An assessment of preventive care offered to orthodontic patients by oral health therapists in NSW Australia
| Autor: | Anthony S. Blinkhorn, Jane Taylor, Angela V Masoe, Fiona A Blinkhorn |
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| Rok vydání: | 2015 |
| Předmět: |
Counseling
Pit and Fissure Sealants medicine.medical_specialty Adolescent Cross-sectional study Dental auxiliary education.educational_degree Dental Plaque Motivational interviewing Motivational Interviewing Oral hygiene Patient Care Planning Fluorides Orthodontic Appliances Patient Education as Topic Professional-Family Relations Humans Medicine Coloring Agents education General Dentistry Response rate (survey) Scientific Research Report Descriptive statistics business.industry Communication Dental Prophylaxis Caseins Feeding Behavior Professional-Patient Relations Oral Hygiene Cariostatic Agents Cross-Sectional Studies Vignette Tooth Diseases Dental Auxiliaries Physical therapy New South Wales business human activities Toothpastes |
| Zdroj: | Int Dent J |
| ISSN: | 0020-6539 |
| DOI: | 10.1111/idj.12169 |
| Popis: | Objective The aim of this study was to record preventive oral health care planned by dental therapists and oral health therapists (therapists) for patients with poor oral hygiene undergoing orthodontic treatment. Materials and methods A cross-sectional survey, using a clinical vignette of a patient with poor oral hygiene undergoing therapy with a fixed appliance, was undertaken to record the preventive care offered to this individual by therapists working across 15 Local Health Districts (LHDs). This orthodontic vignette was inserted between two dental caries-related vignettes. Data were coded and descriptive statistics were used to report the findings. Results One-hundred and seventeen therapists returned questionnaires (giving a response rate of 64.6%), of whom 82.0% (n = 95) completed the orthodontic vignette. Adopting motivational interviewing techniques to facilitate communication with the patient and their parent was recommended by 88.4% (n = 84) respondents, 98.0% (n = 93) offered oral-hygiene instruction, 70.5% (n = 67) recorded plaque levels and used disclosing solution and 60.0% (n = 57) offered dietary advice. Products recommended for use at home included fluoride toothpaste [1,450 ppm F (80.0%; n = 76) and 5,000 ppm F (59.0%; n = 24)] and casein phosphopeptide amorphous phosphates plus fluoride (CPP-ACPF) paste (33.3%; n = 32). Less than 20% offered fissure sealants. Conclusion Preventive advice and care was offered inconsistently by therapists in this study. To ensure that all therapists adopt a scientifically based approach to prevention, LHD clinical directors should implement continuous professional education programmes for therapists to improve patient's health outcomes. |
| Databáze: | OpenAIRE |
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