scholarly journals Dental management of COPD patient

2012 ◽  
Vol 44 (1-2) ◽  
pp. 21-24 ◽  
Author(s):  
SS Rahman ◽  
M Faruque ◽  
MHA Khan ◽  
SA Hossain
Keyword(s):  
Health Care Professionals ◽  
Dental Health ◽  
Upper Airway ◽  
Chronic Inflammatory Disease ◽  
Chronic Obstructive ◽  
Chronic Respiratory Diseases ◽  
Dental Patients ◽  
Dental Procedures ◽  
Dental Management ◽  
Chronic Obstructive Pulmonary Diseases

Chronic obstructive pulmonary diseases have increased in prevalence and the rate of death of this chronic inflammatory disease of the airways has also risen despite recent advances in medical treatments. The dental health care professionals must be prepared to treat more medically compromised individuals. Because dental professionals operate at the origin of the upper airway and many dental procedures are deemed stressful, patients with chronic respiratory diseases are at special risk. This article will review the patho-physiology and discuss the recognition and management of dental patients with these diseases and provide an understanding on how to avoid precipitating factors that could initiate an acute episode in the dental care setting. The most important factor in preventing COPD is helping patients stop smoking.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10472Bang Med J (Khulna) 2011: 44(1&2) 21-24

scholarly journals Preprocedural Pool Testing Strategy for Dentistry during the COVID-19 Pandemic

2021 ◽  
pp. 238008442198969
Author(s):  
F. Umer ◽  
A. Arif
Keyword(s):  
Health Care Professionals ◽  
Dental Health ◽  
Cost Effective ◽  
Testing Strategy ◽  
Rubber Dam ◽  
Specificity And Sensitivity ◽  
Asymptomatic Patients ◽  
Dental Procedures ◽  
Cost Effective Method ◽  
Control And Prevention

Introduction: Aerosol-generating procedures (AGPs) put the dental health care professionals (DHCPs) at a greater risk for acquiring severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In late June 2020, the Centers for Disease Control and Prevention advised elective dental procedures provision to asymptomatic patients while mandating strict infection control protocol and suggested the use of preprocedural testing as an adjunct. A cost-effective method for mass preprocedural testing is pool testing, which has specificity and sensitivity similar to polymerase chain reaction. This article aims to assess the outcomes and utility of incorporating preprocedural testing protocol for SARS-CoV-2 in dental clinics before providing AGPs. Method: The patients who were recommended AGPs where rubber dam placement was not possible were advised to undergo preprocedural testing for SARS-CoV-2. Pool testing strategy was employed, and patients were asked to get tested 48 h before the day of the procedure. Results: Out of a total of 1,000 patients, who presented from June 2020 to late July 2020, 464 were recommended dental procedures. In 194 of 464, AGPs could not be performed under rubber dam isolation; therefore, the patients were advised to get a preprocedural pool test. In total, 111 patients deferred the procedure and testing. Out of 83 who got tested, 7 were positive for SARS-CoV-2, 5 of whom were tested in early June 2020 and 2 in late July 2020. Conclusion: Pool testing within its limitations can be a useful preprocedure test in asymptomatic low-risk patients for AGP in dentistry, especially when the disease prevalence is low or moderate (<10%). It has the potential of reducing testing costs significantly while conserving reagent and other resources. Preprocedure testing, however, also gives rise to certain ethical concerns that also need to be addressed. Knowledge Transfer Statement: The results of this study can be used by clinicians when deciding which preprocedure testing approach they wish to use when performing aerosol-generating procedures in asymptomatic patients with consideration of cost sensitivity and specificity values.

COVID-19 and Dentistry — Are we Ready

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1452-1457
Author(s):  
Nandini Prakash Hake ◽  
Kumar Gaurav Chhabra ◽  
Akib Sheikh ◽  
Sayali Limsay ◽  
Simran Nathani ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Dental Health ◽  
Dental Patients ◽  
Dental Health Care ◽  
Human Contact ◽  
Dental Procedures ◽  
Care Workers ◽  
Coronavirus Infection ◽  
General Wellbeing

The pandemic of coronavirus infection 2019 (COVID-19) started from Wuhan, China, in December a year ago and has become a significant test to general wellbeing China as well as nations around the globe. Affecting the population of 4,735,622 in the world and leads to the death of 316,289 till 19th May 2020, according to reports of WHO. The COVID-19 spread rapidly by a human to human contact through small droplets from mouth and nose. Other possible routes of transmission for COVID-19, include airborne spread via aerosols produces during dental procedures. The dentists are at higher risk of getting infected by coronavirus disease with many routine dental procedures having the possibility to transmit the virus through aerosols. During the time of COVID-19 pandemic disease, the health care workers should be provided with protective apparatus including face shields, goggles, mask, gloves, gown or coverall, headcover and rubber boots. American Dental Association has maintained a consistency neutral stance since the pandemic was recognized. They appealed dental health care workers to put off elective dental procedures for dental patients and to provide only urgent dental care. Essential phone screening to distinguish suspected patients or likely COVID-19 contaminated can be correctly done during routine dental arrangements. This review highlights on the structure of coronavirus, its modes of communication, how dental health care workers are at higher risk, urgent dental procedures that should only begin during the crisis and basis preventive measures taken by dental health care workers.

scholarly journals Effectiveness of Extra Oral Vacuum Aspirator During Dental Treatment in COVID -19 Pandemic

2020 ◽  
Vol 3 (2) ◽  
pp. 47-50
Author(s):  
Anjana Maharjan ◽  
Sarita Joshi ◽  
Shyam Kaji Maharjan
Keyword(s):  
Health Care Professionals ◽  
High Efficiency ◽  
Dental Treatment ◽  
Dental Health ◽  
High Volume ◽  
Air Filter ◽  
Health Crisis ◽  
Dental Procedures ◽  
Dental Office ◽  
Increased Risk

As COVID 19 pandemic has rapidly became a public health crisis of global concern, dental office is also affected.  Due to the unique characteristics of dental office i.e., generating high volume of aerosol during the dental procedures, both dental health care professionals as well as the patients have increased risk of cross infection. Various devices like extra oral vacuum aspirator, high volume evacuator, and high efficiency particulate air filter and ultraviolent chambers in conjunction with personal protective equipment are used to reduce aerosols produced in dentistry. The objective of this review is to explore the effectiveness of extra oral vacuum aspirator to decrease number of airborne pathogens, such as the SARS- CoV-2 virus during the dental procedure.

FEATURES OF THE QUALITY OF LIFE OF PATIENTS WITH RESPIRATORY DISEASES AND THEIR DYNAMICS DURING STATIONARY TREATMENT

2021 ◽  
Vol 2 (2) ◽  
pp. 33-40
Author(s):  
Dilfuza Zakirova ◽  
◽  
Gulnoz Norova ◽  
Dilnoza Hayotova ◽  
Dilbar Nabijonova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Respiratory Diseases ◽  
Chronic Obstructive ◽  
Urban Residents ◽  
Chronic Respiratory Diseases ◽  
Chronic Obstructive Pulmonary Diseases ◽  
The Social ◽  
Access To Medical Care ◽  
State Of The Environment

This article is devoted to the features of the formation of chronic bronchopulmonary pathology and the effectiveness of treatment of patients are significantly influenced by such unfavorable factors as the state of the environment, working conditions, living conditions, late access to medical care, the presence of concomitant diseases, etc. The dependence between the features of the formation of chronic respiratory diseases, risk factors and the quality of life of urban residents was revealed. The functioning scales presented in the program allowed us to identify the features of the social and hygienic functioning of patients. The most important thing in the treatment of patients with respiratory diseases is to increase the level of medical awareness and medical activity. The obtained data can be used to develop recommendations for the detection of early chronic obstructive pulmonary diseases

Post COVID- 19 protocol of treatment, radiologic examination and infection control in dentistry

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1384-1389
Author(s):  
Pooja D Dhole ◽  
Vidya K Lohe ◽  
Ravindra P Kadu ◽  
Swapnil C Mohod ◽  
Mrunal Meshram ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Dental Health ◽  
Routine Care ◽  
Dental Patients ◽  
Dental Health Care ◽  
Huge Data ◽  
Dental Professional ◽  
Significant Health

The COVID-19 is an utmost challenge to the health care profession. The medical professionals and system and has recommended different reaction and sorts of solutions found all over the world. As the dental health care professionals deal directly with the oral cavity, their responsibility in avoiding the spread of COVID-19 proves significant. All the usual dental treatment and procedures put on hold into countries which come across COVID-19. During this pandemic, there is a need for planned crucial care which might be delivered by dental professional and auxiliary they should be provided with proper PPE on priority. Dental health care professionals should also be trained to contribute to health care. Quick re-organization of significant health care support is not simple. Dental health care professionals have an ethical duty to lessen the fear of spreading COVID-19 for routine care in dental patients. But they were and are worried concerning the monetary issues. The huge data is online accessible and over societal media, but still, it is hard to recognize research confirmation and supervision; however, ethical conclusions should be made.

scholarly journals The Role of Respiratory Flora in the Pathogenesis of Chronic Respiratory Diseases

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Mei-Ying Guo ◽  
Hao-Kun Chen ◽  
Hua-Zhong Ying ◽  
Fen-Sheng Qiu ◽  
Jun-Qi Wu
Keyword(s):  
Respiratory Diseases ◽  
Pathogenic Bacteria ◽  
Microbial Population ◽  
Normal Population ◽  
Upper Airway ◽  
Chronic Obstructive ◽  
Clear Understanding ◽  
Obstructive Pulmonary Disease ◽  
Chronic Respiratory Diseases ◽  
New Ideas

Large quantities of bacteria, including Firmicutes, Actinobacteria, and Bacteroidetes, colonize the surface of the respiratory mucosa of healthy people. They interact and coexist with the local mucosal immune system of the human airway, maintaining the immune stability and balance of the respiratory system. While suffering from chronic respiratory diseases, the microbial population in the airway changes and the proportion of Proteobacteria is increased in patients with asthma. The abundance of the microbial population in patients with chronic obstructive pulmonary disease (COPD) is decreased, and conversely, the proportion of Firmicutes and Proteobacteria increased. The diversity of airway microorganisms in cystic fibrosis (CF) patients is decreased, while pathogenic bacteria and conditional pathogenic bacteria are proliferated in large numbers. The proportion of Firmicutes and Proteobacteria is increased in patients with upper airway cough syndrome (UACS), which replaces the dominance of Streptococcus and Neisseria in the pharynx of a normal population. Therefore, a clear understanding of the immune process of the airway flora and the immune dysfunction of the flora on the pathogenesis of chronic respiratory diseases can provide new ideas for the prevention and treatment of human respiratory diseases.

scholarly journals Guidelines for Safe Routine Dental Practice During the COVID-19 Pandemic

The Physician ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 1-14
Author(s):  
Gowri Sivaramakrishnan ◽  
Fatema Al Sulaiti ◽  
Muneera Al sobaiei
Keyword(s):  
Health Care Professionals ◽  
Dental Health ◽  
Postgraduate Education ◽  
Standards Of Care ◽  
Safe Environment ◽  
Dental Health Care ◽  
Dental Clinics ◽  
Dental Procedures ◽  
Evidence Based Guidelines ◽  
Dental Professionals

The Dental Postgraduate Training Department at the Ministry of Health, Bahrain, is committed to raising the standards of care provided to our patients through postgraduate education, and the provision of evidence-based guidelines for dental professionals. We are delighted, and we believe that this important set of guidelines will prepare the dental professionals to resume and continue their routine dental procedures in primary care dental clinics during the pandemic. The purpose of developing these guidelines is to ensure the provision of best practices in a safe environment for the dental health care professionals and the patient.

CRISPR/Cas9 Genome Editing Tool: A Promising Tool for Therapeutic Applications on Respiratory Diseases

2020 ◽  
Vol 20 (5) ◽  
pp. 333-346
Author(s):  
Sadiya Bi Shaikh ◽  
Yashodhar Prabhakar Bhandary
Keyword(s):  
Respiratory Diseases ◽  
Gene Editing ◽  
Epithelial Mesenchymal Transition ◽  
Respiratory Health ◽  
Chronic Obstructive ◽  
Therapeutic Tool ◽  
Obstructive Pulmonary Disease ◽  
Mesenchymal Transition ◽  
Chronic Respiratory Diseases ◽  
Promising Tool

Respiratory diseases are one of the prime topics of concern in the current era due to improper diagnostics tools. Gene-editing therapy, like Clustered regularly interspaced palindromic repeats- associated nuclease 9 (CRISPR/Cas9), is gaining popularity in pulmonary research, opening up doors to invaluable insights on underlying mechanisms. CRISPR/Cas9 can be considered as a potential gene-editing tool with a scientific community that is helping in the advancement of knowledge in respiratory health and therapy. As an appealing therapeutic tool, we hereby explore the advanced research on the application of CRISPR/Cas9 tools in chronic respiratory diseases such as lung cancer, Acute respiratory distress syndrome (ARDS) and cystic fibrosis (CF). We also address the urgent need to establish this gene-editing tool in various other lung diseases such as asthma, Chronic obstructive pulmonary disease (COPD) and Idiopathic pulmonary fibrosis (IPF). The present review introduces CRISPR/Cas9 as a worthy application in targeting epithelial-mesenchymal transition and fibrinolytic system via editing specific genes. Thereby, based on the efficiency of CRISPR/Cas9, it can be considered as a promising therapeutic tool in respiratory health research.

Interleukin-17A: A Potential Therapeutic Target in Chronic Lung Diseases

2019 ◽  
Vol 19 (7) ◽  
pp. 921-928 ◽  
Author(s):  
Sadiya Bi Shaikh ◽  
Ashwini Prabhu ◽  
Yashodhar Prabhakar Bhandary
Keyword(s):  
Respiratory Diseases ◽  
Inflammatory Cytokine ◽  
Inflammatory Responses ◽  
Chronic Obstructive ◽  
Interleukin 17 ◽  
Potential Therapeutic Target ◽  
Chronic Respiratory Diseases ◽  
Chronic Lung Diseases ◽  
Interleukin 17A ◽  
Insight Into

Background: Interleukin-17A (IL-17A) is a pro-inflammatory cytokine that has gained a lot of attention because of its involvement in respiratory diseases. Interleukin-17 cytokine family includes six members, out of which, IL-17A participates towards the immune responses in allergy and inflammation. It also modulates the progression of respiratory disorders. Objective: The present review is an insight into the involvement and contributions of the proinflammatory cytokine IL-17A in chronic respiratory diseases like Idiopathic Pulmonary Fibrosis (IPF), Chronic Obstructive Pulmonary Distress (COPD), asthma, pneumonia, obliterative bronchiolitis, lung cancer and many others. Conclusion: IL-17A is a major regulator of inflammatory responses. In all the mentioned diseases, IL- 17A plays a prime role in inducing the diseases, whereas the lack of this pro-inflammatory cytokine reduces the severity of respective respiratory diseases. Thereby, this review suggests IL-17A as an instrumental target in chronic respiratory diseases.

Sign in / Sign up

Export Citation Format

Share Document