Thesis (M.S.)--University of Michigan, 1949.

A research report submitted in partial fulfillment of the requirements for the degree of Master of Science (Dentistry) In the Department of Paediatric and Restorative Dentistry School of Oral Health Sciences Faculty of Health Sciences University of the Witwatersrand, Johannesburg / A Clinical Audit: Dental Treatment Needs and Treatment Received by 12 and 15 year old children who attended the WITS Dental Hospital during the period January 2006 to December 2010. Background The majority of children and adults are affected by dental caries and its sequelae in South Africa. Children, from lower socioeconomic backgrounds in particular, continue to experience a high burden of dental caries. Objectives - To determine the number and profile of 12 – year – old and of 15 – year – old patients who attended the Wits Dental Hospital during the period of January 2006 to December 2010. - To determine the dental treatment needs of the two index age groups, including caries prevalence and the teeth affected by caries. - To determine the treatment received during this period. - To determine the time taken to complete the treatment needed and the number of patient visits required. - To determine the obstacles to receiving or completing the prescribed treatment. xii | P a g e Subjects and Methods The study was based on a retrospective review of the dental treatment records of 12 – year – old and 15 – year – old children attending the WITS Dental Hospital during the period January 2006 to December 2010. The study was based on children treated in the dental chair and did not include children treated under general anaesthetic. A total of 143 dental treatment records were retrieved , but only 62% (89) of the records met the specified study requirements – (39 for 12 yr olds and 50 for 15 yr olds). Extracted data was recorded by the researcher onto specifically – formulated data capture sheets. Processing and analysis of data was carried out with SPSS for Windows, Version 13 . Chi – square tables were constructed for comparison of proportional distributions. Exact and Monte Carlo test statistics were calculated to identify significant relationships. Results The mean DMFT for the 12 – year – old age group was 3.0 . The DT accounted for 76.6% of the DMFT , the MT for 23.33% and the FT was nil. The mean DMFT for the 15 – year – old age group was 3.8. The DT accounted for 92.1% of the DMFT , the MT for less than 10% and the FT was nil. There is an increase in dental caries from 12 – year – old to 15 – year – old patients. Carious teeth are left untreated. Restorative dental treatment levels are low. Low levels of completed treatment plans noted. Conclusion The rise in dental caries from the 12 – year – old group to the 15 – year – old group, together with high levels of untreated caries and low levels of restorative dental xiii | P a g e treatment indicate the need to improve the oral health of school children. Evidence – based oral health prevention and promotion strategies must guide oral health policy planning, so that supportive environments are created and sustained to facilitate healthy choices and maintain optimal oral health.

Thesis (M.Ed.)--York University, 2006. Graduate Programme in Education. / Typescript. Includes bibliographical references (leaves 85-95). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:MR29588

Yes / Aim: This research aims to determine the organizational preventative strategies implemented by dental clinics in Fiji during the COVID-19 pandemic. Methods: This qualitative study was conducted amongst Dental Officers (Dos) and Dental Managers (DMs) who were working at government dental clinics, private dental clinics, and the School of Dentistry and Oral Health clinic (SDOH), in the Central Division, Fiji. A semi-structured open-ended questionnaire was used for data collection through in-depth interviews via zoom. A manual thematic analysis of the data was conducted. Results: Thirty Dos and 17 DMs participated in this study. 16 themes emerged from data analysis: Major Strategies implemented, Staff perception about strategies in place, Triaging and Screening, Hand hygiene, Waiting room changes, Operational Capacity, Universal precautions, Personal Protective Equipment (PPEs), Disinfection and decontamination protocols, Ventilation, Sterilization, Pre-procedural mouth rinse, Waste management, Vaccination status, Bubbles and Adaptation of Protocols. The Dos were generally satisfied with the strategies implemented by the DMs. The DMs along with other Dos had used various guidance documents to devise tailor-made ones suited for dental clinics in Fiji. Conclusion: Various strategies were adopted from several guidelines and tailor-made Standard Operating Procedures (SOPs) for each workplaces were developed by the various DMs. The majority of Dos were in favor of and satisfied with the protocols in place. Future research can be conducted in other divisions and include other health care professionals as well apart from just Dos and DMs.

ABSTRACT:Healthcare management is a field that is related to management, leadership, and service of anorganization. Due to high competition and change in the environment of healthcare organizations,managers need to embrace the innovation to respond to those changes and make the organizationsuccessful by improving the process, structure, and culture of the organization as well as to provideefficient and effective care that will lead to achieve patient satisfaction. Service quality is one ofthe key factor among the service innovations that contribute to business development and leadingposition in the business world with high competition. Patient satisfaction is important for anyhealthcare organization. Patient satisfaction improves hospital/clinic image, which changes into anincrease in the use of services provided by the healthcare systems and increases market share.Patient satisfaction is dependent on the service quality which is the main factor in healthcareinnovations.Purpose: The purpose of this study is to understand experience levels of the patient satisfaction ofservice quality in Swedish dental clinics, based on the factors affecting dental service quality.Data Sources: Interviews with staff from six clinics in Sweden, 240 patient surveys from twopublic and two private Swedish dental clinic, group interviews with three Swedish dental clinics,Science-Direct, Research Gate, ABI Inform, Google Scholar, Academia.edu.Method: This study is based on the quantitative and qualitative analysis (i.e., mixed methodapproach) and abductive approaches to measure patient satisfaction in Swedish dental clinicsthrough service quality. The problem is analyzed through interviews with the staff in private andpublic dental clinics. The factors affecting the dental service quality are analyzed throughtheoretical and empirical analysis. The patient’s satisfaction was measured by SERVQUAL toolthrough using patients’ survey that consists of 12 questions based on the four factors (tangibility,empathy, responsiveness, and Assurance). Patient survey is conducted in four dental clinics. SPSSwas used to calculate mean and standard deviation for the survey’s result. After analyzing the result,group interviews with clinic 1, clinic 3 and clinic 5 was conducted to understand different valuesin the tool i.e., the value created, value destroyed, and value missed based on the customerperception to analyze the service quality of the dental clinics.Findings: The result from the surveys showed that the factor empathy has highest positive affectand responsiveness has the lowest effect in four dental clinics. The lowest effect in the factorresponsiveness is based on the waiting time to meet a dentist. The group interviews gave us thedifferent values which are based on the idea of the value mapping tool in customer perspective.The value that the clinics gained trust from their patients. The value missed\destroyed is the waitingtime to meet a dentist. The new opportunities are to improve the services by installing newtechnology products and changing the appearance of the clinic.

The Muscatine Pediatric Dentistry Clinic (MPDC) at the Muscatine Center for Social Action (MCSA) was established January 4th, 2005. It is a partnership between the MCSA and The University of Iowa's Department of Pediatric Dentistry. MPDC operates Tuesdays (care provided by senior dental students) and Thursdays (care provided by pediatric dentistry residents). Students and residents are supervised by a pediatric dentistry faculty member. MPDC's mission is to provide dental care to low income children residing in Muscatine and Louisa counties, in Iowa. Care includes diagnostic, preventive, restorative, and emergency services. MPDC targets a population that has been traditionally underserved by local dentists including Medicaid-enrolled children and low income children without dental insurance. MPDC offers dental students the opportunity to gain experience treating children with the ultimate goal of increasing the number of practicing general dentists who serve pediatric populations. MPDC completed 6 years of operation on January 4th, 2010. The main goals of this study were to describe patient characteristics, clinical activities and parental satisfaction at the Muscatine clinic and to compare characteristics of the Muscatine clinic to those of the University of Iowa's pediatric dentistry clinic at the College of Dentistry. Clinical activities and patient profile variables for MPDC were reported for the entire fiscal year 2009-10 year. Variables include patient age, gender, type of insurance, number of dental procedures completed, type of treatment received, and number of visits per patient. A satisfaction survey was given to the parent of each patient presenting to the MPDC clinic between November 16th, 2009 and January 17th, 2010. Two broad research questions were addressed in this study: 1) Are parents satisfied with MPDC and the treatment provided to their children? 2) Are there are differences in the population served and treatment provided at the Muscatine clinic and the University of Iowa pediatric dentistry clinic at the College of Dentistry? The results of this study provide information that contributes to a fuller understanding about the population served by MPDC, the treatment received, and parental satisfaction with the clinic. It also compares characteristics of the Muscatine clinic to the University of Iowa's pediatric dentistry clinic at the College of Dentistry. The results of this study may help guide MPDC staff and the University of Iowa's Department of Pediatric Dentistry in future decision-making regarding clinic activities and dental school curriculum.

"Professional paper presented in partial fulfillment of the requirements for the degree of Master of Science, Environmental Studies, the University of Montana, Missoula, MT, spring 2007." / Title from PDF title page (viewed on Aug. 12, 2007). Includes bibliographic references (p. 67-69).

Orientador: Maria Salete Machado Cândido / Banca: Renato Luiz Terence / Banca: Luiz Antônio Borelli Barros / Banca: Alberto Magno Gonçalves / Banca: Denise Pedrini / Resumo: Foram analisados 176 prontuários gerais da Clínica Integrada da Faculdade de Odontologia de Araraquara - UNESP, referentes aos pacientes atendidos no período de 1999 e 2000, assim como, os planejamentos realizados pelos alunos, através do odontograma para plano de tratamento e sequência dos trabalhos a realizar e confrontados os dados com o tratamento realizado no odontograma de trabalho executado, a fim de determinar a eficácia da disciplina quanto ao cumprimento das necessidades dos seus pacientes. Foram realizadas tabelas e gráficos utilizando o software EPIINFO 6.0 e aplicada a estatística Kappa para conhecer a concordância das atividades realizadas e planejadas. Conclue-se neste periódo de estudo que o grupo etário 25-34 anos foi o mais significativo e o sexo feminino (62,5%) procurou mais atendimento; com relação as necessidades odontológicas encontrou-se que 97,6% de pacientes que necessitaram exodontia; 78% raspagem e polimento dental, 67% restaurações estéticas, 59,5% próteses parciais removíveis, 53,4% próteses unitárias, 46,1% endodontias; 44% próteses fixas; 43% cirurgias periodontais; 22% restaurações de amálgama e 5,7% próteses totais. Para os tratamentos realizados foram encontrados respectivamente: 98,7%; 68,7%; 62,6%; 24,5%; 31%; 44,3%; 8,9%; 38%; 20% e 4,2%. Ressaltando que a disciplina de clínica integrada foi eficaz quanto ao cumprimento do seu objetivo de ensino, voltado para a formação do clínico geral em odontologia apesar de possuir deficiências quanto a satisfação integral das necessidades dos seus pacientes através dos tratamentos evidenciados nos planejamentos globais. / Abstract: The 176 patients who received treatment from 1999 to 2000 in the Integrated Clinics of the Araraquara Dental School - UNESP, wher choused for this study. The treatment register for the treatment plan and clinical sequence of treatment was confronted the data with the treatment accomplished in the plan of the executed treatments, in order determine the effectiveness of the discipline with relationship to the execution of your patient's needs. Table and graphics were accomplished using EPIINFO 6.0 software and to applied the statistics type Kappa (k). It was concluded that during this period of study the groups aged from 25-34 years was the most significant and the women looked more for attendance; in relation to the dental needs it was observed that 97,6% of the patient's need extraction; 78% scaling and dental polishment; 67% esthetic restorations; 59,5% partial removable dentures; 53,4% unitary fixed prosthesis; 46,1% endodontics; 43% periodontal surgery; 22% amalgam restorations and 5,7% total dentures. For the accomplished treatments they were observed respectively: 98,7%; 68,7%; 62,6%, 24,5%; 31%; 44,3%; 8,9%, 38%; 20% and 4,2%. The integrated clinics discipline was effective with the relationship to the execution of your teaching objective, general clinicians formation in dentistry, in spite of deficiencies as the total satisfaction of your patient's needs through the treatments evidenced in the global planning. / Doutor

Magister Scientiae Dentium - MSc(Dent) / The level of knowledge and the attitude of dentists regarding radiation safety will have a direct impact on patient exposure to radiation. Aim: The aim of the present study was to evaluate the knowledge and attitude of dentists regarding radiation safety in government dental clinics in Khartoum, Sudan. Materials and Methods: A cross-sectional study using an administered structured questionnaire was carried out. The questionnaire consisted of 13 questions that included the demographic data of dentists, basic knowledge regarding radiation safety, knowledge of methods of dose reduction and the attitude of dentists regarding radiation safety. One hundred and sixty seven dental practitioners participated in the study. Results: The response rate was 90%. The majority were female, 59%, in the age group younger than 29 years with clinical experience less than 10 years. Only fifteen of the respondents identified themselves as specialist. Half of the respondents did not know that the thyroid gland is the most radiosensitive organ in the head and neck region. Forty four percent believed that the dose for panoramic radiography was higher than that for full mouth periapical radiographs. Forty percent had no idea that a relationship exists between the length of the x-ray cone and the amount of the dose and 44% who knew that the relationship existed, failed to explain that the long cone is more effective for reducing the patient dose. Forty seven percent of the respondents had no idea that there is a relationship between the speed of the film and the amount of dose and 44% who knew that the relationship existed, failed to explain that the fast film is more effective for reducing the patient dose. Sixty six percent had no idea that a relationship exists between collimation of the x-ray tube and patient dose. Forty six percent who knew the relationship existed, failed to explain that rectangular collimation is more effective for dose reduction. Seventy two percent of the dentists did not know what a safe distance from the radiation source was. Forty seven percent did not use film holders when taking periapical radiographs. Conclusions: This study clearly illustrates that there is a lack of knowledge regarding radiation safety in dentists in the government dental clinics in Khartoum, Sudan. Therefore there is a need to increase their knowledge regarding methods of radiation dose reduction (to patient) as well as improving their attitude regarding the radiation safety.

Thesis (MSD)--Boston University, Henry M. Goldman School of Dental Medicine, 2008 (Dept. of Health Policy and Health Services Research). / Includes bibliography: leaves 44-48. / 0bjective: The objective of this study is to detemine if there are differences by race or ethnicity in dental care provided at community health center clinics resulting in oral health disparities. This study also provides detailed information about the types of dental procedures received by patients at community health center clinics. Methods: This was a retrospective observational study design, consisting of a convenience sample of patients seen and care provided by senior dental students during their ten-week externship at twenty one Boston University Goldman School of Dental Medicine affiliated community health center clinics. The data collected was analyzed SAS version 9.1. Frequencies for categorical variables, means for continuous variable, bivariate analyses and generalized models of logistic regression analysis were performed with the main dependent variable of interest being patient’s race/ethnicity. Results: The total sample was 62,112 observations, of which 56% were females. Regression analysis found that Blacks were 1.23 times and Asians and others were 1.09 times more likely to get diagnostic procedures than Whites. Hispanics were just as likely to receive diagnostic procedures as Whites. Blacks, Hispanics, Asians and others were more likely to get preventive procedures when compared to Whites (p[less than or equal to]0.0001 ). Blacks were less likely to get restorative procedures than Whites (p[less than or equal to]0.0001) whereas Hispanics were as likely to get restorative procedures as Whites. Further generalized logistic regression models to predict specific procedures were performed which indicates that Blacks were 1.99 times, Hispanics were 1.72 times, Asians and others were 1.21 times more likely to get amalgam restorations compared to composite restorations than Whites. However, Blacks were as likely to get root canal therapy compared to extractions as Whites whereas Hispanics were 27% and Asians and others were 37% more likely to get root canal therapy versus extractions than Whites (p[less than or equal to]0.0001). Blacks were 0.55 times, Asians and others were 0.37 times less likely to receive fixed partial dentures compared to removable partial dentures than Whites (p[less than or equal to]0.0001) whereas Hispanics were just as likely to receive fixed Partial dentures as Whites. Conclusion: Disparities were seen in the receipt of dental services provided such as diagnostic, preventive, and restorative procedures based on race at community health center clinics. This surprising finding related to community health center clinics indicate the need for future research focused on reasons for these disparities as community health center clinics are primary care providers for underserved populations.