Purpose: To evaluate the factors that influence potential orthodontic patients choosing between an orthodontist, general dentist, and direct-to-consumer (DTC) aligners for their treatment, and to determine the demand for each provider type. Methods: An electronic survey was administered to 250 individuals among the general population of adults in the United States. Questions were designed to determine the respondent’s level of interest in pursuing orthodontic treatment with each provider type, evaluate their current level of knowledge concerning provider options, and identify factors influencing their selection. Pearson’s chi-squared test and ANOVA were used to evaluate the factors influencing patients in their selection. Results: When asked their preference in provider type, 43.8% of respondents selected orthodontist, 34.1% selected DTC aligners, and 22.1% selected general dentist. Among respondents with the highest level of interest in pursuing orthodontic treatment, 50% selected an orthodontist and 27% selected DTC aligners. For respondents with moderate levels of interest in pursuing treatment, only 21% selected an orthodontist and 48% selected DTC aligners. The biggest perceived advantage of treatment with an orthodontist was quality of treatment, and the biggest disadvantage was cost. For DTC aligners, the biggest perceived advantage was convenience, followed by cost, and the biggest disadvantage was quality of treatment. Among adults with children, 34% selected DTC aligners for themselves and only 16% selected DTC aligners when selecting for their children. Conclusion: Adults in the United States have similar levels of interest in pursuing orthodontic treatment with orthodontists and DTC aligners and, to a lesser degree, general dentists. A significant portion of those who select DTC aligners for their treatment are patients who would not have otherwise undergone treatment with an orthodontist. Patients tend to select orthodontists due to quality of treatment, whereas DTC aligners are selected due to convenience, followed by cost. Even among parents who prefer DTC aligners for their own treatment, parents tend to select an orthodontist for their child’s treatment.

Dentists graduate dental school ready to practice dentistry, but 85% do not feel prepared by the dental school to open and manage the operations of a general dental practice. General systems theory grounded this multisite case study. The research provides information on 3 solo practitioner dental practices that sustained beyond 5 years in the Washington, DC suburbs. At each operating practice, the dentist who owned the practice and 1 employee that also worked at the practice during the first 5 years were interviewed. The dentist provided marketing documents used during the first 5 years of the practice operations. Data triangulation was used to ensure the trustworthiness of the analysis of the data from the interviews and documents collected. The data collected was analyzed using coding, establishing nodes, and creating mind maps to identify 5 themes. The themes included working hard to provide dental care and relieve pain, marketing to ensure potential patients had the practice contact information when they needed it, learning continuously to improve the practice operations, putting patient's health before practice profits, and minimizing debt. The implications for positive social change for residents of the Washington, DC suburbs include the potential to receive the needed dental care and pain relief they need because dentists who learn from this research will stay late and return to their practice to treat patients who found the dentist's contact information from their marketing. The implications for positive social change for owners of dental practices include building a sustainable dental practice by implementing these research findings that include working hard, marketing, continuous learning, putting patients health first, and minimizing debt.

Thesis (M.S.)--University of Michigan, 2004. / Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 2004. / Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 2004. / Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 2003. / Includes bibliographical references.

Thesis (doctoral)--Rijksuniversiteit te Groningen, 1984. / Includes bibliographical references (p. 264-282).

Thesis (Ph. D.)--Oregon State University, 2007. / Printout. Includes bibliographical references (leaves 142-151). Also available on the World Wide Web.

