scholarly journals Self-reported tooth and implant prognosis evaluation based on radiographic bone loss: a cross sectional study

2020 ◽  
Vol 3 (1) ◽  
pp. 262-268
Author(s):  
Danielle Clark-Perry ◽  
Jaimie Baybrook ◽  
Raisa Catunda ◽  
Liran Levin
Keyword(s):  
Bone Loss ◽  
Cross Sectional Study ◽  
Oral Diseases ◽  
Patient Centered ◽  
Cross Sectional ◽  
Current Trends ◽  
Dental Practitioners ◽  
Treatment Plans ◽  
Dental Professionals ◽  
Prognosis Evaluation

AbstractIntroduction: Tooth prognosis evaluation involves continual assessments to guide patient-centered treatment plans. This means that the tooth prognosis may dictate whether a tooth is restored, extracted, or maintained.Aim of study: The aim of this work was to evaluate current trends in tooth prognosis evaluation based on radiographic bone loss amongst dental practitioners.Material and Methods: A survey including demographic questions and ten radiographs (vertical bitewings or peri-apical) showing bone loss around teeth and implants were distributed to dental practitioners. Practitioners were asked to determine the prognosis of the tooth or implant and suggest a percentage describing the likelihood of the tooth or implant surviving for ten years.Results: One of the ten radiographs provided for assessment was given good to fair prognosis by 100% of the participants. Only three out of the ten radiographs presented had strong suggestions for tooth retention. Recommendation for extraction by dental practitioners varied from 1-66% across the radiographs. Furthermore, practitioners predicted a 0% chance of ten-year survival for many of the teeth.Conclusions: Assessing prognosis based on radiographs only, is insufficient and clinical data provides invaluable information to establishing tooth prognosis. Dental professionals should understand that compromised teeth can outlive dental implants and our role as dental professionals is to prevent and treat oral diseases to preserve the dentition as long as possible.

Awareness and Knowledge of General Dental Practitioners in Central India Towards Management of Patients with Temporomandibular Disorder: A Questionnaire-based Survey

2021 ◽  
Author(s):  
Jayashree Sajjanar ◽  
Minal Soni ◽  
Jaykumar Gade ◽  
Megha Agrawal ◽  
Arunkumar Basavaraj Sajjanar
Keyword(s):  
Temporomandibular Disorder ◽  
Central India ◽  
Causative Factor ◽  
Cross Sectional Study ◽  
Patient Centered ◽  
Cross Sectional ◽  
The Social ◽  
Dental Practitioners ◽  
Diagnosis Therapy ◽  
And Training

Introduction: Temporomandibular Disorders (TMDs) accounts for common Orofacial Pain (OFP) arising from musculoskeletal origins, affecting almost 80% of the overall population. The multifactorial nature of the disease makes it difficult to diagnose and treat and is challenging to a considerable number of General Dental Practitioners (GDPs). They’re increasingly approached by patients for advice on TMD, but little is understood about how this disorder is addressed with in primary health care. Aim: To assess the awareness and knowledge regarding management of TMDs among GDPs in Central India. Materials and Methods: The cross-sectional study was conducted at Central India, Nagpur, Maharashtra, India from 20th June 2020 to 12th December 2020, including 200 general dental practitioners, who were registered under the Dental Council of India. A questionnaire consisting of 17 questions with reference to TMDs was designed and the questionnaire was circulated through a web designed program. The responses were collected, and data were analysed descriptively using Statistical Package for the Social Sciences (SPSS) statistics for windows version 24.0. Results: The mean age of the participants in the study was 24.80±1.63 years. Predominantly, participants were 164 females (82%). Among all the participants, about 181 (90.50%) of GDP’s were practicing Dentistry. The study findings suggest that the overall general practicing dentists encounter TMD cases and 162 (81%) of GDP’s treat patient at their clinic. A 76% of GDPs acknowledged the causative factor for TMD to be multifactorial and physical examination (88.50%) as the diagnostic tool. Most of the general practitioners around 126 (63%) preferred referring the patient to the specialist, maxillofacial surgeon. Among the practitioners who were confident in treating TMD, occlusal splint was the treatment of choice for 198 (96%) of the GDPs. Conclusion: Many GDPs lack standard protocol knowledge, felt insecure in TMD diagnosis, therapy decisions and treatment. There is a requirement for better quality evidence on which TMD diagnosis and treatment, including the event of a valid, reproducible patient-centered outcome measure to enable dental practitioners to feel confident in managing TMD. It is essential to train GDPs to identify individuals with TMDs through professional courses and training. It would be highly beneficial to educate the undergraduates regarding the diagnosis of TMDs in their curriculum.

