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The adoption of new endodontic technology amongst Danish general dental practitioners.

https://arctichealth.org/en/permalink/ahliterature176908
Source
Int Endod J. 2005 Jan;38(1):52-8
Publication Type
Article
Date
Jan-2005
Author
L. Bjørndal
C. Reit
Author Affiliation
Department of Cariology and Endodontics, University of Copenhagen, Copenhagen, Denmark. lb@odont.ku.dk
Source
Int Endod J. 2005 Jan;38(1):52-8
Date
Jan-2005
Language
English
Publication Type
Article
Keywords
Denmark
Dentist's Practice Patterns - statistics & numerical data
Diffusion of Innovation
Endodontics - instrumentation
Female
General Practice, Dental - statistics & numerical data
Humans
Male
Office visits - statistics & numerical data
Questionnaires
Root Canal Obturation - methods
Root Canal Preparation - instrumentation
Rubber Dams - utilization
Technology, Dental - statistics & numerical data
Abstract
To assess the adoption of new endodontic technology in a population of Danish practitioners.
Members of the Copenhagen Dental Association (n = 1156) were approached with a questionnaire concerning the frequency of various endodontic procedures. Three options were available: often, occasionally and never. Responses were anonymous. The statistical analyses were performed as studies of association in two- or three-way contingency tables, and with Goodman-Kruskal's gamma-coefficient as the basic tool chosen.
Only data from general practitioners (GPs) in private practice were analysed (n = 956). The response rate was 72%. NiTi hand instruments were often used to negotiate canals by 18%, whilst 10% often used NiTi rotary systems. Electronic apex locators were often employed by 15%. Nineteen per cent reported that warm gutta-percha was often used. A majority (53%) often spend two sessions to instrument a molar, and 20% often needed three or more sessions to finish the shaping phase. To complete a treatment of a nonvital case most practitioners reported to use at least three appointments. Only 4% frequently applied rubber dam.
The adoption of new endodontic technology is at an early stage amongst Danish GPs. A new revised remuneration system might influence the rate of adoption, allowing the practitioners to act more rationally and produce a higher frequency of good-quality root fillings. Progress towards high quality endodontics might be hindered by the nonuse of rubber dam.
PubMed ID
15606824 View in PubMed
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Advancing infection control in dental care settings: factors associated with dentists' implementation of guidelines from the Centers for Disease Control and Prevention.

https://arctichealth.org/en/permalink/ahliterature120263
Source
J Am Dent Assoc. 2012 Oct;143(10):1127-38
Publication Type
Article
Date
Oct-2012
Author
Jennifer L Cleveland
Arthur J Bonito
Tammy J Corley
Misty Foster
Laurie Barker
G. Gordon Brown
Nancy Lenfestey
Linda Lux
Author Affiliation
Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, MS F-10, 4770 Buford Highway, Atlanta, Ga. 30341, USA. JLCleveland@cdc.gov
Source
J Am Dent Assoc. 2012 Oct;143(10):1127-38
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Administrative Personnel
Canada
Centers for Disease Control and Prevention (U.S.)
Dental Instruments
Dentist's Practice Patterns - statistics & numerical data
Education, Dental, Continuing
Female
Guideline Adherence
Guidelines as Topic
Health Plan Implementation
Humans
Infection Control, Dental - methods - standards - statistics & numerical data
Male
Middle Aged
Needlestick Injuries - prevention & control
Questionnaires
United States
United States Occupational Safety and Health Administration
Water Microbiology
Abstract
The authors set out to identify factors associated with implementation by U.S. dentists of four practices first recommended in the Centers for Disease Control and Prevention's Guidelines for Infection Control in Dental Health-Care Settings-2003.
In 2008, the authors surveyed a stratified random sample of 6,825 U.S. dentists. The response rate was 49 percent. The authors gathered data regarding dentists' demographic and practice characteristics, attitudes toward infection control, sources of instruction regarding the guidelines and knowledge about the need to use sterile water for surgical procedures. Then they assessed the impact of those factors on the implementation of four recommendations: having an infection control coordinator, maintaining dental unit water quality, documenting percutaneous injuries and using safer medical devices, such as safer syringes and scalpels. The authors conducted bivariate analyses and proportional odds modeling.
Responding dentists in 34 percent of practices had implemented none or one of the four recommendations, 40 percent had implemented two of the recommendations and 26 percent had implemented three or four of the recommendations. The likelihood of implementation was higher among dentists who acknowledged the importance of infection control, had practiced dentistry for less than 30 years, had received more continuing dental education credits in infection control, correctly identified more surgical procedures that require the use of sterile water, worked in larger practices and had at least three sources of instruction regarding the guidelines. Dentists with practices in the South Atlantic, Middle Atlantic or East South Central U.S. Census divisions were less likely to have complied.
Implementation of the four recommendations varied among U.S. dentists. Strategies targeted at raising awareness of the importance of infection control, increasing continuing education requirements and developing multiple modes of instruction may increase implementation of current and future Centers for Disease Control and Prevention guidelines.
Notes
Erratum In: J Am Dent Assoc. 2012 Dec;143(12):1289
PubMed ID
23024311 View in PubMed
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Analysis of dentists' attitudes towards risks in oral radiology.