Submitted by Oliveira Santos Dilzaná (dilznana@yahoo.com.br) on 2016-07-01T12:43:05Z No. of bitstreams: 1 Tese de Bleicher Lana.pdf: 1800692 bytes, checksum: 831e68bfff3fae065083b6be04d4cd06 (MD5) / Approved for entry into archive by Juarez Cardoso da Silva (juarez.cardoso@ufba.br) on 2016-07-04T17:30:15Z (GMT) No. of bitstreams: 1 Tese de Bleicher Lana.pdf: 1800692 bytes, checksum: 831e68bfff3fae065083b6be04d4cd06 (MD5) / Made available in DSpace on 2016-07-04T17:30:15Z (GMT). No. of bitstreams: 1 Tese de Bleicher Lana.pdf: 1800692 bytes, checksum: 831e68bfff3fae065083b6be04d4cd06 (MD5) / Tradicionalmente reconhecidos como profissionais liberais, os dentistas têm experimentado um crescente processo de assalariamento nas três últimas décadas. Todavia, tal fenômeno ocorre em um contexto no qual o regime de acumulação flexível promove formas precárias de trabalho. Assim, o processo de precarização social do trabalho dos dentistas apresenta determinadas similitudes ao que ocorre com os demais tipos de trabalhadores, mas também especificidades que merecem ser analisadas. Este estudo aborda as principais transformações que têm ocorrido na condição de trabalho e inserção profissional dos dentistas. Procurou-se entender de que forma o contexto mais geral de precarização social do trabalho afeta os dentistas que atuam em Salvador, Bahia; apontar as singularidades das condições de trabalho dos recém-formados e compreender a maneira pela qual os dentistas percebem as mudanças em seu mercado de trabalho. Foi realizada pesquisa documental (imprensa online, portais de entidades odontológicas, blogs, comunidades virtuais), levantamento de dados quantitativos secundários e entrevistas com 14 dentistas com distintas inserções no mercado de trabalho de Salvador. Considera-se que está em curso uma complexificação do mercado de trabalho do dentista, com a permanência da prática liberal, mas a diminuição de sua importância relativa. O aprofundamento do assalariamento do dentista não significa o desaparecimento da prática autônoma. As transformações do mercado de trabalho do dentista se explicam a partir da formação de dois polos: o assalariado (ainda que disfarçado) e o empresariado – mais robusto, profissionalizado e financeirizado. Concomitante a este processo, a expansão do número de postos de trabalho no setor público contribuiu para suavizar as tensões advindas da grande proporção de profissionais. O discurso dos dentistas revela uma tensão entre a ideologia da profissão liberal e o desejo de uma condição assalariada menos precária, este último mais visível entre os jovens dentistas. A tradição liberal facilita a naturalização do assalariamento precário, pois a ideologia do empreendedorismo joga para cada trabalhador a responsabilidade por seu sucesso e bem-estar individual. Se podemos perceber uma inserção do dentista no mercado de forma mais desprotegida, por outro lado, há alguns indícios tênues de crescimento da organização coletiva. Traditionally recognized as independent professionals, dentists have experienced a growing process of formal wages in the past three decades. However, such a phenomenon occurs in a context in which the flexible accumulation regime promotes precarious forms of work. Thus, the process of social precariousness of the dentist’s work exposes not only certain similarities that occur with other types of workers but also specific matters that deserve to be analyzed. This study discusses the major transformations that have occurred in the dentist’s working condition and participation in the labor market. It was tried to understand how the broader context of social precariousness of work affects the dentists who work in Salvador, Bahia (Brazil); to appoint the peculiarities of working conditions of the new college graduates and to understand the way in which these dentists notice changes in the labor market. Documentary search was conducted (by using press on line, sites of odontological entities, blogs, virtual communities); there was a survey of secondary quantitative data and interviews with 14 dentists with distinct participation in the labor market of Salvador. It’s considered that the dentists’ labor market has become more complex. The independent practice remains, however, it loses its importance. The deepening of the dentist’s formal wages doesn’t mean disappearance of autonomous practice. The dentist’s labor market transformations are explained from the formation of two poles: the employee (even if simulated) and entrepreneurship (more robust, professional and pecuniary). Concomitant to this process, the expansion of the number of jobs in the public sector contributed to sooth the tension stemming from the high proportion of professionals. The dentist’s speech reveals tension between the ideology of independent profession and the desire of a less precarious condition of salary, the latter being more visible among young dentists. The independent tradition makes naturalization of formal wages precarious because the ideology of entrepreneurship turns over to each worker the responsibility for his/ her success and individual well-being. If it’s possible to notice a participation of the dentist in the labor market in a more unprotected way, on the other hand, there is a small evidence of the collective organization growth. / Traditionally recognized as independent professionals, dentists have experienced a growing process of formal wages in the past three decades. However, such a phenomenon occurs in a context in which the flexible accumulation regime promotes precarious forms of work. Thus, the process of social precariousness of the dentist’s work exposes not only certain similarities that occur with other types of workers but also specific matters that deserve to be analyzed. This study discusses the major transformations that have occurred in the dentist’s working condition and participation in the labor market. It was tried to understand how the broader context of social precariousness of work affects the dentists who work in Salvador, Bahia (Brazil); to appoint the peculiarities of working conditions of the new college graduates and to understand the way in which these dentists notice changes in the labor market. Documentary search was conducted (by using press on line, sites of odontological entities, blogs, virtual communities); there was a survey of secondary quantitative data and interviews with 14 dentists with distinct participation in the labor market of Salvador. It’s considered that the dentists’ labor market has become more complex. The independent practice remains, however, it loses its importance. The deepening of the dentist’s formal wages doesn’t mean disappearance of autonomous practice. The dentist’s labor market transformations are explained from the formation of two poles: the employee (even if simulated) and entrepreneurship (more robust, professional and pecuniary). Concomitant to this process, the expansion of the number of jobs in the public sector contributed to sooth the tension stemming from the high proportion of professionals. The dentist’s speech reveals tension between the ideology of independent profession and the desire of a less precarious condition of salary, the latter being more visible among young dentists. The independent tradition makes naturalization of formal wages precarious because the ideology of entrepreneurship turns over to each worker the responsibility for his/ her success and individual well-being. If it’s possible to notice a participation of the dentist in the labor market in a more unprotected way, on the other hand, there is a small evidence of the collective organization growth. Keyword: employment precariousness; salaried employment; dentist.

183f. / Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-04-24T14:11:29Z No. of bitstreams: 1 Dissertacao - Sandra Mello.pdf: 1221336 bytes, checksum: 809e2b31507951ccd248ce7158a448f2 (MD5) / Approved for entry into archive by Rodrigo Meirelles(rodrigomei@ufba.br) on 2013-05-08T12:03:16Z (GMT) No. of bitstreams: 1 Dissertacao - Sandra Mello.pdf: 1221336 bytes, checksum: 809e2b31507951ccd248ce7158a448f2 (MD5) / Made available in DSpace on 2013-05-08T12:03:16Z (GMT). No. of bitstreams: 1 Dissertacao - Sandra Mello.pdf: 1221336 bytes, checksum: 809e2b31507951ccd248ce7158a448f2 (MD5) Previous issue date: 2009 / A docência em Odontologia tem se caracterizado, diferentemente de outros campos de ensino, por considerar a experiência prática suficiente para o seu exercício. A partir das Diretrizes Curriculares Nacionais (DCN), perfila-se um novo egresso, generalista, reflexivo e humanista, o que torna necessário repensar as práticas docentes. Assim, o objetivo deste estudo consiste em efetuar uma análise crítica da formação do cirurgião-dentista docente e do seu desempenho pedagógico frente às mudanças que vêm ocorrendo no processo ensino-aprendizagem, em especial nos cursos de Odontologia do estado da Bahia. Como instrumento da pesquisa, foi encaminhado um questionário a 323 cirurgiões-dentistas docentes de cursos de graduação em Odontologia, obtendo-se resposta de 204 deles. A análise dos dados coletados tornou evidente a necessidade de preparo pedagógico, para que os docentes propiciem aos novos cirurgiões-dentistas a formação ética, solidária humanista preconizada pelas DCN para os cursos de Odontologia. Observa-se que a formação docente para a Odontologia ocorre, basicamente, em cursos de especialização, mestrado e doutorado que privilegiam conteúdos técnicos e procedimentos mecânicos peculiares à profissão, em detrimento de uma formação pedagógica que dê suporte à docência. Dessa forma, fica explicita a necessidade de os docentes se apropriarem dos paradigmas inovadores da Educação, de modo a integrar sua formação técnico-científica a uma visão ético-humanista e possibilitar a formação dos futuros cirurgiões-dentistas em consonância com as características e necessidades da realidade brasileira. / Salvador