated with higher extraction and denture rates; personal adaptability was associated with higher orthodontic rates, but lower general/miscellaneous service rates; enabling characteristics was associated with higher endodontic and crown and bridge rates; selectivity was associated with higher rates of diagnostic, preventive, and total services per visit. The associations with service rates indicated that provider preferences were related to treatment behavior that could affect the mix of services, indicating that the nature of care provided may be influenced by the provider-patient relation.

Adaptation, Psychological↗
PubMed1996

Analysis of dentists' attitudes towards risks in oral radiology.

OBJECTIVES: To develop a method of measuring dentists' attitudes towards radiation hazards and to describe their prevalence among Swedish general dental practitioners. METHODS: A questionnaire was mailed to 2000 randomly selected dentists listed in the register of the Swedish Dental Society, with a response rate of 69.3%. An index for measurements of attitudes towards radiation hazards was constructed. RESULTS: Those dentists who showed high concern at radiation hazards also restricted their use of X-ray examinations. Years in practice and attendance at extended (one-week) courses in oral radiology both had significant associations with risk attitude. Inexperienced dentists showed less concern for radiation hazards compared with those more experienced and were less scrupulous in their choice of radiographic procedures. Gender, working alone, in the public dental health services or in private practice had no significant association with attitude. Dentists who considered regulations laid down by the Swedish National Institute of Radiation Protection as wholly adequate had a high care attitude. CONCLUSIONS: It is possible to study the relationship between attitudes and clinical behaviour by postal survey. Experience and continuing education affect dentists' attitudes towards risk and these attitudes in turn influence their clinical behaviour.

Adult↗
PubMed1997

The scope of TMD/orofacial pain (head and neck pain management) in contemporary dental practice. Dental Practice Act Committee of the American Academy of Orofacial Pain.

The Dental Practice Act Committee of the American Academy of Orofacial Pain was convened in 1995 for the purpose of studying the scope of temporomandibular disorders (TMD)/orofacial pain and dental practice acts. The committee concluded that the scope of clinical practice of TMD/orofacial pain is expanding beyond the teeth and oral cavity to include the diagnosis and treatment of disorders affecting the entire head and neck. The expansion of clinical practice is consistent with historical precedent in dentistry and within the scope of current dental practice acts. The present report represents the position of the American Academy of Orofacial Pain.

Facial Pain↗
PubMedDate not supplied

Restoring endodontically treated teeth: a survey of current opinions among board-certified prosthodontists and general dental practitioners in Sweden.

PURPOSE: The main aim was to investigate the current opinions among general dental practitioners and board-certified prosthodontists in Sweden on how to restore root-filled teeth. MATERIALS AND METHODS: A questionnaire containing 31 multiple-choice questions was mailed to 892 general practitioners and 150 board-certified prosthodontists in Sweden. The questions asked for information on when the clinicians used posts in endodontically treated teeth and what kind of clinical procedure they used. They were also asked if they believed that a post strengthened a root-filled tooth. RESULTS: Sixty percent of the general practitioners and 67% of the prosthodontists returned the questionnaire. Twenty-nine percent of the responding general practitioners and 17% of the prosthodontists were of the opinion that a post reinforces a root-filled tooth. Only a few clinicians used posts "always" or "most of the time" when restoring endodontically treated teeth with fillings, while the vast majority used posts when restoring such teeth with crowns or fixed partial dentures. In both groups of dentists, cast posts were most commonly used. Despite the present knowledge that parallel-sided posts have a significantly higher success rate than tapered cast posts, only a minority of Swedish dentists use parallel-sided posts. CONCLUSION: In contrast to the results of several current studies, a high proportion of both general practitioners and prosthodontists believe that a post reinforces an endodontically treated tooth. This is one probable explanation for the almost ubiquitous application of posts when teeth are restored with crowns or fixed partial dentures.

Attitude of Health Personnel↗
PubMed2005

Attitudes of Swedish dentists to pain and pain management during dental treatment of children and adolescents.

AIM: This was to investigate the attitudes of Swedish general dental practitioners (GDPs) to pain perception in children and adolescents using a questionnaire survey. Their practice of pain control for dental treatment were also investigated. METHODS: A questionnaire was sent to a random sample of 700 Swedish GDPs. Of these 421 (61%) were included in the analysis. RESULTS: About half of the dentists were of the opinion that children have difficulties in telling the difference between pain and discomfort and one third thought that young children report pain with some or great uncertainty. Swedish dentists tend to under use both local analgesia, analgesics and sedatives for pain management during dental treatment. Many dentists found it stressful to give local analgesia to preschool children. The results also showed that a group of dentists, about 35%, were more indifferent to their patient's experiences of pain and psychological management. Despite these results, experienced Swedish GDPs find little need for continuing education in pain management and local analgesia. CONCLUSIONS: Swedish GDPs under use local analgesia, analgesics and sedatives during dental treatment of children and adolescents. There is need for continuing education concerning pain management and an intensified discussion of attitudes to pain and pain management when treating children and adolescents.

