The evolution of treatment over 80 years at the outpatient department of the Viennese school of dentistry

Abstract

Objectives The delivery of oral health services, diagnostics and treatment underwent significant changes in the 20th century thanks to achievements by pioneers in dentistry. The Golden Age of Dentistry in Vienna, Austria, was marked by renowned dentists like Bernhard Gottlieb in the 1930s. Data records from the outpatient department of this period have been found and served as a source from which to draw comparisons between those days and the present. To date, data supporting an overall perception of advances in dentistry during the last century in tooth preservation and patients’ demands have been lacking. The aim of this study was to evaluate changes in treatments and patient characteristics between the interwar period and the present and to assess how treatments for dental emergencies developed. Methods Patients’ records were extracted from books handwritten from January to May 1933 and compared with electronically generated data from the same period in 2013. In total, patient data from 10 111 individuals (3878 in 1933 and 6233 in 2013) were analysed. Comparisons were undertaken for gender, age, place of residence, diagnosis and therapy. Results Various statistically significant demographic and treatment differences were found between 1933 and 2013. Patients’ mean ages in 2013 and 1933 were 42 and 31 years, respectively. In 2013, there were significantly more women than in 1933 (3378 vs 1936), with 54% women in 2013 and 50% women in 1933. In 2013, there were significantly fewer tooth extractions as dental emergency treatment than in 1933 (2% vs 34%). Conclusions Treatment in the outpatient department is much more conservative in the 21st century. The characteristics of patients visiting the outpatient department have changed over the generations, and treatment needs should be evaluated accordingly.

Rastreabilidade dos usuários atendidos no Núcleo de Acolhimento e Pronto Atendimento de uma clínica-escola de Odontologia

“…Os achados da pesquisa foram semelhantes aos de outros estudos, que relataram uma maior predominância do sexo feminino 2,5,6,9,10,11 . Autores explicam a maior prevalência devido ao fato de mulheres se preocuparem mais com questões estéticas 9 e prezarem pelo autocuidado, principalmente por razões culturais.…”

“…Por meio do Núcleo de Acolhimento e Pronto Atendimento (NAPA), presta serviço odontológico de urgência à comunidade e oferece o acolhimento inicial aos usuários das clínicas-escola, buscando a resolutividade de situações de urgência e oferecendo cuidados voltados à atenção básica e especializada. Comparando-se a evolução nos tratamentos de urgência em um período de 80 anos, verificou-se que houve significativamente menos extrações dentárias como forma de tratamento (de 34% para 2%), evidenciando que no século atual os tratamentos têm sido mais conservadores 5 . Contudo, a maior parte dos procedimentos odontológicos de urgência são inconclusivos e exigem novo atendimento 6,2 .…”

Overview and knowledge of prosthodontic diagnostic aids among interns and post graduates – A cross-sectional questionnaire study

“…In recent decades, knowledge in dentistry has evolved tremendously, not only in terms of digitalization and evidence-based treatment but also in terms of diagnostic modalities. [ 1 ] A precise diagnosis should first determine whether disease is present or not, then identify its type, extent, distribution, severity and finally integrate information obtained from a thorough clinical examination along with various diagnostic aids. [ 2 ] According to the Glossary of Prosthodontic Terms, Diagnostic aid is defined as “a tool relating to or used in diagnosis.”[ 3 ] Diagnostic aids used in Prosthodontics help to assess the soft tissue and hard tissue to restore the stomatognathic system of the patient’s normal function, comfort, esthetics, speech, and mastication.…”

Longevidade de restaurações em resina composta em dentes posteriores permanentes realizadas por estudantes de odontologia: estudo observacional e retrospectivo de 12 anos

“…O conhecimento em Odontologia evoluiu em termos de não apenas modalidades de tratamento baseadas em evidências e diagnóstico, mas também nas demandas dos pacientes e na conscientização da saúde bucal. Fatores sociais, econômicos e culturais têm impacto nos serviços de saúde bucal e na maneira como as pessoas cuidam de si (HARIRIAN et al, 2019).…”