scholarly journals Delaying Intraoral Radiographs during the COVID-19 Pandemic: A Conundrum

2022 ◽  
Vol 2022 ◽  
pp. 1-5
Author(s):  
Harneet Kaur ◽  
Harshita Gupta ◽  
Himanshu Dadlani ◽  
Gulsheen Kaur Kochhar ◽  
Gurkeerat Singh ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Imaging Techniques ◽  
Cross Contamination ◽  
Diagnostic Efficacy ◽  
Saliva Secretion ◽  
Planning Methods ◽  
Regulatory Bodies ◽  
Gag Reflex ◽  
Dental Radiographs ◽  
Dental Emergency

Background. The COVID-19 pandemic has made dentists very assiduous about cross-infection during dental treatment, thereby delaying dental radiographs for treatment. However, patients needing dental emergency treatment in the ongoing pandemic require relevant intra/extraoral dental radiography for adequate diagnosis and treatment planning. Methods. This article is aimed at adding to the hot debate: Is delay for intraoral radiographs justified or a possible proxy? As a narrative review, it provides an insight into the reasons for delaying intra-oral dental radiographs during in the pandemic and options of the nontraditional radiographic techniques available until the pandemic subsides. Discussion and Conclusion. Cross-contamination concerns through respiratory droplets grow while using intraoral film holders that stimulate gag reflex, coughing, saliva secretion, and if proper disinfection protocols are not applied. Since the patients’ acquiring emergency dental treatment cannot be neglected, the return-to-work guidelines by the health regulatory bodies urge to prioritize extraoral radiographic imaging techniques to curb the infection, offering the best diagnostic efficacy. The dental professionals can consider cone-beam computed tomography (CBCT) scans and sectional dental panoramic radiographs (SDPRs), followed by a risk assessment for COVID-19, a safer modality in reducing cross-contamination and assuring an innocuous environment for both patient and coworkers.

Restorative dental treatment in times of COVID-19

2020 ◽  
Vol 68 ◽  
Author(s):  
Robson de Lima GOMES ◽  
Marlus da Silva PEDROSA ◽  
Claudio Heliomar Vicente da SILVA
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Dental Treatment ◽  
Close Contact ◽  
Cross Contamination ◽  
Clinical Protocols ◽  
Know How ◽  
Dental Procedures ◽  
Dental Staff ◽  
Dental Professional ◽  
Restrictive Measures

ABSTRACT Since the outbreak of the Coronavirus Disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), numerous restrictive measures have been adopted by governments of different countries. The return to elective dental care in Brazil is a reality even during the COVID-19 pandemic. During restorative dental procedures, the dental professional requires close contact with the patient, being exposed to contaminated saliva and fluids. In addition, transmission of COVID-19 by the generation of aerosol produced by dental handipieces may be possible. Thus, the dental staff must know how to act during restorative dental procedures, putting into practice the correct clinical protocols to avoid cross-contamination and COVID-19 spread. The purpose of this article is to review the literature on the biosafety practices especially in the context of restorative dental procedures in times of COVID-19.

scholarly journals Parental Knowledge Regarding Dental Radiography of Children Attending Dental Clinics in Ilam, Iran

2021 ◽  
Vol 13 (3) ◽  
pp. 76-80
Author(s):  
Vida Arzani ◽  
Ali Bagherzadeh
Keyword(s):  
Educational Attainment ◽  
Dental Treatment ◽  
Educational Achievement ◽  
Parental Knowledge ◽  
Average Score ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Bachelor's Degrees ◽  
Dental Radiographs ◽  
Fear And Anxiety

Background: Radiological examinations expose the patient to the adverse effects of ionizing radiation, which is more severe among developing children. This can cause excessive and unreasonable fear and anxiety for parents and even disrupt the treatment process. This study aimed to evaluate the parents’ knowledge about dental radiographs for children referred to dentistry, and to assess the relevant factors. Methods: The present study is a cross-sectional analytical study examining parents of children referred to dental clinics from October 2019 to April 2020. The required information included demographic information, and nine statements for assessing parents’ level of knowledge. One-way analysis of variance (ANOVA), independent t-test, and linear regression were used to analyze the data. Ward’s cluster analysis method with a squared Euclidean distance was adopted to include the background and demographic variables. Results: A total of 108 parents of children referred to Ilam dental clinics – including 69 females (68.3%) and 32 males (31.7%) in the 24-51 age range, participated in this study. Among the studied variables, the level of educational attainment of the parents had a highly significant influence (P<0.01) on their knowledge of pediatric radiography. Furthermore, parents holding bachelor’s degrees or higher with an average score of 5.35 had more heightened awareness of radiography than those in other educational groups. Conclusions: Examining the parental radiographic knowledge revealed significant differences among three groups of parents with educational attainment in favor of those with higher educational achievement. In general, three biographical variables, namely age, gender, and household size were found to be less influential. Therefore, the dentists should learn about the educational attainment of the parents and provide them with the required information on treatment accordingly. Due to the relatively poor knowledge of the parents about children’s dental radiographs, it is recommended that plans be developed for raising the parental awareness of the issue in order for reducing their unreasonable fears which may create a burden for dental treatment procedures.

scholarly journals Dental Imaging – A basic guide for the radiologist

2018 ◽  
Vol 191 (03) ◽  
pp. 192-198 ◽  
Author(s):  
Max Masthoff ◽  
Mirjam Gerwing ◽  
Malte Masthoff ◽  
Maximilian Timme ◽  
Johannes Kleinheinz ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Imaging Techniques ◽  
Cone Beam Ct ◽  
Dental Trauma ◽  
Dental Radiology ◽  
Tooth Structure ◽  
Dental Imaging ◽  
Current State ◽  
Postoperative Control ◽  
Focus Of Infection

Background As dental imaging accounts for approximately 40 % of all X-ray examinations in Germany, profound knowledge of this topic is essential not only for the dentist but also for the clinical radiologist. This review focuses on basic imaging findings regarding the teeth. Therefore, tooth structure, currently available imaging techniques and common findings in conserving dentistry including endodontology, periodontology, implantology and dental trauma are presented. Methods Literature research on the current state of dental radiology was performed using Pubmed. Results and Conclusion Currently, the most frequent imaging techniques are the orthopantomogram (OPG) and single-tooth radiograph, as well as computer tomography (CT) and cone beam CT mainly for implantology (planning or postoperative control) or trauma indications. Especially early diagnosis and correct classification of a dental trauma, such as dental pulp involvement, prevents from treatment delays or worsening of therapy options and prognosis. Furthermore, teeth are commonly a hidden focus of infection.Since radiologists are frequently confronted with dental imaging, either concerning a particular question such as a trauma patient or regarding incidental findings throughout head and neck imaging, further training in this field is more than worthwhile to facilitate an early and sufficient dental treatment. Key points  Citation Format

scholarly journals Management of gag reflex for patients undergoing dental treatment

2019 ◽  
Author(s):  
Prashanti Eachempati ◽  
Sumanth Kumbargere Nagraj ◽  
Salian Kiran Kumar Krishanappa ◽  
Renjith P George ◽  
Htoo Htoo Kyaw Soe ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Gag Reflex

scholarly journals Compare the Efficacy of Two Commercially Available Mouthrinses in reducing Viable Bacterial Count in Dental Aerosol produced during Ultrasonic Scaling when used as a Preprocedural Rinse

2013 ◽  
Vol 14 (5) ◽  
pp. 848-851 ◽  
Author(s):  
Shamila K Shetty ◽  
Karanth Sharath ◽  
Santhosh Shenoy ◽  
Chandini Sreekumar ◽  
Rashmi N Shetty ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Bacterial Count ◽  
Cross Contamination ◽  
Chlorhexidine Digluconate ◽  
Infectious Agents ◽  
Tea Tree Oil ◽  
Bacterial Colony ◽  
Tea Tree ◽  
Dental Procedures ◽  
Oral Microbes

