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Survey of Drug Usage in Dental Practice, 1969: I. Introduction
T h e p a s t 15 y e a r s h a v e p r o d u c e d a r a p i d in c r e a s e in th e n u m b e r a n d v a r ie t y o f d r u g p ro d u c ts a v a il a b le to p r a c t i c i n g d e n tis ts , m a r k a b le
q u a lity
a lo n g w i t h
im p r o v e m e n ts .
som e re
V e ry
lik e ly ,
th e s e d e v e lo p m e n t s a ls o i n f lu e n c e d a t r e n d t o w a r d g re a te r u s a g e o f d r u g
p r o d u c t s b y d e n tis ts . T h e
“ S u r v e y o f D r u g U s a g e in D e n t a l P r a c t ic e ” in v e s t ig a t e d s o m e a s p e c ts o f d e n t a l p r a c t i c e a s s o c ia te d w it h
th e s e t r e n d s ; s p e c i f i c a lly , m a n n e r o f u s e o f
d ru g
p ro d u c ts ,
th e
p e rc e n ta g e
o f d e n tis ts
u s in g
d r u g p ro d u c ts , a n d fre q u e n c y o f use. T h e s u r v e y w a s ta k e n in D e c e m b e r 1 9 6 9 . Q u e s t i o n n a i r e s w e r e m a i l e d t o e v e r y f if t h d e n t is t i n p r i v a t e p r a c t i c e ; u s a b le r e t u r n s w e r e r e c e i v e d f r o m 4 , 2 4 3 . T h e n u m b e r o f r e t u r n s e q u a le d a b o u t 2 0 % o f q u e s t io n n a ir e s m a i l e d a n d 4 . 6 %
o f th e 9 1 , 5 0 0
d e n tis ts i n p r i v a t e p r a c t i c e i n th e U n i t e d S ta te s i n 1969. T h e g e o g r a p h i c d i s t r i b u t i o n o f re s p o n s e s t o th e s u r v e y p a r a l l e l e d r a t h e r w e l l t h e a c t u a l r e g io n a l
Survey of drug usage
d i s t r i b u t i o n o f d e n tis ts , as s h o w n i n t h e f o l l o w i n g t a b le .
in dental practice, 1969
D is tr ib u tio n
D is t r ib u t io n
o f d e n tis ts
I. Introduction
R e g io n
N e w E n g la n d
B u re a u of E c o n o m ic R e s e a rch a n d S ta tis tic s
of
in 1 9 6 8
re s p o n d e n ts
%
%
6 .7
6 .4
M id d le E a s t
2 7 .0
2 4 .1
S o u th e a s t
1 4 .4
1 3 .2
S o u th w e s t
6.0
6 .4
2 5 .3
2 6 .7
C e n tra l N o rth w e s t F a r W est
U n i t e d S ta te s
The
su rve y
4 .9
5 .6
1 5 .7
1 7 .6
100.0
100.0
a t t e m p t e d t o assess f o u r p r i n c i p a l
fa c to rs , e a c h a c c o r d in g to t y p e o f p r a c tic e , a ge o f d e n t is t , a n d r e g io n . T h e s e m a i n f a c t o r s w e r e : ■
P e r c e n t o f d e n tis ts w h o t r e a t e d p a t ie n t s w i t h
d r u g p r o d u c t s a d m in is t e r e d
a t t h e d e n t a l o f f ic e ,
a n d a v e r a g e n u m b e r o f p a t ie n t s tr e a t e d . ■
P e r c e n t o f d e n tis ts w h o d i s p e n s e d d r u g p r o d
u c t s to p a t ie n t s f o r h o m e u s e , a n d a v e r a g e n u m b e r o f p a t ie n t s t o w h o m d r u g p r o d u c t s w e r e d is p e n s e d . ■
P e r c e n t o f d e n tis ts w h o p r e s c r i b e d d r u g p r o d
u c t s f o r p a t ie n t s , a n d a v e r a g e n u m b e r o f p r e s c r i p t io n s w r i t t e n o r t e le p h o n e d . ■
P e r c e n t o f d e n tis ts w h o
p ro d u c ts
re c o m m e n d e d d ru g
to p a t ie n t s f o r h o m e u s e , a n d
n u m b e r o f p a t ie n t s t o w h o m
a ve ra g e
d ru g p ro d u c ts w e re
re c o m m e n d e d .
