scholarly journals Minimal Invasive Dentistry: An Emerging Trend

Author(s):  
Poonam Sharma ◽  
Preeti Dhawan ◽  
Sumeet Rajpal ◽  
Nikhil Bhagat

When first introduced, the term Minimal Intervention Dentistry (MID) referred to use of smaller and more conservative cavity preparations. Today, concept is much broader, being a philosophy of care related to risk assessment of individual patients, early detection of oral disease, targeted preventively orientated strategies and limited surgical intervention appropriate to level of disease1-3. “Extension for prevention” which was previously taught has been changed to “Prevention of extension”. Though concept of MID has been stressed upon for more than a decade, but its uptake has not been global. MID should be the standard of care in modern dentistry, as it avoids over-zealous restorative interventions as well as supervised neglect. As dental profession worldwide grapples with challenges of dealing with high rates of dental diseases in socially disadvantaged and medically compromised patients, it is even more important to incorporate these concepts into practice to deal with challenge of management of oral diseases. This review focuses on the concept and techniques of minimal invasive dentistry as an emerging trend in paediatric dentistry. Keywords: paediatric dentistry, MID

2019 ◽  
Vol 39 (11) ◽  
pp. 1250-1257
Author(s):  
Sharon M. Casey ◽  
Ralph V. Katz ◽  
Shulamite Huang ◽  
Barbara J. Smith

The purpose of this follow-up Delphi survey was to have an expert panel of 31 academic geriatric physicians, geriatric nurses, and medical directors of nursing homes evaluate the original timeline set to avoid oral neglect of nursing home residents. The Oral Neglect in Institutionalized Elderly (ONiIE) timelines defined oral neglect as having occurred when >7 days for acute oral diseases/conditions or >34 days for chronic oral disease/conditions had passed between initial diagnosis and offering access to dental care to the long-term care (LTC) nursing home resident. The results of this follow-up Delphi survey validated those originally defined ONiIE timelines as 90% of this panel agreed with the original timelines. This ONiIE definition adds a broad-based validation for the ONiIE timelines for setting an oral health standard of care for institutionalized elderly residents of nursing homes and should now be used to protect the vulnerable elderly residing in LTC nursing homes.


Author(s):  
Ilham Roni Yansyah ◽  
S Sumijan

Teeth and mouth are parts of the body that cannot be separated, where the teeth are in the oral cavity so that if there is interference with the teeth it will affect the mouth. Knowledge to recognize dental and oral diseases from an early age is very much needed to be able to maintain healthy teeth and mouth. Lack of knowledge about these oral and dental diseases will result in severe damage to teeth and mouth. This study aims to measure the severity of oral disease and provide a diagnosis of oral and dental disease so that later it can be used as a reference for consultation with a doctor. The method used in this research is Forward Chaining to represent the rules of 27 symptom facts and 8 diseases described by experts. The results of testing for this method are as many as 10 patient data were diagnosed to get the same result as the doctor's analysis so that the accuracy rate is 80%. The expert system designed with the Codeigniter Framework can provide insight by being able to identify the disease suffered by patients and measure the severity of the oral and dental disease suffered.


Author(s):  
Haxhi Allmuca ◽  
Péllumb Zalla ◽  
Egon Andoni ◽  
Brunilda Mazari

The purpose of this study was to determine the frequency of oral diseases in dogs examined at the Small Animal Veterinary Hospital during 2013 - 2014. The dogs underwent a special control for diseases of oral cavity. Site specifications and severity of dental diseases were assessed using modified indexing systems. A total number of 776 dogs, presented at a private Tirana/Albania urban veterinary hospital for different reasons, during this period were analyzed. Analysis by oral disease type revealed 692 dogs or 89.1% dent-gingival disorders. Of these animals, 441 (56.8%) of 776 dogs had periodontal disease; 468 (60.3%) had dental calculus; 241 (31.0%) had teeth loss and 50 (6.4%) had abnormal attrition. Two cases of dogs suffering from tumours, one case with dental caries, two cases with the enamel hypoplasia and one case with gingival hyperplasia, were also observed. Data from this study showed that periodontitis and dental calculus are among the most common diseases prevalent in dogs. There were also observed changes in the deposit of calculus between the upper and lower jaw; with the most calculus deposits observed in the upper jaw. No differences were observed between the right side and the left side of the jaw. Dental calculus index was almost the same between the right side and left side. Frequency of periodontal changes and the degree of inflammation increased with an increase in the age of the dog. Dental calculus was observed at an earlier age in small breeds of dogs. Dental calculus index was lower in large dog breeds compared to the small dog breeds and increased with age. Results of the study showed a high prevalence of oral diseases in dogs and confirmed that periodontal disease is the most common oral disease in dogs.


