scholarly journals Strategies for Oral Health Management in Patients with Acute Confusional State

2017 ◽  
Vol 1 ◽  
Author(s):  
Ratna Kumala Indrastiti ◽  
Yuniardini Septorini Wimardhani
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Health Management ◽  
Systemic Disease ◽  
Healthcare Providers ◽  
Nausea And Vomiting ◽  
Medical Complication ◽  
Oral Diseases ◽  
Acute Confusional State ◽  
History Of

<p class="AbstractContent"><strong>Background</strong>: The presence of serious illnesses, medical complication, or drug intoxication may be the pathophysiological causes of acute confusional states (ACS). The oral diseases are highly prevalent in patients with this condition, which may cause life-threatening complications. Objectives: To describe the strategies for oral health management in patients with ACS who were treated in the inpatient ward of the Cipto Mangunkusumo Hospital.</p><p class="AbstractContent"><strong>Case Report and Management:</strong> This report presented two patients with the diagnosis of ACS with differential diagnosis of dementia. The first patient was 67-year-old female with a history of nausea and vomiting before admission, eating difficulty, systemic disease and drugs use were unremarkable. The second patient was a 60-year-old female with history of nausea and vomiting every food or drinking intake, diabetes mellitus and hypertension. Clinical intraoral examination of both patients revealed poor oral health and progressive oral functional loss; However, in-office and invasive dental treatment was not indicated. The treatment focus was to improve oral comfort, oral pain management, and infection control.</p><p class="AbstractContent"><strong>Conclusion</strong>: An appropriate oral healthcare plan should be considered depending on the patient’s dying stage or general condition with the collaboration between related healthcare providers.</p>

scholarly journals The Value of the Oral Medicine Specialty in the Modern Healthcare Systems

2021 ◽  
pp. 1-8
Author(s):  
Mohammed Bindakhil ◽  
Scarlet Charmelo-Silva ◽  
Alhanouf A. Bin Dakhil ◽  
Ibrahim A. ALOmair
Keyword(s):  
Saudi Arabia ◽  
Oral Health ◽  
Medical Training ◽  
Positive Impact ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Medical Community ◽  
Oral Diseases ◽  
Oral Medicine ◽  
Training And Education

<b><i>Background:</i></b> Oral medicine is a subdiscipline of dentistry that concerns itself with the oral health of patients; it focuses on providing diagnosis and management of oral and maxillofacial diseases, as well as direct dental care for those in medically complex situations. As primary healthcare providers, physicians and dentists are often the first to evaluate patients with orofacial symptoms and make diagnoses related to oral health, whether explicit or manifested through systemic diseases. However, a lack of familiarity with oral medicine among healthcare providers often leads to significant delays in the accurate diagnosis and appropriate treatment of many oral and maxillofacial disorders. It has been well established that a lack of training and education in oral health among physicians is an impediment to alleviating the situation. <b><i>Summary:</i></b> Several studies and scientific reports in the medical community have shown a greater professional interest in oral health and medicine, with numerous recent articles reflecting a clear rise in multiple factors: an increased interest in additional training and a rise in oral diseases. This review focuses on the need for a multidisciplinary approach in modern healthcare systems that implements the oral medicine specialty. It also serves to emphasize the role of oral medicine in medical training and education, while simultaneously discussing the prevalence of oral diseases and awareness of oral health among physicians in Saudi Arabia. <b><i>Key Messages:</i></b> The prevalence of oral health conditions in Saudi Arabia appears to be high yet is accompanied by a scarcity of oral medicine specialists in this part of the world. Furthermore, numerous studies have revealed that physicians from different specialties in Saudi Arabia lack training in oral health and possess an insufficient awareness of the oral medicine specialty. This paucity of oral medicine specialists in Saudi Arabia presents a key issue as the clinical services and medical education provided by such specialists in healthcare systems can have a profound positive impact on each patient’s quality of life and health outcomes, as well as the standards of physicians’ training.

scholarly journals Factors Affecting Preventive Dental Treatment of Adolescents in Korea

2020 ◽  
Vol 17 (14) ◽  
pp. 4948
Author(s):  
Seon-Hui Kwak ◽  
Soo-Myoung Bae ◽  
Sun-Jung Shin ◽  
Bo-Mi Shin
Keyword(s):  
Oral Health ◽  
Health Education ◽  
Social Deprivation ◽  
Dental Treatment ◽  
Deprivation Index ◽  
Oral Diseases ◽  
Factors Affecting ◽  
Oral Health Education ◽  
Preventive Dental ◽  
The Government

We conducted a multilevel analysis to identify factors affecting adolescents’ preventive dental treatment experience in South Korea. We sampled 72,435 students who participated in the 9th Korea Youth Risk Behavior Web-based Survey. The individual-level variables were divided into demographic factors, socioeconomic factors, oral health behavioral factors, and oral symptom experience factors. The regional-level variables included oral health resources, rate of students receiving oral health education at school by region, social deprivation index, and the number of private educational institutions. A higher rate of receiving oral health education in school by region was associated with increased fluoride application (1.04 times, p = 0.003). However, the number of private educational institutes per 1000 people was negatively associated with fluoride application experienced by students (0.64 times, p = 0.039). Students underwent more scaling when there were more dentists per 10,000 individuals (1.14 times, p = 0.008) and less scaling in areas with a higher social deprivation index (0.88 times, p = 0.024). To increase the access to preventive care for oral diseases among adolescents, a preventive system should be established in schools, and a primary dental care system should be established through the cooperation of the government, private dental clinics, and schools.

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.

Prevention and oral health education in dental practice settings

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Health Education ◽  
Dental Treatment ◽  
Clinical Care ◽  
Oral Diseases ◽  
Team Members ◽  
Health Promotion Strategy ◽  
Health Related ◽  
Health Action

Prevention is a core element of the practice of dentistry in the 21st century. Of course the provision of evidence based dental treatment and surgical intervention are the main clinical roles for dentists, but, as health professionals, prevention is also a key responsibility (Department of Health 2012 ; Petersen 2009 ; Steele et al. 2009). Adopting a preventive orientation is relevant to all aspects of clinical care, from diagnosis and treatment planning to referral and monitoring procedures. Dentists and their team members have an important role in helping their patients prevent, control, and manage their oral health. Prevention is important for all patients, but support needs to be tailored to the needs and circumstances of each individual. It is also essential that any preventive advice and support is informed by scientific evidence to ensure maximum benefit is gained. Effectiveness reviews of preventive interventions have shown that many are ineffective and may increase oral health inequalities unless they are supported by broader health promotion interventions (Watt and Marinho 2005; Yehavloa and Satur 2009). Prevention in clinical settings therefore needs to be part of a more comprehensive oral health promotion strategy that addresses the underlying causes of dental disease through public health action, as well as helping patients and their families prevent oral diseases and maintain good oral health through self-care practices. Health education is defined as any educational activity that aims to achieve a health-related goal (WHO 1984). Activity can be directed at individuals, groups, or even populations. There are three main domains of learning (see also Chapter 9 ): . . . ● Cognitive: understanding factual knowledge (for example, knowledge that eating sugary snacks is linked to the development of dental decay). . . . . . . ● Affective: emotions, feelings, and beliefs associated with health (for example, belief that baby teeth are not important). . . . . . . ● Behavioural: skills development (for example, skills required to effectively floss teeth). . . . How do knowledge, attitudes, and behaviours relate to each other? For most people, in most instances, the relationship is complex, dynamic, and very personal; very rarely is it linear.

scholarly journals Oral health status of diabetic patients visiting a private dental hospital, Chennai

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 714-719
Author(s):  
Sharon Keziah V ◽  
Pradeep Kumar R
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Dental Treatment ◽  
Systemic Disease ◽  
Oral Health Status ◽  
Oral Disease ◽  
Premalignant Lesions ◽  
Diabetic Patients ◽  
Health Examination ◽  
Dental Hospital

Diabetes mellitus is the second most common non-communicable disease in India. There are various diseases of the oral cavity resulting as a complication of diabetes. This underlying systemic disease could affect the prognosis of any dental treatment. The aim of the study is to evaluate the prevalence of various types of oral lesions associated with diabetes. A total of 343 diabetic patients visiting the dental hospital in Chennai over a period of one year (1 June 2019 to 1 June 2020) were selected for the study. Detailed case history and clinical examination were carried out under visible light. The study population was age 30 years and above. Data collected were analysed using SPSS software and the results were recorded.   The majority of the diabetic patients were males, aged 61-75 years. Dental caries was the most common oral disease, followed by pulpitis and periodontitis. The premalignant lesions like Oral Sub Mucous Fibrosis, Lichen Planus and Leukoplakia were also found. It was found that male diabetic patients are more prone to oral diseases compared to females. Hence, it is recommended that awareness on oral hygiene and periodic oral health examination will improve the oral health status of diabetic patients.

