Fracture of the maxillary tuberosity: Troubleshooting in general dental practice and a proposed fracture classification

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 99-104
Author(s):  
Fiona Wright ◽  
Colin Ritchie ◽  
Nicholas J Malden ◽  
Eleni Besi
Keyword(s):  
General Practice ◽  
Patient Outcomes ◽  
Dental Practice ◽  
Fracture Classification ◽  
Initial Management ◽  
Appropriate Treatment ◽  
Maxillary Molar ◽  
Maxillary Tuberosity ◽  
Improve Patient ◽  
Timely Delivery

A tuberosity fracture can prevent or delay the timely delivery of the most appropriate treatment option for a maxillary molar. This is a relatively common complication, but should not prevent treatment in general practice provided the clinician has adequately risk assessed, planned and obtained informed consent. Should a fracture occur, its initial management in general practice is encouraged. This article aims to improve patient outcomes by providing a troubleshooting guide. A fracture classification is suggested to aid assessment, recognition and management. Should referral to secondary care be required, a classification system will provide a basis for discussion and clarity on further management. CPD/Clinical Relevance: This article provides a tuberosity fracture classification to guide clinicians in the management of patients who have sustained such a fracture.

scholarly journals Maxillary Tuberosity Fracture Associated with First Molar Extraction: A Case Report

2007 ◽  
Vol 01 (04) ◽  
pp. 256-259 ◽  
Author(s):  
Hidayet B Polat ◽  
Sinan Ay ◽  
M Isa Kara
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Treatment Outcomes ◽  
Molar Tooth ◽  
Dental Practice ◽  
Maxillary Molar ◽  
Molar Teeth ◽  
Teeth Extraction ◽  
Maxillary Tuberosity ◽  
Molar Extraction

ABSTRACTMaxillary tuberosity fractures during molar teeth extraction can occur commonly in dental practice; however, very few cases are reported and discussed in the literature. This article presents a case of large fracture of maxillary tuberosity during extraction of first maxillary molar tooth and its conservative treatment outcomes. (Eur J Dent 2007;1:256-259)

scholarly journals Unlocking the potential of health systems using privacy preserving record linkage: A pilot project exploring the research potential of developing a linkable general practice dataset

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
James Boyd ◽  
Yuen Ai Lee ◽  
Adrian Brown ◽  
Sean Randall ◽  
Anna Ferrante
Keyword(s):  
General Practice ◽  
Patient Outcomes ◽  
Record Linkage ◽  
Pilot Project ◽  
Privacy Preserving ◽  
Bloom Filters ◽  
Linkage Data ◽  
Real World Data ◽  
Acquisition Processes ◽  
Improve Patient

BackgroundGeneral practice is a rich source of health data for research. It is an important resource which can be used to improve patient management, reduce costs and improve patient outcomes. Traditionally, the challenge has been around access to general practice data which remains hard to ‘join up’. This abstract describes technology developed to support aspirations of the MedicineInsight program to provide linked de-identified general practice data that can be used to derive insights to enable better patient outcomes. Main AimThe aim of this project was to use real-world data to identify technical, logistical and analytical requirements throughout the linkage process. Logistical aims covered the negotiation, approval and data acquisition processes, as well as data linkage and data delivery aspects performed by technical and data service stakeholders. Methods/Approach Given the sensitivity of the information involved, the project employed a privacy preserving record linkage methodology. This method uses encrypted personal identifying information (Bloom filters) in a probability-based linkage framework to help mitigate risk while maximising linkage quality. Existing MedicineInsight systems were extended to automatically generate encoded linkage data at each general practice. Pilot linkages were then used to validate the capability/capacity of CDL infrastructure to create secure extensible linked general practice datasets. ResultsThe project has successfully developed interoperable technology to create a transparent data catalogue which is linkable to other datasets. This technology has been embedded with MedicineInsight systems and results of the pilot linkages are being evaluated. The project will make recommendations to enable consistent delivery of linkage services across care settings. ConclusionOutcomes from the project will improve delivery of record linkage services to the health and broader research community. Using linked data from across the care continuum, researchers will be able to evaluate the effectiveness of service delivery and provide evidence for policy and programme development.