2021 ◽  
Vol 18 (2) ◽  
pp. 65
Author(s):  
Zakiyah Yasin

Dental and oral disease are still become health problem in Indonesia. Dental and oral diseases greatly affect the degree of health, growth process and even the future of children. Data about dental diseases on Indonesian children, indicates that condition is already at worried stage. Research of effective health education about dental hygiene to toddler children needed. This study aim is to determine the influence of DHE against knowledge of dental hygiene on Grade V students in SDN Padangdangan 1. The method of this study was quasi experiment, use Pretest- Postest Control design. This study was conducted in SDN Padandangan 1 with total population was all of Grade V students in SDN Padandangan 1. The sampling technique in this study was total sampling with number of respondents was 32 divided by two groups, there were control group and implementation group. The data collected by using questionnaires. The result of this study shows that before DHE applicated to implementation group, students have less knowledge, that was 9 students (56,2%) and after DHE applicated, value of students’ knowledge was increase, that was 16 students (50,0%). The result of Willcoxon Sign Rank Test detired P = 0,005 (p<α), administering DHE through good and correct teeth rushing demonstration to Grade V students can increase the value of students’ knowledge. Dental health education is the right way to brush your teeth by using an interesting tool, such as phantom mannequin that can make attention from educator. Direct practice echnique is also involves many senses so the material from educator was more touches long erm memory.


Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

Dental diseases affect a large number of people, cause much discomfort and pain, and are costly to treat. Their impact is therefore considerable, to both the individual and wider society (see Chapters 3 and 21 for a more detailed overview of oral health impacts). A particular concern is the pervasive nature of oral health inequalities with the burden of oral diseases now increasingly experienced amongst less educated and socially excluded groups in society. The causes of dental diseases are well known and effective preventive measures have been identified. However, treatment services still dominate oral health systems around the world. There is growing recognition within the dental profession that treatment services will never successfully treat away the causes of dental diseases (Blinkhorn 1998). In the Lancet , one of the top medical journals, an editorial on oral health highlighted the need to reorient dental services towards prevention (Lancet 2009). What type of preventive approach should be adopted to promote oral health and reduce inequalities? It is essential that preventive interventions address the underlying determinants of oral disease and inequalities to achieve sustainable improvements in population oral health. Effectiveness reviews of clinical preventive measures and health education programmes have highlighted that these approaches do not reduce oral health inequalities and only achieve short-term positive outcomes. A radically different preventive approach is therefore needed. If treatment services and traditional clinical preventive approaches are not capable of dealing effectively with dental diseases, then other options need to be considered. In recent decades, the health promotion movement has arisen, partly in response to the recognized limitations of treatment services to improve the health of the public. With escalating costs and wider acceptance that doctors and dentists are not able to cure most chronic conditions, increasing interest has focused on alternative means of dealing with health problems. The origins of health promotion date back to the work of public health pioneers in the 19th century. At that time, rapid industrialization led to the creation of poor and overcrowded working and living conditions for the majority of the working classes in the large industrial towns and cities of Europe and North America.


2009 ◽  
Vol 10 (4) ◽  
pp. 97-103 ◽  
Author(s):  
Elizabeth B. Lozier ◽  
Yoly M. Gonzalez

Abstract Aim The purpose of this review is to describe the current status of smoking cessation initiatives in the dental profession. Review A review of the initiatives undertaken by the dental profession to adopt smoking cessation recommendations as standard of care is presented. Summary Facts about the effects of smoking on the major oral diseases are stated and supported by national statistics. The barriers for compliance by dental professionals are described based on published research, but even more importantly, possible solutions are offered. Clinical Significance Awareness of the harmful effects of smoking tobacco can help dental professionals become more motivated to comply with current recommendations for smoking cessation in order to improve the oral and general health of the public. Citation Lozier EB, Gonzalez YM. Smoking Cessation Practices in the Dental Profession. J Contemp Dent Pract 2009 July; (10)4:097-103.


Author(s):  
Ilham Roni Yansyah ◽  
S Sumijan

Teeth and mouth are parts of the body that cannot be separated, where the teeth are in the oral cavity so that if there is interference with the teeth it will affect the mouth. Knowledge to recognize dental and oral diseases from an early age is very much needed to be able to maintain healthy teeth and mouth. Lack of knowledge about these oral and dental diseases will result in severe damage to teeth and mouth. This study aims to measure the severity of oral disease and provide a diagnosis of oral and dental disease so that later it can be used as a reference for consultation with a doctor. The method used in this research is Forward Chaining to represent the rules of 27 symptom facts and 8 diseases described by experts. The results of testing for this method are as many as 10 patient data were diagnosed to get the same result as the doctor's analysis so that the accuracy rate is 80%. The expert system designed with the Codeigniter Framework can provide insight by being able to identify the disease suffered by patients and measure the severity of the oral and dental disease suffered.


Author(s):  
Stefano Cianetti ◽  
Chiara Valenti ◽  
Massimiliano Orso ◽  
Giuseppe Lomurno ◽  
Michele Nardone ◽  
...  

Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.


2021 ◽  
pp. 238008442110003
Author(s):  
T.M. Nguyen ◽  
U. Tonmukayakul ◽  
H. Calache

The coronavirus disease 2019 (COVID-19) has disrupted essential oral healthcare in Australia. Sources for COVID-19 transmission via dental settings is considered to have high potential due to the production of aerosols and because transmission can occur through the airborne route. However, COVID-19 cases in dentistry is reportedly low. Delayed timely dental care, where severe oral diseases remain undetected, untreated, or asymptomatic such as advanced dental caries, periodontitis, and head and neck cancer, can have detrimental consequences for individuals at increased risk for oral diseases. The dental profession should remain vigilant and advocate for the continuation of essential oral healthcare even in times of uncertainty. Knowledge Transfer Statement: The reportedly low COVID-19 transmission occurring in dental settings highlight achievements made by the dental profession. There are valid reasons to reconsider risk-based essential oral healthcare during the COVID-19 pandemic.


2021 ◽  
Vol 4 (5) ◽  
pp. 01-13
Author(s):  
Avra Laarakker

Objective: We report a case of self inserted needle into the left ventricle of the heart and a description of our surgical intervention in a psychiatric patient without decision-making capacity. We discuss issues regarding obtaining consent in this patient with a sub-acute presentation, report our operative approach, and summarize a treatment approach based on a review of current literature. Methods: A PubMed search using terms “needle, “heart”, “insertion”, “intracardiac foreign object”, yielded 69 relevant papers. 67 of these were case reports yielding 72 individual cases. Age, gender, cause of the needle entry (Accidental Plus (A+), Intravenous Drug User [IVDU], Self-inflicted (SI)), type of needle, location in heart, neuropsychiatric history, treatment, and outcome were documented. Results: Within the SI category, there were a total of 28 cases, 89.3% had a neuropsychiatric history whereas only there were only 2 such patients in both the IVDU and A+ group. The location of the needle in the heart in all 72 cases was as follows: right ventricle 40.3%, other 20.8%, left ventricle 19.4 %, ventricle and interventricular septum 16.7% and the right and left atrium were each 1.4 %. In all three groups (n=72), 77.8% of patients underwent surgery, with 92.9% having a stable outcome. Conclusion: Our case and review demonstrates that management of such cases, particularly when active mental health issues are present, requires a case-by-case evaluation and treatment as a specific standard of care has not been established. Surgical intervention appears to be the preferred management regardless of presentation with good outcomes. Running Title: Intracardiac Self Insertion of a Darning Needle in a Psychiatric Patient


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