scholarly journals Role of Communication, Professionalism, and Clinical Care Skills of Postgraduate Students on Patients Recall Visits in Dental School—An Observational Study

2020 ◽  
Vol 7 (6) ◽  
pp. 1563-1567
Author(s):  
Mohan Kumar Pasupuleti ◽  
Gautami Subhadra Penmetsa ◽  
Meghana Gangolu ◽  
Santosh Venkata Ramesh Konathala ◽  
Sruthima Naga Venkata Satya
Keyword(s):  
Periodontal Diseases ◽  
Clinical Care ◽  
Periodontal Health ◽  
Postgraduate Students ◽  
Dental Patients ◽  
Effective Evaluation ◽  
Clinical Encounters ◽  
Dental Schools ◽  
New Criteria

Preservation of periodontal health after periodontal therapy is paramount for the complete elimination of periodontal diseases. In most of the Dental Schools, recall appointments are considerably low, and in particular, to the Department of Periodontics, the compliance to recall visits by the patients diagnosed with periodontal disease is still inadequate. Faculty from the Department of Periodontics framed new criteria to follow in the comprehensive clinics by the postgraduate students. The criteria include communication, intraoral examination skills, and professionalism toward dental patients. Faculty in each comprehensive dental clinic observed the clinical encounters of postgraduate students with patients and provided the feedback. The study conducted from May 2018 to April 2019, and the patients attended were 1164 of 1544. Unattended patients were 380 of 1544. Effective evaluation of the feedback provided by faculty and communication with both the postgraduate students and unattended patients resulted in further improvement in recall, that is, 151 of 380 patients. Reframed criteria, direct observation of the postgraduate students by faculty during patients interaction, assessment of feedback forms, and immediately modifying the student’s way of communication allowed maximum recall visits to the Department of Periodontics.

scholarly journals Role of Periodontist in Pediatric Dental Patients

2015 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Amit Bhardwaj ◽  
Harpreet Singh Grover ◽  
Yogender Singh
Keyword(s):  
Clinical Skills ◽  
Periodontal Diseases ◽  
Interdisciplinary Approach ◽  
Clinical Situation ◽  
Interdisciplinary Management ◽  
Comprehensive Management ◽  
Dental Patients ◽  
Modern Age ◽  
Timely Treatment

ABSTRACT Modern age dentistry is very much different from what it was in the past. In this period of super specialization, clinical skills are tuned finely with professional expertise is improved. Interdisciplinary approach is mandatory to deal with any clinical situation to provide optimal and timely treatment results. This paper gives the emphasis on comprehensive management of young people with gingival and periodontal diseases. The paper provides the background to the condition, the possible etiological factors, the prevalence of peridontal diseases and other related conditions. Lastly, there is consideration of the role of the periodontist in interdisciplinary management of the affected child and young patient. How to cite this article Grover HS, Singh Y, Bhardwaj A. Role of Periodontist in Pediatric Dental Patients. World J Dent 2015;6(1):49-54.

scholarly journals Evaluation of the Knowledge and Awareness of Dental Patients in Saudi Arabia on Periodontal Health and Diseases

2020 ◽  
Vol 14 (1) ◽  
pp. 459-464
Author(s):  
Eman Allam ◽  
Nouf Alshibani ◽  
Yara Alshibani ◽  
Reem Alkattan
Keyword(s):  
Risk Factors ◽  
Saudi Arabia ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Knowledge Gaps ◽  
Periodontal Health ◽  
Low Level ◽  
Dental Patients ◽  
Hygiene Measures

Objective: The aim of this study was to assess the periodontal health knowledge and awareness among a cohort of dental patients in Saudi Arabia. Methods: One thousand adult patients attending King Khaled University Hospital and the Dental Hospital, King Saud University, in Riyadh, KSA, were recruited to the study. The subjects completed a questionnaire that aimed to evaluate their level of awareness on etiology, risk factors, and preventive measures related to periodontal disease. Results: The study sample showed adequate awareness and general knowledge on signs and symptoms of periodontal diseases as well as risk factors for their development. Data also suggested great knowledge of oral hygiene measures for maintaining good oral hygiene. However, a low level of awareness was reported for the exact etiology of periodontal disease, as indicated by the fact that about 65% of respondents did not know or declined the fact that plaque causes periodontal disease. The participants also demonstrated a low level of awareness of the association between periodontal diseases and systemic conditions, such as coronary heart diseases and premature birth. Conclusion: The results of this study showed extensive variations and knowledge gaps between different aspects related to periodontal disease. In order for comprehensive oral health educational programs to be effective and to achieve their goals, they should be designed to fulfill these knowledge gaps and tailored to target the areas of least awareness, such as etiology and systemic conditions association.

