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Avaliação da efetividade de um protocolo de cuidados odontológicos no alívio da dor, sintomas bucais e melhora da qualidade de vida em pacientes com câncer de cabeça e pescoço em cuidados paliativos: ensaio clínico não-controlado; Assessment of the effectiveness of a dental care protocol in relieving pain and oral symptoms and improving the quality of life of head and neck cancer patients in palliative care: non-controlled clinical trial

Jales, Sumatra Melo da Costa Pereira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/09/2011 PT
Relevância na Pesquisa
66.35%
INTRODUÇÃO: Doentes com câncer de cabeça e pescoço têm sérias restrições funcionais e grande comprometimento das funções bucais. Esses problemas tornam-se complexos quando o câncer é incurável, exigindo exclusivamente cuidados paliativos. Nesta condição, os sintomas habituais agravam-se necessitando de atenção e cuidados especiais. Foi realizado um ensaio clínico não-controlado, incluindo doentes com câncer avançado de cabeça e pescoço exclusivamente em cuidados paliativos, com o objetivo de caracterizar a sua condição clínica orofacial; avaliar a funcionalidade, a qualidade de vida relacionada à saúde e a efetividade de um protocolo de cuidados odontológicos (preventivos, curativos e paliativos) no controle da dor e das queixas orofaciais, na qualidade de vida, prognóstico e sobrevida desses doentes. MÉTODOS: Avaliação Odontológica através da Ficha Clínica da Equipe de Dor Orofacial/ATM - HCFMUSP, Prontuário médico, Escala Visual Analógica (EVA), Índice gengival, Avaliação quanto à presença de cálculo dentário, Avaliação da mobilidade dentária, Escala de Numérica de Dor (END), Classificação do odor das feridas, Avaliação do edema lingual, Índice CPO-D, Questionário de Qualidade de Vida da Universidade de Washington (UW-QOL)...

Associação entre sintomas depressivos e procura por cuidados odontológicos de Porto Alegre, RS; Association between depressive symptoms and dental care seeking behavior for the elderly in Porto Alegre, RS

Ávila, Gabriela Ádima de Camargo
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Trabalho de Conclusão de Curso Formato: application/pdf
POR
Relevância na Pesquisa
66.34%
A depressão constitui um sofrimento psíquico frequente no idoso, o que pode comprometer vários aspectos de suas vidas, inclusive o cuidado com sua saúde bucal. A presença de sintomas depressivos pode estar relacionada com desfechos negativos, dentre eles, a ausência de busca ou busca orientada por cuidados odontológicos. Objetivo: Avaliar a associação entre a presença de sintomas depressivos e a ausência de procura ou busca orientada por cuidados odontológicos por idosos de Porto Alegre, RS. Materiais e métodos: Foram selecionados para o estudo, através de uma amostragem por conglomerado, idosos moradores do distrito sanitário Partenon/Lomba do Pinheiro. A entrevista incluiu: um questionário sócio demográfico com variáveis como sexo, idade, renda, entre outras; a Escala de Depressão Geriátrica (GDS-15); e uma questão relacionada à procura por serviços odontológicos. Os indivíduos respondiam se a busca por serviços odontológicos era ausente ou orientada por problemas ou ocasional/regular. Por fim, foi realizado um exame bucal que consistiu na contagem do número de dentes, restos radiculares, uso de prótese dentária e alteração de tecido mole. A análise foi realizada no software PASW versão 18. Resultados: Dos 862 idosos entrevistados...

Influence of dental care for infants on caries prevalence: A comparative study

Melhado, Fabiola Lemos; Cunha, Robson Frederico; Nery, Rosangela Santos
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 120-123
ENG
Relevância na Pesquisa
66.34%
Purpose: The influence of early dental care on the prevalence of dental caries was determined in children ages 35 to 40 months divided into 2 groups of 160 children each, with 1 group participating in a dental care program from the first year of life to the time of the study, while the other group did not receive any dental care. Methods: The clinical conditions considered for the evaluation were: sound teeth, enamel caries without cavitation, enamel caries with cavitation, and dentinal caries. The proportion and chi-square tests were used for statistical analysis with the level of significance set at 5%. Results: A significant difference regarding the presence of dental caries, especially in the number of children presenting enamel caries with cavitation (P<.0001), was observed between the 2 groups. The number of children with enamel caries without cavitation and dentinal caries was similar for the 2 groups. Conclusions: Considering the aspect of dental caries prevention, the authors concluded that children in the age range of 3 to 4 years who received early dental care showed better oral conditions.

Prenatal dental care: evaluation of professional knowledge of obstetricians and dentists in the cities of Londrina/PR and Bauru/SP, Brazil, 2004

Zanata,Régia Luzia; Fernandes,Karen Barros Parron; Navarro,Patrícia Silva Lopes
Fonte: Faculdade De Odontologia De Bauru - USP Publicador: Faculdade De Odontologia De Bauru - USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2008 EN
Relevância na Pesquisa
66.35%
The purpose of this study was to assess the current knowledge and recommendations of obstetricians and dentists as to the dental care to pregnant patients in the cities of Londrina/PR and Bauru/SP, Brazil. Questionnaires were distributed to professionals of both cities, arguing on the following issues: oral health during pregnancy; contact between prenatal care and dental care providers; prenatal fluoride supplementation; selection of therapeutic agents for local anesthesia, pain control and treatment of infection; and dental procedures that can be performed during each trimester. Data were analyzed by frequency of responses and statistical analyses were carried out using X² (type of workplace/service) and t test (time since graduation), significant if p<0.05. Seventy-nine obstetricians and 37 dentists responded the questionnaires. Most physicians referred the patient to dental care only when a source of dental problem was mentioned, limiting the adoption of a preventive approach. Forty-three percent of dentists and 34% of obstetricians did not know the potential contribution of periodontal infection as a risk factor for preterm low birth-weight babies. There was divergence from scientific literature as to the recommendation of local anesthetics (dentists and obstetricians)...

Children waiting for dental care

Dental Clinics, Dental Care
Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Imagem
ENG
Relevância na Pesquisa
76.2%
Children in the waiting room of the Rochester Dental Dispensary. Note the painted mural on the walls of the waiting area.

Atenção às urgências odontológicas em unidades de pronto-atendimento do sistema único de saúde; Emergency Dental Care in Emergency Care Units of the Unified Health System

Rios, Leonardo Essado
Fonte: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Ensino na Saúde (FM); Faculdade de Medicina - FM (RG) Publicador: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Ensino na Saúde (FM); Faculdade de Medicina - FM (RG)
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
66.37%
The pain of dental origin has high prevalence, presents itself as a public health problem and cause negative impact on quality of life of people. Because of that, attention to dental emergencies has particular importance in the health care of the population, however there is little research on this topic. In the present study it was aimed to analyze dental care in Emergency Care Units of the Unified Health System (SUS) in optics of dentists workers in this service. It was a study of mixed methods and data were collected through a questionnaire with assertions of polar agreement and disagreement (Likert scale). Participated as subjects dentists (N = 44) workers in the emergency dental service of the Emergency Care Units of SUS from Goiânia, GO. There was a tendency to full concordance (average percentage of agreement above 76%) about this type of service answering to a spontaneous demand with complaints of pain and trauma and also about the affirmation that basic procedures of urgency such as dental extractions, alveolitis and bleeding treatments, drainage of intraoral abscesses and medicalization must be performed there. Tendency to concordance (average percentage between 26% and 75%) was verified in relation to the statement that the service aims to relief the suffering of the population with pain of dental origin. Propensity to indifference (average percentage among -25% and 25%) occurred on the host with risk classification while service feature...

Opinions of dentists and directors of nursing concerning dental care provision for Adelaide nursing homes

Chalmers, J.; Hodge, C.; Fuss, J.; Spencer, A.; Carter, K.; Mathew, R.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
Relevância na Pesquisa
76.25%
Background: The complex oral health problems of nursing home residents have been well documented. However, the influences on residents’ oral health status, including opinions and experiences of dental professionals and nursing home staff, have not yet been adequately investigated. Methods: The baseline questionnaire component of this longitudinal study was mailed to all registered dentists practising in Adelaide and Adelaide nursing home directors of nursing (DONs). Results: 413 dentists and 97 DONs indicated that Adelaide dentists’ interest and training in nursing home dentistry was low. Dental service provision for nursing home residents was very low and dentists preferred to provide treatment at their dental practices. Few dental hygienists were working in nursing homes and dental professionals provided little educational assistance for nursing home staff. Dentists and DONs held several common and many varying perceptions of the problems associated with dental care provision in nursing homes. Both identified a group of nursing home environmental constraints and a lack of portable dental equipment. DONs further identified a group of resident related problems, and dentists a group of dental practicerelated problems. Conclusions: These study results provide important information concerning problems with nursing home dentistry for dental service providers...

Access to dental care by young South Australian adults

Roberts-Thomson, K.; Stewart, J.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2003 EN
Relevância na Pesquisa
76.31%
Background: Despite reported concern over the dental care of young adults little research has been done on their use of dental services in Australia. The aim of this study was to investigate the patterns of dental utilization of young South Australian adults aged 20-24 years. Methods: A random sample of 2300 young adults was selected from the electoral roll. Partial or complete addresses and possible phone numbers were obtained for 1921 persons. Telephone interviews were conducted for 1261 subjects to obtain information on socio- demographics, health behaviour and dental visiting (response rate 65.6 per cent). Results: One third of young adults (34 per cent) had not made a dental visit in the previous two years and 38 per cent usually visited for a problem rather than a check-up. Making a dental visit in the last two years was significantly associated with a number of socio- demographic variables including age and gender, with holders of private dental insurance and those who have not avoided care because of cost having higher odds of making a visit and males and government concession card holders having lower odds of visiting. Usual reason for visiting a dentist for a problem was significantly associated with no private dental insurance...

Child use of dental services and receipt of dental care in New Zealand

Jamieson, L.; Koopu, P.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
66.35%
Aim: To examine dental service use and dental care receipt by a range of factors among Maori, Pacific and New Zealand European or Other children in New Zealand. Methods: Data were from the 2002 National Children’s Nutrition Survey. Bivariate associations were calculated between three dental service use and dental care receipt measures, and 48 personal characteristics in five domains. Analyses took into account the complex sampling design. Results: Some 3275 children participated; 37.4% Maori, 32.3% Pacific and 30.3% New Zealand European or Other. Irregular dental attendance was associated with children who were 11–14 years, Pacific, had not always lived in New Zealand, lived in rented accommodation, frequently watched television, consumed breakfast on the way to school, purchased lunch, consumed sugar-containing products or had food security issues. A higher proportion of children who were aged 11–14 years, Maori, had low household income, lived with 4+ children, regularly watched television, consumed breakfast on the way to school, frequently consumed high-sugar foods, had food security issues, experienced dental pain at night or had received dental care under a general anaesthetic had received a restoration. Extraction receipt was associated with children who were Pacific...

Association of urgent dental care with subjective oral health indicators and psychosocial impact

Luzzi, L.; Jones, K.; Spencer, A.; Roberts-Thomson, K.
Fonte: F D I World Dental Press Ltd Publicador: F D I World Dental Press Ltd
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
76.37%
Pressures on public dental services require new approaches to managing demand. OBJECTIVE: To identify possible predictors of urgency of clinically assessed emergency dental care using self-reported oral health indicators. DESIGN AND METHODS: This study was a prospective study examining associations between patient reports of oral health indicators and psychosocial impact of oral disorders and a clinical determination of a hierarchy of urgency of emergency dental care. The data set comprised a random sample of 839 eligible adults presenting to nine public dental clinics across South Australia and New South Wales for emergency dental care. All participants held a government health concession card and were aged 18+ years and had a minimum of six natural teeth. Significant associations between self-reported oral health indicators and psychosocial impacts and a normative clinical assessment of urgency of emergency dental care were examined by means of binary logistic regression analysis in order to develop prediction models. Prediction of the urgency of emergency dental care was based on the assessment of two models--Model 1: urgency of care = <48 hours vs. 2+ days, Model 2: urgency of care = 2-7 days vs. 8+ days. RESULTS: Some 35.8%, 34.8% and 29.4% of respondents were classified by the assessing dentist as requiring dental care within 48 hours...

Public dental service utilization among adults in South Australia

Luzzi, L.; Spencer, A.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
66.38%
Background: Longitudinal patterns of public dental service use may reflect access issues to public dental care services. Therefore, patterns of dental service use among South Australian adult public dental patients over a 3½-year period were examined. Methods: Public dental patients (n = 898) initially receiving a course of emergency dental care (EDC) or general dental care (GDC) at baseline were followed for up to 3½ years. Patient clinical records were accessed electronically to obtain information on dental visits and treatment received at those visits. Results: Some 70.7 per cent of EDC and 51.3 per cent of GDC patients returned for dental treatment post-baseline. EDC patients returned within a significantly shorter time period post-baseline, received significantly more courses of care and were visiting more frequently than GDC patients. A greater proportion of EDC patients received oral surgery, restorative, endodontic and prosthodontic services, but fewer received periodontic services. EDC patients received significantly more oral surgery and fewer preventive services per follow-up year, on average, than GDC patients. Large proportions of EDC (52.4 per cent) and GDC (63.8 per cent) patients who returned sought emergency care post-baseline. Conclusions: Patients appeared to be cycling through emergency dental care because of lack of access to general care services...

The relationship between dental care and perceived oral health impacts

Crocombe, L.; Brennan, D.; Slade, G.
Fonte: F D I World Dental Press Ltd Publicador: F D I World Dental Press Ltd
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
76.33%
Background: Knowledge of the effect of dental care and dental visiting behavior on oral health impacts is important for effective resource allocation. Objective: To determine the association between dental care, including the reason for dental attendance and time since last dental visit, with perceived oral health impacts among Australian adults. Methods: Data were obtained from the Australian National Survey of Adult Oral Health 2004/06. Analysis was limited to 4,170 dentate adults who answered the Oral Health Impact Profile (OHIP-14) questions. Prevalence of frequent impacts was defined as the percentage of people reporting ‘fairly often’ or ‘very often’ to one or more of the OHIP-14 questions. Results: Over half the dentate Australians (63.0%) visited a dentist in the past year. Unadjusted analysis showed a statistically significant association between the prevalence of frequent impacts and receipt of: extractions (prevalence ratio=1.7, 95%CI=1.2- 2.2), scale/clean (0.7, 0.5-0.8), and denture care (1.6 1.1-2.4). After adjustment for the usual reason for dental attendance there was no effect of any of the three treatments or the time since last visit on the prevalence of frequent impacts. Conclusion: The usual reason for dental attendance...

Will improving access to dental care improve oral health-related quality of life?

Crocombe, L.; Mahoney, G.; Spencer, A.; Waller, M.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
76.3%
BACKGROUND: The aim of this study was to determine if Australian Defence Force (ADF) members had better oral health related quality of life (OHRQoL) than the general Australian population and whether the difference was due to better access to dental care. METHODS: The OHRQoL, as measured by OHIP-14 summary indicators, of participants from the Defence Deployed Solomon Islands (SI) Health Study and the National Survey of Adult Oral Health 2004–06 (NSAOH) were compared. The SI sample was age/gender status-adjusted to match that of the NSAOH sample which was age/gender/regional location weighted to that of the Australian population. RESULTS: NSAOH respondents with good access to dental care had lower OHIP-14 summary measures [frequency of impacts 8.5% (95% CI = 5.4, 11.6), extent mean = 0.16 (0.11, 0.22), severity mean = 5.0 (4.4, 5.6)] than the total NSAOH sample [frequency 18.6 (16.6, 20.7); extent 0.52 (0.44, 0.59); severity 7.6 (7.1, 8.1)]. The NSAOH respondents with both good access to dental care and self-reported good general health did not have as low OHIP-14 summary scores as in the SI sample [frequency 2.6 (1.2, 5.4), extent 0.05 (0.01, 0.10); severity 2.6 (1.9, 3.4)]. CONCLUSIONS: ADF members had better OHRQoL than the general Australian population...

Users’ dissatisfaction with dental care: a population-based household study

Martins,Andréa Maria Eleutério de Barros Lima; Ferreira,Raquel Conceição; Santos Neto,Pedro Eleutério dos; Carreiro,Danilo Lima; Souza,João Gabriel Silva; Ferreira,Efigênia Ferreira e
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
66.35%
OBJECTIVE To examine whether demographic, socioeconomic conditions, oral health subjectivity and characterization of dental care are associated with users’ dissatisfaction with such are.METHODS Cross-sectional study of 781 people who required dental care in Montes Claros, MG, Southeastern Brazil, in 2012, a city with of medium-sized population situated in the North of Minas Gerais. Household interviews were conducted to assess the users’ dissatisfaction with dental care (dependent variable), demographic, socioeconomic conditions, oral health subjectivity and characterization of dental care (independent variables). Sample calculation was used for the finite population, with estimates made for proportions of dissatisfaction in 50.0% of the population, a 5.0% error margin, a non-response rate of 5.0% and a 2.0% design effect. Logistic regression was used, and the odds ratio was calculated with a 5% significance level and 95% confidence intervals.RESULTS Of the interviewed individuals, 9.0% (7.9%, with correction for design effect) were dissatisfied with the care provided. These were associated with lower educational level; negative self-assessment of oral health; perception that the care provider was unable to give dental care; negative evaluation of the way the patient was treated...

Parents' satisfaction with preventive dental care for young children provided by nondental primary care providers

Rozier, R.; Slade, G.; Zeldin, L.; Wang, H.
Fonte: American Academy of Pediatric Dentistry Publicador: American Academy of Pediatric Dentistry
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
66.37%
PURPOSE: The purpose of this study was to assess parents' satisfaction with the preventive dental care their children received in medical offices. METHODS: Caregivers accompanying Medicaid children for their medical visits at 30 practices, with at least 1 physician providing dental services, completed questionnaires just before and 12 months after initial dental care visits. Information at follow-up was obtained on the type of dental services received and parents' satisfaction with this care using questions adapted from the Consumer Assessment of Health Plans Survey. Child, parent, and practice characteristics were used in logistic regression to predict categories representing the least satisfaction. RESULTS: About 92% of 342 parents who recalled at least 1 medical visit with dental care reported that the provider usually or always explained things in a way they could understand, and 84% reported that the provider spent enough time with their child. Seventy-seven percent rated overall dental care greater than 7 on an 11-point scale with 10 indicating the best care. Parents reporting race other than Caucasian or African American, mostly Hispanic or Asian, were the least satisfied with interpersonal aspects of care. Poor child oral health and lack of follow-up preventive dental care were associated with low ratings for communication...

Access to dental care among adults with physical and intellectual disabilities: residence factors

Pradhan, A.; Slade, G.; Spencer, A.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
76.32%
BACKGROUND: There is limited information about access and barriers to dental care among adults with disabilities. METHODS: A mailed questionnaire survey of carers of 18-44-year-old South Australians with physical and intellectual disabilities (care recipients; n = 485) in family homes, community housing and institutions. Bivariate associations were tested using chi-square tests. Odds ratios (ORs) and 95 per cent confidence intervals (CI) were estimated for irregular dental visits (IDV). RESULTS: Carers from family homes and community housing were more likely to report problems in obtaining dental care than those at institutions (p < 0.001). Lack of dentists with adequate skills in special needs dentistry (SND) was the most frequently reported problem for carers from family homes and community housing. IDV were less likely (p < 0.01) for care recipients in institutions and community housing than in family homes. After adjusting for care recipients' age, gender and disability, odds of IDV was lower in community housing (OR = 0.2, 95% CI = 0.1, 0.3) and in institutions (OR = 0.1, 95% CI = 0.04, 0.3) relative to family homes. CONCLUSIONS: Care recipients in institutions and community housing had better access to dental care than those at family homes. The shortage of dentists in SND and treatment costs needs to be addressed.; A Pradhan...

Differences in dimensions of satisfaction with private and public dental care among children

Brennan, D.; Gaughwin, A.; Spencer, A.
Fonte: F D I World Dental Press Ltd Publicador: F D I World Dental Press Ltd
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
Relevância na Pesquisa
76.32%
UNLABELLED: Measures of patient satisfaction have application in understanding patient behaviour, and in evaluating dental providers, services, and facilities. Further, differences in delivery systems may be reflected in variation between the component dimensions of satisfaction. AIM: The aim of this study was to compare perceptions of satisfaction with care provided by the School Dental Service (SDS) and private dentists. DESIGN: A three-stage cross-sectional survey was conducted during 1993-94. This analysis is based on Stage 2 of the study (n=2,792 participants, response rate=78.0%). SETTING: Schools in metropolitan Adelaide, South Australia. PARTICIPANTS: Parents and schoolchildren. INTERVENTIONS/METHODS: Mailed self-complete questionnaires. MAIN OUTCOME MEASURES: The Dental Satisfaction Index (DSI) and component subscales. RESULTS: Overall satisfaction using the DSI showed no significant difference between SDS users and users of private dental care. Parents of children using the SDS had lower satisfaction scores for 'general satisfaction', 'quality', 'access', and 'continuity', but had higher satisfaction scores for the dimensions of 'cost' and 'availability' (OLS regression; P<0.01). These patterns of satisfaction with dental care by provider group persisted after controlling for time since last visit...

