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Structure of non-reimbursed and reimbursed therapeutic procedures provided at a general dental care office

100%
Zgardzinska S., Szymanska J.
Current Issues in Pharmacy and Medical Sciences
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2014
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vol. 27
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issue 3
151-154
EN
Dental care in Poland is based both on the public system (reimbursement by the National Health Fund) and on the private funding (non-reimbursed). The aim of the paper was an analysis of the structure of non-reimbursed and reimbursed therapeutic procedures provided at a general dental care office. The study material was medical documentation of 669 patients treated for 3 months (the third quarter of 2013) at a general dental care office. The structure of therapeutic procedures, with the exception of orthodontic and prosthetic treatment, was analyzed, taking into account the patients’ gender, age, place of residence, the kind of procedure, and the payment type they made. The procedures reimbursed by the National Health Fund constituted 60.1% of all the procedures provided to patients at a dental office. Both among the procedures reimbursed by the National Health Fund and non-reimbursed procedures, the therapeutic procedures prevailed significantly over the prophylactic ones; in all age groups conservative treatment was predominant. An increase in the number of extractions in patients over 40 years of age, in comparison to younger patients, was found. The number of the dental procedures reimbursed by the National Health Fund, compared to the number of the non-reimbursed ones, increased with the patients’ age.
2
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The Structure of a Group of Adult Disabled Patients Treated Dentally Under General Anesthesia

100%
Hendzel B.
Polish Journal of Public Health
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2015
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vol. 124
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issue 3
130-133
EN
Introduction. Adult disabled people, including mentally handicapped ones, constitute a very serious medical problem in both general and specialist medical care, including dentistry. Dental treatment under general anesthesia is the most recommended for this group of patients. Aim. The aim of this study was to analyze the structure of a group of adult disabled patients treated dentally under general anesthesia. Material and methods. The study was conducted among 147 disabled people, 61 females and 86 males aged 18-56 (the average age − 26.69) from the Lubelskie Voivodeship, qualified for dental treatment under general anesthesia. The survey was basedon interviews with the family members or social workers. The questionnaire included the information concerning general diseases, age, gender, place of residence and the kind of care (family or social welfare institutions). Special attention was paid to the previous dental treatment performed in outpatient clinics or under general anesthesia. Results. The study involved a group of 147 people, including 58.50% males and 41.50% females. The average age of the patients was 26.69 ± 6.41 years (ranged from18 to 56). The patients from a big city accounted for 40.14%, 23.13% of the subjects came from a small town, and 36.73% of the people came from the village. The largest group of patients included people with mental disabilities − 54.43%. Most people (87.76%) lived with their family, while 12.24% were the residents of social welfare institutions. The analysis of the data reveals that for 89.80% of patients, it was their first dental treatment under general anesthesia, and for 10.20%, a subsequent one. Studies have shown that early treatment in outpatient clinics wasperformed in only 27.21% of treated people, while 72.79% have never been treated in a dental surgery. Conclusions. Mentally handicapped people were the largest group of patients treated dentally under general anesthesia. Patients living in the urban areas and under the care of families were more often treated dentally under general anesthesia. Because of the lack of cooperation between disabled patients and the dentist, the complete dental treatment under general anesthesia is the most effective therapy. Adult disabled patients require special dental care.
3
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The structure of dental procedures under general anaesthesia in children and adolescents with epilepsy

