scholarly journals Assessment of factors affecting parent’s preference of general anesthesia for performing pedodontic procedures in a university hospital set up

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 915-922
Author(s):  
Geethika B ◽  
Jessy ◽  
Manjari
Keyword(s):  
Dental Treatment ◽  
University Hospital ◽  
Factors Affecting ◽  
Dental Patients ◽  
Dental Practitioners ◽  
Full Mouth Rehabilitation ◽  
Dental Diseases ◽  
Spss Software ◽  
Set Up ◽  
Children Under 5

Dental practitioners should use their knowledge and skills and be able to identify and effectively treat dental diseases in children. The child’s and family’s response should be taken into account for providing safe and effective treatment for the paediatric patients. The present study aims to analyse the preference of GA by parents for children under 5 years of age. This retrospective study was conducted among the paediatric dental patients under 5 years of age visiting  Saveetha Dental College and Hospitals. The data of the 154 patients who were indicated for GA procedure were collected. The collected data was statistically analysed using IBM SPSS Software (20.0). The results proved that the majority (72.08%) of the parents did not accept the GA procedure. Parents of 3 year old children were the most accepting (44.2%) of GA procedure. Among gender,parents of female children show a slightly higher percentage of acceptance (51.2%) when compared to the parents of the male children (48.8%). Most common reason for acceptance was parents of children undergoing full mouth rehabilitation procedures(55.8%). Majority of the parents who  accepted the GA procedure were educated (83.7%) which shows that educational qualification plays an important role. Therefore it is important to bring the positive attitude among parents for delivering safe and quality dental treatment.

Management of patients on oral anticoagulants in dental practice

Dental Update ◽  
2020 ◽  
Vol 47 (11) ◽  
pp. 912-922
Author(s):  
Shrina Nathwani
Keyword(s):  
Best Practice ◽  
Dental Treatment ◽  
Oral Anticoagulants ◽  
Quality Care ◽  
Current Evidence ◽  
Ageing Population ◽  
Oral Surgical Procedures ◽  
Dental Patients ◽  
Dental Practitioners ◽  
The Uk

The UK has an increasingly ageing population and, inevitably, the prevalence of anticoagulation among dental patients will grow. This same group of patients are retaining their natural teeth longer and will potentially require dental treatment and oral surgical procedures and so, general dental practitioners will need to be aware of the implications of anticoagulant drugs. Equally, to comply with requirements set by the General Dental Council's ‘Standards for the Dental Team’ it is imperative to ensure that, as clinicians, we put patients' interests first, and provide quality care based on current evidence. CPD/Clinical Relevance: It is important that dentists have knowledge and expertise to consult and treat medically compromised patients for patient safety and to adhere to best practice guidelines.

scholarly journals Prevalence of methylenetetrahydrofolate reductase gene polymorphisms (C677T, and A1298C) among Saudi children receiving dental treatment

2021 ◽  
Vol 41 (1) ◽  
pp. 1-7
Author(s):  
Amina M. Bagher ◽  
Alexander P. Young ◽  
Thikryat Neamatallah ◽  
Reham M. Al-Amoudi ◽  
Sara M. Bagher ◽  
...  
Keyword(s):  
Sample Size ◽  
Methylenetetrahydrofolate Reductase ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
University Hospital ◽  
Gene Variants ◽  
Cross Sectional ◽  
Dental Patients ◽  
Reductase Gene ◽  
King Abdulaziz University

