MANAGEMENT OF PREGNANT PATIENTS IN DENTAL PRACTICE

2013 ◽  
Vol 5 (2) ◽  
pp. 44-51
Author(s):  
Pramod Tatuskar
Keyword(s):  
Oral Health ◽  
Pathogenic Bacteria ◽  
Dental Treatment ◽  
Medical Practitioner ◽  
Well Being ◽  
Individual Treatment ◽  
Main Concern ◽  
General Medical Practitioner ◽  
Simple Diffusion ◽  
Oral Infections

ABSTRACT Pregnancy is a unique period in a woman's lifetime. Good oral health during pregnancy is important to the overall health of both the expectant mother and her baby. Therefore, it is important to maintain good oral health during pregnancy because it has the potential to reduce the transmission of pathogenic bacteria from mothers to their children. Dental care is safe for the pregnant patient and can prevent long term health problems for both mother and child. During pregnancy dental treatment may be modified but need not be withheld, provided that the risk assessment is made properly for both the patient and the fetus. Oral changes in the mouth are due to the alteration in the levels of estrogen and progesterone. This variation in the female sex hormones causes an increase in oral vasculature permeability and decrease in the host immunity, thus making the pregnant woman more prone to oral infections. Although pregnancy is not a contraindication to dental treatments, the clinician should consult with the patient's physician to clarify individual treatment issues. When prescribing medication during pregnancy, the main concern is the risk of teratogenesis, because drugs cross the placenta by simple diffusion. Drugs are administered during pregnancy only when they are essential for the pregnant woman's well-being, and the drug of choice should always be the one that is the least toxic. Prescribing of systemic drugs of any kind ideally should be performed after consultation with the general medical practitioner or obstetrician.

scholarly journals Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 51-06
Author(s):  
Mariane Cristina Sloniak ◽  
Sara Regina Barancelli Todero ◽  
Luciana Aparecida Lyra ◽  
Elenara Beatriz Fontana ◽  
Paulo Sérgio Batista ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Hiv Infection ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Healing Process ◽  
Special Treatment ◽  
Individual Treatment ◽  
Dental Surgery ◽  
First Case

The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installation of an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental care of these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

scholarly journals Dental extraction in patients with HIV/AIDS: report of two cases

RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 51
Author(s):  
Mariane Cristina Sloniak ◽  
Sara Regina Barancelli Todero ◽  
Luciana Aparecida Lyra ◽  
Elenara Beatriz Fontana ◽  
Paulo Sérgio Batista ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Hiv Infection ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Healing Process ◽  
Special Treatment ◽  
Individual Treatment ◽  
Dental Surgery ◽  
First Case

Introduction and objective: The oral health of patients with HIV infection is often compromised by caries and periodontal disease. Thus, many patients need to undergo oral surgical procedures. Case report: This article describes two cases of patients with HIV infection who had undergone exodontia due to prosthetic indications. Both patients had been hospitalized for treatment of respiratory complications from HIV infection and were referred for dental treatment. In the first case, the adult patient had generally good oral health. However, the treatment plan for the installation of a removable prosthesis required the removal of tooth 38 since it was fairly inclined to the mesial. The second patient had poor oral conditions due to advanced periodontal disease. Thus, all upper arch teeth were removed in a single session followed by the installationof an immediate total prosthesis. No postoperative complications were recorded and the healing process occurred without incident for both patients. Dental treatment of patients with asymptomatic HIV infection does not differ from that performed for any other patient in practice. Nevertheless, patients in advanced stages of disease may require special treatment and an individual treatment plan must be developed for even routine procedures. Conclusion: The dental careof these individuals often requires more rigorous clinical follow-up for maintaining oral health. The performance of dental surgery in patients with HIV infection does not require technical modifications, but does require a complete anamnesis.

Oral Health Impacts on Flavor and Significance in Dental Treatment

2021 ◽  
pp. 238008442199509
Author(s):  
G. Ellender ◽  
P. Moynihan
Keyword(s):  
Clinical Practice ◽  
Oral Health ◽  
Dental Treatment ◽  
Current Knowledge ◽  
Well Being ◽  
Biomedical Science ◽  
Oral Microbiota ◽  
Dental Practice ◽  
Oral Diseases ◽  
Restorative Materials

The mouth is pivotal in the generation of flavor, the pleasure of eating, and the selection of food. Flavor—representing the integration of olfaction (smell) with gustation (physiologic taste) and as influenced by oral somatosenses—is rarely afforded attention in oral research and dental practice. This article considers the interrelationship between oral health and flavor and highlights gaps in current knowledge. Altered oral function associated with operative and restorative treatment can feasibly alter the perception of flavor through diverse ways. Oral diseases and the generation of biofilms on restorative materials have potential to influence the oral microbiota and the perception of flavor. Alterations in masticatory function (through tooth loss, restorative materials, and prostheses with nonbiological surfaces and shapes) compounded by associated influences in the composition and quantity of saliva can affect the release of odorants and tastants from foods and beverages. Furthermore, changes occur in the perception of flavor throughout life and are significant in the aging and medically compromised population with the potential to affect nutrition and pleasure. Dental research and clinical practice should be at the forefront of biomedical science in understanding and promoting the importance and relevance of flavor in the well-being of patients. However, more research is required to guide clinical practice in consideration of olfactory and gustatory function as a component of total patient care. Knowledge Transfer Statement: This commentary highlights the research gaps in knowledge pertaining to the association between oral health and flavor and the significance of flavor to dental practice.

scholarly journals The Anesthetic Management for a Patient With Trisomy 13

2017 ◽  
Vol 64 (3) ◽  
pp. 162-164 ◽  
Author(s):  
Masanori Tsukamoto ◽  
Takashi Hitosugi ◽  
Kanako Esaki ◽  
Takeshi Yokoyama
Keyword(s):  
Mental Retardation ◽  
Oral Health ◽  
Dental Treatment ◽  
Anesthetic Management ◽  
Well Being ◽  
Health Condition ◽  
Trisomy 13 ◽  
Central Apnea ◽  
Related Quality ◽  
Ventricular Septal Defect Closure

Trisomy 13 is a chromosomal disorder that occurs in complete or partial mosaic forms. It is characterized by central apnea, mental retardation, seizure and congenital heart disease. The survival of the patients with trisomy 13 is the majority dying before one month. Trisomy 13 is the worst life prognosis among all trisomy syndromes. It is reported the cause of death is central apnea. Special needs patients with mental retardation are recognized to have poorer oral health condition. Oral health related quality of life reflects daily activity and well-being. Dental treatment under general anesthesia is sometimes an option for such patients. This patient had received ventricular septal defect closure surgery at 2-year-old. In addition, he had mental retardation and seizure. Dental treatment had been completed without any cerebral and cardiovascular events under non-invasive monitoring with not only cardiac electric velocimetry, but also epileptogenic activity. In addition, postoperative respiratory condition was maintained stable in room air.

scholarly journals Spiritual Dimension in Oral Health

2021 ◽  
pp. 447-453
Author(s):  
Juhi Manohar Pathekar ◽  
Kumar Gaurav Chabra ◽  
Priyanka Paul Madhu ◽  
Amit Reche ◽  
Komal Vilas Dadgal ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Religious Commitment ◽  
Scientific Information ◽  
Well Being ◽  
Personal Hygiene ◽  
Illness Beliefs ◽  
Treatment And Prevention ◽  
Spiritual Well Being ◽  
Time Required

Spirituality is a living and vital component of mankind in which people are looking for ultimate meaning, purpose, and mastery while engaging in connections with themselves, their family members, others, their communities, society, nature, and the divine or spiritual. Health, illness, beliefs, knowledge, and medical practices are all influenced by culture, and dentistry is no exception. Everyone, whether rural or urban, has its own health and illness beliefs and practices. The only way to provide culturally sensitive health care is to be aware of, listen to, and be attentive to each patient, as well as to inquire about personal needs and wishes when appropriate. Spiritual well- being is regarded as the fourth dimension of health. It helps people realize their greatest potential, find meaning and purpose in life, and find fulfillment from within. The individual's lifestyle may have a significant impact on his or her oral health behaviour. Caries and plaque-induced periodontal illnesses are linked to personal hygiene, food intake frequency, motivation to preserve oral health, and in certain circumstances, religious commitment Dental myths are widespread and unquestioned misleading ideas that often arise as a result of a lack of education, spiritual beliefs, and traditional factors based on non-scientific information. Despite global advances in diagnosis, treatment, and prevention, some people continue to hold on to their traditional values, practices, beliefs, and myths. If these myths are exposed in a timely manner, it may be possible to reduce the costs and time required for dental treatment, thereby converting an operative treatment into conservative dental management and improve patient satisfaction.

