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[PMID]:27875708
[Au] Autor:Salomon D; Heidel RE; Kolokythas A; Miloro M; Schlieve T
[Ad] Endereço:Resident, Department of Oral and Maxillofacial Surgery, University of Illinois, Chicago, IL.
[Ti] Título:Does Restriction of Public Health Care Dental Benefits Affect the Volume, Severity, or Cost of Dental-Related Hospital Visits?
[So] Source:J Oral Maxillofac Surg;75(3):467-474, 2017 Mar.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: On July 1, 2012, the Illinois legislature passed the Save Medicaid Access and Resources Together (SMART) Act, which restricts adult public dental insurance coverage to emergency-only treatment. The purpose of this study was to measure the effect of this restriction on the volume, severity, and treatment costs of odontogenic infections in an urban hospital. MATERIALS AND METHODS: A retrospective cohort study of patients presenting for odontogenic pain or infection at the University of Illinois Hospital was performed. Data were collected using related International Classification of Diseases, Ninth Revision codes from January 1, 2011 through December 31, 2013 and divided into 2 cohorts over consecutive 18-month periods. Outcome variables included age, gender, insurance status, oral and maxillofacial surgery (OMS) consultation, imaging, treatment, treatment location, number of hospital admission days, and inpatient care level. Severity was determined by the presence of OMS consultation, incision and drainage, hospital admission, and cost per encounter. Hospital charges were used to compare the cost of care between cohorts. Between-patients statistics were used to compare risk factors and outcomes between cohorts. RESULTS: Of 5,192 encounters identified, 1,405 met the inclusion criteria. There were no significant differences between cohorts for age (P = .28) or gender (P = .43). After passage of the SMART Act, emergency department visits increased 48%, surgical intervention increased 100%, and hospital admission days increased 128%. Patients were more likely to have an OMS consult (odds ratio [OR] = 1.42; 95% confidence interval [CI], 1.11-1.81), an incision and drainage (OR = 1.48; 95% CI, 1.13-1.94), and a longer hospital admission (P = .04). The average cost per encounter increased by 20% and the total cost of care increased by $1.6 million. CONCLUSION: After limitation of dental benefits, there was an increase in the volume and severity of odontogenic infections. In addition, there was an escalated health care cost. The negative public health effects and increased economic impact of eliminating basic dental care show the importance of affordable and accessible preventative oral health care.
[Mh] Termos MeSH primário: Unidade Hospitalar de Odontologia/utilização
Infecção Focal Dentária/terapia
Acesso aos Serviços de Saúde/legislação & jurisprudência
Seguro Odontológico/legislação & jurisprudência
Saúde Pública
[Mh] Termos MeSH secundário: Adulto
Unidade Hospitalar de Odontologia/economia
Feminino
Infecção Focal Dentária/economia
Infecção Focal Dentária/epidemiologia
Acesso aos Serviços de Saúde/economia
Seres Humanos
Illinois/epidemiologia
Masculino
Estudos Retrospectivos
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


  2 / 1921 MEDLINE  
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[PMID]:27731485
[Au] Autor:Meneses-Gómez EJ; Posada-López A; Agudelo-Suarez AA
[Ad] Endereço:Research Group in Health and Community "GISCO". School of Dentistry, University Foundation "Autónoma de las Américas", Medellín, Colombia. edjamego@yahoo.com.
[Ti] Título:Oral health-related quality of life in the elderly population receiving health care at the public hospital network in Medellín, Colombia, and its related factors.
[Ti] Título:Calidad de vida relacionada con la salud bucal en la población adulta mayor atendida en la red hospitalaria pública de Medellín (Colombia) y sus factores relacionados..
[So] Source:Acta Odontol Latinoam;29(2):151-161, 2016 Sep.
