scholarly journals Detection of potentially malignant diseases of the oral cavity in dental care

2021 ◽  
Vol 38 (4) ◽  
pp. 70-75
Author(s):  
A. A. Rykhlevich

Objective. To study the detection of potentially malignant diseases of the oral cavity in the provision of dental care in outpatient settings Methods. The analysis of the reporting form 039-2/y-88 for 20112020 and medical records of 2400 patients who received dental care on an outpatient basis was carried out. Results. Over the past 10 years, the proportion of people who underwent treatment of the oral mucosa has decreased, relative to the total number of admitted patients and the number of primary patients. Potentially malignant diseases of the oral cavity were diagnosed on an outpatient basis in 7.5 % of cases: leukoplakia 1.75 %, erythroplakia 0.4 %, lichen planus 1.25 %, candidiasis 4.7 %. In 65.5 % of the out-patient medical record issued for the treatment and extraction of teeth, there is no description of the oral mucosa, in 26.8 % a description of the normal state is given, in 7.7 % it is indicated that there are changes in the oral mucosa, of which 5.3 % of the changes are described with varying degrees of detail. At the same time, complaints of burning, pain in the mouth when eating and talking are present in 19.5 % of the out-patient medical record issued during the treatment and removal of teeth. Conclusions. The frequency of diagnosing potentially malignant diseases of the oral cavity in the provision of dental care in outpatient settings is lower than the data of Russian epidemiological studies. Dentists in outpatient settings do not pay due attention to the condition of the oral mucosa.

2020 ◽  
Vol 4 (7) ◽  
pp. RV1-RV7
Author(s):  
Sana Khaled ◽  
Santosh R. Bharadwaj ◽  
Bushra Anjum ◽  
Satyanarayana D.

Verrucopapillary lesions are a spectrum of benign, potentially malignant and malignant lesions of the oral mucosa which usually are misdiagnosed. They pose a great diagnostic challenge mainly due to confusing terminology and also due to similar clinical and histopathological features which often makes these lesions indistinguishable from one another. The human papilloma virus (HPV) plays a important role in the pathogenesis of majority of these lesions. This review aims to summarize and highlight the key clinical and histopathological features of these lesions, and also provides a diagnostic approach to these entities.


2018 ◽  
Vol 26 (1) ◽  
pp. 36-46
Author(s):  
I. V. Uspenskaya ◽  
S. V. Yurina

Starting from 1988 to the present time, dentists’ labor accounting is carried out by measuring the volumes of their work, expressed in standard units of labour input. This system of accounting is aimed at providing maximum assistance during one visit, reducing unproductive time, increasing preventive work. The article deals with the organization and payment for primary dental care provided on an outpatient basis within the framework of the compulsory health insurance program. An assessment is made of the conformity of the "Classifier of basic health services for primary health specialized dental care, provided in outpatient settings, expressed in standard units of labour input (SULI)» to the standard time spent per 1 SULI, taking into account the new standard indicators. Scale of cost units as per 1 SULI was defined on the basics of the most common dental practice of the day: a five-day 33-hour work week of a dentist-therapist. On the average, the standard time spent on 1 SULI is 9.9 minutes. This proves that the normative time spent on 1 SULI corresponds to the indices of the “Classifier…”, and that it is defined regarding the time norms, spent by a dentist-therapist on 1 visit (44 minutes).


2020 ◽  
Vol 24 (1) ◽  
pp. 14-20
Author(s):  
Sanja Hadžić ◽  
Mirjana Gojkov-Vukelić ◽  
Enes Pašić ◽  
Arma Muharemović ◽  
Indira Mujić Jahić

SummaryBackground/Aim: Potentially malignant oral lesions (PMOL) are lesions that have an increased risk of malignant transformation concerning healthy oral mucosa. This research aimed to assess the knowledge of students of final years of study on the potentially malignant lesions of the oral cavity.Material and Methods: 120 students of the fourth and fifth years of study participated in this research,60 respondents were fourth-year students, 60 respondents were fifth-year students. All of the respondents signed informed consent.According to the type of research, this is a cross-sectional study which was conducted by completing a 15-item questionnaire. The results were statistically analyzed and processed in the SPSS Statistics 21.0 program.Results: The results indicate that during the clinical examination the fourth and fifth-year students examine the oral mucosa as well. 61% of the students find themselves poorly informed on the PMOL. In the fourth year of study, only 5,5% of students responded that they were well informed, while in the fifth year that number totaled 28,5%. When knowledge self-assessment is concerned the difference has shown itself to be statistically significant between the fourth and fifth-year students. When asked what knowledge on the prevention of oral cancer they expect to receive during their studies, 78% of the students expected more knowledge than at that moment – 36% of which were fifth-year students, and 42% were fourth-year students.Conclusions: Even though the oral cavity is easily accessible to examination, the discovery of oral cancer occurs quite late. Ours, as well as results of other studies, impose the need for better theoretical and practical education of the students.


