Clinical Dentistry -The Pandemic’s Late Effects

2021 ◽  
Author(s):  
Mithra N. Hegde
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Medical Attention ◽  
Infected Person ◽  
Infection Transmission ◽  
Dental Procedures ◽  
Dental Office ◽  
The World ◽  
Dental Setting ◽  
Closed Environment

Coronavirus disease 2019 (covid-19) is the most recent HCID (highly contagious infectious diseases) pandemic to hit the world. The respiratory disease (sars-cov-2) has been shown to spread from symptomatic patients through droplets and aerosols. Because of the closed environment and the use of high and low-speed handpieces, ultrasonic scalers, infection spreads even more easily in a dental setting. During these times, our priority should be inward to protect ourselves as well as the patients who need medical attention. Various methods for controlling infection transmission from aerosol-generating dental procedures are recommended to accomplish this. In light of the effect of oral health on the seriousness of the Covid 19 pandemic, and to protect ourselves financially during this pandemic it is critical to explain patients that we dentists are using the most up-to-date approaches to keep them safe by reducing the risk of them contracting the virus from the dental office in order to maximise the number of outpatients. And it is important to treat every patient as a Covid -19 infected person and take the appropriate precautions to ensure our safety while rendering dental treatment.

scholarly journals Perceptions of dentists, dentistry undergraduate students, and the lay public about dental sedation

2004 ◽  
Vol 12 (3) ◽  
pp. 182-188 ◽  
Author(s):  
Luciane Ribeiro de Rezende Sucasas da Costa ◽  
Andréia Diniz Dias ◽  
Luciana Silva Pinheiro ◽  
Maria Edwiges Pinheiro de Souza Chaves ◽  
Raíssa de Aquino Rodrigues Ferreira ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Dental Treatment ◽  
Dental Students ◽  
Medical Emergency ◽  
Dental Office ◽  
Actual Use ◽  
Dental Setting ◽  
The Subject ◽  
Fear And Anxiety ◽  
Lay Public

Sedation is an option for controlling fear and anxiety related to a visit to the dentist. The goal of this study was to capture, by means of a questionnaire, the perceptions of twenty dentists, twenty dental students and twenty lay people concerning the use of sedatives in a dental environment. The responses were evaluated using the quantitative-interpretative method. Dentists: 75% had knowledge of sedatives in a dental setting, but their actual use was mentioned by only three. As far as the use of sedatives by dentists is concerned, one considered it "risky" and 19 were favorable. Two affirmed that sedation does not present risks. Eighteen said they would be able to react to a medical emergency. Dental students: 60% said they were aware of the topic, in theory. Nineteen expressed interest in the topic. Fifteen claimed there were risks associated with the technique. Twelve (60%) have the theoretical knowledge to deal with a medical emergency in the dental office. Lay public: Seven (35%) responded that they felt some discomfort during dental treatment, because of fear (n=6) and equipment noise (n=2). Five said they would go to the dentist more often if there was a way to reduce the discomfort. Half of those interviewed indicated that they knew what sedation was. Sixteen favored using it for dental treatment. Seven thought that there were no risks when sedation is carried out. It was concluded that few participants in any of the three categories felt confident about the topic, though they demonstrated interest. The population in general felt optimistic, while practicing dentists and dental students complained of a lack of exposure to the subject at dental school.

Possibility to control anxiety and pain in endodontic dental treatment – review

2018 ◽  
Vol 8 (2) ◽  
pp. 161-167
Author(s):  
E. Stanulewicz ◽  
E. Dąbrowska ◽  
K. Olszański ◽  
K. Borowski ◽  
K. Rosłan
Keyword(s):  
Dental Treatment ◽  
Endodontic Treatment ◽  
Root Canals ◽  
Dental Procedures ◽  
Treatment Review ◽  
Dental Office ◽  
Unpleasant Feeling ◽  
Anxiety Treatment ◽  
Treatment Procedures ◽  
Irreversible Pulpitis

