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Patrick, A. C. "The dentist-patient relationship : re-modelling autonomy for dentistry". Thesis, University of Sheffield, 2014. http://etheses.whiterose.ac.uk/8302/.
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Previous work in the field of the clinician-patient relationship has relied on a generalized understanding of the ethical structure of the clinical relationship. This thesis seeks to rebut that presumption, by claiming that differing clinical relationships raise diverse ethical issues that call for specific ethical solutions. By looking closely at the primary dental care relationship this thesis will propose three specific instances where the dental-patient relationship faces unique challenges. The thesis will also go on to establish the claim that the current reliance on a rational notion of autonomy; one that is firmly attached to the consent process, is unable to theoretically address and adequately support the issues raised in relation to the dentist-patient relationship. This work considers, through philosophical enquiry, a number of theoretical alternatives and examines in detail the extent to which an alternative way of understanding the dentist-patient relationship might be more effective in addressing the matters of ethical concern raised and, as a consequence, be more ethically robust. The thesis concludes that a separation between our understanding of promoting and protecting autonomy enables us to re-visit and develop a more appropriate model of autonomy for the dentist-patient relationship that relies on a moderated, negative libertarian view. This transforms and simplifies obligations to the patient by providing an account that operates as a constraint in the clinical setting with our wish to promote autonomy being understood as the action of restoring health itself.
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Kulich, Károly R. "Interpersonal skills in the dentist-patient relationship the art of dentistry /". Göteborg, Sweden : Göteborg University, Dept. of Psychology, 2000. http://catalog.hathitrust.org/api/volumes/oclc/45404168.html.
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Abdelrahim, I. E. "Dental anxiety and the dentist patient relationship". Thesis, Queen's University Belfast, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.233341.
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Broughton, Alan M. "Treatment failures in dentistry". Title page, contents and introduction only, 1988. http://web4.library.adelaide.edu.au/theses/09DM/09dmb875.pdf.
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Cheng, Siu-shan, e 鄭少珊. "Co-accomplishing satisfaction : a multivariate investigation into dentist-patient communication". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/196473.
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OBJECTIVES: This thesis adopts a multivariate approach to examine perceptions and practices regarding routine dentist-patient interactions in initial consultations.
METHODS: A 16-item Dental Patient Feedback on Consultation skills (DPFC) questionnaire was adapted for use in the dental setting through face, content, and construct validity. A cross-sectional survey (n=389) of patients’ perceptions of their dentist’s clinical performances was conducted in a teaching hospital. Test-retest reliability (n=42) was assessed. Variations in DPFC responses (scale and item level) were examined in relation to socio-demographics and dental attendance patterns in bivariate and regression analyses.
Second tier data was collected in the form of 70 audio-visual recordings (~15 hours) which were transcribed and sequentially analyzed to identify internal structures. Corpus-based discourse and sociolinguistic analysis drawing on traditions of Conversation Analysis, was used to identify dental consultation stages and sequential patterns across turn-taking systems. Transcribed recordings from the top quartile of survey results (n=18) were examined to reveal how dentists and their patients co-accomplished ‘successful’ consultations.
RESULTS: Face validity of the DPFC questionnaire ranged 81.1-100%. Content Validity Index ranged 0.73-1.00. Variations across DPFC scores regarding global ratings of satisfaction were apparent (p<0.001). Cronbach’s alpha value was 0.94 and Intraclass Coefficient Correlation value was 0.89. Results identified that dental attendance pattern was a factor associated with DPFC (p<0.05); but no significant differences were observed regarding socio-demographics.
Corpus-based discourse and sociolinguistic analysis indicated seven specific consultation stages across the 70 recordings. This was divided into two parts by radiographic imaging, namely Part A: Opening, Oral Problem Presentation, Medical History Taking, Oral Examination, Post-examination; and Part B: Diagnosis and Explanation, and Closing.
Sequential analysis of Turn-Constructional Units in the Oral Problem Presentation Stage across the 70 recordings indicated patterns for dentists’ soliciting and patients’ presenting. Dentists solicited patient problems through open-ended questions (n=68) and closed-ended questions (n=2). Patients adopted two oral problem presentation types either using talk with gestures (n=61) or without gestures (n=9). Sequential analysis of the top quartile of recordings (n=18) revealed that patients perceived higher satisfaction with clinical communication if dentists re-visited their oral problems in the Diagnosis and Explanation Stage through a stepwise formulation. This presented as re-visiting patients’ oral problems through either repeating patients’ own terms or repairing patients’ prior talk. Finally, a case is analyzed to examine how a patient perceived effective dentist communication despite receiving a less-than-satisfactory admission outcome.
CONCLUSIONS: The lack of socio-demographic variations in DPFC indicates similar treatment across groups and standardized communication practices by dentists in this public hospital context. Patients with prior dental visits within one year require greater attention in first encounters, possibly due to their recently unresolved oral problems. To enhance the quality of dentist-patient communication, dentists need to attend to patients’ non-verbal signals during talk when presenting oral problems. In identifying how patients and dentists co-accomplish ‘successful’ communication, a clear topical thread connecting patients’ oral problem presentation with the final dentist explanation stages emerged. Empirical findings suggest re-visiting of patients’ oral problems before delivering diagnosis may enhance patient perceptions of ‘successful’ communication in initial consultations.published_or_final_version
Dentistry
Doctoral
Doctor of Philosophy
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Westphal, Joshua. "Provider Appearance: a survey of guardian and patient preference". VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4732.
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Purpose: To understand guardian and child preferences for the appearance of their pediatric dentist. This was a cross-sectional descriptive study using survey methodology with patients and parents that attended the VCU Pediatric Dental clinic.
Methods: A total sample of 100 guardians and 97 pediatric patient participants completed the computer-based questionnaire. Four subjects were asked to pose for photographs wearing various combinations of attire (professional, casual, white coat, scrubs).
Results: Among guardians, 56% reported preferring a provider in scrubs, with white coat the second most preferred attire (39%) for their children. For pediatric patients, scrubs were still most often selected, but at a lower rate (43%). White coat remained the second most preferred option at 37%.
Conclusions: Children and parents have strong perceptions and preferences regarding their dentists’ attire. The results of this study can be used, by providers, to improve the comfort, and acceptance of care by patients and guardians.
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Liu, Michael. "The Dentist / Patient Relationship: The Role of Dental Anxiety". Scholarship @ Claremont, 2011. http://scholarship.claremont.edu/cmc_theses/277.
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Dental anxiety is a common problem found in approximately 80% of the adult population in the United States. This study examined the role of dental anxiety within the dentist/patient relationship. Negative experiences were found to be the most significant contributor of dental anxiety. The negative experiences result largely from the relationship between the dentist and the patient. Both dentist and patient are affected from the effects of dental anxiety. Therefore it is important for the dentist to establish a trusting relationship with the patient to ensure that proper dental care can be provided.
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Staines, Cole A. DDS. "Perception of Patient Cooperation Among Dentist, Guardian, and Child". VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5783.
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Purpose: Evaluate behavior assessment and agreement among dentist, guardian, and child. Evaluate child behavior by appointment type.
Methods: Patients recruited from the pediatric dental department at Virginia Commonwealth University for this convenience sample. Inclusion criteria: patients presenting for clinical exams and/or restorative treatment without the use of advanced behavior guidance between August 29, 2018, and March 7, 2019; ages 4-12-years-old; and scheduled with a single clinician. Appointments were stratified by difficulty. Behavior was assessed by dentist and caregiver using the Frankl Scale. Patient self-assessed cooperation using an age-appropriate modified Frankl Scale, developed for this study. Agreement assessed among the 3 scores at each appointment using descriptive statistics and Cohen’s Kappa. Behavior trends across appointment type assessed using Kruskal-Wallis test. SAS software (2013, Cary, NC). P-value < 0.05.
Results: Forty-one patient-guardian dyads enrolled in the study. Five dyads experienced multiple encounters. Demographics for the patients enrolled: 59% male; 44% Caucasian, 29% African American, 5% Asian, 2% Hispanic, 20% other/multiracial. Average patient age: 7.6 (range: 4- 12). Most patients had 1 encounter (n=36, 88%). Frankl Score agreement for provider/guardian was 79% (k=0.335), provider/child was 70% (k=0.248), and guardian/child was 81% (k=0.314). In disagreements, guardians rated behavior better than provider. Disagreement was split for provider/child and guardian/child, with the child tending to rate themselves higher, and the guardian tending to rate the child higher respectively. Marginal evidence that hard appointments resulted in poorer behaviors.
Conclusion: There is fair agreement between child, guardian, and provider. In disagreements, guardians tend to rate the child’s behavior better compared to the provider and child self-assessment. Dental providers tend to be more critical of patient behavior. Marginal evidence to support harder appointments result in poorer behaviors.
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Morarend, Quinn Alan Spector Michael L. Dawson Deborah V. "The use of RESPeRATE to reduce dental anxiety". [Iowa City, Iowa] : University of Iowa, 2009. http://ir.uiowa.edu/etd/410.
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White, John George. "Development, implementation and evaluation of a curriculum for teaching relational communication skills in dentistry". Thesis, University of Pretoria, 2006. http://upetd.up.ac.za/thesis/available/etd-10042006-124357.
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Pendharkar, Bhagyashree Levy Steven M. "Fourth year dental students' barriers to tobacco intervention services". [Iowa City, Iowa] : University of Iowa, 2009. http://ir.uiowa.edu/etd/419.
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Naressi, Wilson Galvão. "Concepção morfológica de fórceps, para intervenção no paciente em posição supina e o operador sentado /". São José dos Campos, 1997. http://hdl.handle.net/11449/114089.
