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1.
MMWR Morb Mortal Wkly Rep ; 70(13): 467-472, 2021 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-33793464

RESUMEN

Transmission of SARS-CoV-2, the virus that causes COVID-19, is common in congregate settings such as correctional and detention facilities (1-3). On September 17, 2020, a Utah correctional facility (facility A) received a report of laboratory-confirmed SARS-CoV-2 infection in a dental health care provider (DHCP) who had treated incarcerated persons at facility A on September 14, 2020 while asymptomatic. On September 21, 2020, the roommate of an incarcerated person who had received dental treatment experienced COVID-19-compatible symptoms*; both were housed in block 1 of facility A (one of 16 occupied blocks across eight residential units). Two days later, the roommate received a positive SARS-CoV-2 test result, becoming the first person with a known-associated case of COVID-19 at facility A. During September 23-24, 2020, screening of 10 incarcerated persons who had received treatment from the DHCP identified another two persons with COVID-19, prompting isolation of all three patients in an unoccupied block at the facility. Within block 1, group activities were stopped to limit interaction among staff members and incarcerated persons and prevent further spread. During September 14-24, 2020, six facility A staff members, one of whom had previous close contact† with one of the patients, also reported symptoms. On September 27, 2020, an outbreak was confirmed after specimens from all remaining incarcerated persons in block 1 were tested; an additional 46 cases of COVID-19 were identified, which were reported to the Salt Lake County Health Department and the Utah Department of Health. On September 30, 2020, CDC, in collaboration with both health departments and the correctional facility, initiated an investigation to identify factors associated with the outbreak and implement control measures. As of January 31, 2021, a total of 1,368 cases among 2,632 incarcerated persons (attack rate = 52%) and 88 cases among 550 staff members (attack rate = 16%) were reported in facility A. Among 33 hospitalized incarcerated persons, 11 died. Quarantine and monitoring of potentially exposed persons and implementation of available prevention measures, including vaccination, are important in preventing introduction and spread of SARS-CoV-2 in correctional facilities and other congregate settings (4).


Asunto(s)
/epidemiología , Odontólogos , Brotes de Enfermedades , Transmisión de Enfermedad Infecciosa de Profesional a Paciente , Prisiones , /prevención & control , Infecciones Comunitarias Adquiridas , Humanos , Tamizaje Masivo , Cuarentena , Utah/epidemiología
2.
Prim Dent J ; 10(1): 40-45, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33722140

RESUMEN

INTRODUCTION: The COVID-19 pandemic enforced the cessation of routine dentistry and the creation of local urgent dental care systems in the UK. General dental practices are obligated by NHS guidance to remain open and provide remote consultation and referral where appropriate to patients having pain or problems. AIMS: To compare two urgent dental centres with different triage and referral systems with regard to quality and appropriateness of referrals, and patient management outcomes. METHODS: 110 consecutive referrals received by a primary care urgent dental centre and a secondary care urgent dental centre were assessed. It was considered whether the patients referred had access to remote primary care dental services, fulfilled the criteria required to be deemed a dental emergency as mandated by NHS guidance, and what the outcomes of referrals were. RESULTS: At the primary care centre, 100% of patients were referred by general dental practitioners and had access to remote primary care dental services. 95.5% of referrals were deemed appropriate and were seen for treatment. At the secondary care site, 94.5% of referrals were direct from the patient by contacting NHS 111. 40% had received triaging to include 'advice, analgesia and antimicrobial' from a general dental practitioner, and 25.5% were deemed appropriate and resulted in treatment. CONCLUSION: Urgent dental centres face many issues, and it would seem that easy access to primary care services, collaboration between primary care clinicians and urgent dental centres, and training of triaging staff are important in operating a successful system.


Asunto(s)
Pandemias , Odontólogos , Humanos , Rol Profesional , Derivación y Consulta
3.
MMW Fortschr Med ; 163(5): 32-33, 2021 03.
Artículo en Alemán | MEDLINE | ID: mdl-33710556
4.
Braz Oral Res ; 35: e047, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729297

RESUMEN

Kawasaki disease (KD) is a vasculitis with predilection for coronary arteries. Due to a lack of reliable confirmatory laboratory tests, the diagnosis of KD is based on a characteristic pattern of clinical findings that appear in a typical temporal sequence. The diagnostic criteria have been periodically modified and the American Heart Association has proposed the most recent guidelines for its diagnosis. However, patients may have incomplete or atypical forms of KD and diagnosis can often be difficult. Because oropharyngeal manifestations are a common and important feature for diagnosing KD and recent studies have hypothesized a possible association between KD and the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), in this review we highlight the importance of dentists in the diagnosis of KD and its potential association with SARS-CoV-2.