1179
Tabte 1 ■ P erce nta g e d is tr ib u tio n o f d e n tis ts r e s p o n d in g t o th e s u rv e y , b y re g io n and t y p e o f p ra c tic e .
Region
General practitioner
A ll specialists
surgeon
Pedodontist
O rthodontist
rt4l> 0 t .h?.r . specialists
A ll types of practice
New England Middle East Southeast Southwest Central Northwest Far West
6.0 24.4 13.6 6.1 27.7 5.8 16.4
8.8 22.5 10.8 8.2 20.2 4.6 24.9
9.1 24.7 10.4 7.1 23.4 2.6 22.7
10.4 23.1 9.2 7.3 21.2 4.6 24.2
5.7 7.9 12.5 11.4 18.2 7.9 36.4
6.2 32.1 14.8 9.9 13.6 4 .9 18.5
6.4 24.1 13.2 6.4 26.7 5.6 17.6
United States
100.0
100.0
100.0
100.0
100.0
100.0
100.0
T a b le 2 ■ P erce nta g e d is tr ib u tio n o f d e n tis ts re s p o n d in g t o th e s u rv e y , b y age a n d ty p e o f p ra c tic e .
Age
General practitioner
A ll specialists
Oral surgeon
-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-
4.8 13.9 17.4 16.2 16.7 10.6 7.8 6.0 3.6 1.9 1.1
3.5 15.6 21.1 16.4 18.3 10.0 4.8 5.4 1.2 2.3 1.4
4.0 15.9 25.2 13.9 19.2 7.3 7.9 4 .0 0.0 1.3 1.3
To ta l
100.0
100.0
100.0
O rthodontist
1
2.7 15.4 . 21.2 16.9 16.5 12.7 3.8 6.1 1.2 2.3 1.2 100.0
Pedodontist
specialists
AH types of practice
4.6 15.1 23.2 23.3 22.1 7.0 2.3 1.2 0.0 1.2 0.0
3.7 16.1 11.1 12.4 18.5 9.9 4.9 9.9 4.9 4.9 3.7
4.7 14.1 17.9 16.2 16.9 10.6 7.4 5.9 3.3 1.9 1.1
100.0
100.0
100.0
T a b le 3 ■ P e rc e n t of d e n tis ts u sing d ru g p r o d u c ts in tr e a t m e n t o f p a tie n ts , a c c o rd in g to m a n n e r o f usage, b y t y p e o f p ra c tic e .
Manner of usage A dm inistered at dental office Dispensed to patients for home use Prescribed in w riting or by telephone Recommended to patients for home use
General practitioner
A lt Oral speciaMsts surgeon
O rthodont.st
Pedodontist e . specialists
A ll types of practice
94.3
76.0
100.0
51.4
98.9
84.6
91.8
83.8
64.8
85.2
41.1
88.4
74.4
81.2
96.4
69.5
99.3
35.2
96.6
9 2.4
92.8
80.8
67.1
92.5
48.2
63.6
78.7
78.9
T a b le 4 ■ P e rc e n t of d e n tis ts u s in g d ru g p r o d u c ts in tr e a t m e n t o f p a tie n ts , a c c o r d in g to m a n n e r o f usage, b y re g io n .
Region
Adm inistered at dental office
Dispensed to patient for home use
Prescribed in w riting or by telephone
Recomm ended to patient for home use
New England Middle East Southeast Southwest Central Northwest Far West
92.4 91.6 91.9 94.8 90.6 94.0 91.9
79.1 81.0 79.0 81.1 82.3 88.3 80.3
88.3 91.6 96.2 97.4 92.7 93.9 91.4
69.8 79.5 82.8 84.8 77.4 82.3 77.5
United States
91.8
81.2
92.8
78.9
1180 ■ JADA, Vol. 81, November 1970
Table 5 ■ P e rc e n t o f d e n tis ts u s in g d r u g p r o d u c ts in t r e a t m e n t o f p a tie n ts , a c c o r d in g to m a n n e r o f usage, b y age o f d e n tis t.