ABSTRACT Aim To evaluate and compare the efficacy of preprocedural mouthrinses (chlorhexidine digluconate and tea tree oil) in reducing microbial content of aerosol product during ultrasonic scaling procedures by viable bacterial count. Settings and design It was a randomized single blind, placebocontrolled parallel group study. Materials and methods Sixty subjects were randomly assigned to rinse 10 ml of any one of the mouthrinses (chlorhexidine digluconate or tea tree oil or distilled water). Ultrasonic scaling was done for a period of 10 minutes in presence of trypticase soy agar plates placed at standardized distance. Plates were then sent for microbiological evaluation for the aerosol produced. Results This study showed that all the antiseptic mouthwashes significantly reduced the bacterial colony forming units (CFUs) in aerosol samples. Chlorhexidine rinses were found to be superior to tea tree when used preprocedurally in reducing aerolized bacteria. Conclusion This study advocates preprocedural dural rinsing with an effective antimicrobial mouthrinse during any dental treatment which generates aerosols, reduces the risk of crosscontamination with infectious agents in the dental operatory. Clinical significance The aerolization of oral microbes occurring during dental procedures can potentially result in cross-contamination in the dental operatory and transmission of infectious agents to both dental professionals and patient. It is reasonable to assume therefore, that any stratagem for reducing the viable bacterial content of these aerosols could lower the risk of cross-contamination. How to cite this article Shetty SK, Sharath K, Shenoy S, Sreekumar C, Shetty RN, Biju T. Compare the Efficacy of Two Commercially Available Mouthrinses in reducing Viable Bacterial Count in Dental Aerosol produced during Ultrasonic Scaling when used as a Preprocedural Rinse. J Contemp Dent Pract 2013;14(5):848-851.

scholarly journals Anesthetic Management of a Patient With Citrullinemia Type I During Dental Treatment

2021 ◽  
Vol 68 (3) ◽  
pp. 158-162
Author(s):  
Makiko Shibuya ◽  
Rie Iwamoto ◽  
Yukifumi Kimura ◽  
Nobuhito Kamekura DDS ◽  
Toshiaki Fujisawa
Keyword(s):  
Dental Treatment ◽  
Genetic Disorder ◽  
Anesthetic Management ◽  
Third Molar ◽  
Intravenous Sedation ◽  
Type I ◽  
Oral Medications ◽  
Gag Reflex ◽  
Serum Ammonia ◽  
Citrullinemia Type I

We report a case involving intravenous sedation for third molar extractions in a 32-year-old man with citrullinemia type I (CTLN1), a genetic disorder that affects the urea cycle. The patient was diagnosed with CTLN1 after he exhibited seizures soon after birth and was intellectually disabled because of persistent hyperammonemia, although his recent serum ammonia levels were fairly well controlled. We planned to minimize his preoperative fasting, continue his routine oral medications, and monitor his serum ammonia levels at least twice. Sedation with midazolam and a propofol infusion was planned to suppress his gag reflex and reduce protein hypercatabolism due to stress. Epinephrine-containing local anesthetics, which enhance protein catabolism, were avoided, replaced by plain lidocaine for blocks and prilocaine with felypressin for infiltration anesthesia. No significant elevation in ammonia levels was observed. In patients with CTLN1, sedation can be useful for preventing hyperammonemia. Patients who develop symptomatic hyperammonemia may require urgent/emergent treatment involving other medical specialists. Therefore, preoperative endocrinology consultation, perioperative monitoring of serum ammonia levels, and preemptively coordinating for appropriate care in the event hyperammonemia occurs should all be considered.

scholarly journals Efficacy of contrast-enhanced ultrasonography and shear-wave elastography in conjunction with BI-RADS classification for diagnosis of small breast nodules

2020 ◽  
Author(s):  
Yan Shen ◽  
Jie He ◽  
Miao Liu ◽  
Jiaojiao Hu ◽  
Yonglin Wan ◽  
...  
Keyword(s):  
Shear Wave ◽  
Breast Imaging ◽  
Imaging Techniques ◽  
Shear Wave Elastography ◽  
Roc Curves ◽  
Imaging Data ◽  
Diagnostic Efficacy ◽  
Predictive Values ◽  
Small Breast ◽  
Contrast Enhanced

