Factors Associated with Fissure Sealant Delegation: Dentist Characteristics and Office Staffing Patterns
dc.contributor.author | Farghaly, Mahassen M. | en_US |
dc.contributor.author | Lang, Walter Paul | en_US |
dc.contributor.author | Woolfolk, Marilyn W. | en_US |
dc.contributor.author | Faja, Barbara Wirth | en_US |
dc.contributor.author | Ziemiecki, Thomas L. | en_US |
dc.contributor.author | Pritzel, Susan J. | en_US |
dc.date.accessioned | 2010-04-01T15:32:08Z | |
dc.date.available | 2010-04-01T15:32:08Z | |
dc.date.issued | 1993-12 | en_US |
dc.identifier.citation | Farghaly, Mahassen M.; Lang, W. Paul; Woolfolk, Marilyn W.; Faja, Barbara W.; Ziemiecki, Thomas L.; Pritzel, Susan J. (1993). "Factors Associated with Fissure Sealant Delegation: Dentist Characteristics and Office Staffing Patterns." Journal of Public Health Dentistry 53(4): 246-252. <http://hdl.handle.net/2027.42/66019> | en_US |
dc.identifier.issn | 0022-4006 | en_US |
dc.identifier.issn | 1752-7325 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/66019 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=8258788&dopt=citation | en_US |
dc.description.abstract | The purpose of this research was to identify dentist characteristics and dental office staffing patterns related to delegation of sealant applications. Results from a 1989 ma/led survey were used to characterize Michigan general dentists (N =300) who did or did not delegate sealant applications to auxiliaries and to identify factors associated with delegation. Nearly 50 percent of respondents were applying all sealants themselves. In offices that delegated the procedure, the mean proportion of sealants being applied by dentists was 39.9 percent. Registered dental hygienists were applying 51 percent, while registered dental assistants were applying 6.5 percent. Delegating dentists were more knowledgeable about sealant procedures, held more favorable attitudes, treated more young patients, placed more sealants, and were better informed about the legality of delegation according to the state practice act. Logistic regression analysis found that employing a registered dental hygienist was the most significant factor associated with sealant delegation, followed by employing a registered dental assistant. Findings suggest that dental auxiliaries, and particularly registered dental assistants, are underutilized for applying sealants. Approaches to increasing delegation of sealants may include changing dentists' traditional hiring patterns, highlighting the skills of auxiliaries such as the registered dental hygienist (RDH) and the registered dental assistant (RDA), and increasing awareness of legally allowable procedures that RDHs and RDAs can perform. | en_US |
dc.format.extent | 1105129 bytes | |
dc.format.extent | 3110 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.rights | 1993 by the American Association of Public Health Dentistry | en_US |
dc.subject.other | Fissure Sealants | en_US |
dc.subject.other | Dental Auxiliaries | en_US |
dc.subject.other | Delivery of Health Care. | en_US |
dc.title | Factors Associated with Fissure Sealant Delegation: Dentist Characteristics and Office Staffing Patterns | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Dentistry | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Dentistry University of Michigan Ann Arbor, Ml | en_US |
dc.contributor.affiliationum | School of Dentistry University of Michigan Ann Arbor, Ml | en_US |
dc.contributor.affiliationother | School of Dental Medicine University of Connecticut Farmington, CT | en_US |
dc.identifier.pmid | 8258788 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/66019/1/j.1752-7325.1993.tb02712.x.pdf | |
dc.identifier.doi | 10.1111/j.1752-7325.1993.tb02712.x | en_US |
dc.identifier.source | Journal of Public Health Dentistry | en_US |
dc.identifier.citedreference | Badner V, Rosenberg D. Dentist use patterns for pit and fissure sealants and topical fluorides. J Dent Educ 1986 ; 50 : 656 – 60. | en_US |
dc.identifier.citedreference | Gift HC, Frew RA. Sealants: changing patterns. J Am Dent Assoc 1986 ; 112 : 391 – 2. | en_US |
dc.identifier.citedreference | Rubenstein LK, Dinius A. Dental sealant usage in Virginia. J Public Health Dent 1986 ; 46 : 147 – 51. | en_US |
dc.identifier.citedreference | Cohen L, Labelle A, Romberg E. The use of pit and fissure sealants in private practice: a national survey. J Public Health Dent 1988 ; 48 : 26 – 35. | en_US |
dc.identifier.citedreference | Cohen L, Romberg E, LaBelle A. The influence of dental practice characteristics on pit and fissure sealant use: a national survey. J Dent Pract Admin 1988 ; 53 : 125 – 32. | en_US |
dc.identifier.citedreference | Chapko MK. Time to adoption of an innovation by dentists in private practice: sealant utilization. ] Public Health Dent 1991 ; 51 : 144 – 51. | en_US |
dc.identifier.citedreference | Cohen L, Romberg E, LaBelle A. Pit and fissure sealant use in private practice: influence of state practice acts. Am J Public Health 1988 ; 78 : 316 – 17. | en_US |
dc.identifier.citedreference | Brown W, Charbeneau G. Consensus summary of the conference. In : Conference on pit and fissure sealants: why their limited usage ? Chicago, IL : American Dental Association, 1981. | en_US |
