Historical exposure to mercury among Norwegian dental personnel.
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OBJECTIVES: Due to public concern in Scandinavian countries about the health situation of dental nurses, the Norwegian Ministry of Labor and Social Inclusion initiated a project to look at previous exposure to metallic mercury and its possible effects on dental personnel. The aims of this part of the study were to: (i) describe Norwegian dental personnel's exposure to mercury during the last 50 years, (ii) develop a model for scoring that reflects the cumulative exposure on an individual basis, and (iii) relate the calculated score to earlier measured levels of mercury in urine. METHODS: We obtained lists of previous and current dental employees in both the private and public sector and mailed them a questionnaire concerning their working conditions. We received a response from 655 dental nurses and 452 dentists. We also obtained urine mercury levels measured between 1970-1990 for 143 (22%) of the dental nurses and 130 (29%) of the dentists. RESULTS: The results revealed a widespread exposure to mercury in both the individual exposure score and the measured mercury values in urine. For most respondents, however, the level of exposure to mercury seemed to be low. The use of copper amalgam, which is heated before it is applied, is of particular concern as a significant source of mercury exposure in dental personnel. CONCLUSION: It seems evident that the exposure to mercury among dental personnel varies substantially; this is important to take into account when making exposure assessments for this group of workers. (+info)
A survey of dental hygiene program directors: summary findings and conclusions.
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To assist the ADEA Council of Allied Dental Program Directors in focusing future goals and actions, an online survey was developed and administered to the directors of the 300 Commission on Dental Accreditation (CODA)-accredited U.S. dental hygiene programs in November 2008. The survey solicited directors' opinions about certain contemporary dental hygiene issues such as entry-level education, the use of articulation agreements, the advanced dental hygiene practitioner (ADHP) model proposed by the American Dental Hygienists' Association, and accreditation. Over three-quarters of survey respondents indicated it is "important" or "somewhat important" to advance the entry-level educational requirements for dental hygiene practice to the baccalaureate level. Educational setting (four-year versus two-year) was a significant determinant in whether a respondent thought a baccalaureate degree should result from a dental hygiene educational program. Fifty-six percent of respondents' programs either have or are in the process of developing articulation agreements with other institutions. Seventy percent of all respondents felt it was important to support advancing the ADHP model. Over 60 percent of respondents noted the importance of developing competencies for degree completion and graduate programs, and 42 percent of respondents indicated that it was important to have a separate accreditation process for graduate-level programs. Conclusions suggest advancing entry-level education for dental hygiene is desired if it can maintain a role for both four-year and two-year institutions. (+info)
Practice characteristics among dental anesthesia providers in the United States.
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Using evaluation to enhance educational support for dental teams in the UK.
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Each United Kingdom regional postgraduate deanery offers courses and educational support for the NHS (National Health Service) primary care dental team, primarily through networks of tutors (dental educators). After reporting literature on effective continuing education and the role of evaluation, this article provides an analysis of five educational evaluations (2005-08), identifying key messages and distilling ways to enhance educational support for the UK dental team. These evaluations adopted case study design and principally employed interviews (n=51) and questionnaires (n=221). The studies' key messages and recommendations are as follows: clarify dental educator roles; provide strategic management and educational support for educators; ensure continuing education is matched to the learning needs of dental teams and specific groups; and use practice (office) visits to support practice (team) development plans. Evaluation enables initiatives to be evidence-informed, focus effort where most needed, argue for continued funding, and give voice to stakeholders. However, there is added value in a collective consideration of evaluation findings from related studies. Doing this has identified ways to enhance the strategic development of educational support for the UK dental team and is applicable in a wider context both nationally and internationally. (+info)
Towards building the oral health care workforce: who are the new dental therapists?
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In 2009, Minnesota Governor Pawlenty signed into law a bill approving the creation of a new dental team member: the dental therapist. The intent of this legislation was to address oral health disparities by creating a dental professional who would expand access to dental care in Minnesota. This study aimed to describe the characteristics of the first class of dental therapy students at the University of Minnesota and to ascertain the values and motivations that led them to choose a career in dental therapy. Four surveys were used to create the composite profile of the ten students in this first dental therapy class: 1) the California Critical Thinking Skills Test, 2) the Learning Type Measure, 3) the Attitudes Toward Healthcare Survey, and 4) a values and motivation survey that included demographic data. The results of the surveys revealed interacting influences of the students' background, personal self-concept, and environment leading to a career decision to pursue dental therapy. (+info)
Expanding dental education partnerships beyond the four walls.
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The increasing complexities of health care that dental graduates must be equipped to handle require schools to develop new models of education in order to address these intricacies. To meet these challenges, it is the school's responsibility to provide an environment that fosters discovery and scholarly activity, embraces evidence-based philosophies, encourages partnerships with other units on campus and the community, including the global community, and recognizes the richness of diversity in both our human resources and our thinking. Beyond new curriculum initiatives within our school, we recognized the need to build strong partnerships outside our four walls in order to respond to the challenges confronting us. Four such notable recent initiatives at the University of Washington School of Dentistry discussed in this article are Regional Initiatives in Dental Education, the Center for Pediatric Dentistry: Program in Early Childhood Oral Health, Northwest PRECEDENT (Practice-based REsearch Collaborative in Evidence-based DENTistry), and Alaska Native Dental Health Aide Therapist Program. These partnerships focus on new models to improve access to care and to enhance the impact of research on evidence-based practice. These are examples of the many opportunities for us to act collectively in creating new models that ensure our graduates have the knowledge, attitudes, and skills to be competent oral health care professionals. (+info)