scholarly journals Appropriateness in Dentistry: A Survey Discovers Improper Procedures in Oral Medicine and Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Giacomo Oteri ◽  
Vera Panzarella ◽  
Antonia Marcianò ◽  
Olga Di Fede ◽  
Laura Maniscalco ◽  
...  
Keyword(s):  
Oral Surgery ◽  
Multiple Correspondence Analysis ◽  
Oral Medicine ◽  
R Software ◽  
Dental Surgery ◽  
X Ray ◽  
Slow Medicine ◽  
Dental Practitioners ◽  
And Training ◽  
Medicine Education

Objectives. The aim of this study was to assess appropriateness of diagnostic exams, treatments, and procedures among Italian dental practitioners.Materials and Methods. A questionnaire with multiple responses on topics of dentistry and oral medicine was administered to a sample of 198 Italian dental practitioners. Information on characteristics of the respondents was also collected. Descriptive statistics and multiple correspondence analysis (MCA) were applied. Data were analyzed using R software (version 3.3.2).Results. The survey respondents included Doctors of Medicine (MD) (54/198 = 27%) with or without specialty in dentistry (33% versus 67%), Doctors of Dental Surgery (DDS) (144/198 = 73%), DDS with specialty in orthodontics (7%), and DDS with specialty in oral surgery (4%). Mandatory procedures in dental and oral medicine education and training include (a) prescription of antibiotics before/after oral surgery procedures; (b) prevention strategies for oral cancer, and (c) prescription of dental X-ray examinations (41%, 52%, and 48%, resp.).Conclusion. On examining the results of the survey, it is evident that information and implementation of the above mentioned procedures are crucially needed. Our results confirm the necessity to reduce inappropriate practices in dentistry, implementing formation and information, leading to correct prescriptions, and optimizing patients’ oral health. This coincides with the Italian Slow Medicine program entitled “Fare di più non significa fare meglio–Choosing Wisely Italy,” which has also motivated this study.

A Dictionary of Dentistry

2020 ◽  
Author(s):  
Robert Ireland
Keyword(s):  
Oral Surgery ◽  
Dental Students ◽  
Reference Source ◽  
Restorative Dentistry ◽  
Oral Medicine ◽  
General Reader ◽  
Medical Practitioners ◽  
Line Drawings ◽  
Dental Practitioners ◽  
Dental Profession

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.

scholarly journals Secondary Bleedings in Oral Surgery Emergency Service: A Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Sebastian Igelbrink ◽  
Stefan Burghardt ◽  
Barbara Michel ◽  
Norbert R. Kübler ◽  
Henrik Holtmann
Keyword(s):  
Oral Surgery ◽  
Treatment Options ◽  
Coumarin Derivative ◽  
Cross Sectional Study ◽  
Outpatient Setting ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Surgical Interventions ◽  
Emergency Presentation ◽  
Dental Practitioners

Introduction. Bleeding after dental surgery is still a common cause for emergency presentation in patients using anticoagulants. Our aim was to analyze pertinent characteristic features on the one hand and to bare existing problems in handling on the other. Materials and Methods. The study included 76 patients. We documented basic data, anticoagulant medication, type of surgery, and tooth socket sutures in respective patients. Results. The vast majority of patients took a coumarin derivative (41) and acetylsalicylic acid (27). Nine (12%) of the patients had to be hospitalized due to ongoing bleeding despite local haemostyptic steps and/or circulatory dysregulation. Most patients could be successfully treated in outpatient settings. No statistically significant correlation between bleeding, level of INR value, number of extracted teeth, and sewed alveoli could be shown. Sixty-five percent of cases with tooth extractions did not have suture of tooth sockets. Eighty-seven percent of the patients denied being informed about possible self-treatment options by their surgeon/dentist, and none of the patients got presurgical-fabricated bandage plate(s). Conclusions. Patients taking coumarin derivative currently, furthermore, represent the biggest anticoagulant after-bleeding group in dentoalveolar surgery. The major part of after-bleedings (90%) can be handled in an outpatient setting with simplest surgical interventions. Unfortunately, the biggest part of the patient collective got no suture, no prefabricated dental bandage plate(s), and no explanation by their dentist how to handle in case of after-bleeding. Therefore, dental practitioners should furthermore get enlightenment on how to prevent after-bleeding situations.

scholarly journals Contribution of ICOH to Address the Different OSH Needs among Countries: Results of a Survey

2021 ◽  
Vol 18 (9) ◽  
pp. 4665
Author(s):  
Bruna Rondinone ◽  
Antonio Valenti ◽  
Valeria Boccuni ◽  
Erika Cannone ◽  
Pierluca Dionisi ◽  
...  
Keyword(s):  
Occupational Safety ◽  
Multidisciplinary Approach ◽  
Multiple Correspondence Analysis ◽  
Gdp Per Capita ◽  
Online Questionnaire ◽  
Research Education ◽  
Country Level ◽  
Safety And Health ◽  
Per Capita ◽  
And Training

The aim of this study is to map the coverage of occupational safety and health (OSH) rules and provisions and their enforcement at a country level worldwide. Members’ participation in the International Commission on Occupational Health (ICOH) activities was also investigated. We used a questionnaire-based survey to collect data. An online questionnaire was administered from February 14 to March 18, 2018 to all ICOH members for the triennium 2015 to 2017 (n = 1929). We received 384 completed questionnaires from 79 countries, with a 20% response rate. To synthesize information about the coverage of OSH rules and provisions and their level of enforcement, a synthetic coverage index was calculated and combined with country, gross domestic product (GDP) per capita and the human development index (HDI). We used multiple correspondence analysis (MCA) to analyze the members’ participation in ICOH activities. More than 90.0% of the sample declared that in their own country there is a set of rules and provisions regulating OSH in the workplace, and training procedures and tools to improve workers’ awareness. However, these rules and training procedures are mainly “partially” enforced and utilized (39.0% and 45.4%). There was no statistically significant association between country and GDP per capita and the synthetic coverage index, whilst controlling for HDI. The level of engagement in ICOH activities is higher in senior members (aged 65 years or older), coming from high-income countries, having held a position within ICOH, with a higher level of education and a researcher position. An integrated and multidisciplinary approach, which includes research, education and training, is needed to address OSH issues and their impact both at global and country level.

