279 results on '"Dentists standards"'
Search Results
102. Jedi dentistry.
- Author
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Newell JF
- Subjects
- Dentistry, Operative standards, Dentists standards, Faculty, Dental standards, Humans, United States, Dentistry, Operative education, Education, Dental standards
- Published
- 2011
- Full Text
- View/download PDF
103. Harnessing enthusiasm for dentistry.
- Author
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O'Grady P
- Subjects
- Dental Research education, Dentists standards, Hospitals, Teaching economics, Hospitals, Teaching organization & administration, Humans, Internship and Residency, Ireland, Schools economics, Schools organization & administration, Attitude of Health Personnel, Education, Dental, Students, Dental psychology
- Published
- 2011
104. Nonsultations.
- Author
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Knott NJ
- Subjects
- Computer-Aided Design, Dental Prosthesis standards, Humans, Information Management standards, United Kingdom, Clinical Competence standards, Dentists standards, State Dentistry standards, Technology, Dental standards
- Published
- 2011
- Full Text
- View/download PDF
105. [Loading, volumes, kinds and structure of work of doctors-dental-surgeons working in system of obligatory medical insurance].
- Author
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Boĭkov VI
- Subjects
- Humans, Outpatient Clinics, Hospital, Russia, Surgicenters, Ambulatory Care standards, Dentists standards, Insurance, Oral Surgical Procedures standards, Workload standards
- Abstract
The message concerns problems of calculation of loading of doctors-dental-surgeons, their structures of work. "The Korolevskaya dental polyclinic" is offered to carry out on example STPE the analysis of loading, volumes, kinds and structure of work of the doctors-dental-surgeons working in system OMI.
- Published
- 2011
106. Predoctoral dental education and the future of oral and maxillofacial surgery.
- Author
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Dennis MJ
- Subjects
- Career Choice, Curriculum, Dentistry trends, Dentists standards, Education, Dental, Graduate, Education, Medical, Faculty, Dental, Forecasting, Hospitals, Teaching, Humans, Internship and Residency, Leadership, Schools, Dental, Students, Dental, Surgery, Oral education, Surgery, Oral standards, Education, Dental, Surgery, Oral trends
- Published
- 2011
- Full Text
- View/download PDF
107. Organisation and management of public dentistry in Sweden. Past, present and future.
- Author
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Ordell S
- Subjects
- Clinical Competence, Dental Care standards, Dental Care trends, Dental Health Services standards, Dental Health Services trends, Dental Hygienists standards, Dentists standards, General Practice, Dental organization & administration, General Practice, Dental standards, Health Policy, Humans, Job Satisfaction, Public Health Dentistry standards, Public Health Dentistry trends, Sweden, Dental Care organization & administration, Dental Health Services organization & administration, Public Health Dentistry organization & administration
- Abstract
Unlabelled: Professional organisations present challenges in management compared to producing companies, as control of the work lies within the professional groups themselves. Management in the Public Dental Health Service (PDHS) has an added difficulty in the two-tiered political governance in Swedish public dentistry. The aim of this thesis was to contribute to better understanding of the organisation and management of Human Service Organisations, especially the PDHS in Sweden, thereby contributing to long-term sustainability with due regard to the professionals. The aim was also to point to some future difficulties facing the PDHS and possible solutions to these. Four papers are included in the thesis. The first paper set out to define the professions in dentistry in Sweden from theories on professions. Dentists and, to a lesser degree; dental hygienists were the identified professional groups. The second paper scrutinised the external environment for dentistry in Sweden in the form of political decisions, i.e., laws and regulations. The findings were that there can be a gap between the formal objectives and the factual behaviour from the political level, and that certain politically attractive ideas might reoccur at a later time despite good scientific arguments against them. Also indicated in this paper were ways to influence the political processes, by active participation in the early stages of decision-making The third paper dealt with the heads (CDOs) of the PDHS in the counties and is based on a questionnaire to them on management. It was found that ideas on management and organisation usually were embedded in the way the respective county council was organised. A strong belief in advantages of scale was noted, both for administration and also for dental care itself. The fourth paper compared overall job satisfaction among publicly employed dentists in Denmark and Sweden. A focus on size of clinic, on professional development and on influence at the work place was found to be important. The Danish dentists were generally more satisfied with their overall job situations than the Swedish ones. One explanation might be found in the environment for the respective service, with a much stronger element of competition in Sweden. Another aspect could be that the expectations of the Danish dentists might be more realistic when they entered the public service. In an appendix the history of the Swedish Public Dental Health Service is outlined., Conclusions: Dentists in Sweden are an established profession and dental hygienists are an emerging profession; they and society would benefit from a clearer delineation and definition of their unique competences. Political decision-making is not necessarily rational, and garbage can models or similar can give a better understanding of political processes. CDOs have a widespread belief in advantages of scale in administration as well as in care, which may pose future problems for the provision of dental care in sparsely populated areas. Overall job satisfaction, as part of Good Work, is founded in an atmosphere at the clinic that is focussed on professional values. It is noteworthy that PDHS dentists not born in Sweden had a lower job satisfaction than those born in Sweden. Perhaps a closer cooperation between the dental colleges and the PDHS might give the newly qualified dentists a more realistic view of the professional challenges in public dentistry, as well as giving the colleges access to the vast material on patients in the PDHS. The future division of tasks between the general dentists, dental hygienists and specialist care dentists has a great impact on the future need for personnel, and needs to be carefully analysed. The future diminishing numbers of dentists and the difficulty for the PDHS to retain dentists may be met by adapting the organisations to a much greater flexibility by allowing different teams to organise their own work. The possibilities to give the patients good service quality will depend on continued democratisation and less managerial control. Producer cooperatives, franchising, or similar, could be revisited and tried. However, such forms will require carefully designed contracts where the objectives and the outcomes are possible to define and to evaluate. The balance between good work for dentists, an efficient organisation and perceived good service to the public will be objects for further studies.
