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1.
Am J Orthod Dentofacial Orthop ; 159(5): e389-e397, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33931225

RESUMEN

INTRODUCTION: Determination of improvement in orthodontic treatment may depend on the measurement method used and the purpose. METHODS: Improvement after orthodontic treatment (from T1 to T2 [beginning to end of treatment]) was assessed 3 ways from a set of 98 patient records: (1) calculated by subtracting judges' assessments at T2 from T1 for records presented in random order, (2) judged as a holistic impression viewing T1 and T2 records side by side, and (3) determined from proxies (American Board of Orthodontics Discrepancy Index, the American Board of Orthodontics Objective Grading System, and the Peer Assessment Rating index). RESULTS: High levels of intramethod consistency were observed, with intraclass correlation coefficient clustering around an intraclass correlation coefficient of 0.900, and distributions were normal. Calculated and judged improvements correlated at r = 0.606. Calculated or judged improvements were correlated at a lower level with proxies. Calculated improvement was significantly associated with "challenge" (T1) scores and judged improvement associated with "results" (T2) scores. Common method bias was observed, with higher correlations among similar indexes than among indexes at the same time that used various methods. Relative to differences in Peer Assessment Rating scores, calculated improvement overestimated low scores and underestimated high ones. The same effect, but statistically greater, was observed using direct judgment of improvement. CONCLUSIONS: These findings are consistent with decision science and measurement theory. In some circumstances, such as third-party reimbursement and research, operationally defined measures of occlusion are appropriate. In practice, the determination of occlusion and improvement are best performed by judgment that naturally corrects for biases in proxies and incorporates background information.


Asunto(s)
Maloclusión , Ortodoncia , Atención Odontológica , Oclusión Dental , Humanos , Juicio , Maloclusión/terapia , Ortodoncia Correctiva , Resultado del Tratamiento
2.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 56(4): 311-317, 2021 Apr 09.
Artículo en Chino | MEDLINE | ID: mdl-33832030

RESUMEN

Endodontic diseases, due to the high incidence rate, affect the life quality and aesthetics of patients. As an auxiliary examination method, oral radiographic examination is of great significance for the preoperative diagnosis, treatment and postoperative evaluation of endodontic diseases. The principle of choosing oral radiology methods is to provide accurate and necessary information for diagnosis and treatment while protecting the patients' interests to the greatest extent. The Society of Cariology and Endodontics, Chinese Stomatological Association, based on extensive solicitation of opinions and reference to relevant literature, has set an application guideline after extensive discussions and revisions. This guideline covers the common clinical scenarios of application of radiographic examination in the diagnosis and treatment of endodontic diseases and provides recommendations for radiological methods. Hopefully, the guideline may help the clinicians to solve the important clinical problems and to provide a scientific foundation for the application of radiographic examination in the diagnosis and treatment of endodontic diseases.


Asunto(s)
Endodoncia , Medicina Oral , Atención Odontológica , Estética Dental , Humanos
3.
Wiad Lek ; 74(3 cz 2): 674-677, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33843633

RESUMEN

OBJECTIVE: The aim: To determine the level of patients' satisfaction with the received dental care in regional dental clinic and to make proposals for improving the quality of dental care based on the survey results. PATIENTS AND METHODS: Materials and methods: 221 copies of the questionnaires completed by the respondents; sociological method (questionnaire), medical-statistical, analysis and bibliosemantic methods were used. RESULTS: Results: Patients expressed high satisfaction with the quality of dental care according to the criteria of geographical accessibility (4.28 ± 0.05 points), the conditions in the doctor's office (4.63 ± 0.04 points), safety of dental interventions (4.54 ± 0.04 points) and their effectiveness (4.58 ± 0.04 points), the attitude of the doctor to the patient (4.75 ± 0.03 points), the clarity of information for the patient (4.52 ± 0.04 points). However, the satisfaction of patients with the cost of dental services was only 3.76 ± 0.05 points. CONCLUSION: Conclusions: Patients' satisfaction with the financial accessibility of dental care was found to be lower compared to satisfaction with other healthcare quality components. This information can be used to make management decisions on revising the coverage of the cost of dental services from the state budget and other sources of funding.


