Dental Institution Research Articles

Regular dental visits and changes in oral health among high school students during the coronavirus disease pandemic: A study using data from medical checkup at a school

Objective Continuous oral health care and regular dental visits are important for maintaining oral health. As a result of the high communicability of the coronavirus disease (COVID-19), individuals are reluctant to visit medical institutions. It is as yet unclear how the oral health of the population has been affected by the interruption of regular medical services during the COVID-19 pandemic. This study aimed to examine the association between the status of regular dental visits and changes in oral health among high school students during the pandemic using data from routine medical checkups conducted at a school, as well as data obtained from a questionnaire-based survey conducted simultaneously with medical checkups.Methods This study included 878 participants (comprising freshmen and sophomores) during the 2019 academic year from a high school in Fukuoka prefecture, Japan. Data on the frequency of dental checkups and anxiety related to dental visits during the pandemic was obtained through a questionnaire-based survey. Changes in dental health and gingival status between 2019 and 2020 were determined using data from routine medical checkups at the school. Poisson regression analysis with robust standard errors was used to evaluate the association between changes in dental health and gingival status and the status of regular dental visits.Results Of 878 participants, 417 (47.5%) did not have regular dental visits, 320 (36.4%) continued to have regular dental visits, and 141 (16.1%) had interrupted regular dental visits during the pandemic. In the interrupted regular dental visit group, 30.5% of participants were anxious about visiting a dental institution, which was a significantly higher proportion than other groups. Of the 521 participants who did not have gingival inflammation at the time of dental checkup in 2019, gingival inflammation at the time of dental checkup in 2020 was observed in 31.0% of participants having no regular dental visits, 20.2% participants having regular dental visits, and 38.2% participants having interrupted regular dental visits. The multivariable adjusted incidence rate ratios were 1.95 [95% confidence interval (CI), 1.34-2.84] in the interrupted regular dental visit group and 1.50 (95%CI,1.07-2.10) in the no regular dental visit group. There was no significant association between interruption of regular dental visits and changes in dental health status.Conclusion The study results showed that there was a significant association between interruptions in regular dental visits and anxiety related to dental visits during the COVID-19 pandemic, and that a higher proportion of participants who had interruptions in regular dental visits had gingival inflammation at the time of the medical checkup at the school.

Morphological Characteristic and Incidence of Elongate Styloid Process in South Indian Population: A Case Series

Introduction: Styloid process is a slender osseous projection, cylindrical and sharp projection of the temporal bone, located in front of stylomastoid foramen. Styloid process is from Reichert’s cartilage of the second branchial arch, this is a part of the splanchnocranium. This is Connected to the hyoid bone through the Stylohyoid ligament. The morphology of the Styloid process is due to hormonal and genetic changes. Orthopantomography is a radiographic method used to visualise mandibles. It also provides a rotational view of the jaw. The aim of the study is to analyse the elongation of the Styloid process in the South Indian population.
 Materials and Methods: The study was conducted in dental institutions with convenience sampling. The random orthopantomogram sample was collected from a dental institution. Total number of orthopantomogram involved in the study was 80 (40-males and 40-females) that is used to examine elongation of the Styloid process in the South Indian population. The minimised sampling bias is done by stratification according to age and gender.
 Statistical Analysis: The data were analysed by using SPSS software. The probability value p< 0.05 is considered as significant and the value p>0.05 was considered as not significant.
 Results: This study showed various types of Styloid processes in males and females. However we concluded that there is a difference in shape of Styloid processes. The most common type of the Styloid process found in males is pseudo articulated (32.5%) whereas in females the most common type of Styloid process found is uninterrupted (37.5%)
 Conclusion: From the current study we have concluded that the pseudo articulated Styloid process is more in males whereas uninterrupted is more in females. Only retrospective studies were done so far. Therefore in future studies with live models and larger sample size should be conducted.

The difficulty in the recruitment of dental staffs by size of dental institution

This study was conducted to determine demand of the dental staffs according to the size of the dental institutions. A survey was conducted through Google Survey, and 2,223 respondents(the member of the Korean Dental Association) were the final subjects of the study. The independent variable was the size of the dental institution set by the number of dental chairs, and the dependent variable was the difficulty in the recruitment of dental staffs, the time required to recruit, and tasks requiring additional staff. As a result of the study, there was a significant difference in the difficulty in the recruitment of dental staffs and the need of task by size of dental institution. The average difficulty in the recruitment of dental hygienists was 8.49, and 4 to 5 dental unit chairs scored the highest at 8.76. The average difficulty in the recruitment of auxiliary nurse was 6.48, and 1 to 3 dental unit chairs scored the highest at 6.83. For tasks requiring additional workers, the removal of calculus(scaling) and surgical assistance were the highest in all-scale institution. The need for suction and treatment preparation was relatively high in small-scale dental institution, and the need for dental impression and preventive hygiene was high in large-scale dental institution. In conclusion, it is necessary to approach the resolution of the dental staff recruitment difficulties differ-ently depending on the institutions's scale. It is suggested for small dental institution the regular training of dental assistants to assist in chair-side treatment, and for larger dental institution, it is suggested a policy to utilize existing dental hygienists.