- Published
- 2011
108. A difficult new year?
- Author
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Eaton KA
- Subjects
- Government Regulation, Humans, Outcome and Process Assessment, Health Care standards, Primary Health Care standards, Private Practice standards, Quality Assurance, Health Care standards, State Dentistry standards, United Kingdom, Wales, Dental Health Services standards, Dentists standards, Quality of Health Care legislation & jurisprudence
- Published
- 2011
- Full Text
- View/download PDF
109. Inter- and intra-rater reliability in fibroptic endoscopic evaluation of swallowing.
- Author
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Tohara H, Nakane A, Murata S, Mikushi S, Ouchi Y, Wakasugi Y, Takashima M, Chiba Y, and Uematsu H
- Subjects
- Adult, Cough etiology, Glottis physiopathology, Humans, Image Processing, Computer-Assisted, Mastication physiology, Muscle Contraction physiology, Observer Variation, Oropharynx physiopathology, Pharyngeal Muscles physiopathology, Pharynx physiopathology, Recurrent Laryngeal Nerve physiopathology, Reflex, Abnormal physiology, Reproducibility of Results, Respiratory Aspiration diagnosis, Time Factors, Vocal Cord Paralysis diagnosis, Deglutition physiology, Deglutition Disorders diagnosis, Dentists standards, Endoscopes, Optical Fibers
- Abstract
Fibroptic endoscopic evaluation of swallowing (FEES) is a useful way for dentists to evaluate oropharyngeal dysfunction. However, no study has paid attention to inter- and intra-rater reliability of FEES evaluation about oropharyngeal dysfunction. The purpose of this study is to verify whether dentist who trained and experienced for evaluation of dysphagia could diagnose oropharyngeal function with FEES. Nine dentists independently evaluated FEES images of 10 cases four times each. At first, evaluators performed the first evaluation without consulting the evaluative criteria. Subsequently, evaluators independently re-evaluated at 1-week intervals for three consecutive weeks, consulting the evaluative criteria. And then, inter- and intra-rater reliability was calculated. Cohen's Kappa was used to assess reliability. The results found that overall inter-rater reliability was 0·35±0·04 (first evaluation), 0·45±0·05 (s), 0·44±0·05 (third) and 0·46±0·04 (fourth). Most of inter-rater reliability related to aspiration was moderate to high, but lower for categories that evaluated timing of swallowing and mastication. In contrast, intra-rater reliability was moderate to high for overall categories, at 0·53±0·04 (first vs. second evaluation), 0·55±0·04 (first vs. third), 0·53±0·04 (first vs. fourth), 0·55±0·03 (second vs. third), 0·60±0·03 (second vs. fourth) and 0·78±0·03 (third vs. fourth). FEES is reliable for experienced dentists to diagnose oropharyngeal function. Moreover, repeated evaluation with the aids of evaluative criteria is useful to improve the reliability of FEES., (© 2010 Blackwell Publishing Ltd.)
- Published
- 2010
- Full Text
- View/download PDF
110. Profile and competences for the graduating European dentist - update 2009.
- Author
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Cowpe J, Plasschaert A, Harzer W, Vinkka-Puhakka H, and Walmsley AD
- Subjects
- Attitude of Health Personnel, Communication, Curriculum standards, Dental Care, Dentist-Patient Relations, Dentists ethics, Dentists legislation & jurisprudence, Education, Dental, Continuing, Ethics, Dental education, Europe, European Union, Evidence-Based Dentistry, Health Behavior, Health Promotion, Humans, Infection Control, Dental, Information Literacy, Interprofessional Relations, Legislation, Dental, Medical History Taking, Patient Care Planning, Patient Care Team, Preventive Dentistry, Professional Competence, Schools, Dental, Technology, Radiologic, Clinical Competence standards, Dentists standards, Education, Dental standards, Guidelines as Topic
- Abstract
This paper presents the profile and competences for the European Dentist as approved by the General Assembly of the Association for Dental Education in Europe at its annual meeting held in Helsinki in August 2009. A new taskforce was convened to update the previous document published in 2005. The updated document was then sent to all European Dental Schools, ministries of health, national dental associations and dental specialty associations or societies in Europe. The feedback received was used to improve the document. European dental schools are expected to adhere to the profile and the 17 major competences but the supporting competences may vary in detail between schools. The document will be reviewed once again in 5 years time. Feedback to the newly published document is welcomed and all dental educators are encouraged to draw upon the content of the paper to assist them in harmonising the curriculum throughout Europe with the aim of improving the quality of the dental curriculum., (© 2010 John Wiley & Sons A/S.)
- Published
- 2010
- Full Text
- View/download PDF
111. Participation in continuing professional development by dental practitioners in Victoria, Australia in 2007.
- Author
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Hopcraft MS, Manton DJ, Chong PL, Ko G, Ong PY, Sribalachandran S, Wang CJ, Yong PY, and Jian LF
- Subjects
- Adult, Age Factors, Attitude of Health Personnel, Clinical Competence, Congresses as Topic, Cross-Sectional Studies, Dentists psychology, Dentists standards, Education, Dental, Continuing methods, Female, General Practice, Dental education, Humans, Male, Mandatory Programs, Middle Aged, Periodicals as Topic, Personal Satisfaction, Professional Practice, Rural Population, Self Report, Sex Factors, Societies, Dental, Specialties, Dental education, Surveys and Questionnaires, Teaching methods, Time Factors, Urban Population, Victoria, Dentists statistics & numerical data, Education, Dental, Continuing statistics & numerical data
- Abstract
Background: Mandatory continuing professional development (CPD) was introduced in 2005 in Victoria, Australia to ensure that dental practitioners maintained their skills, knowledge and kept up-to-date with current topics in dentistry. The aim of this study was to investigate the participation, impact on practice and attitudes of Victorian dentists and dental specialists to CPD activities since the commencement of mandatory CPD., Methods: A cross-sectional survey of a random sample of registered dentists and dental specialists (n = 895) was conducted from May to August 2008 using an anonymous, postal, self-administered questionnaire., Results: The response rate was 66%. More than three quarters of practitioners believed mandatory CPD is a reasonable requirement for continued registration. Dentists reported attending an average of 30.9 h of certifiable clinical CPD whilst specialists attended an average of 33.2 h of certifiable clinical CPD over a 12-month period. Nearly three quarters of respondents reported changing their practice as a result of CPD activities, whilst one quarter attended CPD mainly to meet the mandatory requirements., Conclusions: Overall there was a positive attitude towards mandatory CPD and a high level of participation in CPD activities by Victorian dentists and specialists in 2007, although nearly half of the respondents attended <20 h of certified clinical CPD during 2007. A number of barriers exist, particularly for rural and female practitioners in accessing CPD, and further research is required to examine the benefits derived from mandatory CPD., (© 2010 John Wiley & Sons A/S.)
