Study of the main problems of delivery of orthopedic care in dentistry

Author(s):  
Valentina Sevagina ◽  
Sofiya Botsarova ◽  
Tatiyana Goncharova ◽  
Anastasiya Mikhlyaeva

The purpose of the article is to conduct a study of the main problems of delivery of orthopedic care in dentistry. It is known that dental health determines the overall health of the body. The comfort of life of the population depends on their condition, since damaged teeth negatively affect the state of the digestive system and respiratory organs. As for the aesthetics of the appearance, here teeth have a special role, since they are able to provide both proper speech and the necessary level of human sociability. Thus, improving the quality of delivery of medical care is an important task for the industry today. The problem of the availability of orthopedic dentists exists only in those areas of the region where there is no orthopedic care encounters at all, or orthopedic care encounters are carried out by part-time doctors. Accordingly, it can be said that municipal dental clinics are generally provided with the necessary personnel. In this regard, one can talk about the need to improve the quality of treatment of dental diseases in polyclinics, primarily in terms of orthopedic care for the population. However, today there are frequent cases of return visits for orthopedic care due to its poor-quality during initial treatment. And the doctor’s task during second denture treatment is to avoid mistakes made earlier and to provide competent and highquality orthopedic services. The author concludes that the results of a study of the work of orthopedic units of the region showed a steady growth of most indicators year by year, but a number of economic problems were found during the analysis of the profitability reserves of orthopedic dental care. So, it is necessary to create a unified system for calculating the financial plan for the correct assessment of the status of orthopedic dental care for the population, to analyze the quality indicators for subsidized denture treatment, to introduce the concept of “prosthesis working lifespan”, which will establish the reasons and justify the terms of the second denture treatment.

Author(s):  
Jeehee Pyo ◽  
Ji-Hyun Lee ◽  
Mina Lee ◽  
Minsu Ock

Abstract Background: Disease burden created by periodontal disease has been recognized as a global challenge. The burden of medical expenses is expected to increase continuously, parallel to the growth of the elderly population. Periodontal disease causes tooth loss if not treated early, and advanced periodontitis can cause a decline in chewing ability and word pronunciation as well as aesthetic function. These results diminish the health-related quality of life (QOL) for various populations, particularly the elderly, adults, pregnant women, and workers. Thus, not only is early detection and management of the disease necessary, but also a systematic strategy for the prevention of periodontal diseaseMethods: Adults 19 years of age or older diagnosed with chronic gingivitis (K05.1) or chronic periodontitis (K05.3) under the ICD-10 codes were selected to participate in the study. Among the patients visiting the dental outpatient department, the study participants were chosen for our sample. A total of 20 participants were informed of the purpose of the study and gave consent to participate in in-depth interviews.Results: The analysis results were summarized into the four upper categories of ‘Interfering Element for Dental Care,’ ‘Declined Quality of Life caused by Dental Disease,’ ‘Satisfaction Elements after Treatment of Dental Disease,’ ‘Improvements for Voluntary Dental Care.’ The treatment of periodontal disease has improved the health-related quality of life and enabled the participants to have positive health behaviors for dental care. Furthermore, they recognized the severity of periodontal disease and the importance of dental examinations. It enabled them to be aware of the need of societal effort for dental care awareness.Conclusions: This study was an in-depth examination of the health-related QOL of periodontal patients through qualitative research methodology. The experiences of periodontal disease identified by this study can not only help to assess the adequacy of the current dental health-related QOL assessment tools but also recognize unmet needs regarding periodontal disease and, ultimately, to raise the awareness of periodontal disease among the general public. Based on this research, we expect that research on health-related QOL on periodontal disease would expand and revitalize the dental health system and practices.


Author(s):  
Egor E. Olesov ◽  
T. N. Novozemtseva ◽  
I. M. Makeeva ◽  
V. N. Olesova ◽  
M. Ya. Salamov ◽  
...  

The purpose of the study: Comparison of indicators of dental status in athletes of the Olympic national teams and the population of Moscow of the same age.Material and methods: Dental examination of 132 athletes of the Olympic national teams and 104 residents of Moscow, males aged 2035 years was carried out using the modified World Health Organization Dental Status Assessment Card.Results of the study: Analysis of the prevalence and intensity of dental diseases showed that the dental status of athletes is worse in such areas as the detection of previously performed endodontic treatment and its unsatisfactory quality (with more endodontically treated teeth), the detection of large fillings and poor-quality fillings among existing fillings, prevalence pathological abrasion, the prevalence of periodontitis, the detection of unsatisfactory levels of oral hygiene, yyavlyaemost pathology of the temporomandibular joint. The obtained patterns reflect the untimely and insufficient quality of dental care for adolescents-athletes in the regions, as well as indicate higher psychophysical loads in athletes compared to peers. This necessitates special therapeutic and preventive approaches in the implementation of dental care aimed at reducing the parafunctional overload of the dentition in athletes.


CNS Spectrums ◽  
2008 ◽  
Vol 13 (S5) ◽  
pp. 22-26 ◽  
Author(s):  
Harvey Moldofsky

AbstractPeople with fibromyalgia syndrome (FMS) experi-ence unrefreshing sleep, aches, hypersensitivity, and cognitive and emotional difficulties. Although no specific causative factor or biological agent is known to account for all of the features of FMS and these related diagnoses, the generalized hypersensitivity of the body is considered to be affected by disturbances in cen-tral nervous system (CNS) functions. Such CNS dis-turbances are intrinsic to the sleeping-waking brain, where the common symptom elements in all these illnesses are poor quality of sleep, nonspecific pain, fatigue, and psychological distress in the absence of known disease pathology.


2017 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Cholis Abrori ◽  
Lucky Tiya ◽  
Deti Rosalina

Obesity can cause serious problems that will lead to poor quality of life, increased morbidity and mortality rate. Slow-release metformin will work longer in the body with a single dose everyday be an alternative drug for weight loss. The purpose of this study was to compare the effectiveness of slow-release metformin compared to metformin regular to body weight and calorie intake in volunteers with obesity. The study was conducted on 16 volunteers who were divided into two groups in pairs. Volunteers will be measured weight and calorie intake with a 24-hour food recall method, data was taken at the time before the intervention, the end of week 1st, 2nd, 3rd, and 4th. The result obtained weight loss better in the group receiving slow-release metformin by 5.08% compared to the group receiving regular metformin by 2,60%, but there was no significant difference between the groups in terms of calorie intake during the study. The conclusion of this study is a slow-release metformin is greater in weight loss than regular metformin, but does not affect the amount of calorie intake.Keywords: Metformin, slow-release, weight loss, calorie intake, obesity


Biomedika ◽  
2011 ◽  
Vol 3 (2) ◽  
Author(s):  
Edi Karyadi

Until now there is no standard for measuring the standard willingnesss to pay of patients and patient satisfaction for the quality of dental care. Research purposes to assess the magnitude of willingness to pay for outpatient dental care and want to test the factors that affect willingness to pay for outpatient dental care at the Muhammadiyah Medical Center (MMC UMS). This study was observational analytic study with cross-sectional approach, where all the variables studied were observed at the same time. The study population was patients who received outpatient dental care with simple random sampling. To the adequacy of the sample required a minimum sample size of 120. The data collection by questionnaire content validity technique. The results showed 60.8% of patient education level is college. The average patient’s willingness to pay for dental care Rp.60.833. The average satisfaction score of patients on dental health servicesis 77.35 (including the high satisfaction category). While the average patient income for Rp.2.110.417. Statistical analysis proves’ there is a positive correlation’ between service quality and willingness to pay for dental care patients (r=0247, p <0.05). In this study also proves’ there is a positive correlation’ between the patient and the willingness to pay in comedental care (r=0.730, p <0.05). With the regression test showed the ‘threev ariables (education, income and quality of service)’ jointly able to predict variations in the willingness of patients to pay for 59.7% and statistically  t regression model (valid) (p <0.001).Keywords: education, income, quality of service, willingnestopay


Author(s):  
Zhasur Alimdzhanovich Rizaev ◽  
◽  
Rahimberdiev Rustam Abdunosirovich ◽  
Nazarova Nodira Sharipovna ◽  
◽  
...  

