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1.
J Can Dent Assoc ; 86: k5, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33326365

RESUMEN

INTRODUCTION: Evidence-based practice (EBP) is an expectation of medical professionals and is positively received in the dental community. Investigations of evidence-based dentistry (EBD) have discussed its use in broad terms and daily clinical practice, but there is only limited information about its use and barriers with respect to particular dental specialities. METHODS: A cross-sectional questionnaire was developed to survey implementation and obstacles to EBP; EBD specific to periodontics; and preferences for types of dissemination of evidence. The target population was active general dentists in Nova Scotia (n = 446). An email link to the questionnaire was distributed to dentists, and reminders were sent 4 and 10 days later. RESULTS: The response rate was limited (16.6%). Most respondents were comfortable evaluating the growing body of research, although many reported use of low-level evidence, including that from other health professionals or expert opinion. A common barrier to use was insufficient time. Respondents who found strong evidence for certain periodontal procedures were more likely to refer these procedures, which included tissue regeneration and periodontics related to endodontics. On-site lecture-based dissemination was preferred by most respondents. CONCLUSION: General evidence-based concepts and use were similar to EBD results reported elsewhere, although external validity is limited by our low response rate and narrow target population. Specific data related to periodontics may be useful in directing a modified questionnaire to a broader target population. Respondents who are truly interested in EBD and responded to our questionnaire may ultimately benefit the most from our results, where further educational opportunities can be tailored to overcome the identified barriers and aid in more effective translation of evidence-based periodontal decisions in a general dental practice.


Asunto(s)
Odontólogos , Periodoncia , Actitud del Personal de Salud , Estudios Transversales , Odontología General , Humanos , Rol Profesional , Encuestas y Cuestionarios , Investigación en Medicina Traslacional
2.
PLoS One ; 15(12): e0244020, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33320905

RESUMEN

AIM: To assess the distribution and deposition of aerosols during simulated periodontal therapy. METHODS: A manikin with simulated fluorescein salivation was treated by four experienced dentists applying two different periodontal treatment options, i.e. air-polishing with an airflow device or ultrasonic scaling in the upper and lower anterior front for 5 minutes, respectively. Aerosol deposition was quantitatively measured on 21 pre-defined locations with varying distances to the manikins mouth in triplicates using absorbent filter papers. RESULTS: The selected periodontal interventions resulted in different contamination levels around the patient's mouth. The highest contamination could be measured on probes on the patient's chest and forehead but also on the practitioner's glove. With increasing distance to the working site contamination of the probes decreased with both devices. Air-polishing led to greater contamination than ultrasonic. CONCLUSION: Both devices showed contamination of the nearby structures, less contamination was detected when using the ultrasonic. Affirming the value of wearing protective equipment we support the need for universal barrier precautions and effective routine infection control in dental practice.


Asunto(s)
Aerosoles/química , Pulido Dental/instrumentación , Control de Infección Dental/métodos , Periodoncia/instrumentación , Terapia por Ultrasonido/instrumentación , Humanos , Maniquíes , Seguridad del Paciente , Equipo de Protección Personal/normas , Saliva/química
3.
Orthod Fr ; 91(1-2): 35-40, 2020 06 01.
Artículo en Francés | MEDLINE | ID: mdl-33146130

RESUMEN

In 2018, a new « Classification of Periodontal and Peri-implant Diseases and Conditions ¼ was adopted by the American Academy of Periodontology and the European Federation of Periodontology. Numerous studies in recent years have improved the understanding of periodontal diseases and their risk factors, leading to an update of the 1999 classification. Among the major changes is the development of a classification of periodontitis into different stages and grades and the notion of periodontal health, an essential prerequisite for orthodontic treatment. Based on the analysis of the 24 published articles, this work provides explanations regarding the main changes that orthodontists may face. The classification of Chicago precisely defines periodontal health and proposes a new system for characterizing periodontitis in stages and grades. It then becomes a valuable aid for the orthodontist in risk detection and periodontal screening. The knowledge of this new classification is essential for reliable communication between dentists, periodontists and orthodontists, in order to guarantee the success of orthodontic treatment.


Asunto(s)
Ortodoncia , Enfermedades Periodontales , Periodontitis , Chicago , Humanos , Periodoncia
4.
Orthod Fr ; 91(1-2): 41-46, 2020 06 01.
Artículo en Francés | MEDLINE | ID: mdl-33146131

RESUMEN

For several decades, orthodontists and periodontists have repeated that orthodontics have no harmful consequences on the periodontium when it is healthy or treated. However, a systematic review of the literature undermines this common refrain and concludes that there is a lack of reliable evidences of the positive effects of orthodontics on periodontal health with, in the best periodontal conditions, slight adverse effects. It is therefore the responsibility of orthodontists to keep the periodontal cost of orthodontic treatment as low as possible. How to make sure that this « at best ¼ does not turn into an « at worst ¼ ? In order to minimize the deleterious consequences of orthodontic treatment on the periodontium, the orthodontist must be able to specify which patients she/he can immediately consider providing orthodontic treatment and those on whom periodontal treatment is mandatory before all. The orthodontist must therefore transform, for a few minutes, into a periodontist in order to recognize the eight signs of loss of attachment and the six risk factors for periodontitis, exposed in this article. Both needs for periodontal and orthodontic treatment have to be measured and would not be efficient without the patient's and the practitioners' motivation.


Asunto(s)
Ortodoncia , Enfermedades Periodontales , Odontólogos , Femenino , Humanos , Masculino , Enfermedades Periodontales/terapia , Periodoncia , Periodoncio
5.
Rev. inf. cient ; 99(5): 503-511,
Artículo en Español | LILACS | ID: biblio-1139213

RESUMEN

RESUMEN Introducción: La aspiración de egresar un estomatólogo general suficientemente preparado para resolver los problemas de salud bucal periodontal más generales y prevalentes es una exigencia social que se revela en el actual plan de estudio de la carrera de Estomatología. Objetivo: Elaborar unos referentes teóricos de la preparación del estudiante de Estomatología en función de la educación para la salud bucal periodontal. Método: De enero a julio de 2020, en la Facultad de Estomatología de la Universidad de Ciencias Médicas Guantánamo se realizó una revisión narrativa sobre el tema a través de una búsqueda en bases de datos electrónicas (Biblioteca Virtual en Salud, LILACS, PubMed, SciELO, REDALYC, Scopus). Se sistematizaron referentes teóricos que sustentan la preparación del estudiante de Estomatología en función de la educación para la salud bucal periodontal. Conclusiones: Se evidencia la necesidad de esta preparación dada su implicación en el modo de actuación profesional para una Atención Bucal Periodontal Integral. Las bases para esta finalidad emergen de la conjugación armoniosa de referentes filosóficos, sociológicos, legales, psicológicos, pedagógicos y didácticos en función de la práctica de la profesión.


ABSTRACT Introduction: The aim to graduate a general dentist with a high standard in knowledge to solve the most general and prevalent periodontal oral health issues is a social demand that is revealed in the current study program of dentistry major. Objective: To elaborate some theoretical references concerning dentistry student preparation in terms of education for periodontal oral health. Method: From January to July 2020, at the Facultad de Estomatología in the Universidad de Ciencias Médicas Guantanamo, a narrative review on the subject was carried out through a search in electronic databases (Virtual Health Library, LILACS, PubMed, SciELO, REDALYC, Scopus). It was systematized all the theoretical references that support the preparation of the dentistry students in terms of education for periodontal oral health. Conclusions: It is evident the necessity of this type of training due to its implication in the way to the best professional performance for an integral oral care. The foundations for achieving this goal emerge from the harmonious conjugation of philosophical, sociological, legal, psychological, pedagogical and didactic referents, in accordance to the practice of the profession.


