scholarly journals Current Evidence-based Management of Patients on Antiplatelets and Anticoagulants in Dental Practice: A Questionnaire-based Survey of Interns and Staff

2014 ◽  
Vol 4 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Sunil Sidana ◽  
Shazneen Firdosh Daruwalla
Keyword(s):  
Blood Flow ◽  
Standard Of Care ◽  
Current Evidence ◽  
Evidence Based ◽  
Dental Practice ◽  
Thromboembolic Complications ◽  
Flow Mechanism ◽  
Excessive Bleeding ◽  
Dental Patients ◽  
Dental Procedures

ABSTRACT An increasing number of dental patients are taking ‘blood thinner’ medications for various medical conditions. These drugs interfere with the body's normal clotting (stopping blood flow) mechanism. The standard of care has been to stop the aspirin and warfarin prior to dental procedures involving bleeding since these drugs are known to affect clot formation and coagulation. However, the patient is at a greater risk of developing thromboembolic complications and reinfarcts if these drugs were discontinue than occurence of excessive bleeding if they were continued. Bleeding can be effectively managed by local hemostatic measures. How to cite this article Daruwalla SF, Sidana S. Current Evidence-based Management of Patients on Antiplatelets and Anticoagulants in Dental Practice: A Questionnaire-based Survey of Interns and Staff. J Contemp Dent 2014;4(1):22-26.

scholarly journals Infection Control Policy for Dental Practice: An Evidence-based Approach

2013 ◽  
Vol 3 (2) ◽  
pp. 82-86
Author(s):  
Ashwin Muralidhar Jawdekar
Keyword(s):  
Infection Control ◽  
Control Policy ◽  
Current Evidence ◽  
Successful Implementation ◽  
Evidence Based ◽  
Dental Practice ◽  
Control Policies ◽  
Adequate Knowledge ◽  
Infection Control Policy ◽  
Dental Staff

ABSTRACT Having a policy on infection control based on current evidence and guidelines is essential for all dental practices. The evidence shows that all the members of the dental team may not possess adequate knowledge of all relevant aspects related to infection control, such as the transmission of infectious diseases, current regulations, etc. Moreover, there exists evidence to support the value of education and certified training the dental professionals in improving their understanding of infection control policies and procedures. The training must be provided by an expert team comprising of an academician with suitable clinical experience and demonstrable expertize in dentistry, and a microbiologist who understands the needs of dental settings. Evidence suggests that a training over 10 hours is associated with maximal benefits; and the CDC and BDA guidelines recommend training to all dental staff (clinical as well as nonclinical) for optimal benefits. Successful implementation of the infection control policies depends on the adequate provision of time and facilities for the same. How to cite this article Jawdekar AM. Infection Control Policy for Dental Practice: An Evidence-based Approach. J Contemp Dent 2013;3(2):82-86.

scholarly journals Post-COVID Strategies Based on Clinical Dentistry in South Korea

2020 ◽  
pp. 1-5
Author(s):  
John Hyunbaek Ahn ◽  
John Hyunbaek Ahn ◽  
Susan Power
Keyword(s):  
South Korea ◽  
Working Environment ◽  
Current Evidence ◽  
Protective Equipment ◽  
Dental Practice ◽  
Comprehensive Overview ◽  
Work Related ◽  
The United Kingdom ◽  
Item Questionnaire ◽  
Dental Procedures

Introduction: The United Kingdom is in the process of gradually lifting the lockdown, and a lot of uncertainties and concerns exist in the field of dentistry in terms of clinical management of patients due to the high risk of work-related transmission. Learning from the strategies of clinical dental practice in other countries may help in the development of national recommendations. Aims: South Korea managed to contain COVID-19 without full-scale lockdown. This article aims to provide a comprehensive overview of clinical practice of dentistry and orthodontics in South Korea and compare it with information from other countries throughout the world. Design: An anonymous 21-item questionnaire covering post-COVID strategies was sent to the orthodontic departments of eleven University Dental Hospitals in South Korea for completion. Results: Three of the eleven hospitals completed the survey. All hospitals provided information on their post-COVID strategies in terms of staff and patient considerations, clinical working environment, clinical arrangements, dental procedures, personal protective equipment and disinfection. Conclusion: The current evidence on COVID-19 is limited and the risk of its transmission through aerosol generating procedures is still unclear. In the meantime, robust post-COVID strategies must be in place in order to minimize the risk of spread.

