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Journal of Dental Hygiene : JDH 1997The purpose of this paper is to discuss the rationale for, practice benefits of, and criteria for selecting a magnification system in dental hygiene practice. Since... (Review)
Review
The purpose of this paper is to discuss the rationale for, practice benefits of, and criteria for selecting a magnification system in dental hygiene practice. Since dental hygiene procedures require seeing the finest of detail, visual acuity is essential to providing quality patient care. Magnifying loupes are a viable solution; the physical benefits include visual assistance for presbyopic dental hygienists and enhanced musculoskeletal health for all clinicians. Clinical benefits may include improved hard- and-soft tissue evaluation, calculus and periodontal pocket detection, and radiographic interpretation without compromising infection control. Head-band or protective-glass mounted, binocular surgical loupes with flip-up capability and 2 to 2.6x magnification are recommended. Although the initial investment for them is somewhat costly, the long-term returns are enhanced quality and comfort. Dental hygienists are encouraged to use magnification systems to enhance their musculoskeletal health, improve visual acuity, and continue providing quality patient care.
Topics: Dental Care; Dental Hygienists; Equipment Design; Ergonomics; Humans; Lenses; Oral Hygiene
PubMed: 9485762
DOI: No ID Found -
Dental Clinics of North America Jul 2016This article describes many of the tools and equipment used by dental professionals to successfully treat special care patients in a variety of settings. Such equipment... (Review)
Review
This article describes many of the tools and equipment used by dental professionals to successfully treat special care patients in a variety of settings. Such equipment can be used in the dental office, operating room, hospital, surgical center, nursing home, private home, institution, hospice, and even in the field without electricity. Equipment discussed includes seating, laughing gas and sedation systems, body wraps and mouth props, lighting, radiographic exposure and imaging systems, dental isolation devices, and other tools the authors use.
Topics: Dental Care; Dental Care for Disabled; Dental Equipment; Dental Instruments; Humans; Mentally Ill Persons
PubMed: 27264851
DOI: 10.1016/j.cden.2016.03.001 -
International Dental Journal Oct 2009Antibiotic prophylaxis (AP) still represents a common but often misused procedure in dental practice, thus aggravating the risk for antimicrobial resistance and adverse... (Review)
Review
INTRODUCTION
Antibiotic prophylaxis (AP) still represents a common but often misused procedure in dental practice, thus aggravating the risk for antimicrobial resistance and adverse effects occurrence.
AIMS AND METHODS
Our primary objective is to review the available scientific evidence regarding AP in dentistry both among healthy subjects and medically compromised patients. Additionally, the latest available guidelines provided by some of the most authoritative associations are here discussed.
RESULTS AND CONCLUSIONS
AP is advisable only in a small percentage of patients where a risk of severe infective complications (i.e. infective endocarditis and prosthetic joint infection, septicaemia in severely immuno-compromised patients, bisphosphonate-related osteonecrosis of the jaw) exists. On the contrary, little or no scientific evidence exists for AP in subjects with other systemic diseases as well as in healthy individuals. This pioneering recommendation is strongly evidence-based, since a consistent association between any dental procedure and the development of local and distant infective complications is still lacking. In addition, the daily bacteraemia secondary to routine habits has been thought to be robustly associated with a greater risk of systemic disease bacterial-related than a single dental procedure exposure. Compliance of general dental or family practitioners to the current recommendations seems not to be optimal, thus, efforts to improve it should be planned and undertaken.
Topics: Antibiotic Prophylaxis; Dental Care for Chronically Ill; Drug Resistance, Microbial; Evidence-Based Dentistry; Humans; Immunocompromised Host; Infection Control, Dental; Oral Surgical Procedures; Practice Guidelines as Topic; Risk Factors
PubMed: 19998660
DOI: No ID Found -
British Dental Journal Dec 2013
Topics: Dental Care; Humans; State Medicine; United Kingdom
PubMed: 24357749
DOI: 10.1038/sj.bdj.2013.1194 -
Gerodontology Jun 2016Although relevant for health policy, so far only little is known about the extent to which persons avoid dental attendance because of associated costs.
BACKGROUND
Although relevant for health policy, so far only little is known about the extent to which persons avoid dental attendance because of associated costs.
OBJECTIVES
To examine the cost-relatedness of dental non-attendance in various older adulthood populations.
