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[PMID]:29058855
[Au] Autor:McGary R; Franc J; Chui S; Kim CS; Boehm TK
[Ti] Título:Crown Lengthening Needs and Outcomes in Adults Attending a Predoctoral Clinic.
[So] Source:J Calif Dent Assoc;45(2):73-80, 2017 02.
[Is] ISSN:1043-2256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this retrospective study of 5,536 patients admitted over four years at a predoctoral dental clinic for comprehensive care, general dentists identified crown lengthening needs in 584 patients and 760 teeth. Only 51 patients and 68 teeth actually received crown lengthening procedures. For the other cases, patients discontinued treatment or chose extraction or restoration without crown lengthening procedures. Teeth that received crown lengthening procedures were most likely restored and functioning for at least one year.
[Mh] Termos MeSH primário: Aumento da Coroa Clínica
Clínicas Odontológicas
[Mh] Termos MeSH secundário: Adulto
Educação em Odontologia
Feminino
Odontologia Geral
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Terapêutica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171024
[St] Status:MEDLINE


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[PMID]:28872987
[Au] Autor:Quinonez RB; Consky E; Mattison K; Randolph G
[Ti] Título:Using Quality Improvement Methods to Implement an Early Childhood Oral Health Initiative: A Federally Qualified Health Center Pilot Study.
[So] Source:J Clin Pediatr Dent;41(5):351-357, 2017.
[Is] ISSN:1053-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the use of quality improvement (QI) methods to implement an early childhood oral health program (Baby Oral Health Program-bOHP) in four federally qualified health center (FQHC) dental clinics. STUDY DESIGN: Using a mixed-methods study design, survey responses, administrative data, QI project templates, and focus group measures were collected. Plan-Do-Study-Act (PDSA) cycles as mini-projects to improve the implementation of bOHP were examined. Data analysis included descriptive qualitative reviews and quantitative statistics at baseline, six, and 12 months following the intervention. RESULTS: Twenty-three dental team providers in one urban and three rural clinics participated. Successful QI mini-projects included shortening time period between accepted referral and patient visits, improved documentation of caregiver interview, and efficiency of the infant oral health examination. Lack of change in provider confidence was observed, regardless of years of practice (p=0.93), years of employment (p=0.39), and dental team age (p=0.85). Qualitative reviews highlighted mixed QI results related to training and limited resources invested on follow-up of QI implementation. CONCLUSIONS: A low cost, low resource pilot QI program as part of bOHP implementation showed mixed success, highlighting the critical role of training, staff committment, and leadership support to assure sustainable oral health programs in high-risk populations.
[Mh] Termos MeSH primário: Clínicas Odontológicas
Promoção da Saúde
Saúde Bucal
Higiene Bucal
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Odontopediatria
Projetos Piloto
Provedores de Redes de Segurança
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE
[do] DOI:10.17796/1053-4628-41.5.351


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[PMID]:28864787
[Au] Autor:Biethman RK; Pandarakalam C; Garcia MN; Whitener S; Hildebolt CF
[Ad] Endereço:Dr. Biethman is Assistant Professor, Department of Restorative Dentistry, School of Dental Medicine, Southern Illinois University; Dr. Pandarakalam is Assistant Professor, Department of Restorative Applied Dental Medicine, School of Dental Medicine, Southern Illinois University; Dr. Garcia is Assist
[Ti] Título:Screening for Diabetes in a Dental School Clinic to Assess Interprofessional Communication Between Physicians and Dental Students.
[So] Source:J Dent Educ;81(9):1062-1067, 2017 Sep.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:If a dental student diagnoses a patient in a dental school clinic as being at high risk of prediabetes or diabetes, the patient should be referred to his or her physician for further diagnostic evaluation, and the physician should send back the evaluation results so that the dental team can optimize treatment and health care choices if the diagnosis is confirmed. The primary aim of this study was to evaluate physicians' responses to written and oral requests for information regarding follow-up diabetes testing. A secondary aim was to evaluate patients' compliance with recommendations to seek medical care after being determined to be at high risk of prediabetes or diabetes in the dental clinic. Based on at least one positive risk factor for diabetes, 74 patients in one U.S. dental school's clinic were screened by third- and fourth-year dental students for prediabetes or diabetes and underwent point of care HbA1C (glycalated hemoglobin) blood tests between June 2014 and June 2015. Patients with an HbA1C value of 5.7% or above were referred to their physicians for follow-up testing. The physician was mailed the patient's HIPAA release and a request for updates to the student regarding the patient's diabetes status. If the physician did not provide the requested information, a dental student telephoned him or her to obtain the patient's diabetes status. Of the 74 patients, 34 (46%) tested positive with HbA1C tests and were referred to their physicians. Of those 34 referred patients, 20 (59%) saw their physicians for additional evaluations within six months of referral. None of the 20 physicians responded to the written requests for information on additional diabetes testing. After one or two telephone requests, all 20 physicians provided the test results. This study found that most of the patients (59%) followed their dental practitioner's advice to seek follow-up care with their physician, supporting the value of conducting these tests in a dental clinic. However, the results also suggested that a single written request may be insufficient to prompt physicians to return those results and that follow-up communication in a phone call may be more effective.
[Mh] Termos MeSH primário: Diabetes Mellitus/diagnóstico
Comunicação Interdisciplinar
Médicos
Estudantes de Odontologia
[Mh] Termos MeSH secundário: Clínicas Odontológicas
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Cooperação do Paciente
Encaminhamento e Consulta
Instituições Acadêmicas
Faculdades de Odontologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170903
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.059


