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Shevchenko OV. [The impact of primary prevention programs of dental diseases on the main trends in the development of dental services]. STOMATOLOGIIA 2023; 102:91-96. [PMID: 37144774 DOI: 10.17116/stomat202310202191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
The vision of the global strategy on oral health is universal health coverage for oral health for all individuals and communities by 2030, enabling them to enjoy the highest attainable state of oral health and contributing to healthy and productive lives (WHO, 2022). To achieve this goal, it is necessary to ensure the development of the dental care system in Russia on the basis of primary prevention of dental diseases. OBJECTIVE Analysis of the methodology for the development, implementation and evaluation of programs for the primary prevention of dental diseases and their impact on the main trends in the development of dental services. MATERIAL AND METHODS The main research methods were search for publications, analysis and systematization of information on the methodology for developing, implementing and evaluating programs for the primary prevention of dental diseases. RESULTS Despite the single main goal of dental disease prevention programs, the analysis of the methodology of their construction and implementation must be carried out considering their impact on the main trends in the development of dental services. CONCLUSIONS The main directions of development of the methodology for the development, implementation, and evaluation of primary prevention programs of dental diseases should include the use of indicators of oral health recognized by the international community, which allow us to trace the degree of their influence on the development of the system of dental care.
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Affiliation(s)
- O V Shevchenko
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
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Ghoneim A, Ebnahmady A, D'Souza V, Parbhakar KK, He H, Gerbig M, Singhal S, Quiñonez C. The impact of dental care programs on healthcare system and societal outcomes: a scoping review. BMC Health Serv Res 2022; 22:1574. [PMID: 36564768 PMCID: PMC9780625 DOI: 10.1186/s12913-022-08951-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 12/09/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Dental diseases have detrimental effects on healthcare systems and societies at large. Providing access to dental care can arguably improve health outcomes, reduce healthcare utilization costs, and improve several societal outcomes. OBJECTIVES Our objective was to review the literature to assess the impacts of dental care programs on healthcare and societal outcomes. Specifically, to identify the nature of such programs, including the type of services delivered, who was targeted, where services were delivered, and how access to dental care was enabled. Also, what kind of societal and healthcare outcomes have been attempted to be addressed through these programs were identified. METHODS We conducted a scoping review by searching four databases, MEDLINE, EMBASE, CINAHL, and Sociological Abstracts. Relevant articles published in English language from January 2000 to February 2022 were screened by four reviewers to determine eligibility for inclusion. RESULTS The search resulted in 29,468 original articles, of which 25 were included in the data synthesis. We found minimal evidence that answers our proposed research question. The majority of identified programs have demonstrated effectiveness in reducing medical and dental healthcare utilization (especially for non-preventive services) and avert more invasive treatments, and to a lesser degree, resulting in cost-savings. Moreover, some promising but limited evidence about program impacts on societal outcomes such as reducing homelessness and improving employability was reported. CONCLUSION Despite the well-known societal and economic consequences of dental problem, there is a paucity of studies that address the impacts of dental care programs from the societal and healthcare system perspectives. MESH TERMS Delivery of Health Care, Dental Care, Outcome assessment, Patient acceptance of Health Care.
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Affiliation(s)
| | - Arezoo Ebnahmady
- Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - Violet D'Souza
- Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | | | - Helen He
- Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - Madeline Gerbig
- Faculty of Arts and Science, University of Toronto, Toronto, ON, Canada
| | - Sonica Singhal
- Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.,Public Health Ontario, Toronto, ON, Canada
| | - Carlos Quiñonez
- Schulich School of Medicine and Dentistry, London, ON, Canada
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Raskin SE, Diep VK, Chung-Bridges K, Heaton LJ, Frantsve-Hawley J. Dental safety net providers' experiences with service delivery during the first year of COVID-19 should inform dental pandemic preparedness. J Am Dent Assoc 2022; 153:521-531. [PMID: 35135677 PMCID: PMC8604662 DOI: 10.1016/j.adaj.2021.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 10/26/2021] [Accepted: 11/15/2021] [Indexed: 12/14/2022]
Abstract
BACKGROUND COVID-19 disrupted oral health care delivery and revealed gaps in dental public health emergency preparedness and response (PHEPR). Emerging dental PHEPR frameworks can be strengthened by means of understanding the experiences of the discipline's frontline workers-dental safety net providers-during the initial phase of the COVID-19 pandemic. METHODS Experienced qualitative researchers interviewed dental safety net directors and clinicians (n = 21) in 6 states to understand their experiences delivering care from March 2020 through February 2021. Interview transcriptions were analyzed using iterative codes to identify major and minor themes. Conventional qualitative validity checks were used continuously to ensure impartiality and rigor. RESULTS Three major themes were identified: unpredictability caused concerns among staff members and patients, while also deepening fulfilling collaborations; care delivery was guided by means of various resources that balanced safety, flexibility, and respect for autonomy; and pandemic-driven changes to oral health care delivery are timely, long-lasting, and can be somewhat fraught. CONCLUSIONS The human, material, and policy resources that providers used to control infections, serve vulnerable patients, maintain clinic solvency, and address provider burnout during the first year of the COVID-19 pandemic can improve dental PHEPR. PRACTICAL IMPLICATIONS Dental PHEPR should address concerns beyond infection control within and between practice models, governmental agencies, and professional organizations. Examples of such concerns include, but are not limited to, guideline synchronization, materials exigencies, task shifting, and provider resilience.