MATERIAL AND METHODS
Secondary analyses were conducted of data from wave 1 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), which includes unique information on recent dental non-attendance and care foregone due to costs by persons aged 50+ from eleven European countries and Israel. Multivariate logistic regression analysis was used to detect differences in the extent to which dental non-attendance is attributable to associated costs.
RESULTS
The study sample comprised 13 935 persons who did not access dental care within the past year. Levels of cost-related non-attendance differed between the twelve examined countries, ranging from 6.8% in Israel to 0.5% in Austria. Cost-related non-attendance was 47% less likely among persons with good as compared to compromised chewing ability (Odds Ratio: 0.53; 95% CI: 0.43-0.66). Cost-related non-attendance was 33% less likely among persons with tertiary as compared to (pre-) primary educational attainment (Odds Ratio: 0.67; 95% CI: 0.47-0.96). Cost-related dental non-attendance was significantly more likely among persons with low levels of general health (Odds Ratio for lowest vs. highest level of general health: 3.05; 95% CI: 1.88-4.95).
CONCLUSIONS
The findings of the present study suggest that a relatively small proportion of dental non-attendance in older adulthood is cost-related. For specific population subgroups in various countries, however, dental care costs may still pose a relevant barrier to dental care.
Topics: Aged; Aged, 80 and over; Dental Care; Dental Care for Aged; Europe; Female; Health Care Costs; Health Status; Humans; Israel; Male; Middle Aged; Patient Acceptance of Health Care; Socioeconomic Factors
PubMed: 25209324
DOI: 10.1111/ger.12151 -
The Journal of Clinical Pediatric... Sep 2023There have been no experiments on interactive modelling through computer games, although there have been a few on modelling a pre-exposure method for managing anxiety... (Randomized Controlled Trial)
Randomized Controlled Trial
Influence of pretreatment exposure to pediatric dental care using the "Tiny dentist" game on 4-7 years old children's pain and anxiety: a parallel randomised clinical trial.
There have been no experiments on interactive modelling through computer games, although there have been a few on modelling a pre-exposure method for managing anxiety among preschoolers. The impact of partaking in a dental simulation game prior to the dental treatment on pain and anxiety in kids aged 4 to7 years during their first appointment was studied. A total of 156 kids who required unilateral pulp therapy and preformed crowns on their mandibular primary molars were enrolled in this double-blind, randomized clinical trial. They were then randomly assigned to intervention and control groups. The intervention group engaged in the game three times/day for 07 days prior to the anticipated appointment. The Wong-Baker Faces Rating Scale (WBFRS) was used to record their pre- and post-operative pain experienced during the dental procedure. Additionally, a finger pulse oximeter was used to record heart rate (HR) at each of the six treatment phases: baseline (the first session, two weeks prior to treatment) and stages 2-6. Playing video games considerably lowered the heart rate. Playing and the treatment period interacted in a major way. On comparing the groups at every time point, the intervention group displayed lower HR during injection, tooth preparation with an air-rotor and biomechanical preparation with endodontic rotary files.The results suggest that engaging in specific dental simulation games prior to the 1st dentist visit could help preschoolers feel less anxious during routine dental operations.
Topics: Child; Humans; Child, Preschool; Anxiety; Pain, Postoperative; Computer Simulation; Dental Care; Dentists
PubMed: 37732442
DOI: 10.22514/jocpd.2023.058 -
Stomatologiia 1996High blood pressure (hypertension) is one the most frequent problems, especially for older patients in Europe. Often hypertension has no symptoms, therefore it is called... (Review)
Review
High blood pressure (hypertension) is one the most frequent problems, especially for older patients in Europe. Often hypertension has no symptoms, therefore it is called a "Silent Killer". The morbidity and mortality is high among the population. This provides important significance for diagnosis and treatment of hypertension. In the USA and the Netherlands screening of blood pressure during dental check-ups was studied. It became well-known that blood pressure increases more in hypertensive patients than in controls. Before check-up increase is about 8 mm Hg, but during treatment without a local anesthesia and during extraction under a local anesthesia there is a significant sudden increase. Therefore it is important to define patients physical status including blood pressure, in ASA risk score. This allows to take preventive measures during dental treatment in patients with a systolic blood pressure between 160 - 200 mm Hg and diastolic 95 - 115 mm Hg. A systolic blood pressure > 200 mm Hg and diastolic > 115 mm Hg is an absolute contraindication to dental procedure.