Modern dentistry aims to limit the unpleasant feeling of pain, associated with dental procedures during treatment in the dental office. There are many ways to reduce pain during dental procedures. Endodontic treatment, necessary in irreversible pulpitis, should be completed during one visit. Removal of the inflamed pulp from cavity and root canals is often accompanied by pain. The study aimed to introduce, based on literature, methods of relieving anxiety and pain accompanying dental treatment procedures, including endodontic treatment, as well as the description of applied measures. According to the modern literature, this research compares methodology and results of the anesthetic and anxiety treatment in the dental office, especially in endodontic treatment.

scholarly journals Children with special needs in the dental office

2020 ◽  
Vol 49 (4) ◽  
pp. 53-66
Author(s):  
Marko Jeremić ◽  
Predrag Ćirić ◽  
Dejan Marković ◽  
Ana Vuković
Keyword(s):  
Human Rights ◽  
Oral Health ◽  
Multidisciplinary Approach ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Team Work ◽  
Therapeutic Interventions ◽  
Vulnerable Group ◽  
Dental Office ◽  
Psychological Knowledge

People with disabilities may experience negative relation between their own personal potentials compared to environmental expectations and potentials of healthy peers in terms of functional participation and activity limitations. Therefore, they usually need an individualized dental treatment plan. Dentists have an important role in maintaining and improving oral health in this vulnerable group. Having in mind the United Nation's Declaration on Human Rights, patients with disabilities have human rights to achieve equal health outcomes as their healthy peers. Therefore, all preventive, prophylactic, and therapeutic interventions need to be carefully planned. In addition to precise medical history, the dentist should also have basic psychological knowledge to adjust the approach to patient's needs. Improving the oral health of patients with disabilities involves a primary, secondary, or tertiary level of oral health care, depending on patient's abilities and needs. The team work and a multidisciplinary approach, with the cooperation of experts of different profiles and specialties, is the only approach that gives satisfactory results.

scholarly journals History of Dentistry in Central Serbia

2016 ◽  
Vol 20 (3) ◽  
pp. 138-142
Author(s):  
Marko Jeremic ◽  
Ana Vukovic ◽  
Dejan Markovic ◽  
Rade Vukovic ◽  
Ninoslav Stanojlovic
Keyword(s):  
World War Ii ◽  
Traditional Medicine ◽  
Dental Treatment ◽  
World War ◽  
Common People ◽  
Health Care Centre ◽  
Dental Office ◽  
The World ◽  
History Of ◽  
History Of Dentistry

Summary History of dentistry in the Central Serbian District of Jagodina has been influenced by traditional medicine for centuries. Development of dentistry in the region of Jagodina was slow, the level of oral and general hygiene was low and the sanitary prevention was absent. Trained physicians started to practice medicine and dentistry in the first half of the nineteenth century and they were educated in abroad universities. However, common people used to address to these physicians only when the traditional medicine were unable to help. Until the end of the World War II, common, mostly rural people, with the urgent dental treatment need were usually referred to the barbers, healers or empirics in the nearby villages rather than the dentists. Medications used for the urgent dental treatment were balsams and solutions made of herbs. After the World War II, the dental technicians who finished special courses started to practice dentistry. In 1947 the Regional Dental Office in Jagodina was opened and in 1955 the first Doctor of Dental Medicine who graduated from the School of Dental Medicine of University of Belgrade was employed. Nowadays, the Department of Dentistry represents is an important and independent part of the Health Care Centre in Jagodina.

scholarly journals USE OF GLYCOPYRROLATE AS AN ADJUNCT FOR REDUCTION OF AEROSOL TRANSMISSION OF COVID-19 DURING DENTAL PROCEDURES: A HYPOTHESIS

