Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.021
Filtrar
1.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 51(2): 151-154, 2020 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-32220180

RESUMO

Coronavirus disease 2019 (COVID-19) is becoming a major public health event affecting China and even the whole world. During the epidemic period of corona virus disease, appropriate oral health management and disease prevention of children is very important for children's oral and general health. In order to prevent the occurrence of cross-infection and epidemic spreading of COVID-19 during dental practice, the recommendations to parents include: not only training children to maintain hand hygiene at home, exercise appropriately, strengthen physical resistance, but also helping children develop good oral and diet habit such as effective brushing and flossing to avoid oral diseases and emergency. If non-emergency oral situation occur, parents could assist their child to take home based care such as rinsing to relieve the symptoms. When oral emergencies such as acute pulpitis, periapical periodontitis, dental trauma, oral and maxillofacial infections happen, parents and children should visit dental clinic in time with correct personal protection. During the epidemic period, children's oral emergencies should be treated in accordance with current guidelines and control of COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica para Crianças , Dieta Saudável , Comportamentos Relacionados com a Saúde , Saúde Bucal , Higiene Bucal , Pandemias , Pneumonia Viral , Criança , China , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Desinfecção das Mãos , Serviços de Assistência Domiciliar , Humanos , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/terapia
2.
Am J Dent ; 33(1): 48-52, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32056416

RESUMO

PURPOSE: Non-traumatic dental condition visits (NTDCs) represent about 1.4% to 2% of all Emergency Department (ED) visits and are limited to palliative care only, while associated with high cost of care. Feasibility of establishing a tele-dental approach to manage NTDCs in ED and Urgent care (UC) settings was undertaken to explore the possibility of utilizing remote tele-dental consults. METHODS: Participants with NTDCs in ED/UCs were examined extra and intra-orally: (1) directly by ED provider, (2) remotely by tele-dental examiner (trained dentist) using intra-oral camera and high-definition pan-tilt-zoom (PTZ) camera, (3) directly by treating dentist post ED/UC visit (if applicable) and, (4) secondary assessment by tele-dental reviewer. Comparisons were drawn between differential diagnoses and recommended managements provided by ED/UC providers, tele-dental examiner, treating dentist, and tele-dental reviewer. RESULTS: 13 patients participated in the study. The overall inter-rater agreement between the tele-dental examiner and tele-dental reviewer was high while it was low between tele-dentists and the ED providers. The preliminary testing of tele-dental intervention in the ED/UC setting demonstrated potential feasibility in addressing the NTDC landing in ED/UC. Larger interventional studies in multi-site setting are needed to validate this approach and especially evaluate impact on cost, ED/UC workflow and patient outcomes. CLINICAL SIGNIFICANCE: Using tele-dentistry to triage non-traumatic dental visits to the emergency room may be a promising approach. Once this approach is validated through a larger study, tele-dental outreach could help in directing non-traumatic dental emergency patients to the appropriate dental setting to provide treatment for the patients.


Assuntos
Doenças Estomatognáticas , Doenças Dentárias , Assistência Odontológica , Emergências , Estudos de Viabilidade , Humanos
3.
Int Endod J ; 53(2): 186-199, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31162683