In
Age
Adm inistered at dental office
Dispensed to patient for home use
Prescribed in w riting or by telephone
Recomm ended to patient for home use
-29 30*34 35-39 40*44 45-49 50*54 55-59 60-64 65-69 70-74 75-
94.9 94.1 91.9 92.9 91.7 89.1 93.5 89.8 91.7 84.4 71.8
87.8 83.2 77.4 81.8 81.3 81.5 83.3 81.5 84.0 79.7 48.6
96.9 95.8 94.7 95.9 93.0 90.5 93.5 84.9 90.1 73.1 55.0
77.1 78.8 79.9 82.2 80.4 79.4 74.0 77.6 75.5 67.7 56.2
A ll ages
91.8
81.2
92.8
78.9
a d d i t i o n , c e r t a in o t h e r d a t a w e r e t a b u la t e d ,
i n c l u d i n g p e r c e n t a g e o f d e n tis ts h o l d i n g
a “ n a r
c o t ic s lic e n s e ,” th e p e r c e n t a g e o f d e n tis ts w h o h a d ta k e n c o u r s e s r e la t in g t o d r u g t h e r a p y , a n d a r a n k
p ro d u c ts
w e re
used
by
d e n tis ts .
(In
subsequent
ta b le s th e s e d a t a w i l l b e f u r t h e r a n a ly z e d b y t y p e o f d r u g p r o d u c t .) A p p r o x im a te ly 9 3 %
o f t h e d e n tis ts i n t h e s u r v e y
i n g b y d e n tis ts o f t h e s i g n i f ic a n c e to t h e m o f v a r i
r e p l i e d t h a t t h e y h a d w r i t t e n o r t e le p h o n e d p r e
o u s so u rc e s o f in f o r m a t io n a b o u t d r u g p r o d u c ts .
s c r i p t io n s f o r d r u g p r o d u c t s w i t h i n a t h r e e - m o n t h
T a b le s
1 a n d 2 s h o w th e p e rc e n ta g e d is t r ib u
t i o n o f d e n tis ts w h o r e s p o n d e d to th e s u r v e y , f ir s t
p e rio d .
A p p r o x im a t e ly
s a id t h a t t h e y
92%
a d m in is t e r e d
o f th e re s p o n d e n ts d r u g s to p a t ie n t s a t
b y r e g io n a n d ty p e o f p r a c tic e , a n d s e c o n d b y age
t h e i r o f fic e s . T h e p e r c e n t a g e o f r e s p o n d e n t s w h o
a n d ty p e o f p ra c tic e . T h e
d is p e n s e d d r u g p r o d u c t s to p a t ie n t s f o r h o m e u s e
d is t r ib u t io n o f re s p o n
d e n ts is w e ig h t e d s o m e w h a t i n f a v o r o f s p e c ia lis ts
w as 8 1 % ; 7 9 %
o v e r g e n e ra l p ra c titio n e rs . T h e a c tu a l r a tio o f g e n
d ru g
e r a l p r a c t i t i o n e r s to s p e c ia lis ts i n
T h e r e w a s li t t le v a r i a t i o n f r o m
1 9 6 9 w a s 11: 1.
p ro d u c ts
r e p o rte d th a t th e y re c o m m e n d e d to
th e ir
p a t ie n t s
fo r
hom e
use.
th e s e p e r c e n t a g e s
A m o n g r e s p o n d e n t s to t h e s u r v e y , g e n e r a l p r a c t i
w h e n th e d a t a w e r e t a b u la t e d b y r e g io n . D e n t is t s
t io n e r s o u t n u m b e r s p e c ia lis ts b y 6 : 1 .
w h o w e re 7 0
T a b l e s 3 t h r o u g h 5 s u m m a r i z e th e g e n e r a l f i n d in g s o f th e s u r v e y o n t h e m a n n e r i n w h i c h d r u g
s id e ra b ly
le ss
y e a rs o f a g e a n d o ld e r m a d e c o n use
of
d ru g
p ro d u c ts
th a n
th e ir
y o u n g e r c o lle a g u e s .
