Role Of Dentist Research Articles

Role of dentist in diagnosis and management of mucormycosis in association with COVID-19

Role of dentist in diagnosis and management of mucormycosis in association with COVID-19

The Role of Dentists in the Fight Against Infectious Diseases

The article examines the role of dentists in the fight against infectious diseases. It is determined that infection control in dentistry is an ever-growing concern. Dental patients are at high risk in terms of their ability to transmit as well as acquire an infectious disease. No less worrying is the cross-infection and transmission of the disease from patient to patient. When solving these problems, it is necessary to determine how the dentist and his staff can be protected from infection and transmission of the disease to patients and what steps should be taken to minimize cross-contamination with instruments

Redefining the ICP Experience through Online Learning

The Integrated Case Presentation (ICP) provides an introduction to the clinical experience and the importance of evidence-based science to the practice of dentistry. The ICP is part of the Comprehensive Care course at NYU College of Dentistry. The collaboration between the D4 and D3 students in presenting a patient to their peers allows them to form collegial relationships and facilitates a team-based learning philosophy. On entering the clinic, dental students can feel anxious about the responsibility they will have delivering patient care. The ICP allows the D3 novice to be exposed to clinical cases and to establish a relationship with the D4 student, who will then mentor, support, and guide them. The Integrated Case Presentation enhances the students' professional growth by emphasizing the dentist's role as a primary health care provider and a member of the health care team. The initial challenge of presenting the ICP seminars via Zoom has successfully been overcome and accepted by students and faculty.

Opportunities for penicillin allergy evaluation in dental clinics.

To evaluate opportunities for assessing penicillin allergies among patients presenting to dental clinics. Retrospective cross-sectional study. VA dental clinics. Adult patients with a documented penicillin allergy who received an antibiotic from a dentist between January 1, 2015, and December 31, 2018, were included. Chart reviews were completed on random samples of 100 patients who received a noncephalosporin antibiotic and 200 patients who received a cephalosporin. Each allergy was categorized by severity. These categories were used to determine patient eligibility for 3 testing groups based on peer-reviewed algorithms: (1) no testing, (2) skin testing, and (3) oral test-dose challenge. Descriptive and bivariate statistics were used to compare facility and patient demographics first between true penicillin allergy, pseudo penicillin allergy, and missing allergy documentation, and between those who received a cephalosporin and those who did not at the dental visit. Overall, 19% lacked documentation of the nature of allergic reaction, 53% were eligible for skin testing, 27% were eligible for an oral test-dose challenge, and 1% were contraindicated from testing. Male patients and African American patients were less likely to receive a cephalosporin. Most penicillin-allergic patients in the VA receiving an antibiotic from a dentist are eligible for penicillin skin testing or an oral penicillin challenge. Further research is needed to understand the role of dentists and dental clinics in assessing penicillin allergies.

The status of knowledge, attitude and practice towards emergency management of avulsed tooth among dental students: A single center cross-sectional study.

To evaluate the awareness of emergency trauma management and the potential role of dentists in handling tooth avulsion injuries. The cross-sectional study was conducted at the Dental Outpatients Department of Jinnah Medical and Dental College, Karachi, from December 2020 to March 2021, and comprised dentists and final year dental students of either gender. Data was collected using a 17-item questionnaire to assess the awareness level regarding the knowledge of traumatic dental emergencies and the role of a dentist in handling a traumatic tooth injury. Data was analysed using SPSS 20. Of the 170 subjects, 52(30.5%) were males and 118(69.4%) were females. Overall, 139(81.8%) subjects had prior knowledge regarding avulsion, 164(96.5%) were aware of the term avulsed tooth, 106(62.4%) considered milk to be the best transport media for an avulsed tooth, 159(93.5%) knew the significance of extra-oral time, and all 170(100%) subjects said they wanted to study more about dental traumatic injuries. There was adequate knowledge about the term avulsion, transport media and extra-oral time, and there was evidence of interest about learning more among the subjects.

