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2.
Oral Health Prev Dent ; 18(3): 485-492, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32515419

RESUMO

PURPOSE: The present study aimed to assess the current situation of Chinese dental bachelor interns on HIV/AIDS-related knowledge and their attitudes towards HIV/AIDS patients. MATERIALS AND METHODS: A cross-sectional, paper-based survey involving 147 dental students from three Chinese dental schools was conducted. Students were recruited to complete the questionnaire regarding their knowledge, awareness and attitudes concerning HIV/AIDS anonymously and voluntarily. RESULTS: A total of 144 students responded to the study, generating a response rate of 98.0%. Although 97.0% of the dental students believed dentists were at high risk of HIV infection, 97.2% of students expressed no prejudice towards HIV/AIDS patients and stated their willingness to provide oral healthcare service for such patients. No statistically significant differences in the responses on attitudes and some basic knowledge were found between students who had received the relevant education about infection control and the students who had not. However, regarding most questions about oral manifestations in adult and paediatric patients living with AIDS, the students who received relevant education showed more knowledge than the students who did not (p <0.05). The cognitive level about respecting HIV/AIDS patients' autonomy and privacy was generally low in all the students. CONCLUSIONS: Most of the dental students in this survey held positive attitudes towards HIV/AIDS patients and good grasp of some basic knowledge about HIV/AIDS. On the other hand, the questionnaire results reflected gaps in education, such as respecting HIV/AIDS patients' privacy.


Assuntos
Síndrome de Imunodeficiência Adquirida , Assistência Odontológica para Doentes Crônicos , Infecções por HIV , Adulto , Atitude do Pessoal de Saúde , Criança , Estudos Transversais , HIV , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Inquéritos e Questionários
3.
Rev. Asoc. Odontol. Argent ; 108(1): 1-5, ene.-abr. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1096146

RESUMO

En medicina, los pacientes de riesgo son aquellos que, al momento de la consulta, presentan antecedentes y/o pa- decimientos que implican una mayor probabilidad de sufrir complicaciones, como personas inmunodeprimidas o con en- fermedades crónicas, ya sean cardíacas, pulmonares, renales, hepáticas, sanguíneas o metabólicas (por ejemplo, diabetes). Estos pacientes se encuentran en riesgo en el caso de prác- ticas que puedan exacerbar o provocar reacciones adversas a raíz de su padecimiento. En la actualidad, el grupo poblacional vulnerable ha au- mentado a partir de nuevos tratamientos médicos que han per- mitido mejorar padecimientos sistémicos severos y prolongar la esperanza de vida. Ante pacientes "de riesgo" o "en riesgo", el odontólogo debe estar alerta y actualizado, a fin de evitar provocar alteraciones sistémicas y de reaccionar pronta y eficazmente, en caso de ser necesario, ante las urgencias médicas que se presenten (AU)


In medicine, risk patients are those who at the consulta- tion have a history and/or conditions that could cause a great- er possibility of a complication; such as immunosuppressed, chronic heart, pulmonary, kidney, liver, blood or metabolic diseases (for example, diabetes).These patients are at risk during procedures that could in- crease or cause inadequate reactions due to their conditions. Currently, the vulnerable population group has increased since newest medical treatments have emerged; allowing se- vere systemic ailments to improve and prolong life expectancy. With risk or at-risk patients, the dentist must be alert and up-to-date to avoid systemic alterations and react promptly and efficiently if necessary in any medical emergency that might take place (AU)


Assuntos
Humanos , Masculino , Feminino , Fatores de Risco , Assistência Odontológica para Doentes Crônicos , Emergências , Protocolos Clínicos , Doença Crônica , Hospedeiro Imunocomprometido , Cardiopatias
4.
Rev. ADM ; 77(2): 100-107, mar.-abr. 2020. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1102211