2020 ◽  
Vol 8 (10) ◽  
pp. 1319-1324
Author(s):  
Rajesh Kumar Routray ◽  
◽  
Kamal Kanta Satapathy ◽  
J. Nitin Samuel ◽  
Ajay Reddy Palle ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Salivary Secretion ◽  
Health Crisis ◽  
Infection Transmission ◽  
Contagious Nature ◽  
Global Pandemic ◽  
Dental Procedures ◽  
The World ◽  
New Strategy ◽  
And Control

COVID-19 global pandemic has become the biggest challenge by causing health crisis across the world due to its contagious nature. Salivary gland acts as a reservoir of virus due to which contaminated saliva plays a pivotal role in COVID-19 transmission among humans. Infection transmission from symptomatic patients as well as asymptomatic carriers is inevitable while performing aerosol generating procedures because contaminated aerosols have potential to float in the air for a considerable amount of time and be inhaled by dentist, dental auxiliary and other patients. Hence, it is a matter of utmost importance to keep upgrading the strategies for prevention of transmission as the outbreak of SARS-COV 2 has clearly placed the health care professionals at highest risk. As excess salivary secretion results in more aerosol contamination in dental procedures, leading to higher risk of transmission antisialogogues can be used to reduce salivary production. This new strategy will be helpful towards reducing aerosol transmission inorder to prevent and control the spread of this highly infectious disease. The aim of this present review is to propose the possible use of antisialogogues (glycopyrrolates) as an adjunct aid in reducing the risk of transmission from contaminated aerosols.

scholarly journals Hospital Dentistry and Dental Care for Patients with Special Needs: Dental approach during COVID-19 Pandemic.

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Juliana Bertoldi Franco ◽  
Priscila Fernandes Ribas ◽  
Luiz Alberto Soares Valente Júnior ◽  
Diogo Toledo Matias ◽  
Bruna Luiza Roim Varotto ◽  
...  
Keyword(s):  
Special Needs ◽  
Dental Care ◽  
Dental Treatment ◽  
Oral Care ◽  
Dental Service ◽  
Hospital Environment ◽  
Aerosol Formation ◽  
Oral Infections ◽  
Dental Procedures ◽  
Dental Office

Introduction: The COVID19 pandemic brought a new panorama for the realization of dental treatment for the general population due to the risk of cross infection in the dental office -  aerosol formation and insertion of new personal protective equipment. Emergency and emergency dental criteria were defined to limit the flow of patients in the office in order to improve biosafety conditions among patients. Objective: to describe the dental procedures pertinent to outpatient special care or during hospitalization in the VOCID19 pandemic -  changes in care and implement biosecurity criteria. Basic procedures: The dental care of the special patient suffers changes -  mainly referring to the difficulty of access to the offices -  interruption of the conditioning process and difficulty to perform outpatient sedation and sedation with nitrous oxide. Dental care during hospitalization is essential in this patient due to prolonged time of tracheal oro intubation -  traumatic oral lesions -  preparation of specific oral care protocols -  removal of mouth infectious and installation of mouth protectors. Conclusion: Change of care -  inclusion of individual protection equipment and new knowledge about the COVID19 allows us to safely assist the patient with special needs both in the dental office and in hospital environment -  providing quality of life -  oral comfort and reducing oral infections during and after the pandemic. KEYWORDSDental care; Hospitals - Special; Needs assessment; Dental service - Hospital; Intensive care units; Pandemics. 

Child behavior in a private pediatric dental practice associated with types of visits, age and socio-economic factors

2001 ◽  
Vol 25 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Warren Brill
Keyword(s):  
Dental Treatment ◽  
Economic Status ◽  
Dental Practice ◽  
Fee For Service ◽  
Negative Behavior ◽  
Patient Behavior ◽  
Dental Procedures ◽  
Dental Office ◽  
Child Patient ◽  
Method Of Payment