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Jiang CM, Duangthip D, Auychai P, Chiba M, Folayan MO, Hamama HHH, Kamnoedboon P, Lyons K, Matangkasombut O, Mathu-Muju KR, Mathur VP, Mei ML, Morgan M, Poolthong S, Rahul M, Srinivasan M, Takahashi T, Yaklai S, Zhang S, Zou XC, Chu CH, Lo ECM. Changes in Oral Health Policies and Guidelines During the COVID-19 Pandemic. FRONTIERS IN ORAL HEALTH 2022; 2:668444. [PMID: 35048011 PMCID: PMC8757803 DOI: 10.3389/froh.2021.668444] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 04/19/2021] [Indexed: 12/23/2022] Open
Abstract
The aim of this study was to describe the changes in oral health policies and guidelines in response to the Coronavirus disease 2019 (COVID-19) pandemic in different countries and regions around the world. Information on oral health policies and guidelines from 9 countries (Canada, China including Hong Kong, Egypt, India, Japan, New Zealand, Nigeria, Switzerland, and Thailand) were summarized, and sources of the information were mostly the national or regional health authorities and/or dental council/associations. The changes made to the oral health guidelines depended on the severity of the COVID-19 pandemic. This included suspension of non-emergency dental care services at the peak of the COVID-19 outbreak, and easing the restrictions on non-essential and elective dental care when the pandemic became under control. The COVID-19 risk mitigation strategies include strict adherence to infection control practices (use of hand sanitizers, facemask and maintaining social distancing), reducing the amount of aerosol production in the dental setting, and managing the quality of air in the dental treatment rooms by reducing the use of air conditioners and improving air exchange. The COVID-19 pandemic has shown a major impact on dental practice. Dental professionals are trying to adapt to the new norms, while the medium to long-term impact of COVID-19 on dentistry needs further investigation.
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Affiliation(s)
- Chloe Meng Jiang
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | | | - Prim Auychai
- Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Mirei Chiba
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | | | | | | | - Karl Lyons
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | | | | | - Vijay Prakash Mathur
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - May Lei Mei
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Mike Morgan
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Suchit Poolthong
- Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Morankar Rahul
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Murali Srinivasan
- Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Tetsu Takahashi
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Sanicha Yaklai
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Shinan Zhang
- Affiliated Stomatological Hospital, School of Stomatology, Kunming Medical University, Kunming, China
| | - Xin Chun Zou
- Affiliated Stomatological Hospital, School of Stomatology, Kunming Medical University, Kunming, China
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
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Listl S, Quiñonez C, Vujicic M. Including oral diseases and conditions in universal health coverage. Bull World Health Organ 2021; 99:407. [PMID: 34108747 PMCID: PMC8164177 DOI: 10.2471/blt.21.285530] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Stefan Listl
- Department of Dentistry, Quality and Safety of Oral Healthcare, Radboud University Medical Center, Nijmegen, Philips van Leydenlaan 25, 6525EX Nijmegen, Netherlands
| | - Carlos Quiñonez
- Faculty of Dentistry, University of Toronto, Toronto, Canada
| | - Marko Vujicic
- Health Policy Institute, American Dental Association, Chicago, United States of America
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Çelik OE, Cansever İH. Evaluation of the effects of the COVID-19 pandemic on dentistry. Clin Exp Dent Res 2021; 7:943-950. [PMID: 34196128 PMCID: PMC8427031 DOI: 10.1002/cre2.466] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 06/04/2021] [Accepted: 06/11/2021] [Indexed: 01/01/2023] Open
Abstract
Objectives The aim of this study is to evaluate dentists' working conditions and the policies implemented for dentistry during the COVID‐19 pandemic. In addition, effects of working in private practice or governmental practice in terms of pandemic are also evaluated in the manuscript. Methods A questionnaire was prepared to elicit dentists' working conditions during the pandemic and analyze and evaluate the policies implemented for dentistry. The questionnaires were sent to the dentists registered in the Turkish Dental Association (TDA) via e‐mail, and collected between September 30, 2020, and October 20, 2020. Descriptive statistical methods, validity and reliability analysis, and regression analysis were applied for data analysis. Results Seven hundred thirty‐four dentists registered in the Turkish Dental Association took part in the study. 47% of respondents examined five or fewer patients per day during the pandemic. Dentists working in private practice examine more patients per day during the pandemic. 80.8% of the respondents experienced anxiety while examining patients during the pandemic. While the dentist's anxiety level increased with increasing the number of patients examined per day (β: 0.399), it decreased with increasing the dentist's age (β: −0.065). Respondents were not satisfied with the pandemic's management, with the decisions taken regarding dentistry, and with the supports provided to the dentists. 85.8% of the respondents were concerned about their professional future, which is higher among dentists who work in governmental practice (p < 0.05, ANOVA). Conclusions Increasing dentists' representation in the management of the pandemic and the future policy‐making process, taking steps for the future by creating planning processes will eliminate the uncertainties and dissatisfaction and ensure to be ready for new pandemics.