Asunto(s)
Humanos , Periodoncia/educación , Educación en Salud Dental/métodos , Estudiantes de Odontología
6.
Periodontol 2000 ; 84(1): 215-216, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32844419

RESUMEN

Severe/progressive periodontitis is associated with cardiovascular disease, cancer, Alzheimer's disease, and dozens of other serious diseases. Herpesviruses are implicated in severe periodontitis and in specific subsets of each of the above systemic diseases. That both periodontitis and herpesviruses are linked to the same nonoral diseases is consistent with a systemic pathogenic role of periodontal herpesviruses. Effective control of periodontitis-related systemic diseases requires collaboration between dentistry and medicine. Periodontology has emerged as an important preventive medical discipline, and periodontal teaching and practice need to adjust accordingly.


Asunto(s)
Enfermedades Cardiovasculares , Infección Focal , Enfermedades Periodontales , Periodontitis , Predicción , Humanos , Periodoncia
7.
J Prosthet Dent ; 124(3): 274-349, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32811666

RESUMEN

This comprehensive review of the 2019 restorative dental literature is offered to inform busy dentists regarding remarkable publications and noteworthy progress made in the profession. Developed by the Scientific Investigation Committee of the American Academy of Restorative Dentistry, each author brings discipline-specific expertise to 1 of 8 sections of the report: (1) prosthodontics; (2) periodontics, alveolar bone, and peri-implant tissues; (3) implant dentistry; (4) dental materials and therapeutics; (5) occlusion and temporomandibular disorders; (6) sleep-related breathing disorders; (7) oral medicine and oral and maxillofacial surgery; and (8) dental caries and cariology. The report targets important information likely to influence day-to-day dental treatment decisions. Each review is not intended to stand alone but to update interested readers so that they may visit source material when greater detail is desired. As the profession moves toward evidence-based clinical decision-making, an incredible volume of potentially valuable dental literature continues to increase. It is the intention of this review and its authors to provide assistance in negotiating the extensive dental literature published in 2019. It is our hope that readers find this work useful in the clinical management of dental patients.


Asunto(s)
Caries Dental , Materiales Dentales , Oclusión Dental , Humanos , Periodoncia , Prostodoncia , Estados Unidos
8.
Cient. dent. (Ed. impr.) ; 17(2): 139-146, mayo-ago. 2020. tab
Artículo en Español | IBECS | ID: ibc-195102

RESUMEN

Hablamos de sonrisa gingival cuando se altera la armonía establecida entre los dientes, labios y encía, exponiendo más allá de 2 mm de encía coronal a los incisivos maxilares, una circunstancia que, en ocasiones, genera un problema estético para algunos pacientes. La etiopatogenia de dicha condición se resume en tres facetas: dentoperiodontal (erupción pasiva alterada y erupción activa alterada), ósea (esquelética y/o dentoalveolar) y muscular (labio superior corto e hipermovilidad labial).Una condición multifactorial como la sonrisa gingival precisa un abordaje multidisciplinar: cirugía plástica periodontal, ortodoncia, cirugía ortognática, reposición labial, infiltración de toxina botulínica y tratamiento estético complementario


The excessive gingival display when a patient smiles (from 2 mm or more) is known as gummy smile. When the harmony established between the teeth, lips and gum is altered, exhibiting short clinical crown of the maxillary anterior teeth, in occasions generates an aesthetic problem for some patients.There are different etiologies of gummy smile, it concludes in three facets: dentoperiodontal (Altered Passive Eruption and Altered Active Eruption), bone defect (excessive vertical bone growth, dentoalveolar extrution) and muscular (short upper lip and upper lip hyperactivity), and the combination of some of these factors.A multifactorial condition requires a multidisciplinary boarding: plastic periodontal surgery, orthodontic, orthognathic surgery, lip reduction, infiltration of Botulinum toxin and complementary aesthetic treatment


Asunto(s)
Humanos , Técnicas Cosméticas , Sonrisa/fisiología , Músculos Faciales/anatomía & histología , Músculos Faciales/fisiología , Dimensión Vertical , Sobrecrecimiento Gingival/cirugía , Ortodoncia/métodos , Ortodoncia Correctiva/métodos , Periodoncia , Cirugía Ortognática
9.
J Int Acad Periodontol ; 22(3): 100-108, 2020 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-32655035

RESUMEN

OBJECTIVES: The objective of this study was to assess the quality of randomised clinical trials (RCT) published in the field of periodontology in compliance with CONSORT guidelines and also to identify any associated influencing factors. METHODS: Quality of reporting in accordance with the 2010 CONSORT checklist was assessed and scored for RCTs published between 2015-2018 in three major periodontal journals: Journal of Periodontology (JP), Journal of Periodontal Research (JPR) and Journal of Clinical Periodontology (JCP). Descriptive statistics and linear regression with univariate analysis were carried out to identify the variables associated with mean CONSORT score. Mean scores were compared between various variables. RESULTS: 177 RCTs were identified from1875 published scientific articles accounting for 9.4% of the total publications screened. Europe (54%) produced more than half of the RCTs followed by Asia (19.2%). A large number of RCTs failed to report satisfactorily many items from the CONSORT checklist with no significant difference between three journals. The mean CONSORT score for JCP was the highest, at 70.5% (95% CI: 68.8 to 72.1), followed by JOP, at 69.9% (95% CI: 68.1 to 71.7) and 68.8% (95% CI: 65.6 to 71.9) for the JPR at p=0.631. Though, the mean CONSORT score increased from 70.4% in 2015 to 71.0% in 2018 but differences were not significant at p=0.653. RCTs reported by more than six authors had better CONSORT score compared to RCTs reported by fewer than six authors at p=0.01. CONCLUSIONS: Inadequate reporting of several items of the CONSORT statement in published periodontal RCTs highlights the shared responsibility of researchers, journal reviewers and editors in maintaining the quality of reporting of RCTs.


Asunto(s)
Periodoncia , Ensayos Clínicos Controlados Aleatorios como Asunto , Informe de Investigación , Asia , Estudios Transversales , Europa (Continente)
12.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(6): 408-411, 2020 Jun 09.
Artículo en Chino | MEDLINE | ID: mdl-32486571

RESUMEN

Recently the model of cultivating stomatology talents for postgraduate education in China is primarily specialized education. The aim of the present study was to construct a multidisciplinary grand rounds series based on presentation and commentary for diagnosis and treatment plan of clinical cases, in order to improve the clinical competence of postgraduate students from various dental disciplines for resolving the clinical problems. The grand rounds series was designed for postgraduate students of periodontology, with the combination of the advantages of the international dentistry education experience and Chinese characteristics. This study focused on designing and exploring the multidisciplinary grand rounds series based on complicated periodontal clinical cases, and also on analyzing and evaluating the effectiveness of the series by questionnaire investigation for both teachers and students. The results of the preliminary investigation showed that postgraduate students had positive view on the form and content of the teaching rounds. However, more analysis is needed for further evaluation.


Asunto(s)
Rondas de Enseñanza , China , Competencia Clínica , Humanos , Periodoncia , Estudiantes
13.
Medicentro (Villa Clara) ; 24(2): 406-412, abr.-jun. 2020.
Artículo en Español | LILACS | ID: biblio-1125001

RESUMEN

RESUMEN Caracterizar la producción científica de los profesores de una especialidad es una necesidad creciente para comprender y mejorar la generación de conocimiento. Se realizó este estudio con el objetivo de describir el perfil bibliométrico de la especialidad de Periodontología en la provincia de Villa Clara, en el período de 2014-2018. El universo de estudio quedó conformado por las 36 publicaciones realizadas en el período seleccionado, las cuales estaban incluidas en los principales repositorios y bases de datos consultadas: BVS, Cumed, SeCiMed, DOAJ, Google Académico, Latindex, SciELO, Scopus y LILACS. Las variables estudiadas fueron: publicaciones por año, tipo de publicación, tipo de temática, productividad por autores y colaboración. Se concluyó que la producción científica se mantuvo en niveles similares por años, y que la mayoría de los artículos fueron artículos originales.


