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Dental Quality Management

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https://www.readbyqxmd.com/read/29664508/oral-self-mutilation-in-lesch-nyhan-syndrome-case-report
#1
Andrés Campolo González, Alex Vargas Díaz, Daniel Fontboté Riesco, Marta Hernández Chávez
INTRODUCTION: Lesch-Nyhan syndrome (LNS) is an inherited recessive X-related disorder caused by the deficiency of the enzyme hypoxanthin-guanine phosphorribosyl transferase (HPRT). Compul sive self-mutilation and dystonia occurs before the first year of age and is expressed by persistent bites on the oral mucosa, lips, tongue, fingers, and shoulders. The dental intervention performed on most of these patients is multiple tooth extraction to prevent serious secondary lesions. OBJECTIVE: To present a clinical case of LNS and describe pediatric dentistry management in patients with self-mutilating behavior...
February 2018: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/29663906/an-algorithm-based-approach-for-behavior-and-disease-management-in-children
#2
Beau D Meyer, Jessica Y Lee, S Thikkurissy, Paul S Casamassimo, William F Vann
Pharmacologic behavior management for dental treatment is an approach to provide invasive yet compassionate care for young children; it can facilitate the treatment of children who otherwise may not cooperate for traditional in-office care. Some recent highly publicized procedural sedation-related tragedies have drawn attention to risks associated with pharmacologic management. However, it remains widely accepted that, by adhering to proper guidelines, procedural sedation can assist in the provision of high-quality dental care while minimizing morbidity and mortality from the procedure...
March 15, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29656899/long-term-outcome-of-patients-with-or-without-osseointegrated-implants-after-resection-of-mandibular-ameloblastoma-and-reconstruction-with-vascularized-bone-graft-functional-assessment-and-quality-of-life
#3
Marco Pappalardo, Chung-Kan Tsao, Man Lung Tsang, Jie Zheng, Yang-Ming Chang, Chi-Ying Tsai
BACKGROUND: The optimal management after the resection of mandibular ameloblastoma has been very challenging to surgeons. The aim of this study is to evaluate the functional, aesthetic, and quality of life outcomes of patients who had a segmental mandibular resection and immediate reconstruction with or without osseointegrated implants. METHOD: Patients' demographics, tumor characteristics, treatment, and complications were retrieved. Patients were divided into two groups: dental rehabilitated vs...
March 28, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29599019/benefits-and-harms-associated-with-analgesic-medications-used-in-the-management-of-acute-dental-pain-an-overview-of-systematic-reviews
#4
Paul A Moore, Kathleen M Ziegler, Ruth D Lipman, Anita Aminoshariae, Alonso Carrasco-Labra, Angelo Mariotti
BACKGROUND: Effective pain management is a priority in dental practice. Government and private agencies highlight the need to provide optimal pain relief, balancing potential benefits and harms of both opioid and nonopioid analgesic agents. The purpose of this study is to summarize the available evidence on the benefits and harms of analgesic agents, focusing on preexisting systematic reviews. TYPES OF STUDIES REVIEWED: An overview of systematic reviews was conducted to evaluate the efficacy or reported adverse events associated with orally administered medication or medication combinations for relief of acute pain...
April 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29589157/association-of-sleep-bruxism-with-oral-health-related-quality-of-life-and-sleep-quality
#5
Mariana Barbosa Câmara-Souza, Olívia Maria Costa de Figueredo, Renata Cunha Matheus Rodrigues Garcia
OBJECTIVES: To compare the oral health-related quality of life (OHRQoL) and sleep quality of subjects with and without sleep bruxism (SB). MATERIALS AND METHODS: Participants of both genders were assigned as bruxers (n = 30, age 21-45 years) and non-bruxers (n = 30, age 24-40 years). SB was clinically diagnosed and confirmed with an electromyography/electrocardiograph portable device (Bruxoff). The OHRQoL was assessed using the Oral Health Impact Profile (OHIP-14)...
March 27, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29581902/sectional-fixed-orthodontic-extrusion-technique-in-management-of-teeth-with-complicated-crown-root-fractures-report-of-two-cases
#6
S Nagarajan M P Sockalingam, Katherine Kong Loh Seu, Halimah Mohamed Noor, Ahmad Shuhud Irfani Zakaria
Complicated crown-root fractures account for a small percentage of traumatic dental injuries seen in children; however, management of these injuries can be very challenging to clinicians. Factors such as complexity of the injury, patient's age and dentition stage, patient's cooperation, and parental demands may have some bearing on the type of treatment undertaken and its outcomes. In some children, these injuries may have significant impact on their quality of life. The purpose of this article is to describe two cases of complicated crown-root fracture which were successfully managed through orthodontic extrusion using a sectional fixed orthodontic technique...
2018: Case Reports in Dentistry
https://www.readbyqxmd.com/read/29574808/oral-cancer
#7
Tsc Wong, D Wiesenfeld
The management of oral cancer is a multidisciplinary endeavour, as each patient presents the treating clinicians with a unique set of challenges the management of which impacts on both survival and quality of life. This article focuses on the management of oral cancer. We highlight the epidemiology and risk factors for oral cancer in Australia, the various clinical presentations that occur and the staging of oral cancer. In the vast majority of cases surgery remains the mainstay of treatment. Radiation and medical oncology is usually used in an adjuvant context...
