scholarly journals PREVENTIVE MEASURES IMPLEMENTATION AMONG LIBYAN GENERAL DENTISTS AND PROSTHODONTISTS DURING COVID-19 OUTBREAK IN TRIPOLI: A CROSS-SECTIONAL STUDY.

Author(s):  
Hala Abdallah Traina ◽  
Nourelhouda Salaheddin Misurati ◽  
Noora Shaaban Berhaim

Introduction: The available knowledge about Covid-19 mandate applying set of strict preventive measures for medical and dental professions. Dental health personnel are considered among high risk occupation group during the pandemic. Objective: This study aimed to assess the level of adherence to the preventive measures against the coronavirus disease and infection control among prosthodontists and general dentists in Tripoli, Libya. Methods: A questionnaire consisting of 8 questions was distributed among dentists who are working in private clinics or public health centers during Covid-19 pandemic, in Tripoli. Dentists were selected randomly to participate in this survey. Results: This study included a total of 70 dentists forming a response rate of about 87,5% (70 dentists participated out of 80 dentists), a total of 19 were prosthodontists and 51 were general dentists. The results showed that only 32% had attended lectures regarding COVID-19. The percentage of dentists who wear PPE during fixing post insertion complete denture complains and during fixing high spots before final cown/ bridge cementation were (60%, and 61.4%) respectively. During dental treatment, all dentists reported they do keep frequent hand hygiene by using ABHR or water and soap, (72.8%) ask their patients for pre procedural mouth rinse before starting the treatment, (62.8%) stated that they use rubber dam during aerosol generating procedures.. Conclusions: Libyan dentists in this study showed practicing of moderate infection control procedures to minimize transmission of Covid-19, limited comprehension of what constitutes as emergency dental procedures was recognized. Dentists are required for attending awareness days and workshops in this respect. Keywords: COVID-19, Dentists, Preventive measures, Infection control.

1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Burkay YAKAR ◽  
Türkkan Öztürk KAYGUSUZ ◽  
Edibe PİRİNÇCİ

Background: Dental anxiety and fear make the dental operation and the treatment difficult. Beside that it causes the delays or absence in the dental appointments so it leads to problems for oral and dental health. The aim of this study was to investigate the frequency of dental anxiety, the factors affecting dental anxiety and the effects of dental anxiety on oral dental health of the participants.Methodology: We conducted a hospital-based, cross-sectional study among 342 patients attending the outpatient clinic of a tertiary dentistry hospital. Dental anxiety and trait anxiety levels of the participants measured using MDAS and STAI scales. Weconducted the student t-test, One-way Anova and Tukey’s post hoc for the analysis of our data. The Pearson’s correlation analysis has been used for the analysis of two different quantitative data obtain from MDAS and STAI scales.Results: The age average of 342 participant of our research was 34,41±11,78. 59,1% of our participants was women. (n=202) Dental anxiety was existing in the 42,1% of the participants (n=144). 56,4% of the participants have had a hard and painful dental treatment experiences. 15,2% of our participants (n=52) had MDAS 19 point or more.Conclusions: High and statistically significant dental anxiety scores have been detected for the patients who are women, housewives, who had uneasy and painful dental treatment stories who have personel inclinations to the anxiety. Examinations directed to the factors which would increase the dental anxiety, may prevent possible complications and also the risk carried by the patients related to the dental health may be estimated with the help of this kind of examinations. 


Biology ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 608
Author(s):  
Itzhak Abramovitz ◽  
Avraham Zini ◽  
Pablo Pribluda ◽  
Ron Kedem ◽  
Dorit Zur ◽  
...  

There are conflicting results existing regarding the association between dental status and metabolic syndrome (MetS). The present research analyzed the associations of the sum of the standard dental unit (SDU) scores of planned (SDU-P) and delivered (SDU-D) dental procedures per patient with MetS components, consequences, and related conditions. The SDU score of each dental procedure represents the time and complexity of the executed procedure. This cross-sectional study analyzed data from the Dental, Oral, Medical Epidemiological (DOME) repository, which includes comprehensive socio-demographic, medical, and dental databases of a nationally representative sample of 132,529 military personnel. Univariate analyses revealed that SDU-P had statistically significant positive associations with all systemic morbidities related to MetS, while the SDU-D exhibited positive associations with some of the systemic morbidities and with lower ORs. SDU-P and SDU-D were associated with worse scores of auxiliary examinations used in the assessment of MetS components. SDU-P retained significant positive associations in the multivariate analysis with impaired glucose tolerance (IGT) (OR = 7.40 (1.91–28.57)), deep vein thrombosis (DVT) (OR = 5.61 (1.53–20.83)), obstructive sleep apnea (OSA) (OR = 5.05 (2.40–10.63)), and fatty liver (OR = 1.82 (1.17–2.84)). In contrast, obesity was the only systemic parameter retaining a significant association with SDU-D following multivariate analysis (OR = 1.47 (1.23–1.76)). It can be concluded that SDU-P, but not SDU-D, is a better predictor of systemic morbidities related to MetS. In other words, MetS is associated with a higher dental treatment needs burden, rather than with dental treatments performed de facto. Dental and general health authorities should collaborate and share information and focus on reducing common health-related risk factors, such as smoking and sugar consumption, in particular among high-risk populations, such as immigrants and those with lower SES and rural locality.


2021 ◽  
Vol 9 (6) ◽  
pp. 69
Author(s):  
Iris Urlic ◽  
Josip Pavan ◽  
Zeljko Verzak ◽  
Zoran Karlovic ◽  
Dubravka Negovetic Vranic

Visual acuity plays an important role in dentists’ vision in their daily clinical routine. This study aimed to determine dental students’ visual acuity without optical aids and when using magnification devices in simulated clinical conditions. The participants were forty-six students at the School of Dental Medicine with a visual acuity of 1.0 in decimal values or 100% in percentage. The central visual acuity was tested using a miniature Snellen eye chart placed in the molar cavity of a dental phantom, in simulated clinical conditions under five different settings (natural visual acuity, by applying head magnifying glasses x1,5 and binocular magnifying devices using Galileo’s x2,5/350 mm, Keplerx3,3/450 mm and Keplerx4,5/350 mm optical system). The Wilcoxon Signed Rank test shows that the distribution of measurements of the visual acuity undertaken by the application of magnifying devices (VNL, VGA2,5, VKP3,3, VKP4,5) contained higher values of visual acuity than those received by the use of natural vision (VSC) (p < 0.001 for the comparison to the VNL, VGA2,5, VKP3,3 and VKP4,5 groups). The highest and statistically most significant increase in visual acuity is achieved using the Keplerian telescope x4.5/350 mm. The application of magnifying devices provided dentistry professionals with better visual acuity, improving detail detection in an oral cavity during dental procedures by magnifying the oral structure. The use of magnification devices means much more precise work, decreases the operating time, improves posture and reduces muscle pain in the shoulder during dental treatment.


2019 ◽  
Vol 26 (08) ◽  
pp. 1354-1358
Author(s):  
Gotam Das ◽  
Imran Samejo ◽  
Shabir Ahmed ◽  
Bushra Jabeen ◽  
Muhammad Ilyas Shaikh ◽  
...  

The Aim of this study was to assess that what measures were taken routinely by private dental practitioners regarding cross infection control. Study Design: Cross sectional study. Setting: Private dental practitioners in Karachi. Period: 01-04-2018 to 30-09-2018. Materials and Methods: A questionnaire comprised of 10 questions was prepared regarding measures taken for infection control in private dental practice. The questionnaire was distributed randomly among 130 private dental practitioners by hand to carry out a cross sectional study on cross Infection control among the private dental practitioners in Karachi. The each question had two options (YES OR NO), and the respondents had to select one of the two. Results: The questionnaire was sent to 130 private dental practitioners, out of which 111 dentists responded and returned the questionnaire. The response rate was 85%. Following are the results obtained. 85% of participants asked detailed medical history. Majority of dentists (78%) were immunized against hepatitis B. 95 % of the participants stated that they wore gloves during dental treatment and change on each patient. Mask was worn and changed on each patient by 67% of dentists during treatment. Protective eyeglasses and protective face shield were worn by 20% and 2 % of respondents respectively during dental treatment. Majority of dentists (84%) used autoclave to sterilize the hand piece and 16% dentists used sterilized hand piece on each patient. 100% participants changed instruments such as extraction instruments, saliva ejector, hand piece, impression trays on each patient. Only 3% of participant disinfected the impression before sending to laboratory. Only 17 % participants used special container to disposal off sharp objects. Conclusion: Cross infection control measures need to be improved in private dental practice.


2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Ebru Delikan ◽  
◽  
Ayşe Tuğba Ertürk-Avunduk ◽  
Seçkin Aksu ◽  
◽  
...  

Objective: To determine the differences in treatment strategies and material preferences for deep dentine carious lesions (DDCLs) management among general and specialist dentists. Methods: Dentists working in universities, oral and dental health centers, or private practice were administered a 14-item web-based questionnaire regarding demographic and occupational characteristics, approaches to DDLCs, pulp capping methods, and preferences for restorative materials. The data were examined using descriptive statistical analysis and Pearson’s chi-square tests. Results: The study enrolled 298 general and 265 specialist dentists among whom 67.1% were female and 73.3% were aged 25 to 35 years. Total excavation and permanent restoration of DDCLs were the commonly preferred treatments (67.0%), although the pediatric dentists tended toward selective caries removal in these lesions. Mineral trioxide aggregate was used more regularly by the pediatric dentists and endodontists. The pediatric dentists exhibited statistically significantly lower preference for canal treatment than general dentists and endodontists as treatment option for mature teeth with DDCLs (p<0.05). Conclusion: Conservative treatment approaches and material preferences of specialists and general dentists in DDCLs are generally different. The age of dentists, the time since their graduation, place of work and the number of patients they have seen daily may affect the approaches and preferences.


2021 ◽  
Vol 14 (4) ◽  
pp. 498-503
Author(s):  
Yagoub Dhafer Alyami ◽  
◽  
Jana Khalid Farran ◽  
Jumanah Ateeq Alsubhi ◽  
Jehan Ahmed Omar ◽  
...  

In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from “not anxious” (scoring 1) to “extremely anxious” (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Wahyuni R. Ramadhani ◽  
Billy J. Kepel ◽  
Wulan G. Parengkuan

Abstract: Dental health practitioners and clinical students are vulnerable groups to transmission of infection since they have a tendency to contact with saliva and blood in every treatments. The risk of these infections requires attention to implement universal precautions and infection control. This study aimed to describe the universal precautions and infection control in periodontia treatment at dental hospital PSPDG FK Unsrat. This was a descriptive observational study with a cross sectional design. This study was conducted at dental hospital of PSPDG FK Unsrat in Juni-July 2015. There were 30 samples who underwent scaling obtained by using consecutive sampling. Data were obtained by using a checklist instrument. The results showed that 43.7% had implemented self universal precautions and infection control; 66.7% had implemented patients’ universal precautions and infection control; and 40% had handled dentistry tools and instruments. Conclusion: The overview universal precautions and infection control in periodontia treatment at dental hospital of PSPDG FK Unsrat were accomplished as much as 50.1%.Keywords: universal precautions, infection control, clinical student, periodontiaAbstrak: Tenaga kesehatan gigi merupakan kelompok yang rentan terhadap penularan infeksi karena dalam tindakan perawatan mereka berkontak dengan saliva (air liur) dan darah. Risiko infeksi mengharuskan tenaga kesehatan gigi termasuk mahasiswa kepaniteraan klinik memperhatikan tindakan pencegahan dan pengendalian infeksi. Penelitian ini bertujuan untuk mengetahui gambaran tindakan pencegahan dan pengendalian infeksi pada perawatan periodonsia di Rumah Sakit Gigi dan Mulut PSPDG FK Unsrat. Penelitian ini bersifat deskriptif observasional dengan desain penelitian cross sectional study. Penelitian ini dilaksanakan di Rumah Sakit Gigi dan Mulut PSPDG FK Unsrat antara bulan Juni-Juli 2015 dengan jumlah sampel yaitu 30 kunjungan scaling, menggunakan consecutive sampling. Data diperoleh dengan menggunakan checklist. Hasil penelitian memperlihatkan 43,7% yang menerapkan tindakan pencegahan dan pengendalian infeksi terhadap mahasiswa kepaniteraan klinik, 66,7% yang menerapkan terhadap pasien, dan 40% yang melakukan tindakan penanganan instrumen dan alat pelayanan kedokteran. Simpulan: Tindakan pencegahan dan pengendalian infeksi pada perawatan periodonsia di Rumah Sakit Gigi dan Mulut PSPDG FK Unsrat yang terlaksana yaitu 50,1%.Kata kunci: pencegahan dan pengendalian infeksi, mahasiswa kepaniteraan klinik, periodonsia


2020 ◽  
Vol 14 (S 01) ◽  
pp. S1-S6
Author(s):  
Muhammad Adeel Ahmed ◽  
Rizwan Jouhar ◽  
Samira Adnan ◽  
Naseer Ahmed ◽  
Tuba Ghazal ◽  
...  

Abstract Objectives The aim of this study was to evaluate the patient’s knowledge, attitude, and practice of cross-infection control in dentistry during coronavirus diseases 2019 (COVID-19). Materials and Methods This cross-sectional observational study was conducted at Altamash Institute of Dental Medicine, Karachi from June 2020 to August 2020. A total of 775 patients participated to fill questionnaire. After scrutiny, 25 questionnaire forms were excluded due to incomplete information. Questionnaire was divided in to four sections. First section obtained patients sociodemographic information, while knowledge of patients regarding cross-infection control during COVID-19 pandemic was evaluated in second section. Similarly, the purpose of third section was to assess attitude and fourth section was designed to evaluate practice. Likert’s 3-point scale was used for registration of participant’s response. The reliability of questionnaire was assessed through Crohnbach’s α (α = 0.74). Statistical analysis was performed after entering data in to SPSS version 25. Independent t-test was used to evaluate the difference in patients’ knowledge, attitude, and practice. A p-value ≤ 0.05 was considered as statistically significant. Results Majority of the participants agreed that COVID-19 is a highly contagious disease (631, 97%) and daily screening of staff, dental assistants, dentists, and patients is necessary (568, 75.7%) along with proper sterilization of instruments and disinfection of dental operatory (650, 86.66%). A large number of participant also agreed that proper disposal of waste is utmost important for cross-infection control (601, 80.24%) and patient's waiting area should also be marked with social distancing sign (620, 82.66%). However, when asked about the common route of COVID-19 transmission in dentistry, 341 (45.5%) participants disagreed that it is not through aerosol (water droplets) generated during dental procedures. Conclusions Dental health professionals should take additional measures to educate dental patients on mechanism of potential spread of COVID-19 through the aerosols and droplets generated during dental procedures. They should also encourage the dental patients to be vigilant and question the cross-infection control measures practiced by the dentist to whom they go for dental treatment, and to decrease their chances of acquiring an infection during their visit to the dental office.


2020 ◽  
Vol 14 (01) ◽  
pp. 144-151
Author(s):  
Sadeq Ali Al-Maweri ◽  
Maha Naif Alshammari ◽  
Abdulaziz Rabah Alharbi ◽  
Aisha Abdullah Bahein ◽  
Mohammed Nasser Alhajj ◽  
...  

Abstract Objectives Bisphosphonates (BPs) are used for treatment of various benign and malignant medical conditions. Medications-related osteonecrosis of the jaws (MRONJ) is a very serious complication of prolonged therapy with BPs. This study aimed to assess the level of knowledge among dental professionals in Saudi Arabia regarding MRONJ. Materials and Methods This was a questionnaire-based, cross-sectional study. A self-administered questionnaire comprising close-ended questions about BPs and MRONJ was sent to a convenience sample of dentists in Saudi Arabia.Statistical Analysis SPSS software was used for data analysis. Chi-square test was used to compare between the groups. The significance level was set at p < 0.05. Results A total of 607 dentists participated in this survey. Overall, the respondents showed insufficient level of knowledge regarding BPORNJ, with only 70% of the respondents had heard about BPORNJ, and less than 50% recognized the risk factors and clinical features of the disease. Additionally, while two-thirds of the respondents recognized the importance of taking BPs history, the majority did not know the correct treatment approach. Respondents with higher degrees (specialists) showed far better knowledge than general dentists. Conclusion The knowledge regarding BPs therapy and its complications among Saudi dentists is unsatisfactory. Hence, interventions are highly required to improve dentists’ knowledge regarding BPs and MRONJ.


2013 ◽  
Vol 10 (2) ◽  
pp. 10-16 ◽  
Author(s):  
Aslam Md Aurangjeb ◽  
Tamanna Zaman ◽  
Meghdeep Badruddoza

Aim: This descriptive type of cross-sectional study was conducted among 105 dental surgeons working in the outpatient departments at some renowned educational institutions and a few private dental clinics in Dhaka city. Methods: The respondents were interviewed using structured questionnaire and their method of practice was noted. Results: Mean period of practice was 9.49±5.936 (1 to 27) years. The mean age in year of the respondents was 33.88±6.18 (24 to 50) years. Highest respondents were from private dental clinics (28.6%) and the rests were from educational institutions. According to educational qualifications, 65.7% were graduate dental surgeons and the rest were postgraduates. Male were more (63) in numbers than the female respondents (42). Only 9.5% practiced dental chair instrument tray and other exposed area cleaning with disinfectants between patients, 6.7% used to wrap exposed areas and change between different patients and 5.7% practiced air exhausting during dental treatment. Only 27.6% changed gloves for each patient, 71.4% dental surgeons used aprons, 96.1% dental surgeons used face masks, 74.3% respondents did not use goggles or eye protecting shields and only 4.8% dental surgeons used head caps in their daily dental practice. Of all, 5.7% dental surgeons routinely advised their patients to rinse mouth with any antiseptic mouth wash before treatment to minimize dental splatter and aerosol and 3.8% dental surgeons used high-volume suction as a routine practice during all dental treatment procedures. Conclusion: The study reveals the existing practice situation of dental surgeons of Dhaka city about cross infection control especially dental splatter and aerosol. Dental health-care personnel, dental patients and their family members are at a risk to expose to contaminated diseases due to dental splatter and aerosol. DOI: http://dx.doi.org/10.3329/cdcj.v10i2.16314 City Dent. Coll. J Volume-10, Number-2, July-2013


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