Abstract:
OBJECTIVE:To measure agreement between dental therapists and the Scottish gold-standard dentist undertaking National Dental Inspection Programme (NDIP) examinations. METHODS:A study of interexaminer agreement between 19 dental therapists and the national gold-standard dentist was carried out. Pre-calibration training used the caries diagnostic criteria and examination techniques agreed by the British Association for the Study of Community Dentistry (BASCD). Twenty-three 5-year-old children (Primary 1) and 17 11-year-old children (Primary 7) children were examined. Agreement was assessed using kappa statistics on d3 mft and D3 MFT for P1 and P7 children, sensitivity and specificity values, and kappa statistics on d3 t/D3 T and ft/FT. Calibration data on P1 and P7 children from 2009-2012 involving dentists as examiners were used for comparison. Economic evaluation was undertaken using a cost minimization analysis approach. RESULTS:The mean kappa score was 0.84 (SD 0.07) ranging from 0.69 to 0.94. All dental therapists scored good or very good agreement with the gold-standard dentist. This compares with historic NDIP calibration data with dentists, against the same gold-standard dentist, where the mean kappa value was 0.68 (SD 0.22) with a range of 0.35-1.00. The mean sensitivity score was 0.98 (SD 0.04) (range 0.88-1.0) and mean specificity score was 0.90 (SD 0.06) (range 0.78-0.96). Health economic analysis estimated that salary costs would be 33.6% lower if dental therapists were substituted for dentists in the year 2013, with an estimated saving of approximately £103 646 per annum on the national budget. CONCLUSION:We conclude that dental therapists show a high level of interexaminer agreement, and with the appropriate annual training and calibration, they could undertake dental examinations as part of the NDIP programme.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
O'Keefe EJ,McMahon AD,Jones CM,Curnow MM,Macpherson LMdoi
10.1111/cdoe.12244subject
Has Abstractpub_date
2016-12-01 00:00:00pages
515-522issue
6eissn
0301-5661issn
1600-0528journal_volume
44pub_type
杂志文章abstract::The aim of this study was to evaluate a voice operated data collection system intended for use in epidemiological surveys. Three groups of 45 adolescents, with similar caries experience, were examined by one examiner in schools. The caries data resulting from these examinations were collected in three ways; keyboard a...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1993.tb00713.x
更新日期:1993-02-01 00:00:00
abstract::The political nature of fluoridation is due in part to public misconceptions about its purpose, and about its efficacy and practicality in preventing tooth decay as compared with other preventive practices. This paper describes a public opinion survey conducted in Portland, Oregon in May 1980, immediately following a ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1983.tb01881.x
更新日期:1983-08-01 00:00:00
abstract:UNLABELLED:An oral health promotion program has been conducted since 1989 at a shipyard in Japan. AIMS:The purpose of the present study was to assess the impact of oral health promotion in the workplace in terms of dental care costs and frequency of dental visits. METHODS:This program consisted of orientation, an ini...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2001.290307.x
更新日期:2001-06-01 00:00:00
abstract::A study has been conducted to assess the prevalence of oral soft tissue lesions. In cooperation with the public health screening organization of the County of Uppsala in Sweden, all inhabitants older than 14 years of age in two communities, Håbo and Enköping, will be called for examination. So far, 8,696 individuals h...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1975.tb00296.x
更新日期:1975-05-01 00:00:00
abstract::The purpose of this study was to ascertain whether or not a relationship existed between the presence of oral mucous membrane keratoses and tobacco smoking habits. Two groups of tobacco smokers, one group exhibiting oral mucous membrane keratoses, and the other no such changes, were chosen for their similar smoking ha...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1979.tb01234.x
更新日期:1979-10-01 00:00:00
abstract:OBJECTIVE:This study aimed to present normative data on dental fear for the Dutch child population, by identifying not only highly fearful children but also children at risk for developing this high dental fear. METHODS:Fear distribution of samples of high and low fearful children was studied, using the Dutch parent's...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2002.300203.x
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the retention and caries preventive effect of two glass ionomers used as fissure sealants: one resin modified glass ionomer (A) and one conventional glass-ionomer cement (B). SAMPLES AND METHODS:The permanent first molars of 100 children, 6-8 years of age at the start of the study, were sealed. M...
