PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “DENTAL CLINICS”

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 73 records · Page 4Linked to original sources
PubMed2006

Patients' satisfaction with dental care provided by public dental clinics in Dar es Salaam, Tanzania.

BACKGROUND: In Tanzania, patient satisfaction with dental services has received only minor attention. OBJECTIVE: To assess patients' satisfaction with public dental health services in Dar es Salaam. DESIGN: A cross-sectional study. SETTING: Five public dental clinics randomly selected from a list of all the nine public dental clinics in Dar es Salaam. SUBJECTS: Five hundred and sixteen consecutive patients, 193 males and 323 females aged between 12 and 77 years who, during the study period between July and November, 2002 were attending five dental clinics were randomly selected. RESULTS: No significant differences in patients' satisfaction level (overall or for the specific studied items) were found in all the five public dental clinics. The answers to the specific sub-items, apart from time spent with doctor, were around the average with very few responses with a high ranking. CONCLUSIONS: Findings indicate a moderate level of patient satisfaction with dental care offered in public dental clinics in Dar es Salaam. Areas identified as needing improvement included; technical quality of care, interpersonal aspects and communication.

Adolescent↗
PubMed2006

[Survey of patient satisfaction at the Yad Sarah Geriatric Dental Clinic].

OBJECTIVES: The purpose of this study is to determine the influence of a supporting professional environment, in a voluntary dental clinic, on the satisfaction among dental patients. METHODS: A sample of 109 patients who received dental care between 3/01-3/02 at the Yad Sarah dental clinic in Jerusalem were asked about : their satisfaction concerning their experience of previous visits, the frequency of their visits, how they heard about the clinic and whether they would return to the clinic in the future. RESULTS: On average, each patient visited the clinic three times. 36.7% of the patients heard about the clinic from friends or family. Most of the patients were highly satisfied (47.2%) or satisfied (36.1%) with the clinic. The two best predictors of patient satisfaction (total 83.2%) were the professionalism of the dentists (41.4%) and the good attitude of the dentists to them. On the other hand, the two best predictors of patient non-satisfaction (14%) were the low professionalism of the dentists (33.3%) and the price of the treatments at the clinic (33.3%). 89% said they would return to the clinic and 93% said they would recommend that other patients use the services of Yad Sarah dental clinic. CONCLUSIONS: Overall, the patients who were treated at the Yad Sarah dental clinic expressed high levels of satisfaction with the care they received. The professionalism and the attitude of the staff were the main contributors to the high level of satisfaction with the Yad Sarah dental clinic.

Aged↗
PubMed1997

Infection control and contaminated waste disposal practices in Southern Sydney Area Health Service Dental Clinics.

The sterilization and contaminated waste disposal practices in all 14 dental clinics operated by the Southern Sydney Area Health Service were surveyed. All of the clinics used autoclaves for sterilization. All hand instruments, handpieces and triplex syringes were autoclaved between patients. Chemical disinfection solutions were used in 12 of the 14 dental clinics, mainly for surface decontamination. Five dental clinics had separate storage areas for contaminated waste which compiled with contaminated waste separation and disposal guidelines. The practice of recapping needles with fingers and some inadequate washing facilities are areas that require particular attention.

Catchment Area, Health↗
PubMed1996

Dental clinics--a burden to environment?

To estimate environmental burden of mercury from dental clinics, a survey was conducted in 1993 at dental clinics in northern part of Sweden. Factors regarding amalgam separators, maintenance and disposal of collected sludge, age of clinics, cleaning of waste pipes, and sorting and handling of amalgam contaminated products were investigated. The result showed that many were not familiar with maintenance of the amalgam separator. A majority, 68%, were working in clinics older than 10 years, but only 9% reported that waste pipes had been cleaned or changed. Classification of amalgam contaminated products as high-risk and low-risk waste differed a lot, as well as handling of waste products. The result shows that there is need for more information and attention to all individuals working in Dental Care on how to reduce environmental burden of mercury from dental clinics.

Adult↗
PubMed2005

High mercury emissions from dental clinics despite amalgam separators.