Combined Approaches to the Skull Base for Intracranial Extension of Tumors via Perineural Spread can Improve Patient Outcomes

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Sheri Palejwala ◽  
Jonnae Barry ◽  
Crystal Rodriguez ◽  
Chandni Parikh ◽  
Stephen Goldstein ◽  
...  
Keyword(s):  
Skull Base ◽  
Patient Outcomes ◽  
Intracranial Extension ◽  
Perineural Spread ◽  
Improve Patient

Microporous Polysaccharide Hemosphere Absorbable Hemostat (AristaAH®) in Re-Operative Cardiac Surgical Procedures

2012 ◽  
Vol 9 (2) ◽  
pp. 96-98
Author(s):  
Brian A Bruckner ◽  
Matthias Loebe
Keyword(s):  
Patient Outcomes ◽  
Surgical Procedures ◽  
Systematic Approach ◽  
Surgical Intervention ◽  
Transfusion Requirement ◽  
Cardiac Surgical Procedures ◽  
Platelet Inhibitors ◽  
Hemostatic Agents ◽  
Surgical Field ◽  
Improve Patient

Patients undergoing re-operative cardiac surgical procedures present a great challenge with regard to obtaining hemostasis in the surgical field. Adhesions are ever-present and these patients are often on oral anti-coagulants and platelet inhibitors. As part of a well-planned surgical intervention, a systematic approach to hemostasis should be employed to decrease blood transfusion requirement and improve patient outcomes. Topical hemostatic agents can be a great help to the surgeon in achieving surgical field hemostasis and are increasingly being employed. Our approach, to these difficult patients, includes the systematic and planned use of AristaAH, which is a novel hemostatic agent whose use has proven safe and efficacious in our patient population.

FRACTURES OF MAXILLARY TUBEROSITY DURING EXTRACTION OF MAXILLARY MOLAR- A CASE REPORT AND REVIEW

2018 ◽  
Vol 5 (5) ◽  
pp. 391
Author(s):  
Mohan Naik ◽  
Vikas Dhupar ◽  
Francis Akkara ◽  
Praveen Kumar
Keyword(s):  
Case Report ◽  
Maxillary Molar ◽  
Maxillary Tuberosity

scholarly journals How to improve emergency care to adults discharged within 24 hours? Acute Care planning in Emergency departments (The ACE study): a protocol of a participatory design study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041743
Author(s):  
Christina Østervang ◽  
Annmarie Touborg Lassen ◽  
Charlotte Myhre Jensen ◽  
Elisabeth Coyne ◽  
Karin Brochstedt Dieperink
Keyword(s):  
Patient Outcomes ◽  
Participatory Design ◽  
Hospital Admissions ◽  
Phase 1 ◽  
Family Needs ◽  
Focus Group Interviews ◽  
Phase 3 ◽  
Ace Study ◽  
Group Interviews ◽  
Improve Patient

IntroductionThe development of acute symptoms or changes in diseases led to feelings of fear and vulnerability and the need for health professional support. Therefore, the care provided in the acute medical and surgical areas of the emergency department (ED) is highly important as it influences the confidence of patients and families in managing everyday life after discharge. There is an increase in short-episode (<24 hours) hospital admissions, related to demographic changes and a focus on outpatient care. Clear discharge information and inclusion in treatment decisions increase the patient’s and family’s ability to understand and manage health needs after discharge, reduces the risk of readmission. This study aims to identify the needs for ED care and develop a solution to improve outcomes of patients discharged within 24 hours of admission.Methods and analysisThe study comprises the three phases of a participatory design (PD). Phase 1 aims to understand and identify patient and family needs when discharged within 24 hours of admission. A qualitative observational study will be conducted in two different EDs, followed by 20 joint interviews with patients and their families. Four focus group interviews with healthcare professionals will provide understanding of the short pathways. Findings from phase 1 will inform phase 2, which aims to develop a solution to improve patient outcomes. Three workshops gathering relevant stakeholders are arranged in the design plus development of a solution with specific outcomes. The solution will be implemented and tested in phase 3. Here we report the study protocol of phase 1 and 2.Ethics and disseminationThe study is registered with the Danish Data Protection Agency (19/22672). Approval of the project has been granted by the Regional Committees on Health Research Ethics for Southern Denmark (S-20192000–111). Findings will be published in suitable international journals and disseminated through conferences.

