[Report from a public dental clinic: heavy demands for treatment among patients on the waiting list].
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OBJECTIVE: To determine the frequency of missed dental appointments among children with a cleft lip and/or palate (CL/P). DESIGN: A prospective study of failed appointments over a 12-month period. SETTING: Three different CL/P clinics within a British dental hospital. PATIENTS: Forty-five CL/P children (mean age of 8.8 years) and 45 age-matched, gender-matched, and postal code-matched noncleft patients. MAIN OUTCOME MEASURES: The overall percentage of missed appointments at three different clinics by CL/P patients and the difference in attendance rates at the pediatric dentistry clinic between CL/P and non-CL/P children. RESULTS: Pediatric dentistry had the highest rate of missed appointments (22.4%), followed by the multidisciplinary cleft clinic (9.2%) and the orthodontic clinic (8.8%). CL/P patients missed a significantly greater proportion of their pediatric dentistry appointments than noncleft children (22.4% versus 11.9%). Patients with a bilateral CL/P were significantly more likely to miss an appointment than patients with a unilateral CL/P. Age, gender, medical history, and distance traveled had no significant effect on attendance rates. CONCLUSIONS: Further work is needed to identify risk factors for poor attendance and to develop strategies to reduce the frequency of missed appointments in this vulnerable group.
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By this study it was possible to evaluate dental health in children of Geneva aged 5 1/2 and 6 1/2 years old. Of 614 children, 28.1% of the 5 1/2 year old and 18.2% of the 6 1/2 year old are without caries or fillings. The DMF factor is of 3.34 (t), 4.40 (s) and 5.57 (t), 8.02 (s) respectively. About one fifth of the children shows an irreproachable mouth hygiene. These children with mediocre or bad hygiene. 7.0% and 5.4% respectively show green or black stain. Children receiving fluorine tablets have more resistant deciduoud teeth than others of the same age from unfluoridated regions.
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OBJECTIVES: Attendance at emergency clinics may be accompanied by extensive waiting times and frustration and may not result in patients obtaining the treatment which they expected. The objective of the study was to ascertain patient satisfaction with the overall provision of day time emergency services in a university dental teaching hospital, for quality assurance purposes. METHODS: Patients (or persons accompanying child patients) attending the clinic, selected according to a sampling frame designed to identify approximately 10 per cent of attendees, completed a questionnaire. RESULTS: High levels of patient satisfaction were found; 17 of 24 questions scoring satisfaction on a scale 1-5 had median scores of 5, six had median scores of 4 and one had a median score of 3. The lower scores related mostly to patient facilities rather than treatment. CONCLUSIONS: Overall patient satisfaction with their dental A & E experience has been extremely positive, probably attributable to a well motivated staff using a team approach.
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This study collected validity evidence on the utility of critical thinking skills and critical thinking disposition in predicting initial clinical performance. The predictive value of critical thinking skills scores and disposition scores was examined to determine their unique contribution beyond that provided by traditional predictors: grade point average, age, and number of college hours. The study involved three phases: establishing content validity of three outcome measures; assessing students' baseline critical thinking skills and disposition using the California Critical Thinking Skills Test (CCTST) and the California Critical Thinking Dispositions Inventory (CCTDI); and assessing students' initial clinical competence, clinical reasoning, and clinical knowledge. All baccalaureate-level dental hygiene programs in the United States affiliated with a dental school (N=22) were invited to participate; of those, seven volunteered. A convenience sample of 207 first-year dental hygiene students was obtained. A series of hierarchical multiple regression analyses demonstrated that CCTST scores explained a statistically significant (p<.05) proportion of variance in students' initial clinical reasoning scores, acquired knowledge scores, and faculty ratings, above and beyond that explained by other predictor variables. CCTDI scores were not significant predictors of any outcome measure. It was concluded that CCTST is a good predictor of initial student outcomes and may have utility for student selection and retention.
A wide range of drugs and dental materials may be used when providing treatment to children. Routine medical and dental history may not provide all the necessary information to prevent allergic reactions, since young patients may be exposed to some of these drugs for the first time in the dental chair. The dentist should be prepared through training to reduce and at the same manage unwanted side effects. This article focuses on the possible adverse reactions following injection of local anesthetics; mainly, allergic and toxic side effects. Signs and symptoms are described and differential diagnosis is considered. The limited and absolute contraindication for administering some common local anesthetics is presented and local anesthetic drug interactions and toxicity relevant to pediatric patients are reviewed.
The purpose of this study was to establish base-line data on the prevalence of edentulism in adult patients seeking care at the College of Dentistry, in the City of Saskatoon. Out of a total of 548 patients, 75 (13.7 per cent) were totally edentulous. However, there were no individuals edentulous only in the mandible. Contrary to most previous surveys, the prevalence of edentulism was higher in the males than in the females in all age groups except in the 50-59 age group. The results from this study may facilitate the evaluation of future trends in edentulism, and prosthodontic treatment needs at the same locale.
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