REPORTS OF COUNCILS AND BUREAUS ■ 1181
q u a lity
a lo n g w i t h
im p r o v e m e n ts .
som e re
V e ry
lik e ly ,
th e s e d e v e lo p m e n t s a ls o i n f lu e n c e d a t r e n d t o w a r d g re a te r u s a g e o f d r u g
p r o d u c t s b y d e n tis ts . T h e
“ S u r v e y o f D r u g U s a g e in D e n t a l P r a c t ic e ” in v e s t ig a t e d s o m e a s p e c ts o f d e n t a l p r a c t i c e a s s o c ia te d w it h
th e s e t r e n d s ; s p e c i f i c a lly , m a n n e r o f u s e o f
d ru g
p ro d u c ts ,
th e
p e rc e n ta g e
o f d e n tis ts
u s in g
d r u g p ro d u c ts , a n d fre q u e n c y o f use. T h e s u r v e y w a s ta k e n in D e c e m b e r 1 9 6 9 . Q u e s t i o n n a i r e s w e r e m a i l e d t o e v e r y f if t h d e n t is t i n p r i v a t e p r a c t i c e ; u s a b le r e t u r n s w e r e r e c e i v e d f r o m 4 , 2 4 3 . T h e n u m b e r o f r e t u r n s e q u a le d a b o u t 2 0 % o f q u e s t io n n a ir e s m a i l e d a n d 4 . 6 %
o f th e 9 1 , 5 0 0
d e n tis ts i n p r i v a t e p r a c t i c e i n th e U n i t e d S ta te s i n 1969. T h e g e o g r a p h i c d i s t r i b u t i o n o f re s p o n s e s t o th e s u r v e y p a r a l l e l e d r a t h e r w e l l t h e a c t u a l r e g io n a l
Survey of drug usage
d i s t r i b u t i o n o f d e n tis ts , as s h o w n i n t h e f o l l o w i n g t a b le .
in dental practice, 1969
D is tr ib u tio n
D is t r ib u t io n
o f d e n tis ts
I. Introduction
R e g io n
N e w E n g la n d
B u re a u of E c o n o m ic R e s e a rch a n d S ta tis tic s
of
in 1 9 6 8
re s p o n d e n ts
%
%
6 .7
6 .4
M id d le E a s t
2 7 .0
2 4 .1
S o u th e a s t
1 4 .4
1 3 .2
S o u th w e s t
6.0
6 .4
2 5 .3
2 6 .7
C e n tra l N o rth w e s t F a r W est
U n i t e d S ta te s
The
su rve y
4 .9
5 .6
1 5 .7
1 7 .6
100.0
100.0
a t t e m p t e d t o assess f o u r p r i n c i p a l
fa c to rs , e a c h a c c o r d in g to t y p e o f p r a c tic e , a ge o f d e n t is t , a n d r e g io n . T h e s e m a i n f a c t o r s w e r e : ■
P e r c e n t o f d e n tis ts w h o t r e a t e d p a t ie n t s w i t h
d r u g p r o d u c t s a d m in is t e r e d
a t t h e d e n t a l o f f ic e ,
a n d a v e r a g e n u m b e r o f p a t ie n t s tr e a t e d . ■
P e r c e n t o f d e n tis ts w h o d i s p e n s e d d r u g p r o d
u c t s to p a t ie n t s f o r h o m e u s e , a n d a v e r a g e n u m b e r o f p a t ie n t s t o w h o m d r u g p r o d u c t s w e r e d is p e n s e d . ■
P e r c e n t o f d e n tis ts w h o p r e s c r i b e d d r u g p r o d
u c t s f o r p a t ie n t s , a n d a v e r a g e n u m b e r o f p r e s c r i p t io n s w r i t t e n o r t e le p h o n e d . ■
P e r c e n t o f d e n tis ts w h o
p ro d u c ts
re c o m m e n d e d d ru g
to p a t ie n t s f o r h o m e u s e , a n d
n u m b e r o f p a t ie n t s t o w h o m
a ve ra g e
d ru g p ro d u c ts w e re
re c o m m e n d e d .
