scholarly journals Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 51
Author(s):  
Mariane Cristina Sloniak ◽  
Sara Regina Barancelli Todero ◽  
Luciana Aparecida Lyra ◽  
Elenara Beatriz Fontana ◽  
Paulo Sérgio Batista ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Hiv Infection ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Healing Process ◽  
Special Treatment ◽  
Individual Treatment ◽  
Dental Surgery ◽  
First Case

Introduction and objective: The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installationof an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental careof these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

scholarly journals Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 51-06
Author(s):  
Mariane Cristina Sloniak ◽  
Sara Regina Barancelli Todero ◽  
Luciana Aparecida Lyra ◽  
Elenara Beatriz Fontana ◽  
Paulo Sérgio Batista ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Hiv Infection ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Healing Process ◽  
Special Treatment ◽  
Individual Treatment ◽  
Dental Surgery ◽  
First Case

The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installation of an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental care of these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

scholarly journals A Comprehensive Approach Limiting Extractions under General Anesthesia Could Improve Oral Health

2020 ◽  
Vol 17 (19) ◽  
pp. 7336
Author(s):  
Nicolas Decerle ◽  
Pierre-Yves Cousson ◽  
Emmanuel Nicolas ◽  
Martine Hennequin
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
General Anesthesia ◽  
Dental Treatment ◽  
Preoperative Evaluation ◽  
Health Related Quality ◽  
Dental Surgery ◽  
Related Quality ◽  
Health Related

Access to dental treatment could be difficult for some patients due to dental phobia or anxiety, cognitive or sensorial disabilities, systemic disorders, or social difficulties. General anesthesia (GA) was often indicated for dental surgery, and there is almost no available data on adapted procedures and materials that can be applied during GA for maintaining functional teeth on the arches and limiting oral dysfunctions. This study evaluates changes in oral health-related quality of life and mastication in a cohort of uncooperative patients treated under GA according to a comprehensive and conservative dental treatment approach. Dental status, oral health-related quality of life, chewed bolus granulometry, kinematic parameters of mastication, and food refusals were evaluated one month preoperatively (T0), and then one month (T1) and six months post-operatively (T2). One hundred and two adult patients (mean age ± SD: 32.2 ± 9.9 years; range: 18–57.7) participated in the preoperative evaluation, 87 were treated under GA of which 36 participated in the evaluation at T1 and 15 were evaluated at T2. Preoperative and postoperative data comparisons demonstrated that oral rehabilitation under GA helped increase chewing activity and oral health-related quality of life. The conditions for providing dental treatment under GA could be arranged to limit dental extractions in uncooperative patients.

Oral health-care workers and HIV infection control practices in Nigeria

2005 ◽  
Vol 35 (3) ◽  
pp. 147-150 ◽  
Author(s):  
E O Ogunbodede ◽  
M O Folayan ◽  
M A Adedigba
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Infection Control ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Oral Health Care ◽  
Oral Manifestations ◽  
First Case ◽  
Care Workers ◽  
Hiv Aids

The first case of HIV infection was reported in Nigeria in1986. Since then, the prevalence has risen from less than 0.1% in 1987 to 5.8% in 2002, and an estimated 3.6 million Nigerians now live with HIV/AIDS. More than 40 oral manifestations of HIV infection have been recorded and between 70% and 90% of persons with HIV infection will have at least one oral manifestation at sometime during the course of their disease. Oral health-care workers (OHCWS) are expected to play active roles in the prevention and control of HIV/AIDS. In this study, a one-day workshop was organized for 64 oral health workers in Ile-Ife, Nigeria, focusing on the epidemiology of HIV/AIDS, the oral manifestations, control and prevention of HIV in a dental environment, oral care of the infected patient and the ethical, legal and social aspects of HIV/AIDS. Participants' knowledge and practices of infection control were assessed with an infection control checklist administered pre- and post-workshop. Sixty (90.8%) respondents believed that HIV/AIDS was not yet a problem in Nigeria, and 58 (90.6%) believed that drugs have been developed which can cure HIV infection and AIDS. The men complied more with waste disposal regulations than women ( P=0.010). Twenty-nine of 58 (50.0%) did not discard gloves which were torn, cut or punctured. Seven (12.1%) did not change gloves between patients' treatment. Conscious efforts should be made to train OHCWS on all aspects of HIV/AIDS prevention and care. It must never be assumed that adequate information will be acquired through tangential sources.