[Is] ISSN:1852-4834
[Cp] País de publicação:Argentina
[La] Idioma:eng
[Ab] Resumo:Metrosalud is the largest public hospital network in the city of Medellin and one of the most important in Colombia providing health care to the most vulnerable population. The objective of the study was to determine the Oral HealthRelated Quality of Life (OHRQoL) and its related factors in the elderly population receiving health care at the public hospital network in Medellin (Colombia). A crosssectional design was used. Men and women ≥ 65 years old were considered for this research, selected from first consultation records by the institution's statistical unit for 2011, who accepted to participate after being contacted by telephone. Sampling was performed in two stages: simple random sampling for selecting Hospital Units HUand Health Centers HCthroughout the hospital network in the city, followed by random quota sampling in proportion to the number of elderly population assigned to each HU and HC. A total 342 patients (58.2% women) participated in the study. The project involved the use of a structured questionnaire and complete dental examination with information on sociodemographic data, selfperceived health variables (mental, general and oral), use of oral health services, Oral HealthRelated Quality of Life (OHRQoL as measured with GOHAI index), temporomandibular joint test, oral mucosa, soft tissue evaluation, periodontal, dental and prosthetic examination. Descriptive and bivariate analyses were conducted to determine statistically significant differences. Multivariate analysis was performed, using logistic regression, calculating crude and adjusted odds ratios (OR) with their 95% confidence intervals (95% CI). Impacts were found to be generated by education levels, differences in socioeconomic status and urban or rural housing conditions. The results of this research show low OHRQoL levels in the elderly population receiving health care services at the public hospital network in Medellin.
[Mh] Termos MeSH primário: Saúde Bucal
Qualidade de Vida
[Mh] Termos MeSH secundário: Idoso
Colômbia
Estudos Transversais
Unidade Hospitalar de Odontologia
Feminino
Serviços de Saúde para Idosos
Hospitais Públicos
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE


  3 / 1921 MEDLINE  
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[PMID]:27348951
[Au] Autor:Tegtmeier CH; Miller DJ; Shub JL
[Ti] Título:The Impending Oral Health Crisis.
[So] Source:N Y State Dent J;82(3):39-45, 2016 Apr.
[Is] ISSN:0028-7571
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Last May, the New York State Dental Association and the New York State Dental Foundation convened the first "Oral Health Stakeholders' Summit on the Future of Special Needs Dentistry, Hospital Dentistry and Dental Education." The summit was chaired by David J. Miller, then NYSDA President Elect, and Carl H. Tegtmeier, then chair of the NYSDA Council on Dental Health Planning and Hospital Dentistry. It brought together experts, called to frame the issues and provide information necessary for a reasoned response. And it sought input from attendees to develop recommendations to ensure that patients with intellectual and developmental disabilities, as well as an aging population with Alzheimer's disease and dementia, have access to appropriate oral health care in the years ahead. Over 100 participants, representing dentistry, hospital training programs, third-party payers, state government offices and related patient support associations, attended the two-day event in Albany. They focused on the impact of reductions in funding, the transition of Medicaid services into a managed care model, a loss of service providers and the need for expanded training programs. They heard from speakers epresenting a broad spectrum of those involved in he oral health care of patients with intellectual and evelopmental disabilities, the Alzheimer's Association, dental educators and researchers, hospital dentistry and the benefits industry, whose presentations focused on a looming oral health crisis threatening access to dental care for patients with disabilities.
[Mh] Termos MeSH primário: Assistência Odontológica para Pessoas com Deficiências
Acesso aos Serviços de Saúde
Saúde Bucal
Populações Vulneráveis
[Mh] Termos MeSH secundário: Comitês Consultivos
Idoso
Idoso de 80 Anos ou mais
Doença de Alzheimer/complicações
Controle de Custos
Redução de Custos
Assistência Odontológica para Idosos
Assistência Odontológica para Doentes Crônicos
Unidade Hospitalar de Odontologia
Equipe Hospitalar de Odontologia
Educação em Odontologia
Apoio Financeiro
Política de Saúde
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Seguro Saúde
Programas de Assistência Gerenciada
Medicaid
New York
Odontologia Preventiva
Mecanismo de Reembolso
Provedores de Redes de Segurança
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160628
[Lr] Data última revisão:
160628
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160629
[St] Status:MEDLINE


  4 / 1921 MEDLINE  
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[PMID]:27165114
[Au] Autor:Hassona Y; Ahram M; Odeh N; Abu Gosh M; Scully C
[Ad] Endereço:Departments of Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
[Ti] Título:Factors Influencing Dental Patient Participation in Biobanking and Biomedical Research.