March 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/29569449/parental-caregiver-perception-of-child-oral-health-related-quality-of-life-following-zirconia-crown-placement-and-non-restoration-of-carious-primary-anterior-teeth
#8
H N Sonbol, Z B Al-Bitar, A Z Shraideh, M K Al-Omiri
AIM: Dental caries in preschool children has shown significant impact on children's OHRQoL and family functioning. The aim of this study was to measure parents' perceptions of children's OHRQoL and impact of children's orofacial conditions on the family following management of carious anterior teeth with either zirconia crown placement or non-restorative therapy. MATERIALS AND METHODS: Parents of medically fit children aged from 2 years to 6 years attending specialist paediatric clinics were recruited and a questionnaire that included the Global Oral Health Rating Item, Parent-Caregivers Perception Questionnaire (P-CPQ-8) and Family Impact Scale (FIS-8) was distributed at a recall visit 3-6 months following treatment...
March 2018: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/29555792/-it-feels-like-being-trapped-in-an-abusive-relationship-bullying-prevalence-and-consequences-in-the-new-zealand-senior-medical-workforce-a-cross-sectional-study
#9
Charlotte N L Chambers, Christopher M A Frampton, Martin McKee, Murray Barclay
OBJECTIVES: To estimate prevalence of and factors contributing to bullying among senior doctors and dentists in New Zealand's public health system, to ascertain rates of reporting bullying behaviour, perceived barriers to reporting and the effects of bullying professionally and personally. DESIGN: Cross-sectional, mixed methods study. SETTING: New Zealand. PARTICIPANTS: Members of the Association of Salaried Medical Specialists (40...
March 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29537882/determinants-of-health-related-and-oral-health-related-quality-of-life-in-adults-with-orofacial-clefts-a-cross-sectional-study
#10
Ana Paula Corrêa de Queiroz Herkrath, Fernando José Herkrath, Maria Augusta Bessa Rebelo, Mario Vianna Vettore
OBJECTIVES: To investigate the structural and intermediary determinants of health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL) among adults with cleft lip and/or palate (CL/P). DESIGN AND PARTICIPANTS: A cross-sectional study was conducted with patients enrolled at the referral center for craniofacial anomalies in Manaus, Brazil. Adults aged 18 years or more with nonsyndromic CL/P were selected. MAIN OUTCOME MEASURES: Both HRQoL and OHRQoL were assessed using the 36-item Short-Form Health Survey and the Oral Impacts on Daily Performance, respectively...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29533131/the-hospice-patient-s-right-to-oral-care-making-time-for-the-mouth
#11
Kristi Soileau, Nanette Elster
The hospice philosophy embraces palliative care for the terminally ill, for whom quality of life is the central focus of comfort care management. Often, caregivers hesitate or simply do not elect to extend oral care for patients nearing the end of life, due to difficulties encountered in patient compliance, a sense of futility in doing so, staff time constraints in prioritizing care, underfunding, or a lack of education as to how and why such care should be delivered to the hospice patient. This article aims to show physiological and psychosocial reasons why the hospice patient has a need for properly and regularly implemented oral care and why dental professionals have an ethical responsibility to address the current void that exists in hospice-centered oral care...
January 1, 2018: Journal of Palliative Care
https://www.readbyqxmd.com/read/29514684/dentists-perception-knowledge-and-clinical-management-of-molar-incisor-hypomineralisation-in-kuwait-a-cross-sectional-study
#12
Abrar Alanzi, Anfal Faridoun, Katerina Kavvadia, Aghareed Ghanim
BACKGROUND: Molar-incisor Hypomineralisation (MIH) is considered as a global dental problem. There is little knowledge of general dental practitioners (GDPs) and dental specialists (DSs) about this condition in different parts of the world, particularly in Gulf Cooperation Council (GCC) countries. Hence, this study has been carried out to assess the knowledge of GDPS and DSs in Kuwait about MIH condition, its clinical presentation and management. Findings would help national school oral health program (SOHP) to promote good oral healthcare...
March 7, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29484714/implant-placement-in-the-esthetic-area-criteria-for-positioning-single-and-multiple-implants
#13
REVIEW
Tiziano Testori, Tommaso Weinstein, Fabio Scutellà, Hom-Lay Wang, Giovanni Zucchelli
Patient expectations from implant treatment have changed over the years and esthetics plays an important role in defining what is now called success of rehabilitation. Of the many factors that influence the outcome of the rehabilitation, the two main ones are the bone and soft-tissue deficiencies at the intended implant site. Many surgical approaches are described in terms of timing of implant placement and management of regenerative procedures. The aim of this article is to discuss the different implant placement alternatives in the esthetic area, in particular: (i) the timing of implant placement/regenerative procedures/skeletal growth/altered passive eruption; (ii) the correct three-dimensional position of the fixture between the cuspids and in the premolar area; (iii) multiple missing teeth in the esthetic area with single tooth/pontic or cantilevered options/prosthetic compensation; (iv) placement of implants into infected sites; and (v) the influence of abutment and crown morphology on implant position...
