scholarly journals Knowledge of Lithuanian General Dentists of Periodontal Disease Diagnostics, Management and Risk Assessment

2019 ◽  
Vol 1 (1) ◽  
pp. 46-52
Author(s):  
Алина Пуриене ◽  
Даива Гелазиене ◽  
Адель Дудайте ◽  
Юрате Зекониене

The aim of this study was to investigate the knowledge of general dentists in Lithuania concerning periodontal treatment modalities for the diagnosis and management approaches of periodontal diseases.  A previously piloted and revised questionnaire was distributed between random sample of 1005 general dentists via e-mail. The questionnaire consisted of 47 multiple-choice questions divided into three sections: general information, questions about diagnosis and treatment of periodontal diseases and factors preventing or limiting the availability of periodontal treatment. 502 general dentists filled the questionnaire with the response rate of 49,95%. The age average of the respondents was 37 years with the average of 12,5 years in practice.  58% of respondents worked together with dental hygienist; 29% with a periodontist in their practice. Dentists working in urban areas were more likely to have a dental hygienist and periodontist in their practice (p<0,05). Minority of dentists performs periodontal examination (full and partial examination, 14% and 27,9%, respectively) regularly. 93% general dentists take radiographs for periodontal diagnosis, 23,5% only periapical, 33,7% only panoramic and 43,9% use both. 21% of respondents never perform root surface debridement and 20% of these general dentists do not work together with a dental hygienist. Only 5% of respondents evaluate patient’s risk of periodontal diseases.  General dentists in Lithuania perform inadequate diagnostics and very little periodontal treatment delivery, in addition to reluctant referral to the periodontist. Thus indicating a necessity of distinctive guidelines and its attentive application in general dental practice.

Author(s):  
Neenu mol James ◽  
Umesh Yadalam ◽  
Sarita Narayan ◽  
Vijay Raghava

Aim: The aim of the present study was to evaluate the knowledge, attitude and practice towards the treatment of periodontal disease among general dentists. Materials and methods: The study involved 150 general dentists from Bangalore.  KAP study using a questionnaire was conducted with a total of 15 questions, and the questions were divided under 3 domains assessing the knowledge, attitude, and practice towards periodontal treatment procedures. Results: Out of the 150 dentists who received the questionnaire, 100% returned properly filled forms with a mean value of 12.2 in knowledge, 15.6 in attitude and 10.2 in the practice. With pearson correlation coefficient, it is understood that there is positive relationship between the knowledge that the dentists possess and their attitude towards periodontal treatment procedures. But, the correlation between knowledge and practice is not significant, however, on the negative side. Conclusion: General dentists have good knowledge and attitude towards periodontal treatment procedures whereas, their practice towards periodontal treatment procedure is still truncated. Hence, the oral perception of general dentists towards periodontal treatment needs to be gauged for betterment of their service. Keywords: Dentists, knowledge, periodontal diseases


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Keivan Ranjbar ◽  
Hamidreza Hosseinpour ◽  
Reza Shahriarirad ◽  
Haleh Ghaem ◽  
Khoubyar Jafari ◽  
...  

Abstract Background School closure is one of the main policies of global health care strategies performed worldwide. Despite all benefits, there might be some threats for younger groups spending their time in quarantine. This study aims to determine the impacts of lockdown and school closure on children’s major lifestyle aspects, especially their leisure and sleep pattern during the COVID-19 pandemic. Methods For the purpose of this study, an online questionnaire was distributed from 14th to 31st of March 2020 among the schools and students from the first grade to the 12th grade (before university) in Fars province, southern Iran. The questionnaire consisted of five sections which included data regarding the students’ general information, activity priorities, adherence to quarantine, attitude toward school closure, and sleep patterns. Results In our study, 20,697 filled questionnaires were received from the participants with an average age of 13.76 years; 29.7% of them were male, 80.6% were from urban areas, and 83.3% were from public schools. The overall first preference of students during school closure was mobile and computer games (30.1%), followed by studying (26.6%) and watching television (13.8%). Our results demonstrated that the majority of students adhered to social distancing and there was also a significant correlation among education levels and desire for schools to be closed till the end of the semester (P = 0.015). Also, regarding sleep patterns, the majority (53.5%) had above 12 h of sleep throughout the day. Conclusion It seems that lockdown following COVID-19 pandemic has changed various aspects of the students’ lifestyle remarkably, especially by increasing screen time and even sleep duration and pattern. We believe that certain strategies should be implemented by the Health and Educational Ministry to control not only the visible side effects of the quarantine period, but also the collateral consequences on their psychological and mental health.


