Oral health and oral implant status in edentulous patients with implant-supported dental prostheses who are receiving long-term nursing care

Dental implants may be considered a reliable routine procedure in clinical practice for the replacement of missing teeth. Results from long-term studies indicate that implant-supported dental prostheses constitute a predictable treatment method for the management of fully and partially edentulous patients. Implants and their restorations, however, are not free from biological complications. In fact, peri-implantitis, defined as progressive bone loss associated to clinical inflammation, is not a rare finding nowadays. This constitutes a concern for clinicians and patients given the negative impact on the quality of life and the sequelae originated by peri-implantitis lesions. The purpose of this narrative review is to report on the prevalence of peri-implantitis and to overview the indications, contraindications, complexity, predictability and effectiveness of the different surgical therapeutic modalities to manage this disorder.

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The Impact of Different Insurance Benefits for Skilled Nursing Care on Patient Recovery in the Long-Term Care Setting

Annals of Long-Term Care Clinical Care and Aging ◽

10.25270/altc.2018.10.00018 ◽

2018 ◽

Vol 26 (1) ◽

pp. 18-26

Author(s):

Samson Barasa ◽

Donald A Jurivich

Keyword(s):

Nursing Care ◽

Care Setting ◽

Long Term Care ◽

Term Care ◽

Skilled Nursing ◽

Insurance Benefits ◽

The Impact

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Professional oral health care by dental hygienists reduced respiratory infections in elderly persons requiring nursing care

International Journal of Dental Hygiene ◽

10.1111/j.1601-5037.2007.00233.x ◽

2007 ◽

Vol 5 (2) ◽

pp. 69-74 ◽

Cited By ~ 88

Author(s):

M Adachi ◽

K Ishihara ◽

S Abe ◽

K Okuda

Keyword(s):

Health Care ◽

Oral Health ◽

Nursing Care ◽

Respiratory Infections ◽

Oral Health Care ◽

Elderly Persons ◽

Dental Hygienists ◽

Professional Oral Health Care

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Review on Development and Dental Applications of Polyetheretherketone-Based Biomaterials and Restorations

Materials ◽

10.3390/ma14020408 ◽

2021 ◽

Vol 14 (2) ◽

pp. 408 ◽

Cited By ~ 1

Author(s):

Ludan Qin ◽

Shuo Yao ◽

Jiaxin Zhao ◽

Chuanjian Zhou ◽

Thomas W. Oates ◽

...

Keyword(s):

High Performance ◽

Dental Resin ◽

Oral Environment ◽

Inert Surface ◽

Oral Implant ◽

Long Term Performance ◽

Dental Applications ◽

Term Performance ◽

Orthopedic Applications

Polyetheretherketone (PEEK) is an important high-performance thermoplastic. Its excellent strength, stiffness, toughness, fatigue resistance, biocompatibility, chemical stability and radiolucency have made PEEK attractive in dental and orthopedic applications. However, PEEK has an inherently hydrophobic and chemically inert surface, which has restricted its widespread use in clinical applications, especially in bonding with dental resin composites. Cutting edge research on novel methods to improve PEEK applications in dentistry, including oral implant, prosthodontics and orthodontics, is reviewed in this article. In addition, this article also discusses innovative surface modifications of PEEK, which are a focus area of active investigations. Furthermore, this article also discusses the necessary future studies and clinical trials for the use of PEEK in the human oral environment to investigate its feasibility and long-term performance.

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Guideline for the management of long tunnelled external ventricular drains in chronic hydrocephalus

British Journal of Nursing ◽

10.12968/bjon.2021.30.7.416 ◽

2021 ◽

Vol 30 (7) ◽

pp. 416-421

Author(s):

Phillip Correia Copley ◽

John Emelifeonwu ◽

Pasquale Gallo ◽

Drahoslav Sokol ◽

Jothy Kandasamy ◽

...

Keyword(s):

Quality Of Life ◽

Nursing Care ◽

Pilocytic Astrocytoma ◽

Parental Education ◽

Chronic Hydrocephalus ◽

Treatment Protocols ◽

New Approach ◽

Viable Treatment

This article reports on the journey of a child with an inoperable hypothalamic-origin pilocytic astrocytoma causing hydrocephalus, which was refractory to treatment with shunts, and required a new approach. With multidisciplinary support, excellent nursing care and parental education, the child's hydrocephalus was managed long term in the community with bilateral long-tunnelled external ventricular drains (LTEVDs). This article describes the patient's journey and highlights the treatment protocols that were created to achieve this feat. Despite the difficulties in initially setting up these protocols, they proved successful and thus the team managing the patient proposed that LTEVDs are a viable treatment option for children with hydrocephalus in the context of inoperable tumours to help maximise quality of life.

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OP48 Nursing Requirements In Long-Term Care: A Health Technology Assessment

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462319001132 ◽

2019 ◽

Vol 35 (S1) ◽

pp. 11-12

Author(s):

Paula Corabian ◽

Charles Yan ◽

Susan Armijo-Olivo ◽

Bing Guo

Keyword(s):

Nursing Care ◽

Nursing Staff ◽

Real World ◽

Research Evidence ◽

Long Term Care ◽

Staff Time ◽

Term Care ◽

Policy Makers ◽

The Relationship

IntroductionThe objectives of this study were to systematically review published research on the relationship between nursing staff coverage, care hours, and quality of care (QoC) in long-term care (LTC) facilities; and to conduct a real world evidence (RWE) analysis using Alberta real world data (RWD) to inform policy makers on whether any amendments could be made to current regulations.MethodsA systematic review (SR) of research evidence published between January 2000 and May 2018 on the relationship between nursing staff coverage, care hours, and QoC in LTC facilities was conducted. Panel data regressions using available RWD from Alberta, Canada, were performed to assess associations between nursing care hours and LTC outcomes. Outcomes of interest included quality indicators related to resident outcomes, hospital admissions, emergency room visits and family satisfaction. Nursing care hours considered in SR and RWE analysis included those provided by registered nurses (RNs) and licensed practical nurses (LPNs).ResultsThe SR found inconsistent and poor quality evidence relevant to the questions of interest, indicating a great uncertainty about the association between nursing staff time and type of coverage and QoC. Although some positive indications were suggested, major weaknesses of reviewed studies limited interpretation of SR results. RWE analysis found that impact of care hours on LTC outcomes was heterogeneous, dependent on outcome measurements. There was evidence that total staff, RN, and LPN hours had positive effects on some resident outcomes and magnitude of effect differed for different nursing staff.ConclusionsNo definitive conclusion could be drawn on whether changing nursing staff time or nursing staff coverage models would affect residents’ outcomes based on the research evidence gathered in the SR. RWE analysis helped to fill a gap in the available published literature and allowed policy makers to better understand the impact of revising current regulations based on actual outcomes.

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Probiotics Do Not Alter the Long-Term Stability of the Supragingival Microbiota in Healthy Subjects: A Randomized Controlled Trial

Pathogens ◽

10.3390/pathogens10040391 ◽

2021 ◽

Vol 10 (4) ◽

pp. 391

Author(s):

Christine Lundtorp-Olsen ◽

Christian Enevold ◽

Svante Twetman ◽

Daniel Belstrøm

Keyword(s):

Oral Health ◽

Controlled Trial ◽

Test Group ◽

External Perturbation ◽

Controlled Clinical Trial ◽

Healthy Individuals ◽

Compositional Stability ◽

Rdna Sequencing ◽

Double Blinded

Background: The purpose of the present study was to longitudinally characterize the supragingival microbiota throughout a three months period in orally healthy individuals. We tested the hypothesis that the supragingival microbiota shows a high degree of compositional stability, which is resilient against the external perturbation of regular use of probiotics, as long as oral health is maintained. Methods: The present study was a double-blinded, randomized, placebo-controlled clinical trial. The study population comprised a total of 110 oral and systemic healthy individuals, distributed in a probiotic (n = 55) and placebo (n = 55) group, where the test group consumed tablets with the probiotic strains Lacticaseibacillusrhamnosus (formerly Lactobacillus) PB01 DSM14870 and Latilactobacillus curvatus (formerly Lactobacillus) EB10 DSM32307 for a period of 12 weeks. Supragingival plaque samples and clinical registrations were performed at baseline, and after 4, 8, and 12 weeks, respectively. The supragingival microbiota was characterized by means of 16S rDNA sequencing. Sequences were referenced against the HOMD database. Results: No significant changes of the core microbiota, as expressed by relative abundance of predominant genera and species were evident during the three months observation period in the probiotic or the placebo group. Conclusions: Data from the present study clearly demonstrate long term compositional stability of the supragingival microbiota as long as oral health is maintained. In addition, the tested probiotics had no augmenting effect on the supragingival microbiota in oral health.

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