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CNAA / Theses / 2007 / May /

Dental care under the compulsory medical insurance in the urban population of the Republic of Moldova

Author: Elena Tintiuc
Degree:doctor of medicine
Speciality: 14.00.21 - Stomatology
Scientific adviser: Valeriu Burlacu
doctor, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Scientific council:


The thesis was presented on the 30 May, 2007
Approved by NCAA on the 14 June, 2007


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123 pages


dental assistance, state (managed) dental service, compulsory medical insurance, dental morbidity, attendance, availability, quality, opinion


It has been established that under the conditions of compulsory medical insurance (CMI) the development of a stat-assured system intended to meet the needs of population of outdoor dental assistance, has a vital importance.

Our research included several steps: 1. examination of the rate and dental morbidity structure in the Chişinău adults on the basis of the attendance data; 2. analysis of dentists’ opinion; 3. analysis of population’s opinion; 4. analysis of the medico-social and clinical aspects of dental diseases in adults in out-patient settings; 5. determining the positive and negative factors in the managed outpatient dental services by Brain-Strowming method.

Examination of the scientific research findings showed a number of conformities with the recent years’ changes in the structure of dental speciality, the dentists’ qualification level, the migration process, budget funds and incomes intended for rendering stomatological assistenace – all these under the conditions of compulsory medical insurance.

The study showed a correlation between the increase in the population’s incomes and their possibility to seek the dentist’s help in the state institutions.

The structure of the adult population visits to the dentist in the outpatient departments proved to be: dental therapists – 71,2 percent; surgeons – 13,6 percent; prothodontists – 8,6 percent; parodontologists – 6,6 percent.

To optimize the organizational process in providing the urban population with acccesible and qualified dental care, the necessity wrose to carry on studies oriented to the assessment of the relation between the nosological forms and the average cost of a treated case, date and hour when seeking dental help, primary and secondary visits, as well as the time devoted to a dental patient with different oral cavity problems.

The scientific research results allowed to evaluate the quality of dental service in the outpatient public institutions, the dentists’ and patients’ opinions serving as a base for this. 2/3 of patients positively appreciate the dental care rendered in the state outpatient institutions.

Under the conditions of CMI, investigation of the spread of dental diseases and the factors affecting oral health has a particular significance.

The conclusions and practical recommendations corresponding to the scientific researches may serve as a basis in decreasing dental morbidity and elaborating efficient measures for the adjustment of the state dental service to the conditions of CMI.