2021 ◽  
Vol 77 (1) ◽  
pp. 40-43
Author(s):  
A.E. Kriventsev ◽  
◽  
V.S. Popkov ◽  

Currently, in the clinical practice of a dentist-surgeon, patients with various diseases, anomalies and deformities in the oral cavity are often found. The red lichen planus (CPL) is not an exception. This paper discusses the main features of the course of the disease in the oral cavity and possible approaches to therapeutic tactics in surgical intervention. Thus, patients with CPL have edema, hyperemia, multiple or single nodular rashes on the oral mucosa (SOPR), enlarged and painful lymph nodes, and discoloration of the gums. Among the main complaints are pain and bleeding in the area of the changed SOPR, which aggravates the process of surgical intervention and creates certain difficulties for the dentist-surgeon. Due to the spread of this disease among people from 30 to 60 years old, who often require dental care, clinicians need and need to have knowledge about this pathology.


2020 ◽  
Vol 75 (3) ◽  
pp. 79-82
Author(s):  
Yu.A. Makedonova ◽  
◽  
A.E. Kriventsev ◽  
S.A. Veremeenko ◽  
D.Y. Dyachenk ◽  
...  

In the clinical practice of a dentist-orthopedist, patients with various diseases, abnormalities and deformities are often found. In this case, there may often be a relationship between General somatic pathology and manifestations in the oral cavity. Parkinson's disease is no exception. This paper discusses the main features of the course of the disease in the oral cavity and the principles of a differentiated approach to orthopedic treatment. So in patients with Parkinson's disease, sialorrhea (salivation, hypersalivation), dryness of the red border of the lips and oral mucosa, speech changes, «prosthetic» stomatitis are observed. At the same time, these patients have sensory and vegetative disorders, violation of muscle tone, which aggravates the process of prosthetics and creates certain difficulties for a dentist-orthopedist. Due to the spread of this disease among the elderly, who often require dental care, clinicians need to know about this pathology.


2017 ◽  
Vol 05 (02) ◽  
pp. 104-109
Author(s):  
Anjali Narwal ◽  
Mala Kamboj ◽  
Shruti Gupta ◽  
Esha Singh ◽  
Pooja Sharma

AbstractOral submucous fibrosis (OSMF) is a well-recognized, potentially malignant condition of the oral cavity that can affect any part of the oral mucosa. It is strongly associated with a risk of oral cancer, although the biology underlying this association is still unresolved. The purpose of this paper is to show the histopathological prototypical illustration of OSMF turning into oral squamous cell carcinoma.


2017 ◽  
Vol 8 (4) ◽  
pp. 73-77
Author(s):  
Andrey V. Kim ◽  
Alexander L. Rubezhov ◽  
Tatiana M. Koloskova ◽  
Sergey I. Bezhenar

Diseases of teeth and oral cavity have a high prevalence in pediatric population. In adolescents of 15-17 years, the incidence of caries in permanent teeth is higher than in children of 0-14 years. Epidemiological studies of dental health of children in various regions of the Russian Federation in 2010-2015 years showed no tendency to decrease the level of diseases of mouth and teeth. Prevalence and intensity of diseases remains at a high level. More than 80% of the surveyed children are in need of complex dental treatment. The current situation of pathology of teeth and mouth in children is due to several reasons such as low level of hygiene education, environmental degradation, poor nutrition, presence of chronic diseases, among older children, the presence of harmful habits, health-care organizations lack of effective preventive work. In turn, untreated inflammatory diseases of the oral cavity and teeth, being the source of the infection, may lead to somatic pathology of different organs and systems. The existing organization of children dental care is focused more on treatment than on prevention of diseases of teeth and oral cavity. As a rule, parents bring children to dental clinic for treatment of already developed disease. Referrals to the dentist for preventive measures are rare. In this regard, it is necessary to develop new organizational forms of dental care, from the point of view of the preventive orientation, close to children's educational organization.