https://arctichealth.org/en/permalink/ahliterature52746
Source
Dentomaxillofac Radiol. 1996 Jun;25(3):151-6
Publication Type
Article
Date
Jun-1996
Author
B. Svenson
B. Söderfeldt
H G Gröndahl
Author Affiliation
Department of Oral Radiology, Postgraduate Dental Education Center, Orebro, Sweden.
Source
Dentomaxillofac Radiol. 1996 Jun;25(3):151-6
Date
Jun-1996
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
Cross-Sectional Studies
Dentist's Practice Patterns - statistics & numerical data
Dentists - psychology
Factor Analysis, Statistical
Female
General Practice, Dental
Humans
Male
Middle Aged
Questionnaires
Radiation Protection
Radiography, Dental - utilization
Research Support, Non-U.S. Gov't
Sweden
Abstract
OBJECTIVES: To develop a method of measuring dentists' attitudes towards radiation hazards and to describe their prevalence among Swedish general dental practitioners. METHODS: A questionnaire was mailed to 2000 randomly selected dentists listed in the register of the Swedish Dental Society, with a response rate of 69.3%. An index for measurements of attitudes towards radiation hazards was constructed. RESULTS: Those dentists who showed high concern at radiation hazards also restricted their use of X-ray examinations. Years in practice and attendance at extended (one-week) courses in oral radiology both had significant associations with risk attitude. Inexperienced dentists showed less concern for radiation hazards compared with those more experienced and were less scrupulous in their choice of radiographic procedures. Gender, working alone, in the public dental health services or in private practice had no significant association with attitude. Dentists who considered regulations laid down by the Swedish National Institute of Radiation Protection as wholly adequate had a high care attitude. CONCLUSIONS: It is possible to study the relationship between attitudes and clinical behaviour by postal survey. Experience and continuing education affect dentists' attitudes towards risk and these attitudes in turn influence their clinical behaviour.
PubMed ID
9084264 View in PubMed
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Antibiotic prescribing practices among Norwegian dentists.

https://arctichealth.org/en/permalink/ahliterature79684
Source
Acta Odontol Scand. 2006 Nov;64(6):355-9
Publication Type
Article
Date
Nov-2006
Author
Demirbas Fahri
Gjermo Per E
Preus Hans R
Author Affiliation
Department of Periodontology, IKO, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Source
Acta Odontol Scand. 2006 Nov;64(6):355-9
Date
Nov-2006
Language
English
Publication Type
Article
Keywords
Anti-Bacterial Agents - classification - therapeutic use
Antibiotic Prophylaxis - statistics & numerical data
Attitude of Health Personnel
Bacteria - classification
Dentist's Practice Patterns - statistics & numerical data
Dentists - psychology
Education, Dental, Continuing
Endocarditis, Bacterial - prevention & control
Humans
Norway
Periodontal Diseases - drug therapy
Prescriptions, Drug - statistics & numerical data
Abstract
OBJECTIVE: There is little information on antibiotic prescribing habits among dentists in general. In 1992 we reported a study among Norwegian dentists, and the present investigation was undertaken to find out if the patterns of antibiotic prescription had changed since then. MATERIAL AND METHODS: A total of 470 randomly selected dentists (10% of total) received a questionnaire and a letter describing the survey and 313 responded. RESULTS: Results indicated that 35% did not issue any prescriptions in a typical week, while 3% issued > or =5. Fifty percent reported that they might prescribe antibiotics when treating periodontal diseases, but only 3.4% reported the use of microbial diagnosis before selecting an antibiotic; 71% of the respondents reported use of antibiotics occasionally to prevent general complications of dental treatment; 80% prescribed antibiotics for prophylactic use if the patient revealed a history of endocarditis, while 5% reported never doing so. CONCLUSION: These findings are in concert with the results obtained 11 years ago, but indicating that dentists who had attended postgraduate courses on antibiotics prescribed such drugs more frequently. This was not statistically significant. However, it is of great concern that 5% never prescribed antibiotics when treating patients with a history of endocarditis, and that 20% did not know that amoxicillin was a penicillin. Such lack of knowledge may cause fatal results of therapy.
PubMed ID
17123912 View in PubMed
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Antibiotic prophylaxis practices in dentistry: a survey of dentists and physicians.