MANAGEMENT OF PREGNANT PATIENTS IN DENTAL PRACTICE

2013 ◽  
Vol 5 (2) ◽  
pp. 44-51
Author(s):  
Pramod Tatuskar
Keyword(s):  
Oral Health ◽  
Pathogenic Bacteria ◽  
Dental Treatment ◽  
Medical Practitioner ◽  
Well Being ◽  
Individual Treatment ◽  
Main Concern ◽  
General Medical Practitioner ◽  
Simple Diffusion ◽  
Oral Infections

ABSTRACT Pregnancy is a unique period in a woman's lifetime. Good oral health during pregnancy is important to the overall health of both the expectant mother and her baby. Therefore, it is important to maintain good oral health during pregnancy because it has the potential to reduce the transmission of pathogenic bacteria from mothers to their children. Dental care is safe for the pregnant patient and can prevent long term health problems for both mother and child. During pregnancy dental treatment may be modified but need not be withheld, provided that the risk assessment is made properly for both the patient and the fetus. Oral changes in the mouth are due to the alteration in the levels of estrogen and progesterone. This variation in the female sex hormones causes an increase in oral vasculature permeability and decrease in the host immunity, thus making the pregnant woman more prone to oral infections. Although pregnancy is not a contraindication to dental treatments, the clinician should consult with the patient's physician to clarify individual treatment issues. When prescribing medication during pregnancy, the main concern is the risk of teratogenesis, because drugs cross the placenta by simple diffusion. Drugs are administered during pregnancy only when they are essential for the pregnant woman's well-being, and the drug of choice should always be the one that is the least toxic. Prescribing of systemic drugs of any kind ideally should be performed after consultation with the general medical practitioner or obstetrician.

scholarly journals Children with special needs in the dental office

2020 ◽  
Vol 49 (4) ◽  
pp. 53-66
Author(s):  
Marko Jeremić ◽  
Predrag Ćirić ◽  
Dejan Marković ◽  
Ana Vuković
Keyword(s):  
Human Rights ◽  
Oral Health ◽  
Multidisciplinary Approach ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Team Work ◽  
Therapeutic Interventions ◽  
Vulnerable Group ◽  
Dental Office ◽  
Psychological Knowledge

People with disabilities may experience negative relation between their own personal potentials compared to environmental expectations and potentials of healthy peers in terms of functional participation and activity limitations. Therefore, they usually need an individualized dental treatment plan. Dentists have an important role in maintaining and improving oral health in this vulnerable group. Having in mind the United Nation's Declaration on Human Rights, patients with disabilities have human rights to achieve equal health outcomes as their healthy peers. Therefore, all preventive, prophylactic, and therapeutic interventions need to be carefully planned. In addition to precise medical history, the dentist should also have basic psychological knowledge to adjust the approach to patient's needs. Improving the oral health of patients with disabilities involves a primary, secondary, or tertiary level of oral health care, depending on patient's abilities and needs. The team work and a multidisciplinary approach, with the cooperation of experts of different profiles and specialties, is the only approach that gives satisfactory results.

scholarly journals Effect of Propolis Paste and Mouthwash Formulation on Healing after Teeth Extraction in Periodontal Disease

Plants ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 1603
Author(s):  
Maria Jesús Lisbona-González ◽  
Esther Muñoz-Soto ◽  
Cristina Lisbona-González ◽  
Marta Vallecillo-Rivas ◽  
Javier Diaz-Castro ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Periodontal Disease ◽  
Healing Process ◽  
Mutans Streptococci ◽  
Viable Alternative ◽  
Dental Surgery ◽  
Bacterial Proliferation ◽  
Socket Healing ◽  
Tooth Extractions ◽  
Teeth Extraction