BACKGROUND: Methylenetetrahydrofolate reductase, the encoded by the MTHFR gene, plays a crucial role in converting the amino acid homocysteine to methionine. Two polymorphisms of the MTHFR gene, C677T and A1298C, reportedly reduce enzyme activity, resulting in hyperhomocysteinemia. Patients with C677T and A1298C polymorphisms may be at higher risk for developing abnormal hyperhomocysteinemia, which has been linked to catastrophic neurological including fatal outcomes. OBJECTIVE: Determine the prevalence of the MTHFR gene variants C677T and A1298C among pediatric dental patients treated at King Abdulaziz University Hospital. DESIGN: Cross-sectional. SETTING: Clinics of pediatric dentistry department. SUBJECTS AND METHODS: Healthy Saudi children 6–12 years old with no known allergies were screened for eligibility between May and December 2019. A single investigator collected saliva samples. The MTHFR C677T and A1298C polymorphisms were analyzed using polymerase chain reaction and restriction fragment length polymorphism. MAIN OUTCOME MEASURE: The prevalence of MTHFR gene variants (C677T and A1298C) among the subjects. SAMPLE SIZE: 138. RESULTS: MTHFR C677T polymorphism was present in 36.2% of the sample and 90.0% of children carrying this allele were heterozygotes. MTHFR A1298C polymorphism was present in 91.3% of the sample and 77.0% of the children carrying this allele were heterozygotes. No linkage disequilibrium between MTHFR C677T and MTHFR A1298C was observed within this sample. CONCLUSIONS: Our study found a high frequency of the MTHFR A1298C genotype, which was substantially more abundant than expected based on a Hardy-Weinberg distribution. Therefore, caution is advised in using N 2 O in Saudi children as the increased prevalence of this MTHFR allele may increase the incidence of serious adverse effects among these children. LIMITATIONS: Further studies are recommended with a larger sample size from randomly selected hospitals from different regions of Saudi Arabia. CONFLICT OF INTEREST: None.

scholarly journals Independent Predictors of Delay in Emergence From General Anesthesia

2015 ◽  
Vol 62 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Shigeru Maeda ◽  
Yumiko Tomoyasu ◽  
Hitoshi Higuchi ◽  
Minako Ishii-Maruhama ◽  
Masahiko Egusa ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
General Anesthesia ◽  
Antiepileptic Drugs ◽  
Multivariate Regression ◽  
Dental Treatment ◽  
Multivariate Regression Analysis ◽  
Emergence Time ◽  
Factors Affecting ◽  
Dental Patients ◽  
Time Parameters

Abstract Some patients with intellectual disabilities spend longer than others in emergence from ambulatory general anesthesia for dental treatment. Although antiepileptic drugs and anesthetics might be involved, an independent predictor for delay of the emergence remains unclear. Thus, a purpose of this study is to identify independent factors affecting the delay of emergence from general anesthesia. This was a retrospective cohort study in dental patients with intellectual disabilities. Patients in need of sedative premedication were removed from participants. The outcome was time until emergence from general anesthesia. Stepwise multivariate regression analysis was used to extract independent factors affecting the outcome. Antiepileptic drugs and anesthetic parameters were included as predictor variables. The study included 102 cases. Clobazam, clonazepam, and phenobarbital were shown to be independent determinants of emergence time. Parameters relating to anesthetics, patients' backgrounds, and dental treatment were not independent factors. Delay in emergence time in ambulatory general anesthesia is likely to be related to the antiepileptic drugs of benzodiazepine or barbiturates in patients with intellectual disability.

scholarly journals An assessment of various factors in patients who underwent full mouth rehabilitation in a university hospital set up

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 712-716
Author(s):  
Ilankizhai R J ◽  
Revathi Duraisamy ◽  
Madhu Laxmi M
Keyword(s):  
University Hospital ◽  
P Value ◽  
Age Group ◽  
Chi Square ◽  
Gender Distribution ◽  
Tooth Structure ◽  
Form And Function ◽  
Full Mouth Rehabilitation ◽  
Set Up ◽  
Chi Square Tests

The best treatment option available for treating any generalised tooth structure loss is to undergo full mouth rehabilitation. Full mouth rehabilitation aims at restoration of form and function of masticatory apparatus to nearly as normal condition as possible. The aim of the study was to report on the gender distribution and most common cause for full mouth rehabilitation among patients with FMR in a private dental college over six months of period. A retrospective study was done using the case records of patients visiting University hospital from June 2019 - March 2020. Case sheets with information on full mouth rehabilitation were retrieved and analysed using SPSS 20.0 software. Descriptive statistics and chi-square tests were performed. The results reported that there were no particular differences in gender distribution. Both females and males had equal predilection(50 % - males, 50 % - Females).Majority of the males who are diagnosed with FMR were in the age group 59 to 68 years whereas females diagnosed with FMR were in the age group 49 to 58 years which was found to be statistically significant as determined by chi-square tests(p value< 0.05).The most common reason in males for full mouth rehabilitation was attrition whereas in females multiple missing teeth, however, there was no significant association between the genders and cause of full mouth rehabilitation as determined by Pearson's chi-square test (p value> 0.05). Within the limits of the study, it can be concluded that Full mouth rehabilitation was done in both genders equally and females underwent FMR at a much younger age than males.

