Experience Of Dentists Research Articles

The Oral Health of Autistic Children and its Impact on the Mental Health of Parents of Karachi, Pakistan

Background: Autism spectrum disorder is a mental health disorder which affects the oral health of autistic children. The parents of autistic children have to come across various problems associated with mental health. Objective: This study is conducted to assess the oral health of autistic children and its impact on the mental health of parents. Methodology: A cross-sectional study was conducted among 150 parents of autistic children. Out of which 75 were mothers and 75 were fathers. Hence, (DASS 21) was use to assess depression, anxiety and stress of parents. SPSS version-23 was use to analyze the data by applying independent t-test and Pearson product-moment correlation coefficient . (P ≤ 0.05) was considered significant. Results: The findings of the study revealed that autistic children have poor oral health status. Oral symptoms such as caries (p < 0.001), bad breath (p < 0.001), gingivitis (p < 0.001), and breathing from mouth (p < 0.001), biting of objects (p < 0.05) and unfavorable experience of dentist (p < 0.001) was highly significant among autistic children. Hence no significant difference was observed in dietary pattern of autistic children. Depression, anxiety and stress were observed among the parents of autistic children. Conclusion: Dental Carries, bad breath and gingivitis was commonly seen among the autistic children due to poor oral hygiene. In this situation when children are unable to understand parents. It becomes a challenging situation for parents leading to depression, stress and anxiety. Keywords: Autism spectrum disorder, Mental health, Oral health

Artificial Intelligence Application in Assessment of Panoramic Radiographs.

The aim of this study was to assess the reliability of the artificial intelligence (AI) automatic evaluation of panoramic radiographs (PRs). Thirty PRs, covering at least six teeth with the possibility of assessing the marginal and apical periodontium, were uploaded to the Diagnocat (LLC Diagnocat, Moscow, Russia) account, and the radiologic report of each was generated as the basis of automatic evaluation. The same PRs were manually evaluated by three independent evaluators with 12, 15, and 28 years of experience in dentistry, respectively. The data were collected in such a way as to allow statistical analysis with SPSS Statistics software (IBM, Armonk, NY, USA). A total of 90 reports were created for 30 PRs. The AI protocol showed very high specificity (above 0.9) in all assessments compared to ground truth except from periodontal bone loss. Statistical analysis showed a high interclass correlation coefficient (ICC > 0.75) for all interevaluator assessments, proving the good credibility of the ground truth and the reproducibility of the reports. Unacceptable reliability was obtained for caries assessment (ICC = 0.681) and periapical lesions assessment (ICC = 0.619). The tested AI system can be helpful as an initial evaluation of screening PRs, giving appropriate credibility reports and suggesting additional diagnostic methods for more accurate evaluation if needed.

Evaluation of Dentists' Practice in Obtaining and Recording Medical and Pharmacological History of Patients in Yazd City in 2020

Introduction: Dental profession has an ethical and legal responsibility in patient care. A properly maintained patient record is a very important aspect of this patient care. The aim of this study was to evaluate dentists' practice in obtaining and recording the medical and pharmacological history of patients in Yazd City in 2020. Methods: In this descriptive cross-sectional study, 197 dentists working in Yazd City were selected during the study and their practice in obtaining and recording medical history was evaluated using a valid questionnaire. Data were analyzed by SPSS23 statistical software t-test and Pearson correlation coefficient. Results: Out of 197 dentists participating in this study, 93 (52.8%) were male and 104 (47.2%) were female. Their mean age was 39.37± 8.36 years and their mean clinical experience was 6.5± 9.25 years. The mean score of dentists' practice in obtaining and recording the medical and pharmacological history was 61.30±4.95 (range 45-72) out of 72 points. There was no statistically significant difference between the mean score of dentists' practice by gender, clinical experience, university of study and degree (P-value>0.05), but there was a statistically significant relationship between dentists' age and their practice score (P-value=0.040). Conclusion: Based on the results of the present study, the mean practice source of dentists in obtaining and recording the medical and pharmacological history of patients was good. The effect of gender, university of study and degree on dentists' practice was not significant. However, with increasing age and experience in dentistry, the practice score of dentists was lower.