scholarly journals Epidemiology and outcomes from severe hypoglycemia in Kuwait: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalal Al Hasan ◽  
Ameen Yaseen ◽  
Mohammad Al Roudan ◽  
Lee Wallis
Keyword(s):  
Severe Hypoglycaemia ◽  
Management Strategies ◽  
Severe Hypoglycemia ◽  
Inclusion Criteria ◽  
Initial Management ◽  
Scene Management ◽  
Prehospital Management ◽  
Improve Patient Management ◽  
Current Guidelines ◽  
Improve Patient

Abstract Background The objective of this study was to describe the epidemiology of severe hypoglycaemia in Kuwait, aiming to provide a preliminary background to update the current guidelines and improve patient management. Method This was a prospective analysis of severe hypoglycaemia cases retrieved from emergency medical services (EMS) archived data between 1 January and 30 June 2020. The severe hypoglycaemia cases were then sub-grouped based on EMS personal initial management and compared in terms of scene time, transportation rate, complications and outcomes. The primary outcomes were GCS within 10–30 min and normal random blood glucose (RBS) within 10–30 min. Results A total of 167 cases met the inclusion criteria. The incidence of severe hypoglycaemia in the national EMS was 11 per 100,000. Intramuscular glucagon was used on scene in 89% of the hypoglycaemic events. Most of the severe hypoglycaemia patients regained normal GCS on scene (76.5%). When we compared the two scene management strategies for severe hypoglycaemia cases, parenteral glucose administration prolonged the on-scene time (P = .002) but was associated with more favourable scene outcomes than intramuscular glucagon, with normal GCS within 10–30 min (P = .05) and normal RBS within 10–30 min (P = .006). Conclusion: Severe hypoglycaemia is not uncommon during EMS calls. Appropriate management by EMS personals is fruitful, resulting in favourable scene outcomes and reducing the hospital transportation rate. More research should be invested in improving and structuring the prehospital management of severe hypoglycaemia. One goal is to clarify the superiority of parenteral glucose over intramuscular glucagon in the prehospital setting.

67 The Evolution of A Frailty Service

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
C Abbott ◽  
K Bishop ◽  
F Hill ◽  
C Finlow ◽  
R Maraj
Keyword(s):  
Cost Effectiveness ◽  
Patient Outcomes ◽  
Local Population ◽  
Management Team ◽  
Pdsa Cycle ◽  
North Wales ◽  
Number Of Patients ◽  
Constant State ◽  
Clinical Resource ◽  
Improve Patient

Abstract Introduction In September 2017 our frailty service was started within our medium sized DGH in North Wales. Working with our management team we secured a significant clinical resource including: We describe how resources, setting and staffing develop over a 2 year period in order to create a service which meets the needs of the local population. Method The service has been in a constant state of development since it has been in operation, utilising a PDSA model with regular meetings of clinical and managerial staff to analyse performance. Results With each new PDSA cycle the amount of patients reviewed has increased. With the move to AMU we increased the monthly number of patients reviewed from 29 to 172 patients reviewed, 97 of which were discharged directly from the unit. Conclusion Using QI methodology our Frailty Service has improved dramatically since its inception. We will continue to analyse how we work to improve patient outcomes and cost effectiveness.

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