ABSTRACT Characterizing the scientific production of teachers of a specialty is a growing need to understand and improve the generation of knowledge. This study was conducted with the aim of describing the bibliometric profile of the Periodontics specialty in Villa Clara province from 2014 to 2018. The study universe was composed by the 36 publications made in the selected period, which were included in the main repositories and databases consulted: Virtual Health Library, Cumed, SeCiMed, DOAJ, Google Scholar, Latindex, SciELO, Scopus and LILACS. Publications per year, publication type, theme, productivity by authors and collaboration were the variables studied. It was concluded that scientific production remained at similar levels for years, and that most of the articles were original papers.


Asunto(s)
Periodoncia , Bibliometría , Indicadores de Producción Científica
14.
J Dent Educ ; 84(7): 830-839, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32421234

RESUMEN

OBJECTIVES: Technology-enhanced learning (TEL) has been suggested as a suitable learner-centered pedagogical approach in dental education. However, the results of TEL effectiveness in periodontics education are controversial. Therefore, this systematic review aimed to evaluate the effectiveness of TEL to improve educational outcomes in the periodontics field compared to traditional learning methods. METHODS: The search comprised randomized controlled trials (RCTs) and crossover studies that were related to periodontics education from the following databases: MedLine, PsycINFO, Eric, Scopus, EMBASE, and Web of Science. Two authors independently performed study selection, data extraction, and assessed risk of bias. Kirkpatrick's 4-level evaluation model was used to evaluate educational outcomes. RESULTS: From 1642 studies, after applying inclusion criteria, 7 studies remained for analysis. On level 1 (Reaction), undergraduate dental students reported positive attitudes related to TEL. On level 2 (Learning), 3 studies found that TEL improved knowledge gain compared to traditional learning methods. Three other studies did not show any difference between TEL and conventional learning methods, and one found that traditional learning methods presented superior results. On level 3 (Behavior), 1 study found that TEL application improved students' performance. On level 4 (Results), 5 studies suggested that the implementation of TEL would improve educational outcomes in periodontics education if combined with traditional learning methods. CONCLUSION: The findings showed that the exclusive use of TEL does not significantly improve periodontics educational outcomes when compared to traditional learning methods. However, the combination of TEL and traditional learning methods can be the key to enhancing periodontics education.


Asunto(s)
Aprendizaje , Periodoncia , Humanos , Estudiantes
15.
Arch Oral Biol ; 116: 104747, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32422332

RESUMEN

OBJECTIVE: This 6-year study evaluatedAggregatibacter actinomycetemcomitans outcomes and their relationship to clinical status. DESIGN: From the eligible individuals (23-70 years of age), 31 regular compliers (between-visit interval < 6 months) were randomly selected and matched for age/sex with 31 irregular compliers (between-visit interval > 6 months). Periodontal clinical examination and subgingival samples were obtained 5 times: T1 (baseline), T2 (after active periodontal therapy), T3 (2 years), T4 (4 years), and T5 (6 years). Total bacteria load, A. actinomycetemcomitans, and red complex species Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola levels were determined by qPCR while PCR was used to determine the occurrence of the a-b-c-d-e-f-g serotypes and the JP2 clone of A. actinomycetemcomitans. Data between groups was compared over time. RESULTS: At baseline PCR revealed A. actinomycetemcomitans prevalence of 9.7 % and JP2 prevalence of 6.7 %. A. actinomycetemcomitans qPCR levels were higher among individuals < 35 years of age and increased at T2 in irregular compliers. At in irregular compliers at the three follow-up visits. Serotypes a, d, and f showed greater values in at least one follow-up visit in regular compliers. A. actinomycetemcomitans showed negative correlation with probing depth (PD) while serotype b showed negative correlations with PD, PI, clinical attachment level and red complex. CONCLUSIONS: Longitudinally, compliance during PMT contributed to lower A. actinomycetemcomitans levels with some degree of correlation with clinical status. However, this study failed to report any positive effect on the occurrence of the most virulent representatives, i.e. serotype b and the JP2 clone.


