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Wibowo, Alvita, Rima Arsyilviasari, Tiara Meilena, Ayu Setyowati, Retta Gabriella, Nur Latifah, and R. Darmawan Setijanto. "Dental and Oral Health Empowerment Program for Elderly using BULAN KESGILUT Book." Indonesian Journal of Dental Medicine 3, no. 1 (June 22, 2020): 1. http://dx.doi.org/10.20473/ijdm.v3i1.2020.1-3.
Повний текст джерелаАнотація:
Background: Dental and oral health problems occur in all age groups, including the elderly. Dental caries is one of thedental and oral health problems. An epidemiological study reported that 83.5% out of 91 elderly respondents did nothave a routine dental check-up. The data concluded that those who routinely have dental check-up had a lower cariesrisk than the others. The public health centre did not have data about the total of elderly visitors in the dental poly unit.The BULAN KESGILUT book aimed to help to monitor dental and oral health status in the elderly. Purpose: To helpthe dental poly and elderly visitors to have medical records related to dental and oral health using BULAN KESGILUTbook. Methods: The program adopted an indirect health education method involving cadres and dentists from the publichealth centre. The counselling was done by group. The lecture consisted of dental and oral health material printed inthe BULAN KESGILUT book. We have then informed the dentists on how to record the dental and oral health statusin the BULAN KESGILUT book and educate the cadres on how to read those records. Results: The mean of cadres’understanding of BULAN KESGILUT book was 97.92%, and the mean of cadres’ information dissemination relatedto BULAN KESGILUT book was 55.81%. Conclusion: The program results showed that BULAN KESGILUT was aneffective media in monitoring dental and oral health status in the elderly. However, a continuous promotion by the cadresand the public health center is necessary
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West, R. M., C. J. Smith, S. H. Pavitt, C. C. Butler, P. Howard, C. Bates, S. Savic, J. M. Wright, J. Hewison, and J. A. T. Sandoe. "‘Warning: allergic to penicillin’: association between penicillin allergy status in 2.3 million NHS general practice electronic health records, antibiotic prescribing and health outcomes." Journal of Antimicrobial Chemotherapy 74, no. 7 (April 10, 2019): 2075–82. http://dx.doi.org/10.1093/jac/dkz127.
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Abstract Background The prevalence of reported penicillin allergy (PenA) and the impact these records have on health outcomes in the UK general population are unknown. Without such data, justifying and planning enhanced allergy services is challenging. Objectives To determine: (i) prevalence of PenA records; (ii) patient characteristics associated with PenA records; and (iii) impact of PenA records on antibiotic prescribing/health outcomes in primary care. Methods We carried out cross-sectional/retrospective cohort studies using patient-level data from electronic health records. Cohort study: exact matching across confounders identified as affecting PenA records. Setting: English NHS general practices between 1 April 2013 and 31 March 2014. Participants: 2.3 million adult patients. Outcome measures: prevalence of PenA, antibiotic prescribing, mortality, MRSA infection/colonization and Clostridioides difficile infection. Results PenA prevalence was 5.9% (IQR = 3.8%–8.2%). PenA records were more common in older people, females and those with a comorbidity, and were affected by GP practice. Antibiotic prescribing varied significantly: penicillins were prescribed less frequently in those with a PenA record [relative risk (RR) = 0.15], and macrolides (RR = 4.03), tetracyclines (RR = 1.91) nitrofurantoin (RR = 1.09), trimethoprim (RR = 1.04), cephalosporins (RR = 2.05), quinolones (RR = 2.10), clindamycin (RR = 5.47) and total number of prescriptions were increased in patients with a PenA record. Risk of re-prescription of a new antibiotic class within 28 days (RR = 1.32), MRSA infection/colonization (RR = 1.90) and death during the year subsequent to 1 April 2013 (RR = 1.08) increased in those with PenA records. Conclusions PenA records are common in the general population and associated with increased/altered antibiotic prescribing and worse health outcomes. We estimate that incorrect PenA records affect 2.7 million people in England. Establishing true PenA status (e.g. oral challenge testing) would allow more people to be prescribed first-line antibiotics, potentially improving health outcomes.
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Fatikhah, Nurul, Gilang Yubiliana, and Fedri Ruluwedrata Rinawan. "Electronic application for oral health school programme enhances the quality of the information in dental health data records." Dental Journal (Majalah Kedokteran Gigi) 53, no. 4 (December 1, 2020): 206. http://dx.doi.org/10.20473/j.djmkg.v53.i4.p206-211.
Повний текст джерелаАнотація:
Background: Dental and oral health problems among elementary students can be resolved through an oral health programme in schools. The main factor that inhibited this scheme was that the recording and reporting still employed a manual system, making it less effective and efficient. The electronic application of this programme can help managers to complete both of these tasks. Purpose: This study’s aim is to assess the effectiveness of the electronic application that is utilised in the oral health school programme to increase the quality of the information relating to the recording of dental health data in schools. Methods: This study used a pre-test and post-test one-group design, and the sample consisted of 37 oral health programme managers in schools who were chosen via simple random sampling. The data in this study was analysed using the Wilcoxon signed-rank test. Results: The results showed that the use of the electronic application as part of the oral health scheme influenced the quality of the information when details were recorded and reported. This can be seen in the rise in the standard of the information that was noted and disclosed when comparing data before and after using the electronic application; the average value of 1.54 (standard deviation=1.45) increased to an average value of 3.58 (standard deviation=2.84) with a significance level of 0.000 (p<0.05). Conclusion: The electronic application used in conjunction with the oral health programme was effective in raising the quality of dental health records in schools.
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Ahmed, U., S. K. Siddiqui, and K. Tabani. "Improving oral health care in mental health service – A retrospective study of oral health care monitoring for service users accessing community mental health team." European Psychiatry 41, S1 (April 2017): S601. http://dx.doi.org/10.1016/j.eurpsy.2017.01.935.
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IntroductionPoor oral health can have a serious impact on quality of life, social inclusion and self-esteem. There is evidence to suggest that people with serious mental illness have a greater risk of experiencing oral disease and have greater oral treatment needs than the general population. Oral health problems are not well recognized by mental health professionals. We therefore conducted a retrospective study to review oral health care monitoring within the community mental health team.Aims and objectivesTo review the oral health care monitoring for patients accessing the community mental health team.MethodologyAudit tool was developed based on oral health care guidelines outlined by the department of health, and literature review. We then retrospectively review medical records of 25 patients against following standards:.– every client should have the most basic of oral hygiene equipment–toothbrush;– clients should have basic oral hygiene knowledge, (i.e. brush twice or at least once a day);– every client should be registered to a dental practitioner;– every client should have at least one dental check-up per year;– clients with dentures should have their dentures checked up at least once in five years;– have a tooth brush less than three months old.ResultsOut of the 25 patients none had met the standards. It could be a reflection of lack of documentation rather than not providing appropriate information.ConclusionOral health care advice should be part of care plan for people accessing mental health service.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Forster, Alice S., Alex Dregan, Tjeerd P. van Staa, Lisa McDermott, Gerard McCann, Charles D. A. Wolfe, Anthony Rudd, and Martin C. Gulliford. "Why do electronic health records reveal oral anticoagulant prescription after haemorrhagic stroke?" British Journal of Clinical Pharmacology 79, no. 6 (May 22, 2015): 1037–39. http://dx.doi.org/10.1111/bcp.12570.
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Kiruthika Patturaja, Arthi Balsubramaniam, and Iffat Nasim. "Association of tobacco dependence and oral hygiene status." International Journal of Research in Pharmaceutical Sciences 11, SPL3 (September 12, 2020): 396–401. http://dx.doi.org/10.26452/ijrps.v11ispl3.2951.
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Tobacco use has a major public health concern that results in significant morbidity and mortality. Tobacco use has an injurious effect on oral health such as oral cancer and potentially malignant disorders like , oral fibrosis. Tobacco use has been found to have a strong, chronic and dose dependent effect on periodontal tissues due to poor oral hygiene caused by increased deposit of debris and calculus among tobacco users. This study aimed to find the association between oral hygiene status and tobacco dependence. A retrospective study was conducted using the case records of patients in University hospital. Data on tobacco dependence and oral hygiene status from 150 patient records were collected and for association. Descriptive statistics and chi-square association was done. The mean age of patients in the records was 35 ± 12.44 years and males (14%) had severe tobacco dependence. The mean Oral Hygiene Index Simplified (OHIS) score was found to be 2.03 ± 1.009 which is interpreted as fair. There was no statistically significant association between oral hygiene status and tobacco dependence (p= 0.157). Tobacco dependence has no role in the oral hygiene status of an individual.
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Jovanovic, Svetlana, and Ivanka Gajic. "Health habits, attitudes and behavior towards oral health of children with epilepsy." Srpski arhiv za celokupno lekarstvo 135, no. 3-4 (2007): 167–73. http://dx.doi.org/10.2298/sarh0704167j.
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Introduction: Children suffering from epilepsy are high at risk of oral diseases primarily due to their underlying medical condition which can have an impact on the maintenance level of oral hygiene, but also due to adverse effects of antiepileptic drugs. Objective. The aim of this paper was to identify habits, attitudes and behavior of children with epilepsy and parents in respect to oral health. Method. The experimental group consisted of 50 children with epilepsy, 24 boys and 26 girls, 7-14 years old, mean age 11.2?2.2 years. The control group consisted of healthy children, matched by age and gender. The instruments of investigation consisted of the structured interview of children and parents concerning oral health habits, attitudes and behavior. We used medical records of children with epilepsy as a source of information on their diagnosis, duration of the illness and current therapy. Statistical analysis was performed by chi-squared test, nonparametric correlation, Wilcoxon?s signed rank test and logistic regression. Results. Results showed that more children with epilepsy and their parents had inappropriate habits and attitudes towards oral health, as well as nutrition habits (p<0.001). Compared to healthy controls, children with epilepsy washed their teeth less often and shorter, they had less knowledge about causes of oral diseases and about influence of oral diseases on general health, and they had worse self-rating of teeth and gum condition. In addition, significantly more children with epilepsy used an incorrect technique of teeth brushing (p<0.001). Characteristics of children?s epilepsy and educational degree of parents had no influence on these differences. Conclusion. Study results showed that children with epilepsy and their parents had worse habits, attitudes and behavior towards oral health than healthy controls and their parents. This difference can be explained primarily by worse parental estimation of oral health and behavior towards oral health in comparison to parents of healthy controls. .
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Carpizo, Ruben, and Mercy N. Buhia. "Gender Differences towards Dental Health Knowledge, Attitude and Utilization of Dental Care." Abstract Proceedings International Scholars Conference 6, no. 1 (October 29, 2018): 114. http://dx.doi.org/10.35974/isc.v6i1.1420.
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Understanding the effect of gender on oral health would facilitate the development of successful attitude and behavior modification approach towards sustainable oral health. This study assessed the behavior, knowledge, rate, and pattern of dental service utilization of the students and workers of Adventist University of the Philippines (AUP). It also tested the widely documented hypothesis that women have better oral health behavior, oral hygiene, and periodontal status but higher dental caries rates than men. Further, it determined what dental procedure is mostly utilized by the patients. The data were based on annual dental records of AUP Dental Department and oral interviews. From the dental record of the year 2017, a total of 2,472 patients visited the dental clinic for the following procedures: oral prophylaxis (40%), tooth extraction (13%), tooth restoration (14%), prosthodontics (7%) and orthodontics (25%). Among the dental procedures, women are always higher in number compared to men. In terms of gender, 960 or 39% of men and 1,512 or 69% of women visited the clinic revealing that women have dental visits more often than men. Oral prophylaxis and orthodontic are two of the most availed dental procedure while prosthodontics is the least. Despite AUP Clinic’s promotion for health care and health care services, dental health care utilization remains very low relating to the whole university population. Women are more concerned with oral health than men, contrary to other researches that males have higher oral health knowledge score than females. Gender differences have no significance in terms of dental care utilization. Participants’ oral health knowledge is at least average and they showed positive attitude towards dental treatment. It is recommended that more oral or dental health campaign be done; utilization of dental service fee among students be promoted; and the importance of oral health be taught.
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Wang, Yan, Xinyi Zeng, Xue Yang, Jiajia Que, Qin Du, Qiong Zhang, and Jing Zou. "Oral Health, Caries Risk Profiles, and Oral Microbiome of Pediatric Patients with Leukemia Submitted to Chemotherapy." BioMed Research International 2021 (January 16, 2021): 1–11. http://dx.doi.org/10.1155/2021/6637503.
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Background. Chemotherapy is the primary treatment modality used for patients with acute lymphoblastic leukemia (ALL), but inevitably causes microbiota-related oral complications. This study is aimed at investigating the effects of chemotherapy on oral health status, caries risk, and oral microbiome in pediatric patients with ALL. Methods. Thirty-nine children with ALL receiving chemotherapy were enrolled, and a gender-, age-, dentition stage, and socioeconomic class matched healthy counterpart were recruited. Demographic information and overall health condition were obtained through the questionnaire and medical records. Oral examination was performed to assess caries and salivary status, plaque index, and other oral manifestations. Cariogram was used to assess the overall caries risk. Supragingival samples of thirteen ALL subjects and their counterparts were randomly selected to perform a 16S ribosomal RNA gene 454 pyrosequencing. Raw sequence data were screened, trimmed, and filtered using Seqcln and MOTHUR. Results. The prevalence of dental caries, gingivitis, oral mucositis, xerostomia, and candidiasis in ALL groups was higher than that of the control group ( p < 0.05 ). Children with ALL demonstrated higher caries risk compared to healthy controls (HC) based upon Cariogram ( p < 0.05 ). The oral microbial structure of ALL patients receiving chemotherapy is different from that of healthy controls. Oral microbiota of ALL groups showed less alpha diversity and significant differences in the composition of the oral microbiome compared to healthy controls. Conclusions. ALL patients receiving chemotherapy demonstrated compromised oral health, high caries risk, alteration of caries-related factors, and dysbiosis of oral microbiota. These findings may be of clinical importance in developing better strategies for personalized preventive management of oral diseases for pediatric children with ALL.
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Paranhos, Luiz Renato, Mariana Paula Maggiorini de Magalhães, José Francio, Hélio Hissashi Terada, Henrique Damian Rosário, and Rhonan Ferreira da Silva. "Time of guard of orthodontic records versus legal time for their prescription." Dental Press Journal of Orthodontics 18, no. 3 (June 2013): 113–17. http://dx.doi.org/10.1590/s2176-94512013000300018.
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INTRODUCTION: After promulgation and wider dissemination of the Code of Consumer Protection, there was an increase in the number of legal conflicts between patients and dentists, leading these health professionals to increasingly guard themselves from possible lawsuits. As such, it becomes critical the preparation of an adequate and complete clinical record, even though the keeping time remains uncertain. OBJECTIVE: To review the literature and discuss the keeping time of orthodontic records versus the legal time for their prescription, as well as to propose a model of a Term upon Completion of Dental Treatment. CONCLUSION: It is advised to return part of the clinical records to their rightful owners by means of an itemized receipt. The Term upon Completion reflects the patient's awareness and could be considered by the CCP as the initial term of the prescription time, because it implicates that the patient recognizes the quality of service provided and satisfactory results achieved.
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Sandler, Melissa, Jared Cavanaugh, Ted Walton, Laurie Cavendish, and Kruti Shah. "Management of an i.v. fluid shortage through use of electronic medical record alerts." American Journal of Health-System Pharmacy 77, no. 7 (February 22, 2020): 546–51. http://dx.doi.org/10.1093/ajhp/zxaa014.
Повний текст джерелаАнотація:
Abstract Purpose Evaluation of mechanisms used to cope with an i.v. fluid shortage to determine if prescribing habits were changed and if substitution of an i.v. dose of magnesium with an oral dose impacted patient outcomes. Methods A single-center, retrospective analysis of electronic medical record (EMR) alerts and medical records covering 6-month periods before and during an i.v. fluid shortage was conducted. Records of adult medical and surgical inpatients admitted during these periods who had an order for i.v. or oral magnesium were screened for inclusion. The primary outcome of part 1 of the study was the percent acceptance of drug shortage–related EMR alert recommendations associated with i.v. magnesium. The primary outcome of part 2 of the study was the change in serum magnesium concentration (SMC) after an i.v. or oral dose of magnesium was administered. Results Of the 7,476 EMR alerts generated during provider ordering of i.v. magnesium products, 4.8% resulted in the provider accepting the recommendation to switch to an oral alternative, 89% resulted in continuation of an i.v. magnesium order, and 6.2% resulted in order cancellation. Among patients who received magnesium doses, SMC values increased by a mean (SD) of 0.135 (0.08) mg/dL per gram of i.v. magnesium sulfate administered (n = 251), compared to an increase of 0.058 (0.08) mg/dL per 400-mg tablet of magnesium oxide administered (n = 42). Conclusion Acceptance of the EMR alert recommendations was low. Both i.v. magnesium sulfate and oral magnesium oxide are viable options for increasing SMC.
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Iqbal, Sana, Sufyan Ahmed, Zahid Ali, Mehwash Kashif, and Ayesha Aslam. "Evaluation of Records of Oral and Maxillofacial Surgery Cases Reported at Abbasi Shaheed Hospital and Karachi Medical and Dental College, Pakistan." International Journal of Frontier Sciences 4, no. 1 (January 1, 2020): 47–51. http://dx.doi.org/10.37978/tijfs.v4i1.74.
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Background: Oral and Maxillofacial Surgery department is a diverse field in dentistry. Record maintenance has been established as one of the key factors in the success and integrity of health care institutes.Objective: The objective of the study was to evaluate the records of oral and maxillofacial surgery cases reported to oral and maxillofacial surgery department, Abbasi Shaheed Hospital and oral surgery OPD of Karachi Medical and Dental College.Methods: Cross sectional study was conducted in at ASH and KMDC from July 2019 to September 2019. The data from January 2017 to July 2019 was retrospectively noted through electronic surgical record of ASH and records of the Oral Surgery OPD of KMDC. Inclusion criteria was patients records of both genders of 5–70 years age, having complaint of any oral or dental pathology or pathologies, trauma and impactions. Data was calculated manually by calculating frequencies and percentages for the trauma, impaction and pathology cases of patients.Results: In 2017, 239 cases were treated under general anesthesia from which trauma 11. 45% (n=11), followed by 48. 11% (n=115) cases of oral pathologies, total 11.7% (n=28) cases of complicated exodontias. In 2018, among 211, 51.1% (n=108) cases were trauma followed by 39.3% (n=83) cases of oral pathologies, whereas, total 9.4% (n=20) complicated exodontias cases were observed. During 2019 (January to July), 168 cases 36.2% (n=62) cases were diagnosed as trauma, in oral pathology, overall 36.2% (n=62) cases were surgically excised. Total 23.2% (n=39) complicated exodontias. In 2017, 25122 cases were reported in Surgery OPD of Karachi Medical and Dental College. Total 36.2% (n=9097) teeth were extracted from which 1.93% (n=486) cases were surgical impaction. On the other hand, 1.65% (n=416) patients were treated through minor oral surgeries. In 2018, 29008 cases were reported in Surgery OPD. Total 42.7% (n=12377) teeth were extracted from which 0.92% (n=268) cases were surgical impaction. On the other hand, 0.71% (n=208) patients were treated through minor surgeries. In 2019, January till July 13028 cases were reported in Surgery OPD. Total 42.6% (n=5559) teeth were extracted from which 0.66% (n=87) cases were surgical impaction. On the other hand, 0.68% (n=89) patients were treated through minor surgeries.Conclusion: It has been concluded that evaluation of the records of oral and maxillofacial surgery cases reported to oral and maxillofacial surgery department, Abbasi Shaheed Hospital and oral surgery OPD of Karachi Medical and Dental College were high and appropriate measures should be taken in order to manage these problems timely and effectively.
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Bangar, Suhasini, Ana Neumann, Joel M. White, Alfa Yansane, Todd R. Johnson, Gregory W. Olson, Shwetha V. Kumar, et al. "Caries Risk Documentation And Prevention: eMeasures For Dental Electronic Health Records." Applied Clinical Informatics 13, no. 01 (January 2022): 080–90. http://dx.doi.org/10.1055/s-0041-1740920.
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Abstract Background Longitudinal patient level data available in the electronic health record (EHR) allows for the development, implementation, and validations of dental quality measures (eMeasures). Objective We report the feasibility and validity of implementing two eMeasures. The eMeasures determined the proportion of patients receiving a caries risk assessment (eCRA) and corresponding appropriate risk-based preventative treatments for patients at elevated risk of caries (appropriateness of care [eAoC]) in two academic institutions and one accountable care organization, in the 2019 reporting year. Methods Both eMeasures define the numerator and denominator beginning at the patient level, populations' specifications, and validated the automated queries. For eCRA, patients who completed a comprehensive or periodic oral evaluation formed the denominator, and patients of any age who received a CRA formed the numerator. The eAoC evaluated the proportion of patients at elevated caries risk who received the corresponding appropriate risk-based preventative treatments. Results EHR automated queries identified in three sites 269,536 patients who met the inclusion criteria for receiving a CRA. The overall proportion of patients who received a CRA was 94.4% (eCRA). In eAoC, patients at elevated caries risk levels (moderate, high, or extreme) received fluoride preventive treatment ranging from 56 to 93.8%. For patients at high and extreme risk, antimicrobials were prescribed more frequently site 3 (80.6%) than sites 2 (16.7%) and 1 (2.9%). Conclusion Patient-level data available in the EHRs can be used to implement process-of-care dental eCRA and AoC, eAoC measures identify gaps in clinical practice. EHR-based measures can be useful in improving delivery of evidence-based preventative treatments to reduce risk, prevent tooth decay, and improve oral health.
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McNamara, Elaine, Lindsey Redoutey, Emily Mackler, Jane A. Severson, Laura Petersen, and Tallat Mahmood. "Improving Oral Oncolytic Patient Self-Management." Journal of Oncology Practice 12, no. 9 (September 2016): e864-e869. http://dx.doi.org/10.1200/jop.2016.011304.
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Purpose: Managing patients who are taking oral oncolytics is challenging because of the changing paradigm from frequent supervision during intravenous therapy to periodic observation with oral administration of drugs. We joined the Michigan Oncology Quality Consortium (MOQC) Oral Oncolytics Collaborative in 2013 to identify opportunities for improvement in this area. Methods: We completed MOQC’s baseline self-assessment and performed an audit of medical records for 25 patients prescribed an oral oncolytic from May 2011 to July 2013. We implemented the following MOQC resources: a tracking system for patients taking oral oncolytics, patient education with drug-specific self-care guidelines, use of a modified Edmonton Symptom Assessment Scale, and a medication adherence questionnaire to be used on scheduled follow-up calls and return visits. We modified our workflow to include a standard teaching session and consistent follow-up phone calls. We conducted a retrospective postimplementation medical records audit from August 2013 to September 2014. Results: Baseline self-assessment revealed lack of start date documentation and lack of consistent follow-up. A baseline medical records audit showed that 48% of patients discontinued their medication without consulting their physician, and start date documentation was available for only 52% of patients. After participating in the quality initiative, 100% of patients sampled had a documented start date, and no patients discontinued their drug on their own. Seventeen percent had a dose reduction as a result of toxicity, as directed by the physician. Conclusion: The introduction of new office procedures to easily identify all patients receiving oral therapy and improvement in patients’ ability to manage symptoms at home with the use of self-care guidelines contributed to an improvement in managing patients who are taking oral oncolytics.
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Vehkalahti, Miira, Inkeri Rytomaa, and Seppo Helminen. "Assessment of quality of public oral health care on the basis of patient records." Community Dentistry and Oral Epidemiology 20, no. 2 (April 1992): 102–5. http://dx.doi.org/10.1111/j.1600-0528.1992.tb00687.x.
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Subramaniam, P., M. Gupta, and A. Mehta. "Oral Health Status in Children with Renal Disorders." Journal of Clinical Pediatric Dentistry 37, no. 1 (September 1, 2012): 89–93. http://dx.doi.org/10.17796/jcpd.37.1.7l913347q0232v01.
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Advances in pediatric nephrology have resulted in increased survival rates of children with renal disorders. Renal disease is characterized by multiple organ involvement, including soft and hard tissues of the oral cavity. Data regarding the oral health status of Indian children with renal disorders is scarce. Thus, the aim of this study was to assess the oral health status of children with renal disorders in Jaipur city, India. Thirty six children in the age-group of 4-14 years, diagnosed with renal disorders were selected. Data pertaining to demographics, medication history, body mass index and blood investigations were obtained from the hospital records. The World Health Organization (WHO) criteria were used to diagnose dental caries. Enamel defects were recorded according to Developmental Defects of Enamel index. Oral hygiene status, salivary pH and buffering capacity were also assessed. The mean blood hemoglobin value was 9.75gm/dl, blood urea nitrogen 43.06 gm/dl and serum creatinine 1.5 mg/dl. Enamel defects were seen in 58.3% of children. Their mean deft and DMFT scores were 1.5 and 0.5, respectively. The mean Oral Hygiene Index-Simplified (OHI-S) score was 1.56. Gingival overgrowth was not present. Mean salivary pH was 6.92 and buffering capacity of stimulated saliva was 9.86. It is necessary for pediatric dentists to follow preventive oral health regimens that are tailored to these patients.
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Chew, Huikai, Kasmawati Mokhtar, Yew Hin Beh, Wan Mohd Nazri Wan Zainon, and Azirrawani Ariffin. "Oral Care Management of Head and Neck Cancer Patients at Hospital Universiti Sains Malaysia: A 7-Year Retrospective Study." Archives of Orofacial Sciences 17, no. 1 (June 23, 2022): 47–59. http://dx.doi.org/10.21315/aos2022.1701.oa02.
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Head and neck cancer patients require oral assessment and management prior, during and after cancer treatment to minimise oral complications. Hence, this study aimed to evaluate sociodemographic data, oral health management, oral complications derived from cancer treatment, time frame in completing dental treatment and association between oral management and complications. Purposive record sampling of head and neck cancer patients who completed radiotherapy and/or chemotherapy at Hospital Universiti Sains Malaysia (HUSM) from 2011 to 2017 were reviewed. A checklist was used to record the data and analysed using descriptive statistics and Pearson Chi-square test. A number of 194 patient records were reviewed with majority were Malays (88.1%), males (61.3%) with the mean age of 57.18 years old. Only 21% of the patients had oral assessment prior to cancer treatment. About 84% of the referred patients were dentally fit within 1 month. Mucositis and fungal infections were the most prevalent complications. The relationship between oral assessment prior to cancer treatment and oral complications was not significant (p = 0.134). Despite the insignificant association due to several limitations, oral assessment and management prior, during and after cancer therapy are recognised as crucial for improving quality of life. A standard institutional operating procedure is recommended to improve patient care.
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Costa, Letícia Evelyn Carvalho, Janete Maria Rebelo Vieira, and Yan Nogueira Leite de Freitas. "Condição de saúde bucal das pessoas idosas institucionalizadas da cidade de Manaus-AM." Research, Society and Development 11, no. 9 (July 7, 2022): e22911931609. http://dx.doi.org/10.33448/rsd-v11i9.31609.
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Studies show a worse oral health condition in institutionalized aged, when compared to non-institutionalized aged. Most of older people who residing in Long-Term Institutions for the aged (ILPI) have poorer oral hygiene, periodontal impairment and, therefore, greater tooth loss. This study aimed to investigate the oral health of institutionalized older people in the city of Manaus-AM, through secondary data from the medical records of an ILPI. A total of 117 medical records were investigated, with a predominance of male individuals (58.11%), whose age ranged from 60 to 107 years, who studied, on average, for 3.83 (± 3.85) years. There was a predominance of single individuals (77.7%) and those receiving retirement (55.5%). Regarding oral health, 69.3% of the individuals were edentulous. The mean DMFT-d was 29.3 (± 5.11). Upper and lower denture needs were observed in 77.7% and 82.5% of the sample, respectively. The retirement variable was the only one to present a limit of statistical significance in the association with the CPO-D, indicating that individuals who receive retirement have a lower average of the CPO-D index (p = 0.05).
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Poornima, P., Meghna Bajaj, N. B. Nagaveni, K. B. Roopa, and V. V. Subba Reddy. "Dental home - A new approach for child oral health care." CODS Journal of Dentistry 6, no. 1 (2014): 30–34. http://dx.doi.org/10.5005/cods-6-1-30.
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Abstract To prevent caries in children, high risk individuals must be identified at an early age and aggressive strategies should be adopted, including anticipatory guidance, behavior modifications and establishment of dental home by one year of age for children deemed at risk. The dental home is locus for preventive oral health supervision and emergency care. It can be repository for records and focus for making specialty referrals. Establishment of the home early in the child's life can expose a child to prevention and early interventions before problem occur, reduce anxiety and facilitate referral. How to cite this article Poornima P, Meghna B, Nagaveni NB, Roopa KB, Subba Reddy VV. Dental home - A new approach for child oral health care. CODS J Dent 2014;6;30-34
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Oelerich, Ole, Johannes Kleinheinz, Daniel R. Reissmann, Jeanette Köppe, and Marcel Hanisch. "Correlation between Oral Health-Related Quality of Life and Objectively Measured Oral Health in People with Ehlers–Danlos Syndromes." International Journal of Environmental Research and Public Health 17, no. 21 (November 8, 2020): 8243. http://dx.doi.org/10.3390/ijerph17218243.
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It is a well-known fact that people with Ehlers–Danlos syndromes (EDS) report a worse oral health-related quality of life (OHRQoL) than the general population. The aim of this study was to examine whether there is a correlation between the subjective OHRQoL and the objectively measured oral health in people with EDS. To determine the subjective OHRQoL, the German version of the 14-item Oral Health Impact Profile (OHIP-14) questionnaire was used. Furthermore, all participants in the study were clinically examined, and the measured parameters were recorded using the Physical Oral Health Index (PhOX). Altogether, records of 46 participants were collected. The median (interquartile range (IQR)) of the OHIP-14 was 17 (23) points and the median of the PhOX was 73 (16) points. However, a statistically significant correlation could not be demonstrated (r = −0.240, p = 0.108). In the observed cohort, for participants who reported having pain often or very often, the OHIP score (median = 24, IQR = 18, p < 0.01) was higher than the score of the group given by participants who never or intermittently experienced pain (median = 8, IQR = 18). In conclusion, patients with EDS showed a reduced OHRQoL, although it was not possible to observe an association between the subjective OHRQoL and the objective oral health. However, participants who often or very often suffer from pain in their tooth, mouth, and jaw areas showed a reduced OHRQoL.
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MESTRINER, Soraya Fernandes, Aline dos Santos Queiroz de ALMEIDA, Luana Pinho de MESQUITA, Alexandre Fávero BULGARELLI, and Wilson MESTRINER JUNIOR. "Oral health conditions and quality of life of elderly users of the Unified National Health System." RGO - Revista Gaúcha de Odontologia 62, no. 4 (December 2014): 389–94. http://dx.doi.org/10.1590/1981-8637201400040000062822.
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OBJECTIVE: This study aimed to analyze the oral health status and socio-economic conditions of the elderly, which are users of the Brazilian Unified Public Health System (SUS) and its relationship to a subjective indicator of impacts of oral conditions on quality of life (Oral Health Impact Profile OHIP-14). METHODS: It is a descriptive cross-sectional exploratory study developed in the second semester of 2011. The sample consisted of 76 elderly (65-74 years old) users of the public dental service at the Dental Specialties Center at the Faculty of Dentistry of Ribeirão Preto, Brazil. The methodological strategy adopted for data collection was the structured interview and secondary data were obtained from medical records and reports. To perform the statistical analysis it was used an exploratory analysis of multivariate data by means of STATA Software. RESULTS: The frequencies of the dimensions of the OHIP-14 with the greatest impact were pain (13.16%) and psychological distress (14.47%). The low impact association was represented by social disability (71%) and social disadvantage (63%). The gender, type of housing, necessity and prosthesis wearing were not associated with measures of quality of life related to oral health. It was observed a good correlation between the perception (r = 0.542, p <0.001), a moderate association between higher income (r = 0.28, p <0.01) and the scores of the OHIP. CONCLUSION: It was concluded that the elderly which reported good self-perception of oral health and good income have expressed the perception that oral health reflects a good impact on quality of life.
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Karhumaa, H., E. Lämsä, H. Vähänikkilä, M. Blomqvist, T. Pätilä, and V. Anttonen. "Dental caries and attendance to dental care in Finnish children with operated congenital heart disease. A practice based follow-up study." European Archives of Paediatric Dentistry 22, no. 4 (March 27, 2021): 659–65. http://dx.doi.org/10.1007/s40368-021-00603-8.
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Abstract Purpose Oral health of children with congenital heart disease (CHD) is of utmost importance. This study aimed to investigate the prevalence of dental caries and attendance to dental care in Finnish heart-operated CHD patients born in 1997–1999. Methods The cohort of children born in 1997–1999 was selected using a national register on all heart-operated children in Finland. Gender, general health problems, diagnosis, type of the heart defect (shunting, stenotic and complex defects), and number of operations were available and included in the analyses. Dental records from primary health care were collected from municipalities with their permission. The data comprised of the number of dental examinations and data on caries status (dt, DT, dmft, DMFT) at the age of 7 (grade 1), 11 (grade 5) and 15 (grade 8) years and at the most recent examination. The control group consisted of dental data on patients born in 1997–1999 provided by the City of Oulu, Finland (n = 3356). Results Oral patient records of 215/570 children were obtained. The difference between the defect types was statistically significant both for DT (p = 0.046) and DMFT (p = 0.009) at the age of 15 (grade 8). The prevalence of caries did not differ between the study population and the controls. High present and past caries experiences were not associated with higher number of visits to oral health care, especially to oral hygienist, or with oral health promotion. National obligations concerning dental visits were not implemented in all municipalities. Conclusion There seems to be a need for oral health promotion and preventive means implemented by oral hygienists among those with CHD.
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Babić, Željka, Nikolina Benco Kordić, Arnes Rešić, and Rajka Turk. "Characteristics of unintentional ingestion of oral non-steroidal anti-inflammatory drugs and analgesics in preschool children." Archives of Industrial Hygiene and Toxicology 72, no. 4 (December 1, 2021): 299–304. http://dx.doi.org/10.2478/aiht-2021-72-3596.
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Abstract We characterised accidental ingestion of non-steroidal anti-inflammatory drugs and non-opioid analgesics in children aged 0–5 years between 2009 and 2019 by analysing records of telephone consultations with the Croatian Poison Control Centre (CPCC) and cases treated at the Children’s Hospital Zagreb (CHZ). Among the total of 466 identified cases (411 from CPPCC records and 55 from CHS hospital records), the most frequently ingested drugs were ibuprofen (47 %), paracetamol (20 %), ketoprofen (15 %), and diclofenac (11 %). In 94 % of the cases unsupervised children ingested the drug left within their reach. The remaining 6 % were dosing errors by parents or caregivers and involved liquid formulations as a rule. Our findings can serve as real-life examples informing preventive measures.
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Kai, Nanami, Yoko Tsukamoto, Kaoru Urabe, Asuka Tani, Yuko Inai, Asako Okadome, Haruhiko Kashiwazaki, Shinsuke Mizutani, and Naohisa Wada. "Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening." International Journal of Environmental Research and Public Health 18, no. 22 (November 22, 2021): 12236. http://dx.doi.org/10.3390/ijerph182212236.
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Oral management during the perioperative period is important to prevent the development of postoperative complications. However, there are no unified systems to examine the oral status of patients and very few studies have focused on preoperative oral screening. In this study, we examined the oral status of patients who underwent oral screening at a University Hospital. A total of 1173 patients who underwent oral screening for perioperative management from April 2020 to July 2021 were enrolled. The subjects’ medical data were retrospectively extracted from the dental records, and finally, the data of 1081 patients aged ≥20 years were analyzed. Oral screening based on seven categories was performed by dentists or dental hygienists. Our cumulative results determined whether patients required oral management during the perioperative period. “Poor oral hygiene” was the most frequent category (24%) of all oral categories examined. Logistic analysis revealed that tooth mobility had the highest odds ratio (21.476; 95% confidence interval: 11.462–40.239; p < 0.001) for oral management necessity during the perioperative period. Our study suggests that poor oral hygiene is most frequently observed in preoperative oral screening. Moreover, tooth mobility in preoperative oral screening may influence the judgment of oral management necessity during the perioperative period.
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Pathan, Adiba, and Ponsekar Abraham A. "The accessory to ace Face bow records in clinical practice - Laser Levels assisted Face bow Records." JOURNAL OF CLINICAL PROSTHODONTICS AND IMPLANTOLOGY 3, no. 2 (December 30, 2021): 54–57. http://dx.doi.org/10.55995/j-cpi.2021012.
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An accurate determination, recording and transfer of jaw relation records from patients to the articulator is essential for appropriate dental restoration function, facial appearance and maintenance of patient’s oral health.1 An unsatisfactory and inaccurate record of maxilla-mandibular relationship will eventually lead to failure of the restoration or prosthesis. Facebow plays an integral part of this maxilla-mandibular relationship transfer from the patient mouth to that of the articulator. The use of facebows is emphasized in prosthodontic textbooks and is widely taught in dental schools, but is still perceived as a complex procedure by most students.2 This article attempts to discuss the utilization of a cross beam laser level as a simple accessory to simplify face bow use and to obtain a repeatable and reliable patient head position while recording jaw relations using face bows. The laser cross beam also serves the purpose of improving the accuracy and speed of making face bow records.
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Stow, L., and D. Higgins. "Development and evaluation of online education to increase the forensic relevance of oral health records." Australian Dental Journal 63, no. 1 (September 8, 2017): 81–93. http://dx.doi.org/10.1111/adj.12545.
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Lin, JW, CH Chang, and JL Caffrey. "Examining the association between oral health status and dementia: A nationwide nested case-controlled study." Experimental Biology and Medicine 245, no. 3 (February 2020): 231–44. http://dx.doi.org/10.1177/1535370220904924.
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Alzheimer’s disease as a consequence of chronic brain inflammation mediated by infectious microbes including the oral microbiome continues to attract support. Taiwan’s National Insurance database was used to evaluate associations between dental health and Alzheimer’s disease; 209,112 new cases of Alzheimer’s disease were matched 1:4 with 836,448 dementia-free controls to test the hypothesis that better dental health would be associated with less occurrence of dementia. Ten year dental records and conditional logistic regression models were used to estimate the odds ratios associated with Alzheimer’s disease. Subgroup analyses compared vascular Alzheimer’s disease and sporadic Alzheimer’s disease. As the population aged, Alzheimer’s disease diagnoses were more frequent with a 10 fold upward inflection after 60. Nearly 56% of sporadic Alzheimer’s disease patients were women but less than 50% had vascular Alzheimer’s disease. Comorbidities were 10–20% higher in the Alzheimer’s disease patients than in controls, but stroke, chronic infection, and pneumonia were 40–45% more common in the vascular Alzheimer’s disease patients. Heart disease, hypertension, diabetes, stroke, peripheral artery disease, pneumonia, and herpetic disease (HSV) were all associated with higher odds of Alzheimer’s disease. HSV was not a factor in the vascular Alzheimer’s disease. Routine dental procedures tended to lower odds ratios. Root canals and extractions that restore oral homeostasis were associated with lower odds of dementia. However, when extractions exceeded four, the odds of Alzheimer’s disease rose. The fact that Alzheimer’s disease was not associated with periodontal procedures per se but with more frequent periodontal emergencies suggested again a chronic issue. Dental health costs suggest that good dental care was associated with lower odds of Alzheimer’s disease except for radiographic costs which were consistently associated with higher odds, independent of oral health. Common comorbid conditions were associated with higher odds of Alzheimer’s disease and oral health care was associated with lower odds, providing support for the hypothesis that the oral microbiome is a factor in the development of Alzheimer’s disease. Impact statement This study clearly demonstrates the power and value of a nationally applied digital medical record. Longitudinal studies of gradually developing pathologies like dementia have often been limited by sample size and narrow and incomplete medical histories. The Taiwan National Insurance database provides an unparalleled opportunity for detailed analyses of associations between current medical conditions and a spectrum of prior medical and dental events. The temporal impact of the database will only become more important as the past historical record progressively expands going forward. The inclusion of dental records in assessing the relationship with subsequent dementia is very important because this information is often unavailable or dependent on subject recall. This study clearly establishes associations between a variety of suspected cardiovascular and metabolic factors and the odds of dementia. A critical outcome should include the design of targeted interventions and the subsequent assessment of their efficacy.
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Whiting, Rebecca, Daniel Antoine, and Simon Hillson. "Periodontal disease and ‘oral health’ in the past: new insights from ancient Sudan on a very modern problem." Dental Anthropology Journal 32, no. 2 (July 19, 2019): 30–50. http://dx.doi.org/10.26575/daj.v32i2.288.
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As one of today’s major oral health issues, periodontal disease affects populations worldwide. Here, methods used to record its past prevalence are reviewed, including the problems associated with the use of measurements to record bone loss. Clinical and bioarchaeological research offers strong support for the Kerr method that records interdental septum morphological changes as a means of identifying gingivitis and periodontal disease. Using Kerr’s approach, four assemblages from Sudan dating to the Neolithic, Kerma and Medieval periods are examined to track the progression of the disease through time. Results show a significantly lower prevalence of periodontal disease and a limited distribution across the mouth in the Neolithic period. Significant differences were found between the sexes at the Medieval sites, which were not present at the Neolithic and Kerma sites. With no patient history and the cumulative effects of a dynamic and episodic disease - only a snapshot of which is captured at death - the concept of ‘oral health’ may be hard to apply in archaeological remains. As suggested by Kerr, it at best provides an insight into the periodontal status at death. Here, this ‘snapshot’ reveals differences across the mouth, over time and between sexes.
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Sarojini Ramya Pillay, Arthi Balasubramaniam, and Remmiya Mary Varghese. "Association between geographic location and periodontitis." International Journal of Research in Pharmaceutical Sciences 11, SPL3 (September 9, 2020): 107–11. http://dx.doi.org/10.26452/ijrps.v11ispl3.2899.
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Periodontitis is one of the major reasons for tooth loss among adults globally, affecting their oral health-related quality of life. Ethnic and cultural variations play a major role in their oral hygiene practices which in turn reflects the oral health status.The present study aimed to find an association between geographic location and periodontitis. A retrospective cross-sectional study was conducted using patient records from September 2019 to April 2020. Consecutive digital case sheets with recorded periodontal index scores were used for data analysis. Descriptive statistics was done to present the results. Among 100 case records diagnosed with periodontitis, 64% were males, and 36% were females. Periodontitis was most prevalent in urban (58%) places. Among them established destructive periodontitis was most prevalent (46%). There found to be no statistically significant association between geographic location and periodontitis (p>0.05). This study concludes that periodontitis is more prevalent in urban males than rural males. It can be concluded that there is no role of geographic location on periodontal disease. However, there is a need for awareness of oral hygiene at this high time.
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Kordbacheh Changi, Khashayar, Joseph Finkelstein, and Panos N. Papapanou. "Peri‐implantitis prevalence, incidence rate, and risk factors: A study of electronic health records at a U.S. dental school." Clinical Oral Implants Research 30, no. 4 (March 10, 2019): 306–14. http://dx.doi.org/10.1111/clr.13416.
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Simon, Lisa, Enihomo Obadan-Udoh, Alfa-Ibrahim Yansane, Arti Gharpure, Steven Licht, Jean Calvo, James Deschner, et al. "Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study." Applied Clinical Informatics 10, no. 03 (May 2019): 367–76. http://dx.doi.org/10.1055/s-0039-1688832.
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Objectives Electronic health records (EHRs) are rarely shared among medical and dental providers. The purpose of this study was to assess current information sharing and the value of improved electronic information sharing among physicians and dentists in Germany and the United States. Materials and Methods A survey was validated and distributed electronically to physicians and dentists at four academic medical centers. Respondents were asked anonymously about EHR use and the medical and dental information most valuable to their practice. Results There were 118 responses, a response rate of 23.2%. The majority (63.9%) of respondents were dentists and the remainder were physicians. Most respondents (66.3%) rated the importance of sharing information an 8 or above on a 1-to-10 Likert scale. Dentists rated the importance of sharing clinical information significantly higher than physicians (p = 0.0033). Most (68.5%) providers could recall an instance when access to medical or dental information would have improved patient care. Dentists were significantly more likely to report this than physicians (p = 0.008). Conclusion Physicians would value a standardized measure of “oral health” in their EHR. Dentists were less likely to find specific medical diagnostic test results of value. Both dentists and physicians agreed that oral–systemic health was important; interoperable EHRs could facilitate information transfer between providers and enhance research on oral–systemic health connections. Both dentists and physicians believed that an interoperable EHR would be useful to practice, but desired information was different between these groups. Refinement of the information needed for shared practice is required.
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Alonaizan, Faisal A., Khalid Almas, Muhammad Ashraf Nazir, Dalal Almazrou, Manar Alzamil, and Mohammed A. AlOlyani. "Medical Conditions, Oral Health Practices, and Barriers to Treatment among Patients Visiting a Teaching Dental Hospital in Eastern Saudi Arabia." Scientific World Journal 2022 (February 4, 2022): 1–7. http://dx.doi.org/10.1155/2022/4495757.