Mercury (Hg) as amalgam has been used as a dental filling material for more than 150 years. Thereby, dentists and their patients have been directly exposed to Hg, and the public and the environment indirectly exposed via Hg emissions from incinerators and Hg in waste water from households and dental clinics. Due to the toxic properties of Hg and bioaccumulation in biota of Hg emitted via dental clinic waste water, amalgam separators were introduced in Sweden in the 1980s. Although these amalgam separators in the certification process are required to remove at least 95% of incoming Hg in a standardized laboratory test, their efficiency in practical use has not been properly investigated. Here we present actual Hg emissions via waste water from 12 dental clinics equipped with the same type of amalgam separator based on sedimentation. All waste water was collected for four consecutive working days, initially at ordinary operating conditions and a second time after a thorough revision and cleaning of the discharge system. The results indicate that mercury emissions from dental clinics can be reduced by an improved design of the discharge system, a sensible use of high pressure water cleaning, and regular maintenance, including replacement of amalgam separators and filters at certain intervals. The study also indicates that banning Hg in dentistry is the one long-term way to stop Hg emissions from dental amalgam.

Dental Amalgam↗
PubMed1998

The effectiveness of the "Clean-Area-System" for infection control in the dental clinic.

The use of effective infection control procedures and universal precautions in dental clinics, prevents cross contamination that could extend to dental health care workers and patients. The present study was initiated to investigate airborne environmental contamination in the dental clinic by viable cell count of oral streptococci grown on Mitis-Salivarius and blood agar plates. The reduction of the contamination by the "Clean-Area-System" was evaluated. "Andersen-Microbe-Sampler-Apparatus" and "Laser-Particle-Counter-System" were used for sampling and counting the bacterial cells and airborne dust, respectively. Numbers of viable cells counted as total colony forming units (CFUs) in the dental clinic were found to be significantly higher than those in the waiting room and the research laboratory. We found that the "Clean-Area-System" significantly reduced the CFUs grown on blood agar plates (p < 0.05), and that using the "Clean-Area-System" combined with the "Extra-Oral-Vacuum-Aspirator" is desirable in dental procedures such as cavity preparation. The "Extra-Oral-Vacuum-Aspirator" reduced airborne environmental contamination during tooth cutting and ultrasonic scaling procedures. In non-grinding procedures, this system proved to be very useful for infection control in the operative area. The authors concluded that the combined use of "Clean-Area-System" (dust collection ablation) and "Extra-Oral-Vacuum-Aspirator" (absorb dust ablation) was effective to reduce airborne environmental contamination in the dental clinic. We also fully confirmed that oral streptococci were an adequate indicator in the assessment for infection control in dental institutions.

Air Conditioning↗
PubMed1989

[Clinical studies on temporomandibular arthrosis in our dental clinic. 1. Subclinical female patients (20s-40s-year-old)].

Clinical study was done concerning to temporomandibular (TM) arthrosis for 168 female patients (mean age 35.5 ranged from 20 to 48 years) who visited our dental clinic. Among 168 patients, 16 cases (9.5%) had maxillofacial pain, 74 cases (44%) joint sounds and 49 cases (29.2%) alternations in the opening pathway. As a result, subclinical patients were 96 cases (57%). The mean value of maximum inter-incisal distance was 47.6mm +/- 5.3. The patients with subclinical TM arthrosis were mainly associated with stiffness of neck. They show in mothers with a number of infants. In female, it seems that delivery and nursing are associated with arising TM arthrosis.

Adolescent↗
PubMed1995

[Academic recommendations on the need for treating carious deciduous molars and canine teeth in elementary school children--results of a survey of university dental clinics].

Supplying recommendations for dental treatment to primary school children with decayed deciduous molars and canines by the Public Health Service may cause conflicts. An inquiry by letter was performed to look for a consensus concerning the degree of necessity of the treatment of decayed deciduous teeth. The German dental clinics who answered the questions unanimously disapproved the "Retaining" of decayed deciduous molars and canines without treatment; most of them recommended a conservative therapy until shortly before they become physiologically defunct, or, alternatively, the removal of the decayed teeth.

Attitude of Health Personnel↗
PubMed2003

[Comparison of results of a dental questionnaire between from randomly sampled residents and patients of dental clinics in the same city].