Asunto(s)
Satisfacción del Paciente , Médicos , Atención Odontológica , Humanos , Calidad de la Atención de Salud , Encuestas y Cuestionarios
4.
Wiad Lek ; 74(3 cz 2): 702-707, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33843638

RESUMEN

OBJECTIVE: The aim: Is to characterize the «Medico-sociological map¼ developed by us to identify systemic and local risk factors for periodontal disease in patients with type I and II diabetes mellitus as a resource to improve the treatment of generalized periodontitis. PATIENTS AND METHODS: Materials and methods: We have developed a Medic-sociological map to identify systemic and local risk factors for periodontal disease in patients with type I and type II diabetes mellitus. Methods of accumulation of primary dental and endocrinological information, review and analytical methods. Statistical methods for comparing empirical data and their generalization. RESULTS: Results: Thanks to the «Medico-sociological map¼ developed by us, systemic and local risk factors for the development of periodontal tissue diseases in patients with type I and II diabetes mellitus have been identified. Factors for improving the well-being of patients in the treatment of periodontal diseases have been comprehensively studied. Patients with type 1 and type 2 diabetes mellitus have been shown to give up healthy habits (cigarette smoking) and lead a healthy lifestyle and reduce the health risks that can be caused by generalized periodontitis in combination with diabetes mellitus. CONCLUSION: Conclusions: It has been demonstrated that resources to improve the effectiveness of periodontitis treatment in patients with diabetes mellitus include not only cooperation with endocrinologists, but also our «Medico-sociological map¼ to identify systemic and local risk factors for periodontal disease in patients with type I and II diabetes mellitus.


Asunto(s)
Diabetes Mellitus Tipo 2 , Enfermedades Periodontales , Periodontitis , Atención Odontológica , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/terapia , Humanos , Enfermedades Periodontales/complicaciones , Enfermedades Periodontales/terapia , Periodontitis/complicaciones , Periodontitis/terapia , Factores de Riesgo
5.
Orthod Fr ; 92(1): 167-176, 2021 Mar 01.
Artículo en Francés | MEDLINE | ID: mdl-33871367

RESUMEN

As it is the case in the medical sector, Google reviews of orthodontic practices are on the rise. The main objective of the study was to describe the internet ratings and opinions on orthodontic practices in France. The second objective was to test the factors that influence the number of reviews and the overall rating. We conducted a descriptive study on Google reviews, on 700 specialists in orthodontics in mainland France. 87% of offices got at least one review on Google. An office receives an average of 9.6 comments; 63.6% of reviews are associated with comments; 10.8% of opinions receive a response from practitioners. The average number of stars is 4.1 (+/- 0.7) out of 5. Four types of comments are significant in the context of a multivariate analysis: monetary considerations, the level of hygiene felt, temporal parameters (punctuality…) and the setting of the office. Opinions regarding therapeutic assessments, even though they are the most frequent, only concern 40% of the comments. The socio-economic level of the city, the population density and the concentration of practices are not explanatory factors for the number of reviews or the average rating. A comment related to punctuality or fees lowers the grade. Opinions are given spontaneously and do not necessarily reflect patient satisfaction. A comparative study of the patient actual satisfaction with the average rating on Google could be interesting.


