RESUMEN
OBJECTIVES: Millions of restorative procedures are performed annually in the United States, yet very little is known about their distribution in the general population. With increasing concern about potential adverse health effects of some restorative materials, a better understanding of the extent of exposure to these materials in the population is important. The purpose of this study is to report the prevalence, patterns, and distribution of dental restorative materials in a population of male veterans. METHODS: This collaborative study with the US Air Force examined 1,166 male veterans to assess exposure to dental amalgam and other restorative materials. An inventory of dental materials in the study population was obtained through oral examinations. Dental materials were classified into five categories: (1) amalgam; (2) resin; (3) porcelain, cement, or temporary, including ionomer (PCT); (4) cast gold alloys/direct filling gold; and (5) other metals (OM). The mean age of the study participants was 52.9 years. Over 94 percent of the study participants were dentate. RESULTS: The study participants averaged 45.8 restored/replaced surfaces. Restored/replaced surfaces increased with age while the number of teeth decreased with age. The most frequently used restorative material was amalgam, averaging 19.89 surfaces per subject, followed by PCT (9.38), resins (8.99), OM (5.52), and gold (4.91). The distributions of restorative materials varied by age, arch type, and location in the mouth. CONCLUSION: The study population experienced substantial exposure to dental materials.
Asunto(s)
Materiales Dentales , Restauración Dental Permanente/estadística & datos numéricos , Veteranos/estadística & datos numéricos , Adulto , Factores de Edad , Anciano , Aviación , Aleaciones Dentales/efectos adversos , Amalgama Dental/efectos adversos , Cementos Dentales/efectos adversos , Materiales Dentales/efectos adversos , Porcelana Dental/efectos adversos , Restauración Dental Permanente/efectos adversos , Restauración Dental Provisional/efectos adversos , Restauración Dental Provisional/estadística & datos numéricos , Dentición , Exposición a Riesgos Ambientales , Cementos de Ionómero Vítreo/efectos adversos , Aleaciones de Oro/efectos adversos , Humanos , Arcada Edéntula/epidemiología , Masculino , Persona de Mediana Edad , Prevalencia , Resinas Sintéticas/efectos adversos , Pérdida de Diente/epidemiología , Estados Unidos/epidemiologíaRESUMEN
The DMF index provides one source of information on past and present dental caries experience; however, important limitations hinder its ability to characterize fully the impact of dental caries. The purpose of this paper is to describe a measure of selected restoration and tooth conditions that supplements information from the DMF index and to report on the application of this measure as part of the Third National Health and Nutrition Examination Survey, Phase 1, conducted between 1988 and 1991. Data from this survey were used to estimate the prevalence and severity of selected disaggregated physical and biological oral conditions among dentate adults aged 18 to 74 years. Trained, standardized, and calibrated dentist examiners assessed 28 permanent teeth or tooth spaces for each of 6,767 subjects. Teeth or tooth spaces were classified based on criteria for: defective intracoronal restorations, crowns, or bridges; gross loss of tooth structure associated with a restoration; pulpal involvement; or retained roots. Approximately 40.5%, or 61.6 million, dentate adults had at least one tooth or tooth space that met the criteria. Among all persons, an average of 0.9 teeth or tooth spaces met the criteria for at least one category. Adults with at least one scored tooth or tooth space had an average of 2.2 such teeth or tooth spaces. Data from this assessment supplement information available from the DMF index to provide a broader profile of the impact of dental caries on permanent teeth of US adults.
Asunto(s)
Coronas/estadística & datos numéricos , Caries Dental/complicaciones , Restauración Dental Permanente/estadística & datos numéricos , Dentadura Parcial Fija/estadística & datos numéricos , Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Enfermedades Dentales/epidemiología , Adolescente , Adulto , Factores de Edad , Anciano , Distribución de Chi-Cuadrado , Coronas/efectos adversos , Índice CPO , Caries Dental/epidemiología , Caries Dental/etnología , Caries Dental/etiología , Encuestas de Salud Bucal , Enfermedades de la Pulpa Dental/epidemiología , Enfermedades de la Pulpa Dental/etnología , Enfermedades de la Pulpa Dental/etiología , Restauración Dental Permanente/efectos adversos , Dentadura Parcial Fija/efectos adversos , Etnicidad/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Variaciones Dependientes del Observador , Prevalencia , Falla de Prótesis , Recurrencia , Reproducibilidad de los Resultados , Factores Sexuales , Enfermedades Dentales/etnología , Enfermedades Dentales/etiología , Pérdida de Diente/epidemiología , Pérdida de Diente/etnología , Pérdida de Diente/etiología , Raíz del Diente , Estados Unidos/epidemiologíaRESUMEN
The Federal Government has engaged in research and investigation of dental quality assurance and related questions of dental delivery and financing for nearly 3 decades. Despite this federal effort and other privately financed projects, there is no completely accepted consensus regarding the definition or scope of the term "quality assurance" as applied to dentistry. Although federally sponsored research has declined lately, the profession has many interested parties to satisfy: consumers, the Federal Government, third- and fourth-party purchasers, unions, and others. Continued attention to dental quality assurance by the profession and other parties is desirable to ensure continuation of high standards of professionalism and practice.
Asunto(s)
Atención Odontológica/normas , Gobierno , Garantía de la Calidad de Atención de Salud , Atención a la Salud , Atención Odontológica/legislación & jurisprudencia , Humanos , Legislación en Odontología/tendencias , Garantía de la Calidad de Atención de Salud/legislación & jurisprudencia , Calidad de la Atención de Salud/legislación & jurisprudencia , Estados UnidosRESUMEN
Federal support of health services delivery has been closely tied to social welfare and economic assistance legislation. Its underlying premise has been that health services should be provided by government only when individuals and families are unable to cope with health problems on their own. Dental care has never drawn a major share of health and welfare resources. It has been authorized in general terms by various statutes, but seldom have funds been earmarked specifically for dental services. Accordingly, the history of federal financing of dental services shows a gradual but progressive extension of services to populations and communities unable to obtain services on their own. Over time, a system of federal grants-in-aid has been built through which assistance is provided to state agencies or directly to communities or individuals. Table 3 provides a summary of the major programs. Before 1965, states received little federal support for dental services, except for funds provided through maternal and child health or crippled children's programs. Although Social Security authorized other public assistance funds that could be used for dental services, these were used principally to provide health services for the elderly. The relatively slow growth of federal dental programs accelerated during the Johnson and Nixon administrations. The explosion of health legislation during these years significantly broadened the federal role in providing health services to individuals and communities. Medicaid, the OEO programs, the health planning acts, migrant health, Appalachian Regional Development, Model Cities, and other statutes had significant impact on the accessibility and availability of dental services in poor, disadvantaged, rural, and otherwise underserved communities.(ABSTRACT TRUNCATED AT 250 WORDS)