RESUMO

AIM: To reach a consensus on a consistent strategy to adopt when screening patients for dental/periodontal infections and on the feasibility of providing dental treatment before cardiothoracic surgery, cardiovascular surgery or other cardiovascular invasive procedures. METHODOLOGY: A panel of experts from six Italian scientific societies was created. The deliberations of the panel were based on the RAND method. From an initial systematic literature review, it became clear that a consensually validated protocol for the reproducible dental screening of patients awaiting cardiac interventions was considered mandatory by professionals with expertise in the dental, cardiologic and cardiac surgery areas. However, a systematic review also concluded that the treatment options to be provided, their prognosis and timing in relation to the physical condition of patients, had never been defined. Following the systematic review, several fundamental questions were generated. The panel was divided into two working groups each of which produced documents that addressed the topic and which were subsequently used to generate a questionnaire. Each member of the panel completed the questionnaire independently, and then, a panel discussion was held to reach a consensus on how best to manage patients with dental/periodontal infections who were awaiting invasive cardiac procedures. RESULTS: A high level of agreement was reached regarding all the items on the questionnaire, and each of the clinical questions formulated were answered. Three tables were created which can be used to generate a useful tool to provide standardized dental/periodontal screening of patients undergoing elective cardiovascular interventions and to summarize both the possible oral and cardiovascular conditions of the patient and the timing available for the procedures considered. CONCLUSIONS: Upon publication of this consensus document, the dissemination of the information to a wide dental and cardiac audience should commence. The authors hope that this consensus will become a model for the development of a dedicated protocol, ideally usable by heart and dental teams in the pre-interventional preparation phase.


Assuntos
Procedimentos Cirúrgicos Cardiovasculares , Doenças Periodontais , Doenças Estomatognáticas , Procedimentos Cirúrgicos Torácicos , Consenso , Humanos , Infecções , Doenças Periodontais/diagnóstico , Cuidados Pré-Operatórios , Doenças Estomatognáticas/diagnóstico
4.
J Craniofac Surg ; 31(1): 121-124, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31821210

RESUMO

PURPOSE: Approximately 11% of the global burden of disease is surgically treatable. When located within the head, face, and neck region, plastic surgeons are particularly trained to treat these conditions. The purpose of this study was to describe the etiology, disability, and barriers to receiving care for diseases of the head, face, mouth, and neck region across 4 low-and-middle-income countries. METHODS: The Surgeons OverSeas Assessment of Surgical Need (SOSAS) instrument is a cluster randomized, cross-sectional, national survey administered in Nepal, Rwanda, Sierra Leone, and Uganda from 2011 to 2014. The survey identifies demographic characteristics, etiology, disease timing, proportion seeking/receiving care, barriers to care, and disability. RESULTS: Across the 4 countries, 1413 diseases of head, face, mouth, and neck region were identified. Masses (22.13%) and trauma (32.8%) were the most common etiology. Nepal reported the largest proportion of masses (40.22%) and Rwanda reported the largest amount of trauma (52.65%) (P < 0.001). Rwanda had the highest proportion of individuals seeking (89.6%) and receiving care (83.63%) while Sierra Leone reported the fewest (60% versus 47.77%, P < 0.001). In our multi-variate analysis literacy and chronic conditions were predictors for receiving care while diseases causing the greatest disability predicted not receiving care (ORa .58 and .48 versus 1.31 P < 0.001). CONCLUSIONS: The global volunteering plastic surgeon should be prepared to treat chronic craniofacial conditions. Furthermore, governments should address structural barriers, such as health illiteracy and lack of access to local plastic surgery care by supporting local training efforts.


Assuntos
Face/cirurgia , Pescoço , Doenças Estomatognáticas/cirurgia , Adolescente , Adulto , Osso e Ossos , Criança , Estudos Transversais , Feminino , Governo , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Boca , Pescoço/cirurgia , Inquéritos e Questionários , Voluntários , Adulto Jovem
5.
Gerodontology ; 37(1): 66-71, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31774203

RESUMO

OBJECTIVE: Older Americans are at risk of many oral diseases and conditions, but limited access to dental care may lead to the use of hospital emergency departments (EDs) or inpatient admissions. This study examined the use of hospitals for non-traumatic dental conditions (NTDCs) among persons aged ≥65 years in the Florida. METHODS: We analysed hospital use for NTDCs in Florida in 2018 from health department data sets. We calculated frequencies and rates of ED visits and hospital inpatient admissions, overall and by county, age, sex, race/ethnicity and principal payer. We also examined the source of hospital admission, primary diagnoses and charges. RESULTS: In 2018, there were 4894 ED visits and 747 inpatient admissions for NTDCs among persons aged ≥65 years in Florida. The rate for ED visits was 112.30 per 100 000 population and for hospital inpatient admissions was 17.14; rates varied widely among counties. Medicare was the most common primary payer. Referrals from EDs accounted for 76.2% of inpatient admissions for NTDCs by older adults. Total charges were $21.4 million for ED visits and $40.2 million for inpatient admissions. The most common principal diagnosis for ED visits for NTDCs was "periapical abscess without sinus tract" (K04.7; 26.2%) and for inpatient admissions was "inflammatory conditions of the jaw" (M27.2; 19.1%). Of the 747 inpatient admissions, two people died. CONCLUSIONS: Hospital use for NTDCs in Florida among persons aged ≥65 years is a clinical and financial challenge. Public coverage for basic adult dental services may lead to more effective use of funds and better health outcomes.


