scholarly journals Evaluasi dan penatalaksanaan pasien medically-compromised di tempat praktek gigi Evaluation and management of medically compromised patient in dental practice

2011 ◽  
Vol 10 (1) ◽  
pp. 47
Author(s):  
Evy Eida Vitria

As a dentist, before doing dental procedure, especially regarding surgical intervention, It is necessary to ascertainthe general health of the patient whether the condition is safe enough to do dental procedure. This requires anappropriate and accurate evaluation in determining the systemic condition of medically compromised patients,which focus on pathophysiology of the disease, signs and symptoms, laboratory findings, currently accepted medicaltherapies, as well as recommendations for specific dental treatment. So, the best possible treatment procedures canbe provided and complications can be avoided.

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Abbas Al Mutair ◽  
Saad Alhumaid ◽  
Waad N. Alhuqbani ◽  
Abdul Rehman Z. Zaidi ◽  
Safug Alkoraisi ◽  
...  

Abstract Background Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) emerged from China in December 2019 and has presented as a substantial and serious threat to global health. We aimed to describe the clinical, epidemiological, and laboratory findings of patients in Saudi Arabia infected with SARS-CoV-2 to direct us in helping prevent and treat coronavirus disease 2019 (COVID-19) across Saudi Arabia and around the world. Materials and methods Clinical, epidemiological, laboratory, and radiological characteristics, treatment, and outcomes of pediatric and adult patients in five hospitals in Riyadh, Saudi Arabia, were surveyed in this study. Results 401 patients (mean age 38.16 ± 13.43 years) were identified to be SARS-CoV-2 positive and 80% of cases were male. 160 patients had moderate severity and 241 were mild in severity. The most common signs and symptoms at presentation were cough, fever, fatigue, and shortness of breath. Neutrophil and lymphocyte counts, aspartate aminotransferase, C-reactive protein, and ferritin were higher in the COVID-19 moderate severity patient group. Mild severity patients spent a shorter duration hospitalized and had slightly higher percentages of abnormal CT scans and X-ray imaging. Conclusions This study provides an understanding of the features of non-ICU COVID-19 patients in Saudi Arabia. Further national collaborative studies are needed to streamline screening and treatment procedures for COVID-19.


2020 ◽  
Vol 11 (2) ◽  
pp. 113-116
Author(s):  
Dinesh Rokaya

The coronavirus disease (COVID-19) has spread globally. Dentists, dental specialists, dental assistants, dental staff, and patients are potentially at higher risk of COVID-19 infection during dental treatments. The prosthodontic dental treatment procedures may range from low to very high risk of COVID-19. This article presents necessary recommendations regarding the prosthodontic dental treatment procedures with standards of care and infection control.


2021 ◽  
Vol 7 (2) ◽  
pp. 98-101
Author(s):  
Lalita Sheoran ◽  
Monika Sehrawat ◽  
Divya Sharma ◽  
Dania Fatima ◽  
Marikinda Manzoor

During the spread of pandemic disease, dental practice come across the highest risk of corona virus infection by the exposure from patient saliva, aerosols generation during the dental procedure, blood contamination during oral surgical procedure. This virus can be transmitted from symptomatic to asymptomatic individual through aerosol spread, saliva contamination. Due to its ability of airborne transmission, so aerosols generated through natural activity or during the time of any dental treatment procedure has the ability to transmit the virus from infected person to the surrounding person.


2002 ◽  
Vol 26 (4) ◽  
pp. 389-393 ◽  
Author(s):  
Warren Brill

Clinicians anecdotally believe that children, who have an invasive dental procedure after the initial office visit, often exhibit negative behavior at the recall examination. The purpose of this study was to document the behavior of children having the first recall visit at a private pediatric dental practice to determine if the restorative dentistry experience influenced behavior at recall. All children presenting for the first recall visit in the private practice of the author were included in the study (n = 271). Patient age, method of payment as an indicator of socio-economic status and whether or not they had restorative dental treatment subsequent to the initial visit was recorded by the author, who was also the treating dentist. Behavior was evaluated using the scale formulated by Sarnat, which rates behavior in 5 categories from completely cooperative to completely uncooperative. Behavior at the initial visit was also recorded and retrieved from retrospective examination of patient records. The results showed that 3 to 6 year olds, who underwent restorative dentistry, exhibited more negative behavior than those who did not. No difference in behavior was found in those children under 3 years or over 6 years of age. Depending on the age, behavior at the first recall visit may be influenced by having undergone a restorative dental procedure after the initial examination.


2019 ◽  
Vol 10 (4) ◽  
pp. 324-329 ◽  
Author(s):  
Alexander Maninagat Luke ◽  
Simy Mathew ◽  
Maram Majed Altawash ◽  
Bayan Mohammed Madan

Lasers in dentistry began to gain popularity in the 1990s. Lasers in dentistry are used as a treatment tool or as an adjunct tool. By using the laser in the field of dentistry, the main goal is to overcome the disadvantages, which are currently being experienced in conventional dental treatment procedures. Many specialties in dentistry including oral surgery, implants, oral medicine, periodontics, pediatrics, and operative use the current new laser technology. The ability of lasers to provide minimally invasive procedures with less discomfort to the patient has been useful in the patient delivery system in dental practice. This article describes in brief on the uses of lasers in oral mucosal lesions.


Author(s):  
Katarzyna Mocny-Pachońska ◽  
Rafał J. Doniec ◽  
Sylwia Wójcik ◽  
Szymon Sieciński ◽  
Natalia J. Piaseczna ◽  
...  

