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Medicina Oral : Organo Oficial de La... 2003Advances in medical science have increasingly extended human life expectancy, thereby increasing the number of risk patients who require dental treatment under... (Review)
Review
Advances in medical science have increasingly extended human life expectancy, thereby increasing the number of risk patients who require dental treatment under conditions of maximum safety. On the other hand, a part of the population presents physical or mental impairments which preclude minimum cooperation with the dental professional to ensure treatment with the necessary guarantees. Dentists and stomatologists must therefore consider the possibility of performing general anesthesia in these special patients, as the only way to ensure adequate dental treatment.
Topics: Anesthesia, Dental; Anesthesia, General; Contraindications; Dental Care; Dental Records; Humans
PubMed: 12618673
DOI: No ID Found -
Archives of Internal Medicine Jan 1994Although the latest (1990) American Heart Association recommendations for the prevention of bacterial endocarditis are by far the simplest yet, many physicians and... (Review)
Review
Although the latest (1990) American Heart Association recommendations for the prevention of bacterial endocarditis are by far the simplest yet, many physicians and dentists still do not comply with them. One of the reasons for this low compliance is that many clinicians rely on "myths" of dental-induced endocarditis prevention. To educate clinicians on endocarditis and its prevention, the myths of dental-induced endocarditis prevention are analyzed. Myth 1: For the most part, physicians and dentists are aware of and comply with American Heart Association guidelines on antibiotic prophylaxis for prevention of infective endocarditis. Myth 2: Most cases of bacterial endocarditis of oral origin are caused by dental procedures. Myth 3: American Heart Association antibiotic regimens give almost total protection against endocarditis after dental procedures. Myth 4: Antibiotics should be administered for any dental procedure that causes bleeding. Myth 5: If a patient was receiving recent antibiotic therapy before the dental procedure, there is no need to change the dose or the antibiotic before the dental procedure. Myth 6: The risk of endocarditis is almost always greater than the risk of antibiotic toxic effects. Myth 7: Parenteral antibiotics before dental procedures are preferable for most patients with high-risk conditions (eg, prosthetic heart valves and previous history of endocarditis). Myth 8: All patients with mitral valve prolapse should routinely receive antibiotic prophylaxis for dental procedures. Myth 9: Clinicians should err on the positive side of antibiotic prophylaxis to prevent lawsuits.
Topics: American Heart Association; Anti-Infective Agents; Dental Care; Dental Care for Chronically Ill; Endocarditis, Bacterial; Humans; Practice Guidelines as Topic; Premedication; United States
PubMed: 8285808
DOI: No ID Found -
Oral Surgery, Oral Medicine, Oral... Feb 2017The aim of this study was to identify factors associated with death in relation to dental care. (Review)
Review
OBJECTIVE
The aim of this study was to identify factors associated with death in relation to dental care.
STUDY DESIGN
A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Dental and Oral Sciences Source, Web of Science, and the Cochrane database were searched, and the references of all retrieved articles were analyzed. Studies were included if death had occurred within 90 days of the dental appointment, and if the patient's age, procedure, and information regarding cause or time of death were provided. Factors associated with death were assessed by multivariate analyses and logistic regression.
RESULTS
Fifty-six publications, including retrospective studies and case reports/series that reported 148 fatalities, were analyzed. On average, 2.6 deaths were reported per year. The leading cause of deaths was anesthesia/sedation/medication-related complications (n = 70). Other causes were cardiovascular events (n = 31), infection (n = 19), airway-respiratory complications (n = 18), bleeding (n = 5), and others (n = 5). Age (P < .0001), disease severity (P < .02), disease stability (P < .006), dental provider characteristics (P < .05), level of consciousness/sedation (P < .02), and drug effects (P < .03) had significant associations with death.
CONCLUSIONS
Reports of death were rare; however, specific risk factors associated with dentistry were identified. A better understanding of these factors is important for the development of guidelines that help prevent fatalities in dentistry.
Topics: Dental Care; Humans; Risk Factors
PubMed: 27989710
DOI: 10.1016/j.oooo.2016.10.015 -
Oral Oncology Nov 2022This study identified the scientific literature comparing the influence of different times in which dental procedures were performed before the oncological treatments... (Review)
Review
This study identified the scientific literature comparing the influence of different times in which dental procedures were performed before the oncological treatments (radiotherapy and/or chemotherapy) on the risk of oral complications development. MEDLINE/PubMed and Embase databases were searched, and articles were selected by title, abstract and full-text assessment. The search identified 2,356 articles and three retrospective observational studies were included. Data were collected and analyzed according to the dental procedure, the time before oncological treatment, and oral complications. Risk of bias (ROBINS) and certainty of evidence (GRADE) were evaluated. Pairwise meta-analyses were performed from dental extractions (Exo) data according to the time which were performed and ORN development using a random-effect model (RR and 95 % CI, p < 0.05). meta-analyses showed a higher risk of ORN development in patients with Exo performed < 2 weeks before oncological treatment than in those who Exo was performed > 2 weeks ≤ 1 month before oncological therapy (RR 1.29; 95 % CI 1.12-1.48; p < 0.01). There was a higher prevalence of oral mucositis (OM) in patients who received periodontal treatment ≤ 3 weeks before oncological therapy than those who received dental procedures > 3 weeks ≤ 6 months before. Although the risk of bias ranged from serious to critical, with very low certainty of evidence, the findings suggest that dental extractions should be performed within > 2 weeks before oncological treatment to avoid ORN complications. More studies are needed to conclude the appropriate time to perform dental procedures to decrease other associated oral complications. (CRD42021272652).
Topics: Dental Care; Humans; Retrospective Studies; Stomatitis
PubMed: 36115328
DOI: 10.1016/j.oraloncology.2022.106116 -
Ear, Nose, & Throat Journal Jun 2021This study investigated the etiology and treatment outcome in sudden sensorineural hearing loss (SSHL) patients following dental procedure. During the past 2 decades,...
This study investigated the etiology and treatment outcome in sudden sensorineural hearing loss (SSHL) patients following dental procedure. During the past 2 decades, only 6 patients with SSHL following dental procedure were experienced including tooth extraction in 5 and endodontic treatment in 1. Three were males and 3 were females, with ages ranging from 10 to 75 years (median, 47 years). All patients underwent an inner ear test battery. Types of audiogram consisted of total deafness in 3 ears, flat-type loss in 2 ears, and high-tone loss in 1 ear. The pretreatment mean hearing level from 4 frequencies was 76 ± 37 dB for the lesion ears, significantly higher than 23 ± 15 dB for the opposite healthy ears. The treatment outcome is unsatisfactory. Five patients remained hearing unchanged 3 months after treatment. Only 1 (17%) patient had hearing improvement who was proved as having reactivation of the varicella-zoster virus. In conclusion, reactivation of the varicella-zoster virus may be one of the etiologies for SSHL patients following dental procedure. Serological assay coupled with MR imaging may help identify the etiology, determine the medication, and predict the outcome.
Topics: Adolescent; Adult; Aged; Audiometry; Child; Dental Care; Female; Hearing Loss, Sensorineural; Hearing Loss, Sudden; Humans; Male; Medical Illustration; Middle Aged; Tooth Extraction; Young Adult
PubMed: 33734880
DOI: 10.1177/01455613211001597 -
Indian Journal of Medical Ethics 2016Screening is the detection of disease at a point in its natural history when it is not yet symptomatic. In the natural history of dental caries, for example, the...
Screening is the detection of disease at a point in its natural history when it is not yet symptomatic. In the natural history of dental caries, for example, the incipient lesions are at a reversible stage, which is a pre-symptomatic or an unrecognised symptomatic disease. Ideally, this is the stage during which screening should identify the risk of dental caries; however, presently, the so-called dental screening employed identifies the clinical cavitation of the tooth, which is very obvious to the individual. The individual already knows that he/she has dental caries and needs treatment, which the screening personnel (dental doctor) explains again during the screening procedure. Is it ethical to call such an event screening? The mushrooming of dental teaching hospitals has promoted regular screening of dental diseases among the communities and schoolchildren through their community dentistry-related activities. More often, it is a dental "check-up" that is carried out on the pretext of screening for dental diseases. Though the basic intention of this activity is to promote awareness of dental diseases and promote good health, there is also a hidden agenda to it. An artificial demand for dental care is created that is easily capitalised on by the dental teaching institutions to enhance its clinical activity. Dental screening is doing more harm than good as patients are made aware of the diseases for which they may not be able to afford treatment. This narrative review gives an account of the scientific evidence on screening for oral diseases, the current practices in screening and the ethical dilemmas of dental screening programmes.