88%
Tkaczuk-Płocica M., Szymańska J., Rosiak J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 1
29-32
EN
Introduction. One of the indications for dental treatment in general anaesthesia of children and adolescents is the patients’ refusal to cooperate with the dentist; this concerns especially the so-called special care patients, and among them, those suffering from epilepsy. Aim. The aim of the study was to evaluate the structure of treatment procedures in conservative dentistry and dental surgery performed under general anaesthesia in children and adolescents with epilepsy. Material and methods. The analysis covered case histories of 109 patients with epilepsy, aged 3-18 years, who received dental treatment under general anaesthesia. The patients were divided into three age groups, according to the dentition type: patients with deciduous dentition - 3-5 years of age; with mixed dentition - 6-12 years, and with permanent dentition - 13-18 years. The analysis concerned the procedures on both deciduous and permanent teeth. Results. An average number of extractions in a child with full deciduous dentition was 3.9 teeth, while in a child with mixed dentition - 2.7 teeth. The greatest number of deciduous teeth extractions concerned first and second molars. Carious cavities in the occlusal surfaces of permanent teeth, due to deep caries, were the most frequently treated lesions. Conclusions. In patients with epilepsy treated under general anaesthesia, extensive treatment needs, resulting from prophylactic and therapeutic neglect in dental care, were found. Conservative and surgical treatment, combined with prophylactic procedures, performed under general anaesthesia seems one of the necessary elements of a complex dental care in uncooperative children and adolescents
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Virtual reality among dental patients – cross-sectional, questionnaire, pilot study

63%
Ledwoń A., Dębski P., Jędrusik P., Skucha-Nowak M., Mikusek J.
Annales Academiae Medicae Silesiensis
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2023
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issue 78
41-48
PL
WSTĘP: Strach przed wizytą stomatologiczną jest poważnym problemem zarówno u dzieci, jak i u pacjentów dorosłych. Często staje się on przyczyną unikania wizyt, co może skutkować pogorszeniem nie tylko zdrowia jamy ustnej, lecz także całego organizmu. Istnieje wiele metod mających na celu zrelaksowanie i uspokojenie pacjenta przed samą wizytą oraz w jej trakcie. Wykorzystanie wirtualnej rzeczywistości stanowi jedną z nich. MATERIAŁ I METODY: Badanie pilotażowe przeprowadzono w grupie 100 dorosłych pacjentów, podczas gdy oczekiwali na wizytę stomatologiczną w poczekalni. Ankietowani wypełniali dobrowolny kwestionariusz wielokrotnego wyboru składający się z czterech pytań. WYNIKI: Wyniki pokazują, że najczęściej wybieranymi odpowiedziami były projekcja krajobrazów (40%) oraz interaktywny spacer, np. po plaży, lub trekking w górach (35%). Nie zaobserwowano różnic w zależności od płci. Zarówno mężczyźni, jak i kobiety najczęściej wybierali projekcję krajobrazów. Zdecydowana większość ankietowanych (87%) była skłonna skorzystać z dystrakcji z wykorzystaniem wirtualnej rzeczywistości podczas wizyty stomatologicznej. Pozostałe 13% pacjentów nie chciało w ogóle korzystać z wirtualnej rzeczywistości, niezależnie od proponowanego materiału audiowizualnego. WNIOSKI: Większość pacjentów była optymistycznie nastawiona do skorzystania z wirtualnej rzeczywistości podczas wizyty stomatologicznej. Najczęściej wybierane odpowiedzi były związane ze spokojnymi oraz relaksującymi materiałami niż z grami czy quizami. Badanie wskazuje, że pacjenci stomatologiczni są skłonni korzystać z nowoczesnych technologii w walce z dentofobią.
EN
INTRODUCTION: Anxiety preceding dental appointment is a common problem among both children and adult patients. It is frequently the reason of avoiding visits what often results in poor oral health and deterioration of general well-being. There is a number of methods regarding patients’ relaxation as well prior the appointment as amid one, virtual reality among them. MATERIAL AND METHODS: The study was carried out among 100 adult dental patients while they waited for their appointment in the waiting room. Interviewees completed the multiple-choice, uncompelled questionnaire containing four questions. RESULTS: The results show that the most frequently chosen answer was projection of landscapes (40%) or an interactive journey like beach walk or mountain trekking (35%). No differences were observed between men and woman, in both groups projection of landscapes was the most common answer. The vast majority of interviewees (87%) was willing to try virtual reality during dental treatment while the remaining 13% did not want to experience virtual reality at all. CONCLUSIONS: Most of the participants were eager to try virtual reality amid dental appointment and they rather chose calm and relaxing contend instead of interactive quizzes or games. It is promising that dental patients are willing to be ready to try out innovative technologies in the fight against dental anxiety.
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