摘要:

Abstract –The Scandinavian countries are commonly referred to as welfare states, i.e. liberal states which assume responsibility for their citizens through a range of interventions in the market economy. The principles of the welfare policy are: 1) universality of population coverage, 2) comprehensiveness of risks covered, 3) adequacy of benefits and 4) citizens' right to health and social services. The goals are usually expressed in brief slogans like solidarity, universality, equality of opportunity, quality, efficiency and pluralism/“freedom of choice”. Our welfare model is thus based upon ideals deriving from both individualistic and collectivistic philosophies, just as Scandinavia's mixed economy is. Similar to other health sectors, dental care is an integral part of the welfare state, striving to attain its manifold goals. Planning of oral health services should therefore be directed toward these goals, considering the shifts in the disease and problem pan

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01844.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –The dental health of 45 children who had been placed on long term evaluation after chemotherapy treatment for malignancies was examined in this study. All children had received cytotoxic drugs during the period of tooth formation. It was found that they had more filled or diseased permanent teeth than control children. Their current caries activity as indicated by initial white spot lesions was also higher. Forty‐three of the children showed evidence of disturbed amelogenesis. This had resulted in aesthetically displeasing grooves, pits and discoloration. Twenty‐three of the children were counseled on the possibility of cosmetic dentistry. Delayed eruption and shortened, malformed roots were also found on several patients. It was concluded that these patients constitute a high risk dental care

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01845.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –A group of 437 subjects from a random sample of 737 persons, over 75 yr of age and living independently in the southwest of England, were interviewed about their oral health concerns and desires for dental treatment. Most of the subjects could have received dental treatment without unusual risk, although a third of the sample said they could not move around or attend a dentist without assistance. A dentist had visited the homes of only 2% of the sample, while 22% expressed a desire for this service. Nearly half of those interviewed complained of a mouth problem and a third were experiencing oral pain, yet the majority had not been to a dentist for at least 10 yr, and had no wish to see a dentist. Many of the subjects, even among those with complaints, said they had not visited a dentist recently because they had nothing wrong, while only a small proportion (3%) of the sample identified fear, expense or transport as a barrier to dental treatment. The results indicate that elderly people do not have many oral health concerns or expectation

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01846.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –Different groups of people will view and use modern dental services differently. This is determined by their traditional beliefs and cultural background. The aim of this study is to identify variations in utilization among adults in the three major ethnic groups in Malaysia. Dental records of 500 adults attending the University dental center were randomly selected and analyzed by sex and ethnic group. Results from this pilot study clearly indicate that different ethnic groups tend to use certain types of services more than others. Similarly, there is evidence of variation in the type of dental service preferred between males and females. The implications of these findings For dental health educators, program planners and further research is emphasized in order to promote a more positive pattern of utilization among the various ethnic group

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01847.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –The impact of loss of teeth on chewing ability was investigated in three groups of patients. One group already had missing teeth replaced by partial dentures, which were taken out during the tests. This group was taken as not being adapted to chew without a complete dentition. A second group had their missing teeth not replaced by partial dentures. During the test they were considered adapted to chew without a complete dentition. A third group had a complete natural dentition and they acted as control group. Tests were carried out regarding chewing ability and swallowing threshold. In addition, a clinical examination was carried out. It was found that the loss of molars significantly reduced chewing performance. Moreover the number of chewing‐strokes before swallowing the food‐bolus and the mean of the particle size at the point of swallowing were increased. Loss of molars resulted in less positive feelings concerning chewing. Both groups of persons with missing molars showed a similar chewing performance. The group of not adapted patients felt on average more negative about their chewing ability and they indicated more changes in daily activities because of missing

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01848.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –Information on the rate at which carious lesions progress through the enamel of human teeth in an adult population was obtained from dental radiographs taken at 3‐yr intervals, over a 10‐yr period on 602 men. Clinical measures of calculus deposition, plaque accumulation, gingival inflammation, tooth mobility, periodontal pocket depth, and gingival recession were studied to find predictors that might be of value to the clinician for determining how frequently radiographs should be taken. We estimate that 50% of the enamel lesions on mesial and distal surfacess, if left untreated, would not progress into the dentin until 73 months had elapsed after the lesion was initiated. Significant differences in the progression rate were associated with the arch and tooth type. Patient age, number of decayed or filled surfaces, degree of gingival inflammation, amount of recession, and plaque accumulation were positively associated with more rapid caries progression, while greater numbers of teeth present were predictive of slower disease progre

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01849.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –This study investigates the validity of the treatment decisions made by 10 hospital dentists, who examined the fissures of extracted teeth using a visual‐only technique. The study shows that 8 of the 10 dentists were more likely to leave carious teeth unrestored than unnecessarily treat sound teeth. The authors suggest that this system of diagnosing occlusal caries is a satisfactory one in terms of its sensitivity and specific

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01850.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –This article illustrates the ability of MANOVA to analyze the data of a doubly multivariate repeated measures design study using the multivariate set up. The advantage of this statistical method is to evaluate the effect of time and treatments, and their interaction on many combined dependent variables. The difference in the evolution of scores obtained by repeated measures may then be assessed statistically, thus permitting us to evaluate the longitudinal dimension of the study. This analysis allows for more global conclusions simultaneously taking into account the different aspects of the study. The limits and uses of this statistical technique are also discusse

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01851.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –Dental caries exams and saliva samples were obtained from 541 adolescents, aged 10–15, initially and after 17 months as part of a 3‐yr longitudinal study investigating the relationships of dietary intakes, specific microorganisms in saliva, and the prevalence and incidence of dental caries. The mean DMFS score detected in these subjects initially was 4.61, and they developed an average of 1.38 new DMFS during the first 17‐month period. Initially S. mutans and lactobacilli were detected in 64% and 56% of these subjects, respectively. Subjects with low levels of S. mutans and lactobacilli had significantly lower initial DMFS scores and developed significantly fewer new DMFS than subjects with high counts. The predictive values of a positive result for S. mutans or lactobacilli assays were low (31% and 39%), but those for a negative result were high (81% a

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01852.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract –117 children who had experienced trauma to their primary incisors were re‐examined in their transitional or permanent dentition stage. The control group consisted of 174 children with a corresponding dental developmental age. All the children were examined clinically and the intra‐ and interarch relations ofthe anterior segments were recorded. The prevalence of patients with at least one maiposed incisor was higher in the trauma group. Trauma to the primary dentition was found to be a contributing factor affecting the alignment of the permanent successors. Early loss of the primary incisors did not cause loss of space in most of the cases; however, it was associated with malposition of their permanent successors. Lack of eruption guidance or the direct effect ofthe injury on the position ofthe developing bud could be considered as contributing etiologic factors. There was a very low prevalence of more serious malocclusion features, like impaction, in the trauma

ISSN:0301-5661    

DOI:10.1111/j.1600-0528.1988.tb01853.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY