Mickenautsch S, van't Hof M A, Frencken J E
Division of Public Oral Health, University of the Witwatersrand, P.O. Box 2779, 2041 Houghton, Johannesburg, South Africa.
East Afr Med J. 2007 Apr;84(4):178-82. doi: 10.4314/eamj.v84i4.9522.
To describe the provision of restorative care and dental operators' opinion about their conditions of service in a South African provincial oral health service system.
Assessment of oral health service over a four-month period.
Gauteng Province, South Africa.
Dental operators in public oral health service.
Operator interview, collection of treatment statistics, calculation of the mean score of restoration-extraction ratio per operator.
Number and type of restorations and tooth extractions rendered, daily patient load, perceived occupational stress level and opinion about main reasons for operator stress.
A total of 88,705 patients had been treated. The mean number of patients treated daily was 26 (SD = 8.4). Operators extracted 39,242 teeth and placed 2992 restorations. The main type of dental treatment was extraction. The mean score of the restoration-extraction ratio per operator was 0.09 in the primary, and 0.07 in the permanent dentition. The mean level of stress was 4.9 (SD = 1.9). The majority of operators regarded patients' high dental anxiety as the main reason for stress, followed by high patient load. The mean level of stress increased with the increase in number of patients treated per day (r = 0.44, p = 0.004) and also with the increase in the number of tooth extractions performed per day (r = 0.41, p = 0.008).
Restorative dental care in this public oral health service is limited, tooth extraction being the predominant treatment provided. High patient load and high patient levels of dental anxiety determine this situation, according to the operators. The health authority should introduce appropriate solutions in order to address the prevailing situation adequately.
描述南非省级口腔卫生服务系统中修复性护理的提供情况以及牙科工作人员对其服务条件的看法。
对四个月期间的口腔卫生服务进行评估。
南非豪登省。
公共口腔卫生服务中的牙科工作人员。
工作人员访谈、治疗统计数据收集、计算每位工作人员修复与拔牙比例的平均得分。
修复和拔牙的数量及类型、每日患者接待量、感知到的职业压力水平以及对工作人员压力主要原因的看法。
共治疗了88,705名患者。每日平均治疗患者数为26名（标准差 = 8.4）。工作人员拔除了39,242颗牙齿，放置了2992个修复体。主要的牙科治疗类型是拔牙。每位工作人员在乳牙列的修复与拔牙比例平均得分为0.09，恒牙列中为0.07。平均压力水平为4.9（标准差 = 1.9）。大多数工作人员认为患者高度的牙科焦虑是压力的主要原因，其次是患者接待量高。平均压力水平随着每日治疗患者数量的增加而升高（r = 0.44，p = 0.004），也随着每日拔牙数量的增加而升高（r = 0.41，p = 0.008）。
在这项公共口腔卫生服务中，修复性牙科护理有限，拔牙是主要提供的治疗方式。工作人员认为，高患者接待量和患者高度的牙科焦虑决定了这种情况。卫生当局应引入适当的解决方案，以充分应对当前的状况。
