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Dental Patient Safety

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https://www.readbyqxmd.com/read/29124343/anatomical-landmarks-of-mandibular-interforaminal-region-related-to-dental-implant-placement-with-3d-cbct-comparison-between-edentulous-and-dental-mandibles
#1
Elif Sener, Erinc Onem, Gulcan Coskun Akar, Figen Govsa, Mehmet Asim Ozer, Yelda Pinar, Ali Mert, B Guniz Baksi Sen
BACKGROUND: Anterior mandibular (interforaminal) region is important in implant applications as it serves a basis for neurovascular bedding and holds the prosthesis for patients. Treatment planning for dental implant patients is often complicated by the unknown extent of the anterior loop of the neurovascular bundle. Anatomical structures including mandibular incisive canal (MIC) and lingual foramen (LF) should also be examined as part of the detailed analysis for their neurovascular structures...
November 9, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29123305/the-development-and-implementation-of-a-biopsy-safety-strategy-for-oral-medicine
#2
D J Finn, B P Rajlawat, D J Holt, S R L Adair, K Kent, E A Field
The development and implementation of a biopsy safety strategy is described in this article. Analysis of previous adverse incidents relating to biopsies acted as a catalyst to review our biopsy pathway at Liverpool University Dental Hospital. Input from all staff involved enabled us to develop a biopsy safety strategy which was divided into five stages: preoperative assessment of patient and procedure, team briefings, biopsy surgical safety checklist, surgical removal and handling of biopsy specimens, and post-biopsy follow-up...
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29118277/impact-of-state-workforce-policies-on-underserved-patients-access-to-dental-care-a-longitudinal-study
#3
Hannah L Maxey, Connor W Norwood, Johannah B O'Connell, Ziyue Liu
Purpose: Dental diseases are almost entirely preventable, but discrepancies in access to oral healthcare limit the effectiveness of preventive interventions. Dental hygienists are strategically positioned to improve access to preventive dental procedures; however, state workforce policies determine their permitted clinical tasks.Methods: This study cross-referenced oral healthcare service use at Federally Qualified Health Centers (FQHCs) between 2004 and 2012 with the Dental Hygiene Professional Practice Index (DHPPI), which quantifies the various aspects of state policy environments for the dental hygiene workforce...
October 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29118160/a-dental-radiography-checklist-as-a-tool-for-quality-improvement
#4
Monica Williamson Nenad, Colleen Halupa, Ann Eshenaur Spolarich, JoAnn R Gurenlian
Purpose: A checklist intervention was applied to the dental radiographic acquisition process to determine its effectiveness in improving the diagnostic value of bitewing images and reducing patient exposure to unnecessary radiation.Methods: A mixed-method, nonrandomized research design using two dental hygiene program cohorts (n=33) as control and intervention groups was used to assess the effect of a radiographic checklist on the number and type of radiographic imaging errors. The relationship between perceived value of the checklist and willingness to continue its use was examined and analyzed using descriptive statistics...
December 2016: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29114884/dental-provider-practices-and-perceptions-regarding-adolescent-vaccination
#5
Allison L Naleway, Michelle L Henninger, Lisa A Waiwaiole, David M Mosen, Michael C Leo, Daniel J Pihlstrom
OBJECTIVE: To assess dental providers' clinical practices and perceptions regarding adolescent vaccinations. METHODS: We surveyed 234 dental providers in an integrated health care setting in Portland, Oregon, in March-April 2015. We assessed participants' knowledge of adolescent vaccines, barriers to recommending vaccines, and their perceived role in the promotion of vaccination and preventive medical care. RESULTS: Over 80 percent of respondents correctly identified influenza, tetanus-diphtheria-acellular pertussis, and human papillomavirus as vaccinations recommended for adolescents; 60 percent correctly identified meningococcal conjugate...
November 8, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/29112027/dentists-survey-on-adverse-events-during-their-clinical-training
#6
Alfredo Alan Osegueda-Espinosa, Leonor Sánchez-Pérez, Bernardo Perea-Pérez, Elena Labajo-González, A Enrique Acosta-Gio
BACKGROUND: Adverse events (AEs) begin challenging the safe practice of dentistry early when students start treating patients at dental school. We assessed the frequency with which dentists caused common AEs during their undergraduate clinical training. METHODS: A convenience sample of dentists, graduated from more than 34 dental schools in Mexico and other Spanish speaking countries, answered a confidential, self-administered questionnaire with closed-format questions on common AEs they caused and their active errors that could have led to AEs in the teaching clinics...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29109835/anterior-submandibular-approach-for-transmylohyoid-endotracheal-intubation-a-reappraisal-with-prospective-study-in-206-cases-of-craniomaxillofacial-fractures
#7
Nitin Bhola, Anendd Jadhav, Atul Kala, Rahul Deshmukh, Umesh Bhutekar, G S V Prasad
Despite a paradigm shift in anesthesia and trauma airway management, the craniomaxillofacial fracture (CMF) patients continue to pose a challenge. A prospective study was planned between April 2007 and March 2015 to investigate the safety, efficacy, utility, and complications of anterior submandibular approach for transmylohyoid intubation (TMI) in CMFs using an armored endotracheal tube (ETT). Out of 1,207 maxillofacial trauma cases reported, this study recruited 206 patients (152 males and 54 females) aged between 21 and 60 years...