Adolescent↗
PubMed2004

Reflective practice and experiential learning: tools for continuing professional development.

The models of reflective practice and experiential learning, described within this article, provide the dental practitioner and his/her team with realistic methods by which they can improve their skills and working atmosphere, and also reduce occupational stress. The reflective dentist is one who engages his/her team in a process of discussion regarding a variety of clinical situations, and who learns from both positive and negative clinical experience. This article offers a detailed analysis of reflective practice and experiential learning, and the ways in which application of these procedures can contribute significantly to the continuing professional development of dentists and dental teams.

Education, Dental, Continuing↗
PubMed2000

Dentist-related factors influencing the amount of prosthodontic treatment provided.

OBJECTIVES: To evaluate, using multivariate methods, the associations between indicators of the amount of prosthodontic treatment and dentist-related factors. METHODS: Questionnaires were sent to a random sample of 2,059 general dentists, response rate was 76%. Two indicators of prosthodontic activity were used as dependent variables: 1) reported weekly working hours used for prosthodontics and 2) reported numbers of produced single crowns, fixed partial dentures, and removable dentures. Independent variables were 'social and demographic attributes', 'job situation' and 'attitudes of dentists'. Multiple regression analysis was used in models with continuous dependent variables and logistic regression analysis for categorical dependent variables. RESULTS: 'Weekly working hours used for dental care of adults' showed a strong association in all models with the dependent variable 'weekly working hours used for prosthodontics'. Male dentists provided more prosthodontic services than female dentists, even if reporting less time used for prosthodontics. Private practitioners produced more fixed prosthodontics than dentists employed in the public dental health service. Dentists in the public dental health service reported a higher production of removable dentures than private practitioners. CONCLUSION: The results indicate that factors, besides those in the rational clinical model for decision-making, e.g. gender and delivery system, play a role in the provision of prosthodontic services.

Adult↗
PubMed2003

Does caries prevention correspond to caries status and orthodontic care in 0- to 18-year-olds in the free public dental service?

The aim of the study was to evaluate the coverage of and time used for caries preventive actions by patient and by dentist's characteristics in relation to caries status and orthodontic treatments in patients from birth to 18 in public dental care in Helsinki City Health Department, Finland. Data on caries prevention for the age groups 0- to 18-year-olds in 1999 were analyzed in relation to patient age, caries status, orthodontic care, and dentist's characteristics. Our study comprised a total of 48,040 patients treated by 140 dentists. Main outcome measures were the coverage of and time used for repeated caries prevention performed during visits following the check-up visit. Nine percent of those under age 6 received repeated caries prevention, 29% of the 6- to 15-vears-olds and 24% of the 16- to 18-year-olds. Nineteen percent in the no-caries group (DMFT/dmft = 0) and 36% in the high-caries group (DMFT/dmft > 0 and DT + dt > or = 3) received repeated caries prevention. The average time a dentist used in repeated caries prevention was 3.6 min (s 3.1: median 2.8; range 0.2-15.4 min) for those in the no-caries and 8.1 (s 6.2; median 7.3; range 0.0-31.8 min) for those in the high-caries group. In each category of caries status, the average time used for repeated caries prevention was shorter for those not under orthodontic treatment. In conclusion, the variation in dentists' caries-preventive treatment practices is wide showing both over- and underuse of caries-preventive actions as judged by needs of patients.

Adolescent↗
PubMed2005

A study to assess the validity of clinical judgement in determining paediatric dental anxiety and related outcomes of management.