- Published
- 2010
- Full Text
- View/download PDF
112. Desperately patronising.
- Author
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Marshall K
- Subjects
- Clinical Competence standards, Dentists ethics, Humans, Names, Terminology as Topic, United Kingdom, Dentistry standards, Dentists standards
- Published
- 2010
- Full Text
- View/download PDF
113. Helping poorly performing dentists.
- Author
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Eaton KA
- Subjects
- Clinical Competence legislation & jurisprudence, Dentists legislation & jurisprudence, Education, Dental, Humans, Leadership, Personality, Professional Impairment, Risk Management, State Dentistry legislation & jurisprudence, State Dentistry standards, Stress, Psychological, United Kingdom, Clinical Competence standards, Dentists standards
- Published
- 2010
- Full Text
- View/download PDF
114. The hidden curriculum and my three wishes.
- Author
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Meru M
- Subjects
- Clinical Competence, Codes of Ethics, Deception, Dentists ethics, Dentists standards, Educational Measurement methods, Faculty, Dental, Humans, Interpersonal Relations, Licensure, Dental ethics, Licensure, Dental standards, Morals, School Admission Criteria, Students, Dental, United States, Curriculum, Education, Dental standards, Ethics, Dental
- Abstract
Personal ideals often clash with the reward structure of dental education. The hidden curriculum sometimes teaches corner-cutting and worse while publically espousing high standards. Changing the professionals without changing the profession in which they work multiplies frustration and offers little hope of progress. Three wishes for changes to the system are identified: (a) fixed dates for National Board testing, (b) comprehensive admissions standards, and (c) no live-patient, one-shot initial licensure examinations.
- Published
- 2010
115. The curate's egg.
- Author
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Lewis K
- Subjects
- Clinical Competence legislation & jurisprudence, Dentists legislation & jurisprudence, Humans, Peer Review, Health Care legislation & jurisprudence, Peer Review, Health Care standards, State Dentistry economics, State Dentistry legislation & jurisprudence, United Kingdom, Clinical Competence standards, Dentists standards, State Dentistry standards
- Published
- 2010
- Full Text
- View/download PDF
116. [General dentistry and general dentist].
- Author
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Liu HC
- Subjects
- Education, Dental, General Practice, Dental, Humans, Dentistry, Dentists standards
- Published
- 2010
117. New voluntary self-assessment system for European orthodontists takes off.
- Subjects
- Europe, Humans, Societies, Dental, Dentists standards, Orthodontics standards, Self-Assessment
- Published
- 2009
118. Lemons in dentistry.
- Author
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Chambers DW
- Subjects
- Humans, Trust, Dentist-Patient Relations, Dentists standards
- Published
- 2009
119. Ethics, professionalism and fitness to practise: three concepts, not one.
- Author
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Shaw D
- Subjects
- Benchmarking, Beneficence, Credentialing, Curriculum, Dentist-Patient Relations, Dentists ethics, Dentists standards, Health Planning Councils, Humans, Morals, Personal Autonomy, Scotland, State Dentistry, Trust, United Kingdom, Clinical Competence, Education, Dental, Ethics, Dental, Professional Competence
- Abstract
The GDC's recent third interim edition of The first five years places renewed emphasis on the place of professionalism in the undergraduate dental curriculum. This paper provides a brief analysis of the concepts of ethics, professionalism and fitness to practise, and an examination of the GDC's First five years and Standards for dental professionals guidance, as well as providing an insight into the innovative ethics strand of the BDS course at the University of Glasgow. It emerges that GDC guidance is flawed inasmuch as it advocates a virtue-based approach to ethics and professionalism, and fails to distinguish clearly between these two concepts.
- Published
- 2009
- Full Text
- View/download PDF
120. 'If it is posted on the Internet, it must be true!'.
- Author
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Machnowski T
- Subjects
- Humans, Online Systems, Dentist-Patient Relations, Dentists standards, Internet
- Published
- 2009
121. Multisource feedback (MSF): supporting professional development.
- Author
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Archer J
- Subjects
- Attitude of Health Personnel, Clinical Competence, Humans, Licensure, Patient Satisfaction, United Kingdom, Dental Staff standards, Dentists standards, Feedback, Quality Assurance, Health Care methods, Staff Development
- Published
- 2009
- Full Text
- View/download PDF
122. Yet another test?
- Author
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Felsenfeld AL
- Subjects
- Humans, Peer Review, Health Care, Quality Assurance, Health Care standards, United States, Clinical Competence standards, Dentists standards
- Published
- 2009
123. Rigorous standards, training are right route.
- Author
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Weller WW
- Subjects
- Education, Medical methods, Humans, Licensure standards, United States, Clinical Competence standards, Dentists standards, Education, Dental methods, Professional Practice standards, Surgery, Plastic education
- Published
- 2009
124. Infection control practices among dental professionals in Shiraz Dentistry School, Iran.
- Author
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Askarian M and Assadian O
- Subjects
- Cross-Sectional Studies, Humans, Incidence, Infections transmission, Infectious Disease Transmission, Professional-to-Patient statistics & numerical data, Iran epidemiology, Surveys and Questionnaires, Attitude of Health Personnel, Dentists standards, Health Knowledge, Attitudes, Practice, Infection Control standards, Infections epidemiology, Infectious Disease Transmission, Professional-to-Patient prevention & control, Schools, Dental statistics & numerical data
- Abstract
Background: To assess the level of knowledge, attitude, and practice among Iranian dental healthcare professionals towards standard isolation precautions in Shiraz, Iran., Methods: This study was a cross-sectional survey which was conducted on 152 Iranian dental professionals (faculty and students) from School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. A self-administered questionnaire containing three parts (knowledge, attitude, and practice) was distributed to the participants. After validation of the survey, data were collected and analyzed., Results: The survey was completed by 152 (51.5%) of 295 potential respondents. The mean+/-SD scores of knowledge, attitude, and practice towards standard isolation precautions were 6.71+/-0.99, 34.99+/-4.47, and 4.97+/-2.17 from the maximum scores of 9, 45, and 9, respectively. In addition, a positive linear correlation was found between the two items of the survey including knowledge-attitude (r= 0.394, P<0.001), and attitude and practice (r= 0.317, P<0.001)., Conclusion: Practice of standard isolation precautions is poor among dental professionals in Shiraz University of Medical Sciences. This study showed that knowledge of infection control measures and a positive attitude towards them alone does not have an impact on adherence to recommendations.
