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https://www.readbyqxmd.com/read/29663906/an-algorithm-based-approach-for-behavior-and-disease-management-in-children
#1
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/29649431/diagnosis-and-management-of-children-with-mycobacterium-abscessus-infections-in-the-head-and-neck
#2
Justine Moe, Roy Rajan, Shelley Caltharp, Shelly Abramowicz
PURPOSE: Controversy exists regarding the most appropriate treatment strategy for children with nontuberculous mycobacterial (NTM) cervical lymphadenitis. Mycobacterium abscessus (MAB) is an uncommon cause of NTM cervical lymphadenitis. The purpose of the present study was to evaluate diagnosis, management, and treatment outcomes in children with MAB-associated cervical lymphadenitis resulting from a pulpotomy. MATERIALS AND METHODS: This was a retrospective chart review of children with NTM lymphadenitis of the head and neck caused by MAB treated at Children's Healthcare of Atlanta hospitals (Atlanta, GA)...
March 22, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29625615/to-fill-or-not-to-fill-a-qualitative-cross-country-study-on-dentists-decisions-in-managing-non-cavitated-proximal-caries-lesions
#3
F Schwendicke, L A Foster Page, L A Smith, M Fontana, W M Thomson, S R Baker
BACKGROUND: This study aimed to identify barriers and enablers for dentists managing non-cavitated proximal caries lesions using non- or micro-invasive (NI/MI) approaches rather than invasive and restorative methods in New Zealand, Germany and the USA. METHODS: Semi-structured interviews were conducted, focusing on non-cavitated proximal caries lesions (radiographically confined to enamel or the outer dentine). Twelve dentists from New Zealand, 12 from Germany and 20 from the state of Michigan (USA) were interviewed...
April 6, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29606650/clinical-dental-faculty-members-perceptions-of-diagnostic-errors-and-how-to-avoid-them
#4
Cathy Nikdel, Kian Nikdel, Ana Ibarra-Noriega, Elsbeth Kalenderian, Muhammad F Walji
Diagnostic errors are increasingly recognized as a source of preventable harm in medicine, yet little is known about their occurrence in dentistry. The aim of this study was to gain a deeper understanding of clinical dental faculty members' perceptions of diagnostic errors, types of errors that may occur, and possible contributing factors. The authors conducted semi-structured interviews with ten domain experts at one U.S. dental school in May-August 2016 about their perceptions of diagnostic errors and their causes...
April 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29603840/dental-participation-in-geriatric-interprofessional-education-courses-a-systematic-review
#5
A E Kossioni, L Marchini, C Childs
INTRODUCTION: Although the interdisciplinary management of the ageing individual is highly stressed, there is limited information on the outcomes of interprofessional education (IPE) activities of dental students in geriatrics. This systematic review aimed to identify studies with dentists participating in formal IPE courses in geriatrics and assess the outcomes reported. MATERIAL AND METHODS: Electronic databases (PubMed, EMBASE, CINAHL and Scopus), reference lists from relevant studies and cited papers were investigated...
March 30, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29603697/awareness-of-biomedical-waste-management-among-dentists-associated-with-institutions-and-private-practitioners-of-north-india-a-comparative-study
#6
Malvika Raghuvanshi, Shruti Sinha, Gouse Mohiddin, Abikshyeet Panda, Kailash C Dash, Lipsa Bhuyan
AIM: The present study aimed to obtain information about knowledge, execution, and attitude toward biomedical waste (BMW) and its management. MATERIALS AND METHODS: In the present study, a self-administered closed-ended questionnaire was designed to conduct a cross-sectional survey. It was distributed among 614 dentists (institution associated or private practitioners) in the cities of North India. The questionnaire comprised 36 questions regarding knowledge, execution, and attitude toward BMW and its management...
March 1, 2018: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/29600870/integrating-caries-management-by-risk-assessment-cambra-and-prevention-strategies-into-the-contemporary-dental-practice
#7
Peter Rechmann, Richard Kinsel, John D B Featherstone
In the past, the dental profession has adhered to a rigid tenet: remove decay from a tooth and then restore, a mindset that has been proverbially dubbed as "drill and fill." Today, dental caries is recognized as an infectious disease that affects children and adults throughout life. The philosophy of CAries Management By Risk Assessment, or CAMBRA®, represents a paradigm shift. The CAMBRA concept provides the dentist with scientific, evidence-based solutions with which to approach treatment of dental caries disease...