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Objective. To assess the prevalence of medical conditions, oral hygiene practices, and dental visits among patients who attended a teaching dental hospital in Dammam, Saudi Arabia. Materials & Methods. This retrospective cross-sectional study used patient records from 2009 to 2015 from the dental hospital of the College of Dentistry Imam Abdulrahman Bin Faisal University, Dammam. Patients’ demographics, medical history, oral hygiene practices, reasons for attending the facility, attendance patterns, and smoking habits were studied. Results. The study included 1502 records of patients with 65.1% of males and 34.9% of females. The prevalence of medical conditions was 25.7% in the study. The most common medical conditions included diabetes mellitus (7.2%), hypertension (6.5%), and anemia (4.7%). Only 21.8% reported visiting the dental hospital in the past one year. The prevalence of smoking was 16.7%, and this did not differ significantly between healthy and medically compromised patients ( P = 0.165 ). Fillings were the most common (21.6%) reason for visiting a dental hospital, followed by treatment for periodontal problems (12.9%) and oral lesions (12.6%), whereas treatment for braces (orthodontics) was the least common (5%) reason for visiting the hospital. The reasons for visiting the hospital did not differ significantly between healthy and medically compromised patients ( P > 0.05 ). The three most common barriers to dental visits included long waiting time (18.1%), fear of dental treatment (14.4%), and difficulty in getting an appointment (11.3%). Conclusion. The study showed that dental patients had a high prevalence of medical conditions. Diabetes mellitus was the most prevalent problem. Most patients visited the dental hospital to receive restorative treatment, and a long waiting time was the most common barrier to dental visits. Public health measures should be taken to improve the general health and oral care of patients.
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Ligali, T. O., C. I. Nzomiwu, J. F. Ashaolu, and F. A. Oredugba. "Oral health characteristics and treatment of individuals with special needs a tertiary institution: A 3 year retrospective study." African Journal of Oral Health 9, no. 2 (October 9, 2020): 18–27. http://dx.doi.org/10.4314/ajoh.v9i2.3.
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Objectives: To assess the oral health characteristics and the treatments carried out on individuals with special needs attending the Dental Clinic of Lagos University Teaching Hospital.Methods: A three-year retrospective study of all individuals with special needs that ttended the dental clinic of a tertiary health center. All relevant data including biodata, type of special need, oral health conditions and treatments carried out were extracted from the case notes and analyzed.Results: Out of 115 records extracted, there were 15 different types of special needs. More than half of the participants were males (54.8%) and their mean age was 12.4 years (SD±7.2). The most frequently recorded study participants with special needs were those with Down syndrome (20.9%). The most common oral conditions were gingivitis (65.2%) and dental caries (37.4%). Dental caries was significantly prevalent among participants with cleft lip/palate and the visually impaired (p=0.02). Of all treatments offered, preventive therapies were most commonly performed.Conclusion:The most common oral health problems among the study population were gingivitis and dental caries. There is need for improved oral health promotion strategies and provision of services for these underserved populations.
Keywords: Oral health, treatment, special needs
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Kim, Chorok, and Jihyun Song. "Association between Candidiasis and Early Childhood Caries : Analysis Using Healthcare Big Data." JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY 47, no. 4 (November 30, 2020): 359–67. http://dx.doi.org/10.5933/jkapd.2020.47.4.359.
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The aim of this study was to identify the association between candidiasis and early childhood caries and to investigate whether the experience of candidiasis or oral candidiasis before age 1 can be considered as a risk factor for early childhood caries.<br/>The database used in this study was provided by Health Insurance Review and Assessment Service. Medical records of children born from January 2010 to December 2012 were obtained, and those without dental records were excluded. Subjects were divided into several groups based on the experience of candidiasis or oral candidiasis before age 6: candidiasis group and non-candidiasis group; oral candidiasis group and non-oral candidiasis group. Another categorization was done according to the experience of candidiasis or oral candidiasis before age 1. The incidence rate of early childhood caries in each group were compared.<br/>The prevalence of dental caries in children who have been diagnosed with candidiasis or oral candidiasis before age 6 was significantly different from those who have not experienced candidiasis. Similarly, children who have suffered from candidiasis or oral candidiasis before age 1 had significantly different incidence of caries from the children without candidiasis experience.
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Reis, Renata Cristina Canuto, João Armando Brancher, Tatiana Miranda Deliberador, Ana Tereza Bittencourt Guimarães, Allan Fernando Giovanini, and João Cézar Zielak. "Oral manifestations in chronic kidney failure patients." Revista Odonto Ciência 31, no. 1 (November 17, 2016): 21. http://dx.doi.org/10.15448/1980-6523.2016.1.19521.
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Objective: Chronic kidney failure (CKF) is a progressive deterioration of the kidneys. The goal of this study was to analyze the oral manifestation of CKF in a sample of hemodialysis and transplanted patients.Methods: Eighty-three records of patients treated in the Pro-Renal Foundation in Curitiba, Brazil were used. The records were separated in four groups: Transplanted Men (TM = 14), Transplanted Women (TW = 18), Men in Hemodialysis (MHD = 28) and Women in Hemodialysis (WHD = 23). Information about oral and systemic health condition were collected. Data from each group were submitted to correspondence analysis and quantitative variables were compared by Kruskal-Wallisand Dunn’s test. Significance level was 0.05.Results: Gingival inflammation, loss of periodontal support tissue, dental calculus and increase in periodontal probing depth were common findings in all patients, but significant association was found in following groups: TM presented dental calculus; TW presented a high prevalence of cardiovascular problems and saburral tongue; MHD presented poor oral hygiene, gingivitis associated with smoking; WHD presented a high prevalence of temporomandibular dysfunction.Conclusions: The most prevalent findings were increase in the periodontal probing depth and gingival recession. Unexpectedly, WHD group presented a high prevalence of temporomandibular dysfunction.
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Reis, Renata Cristina Canuto, João Armando Brancher, Tatiana Miranda Deliberador, Ana Tereza Bittencourt Guimarães, Allan Fernando Giovanini, and João Cézar Zielak. "Oral manifestations in chronic kidney failure patients." Revista Odonto Ciência 31, no. 1 (November 17, 2016): 21. http://dx.doi.org/10.15448/http://dx.doi.org/10.15448/1980-6523.2016.1.19521.
Повний текст джерелаАнотація:
Objective: Chronic kidney failure (CKF) is a progressive deterioration of the kidneys. The goal of this study was to analyze the oral manifestation of CKF in a sample of hemodialysis and transplanted patients.Methods: Eighty-three records of patients treated in the Pro-Renal Foundation in Curitiba, Brazil were used. The records were separated in four groups: Transplanted Men (TM = 14), Transplanted Women (TW = 18), Men in Hemodialysis (MHD = 28) and Women in Hemodialysis (WHD = 23). Information about oral and systemic health condition were collected. Data from each group were submitted to correspondence analysis and quantitative variables were compared by Kruskal-Wallisand Dunn’s test. Significance level was 0.05.Results: Gingival inflammation, loss of periodontal support tissue, dental calculus and increase in periodontal probing depth were common findings in all patients, but significant association was found in following groups: TM presented dental calculus; TW presented a high prevalence of cardiovascular problems and saburral tongue; MHD presented poor oral hygiene, gingivitis associated with smoking; WHD presented a high prevalence of temporomandibular dysfunction.Conclusions: The most prevalent findings were increase in the periodontal probing depth and gingival recession. Unexpectedly, WHD group presented a high prevalence of temporomandibular dysfunction.
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Rose, Mbede Nga Mvondo, Mbassi Awa Hubert Désiré, Lowe Jacqueline Michèle, Matongo Makon Paul Christel, Koupouapouognigni Njumemi Sodetou, and BengondoMessanga Charles. "Oral Health and Oromotor Skills of Children with Cerebral Palsic Infirmity in the City of Yaounde." Saudi Journal of Oral and Dental Research 7, no. 1 (January 30, 2022): 54–60. http://dx.doi.org/10.36348/sjodr.2022.v07i01.010.
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Introduction: Cerebral palsy is a disorder due to non-progressive brain damage on an immature brain, occurring before, during or after birth. Oral repercussions are often present but overlooked. Hence, the description oral health and oral motor skills of children affected by this condition. Methods: A descriptive cross-sectional study was conducted for eight months, in two specialized centers in the city of Yaoundé. Information was collected from medical records, consents obtained and oral examination of patients performed. The significance threshold was considered for p < 0.05. Results: Of the 60 patients included, 56.7% suffered from spastic hemiplegia, 50% had a level III gross motor classification system (GMFCS) and 28.3% had a level II. Their oral condition and oral-motor dexterity revealed salivary and labial incontinence, poor oral hygiene in 28.3% of cases, severe gingival inflammation in 34 patients (56.7%),the loss of part of the food ingested in 50 patients (84%) and swallowing and phonation disorders, respectively in 88.3% of cases and swallowing. A significant association between the severity of BMI and the occurrence of caries (P=0.001) and gingivitis (P=0.01). Conclusion: Oral health and oral motility of IMC patients is a function of the severity of brain damage. This oral state, requiring a specialized odontostomatology follow-up adapted to the handicap presented by the patient.
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Palma, Pamella Valente, Paula Liparini Caetano, and Isabel Cristina Gonçalves Leite. "Impact of Periodontal Diseases on Health-Related Quality of Life of Users of the Brazilian Unified Health System." International Journal of Dentistry 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/150357.