RESUMO

El sarcoma de Kaposi (SK) es una neoplasia vascular maligna poco frecuente, asociada al virus herpes humano tipo 8. Existen cuatro formas clínicas: clásico, endémico, asociado con inmunosupresión iatrogénica y asociado al VIH/SIDA. Este artículo presenta una revisión de la literatura sobre la epidemiología, la patogénesis, las manifestaciones clínicas y el tratamiento del sarcoma de Kaposi asociado al VIH/ SIDA (SK-VIH/SIDA) a propósito de un caso clínico manejado en la Clínica Académica de Atención Dental. La baja en la incidencia de esta neoplasia da lugar al desconocimiento de sus manifestaciones clínicas. En adición, los pacientes seropositivos suelen no mencionar su padecimiento en la anamnesis, lo cual representa un riesgo tanto para el paciente en su diagnóstico y manejo odontológico como para el odontólogo y el personal clínico con riesgo de contagio (AU)


Kaposi sarcoma (KS) is an uncommon malignant vascular neoplasm, associated with human herpes virus type 8. There are four clinical presentations: classic, endemic, associated with iatrogenic immunosuppression and associated with AIDS. This article presents a review of the literature on epidemiology, pathogenesis, clinical manifestations, treatment and HIV/AIDS-associated Kaposi sarcoma (SK-HIV/AIDS) regarding a clinical case managed at the Academic Center of Dental Care. The decrease in the incidence of this neoplasm, leads to ignorance of its clinical manifestations. In addition, seropositive patients usually don't mention their condition in the anamnesis, which represents a risk for the patients on their diagnosis and the case management as well as for the dentist and the clinical personnel from risk of infection (AU)


Assuntos
Humanos , Masculino , Adulto , Manifestações Bucais , Sarcoma de Kaposi , Infecções por HIV/complicações , Assistência Odontológica para Doentes Crônicos , Sarcoma de Kaposi/diagnóstico por imagem , Controle de Doenças Transmissíveis , Controle de Infecções Dentárias , Terapia Antirretroviral de Alta Atividade , México
5.
Rev. ADM ; 77(1): 28-36, ene.-feb. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1087974

RESUMO

Las alteraciones hematológicas pueden tener el primer signo en la cavidad oral y los signos varían dependiendo de la línea celular que se encuentre afectada: eritrocitos, leucocitos y plaquetas. La formación de las células sanguíneas se lleva a cabo en la médula ósea a través de un proceso denominado hematopoyesis que se encarga de la formación, desarrollo y especialización de todas sus células sanguíneas funcionales, pasan de células troncales pluripotenciales a células hematopoyéticas maduras que emergen a la sangre periférica. El odontólogo debe ser capaz de identificar los distintos signos en la cavidad oral que podrían sugerir que el paciente padece un trastorno hematológico, el cual podría complicar el tratamiento dental. La identificación oportuna de estos signos a través de una minuciosa exploración física y la historia clínica completa evita que se presenten complicaciones en el paciente y que éstas puedan poner en riesgo su vida, por lo que al encontrar algún signo sugerente de un trastorno hematológico debe referirse al paciente con el hematólogo (AU)


Hematological alterations may be the first sign in the oral cavity and symptoms vary depending on the cell line that is affected: Erythrocytes, leukocytes and platelets. The formation of blood cells are held in the bone marrow through a process called hematopoiesis, which is responsible for training, development and specialization in all its functional blood cells, they move from pluripotent stem cell to hematopoietic cells mature emerging to peripheral blood. The dentist must be able to identify the different signs in the oral cavity that could suggest that the patient has a haematological disorder, which could complicate dental treatment. The timely identification of these signs through a thorough physical examination and the complete clinical history prevents complications from occurring in the patient and may put their lives at risk, so when finding any sign suggestive of a hematological disorder should refer to the patient with the hematologist (AU)


Assuntos
Humanos , Manifestações Bucais , Transtornos da Coagulação Sanguínea/classificação , Doenças Hematológicas , Doenças Periodontais , Plaquetas , Assistência Odontológica para Doentes Crônicos , Úlceras Orais , Eritrócitos , Leucócitos
6.
BMC Oral Health ; 20(1): 13, 2020 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-31937291