Autonomy-supportive dental treatment, oral health-related eudaimonic well-being and oral health: a randomized clinical trial

2019 ◽  
Vol 34 (12) ◽  
pp. 1421-1436
Author(s):  
Anne Elisabeth Münster Halvari ◽  
Hallgeir Halvari ◽  
Edward L. Deci ◽  
Geoffrey C. Williams
Keyword(s):  
Clinical Trial ◽  
Oral Health ◽  
Randomized Clinical Trial ◽  
Dental Treatment ◽  
Well Being ◽  
Health Related

scholarly journals DENTAL TREATMENT DEMANDS AMONG PATIENTS IN JIGAWA NORTHWEST NIGERIAPAGE 109 CALIPHATE MEDICAL JOURNAL Vol. 1 No. 4, October - December 2013 ISSN: 2346-7193.I

2013 ◽  
Vol 1 (4) ◽  
Author(s):  
Taiwo OA ◽  
Yusuf MO ◽  
Agbaje MO ◽  
Adeyemo WL ◽  
Olawole WO ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Symptomatic Relief ◽  
Well Being ◽  
Dental Service ◽  
Health Needs ◽  
Sub Saharan Africa ◽  
Dental Disease ◽  
Sub Saharan ◽  
Health And Well Being

Background:ObjectiveMethodResult Oral health is a critical but an overlooked component of overall health and well-being among children and adults. The detrimental consequences of dental disease have been well documented in the literature. Huge differences exist between actual dental service utilization and oral health needs in several resource constraint nations of sub-Saharan Africa. Hence, most patients seek treatment for symptomatic relief of pain and sometimes devastating life

Consideraciones para la atención odontológica en un paciente con síndrome de Asperger. reporte de un caso

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Claudia Butrón-Téllez Girón
Keyword(s):  
Oral Health ◽  
Primary Prevention ◽  
Asperger Syndrome ◽  
Pervasive Developmental Disorders ◽  
Developmental Disorders ◽  
Dental Treatment ◽  
Systematic Desensitization ◽  
Behaviour Management ◽  
Palabras Clave ◽  
Behavioral Techniques

El Síndrome de Asperger es una enfermedad del neurodesarrollo caracterizado por deficiencias en la interacción social y la comunicación,sin retraso en el desarrollo cognitivo y del lenguaje, considerado dentro de los Trastornos Generalizados del Desarrollo y de las Condiciones del Espectro Autista. Debido a las características de este síndrome estos pacientes requieren atención y técnicas conductuales específicas, parapoder realizar el tratamiento dental. El objetivo de este reporte es dar a conocer los cuidados y el manejo de conducta para el tratamiento dental en pacientes con Síndrome de Asperger. Palabras clave: Síndrome de Asperger, desensibilización sistemática, cuidado dental, salud bucal, prevención primaria, comportamiento.  AbstractAsperger syndrome is a disease of the neurodevelopmental characterized by deficiencies in social interaction and communication, without delay in cognitive development and language, and is considered within pervasive developmental disorders and the autism spectrumconditions. Due to the characteristics these patients require care and specific behavioral techniques, to perform dental treatment. The objective of this report is to present the care and behaviour management for dental treatment in patients with Asperger syndrome. Key words: Asperger syndrome, systematic desensitization, dental care, oral health, primary prevention, behaviour.

scholarly journals Oral Health and Psychosocial Predictors of Quality of Life and General Well-Being among Adolescents in Lesotho, Southern Africa