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Objective.This study assessed the impact of periodontal diseases on health-related quality of life of adult users of the Brazilian Unified Health System.Study Design.A cross-sectional study was conducted on an outpatient basis. The sample included 151 adults treated in the Periodontics section at Dental Specialty Centres of Juiz de Fora (Minas Gerais, Brazil). TheOral Health Impact Profile(OHIP-14) measured the impact of periodontal disease on quality of life. Participants were interviewed to obtain self-perception of general and oral health and socioeconomic data, and dental records were consulted to obtain periodontal status data. The values of central tendency of the OHIP-14 were compared with socioeconomic, demographic, and self-reported health predictors using nonparametric tests. The final analysis was performed using multiple linear regressions.Results.The results showed that psychological discomfort and physical disability exhibited a negative impact. The following variables can explain approximately 27% of the impact of oral health conditions on health-related quality of life in this group: periodontal disease, self-perceived oral health, and the need to use or replace dental prosthesis.Conclusion.The need for prosthetic rehabilitation and worse periodontal status are associated with health-related quality of life, which can be predicted by the self-perception of health.
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Rindal, Donald B., and Patricia L. Mabry. "Leveraging Clinical Decision Support and Integrated Medical-Dental Electronic Health Records to Implementing Precision in Oral Cancer Risk Assessment and Preventive Intervention." Journal of Personalized Medicine 11, no. 9 (August 25, 2021): 832. http://dx.doi.org/10.3390/jpm11090832.
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Introduction: Precision medicine is focused on serving the unique needs of individuals. Oral and oropharyngeal cancer risk assessment identifies individual risk factors while providing support to reduce risk. The objective is to examine potential current and future strategies to broadly implement evidence-based oral and oropharyngeal cancer risk assessment and screening in dental practices throughout the United States. Methods: Feasible and effective oral cancer risk assessment and risk reduction strategies, ripe for implementation in dental practice, were identified in the published literature. Results: The Screening, Brief Intervention, Referral for Treatment (SBIRT) model is a feasible approach to assessing individual oral cancer risk and providing risk reducing interventions in the dental setting. HPV is a more recently identified risk factor that dentistry is well positioned to address. Evidence supporting the utilization of specific risk assessment tools and risk reduction strategies is summarized and future opportunities discussed. Discussion: Current knowledge of risk factors for oral and oropharyngeal cancers support the recommendation for dental providers to routinely assess all patients for risk factors, educate them about their personal level of cancer risk, and recommend actions to reduce relevant risk factors. Individuals ages 9–26 should be asked about their HPV vaccination status, educated about HPV and oropharyngeal cancer and receive a recommendation to get the HPV vaccination.
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Stow, Lauren, and Denice Higgins. "The importance of increasing the forensic relevance of oral health records for improved human identification outcomes." Australian Journal of Forensic Sciences 51, no. 1 (April 4, 2017): 49–56. http://dx.doi.org/10.1080/00450618.2017.1310923.
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Cornejo, Lila Susana, Marcela Inés Bella, Pablo Cristian Gigena, Agustín Fabian Ponce, Natalia Agüero, and Elena Hilas. "Promotion of oral health in schoolchildren in the framework of a comprehensive collective intervention, conducted in the period." Journal of Oral Research 11, no. 2 (March 29, 2022): 1–10. http://dx.doi.org/10.17126/joralres.2022.012.
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Objective: Oral health is a public health challenge that must be addressed by integrating its social and biological dimensions to adopt a dental practice with a sense of integrality that takes into account the needs and potentialities of each person and context. The objective of this study was to analyze the oral health status of schoolchildren in a socio-environmentally vulnerable urban area of the city of Córdoba, Argentina, within the framework of a comprehensive collective intervention, conducted in the period 2013-2015 at the María del Tránsito Cabanillas school. Material and Methods: The intervention was organized in 3 stages: diagnosis, collective design and implementation of oral health promotion strategies, and evaluation, applying qualitative and quantitative logics appropriate to the object of study. Diagnosis was carried out in 2013, performing a clinical-dental examination of schoolchildren aged 6 to 8 years and a participatory study of the school environment. Results: Based on the diagnostic data, the stage of collective design and implementation of promotion strategies and oral health care was carried out. The evaluation of the intervention was performed through the clinical-dental examination of schoolchildren aged 10 to 12 years who attended the school in 2015, and who, also having attended the same institution in 2013, participated in the diagnostic study and analysis of the qualitative records related to the intervention. Healthy clinical trends and positive assessments by the different actors were observed. Conclusion: The results encourage continuing conducting comprehensive intervention strategies for oral health promotion and care.
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Frighetto, Luciana, Donna Nickoloff, Shelagh M. Martinusen, Fatima S. Mamdani, and Peter J. Jewesson. "Intravenous-to-Oral Stepdown Program: Four Years of Experience in a Large Teaching Hospital." Annals of Pharmacotherapy 26, no. 11 (November 1992): 1447–51. http://dx.doi.org/10.1177/106002809202601119.
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OBJECTIVE: To assess the impact of an intravenous-to-oral (iv-po) stepdown program on the relative use of oral and parenteral dosage forms of select antimicrobials. DESIGN: A retrospective review of drug utilization records before and after a trial comparing metronidazole and clindamycin prescribing trends from a 12-month baseline period to a four-year follow-up period. SETTING: One thousand-bed Canadian tertiary care referral teaching center. INTERVENTION: An authorized iv-po stepdown program was developed to promote the oral route of drug administration. Reminders of iv-po stepdown were produced for metronidazole and clindamycin and these notes were sent to nursing units with the parenteral dosage form. The notes then were attached to the front of the health record to serve as a reminder to prescribers that an equally effective, well-tolerated, and less-expensive oral dosage form was available for use. RESULTS: A 44 percent relative increase in the use of oral metronidazole and a 79 percent relative increase in the use of oral clindamycin occurred. When acquisition and delivery costs were considered, cumulative cost savings from 1988 to 1991 resulted for metronidazole ($31920) and clindamycin ($53880). CONCLUSIONS: This intervention represents a simple yet effective method of promoting a process of stepdown from parenteral to oral antibiotic therapy.
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Le, Austin, Edmund Khoo, and Joseph J. Palamar. "Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists." International Journal of Environmental Research and Public Health 19, no. 22 (November 18, 2022): 15261. http://dx.doi.org/10.3390/ijerph192215261.
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Cannabis use is prevalent among adolescents and young adults in the US. Virtually all modes of cannabis consumption involve the oral cavity, and previous studies have linked cannabis use with poorer oral health. We sought to identify associations between cannabis use and various oral health outcomes and behaviors among individuals 12–25 years of age, and to discuss implications for orthodontists who largely interact with this age group over an extended period of treatment time. We examined data from patient electronic health records (N = 14,657) obtained between 2015 and 2021. Associations between lifetime and current self-reported cannabis use and several oral health outcomes or related behaviors that reflect periodontal health, caries status, oral lesions, and physical integrity of tooth structure and restorations were examined in a bivariable and multivariable manner, controlling for patient age, sex, and self-reported tobacco and alcohol use. Reporting lifetime cannabis use was associated with higher risk for having oral lesions (aPR = 1.41, 95% CI: 1.07–1.85), bruxism (aPR = 1.31, 95% CI: 1.09–1.58), and frequent consumption of sugary beverages and snacks (aPR = 1.27, 95% CI: 1.12–1.41). Reporting current cannabis use was associated with higher risk for oral lesions (aPR = 1.45, 95% CI: 1.03–2.06) and frequent consumption of sugary beverages and snacks (aPR = 1.26, 95% CI: 1.07–1.48). Cannabis users aged 12–25 are at increased risk for bruxism, oral lesions, and frequent consumption of sugary beverages and snacks. Orthodontists and other dental professionals should probe for drug use and be cognizant of increased risk for oral health problems in patients that report actively using cannabis.
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Radochová, Vladimíra, Romana Koberová Ivančaková, Ondřej Heneberk, and Radovan Slezák. "The Characteristics of Patients with Oral Lichen Planus and Malignant Transformation—A Retrospective Study of 271 Patients." International Journal of Environmental Research and Public Health 18, no. 12 (June 17, 2021): 6525. http://dx.doi.org/10.3390/ijerph18126525.
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Introduction: Oral lichen planus (OLP) is a chronic inflammatory disease with an unknown etiology rating among oral potentially malignant disorder. The aim of the study was to determine the epidemiological and clinical characteristics of the patients with OLP and rate of malignant transformation. Patients and methods: Data were obtained from the medical records of 271 patients referred to the Oral Medicine Unit at the University Hospital in Hradec Králové diagnosed with oral lichen planus in the period of 2003–2020. The records were retrospectively analyzed. The following clinical data were retrieved from the medical charts: gender, age, systemic diseases, alcohol and tobacco consumption, localization/clinical appearance of lesions, distribution of the lesions, presence of the symptoms, treatment provided and malignant transformation. Results: A total of 271 charts of patients with confirmed diagnosis of OLP were retrospectively analyzed, of whom, 66.4% (180/271) were women and 33.6% (91/271) were men. The mean age of the patients was 56.0 (18.2–85.0) years. The median follow-up of all patients was 15.2 months. Overall, 2 patients (2/271, 0.74%) meeting the above-mentioned criteria for malignant transformation were identified during the follow-up period. Both patients suffered from erosive type OLP and developed squamous cell carcinoma of the tongue. Conclusions: This retrospective study is in concordance with other studies showing the similar profile and clinical features of the patients with OLP. Malignant transformation rate was 0.74%.
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Batra, Mehak, Sabrina Gupta, and Bircan Erbas. "Oral Health Beliefs, Attitudes, and Practices of South Asian Migrants: A Systematic Review." International Journal of Environmental Research and Public Health 16, no. 11 (June 1, 2019): 1952. http://dx.doi.org/10.3390/ijerph16111952.