Assuntos
Doenças Estomatognáticas , Doenças Dentárias , Idoso , Serviço Hospitalar de Emergência , Florida , Humanos , Medicare , Estados Unidos
6.
PLoS One ; 14(12): e0225635, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31841525

RESUMO

OBJECTIVES: Cancer of the oral cavity, a well-known global health concern, remains one of most common causes of cancer mortality. Continuity of care (COC), a measurement of the extent to which an individual patient receives care from a given provider over a specified period of time, can help cancer survivors process their experiences of dealing with the illness and recuperation; however, limited research has focused on the survival rate of working-age patients with oral cancer. METHODS: A total of 14,240 working-age patients (20 0.38) and non-high COC (COCI ≤ 0.38) groups. After propensity-score matching, the mortality risk in the low and intermediate COC groups was also found to be significantly higher than that in the high COC group (aHR = 1.178, 95% CI = 1.074-1.292, p < 0.001 and aHR = 1.189, 95% CI = 1.107-1.277, p = 0.001, respectively). CONCLUSIONS: In Taiwan, COC and prior dental treatment before RT significantly affected the survival rate of working-age patients with oral cancer. This result merits policymakers' attention.


Assuntos
Sobreviventes de Câncer/estatística & dados numéricos , Continuidade da Assistência ao Paciente/organização & administração , Neoplasias Bucais/mortalidade , Doenças Estomatognáticas/epidemiologia , Adulto , Idoso , Estudos de Coortes , Comorbidade , Continuidade da Assistência ao Paciente/estatística & dados numéricos , Bases de Dados Factuais/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/radioterapia , Programas Nacionais de Saúde/estatística & dados numéricos , Prognóstico , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/terapia , Taiwan/epidemiologia , Adulto Jovem
7.
Sensors (Basel) ; 19(22)2019 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-31739635

RESUMO

Dental enamel constitutes the outer layer of a crown of teeth and grows nearly parallel. This unique nanostructure makes enamel possess birefringence properties. Currently, there is still no appropriate clinical solution to examine dental hard tissue diseases. Therefore, we developed an optical polarization imaging system for diagnosing dental calculus, caries, and cracked tooth syndrome. By obtaining Stokes signals reflected from samples, Mueller images were constructed and analyzed using Lu-Chipman decomposition. The results showed that diattenuation and linear retardance images can distinguish abnormal tissues. Our result also aligns with previous studies assessed by other methods. Polarimetric imaging is promising for real-time diagnosing.


Assuntos
Esmalte Dentário/diagnóstico por imagem , Análise Espectral/instrumentação , Doenças Estomatognáticas/diagnóstico , Dente/diagnóstico por imagem , Esmalte Dentário/fisiopatologia , Humanos , Nanoestruturas/química , Fenômenos Ópticos , Doenças Estomatognáticas/fisiopatologia
8.
Vet Clin North Am Equine Pract ; 35(3): 529-544, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31587975

RESUMO

Research and clinical understanding of equine dentistry has progressed in recent years; however, specific knowledge about donkey dentistry is lacking. This article intends to revise unique anatomic features of the head and oral cavity of donkeys, as well as how to correctly examine, diagnose, prevent, and/or treat dental pathology, allowing for a better comprehension of oral and dental disorders affecting these animals throughout their life. It also emphasizes that these disorders need to be taken into account when assessing the welfare of donkeys.