This study investigated the antimicrobial effects of a mouthwash containing propolis and the effect of a propolis paste formulation on dental healing after teeth extraction in patients with periodontal disease. In the mouthwash experience, the population comprised 40 patients, which were divided as follows: the control mouthwash, 0.2% chlorhexidine (v/v) mouthwash, 2% (w/v) propolis mouthwash, and propolis + chlorhexidine mouthwash. The study of the propolis paste comprised a population of 60 patients with periodontal disease, and a total of 120 symmetric tooth extractions were performed. Propolis showed antimicrobial activity by itself, and especially with the chlorhexidine association. Three days after surgery in the teeth treated with control paste, only 13.4% had completely healed; however, with propolis paste, in 90% of the periodontal sockets, healing was complete. In addition, a reduction in Mutans Streptococci and Lactobacilli cfu was observed with propolis, and especially with the association of chlorhexidine + propolis. Propolis mouthwash reduced bacterial proliferation, especially in association with chlorhexidine. Propolis paste is a viable alternative for socket healing after dental extraction. The knowledge gained from these findings will provide a foundation for similar propolis therapies in order to improve the healing process after dental surgery.

scholarly journals Association between early childhood oral health impact scale (ECOHIS) scores and pediatric dental surgery wait times

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Victor H. K. Lee ◽  
Cameron G. Grant ◽  
Betty-Anne Mittermuller ◽  
Sarbjeet Singh ◽  
Brenda Weiss ◽  
...  
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Dental Treatment ◽  
Surgical Care ◽  
Health Impact ◽  
Wait Times ◽  
Family Impact ◽  
Dental Surgery ◽  
Impact Scale ◽  
Timely Access

Abstract Background Severe Early Childhood Caries (S-ECC) is an aggressive form of tooth decay that often requires pediatric dental rehabilitative surgery. The Early Childhood Oral Health Impact Scale (ECOHIS) measures oral health-related quality of life (OHRQL). The purpose of this study was to determine whether there is an association between ECOHIS scores and surgery wait times for children undergoing dental treatment for S-ECC under general anesthesia (GA). Methods The hypothesis was that there is no present association between wait times and ECOHIS score. Children under 72 months of age with S-ECC were recruited on the day of their slated dental surgery under GA. Parents/caregivers completed a questionnaire that included the ECOHIS. Data were merged with other ECOHIS scores from a previous study. Wait times were acquired from the Patient Access Registry Tool (PART) database. Data analysis included descriptive statistics and bivariate analyses. A p-value of ≤0.05 was considered statistically significant; 95% confidence intervals (CIs) were reported for each correlation coefficient. This study was approved by the University of Manitoba’s Health Research Ethics Board. Results Overall, 200 children participated, the majority of whom were Indigenous (63%) and resided in Winnipeg (52.5%). The mean age was 47.6 ± 13.8 months and 50.5% were female. Analyses showed ECOHIS scores were not significantly correlated with children’s wait times. Observed correlations between ECOHIS and children’s wait times were low and not statistically significant, ranging from ρ = 0.11 for wait times and child impact section (CIS) scores (95% CI: − 0.04, 0.26; p = 0.14), ρ = − 0.08 for family impact section (FIS) scores (95% CI: − 0.23, 0.07; p = 0.28), and ρ = 0.04 for total ECOHIS scores (95% CI: − 0.11, 0.19; p = 0.56). Conclusion No significant associations were observed between ECOHIS scores and wait times. In fact, those with worse OHRQL appeared to wait longer for surgery. ECOHIS scores could, however, still be used to help prioritize children for dental surgery to ensure that they receive timely access to dental care under GA. This is essential given the challenges posed by COVID-19 on timely access to surgical care.

scholarly journals Association between Dental Prosthesis and Periodontal Disease among Patients Visiting a Tertiary Dental Care Centre in Eastern Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 200-203
Author(s):  
M. Mansuri ◽  
A. Shrestha
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Odds Ratio ◽  
Periodontal Diseases ◽  
Health Problems ◽  
Dental Prosthesis ◽  
World Health ◽  
Dental Surgery ◽  
Periodontal Index ◽  
The World

Background Dental caries and Periodontal diseases are the most prevalent oral health problems present globally. The distribution and severity of such oral health problems varies in different parts of the world and even in different regions of the same country. Nepal is one of the country with higher prevalence rate of these problems. These problems arise in association with multiple factors.Objective This study was carried out to describe the periodontal status and to analyse the association of periodontal disease with the wearing of fixed or removable partial dentures in a Nepalese population reporting to the College of Dental Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.Method This study comprised of a sample of 200 adult individuals. All data were collected by performing clinical examinations in accordance with the World Health Organization Oral Health Surveys Basic Methods Criteria. It included the Community Periodontal Index and dental prosthesis examination.Result A descriptive analysis was performed and odds ratio (1.048) and 95% confidence interval (1.001; 1.096) was found out. The mean age of the population participated in the study was 41.82 ± 14.80 years. A total of 93 (46.5%) males and 107 (53.5%) females participated in the study. Among these subjects, 100% presented some periodontal problems. The statistical analysis indicated that the probability of periodontal disease with regards to wearing partial dentures was not significant as suggested by the odds ratio (1.048).Conclusion There is no association of the wearing of dental prosthesis (RPD and/or FPD) with the periodontal disease and suggests a need for populations based oral health education programs, plaque control programs to reduce the incidence of periodontal disease.