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Banca: Antenor AraújoBanca: Nemre Adas Saliba
Banca: Jaime Renato Furquim de Castro
Banca: Renato Luis Ference
Banca: Roberto Antonio Nicodemo
Resumo: A Ergonomia, ciência da racionalização do trabalho, busca o total entrosamento do homem e seus instrumentos de trabalho. Em Odontologia, a Ergonomia se faz presente no ato do profissional trabalhar corretamente sentado, em situação de conforto funcional, intervindo em paciente na posição supina, contando com equipamento e instrumental adequadamente concebidos. Atualmente, o equipamento odontológico está devidamente racionalizado; no entanto, determinados instrumentos necessitam ser redesenhados, para melhor se ajustarem àqueles requisitos. O projeto de um instrumento manual deve permitir manejo cômodo, firme e seguro. Devem-se considerar detalhes anatômicos, posição correta do operador quando da intervenção e características específicos de utilização. O instrumento ora em análise - fórceps para molares inferiores - foi concebido dentro desses requisitos, em conjunto com novo sistemática de exodontia via alveolar, consubstanciada em estudos eletromiográficos e biomecânicos. A morfologia do instrumento, que possibilita cinético simples e natural do operador, foi obtida por mudança no paradigma dos instrumentos de ação cruzado convencionais (cuja apreensão ocorre sobre as hastes), desvinculando-se o "cabo" do "braço da hoste". Isto induziu a concepção anatômica de empunhaduras perpendiculares às extremidades das hastes, resultando em instrumento eficiente e eficaz, conforme indicado em sua fase de experimentação
Abstract: Ergonomics, the science of working rationalization, seeks the best relationship between man and his working tools. In Dentistry, ergonomics is present as for the professional working correctly seated, in functional comfort, intervening of supine position patient, by means of suitable equipment and instrument. Nowadays, dental equipment is justly rationalized; however, some instruments should take shape, in order to adapt those requirements. The hand tool design should permit a comfortable, non-slip and safe handling. Thus, anatomical details, the correct position of the operator for its use and specific characteristics of application should be taken into account. The instrument under analysis - forceps - was conceived according to these requirements along with a new alveolar tooth extraction technique, based on electromyographic and biomechanical studies. The morphology of the instrument, which makes possible a simple and natural kinetics of the operator, was obtained by changing the paradigm of the conventional cross-action instruments (whose grip is always on the arms of the tool), divesting the "handle" from the "tool arm". This induced on anatomical conceiving of perpendicular handles to the extremity of the tool arm, resulting an efficient and effective instrument, according to indicated on its experimental phase
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Drugowick, Rayen Millanao. "Comportamentos do dentista e da criança durante o atendimento odontológico com uso de contenção física". [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308408.
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Orientador: Antonio Bento Alves de MoraesTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O objetivo deste estudo foi avaliar o comportamento do dentista e da criança em sessões seqüenciais de atendimento odontológico com utiliza¿.o de contenção física (CF). Participaram um dentista e seis crianças, que apresentavam comportamentos n.o-colaborativos, com 4 a 5 anos de idade. Estas foram distribuídas aleatoriamente nas condições; A, B e C; que tinham seis, sete e oito sessões, respectivamente. A dentista podia utilizar qualquer estratégia de manejo do comportamento. Era permitido ao dentista utilizar CF na 3ª e 5ª sessão na condição A; na 4ª e 6ª na Condição B e na 5ª e 7ª na Condição C. As 42 sessões foram filmadas e as respostas dos participantes categorizadas em intervalos de 15 segundos. Os dados foram apresentados em taxas de respostas por minuto por sessão (Capítulo 1) e taxa de respostas por minuto acumulada por rotina (Capítulo 2). No Capítulo 1, participaram um dentista e três crianças e teve o objetivo de identificar os efeitos da CF sobre o comportamento do dentista e da criança. Pode-se observar que a Recusa das três crianças diminuíram e que Choro e Reclamação aumentaram no decorrer das sessões. O dentista empregou CF em todas as sessões, de todas as crianças, em que esta era permitida, at. mesmo em sessões em que as taxas de recusa da criança eram menores em relação ao choro. Concluiu-se que a CF foi uma estratégia aversiva para o dentista e para as crianças. No Capítulo 2, que participaram um dentista e outras três crianças e objetivou analisar funcionalmente os comportamentos do dentista frente aos comportamentos de não colaboração da criança durante o atendimento odontológico, com ou sem o uso de contenção física, observou-se que a estratégia mais utilizada pelo dentista foi explicação (em todas as sessões) e CF (nas sessões com permissão de CF). Após o uso de CF, as respostas de choro iniciaram. O profissional não conseguiu discriminar os comportamentos de recusa e choro e utilizou CF até mesmo nos momentos em que as taxas de recusa, mais prováveis de impedir a execução do tratamento, eram menores do que as de choro. Pode se concluir que a estratégia de instrução não foi eficaz na produção de comportamentos de colaboração nas crianças e que a CF foi aversiva, já que reduziu os comportamentos que impediam a realização do tratamento e produziu reações emocionais e de protesto. No geral, pode se concluir que a estratégia utilizada pelo dentista para modificar o comportamento da criança foi a CF. Para todas as crianças, a contenção física mostrou-se ser uma estratégia aversiva que ocasionou respostas emocionais e não permitiu a aquisição de comportamentos de colaboração com o tratamento. Para o dentista, a contenção física também foi aversiva e não permitiu que este emitisse comportamentos que poderiam favorecer a colaboração da criança. A estratégia mais utilizada pelo dentista nas sessões em que estava, ou não, impedido de empregar a contenção física, não foi eficaz na produção de comportamentos que permitissem a realização do tratamento
Abstract: The aim of this study was to evaluate the dentist's and the child's behavior in dental care sessions utilizing physical restraint (PR). One dentist and three children (P1, P2 and P3) who presented non-cooperative behavior, aged 4 and 5 years old, participated in this study. They were randomly assigned in the conditions A, B and C, which contained 6, 7 and 8 sessions, respectively. PR (condition A) could occur in the 3rd and 5th session, in the 4th and 6th session (B) and 5th and 7th session (C). The sessions were filmed and the participant's responses were categorized in every 15 seconds. The data was presented in response rate per minute. In Chapter 1, one dentist and three children participated and the aim was to identify the effects of PR on dentist's and child's behavior. It was possible to observe that the children's refusal to cooperate decreased, and that crying and complaining increased throughout the sessions. The dentist used PR in all the session in which it was allowed, even in sessions where the refusal rate of the child was lower than the crying rate. PR proved to be aversive and its use is not recommended as a psychological strategy. In Chapter 2, one dentist and three children participated and the purpose was to functionally describe the dentist's behaviors based on the child's non-cooperation conduct during dental treatment, with or without the use of PR. It was observed that the strategy used by the dentist was more explanation and PR. After the use of PR, the children started to cry. The professional failed to discriminate the behaviors of refusal and cry and used PR even at situations in which the rates of refusal, most likely to preclude the treatment, were lower than those of crying. It can be concluded that the strategy instruction was not effective and that the PR was aversive, since it reduced the behaviors that precluded the treatment and produced emotional reactions and protest. In general, it can be concluded that the strategy used by the dentist to modify the child's behavior was PR. For all children, PR proved to be an aversive strategy and did not allow the acquisition of compliance behaviors with treatment. For the dentist, PR was also aversive and did not allow the acquisition of behaviors that could facilitate child's cooperation. The most common strategy used by the dentist in the sessions with and without PR was instruction. This was not effective in producing behaviors that allow treatment accomplishment
Doutorado
Saude da Criança e do Adolescente
Doutor em Ciências
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Olson, Jeffrey C. "Comparison of Patient Factors Influencing the Selection of an Orthodontist, General Dentist, or Direct-To-Consumer Aligners for Orthodontic Treatment". VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5766.
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Purpose: To evaluate the factors that influence potential orthodontic patients choosing between an orthodontist, general dentist, and direct-to-consumer (DTC) aligners for their treatment, and to determine the demand for each provider type.
Methods: An electronic survey was administered to 250 individuals among the general population of adults in the United States. Questions were designed to determine the respondent’s level of interest in pursuing orthodontic treatment with each provider type, evaluate their current level of knowledge concerning provider options, and identify factors influencing their selection. Pearson’s chi-squared test and ANOVA were used to evaluate the factors influencing patients in their selection.
Results: When asked their preference in provider type, 43.8% of respondents selected orthodontist, 34.1% selected DTC aligners, and 22.1% selected general dentist. Among respondents with the highest level of interest in pursuing orthodontic treatment, 50% selected an orthodontist and 27% selected DTC aligners. For respondents with moderate levels of interest in pursuing treatment, only 21% selected an orthodontist and 48% selected DTC aligners. The biggest perceived advantage of treatment with an orthodontist was quality of treatment, and the biggest disadvantage was cost. For DTC aligners, the biggest perceived advantage was convenience, followed by cost, and the biggest disadvantage was quality of treatment. Among adults with children, 34% selected DTC aligners for themselves and only 16% selected DTC aligners when selecting for their children.
Conclusion: Adults in the United States have similar levels of interest in pursuing orthodontic treatment with orthodontists and DTC aligners and, to a lesser degree, general dentists. A significant portion of those who select DTC aligners for their treatment are patients who would not have otherwise undergone treatment with an orthodontist. Patients tend to select orthodontists due to quality of treatment, whereas DTC aligners are selected due to convenience, followed by cost. Even among parents who prefer DTC aligners for their own treatment, parents tend to select an orthodontist for their child’s treatment.
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Elouafkaoui, Paula. "Variation in treatment : an analysis of dental radiographs using matched patient provider data". Thesis, University of Dundee, 2011. https://discovery.dundee.ac.uk/en/studentTheses/4349965c-22fe-46d1-ac9e-e6345a535781.
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Variation in health care, whether it be in terms of the utilisation of resources, observed health outcomes, costs, quality or access to health care is a well recognised and ever present feature of the modern day health care system. Health care variations challenge basic assumptions about the nature of the health care economy and raise questions about efficiency, equity and where best to direct policy instruments in health care markets. Despite the vast literature documenting variation, and the many discussions around ways to reduce variations in health care markets, the field of dental care has received little interest, in comparison to that of general medical care. This thesis will address this gap and will analyse the variation observed in a specific dental care treatment (dental radiographs) within NHS Scotland, with particular emphasis on the contribution of both dentist and patient unobserved heterogeneity. The thesis takes its focus from two strands of the literature; the underlying theoretical aspect draws on the literature concerning the theory of incentives and physician agency, whilst the empirical component makes use of recent advances in micro-econometric methods, documented in the labour economics literature. Although the thesis is predominantly an empirical analysis, the estimation strategy combines ideas from both the theoretical and empirical literature. A matched patient provider dataset from NHS Scotland is used to conduct an analysis of the variation in dental radiographs, in the presence of, and controlling for unobserved dentist and patient heterogeneity. The results indicate that the remuneration structure alone has little or no impact on the treatment decision to provide a radiograph. When a dentist changes from being on a fixed salary contract to being paid on a fee-for-service basis, they are in fact less likely to provide a radiograph. This result changes in the presence of insurance (identified as being when patients are exempt from the patient charge) and indicates that when the self employed dentist can identify the patient as being exempt, they are more likely to provide a radiograph. This result provides some support for the theory that in the presence of insurance, financial incentives do influence the treatment decision. A final result of the study highlights the importance of accounting for unobserved patient and provider heterogeneity, a factor that has had little attention in the healthcare literature. The results suggest that patient variation, as opposed to the variation across dentists, is much more important in explaining total variation. This is a similar result to that found in both the labour and education literatures.
