 | | Fracture Resistance of Zirconia Restorations with Four Different Framework Designs | Fracture Resistance of Zirconia Restorations with Four Different Framework Designs
Fracture Resistance of Zirconia Restorations with Four Different Framework Designs
Overview
This study assessed the fracture resistance of zirconia crowns with four framework designs, fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) technology.
In this experimental study, a maxillary central incisor was prepared and scanned with a CAD/CAM scanner, and 40 frameworks with 4 designs (N=10) were fabricated as follows: simple core, dentine core with a design similar to dentine, 3mm trestle design collar in the lingual aspect with proximal buttresses, and monolithic or full-contour.
Fracture resistance was maximum in the monolithic group, followed by the dentine core, trestle design, and simple core groups, respectively. The mean fracture resistance of the monolithic group was significantly higher than that of the simple core group (P<0.005).
Zirconia restorations with frameworks that provided higher and more support for porcelain, showed increased fracture resistance.
Journal
Frontiers in Dentistry | 3 | | R465.00 |  |
| | Effect of platelet-rich fibrin on periapical healing and resolution of clinical symptoms in patients following periapical surgery: A systematic review and meta-analysis | Effect of platelet-rich fibrin on periapical healing and resolution of clinical symptoms in patients following periapical surgery: A systematic review and meta-analysis
Effect of platelet-rich fibrin on periapical healing and resolution of clinical symptoms in patients following periapical surgery: A systematic review and meta-analysis
Overview
A systematic review and meta-analysis were conducted to evaluate the effect of platelet-rich fibrin (PRF) on periapical healing and resolution of clinical symptoms following periapical surgery. The study included 10 randomized controlled trials (RCTs) published from 2011 to 2021. Findings suggest that PRF may significantly reduce postoperative pain and enhance bone healing, although further high-quality trials are needed to confirm its exact role.
Journal
Journal of Conservative Dentistry and Endodontics | 3 | | R480.00 | |
| | Development of Efficacious and Less Toxic Endodontic Irrigants from Biosurfactants of Bacterial Origin – A Confocal Laser Scanning Microscope Study | Development of Efficacious and Less Toxic Endodontic Irrigants from Biosurfactants of Bacterial Origin – A Confocal Laser Scanning Microscope Study
Development of Efficacious and Less Toxic Endodontic Irrigants from Biosurfactants of Bacterial Origin – A Confocal Laser Scanning Microscope Study
Overview
The study compared the penetration depth and area of Bacillus subtilis and Pseudomonas aeruginosa biosurfactants inside the dentinal tubules against sodium hypochlorite at three levels (coronal, middle, and apical) under a confocal laser scanning microscope.
Three experimental groups and one control were created using freshly extracted thirty-five maxillary central incisors.
In conclusion, biosurfactants showed better results than sodium hypochlorite in reaching to higher penetration depth and area at all the three levels.
Journal
Contemporary clinical dentistry | 3 | | R470.00 | |
| | A Single-Step Root Coverage Procedure Using Modified Bridge Flap Technique and De-epithelialized Gingival Unit Graft: A Prospective Clinical Study | A Single-Step Root Coverage Procedure Using Modified Bridge Flap Technique and De-epithelialized Gingival Unit Graft: A Prospective Clinical Study
A Single-Step Root Coverage Procedure Using Modified Bridge Flap Technique and De-epithelialized Gingival Unit Graft: A Prospective Clinical Study
Overview
The mucogingival conditions associated with the recession defects at the mandibular anterior region, not only make plaque control difficult to be performed by the patient but also pose a problem in passively advancing the tissues at the recipient site. This surgical technique is used to treat multiple recession defects in the mandibular anterior region.
In conclusion the modified bridge flap technique using d-GUG within the limitations of our study design, showed promising results in terms of recession coverage as well as management of the difficult mucogingival conditions at the mandibular anterior region.
Journal
Contemporary Clinical Dentistry | 3 | | R465.00 | |
| | HIV and Aids Part 2 | HIV and Aids Part 2
Overview
HIV (Human Immunodeficiency Virus) is a virus transmitted through sexual contact, shared needles, and from mother to child during childbirth or breastfeeding. It belongs to the Retroviridae family. All patients who are diagnosed with HIV should be initiated on ART as soon as possible.
HIV can also lead to complications like dementia and chronic diarrhea with weight loss (HIV wasting syndrome).
Exceptions to this include patients presenting with cryptococcal meningitis (CM) or central nervous system tuberculosis (tuberculous meningitis (TBM) or tuberculoma).
| 3 | | R485.00 | |
| | HIV and Aids Part 1 | HIV and Aids Part 1
Overview
HIV (Human Immunodeficiency Virus) is a virus transmitted through sexual contact, shared needles, and from mother to child during childbirth or breastfeeding. It belongs to the Retroviridae family. Symptoms vary depending on the stage of infection and these include: - Acute stage, which resembles the flu, with fever, malaise, and a generalized rash;
- Asymptomatic stage which generally, has no symptoms.
- Lymphadenopathy, which presents with swelling of lymph nodes, which can be a primary symptom.
- AIDs, which is the advanced stage marked by severe infections or cancers.
HIV can also lead to complications like dementia and chronic diarrhea with weight loss (HIV wasting syndrome).
Sharespike Knowledge Studio | 3 | | R485.00 | |
| | Ebola Virus Infection | Ebola Virus Infection
Overview
Ebola virus is one of at least 30 known viruses capable of causing viral hemorrhagic fever syndrome. The genus Ebolavirus currently is classified into 5 separate species: Sudan ebolavirus, Zaire ebolavirus, Tai Forest (Ivory Coast) ebolavirus, Reston ebolavirus, and Bundibugyo ebolavirus. The outbreak of Ebola virus disease in West Africa from 2014 to 2016, involving Zaire ebolavirus, was the largest outbreak of Ebola virus disease in history.
As of September 17, 2019, an active outbreak of Ebola virus disease in the Democratic Republic of the Congo (DRC) had resulted in 3,034 confirmed and 111 probable cases of Ebola virus disease, including 2,103 attributable deaths. An experimental vaccine has been credited with limiting the outbreak’s scope.
| 3 | | R500.00 | |
| | Pros and Cons of CADCAM Technology for Infection Prevention in Dental Settings during COVID-19 Outbreak | Pros and Cons of CADCAM Technology for Infection Prevention in Dental Settings during COVID-19 Outbreak
Pros and Cons of CADCAM Technology for Infection Prevention in Dental Settings during COVID-19 Outbreak
Overview The purpose of this commentary is to update the evidence reported in our previous review on the advantages and limitations of computer-aided design/computer-aided manufacturing technology in the promotion of dental business, as well as to guarantee patient and occupational safety. The COVID-19 pandemic led to an unprecedented focus on infection prevention; however, waves of COVID-19 follow one another, asymptomatic cases are nearly impossible to identify by triage in a dental setting, and the effectiveness of long-lasting immune protection through vaccination remains largely unknown. Different national laws and international guidelines (mainly USA-CDC, ECDC) have often brought about dissimilar awareness and operational choices, and in general, there has been very limited attention to this technology. Here, we discuss its advantages and limitations in light of: (a) presence of SARS-CoV-2 in the oral cavity, saliva, and dental biofilm and activation of dormant microbial infections; (b) the prevention of SARS-CoV-2 transmission by aerosol and fomite contamination; (c) the detection of various oral manifestations of COVID-19; (d) specific information for the reprocessing of the scanner tip and the ward from the manufacturers.
