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Bozia M, Berkhout E, van der Weijden F, Slot DE. Anaesthesia and Caries Treatment by Dental Hygienists: A Worldwide Review. Int Dent J 2023; 73:288-295. [PMID: 36266112 PMCID: PMC10023583 DOI: 10.1016/j.identj.2022.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 07/22/2022] [Accepted: 08/29/2022] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study aimed to summarise the competencies and legal position of the dental hygienist (DH) regarding local anaesthesia and caries treatment through a worldwide review. METHODS A structured and peer-reviewed online questionnaire consisting of 27 questions was developed and emailed to all DH associations that are members of the International Federation of Dental Hygienists or European Dental Hygienists Federation. After obtaining the data, all responding associations were contacted to confirm that the data were summarised in the correct order and were asked to provide further clarification of answers if necessary. A descriptive analysis was performed to summarise the data. RESULTS Thirty-one countries were approached and 26 responded, resulting in a response rate of 84%. In 62% of the countries, the DH can administer local anaesthesia via infiltration and/or block anaesthesia. In 23% of the countries, the DH can indicate the placement of a caries restoration. In 15% of the countries, the DH can place caries restorations. In 81% of the countries, the DH can apply sealants. CONCLUSIONS Considerable variation exists amongst countries regarding the extended scope of DH practice. Overall, independently administering local anaesthesia appears to be more accepted as being within the scope of DH practice than caries removal and the placement of restorations.
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Affiliation(s)
- Meryam Bozia
- Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
| | - Erwin Berkhout
- Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Fridus van der Weijden
- Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Dagmar Else Slot
- Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands; Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
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Key Challenges for Indigenous Peoples of Canada in terms of Oral Health Provision and Utilization: A Scoping Review. Int J Dent 2022; 2022:7511213. [PMID: 36203822 PMCID: PMC9532127 DOI: 10.1155/2022/7511213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 09/05/2022] [Accepted: 09/12/2022] [Indexed: 11/17/2022] Open
Abstract
Background The oral health of Indigenous peoples in Canada is lacking compared with their non-Indigenous counterparts. This scoping assessment aimed to investigate the obstacles of providing and using oral healthcare among Indigenous peoples in Canada. Methods The scoping review took place between December 15, 2021 and January 10, 2022. Five key databases were examined: PubMed, Scopus, ISI Web of Science, Embase, and PROQUEST. The data were analyzed using NVIVO software to facilitate understanding of the major themes, subthemes, and codes provided. Results Seven major themes and eighteen subthemes were identified as impacting the oral health provision and utilization of Indigenous peoples in Canada. The major themes are individual characteristics, affordability, availability, accessibility, accommodation, acceptability, and public or government policy. Thus, to improve the oral health of the Indigenous peoples in Canada, an integrated approach is required to address these obstacles. Conclusions To address the oral health disparities among Indigenous peoples in Canada, policymakers should adopt an integrated approach.
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Fathi H, Rousseau J, Bedos C. How do dentists perceive portable dentistry? A qualitative study conducted in Quebec. Gerodontology 2022; 40:231-237. [PMID: 35833357 DOI: 10.1111/ger.12646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 06/03/2022] [Accepted: 07/05/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION People with impaired mobility face difficulty accessing dental care. One solution is portable dentistry, which includes delivering dental care in homes or residential institutions. Dentists, however, appear reluctant to offer such services. Our objective was to understand how dentists perceived portable dentistry and potential challenges to its implementation. METHODS We conducted a qualitative descriptive study based on semi-structured interviews with a sample of dentists in Quebec, Canada. We employed a combination of maximum variation and snowball sampling strategies to recruit 14 participants. The interviews were conducted and audio-recorded through Zoom and lasted approximately 40 minutes. After transcribing them, we performed a thematic analysis with a combination of inductive and deductive coding. RESULTS Despite perceiving portable dentistry as a valuable practice model, participants showed little interest in adopting this approach, arguing it was not every dentist's "job" to provide portable services. They believed portable dentistry must be financially burdensome and difficult to integrate into their daily work due to lack of time and portable equipment. Accordingly, participants considered it was the duty of governments, professional organisations overseeing dentistry education and practice, and dental schools to develop portable dentistry programs and hire dentists to deliver such services. CONCLUSIONS To promote portable dentistry, it may be necessary to improve the knowledge and competencies of dentists, but also to challenge their professional identity as well as the current model of dental clinics as the standard of care delivery. To achieve this, we need strong leadership from dental schools, professional organisations and government.
