Asunto(s)
Dolor/tratamiento farmacológico , Enfermedad Aguda , Adulto , Enfermedad Crónica , Ansiedad al Tratamiento Odontológico/psicología , Odontología , Neuralgia Facial/tratamiento farmacológico , Neuralgia Facial/psicología , Femenino , Humanos , Masculino , Dolor/prevención & control , Dolor/psicologíaRESUMEN
The occlusal bite-wing radiograph evaluations of 131 14-year-old and of 123 17- and 20-year-old Dutch persons were compared with the clinically collected observations. The clinical observations and the bite-wing radiographs were collected as part of a longitudinal epidemiological survey conducted in 1987 and 1990. Comparison of the evaluations of the first and second molar teeth showed significantly more radiolucencies in all three age groups than expected clinically. Of the clinically judged 'sound' surfaces, 26% in the 14-, 37.5% in the 17- and 50% in the 20-year-old group showed a radiolucency on the bite-wing radiograph. In the 14-, 17- and 20-year-old age group a radiolucency was noticed on the bite-wing radiograph in 32, 44 and 58% of the sealed teeth, respectively. The radiolucencies below the occlusal enamel of sealed teeth were most likely due to the problems in diagnosing occlusal dentine lesions correctly with the clinical diagnostic methods. Therefore not only approximal but also occlusal bite-wing radiograph judgement before sealant application seems to be advisable now. Because of the numbers of clinically undetected lesions it may be advisable to reconsider the criteria for occlusal diagnosis in epidemiological surveys and to judge not only the approximal but also the occlusal surfaces in epidemiological surveys when bite-wing radiographs are available.
Asunto(s)
Caries Dental/diagnóstico por imagen , Dentina/diagnóstico por imagen , Radiografía de Mordida Lateral , Adolescente , Adulto , Caries Dental/patología , Instrumentos Dentales , Restauración Dental Permanente , Dentina/patología , Humanos , Estudios Longitudinales , Diente Molar/diagnóstico por imagen , Diente Molar/patología , Selladores de Fosas y Fisuras , PrevalenciaRESUMEN
Dentists' attitudes towards dental anxiety and management of anxious patients were objects of a pilot study. Dentists from The Netherlands participated in a group discussion. Results show that dentists understand dental anxiety in their patients. However, upon closer consideration the picture they give of themselves in this respect appears to be too positive. The role of the dental assistant is generally considered to be very important.
Asunto(s)
Actitud del Personal de Salud , Ansiedad al Tratamiento Odontológico/prevención & control , Odontólogos/psicología , Asistentes Dentales , Relaciones Dentista-Paciente , Humanos , Planificación de Atención al Paciente , Proyectos PilotoRESUMEN
Changes in treatment planning and improved dental materials can probably cause a further improvement of the oral health in 35-55-year old people. Expectations concerning new developments in this field and the quantitative results of a computer simulation model, based on a corresponding scenario, were compared. The results suggest a minor decrease of missing teeth per person and the percentages edentulous people in the age group 35 years and over. An additional effect of the scenario is a considerable saving in total expenses for dental health care.
Asunto(s)
Servicios de Salud Dental/provisión & distribución , Predicción , Salud Bucal , Planificación de Atención al Paciente , Adulto , Índice CPO , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos EstadísticosRESUMEN
The oral and dental problems of a group of 235 patients, who asked for a second opinion consultation, were surveyed. More than 80% of the group were regular dental attenders (once or more times a year); 70 patients were advised by their own dentist to visit the "second opinion" dentist. The oral problems were classified in eight categories. Most of the problems concern the condition of the oral cavity (20%), the urgency of certain treatments (18%), and the quality of care delivered by the own dentist (17%).