April 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29599596/diode-laser-and-periodontal-regeneration-assisted-management-of-implant-complications-in-anterior-maxilla
#8
Sanjeev Kumar Salaria, Isha Sharma, Navjot Kaur Brar, Satwant Kaur
Dental implant is being considered successful if the patient is pleased with both of its functional and esthetic outcome. As implant complications (such as peri-implantitis, inappropriate implant position, wrong angulation, and implant location too close to anatomical structures) have been frequently encountered in dental practice, therefore, thorough knowledge to manage such complications is the key prerequisite to prevent the failure of implant. The present case report discussed the etiology, diagnosis of early peri-implantitis, and periodontal abscess with their successful management through periodontal regeneration and diode laser-assisted therapy...
January 2018: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/29599593/the-top-10-ethical-challenges-in-dental-practice-in-indian-scenario-dentist-perspective
#9
Vanishree M Kemparaj, Ganesh Shenoy Panchmal, Umashankar Gangadaraiah Kadalur
Aim: This exploratory qualitative research is an attempt to assess the health care ethical challenges in dental practice in an Indian scenario. Methodology: Qualitative indepth interview was conducted on 20 dental professionals to assess the ethical challenges prevailing in dental practice in Indian scenario. After obtaining the responses the verbatims were categorized into categories and finally 36 themes emerged. Later from two group of 6 panellists each after conducting focus group discussion the themes of ethical issues occurring in dental practice were ranked based on order of significance impact on the practice, patient and society using Delphi method...
January 2018: Contemporary Clinical Dentistry
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
#10
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/29599018/sex-and-race-or-ethnicity-disparities-in-opioid-prescriptions-for-dental-diagnoses-among-patients-receiving-medicaid
#11
Chandrashekar Janakiram, Natalia I Chalmers, Paul Fontelo, Vojtech Huser, Gabriela Lopez Mitnik, Timothy J Iafolla, Avery R Brow, Bruce A Dye
BACKGROUND: The objective of this study was to identify specific factors (sex, race or ethnicity, and health care provider type) associated with patient receipt of an opioid prescription after a dental diagnosis. METHODS: The authors used Medicaid claims dated from January 1, 2013, through September 30, 2015, for 13 US states in this study. The authors identified oral health-related conditions by using International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes 520...
April 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29563436/a-qualitative-evaluation-of-clinical-audit-in-uk-dental-foundation-training
#12
Peter Thornley, Alyson Quinn
Clinical Audit (CA) has been recognized as a useful tool for tool for improving service delivery, clinical governance, and the education and performance of the dental team. This study develops the discussion by investigating its use as an educational tool within UK Dental Foundation Training (DFT). The aim was to investigate the views of Foundation Dentists (FDs) and Training Programme Directors (TPDs) on the CA module in their FD training schemes, to provide insight and recommendations for those supervising and undertaking CA...
November 10, 2017: Dentistry journal
https://www.readbyqxmd.com/read/29560603/consumer-driven-and-commercialised-practice-in-dentistry-an-ethical-and-professional-problem
#13
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
https://www.readbyqxmd.com/read/29550022/opioid-prescribing-and-risk-mitigation-implementation-in-the-management-of-acute-pain-results-from-the-national-dental-practice-based-research-network
#14
Jenna L McCauley, Renata S Leite, Valeria V Gordan, Roger B Fillingim, Gregg H Gilbert, Cyril Meyerowitz, David Cochran, D Brad Rindal, Kathleen T Brady
BACKGROUND: Minimal information exists regarding the consistency and correlates of dentists' implementation of risk mitigation strategies when prescribing opioids, including risk screening, prescription drug monitoring program (PDMP) use, and patient education. METHODS: The authors conducted a Web-based, cross-sectional survey among practicing dentist members of The National Dental Practice-Based Research Network. The authors used the survey to assess pain management prescribing practices and risk mitigation implementation...