https://arctichealth.org/en/permalink/ahliterature164111
Source
J Can Dent Assoc. 2007 Apr;73(3):245
Publication Type
Article
Date
Apr-2007
Author
Carmen Lauber
Saranjeev S Lalh
Michael Grace
Miller Hayden Smith
Kevin MacDougall
Paul West
Sean Compton
Author Affiliation
carmenlauber@shaw.ca
Source
J Can Dent Assoc. 2007 Apr;73(3):245
Date
Apr-2007
Language
English
Publication Type
Article
Keywords
American Heart Association
Amoxicillin - administration & dosage
Anti-Bacterial Agents - administration & dosage
Antibiotic Prophylaxis - utilization
Canada
Clindamycin - administration & dosage
Dental Care for Chronically Ill - statistics & numerical data
Dentist's Practice Patterns - statistics & numerical data
Endocarditis, Bacterial - prevention & control
Erythromycin - administration & dosage
Family Practice
General Practice, Dental
Guideline Adherence
Guidelines as Topic
Heart Valve Prosthesis
Humans
Physician's Practice Patterns - statistics & numerical data
Questionnaires
United States
Abstract
A survey was conducted to determine prescribing practices of general dental and medical practitioners regarding the use of antibiotics for prophylaxis.
A questionnaire with an accompanying letter was designed to investigate prescribing practices of general dentists and physicians. The survey encompassed demographic data, mechanisms to keep current with prophylactic practice, first- and second-line drugs prescribed with doses and directions, applicable medical conditions and dental procedures warranting antibiotic prophylaxis. Names were chosen randomly from provincial lists and ethics approval was granted. Responses were compared with 1997 American Heart Association (AHA) guidelines.
In all, 1,500 surveys were sent to each group, with a response rate of 32% of dentists and 17% of physicians. There was a significant difference (p
PubMed ID
17439709 View in PubMed
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Are Manitoba dentists aware of the recommendation for a first visit to the dentist by age 1 year?

https://arctichealth.org/en/permalink/ahliterature153311
Source
J Can Dent Assoc. 2008 Dec;74(10):903
Publication Type
Article
Date
Dec-2008
Author
Tijana Stijacic
Robert J Schroth
Herenia P Lawrence
Author Affiliation
umschrot@cc.umanitoba.ca
Source
J Can Dent Assoc. 2008 Dec;74(10):903
Date
Dec-2008
Language
English
Publication Type
Article
Keywords
Adult
Dental Care for Children - psychology - statistics & numerical data
Dental Caries - prevention & control
Dentist's Practice Patterns - statistics & numerical data
Dentists - psychology - statistics & numerical data
Female
Health Knowledge, Attitudes, Practice
Humans
Infant
Male
Manitoba
Middle Aged
Questionnaires
Regression Analysis
Abstract
The Canadian Dental Association (CDA) and the American Academy of Pediatric Dentistry (AAPD) recommend that children visit the dentist by 12 months of age.
To report on how Manitoba"s general dental practitioners and pediatric dentists manage oral health in early childhood.
Mailed surveys that used the modified survey methods of Dillman were sent to 390 Manitoban general dental practitioners and pediatric dentists. The sampling frame was the Manitoba Dental Association"s Membership Registry, but only those dentists who consented to the release of their mailing information were contacted. Survey data were analyzed with Number Cruncher Statistical Software (NCSS 2007). Descriptive statistics, bivariate analyses and multiple regression analyses were done. A p value of
PubMed ID
19126358 View in PubMed
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Benzodiazepines in child dental care: a survey of its use among general practitioners and paediatric dentists in Sweden.

https://arctichealth.org/en/permalink/ahliterature32148
Source
Swed Dent J. 2001;25(1):31-8
Publication Type
Article
Date
2001
Author
B. Jensen
L. Matsson
Author Affiliation
Department of Paediatric Dentistry, Faculty of Odontology, Malmö University, Sweden. Boel.Jensen@od.mah.se
Source
Swed Dent J. 2001;25(1):31-8
Date
2001
Language
English
Publication Type
Article
Keywords
Administration, Oral
Administration, Rectal
Adolescent
Anesthesia, Dental - methods - statistics & numerical data
Anti-Anxiety Agents - administration & dosage
Benzodiazepines
Chi-Square Distribution
Child
Child, Preschool
Conscious Sedation - methods - utilization
Dental Care for Children - methods - statistics & numerical data
Dentist's Practice Patterns - statistics & numerical data
Female
General Practice, Dental
Humans
Infant
Male
Pediatric Dentistry
Questionnaires
Research Support, Non-U.S. Gov't
Sweden
Treatment Outcome
Abstract
Dental treatment in children too young or too apprehensive to co-operate is often performed under sedation. The aim of this study was to survey the use of rectal and oral liquid and tablet benzodiazepine sedation in Swedish child dentistry, and estimation of treatment success. A questionnaire was sent to 500 randomly selected dentists (GPs) working in the Public Dental Health Service and all (77) specialists (PDs) working at paediatric dentistry clinics. Benzodiazepine sedation was used by 73% of the GPs and 97% of the PDs. Seven per cent of the GPs and 87% of the PDs had sedation sessions at least once a month. Of the GPs, 60% administered the sedation rectally, 7% orally in liquid form, and 39% orally in tablet form. For PDs, the corresponding figures were 97%, 78%, and 68%. Sixteen per cent of the GPs and 84% of the PDs used midazolam for rectal sedation. PDs rated rectal sedation better than the GPs (p
PubMed ID
11392604 View in PubMed
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Changes in restorative caries treatment in 15-year-olds in Oslo, Norway, 1979-1996.

https://arctichealth.org/en/permalink/ahliterature184612
Source
Community Dent Oral Epidemiol. 2003 Aug;31(4):246-51
Publication Type
Article
Date
Aug-2003
Author
Anne Løvberg Gimmestad
Dorthe Holst
Knut Fylkesnes
Author Affiliation
Dental Faculty, Community Dentistry, University of Oslo, Oslo, Norway. annelgi@odont.uio.no
Source
Community Dent Oral Epidemiol. 2003 Aug;31(4):246-51
Date
Aug-2003
Language
English
Publication Type
Article
Keywords
Adolescent
DMF Index
Decision Making
Dental Caries - epidemiology - therapy
Dental Restoration, Permanent - statistics & numerical data
Dentist's Practice Patterns - statistics & numerical data
Humans
Incidence
Norway - epidemiology
Prevalence
Abstract
To examine changing patterns regarding restorative treatment criteria for dental caries.
A representative sample (n = 215) was drawn from all 15-year-olds receiving dental treatment in the Public Dental Service (PDS) in Oslo, Norway for each of the years 1979, 1989, 1993 and 1996. Information from clinical records and bitewing radiographs on caries treatment was collected. The results presented in this paper pertain to 198, 201, 209 and 208 subjects in each group.
The results revealed dramatic changes in the use of restorative treatment criteria. Only 16% of tooth surfaces were treated in 1996 according to the criteria from 1979. The number of sound surfaces was found to have increased by 39% whereas the number of filled surfaces was reduced by 92%. In spite of more stringent criteria for restorative treatment, the number of D4 lesions did not increase.
The practice of change in restorative treatment continued during the 17 years of study. Though the number of decayed surfaces appeared to be stable during the period, in reality, there was a reduction in caries occurrence during the first 10-year period (1979-1989). A conceptual model of dentists' caries-related treatment decisions outlined by Bader & Shugars may be used to explain parts of the rapid change in the criteria used in the PDS in Oslo.
PubMed ID
12846846 View in PubMed
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Changes in the treatment concept for approximal caries from 1983 to 2009 in Norway.

https://arctichealth.org/en/permalink/ahliterature136122
Source
Caries Res. 2011;45(2):113-20
Publication Type
Article
Date
2011
Author
S. Vidnes-Kopperud
A B Tveit
I. Espelid
Author Affiliation
Faculty of Dentistry, University of Oslo, Norway. simen.vidnes-kopperud@odont.uio.no
Source
Caries Res. 2011;45(2):113-20
Date
2011
Language
English
Publication Type
Article
Keywords
Adult
Aged
Compomers
Composite Resins
Dental Caries - pathology - therapy
Dental Cavity Preparation - methods
Dental Enamel - pathology
Dental Restoration, Permanent - methods - utilization
Dentin - pathology
Dentist's Practice Patterns - statistics & numerical data
Diffusion of Innovation
Female
Glass Ionomer Cements
Humans
Logistic Models
Male
Middle Aged
Norway
Private Practice - statistics & numerical data
Public Health Dentistry - statistics & numerical data
Questionnaires
Time Factors
Young Adult
Abstract
The aim was to measure variations in threshold for operative treatment of approximal caries in permanent teeth and the use of restorative materials, compared with results from studies conducted in Norway in 1983 and 1995. In 2009, a precoded questionnaire was sent electronically to 3,654 dentists with E-mail addresses in the member register of the Norwegian Dental Association. The questions were related to caries, treatment strategies and choice of dental materials. Replies were obtained from 61% of the dentists after two reminders. Restorative treatment of approximal lesions confined to enamel, based on radiographic appearance, was proposed by 7% of the dentists, compared with 66% in 1983 and 18% in 1995. Younger dentists, significantly more often than older, would defer operative treatment of approximal lesions until the lesion was visible in dentine. While tunnel preparation most often was the preparation of choice in 1995 (47%), saucer-shaped preparation was most favoured in 2009 (69%). Tunnel preparation was only preferred by 4% of the dentists. Resin composite was the restorative material preferred by 95%, compared with 16% in 1995. The corresponding values for conventional glass ionomer cement (GIC) were 1 versus 22%, for resin-modified GIC 1 versus 7%, and for a combination of GIC and resin composite 2 versus 22%. Compomer was preferred by 1% of the respondents. The authors conclude that treatment concepts for approximal caries have changed considerably during the last 26 years. In 2009, only 7% of dentists reported that they would treat approximal caries operatively before the lesion reached dentine.
PubMed ID
21412003 View in PubMed
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Comparison of decisions regarding prophylactic removal of mandibular third molars in Sweden and Wales.

https://arctichealth.org/en/permalink/ahliterature62812
Source
Br Dent J. 2001 Feb 24;190(4):198-202
Publication Type
Article
Date
Feb-24-2001
Author
K. Knutsson
L. Lysell
M. Rohlin
M. Brickley
J P Shepherd
Author Affiliation
Department of Oral Radiology, Centre for Oral Health Sciences, Malmö University, Sweden. kerstin.knutsson@od.mah.se
Source
Br Dent J. 2001 Feb 24;190(4):198-202
Date
Feb-24-2001
Language
English
Publication Type
Article
Keywords
Adult
Comparative Study
Decision Making
Dentist's Practice Patterns - statistics & numerical data
Female
Humans
Male
Mandible
Middle Aged
Molar, Third - surgery
Research Support, Non-U.S. Gov't
Sweden
Tooth Extraction - statistics & numerical data - utilization
Wales
Abstract
OBJECTIVE: To test the hypothesis that Swedish dentists schedule more mandibular third molars for prophylactic removal compared with UK dentists and oral surgeons. DESIGN: Clinical and radiographic information relating to a stratified sample of 36 disease-free mandibular third molars (equal distribution of males and females, patients' age, angular position and degree of impaction) was presented to 26 general dental practitioners (GDPs) and 10 oral surgeons in Sweden and 18 GDPs and 10 oral surgeons in Wales who were asked to decide whether or not the third molars should be removed. RESULTS: There was no evidence of any difference in mean number of molars scheduled for removal by the GDPs, but the Swedish oral surgeons scheduled significantly more third molars for removal than oral surgeons in Wales. CONCLUSION: The less interventionist approach among oral surgeons in the UK may reflect the development and application of authoritative guidelines in the UK and an extensive debate concerning appropriateness of prophylactic removal there.
PubMed ID
11270386 View in PubMed
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