In recent years, research has been carried out to study the problems of improving the organization of dental care for both the General population and individual categories of industrial workers4,6. However, to date not carried out in-depth studies on the problems of improvement of dental care to employees of the chemical industry in the new socio-economic conditions of development of industrial complex and reform of the health system, there is no comprehensive study of the current status of dental service medical-sanitary unit (MSCH) large enterprises, comparison of availability and quality of dental care to employees at the place of residence and place of work. The purpose of this review is to study the dental morbidity of chemical workers, develop measures to improve their dental health and improve the quality of life. At the present stage of development of the industrial complex of our country, a number of large enterprises have the opportunity to organize dental care for employees, primarily with harmful working conditions, at a higher level. At the same time, the implementation of the preventive orientation in dental care for the working population remains an unsolved problem2,3. The successful functioning of any medical service in modern conditions is possible only with the optimal interaction of all parts, all elements of the health system depends largely on the level of organization and management of medical institutions to optimize their work7,8. Keywords: Condition of the mucous membrane of the oral cavity, the hard tissues of teeth and paradontium, taste analyzer, unfavorable factors of production. Material And Methods Of Research: It is planned to conduct a study of 120 workers of JSC "samarkandkime" - the main group, as well as 115 patients who applied to polyclinic No. 10 and are not related to the chemical industry - the control group. The data that was received was subjected to statistical processing using the Microsoft Excel application package. The reliability of the difference in parameters was determined by the student's criterion. Results and discussion.Currently, the issues of dental health for workers in various industries are relevant. Various harmful factors of production can have a negative impact on human health, including on the tissues of the teeth, periodontal, oral and lip mucosa.


PEDIATRICS ◽  
1953 ◽  
Vol 12 (3S) ◽  
pp. 26-28

WHEN the Study was first projected, its content was a major theme of discussion. It is of interest that the Study Committee unanimously gave children's dental care a high priority among the items for examination. This decision was significant because pediatricians and general practitioners as a group are not particularly interested or wellinformed in this area of medicine. It may have been their very lack of dental knowledge which promoted this part of the Study. The question might be asked, "Is the over-all health of children correlated in any way with the condition of their teeth?" In one of the state reports, a correlation was made between the quality of medical services and dental facilities but this does not answer the question of the true relationship between dental health and over-all health. However, the Committee felt that dental health is generally accepted as an important item in a health program for children. Although the exact cause of tooth decay is not yet determined, it is known that restoration of cavities prolongs the life of the tooth. Areas of Need The findings of the Study do not tell precisely how much dental care is actually required by children in various sections and communities in the country. However, even without exact information on the amount of dental care needed, it is evident that at present not even a minimal amount of dental service can be offered to every child in the United States. The study of dental facilities for children shows that even states and counties which have the highest service ratings are unable to provide adequately for their entire child population.


Author(s):  
Avijit Banerjee ◽  
Timothy F. Watson

As has been emphasized throughout this book, minimum intervention oral/dental care involves more than just the minimally invasive operative treatment of the consequences of dental disease. It involves identifying and predicting disease patterns, and concerns the control/ prevention of disease by modifying aetiological factors and reassessing the adherence to changes in patient behaviours, attitudes, and responsibility. Monitoring the oral cavity and restored dentition ensures that the treatment undertaken, and subsequently improved oral health, is maintained. This should be accomplished through individualized strategic recall regimes. Restorations need to be reviewed regularly and occasionally refurbished, resealed, repaired, or replaced (see Figures 9.1, 9.2, and 9.3, and Section 9.5). Therefore periodic recall appointments, once an episode of treatment has been completed, are just as important as the treatment itself. It is critical that the patient understands the importance of these recall consultations as part of the ongoing care that is being offered to help to maintain their oral health. Three aspects of dental care need to be assessed at recall visits:… • the overall state of the patient’s oral and dental health (review) • the individual patient’s longer-term response/adherence to previous preventive advice and/or treatment, in moderating any aetiological factors that could cause future dental disease (reassessment) • the status and quality of the restorations present (monitoring and maintenance)…. The potential causes of restoration failure have been identified and outlined in Table 9.1. It is important to appreciate that the causes of restoration and tooth failure (see Table 9.2) are often multifactorial in nature. Indeed, as the causes of both tooth and restoration failure are inextricably linked, it is wise to consider them together, as a tooth–restoration complex. The multifactorial aetiology of restoration failure is often due to manifestations of inherent long-term weaknesses in the mechanical properties of different restorative materials (e.g. poor edge strength, wear, compressive strength, water absorption, etc.) and/or problems with the technical application of the restorative material for the chosen clinical situation (i.e. incorrect choice of material and poor placement technique). The chemistry and physical properties of the different direct, plastic restorative dental materials at a dentist’s disposal have been discussed in Chapter 7.


Author(s):  
M. N. Bogomolov ◽  
A. S. Yamnikov

It is shown that even under conditions of quiet cutting, self-oscillations arise when turning surfaces. A review of domestic and foreign literature showing the reasons for the formation of oscillations during cutting is given. The complexity of the analytical description of the physical processes in the cutting zone, forcing researchers to resort to mathematical modeling, is noted. It is noted that a particular difficulty is the study and description of the milling process, due to the presence of variables on the module and direction of cutting forces, leading to additional forced vibrations of the technological system. It is shown that in order to reduce vibrations in the system, it is possible to reduce cutting conditions and, accordingly, productivity, increase rigidity and damping ability of the system. When installing thin-walled v-lok on multi-purpose machines, a special role is given to clamping devices. Devices with metal expanding elements act on a limited portion of the length of the cylindrical suface, and therefore cannot increase the vibration resistance over the entire surface. The design of the mandrel with an elastic-elastic sleeve located between the body of the workpiece and the main base mandrel has been developed. Through axial compression, the elastic-elastic sleeve increases its thickness and increases the rigidity and damping capacity of the technological system, which ultimately leads to a decrease in the roughness of the treated surface by 1.5 times.


Author(s):  
Hayley Worth ◽  
Daniel O'Hara ◽  
Neeru Agarwal ◽  
David Collister ◽  
Frank Brennan ◽  
...  

People with kidney failure can experience a range of symptoms that lead to suffering and poor quality of life. Available therapies are limited, and evidence for new treatment options is sparse, often resulting in incomplete relief of symptoms. There is growing interest in the potential for cannabinoids, including cannabidiol and tetrahydrocannabinol, to treat symptoms across a wide range of chronic diseases. As legal prohibitions are withdrawn or minimized in many jurisdictions, patients are increasingly able to access these agents. Cannabinoid receptors, CB1 and CB2, are widely expressed in the body, including within the nervous and immune systems, and exogenous cannabinoids can have anxiolytic, anti-emetic, analgesic and anti-inflammatory effects. Considering their known physiological actions and successful studies in other patient populations, cannabinoids may be viewed as potential therapies for a variety of common symptoms affecting those with kidney failure, including pruritus, nausea, insomnia, chronic neuropathic pain, anorexia, and restless legs syndrome. In this review, we summarize the pharmacology and pharmacokinetics of cannabinoids, along with what is known about the use of cannabinoids for symptom relief in those with kidney disease, and the evidence available concerning their role in management of common symptoms. Presently, while these agents show varying efficacy with a reasonable safety profile in other patient populations, evidence-based prescribing of cannabinoids for people with symptomatic kidney failure is not possible. Given the symptom burden experienced by individuals with kidney failure, there is an urgent need to understand the tolerability and safety of these agents in this population, which must ultimately be followed by robust, randomized controlled trials to determine if they are effective for symptom relief.


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