Adaptation of the Postgraduate Dentistry Education Program According to the National Core Education Program: Ege University Faculty of Dentistry Experience

Adaptation of the Postgraduate Dentistry Education Program According to the National Core Education Program: Ege University Faculty of Dentistry Experience

Assessment of the knowledge of canalis sinuosus amongst dentists and dental students: An online-based cross-sectional study.

Canalis sinuosus (CS) is a neurovascular canal that corresponds to a small branch of the infraorbital canal. This study aimed at assessing the knowledge and detection performance of CS amongst dentists and dental students. Four-hundred and five dentists and dental students answered a questionnaire with three parts: 1. Socio-demographical; 2. Clinical cases with cone- beam computed tomography (CBCT) sections showing CS and 3. Previous knowledge about CS. The chi-squared test and Spearman's correlation test were used to compare results as appropriate. p-values below .05 were considered statistically significant. Most participants did not identify CS in any CBCT. There was an association between the number of correct answers and dental specialties. Most individuals had not learned about CS previously. There was an association between past knowledge of CS and gender, highest academic degree, working environment, dental specialty and number of correct answers but not with age or experience in Dentistry. This study suggests that most dentists are not aware about CS and do not know how to diagnose it. Previous knowledge about CS positively influenced its identification in CBCT.

An overview of the knowledge, perception and experience of dentists about the utilization of teledentistry as a dental care media in Makassar, Indonesia

Objective: To describe the characteristics, knowledge, perceptions and experiences of dentists regarding the use of teledentistry in Makassar, Indonesia.Methods: A cross-sectional survey with 87 dentists in Makassar as respondents. The service was carried out by distributing questionnaires in the form of statements and questions regarding the use of teledentistry as a dental care medium. This study used univariate analysis.Results: Most of the respondents were aged 31-40 years (43.7%) and 71.3% of the respondents were women. As many as 60.9% of respondents have good knowledge about the use of teledentistry. As many as 80.5% of respondents have a good perception of the use of teledentistry. As many as 58.6% of respondents have no experience in using teledentistry. Conclusion: Generally dentists in Makassar already have a good knowledge in understanding teledentistry as utilization. dental care media. Generally dentists in Makassar have a good perception in interpreting the use of teledentistry as dental care media. Most of the dentists have no experience in the use of teledentistry as dental care media.

Operational Implications and Risk Assessment of COVID-19 in Dental Practices.

The unprecedented situation of the coronavirus pandemic has impacted the entire world, with dental practice being significantly affected. In this study, we aim to evaluate the operational implications and risk assessment of the coronavirus in dental practice. This observational study comprised the electronic distribution of two surveys, one to patients and the second to dental professionals. The first questionnaire consisted of demographics along with 15 closed-ended questions. The second questionnaire consisted of demographics along with 43 questions from eight domains: financial impact, psychological impact, patient satisfaction, hygiene, patient management, COVID-19 lockdown, perspective, and practicing dentistry after the COVID-19 pandemic. The statistical analysis was performed using SPSS-25. A linear regression test was applied to assess the effect of the dependent variable (patient’s satisfaction with the dental practice) on independent variables (age, gender, education). The ANOVA test was applied to assess the effect of the independent variables (financial impact, psychological impact, patient satisfaction, hygiene, patient management, lockdown, perspective, and post-COVID-19) on the dependent variables (age, gender, education, experience of dentists, qualification of dentists). A total of 711 patients and dental professionals participated in this study, with a response rate of 88.87%. Approximately 67.9% of the patients felt comfortable in the dental clinic, with 74.5% being satisfied with the dental clinic’s services. The majority (77.4%) of the dentists were psychologically affected. Many of the participants chose to use masks, gowns, respiratory equipment, and face shields for protection. Teledentistry was preferred by the majority of dentists in non-emergency cases. Many of the dentists chose alternative procedures to minimize the generation of aerosols. The majority of the dentists suggested changes in the dynamics of dentistry in the post-COVID era, such as the suggestion that the management of the finances of a dental practice along with infection control protocols should be practiced more optimally. Patients and dental professionals were well aware of the necessary precautionary measures required to combat the coronavirus, as well as the implications of different operational measures along with performing risk assessment, keeping in mind the changing dynamics of dentistry.

