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Barriers for dental treatment of primary teeth in East and West Germany

Splieth, CH, Bunger, B and Pine, C 2009, 'Barriers for dental treatment of primary teeth in East and West Germany' , International Journal of Paediatric Dentistry, 19 (2) , pp. 84-90.

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    Abstract

    Background. In many countries, restorative treatment in primary teeth is suboptimal. Aim. Thus, this study tried to detect barriers for dentists to restore primary teeth in kindergarten children (3–6 years). Design. For a representative survey, 320 dentists (184 West, 136 East Germany) were randomly selected from the dental associations’ registers and asked to answer a questionnaire on their profile, their view of the National Health System, and possible barriers for restoring primary teeth. Results. The analysis (response rate 57.7%) showed that the parents were no barrier and the dentists felt the need of restoring primary teeth. In addition to the children’s anxiety, the inadequate reimbursement for fillings were perceived as clear barrier. The comparison of West and East German dentists detected statistically significantly higher barriers in West Germany, where – in contrast to the German Democratic Republic – no structured training in paediatric dentistry was compulsory before unification. Only 35% of the East German dentists rated restorative treatment in 3- to 6-year-olds as stressful in contrast to 65% in West Germany, where especially male dentists found no time to treat children. Conclusion. This study reveals that dentists can also be a considerable barrier to restorative treatment in small children, especially without adequate training in dental schools.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
    Colleges and Schools > College of Health & Social Care > School of Health Sciences
    Journal or Publication Title: International Journal of Paediatric Dentistry
    Publisher: Wiley-Blackwell
    Refereed: Yes
    ISSN: 09607439
    Depositing User: RH Shuttleworth
    Date Deposited: 25 May 2012 11:07
    Last Modified: 20 Aug 2013 18:28
    URI: http://usir.salford.ac.uk/id/eprint/22763

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