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Gonçalves, Patrícia Elaine [UNESP]. "O perfil de ensino das disciplinas de bioética, ética profissional (ou deontologia) e odontologia legal das faculdades de odontologia brasileiras". Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/104194.
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goncalves_pe_dr_araca.pdf: 817779 bytes, checksum: 3ca2b6c15437ebd6913a156ea61f33ce (MD5)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
A Bioética, a Ética Profissional e a Odontologia Legal estudam aspectos presentes na Odontologia, tanto no relacionamento profissional-paciente, como no próprio atendimento clínico, entre outros temas. O estudo consiste em uma análise quantitativa e qualitativa do perfil de ensino das disciplinas de Bioética, Ética Profissional (ou Deontologia) e Odontologia Legal das Faculdades de Odontologia Brasileiras. A coleta de dados ocorreu por meio de questionários semi-estruturados enviados por e-mail e correspondência. Para a análise qualitativa, empregou-se a análise de conteúdo das perguntas abertas, por meio da técnica de análise de categorização temática, conforme preconizado por Bardin, já para a análise quantitativa utilizou-se o levantamento das freqüências absolutas e relativas das respostas. Dentre as 182 Faculdades de Odontologia em atividade no Brasil, 57 (31,3%) apresentam na sua grade curricular a disciplina Bioética, 100 (54,9%) Ética Profissional e 121 (66,5%) Odontologia Legal, sendo que o retorno de questionários à pesquisa foi 38(66,7%), 48(48%) e 61(50,4%), respectivamente. Os principais assuntos abordados na disciplina de Bioética são dilemas bioéticos (76,3%) que tratam, principalmente, sobre questões polêmicas e atuais como clonagem, aborto, transplante de órgãos, atendimento do paciente portador de HIV, enquanto na disciplina de Ética Profissional foi o Código de Ética Odontológica (52%) e na Odontologia Legal foi a Identificação (78,7%). Com relação às sugestões para a melhoria do ensino nas disciplinas, foram mencionadas a interdisciplinaridade e aplicabilidade com as demais, tanto nos cursos de graduação como nos cursos de pósgraduação. Observou-se que as disciplinas são geralmente ministradas de forma teórica (77,8%), (60,4%) e (52,2%). As principais formas de avaliação são: prova escrita (100%), (93,8%) e (100%)...
Bioethics, Professional Ethics and Forensic Dentistry are matters of interest for Dentistry, in the patient/professional relationship and in the clinical attendance, among others. This study consists of a quantitative and a qualitative analysis of the teaching profile of the Bioethics, Professional Ethics (or Deontology) and Forensic Dentistry disciplines in the Brazilian Dental Schools. The data were collected by semi-structured questionnaires sent to all Brazilian Dental Schools. The qualitative analysis was based on the analysis of the contents of the open questions, employing the thematic categorization analysis, as advocated by Bardin. The quantitative analysis was based on calculating the absolute and relative frequencies of the answers. Among all the 182 Brazilian Dental Schools, 57 (31.3%) present Bioethics, 100 (54.9%) present Professional Ethics and 121 (66.5%) present Forensic Dentistry in their teaching curricula. The return of questionnaires was 38 (66.7%), 48 (48%) and 61 (50.4%) for Bioethics, Professional Ethics and Forensic Dentistry, respectively. The principal themes broached in the Bioethics discipline are the bioethical dilemmas (76.3%), related mainly to polemical and up-todate questions, like cloning, abortion, organ transplantation and attending the HIV-bearing patient. In the Professional Ethics discipline, the main interest focuses on the Ethical Code for Dentistry (52%) and in Forensic Dentistry it is the Identification (78.7%). As suggestions for improving the teaching of these disciplines were mentioned the interdisciplinary relation and applicability, in the graduation as well as in the post-graduation courses. It was noticed that, in general, the disciplines are treated theoretically (77.8%, 60.4% and 52.2%). Evaluation of the teaching consists mainly in written tests (100%, 93.8% and 100%) and seminars (75%, 54.2% and 45.9%). Most of the Dental Schools... (Complete abstract click electronic access below)
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Mano, Marie-Charlotte. "La relation de soin à l'épreuve des représentations sociales : enjeux éthiques en orthopédie dento-faciale hospitalière". Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCB192.
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Le discours sur l'Autre s'ancre dans le discours médical. Mais de quel Autre s'agit-il ? De quelle identité parlons nous dès lors qu'il s'agit d'altérité, de reconnaissances et de vulnérabilités du sujet de soin ? Qui reconnaît-on ? Nous explorons ici les équilibres relationnels au sein de la relation soignant-soigné en Orthopédie dento-faciale hospitalière. A travers une l'approche structurale des représentations sociales, via l'utilisation de cartes conceptuelles, est interrogé le rapport des partenaires thérapeutiques à l'objet prendre soin, notion symbolique et indicible de l'activité soignante. Introduire le prendre soin revient à souligner ce que la relation contient de dimension à la fois éthique, technique et politique. Avec la notion d'accueillance du sujet, élément matriciel central révélé par l'analyse de la représentation, lors des questionnaires réalisés, se dessinent les enjeux identitaires de la reconfiguration contemporaine de la relation de soin, modèle hybride entre une forme atténuée de paternalisme médical et une libéralisation relative. Cette perspective novatrice nous autorise à interroger ces différents registres de valeurs, qui sont autant de témoignages et d'illustrations de la notion de personne. Cette dialectique du même et de l'Autre, de l'identité et de la reconnaissance des acteurs, ouvre ainsi un débat de nature à la fois théorique, éthique et politique autour de l'espace relationnel du soinA discourse focused on the Other is firmly anchored in medical discourse. But what Other is being spoken about? What identity are we talking about when considering the otherness, recognition and vulnerability of the recipient of care? Whom are we recognising? Here, we will be exploring the relational balance within the patient-carer relationship in the field of dentofacial orthopedics. A structural approach to social representations, using concept maps, will be adopted in order to examine the relationship of the therapeutic partners to the concept of care provision - a symbolic component of the treatment process which is difficult to define explicitly. Introducing the notion of care provision means placing an emphasis on the ethical, technical and political content of the care relationship. The notion of the favourable reception of the patient, a central element of the relationship which is revealed by an analysis of representations based on questionnaires, highlights the role of identity in the contemporary reconfiguration of the care relationship - a hybrid model which combines a modulated form of medical paternalism and comparative emancipation. This original perspective enables us to examine these various value registers, which illustrate and testify to the notion of the individual. This dialectic of sameness and the Other, of the identity and the recognition of the participants, thus gives rise to a debate, simultaneously theoretical, ethical and political, focused on the relational space associated with care
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Bergström, Kamilla. "Job satisfaction and emotional work tasks : dentists in Sweden and Denmark". Licentiate thesis, Malmö högskola, Odontologiska fakulteten (OD), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-7754.
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Avhandlingen består av två studier som utgår från projektet ”Det goda arbetet”. Det överordnade syftet med projektet Det Goda Arbetet var att använda tandvård som ett exempel på ett arbete där relationerna med patienterna utgör arbetets kärna. Denna typ av arbete (även kallat människovårdande arbete) har speciella psykosociala arbetsmiljövillkor och känslomässiga krav som måste tas hänsyn till vid organisering av arbetet. Syftet med den första studien var att beskriva bakgrunden och utvecklingen av frågeformuläret ’Svenska och Danska tandläkares uppfattning av ’Det Goda Arbetet’ och att skapa ett mått för generell arbetstillfredsställelse, applicerat på fyra organisatoriska miljöer. Syftet med den andra studien var att introducera konceptet emotionellt arbete i tandvård genom att ge en teoretisk överblick av de emotionella aspekterna av arbetet, villkoren under vilka arbetet utförs och de potentiella effekterna på tandläkarnas välbefinnande. I kappan har kompletterande resultat från projektet Det Goda Arbetet inkluderats i syfte att ge en empirisk illustration av hur tandläkare upplever de emotionella faktorer som relaterar till patient-interaktionen och deras arbetsglädje. Data från 1226 danska och svenska verksamma tandläkare samlades in i November 2008 med en svarsprocent på 68 %. Ett additivt index skapades för att mäta generell arbetstillfredsställelse, och resultaten visade statistiska skillnader i tandläkarnas uppfattning mellan de olika organisatoriska miljöerna (Svenska offentliga/privata och Danska offentliga/privata). De danska offentliga tandläkarna hade den högsta graden av generell arbetstillfredsställelse medan de svenska offentliga hade den lägsta graden. En möjlig förklaring till detta kan vara att danska offentliga tandläkare skiljer sig från de andra tre grupperna i karakteristika vad gäller både tandläkare och patienter. Den låga graden av generell arbetstillfredsställelse hos de offentliga svenska tandläkarna kan möjligtvis vara en effekt av New Public Management-tänkande i sättet att organisera tandvård. Tilläggsresultaten visade att de svenska offentliga tandläkarna hade mycket mindre energi till sina privatliv i jämförelse med de andra tre grupperna och bara hälften av dem förväntade sig att fortsätta arbeta som nu fram till pensionen. Att arbeta med eller på människor handlar mycket om att skapa goda interaktioner och relationer mellan vårdgivaren och patienten. Goda patientrelationer kan vara ett primärt- och/eller sekundärt mål för att göra andra saker, som t.ex. den kliniska behandlingen, lättare. För många vårdgivare är relationerna med patienterna en arena där de kan leva ut sin potential som människor och kan upplevas som en bestående inre glädje av arbetet, kallat eudaimonia. I patientrelationen utför tandläkaren emotionellt arbete som ett sätt att intervenera med patienten för att vägleda denne i en bestämd riktning. Tandläkare har uttalade emotionella arbetsuppgifter i sina interaktioner med patienterna, emellertid har dessa emotionella aspekter av arbetet hitintills varit ett försummat forskningsområde inom odontologin. De emotionella arbetsuppgifterna är betingade eftersom att tandläkarens incitament inte är endimensionella och därför kräver de en hel del emotionell flexibilitet, uppmärksamhet och reflektion av tandläkaren. Påverkan från marknadskrafter och managerialism på de professionella värdena inom tandvård kan av tandläkaren uppfattas som motstridande och utmana villkoren för emotionellt arbete och tandläkarnas välbefinnande. Denna forskning syftar till att starka och uppmuntra olika nivåer av tandvård till att ytterligare undersöka, förstå och stötta dynamiken i de emotionella aspekterna av arbetet för att skapa en hållbar arbetsmiljö där värden och logik kan uppfattas som kompatibla med tandvårdens professionella värden.The thesis consists of two papers which are based on a research project called ‘Good Work’. The overall aim of the Good Work project was to use dentistry as an example of work which has close relations with patients at its core. This kind of work (also called human service work) has special psycho-social work environment considerations and emotional requirements, which need to be considered when organizing work. The aims of the first study were to describe the background and development of the questionnaire ‘Swedish and Danish Dentists’ Perceptions of Good Work’ and to create a measure of overall job satisfaction, applying the measure in four organizational settings. The aim of the second study was to introduce the concept of emotion work in dentistry by giving a theoretical overview of the emotional aspects of work, the conditions under which it is performed and the potential effects on the dentist’s wellbeing. Additional results from the Good Work project have been included in the thesis with the purpose of giving an empirical illustration of how dentists experience the emotional factors related to patient interaction and their job satisfaction. Data from 1226 Danish and Swedish practising dentists was collected in November 2008, with a 68% response rate. An additive index was created to measure overall job satisfaction showing statistical difference in the dentists’ experience according to affiliation (Swedish public/private, Danish public/private). The Danish public dentists had the highest degree of overall job satisfaction and the Swedish public dentists had the lowest. A reason for this difference might be that Danish public dentistry differs from the other three groups in the characteristics of both dentists and patients. However, the lower job satisfaction for the Swedish public dentists could be an effect of New Public Management thinking in organizing dentistry. The additional results showed that Swedish public dentists had substantially less energy left for their private lives compared with the other three groups and only half of them expected to continue working as they do now until retirement. Working directly with or on people is very much about creating good interactions and relations between the health professional and the patient. Good patient relations can be a primary aim and/or a secondary aim, to make other things, e.g. the clinical treatment, easier. To many health professionals their relations with the patients is an arena in which to activate their human potentials and can be experienced as a lasting intrinsic joy from work, called eudaimonia. In the relation with the patient the dentist performs emotion work as an intervention toolkit to direct the patient in a specific direction. Dentists have extensive emotional work tasks in their patient interactions, however this emotional part of dentists’ work is, so far, a neglected research area of odontology. The emotion work tasks are conditioned because the dentists’ incentives are not one-dimensional and require a great deal of emotional flexibility, attentiveness and reflection by the dentist. The influence of the market and managerialism on the professional values of dentistry may challenge the conditions for these tasks in the patient interaction and the wellbeing of the dentist if they are experienced as contradictory. This research aims to encourage and empower different levels of dentistry to further investigate, understand and support the dynamics of the emotional aspects of work with the aim to constitute a sustainable work environment where values and logics can be experienced as compatible with professional values.