Dentist’s Perspective Regarding Usage of Different Fixed Prosthesis Removal Systems in Islamabad and Rawalpindi

2021 ◽  
Vol 15 (10) ◽  
pp. 3182-3184
Author(s):  
Parivash Anwar ◽  
Aafia Waheed ◽  
Adnan Munir Raja ◽  
Muhammad Shakeel Akram Khawaja ◽  
Sidra Kazmi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Dental Crowns ◽  
Dental Practitioners ◽  
Prosthesis Removal ◽  
Dental Practices ◽  
Fixed Prosthesis ◽  
Bridge Failure ◽  
Dental Professionals

Background: Crowns and multi-unit fixed partial dentures have a limited lifetime. They fail for a number of reasons. The removal of provisional crowns and bridges is generally simple, however for permanent crowns, it becomes more challenging. Careful removal of FPD can help a dentist simplify a resto or endo procedure. The aim of this article was to analyze the different methods available for the removal of crowns and bridges and their awareness among dental practitioners Study Design & location: This was a cross-sectional study based on a questionnaire. The questionnaire was filled by a total of 250 general and specialist dentists who were practicing in various individual and group-based dental practices as well as private and government setups of Islamabad and Rawalpindi. Methodology: The questionnaire comprised a total of 13 questions to find out dentists' views about the usage of different system’s available for dental crowns and FPD removal. Participants were selected by random sampling. The results were then analyzed using SPSS version 23. Frequencies, percentages of different variables used in the study were calculated to identify the co-relation among different attributes. P-value of less than or equal to 0.05 was considered statistically significant. Results: The study reflected that out of those who answered, 247 dental professionals (98.5 %) preferred using hemostats or Morrell sliding hammer or a combination of both as they offered better control of force. A small percentage (approx 2%) of dentists used diamond or carbide burs as their first preference to trim off old crowns. Clinicians rarely used laser due to its high cost and less availability and its effectiveness primarily related to Porcelain jacket/ Zirconium crowns. Conclusion: It was concluded from this study that the majority of dentists preferred Morrell type crown remover with sliding hammer due to its ease of availability, universal acceptance, simple to use and because as it offered better control of force as opposed to spring-lock type Keywords: Crown and bridge removal, Crown and bridge disassembly, Crown and bridge failure.

scholarly journals Awareness of Denture Cleansers and its Recognition among Dental Professionals

2020 ◽  
Vol 10 (3) ◽  
pp. 211-214
Author(s):  
Maria Abbasi ◽  
Maleeha Ishfaq ◽  
Naseer Ahmed ◽  
Maryam Rahman ◽  
Yusra Kanwal ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Qualitative Variables ◽  
Knowledge And Attitude ◽  
Oral Hygiene Instructions ◽  
Denture Cleansers ◽  
Dental Professionals

Objective: To assess the awareness of denture cleansers and its recognition among dental professionals in Karachi, Pakistan. Study Design and Setting: Cross-sectional study conducted at various institutes and hospitals of Karachi, over a period of 06 months from March to August’ 2019. Methodology: Total 200 dental practitioners were included in this study using nonprobability convenience sampling technique and according to the inclusion criteria. Those dental practitioners who were currently in practice; either at a hospital or clinic setting were included; others who were not in practice or only working as an academician were excluded. This study was conducted by administering a well-structured questionnaire, comprising of 12 close ended questions divided into two sections including demography and responses concerning the knowledge and attitude of dental practitioners regarding denture cleansers. The data was entered in SPSS version 25 for descriptive statistics for qualitative variables. Results: The study showed that 86.5% dentists were aware of denture cleansers and 89% prescribe them. However,58.5% were not aware of the adverse effects. Conclusion: Our analysis has shown that the dental professionals reinforce oral hygiene instructions in their dental practice and prescribe denture cleansers according to need. However, the knowledge regarding adverse effects among the subjects should be addressed

scholarly journals Subjective Cognitive Impairment in Liver Transplant Recipients

