Relevance of the topic. There are a number of European indicators to monitor the dental healthcare system including C.3 (Satisfaction with service quality) and C.4 (Satisfaction with pay). High job satisfaction among the personnel leads to an increase in effective functioning of the whole organization. However, there are few data on such indicators for clinicians/dentists in Russia. Aim ― to study the level of job satisfaction of pediatric dentists, especially the satisfaction with service quality and pay. Methods and materials. The satisfaction of pediatric dentists was measured according to two European indicators (C.3 and C.4) of dental healthcare monitoring. 232 dentists (aged 22―65 years old) working for clinics of different type of ownership in Moscow and Moscow regions were interviewed. Such factors as the dentist’s age, the level of satisfaction with dental materials, instruments and equipment, the type of ownership were under study. Results. The study showed dependence of C.3 and C.4 on the factors mentioned above. 81,2 % of the dentists of private clinics were satisfied with the treatment and 72,9 % ― with the preventive dental care provided for their patients. In public clinics this proportion was 77,3 and 58,4 %. Meanwhile, the older the dentist was the less satisfaction with the dental service he had: 77,9 % of the dentists of 22―39 years old and only 50 % of those of 60 years old. The satisfaction with preventive dental care was getting lower too: from 65 to 39,6 %. 91,6 % of dentists working for the private sector were satisfied with pay compared with only 41,5 % in public clinics. This figure tended to go down with a rise of the dentist’s age. Conclusion: the dentists of 22―30 years old working for the private sector showed the highest level of job satisfaction
Teeth eruption is a multifactorial process, which requires a thorough evaluation of a child's general state of health. During temporary teeth eruption, unpleasant sensation associated with swelling and tenderness in the gingival area, which is accompanied by excessive salivation, fever, rhinorrhea, increased anxiety, poor appetite, etc. may occur. Today, there are pharmacological and non-pharmacological treatments for easing the symptoms of eruption of temporary teeth. The article presents feasible approaches to the relief of symptoms that occur at this period. It draws attention to the issue of competent and timely evaluation of symptoms and signs and identification of underlying causes of babies' unwellness, as well as risks of using pharmacological products. The prevailing opinion among parents and medical professionals suggests that the symptoms of teeth eruption can and should be controlled. The local symptoms during difficult eruption of temporary teeth include gingival edema and hyperemia, as well as tenderness on palpation in the eruption area. Different pharmacological and non-pharmacological methods are used to reduce the symptom load of teeth eruption in children. One of them is a baby herbal teething gel. Therapeutic indications for using the gel are pain syndrome in baby tooth eruption (for massaging gums). No contraindications have been identified. If the gel or its components cause a hypersensitivity reaction, its use is not recommended. Active ingredients are exclusively of natural origin. Non-pharmacological treatments to ease the symptoms of temporary teeth eruption include a simple and available method - massage of predeciduous dentition. Putting pressure on them reduces the pain syndrome. Specialized silicone brushes can be used for massage. Gel-filled cooling or silicone teething toys reduce swelling and relieve painful sensation.
Temporal eruption for children is a natural and physiological process. However, in some cases, it may be accompanied by numerous unpleasant symptoms, such as fever, decreased appetite, anxiety, sleep disorders and indigestion. These symptoms nonspecific and may occur in other somatic diseases. The Violation of stages, timing of eruption may be indicated a variety of somatic diseases and the development of further pathology of the dental-jaw system, as well as depends of the child`s constitutional characteristics. In this article we are presents an analysis, which dedicated problems of infant`s tooth eruption. Special attention is paid to the available means for the normalization of pathological symptoms, which accompanied the process of teething. Sometimes, parents try to alleviate the child`s condition and use different means independently, but uncontrolled and prolonged use of NSAIDs and local anesthetics can leads to allergic or toxic effects. Currently, with the help of research, it has been established that the use of herbal preparations is better, they are safer.
Relevance. High dental disease incidence in children is still a relevant problem of public health care in Russia. Regional or national oral disease incidence rates may decrease via the introduction of state or Regional prevention programs. School dentistry is crucial in the pediatric dental care system. Different socio-economic, climatic and geographical conditions of various Regions of the Russian Federation affect the possibilities of preventive program implementation in the child population. Purpose – to evaluate the implementation of dental disease prevention programs in pediatric dental services in several constituent entities of the Russian Federation.Materials and methods. In 2020, employees of Moscow State University of Medicine and Dentistry visited the Regions of the Russian Federation 39 times within the implementation of the national project "Healthcare" and national medical centre activities. In these Regions, the study examined the following parameters: availability of a Regional dental disease prevention program, the functioning of dental offices in educational institutions, dental checkup coverage rate in children.Results. The study revealed that most Regions have school-based dental offices in the pediatric dental service. School-based dental offices provide treatment and prevention procedures. The analysis showed that all studied constituent entities carry out dental checkups. However, the dental checkup coverage rate in children varies greatly.Conclusions. A small number of Regions (23.07%) have approved and are implementing a Regional prevention program, several entities (20.51%) are validating similar programs. And the majority of the studied constituent entities (56.41%) don’t have Regional prevention programs.
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