Asunto(s)
Ortodoncia , Satisfacción del Paciente , Atención Odontológica , Francia , Humanos , Internet
6.
Stomatologiia (Mosk) ; 100(2): 12-17, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33874654

RESUMEN

The influence of the quality of registration of medical records in the provision of dental care to the possibility of objective evaluation of the quality of treatment in forensic examinations. The structure of complaints that became the basis for 432 patients' appeal to the court, the frequency of occurrence and the qualitative composition of questions to expert doctors are determined. It is proved, that the medical record of a dental patient is one of the main proofs in the judicial process when justifying the position of the parties: 81% of legislative examinations contained questions about compliance with clinical recommendations and treatment standards, and 69% about the presence of defects and shortcomings of treatment. Analysis of the quality 1530 of dental records in various regions of the Russian Federation showed that only 77.8±1.06% of the records contained a detailed description of the course of surgery, a description of additional diagnostic methods was present in 70.6±1.16%, and an informed consent to surgery in 15.3±0.91% of the records. Unqualified filling out of the medical record is currently regarded as poorly provided medical care so it is necessary to change the attitude of dentists to filling out medical documentation.


Asunto(s)
Documentación , Registros Médicos , Atención Odontológica , Humanos , Federación de Rusia
7.
Stomatologiia (Mosk) ; 100(2): 73-75, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33874665

RESUMEN

THE AIM OF THE STUDY WAS TO ANALYZE: The impact of morphological and functional dental components on the quality of life of adult patients undergoing orthodontic treatment using clear aligners. MATERIALS AND METHODS: Morphological and functional results of orthodontic treatment with aligners as well as the dynamics of oral health related quality of life was assessed in 55 patients aged from 20 to 25 years. RESULTS: The study of the efficacy of orthodontic treatment with aligners showed significant improvement of morphological and functional features of dental arches as well as oral health related quality of life in the course of treatment. CONCLUSION: Orthodontic treatment with aligners is efficient for achieving morphological and functional improvement and enhances social adaptation of patients by increasing oral health related quality of life.


Asunto(s)
Atención Odontológica , Calidad de Vida , Adulto , Anciano , Humanos
8.
Artículo en Inglés | MEDLINE | ID: mdl-33918575

RESUMEN

Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.


Asunto(s)
Pandemias , Estudios Transversales , Asistentes Dentales , Atención Odontológica , Odontólogos , Alemania , Humanos , Estudiantes , Encuestas y Cuestionarios
9.
J Am Dent Assoc ; 152(5): 369-376, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33810832

RESUMEN

BACKGROUND: The degree to which children experience unmet need for dental care during the COVID-19 pandemic and its association with pandemic-related household job or income loss are unknown. METHODS: The authors performed a cross-sectional household survey of 348 families in Pittsburgh, Pennsylvania, from June 25 through July 2, 2020. Unmet need for child dental care and pandemic-related household job or income loss were assessed using caregiver self-report. RESULTS: Caregivers reported that the greatest unmet child health care need during the COVID-19 pandemic was dental care (16%), followed by medical care for a well visit or vaccination (5%). Approximately 40% of caregivers reported job loss or a decrease in household income due to the COVID-19 pandemic. The authors found a significant association between the probability of unmet child dental care and pandemic-related household job or income loss (P = .022). Losing a job or experiencing a decrease in income due to the COVID-19 pandemic was associated with unmet child dental care (relative risk, 1.77; 95% confidence interval, 1.08 to 2.88). CONCLUSIONS: In this sample, 3 times as many households reported unmet dental care for a child compared with unmet medical care. Unmet child dental care was more common in households where pandemic-related job or income loss occurred. PRACTICAL IMPLICATIONS: If unmet dental care continues as a result of the COVID-19 pandemic, nontraditional strategies for delivering dental care can be considered to improve access to dental care for children, such as teledentistry and oral health prevention services in primary care settings.


Asunto(s)
Pandemias , Niño , Estudios Transversales , Atención Odontológica , Accesibilidad a los Servicios de Salud , Humanos , Renta
10.
Artículo en Inglés | MEDLINE | ID: mdl-33819328

RESUMEN

A postextraction socket is always open to different treatment possibilities. A straightforward clinical classification may help evaluate which surgical approach is best suited for the case being treated. Four different classes are defined on the basis of the local anatomy of the site, available bone volume, and soft tissue level. For every clinical situation, either immediate placement, early placement, alveolar ridge preservation, or staged approach can be selected as a treatment modality according to the classifications listed.


Asunto(s)
Pérdida de Hueso Alveolar , Aumento de la Cresta Alveolar , Proceso Alveolar/cirugía , Atención Odontológica , Humanos , Extracción Dental , Alveolo Dental/diagnóstico por imagen , Alveolo Dental/cirugía
11.
Oral Health Prev Dent ; 19(1): 235-243, 2021 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-33829721

RESUMEN

PURPOSE: This systematic review addressed flap designs in endodontic surgery which can have an impact on the Oral Health Related Quality of Life (OHRQoL). MATERIALS AND METHODS: Four electronic databases were searched (PubMed, Cochrane Library, Web of Science, and Scopus) to identify all studies up to November 2019 that investigated the effect of flap designs on gingival recession and quality of life among healthy adults. RESULTS: The initial search identified 2701 references. Ten studies were included in this systematic review; two were randomised clinical trials and eight were non-randomised clinical trials. Studies showed that sulcular incision increases the risk of gingival recession and decreases OHRQoL. Two studies were included in the meta-analysis in relation to gingival recession. The pooled results demonstrated that submarginal incision showed a decreased weighted mean difference in gingival recession by 0.31 mm (95% CI: 0.12 - 0.51) (p = 0.002) compared to sulcular incision. CONCLUSION: Sulcular incision flap unfavourably affect the level of gingiva and OHRQoL. All nonrandomised studies had a statistically significant bias and the sample sizes in all studies were relatively small. More gingival recession and lower OHRQoL were associated with sulcular incision. Additional investigations are warranted to provide more evidence.


Asunto(s)
Recesión Gingival , Calidad de Vida , Adulto , Atención Odontológica , Encía/cirugía , Recesión Gingival/cirugía , Humanos , Colgajos Quirúrgicos
12.
Artículo en Inglés | MEDLINE | ID: mdl-33804211

RESUMEN

The Korean National Health Insurance extended its coverage to reduce the economic burden of receiving dentures and implants for older adults in 2012 and 2014, respectively. We examined whether the new policy resulted in reduced out-of-pocket dental care expenditure in the eligible population, specifically focusing on low-income adults. We used interrupted time-series analysis (ITSA), a quasi-experimental design, to identify the effects of the policy among persons aged 65 or older. Data were extracted from the Korea Health Panel Survey (KHP; 2008-2017). The main outcome was out-of-pocket expenditures on dental care. The ITSA showed that expenditures decreased annually by 4.5% (RR: 0.96, 95% CI: 0.95-0.96) between 2012 and 2014. However, expenditure increased by 7.8% (RR: 1.08, 95% CI: 1.07-1.08) after 2014. Dental insurance coverage did not contribute to reducing the out-of-pocket expenses for dentures among low-income adults, while coverage of dental implants led to an increase in dental expenditure.


Asunto(s)
Gastos en Salud , Seguro Odontológico , Atención Odontológica , Humanos , Cobertura del Seguro , Seguro de Salud , República de Corea , Estados Unidos
13.
Artículo en Inglés | MEDLINE | ID: mdl-33810479

RESUMEN

This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06-6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85-7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.


Asunto(s)
Diabetes Mellitus , Salud Bucal , Australia/epidemiología , Estudios Transversales , Atención Odontológica , Diabetes Mellitus/epidemiología , Humanos , Calidad de Vida
14.
BMC Oral Health ; 21(1): 186, 2021 04 12.
Artículo en Inglés | MEDLINE | ID: mdl-33845835

RESUMEN

OBJECTIVES: Behaviour management strategies involving pharmacological or non-pharmacological interventions during dental procedures should be considered to attain safe and successful treatment outcomes. This study compared the frequencies of use and the completeness of treatment with these interventions. METHODS: A total of 1725 dental records of patients up to 18 years old, who were treated in the King Abdulaziz Medical City in Jeddah City from October 2018 to June 2019, were used in this retrospective, cross-sectional study. Inferential analysis, Chi-square test, Kruskal-Wallis test, and regression model were used in the data analysis. RESULTS: About two-thirds of the patients were treated with attendant non-pharmacological interventions, while one-third, with pharmacological interventions. The application of General Anesthesia (GA) was the most frequently used intervention. Restorative procedures and extractions were done in higher frequencies with pharmacological interventions. Treatments with space maintainers and orthodontic appliances were carried out in higher frequencies with non-pharmacological strategies. The choice of intervention was significantly influenced by the systemic conditions of the patients. Patients treated with non-pharmacological intervention comprised the dominant type of patients, because they required treatments with less pain. Those treated with GA needed restorative treatments and extractions, or treatments that involve pain, but these treatments had higher frequencies of being completed. CONCLUSIONS: The treatments with pharmacological intervention through GA have higher frequencies of being completed, compared to those with non-pharmacological interventions. Factors, such as age, potential to complete the treatment, and the type of dental treatment applied, influence the choice of treatment intervention.


Asunto(s)
Anestesia Dental , Atención Dental para Niños , Anestesia General , Niño , Sedación Consciente , Estudios Transversales , Atención Odontológica , Humanos , Estudios Retrospectivos , Resultado del Tratamiento
15.
16.
Br Dent J ; 230(7): 400-406, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33837335

RESUMEN

Background Dental emergencies experienced during military operations may render individuals unable to operate effectively. To minimise this risk, UK Armed Forces (UKAF) recruits receive a prevention-focused dental care intervention during military training (known as 'Project MOLAR') before their entry to the trained strength of the Armed Forces.Aim To evaluate whether Project MOLAR is effective in preventing future dental emergency events and subsequent oral disease in UKAF recruits.Methods This is a retrospective cohort analysis of UKAF recruits who enlisted between 1 January 2011 and 31 December 2011, conducted by analysing electronic primary dental care records. Adverse outcomes were defined as: i) incidence of dental emergency events during the five-year follow-up period; and ii) further oral disease at 18 months measured by an increase in Decayed, Missing and Filled Teeth (DMFT).Results In total, 7,361 recruits met the inclusion criteria. The total follow-up time for the cohort was 31,957 person-years (mean follow-up 4.3 years/recruit). Individuals whose treatment was completed under Project MOLAR were found to experience a 30% reduction in dental emergency incidence (RR: 0.70-95% CI: 0.63-0.76) (p <0.001) and a 64% reduction in the odds of DMFT increase at 18 months (OR: 0.36-95% CI: 0.28-0.47) (p <0.001) compared to individuals whose treatment was incomplete.Conclusions Defence dentistry's focus on delivering prevention-focused dentistry early in a recruit's military career confers a downstream benefit to personnel who complete the intervention, such that dental emergency occurrences and DMFT progression are significantly reduced.


Asunto(s)
Caries Dental , Personal Militar , Atención Odontológica , Caries Dental/epidemiología , Caries Dental/prevención & control , Humanos , Estudios Retrospectivos , Reino Unido/epidemiología
17.
J Indian Soc Pedod Prev Dent ; 39(1): 2-8, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33885380

RESUMEN

Objective: The objective was to assess the effectiveness of multisensory-adapted environment on children's behavior toward dental treatment, specifically in special need children. Materials and Methods: The main health databases were selected such as SCOPUS, Medline, CINAHL, and Dentistry and Oral Sciences. A set of keywords was defined to identify the relevant article were (i.e., Snoezelen OR Multisensory OR sensory-adapted and Dentistry OR Oral). The articles were selected and extracted by two reviewers based on the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines and some predetermined exclusion criteria. Furthermore, the risk of bias assessment was done. Results: A total of 317 papers were selected at the first phase from SCOPUS (97 papers), Medline (108 papers), CINAHL (110 papers), and Dentistry and Oral Sciences (2 papers). After applying the inclusion and exclusion criteria and duplicated papers were removed, only four eligible papers were selected for final synthesis. Conclusions: Multisensory-adapted dental environment effectively improves oral health behavior among special needs children in terms of physiological changes, behaviors, pain, and sensory discomfort. Thus, the clinician may introduce this approach in their clinical settings.


