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Dental Patient Safety

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https://www.readbyqxmd.com/read/29774628/efficacy-and-safety-of-brexpiprazole-for-the-treatment-of-acute-schizophrenia-in-japan-a-6-week-randomized-double-blind-placebo-controlled-study
#1
Jun Ishigooka, Shuichi Iwashita, Yoshihiro Tadori
AIMS: This study aimed to evaluate the efficacy, safety, and tolerability of brexpiprazole compared to placebo in Japanese patients with acute schizophrenia. METHODS: We conducted a 6-week, multicenter, double-blind, placebo-controlled, phase 2/3 study in Japan. Patients with acute schizophrenia were randomized (1:1:1:1) to receive brexpiprazole 1, 2, or 4 mg or placebo once a day. The primary endpoint was the change from baseline to week 6 in Positive and Negative Syndrome Scale (PANSS) total scores...
May 18, 2018: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29763504/investigational-clinical-trial-of-a-prototype-optoelectronic-computer-aided-navigation-device-for-dental-implant-surgery
#2
Asbjørn Jokstad, Brenton Winnett, Joseph Fava, David Powell, Eszter Somogyi-Ganss
PURPOSE: New digital technologies enable real-time computer-aided (CA) three-dimensional (3D) guidance during dental implant surgery. The aim of this investigational clinical trial was to demonstrate the safety and effectiveness of a prototype optoelectronic CA-navigation device in comparison with the conventional approach for planning and effecting dental implant surgery. MATERIALS AND METHODS: Study participants with up to four missing teeth were recruited from the pool of patients referred to the University of Toronto Graduate Prosthodontics clinic...
May 2018: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/29754155/-real-patients-in-virtual-reality-the-link-between-phantom-heads-and-clinical-dentistry
#3
C M Serrano, P R Wesselink, J M Vervoorn
Preclinical training in phantom heads has until now been considered the 'gold standard' for restorative dental education, but the transition from preclinic to the treatment of real patients has remained a challenge. With the introduction of the latest generation of virtual reality simulators, students and dental practitioners can make digital impressions of their patients in virtual reality models and practice procedures in virtual reality before clinically performing them. In this way, clinical decisions can be investigated and practiced prior to actual treatment, enhancing the safety of the treatment and the self-confidence to perform it...
May 2018: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/29715448/evaluation-of-staff-satisfaction-after-implementation-of-a-surgical-safety-checklist-in-the-ambulatory-of-an-oral-and-maxillofacial-surgery-department-and-its-impact-on-patient-safety
#4
Christian Martin Schmitt, Mayte Buchbender, Saida Musazada, Bastian Bergauer, Friedrich-Wilhelm Neukam
PURPOSE: Safety checklists in medicine have been shown to be effective in the prevention of complications and adverse events in patients undergoing surgery. Such checklists are not as common in dentistry. The aims of this study were to propose a safety checklist for the ambulatory treatment of patients undergoing oral and implant surgery and to assess its impact on patient safety and staff satisfaction. MATERIALS AND METHODS: After implementation of a surgical safety checklist in the ambulatory treatment of patients undergoing oral and implant surgeries, a questionnaire regarding staff satisfaction and safety-related parameters was randomly administered...
April 6, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29691562/-evaluation-of-effects-of-fluoride-varnish-on-prevention-of-first-permanent-molar-caries
#5
Lu-Dong Zhang, Yin Zhou, Ya-Qin Zhu
PURPOSE: To compare fluoride varnish and fluoride foam's effectiveness of preventing first permanent molar caries, and discuss patients' acceptance of the 2 materials among pupil patients. METHODS: Six hundred pupils aged 6-8 years from 3 primary schools in Shanghai Yangpu District were randomly selected.The subjects were randomly divided into 3 groups, with 200 students having 800 teeth in each. Two of these groups were experimental groups that receive fluoride varnish (Group A) and fluoride foam (Group B) respectively, and the third group (group C) was control group...
December 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/29661381/a-review-of-the-safety-and-efficacy-of-inhaled-methoxyflurane-as-an-analgesic-for-outpatient-procedures
#6
REVIEW
C Jephcott, J Grummet, N Nguyen, O Spruyt
Methoxyflurane delivered via a hand-held inhaler is a proven analgesic which has been used in Australasia for emergency relief of trauma associated pain since the 1970s. The agent is self-administered by the patient under the supervision of trained personnel. More than 5 million patients have received inhaled methoxyflurane without significant side effects. Methoxyflurane is also licensed in Australasia for the relief of pain in monitored conscious patients requiring analgesia for minor surgical procedures...