Evaluation of a Series of Overdentures Made in a Higher Education Dental Institution in Southern Brazil

This study aimed to evaluate the epidemiological profile, oral health self-perception index, and level of satisfaction of users of complete implant-supported overdentures that had been used for at least 1 year and were made at the School of Dentistry of the University of Passo Fundo, Rio Grande do Sul, Brazil (FO/UPF), between 2014 and 2019. The sample consisted of 30 patients with overdentures, who were selected from the dental records filed at the institution. Data on general health and the dental implants involved (brand, type of prosthetic connection, number of implants, and additional overdenture retention system) were collected from the medical records. The 30 patients were invited to answer the Oral Health Impact Profile-14 (OHIP-14) and visual analog scale (VAS) questionnaires, and due to the coronavirus disease 2019 pandemic, it was possible to contact 15 patients. Most of the prostheses studied were mandibular overdentures, and 66.66% of the cases were retained by the O-ring system. As for the oral health self-perception of the individuals, it was concluded that male patients had a lower mean overall score (p = 0.047) and functional domain (p = 0.042) in the OHIP-14. The number of implants and the installation arch interfered with functional domain and psychological capacity (p <0.05). The VAS showed that women have greater esthetic satisfaction with prostheses (p = 0.048) and that the bar-clip retention system is more satisfactory than the O-ring (p = 0.017). Despite the limitations of overdentures, it was noted that, when properly indicated, they are a viable option for oral rehabilitation on implants. Oral rehabilitation well-indicated with overdentures, especially those retained by the bar-clip system, results in an improvement in the patients' quality of life.

Nicotine‐related misperceptions among faculty and students at a Midwestern dental school

To determine the perceptions about the ill-effects of nicotine in students and faculty at a Midwestern dental school. This information will help inform the school and improve teaching on this subject during a time when electronic nicotine delivery systems are increasingly popular. An online survey of dental students and faculty of a Midwestern dental school was deployed in November, 2020 to determine their level of misperception about the ill effects of nicotine. An online Qualtrics survey was administered to approximately 212 predoctoral students at a dental institution and approximately 100 part- and full-time faculty at the same school. The response rate for faculty was 55.1% and that for students was 37.5%. The majority of faculty and students "agreed" or "strongly agreed" that nicotine causes cancer, birth defects, cardiovascular disease, oral inflammation, and Chronic Obstructive Pulmonary Disease. Dental school faculty and students linked the risks of smoking tobacco to nicotine. Based on the results of this study, we feel our institution's curriculum should consider including information specific to nicotine in addition to tobacco in general.

Mind-Body Wellness: A Complement to Dental Education and Professional Development.

We strive in dental education to train our students to leave dental school with a skill set that enables them to be competent in diagnosis, treatment planning, and in their technical skills to treat their patients. We do not however train our students in practices to maintain their physical and mental well-being, cope with the demands of the dental school curriculum, and provide a toolbox of skills to manage the stresses of dentistry that will be with them for as long as they practice. The COVID-19 pandemic has added a new layer of stress on dental students and although the topic of wellness has been addressed in various ways in dental school environments, integrating a wellness component that supports our student's vulnerabilities while also teaching skills to build resilience to adversity is a needed and missing component in the dental curriculum. Elective stress management wellness courses have been implemented in dental schools and although this is a promising start, the demands of the dental school curriculum make it a difficult environment to become relaxed, grounded, and focused. Based on 6 years of experience in creating and implementing an integrated wellness program at an academic dental institution, this article aims to outline the benefits and applications for teaching mind-body practices in the dental school curriculum as preventative approaches to maintaining overall student wellness, for developing effective strategies to manage academic and clinical challenges and how it sets the foundation for the health, well-being, and professional mindset of future dentists.

