Dentists want greater fee for no-shows

Some of the dentist's rates are established in the so-called tandlægeoverenskomster, to be concluded between the Tandlægeforeningen and the Danish Regions. As the negotiations between Tandlægeforeningen and Danish Regions began in February 2010, it was bl.a. with a desire from the Tandlægeforeningens page to discuss a higher udeblivelseshonorar at the agreed major treatments.

Today is the fee for no-show set for 229 kr., regardless of the scope of the agreed treatment. It considers Tandlægeforeningens negotiator, Bear Haulrig, is not reasonable.

“Udeblivelseshonoraret is perhaps reasonable in relation to the fees charged for a study, but it stands in stark contrast to the cost of a lack of earnings, if h occurs in the context of a larger planned treatment such as a root canal or a larger pa-treatment,” says Bjørn Haulrig to Tandlægebladet and continues:

“Even worse, it seems, if there is planned a large operation, where there is reserved yet more time. In addition to this, the ambience sterile is wasted – a spot, that is both time-consuming and costly,” emphasizes Bear Haulrig.

How much the maximum cost for the patients by the absence of major planned treatments have Tandlægeforeningen not yet settled on, since the scheme could also be combined in other ways, than the current model, e.g. to be dependent on the reserved time.

Although the collective bargaining with Tandlægeforeningen and Danish Regions started in February, negotiations will in all probability continue for the rest of the year. And by then, there will certainly be no change in the fee for no-show on the agreed treatments.

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Read more in Tandlægebladet no. 3 2010 or on the www.tandlaegebladet.dk

Lower sugar levies provide lower teeth

It is a bomb, in particular the children's and young people's dental health, the sugar levies has fallen every year since 2001. It says Tandlægeforeningens president Susanne Andersen in a comment to the new information from the ministry of finance.

– We can see that the portions have become larger over the last ten years, and it is hardly unlikely that it has anything to do with the gradual tax reductions. Slikposerne have been greater, and the same is sodavandsflaskerne. While the biggest soda bottles for ten years ago called the 1½ litre, we are now up to 2 litres. And it is a big problem for the teeth. The large bottles of deadlines, especially children and young people to have a soda standing and taking a sip of it periodically. In this way, the teeth in a constant acid bath in, and the acid in the soda can in the worst case corrode the tooth enamel away, " says Susanne Andersen.

Studies have shown that every 7. teen, to a greater or lesser extent, have acid injuries of the tooth enamel.

In addition to syreskaderne is the sugar in soft drinks and sweets are one of the major culprits when it comes to holes in the teeth. The trend has for many years been, that the danes have fewer and fewer holes in the teeth, but Susanne Andersen is afraid that the positive development will stop, if the intake of sugar continues to increase.

Further information may be obtained from Tandlægeforeningen by contacting the communications officer May Falcon 70 25 77 11 or head of communications Claus Jørgensen on 70 25 77 11 or 21 26 56 98.

The elderly do not know to hjemmetandpleje scheme

Hjemmetandplejen is on offer to older people and difficult people with limited mobility, who find it difficult even to give dentistry a visit. However, several hundred elderly in the municipality of Aalborg, miss out on the offer of dental care in the home, because they do not know to the scheme, writes tv2/nord.

Equipped with a small tandlægekuffert can dentist resolve most tasks in the home, which protects the elderly and severely disabled patients for a troublesome trip out of the home. But according to Aalborg Municipality's dentistry, there are a few that make use of the possibility to get the dentist to give your teeth a check out in their own home.

“We suspect that we could have almost twice as many users in the system, if any, as is justified, took the offer,” says dentist Birgit Krabsen from dental care in Aalborg municipality.

Care centers can also avail of the scheme, so that staff at the plejecentrene can concentrate on providing care and support, instead of having to set aside time to accompany the residents one by one to the dentist.

Scandefa 2010, Scandinavian Dental Fair

SCANDEFA (Scandinavian Dental Fair) is the annual scandinavian trade fair for tandlægeteamet and dentalbranchen. The fair connects new knowledge about products, research and clothing, and has more than 10,000 visitors from Scandinavia and other countries, as well as over 150 exhibitors.

In parallel with the fair SCANDEFA, arranged by Bella Center, is held year course, organized by the Tandlægeforeningen (www.tandlaegeforeningen.dk).

PARTICIPANTS
SCANDEFA 2010 is a trade fair for dentists, dental assistants, dental technicians, dental hygienists and professionals.

REGISTRATION
There is a approach to online registration 1 month before the opening of the SCANDEFA 2010.