Asunto(s)
Atención Odontológica , Niño , Humanos , Aceptación de la Atención de Salud
18.
BMC Oral Health ; 21(1): 212, 2021 04 26.
Artículo en Inglés | MEDLINE | ID: mdl-33902535

RESUMEN

BACKGROUND: Between March and June 2020, closing dental clinics during the COVID-19 pandemic except for emergency dental care was recommended. It is documented that health-seeking behaviors change during pandemics. The objective of this study was to examine social determinants associated with decisions to seek dental care in Saudi Arabia during the COVID-19 pandemic. METHODS: A total of 4372 participants were invited to this cross-sectional web-based survey distributed from April 21 to June 20, 2020. The survey included a list of emergency, urgent, and routine dental procedures. Participants were asked if they would seek dental care for these conditions during the pandemic, and what pain severity would make them seek dental treatment. Logistic regression models were performed for predicting variables that explain the decision to go or not to go to the dental clinic during the pandemic for each dental condition. RESULTS: A total of 3443 responded to this survey. The emergency dental situation participants were most willing to go to the dental clinic for was trauma involving facial bones compromising the airway (94.5%). Only 65.8% were willing to seek care for facial cellulitis compromising the airway. On average 35.2% reported seeking teleconsultation as the first step. Eighteen percent of participants were still willing to go to the dental clinic during the pandemic for routine dental procedures. Multiple logistic regression showed that females (Odds Ratio (OR): 1.6, OR 95% CI 1.3, 1.9), people who had never visited a dentist (OR: 1.8, OR 95% CI 1.3, 2.5), and people living in metropolitan regions (OR: 1.8, OR 95%: 1.4, 2.3) had higher odds for not seeking emergency dental care during this pandemic. The pain threshold for seeking dental care during the pandemic was 7 out of 10. Female, those who never visited a dentist, and those from urban regions reported higher pain threshold before seeking dental care (P value < 0.001). CONCLUSION: Social disparities were found in emergency dental care seeking decision-making in Saudi Arabia during the COVID-19 pandemic. It was alarming that some people were afraid to seek dental care for life-threatening dental emergencies as cellulitis during this pandemic. This reflects the importance of increasing public health awareness and governmental regulations.


Asunto(s)
Pandemias , Estudios Transversales , Atención Odontológica , Urgencias Médicas , Femenino , Humanos , Arabia Saudita/epidemiología , Determinantes Sociales de la Salud
20.
BMC Res Notes ; 14(1): 115, 2021 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-33766095

RESUMEN

OBJECTIVES: To reduce the spread of the infection, especially during aerosol generating procedures, we invented "The Cupola", a shield that creates a mechanical barrier around the patient's head and body. With this pilot study we aimed to assess the effectiveness of an additional layer of protection (The Cupola) developed for providers working in the oropharyngeal region. RESULTS: The mean number of 0.3 µm particles with no Cupola was 3777 (SD: ± 556), with The Cupola was 2068 (SD: ± 1468) and with the Cupola and Drape was 2031 (SD: ± 1108) (p < 0.015). The mean number of 0.5 µm airborne particles with no Cupola was 65 (SD: ± 7), with The Cupola was 29 (SD: ± 28) and with the Cupola and Drape was 28 (SD: ± 23) (p < 0.05). Results showed a significant reduction of aerosols generated during simulated dental procedures when the Cupola was used. The Cupola offers an extra layer of protection in addition to the recommended personal protective equipment.


Asunto(s)
/prevención & control , Atención Odontológica , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Dispositivos de Protección Respiratoria , Aerosoles , Personal de Salud , Humanos , Proyectos Piloto
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