February 27, 2018: Periodontology 2000
https://www.readbyqxmd.com/read/29480849/patient-safety-culture-perceptions-in-the-college-of-dentistry
#14
Fahad Saleh Al Sweleh, Abdullah Mohammed Al Saedan, Omar Abdullah Al Dayel
A positive safety culture is essential to patient safety because it improves quality of care. The aim of this study was to assess staff and student perceptions of the patient safety culture in the clinics of the College of Dentistry at King Saud University in Saudi Arabia.A cross-sectional study was conducted in the College of Dentistry at King Saud University in Saudi Arabia. It included 4th and 5th year students, interns, general practitioners, and dental assistants. The data were collected by using paper-based questionnaire of modified version of the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29480625/management-of-dental-patients-taking-direct-oral-anticoagulants-dabigatran
#15
Y Hassona, D Malamos, M Shaqman, Z Baqain, C Scully
Direct oral anticoagulants (DOACs) are increasingly used as alternatives to warfarin because of the superior pharmacokinetic properties. Clinical guidelines on the influences of DOACs for dental procedures have emerged, but all of necessity based on low-quality available evidence. Herein, we share our experience with a case series, and propose a protocol regarding the management of dental patients taking DOACs.
March 2018: Oral Diseases
https://www.readbyqxmd.com/read/29478925/is-systematic-mandibular-retention-mandatory-a-systematic-review
#16
Hajar Ben Mohimd, Loubna Bahije, Fatima Zaoui, Abdelali Halimi, Hicham Benyahia
INTRODUCTION: Relapse in orthodontics, and particularly, mandibular anterior crowding is an unforeseeable phenomenon and a quite embarrassing situation for the orthodontist, as it may be interpreted by the patient as a treatment failure. Relapse may be inherent to various factors (periodontal, anatomical, muscular, occlusal, residual growth, third molars development…), which must be imperatively acknowledged in order to be managed during orthodontic treatment and therefore ensure an optimal control on the stability of the achieved final outcomes...
February 22, 2018: International Orthodontics
https://www.readbyqxmd.com/read/29463334/the-role-of-oral-health-in-complex-emergencies-and-disaster-rehabilitation-medicine
#17
Vishal R Aggarwal
This paper presents an overview of the importance of oral health in complex emergencies. It highlights the importance of maintaining general and oral health in the acute, intermediate and long-term phases of such events which are increasing in frequency. The importance of oral health as an early warning sign for systemic disease and deprivation is also explored along with the crucial role of oral health in maintaining quality of life through adequate nutrition and speech. The overview of oral health in these situations identifies the need for training dental personnel as members of rehabilitation teams that set out to manage these disasters...
February 21, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29407495/identification-and-appraisal-of-outcome-measures-used-to-evaluate-hypodontia-care-a-systematic-review
#18
REVIEW
Sophy Barber, Hilary L Bekker, David Meads, Sue Pavitt, Balvinder Khambay
INTRODUCTION: Identification and appraisal of the outcome measures that have been used to evaluate hypodontia treatment and deliver services are essential for improving care. A lack of alignment between outcomes and patient values can limit the scope for patient-centered care. Our objectives were to identify and appraise the outcomes selected to evaluate hypodontia care. METHODS: Data sources included 10 electronic databases and grey literature, searched using terms for hypodontia and its treatment methods...
February 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29405258/videolaryngoscopy-vs-macintosh-laryngoscopy-for-double-lumen-tube-intubation-in-thoracic-surgery-a-systematic-review-and-meta-analysis-trials
#19
REVIEW
T T Liu, L Li, L Wan, C H Zhang, W L Yao
Double-lumen intubation is more difficult than single-lumen tracheal intubation. Videolaryngoscopes have many advantages in airway management. However, the advantages of videolaryngoscopy for intubation with a double-lumen tube remain controversial compared with traditional Macintosh laryngoscopy. In this study, we searched MEDLINE, Embase, Cochrane Library and the Web of Science for randomised controlled trials comparing videolaryngoscopy with Macintosh laryngoscopy for double-lumen tube intubation. We found that videolaryngoscopy provided a higher success rate at first attempt for double-lumen tube intubation, with an odds ratio (95%CI) of 2...
February 6, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29388788/correction-of-large-oro-antral-communications-from-previously-failed-implant-treatment-reconstruction-of-hard-and-soft-tissues
#20
Paul S Petrungaro, Santiago Gonzalez, Carlos Villegas
As dental implants become more popular for the treatment of partial and total edentulism and treatment of "terminal dentitions," techniques for the management of the atrophic posterior maxillae continue to evolve. Although dental implants carry a high success rate long term, attention must be given to the growing numbers of revisions or retreatment of cases that have had previous dental implant treatment and/or advanced bone replacement procedures that, due to either poor patient compliance, iatrogenic error, or poor quality of the pre-existing alveolar and/or soft tissues, have led to large osseous defects, possibly with deficient soft-tissue volume...
February 2018: Compendium of Continuing Education in Dentistry
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