dc.identifier.citedreference | Faine RC, Dennen T. A survey of private dental practitioners' utilization of dental sealants in Washington State J Dent Child 1986 ; 53 : 337 – 42. | en_US |
dc.identifier.citedreference | Gonzalez CD, Frazier PJ, Messer LB. Sealant use by general practitioners: a Minnesota survey. J Dent Child 1991 ; 58 : 38 – 45. | en_US |
dc.identifier.citedreference | Chapko MK, Milgrom P, Bergner M, Conrad D, Skalabrin N. Delegation of expanded functions to dental assistants and hyeienists Am J Public Health 1985 ; 75 : 61 – 5. | en_US |
dc.identifier.citedreference | Tommasone DW. Duty delegation. Dent Clan North Am 1974 ; 18 : 829 – 38. | en_US |
dc.identifier.citedreference | Mullins MR, Kaplan AL, Mitry DJ, et al. Production-economic effects of delegation and practice size in a private dental office. J Am Dent Assoc 1979 ; 98 : 572 – 7. | en_US |
dc.identifier.citedreference | Kaplan AL. Clinical quality and delegation in a private dental office utilizing expanded-function dental auxiliaries. J Public Health Dent 1980 ; 40 : 118 – 25. | en_US |
dc.identifier.citedreference | Mullins MR, Kaplan AL, Bader JD, et al. Summary results of the Kentucky dental practice demonstration: a cooperative project with practicing general dentists. J Am Dent Assoc 1983 ; 106 : 817 – 25. | en_US |
dc.identifier.citedreference | Bader JD, Kaplan AL, Lange KW, Mullins MR. Production and economic contributions of dental hygienists. J Public Health Dent 1984 ; 44 : 28 – 34. | en_US |
dc.identifier.citedreference | Regan JE. The general practitioner's perception on sealant use. In : Conference on pit and fissure sealants: why their limited usage ? Chicago : American Dental Association, 1981 : 41 – 6. | en_US |
dc.identifier.citedreference | Horowitz AM, Frazier PJ. Issues in the widespread adoption of pit and fissure sealants. J Public Health Dent 1982 ; 42 : 312 – 23. | en_US |
dc.identifier.citedreference | Scheirton L. Training and educational needs in pit and fissure sealant application for graduate dental personnel: continuing education and certification courses. J Dent Educ 1984 ; 48 : 66 – 74. | en_US |
dc.identifier.citedreference | 20. State of New Hampshire. The practice of dentistry. Concord : State of New Hampshire, 1989. | en_US |
dc.identifier.citedreference | 21. Idaho State Board of Dentistry. Regulations of the Idaho State Board of Dentistry. Boise : State of Idaho, 1992. | en_US |
dc.identifier.citedreference | Nielsen-Thompson N, Boyer EM. Sealant application frequency, Clin Prev Dent 1988 ; 10 : 17 – 22. | en_US |
dc.identifier.citedreference | Gift H. Report of the 1982 preventive dentistry survey. Chicago : American Dental Association Health Foundation, 1984. | en_US |
dc.identifier.citedreference | Duffy MB, Bernet JK, Chovanec GK, Majerus GJ, Frazier PJ, Newell KJ. Dental hygienists' knowledge, opinions, and use of pit and fissure sealants: a comparison of two states. J Public Health Dent 1987 ; 47 : 121 – 33. | en_US |
dc.identifier.citedreference | Tilliss T. Application of pit and fissure sealants: long-term effects of a one-day continuing education course. Dent Hyg (Chic) 1986 ; 60 : 300 – 3. | en_US |
dc.identifier.citedreference | Kaplan AL, Bader JD, Mullins MR, Lange KW. Measurement of effects of a state dental practice act on potential delegation and production in general dental private practice. J Public Health Dent 1983 ; 43 : 161 – 7. | en_US |
dc.identifier.citedreference | Lang WP, Farghaly MM, Woolfolk MW, Ziemiecki TL, Faja BW. Educating dentists about fissure sealants: effects on knowledge, attitudes, and use. J Public Health Dent 1991 ; 51 : 164 – 9. | en_US |
dc.identifier.citedreference | Simonsen RJ. Pit and fissure sealants: attitudes toward and use by dentists in Minnesota. Quintessence Int 1983 ; 4 : 473 – 9. | en_US |
dc.identifier.citedreference | Hunt RJ, Kohout FJ, Beck JD. The use of pit and fissure sealants in private dental practices. J Dent Child 1984 ; 51 : 29 – 33. | en_US |
dc.identifier.citedreference | 30. Michigan Department of Licensing and Regulation. Administrative rules of the Michigan board of dentistry. Lansing : Michigan Department of Licensing and Regulation, 1989. | en_US |
dc.identifier.citedreference | 31. Norusis/SPSS Inc M. SPSS/PC+. Advanced statistics 4.0 for the IBM PC/XT/AT/ and PS/2. Chicago : SPSS Inc., 1990. | en_US |
dc.identifier.citedreference | Lang WP, Farghaly MM, Faja BW, Ziemiecki TL, Woolfolk MW, Dennison JB. The effect of education upon dentists' utilization of fissure sealants. Ann Arbor : University of Michigan, 1989 : 1 – 144. | en_US |
dc.identifier.citedreference | Waldman H. Dental auxiliaries in a more favorable period for dentistry: numbers, income, and job prospects. Dent Assist 1987 ; 56 : 21 – 4. | en_US |
dc.identifier.citedreference | Bader JD, Sams DH, O'Neil EH. Estimates of the effects of a statewide sealant initiative on dentists' knowledge and attitudes. J Public Health Dent 1987 ; 47 : 186 – 92. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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