journal_title:Community dentistry and oral epidemiology
pub_type: 临床试验,杂志文章
doi:10.1034/j.1600-0528.2003.00113.x
更新日期:2003-10-01 00:00:00
abstract::The purpose of the investigation was to determine the prevalence of occlusal anomalies in relation to dental stages (DS) in Icelandic schoolchildren, and to compare it with results from other Scandinavian countries and Ireland found on the basis of the same method. The material consisted of 1,641 randomly selected chi...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1976.tb02111.x
更新日期:1976-05-01 00:00:00
abstract:OBJECTIVES:The study assessed the time until first dental caries for young children seen at five Federally Qualified Health Centers (FQHC) in Iowa and the relationship with the frequency and gaps (in months) of dental episodes, the number of topical fluoride treatments, and the number of dentists caring for the subject...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12096
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:To investigate age- and population-based differences in dentists' infection control practices and willingness and refusal to treat patients with HIV. METHODS:A national mailed survey of a stratified random sample of dentists in Canada (n = 6444) with three follow-up attempts. Pearson's chi-square test and m...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1998.tb02024.x
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:To explore the impact of developmental defects of enamel (DDE) on young people, through their experiences of the condition and it's meaning to their everyday lives. METHODS:The theoretical framework chosen to guide the study was symbolic interactionism. Qualitative interviews with a purposive sample of peop...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2008.00453.x
更新日期:2009-02-01 00:00:00
abstract::This study is a two-center clinical trial with the aim to assess the treatment effects of implant-retained mandibular overdentures versus conventional complete dentures. Treatment had been assigned according to a balanced allocation method. The following criteria were used to enhance the comparability of the treatment...
journal_title:Community dentistry and oral epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1600-0528.1996.tb00818.x
更新日期:1996-02-01 00:00:00
abstract:OBJECTIVE:This study aimed to investigate the association between dental fear and both dental caries and periodontal indicators. METHODS:A three-stage stratified clustered sample of the Australian adult population completed a computer-assisted telephone interview followed by a clinical examination. Oral health measure...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2009.00468.x
更新日期:2009-06-01 00:00:00
abstract::In an attempt to establish the relationships between dental anxiety and personality traits, such as neuroticism and locus of control, a survey has been carried out among 30-40-yr-olds in a Dutch town. In the first instance, the questionnaires comprising the psychologic items were treated by Non-Metric Principal Compon...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1986.tb01499.x
更新日期:1986-04-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to examine the effects of a per capita based remuneration system on the quality of dental care. METHODS:The basis for the study was a natural experiment in the county of Østfold in Norway in which all public dental officers (n = 34) were given the opportunity to renegotiate their c...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12034
更新日期:2013-10-01 00:00:00
abstract::A socio-dental survey was carried out to determine the level of dental disease and treatment requirement among elderly people attending a Community Care Centre. A screening programme involving 293 elderly people demonstrated a normative need of 82% and a felt need of 53%. Seventy-six per cent would have benefited from...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1989.tb00614.x
更新日期:1989-08-01 00:00:00
abstract::Evidence exists that some dentists may be failing to perform adequate periodontal diagnostic and preventive care for their patients. Continuing education (CE) is an avenue that is frequently employed as a strategy to alter the style of practice. This paper presents an evaluation of a year-long continuing education int...
journal_title:Community dentistry and oral epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1600-0528.1994.tb00794.x
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate the systemic effect of water fluoridation on dental caries prevalence and experience in Cheongju, South Korea, where water fluoridation ceased 7 years previously. METHODS:A cross-sectional survey was employed at two schools where water fluoridation had ceased (WF-ceased...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12091
更新日期:2014-08-01 00:00:00
abstract::The aim was to investigate late response and nonresponse bias in a survey related to HIV and infection control. Questionnaires with ID numbers were mailed to a stratified random sample of dentists in Canada with additional mailings 4 and 7 weeks later (n = 6444). We compared responses received after < 4 weeks, 4-7 wee...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1997.tb00946.x
更新日期:1997-08-01 00:00:00
abstract::This epidemiologic study of accidental dentofacial injuries to U.S. Army personnel was conducted to determine the frequency and distribution patterns of accidental dentofacial injuries to soldiers. Administratively, it was anticipated that this data would permit identification of high-risk groups and would suggest fea...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1979.tb01182.x
更新日期:1979-02-01 00:00:00
abstract:OBJECTIVES:To evaluate the effects of using an intra-oral camera (IOC) during supportive periodontal therapy (SPT), on the psychological, behavioral, and clinical parameters of patients with gingivitis, outlined by evidence and a theory-based framework. METHODS:A group of 78 adult patients with gingivitis receiving an...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章,随机对照试验
doi:10.1111/cdoe.12245
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To assess the hierarchical associations between children's school performance and condition-specific (CS) oral health-related quality of life (OHRQoL), school absence, oral status, sociodemographic and economic status (SDES) and social capital; and to investigate the associations between CS OHRQoL and relate...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12361
更新日期:2018-06-01 00:00:00
abstract::The purpose of this in vitro study was to calibrate occlusal restorative decision-making based on visual inspection (VI), and to compare it with visual inspection with magnifying (x1.25) lenses (VIM), and fibre-optic transillumination (VIF). Sixty extracted human third molars mounted in plaster were examined using VI ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1997.tb00914.x
更新日期:1997-04-01 00:00:00
abstract::By providing dental health care, dentists dedicate themselves to the preservation and/or improvement of oral health in their patients. By adequately carrying out this care providers' role, dentists will gain recognition, esteem and respect from both patients and colleagues. This analysis aims to assess the patient and...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.0301-5661.2004.00132.x
更新日期:2004-04-01 00:00:00
abstract::314 4-year-old children were examined in Mallow, Ireland (a non-fluoridated area). 30.6% were found to be caries free. Investigation of the pattern of decay in the dentitions of these children showed the primary secondary molar as the tooth most commonly affected by caries irrespective of def score. The distribution o...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1982.tb01339.x
更新日期:1982-06-01 00:00:00
abstract:OBJECTIVE:To determine the relative importance of dental and medical features in relation to perceived oral and general health in a sample of 31-year-old individuals. SUBJECTS AND METHODS:The present study used information collected from the longitudinal Cardiff Survey, which commenced in 1981. The initial sample cons...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2007.00296.x
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVES:In policy studies, an enduring research question is why some issues are taken seriously while others never become a central focus of policy making. This study aims to analyse the predecision stage of policy making and examines the position of oral health on the broader health policy agenda. METHODS:A study ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2012.00735.x
更新日期:2012-10-01 00:00:00
abstract::A 2-year clinical trial was conducted using an adolescent population from a low-fluoride area to evaluate the anticaries effect of self-applications of zirconium silicate paste containing 9% stannous fluoride. tthree study groups totaling 464 children, with an initial average of 12.8 years, completed the study. The co...
journal_title:Community dentistry and oral epidemiology
pub_type: 临床试验,杂志文章
doi:10.1111/j.1600-0528.1976.tb00972.x
更新日期:1976-07-01 00:00:00
abstract::The Myofascial Pain Dysfunction Syndrome (MPD) was investigated in 94 twin pairs (21 male pairs and 73 female pairs), who had not been selected with respect to MPD. The frequency of past and/or present symptoms was found to be 10% in males and 27% in females. No differences between monozygous (identical) and dizygous ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1980.tb01323.x
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVES:The Norwegian Mother and Child Cohort Study (MoBa) started in 1999 to identify environmental factors that could be involved in mechanisms leading to disease. Questions have been raised about potential risks to the fetus from prenatal exposure to mercury from amalgam fillings in pregnant women. The aim of the...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2010.00544.x
更新日期:2010-10-01 00:00:00