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International Journal of Dentistry
Volume 2017 (2017), Article ID 3080957, 5 pages
Research Article

A Competition between Care Teams Improved Recording of Diagnoses in Primary Dental Care: A Longitudinal Follow-Up Study

1Social and Health Services of Espoo, City of Espoo, Finland
2Department of General Practice and Primary Healthcare, Institute of Clinical Medicine, University of Helsinki, Helsinki, Finland
3Department of Oral and Maxillofacial Diseases and Surgery, Head and Neck Center, Helsinki University Hospital, HUS, Helsinki, Finland
4Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

Correspondence should be addressed to Timo Kauppila

Received 24 June 2017; Revised 3 September 2017; Accepted 3 October 2017; Published 26 October 2017

Academic Editor: Louis M. Lin

Copyright © 2017 Jouko Kallio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. A playful competition was launched in a primary dental health care system to improve the recording of diagnoses into an electronic patient chart system and to study what diagnoses were used in primary dental care. Methods. This was a longitudinal follow-up study with public sector primary dental care practices in a Finnish city. A one-year-lasting playful competition between the dental care teams was launched and the monthly percentage of dentists’ visits with recorded diagnosis before, during, and after the intervention was recorded. The assessed diagnoses were recorded with the International Classification of Diseases (ICD-10). Results. Before the competition, the level of diagnosis recordings was practically zero. At the end of this intervention, about 25% of the visits had a recorded diagnosis. Two years after the competition, this percentage was 35% without any additional measures. The most frequent diagnoses were dental caries (K02, 38.6%), other diseases of hard tissues of teeth (K03, 14.8%), and diseases of pulp and periapical tissues (K04, 11.4%). Conclusions. Commitment to the idea that recording of diagnoses was beneficial improved the recording of dental diagnoses. However, the diagnoses obtained did not accurately reflect the reputed prevalence of oral diseases in the Finnish population.