[So] Source:Med Princ Pract;25(4):323-8, 2016.
[Is] ISSN:1423-0151
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To study the willingness of dental patients to donate biospecimens for research purpose and to examine factors that may influence such a decision. MATERIALS AND METHODS: A face-to-face interview was conducted using a pretested structured survey instrument on 408 adult dental patients attending a university hospital for dental care. Descriptive statistics were generated, and the x03C7;2 test was used to examine differences between groups. p values ≤0.5 were considered statistically significant. RESULTS: Of the 408 participants, only 71 (17.4%) had heard of the terms biobanking/biospecimens, but 293 (71.9%) approved of the idea of using biospecimens for biomedical research, and 228 (55.9%) were willing to donate biospecimens and give personal information for research purposes. In participants who were unwilling to participate in biobanking, fear of information leakage was the most frequently reported reason, while in participants who were willing to donate biospecimens, the potential to provide more effective and less costly treatments was the most frequently reported reason. The preferences of the 228 participants who were willing to donate biospecimens were as follows: give a sample of removed oral tissues including extracted teeth (n = 105, 46.1%), donate a blood sample (n = 52, 23%), donate a sample of saliva (n = 43, 18.6%), and give a urine sample (n = 28, 12.3%). CONCLUSION: Dental patients had a generally positive attitude towards biomedical research and biobanking. The most preferred types of biospecimens to donate in a dental setting were removed tissues, including extracted teeth and blood samples.
[Mh] Termos MeSH primário: Bancos de Espécimes Biológicos
Pesquisa Biomédica
Unidade Hospitalar de Odontologia
Conhecimentos, Atitudes e Prática em Saúde
Pacientes/psicologia
Obtenção de Tecidos e Órgãos
[Mh] Termos MeSH secundário: Confidencialidade
Feminino
Hospitais Universitários
Seres Humanos
Entrevistas como Assunto
Jordânia
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160512
[St] Status:MEDLINE
[do] DOI:10.1159/000446479


  5 / 1921 MEDLINE  
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[PMID]:26933105
[Au] Autor:Perusini DJ; Llacuachaqui M; Sigal MJ; Dempster LJ
[Ad] Endereço:Dr. Perusini and Ms. Llacuachaqui contributed equally to this study. Dr. Perusini, currently Clinical Instructor, School of Dentistry, University of Alberta, was a graduate student in Pediatric Dentistry, University of Toronto at the time of this study; Ms. Llacuachaqui is an undergraduate student,
[Ti] Título:Dental Students' Clinical Expectations and Experiences Treating Persons with Disabilities.
[So] Source:J Dent Educ;80(3):301-10, 2016 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Persons with disabilities (PWDs) have a disproportionate level of dental disease relative to the general population. Access to care is a cause along with dentists' willingness to treat PWDs. The aim of this study was to investigate the expectations and experiences of dental students in providing treatment to these patients in a hospital-based dental clinic for PWDs. Senior dental students at the Faculty of Dentistry, University of Toronto (n=92) were surveyed prior to (Phase I) and at the end of (Phase II) mandatory clinical rotations at the Mount Sinai Hospital's Dentistry Clinic for Persons with Special Needs. Response rates were 88% for Phase I and 58% for Phase II. Before the rotations, 70% of the respondents reported little or no experience with PWDs, and 46% said they did not feel comfortable providing basic dental treatment to PWDs. However, in Phase II, significantly more students reported being comfortable than in Phase I (p=0.001). Overall, the majority of respondents (Phase I 95%; Phase II 98%) indicated they would at least attempt to provide basic dental care to PWDs after graduation. The majority also identified the opportunity to provide care and interact with PWDs as the most enjoyable aspect of their experience at the clinic. They reported that the experience helped reduce their concerns about treating PWDs including being more realistic about the time required and ideal quality of the treatment they could provide. These results suggest that their experience in the clinic significantly increased students' comfort in treating PWDs. The respondents expressed a willingness to treat PWDs once graduated and generally identified their experience as being more positive than their expectations.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Assistência Odontológica para Pessoas com Deficiências/psicologia
Educação em Odontologia
Estudantes de Odontologia/psicologia
[Mh] Termos MeSH secundário: Adulto
Ansiedade/psicologia
Comunicação
Clínicas Odontológicas
Unidade Hospitalar de Odontologia
Relações Dentista-Paciente
Feminino
Seres Humanos
Masculino
Meia-Idade
Ontário
Equipe de Assistência ao Paciente
Cooperação do Paciente
Preceptoria
Gerenciamento do Tempo
Populações Vulneráveis
Local de Trabalho
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160302
[Lr] Data última revisão:
160302
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160303
[St] Status:MEDLINE


  6 / 1921 MEDLINE  
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[PMID]:26926026
[Au] Autor:Choi SH; Kim JS; Cha JY; Hwang CJ
[Ad] Endereço:Fellow, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea.