Asunto(s)
Aggregatibacter actinomycetemcomitans , Infecciones por Pasteurellaceae , Treponema denticola , Adulto , Anciano , Aggregatibacter actinomycetemcomitans/aislamiento & purificación , Aggregatibacter actinomycetemcomitans/patogenicidad , Humanos , Persona de Mediana Edad , Infecciones por Pasteurellaceae/complicaciones , Periodoncia , Porphyromonas gingivalis , Serogrupo , Tannerella forsythia , Adulto Joven
16.
Periodontol 2000 ; 83(1): 213-233, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32385885

RESUMEN

Epidemiologic and cancer control studies on the association of periodontal disease and cancer risk mostly suggest a positive association with overall cancer risk and certain specific types of cancer. These findings are generally consistent among cross-sectional and longitudinal studies. In this paper, we review epidemiologic studies and current knowledge on periodontal disease and cancer, with a focus on those studies conducted in the years following the Joint European Federation of Periodontology/American Academy of Periodontology Workshop on "Periodontitis and Systemic Diseases" in November 2012. This review also explores the role of chronic inflammation as a biologically plausible mechanistic link between periodontal disease and risk of cancer. Furthermore, it highlights studies that have examined the potential importance of certain periodontal pathogens in this association.


Asunto(s)
Neoplasias , Enfermedades Periodontales , Periodontitis , Estudios Transversales , Humanos , Periodoncia
17.
Periodontol 2000 ; 83(1): 107-124, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32385887

RESUMEN

Cardiovascular diseases are the worldwide leading cause of mortality. Cardiovascular diseases are noncommunicable conditions with a complex pathogenesis, and their clinical manifestations include major cardiovascular events such as myocardial infarction and stroke. Epidemiologic evidence suggests a consistent association between periodontitis and increased risk of cardiovascular diseases. Some evidence supports a beneficial effect of the treatment of periodontitis on both surrogate and hard cardiovascular outcomes. This narrative review has been conducted as an update of the most recent evidence on the effects of periodontitis treatment on cardiovascular outcomes since the last commissioned review of the European Federation of Periodontology-American Academy of Periodontology World Workshop in 2012. Newer evidence originating from published randomized controlled trials confirms a positive effect of periodontal treatment on surrogate measures of cardiovascular diseases, whereas there have been no randomized controlled trials investigating the effect of periodontal treatment on the incidence of cardiovascular disease events such as myocardial infarction and stroke. In conclusion, there is sufficient evidence from observational and experimental studies on surrogate cardiovascular measures to justify the design and conduct of appropriately powered randomized controlled trials investigating the effect of effective periodontal interventions on cardiovascular disease outcomes (ie, myocardial infarction and stroke) with adequate control of traditional cardiovascular risk factors.