Opening HOURS
15.-17. april 2010
Thursday 15. april 10.00-18.00
Friday 16. april 09.00-18.00
Saturday 17. april 09.00-15.00

PLEASE CONTACT
Jo Jaqueline Ogilvie, sales and project manager
T +45 32 47 21 25
jjo@bellacenter.dk

Linda Gunner, udstillingskoordinator
T +45 32 47 21 31
lsk@bellacenter.dk

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On Scandefa

SCANDEFA is held for the first time in 1968 at the Bella Center at Bellahøj in Copenhagen, denmark as a part of the Tandlægeforeningens Kursusnævns largest annual vocational training course for the members. In 1976 moved to the messe, and of course to the Bella Center at the same address on Amager.

Tandlægeforeningens Courses
Tandlægeforeningen started the course in 1934, on fol.a. Mercur Hotel in Copenhagen with a very small udstillingsdel, and the event is moved, as mentioned above, the Bella Center in 1968. And 1982 was the event always the beginning of January and was Januarkursus – from 1983, moved the event to march under the name of year course.

Dental care for homeless people and social vulnerable spreads

It is no longer only at Bisserne in Copenhagen, that homeless people can get their teeth. Aalborg, Randers, Odense and Aarhus, have now also been granted money to tandplejetilbud to the social vulnerable. At the same time the Copenhagen look forward to another clinic.

– It is absolutely amazing, that socially disadvantaged people in several places in the country can now get their teeth. Homelessness is not a special phenomenon in Copenhagen. On the contrary. There will be more and more homeless in other major Danish cities. And it is incredibly gratifying that dental care is so well represented in the appropriations for social vulnerable, says dentist Peter Østergaard, who is the chairman of the Bisserne, who operates a dental clinic in the Men's home in Copenhagen.

Even if the joy is also great in Randers, Aalborg and Odense, are the three cities at the same time disappointing that they have been denied on their applications for the operation of tandklinikkerne.

– It is scandalous that we haven't got the money for the operation of the clinic. It seems the foolish thing to give us money to establish a clinic and, at the same time ensure that we can actually operate the clinic, says the dentist Reiff new center established, which is one of the main responsible for the project in Odense. Dentist Majbritt Jensen from the project in the municipality of Aalborg, backs up about it.

The dedicated dentists are now working to ensure funds for the operation, so dental care for the homeless also can be a reality in Randers, Aalborg and Odense.

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Read more in Tandlægebladet no. 14 2009 or www.tandlaegebladet.dk.

The dentist must know everything about your medication use

The dentist need to know if you are taking medication or suffer from something. Many patients forget to inform about their medication use, but it can prove to be crucial to the outcome of a dental treatment that the dentist is informed. Up against every tenth dane takes blood-thinning medication to prevent blood clots. But while blodpropperne be prevented, there may occur another problem – namely, increased tendency to bleeding. The bleeding can for example occur, when the patient must have a tooth pulled or made an in-depth cleaning.

It has been quite a common practice for patients on blood-thinning medication should keep a break in their medication use, before they should have made an intervention at the dentist. New studies now show that there is greater risk to stop treatment than the bleeding, which possibly. incurred by the crackdown, says overtandlæge and orthodontist at kæbekirurgisk afdeling at Glostrup Hospital Simon Storgård Jensen.

Dentists must take their own precautions when they are treating patients in antiplatelet treatment. There is essential and usually relatively simple to stop the bleeding before the patient leaves the clinic. Numerous drugs may also increase the blødningstendensen, and therefore it is important to know the message, so you can be extra careful, especially with the use of analgesics and antibiotics, highlighting the Simon Storgård Jensen.

A good advice is therefore: Tell your dentist everything. Even if you can not see that the medication you take has any relevance for your dental treatment.

The importance of good communication between dentist and patient become firmly established in the Tandlægeforeningens Symposium, where Simon Storgård Jensen is among the many presenters. Tandlægeforeningens Symposium will take place on the 6.-7. november in Aarhus, denmark at the Radisson SAS Scandinavia Hotel. A little over 1,600 dentists and 600 dental assistants participating in the event, that has the medically compromised patient, as well.

The nipple on the tommefinger can provide dental problems

Narresutten, also known as the nipple on the thumb, can give children overbid or open bite. It shows a new study of suttevaner with pre-school children documented in World Journal of Orthodontics.

In the study, a group of 34 preschool children divided into three groups: A group with sutteflaskevaner, a feeding and narresutvaner and without suttevaner. The results showed that the Results showed that there was a significant correlation between suttevaner and the children's tandstilling.

”It is well known that narresutten is to move children's teeth, but many studies have, however, shown to cease suttevanen in ca. fireårsalderen it should not have any impact on tandstillingen of the primary teeth. In the case, where it nevertheless has implications for tandstillingen, due to the fact that, in connection with suttevanen also developed a tungeuvane, as by the end of the suttevanen retains the change in the tandstillingen.” says associate professor Lis Almer from Dentistry in Copenhagen.

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Read more in Tandlægebladet no. 13 2009 or on www.tandlaegebladet.dk.

Cheaper to go to the dentist

The wise men of The Economic Council is now proposing that it should be cheaper to go to the dentist. In turn, the system must be financed by higher user fees when visiting a private doctor and the emergency room.

In the economic wise men efterårsrapport, which appeared 22. October 2009, gives the wise men their bid for a more equitable government support for healthcare.

“By splitting the brugerbetalingen out, you get less distortion of the state support. It is better to support two sites with 100 dollars than one place with 200 dollars, ” says a member of The Economic Council, Hans Jorgen Whitta-Jacobsen for Newspaq.

Avoid the dentist because of the price
Hans Jørgen Whitta-Jacobsen believes that some danes today fail to go to the dentist because it is too expensive, while there perhaps are too many, which caters to the emergency room – even with the small stuff – because it is free.

Hans Jørgen Whitta-Jacobsen, professor of economics, University of Copenhagen, stresses that the total user fees should not increase.

“Our recommendation is not to detract from the overall scope of user fees in the health sector. For it is a basic political premise,” he says.

Older people with dementia suffer from poor oral hygiene

Dementia brings great changes – also as regards the tandsundheden. Research shows that there is a clear link between dementia and poor oral hygiene. The medicine, people with dementia taking, also, that they get dry mouth, which allows a much greater risk of dental caries and fungal infections. Dentists, carers and relatives to a far greater extent focus on the elderly, who do not even maintain a normal life.

Birita Learned, there is the dentist, assistant professor, ph.d. and researcher in Dentistry in Copenhagen, denmark, have in recent years examined the association between dementia and dental health, and the result is striking. Birita Ellefsens study shows bl.a., to the people with dementia had an average of 7 holes in the teeth, already when they got demensdiagnosen, which says something about the problems that people with dementia have with their oral hygiene.

It can mean a significant deterioration of the older people's quality of life. The consequence of poor oral hygiene can bl.a. be pain or discomfort, which can give trouble to eat. At worst, it can mean that they completely stop eating. It is therefore important that the elderly with dementia and their caregivers get the proper guidance on how they should relate to dental care when they are diagnosed, stresses Birita Learned.

– Demented patients need a specially adapted dental care. And here, the dentists the opportunity to make a difference and help to ensure that newly diagnosed dementia patients receive prevention, treatment, and follow-up they need. We have a responsibility as healthcare professionals to help to cover the upbringing and health needs, which is just of the elderly with dementia, sounds the call from Birita Learned.

Birita Learned is among the presenters at the Tandlægeforeningens two-day Symposium on 6.-7. november. A little over 1,600 dentists and 600 dental assistants participating in the event, that has the medically compromised patient as the main theme and takes place in Aarhus, denmark at the Radisson SAS Scandinavia Hotel.

– It is always good to get updated – and expanded – his professional knowledge and ability, and it is of course valid also for dentists. With a view to both the individual dentist's challenges and daily lives, but also with the aim of patients. To dentists in-service training and included in the latest treatment techniques and developments in dental care, get patients in the chair for the benefit, said Tandlægeforeningens president Susanne Andersen.

Tooth decay is transmitted from adults to children

It is probably very few new mothers, who know bakteriesammensætningen in their own saliva and probably even fewer that know this have an impact on their child's dental health the rest of his life. Kisses and hugs are fine, but contact and exchange of saliva can transfer the ”cariesbakterier” from mother to child. Parents should be better informed, reads the assessment from the Professor of Dentistry in Copenhagen Svante Twetman.

Mothers pass bacteria to their children
People who have very caries, often have a special bakteriesammensætning. And these ”cariesbakterier” can infection. Studies show that the bacteria in infants in more than 70 percent of the cases comes from the mother, however the infection can also take place from other relatives or, for instance, in vuggestuemiljøet.

Mom with many ”cariesbakterier” are at high risk to transfer these to their children by, for example, to share the fate of their children or the taste of the baby feeding bottle. The earlier a child is exposed to the cariesbakterier, the greater the risk is that the bacteria establish a permanent and on a large scale. Thus, there is increased risk that the child develops caries in pre-school, writing Tandlægebladet.

According to professor Svante Twetman is it first and foremost to avoid direct spytkontakt. You should as parents avoid to take the child's pacifier or other things that need to check in the child's mouth, into his own mouth. One should not, for example, test barnemadens temperature in his own mouth. And one should not wash the pacifier or ”do it clean” by taking it in the mouth.

Another precaution, which the mother can take is to try to reduce its own level of cariesbakterier. With a background in several independent studies highlights Svante Twetman that, ”the mother can treat themselves antibacterial by rinsing the mouth with klorhexidinopløsning, or she may choose to chew xylitoltyggegummi in the period up to the child's first tandfrembrud.”

He stresses that there is some evidence that the tandsundheden in children can be improved if the tandplejepersonalet provides prospective and new parents information and advice on how to avoid the transfer of cariesbakterier to her child.

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Read more in Tandlægebladet no. 12 2009 or on www.tandlaegebladet.dk.

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