Asunto(s)
Síndrome Mucocutáneo Linfonodular , Odontólogos , Humanos , Síndrome Mucocutáneo Linfonodular/diagnóstico , Estados Unidos
5.
Braz Oral Res ; 35: e048, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729298

RESUMEN

Dentists are exposed to the highest risk of occupational respiratory and droplet infections by working face-to-face with patients. The aim of this study was to investigate the knowledge of symptoms and modes of transmission of COVID-19, stress levels and clinical practice modifications of Turkish dentists during the COVID-19 pandemic. An online survey (15 questions) was sent to Turkish dentists from May 5 to 12 May, 2020. The survey comprised questions about dentists' demographic characteristics, their knowledge about COVID-19, stress levels and the measures taken in dental clinics against COVID-19. This study included a total of 1,095 Turkish dentists. The data were expressed as frequency with percentage values for overall variables. Dentists were most familiar with high fever among the symptoms of COVID-19 (99.4%) and 99.2% of them reported that COVID-19 was transmitted with eye, mouth and nasal mucosa contact on surfaces contaminated with the droplets of infected persons. While the stress levels of females were higher than males, the stress levels of dentists with more than 20 years of professional experience were found to be lower. Regarding the precautions to be taken as a preventive measure when working again, 86.6% of the dentists took precautions by increasing daily patient care intervals and only 38.4% of the dentists wore an N95 mask. During this pandemic, knowing the conditions about when the treatments can be applied and the precautions to be taken will shed light on dentistry staff. Current recommendations of national authorities about the coronavirus should be followed.


Asunto(s)
Pandemias , Odontólogos , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Encuestas y Cuestionarios
6.
Braz Oral Res ; 35: e049, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729299

RESUMEN

The objective of this review is to identify preventive measures for COVID-19 to safeguard dental professionals providing prosthodontic dental care. Electronic searches were performed in PubMed, Scopus, and Cochrane databases using the following descriptors and/or words: "COVID-19," "SARS-CoV-2," "Dental practice," "Prosthodontics," and "Dental infection control." Prosthodontists are at high risk for exposure to the novel coronavirus through aerosols and possibly contaminated surfaces and indirect contact with dental laboratories and dental technicians through impressions, dental stone casts, and fixed and removable prosthetic appliances. Therefore, preventive measures should be implemented, including performing emergency treatments only, rescheduling patients with suspected disease, disinfecting surfaces and prosthodontic materials with biocidal substances, and using protective equipment such as N95 masks, disposable gowns, and face-shields.


Asunto(s)
Pandemias , Odontólogos , Humanos , Pandemias/prevención & control , Prostodoncia
7.
Eur J Paediatr Dent ; 22(1): 75-79, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33719488

RESUMEN

AIM: Behaviour management is one of the essential skills of paediatric dentists. Appropriate use of behavioural principles helps the child in developing the skills and behaviours necessary to willingly undergo dental care, not hindered by undue anxiety or fear. However, very little is known about the knowledge of principles regarding behaviour management among paediatric dentists. Contingency management which is based on the principles of behaviour analysis is a widely accepted behavioural management technique and it includes reinforcement and punishment. The aim and objective of this study was to assess the knowledge of paediatric dentists regarding behavioural management principles related to contingency management. MATERIALS AND METHODS: A cross- sectional survey was conducted among paediatric dental professionals and post-graduate students pursuing masters in paediatric dentistry across Tamil Nadu, India using Knowledge of Behavioural Principles as Applied to Children (KBPAC) questionnaire modified for the dental setting. The data were obtained, tabulated and statistically analysed using SPSS. RESULTS: Responses were obtained from 130 participants, comprising 67 paediatric dental professionals and 63 post-graduate students. The overall average knowledge score was 40.72%. The mean knowledge level of paediatric dental professionals was (0.4378) versus (0.3597) among post-graduate students (p <0.05). CONCLUSION: Knowledge of behavioural management principles related to contingency management among paediatric dentists in Tamil Nadu, India is low.


