scholarly journals Maintenance considerations in elderly dependent patients with implants

2020 ◽  
Author(s):  
Yuji Sato ◽  
Shigeto Koyama ◽  
Chikahiro Ohkubo ◽  
Shin Ogura ◽  
Ryutaro Kamijo ◽  
...  

Abstract Background Self-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment. Methods We mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society. We narrowed down the respondents to those who provided visiting dental treatment, and analyzed the actual state of implants observed during visiting dental treatment (type, care, problems, countermeasures, etc.). Results Of the 924 dentists who responded to the questionnaire survey, 291 (22%) provided visiting dental treatment . While the majority of implant types encountered in the previous 12 months were root-form implants, there were still a certain number of blade and subperiosteal implants. Daily implant care involved mostly cleaning with a toothbrush + auxiliary tools. The most frequent implant problems encountered in the past were difficulty in cleaning and peri-implantitis. Medication and antiphlogistic treatment were most frequently adopted as countermeasures to implant problems, followed by observation. When we classified the results into those for the dentists who provided implant treatment and those for the dentists who did not, we found that many of the dentists who did not provide implant treatment opted for observation or medication, while those who provided implant treatment also implemented removal of superstructure, retightening of screws, repair and so forth. Conclusions We found that many of the implant troubles encountered by dentists who provided visiting dental care were difficulty in cleaning or peri-implantitis, and that the actions taken against these troubles varied depending on the experience of the dentist performing the implant treatment. Our study also revealed that dentists who provide visiting dental care need to acquire knowledge and skills of implant treatment, to have actions prepared in case they encounter such cases, or to closely coordinate with dentists who specialize in implants.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yuji Sato ◽  
Shigeto Koyama ◽  
Chikahiro Ohkubo ◽  
Shin Ogura ◽  
Ryutaro Kamijo ◽  
...  

Abstract Background Self-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment. Methods We mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society. We narrowed down the respondents to those who provided visiting dental treatment, and analyzed the actual state of implants observed during visiting dental treatment (type, care, problems, countermeasures, etc.). Results Of the 924 dentists who responded to the questionnaire survey, 291 (22%) provided visiting dental treatment. While the majority of implant types encountered in the previous 12 months were root-form implants, there were still a certain number of blade and subperiosteal implants. Daily implant care involved mostly cleaning with a toothbrush + auxiliary tools. The most frequent implant problems encountered in the past were difficulty in cleaning and peri-implantitis. Medication and antiphlogistic treatment were most frequently adopted as countermeasures to implant problems, followed by observation. When we classified the results into those for the dentists who provided implant treatment and those for the dentists who did not, we found that many of the dentists who did not provide implant treatment opted for observation or medication, while those who provided implant treatment also implemented removal of superstructure, retightening of screws, repair and so forth. Conclusions We found that many of the implant troubles encountered by dentists who provided visiting dental care were difficulty in cleaning or peri-implantitis, and that the actions taken against these troubles varied depending on the experience of the dentist performing the implant treatment. Our study also revealed that dentists who provide visiting dental care need to acquire knowledge and skills of implant treatment, to have actions prepared in case they encounter such cases, or to closely coordinate with dentists who specialize in implants.


2020 ◽  
Author(s):  
Yuji Sato ◽  
Shigeto Koyama ◽  
Chikahiro Ohkubo ◽  
Shin Ogura ◽  
Ryutaro Kamijo ◽  
...  

Abstract Background Self-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment due to their inability to visit a dental clinic.MethodsWe mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society. We narrowed down the respondents to those who provided visiting dental treatment, and analyzed the actual state of implants observed during visiting dental treatment (type, care, problems, countermeasures, etc.).ResultsOf the 924 dentists who responded to the questionnaire survey, 291 (22%) provided visiting dental treatment. While the majority of implant types encountered in the previous 12 months were root-form implants, there were still a certain number of blade and subperiosteal implants. Daily implant care involved mostly cleaning with a toothbrush + auxiliary tools (such as interdental brushes). The most frequent implant problems encountered in the past were difficulty in cleaning and peri-implantitis. Medication and antiphlogistic treatment were most frequently adopted as countermeasures to implant problems, followed by observation. When we classified the results into those for the dentists who provided implant treatment and those for the dentists who did not, we found that many of the dentists who did not provide implant treatment opted for observation or medication, while those who provided implant treatment also implemented removal of the upper structure, retightening of screws, repair and so forth.Conclusions Since this survey was a questionnaire survey, future field surveys are necessary, it may be necessary for dentists who provide visiting dental treatment to acquire knowledge and skills for implant treatment or coordinate closely with experts.


2020 ◽  
Author(s):  
Yuji Sato ◽  
Shigeto Koyama ◽  
Chikahiro Ohkubo ◽  
Shin Ogura ◽  
Ryutaro Kamijo ◽  
...  