Silver Diamine Fluoride: a critical review and treatment recommendations

Dental Update ◽  
2019 ◽  
Vol 46 (7) ◽  
pp. 626-632
Author(s):  
Jilen Patel ◽  
Robert P Anthonappa ◽  
Nigel M King
Keyword(s):  
High Risk ◽  
Current Evidence ◽  
Evidence Based ◽  
Dental Practice ◽  
Silver Diamine Fluoride ◽  
Disadvantaged Populations ◽  
Carious Lesions ◽  
Caries Management ◽  
High Risk Populations ◽  
High Risk Children

Over the last decade there has been a renewed interest in the use of Silver Diamine Fluoride (SDF) as an adjunctive modality in the management of caries among high-risk populations. This review presents the current evidence behind the use of SDF and recommendations for its use in caries management dental practice. CPD/Clinical Relevance: Silver diamine fluoride is an effective, evidence-based modality that can contribute towards arresting carious lesions among high-risk children and disadvantaged populations.

scholarly journals How Did the COVID-19 Pandemic Effect Dental Patients? An Italian Observational Survey Study

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1748
Author(s):  
Gianna Maria Nardi ◽  
Roberta Grassi ◽  
Felice Roberto Grassi ◽  
Roberto Di Giorgio ◽  
Fabrizio Guerra ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Care ◽  
Personal Data ◽  
Survey Study ◽  
Dental Practice ◽  
Dental Patients ◽  
The People ◽  
Dental Procedures ◽  
Restrictive Measures ◽  
At Home

The primary aim of this observational survey study was to assess patients’ attitudes toward clinical dental practice during the COVID-19 pandemic; the secondary aim was to evaluate patients’ attitudes towards oral health by maintaining an appropriate lifestyle and oral hygiene at home. The questionnaire was developed using Google Forms. The questionnaire consisted of three parts: Part A—geographic, demographic, and personal data; Part B—patients’ attitude toward oral health selfcare and lifestyle; Part C—patients’ attitude toward dental practice. This survey, conducted during the months of November and December 2020, enrolled 1135 subjects throughout Italy. All data were statistically analyzed. COVID-19 has changed patients’ approach to dental procedures. Most of the people interviewed lived in families, and their greatest fear was infecting a family member. Restrictive measures forced people to stay at home, which led to an increased consumption of various types of food, including cariogenic foods. People said they felt safe when they went to the dentist, but they also paid special attention to measures to prevent contagion. Among the measures that should be introduced in similar situations in the future, people wanted telemedicine, a phone recall, and the possible use of video clips for home oral care instructions.

scholarly journals Perceived Barriers to Blood Flow Restriction Training

2021 ◽  
Vol 2 ◽  
Author(s):  
Nicholas Rolnick ◽  
Kyle Kimbrell ◽  
Mikhail Santos Cerqueira ◽  
Ben Weatherford ◽  
Christopher Brandner
Keyword(s):  
Blood Flow ◽  
Systematic Approach ◽  
Blood Flow Restriction ◽  
Perceived Barriers ◽  
Current Evidence ◽  
Future Research ◽  
Evidence Based ◽  
Flow Restriction ◽  
Cardiovascular Capacity

Blood flow restriction (BFR) training is increasing in popularity in the fitness and rehabilitation settings due to its role in optimizing muscle mass and strength as well as cardiovascular capacity, function, and a host of other benefits. However, despite the interest in this area of research, there are likely some perceived barriers that practitioners must overcome to effectively implement this modality into practice. These barriers include determining BFR training pressures, access to appropriate BFR training technologies for relevant demographics based on the current evidence, a comprehensive and systematic approach to medical screening for safe practice and strategies to mitigate excessive perceptual demands of BFR training to foster long-term compliance. This manuscript attempts to discuss each of these barriers and provides evidence-based strategies and direction to guide clinical practice and future research.

Therapeutic Aspects of Squill; An Evidence-Based Review

2020 ◽  
Vol 17 (3) ◽  
pp. 318-324 ◽  
Author(s):  
Khadije Saket ◽  
Jalil T. Afshari ◽  
Ehsan Saburi ◽  
Mahdi Yousefi ◽  
Roshanak Salari
Keyword(s):  
Side Effects ◽  
Traditional Medicine ◽  
Respiratory Diseases ◽  
Low Cost ◽  
Current Evidence ◽  
Evidence Based ◽  
Helminthic Infections ◽  
Traditional Persian Medicine ◽  
Healing Of Wounds ◽  
Bioactive Agents

From ancient times, medicinal plants have been usually utilized to treat many disorders, but today, interest in these herbs is again aroused, because of their fewer side effects and low-cost. In traditional medicine, for many diseases, various medicinal herbs have been suggested so far. Drimia maritime, also named squill, is an important medicinal plant for the treatment of many diseases, especially respiratory diseases. In the current evidence-based study, we conducted a review of the general characteristics, ingredients, administration form, and side effects of squill in traditional medicine. For this purpose, traditional Persian medicine literatures and electronic databases were examined including PubMed, Scopus, and Google Scholar. Many compounds are isolated from D.maritima, including scillaren, scillirubroside, scillarenin, and bufadienolide glycosides. Oxymel is the most commonly used form of squill for various diseases, especially respiratory diseases. Besides, squill has been used in the treatment of cardiovascular, digestive, and dermatological disorders, it is also used against various cancer cells for its antioxidant and cytotoxic properties. Moreover, there is relatively reliable evidence of its benefits for bacterial and helminthic infections, rheumatism, edema, gout, abortion induction, healing of wounds and urine induction. It seems that supplementary studies are required to explore the bioactive agents and their effective mechanisms.