Asunto(s)
Odontólogos , Odontología Pediátrica , Niño , Estudios Transversales , Humanos , India , Encuestas y Cuestionarios
8.
Prim Dent J ; 10(1): 56-62, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33722137

RESUMEN

We evaluated the quality of general dental practitioner (GDP) tooth wear (TW) referrals to secondary care services in Kent, Surrey and Sussex.Prospective consecutive referrals received via an electronic pathway were assessed from 1 June to 30 October 2019. Reasons for referral, patient demographics, quality of referral, opinion of the triaging clinician and outcome were assessed.Of 671 referrals, 32% were for TW. Males were referred more commonly (1.7:1.0). The median age was 52. Patients were more likely to be referred from distant locations than places closer to the referral centre (p<0.001). Only 55% of referrals suggested a cause for the TW, 33% provided a clinical photograph and 1% recorded a tooth wear index of any type. Referring clinicians most commonly cited attrition as reason for referral (p<0.001). Those under 40 years were referred for erosion (p=0.001) and those over 40 years, attrition (p=0.019). The triaging clinician was more likely to allocate a tooth wear score of three for those under 40 years and a score of four for over 40 years (p<0.001). 47% of referrals were rejected. Males and referrals with photographs were more likely to be accepted for treatment (p=0.017 and p<0.001, respectively).There is a high demand for specialist TW services. The number of referrals being rejected has not changed using the electronic referral system. We advocate the inclusion of mandatory fields for completion by GDPs as well as compulsory clinical photographs and tooth wear indices (Smith and Knight Tooth Wear Index or a basic erosive wear examination - BEWE index).


Asunto(s)
Erosión de los Dientes , Desgaste de los Dientes , Odontólogos , Electrónica , Humanos , Masculino , Persona de Mediana Edad , Rol Profesional , Estudios Prospectivos , Derivación y Consulta , Desgaste de los Dientes/diagnóstico , Desgaste de los Dientes/terapia
9.
Gen Dent ; 69(2): 23-27, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33661110

RESUMEN

Human papillomavirus (HPV) has a nearly ubiquitous prevalence within the adolescent and adult populations worldwide. The virus has been implicated for decades in cervical and uterine cancers, but recent data have shown an increase in cases of virally related oropharyngeal squamous cell carcinoma in both male and female cohorts. The objective of this article is to review the oral health implications of HPV infection, including oral and oropharyngeal prevalence, manifestations, neoplastic potential of HPV-associated head and neck lesions, treatment modalities, and vaccine use. The article will also discuss the continuing education needs of oral healthcare providers. Dental professionals should routinely screen patients for oral and oropharyngeal manifestations of HPV infection, seek timely referral for therapeutic intervention of potentially malignant lesions, and become strong proponents of HPV vaccinations for at-risk patients.


Asunto(s)
Alphapapillomavirus , Carcinoma de Células Escamosas , Neoplasias Orofaríngeas , Infecciones por Papillomavirus , Adolescente , Adulto , Odontólogos , Femenino , Humanos , Masculino , Neoplasias Orofaríngeas/diagnóstico , Neoplasias Orofaríngeas/epidemiología , Neoplasias Orofaríngeas/terapia , Papillomaviridae , Infecciones por Papillomavirus/complicaciones , Infecciones por Papillomavirus/diagnóstico
10.
Gen Dent ; 69(2): 56-59, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33661116

RESUMEN

Munchausen syndrome (MunS), or factitious disorder imposed on self, is an exceedingly rare and immensely difficult syndrome to identify and manage and is considered a diagnosis of exclusion. Few reports exist in the dental literature to date, so the objective of this article is to describe a case of MunS in a 60-year-old woman who sought treatment for bilateral jaw pain and uncontrolled jaw movements. The patient's symptoms started 19 months previously, following placement of a 6-unit metal-ceramic bridge. Her pain started as a mild, intermittent ache that lasted for 30 minutes. However, gradually her symptoms became severe and constant. In addition, she started to experience episodes of uncontrolled jaw contractions that were associated with bilateral episodes of stabbing and shooting pain. Results from her comprehensive clinical assessment and investigations suggested that the patient had masticatory myalgia pain disorder and oromandibular dystonia. She experienced significant relief of symptoms with pharmacologic intervention. However, after an intermittent period of relief, she returned to the clinic with an inconsistent history, irregular clinical examination, and history of erratic behavior. The patient was referred to a psychiatrist, who eventually rendered a diagnosis of MunS. This article will also address considerations for the dental team, including how to identify cases of MunS, relevant courses of action, including appropriate referral, and the consequences of overdiagnosis of MunS.