The purpose of this study was to describe child patient behavior patterns seen in a private pediatric dental practice. Patient behavior for every individual visit was recorded over a span of 3 consecutive months using the Sarnat Behavior Scale as the descriptive measurement device. Behavior during 5 categories of procedures was recorded: new patient examination / introduction to the office, periodic recare, restorative dentistry, orthodontic adjustment and quick check observation. Socio-demographic variables such as age, sex, method of payment as an indicator of socio-economic status, prior dental experience and referral source were also recorded. The results of this study showed: 1. the younger the child and the more threatening the procedure, the more often negative behavior was noted, 2. patients whose dental treatment was paid for by Medicaid and who are likely to be in a lower socio-economic strata, often exhibited more negative behavior than the fee-for service counterparts, 3. in general, there was no difference in the behavior between males and females, although males age 8 to 12 had a higher incidence of negative behavior than females when undergoing restorative dental procedures. There are trends between age, type of procedure, source of patient referral, method of payment and familiarity with the office, that may be able to used as behavioral predictors in a private pediatric dental office.

scholarly journals Coronavirus disease 2019 safety strategies to be included during dental practice

2020 ◽  
Vol 6 ◽  
pp. 27-34
Author(s):  
Annu Mariya Varghese ◽  
S. Krishna ◽  
Maya Ramesh
Keyword(s):  
Dental Treatment ◽  
Virus Transmission ◽  
Dental Practice ◽  
Risk Of Infection ◽  
Acute Respiratory Disease ◽  
Wuhan City ◽  
The World ◽  
Safety Strategies ◽  
Dental Setting ◽  
Dental Professionals

Coronavirus disease 2019 is caused by SARS-CoV-2 that leads to severe acute respiratory disease. It was first identified in Wuhan City, China, in December 2019 and has resulted in an ongoing pandemic. As of September 15, 2020, more than 26.5 million cases have been reported across the world, with more than 873,000 deaths. As SARS-CoV-2 is highly infective through air-borne contamination, the risk of infection in the dental setting is a serious problem for dental professionals as well as patients. The article provides information on this virus transmission and emphasizes the safety protocols to be followed before, during and after dental treatment.

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.

scholarly journals Hemodynamic Impact of Drug Interactions With Epinephrine and Antipsychotics Under General Anesthesia With Propofol

2021 ◽  
Vol 68 (3) ◽  
pp. 141-145
Author(s):  
Yoshiki Shionoya ◽  
Eishi Nakamura ◽  
Gentaro Tsujimoto ◽  
Takayuki Koyata ◽  
Asako Yasuda ◽  
...  
Keyword(s):  
Blood Pressure ◽  
General Anesthesia ◽  
Antipsychotic Drugs ◽  
Dental Treatment ◽  
Hemodynamic Parameters ◽  
Dental Procedures ◽  
Dunnett Test ◽  
Baseline Systolic Blood Pressure ◽  
Relevant Dose ◽  
Dental Setting

Objective: Antipsychotic drugs exhibit α-1 adrenergic receptor-blocking activity. When epinephrine and antipsychotic drugs are administered in combination, β-2 adrenergic effects are thought to predominate and induce hypotension. This study aimed to assess hemodynamic parameters in patients regularly taking antipsychotics who were administered epinephrine-containing lidocaine under general anesthesia in a dental setting. Methods: Thirty patients taking typical and/or atypical antipsychotics and scheduled for dental procedures under general anesthesia were enrolled. Five minutes after tracheal intubation, baseline systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and percutaneous oxygen saturation (SpO2) measurements were taken. The SBP, DBP, HR, and SpO2 measurements were repeated 2, 4, 6, 8, and 10 minutes after the injection of 1.8 mL of 2% lidocaine (36 mg) with 1:80,000 epinephrine (22.5 mcg) via buccal infiltration. Results: Differences between the baseline measurements and those of each time point were analyzed using Dunnett test, and no statistically significant changes were observed. Conclusions: Our findings demonstrate that the use of epinephrine at a clinically relevant dose of 22.5 mcg for dental treatment under general anesthesia is unlikely to affect the hemodynamic parameters of patients taking antipsychotic medications.

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