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Палій, Т. А. "Психологія спілкування з ВІЛ-інфікованим пацієнтом". Thesis, Сумський державний університет, 2015. http://essuir.sumdu.edu.ua/handle/123456789/44207.
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У даній роботі розглядається, як саме повинен поводити себе і якими знаннями зобов’язаний володіти лікар-стоматолог у випадку, якщо один з його пацієнтів виявився ВІЛ-інфікованим, адже це питання висвітлюється на досить низькому рівні,тим не менше є досить актуальним.
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Coirier, François Amador del Valle Gilles Cadeau Emmanuel. "De l'obligation de moyens à l'obligation de résultat ? réflexion sur l'évolution du rapport de confiance entre le chirurgien-dentiste et son patient /". [S.l.] : [s.n.], 2009. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=55236.
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Joly, Trouilleau Charlène Rouvre Michel. "Motivation à l'hygiène bucco-dentaire des patients traités en orthopédie dento-faciale". [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=49936.
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Otranto, Maria Inês Sarno. "A interação linguageira dentista-paciente na atividade de trabalho em triagem de clínica odontológica". Pontifícia Universidade Católica de São Paulo, 2006. https://tede2.pucsp.br/handle/handle/13725.
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Previous issue date: 2006-02-01Conselho Nacional de Desenvolvimento Científico e Tecnológico
This research aims to analyse the genre of activity of the dentist, considering it as a work activity / service relationship, and presuming that the humanized attendance care meaning effect starts building itself during the dialogic interaction activity in the first consultation. The research data were collected at the Triage Room of the dental clinic of a professional improvement school, in São Paulo. The research justifies itself because, now-a-days, there is a social demand for the humanized care for the dental patient whith the dentist following the techno-professional prescriptions of his work (i.e. taking care of, promoting oral health and preventing bucal diseases) and of the Dental Ethic Code, but also being aware of the comunicative interaction with the patient. In this sense, the text/context relationship will be established, considering the discursive memory relating the dental and the medical professions. For the analysis of the data corpus various theories and methodologies were used, as ergologics (Schwartz), the psychology of the work as seen by the Activity Clinic (Clot) and self-confrontation (Faïta), work disciplines; the dialogism concept (Bakhtin) and the french enunciative-discoursive discourse analysis (Maingueneau), language theories; and the french group Language and Work conceptions and contribuitions about the meaning co-construction during interaction in the activity (Boutet, Lacoste, Grosjean). The methods used for the research data construction were interviews, field booknotes, audio recordings and self-confrontation. The research outcome, despite the fact that only one social actor was analysed, points out to a possible conclusion that during his work activity the dentist can be as ethical as professionally required and promote a humanized attendance, when creating conditions to the other the patient, to express his voice
Esta pesquisa tem por objetivo caracterizar o gênero de atividade do dentista como uma atividade de trabalho / relação de serviço, presumindo que o atendimento dado ao paciente durante a consulta inicial poderia começar a construir um efeito de sentido de atendimento humanizado . Ela foi feita no Setor de Triagem da clínica odontológica de uma escola de aperfeiçoamento profissional, na cidade de São Paulo, e se justifica porque, atualmente, há uma demanda social por humanização no atendimento ao paciente odontológico , em que o dentista, além de cuidar da promoção de saúde e da prevenção de doenças bucais, segundo as prescrições do seu trabalho técnico-profissional e de acordo com o Código de Ética Odontológica, também compreenda a dimensão da comunicação por meio da interação linguageira com o paciente. Desse modo, vai-se procurar estabelecer a relação texto/contexto, levando-se em conta a memória discursiva em relação à Odontologia, quando comparada à Medicina. Para a análise dos dados, recorre-se a um pluralismo teórico-metodológico: à ergologia (Schwartz), à psicologia do trabalho na vertente da Clínica da Atividade (Clot) e à autoconfrontação simples (Faïta), disciplinas do trabalho; ao princípio do dialogismo (Bakhtin) e às noções da teoria enunciativo-discursiva (Maingueneau), teorias de linguagem; e utilizam-se os aportes e as contribuições do grupo Linguagem e Trabalho sobre a co-construção de sentidos na interação, durante a atividade (Boutet, Lacoste, Grosjean). Na elaboração dos dados de pesquisa, os métodos usados foram entrevista, diário de campo, gravação em áudio e autoconfrontação simples. O resultado da pesquisa, em que pese o fato de se haver analisado apenas um único ator social, aponta para uma possível conclusão de que, ao exercer sua atividade de trabalho segundo os preceitos ético-profissionais exigidos, o dentista pode promover um atendimento humanizado, quando cria condições de o outro o paciente, expressar sua voz
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CAVIGNAUX, CHRISTOPHE, e PHILIPPE JOLIBOIS. "Responsabilite du chirurgien-dentiste et recours du patient lors des litiges patient-praticien". Nancy 1, 1987. http://www.theses.fr/1987NAN13082.
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Reynolds, Alexander Garber Liu Tsai Lu. "The research and design of pediatric dental handpieces that offer reduced apprehension for pediatric patients and enhanced ergonomics for dentists". Auburn, Ala, 2008. http://repo.lib.auburn.edu/EtdRoot/2008/SPRING/Industrial_Design/Thesis/Reynolds_Alexander_42.pdf.
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Mariano, Rafael Barbosa. "Desvendando a Relação Dentista-Paciente: Uma Abordagem Ergonômica para além do Ferramental". Universidade Federal do Espírito Santo, 2012. http://repositorio.ufes.br/handle/10/5648.
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Previous issue date: 2012-04-20The existing ergonomic studies concerning dentists work of are largely oriented to posture issues, to the use of ergonomic equipment, to the ensuing diseases and other approaches that seek to intervene mainly in dentist physical activity. As best part of researches are conduced on said focus, gaps are created in this study field, since other relevant aspects are could be lift from this universe. In this sense, seeking to expand knowledge in this area, this research goal was to identify the attributes and the main subjective characteristics that permeate the relationship between professionals and patients and what are the implications for the both. To this end, was carried out a qualitative research methodology which was based on a specific french ergonomic analytical apparatus the Ergonomic Work Analysis (EWA) - and used for research development its theoretical framework, semi-structured interviews and direct observation in study field. Twenty people were choosen for study, being sixteen patients and four professionals, selected using age and gender criteria. The monitoring of the professionals was performed at their workplace and lasted one week each. For ease in understanding the results, the most important aspects were divided into two groups, named patients and professionals. For patients the most relevant points were related to fear going to the dentist, to the high cost charged by professionals, to the criteria used by them to choose the professional or to continue the treatment with the choosen one, and, finally, the factors influencing trust building. For professionals, the most relevant aspects of the relationship with patients relates to perceived devaluation of their activity, stressing situations, pressures and constraints experienced in daily work and, finally, the seniority (experience) factor, also mentioning the need of academic courses teaching how to deal with such situations. It was concluded that the relationship between the dentist and the patient is complex and has implications that go far beyond what happens within the physical environment of the office, affecting not only professional, but personal life of patients and dentists
Os estudos ergonômicos existentes sobre o trabalho dos odontólogos são, em grande parte, orientados para questões relativas à postura, ao uso de equipamentos ergonômicos, ao acometimento por doenças e a outras abordagens que procuram intervir principalmente em aspectos físicos da atividade do dentista. Ao serem realizadas pesquisas cujo foco predominante seja esse, criam-se lacunas no campo de estudo em relação a outros conhecimentos que poderiam advir deste universo. Nesse sentido, buscando ampliar tal conhecimento, o objetivo dessa pesquisa foi identificar os atributos e as principais características subjetivas que permeiam a relação estabelecida entre o profissional e o paciente e quais são as suas implicações para o profissional e para os pacientes. Para tanto, realizou-se uma pesquisa de cunho qualitativo que se baseou na metodologia própria da ergonomia de linha francesa a Análise Ergonômica do Trabalho (AET) , que se utilizou de referencial teórico, entrevistas de roteiro semi-estruturado e observação direta no campo de estudo para seu desenvolvimento. Foram escolhidos vinte sujeitos de pesquisa, sendo dezesseis pacientes e quatro profissionais, que foram selecionados utilizando-se critérios de idade e gênero. O acompanhamento dos profissionais se deu no seu local de trabalho (consultórios ou clínicas odontológicas) e tiveram a duração de uma semana em cada um. Para maior facilidade na compreensão dos resultados obtidos nas entrevistas e nas observações no campo, os aspectos mais importantes foram divididos em dois grupos, o dos pacientes e o dos profissionais. Para os pacientes os pontos mais importantes se relacionaram ao medo de ir ao dentista, aos altos valores cobrados pelos profissionais, aos critérios utilizados pelos mesmos para escolherem ou continuarem indo ao profissional que os estavam atendendo e aos fatores que determinaram a confiança no dentista. Para os profissionais, os aspectos mais relevantes da relação estabelecida com os pacientes dizem respeito à desvalorização percebida na sua atividade de trabalho, às situações que geram estresse, à pressão e aos constrangimentos experimentados no dia a dia de trabalho e ao fator experiência e ensino acadêmico para lidar com tais situações. Concluiu-se que a relação estabelecida entre o odontólogo e o paciente é complexa e tem implicações que vão muito além do que acontece dentro do ambiente físico do consultório, afetando não só a vida profissional, mas a vida pessoal de pacientes e dentistas
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Dore-Jourdain, Dorothée Bohne Wolf. "Les troubles alimentaires de l'anorexie à l'obésité /". [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=50116.