scholarly journals Association between periodontal diseases and cardiovascular diseases in Cameroon

2018 ◽  
Author(s):  
Lawrence Essama Eno Belinga ◽  
Williams Bell Ngan ◽  
Daniel Lemougoum ◽  
Alain Serges Patrick Essam Nlo’o ◽  
Bienvenu Bongue ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Cardiovascular Diseases ◽  
Prospective Observational Study ◽  
Periodontal Diseases ◽  
Wilcoxon Test ◽  
History Taking ◽  
Periodontal Health ◽  
Dental Patients ◽  
The Mean

To assess the association between periodontal diseases and cardiovascular diseases in dental patients in Cameroon, a prospective observational study was carried out in 3 hospitals in Cameroon from January 2013 to December 2015. Data on general condition, age, gender and lifestyle were collected during medical history taking. The Dutch Periodontal Screening Index assessed periodontal health during oral examination. The Wilcoxon test, the Fisher test and logistic regression analysis were performed. 558 patients (53.9% women) were included in the study. The mean age was 44±13 years (30 to 85). In terms of overall health, 161 (28.9%) had cardiovascular diseases (CVD) and 73 (13.1%) had diabetes. Hypertension accounted for 87.6% of CVD. In terms of periodontal diseases (PD), 431 (77.2%) patients had PD, the break-down by PD was 347 (62.2%) gingivitis and 84 (15%) periodontitis. Statistical associations were found between CVD and gingivitis [OR=4.30 (1.85-10.00), P=0.001], and CVD and periodontitis [OR=2.87 (1.04-7.93); P=0.04].

The changing role of GP clinicians working in community hospitals.

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696713
Author(s):  
David Seamark ◽  
Deborah Davidson ◽  
Helen Tucker ◽  
Angela Ellis-Paine ◽  
Jon Glasby
Keyword(s):  
Medical Care ◽  
Local Community ◽  
Community Hospital ◽  
Clinical Care ◽  
Hospital Setting ◽  
Community Hospitals ◽  
Recruitment Challenges ◽  
Acute Hospitals ◽  
Changing Role

BackgroundIn 2000 20% of UK GPs had admitting rights to community hospitals. In subsequent years the number of GPs engaged in community hospital clinical care has decreased.AimWhat models of medical care exist in English community hospitals today and what factors are driving changes?MethodInterviews with community hospital clinical staff conducted as part of a multimethod study of the community value of community hospitals.ResultsSeventeen interviews were conducted and two different models of medical care observed: GP led and Trust employed doctors. Factors driving changes were GP workload and recruitment challenges; increased medical acuity of patients admitted; fewer local patients being admitted; frustration over the move from ‘step-up’ care from the local community to ‘step-down’ care from acute hospitals; increased burden of GP medical support; inadequate remuneration; and GP admission rights removed due to bed closures or GP practices withdrawing from community hospital work.ConclusionMultiple factors have driven changes in the role of GP community hospital clinicians with a consequent loss of GP generalist skills in the community hospital setting. The NHS needs to develop a focused strategy if GPs are to remain engaged with community hospital care.

The potential role of tea in periodontal therapy: An updated review

2020 ◽  
Vol 17 ◽  
Author(s):  
Ali Forouzanfar ◽  
Hamideh Sadat Mohammadipour ◽  
Fatemeh Forouzanfar
Keyword(s):  
Green Tea ◽  
Potential Role ◽  
Wide Spectrum ◽  
Periodontal Diseases ◽  
Herbal Remedies ◽  
World Population ◽  
Tea Leaves ◽  
The World ◽  
Green Tea Leaves

: Periodontal diseases are highly prevalent and can affect high percentage of the world population. Oxidative stress and inflammation plays an important role in the pathogenesis of periodontal diseases. Nowadays, more attention has been focused on the herbal remedies in the field of drug discovery. Green tea is an important source of polyphenol antioxidants, it has long been used as a beverage worldwide. The most interesting polyphenol components of green tea leaves that are related with health benefits are the catechins. Taken together this review suggested that green tea with its wide spectrum of activities could be a healthy alternative for controlling the damaging reactions seen in periodontal diseases.

