Dental Mangement Of Pregnant Patients: An Obstetrician’s Perspective

2019 ◽  
Vol 09 (02) ◽  
pp. 113-116
Author(s):  
Ayesha Basit ◽  
Maham Naeem ◽  
Sadia Mahmood ◽  
Umair Ali ◽  
Mohamamd Nasir
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Local Anesthesia ◽  
Adverse Pregnancy Outcome ◽  
Descriptive Analysis ◽  
Oral Health Care ◽  
X Rays ◽  
Dental Management ◽  
Safety Awareness ◽  
Adverse Pregnancy

Objective: The aim of the study was to investigate obstetricians’ perspective regarding dental management of pregnant patients. Study Design and Setting: It was questionnaire based study and was directed towards practicing obstetricians of Karachi. Methodology: A seven item questionnaire was formulated by focusing on different aspects of the oral healthcare of pregnant patients including need for regular dental visits, dental radiograph safety, awareness about the adverse pregnancy outcomes due to untreated dental infections, safe use of local anesthesia, antimicrobials and analgesics and the safe trimester for dental extractions. A total of 74 responses received were entered and descriptive analysis was done by SPSS version 16. Results: Out of 74 respondents, n = 47 (63.5%) were aware that untreated dental infection may lead to adverse pregnancy outcome, n = 20 (27%) actually advise regular dental check-ups to their patients; n = 29 (39.2%) respondents were in favor of leaving the decision for dental x-rays to the dentist and n = 14 (18.9%) respondents allowed dental x-rays anytime during pregnancy to their patients. Out of n = 74, n = 21 (28.4%) respondents permitted dental extractions under local anesthesia with adrenaline by taking some precautions. Co-Amoxiclav (Amoxicillin and Clavulanic acid) was considered the safest antimicrobial by n = 45 (60.8%) respondents whereas Acetaminophen as the safest analgesic by n = 66(89.2%) respondents. Conclusion:This study concluded that there was a lack of knowledge among obstetricians regarding oral health care of the pregnant patients and this study emphasized the need for oral health care awareness among obstetricians.

Prenatal oral health literacy status: a survey on patient’s perception and awareness among health care professionals

2017 ◽  
Vol 9 (2) ◽  
pp. 16-22
Author(s):  
Sandya Devi S Patil ◽  
Madhu K ◽  
Rachna Thakur ◽  
Santhosh T Paul ◽  
Mihir Nayak
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Health Care Professionals ◽  
Oral Care ◽  
Oral Health Care ◽  
Attitude And Practice ◽  
Group A ◽  
Adverse Pregnancy

Pregnancy is characterized by complex physiological changes which may adversely affect the oral health and pregnancy outcomes. This study reports a survey on assessing the knowledge, attitude and practice behaviours of gynaecologists and oral health care professionals towards prenatal oral care and barriers limiting the utilization of prenatal oral care health care to pregnant women. The study population comprised of 3 groups: A- Gynaecologists, B- oral health care professionals and C – Pregnant women, 100 in each group. The prevalidated questionnaire included questions about their knowledge, attitude, beliefs and practices regarding oral health care for pregnant women. The data obtained was subjected to statistical analysis using ANOVA test and Pearson’s correlation test. The response rate was 100%. Regarding the association of periodontal disease and adverse pregnancy outcomes, Group A (75%) have high degree of knowledge than B (61%) and C (36%) but the attitude and practice behaviors were significantly high in Group B as compared to Group A and Group C Two-thirds of respondents in both Group A and B (75%) were interested in receiving continuing dental education (CDE) regarding the care of pregnant women.The self-assessed maternal barriers evaluated in this study were lack of knowledge, lack of perceived need.

scholarly journals School Based Tooth Brushing and Annual Silver Diammine Fluoride Application as a Highest Priority Package for Achieving Universal Oral Health Care for Cambodian Children

2021 ◽  
Vol 2 ◽  
Author(s):  
Bathsheba Turton ◽  
Jilen Patel ◽  
Chanthyda Sieng ◽  
Ranuch Tak ◽  
Callum Durward
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Primary Teeth ◽  
Descriptive Analysis ◽  
Oral Health Care ◽  
Adverse Outcomes ◽  
Mixed Dentition ◽  
Dental Services ◽  
Middle Income ◽  
Carious Lesions

Background: Achieving Universal Oral Health Care among Low-to Middle-Income settings is challenging and little literature exists around exploring what a “Highest Priority Package” of care might look like in the context of oral health. The Healthy Kids Cambodia (HKC) program differs from most conventional school dental services in that the initial package of care that is offered is daily toothbrushing with 1,500 ppm fluoride toothpaste (DTB) together with the topical application of Silver Diamine fluoride (SDF) for management of lesions in primary teeth.Aim: To examine tooth level outcomes for 8- to 10-year old children from two schools that performed DTB with application of SDF at differing time-points.Design: This was an observational cohort study that examined lesion progression among children in late mixed dentition at two schools. Data were collected using the dmft and pufa indices. Both schools received materials and training for DTB at baseline. School One received SDF at baseline while School Two received SDF after 9-months. Intraoral examinations were performed and the presentation of primary teeth with cavitated carious lesions were compared at baseline and 12 m. If a tooth was still caries-active or had become pulpally involved, this was considered to be an unacceptable outcome. Descriptive analysis was performed the chi-squared test was used to examine differences in the proportion of teeth with unacceptable outcomes by school membership.Results: Of the 521 children recruited, 470 (90.2%) were followed. Where there was a delay in SDF application (School 2) there was a three times greater chance of an unacceptable outcome. Ten percentage of primary teeth in School One and 33% of primary teeth in the School Two had unacceptable outcomes.Conclusion: The present study offers data on expected effect sizes that might inform future step-wedged clinical trials to validate an oral health Highest Priority Package of care for Cambodian children. The delivery of a package of care that includes both DTB and SDF can prevent adverse outcomes, such as dental infections, in primary teeth with carious lesions.