Asunto(s)
Síndrome de Munchausen , Odontólogos , Femenino , Humanos , Persona de Mediana Edad , Síndrome de Munchausen/diagnóstico
11.
Pediatr Dent ; 43(1): 33-41, 2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33662248

RESUMEN

Purpose: U.S. pediatric dentists require access to hospital operating rooms (ORs) to deliver safe and effective dental care to some children but have reported denial of access to ORs for general anesthesia (GA), causing long waiting times, deferral of medically necessary dental care, and unmeasured pain and anxiety for patients. The purpose of this pilot study was to examine the extent and possible underlying causes of operating room access denial. Methods: Public policy advocates (PPAs) of the American Academy of Pediatric Dentistry completed a written or electronic questionnaire about state-specific OR denials during March 2020. Results: Responses from 50 states and the District of Columbia showed 34 PPAs (67 percent) acknowledging OR access problems, with 14 out of 34 (41 percent) reporting a moderate or major problem. Western district PPAs reported the fewest states affected (four out of 11; 36 percent). Hospitals and reimbursement emerged as frequent foci for denials in comment analysis. Conclusions: Operating room access denial is a problem for pediatric dentists in the majority of U.S. states and the District of Columbia; in those states reporting it as a problem, it was considered moderate or major in significance by almost half.


Asunto(s)
Quirófanos , Odontología Pediátrica , Niño , Odontólogos , Humanos , Proyectos Piloto , Encuestas y Cuestionarios , Estados Unidos
12.
Artículo en Inglés | MEDLINE | ID: mdl-33670181

RESUMEN

Background: on 7 January 2020, a new type of coronavirus was isolated, the Severe Acute Respiratory Syndrome Coronavirus2 (SARS-CoV-2), the organism causing the outbreak that has affected the lives of all humans and has modified the rules of coexistence around the world. In Mexico, from 3 January 2020 to 9 January 2021, there have been 1439, 569 confirmed cases of COVID-19 with 131,031 deaths. The World Health Organization reported that Mexico was ranked twelfth, in terms of confirmed cases of COVID-19 by country. Aim: the objective of this study was to determine what modifications dentists from the Mexican Republic have made to their dental practice during theCOVID-19 pandemic. Methods: the study was conducted based on a questionnaire to evaluate the dentists' response and knowledge on the modifications in their dental practice to combat the new coronavirus's cross-transmission. The questionnaire was piloted before it was distributed. The questionnaire was disseminated through the social network Facebook. The questionnaire was distributed to groups of dentists on Facebook, in each of the Mexican Republic states. The survey was carried out during June 2020. Results and Conclusions: from the 32 states of the Mexican Republic, 29 participated with at least one respondent. The results of the applied survey suggest that dentists, at least the population of surveyed ones, have proper knowledge of detection methods of patients suspected of COVID-19, preventive measures that must be applied in the dental office to decrease the risk of infection, and the appropriate procedures and solutions for dental office disinfection.


Asunto(s)
/diagnóstico , Odontólogos , Conocimientos, Actitudes y Práctica en Salud , Control de Infecciones , Estudios Transversales , Femenino , Humanos , Masculino , México/epidemiología , Competencia Profesional , Encuestas y Cuestionarios
13.
Orv Hetil ; 162(11): 419-424, 2021 03 14.
Artículo en Húngaro | MEDLINE | ID: mdl-33714940

