Delegation inflects on the quality of diagnosis and measures of deviations in occlusal development: Delegering påverkar bettövervakning - en granskning av diagnostiserade hörntandsavvikelser
2007 (Swedish)In: Tandläkartidningen, Vol. 99, no 13, 98-102 p.Article in journal (Refereed) Published
Major reductions in caries prevalence among children have been seen in many countries, arguing for changes in organization of annual check-ups and prophylactic procedures. The purpose of our study was to clarify whether an organization of annual oral health examinations of children in the Swedish PDHS by dental assistants or dental hygienists, without a legal right for diagnosing deviations in occlusal development, has resulted in changes in diagnosis or measures related to deviations in maxillary cuspid eruption. Dental records from 6 to 14 years of age for 1000 patients from clinics with traditional annual examinations by dentists and 999 from clinics with ”delegated” check-ups were scrutinized with regard to notes or measures related to cuspid development and eruption. A significant lower number of deviations in cuspid eruptions were reported in clinics with ”delegated” check-ups (p=0.003). A tendency for later radiological examinations was also seen in this group. Sixty patients (2.7%) had been given the diagnosis ”retained maxillary cuspid”, but with no difference in number between the two groups of clinics. A lower quality with regard to diagnosis and measures of deviations in occlusal development in delegated annual examinations of children could thus not be contradicted.
Place, publisher, year, edition, pages
2007. Vol. 99, no 13, 98-102 p.
IdentifiersURN: urn:nbn:se:umu:diva-17755OAI: oai:DiVA.org:umu-17755DiVA: diva2:157428