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Primary Dental Journal Mar 2020The general assessment and extra oral examination of the dental patient can identify undiagnosed or undisclosed medical conditions, such as malignancies, endocrine... (Review)
Review
The general assessment and extra oral examination of the dental patient can identify undiagnosed or undisclosed medical conditions, such as malignancies, endocrine conditions and signs indicating raised cardiovascular or cerebral vascular risk. This knowledge may influence dental treatment, and could impact the morbidity and mortality of the patient. This article gives an overview of the general and extra oral examination of the dental patient.
Topics: Dental Care; Diagnosis, Oral; Humans
PubMed: 32519612
DOI: 10.1177/2050168420911016 -
International Dental Journal Aug 2022Effective treatment produces improved outcomes from the patient and clinician perspectives. The focus of this article is effective dental care for ageing patients. This... (Review)
Review
BACKGROUND
Effective treatment produces improved outcomes from the patient and clinician perspectives. The focus of this article is effective dental care for ageing patients. This concept must be embraced through research, education and, finally, clinical care.
RESEARCH
Older adults often carry a higher burden of health and socioeconomic issues that limit their participation in clinical trials. This leaves providers to extrapolate care decisions from research in other age groups. However, electronic health records allow researchers to converge extensive medical, pharmacologic, and dental data, thereby including older patients in research questions.
EDUCATION
Dental and medical educators are tasked with teaching skills specific to ageing patients. This requires teaching and active use of concepts such as whole health and patient-centred outcomes.
PROVISION OF CARE
For ageing patients, effective care is precision care (the right care to the right patient at the right time). Clinicians must be trained and then actively participate in the interdisciplinary approach to assure good oral health for all older patients.
Topics: Aged; Aging; Dental Care; Geriatric Dentistry; Humans; Oral Health
PubMed: 36031324
DOI: 10.1016/j.identj.2022.06.011 -
Special Care in Dentistry : Official... Jan 2023Prune belly syndrome (PBS), also known as Eagle-Barrett syndrome (EGBRS), is a rare congenital disease characterized by deficiency or absence of abdominal wall muscles,... (Review)
Review
BACKGROUND
Prune belly syndrome (PBS), also known as Eagle-Barrett syndrome (EGBRS), is a rare congenital disease characterized by deficiency or absence of abdominal wall muscles, urological abnormalities, and bilateral cryptorchidism.
TYPES OF STUDIES REVIEWED
A review of literature was done using four search engines (PubMed, Google Scholar, Scopus, Science Direct) and keywords (individually and in combinations): prune belly syndrome, PBS, Eagle-Barrett syndrome, dental manifestation, clinical manifestation, and psychological aspects. The search was run with no language restrictions and covered the 1965-2021 time period.
RESULTS
The search yielded a large number of articles. The vast majority were dealing with a variety of treatments. PBS is a multisystem disease with a variable spectrum ranging from mild cases to infant mortality. Comorbidities of PBS (63% gastrointestinal, 65% orthopedic, and 49% cardiopulmonary) present challenges for treatment. PBS affects quality of life of patients and caregivers. We selected and summarized published information that is relevant to oral health and dental care.
CONCLUSIONS AND PRACTICAL IMPLICATIONS
Providing information to dental practitioners will improve their understanding of PBS. It will help them to better treat patients with PBS and it will encourage more dental providers to welcome patients with PBS into their dental clinics.
Topics: Humans; Infant; Male; Dental Care; Dentists; Professional Role; Prune Belly Syndrome; Quality of Life
PubMed: 35526214
DOI: 10.1111/scd.12728 -
Disease-a-month : DM Sep 2020As a pathogen spread primarily by the respiratory route COVID-19 infection not only poses significant risks to health care workers, but to dentists and dental health... (Review)
Review
As a pathogen spread primarily by the respiratory route COVID-19 infection not only poses significant risks to health care workers, but to dentists and dental health care workers, owing to the potential prolonged exposure and proximity to patients. This holds true for non-dentist health care workers who often in the setting of emergency departments and urgent care centers are tasked with addressing oral symptoms including abscesses, damaged teeth, jaw injuries and other dental urgencies. Infection control practice guidelines were evaluated for COVID-19 infection prevention in a dental setting. In this brief review, protective measures to reduce the risk of COVID-19 infection for dentists and non-dentist health care providers will be introduced. This includes patient evaluation, personal and patient protective equipment use, sterilization and disinfection protocols.
Topics: COVID-19; COVID-19 Testing; Dental Care; Dentists; Health Personnel; Humans; Infection Control; Infectious Disease Transmission, Patient-to-Professional; Personal Protective Equipment; SARS-CoV-2
PubMed: 32741545
DOI: 10.1016/j.disamonth.2020.101056 -
Journal of the American Dental... Dec 2020
Topics: Aged; COVID-19; Dental Care; Dental Care for Aged; Health Services Accessibility; Humans; Pandemics; SARS-CoV-2
PubMed: 33066871
DOI: 10.1016/j.adaj.2020.08.004 -
British Dental Journal Mar 2021
Topics: Dental Care; Hospitalization; Humans; Inpatients
PubMed: 33772167
DOI: 10.1038/s41415-021-2858-6 -
Journal of Public Health Dentistry Sep 2021To determine the patterns and time trends of dental services received and access to dental care among immigrant and US-born children living in the United States.