Topics: Blood Pressure Determination; Dental Care for Chronically Ill; Humans; Hypertension; Risk Factors
PubMed: 8658572
DOI: No ID Found -
Journal of Perianesthesia Nursing :... Feb 2021Negative experiences in dental clinics can induce anxiety in patients, and the effects are particularly pronounced in children. When behavior guidance methods (eg,... (Randomized Controlled Trial)
Randomized Controlled Trial
PURPOSE
Negative experiences in dental clinics can induce anxiety in patients, and the effects are particularly pronounced in children. When behavior guidance methods (eg, direct observation, tell-show-do, and ask-tell-ask) fail, general anesthesia is an important alternative; however, the procedure of anesthesia can also induce fear and anxiety. This study assessed the effectiveness of guided imagery in relieving the anxiety associated with dental surgery in children and caregivers.
DESIGN
A prospective randomized trial with two groups.
METHODS
The guided imagery in this study was meant to establish a rapport between the medical team and the patient, by encouraging the child to imagine having an adventure while riding in a spacecraft. Anxiety levels and behavior were measured using five well-established scales: the modified Yale Preoperative Scale-Short Form, the State-Trait Anxiety Inventory-6 items, the Watcha score, the Pediatric Anesthesia Emergent Delirium scale, and the Posthospitalization Behavioral Questionnaire-Ambulatory Surgery.
FINDINGS
The results indicate that the guided imagery had no significant effects on anxiety levels.
CONCLUSIONS
Guided imagery is a low-cost, easy-to-implement, interesting exercise capable of enhancing interactions between nursing staff and children. It may also help to condition children to the environment and thereby assist them in overcoming their fears.
Topics: Anxiety; Child, Preschool; Dental Care for Children; Humans; Imagery, Psychotherapy; Prospective Studies
PubMed: 32917508
DOI: 10.1016/j.jopan.2020.04.007 -
The Journal of Clinical Pediatric... Sep 2023Combined pituitary hormone deficiency (CPHD) is a rare disorder caused by a complete absence of the anterior pituitary gland hormones. The Dental manifestation,...
Combined pituitary hormone deficiency (CPHD) is a rare disorder caused by a complete absence of the anterior pituitary gland hormones. The Dental manifestation, managmnet and two-year-follow-up of a case of a 12-year-old patient with CPHD is reported in this paper. A 12-year-old male patient with medical history of congenital CPHD and vitamin D deficiency presented for dental treatment. The patient looked tired and younger than his chronological age. Intraoral examination revealed good oral hygiene, generalized edematous gingiva, physiological pigmentation and high maxillary labial frenum attachment. The occlusion examination, showed class I molars, 2 mm overjet and 90% overbite. Single anterior tooth #21 crossbite with 1.5 mm diastema. Also, Miller's class I recession in tooth #31 with a probing depth of 1 mm, and grade I mobility. The treatment plan was formulated in phases, and the primary physician consultation was obtained and a clearance for dental treatment with a recommendation to double the hydrocortisone dose before a stressful dental procedure was recommended. Preventive and restorative programs were planned and provided. Then, the lower lingual holding arch was provided after the extraction of mandibular primary canines with composite turbo, and tooth #21 crossbite was corrected using a nance appliance with Z spring. Finally, the patient was recommended to attend follow-up visits every three months. During which the preventive program was reinforced and the restorative treatments were reevaluated. At the 2-year-follow-up satisfactory and stable aesthetic and functional results were obtained. This report highlights the oral manifestations, the value of establishing a preventive program, and restorative, and orthodontic interventions among patients with CPHD.
Topics: Male; Humans; Child; Hypopituitarism; Overbite; Cuspid; Dental Care
PubMed: 37732453
DOI: 10.22514/jocpd.2023.069 -
International Dental Journal Jun 1993A review is presented of the behavioural research in dentistry published in or after 1987 on dental anxiety, dentist-patient relationship, compliance and dental... (Review)
Review
A review is presented of the behavioural research in dentistry published in or after 1987 on dental anxiety, dentist-patient relationship, compliance and dental attendance. It is concluded that little progress has been made in the field of behavioural dentistry during those years and recommendations are made to improve future research efforts.
Topics: Dental Anxiety; Dental Care; Dentist-Patient Relations; Humans; Patient Compliance
PubMed: 8406957
DOI: No ID Found