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 158-159
Author(s):  
Dami Ko ◽  
Mary Dietrich ◽  
Katherine Gifford ◽  
Sheila Ridner
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Liver Transplant ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Subjective Ratings ◽  
Patient Centered ◽  
Cross Sectional ◽  
Care Plans ◽  
Treatment Plans

Abstract Cognitive impairment is an emerging health concern in the liver transplant (LT) population. To successfully address this condition and improve patient-centered outcomes (e.g., quality of life), it is essential to involve LT recipients and caregivers in developing care plans for cognitive impairment and take into account their subjective ratings regarding recipients’ cognitive function. Although a high degree of agreement between recipient-rated and caregiver-rated cognitive function is desirable to reduce conflicts in developing plans, disagreement between the two may exist. This cross-sectional study is the first to examine the correlation between recipient-rated and caregiver-rated cognitive function in the LT population. Sixty pairs of adult LT recipients (mean age 60.4±6.9) and their caregivers (mean relationship with recipients 35 years) participated in this study. Two versions of Modified Everyday Cognition (ECog), one for LT recipients and the other for caregivers, were used to assess recipient-rated and caregiver-rated cognitive function in six domains, including memory and planning. Significant intra-class correlations were found in the ECog total and domain scores. The correlation coefficient of the ECog total score was 0.48, indicating a fair correlation, and the coefficients of the ECog domains ranged between 0.35 and 0.56, indicating poor to fair correlations based on the guideline of Cicchetti (1994). These findings suggest that a tailored approach to addressing the poor agreement between recipients and caregivers should be adopted to develop successful treatment plans for cognitive impairment. Future studies should examine the degree of agreement between objective (e.g., cognitive tests) and subjective ratings of cognitive function.

scholarly journals Adaptation Of Oral Hygiene Habits In Dental Professionals: A Kap Study

Esculapio ◽  
2020 ◽  
Vol 16 (03, july 2020-Septmber 2020) ◽  
Author(s):  
Hanan William ◽  
Deema Munir ◽  
Rabia Arshad ◽  
Shazel William
Keyword(s):  
Oral Hygiene ◽  
Cross Sectional Study ◽  
Hard Copy ◽  
Cross Sectional ◽  
Female Candidates ◽  
Institutional Review ◽  
Dental Practitioners ◽  
Ethical Approval ◽  
Mouth Wash ◽  
Dental Professionals

Objective: The present survey was carried out to assess the practice and perception of dental professionals towards their own dental care. Methods: This cross-sectional study was carried from May 2019 to April 2020, in Altamash Institute of Dental Medicine, Karachi. Ethical approval was obtained from institutional review board. A self- administered questionnaire was developed comprising of 20 questions among the dental personnel (Staff and BDS students) of Altamash Institute of Dental Medicine Karachi, Pakistan, to assess their practice and care, regarding their own oral hygiene. Responses were collected through both, the hard copy and an online google form link. Data was evaluated for 176 complete forms. For all the asked questions, a comparison was also made between male and female candidates, and between their academic levels. For all the variable as categorical values, percentages were tabulated using SPSS 21. Results: The results indicated that not all the dental professionals had their same practice to maintain oral hygiene. Not all of them were following the proper theoretical knowledge. From their choices of toothpastes to their habits of flossing and using additional aids for maintaining oral hygiene, majority factors varied individually in spite of the fact that there is well-awareness of consequences of negligence. Conclusion: It was found that not all the dental practitioners follow the proper guidelines to maintain oral hygiene, and not all of them follow the instructions they give to their patients. Key Words: Oral Hygiene, Dental Professionals, Tooth Paste, Mouth Wash, Dentistry, Oral Hygiene Maintenance, Dental practitioners.

