Problem aspects of compiling and obtaining informed voluntary consent for orthodontic treatment

Today, it should be recognized that the legislation of the Ministry of Health of Ukraine on obtaining informed voluntary consent of the patient to medical intervention, in the vast majority relate to general medical and dental practice. The use of orthodontic methods of treatment of dental pathology, especially in combination with modern surgical techniques, requires medical records to reflect specific issues: what information, to what extent it is necessary to inform the patient before orthodontic treatment. Insufficient disclosure leads to problems in the patient’s coordination of the plan, timing of treatment and understanding of possible complications, which can lead to aggravation of the doctor-patient relationship. The article analyzes more than 100 results of the completion of orthodontic interventions for the period of 2018–2020 years of practical activity, which revealed exciting questions from patients and made it possible to compile a generalized list of reasons for the occurrence of possible conflict situations. In the course of treatment, they were successfully eliminated and analyzed, which made it possible to establish the priority components of the practically useful volume of information in the text of the patient’s voluntary consent with the peculiarity of performing orthodontic work. Taking into account these aspects, the doctor gets the opportunity to provide specific argumentation and defense of his actions, prevention of professional misunderstandings and legal issues in dental practice.

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The perception of COVID-19 among Italian dental patients: an orthodontic point of view

Progress in Orthodontics ◽

10.1186/s40510-021-00355-7 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Stefano Martina ◽

Alessandra Amato ◽

Paolo Faccioni ◽

Alfredo Iandolo ◽

Massimo Amato ◽

...

Keyword(s):

Orthodontic Treatment ◽

Point Of View ◽

Dental Practice ◽

Online Questionnaire ◽

Chi Square ◽

Dental Patients ◽

Patient Health ◽

Chi Square Test ◽

Orthodontic Patients ◽

Level Of Significance

Abstract Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients with items about their perceived risks when going to the dentist, concerns about continuing orthodontic treatment, and the onset of temporomandibular disorders (TMD). Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set at P < 0.05. Results A total of 1566 subjects completed the survey, including 486 who were under orthodontic treatment or who had a child in orthodontic treatment. A total of 866 participants (55.3%) thought the risk of contracting the COVID-19 infection was higher in a dental practice; this perception was associated with gender (women more than man), age (over 60 years old) and high levels of distress (P<0.001). However, 894 patients (57.1%) felt comfortable going back to the dentist. Most of the orthodontic patients (84%) would continue their treatment. After the lockdown, there was a slight increase in the frequency of TMD pain (356 versus 334). Conclusions Most of the participants believed that the dental practice is a place at greater risk of contracting COVID-19, even if they continue to go to the dentist. Gender, age, and the level of distress were associated with the increase in the fear of going to the dentist due to COVID-19. Because of the pandemic, 16% of patients undergoing orthodontic treatment would not return to the dental practice to continue their orthodontic treatment after the lockdown. The prevalence of TMD pain in the population increased due to the pandemic.

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Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

Orthodontic Journal of Nepal ◽

10.3126/ojn.v11i1.39089 ◽

2021 ◽

Vol 11 (1) ◽

pp. 55-60

Author(s):

Barun Kumar Sah ◽

Jamal Giri ◽

Bandana Koirala ◽

Mamta Dali ◽

Sneha Shrestha

Keyword(s):

Orthodontic Treatment ◽

Treatment Options ◽

Self Esteem ◽

Permanent Tooth ◽

Mixed Dentition ◽

Dental Practice ◽

Central Incisor ◽

Supernumerary Teeth ◽

Multiple Treatment ◽

Maxillary Incisors

Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management

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P004 TREATMENT OF RECURRENT INGUINAL HERNIA AFTER TRANSINGUINAL PREPERITONEAL (TIPP) SURGERY

British Journal of Surgery ◽

10.1093/bjs/znab395.003 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Lysanne van Silfhout ◽

Ludo van Hout ◽

Myrthe Jolles ◽

Hilco P. Theeuwes ◽

Willem J.V. Bökkerink ◽

...