Receptiveness of Maintaining Dental Records for Forensic and Other Matters

Background: Dental records assume a significant part as these might be utilized in identification of dead or missing humans, as proof in court and in criminological dentistry as discoveries of posthumous assessments are contrasted with antemortem dental evidence that have been well-maintained. Aim: To evaluate the awareness regarding significance of dental records and receptiveness of the practitioner toward maintenance in proper pattern. Method: This cross sectional descriptive was carried out between September and December, 2019 at established dental institution of Lahore. A questionnaire containing 16 close ended question was formulated and distributed to all the participants. We seek approval from ethical committee of Lahore Medical &amp; Dental College. Statistics was investigated through SPSS version 20; Pearson correlation coefficient was utilized. Results: A total of 350 dental practitioners took part in this study, statistics revealed that 68.3 % were familiar with importance of maintaining records. Though 96 % dental professionals record the full name, age and gender of patients, 94% explore medical history, 78% record various developmental dental anomalies and 39 % notice decayed, missed or filled teeth; but in general 55.4% percent maintain the patient-related correspondence. Amongst them 33.5% of dental professionals preserve the dental file, 40% percent conserve the radiographs, 29% photographs of the patients, and just 10% of the dentists preserve the casts. Duration of conserving dental records found inconstant; 40% sustain all the patient-related correspondence for a month or less, 21.20 % for a half year, 18.4 % for a year, 6.4% as long as 5 years and just 1 % for around 10 years. Conclusion: Information and receptiveness of maintaining records among the dental professionals of Lahore is inadequate, improvement can be accomplished by education and training. Keywords: dental records, identification, forensic dentistry, patient chart

Prevalence and Patterns of Impacted Maxillary third Molar in a Private Dental Institution

Prevalence and Patterns of Impacted Maxillary third Molar in a Private Dental Institution

English

BACKGROUND During the lockdown period of COVID-19 pandemic, dental colleges in Bangalore, India, had switched to online dental education and when the cases started to decline, the dental colleges finally welcomed students on campus in November 2020 following the Government directions. Majority of the dental procedures produce droplets and aerosols in a dental practice. In this context, the standard protective measures are not enough in the daily dental practice during this pandemic. Dental professionals, students in particular should be aware of the main symptoms of COVID-19, its mode of transmission and precautions to be adopted in the dental practice so as to break the chain of infection. The purpose of the study was to investigate the perception regarding COVID-19 among the dental students of a dental teaching institution in Bangalore city. METHODS An online questionnaire was created to assess the perception about COVID-19 among dental students. Total enumeration method was followed, and undergraduates, interns and post graduate students of a tertiary care dental hospital participated in the online survey. chi-square goodness of fit test was used to compare the differences in the distribution of respondents and independent chi- square test was used to do the comparison in the difference of responses towards the study questionnaire between the students studying in different undergraduate years; with level of significance set at P &lt; 0.05. RESULTS About 380 dental students participated in the online survey; correct response rate was slightly higher among clinical dental students than pre-clinical students. Educational and training programmes related to COVID-19, infection control and practices were implemented at the institution for the dental professionals in the academic level. CONCLUSIONS The perception about COVID-19 among pre-clinical dental students were slightly lower than the clinical students. KEY WORDS Clinical, COVID-19, Dental Students, Pre-Clinical

Role of internet on overall development of knowledge and attitude among undergraduate, postgraduate students, and staff members in a dental institution – A questionnaire-based study

Introduction: Everyone nowadays needs access to the Internet for recreational and educational purposes. The goal of this study was to find out how undergraduate, postgraduate, and college faculty members use the Internet for various purposes. Materials and Methods: A cross-sectional study was conducted by preparing 18 questions in 240 participants with the help of a semi-structured, pretested questionnaire, 7 closed-ended and the rest multiple-choice questionnaire containing demographic information, information related to Internet addiction test questions, undergraduate, postgraduate, and faculty members of the college were selected and evaluated. Results and Observations: This study revealed that the Internet was used as a source of learning for all the groups. Mainly undergraduates use the Internet for entertainment and educational purposes both. Postgraduates, apart from these, also used the Internet for their research work. Staff members used it for all the reasons mentioned above and used email, learning exercises, and teaching purposes. Conclusion: The Internet not only provides a great source of entertainment and information, but it is also essential for the exchange of information, social communication, education, banking, business, shopping, administration, and proper evaluation of data sources. It is a constantly changing phenomenon that is getting more and more ingrained into our daily life.