scholarly journals Survey-Based Analysis of Current Trends for Prescribing Gastrointestinal Protectants among Small-Animal General Practitioners in Portugal

2021 ◽  
Vol 8 (5) ◽  
pp. 70
Author(s):  
Rita Baptista ◽  
Ryane Englar ◽  
Berta São Braz ◽  
Rodolfo Oliveira Leal
Keyword(s):  
General Practitioners ◽  
Healthcare Providers ◽  
Small Animal ◽  
Cross Sectional Study ◽  
Online Forums ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Current Trends ◽  
Therapeutic Value

In both human and veterinary healthcare, gastrointestinal protectants (GIPs) are considered a staple of clinical practice in that they are prescribed by general practitioners (GPs) and specialists alike. Concerning GIP use, overprescription of proton pump inhibitors (PPIs) has become a growing concern among human healthcare providers. This trend has also been documented within veterinary practice, prompting the American College of Veterinary Internal Medicine (ACVIM) to publish a consensus statement in 2018 concerning evidence-based indications for GIP use. This observational cross-sectional study evaluated self-reported prescribing protocols among Portuguese GPs to determine whether there is adherence to the consensus guidelines. Respondents were Portuguese GPs recruited by social media posts in veterinarian online forums. Data were collected from 124 respondents concerning their GIPs of choice and their rationales for prescribing them. Data were mined for prescription patterns and protocols. Among GIPs, PPIs were prescribed more often. Rationales for use included gastrointestinal ulceration and erosion (GUE), prophylactic management of nonerosive gastritis, pancreatitis, reflux esophagitis, and steroid-induced ulceration. Once-daily administration of PPIs was the most frequent dosing regime among respondents. Ninety-six percent of PPI prescribers advocated that the drug be administered either shortly before or at mealtime. Forty-nine percent of respondents supported long-term use of PPIs. Fifty-nine percent of respondents acknowledged discontinuing PPIs abruptly. This study supports that Portuguese GPs commonly prescribe GIPs in accordance with ACVIM recommendations to medically manage GUE. However, misuse of GIPs does occur, and they have been prescribed where their therapeutic value is debatable. Educational strategies should target GPs in an effort to reduce GIP misuse.

scholarly journals Perception of pharmacy students towards their community pharmacy training experience: a cross-sectional study from Jordan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rana Abu Farha ◽  
Eman Elayeh ◽  
Needa Zalloum ◽  
Tareq Mukattash ◽  
Eman Alefishat ◽  
...  
Keyword(s):  
Positive Feedback ◽  
Cross Sectional Study ◽  
Pharmacy Education ◽  
Pharmacy Students ◽  
Sectional Study ◽  
Training Experience ◽  
Patient Centered ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Need To Evaluate

Abstract Background The fact that pharmacists are in the front line of patients’ care gives a great responsibility to focus on education and training of pharmacy students to build a ‘patient-centered’ clinicians. Unfortunately, pharmacy education in the developing countries, have been lagging behind actual practice delivered by pharmacists. This highlighted the need to evaluate the perceptions of undergraduate pharmacy students regarding their current pharmacy training practices and experiences. Methods This is a cross-sectional study that was conducted in Jordan during the period from August 2018 to October 2018. During the study period, a questionnaire was distributed to pharmacy students to collect information regarding 1) pharmaceutical care services provided by them during their experiential training, 2) their perceptions towards training sites, 3) their perceptions of the outcomes of their training experience, 4) information about their training site and 5) their demographics characteristics. Results A total of 202 pharmacy students responded to the questionnaire. The majority of them reported having the opportunity to dispense refill or new prescriptions (73.8%, n = 149), and conduct patient interviews (69.8%, n = 141, but they were not provided good opportunities to create electronic patient profiles using the information obtained (53.0%, n = 107), perform required dose calculations based on patient information (37.6%, n = 76), and interact with other healthcare professionals (34.6%, n = 70). In addition, students showed positive attitudes toward training sites, positive feedback about the outcomes of their training experience (median scores range between 4 and 5 for all statements (IQR = 1 for all)). Conclusion Students showed positive feedback about the outcomes of their training experience, but they felt that the selected training sites do not have adequate resources to meet their training competencies. Memorandums of understanding development is needed to specify the purpose of training and define the responsibility for both parties of the training process.

