scholarly journals Incidence and pattern of dental emergencies and their management during Covid-19 pandemic : An experience of Nepali dentists working during lock down

2020 ◽  
Vol 10 (2) ◽  
pp. 14-19
Author(s):  
Dashrath Kafle ◽  
Rajeev K Mishra
Keyword(s):  
Dental Treatment ◽  
Virus Disease ◽  
Dental Pain ◽  
Orthodontic Appliances ◽  
Medical Council ◽  
Dental Services ◽  
Microsoft Word ◽  
Dental Emergency ◽  
The Impact ◽  
The Way

Introduction: Corona Virus Disease-2019 (COVID-19) is highly contagious nature of disease which has spread all over the world in short span of time leading to significant number of death. WHO has declared pandemic and every nation is fighting with their all possible resources to control this disease. The impact of COVID-19 in dentistry is enormous. Most of the dental hospitals and clinic are providing emergency dental services only. So the aim of this research is to find out the nature of dental emergency during the initial month of lock down in Nepal. Additionally this research will try to find out the number of dental emergencies as well as perception of dentists on impact of COVID-19 on dentistry. Materials and Method : A set of electronic questionnaires were sent to 150 Nepal Medical Council registered Nepalese dentists out of which only 122 dentists responded. A consent was obtained prior to collecting data for research purpose. All the quantitative answers were recorded in SPSS spread sheet where as qualitative data were collected in Microsoft word. Descriptive statistics were applied to explain the responses whenever applicable. Result: Out of 122 respondents, maximum were from province 3 and 4 (50% and 34%). Almost half of the respondents were general dental practioners and similar percentage of respondents were working at dental/medical colleges and government centers. 90% of the doctors had consulted patients during lock down period. Average 5-20 cases were seen during the lock down by majority of doctors. Nearly 58% of the doctors had done only virtual consultation and most common emergency was dental pain(n= 92) and swelling( n= 37). Majority of the respondents thought that standard of dental disinfection and sterilization will increase after pandemic, however most of the dentists thought they will be using PPE for dental work and cost of dental treatment will be increased because of the added cost of extra precaution. 90% of the dentists believed that they are going to change the way they practice dentistry after they reopen their clinic. Conclusion: The most common type of dental emergency during lock down is dental pain ,swelling, dento-maxillofacial trauma and broken orthodontic appliances. Virtual dental consultation is gaining popularity among dentists in Nepal and Nepalese dentists are going to change the way of dental practice because of COVID-19.

scholarly journals Dental Care during COVID-19 Outbreak: A Web-Based Survey

2020 ◽  
Vol 14 (S 01) ◽  
pp. S14-S19 ◽  
Author(s):  
Melissa Faccini ◽  
Fernanda Ferruzzi ◽  
Aline Akemi Mori ◽  
Gabriela Cristina Santin ◽  
Renata Cristina Oliveira ◽  
...  
Keyword(s):  
Oral Health ◽  
Economic Impact ◽  
Dental Care ◽  
Dental Treatment ◽  
Health Conditions ◽  
Orthodontic Appliances ◽  
Web Based ◽  
Emergency Procedures ◽  
Level Of Concern ◽  
The Impact

Abstract Objective This survey aimed to assess the effects of coronavirus disease 2019 (COVID-19) on elective and urgency/emergency dental care and dentists concerned. Materials and Methods A web-based survey was performed using Google forms questionnaire sent to dentists in Brazil. Questions included: personal information, type of dental care provided during quarantine, if emergencies increased, the dental office biosafety routine, among others. The levels of concern about the impact of quarantine on dental care and patient oral health conditions and the economic impact on dental practices were evaluated using a 0- to 10-point scale. Statistical analysis included descriptive, percentages, one-way ANOVA, Tukey, and chi-square tests. Results During quarantine, 64.6% of the dentists attended only urgency/emergency treatments, while 26.1% maintained routine appointments, and 9.3% closed the dental offices. A higher percentage of dentists from the least affected states continued routine dental treatment; dentists were younger and presented a significantly lower level of concern about dental treatments and oral health conditions of their patients. An increase in urgency/emergency procedures was reported by 44.1% of the dentists, mostly due to the unavailability of routine/elective dental care and increased patient anxiety and stress. The main causes of urgency/emergency appointments were toothache, dental trauma, and broken restorations, besides the breakage of orthodontic appliances and temporomandibular disorders. Dentists reported a high level of concern about the economic impact caused by quarantine. Conclusions The pandemic/quarantine has negatively affected the clinical routine. Personal protection/hygiene care must be adopted and reinforced by dental professionals/staff to make dental procedures safer.