scholarly journals A Study on HIV, Hepatitis B and Hepatitis C among Dental Patients Screened from Different Districts of Kashmir Valley

2021 ◽  
Vol 8 (5) ◽  
pp. 19-23
Author(s):  
Sonia Gupta ◽  
Suheel Hamid Latoo
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
Hepatitis B ◽  
Viral Infections ◽  
Dental Treatment ◽  
Oral Pathology ◽  
Geographic Region ◽  
Cross Sectional ◽  
Dental Patients ◽  
Dental Practitioners

Background: Human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) are the most common chronic viral infections worldwide. They are blood borne infections and share common routes of transmission, but they differ in efficiency by which certain types of exposures transmit them and their prevalence by geographic region. Aims and objective: To evaluate the prevalence of HIV, hepatitis B and hepatitis C in patients screened from different districts, to increase the awareness among dental practitioners and the patients attending dental clinics as well as to evaluate the risk factors for infection with these viruses in order to reduce the burden of these diseases in the community. Materials and method: A descriptive cross-sectional study was carried out on 2150 subjects (1230 males and 920 females) reported in the Department of Oral Pathology, GDC & H Srinagar for routine serological investigations. All the screened patients referred from different departments of this institution were enrolled. Results: The prevalence of HBV and HCV among dental patients was 0.65% and 0.51% respectively but HIV positive cases had not been reported. In the present study, majority of the HBV positive cases were from Anantnag district and most common risk factors for infections were dental treatment and blood transfusion. Conclusion: Prevention is an important aspect in controlling the spread of this viral infection as an epidemic. Hence, control programs for the prevention of these diseases that threaten public health must be planned and implemented. Keywords: Hepatitis B, HIV, Seroprevalence, Dental treatment, Transmission, Prevention.

Factors Affecting Self-Reported Pain in Children receiving Dental Treatment

2017 ◽  
Vol 19 (2) ◽  
pp. 2441-2452
Author(s):  
Fatma Abd El-Manem Hendawy ◽  
Sawsan Hafez Mahmoud
Keyword(s):  
Dental Treatment ◽  
Factors Affecting

Awareness and perception of precautionary measures against Covid 19 exposure among dental practitioners- A questionnaire based study

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 550-557
Author(s):  
Harini P ◽  
Abilasha R
Keyword(s):  
Statistical Analysis ◽  
Aerosol Formation ◽  
Dental Clinic ◽  
Attitude And Practice ◽  
Dental Practitioners ◽  
Hands On ◽  
The World ◽  
Spss Software ◽  
Precautionary Measures ◽  
Knowledge And Attitude

The most unexpected pandemic global outbreak is COVID 19 which is a newly discovered viral infection which originated in Wuhan, China and it caused the outbreak of pneumonia in the rest of the world. Dental practitioners are more susceptible to COVID 19 infection as their work is related to the aerosol formation during various procedures through which the virus spreads. The aim of the study is to create awareness about precautionary measures against COVID- 19 exposure among dental practitioners in Tamilnadu. A Survey based questionnaire was formulated with questions related to the various precautionary measures to be adopted by dental practitioners which would be effective to prevent Covid-19 exposure. A questionnaire with a total of 20 questions was circulated among dental practitioners and the responses were collected by google forms SPSS software statistical analysis was done. The overall awareness of dental practitioners against Covid-19 was above average. The dental practitioners were relatively well aware of the precautions to be adopted while treating the patients, but the implementation in practice is lacking due absence of hands-on experience in using various kinds of PPE. There is a gap between knowledge and attitude and practice among the participants of this survey. It is therefore essential to plan for organising training sessions and hands-on workshops for the use of PPE and public training of the general population regarding Covid-19 to improve the knowledge among the patients visiting the dental clinic as well.

scholarly journals COVID-19 does not stop obstetrics: what we need to change to go on safely birthing. The experience of a University Obstetrics and Gynecology Department in Milan

2020 ◽  
Vol 48 (9) ◽  
pp. 997-1000
Author(s):  
Nikita Alfieri ◽  
Stefano Manodoro ◽  
Anna Maria Marconi
Keyword(s):  
Health System ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Daily Routine ◽  
Clinical Services ◽  
Wuhan City ◽  
Set Up