Assuntos
Equidae , Doenças dos Cavalos/diagnóstico , Doenças dos Cavalos/terapia , Doenças Estomatognáticas/veterinária , Animais , Odontologia/veterinária , Cavalos
9.
Artigo em Inglês | MEDLINE | ID: mdl-31574897

RESUMO

This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007-2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal diagnosis was identified. A series of modified Poisson regression models were used to assess the relationship between patient sociodemographic factors and hospital characteristics, and the likelihood of visiting the ED for a nontraumatic dental reason. Unadjusted descriptive results indicated that there was no apparent increase in the percentage of patients who visited an ED with nontraumatic dental conditions (NTDCs) between 2007 and 2014. The greatest users of EDs for NTDCs were among those who were uninsured and Medicaid beneficiaries relative to persons privately insured. ED visitors were more likely to reside in lower socioeconomic areas (when compared with visitors in the top quartile of the income distribution). Patients in all other age groups were more likely to seek care in an ED for NTDCs relative to those 65 years of age or older. Multiple strategies are required to reduce the use of EDs for routine dental care. This approach will require an interprofessional dialogue and solutions that reduce barriers to receiving dental care.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Doenças Estomatognáticas/epidemiologia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Estudos Transversais , Assistência Odontológica , Feminino , Humanos , Renda , Cobertura do Seguro , Masculino , Pessoa de Meia-Idade , Estados Unidos/epidemiologia , Adulto Jovem
10.
JNMA J Nepal Med Assoc ; 57(217): 184-188, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31477960

RESUMO

INTRODUCTION: Poor dental hygiene has been associated with various perinatal complications in studies done worldwide but few studies in Nepal have explored the knowledge of pregnant ladies regarding dental hygiene. The aim of the study was to know the knowledge and practices of pregnant women regarding oral health in a tertiary care center in Nepal. METHODS: A qualitative study was carried out in Nobel Medical College and Teaching Hospital from January 15, 2018 to June 15, 2018 after approval from the Institutional Review Committee of Nobel Medical College. Convenience sampling was done. Fifty pregnant women admitted in antenatal ward were interviewed regarding their knowledge of dental care in pregnancy, the common dental problems they faced and the treatment taken. A predesigned proforma was used and results were analyzed using SPSS version 17. RESULTS: Twenty two (44%) patients reported dental problems during pregnancy. Bleeding gums was seen in 7 (14%) and toothache in 7 (14%) were commonly reported dental problems. Forty seven (94%) patients acknowledged that routine dental care was needed for health, only 6 (12%) were aware that poor dental health could affect baby weight. Oral health not seen as priority in 24 (48%) was the main barrier to seeking dental care in pregnancy followed by costs of treatment in 18 (36%) and safety concerns in pregnancy in 8 (16%) cases. CONCLUSIONS: Though dental problems were a common occurrence in pregnancy, utilization of services was low for the same. The participants reported significant barriers to obtaining dental care including lack of knowledge about the importance of maternal oral health and the treatment costs.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal/normas , Higiene Bucal/estatística & dados numéricos , Complicações na Gravidez/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adolescente , Adulto , Assistência Odontológica/estatística & dados numéricos , Feminino , Humanos , Nepal , Higiene Bucal/normas , Gravidez , Complicações na Gravidez/prevenção & controle , Doenças Estomatognáticas/prevenção & controle , Centros de Atenção Terciária , Adulto Jovem
11.
J Public Health Dent ; 79(4): 334-342, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31418874