Interpersonal Psychotherapy for the Treatment of Eating Disorders

2010 ◽  
pp. 347-372 ◽  
Author(s):  
Marian Tanofsky-Kraff ◽  
Denise E. Wilfley
Keyword(s):  
Anorexia Nervosa ◽  
Clinical Care ◽  
Interpersonal Psychotherapy ◽  
Future Research ◽  
Cognitive Behavior ◽  
Research Directions ◽  
Routine Clinical Care ◽  
Interpersonal Factors ◽  
Future Research Directions

Interpersonal psychotherapy (IPT) is a focused, time-limited treatment that targets interpersonal problem(s) associated with the onset and/or maintenance of EDs. IPT is supported by substantial empirical evidence documenting the role of interpersonal factors in the onset and maintenance of EDs. IPT is a viable alternative to cognitive behavior therapy for the treatment of bulimia nervosa and binge eating disorder. The effectiveness of IPT for the treatment of anorexia nervosa requires further investigation. The utility of IPT for the prevention of obesity is currently being explored. Future research directions include enhancing the delivery of IPT for EDs, increasing the availability of IPT in routine clinical care settings, exploring IPT adolescent and parent–child adaptations, and developing IPT for the prevention of eating and weight-related problems that may promote full-syndrome EDs or obesity.

Death, taxes and uncertainty: Economic motivations in end-of-life decision making

2021 ◽  
pp. 147775092110114
Author(s):  
George Slade Mellgard ◽  
Jacob M Appel
Keyword(s):  
End Of Life ◽  
Ethical Issues ◽  
Conflicts Of Interest ◽  
Clinical Care ◽  
Third Party ◽  
Ethical Conflicts ◽  
Financial Interests ◽  
End Of Life Decision ◽  
Death Taxes

Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care as deeply about economic wellbeing of their families as they do for their own lives and health. This brief work examines three scenarios that raise ethical issues regarding the role of pecuniary motives in making critical medical decisions. Each scenario presents a potential financial conflict of interest between an incapacitated patient and a third-party decision-maker and offers a framework for integrating ethical and legal concerns into clinical care. It is our hope that this work prepares physicians for unexpected ethical conflicts of interest and enables them to further the interests of his or her patients.

scholarly journals Nutrition as a Key Modifiable Factor for Periodontitis and Main Chronic Diseases

2021 ◽  
Vol 10 (2) ◽  
pp. 197
Author(s):  
Prescilla Martinon ◽  
Laurie Fraticelli ◽  
Agnes Giboreau ◽  
Claude Dussart ◽  
Denis Bourgeois ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Chronic Diseases ◽  
Periodontal Diseases ◽  
Saturated Fat ◽  
Warning Signal ◽  
Dietary Quality ◽  
Omega 3 ◽  
Periodontal Health ◽  
High Fiber ◽  
Increased Risk

Nutrition is recognized as an essential component in the prevention of a number of chronic diseases, including periodontal disease. Based on these considerations, a better understanding is required regarding how the diet, and more particularly the intake of macronutrients and micronutrients, could impact the potential relationship between nutrition and periodontal diseases, periodontal diseases and chronic diseases, nutrition and chronic diseases. To overcome this complexity, an up-to-date literature review on the nutriments related to periodontal and chronic diseases was performed. High-sugar, high-saturated fat, low-polyols, low-fiber and low-polyunsaturated-fat intake causes an increased risk of periodontal diseases. This pattern of nutrients is classically found in the Western diet, which is considered as an ‘unhealthy’ diet that causes cardiovascular diseases, diabetes and cancers. Conversely, low-sugar, high-fiber and high-omega-6-to-omega-3 fatty acid ratio intake reduces the risk of periodontal diseases. The Mediterranean, DASH, vegetarian and Okinawa diets that correspond to these nutritional intakes are considered as ‘healthy’ diets, reducing this risk of cardiovascular diseases, diabetes and cancers. The role of micronutrients, such as vitamin D, E, K and magnesium, remains unclear, while others, such as vitamin A, B, C, calcium, zinc and polyphenols have been shown to prevent PDs. Some evidence suggests that probiotics and prebiotics could promote periodontal health. Periodontal and chronic diseases share, with a time delay, nutrition as a risk factor. Thus, any change in periodontal health should be considered as a warning signal to control the dietary quality of patients and thus reduce the risk of developing chronic diseases later on.

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