Was berichten Hausärzte und Zahnärzte über ihre Zusammenarbeit? Ergebnisse aus einer qualitativen Exploration

Huettig, Fabian; Said, Fadi M.; Sippli, Khira; Preiser, Christine

doi:10.1055/s-0042-108645

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…Generally, there is little connection between general practitioners (GPs) and dentists in primary care. 91 , 92 In a qualitative study of GPs’ and dentists’ experiences and expectations of inter-professional collaboration in Germany, both groups of professionals reported perceived knowledge deficits regarding the other profession. 93 For oral health issues, dentists expected GPs to have basic knowledge and to be able to diagnose halitosis.…”

Section: Halitosis: Practical Considerationsmentioning

confidence: 99%

<p>The Underestimated Problem of Intra-Oral Halitosis in Dental Practice: An Expert Consensus Review</p>

Renvert¹,

Noack²,

Lequart³

et al. 2020

CCIDE

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Approximately 90% of halitosis cases originate within the oral cavity (intra-oral halitosis). With a focus on intra-oral halitosis, this narrative review article provides a current summary of the epidemiology, diagnosis and management of halitosis and discusses practical considerations for healthcare professionals (HCPs), including dentists, dental hygienists, general practitioners, community pharmacists, nurses and medical specialists. MEDLINE and PubMed were searched up to 31 December 2019. Additional information was sourced from reference lists of relevant published literature. Full-text articles which reported on the epidemiology, diagnosis and management of halitosis were considered for inclusion. Halitosis affects substantial numbers of individuals globally and is an underestimated problem in dental practice. Current estimates of the prevalence of halitosis, in addition to diagnostic methods and management considerations for halitosis, are discussed. Although not a life-threatening condition, halitosis has a significant impact on patients' quality of life and can result in psychological consequences including social, professional and affective limitations. Using a simple step-wise approach for diagnosis and treatment, dentists and dental hygienists are ideally placed to respond to an initial consultation for halitosis.

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Section: Halitosis: Practical Considerationsmentioning

confidence: 99%

<p>The Underestimated Problem of Intra-Oral Halitosis in Dental Practice: An Expert Consensus Review</p>

Renvert¹,

Noack²,

Lequart³

et al. 2020

CCIDE

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“…Accordingly, sufficient knowledge of dentists with regard to systemic diseases and the measures for prevention of complications (e.g. antibiotic prophylaxis) seem mandatory; in contrast, dentists knowledge about these topics and their interdisciplinary collaboration with general physicians is limited [ 10 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an educational concept for risk-oriented prevention in undergraduate dental education

et al. 2020

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Background Aim of this observational study with a three-month follow-up was to evaluate an educational concept for risk-oriented prevention applied by fifth-year undergraduate dental students. Methods Dental students from two clinical treatment courses of the last undergraduate year were included. The subjects were divided into two groups according to their assignment to the two clinical classes. Group A received a sequence of seminars, including the basics of a risk classification system (RCS) with the theoretical background and case studies in the context of preventive dentistry. Thereby, 1) a theoretical seminar (background, RCS, cases) and 2) the transfer of the RCS on a clinical patient case chosen by the student, and its presentation within a discussion round was applied. Group B served as a comparison group with students who did not receive any of teaching events in terms of RCS. The self-perceived knowledge and importance of RCS, as well as objective knowledge (qualitative questions), were assessed with a standardized questionnaire at baseline and after 3 months. Results Out of 90 students at baseline, 79 (group A: 39, group B: 40) were re-evaluated after 3 months. At this follow-up, Group A estimated their confidence in handling the medication (p = 0.02), the RCS (p < 0.01), and in identifying the risk of oral diseases (p = 0.02) higher than group B. Furthermore, group A felt it was more important to identify patients at risk (p = 0.02), the risk of complications (p = 0.02) and to apply an RCS (p = 0.03). At follow-up, group A exhibited more correct answers of qualitative questions than group B regarding risk of complications (p < 0.01) and bacteremia (p < 0.01). Group A felt more confident with at-risk patients and more competent concerning RCS than group B (p < 0.01). Conclusion The concept for educating risk-oriented prevention increased the self-perceived skills and the knowledge of undergraduate dental students after 3 months within a clinical treatment course.

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“…Individual attempts to contact each other by phone are often unsuccessful due to practice structures and heavy workload. 27 These circumstances have received more attention in recent years-both from a dental [27][28][29] and from a general practice perspective. [30][31][32] Göstemeyer et al 33 identified impeding and facilitating factors of oral healthcare (OHC) and dental treatment of older people in need of care.…”

Section: Lack Of Cooperation Between Dentists and General Practitionersmentioning

confidence: 99%

“…There are no reciprocal referral opportunities, even though dentists and GPs need to rely on each other’s information to coordinate their respective treatments. Individual attempts to contact each other by phone are often unsuccessful due to practice structures and heavy workload 27…”

Section: Introductionmentioning

confidence: 99%

Interaction of Systemic Morbidity and Oral Health in Ambulatory Patients in Need of Home Care (InSEMaP): an observational study at the sector boundary between dental and general practice care in Germany

et al. 2023

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IntroductionOlder people in need of home care are at risk of declining oral health as their visits to dentists are becoming less frequent due to restricted mobility. There is increasing evidence that poor oral health and systemic diseases are closely associated, for example, in cardiological, metabolic or neurodegenerative conditions. Thus, Interaction of Systemic Morbidity and Oral Health in Ambulatory Patients in Need of Home Care (InSEMaP) is investigating the need, provision and utilisation of oral healthcare, systemic morbidity and clinical status of the oral cavity in older people.Methods and analysisInSEMaP consists of four subprojects (SP), all involving the target population of older people in need of home care. In SP1 part a, a sample is surveyed using a self-report questionnaire. In SP1 part b, stakeholders (general practitioners, dentists, medical assistants, family and professional caregivers) are interviewed regarding barriers and facilitators using focus groups and personal interviews. In SP2, a retrospective cohort study, health insurance claims data are examined to investigate the utilisation of oral healthcare, its association with systemic morbidity and healthcare costs. In SP3, a clinical observational study will assess the oral health of participants by a dentist’s visit at home. SP4 synthesises the results of SP1, SP2 and SP3 to develop integrated clinical pathways, identifying strategies to uphold oral healthcare in older people. In assessing and evaluating the process of oral healthcare, and its associated systemic morbidity, InSEMaP aims to improve general healthcare across the sector boundary of dental and general practitioner care.Ethics and disseminationEthics approval was obtained from the Institutional Review Board of the Hamburg Medical Chamber (approval number: 2021-100715-BO-ff). The results of this study will be disseminated through conference presentations and publications in peer-reviewed journals. An expert advisory board to support the InSEMaP study group will be established.Trial registration numberGerman Clinical Trials Register: DRKS00027020.

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Was berichten Hausärzte und Zahnärzte über ihre Zusammenarbeit? Ergebnisse aus einer qualitativen Exploration

Abstract: Separation by statute determines the cooperation. Oral cavity in daily care is demarcated. Holistic patient care is hindered by a lack of knowledge and daily routines.

Cited by 5 publications

References 5 publications

<p>The Underestimated Problem of Intra-Oral Halitosis in Dental Practice: An Expert Consensus Review</p>

<p>The Underestimated Problem of Intra-Oral Halitosis in Dental Practice: An Expert Consensus Review</p>

Evaluation of an educational concept for risk-oriented prevention in undergraduate dental education

Interaction of Systemic Morbidity and Oral Health in Ambulatory Patients in Need of Home Care (InSEMaP): an observational study at the sector boundary between dental and general practice care in Germany

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