摘要:

AbstractThis survey attempted to determine the impact of the periodontal course on oral hygiene and gingival health among 50 senior dental students. The course included the following: patient motivation, instruction in oval hygiene procedures and plaque control, scaling and curellage, temporary splinting and occlusal adjustment. Without advance notice, plaque deposits were scored using the Plaque Index and gingival health was determined using the Gingival Index. The results were collected at the beginning and at the end of the periodontal course (about 2 months). The results were analyzed using the paired t‐test. No improvement of either oral hygiene or gingival health was noted at the end of the periodontal course. It seems that even some dental students, who should know the direct relationship between bacterial plaque and periodontal diseases and should be better motivated than the average patient, failed to demonstrate effective oral hygiene. It is difficult to expect an improvement of patient oral hygiene, when the patients have been motivated by students who are unable to perform satisfactory personal oral hygiene themselves. It is suggested that a greater emphasis be placed on patient motivation and instruction in oral hygiene throughout the dental curriculu

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01303.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Abstract142 dentists, 21 dental hygienists and 35 dental assistants were asked lo fill in a questionnaire which consisted of 40 questions about preventive dental matters regularly asked by Dutch dental patients. The 40 questions were submitted to experts in the field of preventive dentistry. The experts were in agreement on 26 questions. It was decided to use these questions for analysis. The average percentage of correctly answered questions was: for the dentists 53%, for the dental hygienists 58% and for the dental assistants 37%. The group of 142 dentists was further analyzed. It appears that the knowledge about preventive dental matters increases subsequently with each year of gradual ion. Analysis of the dentists who graduated from Dutch dental schools in their capacity as private practitioner, as faculty member or in the school dental service, revealed that there was no difference in knowledge between these groups. With some reservations the conclusion can be stated that an obvious necessity exists for post‐academic courses in preventive dentistry in the groups concerned. Greater uniformity is needed between the views of the experts and the dental professionals who treat patients dail

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01304.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractInterviews investigating factors influencing dental visiting were held with a nationally drawn (England + Wales) random sample of 690 16–20‐year‐olds. The results presented relate specifically to the last reported dental visit, the balance of self and professional dental care, knowledge and acceptability of charges for dental treatment, factors in choosing a dentist, feelings about visiting the dentist and whether information relating to treatment or prevention is either asked of or given by the dentist. The results were found to vary by age, sex, social class and region. The implications of these findings for the training of dentists and dental health education messages are disc

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01305.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractThe percentage of consumers in the U. S. covered by dental insurance has increased dramatically over the last 10 years. As dental insurance grows, it is becoming increasingly important to examine the context of dental care payment systems. At present, almost all insurance programs are geared toward the fee‐for‐service system, which reimburses dentists a fixed sum for each type of procedure. The exceptions to fee‐for‐service dental insurance plans are few. A capitation program for dental care, which reimburses dentists a fixed amount per enrolled patient regardless of services rendered, offers many advantages for both consumers and providers and should be available as an option. Network capitation represents a new approach to the payment of dental care. A network capitation program is being developed in the United States and will use an approach involving two contracts, one which will be used with an insurance company, and the second with a network of private practitioners. The insurance company will supply dental practices with dental patients and funds on a capitation basis. Patients will be given the choice of fee‐for‐service or capitation. Network capitation allows fee‐for‐service solo or group practitioners to incorporate capitation patients into

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01306.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractOral hygiene has been implicated as a causal factor in the development of dental caries and periodontal disease in mentally retarded individuals. Little attention, however, has been given to the determinants of oral hygiene status. The present paper assesses the oral hygiene status of institutionalized (I) and noninstitutionalized (NI) mentally retarded (MR) individuals aged 4 through 25, in relation to age, degree of mental retardation, and socioeconomic status. Institutional status was found to be a major determinant in oral hygiene conditions of the study group, as IMR individuals had significantly higher OHI scores than NIMR individuals. Associations of age and OHI were significant only for NIMR. Although differences between land NI groups, with respect to degree of mental retardation, were seen for mildly, moderately, and severely retarded, no significant difference in OHI scores between I and NI profoundly retarded was seen. Socioeconomic status was not found to be a significant factor in the oral hygiene status of MR individuals. This study emphasizes the need to assess age, degree of mental retardation, and institutional status when implicating oral hygiene in caries and periodontal disease prevalence in MR individuals.