- Published
- 2009
125. Assessment of treatment provided by dental health aide therapists in Alaska: a pilot study.
- Author
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Bolin KA
- Subjects
- Age Distribution, Alaska, Dental Audit, Dental Caries prevention & control, Health Services Accessibility, Health Services, Indigenous, Humans, Outcome Assessment, Health Care, Pilot Projects, Workforce, Community Health Workers standards, Delivery of Health Care standards, Dental Auxiliaries standards, Dental Care standards, Dentists standards, Quality of Health Care
- Abstract
Background: Dental health aide therapists (DHATs) in Alaska are authorized under federal law to provide certain dental services, including irreversible dental procedures. The author conducted this pilot study to determine if treatments provided by DHATs differ significantly from those provided by dentists, to determine if DHATs in Alaska are delivering dental care within their scope of training in an acceptable manner and to assess the quality of care and incidence of reportable events during or after dental treatment., Methods: The author audited the dental records of patients treated by dentists and DHATs who perform similar procedures for selected variables. He reviewed the records of 640 dental procedures performed in 406 patients in three health corporations., Results: The author found no significant differences among the provider groups in the consistency of diagnosis and treatment or postoperative complications as a result of primary treatment. The patients treated by DHATs had a mean age 7.1 years younger than that of patients treated by dentists, and the presence or adequacy of radiographs was higher among patients treated by dentists than among those treated by DHATs, with the difference being concentrated in the zero- to 6-year age group., Conclusions: No significant evidence was found to indicate that irreversible dental treatment provided by DHATs differs from similar treatment provided by dentists. Further studies need to be conducted to determine possible long-term effects of irreversible procedures performed by nondentists., Clinical Implications: A need to improve oral health care for American Indian/Alaska Native populations has led to an approach for providing care to these groups in Alaska. The use of adequately trained DHATs as part of the dental team could be a viable long-term solution.
- Published
- 2008
- Full Text
- View/download PDF
126. Tools for implementing a competency-based clinical curriculum: the dental school experience.
- Author
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Hagan BA
- Subjects
- Clinical Competence, Competency-Based Education standards, Dentists standards, Humans, Problem-Based Learning, Schools, Dental, Societies, Dental, Competency-Based Education methods, Education, Dental methods, Education, Dental standards, Educational Measurement methods, Educational Measurement standards
- Abstract
Competency-based education is based on the identification of clearly defined learning outcomes. Three major elements of a competency-based program must be determined during the development of the curriculum: statements of competency, the learning experiences that will support these competencies, and the methods for assessing or measuring attainment of these competencies. This article describes the methods used in assessing clinical competency in dental education.
- Published
- 2008
- Full Text
- View/download PDF
127. Introducing revalidation.
- Subjects
- Certification legislation & jurisprudence, Dental Audit, Dentists standards, Humans, Peer Review, Health Care, Practice Patterns, Dentists' standards, State Dentistry, United Kingdom, Certification standards, Education, Dental, Continuing legislation & jurisprudence, General Practice, Dental standards
- Published
- 2008
- Full Text
- View/download PDF
128. User reviews: What are patients saying about you online?
- Author
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Brown J
- Subjects
- Humans, Dentist-Patient Relations, Dentists standards, Internet, Online Systems, Quality Indicators, Health Care
- Published
- 2008
129. The technical quality of nonsurgical root canal treatment performed by a selected cohort of Australian endodontists.
- Author
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Bierenkrant DE, Parashos P, and Messer HH
- Subjects
- Australia, Dental Pulp Cavity diagnostic imaging, Endodontics, Humans, Linear Models, Quality Assurance, Health Care, Radiography, Retrospective Studies, Treatment Outcome, Dentists standards, Root Canal Therapy standards, Root Canal Therapy statistics & numerical data
- Abstract
Aim: To investigate the technical quality of nonsurgical root canal treatment performed by endodontists in Melbourne, Australia., Methodology: Clinical and radiographic records of 100 sequential nonsurgical patients were obtained from each of six endodontists working in private practice. The following variables were analysed: proximity of root filling to radiographic apex; homogeneity and radiodensity of root filling; lateral adaptation of the root filling to the canal walls; taper; extrusion of material; small, appropriate or excessive apical enlargement; presence of lateral canals; transportation; procedural errors. The radiographs were assessed by three independent evaluators. Exploratory data analysis was undertaken using simple frequencies and cross-tabulations. A generalised linear mixed model (GLMM) was used for the formal statistical modelling., Results: Of the 1351 canals that were examined, 91.7% were filled within 2 mm of the radiographic apex and 74% were within 1 mm. Homogeneity and adequate density were found along the entire length of the canal in 86.1% and 88.6% of cases respectively. Lateral adaptation was adequate in 95.6% of cases and the taper was 'smooth and continuous' in 83.8% of roots. No and/or small extrusion of sealer was noted in 98.3% of cases. Apical enlargement was 'appropriate' in 85% of roots. Both transportation (1.1%) and procedural errors (1.3%) were rare occurrences., Conclusions: The technical quality of root fillings performed by endodontists in Melbourne, Australia complied with current guidelines in 77.4%-91.0% of roots. All variables examined confirmed high levels of technical proficiency. There were very few instances of canal transportation and/or procedural errors.
- Published
- 2008
- Full Text
- View/download PDF
130. The perils of dental tourism, closer to home.
- Author
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Costa C
- Subjects
- Education, Dental standards, European Union, Humans, Licensure, Dental standards, Travel, United Kingdom, Dentists standards, Foreign Professional Personnel standards
- Published
- 2008
131. Evaluation of safe and effective administration of nitrous oxide after a postgraduate training course.
- Author
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Collado V, Nicolas E, Faulks D, Tardieu C, Manière MC, Droz D, Onody P, and Hennequin M
- Subjects
- Anesthesia, Dental adverse effects, Anesthesia, Dental methods, Anesthesia, Dental standards, Conscious Sedation adverse effects, Conscious Sedation methods, Conscious Sedation standards, Dentists standards, Education, Dental, Continuing standards, Humans, Longitudinal Studies, Patient Satisfaction, Prospective Studies, Education, Dental, Continuing methods, Nitrous Oxide administration & dosage, Nitrous Oxide adverse effects
- Abstract
Background: Conscious sedation is used in dentistry to improve access and quality of care in patients who have difficulty coping with treatment. The aim of this prospective study was to describe a postgraduate training course in conscious sedation for dentists, with specific evaluation of the safe and effective administration of a 50% nitrous oxide in oxygen premix., Methods: 45 practitioners were trained between 2002 and 2004. They carried out 826 sessions of inhalation sedation in 662 patients. The clinical competency of this group was compared with an expert group., Results: There was no difference between trainees and experts in ability to complete the planned dental treatment under sedation (89.6% vs 93.2%). Trainees were less successful than experts for patients with intellectual disability (87.4% vs 94.2%, p < 0.01). For both groups, the degree of cooperation improved between initial induction and each perioperative step (Wilcoxon test, p < 0.01). However, for trainees, Venham behaviour scores varied with the type of patient (Kruskal Wallis test, p < 0.001). No major adverse effects were recorded. Trainees reported more minor adverse effects than experts (13% vs. 5.3% respectively, Fisher exact test, p < 0.001), Conclusion: The trainee practitioners provided effective and safe inhalation sedation. This challenges the current French restriction of the 50% nitrous oxide in oxygen premix to the hospital setting. Further emphasis is required on the teaching of behaviour management skills for patients with intellectual disability.
- Published
- 2008
- Full Text
- View/download PDF
132. Quality improvement and continuing education in dental practice.
- Author
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Gallis HA
- Subjects
- Delivery of Health Care standards, Dental Care standards, Humans, Quality Assurance, Health Care standards, United States, Dentists standards, Education, Dental, Continuing
- Published
- 2008
- Full Text
- View/download PDF
133. The perils of dental tourism, closer to home.
- Subjects
- Dental Care standards, Europe, European Union, Humans, Quality of Health Care, State Dentistry standards, United Kingdom, Clinical Competence, Dentists standards, Foreign Professional Personnel standards
- Published
- 2008
134. What do you think of your dentist? A dental practice assessment questionnaire.
- Author
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Mussard J, Ashley FA, Newton JT, Kendall N, and Crayford TJ
- Subjects
- Adolescent, Adult, Aged, Child, Child, Preschool, Female, Humans, Infant, Male, Middle Aged, Sensitivity and Specificity, State Medicine, United Kingdom, Dentists standards, Patient Satisfaction statistics & numerical data, Surveys and Questionnaires
- Abstract
Background In order to comply with clinical governance requirements and receive payments under the Qualities and Outcomes Framework, GPs are required to undertake an annual survey of patient experience using a validated assessment tool. Dentists, in contrast, have embryonic clinical governance structures. The provision of quality dental services was identified in NHS Dentistry: Options for Change as a priority for the future. In anticipation of the PCT role in commissioning quality NHS dental care, Croydon PCT has developed an instrument to examine various aspects of the patient experience. Methods A review of existing literature identified five generic dimensions of patient satisfaction with dental care: technical competence, interpersonal factors, convenience, costs and facilities. The dental practice assessment questionnaire was developed to cover all of these dimensions using a number of validated measures and modified questions. A small scale pilot was undertaken before the questionnaire was sent to a 10% random stratified sample of the PCT population. Results Validation analyses were undertaken in conjunction with the GKT Dental Institute. Cronbach's alpha demonstrated very high levels of internal consistency, and factor analysis and correlation coefficients demonstrated high levels of factorial and concurrent validity respectively. Subgroup analysis revealed differences in reported satisfaction by age and ethnic group, and that those who attend because of pain or a dental emergency are generally less satisfied with the care they receive. These results are consistent with previous research findings. Conclusion The dental practice assessment questionnaire is a valid and consistent measurement tool. Its use could be extended across the NHS without difficulty.
- Published
- 2008
- Full Text
- View/download PDF
135. Oral cancer and dentists: knowledge, attitudes, and practices in Italy.
- Author
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Colella G, Gaeta GM, Moscariello A, and Angelillo IF
- Subjects
- Cross-Sectional Studies, Dentists psychology, Diagnosis, Oral education, Education, Dental, Continuing statistics & numerical data, Female, Humans, Italy, Male, Medical Oncology education, Mouth Neoplasms etiology, Professional Practice statistics & numerical data, Risk Factors, Attitude of Health Personnel, Clinical Competence, Dentists standards, Mouth Neoplasms diagnosis
- Abstract
The purpose of the survey was to assess through a mailed questionnaire the knowledge, attitudes, and behaviors regarding oral cancer and their relationship with different indicators in a random sample of 1000 dentists in Italy. Respondents know the major risk factors and only half identify the diagnostic procedures. One-third indicated the most common form and the early lesions and this knowledge was more likely in those graduated from dental school and attended a course on oral cancer in the previous year. Approximately two-thirds (64.8%) believed that they were prepared to perform an oral cancer examination and to palpate lymph nodes in patients' necks. Multiple logistic regression revealed that this positive attitude was significantly higher for those who graduated from medical school and for those who have attended a course on oral cancer in the previous year. Half of the dentists routinely perform an oral cancer examination on all patients and it was more likely by those graduated from dental school, those who know that squamous cell is the most common form of oral cancer and that an early oral cancer lesion usually is a small, painless red area, those who believed that they are prepared to perform an oral cancer examination and to palpate lymph nodes in patients' necks, those who have attended a course on oral cancer in the previous year, and those who claim they need information. The importance of health care professionals as communicators of public health messages should be emphasized.
