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Titolo:
CAN ORGANIZED DENTAL-CARE FOR CHILDREN BE BOTH GOOD AND CHEAP
Autore:
RIORDAN PJ;
Indirizzi:
DENT SERV,43 MT HENRY RD COMO WA 6152 AUSTRALIA HLTH DEPT WESTERN AUSTRALIA PERTH WA AUSTRALIA
Titolo Testata:
Community dentistry and oral epidemiology
fascicolo: 1, volume: 25, anno: 1997,
pagine: 119 - 125
SICI:
0301-5661(1997)25:1<119:CODFCB>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARIES EXPERIENCE; HEALTH; SCHOOLS; TRENDS;
Keywords:
DENTAL CARIES; DENTAL EPIDEMIOLOGY; DENTAL TREATMENT, HEALTH SERVICES RESEARCH; PUBLIC DENTAL SERVICES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
49
Recensione:
Indirizzi per estratti:
Citazione:
P.J. Riordan, "CAN ORGANIZED DENTAL-CARE FOR CHILDREN BE BOTH GOOD AND CHEAP", Community dentistry and oral epidemiology, 25(1), 1997, pp. 119-125

Abstract

Children's dental services evolved from emergency, pain-relieving andlater amalgam-based care systems of the early and middle 20th century. The pattern of occurrence of dental caries is different today and young teenagers have very few teeth affected by caries. Restoration of lesions in permanent teeth, typically on occlusal or buccal/lingual surfaces, is technically simple. Paradoxically, dental students today areexpected to master a vast amount of knowledge, including information on new dental materials and techniques. New dentists who choose to provide dental care for children as a career will spend most of their days placing fissure sealants, applying topical fluorides and inserting predominantly single-surface restorations. Because of their expensive training, new dentists will nevertheless expect high earnings, and thisresults in a high cost for children's dental care. The opportunity cost is other health services foregone. In developing countries where there are few dentists, they are almost not available for children at all. Costs could be reduced by reducing the number of interventions, andby reducing staff costs. Fewer interventions could be achieved by longer recall intervals: several studies and experience from places wherethis has been implemented indicate that this is safe and effective. Widespread delegation of operative work to appropriately trained dentalhygienists or therapists would reduce staff costs. Dental therapists are better substitutes for dentists in children's care because they are trained to do most of the clinical procedures that are necessary in children's dentistry. In Western Australia and South Australia, most dental care for children is provided by dental therapists. The costs ofcare are much lower and the outcome, as measured by caries experienceand numbers of treated patients, is equivalent to or even better thanEuropean dentist-based services. Already, in some places, politiciansand others are querying the need for organised children's dental care. Increased effectiveness will make continuation of children's dental services easier to sustain.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 13:56:17