Obstructive Sleep Apnea- A Comprehensive Review of Risk Factors, Pathogenesis and Management

Sleep is a blessing to humans. Good quality of sleep helps people to live and enjoy their lives. Obstructive sleep apnea is a common sleep disorder accompanied by the onset of sleep, apnea or hypopnea , choking sensation and loud snoring. Chronic obstructive sleep apnea may leads to systemic side effects especially on cardiovascular system and other vital body organs. Although exact etiology is unknown, various factors may contribute to the development of obstructive sleep apnea. The diagnosis is made by multiple methods. treatment is also multimodality depends on the type and severity. This review article is written in order to provide an insight to the risk factors, pathogenesis, and management of obstructive sleep apnea. Especial emphasis is made on the dentist's role, duties, and responsibilities in the diagnosis and management of obstructive sleep apnea.

Odontologia Hospitalar em tempos de COVID-19

The COVID-19 pandemic led the world's population to rethink all forms of human relationships. Like other areas of health, Hospital Dentistry has also undergone adaptations to the current situation. Aim: To present the main changes that have occurred in the role of dentists in the hospital environment as a result of COVID-19. Literature review: Dental practice is based on the use of instruments that promote the emission of aerosols. In view of the increased risk or dissemination of SARS-CoV-2 during hospital dental procedures, oral health professionals must be properly dressed and respect all the protocols established for this period. Discussion: After reducing residual saliva, it is recommended to use 1.0% hydrogen peroxide, before 0.12% or 0.2% chlorhexidine, without alcohol, and proceed with oral lubrication. The performance of oral hygiene in tracheostomized patients to prevent VAP in the hospital environment should be maintained in order to avoid new cases of infection by microorganisms other than SARS-CoV-2. Conclusion: Biosafety during dental practices should never be neglected, especially in the current pandemic scenario.

Dentist’s Role and Responsible in Identification and Investigation

Background: A dentist is responsible for promoting oral health and disease prevention to make the world a better place in terms of oral health. Besides, the dentist also plays an important role in the forensic field and law enforcement. Forensic odontology is an area of dentistry that deals with the proper management and investigation of dental evidence, which aids in identifying people and the presentation of dental evidence in the interest of justice. Purpose: This article discussed the role and responsibilities of dentists in human identification. Review: The world continues to deteriorate as time passes with much criminality and disasters that cannot be prevented. In many cases, the identification process can be done through the unique characteristics of dentition. Various information such as age, sex, and ethnicity are recorded in the tooth. Forensic dentists are responsible to manage and evaluate tooth evidence. Conclusion: Forensic odontology plays an essential role in determining individual identity. The unique features of dentition provide accurate results in identification if all procedures are correctly employed. With the advancement of science and technology, dentistry may now assist in the identification and investigation of forensic cases.

Mandibular neurofibroma with osseous deformities in a 3-year-old child with neurofibromatosis type 1

Neurofibromatosis type 1 (NF1) is a rare autosomal dominant genetic disorder. It is a multisystem neurocutaneous condition represented by multiple benign tumors of the nerves and skin known as neurofibromas and cafe' au lait spots. However, neurofibroma localized in the mandible is rare. We present a case of a 3-year-old, Egyptian girl with NF1. The girl presented with right mandibular swelling of undetermined duration and multiple hyperpigmented spots on the skin. This case report shows the important role of dentists, as demonstrated in the present case, in the diagnosis and management of this disease, since the diagnosis was made during dental consultation and subsequently managed by the team.

Oral and maxillofacial cancer: A 35-year retrospective analysis at a referral dental hospital in Saudi Arabia

ObjectivesAs rates of oral and maxillofacial cancer (OMFC) continue to rise, the role of dentists in early detection and prevention has become increasingly important. The present study examined the frequency and pattern of OMFC cases diagnosed at a referral dental hospital. MethodsA retrospective analysis of all primary malignant neoplasms of the oral and maxillofacial area diagnosed at the Histopathology Laboratory of the Dental University Hospital, Medical City, King Saud University, Saudi Arabia from 1984 to 2020 was performed. ResultsA total of 242 patients had histologically diagnosed primary malignant neoplasms of the oral and maxillofacial area, accounting approximately 3.7% of the archives. The mean age of patients was 48.87 years, and the male-to-female ratio was 1.5:1. The most prevalent malignant neoplasm was squamous cell carcinoma (SCC) (58.3%), followed by mucoepidermoid carcinoma (11.6%). The tongue and gingiva were the most prevalent malignancy sites, accounting for 19.8% and 18.2% of the cases, respectively. The prevalence of SCC in patients over 50 years old (68.4%) was highly significantly greater than that in younger subjects (31.5%) (P < 0.0005). SCC was also more common in males (66.7%) than in females (33.3%) (P = 0.026). ConclusionOMFC primarily affecting the tongue and gingiva was the predominant in older male patients. SCC was the most frequent type of OMFC and was significantly associated with age older than 50 years. This study provides baseline data on the frequency of OMFC cases diagnosed for the first time by dental practitioners and warrants the need for increasing OMFC awareness among these clinicians.