RESUMO

BACKGROUND: The aim of this study was to evaluate the dentists' knowledge and practice regarding HIV positive individuals' oral care in Rio de Janeiro State. METHODS: Dentists from Rio de Janeiro State (n = 242) answered an electronic questionnaire on biosafety procedures, oral manifestations of AIDS, and knowledge of HIV infection. Collected information was stratified by gender, and data were analyzed using Chi-square and t tests. RESULTS: From the 14 oral manifestations investigated, oral candidiasis, necrotizing ulcerative gingivitis, and hairy leucoplakia were more associated with HIV, with no differences between the responses from men and women. Above 85% of the participants would be concerned about becoming infected with HIV after a needle/ sharp object injury and more than 80% of them were willing to be tested for HIV. However, significantly more women (98.8%), compared to men (91.3%), said they knew that HIV/ AIDS patients can contaminate dental care professionals, p = 0.007. There was a significant difference in the answers for the questions: "Are there special dental clinics for treatment of HIV/AIDS patients in Brazil?" (p = 0.044), and "Do the negative HIV tests surely indicate that the persons are free of viruses?" (p = 0.005). Significant differences between men and women were also observed regarding use of disposable mask (p = 0.01), and cap (p < 0.0001). CONCLUSION: Most dentists who participated in the study presented a good knowledge on the care of HIV/ AIDS individuals, including biosafety protocols and in terms of the oral manifestations commonly associated to AIDS.


Assuntos
Relações Dentista-Paciente , Odontólogos/psicologia , Infecções por HIV/complicações , Infecções por HIV/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Saúde Bucal , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Adulto , Idoso , Brasil , Criança , Assistência Odontológica para Doentes Crônicos , Feminino , Infecções por HIV/transmissão , Humanos , Controle de Infecções Dentárias , Masculino , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Prática Profissional , Inquéritos e Questionários , Precauções Universais
7.
Rev. Soc. Odontol. La Plata ; 29(57): 7-9, dic. 2019. ilus
Artigo em Espanhol | LILACS | ID: biblio-1050645

RESUMO

En la actualidad, la sífilis es una de las patologías infecciosas más frecuentes y diagnosticarla suele ser un gran desafío debido al polimorfismo de su presentación. Es una enfermedad crónica y sistémica, que atraviesa diferentes etapas; el secundarismo sifilítico representa el estadio más florido del proceso, siendo el resultado de la multiplicación y diseminación hematógena y linfática del Treponema pallidum (Tp). Su rápido reconocimiento y correcto tratamiento constituyen una de las principales herramientas para evitar la diseminación. Se describirá un reporte de casos que evidencian las manifestaciones orales de dicha enfermedad, que contribuirán en el diagnóstico oportuno de la misma (AU)


Nowadays, Syphilis is one of the most common infectious diseases. Its diagnosis poses a real challenge to clinicians because of its multiple and different presentations. Syphilis is a chronic and systemic disease that presents different stages. The second stage, usually known as Secondary syphilis is the most florid one due to the reproduction and dissemination of the Treponema pallidum through blood and lymphatic vessels. An accurate and prompt diagnosis and treatment are critical. Two case reports will be described. Both of them show how multiple and different its oral manifestations are, and how they contributed to achieve an early diagnosis (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Manifestações Bucais , Treponema pallidum , Sífilis/diagnóstico , Argentina , Doença Crônica , Assistência Odontológica para Doentes Crônicos
8.
Cient. dent. (Ed. impr.) ; 16(1): 17-25, ene.-abr. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-183377

