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[Patients' survey on regular check-up system in dental clinics].

This survey classified the issues involved in promoting the regular check-up system in dental clinics. The survey was conducted in two parts: interviews with 39 dental clinics and a questionnaire survey of 5,129 patients (response rate: 56.8%). The results are summarized as follows: 1. Among the dental clinics that participated in this survey, the proportion of regular patients, the number of dental hygienists working at clinics, and the number of patients per day were higher than those of the national average. 2. The demographic patterns of regularly attending patients were "female, aged under 14 years and students or public servants". 3. Satisfaction with the technical competence of hygienists has the strongest correlation with regularity of visiting. The degree of correlation was about twice that of the correlation with technical competence of the dentist. 4. Patients' priorities for improving dental services to enhance satisfaction were treatment charges, appointment system, and attitude of staff and doctors toward welcoming the patients.

Adolescent↗

Bacterial aerosols in the dental clinic: a review.

A number of sources of bacterial aerosols exist within and outside the dental clinic. The concentration of bacterial aerosols and splatters appears to be highest during dental procedures, especially those generated by some procedures such as ultrasonic scaling, or using a high speed drill. Several infectious diseases could be transmitted to staff and patients by airborne bacterial and other contaminants in the dental clinic. Air-conditioning and ventilation systems should be regularly maintained to reduce environmental contaminants and to prevent recirculation of bacterial aerosols. Pre-procedural rinsing by patients with mouthwashes as well as vacuum and electrostatic extraction of aerosols during dental procedures could also be employed. Dental staff should also consider appropriate immunizations and continue to use personal protective measures, which reduce contact with bacterial aerosols and splatters in the dental clinic.

Aerosols↗

Factors affecting patient completion of treatment within a student dental clinic.

Failure of dental patients to complete their treatment challenges the efficient use of human and clinic resources, expectations of improved patients' health, and the dentist's effective management of his patients. Accordingly, the present study was undertaken to explore factors which might account for adult patients not completing their treatment at the University of North Carolina dental school. These factors were simultaneously considered as determinants of completed treatment. Possible explanations were considered from providers' (dental students') as well as inactive patients' points of view. Results revealed substantial agreement between patients and students, and yielded the following general determinants of treatment completion: patient's availability for treatment, how cooperative or treatable the patient was, and the patient's satisfaction with treatment. Demographic explanations were minimal. The findings can guide efforts to refine present methods of patient screening and patient management as practiced by dental students and their preceptors.

Appointments and Schedules↗

Assessment of waste amalgam management in dental clinics in Ramallah and al-Bireh cities in Palestine.

The behavior of dental health personnel was examined with regard to the handling and proper disposal of wastes generated at common dental clinics, and some of the amounts of waste they produce were estimated. In January 2002, a random sample of 37 dental clinics was chosen in the cities of Ramallah and al-Bireh. The visited clinics were distributed between 31 private practices and six public/NGO dental clinics. The dentists were asked about the methods they follow in disposing and discarding of amalgam wastes. An average dentist is estimated to place two small, seven medium and nine large amalgam restorations releasing 22.6 grams of mercury each week. The majority of amalgam wastes ended up in trash or drain.

Dental Amalgam↗

[Leadership of personnel in the dental clinic].

Lack of motivation and interest among dental clinic employees is a frequent problem facing the dental health professional who heads it. The present article proposes some techniques aimed at integrating personnel and improving their performance.

Dental Auxiliaries↗

The chief scientist reports ... An analysis of patients attending two emergency dental clinics in Edinburgh.

Two studies of self-referred patients attending emergency dental clinics in Edinburgh have shown that almost half of the patients have been to the dentist in the last year and 60% had routine treatment on their last dental visit. Despite this contact with dental services, over 40% of patients with a dental emergency who attend the emergency dental clinics say that they do so because of actual or perceived difficulty in obtaining immediate care from the general dental services. Some 17% attend the clinics for reasons of convenience and 19% of patients attend the emergency clinic at the Dental Hospital because they prefer to be treated in a 'centre of excellence'. In September 1994 the School of Dentistry is to close and the Dental Hospital relocated. Changes may have to be made to the organisation of general dental practice in the Edinburgh area to accommodate patients with a dental emergency. The majority of emergency dental patients in Edinburgh are not put off attending for the relief of their problem by the cost of National Health Service treatment.

Adolescent↗

[Examination of the effectiveness of a screening test on the cooperation of autistic children and autism in the dental clinic].

The aim of this study was to confirm the effectiveness of a screening test on the cooperation of Autistic children in the dental clinic which was proposed by a former report. The subjects were composed of 55 autistic children making their first visit and other patients. The following results was obtained from this study. 1. The effectiveness of the screening test for the cooperation in a dental clinic was indicated from a high consistent rate (87.0%) in relation between the score which was estimated by a screening test and a explicit behaviour under dental treatment. 2. It has been shown that the patient with a score of four was as noncooperative in dental clinical procedures. 3. It was suggested that the applicable of the screening test for cooperation is from 4 years of age to 12 years of age. 4. The effectiveness of the screening test with regard to cooperation was supported by the relationship between the score estimated by a screening test and explicit behaviour under situations in regard to dental clinical procedures.

Autistic Disorder↗

Survey of dental radiographic services in private dental clinics in Damascus, Syria.

OBJECTIVES: To perform a radiographic survey of private dental clinics in Damascus, Syria using a postal questionnaire to produce recommendations for improving the quality of dental radiographic services and education in Syria. METHODS: Three hundred private dental clinics in Damascus were surveyed using a postal questionnaire (in English and Arabic) containing 27 questions on demographic information, equipment, techniques, selection criteria, frequency of examinations, and undergraduate/ postgraduate education. RESULTS: Two hundred and two (67%) dentists responded of which 95% graduated in Syria. The results showed a general lack of knowledge and understanding of dental radiography. Sixty four per cent did not know the kVp setting of their equipment, 73% used D-speed film, 57% did not use film holders and beam aiming devices, 25% did not use a viewing box. In addition, 45% of known equipment operated at 50 kVp or less and 16% was over 20 years old. No meaningful selection criteria existed with a wide variation in type and frequency of radiographs used for different clinical conditions. Syrian undergraduate training in dental radiology was minimal and there was no postgraduate education in the speciality. CONCLUSIONS: Several areas of the radiographic service in Damascus fall short of current recommendations on good practice. Recommendations are made to improve the service, the quality of undergraduate education and to establish postgraduate education.

Adult↗

A survey of preprocedural antiseptic mouth rinse use in Army dental clinics.

OBJECTIVE: The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS: Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two hundred fifty-four surveys were completed and returned. Simple mathematics were used to evaluate answers to the questionnaires. RESULTS: The 254 respondents included military dentists (n = 190), civilian dentists used by the military (n = 27), registered dental hygienists (n = 20), and military-trained dental hygiene technicians (n = 17). Eighty-four and one-tenth percent of respondents (n = 216) use preprocedural rinses in their practices to prevent possible disease transmission (n = 85) or to decrease chances of postoperative infection (n = 167). Chlorhexidine gluconate (n = 170) and phenol-based essential oil preparations (n = 84) are the most commonly used products. The perceived greatest benefits of preprocedural rinsing are to decrease oral bacterial load (38%), to decrease incidence of postoperative infection (21%), and to decrease aerosolization of bacteria (8.66%). CONCLUSIONS: Army dental clinics make extensive use of antimicrobial preprocedural rinses. Chlorhexidine and Listerine (Warner-Lambert Consumer Healthcare, Morris Plains, NJ) are the most commonly used products. Currently available literature appears to support the use of these products in preventing or diminishing the chances of postoperative infection.

Anti-Infective Agents, Local↗

[Microbiological study of dental clinic air at the University Hospital of the University of Sao Paulo Dental School].