UNRAVELING (COVID) MUCOR MYCOSIS, DENTISTS AT THE DEEP END - A MINI REVIEW

COVID-19 otherwise called as SARS-Cov-2 caused by severe acute respiratory syndrome declared as pandemic by WHO, resulted in increased mortality globally. Post covid recovered patients developed a wide range of opportunistic bacterial and fungal infections including mucormycosis. Even though mucormycosis is known as a life-threatening disease in immunocompromised patients and patients with uncontrolled diabetes with high rates of morbidity and mortality, application of a proper protocol and adhering to the standard guidelines in the management from initial stage to advanced complex stage can reduce the morbidity and mortality. Since the early clinical signs and symptoms arise in the oral and maxillofacial region, the role of general dentist in early detection of the clinical signs and symptoms and in particular the early surgical intervention by the Oral &amp; Maxillofacial surgeons can definitely reduce the morbidity and mortality caused by mucormycosis. Poor prognosis and increased morbidity are often related to delayed diagnosis and delayed management without proper guidelines. This article aims to describe in brief mucormycosis with the current update and the role of an endodontist in diagnosis and management of this fungal infection.

Stopping the COVID-19 pandemic in dental offices: A review of SARS-CoV-2 transmission and cross-infection prevention.

Due to the essential role of dentists in stopping the COVID-19 pandemic, the purpose of this review is to help dentists to detect any weaknesses in their disinfection and cross-contamination prevention protocols, and to triage dental treatments to meet the needs of patients during the pandemic. We used PRISMA to identify peer-reviewed publications which supplemented guidance from the center for disease control about infection control and guidelines for dentists. Dentists must triage dental treatments to meet the needs of patients during the pandemic. The ongoing pandemic has changed the practice of dentistry forever, the changes make it more cumbersome, time-consuming, and costly due to the possible pathways of transmission and mitigation steps needed to prevent the spread of COVID-19. Dental chairside rapid tests for SARS-CoV-2 are urgently needed. Until then, dentists need to screen patients for COVID-19 even though 75% of people with COVID-19 have no symptoms. Despite the widespread anxiety and fear of the devastating health effects of COVID-19, only 61% of dentists have implemented a change to their treatment protocols. As an urgent matter of public health, all dentists must identify the additional steps they can take to prevent the spread of COVID-19. The most effective steps to stop the pandemic in dental offices are to; vaccinate all dentists, staff, and patients; triage dental treatments for patients, separate vulnerable patients, separate COVID-19 patients, prevent cross-contamination, disinfect areas touched by patients, maintain social distancing, and change personal protective equipment between patients.

The Pediatric Dentist’s Role in the Prevention and Cessation of Tobacco Use Among Children and Adolescents

Most tobacco users began using tobacco products by age 18. Pediatric dentists play a vital role in providing care and advocating for the health of all children and adolescents. Helping to ensure all youth achieve their optimal health includes the critical role of pediatric dentists to prevent initiation of tobacco use among their patients. With myriad risk factors for tobacco use, pediatric dental providers are likely to encounter many youth tobacco users. The multitude of harms from tobacco use have severe lifetime consequences for users. Pediatric dentists should support the prevention and cessation of tobacco product use by youth.

Oral verrucous carcinoma: a 24-year epidemiological study and case report

Introduction: Verrucous carcinoma is a non-metastatic variant of squamous cell carcinoma. It was first reported by Ackerman in 1948. It is a verrucous exophytic tumor and, although it is a rare lesion, it mainly affects the oral cavity, with slow growth and can be locally invasive. Objective: To report a case and present an observational and retrospective analysis of medical records containing biopsy data from patients diagnosed with oral verrucous carcinoma (OVC) in an oral diagnostic referral service for a period of 24 years. Material and methods: The following data were collected: age, sex, ethnicity, anatomical location and management. Result: Eight cases of OVC were found, all in Caucasian patients (n = 8, 100%), aged between 57 and 102 years. 62% of the injuries affected women. The most affected region was the jugal mucosa (n = 4, 50%). In addition, Smoking patients were not found. In all cases, incisional biopsy was performed and referral to the head and neck surgeon. Conclusion: Caucasian women in the sixth and seventh decades of life were the most affected by OVC. The absence of smoking patients corroborates the literature, which reports that cigarettes appear to be unrelated to this injury. The dentist's role is to recognize the disease early, diagnose it and refer it for medical treatment.