scholarly journals Sanjad-Sakati Syndrome: Oral Health Care

2018 ◽  
Vol 27 (3) ◽  
pp. 293-296
Author(s):  
Yazan Hassona ◽  
Lamis Rajab ◽  
Dina Taimeh ◽  
Crispian Scully
Keyword(s):  
Health Care ◽  
Stainless Steel ◽  
Oral Health ◽  
Clinical Presentation ◽  
Oral Health Care ◽  
Facial Features ◽  
Missing Teeth ◽  
Oral Rehabilitation ◽  
High Arched Palate ◽  
Dental Management

Objectives: The aim of this report is to describe the orofacial manifestations and dental management of a girl with Sanjad-Sakati syndrome. Clinical Presentation and Intervention: The facial features included microcephaly, thin lips, beaked nose, low set ears, and a retrognathic mandible. An oral examination revealed oligodontia/hypodontia, small dental arches, a high arched palate, and a deep overbite and increased overjet. Oral rehabilitation involved full coverage prosthetic crowns on the upper central incisors, stainless steel crowns on the lower molars, and removable partial prostheses to replace missing teeth. Conclusion: Recognition of orofacial features might help in the diagnosis of Sanjad-Sakati syndrome. Dental management of affected patients might be complicated by intellectual, neurological, and endocrine abnormalities.

Oral and Dental Aspects of Chronic Renal Failure

2005 ◽  
Vol 84 (3) ◽  
pp. 199-208 ◽  
Author(s):  
R. Proctor ◽  
N. Kumar ◽  
A. Stein ◽  
D. Moles ◽  
S. Porter
Keyword(s):  
Health Care ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Oral Health ◽  
Soft Tissues ◽  
Current Knowledge ◽  
Wide Spectrum ◽  
Oral Health Care ◽  
Multiple Systems ◽  
Dental Management

The present article reviews, in detail, the current knowledge of the oral and dental aspects of chronic renal failure (CRF). Worldwide, increasing numbers of persons have CRF; thus, oral health care staffs are increasingly likely to provide care for patients with such disease. Chronic renal failure can give rise to a wide spectrum of oral manifestations, affecting the hard or soft tissues of the mouth. The majority of affected individuals have disease that does not complicate oral health care; nevertheless, the dental management of such individuals does require that the clinician understand the multiple systems that can be affected. The clinician should also consider the adverse side-effects of drug therapy and appropriate prescribing, in view of compromised renal clearance.

Older Americans' access to oral health care

1988 ◽  
Vol 52 (11) ◽  
pp. 637-642 ◽  
Author(s):  
TA Dolan ◽  
CR Corey ◽  
HE Freeman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Health Care ◽  
Older Americans

Promotion of Oral Health Care in Infants - A Preventive Strategy to Reduce the Burden of Early Childhood Caries

2020 ◽  
Vol 4 (5) ◽  
pp. 18-22
Author(s):  
Subhathira Rajasekaran ◽  
Sham S Bhat ◽  
Vidya Bhat ◽  
Sundeep Hegde K ◽  
Neha Thilak ◽  
...  
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Oral Health Care ◽  
Preventive Strategy ◽  
Childhood Caries

Oral health diseases among the older people: a general health perspective

2020 ◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Health Professionals ◽  
General Health ◽  
Oral Health Care ◽  
Oral Diseases ◽  
Public Health Professionals ◽  
The Relationship

Background: The relationship between oral health and general health is gaining interest in geriatric research; however, a lack of studies dealing with this issue from a general perspective makes it somewhat inaccessible to non-clinical public health professionals. Purpose: The purpose of this review is to describe the relationship between oral health and general health of the elderly on the basis of literature review, and to give non-clinical medical professionals and public health professionals an overview of this discipline. Methods: This study was based on an in-depth review of the literature pertaining to the relationship between oral health and general health among the older people. The tools commonly used to evaluate dental health and the academic researches of male elderly people were also reviewed. And future research directions were summarized. Results: Dental caries, periodontal disease, edentulism, and xerostomia are common oral diseases among the older people. Dental caries and periodontal diseases are the leading causes of missing teeth and edentulism. Xerostomia, similar to dry mouth, is another common oral health disease in the older people. No clear correlation exists between the subjective feeling of dryness and an objective decrease of saliva. Rather, both conditions can be explained by changes in saliva. The General Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile (OHIP) are the main assessment tools used to examine oral health and quality of life in the older people. The GOHAI tends to be more sensitive to objective values pertaining to oral function. In addition, oral health studies in male elderly people are population-based cohort or cross-sectional studies, involving masticatory function, oral prevention, frailty problems, cardiovascular disease risk, and cognitive status. Conclusion: It is possible to reduce the incidence of certain oral diseases, even among individuals who take oral health care seriously. Oral health care should be based on the viewpoint of comprehensive treatment, including adequate nutrition, good life and psychology, and correct oral health care methods. In the future, researchers could combine the results of meta-analysis with the clinical experience of doctors to provide a more in-depth and broader discussion on oral health research topics concerning the older people.

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