RESUMEN

Összefoglaló. Bevezetés: A kiégés jelensége fokozottan érinti az egészségügyi dolgozókat, a nagyfokú stressz, a folyamatos fizikai és emocionális megterhelés miatt. A kiégés mérését fogorvosok körében végeztük, mivel Magyarországon még nem készült csak fogorvosokat méro keresztmetszeti vizsgálat. Célkituzés: Elsodleges célunk a fogorvosi kiégés elofordulásának, súlyosságának mérése, a rizikófaktorok kiszurése volt. Másodlagos célul a kiégés veszélyére való figyelem felkeltését tuztük ki az érintett csoportban. Módszer: Az adatgyujtés a 'Maslach Burnout Inventory - Human Services Survey' 22 tételes magyar, validált változatával történt online formában. Eredmények: Online kérdoívünket 407 fogorvos töltötte ki. A következo eredményeket kaptuk: az emocionális kimerülés esetében a válaszadók 20%-a (81 fo) tartozik a magas kategóriába, a cinizmus dimenziójának esetében a válaszadók 17,5%-át (70 fo) jellemzi a magas pontszám. A teljesítményvesztés magas dimenziója a minta 75%-ában (302 fo) volt igazolható. Szignifikáns (p≤0,05) védofaktornak találtuk a harmonikus kollegiális viszonyt, a hobbi meglétét, a 2-4 óra napi munkát, a támogató otthoni és munkahelyi légkört, az egészségi probléma és a saját vállalkozás hiányát. Szignifikáns negatív eltérést 6-10 éve dolgozó férfiak körében találtunk. Következtetés: Az eredmények felhívják a figyelmet a legfontosabb protektív tényezokre, melyek segítségével csökkentheto a kiégés mértéke. Orv Hetil. 2021; 162(11): 419-424. INTRODUCTION: Burnout has an increased impact on healthcare workers due to severe stress, constant physical and emotional strain. Burnout was measured among dentists, as no such cross-sectional study has been made in Hungary. OBJECTIVE: Our primary goal was to measure the incidence and severity of dental burnout and to screen for the risk factors. Our secondary goal was to raise awareness of the risk of burnout in the affected group. METHOD: Data collection was performed online with the 22-item Hungarian validated version of Maslach Burnout Inventory - Human Services Survey. RESULTS: 407 dentists completed our online questionnaire. The following results were obtained: in the case of emotional exhaustion, 20% of the respondents belong to the high category, in the cynicism dimension, 17.5% of the respondents have high scores. The high dimension of performance loss is typical in 75% of the sample. We found that harmonious collegial relationships, the existence of a hobby, 2-4 hours of daily work, a supportive home and work atmosphere, the lack of health problems and self-employment are significant (p≤0.05) protective factors. Significant negative differences were found among men who had been working for 6-10 years. CONCLUSION: The results draw attention to the most important protective factors that can help reduce the rate of burnout. Orv Hetil. 2021; 162(11): 419-424.


Asunto(s)
Agotamiento Profesional , Odontólogos , Agotamiento Profesional/epidemiología , Estudios Transversales , Odontólogos/psicología , Odontólogos/estadística & datos numéricos , Humanos , Hungría/epidemiología , Masculino , Encuestas y Cuestionarios
14.
J Appl Oral Sci ; 29: e20200678, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33787730

RESUMEN

OBJECTIVE: SARS-CoV-2 has high human-human transmission rate. The aerosols and saliva droplets are the main contamination source. Thus, it is crucial to point out that dental practitioners become a high-risk group of contagion by SARS-CoV-2. Based on this, protocols have been recommended to avoid cross-contamination during dental care; however, appropriate evidence has not yet been established. Our study sought to make a screening, by in silico analysis, of the potential of mouth rinses used in dental practices to prevent the dental workers' contamination by SARS-CoV-2. METHODOLOGY: Multiple sequence comparisons and construction of the phylogenetic tree were conducted using the FASTA code. Therefore, molecular docking investigation between SARS-CoV-2 proteins (Main Protease, Spike Glycoprotein, Non-structure Protein, and Papain-like Protease) and molecules used in dental practices (chlorhexidine digluconate, hydrogen peroxide, cetylpyridinium chloride, povidone-iodine, gallic acid, ß-cyclodextrin, catechin, and quercetin) was performed using AutoDock Vina. Moreover, 2D interactions of the complex protein-ligand structure were analyzed by Ligplot+. RESULTS: The obtained results showed a remarkable affinity between SARS-CoV-2 proteins and all tested compounds. The chlorhexidine digluconate, catechin, and quercetin presented a higher affinity with SARS-CoV-2. CONCLUSIONS: The overall results allowed us to suggest that chlorhexidine is the most suitable active compound in reducing the SARS-CoV-2 salivary load due to its better binding energy. However, in vivo studies should be conducted to confirm their clinical use.