OBJECTIVES: The present study was undertaken to clarify the nature of sampling results with dental questionnaires between random sampling of subjects and of patients of dental clinics in the same city. METHODS: The first group comprised 900 subjects selected using the stratified random sampling based on different age groups. The sampling rate was set at 6.46% of the population database and the approach was a mail survey with random sampling. The second group comprised 240 subjects who were patients of 12 dental clinics. The questionnaire had a list of questions about oral health conditions, daily oral habits, daily activities and common eating habits. RESULTS: The response rates with the mailing method in the first group were 41.0% for male and 49.0% for female residents. The percentages who answered "Yes" to the questions, "Do you have gum swelling?" and "Have you ever received any instructions on tooth brushing from a professional?", were significantly (P < 0.05) lower than for patients from dental clinics. CONCLUSIONS: Dental patients had poor oral health habits and more oral diseases than residents, who visited dentists less frequently. It can be concluded that patients from dental clinics are inappropriate to use as samples to set a baseline for the general population in research evaluation of oral health.

Adult↗
PubMed1985

Prevalence of Legionella-specific IgG and IgM antibody in a dental clinic population.

This study was undertaken to determine the frequency of Legionella infection in a dental clinic setting. Serum samples from 270 dental clinic personnel were evaluated using an enzyme-linked immunosorbent assay to detect Legionella-specific IgM and IgG antibodies. The pooled-species whole-cell-antigen preparation used in these assays was derived from six Legionella pneumophila strains and one strain each from Legionella bozemanii and Legionella micdadei. Significant levels of IgG and IgM antibodies were found in 20% and 16%, respectively, of the samples. This compares with 8% and 10%, respectively, for a randomly selected non-clinical group from the region (P less than 0.005). Samples from clinic personnel with significant IgG titers (greater than 1:128) were also evaluated for activity to each of the eight single-species antigens, with the following results: L. pneumophila, 45% (combined six strains); L. micdadei, 37%; and L. bozemanii, 18%. Comparing individuals' "years spent in the clinic environment" with the incidence of significant antibody levels strongly suggests that the risk of Legionella infection increases proportionately with increased clinic exposure time (P less than 0.05). Analysis of these data implies that Legionella may be present in the dental clinic environment, thus creating an increased risk for clinical personnel or patients.

Adolescent↗
PubMed2000

The Postgraduate Diploma in Clinical Dental Technology.

The Dental Act 1988 included requirements for the registration of clinical dental technicians, a new category of dental health worker. Despite the Act containing provision for a course of training in clinical dental technology, 11 years elapsed before the first candidates would graduate in this discipline. This paper describes the development and implementation of the new Postgraduate Diploma in Clinical Dental Technology, PGDipCDTech(Otago). Diplomates of the inaugural course in 1999 were the first students, other than students of dentistry, to obtain a clinical qualification from the School of Dentistry. Overall the course was very successful, but the provisions of the Dental Act inhibit flexible approaches to the teaching of clinical dental technology.

Credentialing↗
PubMed1998

An investigation of the disposal of dental clinical waste in Bangkok.

This study investigated the disposal of clinical waste within dental surgeries in Bangkok, Thailand and followed the waste trail to the rubbish tips. A questionnaire was sent to all dental practices in the Bangkok Metropolitan Area. The response rate was 57.7 per cent. At the same time, rubbish collectors and scavengers were interviewed to see if they encountered clinical dental waste. Few dentists complied with all recommendations for the disposal of waste. Most waste was disposed of into the domestic rubbish stream. Rubbish collectors and scavengers knew what dental rubbish looked like and some had had needle-stick injuries. Although recommendations can be made to the dental profession to alter their behaviour, real improvement is unlikely without changes to legislation and social policy.

Attitude of Health Personnel↗
PubMed1996

The diagnostic reliability of clinical dental auxiliaries in caries prevalence surveys--a pilot study.

