Scientific Online Resource System

Conference Proceedings

Challenges in Dental Care Utilization

Elena Todorova

Abstract

INTRODUCTION: Most oral diseases can be avoided by taking regular preventive measures and having access to well-timed dental care, but various obstacles can prevent consumers from receiving it. The fear of dental manipulations, the lack of sufficient time on the part of the users, the lack of awareness of the need for dental treatment, mobility impairments, and financial restrictions are the most common reasons for postponing examination or treatment at a dental office.
AIM: The purpose of the study is to determine the limitations to the usability of dental care by dental service users, depending on the type of dental service needed.
MATERIALS AND METHODS: An anonymous survey was conducted among dental service users throughout the country. A survey card was provided for participants to fill out. In the statistical analysis, Pearson’s χ2 test was used, along with the non-parametric Kruskal-Wallis test for comparison of three or more independent cases.
RESULTS AND DISCUSSION: The degree of influence of individual barriers is not equal, with the strongest limitation on the use of dental care being the cost of dental services. The sum of barriers when using dental services more strongly restricts consumers who seek medical care for an acute oral problem or a chronic oral disease. Patients with the fewest restrictions on accessing the dental care they need are those who last visited a dentist for prophylactic purposes.
CONCLUSION: Reducing the limitations to the utilization of dental care can be achieved by improving patients‘ awareness of the importance of using preventive dental services.

Keywords

dental care, limitations, usability

Full Text


References

Surdu S, Langelier M, Li Q, Dhar S, Stufflebeam M. Consumer Survey of Barriers that and Facilitators of Access to Oral Health Services. Cent Health Workforce Stud Sch Public Health Univ Albany State Univ N Y. 2019 Mar;84.

Devaraj C, Eswar P. Reasons for use and non-use of dental services among people visiting a dentist college hospital in India : A descriptive cross-sectional study . Eur J Dent . 2012 Oct;6(4):422–7.

Šiljak S, Janković J, Marinković J, Erić M, Janevic T, Janković S. Dental service utilization among adults in a European developing country : findings from a nation health survey . Int Dent J. 2019 Jun;69(3):200–6. doi: 10.1111/idj.12449.

Azodo CC, Ehizele AO, Umoh A, Ojehanon PI, Akhionbare O, Okechukwu R, Igbinosa L. Perceived oral health status and treatment needs of dental auxiliaries. Libyan J Med. 2010 Mar 15;5. doi: 10.3402/ljm.v5i0.4859.

Krishnan L, S AC, Kumar PDM. Barriers that access dental care services among adult population : A systematic review . J Glob Oral Health. 23 Jun 2020;3(1):54–62.

Jo O, Kruger E, Tennant M. Geospatial analysis of the urban and rural/remote distribution of dental services in Scotland, Wales and Northern Ireland. Int Dent J. 2020 Dec;70(6):444-454. doi: 10.1111/idj.12590.

Brown WC, Battaglia JA, Bromberg , MJ, Cole JM, Dycus RW, Edgar LJE, et al . Barriers and Solutions that Accessing Care. Acad Gen Dent [Internet]. 2012 Jul. Available from: agd-white-paper-barriers-to-care.pdf

Eurostat . Unmet health care needs statistics in 2021, Unmet needs for dental examination and treatment .

[Internet]. [cited 2021 Mar 11]. Available from: Unmet health care needs statistics - Statistics Explained (europa. eu)

Winkelmann J, Gómez Rossi J, Schwendicke F, Dimova A, Atanasova E, Habicht T, Kasekamp K, Gandré

C, Or Z, McAuliffe Ú, Murauskiene L, Kroneman M, de Jong J, Kowalska-Bobko I, Badora-Musiał K, Motyl

S, Figueiredo Augusto G, Pažitný P, Kandilaki D, Löffler L, Lundgren C, Janlöv N, van Ginneken E, Panteli

D. Exploring variation of coverage and access to dental care for adults in 11 European countries: a vignette approach. BMC Oral Health. 2022 Mar 9;22(1):65. doi: 10.1186/s12903-022-02095-4.

Janakiram C, Dye BA. A public health approach for prevention of periodontal disease. Periodontol 2000. 2020 Oct;84(1):202-214. doi: 10.1111/prd.12337.

Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related

quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010 Nov 5;8:126. doi: 10.1186/1477-7525-8-126..

Tonetti MS, Eickholz P, Loos BG, Papapanou P, van der Velden U, Armitage G, Bouchard P, Deinzer R, Dietrich T, Hughes F, Kocher T, Lang NP, Lopez R, Needleman I, Newton T, Nibali L, Pretzl B, Ramseier C, Sanz-Sanchez I, Schlagenhauf U, Suvan JE. Principles in prevention of periodontal diseases: Consensus report of group 1 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases. J Clin Periodontol. 2015 Apr;42 Suppl 16:S5-11. doi: 10.1111/jcpe.12368.

Winkelmann J, Gómez Rossi J, van Ginneken E. Oral health care in Europe: Financing, access and provision. Health Syst Transit. 2022 Jun;24(2):1-176.

Jönsson B, Holde GE, Baker SR. The role of psychosocial factors and treatment need in dental service use and oral health among adults in Norway. Community Dent Oral Epidemiol. 2020 Jun;48(3):215-224. doi: 10.1111/cdoe.12518. Epub 2020 Feb 11.

Kohli R, Schwarz E. Health Education and Health Literacy in Dental Public Health. In: Burt and Eklund‘s Dentistry, Dental Practice, and the Community [Internet]. Elsevier; 2021 [cited 2023 Sep 30]. p. 247-57. Available from: Health Education and Health Literacy in Dental Public Health - ScienceDirect


Refbacks

Font Size