RESUMO

OBJECTIVES: The purpose of this study was to provide an overview of methodological approaches to assess the relationship between dental diseases and other noncommunicable diseases on the basis of claims data. METHODS: Based on the methodological framework of Arksey and O'Malley, a scoping study was conducted. By searching electronic databases (PubMed, Web of Science, and LILACS), appropriate articles were identified. After extracting relevant information and entering it into a data-charting form, the study characteristics and the methodological approaches were summarized descriptively. RESULTS: Fifty-one articles were identified for inclusion in the analysis. Most of the selected studies (78 percent) originated from Taiwan and employed a cohort design. The majority of studies considered dental diseases, particularly periodontal disease (PD) measures, but no common standard was identified for the definition of PD. Unmeasured confounding, misclassification, and surveillance bias were reported to be the main limitations of the claims data analyses. CONCLUSIONS: Claims data provide a very useful information source to further delineate the relationship between PDs and other noncommunicable diseases. If diagnostic codes are available, they seem to be the most suitable tool to assess PD in claims-based studies. In databases that do not contain dental diagnostic codes, e.g., databases in Germany and the United States, the identification of PD is a particular challenge. The inclusion of dental diagnostic codes in all claims databases is strongly recommended. Due to the public health relevance of PD, there is a need for more comprehensive documentation of dental parameters within claims data.


Assuntos
Doença Crônica , Doenças Estomatognáticas , Estudos de Coortes , Alemanha , Humanos , Taiwan
12.
Postgrad Med J ; 95(1127): 497-504, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31296791

RESUMO

Infarction of the insula is a common scenario with large tissue-volume strokes in the middle cerebral artery territory. Considered to be part of the central autonomic network, infarction of this region is associated with autonomic disturbances, in particular cardiovascular dysregulation. Risk of aspiration following stroke is also associated with involvement of the insula, consistent with its purported participation in complex functions of the mouth and pharynx. Strokes restricted to the insula are rare and present with a broad range of symptoms that offer a window of insight into the diverse functionality of the insular cortex. Chemosensory, autonomic, vestibular, auditory, somatosensory, language and oropharyngeal functional deficits are all recognised, among others. Long-term sequelae are unknown but profound symptoms, such as hemiparesis, are usually transient. Understanding the patterns of dysfunction highlighted provides the basis for future strategies to optimise stroke management on the discovery of insula involvement.


Assuntos
Córtex Cerebral , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/fisiopatologia , Doenças do Sistema Nervoso Autônomo/etiologia , Doenças Cardiovasculares/etiologia , Humanos , Transtornos da Linguagem/etiologia , Distúrbios Somatossensoriais/etiologia , Doenças Estomatognáticas/etiologia , Doenças Vestibulares/etiologia
14.
Br J Oral Maxillofac Surg ; 57(7): 632-637, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31200980

RESUMO

This epidemiological study was designed to find out the incidence and factors associated with the occurrence of intraosseous lesions diagnosed at a Reference Centre in Brazil. We included all patients diagnosed with intraosseous lesions (cyst, tumour, bone-associated lesion, and periapical disease) during the period 2006-2017, and analysed the association between some sociodemographic and clinical variables and the types of lesion. There was a total of 290 intraosseous lesions, the most common being odontogenic cysts. There was a significant association between age and odontogenic tumours (p=0.001). In relation to the histopathological diagnosis, root cysts were the most common (n=57), followed by dentigerous cysts (n=26). The lesions studied were seen most often in women between the second and fourth decades of life, odontogenic cysts being the most common type found. We know of few publications of similar epidemiological work, either in Brazil or in the rest of the world, so we suggest that more such studies are made.


Assuntos
Cisto Dentígero/patologia , Cistos Odontogênicos/epidemiologia , Tumores Odontogênicos/epidemiologia , Doenças Estomatognáticas/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Brasil/epidemiologia , Criança , Pré-Escolar , Cisto Dentígero/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Cistos Odontogênicos/patologia , Tumores Odontogênicos/patologia , Estudos Retrospectivos , Doenças Estomatognáticas/patologia , Adulto Jovem
15.
Wiad Lek ; 72(5 cz 1): 769-772, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31175770