Self-Perceptions of the Impact of Oral Problems on the Social Behavior of Preschoolers

2019 ◽  
Vol 5 (4) ◽  
pp. 342-348
Author(s):  
M.F. Perazzo ◽  
M.C. Gomes ◽  
É.T.B. Neves ◽  
R.T. Firmino ◽  
A.A. Barros ◽  
...  
Keyword(s):  
Social Behavior ◽  
Dental Caries ◽  
Household Income ◽  
Dental Pain ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Dental Services ◽  
The Social ◽  
The Impact ◽  
Untreated Dental Caries

Introduction: Investigating preschool children’s social behaviors and the association with oral health variables helps to understand child development. Besides that, different perceptions need to be explored regarding the impact of oral problems on the social behavior between the child’s self-report and parent’s/caregiver’s proxy report. Objective: To determine which socioeconomic and oral factors are associated with difficulty sleeping and playing and the avoidance of smiling in preschoolers. Methods: A cross-sectional study was conducted with a representative random sample of 769 pairs of parents/caregivers and 5-y-old preschoolers. The preschoolers answered a questionnaire on difficulty sleeping, difficulty playing, and the avoidance of smiling for reasons related to oral problems. The parents/caregivers answered a questionnaire addressing socioeconomic characteristics as well as the use of dental services. Two calibrated dentists examined the children for the determination of dental caries, traumatic dental injury (TDI), malocclusion, and bruxism. Descriptive and Poisson regression analysis for complex samples with robust variance was used to test the associations (α = 5%). Results: The variables associated with difficulty sleeping were low household income (confidence interval [CI]: 1.40–3.01), number of untreated dental caries (CI, 1.02–1.04), dental pain (CI, 1.76–3.59), TDI (CI, 1.08–2.11), and anterior open bite (CI, 1.11–2.20). Difficulty playing also was associated with the low household income (CI, 1.34–3.15), number of untreated dental caries (CI, 1.01–1.04), dental pain (CI,1.42–3.61), and TDI (CI, 1.13–2.33). The number of untreated dental caries (CI, 1.02–1.05), dental pain (CI, 1.03–2.88), anterior open bite (CI, 1.30–3.26), and not using dental services (CI, 1.13–2.73) were determinant factors for the avoidance of smiling. Conclusion: Socioeconomic, symptomatic, and/or oral esthetic problems exerted an impact on the social behavior of the preschoolers analyzed, such as playing, sleeping, and smiling. Knowledge Transfer Statement: The results of the present study may help parents and clinicians to understand better the association of oral problems with the social behavior of preschool children. Moreover, this study shows the importance of listening to children in clinical decisions. These results also can help in the elaboration of oral health policies.

scholarly journals Reducing Potentially Preventable Dental Hospitalizations of Young Children: A Community-Level Analysis

2018 ◽  
Vol 3 (3) ◽  
pp. 272-278 ◽  
Author(s):  
J.G. Rogers ◽  
G.G. Adams ◽  
F.A.C. Wright ◽  
K. Roberts-Thomson ◽  
M.V. Morgan
Keyword(s):  
Socioeconomic Status ◽  
Young Children ◽  
Negative Binomial ◽  
Dental Treatment ◽  
General Anesthetics ◽  
General Anesthetic ◽  
Water Fluoridation ◽  
Dental Services ◽  
Incident Rate ◽  
The Impact

An increasing number of Australians are being admitted to hospitals and day procedure centers to have dental treatment under a dental general anesthetic (DGA). Children younger than 2 y are having DGAs. These operations are costly and, although there have been improvements in safety, are not without risk. Most DGAs in children are to treat dental caries and have been defined as potentially preventable dental hospitalizations (PPDHs). This article reports on an analysis of the impact of access to community water fluoridation (CWF), availability of oral health professionals (OHPs), and socioeconomic status (SES) on PPDHs of 0- to 4-y-olds in 2012–2013 in Victoria, Australia. Data on these variables were obtained at the community (postcode) level. From the negative binomial multivariate analysis, each of the 3 independent variables was independently significantly associated with PPDHs at the postcode level. Children residing in postcodes without CWF on average had 59% higher rates than those with access (incident rate ratio [IRR], 1.59; P < 0.0001), children in postcodes with the lowest level of availability of OHPs had 65% higher rates than those with the highest access (IRR, 1.65; P < 0.0001), and children living in the most disadvantaged SES quintiles had 57% higher rates than children in the most advantaged quintiles (IRR, 1.57; P < 0.0001). There was a stepwise social gradient by SES quintile. In analysis of access to CWF and SES status, children without access to CWF had 86% higher PPDH rates than children with access (IRR, 1.86; P < 0.0001). In summary, no access to CWF, poor availability of OHPs, and lower SES status were independently associated with higher PPDH rates among 0- to 4-y-olds in Victoria at the postcode level. The study highlights the importance of considering 3 interacting factors—access to CWF, access to OHPs, and SES—in efforts to reduce PPDH rates in young children. Knowledge Transfer Statement: Extending access to water fluoridation, increasing the availability of dental services, and raising disadvantaged families’ socioeconomic status are each likely to decrease the rate of dental general anesthetics in young children.

scholarly journals Dentistry & COVID-19: Spreading facts not myths

2021 ◽  
Vol 7 (4) ◽  
pp. 253-256
Author(s):  
Surbhi Priyadarshi ◽  
Arif Siddique
Keyword(s):  
Dental Treatment ◽  
Clinical Skills ◽  
Risk Mitigation ◽  
Online Communication ◽  
High Volume ◽  
Mitigation Strategies ◽  
Current Crisis ◽  
Dental Services ◽  
Strict Adherence ◽  
The Impact

Dental professionals are trying to adapt to the new norms, while the medium to long-term impact of COVID-19 on dentistry needs further investigation. The COVID-19 risk mitigation strategies include strict adherence to infection control practices (use of hand sanitizers, facemask and maintaining social distancing), reducing the amount of aerosol production in the dental setting, and managing the quality of air in the dental treatment rooms by reducing the use of air conditioners and improving air exchange. Among several potential transmission sources in the spreading of the COVID-19, dental services have received a high volume of attention. The aim of this article was to review the available literature on the relevant aspects of dentistry in relation to COVID-19 and to discuss potential impacts of COVID-19 outbreak on clinical dentistry, dental education and research. Although the coronavirus pandemic has caused many difficulties for provision of clinical dentistry, there would be an opportunity for the dental educators to modernize their teaching approaches using novel digital concepts in teaching of clinical skills and by enhancement of online communication and learning platforms. This pandemic has also highlighted some of the major gaps in dental research and the need for new relevant knowledge to manage the current crisis and minimize the impact of such outbreaks on dentistry in the future.

scholarly journals Impact of oral health on physical and psychosocial dimensions: an analysis using structural equation modeling

2014 ◽  
Vol 30 (6) ◽  
pp. 1169-1182 ◽  
Author(s):  
Marise Fagundes Silveira ◽  
João P. Marôco ◽  
Rafael Silveira Freire ◽  
Andréa Maria Eleutério de Barros Lima Martins ◽  
Luiz Francisco Marcopito
Keyword(s):  
Structural Equation Modeling ◽  
Oral Health ◽  
Structural Equation ◽  
Dental Treatment ◽  
Oral Health Status ◽  
Health Care Use ◽  
Health Conditions ◽  
Equation Modeling ◽  
Dental Services ◽  
The Impact

