Expanded Duties of Auxiliaries: A Survey of Opinions of Georgia Dentists

Waller, Robert R.

doi:10.14219/jada.archive.1973.0225

Cited by 9 publications

(6 citation statements)

References 6 publications

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“…For example, researchers found that younger, more recent graduates were more likely to delegate expanded duties than their older counterparts. [20][21][22][23][24] Dentists who employed auxiliaries were found to have more positive attitudes toward d e l e g a t i~n .~~ Finally, it has been noted that members of dental faculties, salaried dentists, and specialists tend to delegate expanded functions more frequently. 12,2224 In relation to delegation of the California expanded functions to dental hygienists, this study focuses on the specific variables of specialty status, employer's years since graduation, employer's teaching status, and patient need.…”

Section: Review Of Literaturementioning

confidence: 99%

Survey of 1980 California Dental Hygiene Graduates to Determine Expanded‐Function Utilization*

Rich

Smorang²

1984

J Public Health Dent

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In a survey with an 81 percent response rate, 1980 California dental hygiene graduates reported that a large majority of dentists in 410 practices were delegating expanded functions. Hygienists reported that they were being delegated local anesthesia administration in 89 percent of their practice settings, soft-tissue curettage in 86 percent, and nitrous oxide and oxygen administration in 60 percent. More recent dental graduates delegated more frequently than older graduates. Teaching status of the dentist/employer did not appear to affect delegation. Periodontists delegated more than general dentists and this seemed to be related to patient need in those practices. Hygienists in general practices are feeling somewhat underutilized; however, they attribute a relatively small percentage (14.8% local anesthesia, 20.2% soft-tissue curettage and 4.1% nitrous oxide) of the underutilization to "lack of delegation" by their dentist/employer. Hygienists perceived "lack of patient need" and "lack of equipment" to be the major reasons for any underutilization in the expanded functions. In conclusion, it appears that a 1976 law change in California allowing dental hygienists to perform block and infiltration local anesthesia, soft-tissue curettage, and nitrous oxide and oxygen administration has resulted in a rather widespread change in the dental practices of this sample. Dentists are apparently delegating local anesthetic administration and soft-tissue curettage in over 85 percent of the 410 practices employing 216 hygienists. Delegation of nitrous oxide and oxygen administration, which is dependent on availability of equipment, was reported as being delegated in over 50 percent of the practices.(ABSTRACT TRUNCATED AT 250 WORDS)

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Section: Review Of Literaturementioning

confidence: 99%

Survey of 1980 California Dental Hygiene Graduates to Determine Expanded‐Function Utilization*

Rich

Smorang²

1984

J Public Health Dent

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“…2 In the United States, the dental community projected an increase in the population and the demand for dental services due to the population's increase in education, income, and employment offering dental insurance. 3,4 One solution to increase the efficiency of providing dental treatment was using four-handed dentistry with a dental assistant. During the 1950s, the U.S. Public Health Service's Division of Dental Health instituted the Dental Auxiliary Utilization Program, which educated dental students to use dental auxiliaries to perform dental procedures to enhance efficiency and ease of effort.…”

Section: Introductionmentioning

confidence: 99%

“…5 In 1961, the American Dental Association requested that research be conducted on educating and expanding the responsibilities of dental auxiliaries, dental hygienists, and assistants to address the workforce shortage and the increased demand for care. 4 Several studies conducted during the 1960s and 1970s reported details of auxiliary training programs and demonstrated increased production while maintaining the quality of the procedures completed by the auxiliaries. 3,[6][7][8] During the 1970s, legislation was passed in a few states to allow dental hygienists to provide local anaesthesia and restorative care.…”

Section: Introductionmentioning

confidence: 99%

The experiences of dental hygienists providing restorative patient care

Ray

Lane

Rogo

2023

Int J Dental Hygiene

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ObjectiveThe intent of this inquiry was to explore the lived experiences of dental hygienists who provide restorative patient care.MethodsPhenomenology was the qualitative approach used. Purposive sampling ensured participants had relevant experiences. An interview guide was emailed 1 week prior to the interview to help participants prepare responses. Informed consent included selecting a pseudonym, which was used throughout the interview and on the written transcript to protect the participants' identities. One‐hour semi‐structured interviews were conducted and recorded on Zoom. Data collection and analysis occurred simultaneously. Verbatim transcription accuracy was verified. Data were initially coded and then focused coding created themes. Demographic data were analysed using descriptive statistics.ResultsAfter eight interviews, data saturation was achieved. Seven females and one male participated. All participants experienced a restorative curriculum in their entry‐level program and most felt well‐prepared. The motivation for becoming a restorative dental hygienist included having positive restorative experiences during the entry‐level program, wanting to keep restorative skills current after graduation, and having an opportunity to provide restorative care. Challenges experienced included the dentists' negative attitudes, hygienists' not valuing restorative abilities and not having a qualified dental assistant. Personal benefits were related to career fulfilment. Benefits to patients involved improving access, efficiency, and convenience. The benefit to the office was increased production. Differences between restorative and preventive care involved demands of care and patient care flow.ConclusionThe findings provide insight into the unique experiences of dental hygienists who provided restorative patient care and a foundation for future research.

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“…2 The impetus for the modification in the Minnesota statutes was the well-documented need to increase the availability of dental care by increasing the efficiency of dentists and delegating selected procedures to dental hygienists and dental assistants. 3,4 Enactment of the modified Minnesota Dental Practice Act of 2008 was based on the premise that increasing the scope of practice and responsibilities of allied dental professionals may help address oral health disparities and increase access to oral health care.…”

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confidence: 99%

Patient Satisfaction in a Restorative Functions Dental Hygiene Clinic

Cooper

Monson²

2008

Journal of Dental Education

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In 2003, the Minnesota Dental Practice Act was modified to allow dental hygienists and assistants to place amalgam, composite, glass ionomer, and stainless steel crowns. A restorative functions course was added to the curriculum of a dental hygiene program at a state university in Minnesota to teach these skills. Student requirements for the course included clinical experiences on a minimum of twelve patients, as outlined by the Minnesota Board of Dentistry. The objectives of this study were to describe the characteristics and satisfaction levels of patients receiving care in the restorative functions dental hygiene clinic. An online survey was offered to eighty-two adult patients receiving restorative treatment in the clinic, with sixty-four patients agreeing to participate for a response rate of 78 percent. The average patient was thirty-one to forty years old, Caucasian, worked full-time, did not have dental insurance, had a family income of between $20,000 and $40,000, and chose this clinic due to low cost. Ninety-eight percent of responding patients were satisfied or very satisfied with their overall clinic experience, and 98 percent also thought the quality of care at this clinic was the same, better, or much better than previous dental care they had received. Most patients would return to this clinic for future restorative work (97 percent), in addition to recommending this clinic to others seeking restorative work (98 percent). Wilcoxen signed rank tests revealed the patients were significantly more satisfied (p<.001) with the fees of this clinic, as well as the communication, caring, organization, and preparedness of the dental hygiene student as compared to their last restorative visit to a private dentist. Group differences were examined using the non-parametric test, Mann-Whitney, which is similar to the two-sample t-test for parametric data. No significant group differences in the overall satisfaction with this clinic were found according to income level, dental insurance, or ability to pay for an unexpected dental bill. Findings in this study suggest the majority of patients were satisfied with the overall experience of restorations placed by a dental hygienist. Further research is indicated to determine if these results are typical of other dental hygiene restorative functions clinics in the United States.

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Expanded Duties of Auxiliaries: A Survey of Opinions of Georgia Dentists

Cited by 9 publications

References 6 publications

Survey of 1980 California Dental Hygiene Graduates to Determine Expanded‐Function Utilization*

Survey of 1980 California Dental Hygiene Graduates to Determine Expanded‐Function Utilization*

The experiences of dental hygienists providing restorative patient care

Patient Satisfaction in a Restorative Functions Dental Hygiene Clinic

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