- Published
- 2008
- Full Text
- View/download PDF
136. Even a monkey could do it.
- Author
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Donley T
- Subjects
- Dental Care economics, Dentists standards, Humans, Dental Care standards, Fees, Dental, Quality of Health Care
- Published
- 2008
137. The perils of dental tourism, closer to home.
- Author
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Burke FJ
- Subjects
- Adult, Denture, Partial, Fixed, Europe, Humans, Incisor injuries, Male, Tooth Avulsion therapy, Travel, United Kingdom, Dentists standards, Foreign Professional Personnel standards
- Published
- 2008
138. Profile of the dentist in the oral healthcare team in countries with developed economies.
- Author
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Sanz M, Treasure E, van Dijk W, Feldman C, Groeneveld H, Kellett M, Pazdera J, Rouse L, Sae-Lim V, Seth-Smith A, Yen E, and Zarkowski P
- Subjects
- Clinical Competence standards, Cultural Diversity, Curriculum, Dental Care ethics, Dental Care legislation & jurisprudence, Education, Dental, Education, Dental, Continuing, Evidence-Based Medicine, Female, General Practice, Dental, Health Promotion, Humans, Leadership, Male, Needs Assessment, Oral Health, Practice Management, Dental organization & administration, Preventive Dentistry education, Private Practice, Professional Role, Public Health Dentistry, Social Justice, Dentists ethics, Dentists legislation & jurisprudence, Dentists standards, Developed Countries economics, Patient Care Team organization & administration
- Abstract
This paper confines itself to the description of the profile of a general dentist while outlining where the boundary between specialist and generalist may lie. The profile must reflect the need to recognize that oral health is part of general health. The epidemiological trends and disease variation of a country should inform the profile of the dentist. A particular tension between the provision of oral healthcare in publicly funded and private services may result in dentists practicing dentistry in different ways. However, the curriculum should equip the practitioner for either scenario. A dentist should work to standards appropriate to the needs of the individual and the population within the country's legal and ethical framework. He/she should have communication skills appropriate to ascertain the patient's beliefs and values. A dentist should work within the principles of equity and diversity and have the knowledge and clinical competence for independent general practice, including knowledge of health promotion and prevention. He/she should participate in life-long learning, which should result in a reflective practitioner whose clinical skills reflect the current evidence base, scientific breakthroughs and needs of their patients. Within the 4-5 years of a dental degree it is not possible for a student to achieve proficiency in all areas of dentistry. He/she needs to have the ability to know their own limitations and to access appropriate specialist advice for their patients while taking responsibility for the oral healthcare they provide. The dentist has the role of leader of the oral health team and, in this capacity; he/she is responsible for diagnosis, treatment planning and the quality control of the oral treatment. The dental student on graduation must therefore understand the principles and techniques which enable the dentist to act in this role. He/she should have the abilities to communicate, delegate and collaborate both within the dental team and with other health professionals, to the benefit of the patient. The profile of a dentist should encompass the points raised but will also be based upon competency lists which are published by a variety of countries and organizations. It is important that these lists are dynamic so that they are able to change in light of new evidence and technologies.
- Published
- 2008
- Full Text
- View/download PDF
139. Profile of the oral healthcare team in countries with emerging economies.
- Author
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Nash D, Ruotoistenmäki J, Argentieri A, Barna S, Behbehani J, Berthold P, Catalanotto F, Chidzonga M, Goldblatt L, Jaafar N, Kikwilu E, Konoo T, Kouzmina E, Lindh C, Mathu-Muju K, Mumghamba E, Nik Hussein N, Phantumvanit P, Runnel R, Shaw H, Forna N, Orliaguet T, and Honkala E
- Subjects
- Child, Clinical Competence, Community Health Workers, Delivery of Health Care economics, Delivery of Health Care organization & administration, Dental Auxiliaries, Dental Care organization & administration, Dental Care for Children economics, Dental Care for Children organization & administration, Education, Dental, General Practice, Dental, Health Planning, Health Priorities, Health Resources organization & administration, Health Services Accessibility organization & administration, Humans, Oral Health, Organizational Objectives, Preventive Dentistry organization & administration, Quality of Health Care, Specialties, Dental, Teaching methods, Dentists ethics, Dentists legislation & jurisprudence, Dentists standards, Developing Countries economics, Patient Care Team organization & administration
- Abstract
Health is a critical dimension of human well-being and flourishing, and oral health is an integral component of health: one is not healthy without oral health. Significant barriers exist to ensuring the world's people receive basic healthcare, including oral healthcare. Amongst these are poverty, ignorance, inadequate financial resources and lack of adequate numbers of educated and trained (oral) healthcare workers. Emerging economies are encouraged to develop a national strategic plan for oral health. International organizations have developed goals for oral health that can be referenced and adapted by emerging economies as they seek to formulate specific objectives for their countries. Demographic data that assess the nature and extent of oral diseases in a country are essential to sound planning and the development of an oral healthcare system that is relevant, effective and economically viable. Prevention should be emphasized and priority consideration be given to oral healthcare for children. The types and numbers of members of the oral healthcare team (workforce) will vary from country to country depending on the system developed. Potential members of the workforce include: generalist dentists, specialist dentists, dental therapists, dental hygienists, denturists, expanded function dental assistants (dental nurses) and community oral health workers/aides. Competences for dentists, and other members of the team, should be developed to ensure quality care and developed economies should cooperate with emerging economies. The development, by more advanced economies, of digital, virtual curricula, which could be used by emerging economies for educating and training members of the oral healthcare team, should be an important initiative. The International Federation of Dental Educators and Associations (IFDEA) should lead in such an effort.