The purpose of this study was to analyse the environmental microbiote and to verify its occurrence in different areas. During 3 months, from April to June 1986, several air samples of working areas of the Dental Clinic of Faculdade de Odontologia da Universidade de São Paulo were analised. The study consisted of 10 exposures in strategically selected points during 10 minutes each, blood-agar plates and Sabouraud-agar plates. It was done the identification in genera and in some cases at species, according to the conventional methods. The plates were incubated, and the colonies isolated and identified. It was done the statistical analysis (Z test) and it was observed bigger incidence of bacteria than fungi and more diversity of the fungi than bacteria. From the Odontological health point of view, the isolated microorganisms (ubiquitous in the air) do not reveal patogenicity however the determinants of the local hygiene.

Air Microbiology↗

Oral carriage of Candida species in patients visiting the Medunsa Dental Clinic.

148 Healthy adults visiting the Medunsa Dental Clinic were screened for the presence of oral candida species. Fifty-three per cent of these subjects harboured candida with a higher prevalence in females (61 per cent) than in males (44 per cent). Candida carriage was not significantly influenced by plaque or gingival indices. There was no significant difference in prevalence between smokers and non-smokers in the group as a whole, but smoking males showed a significantly higher prevalence than non-smoking males (p < 0.05).

Adult↗

[Late results with hybrid dentures in low-income patients. An investigation at the Cantonal Public Dental Clinic of Zurich].

72 patients who had received overdentures at the Cantonal Public Dental Clinic of Zurich during a period of ten years (1970-1980) were called for re-examination. Results obtained were evaluated according to an analogous survey which had been conducted 12 years previously at the same public dental clinic (Wiesmann 1975): The test subjects of both studies belonged exclusively to the lower-income population and treatment was performed by post-graduate dentists employed at the clinic. A comparison with Wiesmann's findings demonstrated a definite improvement in the general oral health conditions of these wearers of hybrid prosthesis. Since 1972 a recall system has been successively introduced which, for the greatest part, offers the most probable explanation for these positive findings. Each patient was summoned for at least one dental examination per year, thereupon presenting better results in regard to average plaque index, carious lesions, degree of gingival inflammation, probing depth and functionality of the prosthetic appliance, a marked difference to those patients who did not participate in such a dental maintenance program. Therefore, the regular motivation and supervision of patients is mandatory for long-term success of overdenture treatment.

Aged↗

Parental child abuse and neglect from a paediatric dental clinic: two case reports.

A seven and twelve-year old boy and girl presented to the paediatric dental clinic seeking dental treatment. The boy had dental neglect with fearful and uncooperative behaviour; while the girl was defiant and had disruptive behaviour. The behaviour of the two children was extreme, and this helped the clinician to question child abuse. Both children were abused by close relatives and were both neglected by the parents. The conflicting history from the guardians about the behaviour of both children and the extreme behaviour patterns made the clinician suspect child abuse. There was a marked change of behaviour when these minors were accompanied by their respective parents for the dental treatment. Child abuse requires a multidisciplinary approach to detect, diagnose and protect the minor. In this instance the parents were made aware of the possibilities of child abuse. Fortunately, they recognised the problems and therefore came to the assistance of the children whose behaviour transformed and were able to undergo dental treatment without any difficulties.

Child↗

Experience of 2 dental clinics registered to ISO 9002.

This paper describes the 3-year experience of managing 2 hospital-based dental clinics registered to ISO 9002:1994; it also examines the revision of previous quality management standards in 2 separate institutions to prepare for registration under the new ISO 9001:2000 standard. Daily equipment and process checks, combined with internal audits, were the backbone of the quality system at both locations. Corrective and protective actions had been underused, because of the partial duplication produced by 2 different institutionally mandated risk management and incident reporting systems. ISO 9002 registration provided both dental clinics with responsive quality systems, emphasizing patient satisfaction and providing measurable continuous quality improvement.

Accreditation↗