Journal Sensors
| 3 | | R455.00 | |
| | Effects of Resistance Training as a Behavioural Preventive Measure on Musculoskeletal Complaints, Maximum Strength and Ergonomic Risk in Dentists and Dental Assistants | Effects of Resistance Training as a Behavioural Preventive Measure on Musculoskeletal Complaints, Maximum Strength and Ergonomic Risk in Dentists and Dental Assistants
Effects of Resistance Training as a Behavioural Preventive Measure on Musculoskeletal Complaints, Maximum Strength and Ergonomic Risk in Dentists and Dental Assistants
Overview
For dental professionals, musculoskeletal disorders (MSD) are common health hazards and resistance training programmes have been promising approaches in the quest for a reduction in the pain intensity of these professionals. Therefore, the aim of the current study was to investigate the effect of a trunk-oriented 10-week resistance training programme. In total, the study was conducted with 17 dentists and dental assistants. The results were that there was a significant reduction in pain intensity was found for each queried body region: the neck, upper back, lower back and the right and left shoulders. The maximum voluntary isometric contraction (MVIC) improved significantly in all outcome measures: flexion, extension, right and left lateral flexion and right and left rotation.
It was concluded that a 10-week resistance training programme for dentists and dental assistants had significant effects on pain intensity reduction and the MVIC of the musculature of the trunk and is, therefore, suitable as a behavioural preventive measure against MSD in dental professionals.
Journa
Sensors
| 3 | | R425.00 | |
| | Relationship between dental experiences, oral hygiene education and self-reported oral hygiene behaviour | Relationship between dental experiences, oral hygiene education and self-reported oral hygiene behaviour
Relationship between dental experiences, oral hygiene education and self-reported oral hygiene behaviour
Overview
Many preventive approaches in dentistry aim to improve oral health through behavioural instruction or intervention concerning oral health behaviour. However, it is still unknown which factors have the highest impact on oral health behaviours, such as toothbrushing or regular dental check-ups.
Various external and internal individual factors such as education, experience with dentists or influence by parents could be relevant. Therefore, the present observational study investigated the influence of these factors on self-reported oral heath behaviour. Dental anxiety and current negative dental experiences reduced participants’ dental self-efficacy perceptions as well as the self-inspection of one’s teeth. While parental care positively influenced the attitude towards one’s teeth, dental self-efficacy perceptions significantly correlated with attitude towards oral hygiene, self-inspection of one’s teeth and parental care.
Dental anxiety, dental experiences, parents’ care for their children’s oral hygiene and dental self-efficacy perceptions influence the attitude towards oral hygiene and one’s own oral cavity as well as the autonomous control of one’s own dental health.
Journal
PLoS ONE
| 3 | | R425.00 | |
| | Blood and saliva contamination on protective eyewear during dental treatment | Blood and saliva contamination on protective eyewear during dental treatment
Blood and saliva contamination on protective eyewear during dental treatment
Overview Dental treatments are inherently associated with the appearance of potentially infective aerosols, blood and saliva splashes. The aim of the present study was to investigate the quantitative contamination of protective eyewear during different dental treatments and the efficacy of the subsequent disinfection. Fifty-three standardized protective eyewear shields worn by students, dentists and dental assistants during different aerosol-producing dental treatment modalities (supragingival cleaning, subgingival periodontal instrumentation, trepanation and root canal treatment and carious cavity preparation; within all treatments, dental evacuation systems were used) were analysed, using common forensic techniques.
For detection of blood contamination, luminol solution was applied onto the surface of safety shields. A special forensic test paper was used to visualize saliva contamination. Further analysis was conducted after standardized disinfection using the same techniques. Statistical analysis was performed using SPSS.
| 3 | | R465.00 | |
| | Markers, Pathways and Current Evidence for Periodontitis-associated Insulin Resistance: A Narrative Review | Markers, Pathways and Current Evidence for Periodontitis-associated Insulin Resistance: A Narrative Review
Markers, Pathways and Current Evidence for Periodontitis-associated Insulin Resistance: A Narrative Review
Overview The aim of the present paper is to provide a narrative review of the markers and pathways of periodontitis-associated insulin resistance (IR). Research papers published in peer reviewed scientific journals from 2000 to 2021 were searched systematically in Online Cochrane Library, Google Scholar, and MedLine/PubMed database. The medical subject headings (MeSH) terms used for literature search were “diabetes AND periodontal disease,” “diabetes AND periodontitis,” “inflammation AND insulin resistance,” “Insulin resistance AND periodontal disease,” and “insulin resistance AND periodontitis.” Manual search for applicable work in review article peer-reviewed print journals, and latest editions of standard textbooks of pharmacology and pathology were searched for updated additional information.
Seven out of 13 systematic reviews and a total of 18 randomized clinical trials to evaluate periodontitis-induced IR were short-listed to update current evidence. The current literature in the past two decades has evaluated the effect of periodontal therapy on various type-2 diabetes (T2D) biomarkers following periodontal therapy. These indicators of periodontal disease activity and surrogate biomarkers of T2D in periodontitis may be an important diagnostic tool for the early prediction of complications due to IR. This increased systemic burden of proinflammatory cytokines by periodontitis can be reduced by periodontal therapy, thus improving the patient’s overall systemic condition.
Journal Journal of International Society of Preventive and Community Dentistry | 3 | | R425.00 | |
| | Microbiota of Dental Abscess and their Susceptibility to Empirical Antibiotic Therapy | Microbiota of Dental Abscess and their Susceptibility to Empirical Antibiotic Therapy
Microbiota of Dental Abscess and their Susceptibility to Empirical Antibiotic Therapy
Overview Resistant pathogens to purulent odontogenic infections have evolved due to misuse of antibiotics. Hence, it is important to use a suitable antibacterial agent. This study aimed to identify the common bacterial species causing odontogenic infections and to determine their antibiotic susceptibility profile to amoxicillin, amoxicillin and clavulanic acid, azithromycin, and linezolid. This was an in vitro cross-sectional study.
After extensive testing it was concluded that culture-guided antibiotic prescriptions are necessary to prevent the emergence of antibiotic-resistant bacteria.
| 3 | | R465.00 | |
| | Efficacy of Bioceramic and Calcium Hydroxide-Based Root Canal Sealers against Pathogenic Endodontic Biofilms: An In vitro Study | Efficacy of Bioceramic and Calcium Hydroxide-Based Root Canal Sealers against Pathogenic Endodontic Biofilms: An In vitro Study
Efficacy of Bioceramic and Calcium Hydroxide-Based Root Canal Sealers against Pathogenic Endodontic Biofilms: An In vitro Study
Overview
Complete eradication of root canal pathogens cannot be predictably achieved by chemo mechanical preparation and root canal disinfection. Therefore, an obturation material that has superior antimicrobial activity and sealing ability is required to inactivate residual microbes and prevent them from re-entering the root canal system. Recently developed bio ceramic root canal sealers are hydraulic cement which form calcium hydroxide during the hydration process. Like calcium hydroxide sealers, they exert an antimicrobial effect by releasing hydroxyl ions and increasing the pH.
The objective of this study was to evaluate and compare the antimicrobial activity of a calcium hydroxide-based sealer and two bio ceramic sealers against Porphyromonas gingivalis, Enterococcus faecalis, and Candida albicans biofilms. The sealers were dissolved in sterile saline to obtain supernatants. Biofilm formation assays, colony counting, and real-time polymerase chain reaction (PCR) were performed to evaluate the antimicrobial activity of each supernatant. The data were analysed using one-way analysis of variance.
| 3 | | R455.00 | |
| | Comparative Evaluation of Penetrative and Adaptive Properties of Unfilled and Filled Resin-Based Sealants When Placed using Conventional acid Etching, Lasing | Comparative Evaluation of Penetrative and Adaptive Properties of Unfilled and Filled Resin-Based Sealants When Placed using Conventional acid Etching, Lasing
Comparative Evaluation of Penetrative and Adaptive Properties of Unfilled and Filled Resin-Based Sealants When Placed using Conventional acid Etching, Lasing
Overview
There is a confusion regarding selection of unfilled or filled sealant and method of enamel preparation before sealant application. This study was carried out to compare three techniques of enamel preparation using both unfilled and filled type of sealants. The objective of the study is to assess the penetrative and adaptive ability of filled and unfilled sealants in three techniques of enamel fissure preparations.