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Affiliation(s)
- Homa Fathi
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | | | - Christophe Bedos
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
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Parsons CLB, Mountain RV, Lau A, Troulis MJ, Bidlack FB, Dunn EC. The Meaning and Purpose of Primary Tooth Disposal Rituals: Implications for Pediatric Dental Professionals. FRONTIERS IN DENTAL MEDICINE 2021. [DOI: 10.3389/fdmed.2021.698144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Rituals for disposing of exfoliated primary teeth exist in virtually all cultures around the globe, suggesting an important psychological and social function for young children and parents. Despite the importance of these rituals, and the role they may play in children's interactions with dental professionals, the meaning and purpose of primary tooth disposal traditions has not yet received adequate attention in pediatric dentistry. The overarching goal of this perspective was to draw attention to the meaning and purpose of primary tooth disposal rituals and show how, with a greater understanding of these rituals, dental professionals could improve the interactions they have with their young patients. To achieve this goal, we first summarize findings from prior research on how primary tooth disposal rituals are primarily practiced as a rite-of-passage to ease the transition from early to later childhood, to counteract anxiety, trauma, or pain experienced by children of tooth-shedding age, and to honor spiritual or religious beliefs that are thought to protect the child and aid their healthy development. Second, we articulate how, by understanding the significance and diversity of these traditions, practitioners can potentially improve their ability to prevent dental anxiety, increase their cultural competence to engage with increasingly diverse pediatric patient populations, and ensure more timely primary oral care. Finally, we provide a two-pronged approach, centered around the pillars of Education and Communication, to improve overall patient care built on knowledge of these rituals and cultural practices.
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Luebbers J, Gurenlian J, Freudenthal J. Physicians' perceptions of the role of the dental hygienist in interprofessional collaboration: a pilot study. J Interprof Care 2020; 35:132-135. [PMID: 32130056 DOI: 10.1080/13561820.2020.1711715] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Shifts in healthcare models, and greater numbers of patients seeking care, has encouraged professional organizations to recommend collaborative healthcare teams. In the realm of oral health, the American Dental Hygienists' Association (ADHA) and the Commission on Dental Accreditation (CODA) have set recommendations that interprofessional collaboration (IPC) be emphasized in the profession. The purpose of this study was to determine physicians' perceptions of the role of the dental hygienist in IPC. A pilot study utilizing a nonprobability sampling method which included a purposive sample of 30 licensed physicians was conducted. The survey addressed: personal experiences with a dental hygienist, dental hygienists' roles working in collaboration with physicians, experiences with IPC, benefits of working with dental hygienists, barriers, and demographics. The majority (77.7%) supported the concept that dental hygienists have the necessary education and are important in IPC. Over 77.7% indicated dental hygienists would add value to a medical practice. Time and transfer of data were identified as primary obstacles in working collaboratively with dental hygienists. Findings revealed dental hygienists have the necessary education to be valuable members of IPC teams. Future research is needed to broaden the scope of studies among dental hygienists and other members of IPC teams.