[Ti] Título:Effect of malocclusion severity on oral health-related quality of life and food intake ability in a Korean population.
[So] Source:Am J Orthod Dentofacial Orthop;149(3):384-90, 2016 Mar.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The aim of this study was to evaluate the effect of malocclusion severity on oral health-related quality of life and food intake ability in adult patients, controlling for sex, age, and the type of dental clinic visited. METHODS: The sample consisted of 472 Korean patients (156 male, 316 female) with a mean age of 21.1 (SD, 8.6) years in a dental hospital and a private clinic. The correlations between the Korean version of the Oral Health Impact Profile-14 (OHIP-14K), subjective food intake ability (FIA) for 5 key foods, and Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC) were investigated. RESULTS: The mean IOTN-DHC and OHIP-14K scores were significantly higher for the dental hospital patients than for the private clinic patients (IOTN-DHC, P <0.001; OHIP-14K, P <0.05). Malocclusion severity was significantly higher in male than in female subjects (P <0.001). Older patients perceived their oral health-related quality of life more negatively than did the teens (P <0.001). As the severity of the malocclusion increased, oral health-related quality of life and masticatory function worsened (OHIP-14K, P <0.001; FIA, P <0.05). CONCLUSIONS: As the severity of the malocclusion and the age of the patients increased, oral health-related quality of life and masticatory function relatively deteriorated. This finding provides evidence that severe malocclusions are associated with lower quality of life and less masticatory efficiency in older patients.
[Mh] Termos MeSH primário: Ingestão de Alimentos/fisiologia
Má Oclusão/classificação
Saúde Bucal
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Anodontia/fisiopatologia
Anodontia/psicologia
Atitude Frente à Saúde
Fenda Labial/fisiopatologia
Fenda Labial/psicologia
Fissura Palatina/fisiopatologia
Fissura Palatina/psicologia
Estudos Transversais
Clínicas Odontológicas
Unidade Hospitalar de Odontologia
Feminino
Seres Humanos
Índice de Necessidade de Tratamento Ortodôntico
Masculino
Má Oclusão/fisiopatologia
Má Oclusão/psicologia
Má Oclusão de Angle Classe II/fisiopatologia
Má Oclusão de Angle Classe II/psicologia
Má Oclusão de Angle Classe III/fisiopatologia
Má Oclusão de Angle Classe III/psicologia
Mastigação/fisiologia
Mordida Aberta/fisiopatologia
Mordida Aberta/psicologia
Sobremordida/fisiopatologia
Sobremordida/psicologia
Fatores Sexuais
Estresse Psicológico/fisiopatologia
Estresse Psicológico/psicologia
Dente Impactado/fisiopatologia
Dente Impactado/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160301
[Lr] Data última revisão:
160301
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE


  7 / 1921 MEDLINE  
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[PMID]:26343762
[Au] Autor:Inverso G; Chuang SK; Kaban LB
[Ad] Endereço:Resident PGY1, Department of Oral and Maxillofacial Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA; Former Research Fellow, Harvard School of Dental Medicine Research, Bostan, MA.
[Ti] Título:Oral and Maxillofacial Surgery Foundation Research and Fellowship Awards: A 26-Year Review at Massachusetts General Hospital and Harvard School of Dental Medicine.