RESUMO

OBJECTIVE: Introduction: Measures to prevent dental diseases are included in the list of medical care provided by dentists. Modern socio-economic transformations, including in health care, have contributed to the gradual evolution of the patient from the recipient of medical care to the consumer of services. The aim: To study the position of patients regarding the need and effectiveness of preventive dental care. PATIENTS AND METHODS: Materials and methods: Study was conducted among 310 patients who were admitted in various municipal and state medical institutions, dental clinics and private dental offices in Uzhhorod. The average age of respondents is 26 years. The survey was conducted using questionnaires. RESULTS: Results: 90% of respondents are willing to pay for dental treatment based on the use of innovative technologies; 64% of people refer to paid services aesthetic therapeutic treatment; 87% of patients agree to pay for orthopedic treatment and 48% - for surgical intervention. Only 16% of respondents consider additional professional hygiene services and ready to pay for it themselves. Survey data show that 43.2% of patients give a doctor the main role in the treatment process. 42.8% of respondents need medical help in the form of advice or counseling for a decision on treatment. 14% of patients prefer to choose their own medical care and control the treatment. CONCLUSION: Conclusions: Dental prophylactic measures that are implemented in the practice of regulating social and labor relations, the presence of relationships between the physician and the patient develop by socio-psychological laws.


Assuntos
Assistência Odontológica , Doenças Estomatognáticas , Adulto , Assistência à Saúde , Humanos , Inquéritos e Questionários
16.
J Am Dent Assoc ; 150(8): 656-663, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31235066

RESUMO

BACKGROUND: Inadequate access to oral health care and palliative care provided in the emergency department (ED) creates a pattern of repeat nontraumatic dental condition (NTDC) ED visits. The authors examined NTDC ED revisits and assessed the determinants associated with these visits in Massachusetts. METHODS: The authors examined NTDC ED revisits in Massachusetts during 2013 using the Massachusetts All-Payer Claims Database. The authors report patient characteristics of those who made a single NTDC ED visit and of those who made NTDC ED revisits within 30 days of the index NTDC ED visit. The authors used a multilevel logistic regression model to examine the determinants associated with NTDC ED repeat visits. RESULTS: In 2013, 21.5% of NTDC ED visits were revisits. Men from 26 through 35 years of age who were enrolled in Medicaid and who did not make an outpatient dental office visit within 30 days of the index NTDC ED visit had increased odds of repeat visits. CONCLUSIONS: The sizable proportion of NTDC ED repeat visits indicates that certain patients in Massachusetts experience consistent and systematic barriers in accessing appropriate and timely oral health care. PRACTICAL IMPLICATIONS: Prioritizing young adults and Medicaid enrollees for ED diversion programs and setting up a formal referral process via connecting patients to dental offices and community health centers after an NTDC ED visit may reduce NTDC ED revisits and provide appropriate oral health care to these patients.


Assuntos
Doenças Estomatognáticas , Doenças Dentárias , Adulto , Assistência Odontológica , Serviço Hospitalar de Emergência , Humanos , Masculino , Massachusetts , Medicaid , Estados Unidos , Adulto Jovem
17.
J Zoo Wildl Med ; 50(1): 16-22, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-31120658

RESUMO

Disorders of the oral cavity are conditions reported by veterinarians that impact the health and welfare of large felids in human care. There have been no studies documenting the prevalence of these conditions and species affected in Australian zoos. A review of the medical records of lions (Panthera leo), tigers (Panthera tigris), cheetahs (Acinonyx jubatus), jaguars (Puma onca), snow leopards (Panthera uncia), Persian leopards (Panthera pardus saxicolor), and cougars (Puma concolor) from 10 Australian zoos and an online survey of zoo professionals from Australian and New Zealand zoos was performed to determine the recorded prevalence of disorders of the oral cavity in these species. Preliminary assessments were also made to determine if there was an association between the occurrence of tooth fractures and diet, feeding practices, species, sex, and age of the animal. The study also examined associations of these conditions with behavior, such as fighting, and husbandry practices, such as the provision of enrichment items. The review found that tooth fractures were common in tigers and lions greater than 8 yr of age. Animal caregivers attributed this to animals chewing on large, hard pieces of bone in some instances, but this could not be verified. Instances of bones being lodged between canine teeth were observed and appeared to be related to the feeding of bones of inappropriate size. Based on these findings, it is recommended that guidelines for bone size fed be developed and that animals over the age of 8 yr receive regular dental examinations under general anesthesia.