Background: Dental schools are considered to be a very stressful environment; the stress levels of dental students are higher than those of the general population. The aim of this study was to assess the level of stress among dental students while performing specific dental procedures. Methods: A survey was conducted among 257 participants. We used an original questionnaire, which consisted of 14 questions assigned to three categories: I—Diagnosis, II—Caries Treatment, and III—Endodontic Treatment. Each participant marked their perceived level of stress during the performed dental treatment procedures. The scale included values of 0–6, where 0 indicates no stress, while 6 indicates high stress. Results: Third- (p=0.006) and fourth-year (p=0.009) women were characterized by a higher level of perceived stress during dental procedures related to caries treatment. Caries treatment procedures were the most stressful for 18.3% of third-year students, 4.3% of fourth-year students, and 3.2% of fifth-year students. Furthermore, 63.4% of third-year students, 47.3% of fourth-year students, and 17.2% of fifth-year students indicated that they felt a high level of stress when performing endodontic procedures. Conclusion: Third- and fourth-year female students are characterized by a higher level of stress during caries and endodontic treatment procedures. The most stressful treatments for participants were endodontic treatment procedures.


2010 ◽  
Vol 21 (2) ◽  
pp. 187-194
Author(s):  
Colleen Trevino

Strategies for the management of small bowel obstructions have changed significantly over the years. Nonoperative medical management has become the mainstay of treatment of many small bowel obstructions. However, the key to the management of small bowel obstructions is identifying those patients who need surgical intervention. Identification of those at risk for bowel ischemia and bowel death is an art as much as it is a science. Using the current literature and the past knowledge regarding small bowel obstructions, the clinician must carefully identify the signs and symptoms that suggest the need for operative intervention. Classification of the obstruction, history and physical examination, imaging, response to decompression and resuscitation, and resolution or progression of symptoms are the key factors influencing the management of small bowel obstructions.


2003 ◽  
Vol 22 (12) ◽  
pp. 665-668 ◽  
Author(s):  
Hüseyin Çaksen ◽  
Dursun Odabaş ◽  
Sinan Akbayram ◽  
Yaşar Cesur ◽  
Şükrü Arslan ◽  
...  

Deadly nightshade (Atropa belladonna) intoxication has been infrequently reported in both children and adults in the literature. In this article, the clinical and laboratory findings of 49 children with acute deadly nightshade intoxication are reviewed. Our purpose was to enlighten the findings of deadly nightshade intoxication in childhood. The most common observed symptoms and signs were meaningless speech, tachycardia, mydriasis, and flushing. None of the children required mechanical ventilation or died in our series. The patients were categorized into two groups, mild/moderate and severe intoxication. Children with and without encephalopathy were accepted as severe and mild/moderate intoxication, respectively. While 43 children were placed in the group of mild/moderate intoxication, six were in severe intoxication group. We found that meaningless speech, lethargy, and coma were more common, but tachycardia was less common in the severe intoxication group (children with encephalopathy) (P B-0.05). In the treatment, neostigmine was used in all children because of no available physostigmine in our country. In conclusion, our findings showed that the initial signs and symptoms of acute deadly nightshade intoxication might be severe in some children, but no permanent sequel and death were seen in children. We also showed that meaningless speech, lethargy, coma, and absence of tachycardia were ominous signs in deadly nightshade intoxication in childhood. Lastly, we suggest that neostigmine may be used in cases of deadly nightshade intoxication if physostigmine cannot be available.


2008 ◽  
Vol 36 (2) ◽  
pp. 369-374 ◽  
Author(s):  
Panagiotis Baltopoulos ◽  
Charalampos Tsintzos ◽  
George Prionas ◽  
Maria Tsironi

Background Thoracic outlet syndrome is described as a group of distinct disorders producing signs and symptoms attributed to compression of nerves and blood vessels in the thoracic outlet region. Purpose To describe the exercise-induced scalenus anticus syndrome attributed to the anterior scalenus hypertrophy as a thoracic outlet syndrome underlying mechanism and to give recommendations for a safe and effective surgical treatment. Study Design Case series; Level of evidence, 4. Methods Twelve young professional athletes admitted for thoracic outlet syndrome (8 cases of neurologic thoracic outlet syndrome, 4 cases of mixed neurologic and vascular thoracic outlet syndrome) who reported numbness, tingling, early fatigue, muscle weakness, and pain were enrolled in the study. Scalenus hypertrophy was suspected to be the causative factor. Scalenectomy was performed in all cases. Results All patients had moderate to severe hypertrophy of the anterior scalenus muscle. Scalenectomy was performed, and there were no intraoperative or postoperative complications. Full activity was quickly achieved, and no recurrence of symptoms was documented. Conclusion Surgical intervention for scalenus anticus syndrome can allow an athlete to return to full activity and improve quality of life. Surgical intervention seems to be the treatment of choice in terms of restoring quality of life and physical activity.


2001 ◽  
Vol 89 (2) ◽  
pp. 425-430 ◽  
Author(s):  
Michael Frazer ◽  
Stan Lindsay

100 adults, selected for cosmetic dental treatment in a general dental practice, completed a 42-item questionnaire designed, on the basis of previous research and the author's clinical experience, to measure concern for dental appearance. This had high internal consistency and was reduced to a questionnaire of 23 items with internal consistency shown by a standardised Cronbach alpha of .84. An exploratory factor analysis with varimax rotation identified six factors, the main one appearing to be a measure of concern for dental appearance. The high internal consistency suggests that the total score for the revised questionnaire is a measure of a construct, concern for dental appearance. Although the simplest measure of that may be contained in the items for the first factor, a much larger sample would be necessary to confirm the complex factor structure and so the questionnaire's total score is probably the more reliable measure at present. A study is summarised showing that the total score provides a measure that, in statistical regression analysis, may predict the intentions of adults to take care of the appearance of their teeth.


Sign in / Sign up

Export Citation Format

Share Document