Author(s):  
Pramod Kumar Koirala ◽  
Shaili Pradhan

The field of dentistry has evolved where people expect the best oral health care from specialists. Periodontics is that specialty of dentistry which deals with prevention, diagnosis, and treatment of diseases of the supporting tissues of the teeth. Almost half of the world's population is suffering from periodontal diseases. Periodontitis is the sixth most common chronic diseases in the world and along with dental caries, the most common cause of tooth loss. Through the effort of various professional organisations and research, various reliable products and treatment modalities have been developed. A gold standard is a benchmark which has been thoroughly tested and has reputation as a reliable modality. Some of established gold standards in periodontics include: periodontal probing, measurement of clinical attachment loss, bone loss, cone beam computed tomography, quantitative polymerase chain reaction tests, biopsies as investigative techniques; periodontal debridement, subepithelial connective tissue graft for recession coverage, lasers, autogenous bone in alveolar ridge augmentation prior to oral implantation, dental implant as reconstruction of missing dentition, and chlorhexidine mouth wash as treatment options. The objective of the review is to provide critical evaluation of the data available from existing studies in Periodontics which can help identify potential research areas to explore.  


Author(s):  
Norberto Muñiz-Martínez ◽  
Miguel Cervantes-Blanco

Cities are acquiring a key geopolitical importance in the shaping of world-wide flows and exchanges, playing a key part in modern socio-economic relations within the framework of the world order termed globalization. Urban areas are the nodes where networks of various types of interchange come together: economic, social, cultural, communications and interpersonal. While having a leading role in these major relations of world-wide exchanges, cities in addition shape their own interchanges between what they can offer and the demands from the various groups within them. These are principally their citizens, but also investors, tourists, and administrative and civil institutions. Strategic marketing and management approaches have been implemented into the field of countries, regions, and especially cities, which are adopting these approaches to sell what they have to offer; to better manage and compete more effectively. Marketing provides a conceptual framework, and tools for managing these exchange relationshipsbetween what cities supply and demand. This chapter explores these issues, and examines the evolution of city marketing, from emphasizing infrastructures and urban regeneration towards stressing intangible values, such as multicultural integration, urban quality of life, appreciating aesthetics, the design and beauty of a city, a marketing of cities by means of intangible and emotional elements.


2018 ◽  
Vol 12 (04) ◽  
pp. 528-531 ◽  
Author(s):  
Lubaba A. Abdul Ameer ◽  
Zainab J. Raheem ◽  
Saif Saadedeen Abdulrazaq ◽  
Basima Gh. Ali ◽  
Maysaa Mahdi Nasser ◽  
...  

ABSTRACT Objective: Chronic periodontitis (CP) is a common inflammatory disease that causes destruction to the supporting tissues of the teeth. Many treatment modalities tried to stop the disease progression. Platelet-rich plasma (PRP) is one of the regenerative methods that used in adjunct to conventional periodontal treatment. The aim of this study was to evaluate the anti-inflammatory effect of PRP by monitoring the lymphocyte count before and after its application to the periodontal pocket. Materials and Methods: Twenty patients, with CP and a pocket depth equal to or deeper than 4 mm, subjected to scaling, root planing, and PRP injection into the pocket. The lymphocyte count measured before and after 1 month from PRP application. Clinical periodontal parameters were taken during two visits (1 month apart), with customized stent fabrication. Results: All clinical periodontal parameters showed a reduction in their value following 1 month of PRP application. . There was a noticeable reduction in lymphocyte count from (mean 2.47 ± 0.91) to (mean 1.94 ± 0.77). Conclusion: In addition to its traditional uses, PRP has a great role in the periodontal treatment by its anti-inflammatory effect.


Author(s):  
Li-Chiu Yang ◽  
Yih-Jane Suen ◽  
Yu-Hsun Wang ◽  
Tai-Chen Lin ◽  
Hui-Chieh Yu ◽  
...  

Pneumonia is a common respiratory infectious disease that involves the inflammation of the pulmonary parenchyma. Periodontal disease is widespread and correlated with pneumonia. However, the relationship between periodontal treatment and clinical infectious outcomes in patients with pneumonia has remained undetermined. The aim of this study was to investigate the association between periodontal treatment and the risk of pneumonia events in the Taiwanese population. A nationwide population-based cohort study was conducted using data from the Taiwanese National Health Insurance Research Database (NHIRD). A total of 49,400 chronic periodontitis patients who received periodontal treatment from 2001 to 2012 were selected. In addition, 49,400 healthy individuals without periodontal diseases were picked randomly from the general population after propensity score matching according to age, gender, monthly income, urbanization, and comorbidities. The Cox proportional hazard regression analysis was adopted to assess the hazard ratio (HR) of pneumonia between the periodontal treatment cohort and the comparison cohort. The average ages of the periodontal treatment and comparison groups were 44.25 ± 14.82 years and 44.15 ± 14.5 years, respectively. The follow up durations were 7.66 and 7.41 years for the periodontal treatment and comparison groups, respectively. We found 2504 and 1922 patients with newly diagnosed pneumonia in the comparison cohort and the periodontal treatment cohort, respectively. The Kaplan–Meier plot revealed that the cumulative incidence of pneumonia was significantly lower over the 12 year follow-up period in the periodontal treatment group (using the log-rank test, p < 0.001). In conclusion, this nationwide population-based study indicated that the patients with periodontal treatment exhibited a significantly lower risk of pneumonia than the general population.