1179
Tabte 1 ■ P erce nta g e d is tr ib u tio n o f d e n tis ts r e s p o n d in g t o th e s u rv e y , b y re g io n and t y p e o f p ra c tic e .
Region
General practitioner
A ll specialists
surgeon
Pedodontist
O rthodontist
rt4l> 0 t .h?.r . specialists
A ll types of practice
New England Middle East Southeast Southwest Central Northwest Far West
6.0 24.4 13.6 6.1 27.7 5.8 16.4
8.8 22.5 10.8 8.2 20.2 4.6 24.9
9.1 24.7 10.4 7.1 23.4 2.6 22.7
10.4 23.1 9.2 7.3 21.2 4.6 24.2
5.7 7.9 12.5 11.4 18.2 7.9 36.4
6.2 32.1 14.8 9.9 13.6 4 .9 18.5
6.4 24.1 13.2 6.4 26.7 5.6 17.6
United States
100.0
100.0
100.0
100.0
100.0
100.0
100.0
T a b le 2 ■ P erce nta g e d is tr ib u tio n o f d e n tis ts re s p o n d in g t o th e s u rv e y , b y age a n d ty p e o f p ra c tic e .
Age
General practitioner
A ll specialists
Oral surgeon
-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-
4.8 13.9 17.4 16.2 16.7 10.6 7.8 6.0 3.6 1.9 1.1
3.5 15.6 21.1 16.4 18.3 10.0 4.8 5.4 1.2 2.3 1.4
4.0 15.9 25.2 13.9 19.2 7.3 7.9 4 .0 0.0 1.3 1.3
To ta l
100.0
100.0
100.0
O rthodontist
1
2.7 15.4 . 21.2 16.9 16.5 12.7 3.8 6.1 1.2 2.3 1.2 100.0
Pedodontist
specialists
AH types of practice
4.6 15.1 23.2 23.3 22.1 7.0 2.3 1.2 0.0 1.2 0.0
3.7 16.1 11.1 12.4 18.5 9.9 4.9 9.9 4.9 4.9 3.7
4.7 14.1 17.9 16.2 16.9 10.6 7.4 5.9 3.3 1.9 1.1
100.0
100.0
100.0
T a b le 3 ■ P e rc e n t of d e n tis ts u sing d ru g p r o d u c ts in tr e a t m e n t o f p a tie n ts , a c c o rd in g to m a n n e r o f usage, b y t y p e o f p ra c tic e .
Manner of usage A dm inistered at dental office Dispensed to patients for home use Prescribed in w riting or by telephone Recommended to patients for home use
General practitioner
A lt Oral speciaMsts surgeon
O rthodont.st
Pedodontist e . specialists
A ll types of practice
94.3
76.0
100.0
51.4
98.9
84.6
91.8
83.8
64.8
85.2
41.1
88.4
74.4
81.2
96.4
69.5
99.3
35.2
96.6
9 2.4
92.8
80.8
67.1
92.5
48.2
63.6
78.7
78.9
T a b le 4 ■ P e rc e n t of d e n tis ts u s in g d ru g p r o d u c ts in tr e a t m e n t o f p a tie n ts , a c c o r d in g to m a n n e r o f usage, b y re g io n .
Region
Adm inistered at dental office
Dispensed to patient for home use
Prescribed in w riting or by telephone
Recomm ended to patient for home use
New England Middle East Southeast Southwest Central Northwest Far West
92.4 91.6 91.9 94.8 90.6 94.0 91.9
79.1 81.0 79.0 81.1 82.3 88.3 80.3
88.3 91.6 96.2 97.4 92.7 93.9 91.4
69.8 79.5 82.8 84.8 77.4 82.3 77.5
United States
91.8
81.2
92.8
78.9
1180 ■ JADA, Vol. 81, November 1970
Table 5 ■ P e rc e n t o f d e n tis ts u s in g d r u g p r o d u c ts in t r e a t m e n t o f p a tie n ts , a c c o r d in g to m a n n e r o f usage, b y age o f d e n tis t.
