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Oral Surgery, Oral Medicine, and Oral... Sep 1988Management of the dental patient who has a bleeding disorder requires an understanding of the normal hemostatic system and the patient's specific coagulation defect.... (Review)
Review
Management of the dental patient who has a bleeding disorder requires an understanding of the normal hemostatic system and the patient's specific coagulation defect. This patient group can receive quality comprehensive dental care, provided appropriate preoperative planning and evaluation with the patient's physician or hematologist is accomplished. Emphasis should be placed on providing appropriate replacement therapy before the dental procedure, selection of conservative treatment approaches, and use of local hemostatic measures to facilitate hemostasis.
Topics: Blood Coagulation Disorders; Dental Care for Disabled; Hemostasis; Hemostatics; Humans
PubMed: 2971908
DOI: 10.1016/0030-4220(88)90235-6 -
Special Care in Dentistry : Official... Jan 2023To investigate the frequency of preventive dental care among adults with autism and explore factors associated with receiving regular preventive care.
PURPOSE/AIM
To investigate the frequency of preventive dental care among adults with autism and explore factors associated with receiving regular preventive care.
MATERIALS AND METHODS
De-identified data was collected from electronic health records of 18-year-old or older patients with autism that had at least one preventive dental procedure recorded. The data was then analyzed to describe the frequency of preventive dental procedures provided for this population and investigate what variables are associated with regular care.
RESULTS
Sample size was 119, 67% were males, average age was 30.8 years, and 58% had Medicaid. Average BMI was 42.8, the prevalence of diabetes and heart disease were 16% and 34%, respectively, and 86% reported mental health problems. Recreational drug use was 6.8%, alcohol use was 19%, and tobacco use 16%. Xerostomia was reported by 32%, and the average number of medications was 7.2 ± 5.5. The average number of preventive dental visits was 7.9 ± 10.6, and 35% of the patients had at least one preventive dental visit per year. Only number of medications had a statistically significant association with number of preventive dental visits.
CONCLUSIONS
Only one in every three adults with autism had at least one preventive dental visit per year.
Topics: Adolescent; Adult; Female; Humans; Male; Autistic Disorder; Dental Care; Medicaid; United States; Dental Care for Disabled; Preventive Dentistry
PubMed: 35636432
DOI: 10.1111/scd.12738 -
The Journal of Bone and Joint Surgery.... Jul 2008More than a million hip replacements are carried out each year worldwide, and the number of other artificial joints inserted is also rising, so that infections... (Review)
Review
More than a million hip replacements are carried out each year worldwide, and the number of other artificial joints inserted is also rising, so that infections associated with arthroplasties have become more common. However, there is a paucity of literature on infections due to haematogenous seeding following dental procedures. We reviewed the published literature to establish the current knowledge on this problem and to determine the evidence for routine antibiotic prophylaxis prior to a dental procedure. We found that antimicrobial prophylaxis before dental interventions in patients with artificial joints lacks evidence-based information and thus cannot be universally recommended.
Topics: Antibiotic Prophylaxis; Bacteremia; Dental Care; Dental Care for Chronically Ill; Evidence-Based Medicine; Guidelines as Topic; Hip Prosthesis; Humans; Knee Prosthesis; Prosthesis-Related Infections
PubMed: 18591588
DOI: 10.1302/0301-620X.90B7.20359 -
BMC Oral Health Dec 2020Better understanding of the frequency of dental emergencies and the procedures performed during those emergency visits can help providers, insurers, and policymakers...
BACKGROUND
Better understanding of the frequency of dental emergencies and the procedures performed during those emergency visits can help providers, insurers, and policymakers understand workforce and care provision needs.
METHODS
Procedures performed at an emergency dental encounter and in the encounter following that encounter are assessed. Emergency dental encounters are those with a CDT code of D0140, D0160, or D0170. Data was analyzed from the IBM Watson Medicaid Marketscan data from 2013 to 2017, a nationally representative dental and medical claims database from 13 deidentified states in the United States.
RESULT
Consistently over time, about 10% of all dental encounters are due to a dental emergency. 28% of emergency dental encounters had no other procedure performed during those encounters. When other procedures were performed during the encounter, the majority were diagnostic in nature, primarily radiographs. Among patients who returned to the dentists following an emergency visit, 43% returned for more definitive dental treatment, most within 30 days.
CONCLUSIONS
The majority of dental emergency encounters do not result in definitive treatment, rather patients often return to the dentist at a later date for that treatment. Where possible, dental providers could utilize teledental services to triage patients to appropriate care.
Topics: Adolescent; Adult; Child; Child, Preschool; Dental Care; Emergencies; Emergency Service, Hospital; Female; Humans; Infant; Infant, Newborn; Male; Medicaid; Middle Aged; United States; Young Adult
PubMed: 33276770
DOI: 10.1186/s12903-020-01345-7 -
Journal of the American Dental... Sep 1998A shift toward diagnostic and preventive dentistry in the last two decades is evident from the change in the number of dental procedures performed, as well as the change...
A shift toward diagnostic and preventive dentistry in the last two decades is evident from the change in the number of dental procedures performed, as well as the change in the percentage of time spent performing different types of procedures. During the period 1975 through 1995, the average nominal fees for selected dental procedures increased. Once inflation was taken into account, however, the increase in the average real fees charged was more modest.
Topics: Adult; Dental Care; Dental Prophylaxis; Dental Restoration, Permanent; Dentures; Diagnosis, Oral; Economics; Fees, Dental; Fees, Medical; Humans; Inflation, Economic; Preventive Dentistry; Root Canal Therapy; Subgingival Curettage; Tooth Extraction; United States
PubMed: 9766111
DOI: 10.14219/jada.archive.1998.0427 -
Refu'at Ha-peh Veha-shinayim (1993) Apr 2017The aim of this article is to introduce the concepts of military aviation dentistry, including facial barotraumas (external otitic barotrauma, barosinusitis and...
The aim of this article is to introduce the concepts of military aviation dentistry, including facial barotraumas (external otitic barotrauma, barosinusitis and barotitis- media), dental barotrauma, barodontalgia, and dental care for aircrews. Special considerations have to be made when planning restorative, endodontic, prosthodontic and surgical treatment to an aircrew patient. The article supplies the military dental officer with diagnostic and treatment guidelines, and the principles of prevention, periodic examination, and dental-related flight restriction.
Topics: Aerospace Medicine; Barotrauma; Dental Care; Humans; Military Dentistry; Military Personnel; Practice Guidelines as Topic
PubMed: 30699475
DOI: No ID Found -
Journal of the American Dental... Oct 2016Although some patients experience adverse events (AEs) resulting in harm caused by treatments in dentistry, few published reports have detailed how dental providers...
BACKGROUND
Although some patients experience adverse events (AEs) resulting in harm caused by treatments in dentistry, few published reports have detailed how dental providers describe these events. Understanding how dental treatment professionals view AEs is essential to building a safer environment in dental practice.
METHODS
The authors interviewed dental professionals and domain experts through focus groups and in-depth interviews and asked them to identify the types of AEs that may occur in dental settings.
RESULTS
The initial interview and focus group findings yielded 1,514 items that included both causes and AEs. In total, 632 causes were coded into 1 of the 8 categories of the Eindhoven classification, and 882 AEs were coded into 12 categories of a newly developed dental AE classification. Interrater reliability was moderate among coders. The list was reanalyzed, and duplicate items were removed leaving a total of 747 unique AEs and 540 causes. The most frequently identified AE types were "aspiration and ingestion" at 14% (n = 142), "wrong-site, wrong-procedure, wrong-patient errors" at 13%, "hard-tissue damage" at 13%, and "soft-tissue damage" at 12%.
CONCLUSIONS
Dental providers identified a large and diverse list of AEs. These events ranged from "death due to cardiac arrest" to "jaw fatigue from lengthy procedures."
PRACTICAL IMPLICATIONS
Identifying threats to patient safety is a key element of improving dental patient safety. An inventory of dental AEs underpins efforts to track, prevent, and mitigate these events.
Topics: Dental Care; Dental Staff; Dentists; Focus Groups; Humans; Interviews as Topic; Medical Errors
PubMed: 27269376
DOI: 10.1016/j.adaj.2016.04.015 -
Journal of the American Dental... Sep 2017
Topics: Dental Care; Humans; Oral Health; Quality Improvement
PubMed: 28847368
DOI: 10.1016/j.adaj.2017.07.002 -
Journal of Telemedicine and Telecare Jun 2020The aim of the study was to assess the frequency, features and management of dental emergencies at sea in France.
INTRODUCTION
The aim of the study was to assess the frequency, features and management of dental emergencies at sea in France.
METHODS
A descriptive study was carried out by retrospectively examining medical records of patients who were assisted by the French maritime TeleMedical Assistance Service (TMAS) from 2012 to 2016. Data were ranked in different categories: socio-demographic data, diagnosis, prescription, and monitoring or treatment prescribed.
RESULTS
The TMAS recorded 9122 medical files for all medical emergencies. Among these medical records 135 concerned oral diseases. The main causes for dental emergencies are dental abscess (51.8%), tooth decay (33.3%), and dental fracture (8.9%). Even where teledentistry is validated for remote screening and oral lesion diagnosis, management of dental emergencies mostly requires a dental procedure. On board, without special equipment and/or specifically trained healthcare workers, this management often results in the prescription of medication.
DISCUSSION
The published by the World Health Organization could be updated to suit the latest recommendations of dental emergency management. This could facilitate the addition of a medical act to dental management, resulting in more effective treatment. Furthermore, simple and specific equipment could be added to the medical supplies.
Topics: Adult; Dental Care; Emergencies; Emergency Treatment; Female; France; Humans; Naval Medicine; Retrospective Studies; Ships; Telemedicine; Tooth Diseases
PubMed: 30646814
DOI: 10.1177/1357633X18818736 -
British Dental Journal Jan 2008
Topics: Conscious Sedation; Dental Anxiety; Dental Care; Health Services Accessibility; Humans
PubMed: 18223565
DOI: 10.1038/bdj.2008.18