- Published
- 2008
- Full Text
- View/download PDF
140. Placement of posterior resin restorations should be limited to dentists.
- Author
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Benjamin GC
- Subjects
- Clinical Competence standards, Dental Restoration Failure, Dental Restoration, Permanent standards, Dentistry, Operative education, Education, Dental, Humans, New York, Composite Resins, Dental Assistants education, Dental Assistants standards, Dental Restoration, Permanent methods, Dentists standards
- Published
- 2008
141. Policy on minimizing occupational health hazards associated with nitrous oxide.
- Subjects
- Adult, Air Pollutants, Occupational adverse effects, Air Pollution, Indoor prevention & control, Dental Auxiliaries standards, Dentists standards, Health Policy, Humans, Middle Aged, Pediatric Dentistry standards, United States, Ventilation standards, Anesthesia, Dental adverse effects, Anesthetics, Inhalation adverse effects, Nitrous Oxide adverse effects, Occupational Diseases prevention & control, Occupational Exposure prevention & control, Societies, Dental standards
- Published
- 2008
142. Turkish dentists' knowledge of head and neck cancer therapy-related complications: implications for the future.
- Author
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Güneri P, Cankaya H, Kaya A, and Boyacioğlu H
- Subjects
- Adult, Education, Dental, Continuing methods, Female, General Practice, Dental education, Humans, Male, Middle Aged, Surveys and Questionnaires, Turkey, Clinical Competence standards, Dentists standards, Head and Neck Neoplasms therapy, Mouth Diseases etiology, Tooth Diseases etiology
- Abstract
Unlabelled: The objective was to determine the level of knowledge about the orodental complications and their prevention/management in head and neck cancer therapy., Materials and Methods: A 15-item questionnaire which was obtained from National Institute of Dental and Craniofacial Research that contained information about the orodental complications of the cancer therapy and the dentists' role to provide their treatment protocols. The pollsters visited 380 respondents, and the replies were analysed with stratified and logistic data analyses. Overall correct replies ranged from 14.71% to 99.5%. The participants knew the basic knowledge of the complications of cancer therapy; however, they failed to answer to the questions about the required clinical practices. The gender (P = 0.967), age (P = 0.977) and the duration of practice (P = 0.99) were not significant factors in providing correct replies. The rate of correct replies were not different among the test groups (P = 0.953). As a conclusion, rectification of dental curricula, organization of postgraduation courses, foundation of national councils for stimulation of the healthcare providers to incorporate knowledge into practice, to monitor the continuity of those programmes, and to award the dental practitioners who keep up the recent literature and optimal clinical practice are vital to improve the life quality of cancer patients.
- Published
- 2008
- Full Text
- View/download PDF
143. A new twist on third party audits?
- Author
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Jayson CJ
- Subjects
- Dentists legislation & jurisprudence, Dentists standards, Humans, Minnesota, Practice Management, Dental economics, Practice Management, Dental legislation & jurisprudence, Dental Audit legislation & jurisprudence, Managed Care Programs economics
- Published
- 2007
144. Recruitment and standardization of a group of Australian dentists for a multipractice study on dental caries prevention.
- Author
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Curtis B, Evans RW, Sbaraini A, and Schwarz E
- Subjects
- Australian Capital Territory, Cost-Benefit Analysis, Dental Care economics, Dental Care standards, Dental Caries diagnostic imaging, Dental Caries economics, Feasibility Studies, Humans, New South Wales, Observer Variation, Radiography, Bitewing standards, Reproducibility of Results, Single-Blind Method, Time and Motion Studies, Dental Caries prevention & control, Dental Research standards, Dentists standards, Personnel Selection, Private Practice
- Abstract
Background: This introductory paper details the recruitment and standardization of a group of dentists participating in a clinical trial. The trial is being undertaken to determine the cost-effectiveness of a structured preventive programme compared to standard care within private dental practices. We recruited private dental practitioners from a variety of locations in New South Wales (NSW) and the Australian Capital Territory (ACT). We sought to quantify the diagnostic reliability of dentists involved, and to define, quantify, and analyse standard care., Methods: This is a multi-centre, clustered randomized controlled trial, where dentists are allocated to an intervention preventive or control group. Recruitment was facilitated with the support of key stakeholders and included oral presentations at divisional meetings of the Australian Dental Association, NSW Branch (ADA). A detailed time-in-motion study of 426 dental procedures was undertaken in order to define the parameters of standard care. The reliability study involved each dentist reading a set of 12 pairs of bitewing radiographs that had been produced and reviewed under standardized conditions. The reliability analysis was undertaken blind to allocation status of the dentist., Results: Recruitment ceased three months into the planned six-month recruitment period, 31 practices having approached the researchers. Eight suburban, five Central Business District (CBD), five rural (in fluoridated communities), and four rural (in non-fluoridated communities) practices have been recruited. Standard care did not differ significantly between intervention and control practices (Mann-Whitney U: z = -0.50; P = 0.6). Diagnostic reliability was substantial (Kappa = 0.79 [range 0.73-0.811 and 0.78 [range 0.72-0.82]) in relation to the intervention and control practices, respectively; P = 0.6., Conclusion: The involvement of private dental practices in research is feasible and well supported by the profession. Standard care does not differ significantly between intervention and control practices. Inter- and intra-observer reliability was substantial, and not statistically different between the two arms of the trial.
- Published
- 2007
- Full Text
- View/download PDF
145. The intra/inter-examiner reproducibility of the new DIAGNOdent Pen on occlusal sites.
- Author
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Kühnisch J, Bücher K, and Hickel R
- Subjects
- Dental Caries diagnosis, Dental Fissures diagnosis, Dentists standards, Fluorescence, Humans, Observer Variation, Photography, Dental, Physical Examination, Reproducibility of Results, Students, Dental, Lasers
- Abstract
Objective: This in vitro study on occlusal sites aimed to assess the intra/inter-examiner reproducibility of the new DIAGNOdent Pen (KaVo, Biberach, Germany) and to prove the assumption that its handling is easy to learn by dental students., Methods: Two hundred and forty-one sites of 90 occlusal non-cavitated molar surfaces were investigated twice by 2 dentists and 2 undergraduate students with the DIAGNOdent Pen according to manufacturer's instructions. Intra/inter-examiner reproducibility was assessed calculating intra-class correlation coefficients (ICCs) and the range of the 95% limits of agreement by Bland and Altman., Results: Intra-examiner reproducibility revealed excellent ICCs (0.84-0.92); but the range amounted to 41.2-59.1, which indicate a wide measuring range. The inter-examiner reproducibility using all measurements had to be proved as excellent (ICC 0.84); the range was found in the same order of magnitude as mentioned above (53.2). When measurements were categorised according to treatment related cut-offs a good inter-examiner reproducibility was detected in the interval of <30 (ICC 0.70); an excellent ICC were registered for the interval >30 (ICC 0.51). For both intervals the range values (<30: range 32.3 and >30: range 67.7) exceeded a deviation limit of +/-20%. Both students tended to measure slightly more precise compared to the dentists., Conclusions: This study revealed a wide measuring range of DIAGNOdent Pen readings. Since there were no differences between dentists and students it can be used as adjunct tool by undergraduates as well. Nevertheless, based on the registered reproducibility the DIAGNOdent Pen should be used additionally to visual inspection and dental radiographs.