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Roy, Brian Michael. "Lip Repositioning: Patient Outcome Assessments". The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1466520904.
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Zemanovich, Mark Roy. "Demographic Variables Affecting Patient Referrals from General Practice Dentists to Periodontists". VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd/1382.
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BackgroundWithin dentistry, a limited body of literature exists regarding the referral relationships between general practitioners (GPs) and specialists. The purpose of this study was to investigate the referral relationship between GPs and periodontists within the state of Virginia. MethodsA survey focused on the demographic variables in the referral relationship between GPs and periodontists was developed. The survey was mailed to 800 dentists throughout the state of Virginia. Descriptive statistics was completed along with multivariate logistic regression analysis comparing the responses with the number of patients referred per month to a periodontist. ResultsFemale respondents were more likely to refer three or more patients per month to a periodontist than a male respondent (pConclusion This study indicates that four demographic variables have a statistical influence on the number of referrals per month from a GP to a periodontist. These variables are: female gender, practicing with one other dentist, employing two or more hygienists, and being greater than five miles away from the nearest periodontist.
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Alrawiai, Sumaiah Essa H. "Development of a patient-centred care self-reflection tool for dentists". Thesis, King's College London (University of London), 2018. https://kclpure.kcl.ac.uk/portal/en/theses/development-of-a-patientcentred-care-selfreflection-tool-for-dentists(9178e4d3-75e6-45e2-b1ed-a3abcc000b6c).html.
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Background: Patient-centred care (PCC) has been linked to many positive outcomes in medicine. Dentists currently have no available tool for practicing this approach as part of a daily routine in a dental setting. The latest UK General Dental Council (GDC) standards for dental teams has amplified the need for such a tool (GDC, 2013). Aim: The overall aim of this thesis is to develop and validate a tool for dentists in order to encourage them to practice PCC in dental settings. Methods: This research employs a mixed method research design. This thesis is divided into three studies. Study 1 includes semi-structured interviews that were conducted with 20 practicing dentists who had clinical teaching responsibilities at King’s College London. These interviews explored their views and opinions on PCC in general as well as on a published model of PCC and how applicable this model would be in a dental setting. Study 2 builds on study 1 findings by examining the ability of dental students to assess the communication skills of another dentist. This cross-sectional survey exposed students to a stage consultation via a YouTube video clip and then asked them to use the tool to evaluate the performance of the dentist in the clip. Study 3 entails validation of the newly developed PCC self-reflection tool by assessing its face, content, and criterion validity and test-retest reliability. To determine content validity, experienced dentists who were involved in education and practice evaluated the items based on relevance, clarity and representativeness of the construct as well as the ease of response. The criterion validity was determined in parallel with study 2 using a survey. For the test-retest reliability part, the modified tool was assessed twice within a 10-day period to rate a dental consultation clip by dental students (N=25). Results: The interview analysis highlighted five themes: understanding PCC, the role and influence of patients on the delivery of PCC, the role and influence of dentists on the delivery of PCC, the importance of context and dentists’ views on a hierarchy of PCC. Each of these themes included a number of sub-themes that covered the different issues identified via interview transcript analysis. The themes showed that dentists have a basic and simplistic understanding of the concept of PCC. Dentists identified a number of patient, dentist and contextrelated barriers that could hinder the adoption of PCC. Interviewees thought the hierarchy of PCC they discussed would be useful to aid understanding of PCC but more so for less experienced dentists and dental students. The analysis of the cross-sectional survey study revealed a broad understanding of the basic functions of the communication process, although students’ judgments of the quality of such communication was exaggerated. The development and validation of the tool, led to a final version of the tool containing six items. The tool showed good validity and reliability. Conclusion: A new, practical, PCC self-reflection tool was developed for dentists based on a review of the literature and interviews with dentists. The tool exhibits good content and criterion validity as well as acceptable test-retest reliability. Dentists may use this tool in dental settings to become more aware of PCC as a concept by focusing on two specific aspects: information provision and choice giving.
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Gouré, Tony Dajean-Trutaud Sylvie. "La première consultation en odontologie pédiatrique". [S.l.] : [s.n.], 2005. http://theses.univ-nantes.fr/thesemed/CDgoure.pdf.
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Lee, Koon-hung. "Communicating patients' medical information by online electronic health record system physicians and dentists' perception /". Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31971933.
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Doméjean, Sophie. "Les décisions diagnostiques et thérapeutiques en cariologie : incidences en terme de santé publique". Clermont-Ferrand 1, 2008. http://www.theses.fr/2008CLF1DD02.
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En cariologie, le rôle du chirurgien-dentiste a évolué de la seule réalisation de traitements restaurateurs vers une prise en charge globale de la maladie carieuse basée sur la gestion des facteurs de risque, sur la possibilité de la stabilisation des lésions précoces et sur la préservation maximale des tissus dentaires. L'objectif principal de ce travail est de répondre à la question : "Les omnipraticiens français ont-ils adopté les nouveaux concepts de prise en charge de la maladie carieuse ? ". Les deux techniques d'investigation les plus courantes -enquête par questionnaire et enquête de pratique au cabinet dentaire - ont été utilisées dans ce travail. Une étude complémentaire a aussi évalué l'efficacité de la détermination du risque carieux par les étudiants au centre de soins dentaires de l'Université de Californie- San Francisco (USA). Les résultats montrent l'existence d'une grande variation des décisions entre les praticiens pour une même situation clinique. Les chirurgiens-dentistes utilisent peu les concepts modernes de prise en charge des lésions carieuses. Les procédures de soins mises en oeuvres dépendent en partie du risque carieux du patient mais surtout les caractéristiques sociodémographiques des praticiens. La difficulté d'adoption de nouveaux concepts persiste en milieu hospitalo-universitaire. L'évolution des pratiques en cariologie nécessiterait un développement de la recherche visant à l'établissement de standards de soins, une réforme du système de rémunération des actes avec reconnaissance de la prévention, l'éducation des patients, une formation accrue, continue et coordonnée des équipes de soins.
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Cao, Xuan-Huong Bohne Wolf Guihard Jacques. "Les interrelations entre l'esprit et le corps dans la prise en charge odontologique". [S.l.] : [s.n.], 2009. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=59821.
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Chowdhry, Nita. "Factors that influence dentists' decisions to treat patients in long-term care". Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/21734.
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The purpose of this study was to evaluate what factors influence dentists in their decision
to provide services in long-term care facilities within British Columbia. The secondary
purpose was to determine if dentists practicing in rural areas of British Columbia are
more willing to provide services in LTC compared to dentists in urban areas. Also, to
assess if there were any changes in opinions of dentists (practicing in Metro-Vancouver)
in providing services to patients in long-term care compared to a similar study from 1985.
A questionnaire was developed to determine views and opinions of general dentists
practicing in British Columbia with respect to the provision of services in long-term care.
Eight hundred dentists from urban and rural areas of British Columbia were randomly
selected to participate in this study. The British Columbia Dental Association mailed a
package containing 3 questionnaires. The participants were to fill out one of the
questionnaires based on whether they treated, never treated or stopped treating patients in
long-term care. These questionnaires were faxed back to the British Columbia Dental
Association. A reminder was sent out to the dentists 3 weeks after the initial mail-out.
About thirty percent of those dentists surveyed responded with completed questionnaires
for analysis. Dentists who treated patients in long-term care reported that it was a part of
their professional responsibility to provide services. The lack of a dental operatory and
lack of experience/training in geriatric dentistry were primary concerns of dentists who
never provided services. Compared to 1985, dentists in 2008 showed increased
awareness for a need for dental services by patients in long-term care facilities. Dentists
in rural areas were more likely to be providing services to patients in long-term care
facilities, compared to dentists in urban areas. Dentists who never provided services in
long-term care facilities expressed interest in providing dental services.
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Teixeira, Erica Cappelletto Nogueira. "Dentists’ prescribing practices for antibiotic prophylaxis in patients with large prosthetic joints". Thesis, University of Iowa, 2018. https://ir.uiowa.edu/etd/6509.
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With an aging population and with the number of patients with large prosthetic joints increasing, the recommendation of antibiotic use in this specific population has generated significant discussion. Dentists often treat patients with large prosthetic joints; however, little is known regarding the prescribing practices of dental providers. This cross-sectional study carried out in the State of Iowa, United States, evaluated whether dentists were familiar, followed, and were satisfied with the 2015 American Dental Association Clinical Guidelines and the 2016 American Academy of Orthopaedic Surgeons Appropriate Use Criteria (AUC), and whether dentists responses were associated with demographic and provider characteristics. Dentists’ concerns about antibiotic resistance, medical legal aspects, and adverse effects related to using antibiotic prophylaxis were also examined.