Assessing Stress and Burnout in Dental Students in a Dental Institution

Abstract Background: Dental students feel stress in their professional education such as fear of examinations, burden of workload, stress in completion of academic course, and adjustment in college atmosphere. The objective of the study was to assess stress among dental students and its association with academic year of training and gender differences in perceived stress. Materials and Methods: A 31-item self-constructed Modified Garbee's Dental Environmental Stress Survey (1980) Questionnaire was distributed among students to obtain their stress response on a 4-point Likert scale with responses ranked: 1 – not stressful, 2 – slightly stressful, 3 – moderately stressful, and 4 – very stressful. Statistical analysis was done using the Statistical Package for the Social Sciences version 21.0, Armonk, NY, USA: IBM Corp. Results: Responses were obtained from 232 students; 74.2% were female and 24.6% were male. Top stressors were fear of failure, insecurity of future, stress of examinations, fear of excessive workload, assigned work burden, unavailability of clinical cases, the lack of time to complete work, less time for recreation, coping with competition among classmates, lack of confidence in career decision, receiving criticism of work from teachers, and the lack of confidence to be successful student. Less stressful responses were difficulty in learning preclinical procedures, learning environment created by faculty, the attitude toward faculty, relationship with colleagues, financial stress, impact on personal health, discrimination due to race, class, etc., The mean stress scores were more in preclinical years (BDS 1st and 2nd years) when compared to clinical years (BDS 3rd and 4th years). Stress perceived by female students outweighed male students. Conclusion: Therefore stress reduction strategies need to be incorporated in dental curriculum.

Occupational percutaneous injuries and exposures in a dental teaching environment: A 10-year report.

Percutaneous injuries (PIs) are woefully underreported and the risk at dental academic institutions is higher due to lack of knowledge and experience of students. The aims of this study are to (1) present data on the prevalence of PIs and exposures over a 10-year period in a dental teaching institution; (2) provide information on areas with increased risk as it relates to personnel and instruments; and (3) improve the awareness of the risk of occupational PIs and exposures in dentistry. Data presented were collected as a part of an infection control program. A description of the incident reporting and collecting methodology is provided. Distribution tables and confidence intervals for injuries by year were calculated. Overall associations were produced using either Fisher's exact or Chi-square test. Between 2009 and 2019, a total of 342 PIs (338) and mucosal exposures (4) were reported. A significant number of injuries occurred while reaching for an instrument (15.2%), injecting local anesthetic (13.2%), and cleaning an instrument (11.7%). About 31% of the injuries were caused by needlesticks followed by burs (22.8%). There was a statistically significant association between work practice controls and activity type (p<0.001) and position (p=0.01). PIs and compliance issues were higher among the third-year dental students. There was a declining trend in incidents over the years, which could be attributed to the extra-protective measures that were implemented. Uncovered dental burs and needlesticks continue to be the predominant cause of PIs in academia. We found that collection of data on such occupation-related injuries to be useful in observing any trends and implementation of corrective actions.

Significance of Patient Safety and Safety Culture in Dental Schools: A Systematic Review

Objectives: This article aims to systematically review and analyze the outcome of published literature on patient safety and safety culture related to dental schools. It also aims to observe implemented changes in dental school training and curriculum that have improved patient safety and safety culture within institutions. Methods: All studies concerning patient safety and safety culture from the period of January 2010 to May 2020 were included which were specific to dental educational institution settings. The assessment was based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) checklist to ascertain that the included studies were specific to the objective of our systematic review. Results: The included studies were assessed for country-wise publication, type of study, and its outcome. Of the 10 studies that met the inclusion criteria, 5 articles were related to patient safety. 2 out of the 5 articles were from the United States of America (USA) 2 were from the United Kingdom (UK), followed by 1 from Mexico. For articles related to safety culture, 3 out of the 5 articles were from Saudi Arabia, and 2 were from the USA. Conclusion: The analysis of the selected review articles suggests that rigorous training should be implemented in inpatient record documentation, incident reporting, and infection control protocols. The authors suggested focused training on patient safety culture and the inclusion of safety culture awareness and training to the dental undergraduate curriculum.