An Algorithm for Automatically Extracting Dental Arch curve

Dental cone beam CT (CBCT) scans, due to their low radiation dose, are now widely used in the medical diagnosis of patients’ oral cavity. The reconstruction of a panoramic view of the dental arch from the scanned CBCT data facilitates the dentist’s observation of the patient’s oral condition. The most important technique for reconstructing the dental arch panorama is the extraction of the dental arch curve accurately. The existing method is to rely on the experience of the dentist to manually connect the dental arch curve, or use techniques related to threshold segmentation to extract dental arch curve. These methods rely on the experience of dentists on the one hand. On the other hand, when there are interferences such as implants, metal tubes, braces or missing teeth in the patient’s mouth, the threshold calculation will be wrong. Based on this, this article starts with the histogram of CBCT data, and proposes a highly robust and fully automatic dental arch curve extraction method. In the actual experiment, the dental arch curves of 40 different patients were extracted, and all the dental arch curves can be accurately and automatically extracted, thus verifying the effectiveness of the proposed algorithm.

The Teledentistry, Impact, Current Trends, and Application in Dentistry: A Global Study.

Objective The present study was aimed at assessing the impact of teledentistry, its application, and trends in uplifting dental practice and clinical care around the world. Material and Methods. The present observational study comprised of an electronic survey distributed among dental professionals around the globe. The validated survey form consisted of a total 26 questions with 5-point Likert scale response. The questionnaire used was divided into four domains: usefulness of teledentistry for patients, its usefulness in dental practice, its capacity to improve the existing practice, and the concerns attached to its use. The statistical analysis was performed using SPSS-25. ANOVA test was used to assess the effect of independent variables on dependent variables. A p value of ≤0.05 was taken as statistically significant. Results A total of 506 dental professionals participated in the study with the response rate of 89.39%. More than half of the participants (50-75%) endorsed that teledentistry is a useful tool for improving clinical practice as well as patient care. Two-thirds of the participants (69.96%) considered that teledentistry would reduce cost for the dental practices. On the other hand, about 50-70% of dental professionals expressed their concerns regarding the security of the data and consent of patients. The most preferred communication tool for teledentistry was reported to be videoconference followed by phone. The majority of participants recommended the use of teledentistry in the specialty of oral medicine, operative dentistry, and periodontics. There was a significant difference between the age, experience of dentists, and their qualifications with domains of teledentistry. Conclusions The overall impact of dental professionals towards teledentistry was positive with adequate willingness to incorporate this modality in their clinical practice. However, the perceived concerns pertaining to teledentistry are significant impediments towards its integration within the oral health system. An in-depth study of its business model and cost-benefit needs of time, especially in the context of developing countries, in order to avail the optimum benefits of teledentistry.

Reconstruction of a Demineralized Dentin Matrix via Rapid Deposition of CaF2 Nanoparticles In Situ Promotes Dentin Bonding.

Dentin bonding based on a wet-bonding technique is the fundamental technique used daily in clinics for tooth-restoration fixation and clinical treatment of tooth-related diseases. Limited bonding durability led by insufficient adhesive infiltration in the demineralized dentin (DD) matrix is the biggest concern in contemporary adhesive dentistry. This study proposes that the highly hydrated noncollagenous protein (NCP)-formed interfacial microenvironment of the DD matrix is the root cause of this problem. Meanwhile, the endogenous phosphate groups of the NCPs are used as pseudonuclei to rapidly induce the formation of amorphous CaF2 nanoparticles in situ in the interfacial microenvironment. The DD matrix is thus reconstructed into a novel porous structure. It markedly facilitates the infiltration of dentin adhesives in the DD matrix and also endows the DD matrix with anticollapsing capability when water evaporates. Whether using a wet-bonding or air-drying mode, the bonding effectiveness is greatly promoted, with the 12 month bonding strength being about twice that of the corresponding control groups. This suggests that the nanoreinforced DD matrix eliminates the dependence of bonding effectiveness on the moisture status of the DD surface controlled only by experiences of dentists. Consequently, this bonding strategy not only greatly improves bonding durability but also overcomes the technical sensitivity of bonding operations of the total-etched bonding pattern. This exhibits the potential to promote dentin bonding and is of great significance to dentistry.

