Ellie Heidari

A Swedish version of the Dental Visit Satisfaction Scale

The aims of this study were to translate and analyze the Dental Visit Satisfaction Scale (DVSS), which has been developed to measure different aspects of the dentist-patient relationship in the view of the patient. Subjects were ordinary dental patients attending dental care in various public dental service clinics (PDS) and patients attending an emergency PDS clinic and an oral medicine clinic (n = 204). Consecutively, patients were asked to answer a questionnaire that consisted of the DVSS and information about dental anxiety, age, and gender. The results revealed similar DVSS item/sum of scores levels as those in previous studies. There was no significant difference with respect to gender. High dental anxiety was associated with low DVSS score. Three dimensions were found in the exploratory factor analysis: Information/communication, Understanding/acceptance, and Technical competence. Item 8 was found to have skewed properties according to correlation, reliability, and factor analysis. A confirmatory factor analysis with the 9-item DVSS (item 8 removed) revealed a model with 4 dimensions. A general dental satisfaction factor was found, loading on all 9 items, together with the above-mentioned, more narrow factors.

An overview of the prison population and the general health status of prisoners

This article is the first in a series of four, which explore the oral and dental health of male prisoners in the United Kingdom. The series comprises: an overview of the general and oral health status of male prisoners, a discussion on how multi-disciplinary team working can be used to benefit the care of patients in prison environments and a description of the future planning of dental services for male prisoners. The oral health of prisoners is linked to their general health status, due in part to the presence of common risk factors such as smoking, drinking alcohol and in some cases use of recreational drugs, poor dietary and poor oral hygiene habits. Barriers to healthcare services can all have an effect on oral disease in this group. This paper highlights some of the common medical problems that oral healthcare providers face when treating prisoners in male UK prison establishments.

Oral health of adult prisoners and factors that impact on oral health

The first article in this series identified the medical and mental health issues among male patients in comparison to the general population. This article will discuss the oral health of male prisoners and those factors that impact upon their oral health including barriers to care. In general, the oral health of prisoners is poorer than that of age matched controls. A variety of factors including health related behaviours and pre-confinement access to dental services can influence this.

Survey of treatment policies under conscious sedation at centres dealing with people with high levels of dental anxiety across the United Kingdom

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The oral health of individuals with dental phobia: a multivariate analysis of the Adult Dental Health Survey, 2009

Background Adults with dental phobia have been reported to have poorer oral health and oral health-related quality of life. The aim of this study is to explore the social and demographic correlates of oral health and oral health-related quality of life (OH-QoL) of people with dental phobia compared to the non-phobic population in the United Kingdom using the data from Adult Dental Health Survey (ADHS, 2009).Method Secondary analysis of data from the ADHS, 2009. A series of logistic regression analyses was performed with outcome measures of: presence of decayed teeth; presence of missing teeth; pulp exposure ulceration fistula abscess (PUFA) score; periodontal health indices (plaque, bleeding and loss of attachments); and quality of life (oral health impact profile [OHIP14] and oral impacts on daily performance [OIDP]). Predictors included in the models were: the presence of dental phobia; age; gender; occupational status; oral health-related behaviour; dietary intake of sugars; and perception of their last visit.Results People with dental phobia are more likely to have one or more decayed (caries) teeth/missing teeth. Furthermore, their self-reported oral health-related quality of life (OH-QoL) is poorer. There were no differences in PUFA scores or periodontal disease.Conclusion The impact of dental phobia on oral health appears to operate largely through the increased likelihood of the presence of caries, since there is an increased likelihood of the presence of teeth with active caries and missing teeth when other predictors of disease experience are controlled in the analysis.