Total 36 extracted teeth were divided into 3 groups, each containing 12 samples. The samples of Group A were prepared by conventional acid etching with 37% phosphoric acid, and the Group B was subjected to Er: YAG lasing, while in Group C, fissurotomy followed by acid etching was done. The sealant placement was carried out using split tooth design in all the samples. Assessment of penetration and adaptation was done under scanning electron microscope using the scoring criteria adopted by Kane B et al. and Dukic W et al | 3 | | R480.00 | |
| | Accuracy of keyless vs drill-key implant systems for static computer-assisted implant surgery using two guide-hole designs compared to freehand implant placement: an in vitro study | Accuracy of keyless vs drill-key implant systems for static computer-assisted implant surgery using two guide-hole designs compared to freehand implant placement: an in vitro study
Accuracy of keyless vs drill-key implant systems for static computer-assisted implant surgery using two guide-hole designs compared to freehand implant placement: an in vitro study
Overview
This in vitro study aimed at comparing the accuracy of freehand implant placement with static computer assisted implant surgery (sCAIS), utilizing a keyless and a drill-key implant system and two guide-hole designs. A total of 108 implants were placed in 18 partially edentulous maxillary models simulating two different alveolar ridge morphologies.
3D digital deviations between pre-planned and post-operative implant positions were obtained. Guide material reduction was assessed in the keyless implant system for the manufacturer’s sleeve and sleeveless guide-hole designs.
Higher final implant positional accuracy was observed in sCAIS for the keyless implant system, with a sleeveless guide-hole design, and in healed ridges.
Sleeveless guide holes resulted in higher volumetric material reduction compared with the manufacturer’s sleeve | 3 | | R475.00 | |
| | The role of charting dental anomalies in human identification | The role of charting dental anomalies in human identification
The role of charting dental anomalies in human identification
Overview: An increase in awareness on dental hygiene among people through the years, consequently provoked a significant decrease in the occurrence of dental caries, and thus, a decrease in the number of dental restorations. This improvement of oral health affected the comparative dental analysis using dental treatments for human identification; hence, existing dental features or anomalies could act as unique identifying features. This study evaluated the awareness of dentists on charting dental anomalies by a dental charting task and addressed the importance of maintaining dental records for forensic and medico-legal purposes. The awareness of Forensic odontology among dentists was exceptional but the dental charting needs improvement. Only a few respondents submitted an Accurate or a Partially Correct answer and, as a result, an Atlas of Dental Anomalies was created to rectify this poor pattern of dental charting.
Authors: Jayapriya Jayakumar Scheila Mânica Journal: Forensic Science International: Reports
| 3 | | R420.00 | |
| | COVID-19 among dentists in the United States A 6-month longitudinal report of accumulative prevalence and incidence | COVID-19 among dentists in the United States A 6-month longitudinal report of accumulative prevalence and incidence
COVID-19 among dentists in the United States A 6-month longitudinal report of accumulative prevalence and incidence
Overview In 2020, the Centers for Disease Control and Prevention and the American Dental Association released COVID-19 infection control interim guidance for US dentists, advising the use of optimal personal protection equipment during aerosol-generating procedures. The aim of this longitudinal study was to determine the cumulative prevalence and incidence rates of COVID-19 among dentists and to assess their level of engagement in specific infection control practices. US dentists were invited to participate in a monthly web-based survey from June through November 2020. The proportion of dentists tested for COVID-19 increased over time, as did the rate of dentists performing aerosol-generating procedures. Enhanced infection prevention and control strategies in the dental practice were reported by nearly every participant monthly, and rates of personal protection equipment optimization, such as changing masks after each patient, dropped over time. US dentists continue to show a high level of adherence to enhanced infection control procedures in response to the ongoing pandemic, resulting in low rates of cumulative prevalence of COVID-19. Dentists are showing adherence to a strict protocol for enhanced infection control, which should help protect their patients, their dental team members, and themselves. COVID-19 infections among practicing dentists will likely remain low if dentists continue to adhere to guidance.
Authors Marcelo W.B. Araujo, DDS, MS, PhD; Cameron G. Estrich, MPH, PhD; Matthew Mikkelsen, MA; Rachel Morrissey, MPA; Brittany Harrison, MA; Maria L. Geisinger, DDS, MS; Effie Ioannidou, DDS, MDS; Marko Vujicic Journal JADA
| 3 | | R425.00 | |
| | Oral Health and Autism Spectrum Disorders: A Unique Collaboration between Dentistry and Occupational Therapy | Oral Health and Autism Spectrum Disorders: A Unique Collaboration between Dentistry and Occupational Therapy
Oral Health and Autism Spectrum Disorders: A Unique Collaboration between Dentistry and Occupational Therapy
Overview
Children with autism spectrum disorders (ASD) are at risk for oral health disparities. With the dramatic rise in ASD prevalence to 1 in 54 children, it is likely that an increasing number of dental practitioners will encounter or be asked to treat children with ASD. This paper reviews explanations related to the increasing prevalence of ASD, provides reasons why children with ASD are at increased risk for poor oral health, and discusses unique interprofessional collaborations between dental practitioners and occupational therapists. Occupational therapists and dentists can work together to plan modifications to the dental environment or adapt dental protocols to reduce some of the barriers encountered by those with ASD, provide desensitization strategies before the clinic visit, or help a child with emotional regulation during clinical treatments.
Authors Dominique H. Como,Leah I. Stein Duker, José C. Polido and Sharon A. Cermak
Journal Int. J. Environ. Res. Public Health | 3 | | R425.00 | |
| | SOPEZ: Study for the optimization of ergonomics in the dental practice - musculoskeletal disorders in dentists and dental assistants: a study protocol | SOPEZ: Study for the optimization of ergonomics in the dental practice - musculoskeletal disorders in dentists and dental assistants: a study protocol
SOPEZ: Study for the optimization of ergonomics in the dental practice - musculoskeletal disorders in dentists and dental assistants: a study protocol
Overview: Musculoskeletal disorders (MSD) are common among dental professionals. The most common areas affected are the trunk, neck, shoulders and wrists. Current evidence suggests that the causes of MSD can be found in the physical demands of the profession. Posture and movement during treatment is influenced by the arrangement of the treatment concept (patient chair, equipment and cabinets). It has not been investigated whether the ergonomic risk differs between the treatment concepts. For the first time, objective and differentiated comparisons between the four treatment concepts are possible for different fields of dental specialization. Up to now, statically held positions of the trunk and proximal upper extremities, but also the repetitive movements of the hands have been considered a risk for MSD. Since both are included in the RULA, dental activities can be assessed in a detailed but also global manner with regard to ergonomic risks.
Authors: Ohlendorf et al. Journal: Journal of Occupational Medicine and Toxicology
| 3 | | R425.00 | |
| | Dentist Job Satisfaction: A Systematic Review and Meta-analysis | Dentist Job Satisfaction: A Systematic Review and Meta-analysis
Dentist Job Satisfaction: A Systematic Review and Meta-analysis
Overview
Because of the heterogeneous nature of the evidence regarding dentists’ job satisfaction, an overview was necessary to examine dentists’ level of job satisfaction and to determine related work environmental factors.
Nine studies were included from the 1987 initially retrieved. Among the included studies, 5 exhibited a neutral level of satisfaction and originated from China, South Korea, Egypt, and the United States, and 3 studies from Canada, Lithuania, and the United States showed a high level of satisfaction. Only 1 study did not report the mean job satisfaction score. According to bias evaluation, 9 studies were considered low risk.
