A Case for Rubber Dam Application—Subcutaneous Emphysema After Class V Procedure

10.2341/06-34 ◽  
2007 ◽  
Vol 32 (2) ◽  
pp. 193-196 ◽  
Author(s):  
D. C. N. Chan ◽  
T. Myers ◽  
M. Sharawy
Keyword(s):  
Differential Diagnosis ◽  
Subcutaneous Emphysema ◽  
Clinical Relevance ◽  
Older Patients ◽  
Dental Treatment ◽  
Class V ◽  
Rubber Dam

Clinical Relevance Subcutaneous emphysema after dental treatment occurs frequently, especially in older patients. Dentists should be aware of the etiology, the differential diagnosis and how to avoid and properly treat such situations.

scholarly journals Alternative Rubber Dam Isolation Technique for the Restoration of Class V Cervical Lesions

10.2341/05-12 ◽  
2006 ◽  
Vol 31 (2) ◽  
pp. 277-280 ◽  
Author(s):  
B. M. Owens
Keyword(s):  
Clinical Relevance ◽  
Cervical Lesions ◽  
Time Saving ◽  
Class V ◽  
Isolation Technique ◽  
Restorative Treatment ◽  
Rubber Dam

Clinical Relevance This isolation technique is a time-saving dental rubber dam placement alternative for the restorative treatment of Class V cervical lesions.

Too old to sedate: How old is too old?

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 106-113
Author(s):  
Natalie Bradley
Keyword(s):  
Older People ◽  
General Anaesthesia ◽  
Old Age ◽  
Dental Care ◽  
Clinical Relevance ◽  
Older Patients ◽  
Dental Treatment ◽  
Anxiety Control ◽  
The Uk ◽  
Dental Work

The UK population is ageing with over a quarter of people predicted to be over 65 by 2040. People are retaining their teeth into old age, often having experienced complex restorative dental work over the years. The increasing complexity of dental treatment that older people require will create challenges for those who provide care for this population, including dental treatment under sedation or general anaesthesia. This article discusses the medical, dental and social considerations that need to be taken into account when planning dental care for older patients under sedation or general anaesthesia. CPD/Clinical Relevance: Dentists who provide sedation must be able to appropriately assess and manage their older patients safely if considering this method of pain and anxiety control for dental treatment.

scholarly journals Alternative Technique for Class V Resin Composite Restorations with Minimum Finishing/Polishing Procedures

2010 ◽  
Vol 35 (3) ◽  
pp. 375-379 ◽  
Author(s):  
C. R. Perez
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
New Technique ◽  
Alternative Technique ◽  
Insertion Technique ◽  
Class V ◽  
Rubber Dam ◽  
Composite Restorations ◽  
Polishing Procedures ◽  
A New Technique

Clinical Relevance Class V restorations are a common challenge to clinicians. These restorations involve problems, including isolation, adhesion, insertion technique, finishing and polishing. In order to solve these problems, several techniques have been developed. This article describes a new technique for the restoration of Class V cavities, one that eliminates rubber dam isolation and avoids any contamination. If used properly, this technique also provides good cervical contour, reducing or eliminating finishing and polishing procedures.

scholarly journals Dental Education during the COVID-19 Pandemic in a German Dental Hospital

2021 ◽  
Vol 18 (13) ◽  
pp. 6905
Author(s):  
Julia Winter ◽  
Roland Frankenberger ◽  
Frank Günther ◽  
Matthias Johannes Roggendorf
Keyword(s):  
Undergraduate Students ◽  
Dental Treatment ◽  
Dental Education ◽  
Full Recovery ◽  
Patient Treatment ◽  
Mouth Rinse ◽  
Rubber Dam ◽  
Dental Hospital ◽  
The University ◽  
Student Assistants

Due to the SARS-CoV-2 pandemic, dental treatment performed by undergraduate students at the University of Marburg/Germany was immediately stopped in spring 2020 and stepwise reinstalled under a new hygiene concept until full recovery in winter 2020/21. Patient treatment in the student courses was evaluated based on three aspects: (1) Testing of patients with a SARS-CoV-2 Rapid Antigen (SCRA) Test applied by student assistants (SA); (2) Improved hygiene regimen, with separated treatment units, cross-ventilation, pre-operative mouth rinse and rubber dam application wherever possible; (3) Recruitment of patients: 735 patients were pre-registered for the two courses; 384 patients were treated and a total of 699 tests with the SCRA test were performed by SAs. While half of the patients treated in the course were healthy, over 40% of the patients that were pre-registered but not treated in the course revealed a disease being relevant to COVID (p < 0.001). 46 patients had concerns to visit the dental hospital due to the increase of COVID incidence levels, 14 persons refused to be tested. The presented concept was suitable to enable patient treatment in the student course during the SARS-CoV-2 pandemic.

