Law and economics of dental practice in Missouri.
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A comprehensive programme of treatment and home care was shown to be effective in greatly reducing dental caries, improving oral cleanliness and controlling gingivitis in handicapped patients. Maintenance required less than half the time and approximately one-third of the cost of initial restoration.
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The information presented in this paper was obtained as part of an ongoing longitudinal study of 1982 dental hygiene graduates. This portion of the study was contracted by the American Dental Hygienists' Association and provides information about method and amount of remuneration, fringe benefits, pay increases, and amount of money generated from dental hygienists' services. Data presented here were collected at two points in time: September 1985 and September 1986. The September 1985 survey was returned by 850 dental hygienists (83%) and the September 1986 survey was completed by 766 subjects (77%). Data were analyzed for clinical dental hygienists working in traditional and nontraditional settings. Results showed that most dental hygienists were salaried (80% traditional, 100% nontraditional) with a 1985 mean annual income of $19,160 for traditional and $17,197 for nontraditional hygienists. The mean daily wage in 1986 was $106.27 for traditional and $85.12 for nontraditional hygienists. Nontraditional hygienists were more likely to have received a pay increase in the previous six months and to receive fringe benefits than were traditional hygienists. Wages earned and money generated from dental hygiene services varied greatly. On the average, hygienists' wages constituted about one-third of the fees their services generated.
A study was carried out to determine the number and distribution of unqualified dental practitioners (UQP's), and to compare some aspects of their practice profile with those of general dental practitioners (GDP's) in the island. The results showed that there were probably as many UQP's as general dental practitioners and that 91 per cent of them provided dentures. The proportions performing extractions, fillings and scalings were 44, 58 and 38 per cent respectively. For most procedures their charges were roughly 30 per cent lower than those of general dental practitioners, although in the case of dentures they tended to charge nearly as much and sometimes more. A way of rationalizing the role of UQP's as de facto providers of dental care is suggested in the light of new information about this manpower type that is generally regarded as unlawful and therefore ignored.