Author(s):  
Meysamian Mozhdeh ◽  
Francesco Caroccia ◽  
Francesco Moscagiuri ◽  
Felice Festa ◽  
Michele D’Attilio

To determine the knowledge of general dentists and dental specialists on temporomandibular disorders (TMD) in Italy, a web-based questionnaire including 20 multiple- choice questions was sent to all general dental practitioners and specialists in Italy. Mean score of diagnosis and treatment knowledge of all participants was 23.8 ± 7.3 out of 40 achievable scores. There was a significant difference between the knowledge of dentists and the variables of sex, age, and years of experience (p < 0.05). However, overall, it is not possible to state a significant difference between the final score of dentists with different specializations (p = 0.89). The results of this study showed an acceptable knowledge of participants regarding TMD.


2016 ◽  
Vol 06 (01) ◽  
pp. 074-079
Author(s):  
Amitha Ramesh ◽  
Agumbe Priyanka Prakash ◽  
Biju Thomas

AbstractPeriodontitis is an immuno-inflammatory disease of the tissues surrounding the teeth. Various treatment modalities like mechanical debridement and use of antimicrobials have been followed in the treatment of such conditions. Introduction of local drug delivery system in the periodontal pocket is a promising therapeutic modality for achieving better clinical outcomes when used as an adjunct to conventional non surgical periodontal therapy. Intensive research efforts are now focussed on the development of new strategies for more effective treatment.


2019 ◽  
Vol 9 (1) ◽  
pp. 40-44
Author(s):  
Asal Acharya ◽  
Praveen Mishra ◽  
Rabindra Man Shrestha ◽  
Pooja Shah

Introduction: General dentists and specialists other than orthodontist may encounter patient requiring orthodontic treatment. For proper counseling and referral, it is important that general dentists and non-orthodontic specialists have adequate level of orthodontic knowledge. Objective: To assess the knowledge of orthodontic treatment among general dentists and non-orthodontic specialists and to compare the knowledge between the two groups. Materials & Method: A descriptive cross sectional study using questionnaire was performed among 185 actively practicing general dentists and non-orthodontic specialists of Nepal. The questionnaire comprised of three parts. The first part included demographic details, second part contained 5 multiple choice questions regarding orthodontic counseling and third part integrated 18 questions for evaluating knowledge of orthodontic treatment. Each correct answer was given score 1 and every incorrect answer was scored zero in the third part of the questionnaire. Result: Among total participants, 60.5% think first orthodontic evaluation of a child should be carried out within 7 to 8 years of age and 44.3% think orthodontic treatment can even be started after 40 years of age. Around 66% of the participants think that orthodontic treatment cannot be performed in periodontally compromised cases. No significant difference was found between the mean scores of knowledge among general dentists and non-orthodontic specialists (p=0.891), or among dentists with different years of experience (p=0.644). Conclusion: There is a need for more education of orthodontic treatment concepts to the dentists who do not belong to orthodontic field for proper counseling and referral.


2003 ◽  
Vol 17 (4) ◽  
pp. 319-325 ◽  
Author(s):  
José Eduardo Cezar Sampaio ◽  
Ricardo Samih Georges Abi Rached ◽  
Gibson Luiz Pilatti ◽  
Letícia Helena Theodoro ◽  
Luiz Henrique Carvalho Batista

The purpose of this study was to compare the removal of root surface smear layer following active application of EDTA gel and EDTA-T (texapon) gel in different concentrations (5%, 10%, 15%, 20% and 24%), using scanning electron microscopy. A total of 220 dentin blocks obtained from the root surfaces of extracted teeth were divided into 3 groups: Group I - (control) application of saline solution (n = 20); Group II - EDTA gel (pH 7.0) was applied in the following concentrations: 5%, 10%, 15%, 20% and 24% (n = 100); Group III - EDTA-T gel (pH 7.0) applied in the same concentrations described above (n = 100). The photomicrographs were evaluated by one calibrated examiner using a smear layer removal index and following statistical analysis (Kruskal-Wallis test). The results demonstrated that the specimens treated with EDTA and EDTA-T gel presented a better smear layer removal than the control group (p < 0.01); no statistically significant differences were observed between the EDTA and EDTA-T groups and between the concentrations tested (Mann-Whitney, p > 0.05). Within the limits of this study, it can be concluded that all treatment modalities effectively removed the smear layer from the root surface. The addition of texapon into the EDTA gel formulation did not increase its effectiveness.


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