OBJECTIVE: The aim of the present study was to determine the validity of subjective anxiety assessment and the outcomes of management of children receiving operative dental treatment. SETTING: The study was conducted at the Departments of Sedation and Child Dental Health, Newcastle Dental Hospital, Newcastle upon Tyne, UK. SUBJECTS AND METHODS: One hundred children and adolescents aged between 8 and 15 years participated in the study. Clinicians subjectively allocated 50 children for treatment with local analgesia alone (low anxiety), and identified 50 children who had the potential to benefit from nitrous oxide and oxygen sedation (high anxiety). Participants then completed the State-Trait Anxiety Inventory for Children (STAIC), the Venham Picture Test (VPT) and the Child Fear Survey Schedule-Dental Subscale (CFSS-DS). A global rating scale classified behaviour during dental treatment. RESULTS: State anxiety and dental fear prior to treatment were significantly higher in children allocated to receive inhalation sedation (P = 0.004 and P = 0.005, respectively). There was no significant difference in trait anxiety or post-treatment state anxiety between the two groups (P = 0.69 and P = 0.06, respectively). Only 11% displayed 'negative' behaviour during treatment: 82% of this group represented those allocated to receive sedation. CONCLUSION: Children receiving inhalation sedation were significantly more anxious prior to treatment than children receiving treatment with local analgesia alone. The findings support the subjective assessment of anxiety in children; however, objective anxiety measures may assist clinicians in identifying specific fears, which may ultimately aid patient management.

Adolescent↗
PubMed1998

An assessment of attitudes to, and extent of, the practice of denture marking in South Australia.

Denture marking or labelling is not a new concept in either prosthetic or forensic dentistry and its routine practice has been urged by forensic odontologists internationally for many years. In the general community it is often recommended for institutionalized persons to prevent confusion of ownership of dentures. In Australia, the Nursing Home Standards require that dentures of residents be 'discreetly labelled' and marking of all dentures is recommended by the Australian Dental Association. In some countries the marking of dentures is regulated by legislation, but elsewhere there seems to be a reluctance to effect this practice. Various methods which have been proposed include the insertion of an identifying label during the fabrication of the dentures with the utilization of a number of materials and coding systems. This study reports the results of a survey undertaken to determine the extent of the practice of denture marking in South Australia, the methods in use, and the attitudes of dentists, dental technicians and institutions to it. The results indicated that 24.5 per cent of all practitioners providing removable prostheses to their patients include an identifying label as part of the service on some occasions. This included 19.9 per cent of general dental practitioners, 25 per cent of specialist prosthodontists, 57.1 per cent of practitioners with training in forensic odontology, and 43.5 per cent of clinical dental technicians. No practitioner labelled dentures routinely. Reasons cited for not labelling dentures included cost, lack of awareness of standards and recommendations and a belief that it was of little importance.

Attitude of Health Personnel↗
PubMed2003

Training for dentists in smoking cessation intervention.

BACKGROUND: Although dentists are ideally placed to deliver smoking cessation advice and assistance to their patients, smoking cessation interventions are not often incorporated as a routine part of dental care. Research is needed to identify factors that facilitate and inhibit dentists' capacities to deliver smoking cessation advice. METHODS: An initial focus group discussion was conducted in Melbourne with 10 dentists. Six Victorian country dentists were interviewed in depth by telephone. Following this qualitative data collection, a random sample of 250 dentists (response rate of 57 per cent) was interviewed by telephone. Dentists were asked about their perceived role, current practices, knowledge of resources and services and opinions on training in relation to smoking cessation. RESULTS: Dentists are willing to ask and advise patients about smoking, but are less inclined to assist patients to quit or arrange follow-up. Dentists are more likely to implement one-off, opportunistic interventions rather than take a systematic preventive approach. Dentists are interested in attending further education and say they require training to be relevant to the context of their day-to-day running of the dental practice. CONCLUSIONS: Training should aim to legitimize the dentist's role in smoking cessation and provide strategies and resources so that dentists can practise interventions as part of their day-to-day work.

Attitude of Health Personnel↗
PubMed1998

A survey of the attitudes of members of the European Prosthodontic Association towards the shortened dental arch concept.

A survey of members of the European Prosthodontic Association was undertaken to assess their attitudes to the shortened dental arch concept, and to evaluate their experience with the approach. Data were collected using questionnaires. From an overall response of 42%, 96% of respondents agreed that the approach was acceptable in clinical practice. Almost all respondents had applied the shortened dental arch concept with 72% of respondents having treated less than 50 patients in this way over the previous 5 years. In terms of comfort and function, treatment outcome was satisfactory. However, 42% of respondents indicated that prosthetic extension of shortened dental arches was occasionally required.

Attitude of Health Personnel↗
PubMed2003

On translating new biologic-based interventions into dental practice.

Prudent change is a professional responsibility. Four forces will influence the incorporation of the new biology into dental practice--and their individual application in various settings will lead to a range of practice characteristics. These forces include our vision of what it means to be a professional, health consequences of the new biology, infrastructure features, and incentive structures.

Attitude of Health Personnel↗