RESUMO

La enfermedad o disfunción hepática puede deberse a numerosas causas como infecciones adquiridas, patologías congénitas o el abuso de drogas. Cuando esta disfunción y el daño hepático se prolongan a lo largo del tiempo, puede desembocar en una cirrosis hepática, cuadro irreversible y de graves repercusiones para el enfermo. Las dos patologías hepáticas más frecuentes y principales causas de la cirrosis son la hepatitis o inflamación hepática, la cual se puede deber a numerosos factores siendo el más frecuente las infecciones por virus, y la enfermedad hepática alcohólica, provocada por el abuso de alcohol continuado durante un largo período de tiempo. El manejo odontológico de un paciente con alteraciones hepáticas supone un verdadero reto, ya que el hígado juega un papel vital en numerosas funciones metabólicas, como la secreción de bilis o la excreción de bilirrubina procedente del metabolismo de la hemoglobina. Un fallo en la función hepática puede suponer alteraciones en el metabolismo de aminoácidos, amoníaco, proteínas, hidratos de carbono y triglicéridos. Un paciente con patología hepática tendrá un metabolismo alterado de numerosos fármacos empleados habitualmente por el dentista, tendrá un mayor riesgo de hemorragia debido a anomalías en la síntesis de diferentes factores de coagulación, siendo además un paciente con mayor riesgo de infecciones. La gran repercusión de la enfermedad hepática, así como el notable desconocimiento de muchos profesionales odontólogos en su manejo, justifican este artículo donde se talla tanto las generalidades más importantes de esta entidad como sus principales manifestaciones orales y consideraciones en el manejo odontológico


Liver disease or dysfunction may be due to numerous causes such as acquired infections, congenital pathologies or drug abuse. When this dysfunction and liver damage are prolonged overtime, it can lead to hepatic cirrhosis, an irreversible condition and serious repercussions for the patient. The two most frequent liver diseases and major causes of cirrhosis are hepatitis or hepatic inflammation, which may be due to numerous factors being the most frequent virus infections, and alcoholic liver disease, caused by alcohol abuse continued during A long period of time. The dental management of a patient with liver disorders is a real challenge, since the liver plays a vital role in many metabolic functions, such as bile secretion or excretion of bilirubin from hemoglobin metabolism. A failure in liver function can lead to alterations in the metabolismof amino acids, ammonia, proteins, carbohydrates and triglycerides. A patient with liver disease will have an altered metabolism of numerous drugs commonly used by the dentist, will have a greater risk of hemorrhage due to abnormalities in the synthesis of different coagulation factors, being also a patient with a higher risk of infections. The great repercussion of liver disease, as well as the remarkable lack of knowledge of many dental professionals in its management, justify this article where it is detailed both the most important generalities of this entity as its main oral manifestations and considerations in dental management


Assuntos
Humanos , Hepatite Viral Humana/complicações , Hepatite Crônica/complicações , Hepatopatias Alcoólicas/complicações , Doenças da Boca/complicações , Doenças da Boca/terapia , Assistência Odontológica para Doentes Crônicos/métodos , Doenças Dentárias/complicações , Doenças Dentárias/terapia
9.
Rev. ADM ; 76(2): 85-90, mar.-abr. 2019. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1006106

RESUMO

El trasplante es el reemplazo con propósitos terapéuticos de órganos, tejidos, material celular para un humano, donado usualmente de otro humano vivo o muerto. En recientes años, el trasplante de órganos se ha desarrollado por la tecnología quirúrgica médica y los medicamentos inmunosupresores. Debido a la frecuencia de trasplantes que se realizan, es común atender a pacientes trasplantados en el consultorio dental para recibir tratamiento estomatológico. Objetivo: Revisión de literatura con respecto a las manifestaciones bucales en pacientes trasplantados y el tratamiento estomatológico antes y después del trasplante. Material y métodos: Se revisaron artículos de la literatura que se obtuvieron de la base de datos de PubMed y MedLine. Resultados y conclusión: Describimos las manifestaciones bucales más comunes debido a los medicamentos en pacientes trasplantados (infecciones virales, bacterianas, fúngicas, alteraciones gingivales y xerostomía); además del tratamiento estomatológico que deben recibir los pacientes trasplantados antes y después de ser trasplantado (AU)


Transplantation is the replacement for therapeutic purposes of organs, tissues, cellular material for a human, usually donated from another living or dead human. In recent years organ transplantation has been developed by medical surgical technology and immunosuppressive drugs. Due to the frequency of transplants that are performed it is common to treat transplant patients in the dental office to receive stomatological treatment. Objective: Review of literature regarding oral manifestations in transplant patients and stomatological treatment before and after transplantation. Material and methods: Literature articles that were obtained from the PubMed and MedLine databases were reviewed. Results and conclusion: We describe the most common oral manifestations due to drugs in transplant patients (viral, bacterial, fungal infections, gingival alterations, xerostomia, and the stomatological treatment that transplant patients should receive before and after being transplanted (AU)