The Nuffield Report recommended the development of further education and training for dental auxiliary personnel. The extent to which clinical dental auxiliaries might carry out oral assessments is under consideration currently. While other countries have employed clinical dental auxiliaries as examiners in national surveys, there is no evidence to suggest that they are able to perform oral assessments effectively in the United Kingdom. This study aimed to investigate the possibility of using dental hygienists or therapists as examiners in epidemiological surveys. Five dentists and three clinical dental auxiliaries were trained and calibrated together using standardised BASCD training procedures. Forty 5-year-old children in Leeds were recruited to the training and calibration exercise. Data were analysed according to BASCD recommendations. There were no differences in performance between dentists and auxiliaries. All examiners fell within 95 percent confidence limits of the group mean dt, mt, ft and dmft. Mean grouped dmft scores for the benchmark examiner, dentists and auxiliaries were 1.92, 1.84 and 1.92 respectively. Sensitivity values for dentists and auxiliaries ranged from 0.54 to 1.00 and 0.80 to 0.94 respectively. Kappa scores were 0.70 to 0.90 for dentists; and 0.82 to 0.87 for the auxiliaries. It was concluded that the dental hygienists and therapist recruited to this study could be used in epidemiological surveys of caries in 5-year-old children.

Child, Preschool↗
PubMed2002

Clinical evaluation of cervical dentin sensitivity (CDS) in patients attending general dental clinics (GDC) and periodontal specialty clinics (PSC).

AIM: The objective of this study was to compare the prevalence, severity and distribution of CDS in patients attending general dental clinics (GDC) and periodontal specialty clinics (PSC) and to correlate them to possible causal factors. MATERIAL AND METHODS: 2 groups of patients aged 20-60 years recruited from GDC (144) and PSC (151) were evaluated for CDS by means of a questionnaire and intraoral clinical examinations. Furthermore, gingival recession and plaque scores were recorded at the same visit. RESULTS: The results showed that patients referred to PSC had a significantly higher prevalence of CDS (60.3%) than those examined at GDC (42.4%) (p<0.001). Also, mean plaque scores of PSC patients (1.87 +/- 0.88) was found to be significantly higher than that of GDC (1.44 +/- 0.7) (p<0.01). The occurrence and extent of gingival recession associated with hypersensitive teeth was significantly higher in PSC than GDC patients (p<0.01), with a 5% incidence of severe recession (5 mm) in PSC only. The association of periodontal disease and periodontal treatment to the high prevalence of CDS and gingival recession in PSC patients would suggest their role in predisposition to hypersensitivity. The distribution of CDS in tooth types revealed that upper molars and lower anteriors of PSC patients were mainly affected, and followed by, to a lesser extent, lower right canine and right first molars of GDC patients. CONCLUSION: The prevalence of CDS among our periodontal patients appears somewhat lower than that reported in periodontal specialty clinics of earlier studies but still higher than those reported in other dental populations. This indicates that periodontal disease and its treatments may increase the occurrence of hypersensitivity.

Adult↗
PubMed1984

A new type of mobile dental clinic developed following the Lebanon War, 1982.

A two-tier emergency dental services delivery system was developed following the October 1973 War, based on large mobile dental clinics (definitive restorations) and portable field units (emergency treatments). The increased demand for definitive restorations at the front lines, the mountainous terrain, and the extreme climatic conditions encountered during the Lebanon War, 1982, necessitated the development of a third alternative. A standard, compact module, either truck-mounted or helicopter-lifted, was outfitted as a fully equipped dental clinic according to Dental Corps specifications.

Dental Clinics↗
PubMed2000

Bacterial aerosols in the dental clinic: effect of time, position and type of treatment.

OBJECTIVES: The objectives of this study were to investigate changes in the concentration of total bacterial aerosols before, during, and after the working period at different positions within the same multichair dental clinics. Also to investigate the contribution to total bacterial aerosols, if any, of the aerosols generated from different types of dental procedures, as well as the environment. METHODS: Air sampling using a Slit-to-Agar air sampler at three positions in a multichair dental clinic, performed three times per day over a three week period before work, during work and after work. The second part of the study, in another multichair dental clinic, was performed before working and during three types of dental procedures. RESULTS: The concentration of total bacterial aerosols and Bacillus sp. in air which circulated in the dental clinic was lower at the end of the day than at the beginning. There was no significant change in the concentration of total bacterial aerosols in different positions in the dental clinic or after the three types of dental treatments. The concentration of Bacillus sp. in air not mainly generated during dental procedures and which may come from an environmental source, was reduced. CONCLUSIONS: This study suggests that the proportions of different types of bacteria in air may change before, during and after dental treatment. Preventive measures may need to be instituted to reduce build up of bacterial aerosols in the dental clinic during non-working periods.

Aerosols↗