2018 ◽  
Vol 26 (1) ◽  
pp. 36-46
Author(s):  
I. V. Uspenskaya ◽  
S. V. Yurina

Starting from 1988 to the present time, dentists’ labor accounting is carried out by measuring the volumes of their work, expressed in standard units of labour input. This system of accounting is aimed at providing maximum assistance during one visit, reducing unproductive time, increasing preventive work. The article deals with the organization and payment for primary dental care provided on an outpatient basis within the framework of the compulsory health insurance program. An assessment is made of the conformity of the "Classifier of basic health services for primary health specialized dental care, provided in outpatient settings, expressed in standard units of labour input (SULI)» to the standard time spent per 1 SULI, taking into account the new standard indicators. Scale of cost units as per 1 SULI was defined on the basics of the most common dental practice of the day: a five-day 33-hour work week of a dentist-therapist. On the average, the standard time spent on 1 SULI is 9.9 minutes. This proves that the normative time spent on 1 SULI corresponds to the indices of the “Classifier…”, and that it is defined regarding the time norms, spent by a dentist-therapist on 1 visit (44 minutes).


2021 ◽  
Vol 6 (4) ◽  
pp. 192-201
Author(s):  
A. A. Rykhlevich ◽  
Ya. P. Sandakov ◽  
A. V. Kochubey ◽  
V. V. Kochubey

Background. Head and neck squamous cell carcinoma are the sixth most common cancer in prevalence rate. Early diagnosis significantly reduces morbidity and mortality. Autofluorescence facilitates diagnosis the disease at the early stages, but it depends on the doctor’s skill in interpreting images. The aim of the study: to analyze the results of reading autofluorescence images of the oral mucosa by dentists.Materials and methods. The results of reading 10 autofluorescence images of potentially malignant diseases of the oral mucosa and 10 images of benign lesions and conditions were evaluated. The study involved 308 dentists. The assessment of the ability to recognize autofluorescence images was carried out with respect to gender, age, length of service, qualification category, academic degree, position of the head of the department.Results. On the average, dentists correctly differentiated the results of visualization of potentially malignant diseases of the oral mucosa in 3.85 ± 2.47 cases, benign lesions together with other benign conditions – in 4.56 ± 2.47 cases. Images of benign lesions and conditions were identified by dentists better than images of potentially malignant diseases of the oral mucosa (t = –17.0; p < 0.001). There is a direct correlation between the correct differentiation of visualization of potentially malignant diseases of the oral mucosa with the correct interpretation of benign lesions and conditions (r = 0.956; p < 0.001). The interpretation of potentially malignant diseases of the oral mucosa is not related to gender (t = –1.62; p = 0.306), work experience (r = –0.002; p = 0.977), department head (t = –0.11; p = 0.910), qualification category (t = –0.50; p = 0.574), academic degree (t = –0.34; p = 0.731).Conclusion. Dentists cannot recognize diseases of the oral mucosa well in autofluorescence images. The recognition skill is not related to general professional development.


Author(s):  
Henny Maria Ulfa

Hospitals must conduct a medical record activities according to Permenkes NO.269 / MENKES / PER / III / 2008 about Medical Record, to achieve the purpose of medical record processing required 5 management elements are: man, money, material, machine, and method. The medical record processing that has been implemented at the Hospital TNI AU LANUD Roesmin Nurjadin that is coding, coding only done for BPJS patients whose conducted by the officer with education background of D3 nursing, it be impacted to the storage part is wrong save and cannot found patient medical record file because are not returned. The purpose of this research is to know the element of management in the processing of medical records at the Hospital TNI AU LANUD Roesmin Nurjadin. This research is done by Qualitative descriptive method, Qualitative approach, instrument of data collection of interview guidance, observation guidance, check list register, and stationery, number of informant 6 people with inductive way data analysis. The result of this research found that Mans elements only amounts to 2 people so that officers work concurrently and have never attended training, material element and machines elements of medical record processing not yet use SIMRS and tracer, while processing method elements follow existing habits and follow the policy of hospital that is POP organization. Keywords: Management elements, medical record processing


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