OBJECTIVES
To determine the patterns and time trends of dental services received and access to dental care among immigrant and US-born children living in the United States.
METHODS
We analyzed the nationally representative Medical Expenditure Survey data for 2007-2015. Survey weighted mean and frequency were calculated for all the years and for each year for the complete cohort and for the four subgroups of children categorized based on the child's and parents' birthplace (United States or Foreign). These groups were compared to detect differences in dental service received.
RESULTS
Overall 34,482 children aged <18 years were included in the analysis representing the weighted sample size of 564,255,643. Utilization of preventive dental services increased from 37.2 percent in 2007 to 44.4 percent in 2015 overall (P < 0.0001), with similar trend seen within all subgroups. Immigrant children compared to US-born children had higher numbers of surgical and restorative procedures (17 versus 16 per 100-person years, P = 0.03), fewer had at least one preventive dental visit in a year (32.8 percent versus 43.0 percent, P < 0.0001) and were less likely be unable to access dental care (3.0 percent versus 1.7 percent, P = 0.005). Fewer children had delayed access to dental care in recent years (2.0 percent in 2007 to 1.5 percent in 2015) and the decline was consistent in all the subgroups.
CONCLUSION
Stratification into the different subgroups allowed for improved understanding of dental procedure utilization and dental services utilization in all subgroups increased over time. Immigrant children had lower utilization of preventive procedures and higher utilization of surgical and restorative procedures.
Topics: Child; Dental Care; Emigrants and Immigrants; Health Expenditures; Humans; Parents; Surveys and Questionnaires; United States
PubMed: 33258107
DOI: 10.1111/jphd.12432 -
Indian Journal of Dental Research :... 2019
Topics: Dental Care; Dental Health Services; Dental Research; Health Services Accessibility; Humans; Oral Health; Universal Health Insurance
PubMed: 31745039
DOI: 10.4103/ijdr.IJDR_825_19 -
Health Services Research Dec 2022To determine whether preventive dental visits are associated with fewer subsequent nonpreventive dental visits and lower dental expenditures.
OBJECTIVE
To determine whether preventive dental visits are associated with fewer subsequent nonpreventive dental visits and lower dental expenditures.
DATA SOURCES
Indiana Medicaid enrollment and claims data (2015-2018) and the Area Health Resource File.
STUDY DESIGN
A repeated measures design with individual and year fixed effects examining the relationship between preventive dental visits (PDVs) and nonpreventive dental visits (NPVs) and dental expenditures.
DATA COLLECTION/EXTRACTION METHODS
Not applicable.
PRINCIPAL FINDINGS
Of 28,152 adults (108,349 observation-years) meeting inclusion criteria, 36.0% had a dental visit, 27.8% a PDV, and 22.1% a NPV. Compared to no PDV in the prior year, at least one was associated with fewer NPVs (β = -0.13; 95% CI -0.12, -0.11), lower NPV expenditures (β = -$29.12.53; 95% CI -28.07, -21.05), and lower total dental expenditures (-$70.12; 95% -74.92, -65.31), as well as fewer PDVs (β = -0.24; 95% CI -0.26, -0.23).
CONCLUSIONS
Our findings suggest that prior year PDVs are associated with fewer subsequent NPVs and lower dental expenditures among Medicaid-enrolled adults. Thus, from a public insurance program standpoint, supporting preventive dental care use may translate into improved population oral health outcomes and lower dental costs among certain low-income adult populations, but barriers to consistent utilization of PDV prohibit definitive findings.
Topics: Adult; United States; Humans; Medicaid; Health Expenditures; Poverty; Dental Care
PubMed: 35419826
DOI: 10.1111/1475-6773.13987 -
International Dental Journal Feb 2021Dental care is mostly excluded from healthcare coverage in China. This study examines disparities in dental care and in the costs of such care, according to insurance...
INTRODUCTION
Dental care is mostly excluded from healthcare coverage in China. This study examines disparities in dental care and in the costs of such care, according to insurance type and socio-economic status, among Chinese older adults.
METHODS
The data were obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS). A final sample of 5,230 respondents was included, with a mean age of 72 years. Edentulousness, any dental visit and per-patient dental care expenditure were used as outcome variables. Both unweighted and weighted logistic regression analyses were used to examine the association of socio-economic status (education, insurance type and income) associated with edentulousness and use of dental care.
RESULTS
We found that 28% of Chinese older adults have no remaining teeth and that only 19% had used dental care in the past year. The uninsured and those with rural resident insurance had edentulousness rates of 31%, while the edentulousness rate in those with urban employee insurance was 19%. About 13% of the uninsured study respondents and 15% of those with rural resident insurance had used dental care compared with 30% of those with urban employee insurance. Those in the highest income and education groups and those enrolled in a plan with a lower coinsurance rate had a higher likelihood of using dental care services and spending more on dental care than did those in the lowest socio-economic groups.
CONCLUSIONS
Dental care disparities in China may be reduced through increasing the proportion of the population with insurance and expanding the range of dental treatments covered by all three major insurance schemes.
Topics: Aged; China; Dental Care; Health Expenditures; Healthcare Disparities; Humans; Insurance Coverage; Insurance, Health; Longitudinal Studies
PubMed: 33616055
DOI: 10.1111/idj.12600