Keyword(s):

Inguinal Hernia ◽

Surgical Outcomes ◽

Medical Records ◽

Surgical Techniques ◽

Recurrent Inguinal Hernia ◽

Hernia Surgery ◽

Exclusion Criteria ◽

Inguinal Hernia Surgery ◽

Mean Time

Abstract Aim To report feasibility and surgical outcomes of recurrent inguinal hernia repair after TransInguinal PrePeritoneal (TIPP) repair. Material and Methods Patients who underwent recurrent IHR after TIPP between January 2013 and January 2015 in a single hernia-dedicated teaching hospital were included. Exclusion criteria were femoral hernia, incarcerated hernia and reasons for unreliable follow-up. Electronic medical records were assessed retrospectively to register surgical outcomes and complications. Results Thirty-three patients underwent surgical repair of recurrent inguinal hernia after TIPP. Twenty patients were treated with a “re-TIPP when possible” strategy; resulting in 13 successful re-tipps and 7 conversions to Lichtenstein repair. Eleven patients underwent primarily a Lichtenstein’s repair, the remaining two patients underwent recurrent IHR using other techniques (transrectus sheath Pre-Peritoneal and transabdominal preperitoneal repair). Mean time of surgery was 44.7 minutes (standard deviation 16.7). There was one patient (3.0%) with a re-recurrent inguinal hernia during follow-up. Other minor complications included urinary tract infection. There were no significant differences in post-operative results between the different surgical techniques used for recurrent IHR. Conclusions These results indicate that after TIPP it is feasible and safe to perform re-surgery for recurrence with an anterior approach again. For these recurrences, a Lichtenstein can be performed, or a ‘re-TIPP if possible’ strategy can be applied by experienced TIPP surgeons. Whether a re-TIPP has the same advantages over Lichtenstein as is for primary inguinal hernia surgery, needs to be evaluated in a prospective manner.

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Legal Issues in Medical Records/Health Information Management

Practical Guide to Clinical Computing Systems ◽

10.1016/b978-0-12-420217-7.00011-0 ◽

2015 ◽

pp. 167-178

Author(s):

Sally Beahan

Keyword(s):

Health Information ◽

Information Management ◽

Medical Records ◽

Health Information Management ◽

Legal Issues

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CAUSES OF CONFLICTS IN DENTAL PRACTICE, WAYS TO PREVENT AND RESOLVE THEM

Social Aspects of Population Health ◽

10.21045/2071-5021-2021-67-5-7 ◽

2021 ◽

Vol 67 (5) ◽

pp. 7

Author(s):

T.A. Luzgina ◽

◽

O.A. Tsyganova ◽

Keyword(s):

Rural Areas ◽

Health Workers ◽

Professional Activity ◽

Public Healthcare ◽

Material Base ◽

Dental Practice ◽

Conflict Communication ◽

Conflict Situations ◽

Almost All

Significance: the number of conflicts related to realization of the right to health and medical care especially in such specific branch of medicine as dentistry has recently been on the rise in Russia. Furthermore, among the main fields of social interaction, a large number of interpersonal conflicts does relate to professional activity. Subject of research: conflicts and conflict situations in dental practice. Purpose of work: to identify main groups of causes of conflict situations and conflicts in dental practice and suggest ways to prevent and resolve them. Material and methods: questionnaire survey of dentists with additional interview of the respondents, mathematical and statistical data analysis using the SPSS Statistics software (Pearson chi-square tests, Kruskal-Wallis tests). Results: The majority of the respondents (59.0%) say that they have never had any conflicts with the administration. The leading cause of disagreement is dissatisfaction with the material base and supplies (35%). The prevailing share of the dentists (61.5%) indicate that conflicts between them and a colleague / nurse have never occurred. The main cause of the conflict communication is insubordination or lack of subordination, especially in rural areas and public facilities. Doctors of public healthcare facilities and dentists working in rural areas were more often in conflict with a colleague or manager. Almost all health workers (98%) note that they have encountered conflict patients. The main cause of the conflict communication is long waiting for a dental appointment (33.3%). Out of all factors influencing the relationship, about half of the respondents (53.0%) mentioned the emotional state of the patient. Out of all behavior strategies in conflicts, the majority of dentists (44%) prefer cooperation. Conclusion: Almost all (98%) dentists came into conflict with the patient. The main causes of these conflicts included: long waiting times for admission (33.3%), irrational work of the registry, the administrator (23.1%) and complaints about the quality of services (22.2%). Medical workers with average work experience (10-29 years) were more likely to conflict with the patient about claims to the quality of treatment (31.3%).

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