December 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29098255/-the-effect-and-safety-of-two-techniques-of-immediate-implants-on-alveolar-bone-length-soft-and-hard-tissue-in-the-anterior-maxillary-zone
#8
Li Yang, Wei-Qing Lu
PURPOSE: To investigate the effect and safety of two techniques of immediate implants on the length of alveolar bone as well as the soft and hard tissue in the anterior maxillary zone. METHODS: One hundred and sixty cases of immediate implants in anterior maxillary zone were collected from August 2014 to August 2015 in our hospital. They were randomly and equally divided into flap group (80 cases) and flapless group (80 cases). The former received flap immediate implant while the later received flapless therapy...
June 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/29095764/oral-surgery-in-patients-under-antithrombotic-therapy-perioperative-bleeding-as-a-significant-risk-factor-for-postoperative-hemorrhage
#9
Amanda L Rocha, Alessandra F Souza, Maria A P Martins, Marina G Fraga, Denise V Travassos, Ana C B Oliveira, Daniel D Ribeiro, Tarcília A Silva
: To investigate perioperative and postoperative bleeding, complications in patients under therapy with anticoagulant or antiplatelet drugs submitted to oral surgery. To evaluate the risk of bleeding and safety for dental surgery, a retrospective chart review was performed. Medical and dental records of patients taking oral antithrombotic drugs undergoing dental surgery between 2010 and 2015 were reviewed. Results were statistically analyzed using Fisher's exact test, t test or the χ test. One hundred and seventy-nine patients underwent 293 surgical procedures...
October 31, 2017: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
https://www.readbyqxmd.com/read/29091328/educational-effects-using-a-robot-patient-simulation-system-for-development-of-clinical-attitude
#10
S Abe, N Noguchi, Y Matsuka, C Shinohara, T Kimura, K Oka, K Okura, O M M Rodis, F Kawano
INTRODUCTION: The aim of this study was to assess the effectiveness of improving the attitude of dental students towards the use of a full-body patient simulation system (SIMROID) compared to the traditional mannequin (CLINSIM) for dental clinical education. MATERIALS AND METHODS: The participants were 10 male undergraduate dental students who had finished clinical training in the university hospital 1 year before this study started. They performed a crown preparation on an upper pre-molar tooth using SIMROID and CLINSIM as the practical clinical trials...
November 1, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29069153/comparison-of-two-combinations-of-opioid-and-non-opioid-analgesics-for-acute-periradicular-abscess-a-randomized-clinical-trial
#11
Manuela Favarin Santini, Ricardo Abreu da Rosa, Maria Beatriz Cardoso Ferreira, Maria Isabel Fischer, Erick Miranda Souza, Marcus Vinícius Reis Só
INTRODUCTION: Acute periradicular abscess is a condition characterized by the formation and propagation of pus in the periapical tissues and generally associated with debilitating pain. OBJECTIVE: The aim of this study was to compare the overall analgesic effectiveness of two combinations of opioid and non-opioid analgesics for acute periradicular abscess. MATERIAL AND METHODS: This study included 26 patients who sought emergency care in a Brazilian dental school...
September 2017: Journal of Applied Oral Science: Revista FOB
https://www.readbyqxmd.com/read/29068621/lowering-the-radiation-dose-in-dental-offices
#12
Elham Radan
While the use of dental imaging continues to evolve into more advanced modalities such as 3-D cone beam computed tomography, in addition to conventional 2-D imaging (intraoral, panoramic and cephalometric), the public concern for radiation safety is also increasing. This article is a guide for how to reduce patients’ exposure to the minimum with proper selection criteria (as needed only if it benefits the patient) and knowledge of effective doses, exposure parameters and proper collimation.
April 2017: Journal of the California Dental Association
https://www.readbyqxmd.com/read/29060278/a-study-on-setting-of-the-fatigue-limit-of-temporary-dental-implants
#13
M H Kim, E J Cho, J W Lee, E K Kim, S H Yoo, C W Park
A temporary dental implant is a medical device which is temporarily used to support a prosthesis such as an artificial tooth used for restoring patient's masticatory function during implant treatment. It is implanted in the oral cavity to substitute for the role of tooth. Due to the aging and westernization of current Korean society, the number of tooth extraction and implantation procedures is increasing, leading to an increase in the use and development of temporary dental implants. Because an implant performs a masticatory function in place of a tooth, a dynamic load is repeatedly put on the implant...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29019273/dentists-use-of-digital-radiographic-techniques-part-i-intraoral-x-ray-a-questionnaire-study-of-swedish-dentists
#14
Björn Svenson, Katri Ståhlnacke, Reet Karlsson, Anna Fält
OBJECTIVE: The present study aims to gain knowledge about the dentist's use and choice of digital intraoral imaging methods. MATERIALS AND METHODS: A questionnaire sent to 2481 dentists within the Swedish Dental Society contained questions about the type of X-ray technique used, problems experienced with digital radiography, and reasons for choosing digital technology, and about indications, clinic size and type of service. Response rate was 53%. RESULTS: Ninety-eight percent of the dentists had made the transition to digital radiography; only 2% used film technique, and solid-state detector (SSD) was the most used digital technique...
October 11, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/29017215/-pulmonary-embolism-despite-rivaroxaban-in-an-obese-patient
#15
Thomas Schuh, Claudia Stöllberger
Introduction Rivaroxaban, an oral factor Xa inhibitor, is approved for therapy of venous thromboembolism. It is unclear whether the standard dose for patients with a body mass index (BMI) > 40 kg/m(2) is sufficient. History The 45-year-old patient was admitted because of increasing respiratory distress. She had a history of pulmonary embolism 30 months before the admission, a factor V Leiden mutation and several hospitalisations due to dermatomycoses. The patient briefly took phenprocoumon which was changed to 20 mg rivaroxaban due to a lack of adherence...
October 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28989138/knowledge-attitude-and-practices-regarding-pharmacovigilance-and-adverse-drug-reaction-reporting-among-dental-students-in-a-teaching-hospital-jodhpur-india-a-cross-sectional-study
#16
Kumar G Chhabra, Ashish Sharma, Chaya Chhabra, J Jyothirmai Reddy, Shravani G Deolia, Yogesh Mittal
INTRODUCTION: This is a cross-sectional knowledge, attitude, and practices (KAPs) study on pharmacovigilance (PV) and adverse drug reaction (ADR) reporting among dental students in a teaching hospital in India. AIM: The aim of this study was to assess the KAP of dental students regarding PV, ADR reporting, and barriers toward the same. MATERIALS AND METHODS: A cross-sectional survey using a self-administered, investigator-developed, close-ended questionnaire was conducted in an academic dental hospital in India...
October 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28988568/does-the-accreditation-of-private-dental-practices-work-time-to-rethink-how-accreditation-can-improve-patient-safety
#17
Gillian Jean
Accreditation to demonstrate engagement with the National Safety and Quality Health Service Standards (Standards) is compulsory for most hospital and healthcare settings, but to date remains voluntary for private dental practices (PDPs). The regulatory framework governing the dental profession lacks a proactive element to drive improvements in quality and safety of care, and an accreditation scheme can strengthen existing regulation. The current model of accreditation operating in accordance with the Australian Health Service Safety and Quality Accreditation Scheme (Scheme) is based on the Standards, which were written for a hospital model of healthcare service...
October 9, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28982846/do-dental-x-rays-induce-genotoxicity-and-cytotoxicity-in-oral-mucosa-cells-a-critical-review
#18
REVIEW
Fernanda Angelieri, Veronica Quispe Yujra, Celina Tizuko Fujiyama Oshima, Daniel Araki Ribeiro
Dental X-rays are widely used in clinical practice, since the technique is an important approach for diagnosing diseases in dental and periodontal tissues. However, it is widely known that radiation is capable of causing damage to cellular systems, such as genotoxicity or cytotoxicity. Thus, the aim of this review was to present a critical analysis regarding the studies published on genotoxicity and cytotoxicity induced by dental X-rays in oral mucosa cells. Such studies have revealed that some oral cell types are more sensitive than others following exposure to dental X-rays...
October 2017: Anticancer Research
https://www.readbyqxmd.com/read/28970865/understanding-biomaterial-tissue-interface-quality-combined-in-vitro-evaluation
#19
REVIEW
Michael Gasik
One of the greatest challenges in the development of new medical products and devices remains in providing maximal patient safety, efficacy and suitability for the purpose. A 'good quality' of the tissue-implant interface is one of the most critical factors for the success of the implant integration. In this paper this challenge is being discussed from the point of view of basic stimuli combination to experimental testing. The focus is in particular on bacterial effects on tissue-implant interaction (for different materials)...
2017: Science and Technology of Advanced Materials
https://www.readbyqxmd.com/read/28967330/the-use-of-cone-beam-computed-tomography-in-management-of-patients-requiring-dental-implants-an-american-academy-of-periodontology-best-evidence-review
#20
Hector F Rios, Wenche S Borgnakke, Erika Benavides
BACKGROUND: Application of cone-beam computed tomography (CBCT) has grown exponentially across dentistry with a clear impact in implant dentistry. This review aims at providing the scientific context to understand if CBCT imaging should become the standard of care for patients requiring dental implants. METHODS: A literature search for CBCT applications in implant dentistry was performed using the PubMed database that included studies published between January 1, 2000, and June 24, 2017...
October 2017: Journal of Periodontology
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