Knowledge, Perception, and Experience of Dentists About Teledentistry

ObjectivesThis study aimed to evaluate the level of knowledge, perception, and experience of teledentistry amongst Brazilian dentists with the ongoing COVID-19 pandemic. MethodsBetween June and July 2020, an online questionnaire was used to collect information on the demographic and professional profiles of dentists and their levels of knowledge, perception, and attitudes towards teledentistry. Descriptive statistics were reported as percentages, and Chi-squared test was used to compare responses amongst general practitioners, specialists, and those with varying levels of professional experience. ResultsThis study included 575 dentists, the majority of whom were from the southeast region of Brazil (73.4%) and had a specialist degree (70.4%). Approximately 42.4% of the study sample had graduated more than 10 years ago, 39.3% between 2 and 10 years ago, and 18.3% up to 2 years ago. In general, the majority of dentists exhibited only a superficial awareness of the resolution that regulates teledentistry in Brazil. A greater number of specialists were aware of the resolution (P = .007) and felt confident performing teledentistry (P = .000) compared to general practitioners, whilst those with more experience (graduated more than 10 years ago) exhibited greater knowledge (P = .012) and preparation (P = .000). More than 60% of the dentists, regardless of dental specialty and clinical experience, had no knowledge of providing prescriptions via teledentistry. The majority of general practitioners (89.5%) and specialists (81.4%) had no previous experience using teledentistry. ConclusionsThe findings of this study suggest that Brazilian dentists are inadequately prepared for the implementation of teledentistry.

A Questionnaire based Cross-Sectional Survey on PRF

Progress in regenerative endodontic procedures needs approval by clinicians, but there is little or noevidence. This study aimed to examine the awareness, mindset and experience of regenerative endodonticsamong Indian dental residents. For the survey they used a self-administered questionnaire which consistedof three parts; part A focused on the background and experience of dentists, part B pursued the viewpoint,views and decision of the dentist about the utilize of PRF and Regenerative techniques, Whereas part Ccontained questions focused on their clinical experience. Findings indicate that maximum respondents knewabout PRF during postgraduate training but 90% are willing to attend PRF and REP training. However,few claimed to have used any form of regenerative therapy in their work. Finally, it can be concludedthat findings are an indication of optimistic dental residents concerning the use of regenerative endodonticmethods; however, further analysis and routine training is needed.

Dispositivo de barrera protectora con presión negativa utilizado en urgencias odontológicas durante la pandemia de COVID-19

Introduction: Health personnel involved in dental care are at high risk of contagion from constant exposure to aerosols during emergency care. It is necessary to increase its protection measures during the SARS-CoV-2 pandemic. Objective: Describe the experience of dentists, assistants and patients regarding the use of a barrier device to contain aerosols in dental emergency care. Materials and methods: A descriptive cross-sectional study with 21 adult patients attended by dental emergencies in a private institution during June in the city of Bogota. The 21 patients, five treating dentists and five dental assistants filled out a structured questionnaire about the experience with the device, the biosafety measures implemented and the perception of safety regarding the possible contagion of the virus. Results: The mean age of the patients was 41 years (SD ± 14). The duration of the procedures was 45 minutes (SD ± 12) on average. There were no adverse events during the procedures with the use of the device. 95% of patients felt safer during care with the use of the barrier device. Conclusions: Despite the limited sample, the high perception of safety regarding the use of the device in dental emergency care reported here suggests that they may complement the biosecurity measures and personal protective equipment established by health authorities during the pandemic.

Effects of COVID-19 pandemic on Turkish private practice dentists' economic well-being