Impact of dental care on oral health-related quality of life and treatment goals among elderly adults

Gagliardi, D.; Slade, G.; Sanders, A.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
76.31%
BACKGROUND: General dental care can effectively control disease and restore damaged tissue, yet little is known about its impact on patients' subjective oral health, namely treatment goals and oral health-related quality of life (OHRQoL). This study aimed to evaluate change in both aspects of subjective oral health among elderly adults receiving publicly-funded, general dental care. METHODS: We conducted a prospective, single-group intervention study of adults aged 75+ years receiving care through the South Australian Dental Service (SADS). Before receiving dental care, subjects completed the Oral Health Impact Profile (OHIP-14) questionnaire which evaluates OHRQoL. In this questionnaire, subjects rated the extent to which they had attained a self-nominated oral health goal. Dentists provided standard-of-care treatment and six months later the OHIP-14 and goal attainment questions were re-administered. RESULTS: Among the 253 adults studied, overall improvements in OHRQoL were observed (p < 0.05), although the effect was dependent on pre-treatment goal: mean OHIP-14 scores did not change significantly for subjects whose goal was less pain/discomfort while significant improvements were observed for subjects with other treatment goals. In contrast...

Predicting relative need for urgent dental care

Luzzi, L.; Spencer, A.; Jones, K.; Roberts-Thomson, K.
Fonte: F D I World Dental Press Ltd Publicador: F D I World Dental Press Ltd
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
76.37%
OBJECTIVE: To develop prediction models of the relative need for care to differentiate between urgent and not urgent individuals presenting for emergency dental care. DESIGN AND METHODS: Data were collected from 839 adults presenting to public dental clinics across South Australia (SA) and New South Wales (NSW) for emergency dental care. Prediction of the urgency of emergency dental care was based on the assessment of two binary logistic regression models - Model 1: urgency of care=<48 hours vs. 2+ days, Model 2: urgency of care=2-7 days vs. 8+ days. Subsequently predictive equations for urgency of emergency dental care were developed using binary logistic regression analysis. The models incorporated subjective oral health indicators (i.e., experience of pain or other oral symptoms) and measures of psychosocial impact of oral disorders (i.e., difficulty sleeping and being worried about the appearance/health of one's teeth or mouth). RESULTS: The cut-off point for the prediction of urgency was defined as a probability value ≥=0.40 and ≥=0.50 for Model 1 and Model 2 respectively. These cut-off values were chosen as they produced test results that were consistent with the proportions of patients falling into various urgency categories derived from dentist's assessment of urgency. Model 1's sensitivity was 58%...

Users’ dissatisfaction with dental care: a population-based household study

Martins,Andréa Maria Eleutério de Barros Lima; Ferreira,Raquel Conceição; Santos Neto,Pedro Eleutério dos; Carreiro,Danilo Lima; Souza,João Gabriel Silva; Ferreira,Efigênia Ferreira e
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
66.35%
OBJECTIVE To examine whether demographic, socioeconomic conditions, oral health subjectivity and characterization of dental care are associated with users’ dissatisfaction with such are.METHODS Cross-sectional study of 781 people who required dental care in Montes Claros, MG, Southeastern Brazil, in 2012, a city with of medium-sized population situated in the North of Minas Gerais. Household interviews were conducted to assess the users’ dissatisfaction with dental care (dependent variable), demographic, socioeconomic conditions, oral health subjectivity and characterization of dental care (independent variables). Sample calculation was used for the finite population, with estimates made for proportions of dissatisfaction in 50.0% of the population, a 5.0% error margin, a non-response rate of 5.0% and a 2.0% design effect. Logistic regression was used, and the odds ratio was calculated with a 5% significance level and 95% confidence intervals.RESULTS Of the interviewed individuals, 9.0% (7.9%, with correction for design effect) were dissatisfied with the care provided. These were associated with lower educational level; negative self-assessment of oral health; perception that the care provider was unable to give dental care; negative evaluation of the way the patient was treated...