Topics: Child; Dental Care; Dental Caries; Ethics, Dental; Humans; India; Mass Screening
PubMed: 27474698
DOI: 10.20529/IJME.2016.047 -
Revista Medica de Chile Sep 2020We analyze the transmission routes, possible viral reservoirs in the oral cavity and considerations about dental care of SARS-CoV-2 virus infection. We also analyze the...
We analyze the transmission routes, possible viral reservoirs in the oral cavity and considerations about dental care of SARS-CoV-2 virus infection. We also analyze the protocols required before and after a dental procedure, aiming to increase the awareness of dentists about the importance of virus spread prevention among health care workers and patients. The evaluation of symptoms associated with SARS- CoV-2 such as fever, fatigue, dry cough, myalgia, dyspnea, and the inquiry about possible contacts with infected people is of utmost importance. The tongue and oral mucosa are important viral reservoirs and the transmission of the virus occurs primarily by saliva droplets. Therefore, elective dental care should be postponed, attending only dental emergencies during this period, incorporating the use of protective personal equipment (PPE) and using manual instruments to prevent the production of aerosols.
Topics: Aerosols; COVID-19; Dental Care; Humans; Infection Control; Pandemics; Personal Protective Equipment
PubMed: 33399706
DOI: 10.4067/S0034-98872020000901302 -
Community Dental Health Sep 1995For the purposes of planning and evaluation, knowing the time-costs associated with each dental procedure carried out in a publicly funded dental programme is very...
For the purposes of planning and evaluation, knowing the time-costs associated with each dental procedure carried out in a publicly funded dental programme is very helpful. This knowledge, along with the expected or known benefits, also allows researchers to assess the efficacy of a dental procedure. However, only a few estimates of dental procedure times exist in the literature, and most of these focus on restorative treatments. The North York Public Health Department operates a school-based public dental programme, where each dental procedure carried out by a dentist or hygienist is entered into a dental management information system database, along with the date of the procedure and the hours worked by the provider on that date. Using these data and multiple regression analyses it was possible to estimate the average time required to carry out the most common procedures in North York's dental programme. These estimates were found to be similar to estimates published in the dental literature and very similar to estimates of the Ontario Dental Association. Thus, this method of calculating procedure times appears valid and may be very useful to managers of public dental programmes and public dental health researchers.
Topics: Costs and Cost Analysis; Dental Care; Dental Hygienists; Dental Restoration, Permanent; Dentists; Health Planning; Health Services Research; Humans; Management Information Systems; Ontario; Preventive Dentistry; Public Assistance; Public Health Dentistry; Radiography, Dental; Regression Analysis; Reproducibility of Results; Root Canal Therapy; Time Factors; Tooth Extraction
PubMed: 7584583
DOI: No ID Found -
Southern Medical Journal Jul 1991We have reported two cases of intracranial bleeding shortly after a dental procedure. We argue that administration of hypochlorite in gum debridement, application of... (Review)
Review
We have reported two cases of intracranial bleeding shortly after a dental procedure. We argue that administration of hypochlorite in gum debridement, application of dental cement, or mechanical stimulation of the alveolar branches of the trigeminal nerve at the pulp may not only result in acute systemic hypertension, but also in the release of vasodilatory neurotransmitters. The combination of a local increase in intracerebral blood flow and simultaneously developing systemic hypertension in an occasional patient may lead to intracranial hemorrhage.
Topics: Acute Disease; Adult; Cerebral Hemorrhage; Dental Care; Female; Humans; Intracranial Aneurysm; Subarachnoid Hemorrhage; Trigeminal Nerve
PubMed: 2068637
DOI: 10.1097/00007611-199107000-00022 -
Refu'at Ha-peh Veha-shinayim (1993) Apr 2017Oketz is a military special unit that operates different dog species for various missions. The dogs get routine medical and dental treatments in order to maintain their...
Oketz is a military special unit that operates different dog species for various missions. The dogs get routine medical and dental treatments in order to maintain their health and function. The dental treatment is based on the principles of contemporary dentistry for small animals. Furthermore, these working dogs need special care due to higher risk to trauma and attrition. The dogs go through routine dental examination and prophylactic dental cleaning. Each dental procedure is performed under general anesthesia; therefore it is well planned ahead including all the pre-operative workup needed. The article presents the current concepts of dental treatment of dogs especially in respect to their activity.
Topics: Anesthesia, General; Animals; Dental Care; Dogs; Humans; Israel; Military Dentistry; Military Personnel; Veterinary Service, Military
PubMed: 30699481
DOI: No ID Found