Assuntos
Felidae , Doenças Estomatognáticas/veterinária , Animais , Animais de Zoológico , Austrália/epidemiologia , Feminino , Masculino , Boca/patologia , Nova Zelândia/epidemiologia , Estudos Retrospectivos , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/etiologia
18.
Anaerobe ; 59: 35-37, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31103532

RESUMO

Dialister pneumosintes is an obligate anaerobic Gram-negative rod associated with infections of the oral cavity. We report on a previously healthy, 51-year-old woman who presented with a liver abscess caused by Dialister pneumosintes as a complication of a dental abscess. The microorganism was identified by using a broad-range bacterial 16S rRNA gene PCR in the liver exudate. The patient was cured after abscess drainage and 4-week antibiotic treatment. Our case highlights the importance of a good history and physical examination when taking care of patients admitted for pyogenic liver abscess.


Assuntos
Infecções por Bactérias Gram-Negativas/diagnóstico , Infecções por Bactérias Gram-Negativas/patologia , Abscesso Hepático/diagnóstico , Abscesso Hepático/patologia , Veillonellaceae/isolamento & purificação , Antibacterianos/administração & dosagem , DNA Bacteriano/química , DNA Bacteriano/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Drenagem , Feminino , Infecções por Bactérias Gram-Negativas/microbiologia , Infecções por Bactérias Gram-Negativas/terapia , Humanos , Abscesso Hepático/microbiologia , Abscesso Hepático/terapia , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , RNA Ribossômico 16S/genética , Doenças Estomatognáticas/complicações , Resultado do Tratamento
19.
JDR Clin Trans Res ; 4(1): 86-95, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30931760

RESUMO

BACKGROUND: Physicians' offices and emergency departments (EDs) are not suited for addressing nontraumatic dental conditions (NTDCs); however, significant numbers of people in Canada, including Ontario, visit such settings for their dental complaints. Also, people sometimes visit hospitals for day surgery to get their complicated dental conditions treated. This reflects the inefficient usage of the health care system and gaps in accessing timely dental care. METHODS: We assessed trends in the burden of NTDCs in Ontario by estimating the visits made for such conditions to physicians, EDs, and hospitals for day surgery. Aggregate data for years 2001 to 2015 were retrieved from Intellihealth Ontario. Descriptive analysis was conducted to calculate rates of visits as stratified by sex, age groups (0 to 6, 7 to 18, 19 to 64, and ≥65 y), and jurisdictions (public health unit level). RESULTS: On average, 70,274 visits to physicians, 51,861 to EDs, and 13,889 to hospital day surgery are made each year in Ontario for NTDCs, which costs approximately CAN$29 million. Children aged 0 to 6 y visit more than their counterparts. Statistically significant increasing trends for physician and ED visits were observed over the years. Analyses show large variations in rates of visits across public health units, with higher rates in rural communities. CONCLUSION: A large number of visits for NTDCs, with jurisdictional variations, were consistently made to nondental health care settings in Ontario over the last 15 y. Central- and local-level policy options for optimizing resources and health care system use are required. KNOWLEDGE TRANSFER STATEMENT: The findings of this study will provide oral and general health professionals a comprehensive understanding about the ineffective usage of a health care system for nontraumatic dental conditions. Quantifying the burden and associated dollars spent will promote crucial policy discussions to explore the possible options for providing emergency and essential dental services for all Canadians and possible equitable options to enhance access to dental care for vulnerable populations in Canadian society.


Assuntos
Doenças Estomatognáticas , Doenças Dentárias , Criança , Pré-Escolar , Assistência Odontológica , Serviço Hospitalar de Emergência , Humanos , Lactente , Recém-Nascido , Ontário
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA