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https://www.readbyqxmd.com/read/27920315/after-medicaid-expansion-in-kentucky-use-of-hospital-emergency-departments-for-dental-conditions-increased
#1
Natalia Chalmers, Jane Grover, Rob Compton
Access to oral health care is a critical need for the adult Medicaid population. Following the 2014 expansion of Medicaid eligibility in Kentucky, millions of adults became eligible to receive dental benefits. We examined the impact of the expansion on adult Medicaid enrollees' use of hospital emergency departments (EDs) for conditions related to dental or oral health in the period 2010-14. Based on our analysis of data for Kentucky from the State Emergency Department Databases, we found that the rate of discharges for these conditions from the ED increased significantly, from 1,833 per 100,000 population in 2013 to 5,635 in 2014...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27920309/improving-the-oral-health-care-capacity-of-federally-qualified-health-centers
#2
James J Crall, Nadereh Pourat, Moira Inkelas, Colleen Lampron, Richard Scoville
Despite efforts that increased dental visits at federally qualified health centers (FQHCs) by 65 percent between 2007 and 2014, only 21 percent of FQHC patients received dental services in 2015-not altogether surprising, given that most such facilities do not offer dental services on site. Many of these facilities are part of multisite organizations that offer dental services at other locations; however, sites with co-located dental and medical services often serve only a fraction of their primary care patients...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27891468/influence-of-teaching-strategies-and-its-order-of-exposure-on-pre-clinical-teeth-arrangement-a-pilot-study
#3
Karthigeyan Jeyapalan, Uma Maheswari Mani, Jayanth Christian, Madhan Kumar Seenivasan, Parthasarathy Natarajan, Anand Kumar Vaidhyanathan
INTRODUCTION: Teeth arrangement is a vital skill for the undergraduate dental student. The attainment of skills depends largely on the methodology of teaching. In a dental curriculum, the students are exposed to a wide variety of inputs and teaching methodologies from different sources. The educational unit in dental school must identify the sequence of teaching methods that enhance the learning and practising ability of students. AIM: The aim of this study was to evaluate the effectiveness of three different teaching methodologies for teeth arrangement and compare the differences between the orders of exposure to each teaching methodology on the development of teeth arrangement skills...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27886431/music-interventions-for-dental-anxiety
#4
Joke Bradt, Aaron Teague
Anxiety is a significant issue in the dental care of adults and children. Dental anxiety often leads to avoidance of dental care which may result in significant deterioration of oral and dental health. Nonpharmacological anxiety management interventions such as music listening are increasingly used in dental care. Although efficacy for music's anxiolytic effects has been established for pre-operative anxiety, findings regarding the use of music listening for dental anxiety are inconclusive, especially for children...
November 25, 2016: Oral Diseases
https://www.readbyqxmd.com/read/27880790/integrating-maternal-and-children-s-oral-health-promotion-into-nursing-and-midwifery-practice-a-systematic-review
#5
Reham Abou El Fadl, Mitch Blair, Sondus Hassounah
BACKGROUND: Globally, oral diseases contribute to major disease problems and oral health disparities persistently exist amongst vulnerable population groups. Two contributory factors to these challenges are the shortage of dental practitioners and the characteristic separation between the medical and dental professions. Nurses and midwives, in particular, are in a potentially excellent position to assist in basic oral health services such as dental health education and intraoral screening...
2016: PloS One
https://www.readbyqxmd.com/read/27878769/to-what-extent-residual-alveolar-ridge-can-be-preserved-by-implant-a-systematic-review
#6
REVIEW
Ahmed Khalifa Khalifa, Masahiro Wada, Kazunori Ikebe, Yoshinobu Maeda
BACKGROUND: It has been reported that the load for (or to) implant-supported restoration may lead to bone remodeling as bone resorption and/or formation. While many authors supported the process of bone resorption, others elaborated bone apposition and increasing bone density close and remote to implant body (or fixture). This may suggest the role of the implant to reserve alveolar ridge from physiologic/pathologic resorption. The aim of this systematic review was to predict to how extend dental implants can preserve the residual alveolar ridge based on previous clinical investigations...
December 2016: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/27876544/follow-up-of-surgically-assisted-rapid-maxillary-expansion-after-6-5-years-skeletal-and-dental-effects
#7
J P de Gijt, A Gül, S T H Tjoa, E B Wolvius, K G H van der Wal, M J Koudstaal
Surgically-assisted rapid maxillary expansion (SARME) is a technique used to widen the maxilla, and we present the results of our long-term follow up (6.5 years). Seventeen patients who had been treated with SARME and prospectively followed were invited for long-term follow up by dental casts and posteroanterior cephalograms. The following measurements were made on the dental casts: transverse distances at canine, premolar, and molar level, length of the arch, and width and depth of the palate at premolar and molar level...
November 19, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27875053/pharmacological-reversal-agents-in-dental-practice-keys-to-patient-safety
#8
Mark Donaldson, Jason H Goodchild
Though uncommon, medical emergencies in the dental office are harrowing occurrences that can be the result of adverse drug reactions. Pharmacological antagonists have been developed for administration as reversal agents in emergency situations in which patients may have an untoward effect, typically caused by too much medication. Dental practitioners should be familiar with these agents to keep patients safe and help mitigate drug-induced medical emergencies. This article reviews the pharmacokinetic and pharmacodynamic principles of pharmacological antagonists; it emphasizes six specific reversal agents as they relate to the clinical practice of dentistry: naloxone, flumazenil, epinephrine, diphenhydramine, phentolamine, and atropine...
November 2016: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/27863155/nanoparticle-based-targeting-and-detection-of-microcavities
#9
Nathan A Jones, Sywe-Ren Chang, William J Troske, Brian H Clarkson, Joerg Lahann
Although dental caries is the most prevalent oral disease worldwide, currently, many dentists continue to use the traditional mirror and probe (dental explorer) method of caries diagnosis. This method of caries detection has the drawback that it is often difficult to distinguish between active and inactive carious lesions. In this work, novel bio-based nanoparticles are developed to specifically detect active caries in vitro. The nanoparticles are made from a cationic fluorescein-labeled food-grade starch in order to fluoresce when illuminated by a standard dental curing light, and to degrade in the oral cavity into nontoxic compounds after detecting the active carious lesion...
November 15, 2016: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/27862353/glutaraldehyde-collagen-cross-linking-stabilizes-resin-dentin-interfaces-and-reduces-bond-degradation
#10
Joshua Lee, Camila Sabatini
This study evaluated the stability of resin-dentin interfaces treated with glutaraldehyde-containing agents, and assessed collagen degradation in dentin matrices treated with Gluma. Microtensile bond strength (μTBS) was evaluated 24 h and 6 months after treatment with three desensitizers (Gluma Desensitizer, Gluma Desensitizer Power Gel, and MicroPrime G) and two etch-and-rinse adhesives (Comfort Bond & Desensitizer and iBond TE). Demineralized beams of human dentin were treated with water or Gluma, and the degradation of collagen in these beams was assessed by quantification of the dry mass loss and of the amount of hydroxyproline released from hydrolyzed specimens after 1 or 4 wk...
November 16, 2016: European Journal of Oral Sciences
https://www.readbyqxmd.com/read/27861137/computer-assisted-system-on-mandibular-canal-detection
#11
Da-Chuan Cheng, Li-Wei Chen, Yen-Wen Shen, Lih-Jyh Fuh
BACKGROUND: A dentist always checks a patient by using panoramic radiography (PR) initially. The measurement of the minimal distance (MD) between the alveolar crest and the mandibular canal (MC) superior border is critically important before the dental implant surgery, extraction of 3rd molar teeth or any surgery in the posterior area of minimal distance (MD). However, the image of MC is not always clear to identify. OBJECTIVE: A software is needed for training dentists as well as a tool of demonstration to patients in clinics precisely and quickly...
November 18, 2016: Biomedizinische Technik. Biomedical Engineering
https://www.readbyqxmd.com/read/27856377/assessment-of-the-efficiency-of-erbium-yag-laser-as-an-assistant-method-to-rapid-maxillary-expansion-an-in-vivo-study
#12
Shadi George Moawad, Joseph Bouserhal, Mohammad Kusai Al-Munajed
INTRODUCTION: Maxillary transverse deficiency (MTD) is one of the most pervasive and common skeletal problems in the craniofacial complex. This study aimed to evaluate the effect of associating the application of Erbium-YAG laser with rapid maxillary expansion (RME) for treating MTD in young adult patients with permanent dentition in regard to skeletal and dental effects. METHODS: Twenty-four subjects, aged from 15.5 to 19 years and needing RME as a therapeutic procedure, were randomly assigned to either the laser group (n=12) or the control group (n=12)...
November 14, 2016: International Orthodontics
https://www.readbyqxmd.com/read/27847395/predictors-of-job-satisfaction-in-dental-professionals-of-the-bosnia-and-herzegovina-federation
#13
Edin Muhic, Darije Plancak, Vlatka Lajnert, Asja Muhic
INTRODUCTION: Working in a healthy work environment is the ultimate goal of every employee. Dentistry is a stressful career, and the reasons for dissatisfaction are numerous. AIM: The aim of this study was to determine the factors of work satisfaction in dental professionals of the Bosnia and Herzegovina Federation. MATERIALS AND METHODS: A total of 134 dental professionals selected randomly from the Registry of Dental Chamber of Bosnia and Herzegovina Federation were included in the study...
September 2016: Acta Stomatologica Croatica
https://www.readbyqxmd.com/read/27845479/knowledge-attitudes-and-behavior-concerning-dental-trauma-among-parents-of-children-attending-primary-school
#14
A Quaranta, O De Giglio, P Trerotoli, S Vaccaro, C Napoli, M T Montagna, G Caggiano
BACKGROUND: Traumatic dental injuries occur frequently in children and adolescents. The purpose of the present study is to examine the levels of knowledge and behaviors regarding dental trauma among parents of children attending primary schools in the Apulia region of Italy. METHODS: The study was carried out using an anonymous questionnaire with closed answers distributed to 2,775 parents who were enrolled based on the entire regional school population. Analyses were conducted using the PROC CORRESP (procedure to perform multiple correspondence analysis) and PROC FASTCLUS (procedure to perform cluster analysis)...
November 2016: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/27833498/unusual-case-of-inhaled-metallic-dental-bur-during-dental-procedure-in-a-healthy-adult
#15
W M Hajjar, R S Aljurayyad, N I Al-Jameel, I S Shaheen, S A Al-Nassar
Bronchial foreign body aspiration (BFBA) is not a rare incident in children. It can be managed successfully with flexible bronchoscopy in most of the cases, except for some cases, which require rigid bronchoscopy or even surgical intervention such as thoracotomy. Here, we report an unusual case of BFBA of metallic dental bur in a healthy 24-year-old dental nurse assistant, who was herself undergoing a dental procedure to remove dental caries, and suddenly the foreign body which was "diamond metallic dental bur" has slipped into her mouth and was aspirated to the bronchial tree...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27829388/measuring-oral-health-during-pregnancy-sensitivity-and-specificity-of-a-maternal-oral-screening-mos-tool
#16
Ajesh George, Hannah G Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Ayesha Sadozai, Maree Johnson
BACKGROUND: Midwives can play a key role in promoting the oral health of pregnant women and assessing their oral health status. A maternal oral assessment tool (MOS) was developed and pilot tested by the study investigators to assist midwives in this role and the results were promising. The aim of this study was to undertake further sensitivity and specificity assessment of the MOS tool using two-comparison approaches- the longer oral health screening tool known as the Oral Health Impact Profile (OHIP-14) and an oral assessment by trained study dentists...
November 9, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27807761/oral-lichen-sclerosus-a-rare-case-report-and-review-of-the-literature
#17
Helvécio Marangon Júnior, Paulo Eduardo Alencar Souza, Rodrigo Villamarim Soares, Ricardo Santiago Gomez, Gustavo Henrique de Mattos Pereira, Martinho Campolina Rebello Horta
Lichen sclerosus (LS) is a chronic inflammatory mucocutaneous disease that often affects the anogenital area and causes significant discomfort and morbidity. Oral mucosal lesions in LS are extremely rare and might be associated with genital and/or skin manifestations. As a unique manifestation of LS, oral lesions are even more rare, with only 20 cases reported in English-language literature. In reviewing that literature in this paper, we present the case of a 44-year-old white man who sought dental assistance with a complaint of a white spot on his upper lip...
November 2, 2016: Head and Neck Pathology
https://www.readbyqxmd.com/read/27797628/working-together-using-a-unique-approach-to-evaluate-an-interactive-and-clinic-based-longitudinal-interprofessional-education-experience-with-13-professions
#18
Britta M Thompson, Dale W Bratzler, Mark J Fisher, Amie Torres, Epic Faculty, Rhonda A Sparks
Interprofessional education (IPE) involving an interactive and longitudinal clinic experience at an inner-city charitable clinic from September to May 2013/2014 was evaluated. Pre-, mid-, and post-intervention data were collected from students in 13 different professions including medicine (medical and physician assistant), dentistry (dental and dental hygiene), nursing (undergraduate and clinical nurse specialist), public health, pharmacy, physical therapy, occupational therapy, nutritional sciences, speech and language pathology, and social work...
November 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27790265/efficacy-of-video-assisted-instruction-on-knowledge-and-performance-of-dental-students-in-access-cavity-preparation
#19
Mandana Naseri, Yazdan Shantiaee, Javid Rasekhi, Saeede Zadsirjan, Maryam Mojtahed Bidabadi, Akbar Khayat
INTRODUCTION: The conventional method of teaching endodontics has some drawbacks. Due to the small size of the oral cavity, students cannot closely observe the clinical procedure. Use of new teaching modalities such as the intraoral camera may obviate this problem. This study assessed the effect of video-assisted clinical instruction in dentistry (VACID) on dental student's knowledge and performance in access cavity preparation during endodontic treatment. METHODS AND MATERIALS: In this interventional study, twenty six undergraduate students were equally divided into two groups and received instructions on access cavity preparation via conventional demonstration (CD) or VACID using intraoral camera plus conventional demonstration...
2016: Iranian Endodontic Journal
https://www.readbyqxmd.com/read/27787784/decision-making-based-on-fuzzy-aggregation-operators-for-medical-diagnosis-from-dental-x-ray-images
#20
Tran Thi Ngan, Tran Manh Tuan, Le Hoang Son, Nguyen Hai Minh, Nilanjan Dey
Medical diagnosis is considered as an important step in dentistry treatment which assists clinicians to give their decision about diseases of a patient. It has been affirmed that the accuracy of medical diagnosis, which is much influenced by the clinicians' experience and knowledge, plays an important role to effective treatment therapies. In this paper, we propose a novel decision making method based on fuzzy aggregation operators for medical diagnosis from dental X-Ray images. It firstly divides a dental X-Ray image into some segments and identified equivalent diseases by a classification method called Affinity Propagation Clustering (APC+)...
December 2016: Journal of Medical Systems
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