AbstractSince SARS-COV-2 appeared in Wuhan City, China and rapidly spread throughout Europe, a real revolution occurred in the daily routine and in the organization of the entire health system. While non-urgent clinical services have been reduced as far as possible, all kind of specialists turned into COVID-19 specialists. Obstetric assistance cannot be suspended and, at the same time, safety must be guaranteed. In addition, as COVID-19 positive pregnant patients require additional care, some of the clinical habits need to be changed to face emerging needs for a vulnerable but unstoppable kind of patients. We report the management set up in an Obstetrics and Gynecology Unit during the COVID-19 era in a University Hospital in Milan, Italy.

scholarly journals Using the Exploratory Sequential Mixed Methods Design to Investigate Dental Patients’ Perceptions and Needs Concerning Oral Cancer Information, Examination, Prevention and Behavior

2021 ◽  
Vol 18 (14) ◽  
pp. 7562
Author(s):  
Mohammed Jafer ◽  
Rik Crutzen ◽  
Abdalla Ibrahim ◽  
Ibtisam Moafa ◽  
Haitham Zaylaee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Oral Cancer ◽  
Cancer Information ◽  
Mixed Methods Design ◽  
Dental Patients ◽  
Sequential Mixed Methods ◽  
Dental Practitioners ◽  
And Behavior ◽  
Oral Cancer Examinations

Objectives: The objective of this study was to investigate dental patients’ behavior, thoughts, opinions and needs for oral cancer information, and dentists’ behavior regarding prevention and examination of oral cancer. Materials and Methods: This study utilized an exploratory sequential mixed methods design. Semi-structured interviews with open-ended questions were conducted for forty dental patients of both sexes. Based on the qualitative analysis, a structured questionnaire was developed and distributed among the participants. Data were analyzed for 315 participants to quantify their thoughts, needs, behavior and behavior expected from dentists regarding oral cancer. Frequency, percentages and cumulative percentages were calculated. Results: This study reveals that patients’ oral cancer knowledge levels were adequate, but most reported that their dentist had never examined them for oral cancer. Additionally, the participants had never performed self-examinations for oral cancer, nor were they aware of the possibility of doing so. Participants showed a preference for being examined and educated by their dentist about oral cancer and believed it would help early detection. Conclusions: The study participants are aware of oral cancer and its risk factors. The practice of oral cancer examinations and patient education of its risk factors by dental practitioners is limited. Patients feel a need for more attention to be paid to oral cancer examinations, preventive measures and targeted information on oral cancer risk factors.

scholarly journals Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial

2021 ◽  
Vol 10 (14) ◽  
pp. 3019
Author(s):  
Cristina Gómez-Polo ◽  
Ana-Aida Vilches ◽  
David Ribas ◽  
Antonio Castaño-Séiquer ◽  
Javier Montero
Keyword(s):  
Virtual Reality ◽  
Dental Treatment ◽  
Randomised Clinical Trial ◽  
Control Group ◽  
Chi Square ◽  
Anxiety Management ◽  
Dental Patients ◽  
Paediatric Patients ◽  
Chi Square Test ◽  
Scale Test

Clinicians should appreciate the effectiveness of virtual reality (VR) headsets for managing both the anxiety and the behaviour of non-cooperative paediatric patients who require treatment over several dental appointments. The aim of this study was to assess the effectiveness of using a VR headset as a distraction for managing the anxiety and behaviour of paediatric patients during their dental treatment. Eighty patients, aged between five and ten years old and who required dental treatment over three or more appointments, were randomly allocated into two groups. One group used a VR headset during all their appointments, and the other one did not use any distraction technique. The patients were asked to take a Facial Image Scale Test during their first and last appointments to assess their level of anxiety. Additionally, the dentist completed the Frankl Test to quantify the child’s behaviour at the beginning and the end of their treatment. The results obtained, both from the group using the VR headset and from the control group, were compared using the chi-square test. The use of a VR headset during dental treatment significantly reduced anxiety (95% of the children were happy) and improved behaviour (100% positive behaviour) as compared with the control group (40% and 57.5%, respectively). A VR headset can effectively distract a paediatric patient, helping to reduce anxiety and manage behaviour during dental treatment

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