May 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29657542/accuracy-of-computer-guided-surgery-for-dental-implant-placement-in-fully-edentulous-patients-a-systematic-review
#7
REVIEW
Daniel Amaral Alves Marlière, Maurício Silva Demétrio, Leonardo Santos Picinini, Rodrigo Guerra De Oliveira, Henrique Duque De Miranda Chaves Netto
Assess clinical studies regarding accuracy between virtual planning of computer-guided surgery and actual outcomes of dental implant placements in total edentulous alveolar ridges. A PubMed search was performed to identify only clinical studies published between 2011 and 2016, searching the following combinations of keywords: "Accuracy AND Computer-Assisted Surgery AND Dental Implants." Study designs were identified using the terms: Case Reports, Clinical study, Randomized Controlled Trial, Systematic Reviews, Meta-Analysis, humans...
January 2018: European Journal of Dentistry
https://www.readbyqxmd.com/read/29652004/factors-associated-with-patients-satisfaction-of-rubber-dam-use-during-root-canal-treatment
#8
Manal Maslamani, Amal K Mitra
Background: The use of rubber dam (RD) has been recommended in dental procedures including root canal treatment. The aim of the study was to identify factors that were associated with patients' satisfaction and acceptance of RD. Setting and Design: This was a cross-sectional study, conducted from January 2015 to December 2016 at Kuwait University School of Dentistry. Materials and Methods: A pretested questionnaire was used by a face-to-face interview of patients after taking informed consent...
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29628777/a-study-on-the-efficacy-and-safety-of-combining-dental-surgery-with-tonsillectomy-in-pediatrics
#9
Faizaan Syed, Joshua C Uffman, Dmitry Tumin, Catherine M Flaitz, Joseph D Tobias, Vidya T Raman
Purpose: Few data exist on combining pediatric surgical procedures under a single general anesthetic encounter (general anesthesia). We compared perioperative outcomes of combining dental surgical procedures with tonsillectomy during one anesthetic vs separate encounters. Methods: We classified elective tonsillectomy ± adenoidectomy and restorative dentistry as combined (group C) or separate (group S). Outcomes included anesthesia time, recovery duration, the need for overnight hospital stay, and postoperative complications...
2018: Clinical, Cosmetic and Investigational Dentistry
https://www.readbyqxmd.com/read/29622313/the-american-association-of-oral-and-maxillofacial-surgeons-simulation-program
#10
REVIEW
David W Todd, John J Schaefer
Patient safety in dental anesthesia has been called into question in recent years. Simulation training has been proposed and developed as one possibility for increasing preparedness and training in cases of adverse events in dental anesthesia. This article presents an overview of the challenges of patient safety in dental anesthesia and how to address them with simulation training. The American Association of Oral and Maxillofacial Surgeons simulation program is unique in its potential to become a standardized, validated competency course with objective grading criteria, mastery-based cooperative learning model, and low facilitator-to-participant ratio, leading to a practical delivery cost structure...
May 2018: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/29618887/comparison-of-ropivacaine-0-75-and-lignocaine-2-with-1-200-000-adrenaline-in-dental-extractions-single-blind-clinical-trial
#11
Vishal Bansal, Deval Kumar, Apoorva Mowar, Avi Bansal
Introduction: The aim of this study was to evaluate the efficacy, safety and clinical acceptability of the local anaesthetic agent ropivacaine 0.75 % in comparison with lignocaine 2 % with adrenaline 1:200,000 in minor oral surgical procedures. Methods: Forty-seven patients, who required bilateral extractions in a single arch, were included in this study. One hundred and sixty-six extractions were performed and all the patients were administered nerve blocks/infiltration...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29601678/interprofessional-education-in-dental-education-an-international-perspective
#12
J M Davis, J Janczukowicz, J Stewart, B Quinn, C A Feldman
Interprofessional collaborative care (IPC) is defined as working within and across healthcare disciplines and is considered essential to achieve a more inclusive, patient-centred care, provide a means to support patient safety and address global healthcare provider shortages. Interprofessional education (IPE) provides the knowledge and experience students need to achieve these goals. ADEE/ADEA held a joint international meeting 8-9 May 2017, with IPE being one of four topic areas discussed. The highly interactive workshop format, where "everyone was an expert," supported discussion, sharing and creative problem-solving of over seventy-one participants from twenty-nine countries...
