Survey of 1980 California dental hygiene graduates to determine expanded-function utilization. 1984

S K Rich, and J Smorang

In a survey with an 81 percent response rate, 1980 California dental hygiene graduates reported that a large majority of dentists in 410 practices were delegating expanded functions. Hygienists reported that they were being delegated local anesthesia administration in 89 percent of their practice settings, soft-tissue curettage in 86 percent, and nitrous oxide and oxygen administration in 60 percent. More recent dental graduates delegated more frequently than older graduates. Teaching status of the dentist/employer did not appear to affect delegation. Periodontists delegated more than general dentists and this seemed to be related to patient need in those practices. Hygienists in general practices are feeling somewhat underutilized; however, they attribute a relatively small percentage (14.8% local anesthesia, 20.2% soft-tissue curettage and 4.1% nitrous oxide) of the underutilization to "lack of delegation" by their dentist/employer. Hygienists perceived "lack of patient need" and "lack of equipment" to be the major reasons for any underutilization in the expanded functions. In conclusion, it appears that a 1976 law change in California allowing dental hygienists to perform block and infiltration local anesthesia, soft-tissue curettage, and nitrous oxide and oxygen administration has resulted in a rather widespread change in the dental practices of this sample. Dentists are apparently delegating local anesthetic administration and soft-tissue curettage in over 85 percent of the 410 practices employing 216 hygienists. Delegation of nitrous oxide and oxygen administration, which is dependent on availability of equipment, was reported as being delegated in over 50 percent of the practices.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D002140 California State bounded on the east by Nevada and Arizona, on the south by Mexico and the Pacific Ocean on the south and west, and on the north by Oregon.
D003756 Dental Hygienists Persons trained in an accredited school or dental college and licensed by the state in which they reside to provide dental prophylaxis under the direction of a licensed dentist. Dental Hygienist,Hygienist, Dental,Hygienists, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000766 Anesthesia, Dental A range of methods used to reduce pain and anxiety during dental procedures. Dental Anesthesia
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D013357 Subgingival Curettage Removal of degenerated and necrotic epithelium and underlying connective tissue of a periodontal pocket in an effort to convert a chronic ulcerated wound to an acute surgical wound, thereby insuring wound healing and attachment or epithelial adhesion, and shrinkage of the marginal gingiva. The term is sometimes used in connection with smoothing of a root surface or ROOT PLANING. (Jablonski; Illustrated Dictionary of Dentistry, 1982) Gingival Curettage,Periodontal Epithelial Debridement,Curettage, Gingival,Curettage, Subgingival,Curettages, Gingival,Curettages, Subgingival,Debridement, Periodontal Epithelial,Debridements, Periodontal Epithelial,Epithelial Debridement, Periodontal,Epithelial Debridements, Periodontal,Gingival Curettages,Periodontal Epithelial Debridements,Subgingival Curettages

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