Of the 1521 surveys that were sent by mail, a total of 635 were returned, for a response rate of 41.7%. Our results confirm that dental practitioners were very concerned about antibiotic resistance (43.9%) compared to 5.23% who were not at all concerned. In addition, female subjects were significantly more likely to be very concerned about antibiotic resistance than were male subjects (50.9% vs 41.4%; p=0.0376). Moreover, subjects that practiced in urban areas were more likely to be very concerned about antibiotic resistance that those practicing in rural areas (47.9%vs 37.5%; p=0.0157). We also observed that for a healthy patient, 28.9% of dentists would never recommend antibiotics. On the other hand, 44.9% of the respondents would recommend antibiotic premedication within the first 2 years since prosthetic joint replacement, 14.1% would recommend it within the first year, and 6.9% would recommend it for life. Dentists were aware of the lack of effectiveness of antibiotic prophylaxis in preventing prosthetic joint infection. However, premedication recommendations by physicians and patient preferences influenced dentist’s prescribing practices. Overall, dentists’ recommendations for the use of antibiotic for patients with prosthetic joints undergoing dental procedures varied depending on the health status of the patient, the dental procedure to be performed, the time since joint surgery, physician’s recommendations and patients preferences.
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Galetti, Roberta 1985. "Evaluation of mechanical properties of dental tissue of patients who undergone radiotherapy = Análise das propriedades mecânicas dos tecidos dentários de pacientes submetidos à radioterapia". [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289513.
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Orientadores: Alan Roger dos Santos Silva, Mario Fernando de GoesTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-27T11:09:29Z (GMT). No. of bitstreams: 1 Galetti_Roberta_D.pdf: 1569073 bytes, checksum: f84fb18eb55733435da2efbd0ee7ed07 (MD5) Previous issue date: 2015
Resumo: Este estudo avaliou o comportamento mecânico de tecidos dentários de pacientes com câncer de cabeça e pescoço submetidos à radioterapia. No capítulo I, o ensaio mecânico da nanoindentação foi utilizado para determinar a dureza e módulo de elasticidade do esmalte, dentina e da região de união restauradora em dentina (adesivo, camada híbrida e dentina subjacente). Foram utilizados seis dentes incisivos inferiores irradiados in vivo e não irradiados (grupos controle). A dureza e o módulo de elasticidade e foram obtidos após a realização da nanoindentação com pico de força de 1000 µN em dentina intertubular e região de união restauradora e 1500 µN em esmalte (centro do prisma) usando o microscópio de força atômica equipado com nanoidentador com tempo 5-2-5 seg para carregamento, aplicação e descarregamento da carga. A análise de variância a um fator foi aplicada com nível de significância de 0.05%. O valor da nanodureza e módulo de elasticidade não foram estatisticamente diferentes entre os tecidos avaliados em ambos os grupos irradiados e controle. Desta foma, pode-se concluir que tanto a dureza como o módulo de elasticidade de dentes submetidos à radioterapia in vivo não apresentam alterações das propriedades mecânicas no esmalte, dentina e região de união adesivo/dentina devido á ação direta da radioterapia. No capítulo II, foram avaliadas as propriedades viscoelásticas (storage e loss modulus) de três regiões diferentes: esmalte, junção amelo-dentinária (JAD) e dentina de dentes irradiados in vivo. Cinco dentes não irradiados (grupo de controle, n = 5) e cinco dentes irradiados in vivo (grupo irradiado, n = 5) foram utilizados para produzir cinco fatias de cada para avaliar a três áreas distintas: o esmalte, o JAD , e a dentina. A análise por mapeamento (Modulus Mapping Analysis) foi escolhida para avaliar a perda e armazenamento de energia mediante uma carga aplicada. Três regiões de dados foram coletados de cada área de tecido de cada fatia, totalizando quinze mapeamentos por tecido por grupo. Os valores do módulo foram calculados pelo software Hysitron® e a análise da variância (ANOVA Plot Split) e teste de Tukey a 5% de significância foram utilizados para comparar os grupos e tecidos. As três áreas avaliadas de ambos os grupos controle e irradiado revelaram diferença estatística no módulo de perda e armazenamento. Ambos os valores de perda e de armazenamento apresentaram-se maiores no grupo irradiado para esmalte (164,44 ± 36,60 GPa; 177,59 ± 58,84 GPa), JAD (50,85 ± 35,78 GPa; 83,33 ± 38,59 GPa) e dentina (21,18 ± 18,61 GPa; 52,44 ± 26,56 GPa) do que no grupo controle para o esmalte (127,15 ± 74,45 GPa; 162,85 ± 74,63 GPa), JAD (25,72 ± 9,64 GPa; 21,93 ± 52,78 GPa) e dentina (10,39 ± 8,65 GPa; 32,10 ± 20,39 GPa), respectivamente. Foi possível concluir neste estudo, que as propriedades viscoelásticas dos dentes irradiados in vivo apresentam-se diferentes das do grupo controle. Estes resultados sugerem que, após a radioterapia, os tecidos dentais estariam mais suscetíveis a fraturas
Abstract: This study evaluated the mechanic properties of enamel, dentin, and dentin bond interface of patients who undergone head and neck cancer treatment. On I chapter, the nanoindentation technique was used to determine the hardness (H) and reduced modulus of elasticity (Er) of the control group on enamel, dentin, and dentin bond interface (adhesive layer, hybrid layer and underlyer dentin). The Er and H were obtained after completion of nanoindentation with peak force of 1000 µN on intertubular dentin and restorative dentin interfaces and 1500 µN on enamel (prism center) using the atomic force microscope with nanoindenter accopled with test time 5-2-5 seconds for loading, holding and unloading. The one-way analysis of variance (p'< ou ='0.05) was applied and the valus for H and Er for both groups and tissues were no statistical different. As conclusion, the nanohardeness and elastic modulus behavior of the enamel, dentin and dentin bond interface was not impacted by the radiotherapy treatment of head and neck cancer. On II chapter, the viscoelastic properties were assessed (storage and loss modulus) of three different regions: enamel, dentin-enamel junction (DEJ) and dentin irradiated teeth in vivo. Five non irradiated teeth (control group, n=5) and five in vivo irradiated teeth (irradiated group, n=5) were used to produce five beams that were used to evaluate three different areas: the enamel, the DEJ, and the dentin. Perpendicular sections to the long axis of the teeth were made at middle region of the crown to produce the beams. The Modulus Mapping Analysis was chosen to evaluate the loss and storage moduli of each area. Three data regions were collected of each tissue area of each beam, summing a total of fifteen data per tissue per group. The modulus values were calculated by the Hysitron® software and an Analysis of Variance (ANOVA Split Plot) and Tukey test at 5% of significance was used to compare groups and tissues. All the three areas evaluated of control and irradiated group revealed statistical difference on the Loss and Storage Moduli. Both the loss and storage values are higer on the irradiated group for enamel (164.44±36.60 GPa; 177.59±58.84 GPa), DEJ (50.85±35.78 GPa; 83,33±38,59 GPa) and dentin (21.18±18.61 GPa; 52.44±26.56 GPa) than control group values for enamel (127.15±74.45 GPa; 162.85±74.63 GPa), DEJ (25.72±9.64 GPa; 21.93±52.78 GPa) and dentin (10.39±8.65 GPa;32,10±20,39 GPa), respectivally. The viscoelastic properties of in vivo irradiated teeth are different from control group. The enamel, DEJ and dentin presented the higer values on the in vivo irradiated group. These finds suggest that after radiotherapy, the dental tissues are more susceptible to fractures
Doutorado
Materiais Dentarios
Doutora em Materiais Dentários
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Sbaraini, A. "The process of providing preventive dental care: A grounded theory study of dentists’, dental teams’ and patients’ experiences". Thesis, The University of Sydney, 2012. http://hdl.handle.net/2123/8679.
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Background: This study was built on a previous Australian randomized controlled trial. Intervention practices in the trial were provided with evidence-based preventive protocols to guide their treatment of dental caries. During that trial, the numbers of decayed, missing and filled teeth were monitored. Outcomes in the intervention practices varied widely; this qualitative study was designed to explain how dentists, their teams and patients adopted evidence-based preventive care in practice. Methods: 40 participants (10 dentists, 2 hygienists, 9 dental assistants, 2 practice managers and 17 patients) were interviewed about their experience and work processes. Analysis involved transcript coding, detailed memo writing, and data interpretation. Results: Dentists and their teams talked about a process of slowly adapting their practices towards preventive care. Dentists spoke spontaneously about two “assumptions” or “rules” underpinning continued restorative treatment. They said that these assumptions were deeply held, and acted as a barrier to provide preventive care: 1) dentists believed that some patients were too “unreliable” to benefit from prevention; and 2) dentists believed that patients thought that only tangible restorative treatment offered “value for money”. Dentists also described other factors that could hinder prevention: in particular, having an historical restorative background and being “focused on cutting cavities fast and well”. On the positive side, successful adaptation was possible (1) when the dentist-in-charge brought the whole dental team together – including other dentists – and got everyone interested and actively participating during preventive activities; (2) when the physical environment of the practice was re-organized around preventive activities, (3) when the dental team was able to devise new and efficient routines to accommodate preventive activities, and (4) when the fee schedule was amended to cover the delivery of preventive services, which hitherto was considered as “unproductive time”. Whether or not they were able to adapt, all dentists trusted the concrete clinical evidence that they had produced themselves, that is, seeing results in their patients mouths made them believe in a specific treatment approach. Patients talked about their experience of dental care, particularly about the relationship between patients and dentists during the provision of preventive care and advice in general dental practices. Historical, biological, financial, psychosocial and habitual dimensions of patients’ experience of dental care and self-care were revealed. Participants were amazed by their new experience of dental care without “drilling and filling” teeth and characterised dentists as either “old-school” or “new-school” based on the treatment options provided and the clinical relationship offered. Conclusion: Translating evidence into dental practice entailed a slow and complex adaptation process, requiring more than the removal of barriers. The findings suggest that dentists should be encouraged to look at preventive care as a central part of their practices, to lead their teams toward preventive care and to experience results that are self-reinforcing and offer benefits to all involved.
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Ghanbari, Hedieh. "Predictors of temporomandibular disorders : clinical variables and patient characteristics". Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=101127.