Role of dentist in covid -19: Future prepardness for 3rd Wave

Role of dentist in covid -19: Future prepardness for 3rd Wave

Psychological preparation for dental treatment in children: A randomized clinical study

Objective: to evaluate the psychological preparation in children submitted to dental treatment and to correlate anxiety and fear between children and their parents. Method: randomized clinical study with 26 children divided into two groups, a control group (CG) and an intervention group (IG). The randomized subjects in the IG went through psychological preparation, initially with the presentation of the office, materials and instruments, stimulating their manipulation and clarifying doubts and curiosities about the procedures. Subsequently, the instructional therapeutic toy (ITT) technique was used, first with the story telling “Tigger goes to the dentist” and, later, the subjects dramatized the dentist's role. The CG received the usual treatment at the clinic, based on the talk-show-do technique. Data were collected using two questionnaires, the Children’s Fear Survery Schedule Dental Subscale applied to children, and the CORAH scale applied to parents, both pre and post the procedure. Results: the IG initially presented an average in the anxiety and fear score of 29.1% and after the intervention of 21.5%, demonstrating statistical significance, the CG before the procedure obtained 27.3% and subsequently 23.2%. The classification of the level of anxiety decreased significantly in both groups, comparing the moments before and after, resulting in 88.5% with low level of anxiety and 11.5% with average level. There was no significant correlation between children's anxiety with their parents. Conclusions: it is evident that there are interdisciplinary strategies that reveal more humane paths in the production of health and education and the intervention of psychological preparation and ITT can be applied in other health environments.

Effectiveness of Selected Air Cleaning Devices During Dental Procedures.

ABSTRACTIntroductionThe recent COVID-19 pandemic has underscored the necessity of protecting health care providers (HCPs) against the transmission of infectious agents during dental procedures. To this end, the effectiveness of several air cleaning devices (ACDs) in reducing HCPs exposure to aerosols generated during dental procedures was estimated, separately or in combination with each other. These ACDs were a chairside unit capturing aerosols at the source of generation, and four ambient ACDs: a portable ambient ACD; a negative pressure module; a custom made, fan-operated and wall-mounted air filter (WMAF); and a smaller and passive version of the latter. The last three ACDs were intended for mobile dental clinics (MDCs) only.Materials and MethodsThis assessment was performed in two different environments: in a dental clinic operatory and in a MDC. Two dental personnel, acting in the roles of dentist and dental assistant, performed on simulated patient aerosol-generating and non-aerosol-generating procedures. For each 5-minute scenario, the cumulative exposure to airborne particulate matter 10 µm in size or smaller (PM10) was determined by calculating the sum of all 1 second readings obtained with personal and ambient air monitors. The effectiveness of the ACDs in capturing PM10 was estimated based on the capability of the ACDs to keep PM10 level at or below the initial background level.ResultsIn all conditions assessed in the dental clinic operatory, when both the chairside and portable ambient ACDs were functioning, an estimated effectiveness of 100% in capturing PM10 was achieved. In the MDC, in all conditions where the chairside ACD was used without the negative pressure module, an estimated effectiveness of 100% was also achieved. The simultaneous operation of the negative pressure module in the MDC, which led to a room negative pressure of −0.25 inch wc, reduced the chairside ACD’s effectiveness in capturing aerosols. Conversely, the use of the WMAF in the MDC in combination with the chairside ACD further reduced exposure to PM10 below the initial background level. Nonetheless, in all conditions assessed in both settings (dental clinic operatory and MDC), larger visible aerosols were produced, often landing on the surrounding environment. A fair portion of these aerosols landed on the inside of the chairside ACD flange.ConclusionsThis assessment suggests that the use of the tested chairside ACD, by capturing aerosols at the source of generation, had the greatest impact on reducing exposure of dental personnel to PM10 produced during dental procedures. This study also indicates that such exposure is further reduced with the addition of an ambient ACD. However, creating a negative pressure room as high as −0.25 inch wc can lead to air turbulence reducing the effectiveness of ACDs in capturing aerosols at the source. Furthermore, the presence of uncaptured droplets and spatter on the surrounding environment supports the need to complement the use of engineering controls with proper administrative controls and personal protective equipment, as recommended by governmental agencies and the scientific community for preventing the transmission of infection in health care settings.

From native core micriobiome to milk-oriented microbiome.

The human microbiome is the full set of microorganisms (microbiota) present on and in our body. Its importance is such that the human being has been defined as a holobiont, that is, a superorganism made up of human eukaryotic cells and microbial cells. A balanced microbiota (eubiosis) is a prerequisite for health and well-being; on the contrary, an altered microbiota (dysbiosis) is the cause of pathological conditions. This concept is the cornerstone of the "microbiota revolution": Currently there is no disease that cannot be re- interpreted as a function of microbiome. While all human beings have similar DNA, it is the microbiome that make every person genetically unique; therefore the microbiome is the variable component of the genome which characterises each one of us. About one third of the microbiome is common to all individuals, while two thirds are specific to each subject and constitute a sort of fingerprint that forms and stabilises in the first 2-3 years of life. This timeframe is extremely important since it has been shown that the structure of the microbiome is already acquired in the embryonic-fetal period, it is completed within 3 years and lasts a lifetime. The native core microbiome is the first microbiota and characterises individuals for their whole life. It is affected by four main variables: The quality of family and social life of the mother-to-be, the intake of drugs during pregnancy, as well as the type of birth and breastfeeding. It is renowned that breast milk is a complex, unique and essential food for the growth of the child, but one of its functions - which is still under investigation today - is to feed and guide the formation of the microbiome of the newborn even after the introduction of solid foods, during the first 3 years of life. This function is carried out by the over one hundred different types of oligosaccharides that are present in breast milk, which is why these days we talk about the so-called MOM (milk-oriented microbiome). The correct formation of the microbiome affects the entire life of an individual. This is a more than valid reason to promote breastfeeding even after eruption of baby teeth and throughout the weaning period. The role of pediatric dentists, together with hygienists and pediatricians, is to spread and stress out the importance of oral hygiene so that breastfeeding can only bring benefits and not carious lesions!

Mouthguards in dentistry: Current recommendations for dentists.

Properly fitted mouthguards reduce the risk and severity of orofacial injury, to both hard and soft tissues, preventing thousands of dollars of trauma management. In this review, findings from recent research will be evaluated to discuss the strengths and limitations of the different types of mouthguards, including their indications by sport. Design, ideal dimensions, and other characteristics will also be explored. Additionally, patient education and motivation will be examined, with a focus on the dentist's role in this regard. Finally, in addition to proper oral hygiene, the importance of proper mouthguard maintenance and evaluation will be discussed. This review will therefore be able to act as a guide for dentists looking to provide patients of all ages with personal protective equipment and stay up-to-date on recent developments in this branch of the sports dentistry field.

English

BACKGROUND Obstructive sleep apnoea (OSA) is a chronic disorder in which repetitive episodes of cessation of breathing occurs during sleep due to collapse of upper airway leading to recurrent awakening, sleep fragmentation, and perturbation in ventilatory function. The disorder is much more common than realised and the manifestations in children are different from those in adults. OSAS may present in different ways like cognitive dysfunction, excessive day time somnolence, decreased attention span, drooling of saliva, mood disorders like depression or irritability as well as adverse cardiovascular sequelae like hypertension, heart failure. Polysomnography or overnight sleep studies remain the gold standard for the diagnosis of paediatric obstructive sleep apnoea (POSA) disorder. Therapeutic approaches for POSA include surgical and nonsurgical means. The choice of therapy depends on various factors like aetiology, severity of the POSA and patient’s choice. Although continuous positive airway pressure (CPAP) remains the first line therapy in adults, the introduction of oral appliances provided an attractive alternative and made the role of dentists more prominent in management of this disorder. OSA is often under-diagnosed due to lack of awareness. So, it is essential for dentists to be aware of the various aspects of this disorder as well as its management. KEY WORDS OSA, Paediatric Dentist, Oral Appliances, Non-Invasive Management