Особенности повседневной деятельности стоматологической организации в условиях распространения новой коронавирусной инфекции

The article explains the peculiarities of the organization of activities, the specifics of the functioning and daily work of the state-run dental care organization in the context of the spread of the new coronavirus infection (COVID-19). The authors identify the problems and difficulties that arise in the daily practice of the dental institution, reveals a number of economic, social and medical problems. The role of compliance with infectious safety in the organization of dental care is emphasized. The authors give their own experience in making changes in the organization of medical care and consider the new organizational aspects and tactical models

Forensic Odontology in Undergraduate Dental Curriculum: Interns Outlook in Dental Institution, India-Focus Group Study

Forensic Odontology in Undergraduate Dental Curriculum: Interns Outlook in Dental Institution, India-Focus Group Study

Oral Pyogenic granuloma: Retrospective Review of 49 Cases in a Tertiary Care Dental Institution of Odisha

Pyogenic granuloma (PG) also known as “Lobular capillary hemangioma,” appears as an overgrowth oftissue due to irritation, physical trauma, or hormonal changes in the oral cavity. this present study is on aseries of cases comprising of 49 cases of pyogenic granuloma is the first of its kind reported from EasternIndia. Even though patients usually do not report the hospital for pyogenic granuloma unless the lesionis large and incapacitating, such number in four years is not very less. Therefore it may be deduced thatpyogenic granuloma is not rare in this part of India.

THEORETICAL APPROACHES TO DETERMINING THE ESSENCE OF STRATEGIC DEVELOPMENT MANAGEMENT OF DENTAL MEDICAL INSTITUTIONS

Topicality. Reforming the modern health care system requires comprehensive strategic measures that will help improve the management of modern health care facilities, including dental health facilities. The market of dental medical services is an important component in the structure of the market of medical services, as evidenced by the intensive development of dental services, expansion of not only medical but also cosmetic services, improving their quality and level of service. Therefore, there is an urgent need to determine the essence of the management of strategic development of dental institutions. Aim and tasks. Purpose and objectives: to determine the fundamental theoretical approaches to understanding the essence of management of strategic development of dental institutions. Research results. The level and quality of medical services characterize the sustainable development of the country, as other areas cannot be fully developed if the health care system is low. Formation and development of strategic management is an important part of corporate management not only of the production enterprise, but also of health care institutions, and it acquires especially important participation in the conditions of medical reform with the purpose of further social, medical, financial and economic competitive advantages in the medical services market. Without effective medical care, citizens are not interested in solving secondary problems, because the issue of preserving and maintaining health is always in the first place. With the spread of market development priorities, the management of medical institutions in general and dental medical institutions in particular is becoming important. Conclusion. Management of strategic development of dental medical institution is aimed at introducing new dental medical technologies, improving the level of professional training of medical staff of dental medical institutions and improving the quality of dental care using new standards in dentistry. Management of strategic development of dental medical institutions is possible only with the support of the dental care system by the state, through standardization, certification and financial support, observance of human rights in the health care system and state support of dental care to socially vulnerable groups.

Impact of the COVID-19 pandemic on urgent dental care delivery in a Swiss university center for dental medicine

ObjectivesThis study aimed to assess whether the emergency service of a major Swiss dental institution faced different demands (patient volume, treatment needs, dental care characteristics) during a lockdown, issued to mitigate the COVID-19 pandemic, compared with the weeks before and after.Materials and methodsData of patients receiving urgent care at a university center for dental medicine (Basel, Switzerland) during the 6-week lockdown, pre-lockdown, and post-lockdown periods were retrospectively evaluated. Statistical analysis involved tests for equal proportions and logistic regression models. The level of significance was set at α=0.05.ResultsThe study comprised 3109 dental emergency visits in the period from February 2 to June 5, 2020. Daily caseloads increased during lockdown. Abscesses, orthodontic emergencies, and surgical follow-ups were more common during lockdown, whereas the number of dento-alveolar injuries declined (≤0.048). Urgent dental care provision involved intraoral radiographs more frequently in the pre-lockdown period compared with the following weeks (p<0.001). Among all treatments, aerosol-generating procedures dropped from 56.1% (pre-lockdown) to 21.3% during lockdown (p<0.001), while teledentistry follow-ups became more frequent (p<0.001). Patients with comorbidities sought urgent dental care less frequently during the post-lockdown period (p=0.004).ConclusionsThe lockdown significantly impacted the dental emergency service in terms of patients’ diagnoses, treatment needs, and the characteristics of the urgent care that was delivered.Clinical relevanceAccess to essential dental care must be monitored and safeguarded throughout the COVID-19 pandemic and beyond as deferred care entails risks for serious sequelae and persons with comorbidities may change their dental care-seeking behavior.

Prevalence of smoking habit and its variations in patients reporting to a private dental institution: a retrospective study

Prevalence of smoking habit and its variations in patients reporting to a private dental institution: a retrospective study

Oral Hygiene Status and Dental Caries Experience Among Young Adults Reporting to A Private Dental Institution in Chennai - A Retrospective Analysis

Oral Hygiene Status and Dental Caries Experience Among Young Adults Reporting to A Private Dental Institution in Chennai - A Retrospective Analysis