March 14, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29541569/swine-flu-knowledge-attitude-and-practices-survey-of-medical-and-dental-students-of-karachi
#15
Fariha Hasan, Mohammad O Khan, Mukarram Ali
Introduction Pakistan is extremely susceptible to an influenza outbreak, as it shares borders with the most affected countries, namely China and India. The medical and dental students come into direct contact with the affected population and should be aware of the risk factors and signs and symptoms pertaining to swine influenza virus (SIV). Hence, this survey was conducted to assess the knowledge, perceptions and self-care practices of the medical and dental students with regards to this pandemic. Methods A descriptive, cross-sectional study was conducted to evaluate the swine flu-related knowledge, attitudes and practices of the medical and dental students at various institutions in Karachi, Pakistan...
January 9, 2018: Curēus
https://www.readbyqxmd.com/read/29531613/knowledge-and-preparedness-of-dental-practitioners-on-management-of-medical-emergencies-in-jazan-province
#16
Ghassan M Al-Iryani, Fareedi Mukram Ali, Naima H Alnami, Sahar K Almashhur, Maha A Adawi, Abrar A Tairy
Medical emergencies are one of the most stressful situations the staff in a dental practice might encounter. The duty of care toward the attending patients obligates suitable preparedness to provide the necessary care if such emergencies ensue. Unfortunately, we found that 22% of the investigated dental clinics had no emergency kit available. Only 38% of the interviewed dentists felt confident to perform CPR, and 18% had no confidence to manage any medical emergency. An MCQ test of 20 questions examining the dentists' knowledge in medical emergencies was distributed, and the level of knowledge was found to be suboptimal...
February 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29520669/the-use-of-oral-appliances-in-obstructive-sleep-apnea-a-retrospective-cohort-study-spanning-14-years-of-private-practice-experience
#17
Sylvan S Mintz, Reka Kovacs
PURPOSE: In 2005, the American Academy of Sleep Medicine stated, "Oral appliances are indicated for use in patients with mild to moderate obstructive sleep apnea (OSA) who prefer them to CPAP therapy, or who do not respond to, are not appropriate candidates for, or who fail treatment attempts with CPAP." However, this recommendation is based upon variable results from only six studies with more than 100 participants. These studies have assessed the effectiveness of mandibular advancement devices (MADs) in specific groups (military populations, academic institutions, or hospital settings) with no large study conducted in a fee-for-service private practice where the majority of patients receive MADs for OSA...
March 8, 2018: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29514684/dentists-perception-knowledge-and-clinical-management-of-molar-incisor-hypomineralisation-in-kuwait-a-cross-sectional-study
#18
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/29506012/clinical-diagnosis-of-dental-caries-in-the-21st-century-introductory-paper-orca-saturday-afternoon-symposium-2016
#19
Vita Machiulskiene, Joana Christina Carvalho
Classifications employed to measure dental caries should first of all reflect the dynamics of the disease, in order to provide a solid basis for subsequent treatment decisions and for further monitoring of dental health of individual patients and populations. The contemporary philosophy of dental caries management implies that nonoperative treatment of caries lesions should be implemented whenever possible, limiting operative interventions to the severe and irreversible cases. The ORCA Saturday Afternoon Symposium 2016, held back-to-back to the 63rd ORCA Congress in Athens, Greece, was intended to provide an update on general requirements for clinical caries diagnosis and to overview caries diagnostic classifications including their rationale, validation, advantages, and limitations...
March 5, 2018: Caries Research
https://www.readbyqxmd.com/read/29505535/dentist-s-distress-in-the-management-of-chronic-pain-control-the-example-of-tmd-pain-in-a-dental-practice-based-research-network
#20
Yoko Yokoyama, Naoki Kakudate, Futoshi Sumida, Yuki Matsumoto, Valeria V Gordan, Gregg H Gilbert
We aimed to obtain greater understanding of dentists' distress when they diagnose and treat patients with temporomandibular disorders (TMD), and to explore ways in which TMD can be better treated.We conducted a cross-sectional study based on a questionnaire survey of dentists (n = 148). Dentists were queried using an open-ended questionnaire about distress they experienced when treating patients with TMD. Survey responses were analyzed using mixed methods. Associations between specific dentist and patient characteristics and types of distress were analyzed by one way analysis of variance and residual analysis...
January 2018: Medicine (Baltimore)
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