Championing Change to Save Lives: A Call to Action to Implement Reforms to Increase Use of Medications to Treat Opioid Use Disorder in Correctional Settings

2020 ◽  
pp. 073401682098162
Author(s):  
Sonia L. Canzater ◽  
Regina M. LaBelle
Keyword(s):  
Standard Of Care ◽  
Opioid Use Disorder ◽  
Correctional Facilities ◽  
Evidence Based ◽  
Opioid Use ◽  
Call To Action ◽  
Evidence Based Treatment ◽  
High Prevalence ◽  
Correctional Settings ◽  
Overdose Deaths

The disproportional rates of opioid use disorder (OUD) in U.S. correctional facilities make them prime intervention points to treat OUD utilizing medication to treat opioid use disorder (MOUD), the evidence-based clinical standard of care. MOUD has been shown to be effective to support recovery and reduce recurrence of OUD, overdose deaths, and recidivism for justice-involved persons both while incarcerated and once they reenter their communities. Despite the high prevalence, most jails and prisons do not offer MOUD. Litigation has spurred expanded access in more facilities, but widespread MOUD access can only become a reality through a comprehensive effort of corrections officials, medical experts, advocates, legislators, and other champions to raise awareness and affect ideological and policy change. It is a legal and ethical imperative that the lives of justice-involved persons not be jeopardized by the lack of evidence-based treatment for OUD in correctional settings.

scholarly journals COVD-25. THE PARADOXICAL EFFECTS OF COVID-19 ON CANCER CARE IN THE NEURO-ONCOLOGY SETTING

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii26-ii26
Author(s):  
Nicole Cort ◽  
Alex Broom ◽  
Katherine Kenny ◽  
Alexander Page ◽  
Jennifer Durling ◽  
...  
Keyword(s):  
Cancer Care ◽  
Standard Of Care ◽  
Adult Brain ◽  
Evidence Based ◽  
Negative Consequences ◽  
Traditional Practice ◽  
Delivery Of Care ◽  
Paradoxical Effects ◽  
Oncology Care ◽  
The Impact

Abstract COVID-19 has caused ongoing interruptions to healthcare systems worldwide, shifting care to virtual platforms, and placing significant economic and logistical burdens on clinical practice. The pandemic has created uncertainty in delivering the standard of care, both in areas of cancer diagnosis and treatment, especially within neuro-oncology. Due to the pandemic, care and operational planning goals have shifted to infection prevention, modifying recommendations to decrease viral transmission and increasing telemedicine use, potentially creating a burden on implementing evidence-based medicine. These dynamics have since begun to redefine traditional practice and research regimens, impacting the comprehensive care that cancer patients can and should receive; and the enduring consequences for the delivery of healthcare. The impact of COVID-19 on oncology practice and trials might endure well beyond the short- to mid-term of the active pandemic. Therefore, these shifts must be accompanied by improved training and awareness, enhanced infrastructure, and evidence-based support to harness the positives and offset the potential negative consequences of the impacts of COVID-19 on cancer care. To address these paradoxical effects, we will conduct iterative, qualitative (face-to-face/video conference) interviews with neuro-oncology clinical and research professionals and adult brain tumor patients receiving care during the pandemic. We will capture unique aspects of oncology care: the lived, subjective, situated, and contingent accounts of patients and medical professionals, especially during a pandemic. We will also specifically compare the impact of telehealth during the pandemic on delivery of care to complex neuro-oncology patients. A summary of this in-depth, qualitative approach will result in a sophisticated understanding of neuro-oncology care on the frontline at a time of crisis, as experienced during a pandemic, to articulate best practices for future implementation.

scholarly journals The perception of COVID-19 among Italian dental patients: an orthodontic point of view

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stefano Martina ◽  
Alessandra Amato ◽  
Paolo Faccioni ◽  
Alfredo Iandolo ◽  
Massimo Amato ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Point Of View ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Patients ◽  
Patient Health ◽  
Chi Square Test ◽  
Orthodontic Patients ◽  
Level Of Significance

Abstract Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients with items about their perceived risks when going to the dentist, concerns about continuing orthodontic treatment, and the onset of temporomandibular disorders (TMD). Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set at P < 0.05. Results A total of 1566 subjects completed the survey, including 486 who were under orthodontic treatment or who had a child in orthodontic treatment. A total of 866 participants (55.3%) thought the risk of contracting the COVID-19 infection was higher in a dental practice; this perception was associated with gender (women more than man), age (over 60 years old) and high levels of distress (P<0.001). However, 894 patients (57.1%) felt comfortable going back to the dentist. Most of the orthodontic patients (84%) would continue their treatment. After the lockdown, there was a slight increase in the frequency of TMD pain (356 versus 334). Conclusions Most of the participants believed that the dental practice is a place at greater risk of contracting COVID-19, even if they continue to go to the dentist. Gender, age, and the level of distress were associated with the increase in the fear of going to the dentist due to COVID-19. Because of the pandemic, 16% of patients undergoing orthodontic treatment would not return to the dental practice to continue their orthodontic treatment after the lockdown. The prevalence of TMD pain in the population increased due to the pandemic.

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