Asunto(s)
Enfermedades Cardiovasculares , Infarto del Miocardio , Periodontitis , Humanos , Periodoncia , Factores de Riesgo
18.
Int J Dent Hyg ; 18(3): 314-321, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32384212

RESUMEN

OBJECTIVES: The aim of this study was to investigate periodontal practice methods of dentists and dental hygienists to compare their knowledge and treatment approach in managing periodontal disease. METHODS: An electronic survey was designed to assess and capture three aspects of data: (a) knowledge of periodontics; (b) practice approaches in non-surgical periodontal therapy; and (c) factors affecting clinical care. The survey was distributed to dentists and dental hygienists who graduated from the same dental school within 5 years (2012-2016). Results were analysed by chi-square test, Fisher's exact test and logistic regression model. RESULTS: Out of total 117 participants, 111 of them reported their profession (n = 77 in the dental programme, n = 34 in the dental hygiene programme). The results showed no statistical difference in basic periodontal knowledge between dentists and dental hygienists (P = .12). Only 13% of the surveyed population identified appropriate recall intervals for periodontal maintenance and more dental hygienists reported periodontal re-evaluations being performed within their offices compared with dentists (91% vs 70%, P = .02). Almost half of the participants who reportedly performed periodontal re-evaluations (46%) charged for the re-evaluation procedure, despite it not being covered by dental insurance. More hygienists reported being familiar with and performing adjunct therapy compared to dentists in the study (P < .01). CONCLUSION: In general, dentists and hygienists in the study were found to have similar periodontal knowledge and practice approaches. However, differences in performing periodontal re-evaluation and adjunct therapy were significant. Further studies are needed to investigate clinical barriers that impact evidence-based periodontal care.


Asunto(s)
Higienistas Dentales , Enfermedades Periodontales , Actitud del Personal de Salud , Atención Odontológica , Odontólogos , Humanos , Periodoncia , Pautas de la Práctica en Odontología , Encuestas y Cuestionarios
19.
Eur J Prosthodont Restor Dent ; 28(3): 142-150, 2020 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-32347670

RESUMEN

In the UK, general dental practitioners (GDPs) in primary care are supported in the patient care decision-making-process by specialist consultants in secondary care centres. The consultation, undertaken as an in-person consultation between the patient and the consultant, consists of a comprehensive clinical assessment; The outcome is conveyed to the patient, GDP and other stakeholders as appropriate. Tele-dentistry has the potential to provide an alternative approach through a Remote Clinical Consultation (RCC). To make the encounter as efficient as possible it is helpful to identify data that is essential for the safe and effective conduct of the process. The aims of this exploratory case study are (i) to discriminate between data sets of specialist clinical consultations in endodontics, periodontics and prosthodontics; and (ii) to investigate the opinions of secondary care providers for in-person and RCCs. An online questionnaire was administered to secondary care specialty clinicians in restorative dentistry in the UK (Specialist consultants and senior trainee grades). Results: It is feasible to identify a generic minimum data set for specific consultation processes specifics vary between specialties and experience of the clinician. Views of the consultation process, in-person vs remote, varied between consultants and trainee grades.


Asunto(s)
Odontólogos , Rol Profesional , Odontología , Humanos , Periodoncia , Derivación y Consulta
20.
Int J Dent Hyg ; 18(4): 327-343, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32330350

RESUMEN

OBJECTIVE: To investigate the explicitness and variability of the definition of periodontal health in the current scientific literature. MATERIAL AND METHODS: The authors conducted a systematic literature review using PubMed and CENTRAL (2013-01/2019-05) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the guidelines of the Meta-analysis Of Observational Studies in Epidemiology (MOOSE) statement. RESULTS: A total of 51 papers met the predefined inclusion criteria. Of these, 13 papers did not report any explicit definitions of periodontal health. Out of the 38 remaining articles, half of them used a reference to support their definition and half of them not. The studies published in periodontics-related journals or those that scored a low risk of bias for the methodical quality presented more explicit and valid definitions. Probing pocket depth was the most frequently used individual parameter for defining periodontal health. However, there were substantial variations in the methods of measurement and cut-off values. CONCLUSIONS: Given the diversity of periodontal health definitions, a cross-study comparison is difficult. The results of this review may be useful in making others aware of the significance of standardizing the definition of a healthy periodontium.


Asunto(s)
Periodoncia , Periodoncio , Humanos , Terminología como Asunto
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