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01307.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractA sociodental investigation was conducted among 254 elderly people living at home in Nottingham. A clinical assessment was made of the subjects' dental treatment needs and this was compared with the subjects' felt and expressed needs. Seventy‐eight percent of the sample were clinically judged as needing denial treatment, mainly some form of prosthetic treatment. There was, however, a wide discrepancy between the normative and perceived needs of this elderly population. Only 42% of those who were clinically assessed as needing treatment felt that they required it and only 19% had actually tried to obtain it. Many of the elderly mentioned a number of barriers to obtaining dental care; these included the cost of treatment, fear of the dentist, immobility and the feeling that they should not “bother” the de

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01308.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractOral health parameters were examined for 211 schoolchildren (128 Aborigines and 83 Caucasians) representative of the 6–8 and 10–11 year age groups in the Brewarrina and Walgett areas of western New South Wales (fluoride in water ≤ 0.02–0.26 parts/106). Despite similar dietary carbohydrate challenge and tooth eruption patterns, Aboriginal children, most of whom were members of a transitional community within a low socioeconomic stratum, had higher prevalence of caries (DIMFT) and severity rating of carious lesions (SR), poorer oral hygiene (OHI) and more gingivitis (PI) than Caucasian children, in both age groups. Tooth defects were more frequent (2.5 times) and severe in Aborigines than in Caucasians. Outstanding treatment needs were very high in both ethnic groups, but more so in Abo

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01309.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractA pilot survey of oral health included 83 adolescent and adult Aborigines (41 M, 42 F, range 16–70 years, mean age 37.3 years), resident in fringe settlements around the far western New South Wales towns of Brewarrina and Walgett (fluoride in water ≤ 0.02‐0.26 parts/106). Dental caries prevalence (mean DIMFT per person) increased from 17.1 at 20 years to 20.7 at 35 years and declined to 14.6 by the age of 50 years and over. Oral hygiene (OHI) was poor overall and deteriorated with age. Periodontal status (PI) was significantly correlated with the presence of debris (DI) and calculus (CI). The mean PI increased from 1.7 at 20 years to 4.8 at 43 years and over. Tooth mortality reached 75% by the age of 43 years. Prosthetic needs were correspondingly high, but 95% of denture requirements were unmet. No evidence of effective or sustained oral health care was seen; 38% of subjects needed emergency trea

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01310.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractPanoramic radiographs of 704 apparently healthy children aged 9–10 years were examined regarding anomalies and pathologic conditions in the maxillofacial area. Almost all findings were mesial to the molars. 1.7% of the children had a supernumerary tooth, 7.7% had hypodontia. Malposition of 631 permanent teeth was recorded. 42 dentigerous cysts were detected. Malformed crown or root was seen on 60 permanent teeth. Caries was found on 224 primary and 32 permanent teeth. 257 primary teeth showed atypical resorption, and 53 had a periapical inflammatory radiolucency. 20 retained roots of primary teeth were detected. 31 maxillary sinuses had an opacity. There were very few other finding

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01311.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

AbstractA comparative epidemiologic study on traumatized permanent anterior teeth was conducted on 6090 Iraqi and 3507 Sudanese primary schoolchildren. A significant relationship was found between the severity of trauma to protrusion of maxillary incisors and amount of lip coverage in Iraqis and a similar tendency was observed for the Sudanese. In a comparison between the two population groups the frequency of traumatized permanent maxillary incisors with greater tooth loss (types 3 + 4) were significantly higher in Iraqi than in Sudanese children with protrusion and inadequate lip coverage.

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1980.tb01312.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY