ABSTRACT
OBJECTIVE: To assess the working conditions of dentists in the Chechen Republic based on the results of a voluntary anonymous survey, to identify the shortcomings and problems in the functioning of the dental service that need to be corrected. MATERIAL AND METHODS: With the help of specially developed questionnaires, a voluntary anonymous survey of dentists providing primary medical and sanitary dental care in the Chechen Republic was conducted. The questionnaires included several blocks of questions, each of which pursued specific goals: first, to compose a social and professional «portrait¼ of a dentist; the second is to identify the opinions of respondents about the prevalence of dental pathology among the population, their attitude to the work of the dental service; the third is to identify certain shortcomings and problems that need to be corrected. RESULTS: The analysis of the respondents' answers received during the survey contributed to the compilation of an objective social and professional «portrait¼ of a dentist performing professional activities in the Chechen Republic, to study working conditions and satisfaction with them, legal regulation of activities, material support, the degree of professional training, to establish peculiarities of relationships with patients. Also indicated are the actual (according to dentists) problems of providing patients with medical dental care, shortcomings in the organization of the functioning of the dental service in the region. The issues of organizing preventive work, including the commitment of the population to maintaining their dental health and a number of other positions were studied. CONCLUSION: The method of voluntary anonymous questioning of dentists has shown its effectiveness, simplicity, convenience in assessing the state of dental care for the population, designating the range of characteristic specific problems that occur in a particular region (according to dentists), make it possible to establish what exactly is necessary to improve the quality provided medical care, and, therefore, allows you to outline ways to optimize activities.
Subject(s)
Dental Care , Sociological Factors , Dentists , Humans , Russia , Surveys and QuestionnairesABSTRACT
OBJECTIVE: To determine the effect of healthy lifestyle (HLS) on dental health (prevalence and intensity of dental diseases). MATERIAL AND METHODS: The study was conducted in the standard age group 35-44 years. According to the results of a sociological survey, two groups were formed: leading HLS (1st group, 30 respondents) and those not leading HLS (2nd group, 34 respondents). The presence and prevalence of caries, its intensity (DMFT index), the hygienic state of the oral cavity (Green-Vermillion index (GRVI) and the effectiveness of oral hygiene (PHP), the state of periodontal tissues (CPITN)) were assessed. RESULTS: The prevalence of caries in group â1 was 77%, in 2nd group - 100%, the average value of the DMFT in group â1 was 8.9±0.2, in 2nd group - 17.1±0.3; the values of the GRVI index differed 5 times (1.1 and 5.2), the PHP index - 9 times (0.2 and 1.8, correspondently). In 2nd group, the high prevalence of dentition defects was revealed (40%), only 6% of patients had a normal periodontal condition, pathological periodontal pockets with a depth of 6 and more mm in patients were 3 times higher (9%) comparing to 1st group (3%). Periodontal care was required 94% of patients in the 2nd group (in 1st group - 72%). Patients in the 1st group took much better care of their teeth: the level of hygiene index was within 1.1 (in 2nd group - 5.2 - poor) Adequate oral hygiene regimen was found in 93% of patients in 1st group and only in 38% in 2nd group. CONCLUSIONS: The data obtained indicate not only poor dental health of the population, but also about significant shortcomings in the medical care and the low efficiency of preventive work on the part of the dental service.