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[PMID]:28765460
[Au] Autor:Bailit HL
[Ad] Endereço:Dr. Bailit is Professor Emeritus, Department of Community Medicine, School of Medicine, University of Connecticut. bailit@uchc.edu.
[Ti] Título:Are Dental Schools Part of the Safety Net?
[So] Source:J Dent Educ;81(8):eS88-eS96, 2017 Aug.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article examines the current safety net activities of dental schools and reviews strategies by which schools could care for more poor and low-income patients. The primary data come from the annual Survey of Dental Education, a joint American Dental Education Association (ADEA) and American Dental Association (ADA) activity. The analyses use descriptive statistics and are intended to give ballpark estimates of patients treated under varying clinical scenarios. Some 107.4 million people are underserved in comparison to utilization rates for middle-income Americans. In 2013-14, pre- and postdoctoral students treated about 1,176,000 disadvantaged patients. This is an estimate; the actual value may be 25% above or below this number. The impact of potential strategies for schools to provide more care to poor and low-income patients are discussed; these are larger class size, more community-based education, a required one-year residency program, and schools' becoming part of publicly funded safety net clinics. While dental schools cannot solve the access problem, they could have a major impact if the payment and delivery strategies discussed were implemented. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Odontologia Comunitária/educação
Odontologia Comunitária/estatística & dados numéricos
Clínicas Odontológicas/estatística & dados numéricos
Disparidades em Assistência à Saúde/estatística & dados numéricos
Faculdades de Odontologia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Educação em Odontologia/estatística & dados numéricos
Acesso aos Serviços de Saúde
Seres Humanos
Internato e Residência
Pobreza
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.012


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[PMID]:28765459
[Au] Autor:Licari FW; Evans CA
[Ad] Endereço:Dr. Licari is Dean and Professor, College of Dental Medicine, Roseman University of Health Sciences; and Dr. Evans is Associate Dean for Prevention and Public Health Sciences, College of Dentistry, University of Illinois at Chicago. flicari@roseman.edu.
[Ti] Título:Clinical and Community-Based Education in U.S. Dental Schools.
[So] Source:J Dent Educ;81(8):eS81-eS87, 2017 Aug.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This review of U.S. dental schools' clinical curricula suggests that the basic structure of clinical education has not changed significantly in the past 60 years, although important developments include the introduction of competency-based education and community-based clinical education. Most dental schools still have a two-year preclinical curriculum and a two-year clinical curriculum, and most schools still operate a large clinical facility where students receive the bulk of their clinical education and assessment for graduation. In those clinics, dental students are the main providers of patient treatment, with faculty serving in supervisory roles. In addition, a major portion of the entire dental curriculum continues to be dedicated to student education on the restoration of a single tooth or replacement of teeth. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Odontologia Comunitária/educação
Odontologia Comunitária/tendências
Currículo/tendências
Educação em Odontologia/tendências
Faculdades de Odontologia/tendências
[Mh] Termos MeSH secundário: Competência Clínica
Educação Baseada em Competências/tendências
Clínicas Odontológicas/tendências
Seres Humanos
Licenciamento em Odontologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.011