The findings showed that dentists were satisfied with their jobs at a moderate to high level, and specialists were more satisfied than general dentists. Regarding work environmental factors, the 6 most satisfied factors were patient relationships, respect, delivery of care, staff, professional relationship, and professional environment. Five of the least satisfied factors were personal time, stress, income, practice management, and professional time.
Authors Van Nhat Thang Le, Minh-Huy Dang, Jae-Gon Kim, Yeon-Mi Yang, Dae-Woo Lee
Journal: International Dental Journal | 3 | | R390.00 | |
| | The role of the dentist in the diagnosis and management of pediatric obstructive sleep apnea | The role of the dentist in the diagnosis and management of pediatric obstructive sleep apnea
The role of the dentist in the diagnosis and management of pediatric obstructive sleep apnea
Overview
The objective of this article is to review the role of the dentist in the early diagnosis of pediatric obstructive sleep apnoea (OSA) and to provide an in-depth review of the best evidence-based practices available to treat and/or to refer these patients for intervention. A narrative review was performed using indexed data bases (PubMed, Medline, EMBASE, OVID, Scopus and Cochrane) up to year 2020, and approximately 1000 articles were reviewed. The articles included were those with the best information provided.
Detailed review of the literature suggests that the role of the dentist has been redefined owing to their expertise in the orofacial region. Every patient consulting a dental practice is not merely a dental patient; he/she also requires a comprehensive medical review. The role of the dentist is pivotal in pediatric patients once diagnosed with OSA; as the patients grow, growth modification can be achieved, and future management will be easier. Initiating dental treatments during growth can benefit patients two-fold, saving them from malocclusion, and intervening in orofacial structural growth can help to avoid cumbersome treatments, such as CPAP and various surgeries. Proper diagnosis and management of systemic illnesses can prevent compromised quality of life, delays in treatment, morbidity and, in some cases, mortality.
Authors: Hafiz M. Moin Anwer, Hamad N. Albagieh, Mythili Kalladka, Harmeet K. Chiang, Shaima Malik , Sean W. McLaren, Junad Khan
Journal: Saudi Dental Journal
| 3 | | R420.00 | |
| | Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients | Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
Overview Prevention of medication-related osteonecrosis of the jaw (MRONJ) in patients with osteoporosis requires the cooperation of physicians and dentists. This study investigated the knowledge, experience, and behaviour related to medical and dental cooperation for MRONJ prevention in patients with osteoporosis between physicians and dentists practising in the Shiga prefecture. A cross-sectional study was conducted to investigate the cooperation between practising physicians and dentists for preventing osteonecrosis of the jaw (ONJ) in patients with osteoporosis using 2 separate questionnaires from July 28, 2018, to February 3, 2019. The behaviour of physicians and dentists was insufficient to enable medical and dental cooperation for the prevention of MRONJ in patients with osteoporosis. The lack of cooperation between physicians and dentists during osteoporosis treatment is documented in this study. | 3 | | R420.00 | |
| | Knowledge and Practice Regarding Oral Cancer: A Study Among Dentists in Jakarta, Indonesia | Knowledge and Practice Regarding Oral Cancer: A Study Among Dentists in Jakarta, Indonesia
Knowledge and Practice Regarding Oral Cancer: A Study Among Dentists in Jakarta, Indonesia
Overview
The aim of this study was to assess dentists' knowledge of risk factors and diagnostic procedures related to oral cancer (OC) and to determine the factors that influenced their level of knowledge.
A modified version of a questionnaire that had been used to assess dentists’ knowledge regarding OC in Canada was used. A total of 816 dentists were invited to participate in the study.
The total response rate was 49.2%; however, the number of dentists from 5 regions in Jakarta were equally represented. Use of tobacco or alcohol and history of previous OC were the top 3 risk factors that were answered correctly by dentists, but there was a high proportion of dentists who considered some without any evidence as risk factors. Almost half of the dentists did not know the early signs of OC and that erythroplakia and leukoplakia were associated with increased risks of developing OC. Only about 27% of dentists had a high level of knowledge of risk factors and fewer dentists demonstrated a good knowledge of diagnostic procedures. Dentists’ age group, year of graduation, and experience of continuing education significantly influenced the level of knowledge of diagnostic procedures.
Dentists in Jakarta had a considerable level of knowledge of major risk factors of OC, although some gaps in their knowledge, especially in diagnostic procedures, were present. Increasing these competencies may aid in the prevention and early detection of OC.
Authors: Yuniardini Septorini Wimardhani, Saman Warnakulasuriya, Indriasti Indah Wardhany, Selvia Syahzaman, Yohana Agustina, Diah Ayu Maharani
Journal:
International Dental Journal
| 3 | | R425.00 | |
| | Local Anaesthesia in Dentistry: A Review | Local Anaesthesia in Dentistry: A Review
Local Anaesthesia in Dentistry: A Review
Overview:
Over the past century, there is perhaps no greater contribution to the practice of clinical dentistry than the development and application of local anaesthesia. What were once considered painful procedures have now been made routine by the deposition and action of local anaesthetics. An average dentist will administer over 1,500 cartridges of dental local anaesthetic a year. As such, anyone administering this drug should be intimately familiar with what the drug does to the body, as well as what the body does to that drug.
This article will serve as a review of basic pharmacological principles of local anaesthesia, subsequent sequelae that can arise from their use, considerations when using local anaesthetics, and recent advances in the delivery of local anaesthetics.
It was concluded that this article should serve as a baseline for understanding that general dental practitioners possess for safe treatment of patients. Clinicians are encouraged to continue to expand both their didactic knowledge and practical clinical skills through advanced reading, discussion with colleagues, continuing education courses and treatment of patients.
Authors: Derek Decloux, Aviv Ouanounou
Journal: International Dental Journal
| 3 | | R435.00 | |
| | Occupational health practices among dental care professionals before and during the COVID-19 pandemic | Occupational health practices among dental care professionals before and during the COVID-19 pandemic
Occupational health practices among dental care professionals before and during the COVID-19 pandemic
Overview The COVID-19 pandemic has posed a substantial burden on dental care professionals. While dentistry is known as one of the most exposed and high-risk professions, dental care professionals are indeed at even greater risk. The aim of this study was to assess knowledge, attitudes, occupational health practices, personal protective equipment usage, and mental stressors during COVID-19 pandemic among dental care professionals. Ongoing training on infection control, occupational health practices, and PPE usage can prevent the transmission of COVID-19 among dental care professionals and the public. Lack of adequate personal protective equipment (PPE) is a burden for applying occupational health practices in dental clinics and present a risk to the public. COVID-19 may contribute to developing psychological stress and disrupt healthy work-life balance among dental professionals.
Authors: Sean Banaee, Denise M. Claiborne and Muge Akpinar-Elci
Journal Work 68 | 3 | | R425.00 | |
| | Assessment of SARS-CoV-2 infection-in dentists and supporting staff at a university dental hospital in Argentina | Assessment of SARS-CoV-2 infection-in dentists and supporting staff at a university dental hospital in Argentina
Assessment of SARS-CoV-2 infection-in dentists and supporting staff at a university dental hospital in Argentina
Overview Oral healthcare professionals are at increased risk of infection by SARS-CoV-2. The aim of this study was to evaluate the prevalence of COVID-19 in a population of workers who provided services during the COVID19 pandemic at a dental care and educational institution in the Buenos Aires Metropolitan Area. This was a descriptive, cross-sectional study including 358 workers who provided essential services during the first 180 days of the COVID-19 pandemic at the Dental Hospital at Buenos Aires University School of Dentistry (FOUBA). Following epidemiological data, these workers underwent diagnostic testing for COVID-19 (1- nasal or throat swab tests; 2- blood test for enzyme-linked immunosorbent assays [ELISA]; 3- commercial rapid serology test). Three diagnostic tests were implemented. Rapid tests were performed on 290 subjects, with 255 negative results
For this sample of dentists, dental assistants and nonclinical personnel, the weighted prevalence of COVID-19 was 4%.