Background/Aim: Coronavirus disease 2019 (COVID-19) is a global health concern. The COVID-19 pandemic has not only health implications but also important social, economic, and political consequences. Dental practices have currently canceled elective procedures and restricted services to the provision of emergency dental care in order to prevent transmission of COVID-19, which has had serious financial implications. Although several reports about the economic consequences of the COVID19 pandemic have been prepared, no study has analyzed the potential impact of a pandemic on the economy of private-practice dentists. In this context, the purpose of this study is to determine how the COVID-19 has shaped the economic behavior of Turkish private-practice dentists and study the underlying mechanisms. Material and Method: A total of 312 private practice dentists were included in the study. The researchers developed a closed-ended questionnaire that contained 10 questions and was divided into three parts. The first part captured demographic information (age, gender, and professional experience of dentists). The second part measured the economic effects of the pandemic. The third part explored the dentists' economic behavior in the post-pandemic period. Results: Over half (52.6%) of the dentists stated that during the pandemic, they only cared for patients in emergency situations. Most (97.4%) of the dentists stated that the pandemic affected their economic situation negatively, and 66.7% of dentists stated that they could not meet their routine clinical expenses during the pandemic. In the post-pandemic period, 52.6% of dentists are considering increasing their treatment fees, and 19.2% of dentists are considering dismissing some of their employees for economic reasons. Conclusions: The significant limitation of clinical and surgical activities in private dental practice caused by the COVID-19 pandemic has had a very significant negative effect on private-practice dentists' economic well-being.

Self-reported confidence and experience of dentists entering oral and maxillofacial dental core training

Introduction The aim of this study was to explore the experience and self-reported confidence of UK dentists before starting dental core training (DCT) roles in oral and maxillofacial surgery (OMFS). Methods An anonymous electronic voluntary questionnaire was distributed to all foundation dentists in the North West region. The survey was open to participants for two months, from August to September 2019. The data were analysed using Google Forms and Microsoft Excel®. Results A total of 20 respondents completed the survey. Participants reported some experience and exposure in OMFS in 85% of responses. Three-quarters (75%) of those surveyed were either ‘not very confident’ or ‘not confident at all’ about the upcoming role. All participants stated they would benefit from attending specific continuing professional development events or study days focusing on transitioning to an OMFS job in a hospital. Conclusions The self-reported confidence levels of North West dentists in performing general duties and practical elements of OMFS are low. Further targetted training is advised for DCTs who are transitioning from a dental to an OMFS role.

Dentists’ Knowledge and Clinical Experience towards Molar-Incisor-Hypomineralization in Iran

Objective: To determine the knowledge and clinical experience of dentists regarding MIH in Kerman/Iran . Material and Methods: In this cross-sectional study, a census sampling method was used, and all dentists registered in Kerman medical council were asked to participate in the study. A validated and reliable researcher administered questionnaire was used to determine participants' demographic characteristics, knowledge, and clinical experience. The association between knowledge score and demographic variables was determined using an independent t-test and ANOVA. The level of significance was set as 0.05. Results: Overall, 400 specialized and general dentists in Kerman completed the questionnaire. The mean knowledge score of dentists was 6.6±1.9 of 11. Female dentists’ knowledge was higher than male dentists (p<0.05). General dentists had a higher level of knowledge regarding MIH compared to specialists (p<0.05). Overall, 79.5 % had been faced with MIH during their practice years. After confronting MIH teeth, 48.8% of dentists referred patients to specialists for treatment. Providing aesthetics was considered the most difficult part of treatment (43.2%). Resin composite was the most favorable dental material for treating MIH (60.9%) . Conclusion: Although most dentists in Kerman had encountered MIH defects during their clinical practice, they did not have enough knowledge of the defect and required education on all aspects of MIH diagnosis and management. Younger dental practitioners, general dentists and females presented higher knowledge of MIH.

Bir Diş Kliniğinin Performansını Etkileyen Faktörlerin Analizi

Quality and productivity management in healthcare has received considerable attention over the past four decades. Many research papers dealing with various aspects of healthcare performance have been published in the literature. However, medical organizations and hospitals are still lacking enough technical knowledge related to performance and quality improvement tools. This paper presents a procedure to study the effects of various factors on healthcare performance measures in a dental clinic. Particularly, we have analyzed a dental clinic system and investigated the effects of treatment types, dentist experience, and the patient age on treatment times using design of experiment and related analysis. The procedure presented here demonstrates a useful application of performance and quality improvement tools in healthcare organizations for healthcare managers.

Occupation-related musculoskeletal disorders among dental professionals.