This study aimed to estimate the prevalence of impact of oral health conditions on physical and psychosocial dimensions among adolescents and to identify factors associated with severity of impact. The impact of oral health status was assessed by the instrument Oral Health Impact Profile (OHIP-14). The covariates were: socioeconomic status, habits and health care, use of dental services, and normative conditions of oral health. Structural equation modeling was performed, and 15.6% of adolescents reported impact in at least one dimension of the OHIP-14. The dimensions that showed the highest prevalence of impact were psychological distress (11.8%) and physical pain (6.6%). The number of teeth needing dental treatment, number of filled teeth, and CPI significantly affected severity of impact. In this adolescent population, unfavorable socioeconomic conditions were associated with reduced use of dental services, associated in turn with precarious oral health conditions and increased severity of impact.

scholarly journals Impact on Dental Treatment Procedures in Dental OPD Attendance and Emergency Care of Non-COVID-19 Patients during COVID-19 Pandemic: A Study from Meghalaya, India

2021 ◽  
Author(s):  
Lomtu Ronrang
Keyword(s):  
Phase I ◽  
Road Traffic ◽  
Dental Treatment ◽  
Patient Flow ◽  
Daily Routine ◽  
Emergency Situations ◽  
Number Of Patients ◽  
Dental Emergency ◽  
The Impact

Introduction: Dental emergency situations such as trauma of oral and maxillofacial region due to road traffic accident might require immediate intervention. But due to an outbreak of COVID-19 pandemic and a phase-I lockdown all the private dental clinics were temporarily closed the only hope for dental emergency patient’s care was a Government run hospital dental set-up during this time of pandemic. Aim: To find out the impact of COVID-19 pandemic on the dental OPD attendance and its emergencies in dental care to non-COVID-19 patient by comparing a three months data of recent past, pre and COVID-19 pandemic. Materials and Methods: It’s a comparative study where number of patients attending the daily dental OPD patient services comprising of new cases, follow-up cases, in-patient case services for three months from March 2020-May 2020 and also compare with the previous years’ (2019 and 2018) of three months (March to May). Results: The data shows that there was a tremendous decrease in total number of patients in the dental OPD services during this pandemic and phase-I lockdown. The statistical analysis of the data shows that the overall changes in flow of the patients during the pandemic were 39.35***, 33.52*** and 39.07*** for a new patient/week, follow-up patient/week and total no. of patient/week respectively with an ANOVA, where ‘p’ is significant at <0.01, <0.001. Conclusion: The study shows that COVID-19 pandemic and phase-I lockdown had impacted overall patient flow in the daily routine dental OPD services within these three months (March to May) of 2020 as compared to three months (March to May) from the previous year of 2019 and 2018.

Narrative, Intertext and Allusion in the Qur'anic Presentation of Job

1999 ◽  
Vol 1 (1) ◽  
pp. 1-25 ◽  
Author(s):  
A. H. Johns
Keyword(s):  
Key Words ◽  
Complex Network ◽  
Key Words And Phrases ◽  
Divine Revelation ◽  
Western Tradition ◽  
Islamic Tradition ◽  
The Impact ◽  
The Way

Job (Ayyūb) is a byword for patience in the Islamic tradition, notwithstanding only six Qur'anic verses are devoted to him, four in Ṣād (vv.41-4), and two in al-Anbiyā' (vv.83-4), and he is mentioned on only two other occasions, in al-Ancām (v.84) and al-Nisā' (v.163). In relation to the space devoted to him, he could be accounted a ‘lesser’ prophet, nevertheless his significance in the Qur'an is unambiguous. The impact he makes is achieved in a number of ways. One is through the elaborate intertext transmitted from the Companions and Followers, and recorded in the exegetic tradition. Another is the way in which his role and charisma are highlighted by the prophets in whose company he is presented, and the shifting emphases of each of the sūras in which he appears. Yet another is the wider context created by these sūras in which key words and phrases actualize a complex network of echoes and resonances that elicit internal and transsūra associations focusing attention on him from various perspectives. The effectiveness of this presentation of him derives from the linguistic genius of the Qur'an which by this means triggers a vivid encounter with aspects of the rhythm of divine revelation no less direct than that of visual iconography in the Western Tradition.

Invention of Judaism

2017 ◽  
Author(s):  
John J. Collins
Keyword(s):  
Way Of Life ◽  
The Impact ◽  
The Way

Judaism is often understood as the way of life defined by the Torah of Moses, but it was not always so. This book identifies key moments in the rise of the Torah, beginning with the formation of Deuteronomy, advancing through the reform of Ezra, the impact of the suppression of the Torah by Antiochus Epiphanes and the consequent Maccabean revolt, and the rise of Jewish sectarianism. It also discusses variant forms of Judaism, some of which are not Torah-centered and others which construe the Torah through the lenses of Hellenistic culture or through higher, apocalyptic, revelation. It concludes with the critique of the Torah in the writings of Paul.

Conceptualizing the impact of machines, science and technologies on the sociocultural environment that shapes the teacher's paradigm of values and views of life

2020 ◽  
Vol 16 (11) ◽  
pp. 2161-2179
Author(s):  
A.B. Lanchakov ◽  
S.A. Filin ◽  
A.Zh. Yakushev ◽  
E.E. Zhusipova
Keyword(s):  
Social Relationships ◽  
Cognitive Activity ◽  
Environmentally Friendly ◽  
Professional Activity ◽  
Sociocultural Environment ◽  
Sociocultural Development ◽  
Prediction And Forecasting ◽  
The Impact ◽  
Positive Motivation ◽  
The Way

Subject. In this article we analyze how machinery, science and technologies influence the sociocultural environment that engenders the teacher's paradigm of values and views of life. Objectives. We herein outline guidance to predict the way teachers' views of life might evolve in corresponding sociocultural periods more precisely. The article analyzes making more precise forecasts of oncoming economic crises, which will cause some changes in teachers' mindset. Methods. The study involves learning methodologies, methods of prediction and forecasting, including foresight. Results. We propose and analyze the theory holding that the human civilization passes cycles during its sociocultural development in terms of a new set of values in contemporary teachers' views of life. The article sets forth our recommendations on innovation-driven views of life, mindset and thinking and, consequently, the development of intellectual qualities, knowledge, skills, cognitive activity, positive motivation to the professional activity of a teacher and alumni during more elevated periods, which requires to more precisely predict the way teachers’ mindset may change in certain sociocultural periods. Conclusions and Relevance. As the human civilization enters the innovation-driven sociocultural period, teachers and social relationships should demonstrate more innovative and environmentally-friendly attitudes and views of life.

The Good, the Bad and the Ugly
. A Broad look at the Adaptation of Technology in Education

2020 ◽  
Vol 2 (1) ◽  
pp. 31-44
Author(s):  
Vladislav Ilin
Keyword(s):  
Technology In Education ◽  
Advantages And Disadvantages ◽  
Standardized Method ◽  
Impact Of Technology ◽  
The Impact ◽  
The Way

Technology in education is a global phenomenon affecting learners of all ages. The breadth and variety of available tools make it difficult to implement a standardized method for assessing the impact of technology on learning. The lack of a consensus on good and bad practices results in inconsistent application and mixed learning results.   This article takes a look at the adaptation of technology to education and examines the various tools used to enhance learning. We discuss the advantages and disadvantages of using technology, as well as review methodologies for evaluating the impact.   The essay concludes by identifying several problems with the way technology is evaluated and offers suggestions for further research to address those problems.

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