Abstract BackgroundSelf-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment. MethodsWe mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society. We narrowed down the respondents to those who provided visiting dental treatment, and analyzed the actual state of implants observed during visiting dental treatment (type, care, problems, countermeasures, etc.). ResultsOf the 924 dentists who responded to the questionnaire survey, 291 (22%) provided visiting dental treatment. While the majority of implant types encountered in the previous 12 months were root-form implants, there were still a certain number of blade and subperiosteal implants. Daily implant care involved mostly cleaning with a toothbrush + auxiliary tools. The most frequent implant problems encountered in the past were difficulty in cleaning and peri-implantitis. Medication and antiphlogistic treatment were most frequently adopted as countermeasures to implant problems, followed by observation. When we classified the results into those for the dentists who provided implant treatment and those for the dentists who did not, we found that many of the dentists who did not provide implant treatment opted for observation or medication, while those who provided implant treatment also implemented removal of superstructure, retightening of screws, repair and so forth. Conclusions We found that many of the implant troubles encountered by dentists who provided visiting dental care were difficulty in cleaning or peri-implantitis, and that the actions taken against these troubles varied depending on the experience of the dentist performing the implant treatment. Our study also revealed that dentists who provide visiting dental care need to acquire knowledge and skills of implant treatment, to have actions prepared in case they encounter such cases, or to closely coordinate with dentists who specialize in implants.


2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  

Dental professionals are at increased risk of being infected with airborne pathogens such as SARS-CoV-2 because they are often exposed to droplets/aerosols production during dental treatment. To scientifically clear the effects of extraoral and oral suctions on the droplets and aerosols produced by dental treatments using an ultrasonic scaler was analyzed. The adenosine triphosphate and bacteria in droplets and aerosols produced during simulated scaling were quantitatively observed by reactions with luciferin/luciferase and incubation in culture plates to grow bacteria, respectively. The protection against spreading droplets and aerosols by oral and extraoral suctions was recognized, and the areas were limited to the left and posterior sides of the dental chair head when a right-handed dentist and dental hygienist performed scaling. Extraoral suction is a very useful tool for reducing the infection risk of COVID-19 in dental care, but the effective area is limited depending on physical characteristics of dentist and dental hygienist.


2016 ◽  
Vol 22 (50) ◽  
pp. 5-10
Author(s):  
Naohiro NIITSUMA ◽  
Takeshi HIWAKI ◽  
Keiichi KUDO ◽  
Yoshihisa NAKATA ◽  
Shuzo OTSUKA ◽  
...  

Author(s):  
Maximiliane Amelie Schlenz ◽  
Alexander Schmidt ◽  
Bernd Wöstmann ◽  
Andreas May ◽  
Hans-Peter Howaldt ◽  
...  

Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.


2021 ◽  
Vol 12 (46) ◽  
pp. 15-22
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Francisca Janiele de Sousa

This study aimed to review, qualify and summarize the existing evidence on associations and risk factors for Covid-19 during dental treatment and dentists’ knowledge about these risks. After being registered with PROSPERO, the systematic review was carried out in accordance with the PRISMA guidelines, with searches in electronic databases, in specific journals, manual searches and Google Scholar, without language restrictions, from December 2019 to August 2020. Two questions were asked to be investigated: did patients seek dental care in the emergency room and do dentists know the symptoms and the mode of transmission of Covid-19, feeling qualified to attend them? Only 6 articles were included because they met all defined inclusion criteria. It was concluded that endodontic urgencies and emergencies with symptomatic irreversible pulpitis are the most common, consisting of a much higher proportion of dental emergencies during Covid-19 epidemic compared with dental trauma and no-urgent care. Although dentists are aware of the symptoms, mode of transmission, infection controls, and measures in dental clinics, they do not feel confident about the correct measures to be taken to prevent Covid-19 for their staff and patients.


Dental Update ◽  
2021 ◽  
Vol 48 (4) ◽  
pp. 302-306
Author(s):  
Jessica Hamilton ◽  
Mary Gittins ◽  
Andrew Geddis-Regan ◽  
Graham Walton

As the overweight and obese population increases, one must be mindful of the implications on the delivery of dental care to this group. Appropriate facilities must be available, which may warrant structural and equipment adaptations to clinical and non-clinical areas. The complexity of dental treatment planning and delivery may be compounded by medical comorbidities, and careful consideration must be given to the suitability and safety of conscious sedation and general anaesthesia in order to facilitate treatment. This article aims to discuss how safe provision and equitable access to dental care can be achieved for the bariatric population. CPD/Clinical Relevance: This article aims to discuss the challenges posed by the increase in the overweight and obese population and considerations to be taken for provision of safe and equitable bariatric dental care.


2018 ◽  
Vol 9 ◽  
pp. 144
Author(s):  
Margaretha Sovaria ◽  
Eka S Shofiyah ◽  
Mochamad F Rizal ◽  
Sarworini B Budiardjo

Objective: Mothers have very important roles in their children’s development. Their instinctive love develops strong emotional connections with their children, especially when their children have sensory impairments (SI). Feelings experienced by mothers, such as anxiety toward dental treatment, can affect their children’s emotions. Salivary alpha amylase (sAA) has been proposed as a biomarker of stress due to its sensitivity to changes in the body, such as dental anxiety. This study aimed to analyze the relationship between sAA levels in mothers and children with SI before dental treatment.Methods: Measurement of sAA from sixty pairs of children with SI and their mothers was taken together in the waiting room before the children’s dental treatment. Spearman’s analysis was used to find the correlation between their sAA levels.Results: In this study, sAA levels in mothers accompanying their children with SI correlated significantly with their children’s sAA levels (r=0.533; p<0.002).Conclusions: The correlation between dental anxiety in mothers and children with SI before dental treatment was found to be significant.Practical Implications: Anxiety toward dental care is a phenomenon that frequently arises in children. Mothers, the main influencers of their children’s development, are thought to be one cause of high anxiety in children. Children with special needs are at a higher risk for developing dental problems. Therefore, an understanding of these children’s levels of anxiety can be used by pediatric dentists to improve dental care.


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