Background and aimDentists are exposed to a wide range of work-related factors that may result in various occupational diseases of which musculoskeletal disorders (MSDs) are common. The purpose of this study was to determine the prevalence and distribution of MSDs among dental professionals of our institution and to compare the prevalence of MSDs among the various dental specialists.MethodsA self-administered questionnaire, which included basic demographic details, work experience in dentistry, and work profile related questions along with the Standard Nordic Questionnaire, was administered to the study participants. Statistical analysis for the data obtained was performed using SPSS Version 16.0 (Chicago, SPSS Inc.). The chi-square test was applied to test the association between MSD and variables such as gender, designation, type of dentistry and usage of computers. The Mann Whitney U test was used to assess the relationship between MSD and age, experience, sick leave, number of patients attended per day. A p-value < 0.05 was considered significant.Results151 subjects participated in the study, and the prevalence of MSD in the last 12 months among dental professionals was 58.3% (88 out of 151 subjects). The most common site affected by MSD was the neck (66.7%). Also, it was noted that among various dental specialists, the Endodontists suffered the maximum (88.02%) musculoskeletal pain. Fifty individuals (33.11%) suffered from pain in multiple sites.ConclusionWork-related musculoskeletal disorders and pain can be reduced through proper operator-patient positioning, taking adequate breaks between patients, maintaining good physical health through regular exercises.

&lt;p&gt;Parental Perception of a Dental Home for Children with Special Needs&lt;/p&gt;

Background and ObjectivesThere is a major gap in the literature that addresses parental perception of acquiring a dental home for children with special healthcare needs (CSHCN). The objectives of this study are to assess parental perceptions and challenges in acquiring a dental home for their CSHCN.MethodsCross-sectional prospective study using a questionnaire.ResultsA total of 302 questionnaires were completed by caregivers. More than 70% of children had developmental delay, 20% had musculoskeletal disabilities, and the rest had respiratory compromise on non-invasive ventilation, learning disability, and visual and hearing disabilities; 75% of the caregivers do not believe pediatricians are qualified to contribute in oral hygiene. Moreover, 70% of children had not had a routine dentist visit in the 12 months preceding the interview. The reasons given for the lack of such visits included the long time of appointments (25%), difficulty in child’s mobility (17%), the perception that dental care is expensive (9%), and a lack of dentist experience in dealing with children with special needs (5%). When asked what factors would encourage caregivers to choose a dental home for their children, 63% mentioned quick appointments, followed by dentists specialized in children with special needs (51%), child friendly atmosphere (21%), low cost (26.6%), close to home (20%), and others (6%). Interestingly, the majority of parents (75%) believed that the primary pediatrician of the child should initiate the dental home process.ConclusionDespite proper resources, children with special healthcare needs lack proper oral healthcare. This could be attributed to the lack of a dental home. A pediatrician’s role is crucial in initiating the process of acquiring a dental home for this special population.

Knowledge on the guideline-recommended use of antiplatelet and anticoagulant therapy during dental extractions: a contemporary survey among Polish dentists.

The number of dental patients requiring periodic or lifelong antiplatelet or anticoagulanttherapy is constantly growing. We aimed to determine the level of knowledge on antiplatelet and anticoagulant therapy among Polish dentists. self‑designed online questionnaire was distributed among dentists to evaluate their knowledge on the use of antiplatelet and anticoagulant drugs in clinical dental practice. The study included 352 dentists. Patients requiring vitamin K antagonists were referred for a cardiac consultation by 64.52%, 57.29%, and 58.55% of dentists with <5, 5-15, and >15 years of experience,respectively (P = 0.003). A similar trend was observed for non-vitamin K antagonist oral anticoagulants among nonsurgical dentists. However, an equal percentage of surgical dentists (39.7%) performedextraction with and without consultation, and they were more likely to perform extraction withoutconsultation than nonsurgical dentists (39.7% vs 27.8%; P = 0.01). Most surgical and nonsurgical dentistspreferred to consult a cardiologist about dual antiplatelet therapy before an invasive procedure (56.9%and 73.81%, respectively; P = 0.03). Extractions in patients on aspirin were accepted by 75.81%, 70.83%, and 49.34% of dentists with <5, 5-15, and >15 years of experience, respectively (P = 0.004), and by 79.31%of surgical and 57.14% of nonsurgical dentists (P = 0.003). Knowledge on antiplatelet and anticoagulant therapy in patients undergoing dental procedures is unsatisfactory among Polish dentists. Both therapies were discontinued before extractionsmore frequently than recommended in the guidelines, while extractions in patients on aspirin were common.