Abstract Background: Identification of malignancy in small breast nodules can be difficult using conventional methods, especially in patients with dense breast tissue. Advanced imaging techniques, including contrast-enhanced ultrasound (CEUS) and shear-wave elastography (SWE), could be used in conjunction with the Breast Imaging Reporting and Data System (BI-RADS) classification to characterize these nodules more effectively. This retrospective study aimed to evaluate the use of CEUS and SWE for the differentiation of benign from malignant small (≤ 2 cm) breast nodules.Methods: We reviewed the medical records and imaging data of 302 patients who underwent evaluation for 305 small breast nodules from November 2015 to December 2019. The BI-RADS classification values of the nodules and the results of CEUS and SWE were retrospectively analyzed; the diagnostic efficacy of these techniques was evaluated by comparison of the pathology results. Receiver operating characteristic (ROC) curves were analyzed based on the CEUS patterns and shear-wave velocity values of the nodules. The sensitivity, specificity, positive and negative predictive values, accuracies of BI-RADS, CEUS, SWE, and a combination of all three methods for identifying benign and malignant small breast nodules were investigated.Results: CEUS was effective at diagnosing malignant nodules when at least two out of nine suspicious features were present. ROC analysis revealed that the best cut-off value for SWE was at 3.7 m/s. For the diagnosis of benign breast nodules, the BI-RADS classification was reduced by one level when both, CEUS and SWE were used, and remained unchanged when either one, CEUS or SWE was used; the highest and lowest levels were of category 5 and 3, respectively. Furthermore, when using the combined method, 75.8% (91/120) of small breast nodules with a BI-RADS category 4A classification avoided the need for coarse needle biopsies.Conclusions: CEUS and SWE can be used as auxiliary methods for clarifying BI-RADS classification of the breast nodules, and a combination of these techniques may provide more diagnostic efficacy for identifying malignancy in small breast nodules.Trial registration: Retrospectively registered.

scholarly journals Incidence and pattern of dental emergencies and their management during Covid-19 pandemic : An experience of Nepali dentists working during lock down

2020 ◽  
Vol 10 (2) ◽  
pp. 14-19
Author(s):  
Dashrath Kafle ◽  
Rajeev K Mishra
Keyword(s):  
Dental Treatment ◽  
Virus Disease ◽  
Dental Pain ◽  
Orthodontic Appliances ◽  
Medical Council ◽  
Dental Services ◽  
Microsoft Word ◽  
Dental Emergency ◽  
The Impact ◽  
The Way

Introduction: Corona Virus Disease-2019 (COVID-19) is highly contagious nature of disease which has spread all over the world in short span of time leading to significant number of death. WHO has declared pandemic and every nation is fighting with their all possible resources to control this disease. The impact of COVID-19 in dentistry is enormous. Most of the dental hospitals and clinic are providing emergency dental services only. So the aim of this research is to find out the nature of dental emergency during the initial month of lock down in Nepal. Additionally this research will try to find out the number of dental emergencies as well as perception of dentists on impact of COVID-19 on dentistry. Materials and Method : A set of electronic questionnaires were sent to 150 Nepal Medical Council registered Nepalese dentists out of which only 122 dentists responded. A consent was obtained prior to collecting data for research purpose. All the quantitative answers were recorded in SPSS spread sheet where as qualitative data were collected in Microsoft word. Descriptive statistics were applied to explain the responses whenever applicable. Result: Out of 122 respondents, maximum were from province 3 and 4 (50% and 34%). Almost half of the respondents were general dental practioners and similar percentage of respondents were working at dental/medical colleges and government centers. 90% of the doctors had consulted patients during lock down period. Average 5-20 cases were seen during the lock down by majority of doctors. Nearly 58% of the doctors had done only virtual consultation and most common emergency was dental pain(n= 92) and swelling( n= 37). Majority of the respondents thought that standard of dental disinfection and sterilization will increase after pandemic, however most of the dentists thought they will be using PPE for dental work and cost of dental treatment will be increased because of the added cost of extra precaution. 90% of the dentists believed that they are going to change the way they practice dentistry after they reopen their clinic. Conclusion: The most common type of dental emergency during lock down is dental pain ,swelling, dento-maxillofacial trauma and broken orthodontic appliances. Virtual dental consultation is gaining popularity among dentists in Nepal and Nepalese dentists are going to change the way of dental practice because of COVID-19.

scholarly journals Gag Reflex: No More A Gag To A Dentist The Behavioral Techniques, Pharmacological Techniques, Acupressure and Acupuncture in Controlling the Gag Reflex - A Review

1970 ◽  
Vol 11 (1) ◽  
pp. 12-17 ◽  
Author(s):  
S Shriprasad ◽  
HS Shilpashree
Keyword(s):  
Patient Care ◽  
Dental Treatment ◽  
Management Strategies ◽  
Dental Patients ◽  
Behavioral Techniques ◽  
Gag Reflex ◽  
Management Techniques ◽  
And Control

Gagging in dental patients can be disruptive to dental treatment and may be a barrier to a patient care, preventing the provision of treatment and the wearing of prostheses. Many management techniques have been described to control the gagging. This article reviews the literature on various management strategies described to prevent and control the gagging. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9816 BJMS 2012; 11(1): 12-17

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