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 582
Author(s):  
Abbas Jessani ◽  
Jonghm Choi ◽  
Abdul El-Rabbany ◽  
Pulane Lefoka ◽  
Mir Faeq Ali Quadri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Public Schools ◽  
Oral Health ◽  
General Health ◽  
Well Being ◽  
General Health Status ◽  
Social Wellbeing ◽  
Fair Poor ◽  
Dental Conditions

Background: Adolescents’ quality of life is reported to be significantly associated with physical and social wellbeing. Although adolescents are 30% of the Southern African population, no previous studies have focused on this group in relation to oral health and quality of life. Methods: A 40-item survey and clinical oral examinations were conducted in public schools in Maseru from 10 to 25 August 2016. Simple, bivariate, and multivariate regressions were used to evaluate the associations of oral health and psychosocial factors with self-reported general health status and quality of life. Results: A total of 526 participants, aged 12–19 years old, responded to the survey and participated in the clinical examinations. The majority reported a good (good/very good/excellent) quality of life (84%) and general health (81%). Bivariate results showed that self-reported general health in this population was significantly influenced by age. The presence of toothache and sensitivity in the adolescents were significantly associated with poor (fair/poor) self-reported general health and were found to be the best predictors for self-general health and quality of life. Conclusions: The absence of dental conditions such as toothache and tooth sensitivity can lead to a better perception of general health and Quality of Life in adolescents.

scholarly journals 967. Concordance of Antibiotic Prescribing with the Proposed American Dental Association Acute Oral Infection Guidelines within Veterans Affairs (VA) Dentistry

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S31-S32
Author(s):  
Daniel Carlsen ◽  
Katie J Suda ◽  
Ursula C Patel ◽  
Gretchen Gibson ◽  
Marianne M Jurasic ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Apical Periodontitis ◽  
Antibiotic Prescribing ◽  
Cross Sectional ◽  
Oral Infections ◽  
American Dental Association ◽  
Dental Procedures ◽  
Icd 10 ◽  
Future Work ◽  
Irreversible Pulpitis

Abstract Background US dentists prescribe 10% of outpatient antibiotics. However, assessing the appropriateness of dental antibiotic prescribing has been challenging due to a lack of guidelines for common infections. In 2019, the American Dental Association proposed clinical practice guidelines (CPG) on the management of common acute oral infections for the first time. Our objective was to describe national baseline antibiotic prescribing for the treatment of irreversible pulpitis, apical periodontitis, and acute apical abscess prior to the release of the proposed CPG. Methods We performed a cross-sectional analysis of national VA data from January 1, 2017 to December 31, 2017. We identified cases of irreversible pulpitis, apical periodontitis, and acute apical abscess using ICD-10-CM codes. Patient demographics, facility location, medical conditions, dental procedure codes (“CDTs”), and diagnostic (ICD-10-CM) codes were extracted from the VA Corporate Data Warehouse. Antibiotics prescribed by a dentist within 7 days of a visit were included. Multivariable logistic regression identified variables associated with antibiotic prescribing for each infection. Results Of the 470,039 VA dental visits with oral infections coded, 25% of irreversible pulpitis, 41% of apical periodontitis, and 61% of acute apical abscess visits received antibiotics. Amoxicillin was prescribed most frequently. Although the median days’ supply was 7 days, prolonged use of antibiotics was frequent (9.2% of irreversible pulpitis, 17.8% of apical periodontitis, 28.7% of acute apical abscess received antibiotics for ≥8 days). Of the irreversible pulpitis visits with antibiotics prescribed, 20.0% received ≥2 antibiotics. Patients with high-risk cardiac conditions, prosthetic joints, and certain dental procedures were associated with receipt of antibiotics (table). Conclusion Prior to the release of the ADA guidelines, 75.8% and 59.4% of irreversible pulpitis and apical periodontitis were concordant with proposed recommendations. These data identify opportunities to improve prescribing and serve as a benchmark for future outpatient antimicrobial stewardship efforts. Future work should assess definitive dental treatment and populations without access to oral health care. Disclosures All Authors: No reported Disclosures.

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