Asunto(s)
Odontólogos , Humanos , Simulación del Acoplamiento Molecular , Filogenia , Rol Profesional
15.
Int Dent J ; 71(1): 9-20, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33616057

RESUMEN

INTRODUCTION: Graft-versus-host disease (GVHD) is a complication of haematopoietic stem cell transplantation (HSCT). GVHD may also develop following solid transplants or blood transfusions if white blood cells are transferred. GVHD affects multiple organs, including the oral tissues. OBJECTIVE: This pictorial review provides a background of GVHD to dental practitioners, describes the most common oral manifestations of GVHD and highlights the main treatment modifications needed to deliver dental care to patients with GVHD. METHODS: A narrative review enhanced with clinical photographs. RESULTS: Acute GVHD may manifest in the oral mucosa; however, it often develops immediately following HSCT when routine dental treatment is postponed. Chronic GVHD may manifest in the oral mucosa, the salivary glands and the musculoskeletal compartment. It may indirectly affect the teeth and the oral flora, putting the patient at risk for infections. Importantly, GVHD poses an increased risk for oral cancer. CONCLUSION: GVHD has a wide range of oral manifestations, some of which may affect dental treatment.


Asunto(s)
Enfermedad Injerto contra Huésped , Trasplante de Células Madre Hematopoyéticas , Enfermedad Crónica , Odontólogos , Enfermedad Injerto contra Huésped/etiología , Trasplante de Células Madre Hematopoyéticas/efectos adversos , Humanos , Mucosa Bucal , Rol Profesional
16.
Cochrane Database Syst Rev ; 2: CD005084, 2021 02 19.
Artículo en Inglés | MEDLINE | ID: mdl-33605440

RESUMEN

BACKGROUND: Dental professionals are well placed to help their patients stop using tobacco products. Large proportions of the population visit the dentist regularly. In addition, the adverse effects of tobacco use on oral health provide a context that dental professionals can use to motivate a quit attempt. OBJECTIVES: To assess the effectiveness, adverse events and oral health effects of tobacco cessation interventions offered by dental professionals. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group's Specialised Register up to February 2020. SELECTION CRITERIA: We included randomised and quasi-randomised clinical trials assessing tobacco cessation interventions conducted by dental professionals in the dental practice or community setting, with at least six months of follow-up. DATA COLLECTION AND ANALYSIS: Two review authors independently reviewed abstracts for potential inclusion and extracted data from included trials. We resolved disagreements by consensus. The primary outcome was abstinence from all tobacco use (e.g. cigarettes, smokeless tobacco) at the longest follow-up, using the strictest definition of abstinence reported. Individual study effects and pooled effects were summarised as risk ratios (RR) and 95% confidence intervals (CI), using Mantel-Haenszel random-effects models to combine studies where appropriate. We assessed statistical heterogeneity with the I2 statistic. We summarised secondary outcomes narratively. MAIN RESULTS: Twenty clinical trials involving 14,897 participants met the criteria for inclusion in this review. Sixteen studies assessed the effectiveness of interventions for tobacco-use cessation in dental clinics and four assessed this in community (school or college) settings. Five studies included only smokeless tobacco users, and the remaining studies included either smoked tobacco users only, or a combination of both smoked and smokeless tobacco users. All studies employed behavioural interventions, with four offering nicotine treatment (nicotine replacement therapy (NRT) or e-cigarettes) as part of the intervention. We judged three studies to be at low risk of bias, one to be at unclear risk of bias, and the remaining 16 studies to be at high risk of bias. Compared with usual care, brief advice, very brief advice, or less active treatment, we found very low-certainty evidence of benefit from behavioural support provided by dental professionals, comprising either one session (RR 1.86, 95% CI 1.01 to 3.41; I2 = 66%; four studies, n = 6328), or more than one session (RR 1.90, 95% CI 1.17 to 3.11; I2 = 61%; seven studies, n = 2639), on abstinence from tobacco use at least six months from baseline. We found moderate-certainty evidence of benefit from behavioural interventions provided by dental professionals combined with the provision of NRT or e-cigarettes, compared with no intervention, usual care, brief, or very brief advice only (RR 2.76, 95% CI 1.58 to 4.82; I2 = 0%; four studies, n = 1221). We did not detect a benefit from multiple-session behavioural support provided by dental professionals delivered in a high school or college, instead of a dental setting (RR 1.51, 95% CI 0.86 to 2.65; I2 = 83%; three studies, n = 1020; very low-certainty evidence). Only one study reported adverse events or oral health outcomes, making it difficult to draw any conclusions. AUTHORS' CONCLUSIONS: There is very low-certainty evidence that quit rates increase when dental professionals offer behavioural support to promote tobacco cessation. There is moderate-certainty evidence that tobacco abstinence rates increase in cigarette smokers if dental professionals offer behavioural support combined with pharmacotherapy. Further evidence is required to be certain of the size of the benefit and whether adding pharmacological interventions is more effective than behavioural support alone. Future studies should use biochemical validation of abstinence so as to preclude the risk of detection bias. There is insufficient evidence on whether these interventions lead to adverse effects, but no reasons to suspect that these effects would be specific to interventions delivered by dental professionals. There was insufficient evidence that interventions affected oral health.


