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dental ethics

Ollie Yiru Yu, Irene Shuping Zhao, May Lei Mei, Edward Chin-Man Lo, Chun-Hung Chu
Dental caries form through a complex interaction over time among dental plaque, fermentable carbohydrate, and host factors (including teeth and saliva). As a key factor, dental plaque or biofilm substantially influence the characteristic of the carious lesions. Laboratory microbial culture models are often used because they provide a controllable and constant environment for cariology research. Moreover, they do not have ethical problems associated with clinical studies. The design of the microbial culture model varies from simple to sophisticated according to the purpose of the investigation...
June 19, 2017: Dent J (Basel)
A C L Holden
The rise and persistence of a commercial model of healthcare and the potential shift towards the commodification of dental services, provided to consumers, should provoke thought about the nature and purpose of dentistry and whether this paradigm is cause for concern. Within this article, whether dentistry is a commodity and the legitimacy of dentistry as a business is explored and assessed. Dentistry is perceived to be a commodity, dependent upon the context of how services are to be provided and the interpretation of the patient-professional relationship...
March 20, 2018: Medicine, Health Care, and Philosophy
Shelly Arora, Srinivas Sulugodu Ramachandra, Christopher Squier
Introduction: Scientific literature suggests that human papillomavirus (HPV) infection may be associated with oral squamous cell carcinoma (OSCC). However, knowledge regarding HPV-OSCC link among oral health professionals (OHP) has been insufficient. So, the aim of this study was to assess the knowledge about HPV associated OSCC among OHP working in dental faculties in Malaysia. Methodology: Ethical committee of the University approved this study. A validated, pre-tested questionnaire was sent electronically to 224 OHP...
January 2018: Journal of Oral Biology and Craniofacial Research
Elham Kateeb, Elizabeth Momany
BACKGROUND: Beliefs about oral health during pregnancy demographic factors, such as level of education and socioeconomic status, are associated with an increased risk of oral diseases during pregnancy. The aim of this study was to assess the oral health status of pregnant women and the relation to the women's oral health knowledge, beliefs, behaviour, and access to dental care. METHODS: For this cross-sectional study, pregnant women visiting pre-natal care clinics at the Palestinian Ministry of Health centres in the Jerusalem governorate were invited to complete a structured interview with questions about beliefs about oral health care and their oral hygiene practices...
February 21, 2018: Lancet
Robert A Convissar
BACKGROUND: Lasers are promoted as viable adjunctive treatment methods for nonsurgical periodontal pocket reduction; however, the literature supporting this use is lacking. Multiple meta-analyses found no benefit to laser use for this procedure. The American Dental Association issued clinical practice guidelines about laser use in periodontal pockets, concluding that diode, neodymium:yttrium-aluminum-garnet, and erbium lasers have no benefit as adjunctive therapies to scaling and root planing...
March 13, 2018: Journal of the American Dental Association
Morenike Oluwatoyin Folayan, Bridget Gabriella Haire, Abiola A Adeniyi, Wasiu Lanre Adeyemo
Dental caries is the main oral health challenge for children in Nigeria. Concern about its negative impact makes screening for caries in children an attractive public health strategy. The ability to detect the preclinical phase of caries, the availability of screening tools with high accuracy, and the possibility of treatment before onset of clinical symptoms with significant cost and health benefits, makes it appropriate for screening. However in Nigeria, the poor availability of highly specific and sensitive screening tools, poor access to oral health care and concerns with pre-screening consent, raise the question of the appropriateness of conducting screening programmes for children...
March 13, 2018: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
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
Dominik Gross, Karin Gross, Mathias Schmidt
Dental implantology is one of the most attractive and dynamic fields of work within clinical dentistry. It provides many patients with new and improved opportunities for stable (implant-supported) rehabilitation and also offers dentists a field that is interesting in both technical and economic terms. Adverse clinical outcomes are, however, often the subject of discussion. These relate both to prosthetic failure and to biologic complications and side effects, namely persistent infections surrounding implants...
March 12, 2018: Quintessence International
João Amaral, Catarina Sanches, Duarte Marques, José Vaz Patto, Filipe Barcelos, António Mata
AIMS: The objective of this study was to perform the Portuguese transcultural adaptation of the original Brazilian version of the Oral Health Impact Profile-14 (OHIP-14) while evaluating the association between hyposalivation and quality of life in a Sjögren´s Syndrome population. METHODS: The original Brazilian version of the Oral Health Impact Profile-14 was culturally adapted following the guidelines for cross-cultural adaptation of health-related quality of life measures...
March 5, 2018: Acta Reumatológica Portuguesa
Tien-Min Gabriel Chu, Nicholas M Makhoul, Daniela Rodrigues Silva, Theresa S Gonzales, Ariadne Letra, Keith A Mays
This Point/Counterpoint article addresses a long-standing but still-unresolved debate on the advantages and disadvantages of using live patients in dental licensure exams. Two contrasting viewpoints are presented. Viewpoint 1 supports the traditional use of live patients, arguing that other assessment models have not yet been demonstrated to be viable alternatives to the actual treatment of patients in the clinical licensure process. This viewpoint also contends that the use of live patients and inherent variances in live patient treatment represent the realities of daily private practice...
March 2018: Journal of Dental Education
I Moodley, S Singh
BACKGROUND: Community-based education (CBE) is a learning strategy that provides meaningful opportunities for students to apply theory learnt in a larger social and cultural context in various community settings. Although the benefits of CBE to health professional students are well documented, to date, there is little evidence describing dental therapy students' experiences. OBJECTIVES: To describe the experience of CBE by undergraduate dental therapy students in the School of Health Sciences at the University of KwaZulu-Natal...