Awareness and Knowledge of General Dental Practitioners in Central India Towards Management of Patients with Temporomandibular Disorder: A Questionnaire-based Survey

2021 ◽  
Author(s):  
Jayashree Sajjanar ◽  
Minal Soni ◽  
Jaykumar Gade ◽  
Megha Agrawal ◽  
Arunkumar Basavaraj Sajjanar
Keyword(s):  
Temporomandibular Disorder ◽  
Central India ◽  
Causative Factor ◽  
Cross Sectional Study ◽  
Patient Centered ◽  
Cross Sectional ◽  
The Social ◽  
Dental Practitioners ◽  
Diagnosis Therapy ◽  
And Training

Introduction: Temporomandibular Disorders (TMDs) accounts for common Orofacial Pain (OFP) arising from musculoskeletal origins, affecting almost 80% of the overall population. The multifactorial nature of the disease makes it difficult to diagnose and treat and is challenging to a considerable number of General Dental Practitioners (GDPs). They’re increasingly approached by patients for advice on TMD, but little is understood about how this disorder is addressed with in primary health care. Aim: To assess the awareness and knowledge regarding management of TMDs among GDPs in Central India. Materials and Methods: The cross-sectional study was conducted at Central India, Nagpur, Maharashtra, India from 20th June 2020 to 12th December 2020, including 200 general dental practitioners, who were registered under the Dental Council of India. A questionnaire consisting of 17 questions with reference to TMDs was designed and the questionnaire was circulated through a web designed program. The responses were collected, and data were analysed descriptively using Statistical Package for the Social Sciences (SPSS) statistics for windows version 24.0. Results: The mean age of the participants in the study was 24.80±1.63 years. Predominantly, participants were 164 females (82%). Among all the participants, about 181 (90.50%) of GDP’s were practicing Dentistry. The study findings suggest that the overall general practicing dentists encounter TMD cases and 162 (81%) of GDP’s treat patient at their clinic. A 76% of GDPs acknowledged the causative factor for TMD to be multifactorial and physical examination (88.50%) as the diagnostic tool. Most of the general practitioners around 126 (63%) preferred referring the patient to the specialist, maxillofacial surgeon. Among the practitioners who were confident in treating TMD, occlusal splint was the treatment of choice for 198 (96%) of the GDPs. Conclusion: Many GDPs lack standard protocol knowledge, felt insecure in TMD diagnosis, therapy decisions and treatment. There is a requirement for better quality evidence on which TMD diagnosis and treatment, including the event of a valid, reproducible patient-centered outcome measure to enable dental practitioners to feel confident in managing TMD. It is essential to train GDPs to identify individuals with TMDs through professional courses and training. It would be highly beneficial to educate the undergraduates regarding the diagnosis of TMDs in their curriculum.

scholarly journals A Balanced Professional in Dentistry: Perception of Supervisors

2019 ◽  
pp. 378-385
Author(s):  
Norlela Yacob ◽  
Wan Mohamad Nasir Wan Othman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Qualitative Study ◽  
Health Services ◽  
Curriculum Development ◽  
Leadership Qualities ◽  
Socially Responsible ◽  
Dental Surgery ◽  
Clinical Supervisors ◽  
And Training

The curriculum of the Bachelor of Dental Surgery in Faculty of Dentistry, USIM is based on the integration of naqli (revealed) and aqli (acquired) knowledge. It aspires its graduates to exhibit the values of balanced professionals in providing community oral health care by being technically competent, socially responsible, spiritually enlighted and professionally accountable. Their clinical supervisors are in an enviable position to assess them from these perspectives. The aim of this paper was to determine the supervisors’ perception on the performance of the graduates from the Faculty of Dentistry, USIM who were under their charge. It was a qualitative study on the performance of 100 graduates from the first three batches. A total of 21 supervisors spread across the country responded to an open-ended questionnaire on the qualities of USIM graduates under their supervision.  They may supervise more than one graduate. The perceptions of the supervisors were categorised into three major themes. They felt that the graduates were socially responsible in performing their functions with competence in the community oral health services They were seen to have good personal and leadership qualities. Their supervisors also perceived them to require further exposure, guidance and training as they were new to the service.  The results indicated that the Bachelor of Dental Surgery programme at USIM was able to instill the values of a balanced professional in dentistry among its graduates but these values need to be further enhanced in providing care in the community. These findings can provide the principles in curriculum development to enhanced the qualities of the graduates in the context of balanced professional.  

scholarly journals Proceedings of the Closed Round Table and Italian Consensus on Clinical Appropriateness in Oral Medicine and Oral Surgery – Part I

2019 ◽  
Vol 10 ◽  
Author(s):  
Giuseppina Campisi ◽  
Giacomo Oteri ◽  
SIPMO Study Group ◽  
SIdCO Study Group
Keyword(s):  
Oral Surgery ◽  
Round Table ◽  
Oral Medicine
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