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Affiliation(s)
- Osman Evren Çelik
- Department of Oral and Dental Health, Davraz Yaşam Hospital, Isparta, Turkey
| | - İbrahim Hüseyin Cansever
- Faculty of Economics and Administrative Sciences, Department of Health Management, Süleyman Demirel University, Isparta, Turkey
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Benzian H, Beltràn-Aguilar E. The return of oral health to global health is significant for public health everywhere. J Public Health Dent 2021; 81:87-89. [PMID: 33908041 DOI: 10.1111/jphd.12457] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/16/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Habib Benzian
- WHO Collaborating Center Quality Improvement & Evidence-based Dentistry, College of Dentistry, New York University, New York, NY, 10010, USA
| | - Eugenio Beltràn-Aguilar
- WHO Collaborating Center Quality Improvement & Evidence-based Dentistry, College of Dentistry, New York University, New York, NY, 10010, USA
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Hopcraft M, Farmer G. Impact of COVID-19 on the provision of paediatric dental care: Analysis of the Australian Child Dental Benefits Schedule. Community Dent Oral Epidemiol 2020; 49:369-376. [PMID: 33314322 DOI: 10.1111/cdoe.12611] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 11/23/2020] [Accepted: 11/29/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Oral health is essential to maintaining good overall health, and access to dental care is necessary for the early detection, prevention and control of oral diseases. The COVID-19 pandemic has seen a significant disruption in the provision of dental services globally. The aim of this study was to investigate the impact of COVID-19 on dental services provided in Australia through the Child Dental Benefits Schedule. METHODS This study was a retrospective analysis of Medicare data on utilization of the Child Dental Benefits Schedule obtained from the Australian Government. Data were analysed for the period February to September 2020, with the number of services provided per month across five categories (diagnostic, preventive, restorative, endodontic and oral surgery) compared with the monthly average for 2019 (95% CI) and the same month for 2019. Total services by month were reported for 2017, 2018 and 2019 to compare the yearly trend with 2020. Differences in services provision by State/Territory were also described. RESULTS Over the period of March to September, there were 881 454 fewer dental services provided in 2020 than 2019, with the largest decline seen in April. There was a greater decline in preventive and diagnostic services, and a smaller decline in endodontic and oral surgery services. A second wave of COVID-19 in Victoria saw 198 609 fewer dental services provided in that state from July to September 2020 than 2019. Dental service provision had still not returned to normal levels across Australia by September 2020. CONCLUSION The COVID-19 pandemic has had a significant impact on the provision of dental services to children from lower socioeconomic backgrounds who already experience higher levels of dental disease and disadvantage in accessing dental care. Although the restriction of dental services was deemed necessary in order to minimize the risk of transmission of COVID-19 in the dental setting, the impact of these restrictions on oral health will be long lasting. Given the chronic and progressive nature of dental disease, the deferral of necessary dental care is likely to contribute to poorer oral health and long-term problems for many Australians.
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Affiliation(s)
- Matthew Hopcraft
- Melbourne Dental School, The University of Melbourne, Melbourne, Vic., Australia.,eviDent Foundation, South Yarra, Vic., Australia
| | - Glenda Farmer
- Melbourne Dental School, The University of Melbourne, Melbourne, Vic., Australia
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