摘要:

AbstractA mail survey of 1000 dentists representing the general population of practising dentists in Great Britain and Northern Ireland was conducted to identify those factors most predictive of sealant use. The response rate obtained was 73.7%. The mean percentage of patients aged 18 and under receiving sealants was 13.4 (SD 20.7). For both respondents who had received sealant training in dental school and those who had not, the three variable groupings having the strongest correlation with levels of sealant use were preventive orientation, opinion about sealants, and patient influence. Multiple regression analyses reflected these simple correlations. For both sealant educated respondents (R2= 39%) and respondents without sealant education (R2= 49%), the best combination of variables predicting sealant use were preventive orientation, opinion about sealants, and patient influence.

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00573.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractA 3‐yr clinical trial has been conducted on 3000 12‐yr‐old children in Lanarkshire, Scotland, with the aim of investigating the effects on oral health of toothpastes containing both sodium monofluorophosphate and zinc citrate, the former being present at fluoride levels of 1000. 1500, and 2500 ppm F. No significant difference in caries increments was found between the group of children using toothpastes incorporating zinc citrate and their counterparts using zinc‐free pastes. However, a significant anti‐caries dose‐response was demonstrated over the SMFP range used. This dose‐response was evident for boys and girls and also for the various types of teeth and t

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00574.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractAn innovative approach for the early detection of oral cancer and precancer within the context of the primary health care system has been field tested in Sri Lanka. The overall compliance in accepting this particular PHC approach for cancer screening, as estimated by arrival at a referral centre manned by consultant staff, was 54.1%. Nearly 80% of those who turned up without needing an additional reminder, did so within the first 2 weeks of case finding. There was a variation in the degree of compliance depending on the primary health care worker who did the screening and referral. Compliance was greater when the screening area was nearer to the referral centre and in subjects who were diagnosed as having a more advanced stage of the disease. Certain practical considerations that contributed to noncompliance were identified. Postal reminders were seen to increase overall compliance by 10.9%.

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00575.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThree groups of young adults were offered three different dental programs from ages 16 to 19: one group of 386 persons continued preventive and curative dental care in the Public Child Dental Health Service (Public group), one group of 161 persons was offered dental care with private dental practitioners of own choice with care paid by the municipality and the health insurance (Mixed group), and one group of 261 persons entered the general young adult dental program under the National Health Insurance with free choice of private dental practitioner with reimbursement of about 75% from the insurance (Private group). Almost 100% of the Public group used the dental services continuously. Less than half of the Mixed group and about two thirds of the Private group went regularly to a dentist, women more than men. Discrepancies were found between the expected utilization and actual utilization, and a tendency was noted to overrate self‐reported utilization in relation to actual utilization. It is concluded that continuity of dental care and unambiguous organizational affiliation is a prerequisite for a high utilization rate, but it also seems that the outreaching work done by the child dental health service is effective with regard to utilizatio

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00576.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractUtilization of dental services among three groups of young adults was studied longitudinally. Each year from age 16 to age 19, participants were defined as users or non‐users of alternative dental programs. Dental programs were taking place with public dental health service clinics (n= 386), with private dental practitioners, free of charge (n= 161), and with private dental practitioners, partially reimbursed by health insurance (n= 261). The paper analyzes whether the pattern of utilization of the last two groups might be described by a Markovian model defining use or non‐use of dental care each of 3 years as two mutually exclusive Markovian states. Contingency table analysis of the relationships of the utilization status and sex, social group, and delivery program showed that the utilization pattern could not be described by a Markovian model. Conversely, strong relationships between 1‐yr user status and 3‐yr user status was found. Implications in relation to the prevailing dental health care policy emphasizing regular dental care and continuity between child dental health care and young adult dental programs are di

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00577.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThe Manchester fluoride tablet trial was a pragmatic study to assist the Health Authority to decide whether to provide fluoride tablets daily to all primary schoolchildren in the District prior to water fluoridation being introduced. Twenty‐two primary schools took part, half being allocated at random to the public health programme while the other half remained untreated. The average age at baseline was 5 yr 3 months. Costs were monitored throughout the trial and tangible and intangible benefits assessed. 263 children in the test schools and 266 in the control schools completed the trial. The cost per child was £4.39 for the 3 yr of the trial. Economies resulting from an increase in size of a substantive scheme were estimated producing a cost of £1.98/child over a 3‐yr period for a tangible benefit of £3.23. In addition, the intangible benefits of less anxiety, less treatment, and fewer experiences of general anaesthesia need conside

