摘要:

AbstractThe purpose of the present study was to examine the long‐term effect of a special caries preventive program in teenagers. Over a 3‐yr period directed and controlled antimicrobial treatment using Streptococcus mutans as an indicator organism resulted in a remarkable caries reduction especially in children with>106S mutans per ml of saliva at the start of the study. Two years after discontinuation of the special preventive program 83 out of 101 subjects, 18–19 yr old, were reexamined. All the children had followed the same basic preventive program in the Dental Health Service. The number of S. mutans and lactobacilli per ml of saliva within and between control and test groups was with few exceptions practically the same as 5 yr earlier. During the posttreatment period the caries activity was similar in the control and test groups and lower than during the experimental years especially in the control group. Subjects with initial S. mutans level of>106CFU per ml of saliva continued to show incremental caries scores higher than those subjects with lower S. mutans l

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00529.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe need for orthodontic treatment was assessed in a sample of 29 children by using four treatment‐need indices (TSMHB by the Swedish Medical Health Board, HMAR by Salzmann, INOT by Ingervall&Ronnerman, and TPI by Grainger). Furthermore, the need for treatment was evaluated clinically according to the criteria of Jarvinen. When scoring the cases, and when selecting the cases with the highest scores, the study showed a marked variation between the indices, and indicated that the different methods selected different groups of children for treatment. Indirectly, the conclusion could be drawn that there were differences in the validity of the indices, even though it was not possible to evaluate the degree of validity on the basis of the knowledge we have today about the disadvantages and consequences of malocclusion

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00530.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe aim of this investigation was to study the effect of dentists' behavior on the (anxious) behavior of child patients. Twelve high‐anxious and a matched group of 12 low‐anxious children from 6 to 12 yr of age were selected and randomly assigned to one of six dentists: three with experience in treating fearful children and three without such experience. Each child was treated twice. The first treatment was prophylactic, the second, 2 wks later, consisted of preparation and restoration of a cavity (Class 1) under local anesthesia. While both treatment sessions were videotaped, only the latter one was used in this study. Data analysis which did not control for autocorrelations revealed 22 (out of 28) significant effects. Data analysis with a control for autocorrelations showed only two significant effects: ‘working contact’, which decreased fear‐related behavior and ‘no physical contact’, which increased fear‐r

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00531.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThis study is part of a larger research project which aims to analyze children's dental fear by making a detailed analysis of the behavioral interactions between dentists and anxious child patients. The behavior of 12 high‐ and 12 low‐anxious children was recorded on videotape during two dental visits in which the children were treated by either experienced or inexperienced dentists. Results indicated a relation between the dentist's experience in treating anxious children and the behavior of child patients. In general, children treated by experienced dentists showed more fear‐related behaviors. Furthermore, the behavior of the dentist was related to both his experience and the fear level of the child patient. Experienced dentists showed more communicative behaviors than the inexperienced dentists, but all dentists communicated more with high‐ than with low‐anxious children. Experienced dentists worked faster than inexperienced dentists, but treatment of the high‐anxious children was not more time‐consuming than treatment of the low‐a

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00532.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe aim of the present study was to bring forward data of acceptance of dental treatment for 3–16‐yr‐old children in a population with good dental health and annual dental care, and to evaluate the influence on acceptance of age, sex, residential area, and previous experience and present need of dental treatment. The material consisted of 2773 children. Direct ratings of behavior were made at each of 10 different treatment steps passed during dental appointments. The majority of children needed no more than one dental visit and 79% showed positive acceptance at all steps of treatment passed during dental visits. Eight percent of all children sometimes reacted in such a way that treatment could not be carried out without restraint or undue delay. Dental fear was diagnosed in 3% of all chi

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00533.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThis study identifies predictors of preventive behavior among dental general practitioners in New York State. A total of 217 clinicians was interviewed by telephone. Dentists practicing in an urban area (n= 120) and in a rural area (n= 97) were studied. A unit‐weighted index of clinician preventive orientation was created, by summing z‐score values for two preventive variables: the number of content items and the number of patient visits in an organized preventive program that entailed more than one visit. Multiple regression of this preventive orientation index on selected independent variables showed that, for the entire sample, variables representing involvement in academic and institutional dentistry, exposure to education through journals and courses, a predeliction for innovation, and the presence of a hygienist in the office, were most influential in creating a model that successfully predicted reported preventive behavior. Differences between urban and rural clinicians in predictors of preventive behavior are also identified. Data collected are compared with those of four previous studies that attempted to describe potential predictors of preventive behavior in denti

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00534.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractFull mouth extraction is the final step in a continuous process in which not only dental but also social processes play a role. In a research project concerning the reasons for full mouth extractions in The Netherlands, it was found that over one‐third of the patients had considered full mouth extractions at least once before, and 16% considered it frequently over a period of many years. Anxiety was the most important reason for not visiting a dentist. In the patients' view in 86% of the cases they were the initiator of the decision to have all their teeth extracted. According to the dentist the patients initiated full mouth extraction in 70% of the cases. Dentists and patients agreed that irregular attenders more often took the initiative than regular attenders. Most patients (87%) had discussed the decision to have all teeth extracted with one or more persons; different contacts were reported by 14% percent of the patients. According to Freidson's lay referral theory two groups could be identified: a group with a severely truncated lay referral structure and a group characterized by a more extended lay referral structure. The first group was older (46 versus 36 yr) and had a more positive attitude towards full dentures. In order to avoid problems dentists are recommended to involve (a representative of) the patient's social network when important decisions have to be take

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00535.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractAn epidemiological survey of the oral health needs of 1144 elderly patients was conducted in hospitals and nursing homes in Western Australia. Patients were categorised as being either totally dependent (requiring intensive nursing care) or partially dependent (requiring nursing supervision). Of all patients the mean age was 80.2 yr, 70% were women, 74% were edentulous, and 70% needed some form of prosthetic care. Of all dentate patients 56% needed dental scaling (and 17% needed complex periodontal treatment), 47% needed some restorative treatment (with a mean need per patient of 1.1 coronal restorations and 0.4 radicular restoration), and 29% needed one or more dental extractions (with a mean need of 1.4 extractions per patient). Partially dependent patients had statistically significant higher needs for prosthetic work than did totally dependent patients, while the converse applied to extraction needs, but in all other aspects the needs of the two categories of patient did not differ significantly.

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00536.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractA study of the communication between an Oral Medicine Unit and general dental practitioners (GDP) in the West of Scotland is reported. This investigation was done by means of a postal questionnaire aimed at identifying the factors affecting the efficiency of communication and possible ways of improving the communication. The authors were concerned that in correspondence sent back to the referring GDP there may be some factor involved in the patient's care which was being omitted and which GDPs would like to see included in future correspondence. In addition the authors wished to ascertain the familiarity of the GDP, with the procedure for referring a patient to the Unit. The final part of the questionnaire invited constructive comments and criticisms from the GDP. Fifty percent of GDPs who responded to the questionnaire thought that the information received on the diagnosis, details of drug therapy and follow‐up requirements of the patient was essential. Nearly all GDPs were familiar with the procedure for referring a patient to the clinic. However, only 57% were satisfied with the time lapse between the initial referral and receiving a reply. This data, together with other findings of the survey, is being actively employed to improve communication between the Oral Medicine Unit and GDPs in the West of Scotlan

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00537.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractIn the late seventies an increasing number of children showing extensive and severe idiopathic hypomineralization of the enamel of incisors and permanent first molars was reported within the Public Dental Services in Sweden. An epidemiologic study was initiated to analyze the prevalence, extension and severity in Swedish children born in 1970 and in the years before and after. 2252 children born in 1966–74 were examined according to well defined criteria on enamel hypomineralization. It was found that 15.4% of the children born in 1970 showed such changes. The corresponding figures for children born in 1966, 1969, 1971, 1972 and 1974 were 6.3, 7.3, 7.1, 5.2 and 4.4, respectivel

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1987.tb00538.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY