Magister Scientiae Dentium - MSc(Dent) (Anesthesiology and Sedation)
http://hdl.handle.net/11394/18
2024-03-29T11:32:25ZEntrepreneural trends in health care delivery: The development of retail dentistry and freestanding ambulatory services
http://hdl.handle.net/11394/9105
Entrepreneural trends in health care delivery: The development of retail dentistry and freestanding ambulatory services
Trauner, J.B
In the 1970s, traditional delivery patterns in medicine and dentistry began to change as health care professionals sought out new ways to attract patients and to increase practice earnings. Anesthesiologists and surgeons began to build freestanding surgical facilities in competition with local hospitals.1 Physicians trained in emergency or primary medicine established urgent care centers along well-trafficked thoroughfares and catered to patients usually seen in hospital emergency rooms. And, beginning in 1977, dentists began to establish high-volume offices in shopping malls and within the confines of drug, discount, and department. store operations. While the growth of independently owned, non-hospital affiliated surgery centers dates .back to the early 1970s, the major impetus for development of urgent eire centers and retail dental offices was the lifting of restrictions on use of advertising by health professionals. Until 1977, the ethical codes of most medical and dental associations prohibited advertising by their members and these codes had.been incorporated into state licensing requirements. Then in 1977, the U.S. Supreme Court decision in Bates Y. State Bar of Arizona (433 U.S. 350) paved the way for professional advertising. For the first time, health professionals could experiment freely with neM practice forms and use standard marketing techniques to attract potential patients. A new generation of entrepreneurial professionals established medical and dental offices with expanded hours of service and ·drop-in" (non-scheduled) visits to meet the needs of an increasingly mobile populationi some began to rely upon price advertising, introductory offers, and discount coupons. while others began to adopt trade names and develop franchising programs to
increase their market visibility. Obviously these new developments were not ignored by local physicians and dentists--or by their professional associations. In states where advertising was regulated under medical or dental practice acts, professional associations monitored advertising copy and reported infractions to state licensing boardsi in states with minimal restrictions on advertising. physicians and dentists began to clamor for new guidelines. Two areas of heated controversy related to advertising of fees (including use of discounts) and the development of fictitious trade names. Another point of conflict involved expanded duties for para-professionals, particularly in dentistry where activities of hygienists and auxiliaries had been narrowly defined by many state licensing boards. In the case of freestanding
emergency/urgent care facilities, the overriding issue was how they should be defined and regulated. For instance, should freestanding centers be required to have the same equipment and capabilities as hospital-based emergency facilities? Should they be integrated into local or regional emergency medical service (EMS) systems? To the extent that they were viewed as ·clinics· or ·institutional facilities"--rather than freestanding medical offices--they could be made subject to state licensing restrictions and to the Certificate of Need (CON) planning process mandated by the National Health Planning and Resources Development Act (P.L. 93-641). In the case of freestanding, independently owned surgery centers, the primary opposition came from the hospital industry; in states where freestanding facilities were required to be licensed and/or undergo CON review, the hospital industry regularly took an opposing position, arguing that additional surgical facilities would compound the problem of excess capacity within the health ' care system.
Philosophiae Doctor - PhD
1982-01-01T00:00:00ZDemographic profile, clinical data and radiographic analysis of patients for third molar surgery under general anaesthesia at the Faculty of Dentistry at the University of the Western Cape
http://hdl.handle.net/11394/6504
Demographic profile, clinical data and radiographic analysis of patients for third molar surgery under general anaesthesia at the Faculty of Dentistry at the University of the Western Cape
Nabee, Mahomed Ridhwaan Goolam
Aim
To analyze the demographic profile, clinical data and radiographs of patients who had third molar
surgery under general anaesthesia at the Faculty of Dentistry at the University of the Western
Cape over a 10 year period.
Introduction
Minor oral surgical procedures are carried out by Maxillofacial and Oral Surgeons daily. The
surgical removal of third molars is a large part of Minor Oral Surgery which is common
throughout the world. The general impression of third molar surgery performed by experienced
professionals is the ease of the operation, however no-matter how experienced one may be, a
simple procedure should never be underestimated (Carvalho and Do Egito Vasconselos, 2011).
New surgical techniques, as well as extensive training, skill and experience have led to the
evolution of oral surgery and allowed this procedure to be carried out in a less traumatic manner.
Certain factors precipitate third molar surgery to be performed in theatre as opposed to the dental
clinic setting. These factors will be discussed in this research report.
Magister Scientiae Dentium - MSc(Dent)
2018-01-01T00:00:00ZThe efficacy and safety of intravenous sedation in children under the age of 10 years
http://hdl.handle.net/11394/5044
The efficacy and safety of intravenous sedation in children under the age of 10 years
Swart, Ellison Margaret
This study was done to show that sedation is a safe and a viable option in young children. Dental procedures were done on children aged two to ten years. Two hundred children were included in the study. In all of these children the procedures were completed. Only two children were excluded, because an intravenous line could not be placed on the one child, and the other child was unmanageable under sedation. The safety of sedation was evaluated looking at the incidence of adverse events and complications. No serious adverse effects or complications occurred. The complications that occurred were all corrected with minimal or non-invasive interventions. Only six of the two hundred children required oxygen to correct a drop in oxygen saturation.
Magister Scientiae Dentium - MSc(Dent)
2013-01-01T00:00:00ZAssessment of infection control in public dental clinics in Khartoum State, Sudan
http://hdl.handle.net/11394/4088
Assessment of infection control in public dental clinics in Khartoum State, Sudan
Idris, Modather Mohamed Ahmed Sheikh
The unique nature of dental procedures, instrumentation and patient care settings
require specific strategies directed at the prevention of transmission of diseases
among oral health care workers and their patients.
Aim: The aim of the present study was to assess the knowledge, attitude and practice
of infection control among dentists and dental auxiliaries in public dental clinics in
Khartoum State, Sudan.
Materials and Methods: A cross-sectional survey using a structured administered
questionnaire was carried out. The questionnaire consisted of 38 closed-ended
questions that included the key areas of infection control including hand hygiene,
personal protection, sterilization and disinfection and environmental infection control.
There were also questions to elicit perceptions regarding the treatment of HBV and
HIV/AIDS patients.
Results: All except one (n=125) of the oral health personnel in Khartoum State
participated in the study. 68 dentists and 57 dental assistants were interviewed. The
majority were female (60.8%) and 31-40 year olds the predominant age group (44%)
for both genders.
Hand washing before and after treating each patient was reported by 89.6%. Among
dentists, 84.8% reported that they take the medical history of every patient. A quarter
of the dentists and 36.8% of dental assistants reported using both hands to recap the
used needles. 84%were vaccinated against hepatitis B. With regard to personal
protection, the highest adherence was reported for glove use (99.2%), and the least for
eye protection (45.6%). None of the study participants used plastic barriers to cover
the clinical contact surfaces, 61.6% did not high vacuum suction and 97.6% did not
use the rubber dam. All respondents used autoclaves for sterilization, but only
7.2%sterilized hand pieces. 72.8%reported that they did not mind treating HIV/AIDS
and hepatitis B patients; however, dental assistants were more willing to treat them
than the dentists.
Magister Scientiae Dentium - MSc(Dent)
2012-01-01T00:00:00Z