scholarly journals Association between Odontogenic and Maxillary Sinus Conditions: A Retrospective Cone-Beam Computed Tomographic Study

2021 ◽  
Vol 10 (13) ◽  
pp. 2849
Author(s):  
Piotr Kuligowski ◽  
Aleksandra Jaroń ◽  
Olga Preuss ◽  
Ewa Gabrysz-Trybek ◽  
Joanna Bladowska ◽  
...  
Keyword(s):  
Bone Loss ◽  
Maxillary Sinus ◽  
Mucous Membrane ◽  
Maxillary Sinusitis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Odontogenic Infections ◽  
Computed Tomographic ◽  
Periodontal Bone Loss ◽  
Maxillary Sinuses

Odontogenic infections can directly trigger maxillary sinusitis. CBCT is an excellent choice for precise examination of maxillary sinuses and hard tissues within the oral cavity. The objective of this retrospective and the cross-sectional study was to analyze the influence of odontogenic conditions on the presence and intensity of maxillary sinus mucous membrane thickening using CBCT imaging. Moreover, periodontal bone loss and anatomic relationship between adjacent teeth and maxillary sinuses were assessed to evaluate its possible impact on creating maxillary thickening. The study sample consisted of 200 maxillary sinuses of 100 patients visible on CBCT examination with a field of view of 13 × 15 cm. The presented study revealed a significant influence of periapical lesions, inappropriate endodontic treatment, severe caries, and extracted teeth on the presence of increased thickening of maxillary sinus mucous membrane. In addition, an increase in the distance between root apices and maxillary sinus floor triggered a significant reduction of maxillary sinus mucous membrane thickening. The presence of periodontal bone loss significantly increases maxillary sinus mucous membrane thickening.

scholarly journals Assessment and Trends in the Methodological Quality of the Top 50 Most Cited Articles in Shoulder Instability

2020 ◽  
Vol 8 (12) ◽  
pp. 232596712096708
Author(s):  
Avinesh Agarwalla ◽  
Kaisen Yao ◽  
Anirudh K. Gowd ◽  
Nirav H. Amin ◽  
J. Martin Leland ◽  
...  
Keyword(s):  
Bone Loss ◽  
Shoulder Instability ◽  
Methodological Quality ◽  
Surgical Techniques ◽  
Case Series ◽  
Cross Sectional Study ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Number Of Citations

Background: Citation counts have often been used as a surrogate for the scholarly impact of a particular study, but they do not necessarily correlate with higher-quality investigations. In recent decades, much of the literature regarding shoulder instability is focused on surgical techniques to correct bone loss and prevent recurrence. Purpose: To determine (1) the top 50 most cited articles in shoulder instability and (2) if there is a correlation between the number of citations and level of evidence or methodological quality. Study Design: Cross-sectional study. Methods: A literature search was performed on both the Scopus and the Web of Science databases to determine the top 50 most cited articles in shoulder instability between 1985 and 2019. The search terms used included “shoulder instability,” “humeral defect,” and “glenoid bone loss.” Methodological scores were calculated using the Modified Coleman Methodology Score (MCMS), Jadad scale, and Methodological Index for Non-Randomized Studies (MINORS) score. Results: The mean number of citations and mean citation density were 222.7 ± 123.5 (range, 124-881.5) and 16.0 ± 7.9 (range, 6.9-49.0), respectively. The most common type of study represented was the retrospective case series (evidence level, 4; n = 16; 32%) The overall mean MCMS, Jadad score, and MINORS score were 61.1 ± 10.1, 1.4 ± 0.9, and 16.0 ± 3.0, respectively. There were also no correlations found between mean citations or citation density versus each of the methodological quality scores. Conclusion: The list of top 50 most cited articles in shoulder instability comprised studies with low-level evidence and low methodological quality. Higher-quality study methodology does not appear to be a significant factor in whether studies are frequently cited in the literature.

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