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Affiliation(s)
- Jessica Luebbers
- Dental Hygiene, Oregon Institute of Technology , Klamath Falls, OR, USA
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Graça SR, Albuquerque TS, Luis HS, Assunção VA, Malmqvist S, Cuculescu M, Slusanschi O, Johannsen G, Galuscan A, Podariu AC, Johannsen A. Oral Health Knowledge, Perceptions, and Habits of Adolescents from Portugal, Romania, and Sweden: A Comparative Study. J Int Soc Prev Community Dent 2019; 9:470-480. [PMID: 31620380 PMCID: PMC6792312 DOI: 10.4103/jispcd.jispcd_194_19] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 07/25/2019] [Indexed: 01/04/2023] Open
Abstract
Aims The study aimed to assess and compare the self-reported oral health knowledge, habits, and perceptions of adolescents in Portugal, Romania, and Sweden and the factors that may affect them. Materials and Methods An oral health questionnaire with 25 questions was put together in English language and translated into Portuguese, Romanian, and Swedish language to investigate and compare oral health-related knowledge, habits, and perceptions of adolescents from the different countries. A voluntary sample of 879 teenagers completed it, mean aged 14.9 (±1.83) years, from Romania (n = 455), Portugal (n = 200), and Sweden (n = 224) as part of the EuHyDens project. The survey took place between November 2015 and June 2016. Results It showed some differences between the countries studied but more similarities between Portuguese and Romanian adolescents as related to perceptions of oral health and the use of oral services. Sweden and Portugal are more similar regarding oral health habits (toothbrushing and diet) as compared to Romanian adolescents. Portuguese adolescents have a higher oral health-related knowledge. Conclusion Assessment of knowledge, perceptions, and habits of a population is essential for the adequate understanding of the oral health-care needs of the society. From the data collected, several differences were found. These differences can be used for tailor interventions to minimize inequalities between countries.
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Affiliation(s)
- Sandra R Graça
- Dental Hygiene, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa Portugal, Leiria, Portugal
| | - Teresa S Albuquerque
- Dental Hygiene, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa Portugal, Leiria, Portugal
| | - Henrique S Luis
- Dental Hygiene, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa Portugal, ciTechCare - Center for Innovative Care and Health Technology, Polytechnic Institute of Leiria, Leiria, Portugal
| | - Victor A Assunção
- Dental Hygiene, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa Portugal, ciTechCare - Center for Innovative Care and Health Technology, Polytechnic Institute of Leiria, Leiria, Portugal
| | - Sebastian Malmqvist
- Division of Periodontology and Dental Hygiene, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
| | - Marian Cuculescu
- Preventive Dentistry Department, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Oana Slusanschi
- Preventive Dentistry Department, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | | | - Atena Galuscan
- Preventive Dentistry Department, Faculty of Dentistry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
| | - Angela C Podariu
- Preventive Dentistry Department, Faculty of Dentistry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
| | - Annsofi Johannsen
- Division of Periodontology and Dental Hygiene, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
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Gill P, Baillie J. Interviews and focus groups in qualitative research: an update for the digital age. Br Dent J 2018; 225:sj.bdj.2018.815. [PMID: 30287965 DOI: 10.1038/sj.bdj.2018.815] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2018] [Indexed: 11/08/2022]
Abstract
Qualitative research is used increasingly in dentistry, due to its potential to provide meaningful, in-depth insights into participants' experiences, perspectives, beliefs and behaviours. These insights can subsequently help to inform developments in dental practice and further related research. The most common methods of data collection used in qualitative research are interviews and focus groups. While these are primarily conducted face-to-face, the ongoing evolution of digital technologies, such as video chat and online forums, has further transformed these methods of data collection. This paper therefore discusses interviews and focus groups in detail, outlines how they can be used in practice, how digital technologies can further inform the data collection process, and what these methods can offer dentistry.
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Affiliation(s)
- P Gill
- Senior Lecturer (Adult Nursing), School of Healthcare Sciences, Cardiff University
| | - J Baillie
- Lecturer (Adult Nursing) and RCBC Wales Postdoctoral Research Fellow, School of Healthcare Sciences, Cardiff University
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