Some factors affecting the standards of radiography in general dental practice. 1995

L E Szymkowiak, and D W Sarll, and K Horner
Salford Health Authority, Eccles.

This study had three aims. The first was to examine the influence of legislative and educational factors on facilities and equipment in dental practices, the second to find out if these and practice size affected standards and the third to assess the degree to which technique and other faults not connected with processing accounted for inadequate diagnostic quality in intra-oral radiography. Dentists from 62 practices returned questionnaires about the sizes of their practices, facilities and equipment for radiography and relevant updating, training and education of their staff. The quality of 305 radiographs taken in a sample of 11 practices was assessed. Ten examples of good radiographic practice were used to evaluate standards in the general practices. The 'good practice score' ranged from 2 (two practices) to 10 (one practice) with a mean of 6.2. Practices whose principals had engaged in the recommended educational activities scored more highly than those that had not (P < 0.05), and the mean scores in practices of two or more dentists were higher than in single-handed (P < 0.05). Of the 305 radiographs, the dentists, without the use of criteria to assess them, rejected 13.8%; with criteria they rejected 39.3% (P < 0.05). The researcher rejected 63.9% (P < 0.05). All films were processed under controlled conditions and it is likely that reject rates would have been higher under normal processing conditions. It is concluded that the use of criteria to assess radiographs and acceptance of postgraduate opportunities, particularly by single-handed practitioners, would improve the conduct of radiography. Further improvements might be gained by orienting updating courses and materials towards behavioural change.

UI MeSH Term Description Entries
D011215 Practice Management, Dental The organization and operation of the business aspects of a dental practice. Dental Practice Management Services,Dental Practice Management,Management, Dental Practice,Practice Management Services, Dental
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
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
D011835 Radiation Protection Methods and practices adopted to protect against RADIATION. Protection, Radiation
D011861 Radiography, Dental Radiographic techniques used in dentistry. Dental Radiography
D011871 Radiology A specialty concerned with the use of x-ray and other forms of radiant energy in the diagnosis and treatment of disease.
D004498 Education, Dental, Continuing Educational programs designed to inform dentists of recent advances in their fields. Dental Education, Continuing,Continuing Dental Education,Continuing Dental Educations,Dental Educations, Continuing,Education, Continuing Dental,Educations, Continuing Dental
D005792 General Practice, Dental Nonspecialized dental practice which is concerned with providing primary and continuing dental care. Dental General Practice,Dental General Practices,General Practices, Dental,Practice, Dental General,Practices, Dental General
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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