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This case control study was designed to investigate the contributing factors for the occurrence of temporomandibular disorder (TMD) and its subgroups: myofascial pain (MFP) and disc displacement (DD). 178 patients with TMD were selected from the dental clinics of the Jewish General and Montreal General Hospitals, Montreal, Canada, and 100 concurrent controls selected only at the first clinic, participated in this study. The association with TMD, MFP and DD was evaluated for bruxism, trauma, psychological factors, and sociodemographic status using a logistic regression. Migraine, depression, and clenching were associated with the occurrence of TMD. Among the MFP patients, clenching, clenching-grinding, anxiety, female, depression, and somatization were associated with disease occurrence.In addition, adjusted analysis among the DD patients showed an association with clenching-grinding, orthodontic treatment, and anxiety. Our results identify possible risk factors that are associated with TMD, MFP, and DD occurrence. Further research needs to be conducted to look at these associations in depth.
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Ensaldo, Carrasco Eduardo. "Describing and understanding patient safety incidents in primary care dentistry and building consensus on 'never events'". Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/31114.
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Introduction: In recent decades, there has been considerable international attention directed towards minimising healthcare-associated harm and improving the safety of hospital care. More recently, this attention has broadened to include primary medical care. In 2002, the World Health Assembly recognised the issue of inadequate levels of patient safety as a major threat to global public health. In the following years, many countries have developed national strategies for the measurement, monitoring and prevention of patient safety incidents (PSIs) and their outcomes. Experience accumulated from secondary care has shown that the initial steps for understanding patient safety include the systematic identification of the most frequent and most harmful threats. However, the safety profile of primary care dentistry remains poorly investigated. As a result, current evidence cannot provide reliable estimates of the types of PSIs in primary care dentistry, the causes of these incidents, or the associated disease burden caused by such incidents. In medicine, improvements in patient safety were achieved at a national level by developing a shared conceptual understanding, the standardisation of terminology and through preventive initiatives such as the introduction of a national incident reporting and learning system. In the United Kingdom (UK), the England and Wales’ National Reporting Learning System (NRLS) has been an important source of insight, from the perspectives of the reporter, into understanding why PSIs occur. This initiative has led to the implementation of patient safety oriented policies to monitor and reduce cases of healthcare-associated harm. Examples of such policy initiatives include national guidelines and national safety recommendations to encourage the reporting of serious reportable events called ‘never events’ (NEs). These are defined as serious, preventable PSIs that should not occur if the available preventive measures are implemented. At a national level, serious incidents and NEs must be reported to the NRLS and/or other reporting systems. However, little is known about NEs in dentistry as wrong-tooth extractions are the only currently defined NE that has a clear application in dentistry. Although surgical NEs, such as wrong-site surgery and wrong implants may be related to dental procedures, these overlap with procedures conducted in secondary care. As a result, there is no agreed list of NEs for primary care dentistry. The overall aim of my PhD was to explore patient safety, its concepts, including error and harm, and how these can help to create an understanding of the types of PSIs that occur in primary care dentistry, their contributory factors and their consequences. In addition, I also aimed to identify NEs with the greatest need and opportunity for future intervention strategies, in order to improve patient safety in primary care dentistry. Methodology and methods: My PhD was conducted in three phases. For the first phase, I conducted a systematic scoping review of the empirical evidence published over a 20-year period (1994-2014). To achieve this, I searched MEDLINE and EMBASE for articles reporting incidents that could have or did result in unnecessary harm from primary dental care. I also extracted and synthesised data on the types and frequencies of PSIs (including NEs) and adverse outcomes. Then, for the second phase, I undertook an exploratory sequential mixed-methods evaluation, which involved the qualitative exploration and analysis of a weighted-by-year randomised sample (n=2,000) of the most severe incident reports from primary care dentistry submitted to the England and Wales’ NRLS. This approach generated three coding frameworks, aligned to the International Classification for Patient Safety developed by the World Health Organization, for i) the classification of incidents, ii) contributor y factors and iii) incident outcomes. These coding frameworks informed the quantitative analysis, during which myself together with a trained second coder, applied codes to deconstruct the narrative of these patient safety incident reports whilst retaining the meaning of the report. To assess inter-rater reliability, Cohen’s Kappa statistic was calculated for the primary incident type which was defined as “the incident that resulted in the outcome experienced by the patient.” Finally, for the third phase, I undertook an electronic Delphi exercise to achieve international agreement on NEs for primary care dentistry. The results obtained from Phases 1 and 2 were used to identify candidate NEs. I then invited an international panel of 41 experts to complete two rounds of questionnaires; 32 (78%) agreed to participate and completed the first round, and 29 (91%) completed the second round. I provided anonymised controlled feedback between rounds and used a cut-off of 80% agreement to define consensus. The results from the first stage built the evidence base for the second and third phases. Likewise, the results from the second phase further informed the third and final stage of my PhD. Results: I undertook a systematic scoping review which demonstrated: a) there were considerable differences in definitions for terms used to describe patient safety, b) that a range of populations had been studied, and c) that major differences in sampling strategies exist between studies. The main five PSIs I identified were errors in i) diagnosis/examination, ii) treatment planning, iii) communication, iv) procedural errors and v) the accidental ingestion or inhalation of foreign objects. However, little attention has been paid to wider organisational factors such as problems within the physical environment, scheduling (e.g. errors in managing appointments) and patient access, management and lines of responsibility. Also there is very little evidence of interest in researching into the influence of policies for either quality or patient safety assurance. The retrieved evidence was used to build a conceptual literature-derived model of patient safety risks in primary care dentistry. This model helped to bring structure to the analysis of the 1,456 patient incident reports that were eligible for analysis out of a total of 2,000. These reports described incidents across the preoperative (40.3%; n=587), intra-operative (56.1%; n=817) and post-operative (3.6%; n=52) clinical stages of care delivery. Further analysis showed the more frequently reported incidents were related to a) delays in treatment (333/1,456; 22.9%), b) procedural errors (220/11,456; 15.1%), c) medication-related adverse incidents (160/1,456; 11.0%), d) equipment failure (90/1,456; 6.2%) and e) errors in obtaining or processing x-rays (87/1,1456; 6.0%). Only 5.3% (77/1,456) of the incidents resulted in harmful outcomes. Of the 77 incidents that resulted in a harmful outcomes (n=77; 5.3%), around half were due to wrong tooth extractions (37/77; 48.1%) and resulted in unnecessary procedures. Three out of the 1,456 incidents (0.2%) resulted in death. Data from the scoping review and the mixed-method analysis informed a list of 42 candidate NEs. I further sought and achieved international consensus for 23 of these NEs. These were related to routine assessment, and pre-operative, intra-operative and post-operative stages of dental procedures. Conclusions: The findings from my PhD have revealed that patient safety research in dentistry is mostly descriptive and poorly organised with various approaches to defining and measuring PSIs and their outcomes. This poor organisation of patient safety research also includes differing study designs and patient populations studied. The evidence-based conceptual framework from the systematic scoping review, and coding frameworks from analysis of PSI reports selected from a national database, can bring structure to future work by providing a robust approach to classifying PSIs, their contributory factors and outcomes.My research findings also show that PSI reports are an important source of information that can generate important insights about patient safety in primary care dentistry. The mixed-method analysis of PSI reports showed that most incidents in primary dental care do not result in harm. PSIs that resulted in harmful outcomes more frequently occurred intra-operatively. My findings also reveal that unsafe care in dentistry is not limited to human error, but can also be ascribed to the presence of other administrative or organisational flaws that contribute to the reported incidents. Future initiatives to improve and research clinical practice should focus on improving administrative processes to reduce delays in treatment. Also, the reduction of procedural errors through the standardisation of x-rays, medication prescription and other clinical procedures is needed. Lastly, I have constructed the first comprehensive international list of NEs for primary care dentistry. I believe my findings, including the list of NEs, can provide an evidence-base which will encourage researchers to further expand the patient safety research and development agenda in dentistry, as well as encouraging decision-makers and professional bodies to translate my findings into quality improvement strategies.
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Nestel, Debra. "Communication skills for medical students, doctors and dentists : a programme evaluation /". Thesis, Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19657468.
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Gharb, Shima, e Parisa Nori. "Orsaker och konsekvenser av tandvårdsrädsla hos vuxna : En allmän litteraturstudie". Thesis, Jönköping University, HHJ. Centrum för oral hälsa, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-53610.
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Syfte: Studiens syfte var att undersöka bakomliggande orsaker till tandvårdsrädsla hos vuxna, samt att undersöka vilka konsekvenser som tandvårdsrädsla kan ge. Metod: En litteraturstudie utfördes med hjälp av databaserna MEDLINE, CINAHL och Dentistry & Oral Sciences Source. Artiklar publicerade mellan 2015–2021 och som kunde besvara syftet eftersöktes. Femton artiklar valdes ut för att presentera resultatet. Resultat: Tandvårdsrädsla kan bero på individens negativa erfarenhet av tandvården, upplevd smärta vid tidigare besök samt en omfattande kariesproblematik i barndomen. Rädslan kan resultera i undvikande av tandvården, bristande förtroende för tandläkaren och en försämrad oral hälsa. Gingivit och fler karierade tänder var vanligare bland tandvårdsrädda individer, i jämförelse med individer som inte var tandvårdsrädda. Slutsatser: Det finns ett samband mellan tandvårdsrädsla och upplevd bristande omhändertagande från tandvården, som kan leda till försämrad oral hälsa och försämrade orala hälsovanor. Vidare forskning krävs för att kunna öka förståelsen och stödet för tandvårdsrädda individer, samt för att kunna utarbeta preventiva metoder så att risken för framtida problem minskar.Aim: The aim of the study was to examine the underlying causes of dental anxiety in adults, and to examine the consequences that dental anxiety may have. Method: A literature study was made using the databases MEDLINE, CINAHL and Dentistry & Oral Sciences Source. Articles published 2015-2021 and were able to answer the purpose were sought. Fifteen articles were selected to present the results. Results: Dental anxiety could be caused by the individual’s previous negative experiences of dental care services, extensive caries experience in childhood and experience of pain during previous visits. This anxiety could lead to avoidance of dental care services, lack of confidence in the dentists and poor oral health. Gingivitis and more carious teeth were more common among individuals with dental anxiety, compared to individuals without dental anxiety. Conclusions: There is a link between dental anxiety and experienced lack of care from dental care services, which can lead to deteriorated oral health and deteriorated oral health behaviour. Further research is required to better the understanding and support of patients with dental anxiety, and to be able to develop preventative measures so as to mitigate these potential risks.
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Andijani, Reem Ibrahim. "Lip Repositioning Surgery for Excessive Gingival Display: Clinical, Radiographic, and Patient-Reported Outcomes". The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1530635995724862.
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Moreira, Sara Rios. "O paciente alérgico no consultório de medicina dentária". Master's thesis, [s.n.], 2014. http://hdl.handle.net/10284/4393.
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Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina DentáriaIntrodução: A alergia é uma reação do sistema imunológico a uma série de substâncias como o pólen, o leite, o chocolate, a lã, o nylon, medicamentos e anestésicos. Afeta essencialmente indivíduos atópicos com predisposição genética. A prevalência de alergias tem vindo a aumentar na última década, estima-se que 25% da população europeia apresenta algum tipo de alergia. No consultório dentário, apesar das hipersensibilidades aos materiais dentários serem escassas, as hipersensibilidades mais comuns são as do tipo I e do tipo IV. Objetivos: Quantificar a prevalência de alergias nos pacientes atendidos na Consulta de Medicina Dentária das Clínicas Pedagógicas da Faculdade de Ciências da Saúde da Universidade Fernando Pessoa; caracterizar as alergias mais frequentes; verificar a existência de alguma relação entre a prevalência de alergias com a variável sexo e a variável idade. Metodologia: O presente estudo epidemiológico consistiu na aplicação de um inquérito como instrumento de recolha de dados quantitativos. Obteve-se uma amostra de 190 indivíduos com idade superior a 18 anos, selecionados de forma aleatória e que se dirigiram à Clinica Pedagógica de Medicina Dentária da Universidade Fernando Pessoa no ano letivo de 2013/2014. Os dados resultantes do estudo foram armazenados no programa Microsoft Excel 2010. Os procedimentos de análise estatística descritiva foram realizados utilizando o programa informático IBM SPSS Statistics. Resultados: A prevalência de alergias na população em estudo foi de 29%. A prevalência de alergias é maior no sexo feminino sendo a probabilidade (OR) de cerca de 1.89 vezes superior no sexo feminino do que no sexo masculino. No teste de correlação de Pearson, o valor observado foi de 0.302 assim não se verificou correlação entre o aumento da idade com o aumento ou diminuição das alergias. As alergias mais frequentes foi a do tipo respiratória 60%, medicamentosas 16%, doenças alérgicas com alergénios positivos 11%, do tipo cutâneas 9% e do tipo alimentares 4%. Nas alergias do tipo respiratórias observa-se uma maior percentagem na rinite alérgica com 36.40%. Relativamente às alergias do tipo medicamentosas, a penicilina apresenta 10.60%. Conclusão: A prevalência de alergias nesta população assemelha-se à de outros países Europeus. Tal como noutros países a alergia mais comum é a rinite alérgica. A análise dos resultados deste estudo pode conduzir a uma reflexão acerca do aumento da prevalência de alergias pelo que é crucial que todos os médicos dentistas tenham um cuidado extra ao abordarem os seus pacientes no sentido de diagnosticar qualquer uma das mais variadas alergias abordadas no presente trabalho. Introduction: Allergy is a reaction of the immune system to a variety of substances such as pollen, milk, chocolate, wool, nylon, drugs and anesthetics. Affects mainly atopic individuals with a genetic predisposition. The prevalence of allergies has increased in the last decade, it is estimated that 25% of the population has some type of allergy. In dental surgery, despite hypersensitivity to dental materials are rare, the most common are the hypersensitivity type I and type IV. Aims: Quantify the prevalence of allergies in patients attending at the dental medicine services of pedagogical practice in Faculdade Fernando Pessoa; characterize the most common allergies; verify the existence of any relationship between the prevalence of allergies with the gender variable and the variable age. Methodology: This epidemiological study consisted in application of a survey as a tool for collecting quantitative data. Obtained a sample of 190 individuals aged over 18 years, randomly selected and who applied to the Pedagogical Clinic of Dental Medicine, University Fernando Pessoa in the academic year 2013/2014. The data resulting from the study were stored in Microsoft Excel 2010 program. Procedures descriptive statistics were performed using the computer program SPSS Statistics. Results: The prevalence of allergies in the study population was 29%. The prevalence of allergies is higher in females and the likelihood (OR) of about 1.89 times higher in females than in males. In Pearson correlation test, the observed value was 0.302 so there was no correlation between age increase with the increase or decrease of allergies. The most common allergies of the respiratory type was 60%, 16% drug, with positive allergens allergic diseases 11%, the type Skin 9% and 4% of the food type. In the respiratory type allergies observe a higher percentage in allergic rhinitis with 36.40%. Regarding allergies drug type, penicillin has 10.60%. Conclusions: The prevalence of allergies in this population is similar to other European countries. As in other countries the most common allergy is allergic rhinitis. The results of this study may lead to a reflection on the increasing prevalence of allergies so it is crucial that all dentists take extra care when approaching their patients in order to diagnose any of the various allergies addressed in this work.
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Norén, Nina, e Marcus Thörn. "Patient Perception of Dental Students’ Professionalism". Thesis, Malmö universitet, Odontologiska fakulteten (OD), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-42287.
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ABSTRACT Aim: Professionalism is an important and integrated part of dentistry and an essential characteristic in dentists. The aim of this study is to evaluate how patients perceive dental student’s professionalism and if their perception differs between male and female dental students at the Faculty of Odontology at Malmö University. Material & method: By using definitions of professionalism, a cross-sectional survey with eight statements was created to evaluate the patients’ perceptions of the dental student’s professionalism. For each of the statements, patients responded through a five-point Likert scale. The results were analysed using IBM SPSS Statistics 25 programme and p ≤ 0,05 as a significant p-value. Results: Majority of the 103 patients that participated in the survey had a positive response to all eight statement and only three patients responded negatively. Dental students in their final years generally received better reviews than students in their second or third year. 100% of the patients agreed completely that they felt respectfully treated by the students. Male dental student received slightly higher percentage in two statement that of them being more knowledge and able to care for the patient in the best way possible. No significant results, p ≤ 0,05, were obtained. Conclusion: The patients generally perceived dental students to be professional and that the student’s professionalism increases as their education progresses. Male and female dental students were largely considered equally professional. More studies are necessary on professionalism in dental educations.SAMMANFATTNING Syfte: Professionalism är en viktig och integrerad del av tandvården och är ett nödvändigt karaktärsdrag hos tandläkare. Syftet med denna studie är att undersöka tandläkarstudenternas professionalism från patientens perspektiv samt att utvärdera om studenternas professionalism skiljer sig med hänsyn till kön på odontologiska fakulteten på Malmö Universitet. Material & metod: En tvärsnittsundersökning med åtta påståenden om tandläkarstudents professionalism utformades för att undersöka patienternas uppfattning av tandläkarstudenternas professionalism. Patienternas respons registrerades på en fem-punkts Likert-skala. Resultatet analyserades med hjälp av kalkyleringsprogrammet IBM SPSS Statistics 25 och p ≤ 0,05 som ett signifikant p-värde. Resultat: Majoriteten av 103 deltagande patienter gav positiva svar till alla åtta påståenden, och endast tre patienter svarade med negativa svarsalternativ. Tandläkarstudenter som går i de sista åren i tandläkarutbildningen fick generellt positivare respons än tandläkarstudenter som studerar i andra och tredje året av utbildningen. 100% av patienterna höll med helt att de kände sig respektfullt bemötta av studenterna. Manliga tandläkarstudenter fick något högre procentuella värden för två påståenden där patienterna ansåg att manliga studenter erhöll mer kunskap och var kapabla att ta hand om patienterna på bästa sätt. Inga signifikanta resultat där p ≤ 0,05 erhölls. Konklusion: Patienterna uppfattade generellt tandläkarstudenterna som professionella och att studenternas professionalism ökade desto längre fram i utbildningen de befann sig. Manliga och kvinnliga tandläkarstudenter ansågs i stort vara likvärdigt professionella. Fler studier är nödvändiga för utvärdering av professionalism bland tandvårdsrelaterade utbildningar.
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Thomason, J. Mark. "Drug-induced gingival overgrowth in organ transplant patients". Thesis, University of Newcastle Upon Tyne, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261599.
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Gorman, Debra L. Johnson. "Dementia and the Dental Patient| Dementia Training for Dental Professionals". Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10265551.
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Although the population of adults age 65 and older with Alzheimer’s disease and other dementias is growing exponentially, many dental professionals are not adequately prepared to work with these special needs patients in the clinical setting. The purpose of this project was to develop a training for dental professionals including basics about dementia, and communication and behavioral management. Personal oral hygiene, often lacking in a person with dementia, contributes to periodontal inflammation and oral infection that may be linked to potentially, life-threatening diseases, including cardiovascular disease, and aspiration pneumonia. This could result in poor quality of life, and hospital or nursing home admission. The training will help dental professionals to better provide preventive or maintenance dental care or assist in providing care. The training will meet a portion of the continuing education biennial course requirements and course provider requirements for license renewal of dental professionals in California. The training was presented to dental professionals. Their feedback, as well as suggestions from an expert panel, informed revisions to the training, such as increasing the length of the training and including “brain breaks” in the presentation.
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Nemes, Jordan. "Fear of dental implants among edentulous patients". Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=101732.
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Despite implant-supported overdentures' advantages over conventional dentures, edentulous patients often refuse dental implants for reasons that may be related to fear. Objective. The purpose of this study was to uncover and explain the various forms and sources of dental implant-related fear among edentulous patients. Methods. A convenient sample of 8 edentulous/semi-edentulous participants was used. Participants were recruited from a current study at McGill University's Faculty of Dentistry, posting of recruitment flyers, and local homes and community centers for seniors. One-on-one interviews were conducted in Montreal from March 2005 to February 2006, transcribed verbatim, and coded into multiple theme-based sections. Results. Three categories of implant-related fear were identified: (1) fear of dental implant surgery; (2) fear of the recovery period; and (3) miscellaneous fears. As well, four main sources of dental implant-related fear were uncovered: (1) past negative experiences at the dentist; (2) "horror stories" of dental implant surgery; (3) having relatively little knowledge of dental implants; and (4) poor dentist-patient relationship. Discussion. The various forms of dental implant-related fear seem to play a substantial role in influencing a patient's decision to undergo implant surgery.
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Elgin, Craig Ross. "Factors Affecting Patient Selection of an Orthodontic Practice". The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1330704747.
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Gentz, Rachel C. "Effectiveness and Complications of Sedation Regimens Used for Pediatric Dental Patients". The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1434537097.
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Troulis, Maria J. "Dental extractions in patients receiving oral anticoagulant therapy". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ37316.pdf.
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