March 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29569453/the-safety-of-paediatric-dentistry-procedures-under-general-anaesthesia-a-five-year-experience-of-a-tertiary-care-center
#13
A K Bartella, C Lechner, M Kamal, J Steegmann, F Hölzle, B Lethaus
AIM: Frequently general anaesthesia (GA) is used to treat noncompliant children. Especially in children with morbid diseases general anaesthesia can be a challenging procedure for anaesthetists. The aim of this paper was to evaluate the risks and adverse reactions with a special focus on the impact of existing medication conditions and syndromes. MATERIALS AND METHODS: and methods Records of children up to 10 years of age, who were admitted for paediatric dentistry procedures under GA from January 2011 to December 2016 at the University Hospital of the University of Aachen (Germany), were reviewed...
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
#14
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/29513211/sterilization-of-ceramic-sharpening-stones
#15
Colin B Wiebe, Bonnie J Hoath, Gethin Owen, Jiarui Bi, Georgios Giannelis, Hannu S Larjava
Traditionally, periodontal hand instruments are honed or sharpened during patient care as they dull easily during contact with enamel, calculus and cementum. This approach is taught in dental and hygiene schools around the world and remains the standard of care. Recently, some professional organizations have questioned whether this practice should be abandoned because of safety issues. Questions have been raised whether sharpening stones can be properly sterilized and whether the sharpening of contaminated instruments poses a health hazard for the provider...
September 2017: Journal—Canadian Dental Association, Journal de L'Association Dentaire Canadienne
https://www.readbyqxmd.com/read/29500281/engaging-stakeholders-in-patient-centered-outcomes-research-regarding-school-based-sealant-programs
#16
Donald L Chi, Peter Milgrom, Jane Gillette
Purpose: The purpose of this study was to use qualitative methods to describe the key lessons learned during the stakeholder engagement stage of planning a randomized clinical trial comparing outcomes of silver diamine fluoride (SDF) as an alternative to pit-and-fissure sealants in a school-based delivery system. Methods: Eighteen caregivers and community-based stakeholders with involvement in the school-based sealant program Sealants for Smiles from the state of Montana, were recruited for this qualitative study...
February 2018: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29480849/patient-safety-culture-perceptions-in-the-college-of-dentistry
#17
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/29472677/what-do-dental-codes-of-ethics-and-conduct-suggest-about-attitudes-to-raising-concerns-and-self-regulation
#18
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
https://www.readbyqxmd.com/read/29446204/an-up-to-17-year-follow-up-retrospective-analysis-of-a-minimally-invasive-flapless-approach-18-945-implants-in-7783-patients
#19
Philip Jesch, Wolfgang Jesch, Emanuel Bruckmoser, Mischa Krebs, Tibor Kladek, Rudolf Seemann
BACKGROUND: This study investigates gender, age, jaw, implant position, loading protocol (immediate vs delayed), smoking, and type of surgery (punch vs flap) as influential factors of implant survival in a large patient collective. PURPOSE: To evaluate the survival rates of implants in patients using a mucoperiosteal punch for flapless implantation in the majority of cases in order to evaluate its medical efficacy and safety. MATERIALS AND METHODS: Between 1994 and 2015 all patients with complete data treated at the Wienerberg Dental Clinic, Vienna, Austria, were included and statistically analyzed in Cox proportional hazard (PH) models...
February 15, 2018: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/29398270/composition-production-rate-and-characterization-of-greek-dental-solid-waste
#20
Alexandros Mandalidis, Antonios Topalidis, Evangelos A Voudrias, Nikolaos Iosifidis
The overall objective of this work is to determine the composition, characterization and production rate of Greek dental solid waste (DSW). This information is important to design and cost management systems for DSW, for safety and health considerations and for assessing environmental impact. A total of 141 kg of DSW produced by a total of 2542 patients in 20 dental practices from Xanthi, Greece was collected, manually separated and weighed over a period of four working weeks. The waste was separated in 19 sub fractions, which were classified in 2 major categories, according to Greek regulations: Domestic-type waste comprising 8% and hazardous waste comprising 92% by weight of total DSW...
May 2018: Waste Management
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