Assuntos
Humanos , Masculino , Feminino , Protocolos Clínicos , Transplante de Órgãos , Assistência Odontológica para Doentes Crônicos , Manifestações Bucais
10.
Spec Care Dentist ; 39(2): 173-179, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30773677

RESUMO

INTRODUCTION: Optimal delivery of dental care for adults with congenital bleeding disorders (CBD) requires close collaboration between hemophilia treaters and dentists. AIM: To explore U.K. hemophilia treaters' knowledge of dental procedures and associated hemostatic management in adults with CBD. METHOD: Staff (N = 180) from N = 60 hemophilia facilities in the United Kingdom were invited to participate in a questionnaire-based study using a web-based tool. The questionnaire assessed participants' knowledge, adherence and appropriateness of application of U.K. guidance on hemostatic management of common dental procedures. RESULTS: The response rate was 23% of treaters (n = 41) from 62% (n = 32) hemophilia facilities. Individual participants (87%; n = 34) reported they adhered to guidelines, though knowledge of guidance was poor with only 36% (n = 15) applying guidance appropriately in 3 common dental scenarios. There was a tendency for participants to assign the use of systemic hemostatic measures independent of the agreed bleeding risk associated with the proposed dental procedure. CONCLUSION AND RECOMMENDATIONS: While hemophilia treaters were aware of current guidelines, their knowledge of the guidelines and ability to risk assess dental procedures was poor. There was a tendency to overprescribe systemic hemostatic measures for dental procedures. Education initiatives to aid decision making are needed.


Assuntos
Assistência Odontológica para Doentes Crônicos/efeitos adversos , Conhecimentos, Atitudes e Prática em Saúde , Hemofilia A/complicações , Hemorragia Bucal/etiologia , Hemorragia Bucal/prevenção & controle , Médicos , Adulto , Estudos Transversais , Feminino , Fidelidade a Diretrizes , Hemostasia , Humanos , Masculino , Medição de Risco , Fatores de Risco , Inquéritos e Questionários , Reino Unido
11.
Spec Care Dentist ; 39(2): 108-113, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30707461

RESUMO

AIM: The aim of this study was to evaluate oral characteristics and comorbidities that may affect dental treatment of individuals with Williams syndrome (WS). METHODS AND RESULTS: Fifty-two subjects diagnosed with WS were included in this observational study. Demographic data and medical history were compiled. Facial aspects, tooth abnormalities and oral characteristics were obtained through clinical and radiographic evaluation by a researcher/dentist. Among 52 subjects, 25 were also evaluated for temporomandibular and occlusal disorders, caries and periodontal disease. From the 52 subjects, 23 (44.2%) were female and the average age was of 20 years old (range from 4 to 35 years old). Cognitive impairment and congenital heart disease were the most common medical disorders found in all 52 (100%) and in 41 (78.8%) subjects, respectively. Among the 52 subjects, 51 (98%) presented at least one dental developmental abnormality, with generalized diastemas (72.5%) and hypodontia (50.9%) being the most frequent ones. Angle class III malocclusion was observed in 52% (13/25) of the subjects. CONCLUSIONS: The dentist should be aware of the medical conditions of individuals with WS and thus offer an adequate dental treatment. The high prevalence of tooth abnormalities and occlusal disorders requires an early dental treatment planning.


Assuntos
Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Doentes Crônicos/métodos , Síndrome de Williams , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino
12.
BMJ Case Rep ; 12(2)2019 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-30737328

RESUMO

The role of antibiotic prophylaxis for prevention of infective endocarditis is unknown. Endocarditis prophylaxis is recommended for certain high-risk individuals prior to dental procedures. To our knowledge, this is the first case reported in the literature of a patient with complex congenital heart disease developing endocarditis in the period immediately following otherwise uncomplicated intrauterine device insertion.


