Magister Chirurgiae Dentium (MChD) / The aim of this study is to analyse and compare the delivery of oral health care services based on the prevailing curative paradigm and WHO-treatment norms for the school-going community of Mitchells Palin district in relation to selected alternative methods of dental care delivery. The optimal use of auxiliary personnel, purchasing care from private dental practitioners and intriducing water fluoridation was examined. / South Africa

This study presents findings on the dental health status of a portion of the children participating in the dental component of the Child Health Investment Partnership (CHIP). The children in the CHIP group were compared on six variables to a comparison group of children seen at one participating CHIP dental office. Analyses of the data collected from the examination of 67 CHIP children and 178 children in the comparison group ages 2-13 revealed that upon initial visit to the dental office, the mean DMF score was .83 and 2.00, respectively. Dental visits at six months, revealed mean DMF values of 1.23 for the CHIP group and 2.65 for the comparison group. At one year dental visits, the CHIP group mean DMF score was 2.00 and the comparison group mean DMF score was 2.40. At six month and one year dental visits the CHIP group, when compared to the comparison group, receives no significantly different level of treatment (F/DMF) or experiences a Significantly different level of morbidity (D/DMF). The percentage of failed appointments was not found to be significantly different at 21% (comparison group) and 20% (CHIP). A survey containing nine questions was constructed by the researcher and administered to five dentists participating in the CHIP program. Missed appointments and low reimbursement were the only areas noted for improvement. Results revealed successful progress of the dental care received by CHIP children. This research will aid CHIP staff in determining the effectiveness of the dental health component of CHIP and will provide a baseline study from which future evaluation of the program may expand. / Master of Science

A thesis submitted to fulfill the requirements for the degree of Doctor of Dental Science

Thesis (M.S.P.H.)--University of Michigan, 1942.

Thesis (M.S.P.H.)--University of Michigan, 1942.

The aim of this study is to analyse and compare the delivery of oral health care services based on the prevailing curative paradigm and WHO-treatment norms for the school-going community of Mitchells Palin district in relation to selected alternative methods of dental care delivery. The optimal use of auxiliary personnel, purchasing care from private dental practitioners and intriducing water fluoridation was examined.

The aim of this study is to analyse and compare the delivery of oral health care services based on the prevailing curative paradigm and WHO-treatment norms for the school-going community of Mitchells Palin district in relation to selected alternative methods of dental care delivery. The optimal use of auxiliary personnel, purchasing care from private dental practitioners and intriducing water fluoridation was examined.

Indiana University-Purdue University Indianapolis (IUPUI) / Oral health is crucial to overall health and a focus of the U.S. Health Center program, which provides preventive dental services in medically underserved communities. Dental hygiene is an oral health profession whose practice is focused on dental disease prevention and oral health promotion. Variations in the practice and regulation of dental hygiene has been demonstrated to influence access to dental care at a state level; restrictive policies are associated lower rates of access to care. Understanding whether and to what extent policy variations affect availability and access to dental care and the oral health of medically underserved communities served by grantees of the U.S. Health Center program is the focus of this study. This longitudinal study examines dental service utilization at 1,135 health center grantees that received community health center funding from 2004 to 2011. The Dental Hygiene Professional Practice Index (DHPPI) was used as an indicator of the state policy environment. The influence of grantee and state level characteristics are also considered. Mixed effects models were used to account for correlations introduced by the multiple hierarchical structure of the data. Key findings of this study demonstrate that state policy environment is a predictor of the availability and access to dental care and the oral health status of medically underserved communities that received care at a grantee of the U.S. Health Center program. Grantees located in states with highly restrictive policy environments were 73% less likely to deliver dental services and, those that do, provided care to 7% fewer patients than those grantees located in states with the most supportive policy environments. Population’s served by grantees from the most restrictive states received less preventive care and had greater restorative and emergency dental care needs. State policy environment is a predictor of availability and access to dental care and the oral health status of medically underserved communities. This study has important implications for policy at the federal, state, and local levels. Findings demonstrate the need for policy and advocacy efforts at all levels, especially within states with restrictive policy environments.