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Oral health is a burden among all populations and is linked with major chronic diseases such as cardiovascular diseases. Migrants, in particular South Asians, have poor oral health which requires further understanding to better inform oral health interventions by targeting specific aspects of this heterogenous South Asian population. This review is undertaken to systematically synthesize the evidence of oral health understandings, knowledge, attitudes, beliefs, practices, and behaviors of South Asian migrants residing in high-income countries. A comprehensive systematic search of seven electronic databases and hand-searching for peer-reviewed studies was conducted. All study designs were included, and quality assessment conducted. Of the 1614 records identified, 17 were included for synthesis and 12 were quantitative in design. These studies were primarily conducted in the UK, USA, Canada, and Europe. South Asian migrants had inadequate oral health knowledge, attitudes, and practices—influenced by culture, social norms, and religiosity. In the absence of symptoms, preventive oral hygiene practices were limited. Barriers to access varied with country of origin; from lack of trust in dentists and treatment cost in studies with India as the country of origin, to religiosity, among poorer nations such as Bangladesh. Fewer studies focused on recent arrivals from Bhutan or the Maldives. Culturally and socially appropriate strategies must be developed to target oral health issues and a “one-size” fits all approach will be ineffective in addressing the needs of South Asian migrants.
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Bhusari, Sneha, Chiamaka Ilechukwu, Abdelrahman Elwishahy, Olaf Horstick, Volker Winkler, and Khatia Antia. "Dental Caries among Refugees in Europe: A Systematic Literature Review." International Journal of Environmental Research and Public Health 17, no. 24 (December 18, 2020): 9510. http://dx.doi.org/10.3390/ijerph17249510.
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Oral health is one of the most neglected aspects of refugee health. The study aimed to systematically review evidence on prevalence of dental caries and dental care services provided to refugees in Europe. Following PRISMA guidelines, we searched PubMed, Cochrane, WHOLIS, Web of Science, Medline Ovid, and Google Scholar identifying studies on dental caries among refugees in Europe after the 2015 refugee crisis. From 3160 records, fourteen studies were included in the analysis. Eight studies on oral health showed caries prevalence of between 50% and 100%, while it ranged from 3% to 65% in six general health studies. Caries prevalence was proportional to age and inversely associated with education, whereas gender and country of origin showed no significant association. Nowhere is oral health part of general health assessment on arrival and is complaint based. Primary focus on resettlement, language, cultural, and economic barriers emerged as explanatory models for limited access. Our study identified a high prevalence of caries and limited access to dental health services as main challenges. Integrating oral health check-ups may contribute in shifting towards preventive oral care. Further research is urgently needed to better understand the dental needs of refugees in Europe.
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Whitney, Benjamin, Katie Sakel, and Aaron J. Lengel. "Direct Oral Anticoagulants in Long-term Care Facilities: Rates of FDA-Approved Dosing." Senior Care Pharmacist 37, no. 6 (June 1, 2022): 215–20. http://dx.doi.org/10.4140/tcp.n.2022.215.
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Objective To determine rates of compliance with Food & Drug Administration (FDA)-approved dosing of direct oral anticoagulants (DOACs) in long-term care residents. Design A retrospective chart review of 90 patients, utilizing an electronic health record, and a longterm care pharmacy’s dispensing record. Patient electronic health records were reviewed to collect the following data: prescribed DOAC, dose, therapy duration, diagnosis, age, height, weight, and serum creatinine. This information was used to determine the FDA-recommended DOAC dose and recommended duration, which was compared with the prescribed dose and duration. Main Outcome Measure The rate of incorrect DOAC doses, defined as a discrepancy from the FDA-recommended dose, based on patient characteristics. Setting Two chains of long-term care facilities in Michigan, Ohio, North Carolina, Tennessee, and Virginia serviced by a long-term care pharmacy. PATIENTS: Patients prescribed one of three targeted DOACs (apixaban, rivaroxaban, or dabigatran) between August and October 2019. Patients had to be a resident within two long-term care chains. Results Thirty-three out of 90 residents were treated with an incorrect DOAC dose. This broke down into 20% of patients on a dose that was too low and 17% of patients on a dose that was too high. Conclusion The results of the study identify the need for pharmacists to closely review the dosing of DOACs and recommend therapeutic changes based on treatment guidelines.
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Mohammad, Dena Nadhim, Ban Falih Ibraheem, Balkees Taha Garib, and Marwa Abdul-Salam Hamied. "Histopathological Records of Oral and Maxillofacial Lesions among Pediatric and Adolescent Patients in Sulaimani Governorate." Children 9, no. 2 (January 26, 2022): 156. http://dx.doi.org/10.3390/children9020156.
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Oral and maxillofacial lesions (OMFLs) in pediatrics differ markedly from their adult counterparts in terms of clinical conduct, pathological behavior, and management. This study aims to determine the frequency of OMFLs among pediatric and adolescent patients and to correlate the demographics information to the site, and histopathological findings. Pathological records of pediatric and adolescent patients were retrieved from three major pathological centers in Sulaimani city of Iraq. Demographic information, surgical procedure, anatomical sites, and histopathological diagnosis were recorded. Furthermore, The World Health Organization (WHO) International Statistical Classification of Diseases and Related Health Problems (ICD-10) was used for coding. A Chi-square test was used to find the relation between different variables, and a p-value < 0.05 was considered statistically significant. This study archived 309 (13.3%) out of 2319 pediatric and adolescent patients, with a mean age of 11.04 ± 4.62. Females were more commonly detected (52.8%). The most frequently diagnosed lesions were salivary gland diseases (20.7%), followed by reactive hyperplastic connective tissue (18.4%). A significant relation was found between age groups and diagnostic categories (p = 0.001). The lips were the most commonly detected sites (20.7%). Mucocele was the most frequently seen non-neoplastic lesions (19.4%), followed by pyogenic granuloma (8.7%). Neoplastic lesions revealed predominant hemangioma (3.2%), followed by peripheral ossifying fibroma (1.9%). Traumatic and or reactive lesions were the most commonly reported lesions. Malignant neoplasms can be identified. The current study enabled systematic data recording of pediatric and adolescent patients, encouraging the importance of the oral healthcare system in identifying and managing the problem early in this critical age in this region.
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Calović, Tijana, Bojan Petrović, Tamara Perić, Danijela Radumilo, Ivana Popov, Evgenija Marković, and Dejan Marković. "Analysis of oral health care delivery in patients with autism." Balkan Journal of Dental Medicine 26, no. 2 (2022): 106–12. http://dx.doi.org/10.5937/bjdm2202106c.
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Background/Aim: Autism spectrum disorder (ASD) is pervasive neurodevelopmental condition with raising prevalence over the last decades. Oral health related problems arise mostly due to challenging behavior, communication limitation, and resistance to receiving dental treatment. The aim of this retrospective study was to investigate the frequency, quality and type of dental care during routine appointments and under general anesthesia (GA) in persons with ASD. Matreial and Methods: The data were obtained in retrospective cross-sectional study by analyzing patients' records from the central electronic database of the Clinic for Dentistry of Vojvodina. Demographic, medical and dental data were analyzed employing Mann Whitney U test, Kruskal Wallis test and CATREG regression analysis. Results: A total of 51 patients from 4.2-47.6 years of age had an average of 13.2 ±13.5 dental appointments, with 2.27±4.23 treatments done under GA in a period of 7 years. The average number of restored teeth was 3.64±4.42 and 4.64±5.95 teeth were extracted. Only 21.5% of participants regularly attended scheduled appointments. Patients who started oral health care earlier had more teeth restored and extracted during RDT, and were less subjected to treatment under GA. Conclusions: Dental services to patients with ASD are commonly limited to more radical approach comprising multiple teeth extractions and repeated treatment under GA. It is of utmost importance to tailor comprehensive plan for dental care provision in individuals with ASD at earliest possible age.
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Carcelén-Estrada, Antonia. "Oral Histories in the Black Pacific." Radical History Review 2022, no. 144 (October 1, 2022): 77–105. http://dx.doi.org/10.1215/01636545-9847816.
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Abstract This article examines women’s erasure from the Spanish colonial imagination in South America. While Black women are completely absent in the official colonial narratives about the various frontier expeditions to Esmeraldas featured in documents housed at the Archivo General de Indias in Seville, Spain, they are certainly present in testimonial records in court archives in the American colonies, and often appear demanding their freedom. Meanwhile, in the Black Pacific, a territory always conceived as free despite the lack of written records, the African diaspora prospered with a river economy that still depends today on the health of rivers, mangroves, and the ocean. In the Chocó, women carried ancestral knowledge in chants, by planting, through cooking, praying, or fishing, sustaining the memory of a territory that conceived itself as outside master-slave relations. Yet Black women’s role in shaping national history is hard to trace. Oral history projects in Bojayá and Esmeraldas are trying to change that by bridging the digital archive, by using memory and orality as shields of truth, and by using traditional methods such as song and prayer to access the knowledge for resistance and re-existence that is needed today in the defense of the Chocó against deadly extractivist development. The encoding of women’s legacies in the Black Pacific serves as an example of how Blackness and freedom continue to be political concepts in this important diaspora that is developing decolonial methodologies that do not neatly fit in the confines of the Afropolitan, especially when it comes to class and migration.