Authors Sebastian Puia, Jorge Pasart, Ariel Gualtieri, Francisco Somoza, Carolina Melo, Milton Alessandrelo, Patricio Gatti, Aldo Squassi, Pablo Alejandro Rodriguez
Journal Journal of Oral Biology and Craniofacial Research | 3 | | R410.00 | |
| | Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation | Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation
Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation
Overview Torture, abuse and dental phobia are often precursors to developing a pathological relationship with dental care due to elevated anxiety and the risk for re-traumatisation. Consequently, this patient group tends to avoid dental services, leaving them with severe tooth decay that affects both their general and psychosocial health. Norwegian dental services have implemented a specific dental service targeting this patient group, aiming to both alleviate their dental anxiety and restore their oral health. The outcomes of this service have been positive, but for this model to be transferrable to other national contexts, it is necessary not just to understand whether the service works, but also how and why it works. Therefore, this study developed theories on how the structure of the service alleviates dental anxiety and restores patients’ oral health. Although developed specially in a Norwegian context, these theories may be applicable to other national and international contexts. First, the state-subsidised dental service affects service access and service uptake. Second, this service can be adapted and tailored to regional resources to meet the needs of the heterogenous patient group. Third, regional service teams are cohesive because of a lack of national communication and cooperative practice. Fourth, the complexity of migration processes and poor dissemination practices leads to poor recruitment of torture survivors to the service. The service follows a hybrid bottom-up, top-down approach, allowing teams to practise discretion and tailor their approach to meet individual needs.
Authors: Emilie Bryne, Sarah Catherine Patricia Duff Hean, Kjersti Berge Evensen, Vibeke Hervik Bull
Journal: BMC Health Services Research | 3 | | R410.00 | |
| | Advantages of using toothpaste containing propolis and plant oils for gingivitis prevention and oral cavity hygiene in cleft lip/palate patients | Advantages of using toothpaste containing propolis and plant oils for gingivitis prevention and oral cavity hygiene in cleft lip/palate patients
Advantages of using toothpaste containing propolis and plant oils for gingivitis prevention and oral cavity hygiene in cleft lip/palate patients
Overview The anti-inflammatory and antibacterial action of preparations used during oral hygiene procedures is particularly important in patients with oral cleft. Few reports have been published assessing the influence of natural products on the state of the oral cavity in patients with oral cleft. The aim of this study was to assess the effect of toothpaste containing Polish propolis and plant oils on oral cavity health in patients with oral cleft treated orthodontically.
A total of 50 patients aged 9–16 years old (20 females, 23 males) were selected and randomly assigned into two groups. Group (A) received toothpaste with Polish propolis, tea tree oil, menthol, and rosemary oil. Group (B) received toothpaste without active ingredients (placebo). A baseline assessment was followed by an oral hygiene index (OHI, debris OHI-D, and calculus OHI-C component) and gingival bleeding index (GBI) after 35 days. The methodology of the oral condition assessment included the presence of cleft malformation as a dysmorphic of the anterior maxilla segment.
It was concluded that in group A, improvement in oral cavity hygiene assessed for incisors and molars was found (OHI-T p = 0.011). For the gingival condition, a decrease in the gingival bleeding index - total (GBI-T p = 0.002), as well as for the incisors (GBI-I p = 0.007) and molars (GBI-M p = 0.017) was found. This research confirms the biological effectiveness of toothpaste with Polish propolis and plant oils. These results may be clinically useful for improving preventative oral care and for control of oral infectious diseases during orthodontic treatment in patients with oral cleft.
Authors Agnieszka Machorowska-Pieniazek, Tadeusz Morawiec, Marcin Olek, Anna Mertas, David Aebisher, Dorota Bartusik-Aebisher, Grzegorz Cie´slar, Aleksandra Kawczyk-Krupka
Journal Biomedicine & Pharmacotherapy | 3 | | R435.00 | |
| | Oral Health Behaviour and Predictors of Oral Health Behaviour Among Patients with Diabetes in the Republic of Mauritius | Oral Health Behaviour and Predictors of Oral Health Behaviour Among Patients with Diabetes in the Republic of Mauritius
Oral Health Behaviour and Predictors of Oral Health Behaviour Among Patients with Diabetes in the Republic of Mauritius
Overview The purpose of this study is to investigate the oral care habits and assess the determinants of oral care behaviour among people with diabetes. The present study draws on data collected from 589 dentate persons with diabetes by means of a close-ended questionnaire. Multivariate logistic regression analyses were used to estimate the association of different demographic and clinical factors with recommended dental hygiene practices. The results showed that most of the participants brushed at least twice daily (84.2%), never flossed (88.6%), attended dental clinics on need only (87.1%), and did not monitor their blood glucose levels regularly (69.9%). Neither awareness about the increased risk of periodontal disease and xerostomia nor receiving advice from diabetes care providers was found to be associated with good oral hygiene or increased service utilisation. The experience of oral diseases did not encourage recommended oral health practice, with participants without experience with periodontal disease being 3 times more likely to floss In conclusion it was found that there is widespread noncompliance with regular flossing and dental service utilisation. The findings highlight the need for an emphasis on preventive care through the provision of integrated medical and dental interventions to high-risk individuals suffering from both diabetes and chronic periodontitis
Authors Nesha Paurobally, Estie Kruger, Marc Tennant
Journal International Dental Journal
| 3 | | R385.00 | |
| | Is there an association between oral health and severity of COVID-19 complications? | Is there an association between oral health and severity of COVID-19 complications?
Is there an association between oral health and severity of COVID-19 complications?
Overview The new coronavirus SARS-CoV-2 was first detected in late 2019 and has quickly developed into a global pandemic. Age is one of the highest risk factors for developing severe symptoms of COVID-19, the disease caused by infection with SARS-CoV-2. Thus, individuals over the age of 65 and those living in long-term care facilities are especially vulnerable to morbidity and mortality due to infection with SARS-CoV-2. However, persons with chronic lung disease, moderate to severe asthma, severe obesity, diabetes, chronic kidney disease, and liver disease are also at high risk for severe COVID-symptoms.
Most patients with severe complications from COVID-19 have underlying conditions such as obesity, diabetes, and hypertension. In parallel, there is growing evidence for a link between periodontitis and non-oral systemic diseases. The oral cavity is also a reservoir for respiratory pathogens, and patients with periodontal disease are more likely to develop hospital-acquired pneumonia than healthy individuals. This study therefore hypothesizes that improving oral health could decrease the severity of COVID-19 symptoms and reduce the associated morbidity.
Authors Nathalie Botros, Parvati Iyer, David M. Ojcius
Journal Biomedical Journal | 3 | | R375.00 | |
| | Impact of the Brush Day & Night Programme on Well-Being, Plaque, and Dental Caries in Children | Impact of the Brush Day & Night Programme on Well-Being, Plaque, and Dental Caries in Children
Impact of the Brush Day & Night Programme on Well-Being, Plaque, and Dental Caries in Children
Overview Poor oral hygiene can have an adverse effect on quality of life. School-based interventions can establish positive behaviours that reduce the likelihood of dental caries later in life. The Brush Day & Night programme aims to encourage good oral health behaviour and improve oral health and quality-of-life outcomes. In this article, it is reported that the effect of the programme on well-being and oral hygiene measured by plaque levels at 3, 8, and 24 weeks and dental caries at 24 weeks after programme start date. This was a superiority cluster randomised trial of children 6-12 years of age from Indonesia. All children were provided with toothpaste and a toothbrush. Children in the intervention group received the 21-day Brush Day & Night programme, whereas those in the control group did not. Children completed a questionnaire addressing the objectives at all time points. Their oral hygiene was assessed using the Oral Hygiene Index-Simplified (OHI-S). Additionally, at baseline and 24 weeks their caries status was recorded using the decayed, missing, and filled teeth (DMFT) index. The result was that in Indonesia, after participation in the programme children demonstrated a 45% increased probability of no worsening in the occurrence of decayed, missing, or filled teeth. In Nigeria, children had a 71% higher probability of having confidence in their smile and the proportion of children with good oral hygiene doubled from 40% to 80% at 24 weeks. It was concluded that the Brush Day & Night programme was successful in improving well-being and oral hygiene in children in Nigeria and reduced the likelihood of worsening in the occurrence of decayed, missing, or filled teeth in children in Indonesia Authors Paulo Melo, Charlotte Fine, Sinead Malone, Sean Taylor Journal International Dental Journal | 3 | | R420.00 | |
| | Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care | Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care
Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care
Overview: The recent spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its associated coronavirus disease has gripped the entire international community and caused widespread public health concerns. Despite global efforts to contain the disease spread, the outbreak is still on a rise because of the community spread pattern of this infection.
This is a zoonotic infection, similar to other coronavirus infections, that is believed to have originated in bats and pangolins and later transmitted to humans. Once in the human body, this coronavirus (SARS-CoV-2) is abundantly present in nasopharyngeal and salivary secretions of affected patients, and its spread is predominantly thought to be respiratory droplet/contact in nature. Dental professionals, including endodontists, may encounter patients with suspected or confirmed SARS-CoV-2 infection and will have to act diligently not only to provide care but at the same time prevent nosocomial spread of infection.
Thus, the aim of this article is to provide a brief overview of the epidemiology, symptoms, and routes of transmission of this novel infection. In addition, specific recommendations for dental practice are suggested for patient screening, infection control strategies, and patient management protocol.
Authors: Amber Ather, BDS, DDS, Biraj Patel, BDS, Nikita B. Ruparel, MS, DDS, PhD, Anibal Diogenes, DDS, MS, PhD, and Kenneth M. Hargreaves, DDS, PhD
Journal: JOE – Journal of Endodontics
| 3 | | R435.00 | |
| | Severe Distress – COVID 19 | Severe Distress – COVID 19
Severe Distress – COVID 19
Overview Since the emergence of the 2019 novel coronavirus (SARS-CoV-2) infection in December 2019, the coronavirus disease 2019 (COVID-19) has rapidly spread across the globe. The clinical spectrum of patients with COVID-19 ranges from asymptomatic or mild symptoms to critical disease with a high risk of mortality. Coronavirus disease 2019 (COVID-19) is the illness associated with the novel coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus was initially noted during an outbreak of respiratory illness in the population of Wuhan, the capital of Hubei province, China. The first cases were seen in November 2019, with COVID-19 quickly spreading throughout the city. The World Health Organization (WHO) was notified of the outbreak on December 31, 2019. The cases continued to spread outside of the area and then across the world. COVID-19 was reported as a global health emergency by the end of January 2020. As the worldwide case numbers increased, the WHO declared on March 11, 2020, that COVID-19 had reached the pandemic stage.
The virus is now known as the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease it causes is called coronavirus disease 2019 (COVID-19). In March 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic.
| 3 | | R425.00 | |
| | Dentists’ Performance in Dentin-Composite Resin Bonding Before and After Hands-On Course Learning | Dentists’ Performance in Dentin-Composite Resin Bonding Before and After Hands-On Course Learning
Dentists’ Performance in Dentin-Composite Resin Bonding Before and After Hands-On Course Learning
Overview:
The restoration longevity depends on a high dentin-composite bond quality. This study investigated learning outcomes when using etch-and-rinse and self-etch adhesives among general practitioners in a hands-on bonding test course.
In this study they recruited 30 general practitioners to perform shear bond strength (SBS) tests using five adhesives: one Peakâ Universal Bond (PUB) etch-and-rinse and four Futurabond DC, Single Bond universal (SBU), Versa Optibond (VOB), and Tetric-N Bond Self-Etch (TNS)self-etch adhesives. SBS tests were conducted at pre-demonstration (pre-demo), post-demonstration (post-demo), and 24-h storage (delayed bonding) stages. SBS data were analyzed with paired Student’s t-tests. We defined 17 MPa as “qualified bond strength (QBS)”. The percentages of samples with SBS achieving QBS were analyzed using Mantele Haenszel chi-square tests. The fracture surfaces of the samples were examined by scanning electron microscopy (SEM).
This continuing education hands-on course does help dentists to improve the bond strength especially when the self-etch system is used.
Authors: Yu-Hsin Huang, Yin-Lin Wang, Po-Yen Lin, Yu-Jung Lai, Chun-Wen Cheng, Yu-Chih Chiang
Journal: Journal of the Formosan Medical Association
| 3 | | R435.00 | |
| | Latex and synthetic rubber glove usage in UK general dental practice: changing trends | Latex and synthetic rubber glove usage in UK general dental practice: changing trends
Latex and synthetic rubber glove usage in UK general dental practice: changing trends
Overview: The aim of this study was to investigate the current frequency of use, and acceptability, of latex and non-latex containing dental gloves and dental dam in general dental practice in the UK by two different sources of data. General dental practitioners in the UK were invited to complete a questionnaire, which focused on the use of gloves and dental dam for their clinical work, while a well-known dental supplier was contacted with regards to their sales of different glove types. The purpose of which was to explore whether practitioners were making choices to avoid latex and therefore allergic reactions in the dental setting.
It was concluded that the majority of GDP's now routinely use non-latex containing gloves and dental dam in their clinical dentistry. Nitrile gloves are predominantly used. Examination gloves are used for straightforward extractions, with many practitioners also using them for minor oral surgery. Sales of latex containing gloves are continuing to decrease.
The clinical significance of this study is that the routine use of latex-containing products in UK dental practice is low and likely to reduce further, with on-going benefit for the dental practitioner, latex allergic patients and prevalence of latex allergy in the general population.
Authors: Emma Critchley, Michael.N. Pemberton Journal: Heliyon. 2020 May; 6(5): e03889. | 3 | | R410.00 | |
| | Dentist gender-related differences in patients’ oral health behaviour | Dentist gender-related differences in patients’ oral health behaviour
Dentist gender-related differences in patients’ oral health behaviour
Overview: This study aimed at determining whether oral health behaviour differs between patients regularly checked by male and female dentists. The analysis was based on a cross-sectional survey of 354 Japanese community residents (median age = 54 years; 145 men and 209 women) conducted in a municipality from January to February 2017. Data on demographic characteristics and factors associated with oral health behaviour were obtained through self-administered questionnaires. The association between regular dentist gender and patients’ regular dental care check-up and interdental cleaning performance was examined after adjusting for potential confounders.
Patients regularly checked by female dentists tended to have more preventive oral health behaviours than those regularly checked by male dentists. These findings suggest that dentist gender has important clinical implications for patients’ oral health behaviour.
Authors: Kenji Takeuchi, Yuki Noguchi, Yukie Nakai, Toshiyuki Ojima, and Yoshihisa Yamashita Journal: Journal of Oral Science, Vol. 62, No. 1, 32-35, 2020
| 3 | | R380.00 | |
| | The use of interdental brushes or oral irrigators as adjuvants to conventional oral hygiene associated with recurrence of periodontitis in periodontal maintenance therapy: A 6-year prospective study | The use of interdental brushes or oral irrigators as adjuvants to conventional oral hygiene associated with recurrence of periodontitis in periodontal maintenance therapy: A 6-year prospective study
The use of interdental brushes or oral irrigators as adjuvants to conventional oral hygiene associated with recurrence of periodontitis in periodontal maintenance therapy: A 6-year prospective study
Overview Prospective studies investigating the influence of adjuvants to oral hygiene procedures on the recurrence of periodontitis (RP) during periodontal maintenance therapy (PMT) programs have not been previously reported. The aim of this study was to compare the effect of oral irrigator devices or interdental brushes as adjuncts to toothbrushing associated with dental flossing to improving periodontal condition and reducing RP among individuals under PMT. From a 6-year prospective PMT cohort study (n = 268), 142 individuals who attended at least one PMT visit within 12 months were determined to be eligible. According to oral hygiene adjuvants use, they were categorized into three groups: 1) manual brushing/dental flossing + interdental brushes (BDF + Ib; n = 44); 2) manual brushing/dental flossing + oral irrigator (BDF + Oi; n = 36); and 3) only manual brushing/dental flossing (BDF; n = 62). Full-mouth periodontal examination and oral hygiene habits were evaluated at two time points: T1 (after active periodontal therapy) and T2 (6 years). Including these adjuvants to conventional oral hygiene have shown to improve biofilm control during PMT leading to a better periodontal status maintenance.
Authors Fernando Oliveira Costa, Amanda Almeida Costa, Luís Otávio Miranda Cota
Journal J Periodontol.
| 3 | | R360.00 | |
| | The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: A randomized controlled trial | The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: A randomized controlled trial
The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: A randomized controlled trial
Overview:
The purpose of this article is to evaluate the effectiveness of the “WhiteTeeth” mobile app, a theory based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients. Failure to practise good oral hygiene results in prolonged accumulation of biofilm (dental plaque), which potentially increases levels of cariogenic bacteria such as Streptococcus mutans. These produce acids that cause enamel demineralization. As a result, many patients with fixed appliances have dental caries, specifically white-spot lesions, which can lead to aesthetic problems that potentially cancel out the beneficial effect of the orthodontic treatment. The results show that adolescents with fixed orthodontic appliances can be helped to improve their oral hygiene when usual care is combined with a mobile app that provides oral health education and automatic coaching.
Authors: Janneke F. M. Scheerman | Berno van Meijel | Pepijn van Empelen | Gijsbert H. W. Verrips | Cor van Loveren | Jos W. R. Twisk | Amir H. Pakpour | Matheus C. T. van den Braak | Gem J. C. Kramer
Journal: International Journal of Dental Hygiene
| 3 | | R420.00 | |
| | Clinical Practice Guidelines: Pain and Procedural Sedation | Clinical Practice Guidelines: Pain and Procedural Sedation
Clinical Practice Guidelines: Pain and Procedural Sedation
Overview “The management of acute traumatic pain is a crucial component of pre-hospital care and yet the assessment and administration of analgesia is highly variable, frequently suboptimal, and often determined by consensus-based protocols” (Gausche-Hill et al., 2014). Pain management is also frequently based on the assessment of need by a provider, rather than the requirements of patients. Historically only Entonox and morphine have been available for pre-hospital pain management in the local setting with the more recent introduction of ketamine. Availability of appropriate and effective treatment options, especially for non-ALS providers, remains a challenge.
Situations requiring procedural sedation and analgesia in the pre-hospital setting are common and may range from alignment of fracture to extrication and complex disentanglement during medical rescue. Until recently South African pre-hospital providers did not have agents suitable for this purpose, particularly in the setting of severe trauma and hypotension. As ketamine has been introduced into some scopes of practice providing safe and effective dissociative procedural analgesia has become a possibility. However, the use of procedural sedation and analgesia is not without risks and, at this time, no uniform practice has been suggested in the South African pre-hospital setting. Acknowledgement Journal:
Clinical Practice Guidelines (July 2018)
Publisher:
Health Professions Council of South Africa | 3 | | R410.00 | |
| | Bridging the Theory-Practice Gap with Dental Hygiene Instrumentation Videos | Bridging the Theory-Practice Gap with Dental Hygiene Instrumentation Videos
Bridging the Theory-Practice Gap with Dental Hygiene Instrumentation Videos
Overview Dental educators are challenged to bridge the theory-practice gap to enhance the educational experience and meet the diverse learning needs of students. The aim of this study was to explore dental hygiene students’ perceptions of the effectiveness, appeal, and satisfaction regarding instrumentation videos as a resource to improve learning in the clinical environment.
All 152 first-year students in a U.S. baccalaureate dental hygiene program at two sites in two consecutive years were invited to participate in the study. Survey questions addressed demographics, effectiveness, appeal, and satisfaction with the instrumentation videos along with open-ended questions to explore students’ perceptions of the videos’ value and benefits. A total of 143 students completed the survey, for a response rate of 94%. Thematic analysis revealed the following themes in the open comments: helpfulness of the videos in clinical practice to clarify, reinforce, and visualize skills learned. These students reported satisfaction with the instrumentation videos, suggesting these learning aids have potential value in closing the theory-practice gap in clinical dental hygiene education.
Authors: Jessica N. August, Linda D. Boyd, Lori Giblin-Scanlon
Journal: Journal of Dental Education
| 3 | | R410.00 | |
| | Work stress and occupational burnout among Dental Staff in a Medical Centre | Work stress and occupational burnout among Dental Staff in a Medical Centre
Work stress and occupational burnout among Dental Staff in a Medical Centre
Overview
Research on work stress and occupational burnout among Taiwanese dental staff is scarce. Thus, this study aimed to explore work stress and occupational burnout among dental staff in a medical center. This study is a cross-sectional survey that included the dental staff of a medical center in Taiwan. They were asked to complete self-reported questionnaires anonymously. The Questionnaire on Medical Workers' Stress (QMWS) was used to assess work stress, and the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) was used to evaluate occupational burnout. In total, 108 valid questionnaires were collected, with a response rate of 79.9%. Data were analysed using independent t-tests, one-way analysis of variance, Pearson's correlation, and stepwise linear regression. It is concluded that work stress and occupational burnout were common among dental staff; this may affect patient safety and should be valued. A stress management program is recommended to promote mental health of dental staff, along with adjustment of working environment, performance evaluation, and promotion systems.
Authors Chen-Yi Lee, Ju-Hui Wu, Je-Kang Du
Journal Journal of Dental Sciences
| 3 | | R410.00 | |
| | Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey | Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey
Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey
Overview Patient safety is a major healthcare challenge. Due to a lack of safety culture knowledge among dental professionals, our objectives were to measure the level of patient safety culture using the Safety Attitude Questionnaire in Chinese (SAQ-C) and identify factors associated with positive attitudes toward patient safety. A nationwide cross-sectional survey was conducted within dentistry departments of 20 hospitals and in 40 dental clinics, from which were randomly chosen. The survey (SAQ-C) comprised of 32 items and reflects five dimensions of patient safety culture. The second section collects demographic information that supposedly affects attitudes toward patient safety. Logistic regression analyses were used to identify factors that supposedly influenced positive attitudes toward patient safety. With a lack of research in the dental field, our study provides important information on patient safety attitudes for dental healthcare workers. Results from this study present the current status of patient safety culture and help raise awareness of it. Most notably, the study identified several factors associated with positive attitudes toward patient safety. The information can be used to improve patient safety in the future.
Authors Hsin-Chung Cheng, Amy Ming-Fang Yen, Yi-Hsuan Lee
Journal Journal of Dental Sciences | 3 | | R410.00 | |
| | Ocular hazards of curing light units used in dental practice - A systematic review | Ocular hazards of curing light units used in dental practice - A systematic review
Ocular hazards of curing light units used in dental practice - A systematic review
Overview The purpose of this article is to examine the literature and summarize studies that describe the potential ocular hazards that are posed by different systems of light curing units mainly used in the dental clinics, to ensure the safety of the operator, patient and the auxiliary staff in the dental clinic. Eight articles were included in the study after application of eligibility criteria, all of which were in accordance to the review protocol. The total wavelength dose received can cause Ocular damage which suggest that light intensity is correlated to the duration required to cause a certain level of damage, and we can substitute the long light exposure by using of a lower intensity light. This review concludes that blue light poses maximum risk to cause retinal degeneration based on the evaluated studies. Most of the studies recommend the use of protective eyewear in order to limit exposure of the patient, operator and assistant to the LCUs. It is not advisable to stare directly into the light source and the recommended safe exposure times and distances for patient, operator and assistant must be strictly adhered to in the dental practice.
Authors Raniya A. Alasiri, Hashim A. Algarni, Reem A. Alasiri
Journal The Saudi Dental Journal
| 3 | | R410.00 | |
| | Factors Associated with Dental Fear and Anxiety in Children Aged 7 to 9 Years | Factors Associated with Dental Fear and Anxiety in Children Aged 7 to 9 Years
Factors Associated with Dental Fear and Anxiety in Children Aged 7 to 9 Years
Overview
Dental fear and anxiety (DFA) is one of the major challenges in pediatric dentistry. The prevalence is estimated to approximately 9%. Using the children’s fear survey schedule dental subscale (CFSS-DS), 6.7% of a Swedish sample were assessed as being fearful DFA is a common reason for avoiding dental treatment, which over time, may result in deteriorated oral health. DFA among children has a complicated and multifactorial etiology. Several interacting factors, personal as well as environmental, contribute to the development of fear and anxiety in a dental care situation.
Psychological factors such as shyness and general fearfulness or immaturity have previously been investigated and found to be important. Cognitive ability as well as transmission of negative attitudes from parents or others are also pathways of DFA acquisition. Several studies have shown an association between parental and child DFA.
Acknowledgements
Authors Andreas Dahlander, Fernanda Soares, Margaret Grindefjord, and Göran Dahllöf
Journal Dentistry Journal Volume 7 Issue 3
| 3 | | R460.00 | |
| | Dental anxiety in patients attending a student dental clinic | Dental anxiety in patients attending a student dental clinic
Dental anxiety in patients attending a student dental clinic
Overview
This study investigated the expectations and experiences of a sample of new patients visiting an Australian regional university Student Dental Clinic about anxiety provoking and alleviating stimuli in the clinical environment. Differences in anxiety levels were examined by age, gender and the type of procedure undergone.
There was a reduction in dental anxiety from pre-treatment (M=1.92) to post-treatment (M=1.23) on the single item anxiety measure though most of the treatment being undergone by patients was for less complex procedures. Patients’ anticipatory experience of anxiety was higher than the anxiety experience after having undergone treatment at the student dental clinic. Student interpersonal skills and clinical ability as perceived by the patient can lessen dental anxiety in patients. Clinical Supervisor-student ratios need to be more equivalent in order to reduce the time length of appointments which currently are associated with increased patient anxiety levels in student dental clinics.
Authors Marie L. Caltabiano, Felicity Croker, Lauren Page, Anton Sklavos, Jade Spiteri, Louise Hanrahan and Richard Choi
| 3 | | R460.00 | |
| | A Review of Pediatric Obstructive Sleep Apnea and the Role of the Dentist | A Review of Pediatric Obstructive Sleep Apnea and the Role of the Dentist
A Review of Pediatric Obstructive Sleep Apnea and the Role of the Dentist
Overview
Pediatric obstructive sleep apnea (POSA), considered most severe in the spectrum of sleep-disordered breathing (SDB), is highly prevalent and affects up to 1% to 4% of all children. Approximately 7 to 9 million children experience POSA, prompting the medical and dental communities to improve awareness for proper screening, diagnosis, and earlier treatment.
According to the American Academy of Pediatric Dentistry (AAPD), signs of untreated POSA in school-aged children can include neurocognitive dysfunction such as aggressive behavior, symptoms that resemble attention deficit hyperactivity disorder, deteriorating school performance, bedwetting, developmental delay, and reduced quality of life. Various surgical and nonsurgical techniques are currently being used in the treatment of POSA. In this review, the etiology, epidemiology, and treatment considerations of POSA will be summarized with special emphasis on the dental provider’s role in identifying and treating POSA.
Authors: Jacy Stauffer, David M. Okuji, Guy C. Lichty, Rakesh Bhattacharjee, Fadra Whyte, Daniel Miller, Juveria Hussain
| 3 | | R460.00 | |
| | Dental anxiety, oral health-related quality of life, and general well-being: A self-determination theory perspective | Dental anxiety, oral health-related quality of life, and general well-being: A self-determination theory perspective
Dental anxiety, oral health-related quality of life, and general well-being: A self-determination theory perspective
Overview The aim of this study was to test a structural equation model (SEM) with the following hypotheses: (1) patients’ perceptions of oral health care professionals’ (i.e., dentists and dental hygienists) controlling interpersonal styles would positively predict patients’ dental anxiety through their basic psychological need frustration in treatment; (2) in turn, high dental anxiety would positively predict dysregulation of dental anxiety, which through a feedback loop contributes to perception of oral health care professionals’ controlling styles; and, (3) in addition, both dental anxiety and dysregulation of dental anxiety would predict poor Oral Health-Related Quality of Life (OHRQoL) and subsequently poor general well-being.
A bootstrapping procedure indicated that all indirect links in the model were supported. Analysis indicated that common method variance (CMV) did not seriously distort the results in this setting. Although the majority of oral health care professionals are perceived as being noncontrolling by their patients (51%), the proportion perceived as moderately (38%) or highly (11%) controlling represent a challenge for oral health care education and practice. It would be useful for oral health care professionals to be trained in avoiding a controlling treatment style.
Authors Anne Elisabeth Münster Halvari, Hallgeir Halvari, Edward L. Deci
Journal Journal of Applied Social Psychology Pages 1 - 12
| 3 | | R416.00 | |
| | Dental Hygiene Students’ Self-Assessment of Ergonomics Utilizing Photography | Dental Hygiene Students’ Self-Assessment of Ergonomics Utilizing Photography
Dental Hygiene Students’ Self-Assessment of Ergonomics Utilizing Photography
Dental Hygiene Students’ Self-Assessment of Ergonomics Utilizing Photography
Overview
Due to postural demands, dental professionals are at high risk for developing work-related musculoskeletal disorders (WMSDs). Dental clinicians’ lack of ergonomic awareness may impede the clinical application of recommendations to improve their posture. The aim of this study was to determine whether feedback involving photography and self-assessment would improve dental hygiene students’ ergonomic scores and accuracy of their ergonomic self-assessments. The study involved a ran¬domized control design and used a convenience sample of all 32 junior-year dental hygiene students enrolled in the autumn 2016 term in The Ohio State University baccalaureate dental hygiene program.
All partici¬pants’ pre-training and post-training photographs were given ergonomic scores by three raters. Students’ self-assessments in the control group and faculty evaluations of the training group showed significant improvement in scores over time. In addition, the accuracy of self-assessment significantly improved for students in the training group . In this study, dental hygiene students’ self-assessments using photographs resulted in improvements in their ergonomic scores and increased accuracy of their ergonomic self-assessments. Any improvement in ergonomic score or awareness can help reduce the risks for WMSDs, especially among dental clinicians.
Acknowledgement
Author Brian Partido
| 3 | | R455.00 | |