Dental care for the bariatric patient

Dental Update ◽  
2021 ◽  
Vol 48 (4) ◽  
pp. 302-306
Author(s):  
Jessica Hamilton ◽  
Mary Gittins ◽  
Andrew Geddis-Regan ◽  
Graham Walton
Keyword(s):  
General Anaesthesia ◽  
Dental Care ◽  
Clinical Relevance ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Careful Consideration ◽  
Equitable Access ◽  
Bariatric Patient ◽  
Access To Dental Care ◽  
Obese Population

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.

Lung carcinoma presenting as bilateral metastases in the mandibular gingivae: a case report and literature review

Dental Update ◽  
2021 ◽  
Vol 48 (10) ◽  
pp. 846-848
Author(s):  
Nusaybah Elsherif ◽  
Predrag Jeremic ◽  
Tim Blackburn
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Metastatic Disease ◽  
Lung Carcinoma ◽  
Clinical Relevance ◽  
Rare Presentation ◽  
Oral Malignancies ◽  
Oral Abnormalities ◽  
Bilateral Metastases

This case report describes the rare presentation of lung carcinoma as bilateral masses affecting the mandibular gingivae. Although metastatic disease to the mouth is rare, accounting for only 1% of oral malignancies, it is essential to ensure that the presence of cancer is included in any differential diagnosis. CPD/Clinical Relevance: All oral abnormalities persisting for longer than 3 weeks should be referred urgently for specialist assessment and biopsy.

Effect of rubber dam on objective and subjective parameters of stress during dental treatment of children

2018 ◽  
Vol 4 (1) ◽  
pp. 16
Author(s):  
Sanmati Pol ◽  
Farhin Katge ◽  
Vamsi Krishna ◽  
Pooja Balgi ◽  
Debapriya Pradhan
Keyword(s):  
Dental Treatment ◽  
Rubber Dam

Detection of potentially inappropriate prescribing in older patients with the GheOP³S-tool: completeness and clinical relevance

2019 ◽  
Vol 74 (2) ◽  
pp. 126-136 ◽  
Author(s):  
C. Kympers ◽  
E. Tommelein ◽  
Ellen Van Leeuwen ◽  
K. Boussery ◽  
M. Petrovic ◽  
...  
Keyword(s):  
Clinical Relevance ◽  
Older Patients ◽  
Inappropriate Prescribing ◽  
Potentially Inappropriate Prescribing

scholarly journals Marginal Permeability of Self-etch and Total-etch Adhesive Systems

2006 ◽  
Vol 31 (1) ◽  
pp. 60-67 ◽  
Author(s):  
B. M. Owens ◽  
W. W. Johnson ◽  
E. F. Harris
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Adhesive Systems ◽  
Class V ◽  
Strict Adherence ◽  
Dentin Surface ◽  
Composite Restorations ◽  
Surface Anatomy ◽  
Self Etch

Clinical Relevance Decreased leakage was associated with Adper Scotchbond Multi-Purpose (total etch) and iBond (self-etch) systems in Class V resin composite restorations. All adhesive systems performed best when bonded to enamel compared to dentin surface anatomy. Clinicians should be aware that strict adherence to manufacturer instructions, when using these materials, is of primary importance.

The Recognition and Management of Patients who Overdose on Analgesics Secondary to Dental Pain

Dental Update ◽  
2020 ◽  
Vol 47 (5) ◽  
pp. 415-420
Author(s):  
Joshua Lopez ◽  
Mark Greenwood
Keyword(s):  
Emergency Department ◽  
Clinical Relevance ◽  
Dental Treatment ◽  
Dental Pain ◽  
Dental Practitioners ◽  
Do So

Paracetamol, Ibuprofen and Codeine are all analgesics that patients in dental pain often use in an attempt to manage their symptoms. Consequently, cases of analgesic overdose may present to dental practitioners. It is vital that clinicians are able to identify these cases and assess if transfer to an emergency department is required for assessment, investigations and any necessary treatment. Failing to do so could lead to potentially fatal consequences, and the transfer of patients to the emergency department when not warranted results in a delay in dental treatment for patients, with an added strain on emergency department resources. CPD/Clinical Relevance: It has been reported that patients are more likely to overdose unintentionally on analgesics secondary to dental pain more than for any other reason, highlighting the importance of recognizing such cases.

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