February 28, 2018: International Journal of Dental Hygiene
Thomas Gerhard Wolf, Gerhard Konrad Seeberger, Angelika Callaway, Benjamín Briseño-Marroquín, Philippe Rusca, Michael Frank, Ernst-Jürgen Otterbach
OBJECTIVE: A trend towards increasingly new forms of dental practice has been observed in the FDI World Dental Federation. Elementary foundations such as the free dentist and therapy choice, and independent, free, self-responsible professional practice may be undermined. The current study is aimed at analyzing the general training framework, organization, and professional types of dental practice in the European Regional Organization (ERO) zone and at critically discussing selected aspects of changes in the dental profession...
February 26, 2018: Quintessence International
A Holden
Background The ability of the dental profession to self-regulate and address poor performance or impairment is crucial if practitioners are to demonstrate a public commitment to patient safety. Failure of the profession to actively engage in this activity is likely to call into question trustworthiness and ability to place the interests of patients and the public first.Aim To investigate attitudes towards self-regulation and the raising of concerns as expressed through the ethical codes of different dental professional and regulatory organisations...
February 23, 2018: British Dental Journal
R M Gaudio, L Ottria, D Lauritano, A Palmieri, F Cura, A Tagliabue, L Tettamanti
Implant dentistry has become one of the most successful techniques for oral rehabilitation over the last 20 years. The success rate of implant oral rehabilitation is above 80% while peri-implant disease (PID) is the most important complication of implant dentistry. The main cause of PID is considered bacterial leakage at the implant-abutment connection of a two-piece implant system. Prevention and control of bacterial leakage at the implant-abutment connection is mandatory for reducing inflammation process around implants neck and achieving bone stability...
January 2018: Journal of Biological Regulators and Homeostatic Agents
Shrikanth Muralidharan, Astha Chauhan, Srinivasa Gowda, Rutuja Ambekar, Bhupendra S Rathore, Sakshi Chabra, Afsheen Lalani, Harsh Harani
Introduction: India is home to many tribes which have an interesting and varied history of origins, customs and social practices. Oral health care in tribal areas is limited due to shortage of dental manpower, financial constraints and the lack of perceived need for dental care among tribal masses. Objective: To assess orthodontic treatment need among tribal children of Indore division, Central India. Methods: A cross-sectional house to house survey was carried out among 800 tribal children aged 5 to 15 years old in two major tribal districts of Indore division...
2018: Clujul Medical (1957)
Chikanori Inenaga, Kazuya Hokamura, Kazuhiko Nakano, Ryota Nomura, Shuhei Naka, Toshihiko Ohashi, Takashi Ooshima, Nagato Kuriyama, Toshimitsu Hamasaki, Koichiro Wada, Kazuo Umemura, Tokutaro Tanaka
OBJECTIVE: Among human oral bacteria, particular kinds of Streptococcus mutans (SM) known as dental caries pathogen have a collagen-binding protein called Cnm and show platelet aggregation inhibition and matrix metalloproteinase-9 activation. We have previously reported that these strains may be a risk factor for intracerebral hemorrhage. As a major sample providing hospital, we report here the clinical details including intracranial aneurysms and ischemic stroke. METHODS: Under permission of our ethical committee, 429 samples of whole saliva were taken from patients who were admitted or visited our hospital from February 16, 2010 to February 28, 2011...
February 5, 2018: World Neurosurgery
D Muralidharan, S Pocha, A Paul
OBJECTIVES: For effective utilisation of topical fluorides in caries prevention, dental professionals should have adequate knowledge regarding its appropriate use. The decision regarding preventive treatments like topical fluorides is influenced by knowledge acquired during undergraduate training. The aim of this study was to assess the knowledge, attitudes and practices of undergraduate dental students in the use of topical fluorides. METHODOLOGY: A descriptive cross-sectional questionnaire study was conducted from June to August 2015 following ethical clearance...
February 3, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
Ariane Camoin, Lionel Dany, Corinne Tardieu, Michel Ruquet, Pierre Le Coz
BACKGROUND: The provision of dental care for children with intellectual disability raises many ethical questions. OBJECTIVE: The aim of this qualitative study was to explore approaches to dental treatment in an anxious child with intellectual disability and the ethical dilemmas that ensue. METHODS: Semi-structured interviews were conducted between February and May 2012. A clinical scenario was used to establish a starting point for a discussion of the clinical approach and lead to an ethical reflection...
January 29, 2018: Disability and Health Journal
Declan T Millett, Susan J Cunningham, Kevin D O'Brien, Philip E Benson, Cesar M de Oliveira
BACKGROUND: A Class II division 2 malocclusion is characterised by upper front teeth that are retroclined (tilted toward the roof of the mouth) and an increased overbite (deep overbite), which can cause oral problems and may affect appearance.This problem can be corrected by the use of special dental braces (functional appliances) that move the upper front teeth forward and change the growth of the upper or lower jaws, or both. Most types of functional appliances are removable and this treatment approach does not usually require extraction of any permanent teeth...
February 1, 2018: Cochrane Database of Systematic Reviews
Natalie M Plana, João Malta Barbosa, J Rodrigo Diaz-Siso, Lawrence E Brecht, Eduardo D Rodriguez
BACKGROUND: Facial transplantation (FT) is a challenging reconstructive endeavor that requires the expertise of a multidisciplinary team. The specific role of maxillofacial prosthodontists has not yet been reported in detail. METHODS: This review considers the contributions of prosthodontists throughout the FT process, from patient selection and dental evaluation to long-term dental rehabilitation of the transplant patient postoperatively. Moreover, considerations of dental management are evaluated...
February 2018: Journal of the American Dental Association
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