[So] Source:J Oral Maxillofac Surg;74(2):234-8, 2016 Feb.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to review outcomes of the Oral and Maxillofacial Surgery (OMS) Foundation's funding awards to members of the OMS department at Massachusetts General Hospital (MGH) in terms of projects completed, abstracts presented, peer-reviewed publications, and career trajectories of recipients. MATERIALS AND METHODS: Data were collected from MGH and OMS Foundation records and interviews with award recipients. Primary outcome variables included 1) number of awards and award types, 2) funding amount, 3) project completion, 4) number of presented abstracts, 5) conversion from abstracts to publications, 6) number of peer-reviewed publications, 7) career trajectories of awardees, and 8) additional extramural funding. RESULTS: Eleven Student Research Training Awards provided $135,000 for 39 projects conducted by 37 students. Of these, 34 (87.2%) were completed. There were 30 student abstracts presented, 21 peer-reviewed publications, and a publication conversion rate of 58.8%. Faculty research awards comprised $1,510,970 for 22 research projects by 12 faculty members and two research fellows. Of the 22 funded projects, 21 (95.5%) were completed. There were 110 faculty and research fellow abstracts presented and 113 peer-reviewed publications, for a publication conversion rate of 93.8%. In the student group, 17 of 37 (45.9%) are enrolled in or are applying for OMS residencies. Of the 10 students who have completed OMS training, 3 (30%) are in full-time academic positions. Of the 12 faculty recipients, 9 (75%) remain in OMS academic practice. During this time period, the department received $9.9 million of extramural foundation or National Institutes of Health funding directly or indirectly related to the OMS Foundation grants. CONCLUSIONS: The results of this study indicate that 90.2% of projects funded by the OMS Foundation have been completed. Most projects resulted in abstracts and publications in peer-reviewed journals. These grants encouraged students to pursue OMS careers and aided OMS faculty in developing their research programs.
[Mh] Termos MeSH primário: Unidade Hospitalar de Odontologia/economia
Bolsas de Estudo
Fundações
Hospitais Gerais/economia
Apoio à Pesquisa como Assunto
Faculdades de Odontologia/economia
Cirurgia Bucal
[Mh] Termos MeSH secundário: Resumos e Indexação como Assunto
Boston
Mobilidade Ocupacional
Estudos de Coortes
Pesquisa em Odontologia/economia
Docentes de Odontologia
Financiamento Governamental/economia
Seres Humanos
Internato e Residência
Revisão da Pesquisa por Pares
Editoração
Estudos Retrospectivos
Estudantes de Odontologia
Cirurgia Bucal/economia
Cirurgia Bucal/educação
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160117
[Lr] Data última revisão:
160117
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:150908
[St] Status:MEDLINE


  8 / 1921 MEDLINE  
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[PMID]:26964454
[Au] Autor:Din A
[Ti] Título:Dentistry + paediatrics + Maxillofacial Surgery = not so ordinary.
[So] Source:Dent Update;42(5):494, 2015 Jun.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Unidade Hospitalar de Odontologia
Procedimentos Cirúrgicos Bucais/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Odontopediatria
Cirurgia Bucal
Reino Unido
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1604
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160312
[St] Status:MEDLINE


  9 / 1921 MEDLINE  
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[PMID]:26939221
[Au] Autor:Ouedraogo Y; Kabore WA; Konsem T; Fall M; Millogo M; Ouattara S; Ouedraogo D
[Ti] Título:[Tooth decay: epidemiological and therapeutic aspects in dental service of University Teaching Hospital Yalgado Ouedraogo and Municipal Centre of Oral Health].
[Ti] Título:La carie dentaire: aspects épidémiologiques et thérapeutiques aux services de chirurgie dentaire du Centre Hospitalier Universitaire Yalgado Ouedraogo et du Centre Municipal de santé bucco-dentaire..
[So] Source:Odontostomatol Trop;38(152):49-55, 2015 Dec.
