title: Barriers for dental treatment of primary teeth in East and West Germany.
abstract: BACKGROUND
  In many countries, restorative treatment in primary teeth is suboptimal.
  
  
  OBJECTIVE
  Thus, this study tried to detect barriers for dentists to restore primary teeth in kindergarten children (3-6 years).
  
  
  METHODS
  For a representative survey, 320 dentists (184 West, 136 East Germany) were randomly selected from the dental associations' registers and asked to answer a questionnaire on their profile, their view of the National Health System, and possible barriers for restoring primary teeth.
  
  
  RESULTS
  The analysis (response rate 57.7%) showed that the parents were no barrier and the dentists felt the need of restoring primary teeth. In addition to the children's anxiety, the inadequate reimbursement for fillings were perceived as clear barrier. The comparison of West and East German dentists detected statistically significantly higher barriers in West Germany, where - in contrast to the German Democratic Republic - no structured training in paediatric dentistry was compulsory before unification. Only 35% of the East German dentists rated restorative treatment in 3- to 6-year-olds as stressful in contrast to 65% in West Germany, where especially male dentists found no time to treat children.
  
  
  CONCLUSIONS
  This study reveals that dentists can also be a considerable barrier to restorative treatment in small children, especially without adequate training in dental schools.
authors.affiliation: Department of Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany.
authors.forename: Christian H
authors.initials: CH
authors.lastname: Splieth
authors.forename: Bianka
authors.initials: B
authors.lastname: Bünger
authors.forename: Cynthia
authors.initials: C
authors.lastname: Pine
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D016854:Dental Anxiety / Q000150:complications* / Q000523:psychology; D019140:Dental Care for Children / Q000523:psychology* / Q000706:statistics & numerical data; D003731:Dental Caries / Q000150:complications / Q000517:prevention & control / Q000523:psychology / Q000628:therapy*; D003793:Dental Restoration, Permanent / Q000523:psychology; D003812:Dentist-Patient Relations; D003815:Dentists / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D005859:Germany, East; D005860:Germany, West; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010377:Pediatric Dentistry / Q000193:education; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data; D014094:Tooth, Deciduous