In
Age
Adm inistered at dental office
Dispensed to patient for home use
Prescribed in w riting or by telephone
Recomm ended to patient for home use
-29 30*34 35-39 40*44 45-49 50*54 55-59 60-64 65-69 70-74 75-
94.9 94.1 91.9 92.9 91.7 89.1 93.5 89.8 91.7 84.4 71.8
87.8 83.2 77.4 81.8 81.3 81.5 83.3 81.5 84.0 79.7 48.6
96.9 95.8 94.7 95.9 93.0 90.5 93.5 84.9 90.1 73.1 55.0
77.1 78.8 79.9 82.2 80.4 79.4 74.0 77.6 75.5 67.7 56.2
A ll ages
91.8
81.2
92.8
78.9
a d d i t i o n , c e r t a in o t h e r d a t a w e r e t a b u la t e d ,
i n c l u d i n g p e r c e n t a g e o f d e n tis ts h o l d i n g
a “ n a r
c o t ic s lic e n s e ,” th e p e r c e n t a g e o f d e n tis ts w h o h a d ta k e n c o u r s e s r e la t in g t o d r u g t h e r a p y , a n d a r a n k
p ro d u c ts
w e re
used
by
d e n tis ts .
(In
subsequent
ta b le s th e s e d a t a w i l l b e f u r t h e r a n a ly z e d b y t y p e o f d r u g p r o d u c t .) A p p r o x im a te ly 9 3 %
o f t h e d e n tis ts i n t h e s u r v e y
i n g b y d e n tis ts o f t h e s i g n i f ic a n c e to t h e m o f v a r i
r e p l i e d t h a t t h e y h a d w r i t t e n o r t e le p h o n e d p r e
o u s so u rc e s o f in f o r m a t io n a b o u t d r u g p r o d u c ts .
s c r i p t io n s f o r d r u g p r o d u c t s w i t h i n a t h r e e - m o n t h
T a b le s
1 a n d 2 s h o w th e p e rc e n ta g e d is t r ib u
t i o n o f d e n tis ts w h o r e s p o n d e d to th e s u r v e y , f ir s t
p e rio d .
A p p r o x im a t e ly
s a id t h a t t h e y
92%
a d m in is t e r e d
o f th e re s p o n d e n ts d r u g s to p a t ie n t s a t
b y r e g io n a n d ty p e o f p r a c tic e , a n d s e c o n d b y age
t h e i r o f fic e s . T h e p e r c e n t a g e o f r e s p o n d e n t s w h o
a n d ty p e o f p ra c tic e . T h e
d is p e n s e d d r u g p r o d u c t s to p a t ie n t s f o r h o m e u s e
d is t r ib u t io n o f re s p o n
d e n ts is w e ig h t e d s o m e w h a t i n f a v o r o f s p e c ia lis ts
w as 8 1 % ; 7 9 %
o v e r g e n e ra l p ra c titio n e rs . T h e a c tu a l r a tio o f g e n
d ru g
e r a l p r a c t i t i o n e r s to s p e c ia lis ts i n
T h e r e w a s li t t le v a r i a t i o n f r o m
1 9 6 9 w a s 11: 1.
p ro d u c ts
r e p o rte d th a t th e y re c o m m e n d e d to
th e ir
p a t ie n t s
fo r
hom e
use.
th e s e p e r c e n t a g e s
A m o n g r e s p o n d e n t s to t h e s u r v e y , g e n e r a l p r a c t i
w h e n th e d a t a w e r e t a b u la t e d b y r e g io n . D e n t is t s
t io n e r s o u t n u m b e r s p e c ia lis ts b y 6 : 1 .
w h o w e re 7 0
T a b l e s 3 t h r o u g h 5 s u m m a r i z e th e g e n e r a l f i n d in g s o f th e s u r v e y o n t h e m a n n e r i n w h i c h d r u g
s id e ra b ly
le ss
y e a rs o f a g e a n d o ld e r m a d e c o n use
of
d ru g
p ro d u c ts
th a n
th e ir
y o u n g e r c o lle a g u e s .
REPORTS OF COUNCILS AND BUREAUS ■ 1181