Professional Documents
Culture Documents
Demands
Prof. Dr. Nevine Waly
Prof. of Pediatric Dentistry & Dental Public
Health
Faculty of Dentistry
Cairo University
I- Dental Needs
Types of Need:
1- Normative need:
A condition which a professional e.g.
dentist defines as requiring treatment.
E.g. presence of carious cavity.
2- Felt need:
Assessed by asking people if they feel
they need a dental service or not. This is
inadequate because there are some
asymptomatic conditions.
3- Expressed need:
Felt need turned into action. E.g. a
patient feels pain from a cavity and
asks for treatment.
4- Comparative need:
Identified in an area by comparing it
with other areas regarding disease or
service. E.g. if other areas have a
decrease in level of disease or increase
of service, therefore there is a need in
the examined area.
b- Developing countries:
Their demands are mainly for:
1- Exodontia.
2- Prosthodontia.
Dental services include:
1- Extraction of painful teeth.
2- Insertion of partial denture or
complete denture of simple design.
3- Dental health education.
4- Prevention and early treatment of
dental diseases for young generations.
2- Age:
* Need for treatment of traumatic injuries
to anterior teeth is maximum at age of
12-14 years.
* Need for fillings a peak between 1524 years.
* Need for extraction increase with
age.
3- Sex:
* Need for fillings and periodontal
treatment is the same in both sexes.
* Need for extraction and dentures is
lower in women than in men (women
care about their appearance more than
men).
4- Income:
a- In developed societies:
Dental needs are lower among patients with
increased income due to:
better preventive measures.
better education.
more frequent visits to dentist.
b- In undeveloped societies:
People with increased income need more
dental care especially young age groups.
5- Race:
* In USA blacks need filling,
periodontal treatment, extraction and
prosthodontia more than whites.
* Indian and Chinese groups have high
needs for periodontal treatment than
USA citizens but lower needs for caries
treatment.
B- Urbanization:
More persons in urban than in rural areas visit
the dentist more regularly.
C- Education:
Demand for dental services increases with the
increase in the level of education.
D- Occupational changes:
Persons in professional occupation visit the
dentist more frequently than manual workers.
E- Income per capita:
Income per capita is correlated positively with
demand of dental services.
3- Dental Auxiliaries:
Trained for 2 years to perform operations
of limited nature i.e. repairable
procedures (can be redone or corrected).
They do not prepare cavities but
complete the restorative procedures.
Duties:
1- Application of rubber dam.
2- Application of temporary restorations.
3- Application of matrices.
4- Condensation and carving amalgam.
5- Finishing and polishing restorations.
4- Dental Hygienist:
Dental Hygienist
Hygienist
Dental
A- Public
Public health
health dental
dental
Ahygienist
hygienist
B- Clinical
Clinical dental
dental
Bhygienist
hygienist