scholarly journals Dental disorders and self-perception of oral health in patients with paracoccidioidomycosis

2021 ◽  
Vol 10 (1) ◽  
pp. e11010111557
Author(s):  
Karla Ferreira Dias Saldanha ◽  
Bruna Karen Córdoba Penteado ◽  
Igor Valadares Siqueira ◽  
Ellen Cristina Gaetti Jardim ◽  
Rinaldo Poncio Mendes ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Dental Treatment ◽  
Demographic Data ◽  
Active Phase ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Reference Hospital

Paracoccidioidomycosis, a systemic fungal disease, can lead to dental disorders. As studies on dental problems in patients with paracoccidioidomycosis are few, we evaluated dental disorders and self-perceived oral health in this population.  The objective is to evaluate the oral condition of patients with paracoccidioidomycosis as well as their perception of the problem through a cross-sectional study of 52 adult patients with current or previous paracoccidioidomycosis in a reference hospital in Mato Grosso do Sul between December 2017 and July 2018. Demographic data, dental history, and self-perception of oral health were obtained from the National Oral Health Survey—SB Brazil 2010. The number of permanent decayed, missing, or filled teeth; presence and intensity of gingival bleeding; dental calculus; periodontal pockets; and periodontal attachment loss were recorded. Most patients had chronic paracoccidioidomycosis (n = 50; 96.2%), with involvement of the mouth in the active phase of the disease (n = 38; 73.1%). Participants had a high number of decayed, missing, or filled teeth (median: 30 teeth). The most compromised component was “missing” teeth (median of 21 teeth), and total edentulism was observed in 17 patients (32.7%). Periodontal disease was seen in 15 of 35 patients (43.3%) who had at least one tooth. Regarding satisfaction with their oral health, 27 patients (51.9%) reported being satisfied or very satisfied. There was no association between the degree of satisfaction with the other data. Tooth loss is the major dental problem in patients with paracoccidioidomycosis, and in patients with teeth, periodontal disease was highly prevalent. A general positive self-perception of oral health observed in these patients may reduce their willingness to seek dental treatment.

Consideraciones para la atención odontológica en un paciente con síndrome de Asperger. reporte de un caso

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Claudia Butrón-Téllez Girón
Keyword(s):  
Oral Health ◽  
Primary Prevention ◽  
Asperger Syndrome ◽  
Pervasive Developmental Disorders ◽  
Developmental Disorders ◽  
Dental Treatment ◽  
Systematic Desensitization ◽  
Behaviour Management ◽  
Palabras Clave ◽  
Behavioral Techniques

El Síndrome de Asperger es una enfermedad del neurodesarrollo caracterizado por deficiencias en la interacción social y la comunicación,sin retraso en el desarrollo cognitivo y del lenguaje, considerado dentro de los Trastornos Generalizados del Desarrollo y de las Condiciones del Espectro Autista. Debido a las características de este síndrome estos pacientes requieren atención y técnicas conductuales específicas, parapoder realizar el tratamiento dental. El objetivo de este reporte es dar a conocer los cuidados y el manejo de conducta para el tratamiento dental en pacientes con Síndrome de Asperger. Palabras clave: Síndrome de Asperger, desensibilización sistemática, cuidado dental, salud bucal, prevención primaria, comportamiento.  AbstractAsperger syndrome is a disease of the neurodevelopmental characterized by deficiencies in social interaction and communication, without delay in cognitive development and language, and is considered within pervasive developmental disorders and the autism spectrumconditions. Due to the characteristics these patients require care and specific behavioral techniques, to perform dental treatment. The objective of this report is to present the care and behaviour management for dental treatment in patients with Asperger syndrome. Key words: Asperger syndrome, systematic desensitization, dental care, oral health, primary prevention, behaviour.

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