{"title":"[Dental health habits of 40-year old patients in Aust-Agder county. Dental status of non-recall patients].","authors":"K Treldal, B Oustad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A questionnaire was sent to all persons 40 years of age (born in 1947) living in the county of Aust-Agder (n = 1547). The questionnaire included questions concerning dental office visiting habits, stability of relationship dentist-patient, and socio-economic status. 84% answered the questionnaire. Persons who answered that they did not have a recall agreement with any dentist were offered a free dental examination (324 of 1517). 83% had visited the dentist annually the last three years, thus considered to be stable patients. Regular patients were also very stable in relation to their dentist: 89% had visited same dentist for the last 5 years. Dental health data of persons without a recall agreement were examined clinically. Of 324 persons, 137 met for clinical examination. The data from these persons were classified according to socio-economic level and regularity of visiting habits. The DMFT number was almost independent of those variables. The DMFT-index's single components differed between the groups. The regular patients from higher socio-economic levels had more fillings. More missing teeth were found among irregular patients from lower socio-economic levels. This indicates that the latter group have chosen the least expensive alternative, i.e. extraction, when in need of acute treatment, and that they have a greater accumulated need of treatment. This tendency also applied to the need of periodontal therapy. More than 59% of persons with CPITN maximum score 3 or 4 belonged to irregular patients from lower socio-economic groups.</p>","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 8","pages":"328-32"},"PeriodicalIF":0.0,"publicationDate":"1990-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Tragedy in Romania].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 6","pages":"270"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dentin adhesives].","authors":"N R Gjerdet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chemical adhesion of resin based restorative materials to dentin using adhesives presents a complex problem due to the different nature of polymeric materials and tooth substance. It is indicated that the problems arise mainly from properties of the filling material, eg polymerization shrinkage. Glass ionomer cements exhibit excellent clinical retention in spite of the low bonding forces found in laboratory tests.</p>","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 6","pages":"238-43"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13356590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Endodontic treatment and extractions--extent and reasons].","authors":"T Augstson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To give input to the ongoing discussion on length of intervals between recalls for reexamination, a comparison of number of extracted teeth etc per 1000 patients per year has been done in Hordaland. Treatment carried out on 22,324 patients aged 0-18 years during a period of 6 months was registered. In 1989 only 1.5 permanent teeth per 1000 patients were extracted because of caries-damage. This is about 2 per cent of the number of the extractions in a similar group in 1967. The number of permanent teeth that needed rootfilling was twice as large 15 years ago. The number of deciduous teeth extracted per 1000 patients is reduced to one fifth in 15 years. Only 10 per cent of extracted permanent teeth were lost because of caries. Out of 44 rootfillings less than one half was performed because of caries. The author doubts that increased intervals between recalls for reexamination will lead to more extractions and/or rootfillings.</p>","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 6","pages":"244-8"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[AIDS in Norway and Europe in the early 1990's].","authors":"V Hasseltvedt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 6","pages":"272"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Increasing effectiveness of dental health care service. Could funds be saved by increased delegation to dental hygienists?].","authors":"R E Nordengen, K Fylkesnes, A J Søgaard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The size and composition of the oral health team is in a changing process, and in Norway we find striking regional differences in the role of hygienists. The main differences are found between the regions delegating more of the screening/diagnosis and fissure sealing to the hygienists and those who do not. The present study examines cost-benefit aspects related to extension of the functions of dental hygienists. Treatment needs and actual functions of hygienists were studied in the Tromsø municipality, limited to the public sector and to the care of 3-16 year olds. Reduced need for dentists and net reduction in cost was calculated for a \"moderate\" alternative (hygienists do all diagnostic work and fissure sealings) and a \"radical\" alternative (hygienists do diagnostic work, fissure sealings and occlusal fillings). Findings revealed that the \"moderate\" alternative would release up to 15 per cent of the number of dentists occupied in the dental health care of children and adolescents. The additional effect by applying the \"radical\" alternative was found to be moderate. Although more dental hygienists must be employed to take over this work, about 40 mill NOK pr year could be saved in Norway by this delegation reform. This amount is about 6% of the total expenses of the Public Dental Health Service. To delegate more tasks to dental hygienists might provide the dentists with a more challenging and varied workday. Dentists will be able to carry out more of the complex operations demanding their special skills and training.</p>","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 4","pages":"152-8"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Xylitol, mechanisms of action and uses].","authors":"S M Wåler, G Rølla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Xylitol is recommended as a sugar substitute and is claimed not only to be non-cariogenic, but also to exhibit an anti-caries effect. An interesting aspect of xylitol is that it has a certain bacteriostatic effect. Xylitol is taken up by many strains of Strep mutans and Strep sanguis even if these organisms are unable to metabolize xylitol. It enters the bacteria by the phospho-transferase system. Xylitol-phosphate inhibits the glycolysis probably at the phosphofructokinase level, and is also de-phosphorylated and expelled through a \"futile cycle\". The combination xylitol and sorbitol is particularly interesting, since xylitol inhibits the metabolization of sorbitol by Strep mutans and sorbitol also appears to potentiate the bacteriostatic effect of xylitol. Furthermore the combination is favourable from an economical point of view since sorbitol is less expensive than xylitol. Xylitol induces diarrhea if consumed in considerable amounts and is thus only suitable in products like chewing gum and tablets.</p>","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 4","pages":"140-3"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Costs of dental care and medical care paid by the patients].","authors":"D Holst, J Grytten, I Rossow, N Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Health Insurance covers a minor part of the expenditures for adults' dental care in Norway. This paper describes the present principles for charging patients for health care services. The paper has 3 aims, 1) to describe patient charges assessed as personal expenditures for dental treatment, 2) to relate patient charges for dental treatment to patient charges for other health services, and thirdly 3) to compare the level of spending for dental care to other household-consumption. Patient charges are higher for dental care than for other non-institutionalized health services. There is an upper limit to patient charges for health services (dental services are not included). The upper limit was approximately 90 in 1987. Above that limit health services are free. Altogether 137,000 persons reached that level of personal expenditures for health services in 1987. The price per unit of dental services is considered rather low in Norway. However, approximately 600,000 adults had expenditures for dental services which exceeded 90. The inconsistency in the present level of patient charges is discussed.</p>","PeriodicalId":75780,"journal":{"name":"Den Norske tannlaegeforenings tidende","volume":"100 5","pages":"198-203"},"PeriodicalIF":0.0,"publicationDate":"1990-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13273939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}