scholarly journals Effects of Physical Stimulation in the Field of Oral Health

Scanning ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-17
Author(s):  
Yanxin Qi ◽  
ShuXin Zhang ◽  
Mi Zhang ◽  
Zili Zhou ◽  
Xinyi Zhang ◽  
...  
Keyword(s):  
Oral Health ◽  
Clinical Medicine ◽  
Biological Effects ◽  
Maxillofacial Surgery ◽  
Oral Diseases ◽  
Physical Stimulation ◽  
Treatment And Prevention ◽  
History Of ◽  
Physical Stimuli ◽  
Research Stage

Physical stimulation has been widely used in clinical medicine and healthcare due to its noninvasiveness. The main applications of physical stimulation in the oral cavity include laser, ultrasound, magnetic field, and vibration, which have photothermal, cavitation, magnetocaloric, and mechanical effects, respectively. In addition, the above four stimulations with their unique biological effects, which can play a role at the gene, protein, and cell levels, can provide new methods for the treatment and prevention of common oral diseases. These four physical stimulations have been used as important auxiliary treatment methods in the field of orthodontics, implants, periodontal, dental pulp, maxillofacial surgery, and oral mucosa. This paper systematically describes the application of physical stimulation as a therapeutic method in the field of stomatology to provide guidance for clinicians. In addition, some applications of physical stimulation in specific directions are still at the research stage, and the specific mechanism has not been fully elucidated. To encourage further research on the oral applications of physical stimulation, we elaborate the research results and development history of various physical stimuli in the field of oral health.

scholarly journals The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil

2009 ◽  
Vol 25 (4) ◽  
pp. 743-750 ◽  
Author(s):  
Michelle Marie T. Oliveira ◽  
Viviane Colares
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Family Income ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Dental Pain ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Cross Sectional ◽  
History Of

The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health status, were obtained through a questionnaire answered by the child's parent or guardian. Dental anxiety was measured using the Dental Anxiety Question (DAQ). The prevalence of dental anxiety was 34.7% and that of dental pain was 9.1%. There was an association between these two variables (p < 0.0001). There was also an association between dental pain, age, family income and assessment of oral health status. The poorest rating of the child's oral health and the lowest family income were correlated with the highest percentages of a history of dental pain. Dental anxiety was related to a history of dental pain in children under the age of five years.

Challenges of Stem-cell-based Craniofacial Regeneration

2021 ◽  
Vol 16 ◽  
Author(s):  
Ruoshi Xu ◽  
Chenchen Zhou ◽  
Yuning Zhang ◽  
Shiwen Zhang ◽  
Jing Xie ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Dental Caries ◽  
Dental Treatment ◽  
Systemic Disease ◽  
Functional Restoration ◽  
Tissue Loss ◽  
Clinical Approach ◽  
Self Healing ◽  
Oral Diseases ◽  
Signal Molecule

Abstract: Oral diseases, such as dental caries, pulpitis, periodontitis, or craniofacial trauma, are common. Some individuals even suffer from oral cancer or congenital craniofacial defects. The oral-systemic disease link reveals that a dental disorder is not a minor problem. Tissue loss is an inevitable consequence of most oral diseases, and repairing the tissue loss and restoring craniofacial function are highly expected by patients and are terminal targets of dental treatment. The current clinical approach for tissue loss due to dental caries, pulpitis, periodontitis, oral cancer, trauma, and developmental diseases depends on the filling of corresponding material, allograft, or autograft bone after lesion removal. Repair of the tissue volume is expectedly followed by promising functional restoration using regenerative dental tissue or tissue engineering, which has currently aroused the interest of clinicians and researchers. This review focuses on the bold ideas and recent findings on newly identified skeletal stem cells (SSCs) as candidates for craniofacial regeneration, signaling regulation of SSCs extended from embryonic development, and signal molecule delivery for the repair of the craniofacial defect, sincerely hoping that the hypothesis of craniofacial self-healing is true in the future.

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