Assuntos
Endocardite Bacteriana/diagnóstico , Próteses Valvulares Cardíacas/microbiologia , Dispositivos Intrauterinos/microbiologia , Infecções Relacionadas à Prótese/diagnóstico , Tetralogia de Fallot/tratamento farmacológico , Adulto , Antibioticoprofilaxia , Procedimentos Cirúrgicos Cardiovasculares , Assistência Odontológica , Assistência Odontológica para Doentes Crônicos/normas , Endocardite Bacteriana/terapia , Feminino , Humanos , Dispositivos Intrauterinos/efeitos adversos , Infecções Relacionadas à Prótese/terapia , Fatores de Risco , Tetralogia de Fallot/complicações , Resultado do Tratamento
13.
Spec Care Dentist ; 39(2): 231-235, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30761569

RESUMO

SAPHO is an acronym for Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis. The syndrome is difficult to diagnose because it may present many different manifestations in adults and children. Its origin is still unknown, although some infectious, genetic and immune hypotheses have been put forward. We report the case of a 49-year-old woman with SAPHO syndrome, who developed a serious cutaneous allergy following the insertion of a removable partial denture (RPD). The oral care and treatment of this patient are described.


Assuntos
Síndrome de Hiperostose Adquirida/complicações , Assistência Odontológica para Doentes Crônicos/métodos , Prótese Parcial Removível/efeitos adversos , Dermatite de Contato/imunologia , Níquel/imunologia , Feminino , Humanos , Pessoa de Meia-Idade , Radiografia Panorâmica , Extração Dentária
14.
Spec Care Dentist ; 39(2): 236-240, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30720215

RESUMO

Ectrodactyly ectodermal dysplasia with clefting is a rare syndrome resulting from TP63 gene mutations. It is inherited in autosomal dominant manner or as a de novo transfiguration. It is characterized by a triad of ectodermal dysplasia, ectrodactyly, and facial clefts. This report represents a clinical case of 5 years and 6 months-old male child with ectrodactyly ectodermal dysplasia cleft lip and palate syndrome requiring treatment of his carious teeth. After history taking and clinical examination, the necessary treatment was provided under general anesthesia due to the definitely negative behavior of the child. The treatment outcomes had a positive impact on the behavior and acceptance to dental treatment. This was evidenced by completion of the prosthetic and space management appliances on the dental chair. The child's quality of life was consequently improved. This was evidenced by the reduced response scores of the child perception questionnaire (CPQ11-14 ) after treatment. This report highlighted the value of proper diagnosis and fulfillment of the unmet dental needs for patients with orofacial syndromes to improve their quality of life.


Assuntos
Fissura Palatina/complicações , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Doentes Crônicos/métodos , Cárie Dentária/terapia , Displasia Ectodérmica/complicações , Deficiência Intelectual/complicações , Sindactilia/complicações , Pré-Escolar , Fissura Palatina/cirurgia , Displasia Ectodérmica/cirurgia , Humanos , Deficiência Intelectual/cirurgia , Masculino , Qualidade de Vida , Sindactilia/cirurgia
15.
Niger J Clin Pract ; 22(2): 154-161, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30729936

RESUMO

Objectives: Dental office is an ideal screening place to identify undiagnosed/uncontrolled patients with hypertension. The aim of this study was to assess the knowledge and behavior of dentists toward performing proper management of hypertensive patients in Saudi Arabia. Materials and Methods: A close-ended e-questionnaire was created and sent to dentists of all levels (n = 710) in Saudi Arabia. The questionnaire included questions that assessed attitudes and behavior toward using a sphygmomanometer in dental clinics and assessed dentists' knowledge and behavior toward proper management of patients with hypertension. Results: About 62.4% of dentists had a sphygmomanometer in their clinic. Around 79.5% believe that working on patients with high blood pressure (BP) is associated with a risk of complications. However, only 13.3% of them measure the BP of all patients prior to treatment, and 63.3% would do so only if the patient noted a problem. About 54.3% of the respondents prefer using local anesthetics without epinephrine, and they would prefer to refer those patients to dental consultants for treatment. If a patient's BP was 180/100 mmHg, 78.1% of dentists would urgently refer that patient to his or her physician and would not perform a routine elective dental treatment. Conclusion: There is a lack of knowledge and behavior toward proper management of patients with hypertension in our dental sociality. Broadening the breath of dentists' responsibilities to include screening and working together with physicians will help improve the community dental and general health of visiting patients and should be the goal of all dentists.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Doentes Crônicos , Odontólogos/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Hipertensão , Adulto , Estudos Transversais , Feminino , Humanos , Hipertensão/diagnóstico , Hipertensão/terapia , Masculino , Pessoa de Meia-Idade , Arábia Saudita , Inquéritos e Questionários
16.
Rev. ADM ; 76(1): 20-25, ene.-feb. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-995616

RESUMO

El laboratorio clínico es un área de soporte de la medicina y pertenece al grupo de los auxiliares de diagnóstico. Se pueden encontrar dentro de hospitales, clínicas o establecimientos externos; dependiendo del tamaño del laboratorio, son las áreas y pruebas que se pueden realizar. Analizan todos los componentes y productos del cuerpo humano (sangre, saliva, etc.), obteniendo más información sobre el estado de salud del paciente complementado con una historia clínica minuciosa y la exploración física completa, confi rman un diagnóstico o proporcionan información útil sobre el estado del paciente y la respuesta al tratamiento. En la práctica odontológica, de rutina se envían los estudios preoperatorios donde evaluamos un cuadro clínico conocido, identifi camos pacientes de alto riesgo en busca de alguna nueva enfermedad que pudiera modifi car o complicar la intervención quirúrgica. Es obligatorio que el odontólogo sepa la existencia de las pruebas y sus indicaciones, enviarlas cuando sean necesarias y no escatimar en estudios complementarios si así lo requiere el paciente. Y en caso de detectar una anomalía en los resultados, se debe referir al paciente a un especialista (AU)


The clinical laboratory is a support area for medicine and belongs to the group of auxiliaries for the diagnostic. They can be found inside hospitals, clinics or external sites, depending on the size of the laboratory, the areas and the tests that can be performed. Analyze all the components and products of the human body (blood, saliva, etc.), obtaining more information about the state of the patient's health, complementing with a detailed clinical history and the complete physical examination, confi rming a diagnosis or useful information about the state of the patient and the response to treatment. In routine dental practice, preoperative studies are sent where a known clinical condition is evaluated, identify high-risk patients and in search of a new disease that can modify or complicate the surgical intervention. It is mandatory that the dentist knows the existence of the tests and their indications when things are necessary and do not skimp on complementary studies if the patient so requires. And in case of detecting an anomaly in the results, the patient should be referred to a specialist (AU)


Assuntos
Humanos , Diagnóstico Clínico , Assistência Odontológica para Doentes Crônicos , Técnicas de Laboratório Clínico , Nível de Saúde , Liberação de Cirurgia
17.
Gen Dent ; 67(1): 61-65, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30644834

RESUMO

Glanzmann thrombasthenia (GT) is a rare genetic disorder that alters platelet function. The clinical manifestations include purpura, epistaxis, gingival bleeding, and menorrhagia. For patients with GT, conventional surgical dental treatment may result in hemorrhagic complications. There are many reported ways to prevent hemorrhage in patients with GT during surgical procedures but no standardized recommendations. In this case study, a woman diagnosed with GT required 2 types of surgery (periodontal surgery and third molar extractions), which were performed on separate days. Preoperative evaluation and planning with a hematology service led to the transfusion of 1 pack of platelet concentrate immediately before each surgery. Additionally, the patient was prescribed oral tranexamic acid, which was started 1 day before each surgery and continued for 3 additional days. A distal wedge procedure was performed for the mandibular right third molar, and later the maxillary and mandibular left third molars were extracted. The use of oral tranexamic acid associated with a single platelet bag was effective in the present case, and no bleeding or thrombotic events were observed after either surgery. Although this coagulopathy is rare, dentists must be aware of its implications, which necessitate specific precautions for oral surgical procedures. Multidisciplinary integration and surgical planning can reduce the risk of complications for the patient.


Assuntos
Hemorragia Gengival/prevenção & controle , Transfusão de Plaquetas , Trombastenia , Ácido Tranexâmico/uso terapêutico , Assistência Odontológica para Doentes Crônicos , Feminino , Hemorragia Gengival/etiologia , Humanos , Trombastenia/complicações , Extração Dentária/efeitos adversos
18.
Spec Care Dentist ; 39(2): 225-230, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30604876

RESUMO

Cerebral palsy (CP) is a condition caused by brain damage before, during, or shortly after birth. Communication can be a challenge when treating patients with CP. Some patients can communicate verbally, while others use augmentative alternative communication tools or have individualized means of communication. Therefore, professional dental treatment in individuals with CP is challenging, especially if the patient is affected by dental trauma and requires emergency treatment. This report shows how individualized communication skills assessment allowed us to successfully manage a 9-year-old patient with CP, who suffered extrusive luxation of the permanent lower incisor. In the present case, the teeth were repositioned briefly after the trauma had occurred and then stabilized with a flexible splint according to international guidelines. The teeth remained vital and periodontal repair was observed during the 4-year follow-up.


Assuntos
Paralisia Cerebral/complicações , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Doentes Crônicos/métodos , Avulsão Dentária/diagnóstico por imagem , Avulsão Dentária/terapia , Criança , Chile , Feminino , Humanos
19.
Spec Care Dentist ; 39(2): 84-88, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30592319

RESUMO

INTRODUCTION: Children and young people (CYP) with autism spectrum conditions (ASCs) and their parents/carers find dental appointments stressful. Consultation with parents of CYP with ASC identified time spent in dental waiting areas as contributing to dental anxiety. Parents proposed waiting outside the dental practice until the clinician was ready could help mitigate anxiety. AIMS: To evaluate a real-time text messaging service (RTMS) to improve dental attendance experience for CYP with ASC. METHODS: An RTMS was developed for use in the dental clinic. Parents/carers of 17 CYP with ASC (4 to 20 years) attending a Special Care Dental service were invited to share their dental experience and the impact of using the RTMS. RESULTS: Parent experience suggests that time in waiting areas can increase anxiety in CYP with ASC. All parents viewed the RTMS as having a positive impact on CYP dental attendance experience. The majority believed that it reduced anxiety and enabled CYP to be more accepting of dental treatment. DISCUSSION: Many CYP with ASC have dental anxiety exacerbated by the use of waiting areas. Findings demonstrate the importance of considering and developing a range of approaches that respond to the needs of CYP with ASC and their families to improve dental attendance experience.


Assuntos
Agendamento de Consultas , Transtorno do Espectro Autista , Pais/psicologia , Envio de Mensagens de Texto , Adolescente , Criança , Pré-Escolar , Ansiedade ao Tratamento Odontológico , Assistência Odontológica para Crianças , Assistência Odontológica para Doentes Crônicos , Feminino , Humanos , Masculino , Projetos Piloto , Adulto Jovem
20.
J Oral Rehabil ; 46(1): 23-32, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30281826

RESUMO

BACKGROUND: The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self-care decreases and the risk of oral health problems and orofacial pain increases. OBJECTIVES: To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia. METHODS: In this cross-sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes. RESULTS: Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self-report (Mini-Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = -0.238, P < 0.001, and the number of tooth root remnants, r = -0.229, P = 0.004, after adjusting for age. CONCLUSIONS: This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.


Assuntos
Disfunção Cognitiva/complicações , Demência/complicações , Assistência Odontológica para Doentes Crônicos , Dor Facial/etiologia , Avaliação Geriátrica , Saúde Bucal , Doenças Dentárias/complicações , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Assistência Odontológica para Idosos , Cárie Dentária , Ingestão de Alimentos , Dor Facial/diagnóstico , Dor Facial/fisiopatologia , Feminino , Humanos , Masculino , Casas de Saúde , Doenças Dentárias/diagnóstico , Doenças Dentárias/fisiopatologia
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