Diagnosis, progression, prognostic indication and classification of periodontal disease (Part 2)

1994 ◽  
Vol 80 (2) ◽  
pp. 62-65
Author(s):  
C R Priestland

AbstractIn the second part of this review the various forms of Gingivitis will be described outlining their aetiological and modifying factors. This group of inflammatory lesions of the gingivae is grouped according to the classification accepted by the World Workshop on Periodontics (1989). In view of the relationship between gingivitis and systemic modifying factors, it is important that all general dental practitioners have a sound knowledge of oral medicine and oral pathology in order that patients exhibiting exaggerated oral symptoms or signs of disease, may be referred to the appropriate dental or medical practitioner/specialist. Furthermore it is highly desirable that general medical practitioners have adequate experience in oral examination and are able to recognise deviations from the normal oral appearance.

Author(s):  
Robert Ireland

This dictionary covers thousands of important terms and concepts used in dentistry today. Entries are written in clear and concise English without the use of unnecessary dental or medical jargon, and many entries are supplemented by detailed line drawings or colour photographs. The dictionary defines terms in a broad range of dental specialist areas. In this edition expanded coverage has been given in particular to topics that include oral surgery, oral medicine, special care dentistry, anaesthesia, restorative dentistry, paediatric dentistry, anatomy, and orthodontics. An essential guide for dental practitioners and dental students, it is also an invaluable reference source for all members of the dental team, medical practitioners, lawyers involved with members of the dental profession, and the general reader.


2011 ◽  
Vol os18 (4) ◽  
pp. 155-160 ◽  
Author(s):  
Vishal R Aggarwal ◽  
Nikolaus OA Palmer ◽  
Pamela Nelson ◽  
Russ Ladwa ◽  
Farida Fortune

The Modernising Medical Careers framework provides the opportunity for both medical specialists and general medical practitioners to follow training pathways that lead to appointments as National Health Service (NHS) consultants and to senior academic posts. Similar opportunities are available for dentists who wish to specialise. However, they are not available to dentists working in primary dental care who wish to become NHS consultants or senior academics in general dentistry. An alternative pathway is required that does not force committed primary care dentists who wish to become NHS consultants or senior academics down a path of specialisation. In this paper, the authors explore the situation in some detail and propose a career pathway with appropriate competencies for primary care dentists who aspire to become NHS consultants or senior academics. They justify why such posts should be created. The competencies have been developed using key guidelines and documents from the European Bologna Process and the Association for Dental Education in Europe, the Curriculum for UK Dental Foundation Programme Training, and the General Dental Council monospecialty curricula. It is hoped that the proposed pathway will produce highly trained generalists who will: (a) encourage and undertake research in primary dental care, where over 90% of dentistry is delivered, (b) support and lead outreach centres so that teaching and clinical cases reflect primary dental care, where students will spend their working lives post-qualification, and (c) provide a means of increasing the numbers of clinical dental academics, which have been in decline over the last 10 years.


Dental Update ◽  
2020 ◽  
Vol 47 (4) ◽  
pp. 345-352
Author(s):  
Balraj Gill

‘Making Every Contact Count’ (MECC) is a government initiative headed by Public Health England and other organizations to provide support for patients to make positive behaviour changes to their health and wellbeing. The aim of MECC is to reduce the number of long-term diseases in the population that are attributable to behavioural risks factors. Primary dental practitioners are well positioned to provide the recommended brief advice on smoking, alcohol consumption and other factors. This article will highlight current guidance relating to these modifiable risk factors, and explain how dentists can interact with general medical practitioners in order to improve patient health. The aim of this paper is to provide details on what health issues the dentist should screen for, as well as the ways in which information can be passed onto the doctor in order to provide the best possible care for the patient. CPD/Clinical Relevance: Dentists are well positioned to ask and investigate issues relating to the patient's general health. This key information can be passed onto the general practitioner in order to address patient needs effectively.


2009 ◽  
Vol 5 (2) ◽  
pp. 407-432 ◽  
Author(s):  
Dr Dawa ◽  
Tsering D. Gonkatsang

This paper discusses the relationship between Tibetan medical theory and practice with respect to the classification of Materia Medica and the discernment of quality and potency. Based on more than thirty years of experience as a Tibetan medical practitioner, the author describes a number of specific Materia Medica in detail, with an emphasis on how to determine fake from authentic ingredients. The author also offers recommendations and guidance on proper cultivation techniques and conservation methods, in line with Tibetan textual sources on the subject, in combination with empirical knowledge.


2021 ◽  
Author(s):  
Michael Mncedisi Willie ◽  
Neo Nonyana ◽  
Sipho Kabane

Background: The COVID-19 climate has seen a shift in the manner that patients seek care. Lockdown measures and COVID-19 regulations, and the fear of contracting the virus at a health care facility has also changed health seeing behaviour among patients. The COVID-19 climate has seen a significant increase in the utilisation of virtual platforms to consult with providers. Objectives: The objective of this chapter was to conduct the descriptive analysis of telephonic consultations by members of medical schemes who consulted general medical practitioners. Methods: The study entailed a descriptive analysis of medical scheme claims data for the 2020 review period. The inclusion criteria were all National Pharmaceutical Product Interface (NAPPI) codes associated with a telephonic consultation consulting general medical practitioners. The ICD-10 code primary diagnosis was used to describe the diagnosis. The study mainly focused on outpatient patients with service dates between March and December 2020. Results: The analysis covered claims data from a total of 12 medical schemes. The schemes analysed accounted for 1,6 million lives. The total number of telephonic consultations was 17 237. The mean (SD) claimed amount for telephone consultation for a general medical practice consult was R2821 (SD = 20). This was slightly lower than the scheme tariff of R2872 (SD = 19). The study found that most telephonic consults were for Acute bronchitis, unspecified; Acute upper respiratory; Emergency use of U07.1 (Confirmed diagnosis); Emergency use of U07.2 (Suspected Diagnosis); Follow-up examination; Special screening. Conclusion: The study found evidence of patients utilising telephonic consultations for general medical practitioner services. The effect of COVID-19 in this respect was seen in the three main primary diagnoses that were associated with the consult, Acute upper respiratory, Emergency use of U07.1 (confirmed diagnosis) and Emergency use of U07.2 (suspected diagnosis). Even though the average telephonic consult was claimed at just under R3003, few general medical practitioners claimed between R4004 and R5005 which were higher than the industry average. There is a need to develop telephone consult guidelines at industry level, these should also address reimbursement rate differentials.


Author(s):  
Nicholas Longridge ◽  
Pete Clarke ◽  
Raheel Aftab ◽  
Tariq Ali

The mouth has often been looked at as a window into the body, and this is no truer than in oral medicine. The oral mucosa is a highly adapted and robust tissue, which, at the same time, can be very susceptible to changes in homeostasis. Dysregulation of the immune system, alter­ations in cellular signalling pathways, or insult from exogenous stimuli can lead to an array of weird and wonderful oral lesions. Clinicians today are likely to see changes to the oral mucosa on a regular basis— from common ulcers, bony lumps, or white patches to more exotic pigmented lesions or unusual lumps. It is therefore vital to have good basic knowledge of common conditions and be able to iden­tify lesions that need urgent referral and treatment. It is important to take a thorough medical history, as many oral symptoms can be associ­ated with systemic conditions or changes in medication. A temporal link can be a good indicator of causation from medication changes. Having a strategic method of constructing a list of differential diag­noses, such as the surgical sieve, can be a great aide- memoire to ensure all the pertinent questions and investigations have been completed. However, it must be noted that many conditions cannot be accurately diagnosed without histological examination, and therefore, referral for specialist input is commonplace. Oral medicine can be a tricky discipline, fraught with challenging pa­tients to manage, particularly those with chronic conditions. Conversely, the diagnostic challenges make for a thoroughly rewarding and stimu­lating discipline. The questions in this chapter will test your knowledge of disease symptoms, links to medical conditions, and patient management. Key topics include: ● Patient assessment and diagnosis ● Investigations ● Basic histology ● Infections (bacterial, viral, and fungal) ● Ulcers ● Soft tissue swelling ● Bony lumps ● Systemic conditions ● White, red, pigmented, and mixed patches ● Oral cancer ● Pharmacology.


2020 ◽  
Vol 4 (2) ◽  
pp. 780-787
Author(s):  
Ibrahim Hassan Hayatu ◽  
Abdullahi Mohammed ◽  
Barroon Ahmad Isma’eel ◽  
Sahabi Yusuf Ali

Soil fertility determines a plant's development process that guarantees food sufficiency and the security of lives and properties through bumper harvests. The fertility of soil varies according to regions, thereby determining the type of crops to be planted. However, there is no repository or any source of information about the fertility of the soil in any region in Nigeria especially the Northwest of the country. The only available information is soil samples with their attributes which gives little or no information to the average farmer. This has affected crop yield in all the regions, more particularly the Northwest region, thus resulting in lower food production.  Therefore, this study is aimed at classifying soil data based on their fertility in the Northwest region of Nigeria using R programming. Data were obtained from the department of soil science from Ahmadu Bello University, Zaria. The data contain 400 soil samples containing 13 attributes. The relationship between soil attributes was observed based on the data. K-means clustering algorithm was employed in analyzing soil fertility clusters. Four clusters were identified with cluster 1 having the highest fertility, followed by 2 and the fertility decreases with an increasing number of clusters. The identification of the most fertile clusters will guide farmers on where best to concentrate on when planting their crops in order to improve productivity and crop yield.


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