[Is] ISSN:0251-172X
[Cp] País de publicação:Senegal
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: In order to improve the prevention and treatment of dental caries in Burkina Faso, we conducted a study on the epidemiological and therapeutic aspects of dental caries in the dental services of University Teaching Hospital Yalgado Ouedraogo and in the Municipal Centre of Oral Health of Ouagadougou. MATERIAL AND METHODS: A prospective and descriptive study from October, 15th 2012 to January, 15th 2013 was conducted on a sample of 191 patients. The variables recorded were: patient's identity, age, sex, area of residence, food mode, socioeconomic level, reason for consultation, oral hygiene, DMFT index, degree of tissue damage, the topography of the carious lesions and the applied therapy. RESULTS: Caries prevalence was 93.19% more female consultations, with sex ratio at 0.77. The average age was 31 years for a sample often engaged in trade and the informal sector. Carious lesions were usually limited to less than 4 teeth. The main motivation for the consultation was pain at 82.20%. CONCLUSION: The use of preventive care is quite low in our population. Extractions still occupy an important part of treatment. We need to improve oral hygiene and show to patients the necessity of routine visits to the dentist every year for early treatment.
[Mh] Termos MeSH primário: Cárie Dentária/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Burkina Faso/epidemiologia
Índice CPO
Assistência Odontológica/estatística & dados numéricos
Unidade Hospitalar de Odontologia
Estudos Epidemiológicos
Comportamento Alimentar
Feminino
Hospitais de Ensino
Seres Humanos
Masculino
Meia-Idade
Ocupações/estatística & dados numéricos
Prevalência
Estudos Prospectivos
Distribuição Espacial da População
Fatores Sexuais
Classe Social
Odontalgia/epidemiologia
Escovação Dentária/estatística & dados numéricos
Serviços Urbanos de Saúde
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160305
[St] Status:MEDLINE


  10 / 1921 MEDLINE  
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[PMID]:26506699
[Au] Autor:Bowe CM; Gargan ML; Kearns GJ; Stassen LF
[Ti] Título:Does access to general dental treatment affect the number and complexity of patients presenting to the acute hospital service with severe dentofacial infections?
[So] Source:J Ir Dent Assoc;61(4):196-200, 2015 Aug-Sep.
[Is] ISSN:0021-1133
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:AIM: This is a retrospective study to review the treatment and management of patients presenting with odontogenic infections in a large urban teaching hospital over a four-year period, comparing the number and complexity of odontogenic infections presenting to an acute general hospital in two periods, as follows: Group A (January 2008 to March 2010) versus Group B (April 2010 to December 2011). The background to the study is 'An alteration in patient access to primary dental care instituted by the Department of Health in April 2010'. OBJECTIVES: a) to identify any alteration in the pattern and complexity of patients' presentation with odontogenic infections following recent changes in access to treatment via the Dental Treatment Services Scheme (DTSS) and the Dental Treatment Benefit Scheme (DTBS) in April 2010; and, b) to evaluate the management of severe odontogenic infections. METHOD: Data was collated by a combination of a comprehensive chart review and electronic patient record analysis based on the primary discharge diagnosis as recorded in the Hospital In-Patient Enquiry (HIPE) system. RESULTS: Fifty patients were admitted to the National Maxillofacial Unit, St James's Hospital, under the oral and maxillofacial service over a four-year period, with an odontogenic infection as the primary diagnosis. There was an increased number of patients presenting with odontogenic infections during Group B of the study. These patients showed an increased complexity and severity of infection. Although there was an upward trend in the numbers and complexity of infections, this trending did not reach statistical significance. CONCLUSIONS: The primary cause of infection was dental caries in all patients. Dental caries is a preventable and treatable disease. Increased resources should be made available to support access to dental care, and thereby lessen the potential for the morbidity and mortality associated with serious odontogenic infections. The study at present continues as a prospective study.
[Mh] Termos MeSH primário: Assistência Odontológica/estatística & dados numéricos
Cárie Dentária/epidemiologia
Unidade Hospitalar de Odontologia/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Atenção Primária à Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Abscesso/epidemiologia
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Registros Eletrônicos de Saúde/estatística & dados numéricos
Feminino
Infecção Focal Dentária/epidemiologia
Hospitais de Ensino
Seres Humanos
Irlanda/epidemiologia
Masculino
Meia-Idade
Doenças da Boca/epidemiologia
Admissão do Paciente/estatística & dados numéricos
Periodontite/epidemiologia
Estudos Retrospectivos
Doenças das Glândulas Salivares/epidemiologia
Odontologia Estatal
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1512
[Cu] Atualização por classe:151028
[Lr] Data última revisão:
151028
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:151029
[St] Status:MEDLINE



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