Asunto(s)
Consejo , Odontólogos , Cese del Uso de Tabaco/métodos , Sesgo , Humanos , Salud Bucal , Ensayos Clínicos Controlados Aleatorios como Asunto , Instituciones Académicas , Cese del Hábito de Fumar/métodos , Cese del Hábito de Fumar/psicología , Cese del Uso de Tabaco/psicología , Tabaco sin Humo/efectos adversos , Universidades
17.
Artículo en Inglés | MEDLINE | ID: mdl-33572669

RESUMEN

Currently, SARS-CoV-2 is the primary pathogen worldwide, disrupting most of our everyday activities. The study aim was to evaluate its impact on the Polish dental community, standards of care, health, and welfare. METHODS: A Google Forms survey was conducted among 303 dental practitioners. RESULTS: Of respondents, 54.93% curbed the number of patients in the last six months, 34.21% declared no changes, and 10.86% reported an increase; whereas 70.7% of the respondents reported a treatment price increase within the same period (27.96% and 1.32% reported no changes and a decrease, respectively). Of the respondents, 15.5% did not close their businesses during the first wave of the pandemic. Most declared 1 or 2 month break, 30.7% and 34.7%, respectively. Some reported 3, 4, or 5 month breaks (15.84%, 1.32%, and 0.99%, respectively), and only two respondents (0.66%) did not admit patients at all. Headache episodes were more frequent among female dentists before the pandemic; after the pandemic, headache frequency increased among both sexes. Temporomandibular disorders (TMDs) were more frequent among women (p = 0.017). CONCLUSIONS: Most Polish dentists followed SARS-CoV-2 recommendations and restricted their practices to admitting only patients with pain or incomplete treatment. Decreased sleep parameters, head, back, and neck pain, were observed. This situation may affect dental health conditions in Polish society over time.


Asunto(s)
Odontología/tendencias , Odontólogos , Nivel de Atención , Odontología/normas , Femenino , Cefalea/epidemiología , Humanos , Masculino , Polonia/epidemiología , Rol Profesional , Estudios Retrospectivos , Encuestas y Cuestionarios , Trastornos de la Articulación Temporomandibular/epidemiología
18.
Syst Rev ; 10(1): 45, 2021 02 02.
Artículo en Inglés | MEDLINE | ID: mdl-33526078

RESUMEN

BACKGROUND: Dental and oral health workers have direct contact with respiratory aerosols of patients during procedures. This study aimed to determine the main concerns of dental and oral health workers globally during COVID-19 outbreaks and the coping strategies that help the resilience of dental and oral healthcare system. METHODS: This scoping study was conducted in August 2020. After adjusting the search strategy, a systematic search of five databases (PubMed, ISI Web of Science, Scopus, ProQuest and EMBASE) was conducted. Data was extracted using Microsoft Excel and the contents of retrieved articles were analysed through a qualitative thematic analysis applying MAX QDA10. RESULTS: Most articles were either editorial/letters to the editor/commentary formats (34%), or literature reviews (26%). About half of the articles belonged to three countries of Italy, China and the USA (each 16% and totally 48%). Thematic analysis of included papers led to the identification of four main global concerns and 19 sub-concerns. Economic, ethical, social and professional concerns are among dental and oral health concerns. Other results indicate on three main themes and 13 sub-themes as the coping strategies including patient management, infection control and virtual strategies. CONCLUSION: Dental and oral health care workers have many concerns relating to COVID-19 including economic, ethical, social and professional factors. Resolution of concerns may involve enhancing coping strategies relating to patient management and infection control strategies as well as using new technologies for virtual contact with the patient without any risk of infection.