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[PMID]:28765455
[Au] Autor:Reinhardt JW
[Ad] Endereço:Dr. Reinhardt is Professor, College of Dentistry, University of Nebraska Medical Center. jreinhardt@unmc.edu.
[Ti] Título:Current Status of Operation and Management of Dental School Clinics.
[So] Source:J Dent Educ;81(8):eS50-eS54, 2017 Aug.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article summarizes the current status of the operation and management of dental school clinics as schools strive to provide excellent patient-centered care in an environment that is educationally sound, efficient, and financially strong. Clinical education is a large component of dental education and an area in which many dental schools have an opportunity to enhance revenue. Clinical efficiencies and alternative models of clinical education are evolving in U.S. dental schools, and this article describes some of those evolutionary changes. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Clínicas Odontológicas/organização & administração
Faculdades de Odontologia/organização & administração
[Mh] Termos MeSH secundário: Clínicas Odontológicas/economia
Eficiência Organizacional
Administração Financeira
Seres Humanos
Modelos Educacionais
Assistência Centrada no Paciente
Faculdades de Odontologia/economia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.007


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[PMID]:28617400
[Au] Autor:Iordanishvili AK; Pikhur OL; Cherni DA
[Ad] Endereço:S.M. Kirov Military Medical Academy, St.-Petersburg, Russia.
[Ti] Título:[Teeth wedge-shaped defects in adults of different age groups: remark to prevention and treatment].
[Ti] Título:Klinovidnye defekty zubov u vzroslykh liudei raznykh vozrastnykh grupp: remarki k profilaktike i lecheniiu..
[So] Source:Stomatologiia (Mosk);96(3):14-17, 2017.
[Is] ISSN:0039-1735
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The aim of the study was to assess the treatment of teeth wedge defects in different age groups. Records of 383 patients (125 males and 258 females aged 22-85 years) treated in outpatient dental facilities with different ownership forms. It is shown that the medical care of patients with wedge-shaped teeth defects routinely consists of remineralization therapy and restoration of anatomical teeth shape regardless of the form of ownership. The extensiveness of dental rehabilitation as well as the use of more modern technologies are typical for private clinics and 96-100% of patients finished their treatment there. In the state and departmental institutions complete rehabilitation of wedge-shaped defects was provided in 45.5-58.0% and 54.3-83.9, respectively. The paper also highlights the drawbacks of primary medical documentation identified in medical institutions of all forms of ownership.
[Mh] Termos MeSH primário: Clínicas Odontológicas/estatística & dados numéricos
Abrasão Dentária/terapia
Erosão Dentária/terapia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Documentação
Feminino
Seres Humanos
Masculino
Meia-Idade
Aparelhos Ortodônticos
Federação Russa
Abrasão Dentária/prevenção & controle
Abrasão Dentária/reabilitação
Erosão Dentária/prevenção & controle
Erosão Dentária/reabilitação
Remineralização Dentária/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170810
[Lr] Data última revisão:
170810
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.17116/stomat201796314-17


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[PMID]:28365604
[Au] Autor:Babar MG; Hasan SS; Yong WM; Mitha S; Al-Waeli HA
[Ad] Endereço:All the authors contributed equally to this study. Dr. Babar is Associate Professor and Program Director, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia; Dr. Hasan is Lecturer, School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia; Wong Mei Yong
[Ti] Título:Patients' Perceptions of Dental Students' Empathic, Person-Centered Care in a Dental School Clinic in Malaysia.
[So] Source:J Dent Educ;81(4):404-412, 2017 Apr.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Empathy has been identified as a crucial foundation in building an effective dentist-patient relationship. The aim of this study was to assess patients' perceptions of dental students' empathic care in the primary oral health care clinic at International Medical University in Kuala Lumpur, Malaysia in May-October 2014. The study also assessed the validity and reliability of the Consultation and Relational Empathy (CARE) Measure in this setting; the association between number of encounters and students' CARE Measure scores; and the association between students' empathy (measured by the Toronto Empathy Questionnaire) and CARE Measure scores. Participants were 283 patients (aged ≥18 years) who were asked to self-complete the ten-item CARE Measure immediately after their clinical encounter with students who provided care under supervision of the teaching staff. The results showed that the CARE Measure demonstrated good internal consistency (Cronbach's α=0.95). A single factor solution emerged, accounting for 69% of the variance. The mean CARE Measure score in the consultations was 43.55±6.14, and 26% of the students achieved the maximum possible score of 50. The mean number of encounters with each student was 2.33±2.78. An increase of one episode was associated with an insignificant average CARE score decrease of 0.05 (-0.28, 0.38), whereas students' empathy was associated with a small increase in average CARE Measure score of 0.63 (0.08, 1.18). These results provide evidence of the measure's ability to support feedback to dental students on their empathy when interacting with patients.
[Mh] Termos MeSH primário: Relações Dentista-Paciente
Empatia
Assistência Centrada no Paciente
Estudantes de Odontologia/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Clínicas Odontológicas
Feminino
Seres Humanos
Malásia
Masculino
Faculdades de Odontologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170403
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.016.008


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[PMID]:28250038
[Au] Autor:Fredericks-Younger JM; Handelman-Yellin ML; York JA
[Ad] Endereço:Dr. Fredericks-Younger is Director of Clinics, Office for Clinical Affairs and Assistant Professor, Department of Restorative Dentistry, Rutgers School of Dental Medicine; Dr. Handelman-Yellin is Instructor, Department of Restorative Dentistry, Rutgers School of Dental Medicine; and Dr. York is Assistant Dean for Extramural Clinics, Hunterdon Endowed Chair for Dental Public Health, and Associate Professor, Department of Community Health, Rutgers School of Dental Medicine. frederja@sdm.rutgers.edu.
[Ti] Título:Developing a Relevant Taxonomy to Assess Dental School Clinic Patient Complaints.
[So] Source:J Dent Educ;81(3):318-325, 2017 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aims of this study were to categorize and analyze the most frequent patient complaints at the Rutgers School of Dental Medicine (RSDM) clinic in an effort to identify areas in need of improvement. A retrospective review of patient complaints reported to the RSDM Office for Clinical Affairs from July 1, 2011 to June 30, 2015 was conducted. A total of 148 unduplicated patients were selected for evaluation because they made at least one official complaint. In total, 193 patient complaints were made during this period. A published complaint taxonomy was used to categorize RSDM patient complaints into domains, categories, and subcategories, highlighting frequent issues of complaint. Of the 193 complaints made, 256 issues were identified. The results showed that the most frequent domain of complaint was Management, followed by Clinical, then Relationships. Institutional Issues and Quality were the most recurring categories coded. Of the 26 subcategories, nearly 70% of the complaints were coded into one of four: Finance and Billing, Delays, Patient Journey, and Quality of Care. While the results were effective in identifying broad areas of improvement, there were limitations to using the traditional taxonomy in the dental school setting. Based on these data, the RSDM Patient Complaint Taxonomy, specific to the needs of a dental school environment, was created in an effort to gain increased specificity and further enhance quality improvement measures. It is the hope of the research team that this tool will be used across dental schools, opening the door for future collaborations and ultimately improving patient care.
[Mh] Termos MeSH primário: Clínicas Odontológicas/normas
Satisfação do Paciente
Faculdades de Odontologia/normas
[Mh] Termos MeSH secundário: Assistência Odontológica/normas
Clínicas Odontológicas/organização & administração
Seres Humanos
New Jersey
Melhoria de Qualidade
Estudos Retrospectivos
Faculdades de Odontologia/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170421
[Lr] Data última revisão:
170421
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE


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[PMID]:28148607
[Au] Autor:Simon L; Hum L; Nalliah R
[Ad] Endereço:Dr. Simon is a Fellow in Oral Health and Medicine Integration, Harvard School of Dental Medicine and MD Candidate, Harvard Medical School; Dr. Hum is a Resident in Oral and Maxillofacial Surgery, Oregon Health & Science University; and Dr. Nalliah is Director of Clinical Education, University of Michigan School of Dentistry. Lisa_Simon@hsdm.harvard.edu.
[Ti] Título:Training to Care for Limited English Proficient Patients and Provision of Interpreter Services at U.S. Dental School Clinics.
[So] Source:J Dent Educ;81(2):169-177, 2017 Feb.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Legal protections in the United States mandate that individuals with limited English proficiency (LEP) have equal access to health care. However, LEP populations are at higher risk of poor health. Dental school clinics offer lower cost care by supervised dental students and often provide care for LEP patients. The aims of this study were to survey dental students about their clinical experience with LEP patients, the interpreter resources available at their dental school clinics, and the extent of instruction on these topics. Academic deans at 19 dental schools (30.6% of 62 invited schools) distributed the survey to their students, and the survey was completed by 325 students (4.2% of students at the 19 participating schools). Among the responding students, 44% reported their dental school clinic lacked formal interpreter services, and most of the respondents reported receiving minimal instruction on caring for LEP patients. Only 54% of the responding students reported feeling adequately prepared to manage LEP patients following graduation. These results suggest there is limited access to interpreter services for students while in dental school. A large proportion of these dental students thus reported feeling unprepared to treat LEP patients after graduation.
[Mh] Termos MeSH primário: Barreiras de Comunicação
Clínicas Odontológicas
Relações Dentista-Paciente
Educação em Odontologia/métodos
Linguagem
Faculdades de Odontologia
[Mh] Termos MeSH secundário: Seres Humanos
Tradução
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170222
[Lr] Data última revisão:
170222
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE



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