scholarly journals A Geriatric Patient: Age Is Not a Factor

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Lisa Klodnitskaya ◽  
Michele M. Harutunian ◽  
Santiago Mareque Buenos ◽  
Denise Estafan ◽  
Mark S. Wolff
Keyword(s):  
Geriatric Patient ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Chief Complaint ◽  
Periodontal Treatment ◽  
Patient Age ◽  
Patient Âgé ◽  
Dental Office ◽  
Ceramic Crowns

Objective.A patient presented to the dental office expressing dissatisfaction with the appearance of his teeth, and as a result, of his smile. Our objective was to satisfy his initial chief complaint: “I don't like how my teeth look when I smile.”Methodology.Upon completing all initial exams and consultations, an esthetic dental treatment plan was formulated and agreed upon by both the practitioners and the patient.Results.The patient received periodontal treatment first to create esthetic gingival margins. Anterior ceramic crowns followed.Conclusion.The results surpassed all patient's expectations.

scholarly journals Children with special needs in the dental office

2020 ◽  
Vol 49 (4) ◽  
pp. 53-66
Author(s):  
Marko Jeremić ◽  
Predrag Ćirić ◽  
Dejan Marković ◽  
Ana Vuković
Keyword(s):  
Human Rights ◽  
Oral Health ◽  
Multidisciplinary Approach ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Team Work ◽  
Therapeutic Interventions ◽  
Vulnerable Group ◽  
Dental Office ◽  
Psychological Knowledge

People with disabilities may experience negative relation between their own personal potentials compared to environmental expectations and potentials of healthy peers in terms of functional participation and activity limitations. Therefore, they usually need an individualized dental treatment plan. Dentists have an important role in maintaining and improving oral health in this vulnerable group. Having in mind the United Nation's Declaration on Human Rights, patients with disabilities have human rights to achieve equal health outcomes as their healthy peers. Therefore, all preventive, prophylactic, and therapeutic interventions need to be carefully planned. In addition to precise medical history, the dentist should also have basic psychological knowledge to adjust the approach to patient's needs. Improving the oral health of patients with disabilities involves a primary, secondary, or tertiary level of oral health care, depending on patient's abilities and needs. The team work and a multidisciplinary approach, with the cooperation of experts of different profiles and specialties, is the only approach that gives satisfactory results.

Spectrum and Frequency of Pediatric Illness Presenting to a General Community Hospital Emergency Department

PEDIATRICS ◽  
1992 ◽  
Vol 90 (1) ◽  
pp. 5-10
Author(s):  
Douglas S. Nelson ◽  
Kevin Walsh ◽  
Gary R. Fleisher
Keyword(s):  
Emergency Department ◽  
Pediatric Population ◽  
Admission Rate ◽  
Chief Complaint ◽  
Time Of Arrival ◽  
Minor Trauma ◽  
Patient Age ◽  
Pediatric Illness ◽  
Patient Âgé ◽  
Wide Range

Knowledge of the range of pediatric illness presenting to a general emergency department (ED) is needed to optimize the quality of care delivered there. It was hypothesized that the pediatric population treated at a general ED exhibited a broad range of medical complaints, while differing significantly from children seen in a pediatric ED. General ED records from 1 week each season were reviewed, and patient age, chief complaint, diagnosis, time of arrival, season, and disposition were recorded. Data on 874 patients were analyzed and compared with pediatric ED data. General ED patient age affected chief complaint, diagnosis, and admission rate (9.5% ≤1 year admitted vs 2.6% >1 year, P < .001). General ED patients were older (7.9 vs 6.0 years, P < .001) and admitted less frequently (3.8% vs 11%, P 001). Admission rates varied by arrival time only at the general ED, where minor trauma was more common (41% vs 22%, P < .001). It is concluded that a wide range of pediatric illness is treated in a general ED, supporting the decision to have pediatric emergency physicians on staff, and that significant differences exist in the spectrum and frequency of pediatric illness seen in a general ED and pediatric ED.

scholarly journals Endodontic treatment in geriatric patients

2007 ◽  
Vol 19 (3) ◽  
Author(s):  
Milly Armilya Andang ◽  
Kurniasri Amas Achiar
Keyword(s):  
Geriatric Patient ◽  
Geriatric Patients ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Endodontic Treatment ◽  
Pulp Tissue ◽  
Geriatric Population ◽  
Vertical Root Fracture ◽  
Tissue Recovery ◽  
And Function

With the increased number of geriatric population, it is predicted that the need for dental treatment also increases. The needs for esthetic factors and function of geriatric patient are maybe similar to young patient. The number of geriatric patients who refuse dental extraction is increasing if there are still other alternative. They can be more convinced when the clinician said that the dental disease experienced is a focal infection so that the loss of the tooth can be accepted as the best option. But if it is possible, they will prefer endodontic treatment, because they want to keep their teeth according to the treatment plan or based on patient's request, as a less traumatic alternative compared to extraction.Endodontic treatment consideration for geriatric patient is quite similar to younger patients. The technique is also the same, although the problem may be bigger. The problem or obstacle that may arise in endodontic treatment for geriatric patient relates to the visit duration, problems during x-ray, problems in defining root canal location, vertical root fracture, and in some cases, decreased pulp tissue recovery ability. Due to the fact that the challenge is quite big, the success of endodontic treatment in geriatric patients needs to be considered. This paper will explain the endodontic treatment prognosis for geriatric patients.

scholarly journals Geriatric Psychology and Prosthodontic Patient

2011 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Laxman Rao Polsani ◽  
M Githanjali ◽  
Anjana Raut
Keyword(s):  
Decision Making ◽  
Old Age ◽  
Psychological Factors ◽  
Geriatric Patient ◽  
Geriatric Patients ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Modern Society ◽  
Dental Problem ◽  
Made In

ABSTRACT The problem of adjusting to old age in our modern society is becoming extremely difficult owing to the high values placed on youth, beauty and virility. For the aged themselves, these are frustrating years. They realize that they are beyond their productive peak and many of their ideas, goals, ambitions, hopes can never be attained. It is unfortunate that the geriatric patient generally needs most of the necessary dental and medical services at an age when he is least able to tolerate and afford them. The dental problems of geriatric patients present in the prosthodontic clinic differ because of the psychological factors always associated with them. The clinician should understand the psychological part of a dental problem of a geriatric patient because it always influences the decision making and treatment plan. An attempt has been made in this article to review these psychological factors and critically analyze their influence in dental treatment plan.

Gestion orthopédique d’une ankylose de l’ATM chez l’enfant

2020 ◽  
Vol 54 (4) ◽  
pp. 407-418
Author(s):  
Pamela Villalon-Pooley ◽  
Camila Hernandez-Veliz ◽  
Maria Fernanda Pinto-Chavez ◽  
Pierre Bourdiol
Keyword(s):  
Patient Age ◽  
Patient Âgé

Parmi les fractures cranio-faciales, celles affectant le condyle mandibulaire font partie des fractures les plus souvent rencontrées chez le patient en âge pédiatrique. L’évolution sans traitement peut produire une ankylose temporo-mandibulaire entraînant troubles fonctionnels et asymétrie de la croissance cranio-faciale. Le traitement traditionnellement chirurgical est d’un pronostic généralement réservé. Dans cet article est présenté le cas d’un patient, âgé de quatre ans, atteint d’ankylose fibreuse de l’articulation temporo-mandibulaire gauche, suite probable d’une fracture du col du condyle non-diagnostiquée. La libération fonctionnelle de la fibro-ankylose articulaire a été l’objectif de la première étape thérapeutique. Celle-ci a été suivie, à l’âge de sept ans, d’une distraction articulaire obtenue au moyen de butées occlusales controlatérales disposées côté droit. Ceci a produit un ajustement de la croissance dento-alvéolaire assurant à la fois un rattrapage du déficit de croissance unilatéral de départ et une néoformation condylienne par remodelage de l’articulation temporo-mandibulaire gauche. Quatre années après la mise en route de la phase orthopédique initiale, la fonction articulaire restaurée et l’équilibre facial obtenu restent stables chez ce jeune patient

Hemmkörperentwicklung bei Hämophilie-Patienten nach Präparate wechsel

2012 ◽  
Vol 32 (S 01) ◽  
pp. S39-S42 ◽  
Author(s):  
S. Kocher ◽  
G. Asmelash ◽  
V. Makki ◽  
S. Müller ◽  
S. Krekeler ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Observational Study ◽  
Retrospective Observational Study ◽  
Frequent Change ◽  
Patient Age ◽  
Treatment Regimens ◽  
Patient Âgé ◽  
The Relationship ◽  
Observation Period

SummaryThe retrospective observational study surveys the relationship between development of inhibitors in the treatment of haemophilia patients and risk factors such as changing FVIII products. A total of 119 patients were included in this study, 198 changes of FVIII products were evaluated. Results: During the observation period of 12 months none of the patients developed an inhibitor, which was temporally associated with a change of FVIII products. A frequent change of FVIII products didn’t lead to an increase in inhibitor risk. The change between plasmatic and recombinant preparations could not be confirmed as a risk factor. Furthermore, no correlation between treatment regimens, severity, patient age and comorbidities of the patients could be found.

Hämophilie-Zentrum Bonn 1980 – 2009

2011 ◽  
Vol 31 (S 01) ◽  
pp. S4-S10 ◽  
Author(s):  
I. Besmens ◽  
H.-H. Brackmann ◽  
J. Oldenburg
Keyword(s):  
Young Patients ◽  
Severe Form ◽  
Coagulation Disorder ◽  
Care Providers ◽  
Long Distance ◽  
Patient Age ◽  
Patient Âgé ◽  
Number Of Patients ◽  
Clotting Disorder ◽  
Regional Character

SummaryThe Bonn Haemophilia Care Center provides patient care on a superregional level. The centre’s large service area is, in part, due to the introduction of haemophilia home treatment and related to this the individualized prophylaxis in children and adults by Egli and Brack-mann in Bonn in the early 1970s, that represented a milestone in German haemophilia therapy. Epidemiologic patient data from the two selected time points, 1980 and 2009, are evaluated to illustrate the change in the composition of the patient clientele. In 1980 a total of 639 patients were treated at the Bonn Haemophilia Center. 529 patients exhibited a severe form and 110 a non-severe form of the respective clotting disorder. In 2009 the Bonn Haemophilia Center took care for a total of 837 patients. There were 445 patients who suffered from a severe form of the considered clotting disorder while 392 showed a non-severe course. The number of less severely affected patients has increased significantly in 2009. Patients in 1980 were predominantly suffering from a severe form and most had to travel more than 150 km from their homes to the treatment center. In 2009 the number of patients living a medium-long distance from the care provider has significantly increased while the number of patients living more than 150km from the center has decreased. Comparing 2009 to 1980 a growth of the center’s regional character becomes apparent, especially when patient age and severity of the coagulation disorder are taken into consideration. The regional character was more strongly pronounced with milder disease severity and lower patient age. Due to the existence of well established primary haemophilia care in CCCs in Germany, the trend for the recent years is that the proportion of young patients that choose haemophilia care providers closer to their homes is increasing.

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