Asunto(s)
Adaptación Psicológica , Odontólogos , Salud Global , Personal de Salud , Salud Bucal , Higienistas Dentales , Humanos
19.
Quintessence Int ; 0(0): 0, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33533236

RESUMEN

OBJECTIVES: The spread of COVID-19 has posed significant challenges for dental professionals worldwide. The aims of the present study were twofold: (i) to study the attitudes, emotional responses, and worries among the dental personnel; and (ii) to look for the ability of dental personnel to experience posttraumatic self-growth as a result of the distress caused by the pandemic. METHOD AND MATERIALS: A cross-sectional online survey using an anonymous questionnaire was performed simultaneously in Israel, Canada, and France during the initial lockdown period. RESULTS: Israeli dental practitioners were less worried about their physical health, mental health, or relationships with family and friends than their Canadian and French counterparts. The Canadian dental practitioners were most committed and most willing to treat their patients, as well as most concerned about not being able to treat patients in the same personal way as before the lockdown. French dental practitioners showed the highest level of fear to treat patients. There were no differences in dental practitioners' levels of anxiety, depression, or posttraumatic growth among the countries. Dental practitioners' posttraumatic growth was significantly associated with worries regarding their physical health. CONCLUSION: Responses of dental personnel to the COVID-19 pandemic varied worldwide. Despite the differences, evidence exists that some of the dental practitioners' worries and concerns are associated with psychologic growth as a result of the pandemic. Better understanding and acknowledgment of dental personnel's worries and concerns can facilitate growth and enable positive functioning under the continuous situation of uncertainty.


Asunto(s)
Crecimiento Psicológico Postraumático , Ansiedad , Actitud , Canadá/epidemiología , Control de Enfermedades Transmisibles , Estudios Transversales , Odontólogos , Francia/epidemiología , Humanos , Israel/epidemiología , Pandemias , Rol Profesional
20.
J Am Dent Assoc ; 152(4): 284-292, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33637300

RESUMEN

BACKGROUND: With the advent of new ionizing radiation technologies, consideration must be given to the use of radiography in clinical practice. The authors aimed to determine how general dentists obtain oral and maxillofacial images and whether dentists' demographic characteristics and practice environments affect imaging decisions. METHODS: The authors conducted a cross-sectional study using an electronic survey to collect information from general dentists in Ontario, Canada's most populous province. RESULTS: The authors received 1,332 responses from 9,052 general dentists registered to practice in Ontario. A total of 57.2% of dentists used a nonindividualized approach to obtaining images for new adult dentate patients. Using clinical case scenarios, the authors found that 18.8% through 55.1% of dentists did not follow evidence-based guidelines when obtaining images. Overprescribing imaging was 5.8 times more common than underprescribing. Seeing patients after images were obtained (odds ratio [OR], 5.5), owning a panoramic and a cone-beam computed tomography imaging system (OR, 4.4), and the belief that images should be obtained to screen for occult pathoses (OR, 3.5) were the factors most strongly associated with overprescription. CONCLUSIONS: Radiography prescription practices varied considerably among general dentists in Ontario and did not conform to established guidelines. Factors other than patient needs appeared to influence imaging practices. PRACTICAL IMPLICATIONS: Overprescription of imaging by general dentists can result in unnecessary radiation exposure and financial costs to patients. To mitigate this, changes are needed in dental education, continuing education courses, and regulatory requirements.


Asunto(s)
Odontólogos , Pautas de la Práctica en Odontología , Adulto , Actitud del Personal de Salud , Estudios Transversales , Humanos , Ontario , Prescripciones , Radiografía , Encuestas y Cuestionarios
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