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00578.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractA dental health survey including an interview, a questionnaire and a clinical examination was conducted among adults aged 25. 35. 50, and 65 yr in Ostrobothnia. Finland. A total of 1275 subjects, 80% of the sample, participated in the clinical examination. 40% of the subjects with at least one dentate sextant had noticed gingival bleeding. 16% gingival inflammation. 20%“gum disease”, and 70% at least one decayed tooth. When objectively assessed, a total of 98% had a maximum CPITN code 1–4, 38% a maximum CPITN code 3–4 and 76% were deemed to be in need of fillings. Dentures were objectively non‐acceptable in 64% of wearers and subjectively so in 42%. A need for replacing missing teeth was expressed by 14% of the total sample, whereas according to “objective” assessment. 23% had such a need. It is concluded that people tend to underestimate their dental treatment needs, the discrepancy being most distinct in the field of periodontology. Sufficient emphasis should thus be given to improving people's awareness and knowledge of their own den

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00579.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThe aim of this study was to compare the acceptance level of children treated by dentists who had participated in a training program of psychologic care and systematized “behavior shaping”, with the acceptance level of children treated to a large extent by the same dentists before their training program. The material consisted of 2400 children treated by 149 dentists, to be compared with the material of 2773 children treated by 161 dentists in the “before training” study: 127 dentists took part in both studies. The training program included a video film, a manual, and a case form. Of the children treated before the dentists underwent the training program. 79% showed positive acceptance of all treatment steps encountered during dental visits. 13% reluctant acceptance, and 8% negative or no acceptance. The corresponding figures for children treated after the training program were 92. 6, and 2%. The distributions of overall positive acceptance in the two studies were compared by means of a logistic regression model. The level of overall positive acceptance was significantly increased after the dentists had participated in the training program. The improvement was most pronounced among the youngest children and children in need of restorative treatment or extraction. Of all the background variables studied, age, present need of treatment, and the before/after training variable had the greatest influence. The study shows that dentists can be trained to obtain significantly increased positive acceptance of dental treatment in children, and that the method does not require extra time in the denta

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00580.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThis longitudinal study of 231 preschoolchildren from a medium sized Norwegian town had three aims: firstly, to examine the children's early dental behavior, secondly to study the variation of dental health behavior according to mother's education, mother's dental health, and her dental attendance pattern, and thirdly to identify any behavioral or social predictors of dental caries in 36‐month‐old children. Data were collected at health centers, using preceded questionnaires and examinations, when the children were 6. 18. and 36 months old. Data about the mothers were collected at the maternity ward. At 36 months of age, 80% of the children were caries free. Favorable dental behaviors were related to toothbrushing and use of fluorides. These behaviors were so well established and consistent at all ages that they can be regarded as norms for this community. The most unfavorable and inconsistent behavior was related to sugar consumption. Dental health education could be most usefully applied to this area, where the greatest potential for improvement in behavior exists. A relationship was found between the children's caries experience and the number of missing teeth of the mother, her dental attendance pattern and her level of education. None of the social or behavioral variables tested had a strong enough association with caries experience to justify their use as caries predictors in this age gr

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00581.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractA group of 109 subjects received a short questionnaire concerning their general health status. The subjects were invited to recall all the (health) problems experienced in the foregoing 6 months. Every participant in this study had visited the dentist, in the 6 months preceding the investigation, because of a dental problem. If these dental problems were important for the respondents they would recall them spontaneously, when a general question regarding health problems was posed. Only eight subjects mentioned dental problems spontaneously, of which seven concerned “pain‐complaints”. Only in two cases had the dental complaints been experienced more than 3 months ago. Eighteen respondents said that they could not remember the dental visit or their specific dental problem. Thirteen of these 18 persons visited their dentist because of an aesthetic problem. The results indicate that the impact of (some) dental problems on a person's feeling of being healthy was small. On the other hand, this study shows that the comparability of (most) dental problems and general health problems is limited. A typology of the significance of dental problems for the public and comparability with the concept of general health is presented and discussed in this

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb00582.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY