scholarly journals Psychological Factors in Dental Patient Care: Odontophobia

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 678 ◽  
Author(s):  
Rosa De Stefano
Keyword(s):  
Oral Health ◽  
Patient Care ◽  
Psychological Factors ◽  
Future Perspective ◽  
Successful Therapy ◽  
Psychological Techniques ◽  
Non Invasive ◽  
Dental Patient ◽  
Systemic Health

Dentistry and oral health are at the heart of the systemic health of humans. Often this branch of medicine is underestimated either due to socioeconomic reasons or due to fear. In fact, in dentistry, there is often a widespread condition of odontophobia among patients. A clinician’s knowledge of this condition, and an accompanying understanding of how to successfully manage it, is surely one of the first steps to gaining a patient’s trust and maintaining his or her patronage. Being able to manage a dental phobic patient in the best way is the key to successful therapy. Psychological techniques often have to work alongside dentistry in managing these patients. A future perspective concerns precisely the implementation of non-invasive practices such as hypnosis in the management of the latter.

scholarly journals Genome-wide scan identifies novel genetic loci regulating salivary metabolite levels

2019 ◽  
Author(s):  
Abhishek Nag ◽  
Yuko Kurushima ◽  
Ruth C. E. Bowyer ◽  
Philippa M. Wells ◽  
Stefan Weiss ◽  
...  
Keyword(s):  
Oral Health ◽  
Genome Wide Association Study ◽  
European Ancestry ◽  
Blood Metabolites ◽  
Genetic Loci ◽  
Non Invasive ◽  
Genome Wide ◽  
Specific Locus ◽  
Systemic Health ◽  
The Impact

AbstractSaliva, as a biofluid, is inexpensive and non-invasive to obtain, and provides a vital tool to investigate oral health and its interaction with systemic health conditions. There is growing interest in salivary biomarkers for systemic diseases, notably cardiovascular disease. Whereas hundreds of genetic loci have been shown to be involved in the regulation of blood metabolites leading to unprecedented insights into the pathogenesis of complex human diseases, little is known about the impact of host genetics on salivary metabolites. Here we report the first genome-wide association study exploring 476 salivary metabolites in 1,419 subjects of European ancestry from the TwinsUK cohort (discovery phase). A total of 14 salivary metabolites were significantly associated (p<10−10) with genetic variants that mapped to 11 distinct loci, most of which replicated in the Study of Health in Pomerania (SHIP-2) cohort. Interestingly, while only a limited number of the loci that are known to regulate blood metabolites were also associated with salivary metabolites in our study, we identified several novel saliva-specific locus-metabolite associations, including associations for theAGMAT(with the metabolites 4-guanidinobutanoate and beta-guanidinopropanoate),ATP13A5(with the metabolite creatinine) andDPYS(with the metabolites 3-ureidopropionate and 3-ureidoisobutyrate) loci. Our study suggests that there are biological pathways which are specific to the regulation of the salivary metabolome. In addition, some of our findings may have clinical relevance, such as the utility of the pyrimidine (uracil) degradation metabolites in predicting 5-fluorouracil toxicity and the role of the agmatine pathway metabolites as biomarkers of oral health.

scholarly journals Genome-wide scan identifies novel genetic loci regulating salivary metabolite levels

2020 ◽  
Vol 29 (5) ◽  
pp. 864-875
Author(s):  
Abhishek Nag ◽  
Yuko Kurushima ◽  
Ruth C E Bowyer ◽  
Philippa M Wells ◽  
Stefan Weiss ◽  
...  
Keyword(s):  
Oral Health ◽  
Genome Wide Association Study ◽  
Blood Metabolites ◽  
Genetic Loci ◽  
Regulatory Pathways ◽  
Non Invasive ◽  
Discovery Phase ◽  
Genome Wide ◽  
Systemic Health ◽  
The Impact

Abstract Saliva, as a biofluid, is inexpensive and non-invasive to obtain, and provides a vital tool to investigate oral health and its interaction with systemic health conditions. There is growing interest in salivary biomarkers for systemic diseases, notably cardiovascular disease. Whereas hundreds of genetic loci have been shown to be involved in the regulation of blood metabolites, leading to significant insights into the pathogenesis of complex human diseases, little is known about the impact of host genetics on salivary metabolites. Here we report the first genome-wide association study exploring 476 salivary metabolites in 1419 subjects from the TwinsUK cohort (discovery phase), followed by replication in the Study of Health in Pomerania (SHIP-2) cohort. A total of 14 distinct locus-metabolite associations were identified in the discovery phase, most of which were replicated in SHIP-2. While only a limited number of the loci that are known to regulate blood metabolites were also associated with salivary metabolites in our study, we identified several novel saliva-specific locus-metabolite associations, including associations for the AGMAT (with the metabolites 4-guanidinobutanoate and beta-guanidinopropanoate), ATP13A5 (with the metabolite creatinine) and DPYS (with the metabolites 3-ureidopropionate and 3-ureidoisobutyrate) loci. Our study suggests that there may be regulatory pathways of particular relevance to the salivary metabolome. In addition, some of our findings may have clinical significance, such as the utility of the pyrimidine (uracil) degradation metabolites in predicting 5-fluorouracil toxicity and the role of the agmatine pathway metabolites as biomarkers of oral health.

The psychology of dental patient care: An introduction

BDJ ◽  
1999 ◽  
Vol 186 (9) ◽  
pp. 449-452
Author(s):  
Elinor Parker
Keyword(s):  
Patient Care ◽  
Dental Patient

scholarly journals Time Required by Dental Post Graduates and Graduates for Direct Patient Care in Peripheral Outreach Centre - A Comparative Work Sampling Analysis

2016 ◽  
Vol 04 (03) ◽  
pp. 152-155
Author(s):  
Bhumika Rathore ◽  
Sireesha Sadasivan ◽  
Vinay Bhardwaj
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Patient Care ◽  
Undergraduate Students ◽  
Descriptive Analysis ◽  
Work Force ◽  
Primary Objective ◽  
Direct Patient Care ◽  
Number Of Patients ◽  
Oral Health Services

AbstractBackground: The inequity of oral health services persist due to inadequate dentist to patient ratio in the peripheral areas. The possibility of management of more number of patients lies within an efficient work force, in order to render oral health services in a well-organised manner. Objectives: The research was taken up with the primary objective of determining the most time efficient manpower in a peripheral dental unit. Secondary objective was to determine the time spent in each treatment procedure in proportion to total time involved in direct patient care. Third objective, was to recommend an appropriate range of sample for further similar studies using observatory methodology in peripheral centres. Methodology: Work measurement was done for the postgraduate and the undergraduate students for the treatments performed by them in the unit. Participatory observations were made on randomly selected days, and timings were recorded using standardised stop watch. Descriptive analysis was performed for the data obtained using Statistical Package for Social Science (IBM Corp. Released 2010. IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.). Results: Mean timing was found to be highest for all treatment procedures amongst graduates when compared to the postgraduates and maximum proportion of time was spent for extractions amongst all the treatments performed. Conclusion: Availability of speciality services will help the hospitals render more proficient services to the rural masses.

Some Psychological Features of Persons Who have Attempted Suicide

1968 ◽  
Vol 114 (515) ◽  
pp. 1299-1300 ◽  
Author(s):  
Alistair E. Philip ◽  
J. W. McCulloch
Keyword(s):  
General Hospital ◽  
Psychological Factors ◽  
Attempted Suicide ◽  
Psychiatric Patients ◽  
Personality Characteristics ◽  
Psychiatric Ward ◽  
Psychological Techniques ◽  
Objective Tests ◽  
Psychological Features ◽  
Normal Controls

While the importance of psychological factors in attempted suicide has long been acknowledged, the use of standardized psychological techniques has been neglected. The paper by Vinoda (1966) is the first in Britain to describe the personality characteristics of attempted suicides using a battery of objective tests. She tested and compared a group of female attempted suicides, who had been admitted to the psychiatric ward of a general hospital, with a group of psychiatric patients and a group of non-psychiatric patients from the same hospital. Where differences on testing occurred it was usually the case that the attempted suicide and psychiatric groups were discriminated from the normal controls but not from each other.

Dentareport - Automated longevity and risk factor analysis in dental patient care

2019 ◽  
Vol 114 ◽  
pp. 103437 ◽  
Author(s):  
Richard J. Wierichs ◽  
Hendrik Meyer-Lueckel ◽  
Enno J. Kramer
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Patient Care ◽  
Risk Factor Analysis ◽  
Dental Patient

scholarly journals The role of the oral microbiota in chronic non-communicable disease and its relevance to the Indigenous health gap in Australia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Matilda Handsley-Davis ◽  
Lisa Jamieson ◽  
Kostas Kapellas ◽  
Joanne Hedges ◽  
Laura S. Weyrich
Keyword(s):  
Oral Health ◽  
Indigenous Health ◽  
Communicable Disease ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Oral Microbiota ◽  
Oral Diseases ◽  
Emotional Wellbeing ◽  
Health Gap ◽  
Systemic Health

Abstract Background Aboriginal Australians and Torres Strait Islanders (hereafter respectfully referred to as Indigenous Australians) experience disproportionately poor health and low life expectancy compared to non-Indigenous Australians. Poor oral health is a critical, but understudied, contributor to this health gap. A considerable body of evidence links poor oral health to increased risks of other chronic non-communicable conditions, such as diabetes, cardiovascular disease, chronic kidney disease, and poor emotional wellbeing.  Main The oral microbiota is indisputably associated with several oral diseases that disproportionately affect Indigenous Australians. Furthermore, a growing literature suggests direct and indirect links between the oral microbiota and systemic chronic non-communicable diseases that underpin much of the Indigenous health gap in Australia. Recent research indicates that oral microbial communities are shaped by a combination of cultural and lifestyle factors and are inherited from caregivers to children. Systematic differences in oral microbiota diversity and composition have been identified between Indigenous and non-Indigenous individuals in Australia and elsewhere, suggesting that microbiota-related diseases may be distinct in Indigenous Australians.  Conclusion Oral microbiota research involving Indigenous Australians is a promising new area that could benefit Indigenous communities in numerous ways. These potential benefits include: (1) ensuring equity and access for Indigenous Australians in microbiota-related therapies; (2) opportunities for knowledge-sharing and collaborative research between scientists and Indigenous communities; and (3) using knowledge about the oral microbiota and chronic disease to help close the gaps in Indigenous oral and systemic health.

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