- Published
- 2007
- Full Text
- View/download PDF
146. What's a dentist to do? The emperor has no clothes.
- Author
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Churchill JL
- Subjects
- Data Collection, Humans, Minnesota, Patient Satisfaction, Periodicals as Topic, Dentists standards, Quality Indicators, Health Care
- Published
- 2007
147. Virtuosity in dentistry: flourishing or vanishing?
- Author
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Gold SA
- Subjects
- Achievement, Attitude of Health Personnel, Clinical Competence, Dentistry standards, Education, Dental, Continuing, Humans, Dentists standards
- Published
- 2007
148. Top dentists, the marketplace, and competitive advantage.
- Author
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Jayson CJ
- Subjects
- Data Collection, Economic Competition, Humans, Marketing of Health Services, Minnesota, Patient Satisfaction, Periodicals as Topic, Societies, Dental, Dentists standards, Quality Indicators, Health Care
- Published
- 2007
149. Nurses are increasingly involved in pharmacovigilance in Sweden.
- Author
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Ulfvarson J, Mejyr S, and Bergman U
- Subjects
- Adverse Drug Reaction Reporting Systems statistics & numerical data, Anesthetics, Local adverse effects, Contraceptives, Oral adverse effects, Dentists standards, Drug Therapy statistics & numerical data, Drug-Related Side Effects and Adverse Reactions chemically induced, Drug-Related Side Effects and Adverse Reactions epidemiology, Histamine H1 Antagonists adverse effects, Humans, Nurse's Role, Physicians standards, Product Surveillance, Postmarketing trends, Retrospective Studies, Sweden epidemiology, Time Factors, Vaccination adverse effects, Vaccination statistics & numerical data, Drug-Related Side Effects and Adverse Reactions prevention & control, Nurses standards, Product Surveillance, Postmarketing methods
- Abstract
Introduction: In Sweden, voluntary adverse drug reaction (ADR) reporting started over 40 years ago to detect rare, serious, unexpected adverse, mainly type B, reactions. During the period 1965-2004, 92,000 reports were assessed. Since certain nurses are licensed to prescribe a limited number of drugs, nurses also form part of the reporting team., Aim: To analyse the ADR reporting by nurses in Sweden., Methods: All reports by nurses and other health-care personnel entered into the Swedish ADRs database SWEDIS (Swedish Drug Information System) were retrieved for the 10-year period 1995-2004 (Swedish population: 9 million). The intention was to analyse the nurses' reports from a quantitative and qualitative point of view., Results: The total number of ADR reports has gradually increased during the past 10 years from 3000 to over 4000 in 2004 (465 per million inhabitants), an increase by 28%. All ADR reports originate from health care personnel. The nurses' contribution to the ADR reporting increased from 2-3% in the mid-90s to 12% in 2004. The most common drugs involved in the nurses' reporting were various kinds of vaccines. Skin reactions dominated among the nurses' ADR reports. The ADRs reported by nurses were, as a consequence of many vaccine reports, compared to all reports, not so often classified as serious, but were on the other hand more often assessed with a causal relationship., Conclusions: Nurses, in their position as drug administrators who record signs and symptoms of the patients, play an increasingly important role for detection of suspected ADRs and are now contributing to a significant amount of the ADR reporting in Sweden., (Copyright 2006 John Wiley & Sons, Ltd.)
- Published
- 2007
- Full Text
- View/download PDF
150. Outcomes from homeopathic prescribing in dental practice: a prospective, research-targeted, pilot study.
- Author
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Mathie RT and Farrer S
- Subjects
- Attitude of Health Personnel, Dental Care standards, Dentists standards, Homeopathy standards, Humans, Outcome Assessment, Health Care, Pilot Projects, Practice Patterns, Physicians' standards, Professional-Patient Relations, Prospective Studies, Research Design, Treatment Outcome, United Kingdom, Dental Care statistics & numerical data, Dentists statistics & numerical data, Drug Prescriptions statistics & numerical data, Forms and Records Control statistics & numerical data, Homeopathy statistics & numerical data, Practice Patterns, Physicians' statistics & numerical data
- Abstract
Background and Aims: A base for targeted research development in dental homeopathy can be founded on systematic collection and analysis of relevant data obtained by dentists in clinical practice. With these longer-term aims in mind, we conducted a pilot data collection study, in which 14 homeopathic dentists collected clinical and outcome data over a 6-month period in their practice setting., Methods: A specifically designed Excel spreadsheet enabled recording of consecutive dental appointments under the following main headings: date; patient identity (anonymised), age and gender; dental condition/complaint treated; whether chronic or acute, new or follow-up case; patient-assessed outcome (7-point Likert scale: -3 to +3) compared with first appointment; homeopathic medicine/s prescribed; whether any other medication/s being taken for the condition. Spreadsheets were submitted monthly via e-mail to the project co-ordinator for data synthesis and analysis., Results: Practitioners typically submitted data regularly and punctually, and most data cells were completed as required, enabling substantial data analysis. The mean age of patients was 46.2 years. A total of 726 individual patient conditions were treated overall. There was opportunity to follow-up 496 individual cases (positive outcome in 90.1%; negative in 1.8%; no change in 7.9%; outcome not recorded in 0.2%). Sixty-four of these 496 patients reported their outcome assessment before the end of the homeopathic appointment. Strongly positive outcomes (scores of +2 or +3) were achieved most notably in the frequently treated conditions of pericoronitis, periodontal abscess, periodontal infection, reversible pulpitis, sensitive cementum, and toothache with decay., Conclusions: This multi-practitioner pilot study has indicated that systematic recording of practice data in dental homeopathy is both feasible and capable of informing future research. A refined version of the spreadsheet can be employed in larger-scale research-targeted data collection in the dental practice setting.
- Published
- 2007
- Full Text
- View/download PDF
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