Role Of Dentist Research Articles

The Dentist's Role in Southern Brazilian Teaching Hospitals: A Grounded Theory Study.

The aim of this study was to develop a theoretical model to describe the role that the dentist plays in Brazilian hospital settings. This qualitative study was based on the grounded theory research method. Participants were a total of 27 individuals in three groups: dentists and general practice and oral and maxillofacial surgery residents; faculty; and other health professionals who interacted with dental patients in the hospital setting during the 2012-13 year. Data were collected in three teaching hospitals in the state of Santa Catarina, Brazil, through scripted interviews using open-ended questions. The stages of collection, codification, ordination, and integration of data were guided by constant comparative techniques to formulate a theoretical model. The codes generated were organized into seven categories: identifying the hospital as a working and teaching environment; recalling the dentists' professional pathways; reflecting on the dentist's work in the hospital; considering the political and organizational dimension of the role of the dentist in the hospital; understanding patients' life and health contexts; education and professional practice; and moving on towards interdisciplinary practices in the hospital setting. Integrating the categories led to a theoretical model called "The Dentist's Role in the Hospital Setting: An Interdisciplinary Construction." This theoretical model provides a framework to understand how dentists perform in the hospital setting, with a focus on interdisciplinary practice, which in this study was shown to be incipient and heterogeneous.

The role of dentists in management of snoring with oral appliances

Abstract: This paper aims to highlight the importance of dentists in the management of sleep-related breathing disorders through the provision of mandibular advancement appliances (MAAs). An update on the use of MAA therapy is provided with respect to current clinical practice guidelines, their mode of action, selection and an awareness of their relative advantages and disadvantages, along with follow-up and practical aspects to their provision. CPD/Clinical Relevance: With the increasing recognition of the role of mandibular advancement appliances in the management of sleep-related breathing disorders, the importance of trained dentists in what is recognized as Dental Sleep Medicine is highlighted in this update.

On the Role of Dentists in the Diagnosis and Treatment of Obstructive Sleep Apnea: Controversy and Controversy

On the Role of Dentists in the Diagnosis and Treatment of Obstructive Sleep Apnea: Controversy and Controversy

The dentist's role in smoking cessation management – a literature review and recommendations: part 2

Abstract: By utilizing the ‘stages of change’ approach to smoking cessation an individual's willingness to quit smoking can be ascertained, with provision of knowledge on potential interventions empowering patients to make their own decisions on cessation modalities. Nicotine Replacement Therapy (NRT) can reduce physical cravings, pharmacotherapies can reduce the desire to smoke, stop smoking services can provide smokers with interpersonal support and electronic cigarettes are increasing in popularity but cannot be recommended as a completely safe way of delivering nicotine. Interpersonal support in combination with NRT and/or pharmacotherapy is the safest and most successful method of smoking cessation. The authors are developing an online resource to assist with smoking cessation advice. It is available at http://www.smokingcessationtraining.com/ . CPD/Clinical Relevance: For a patient who is amenable to brief cessation advice, the stages of change model allows the dentist to adapt brief advice to the patient's current circumstances. By improving knowledge of smoking cessation modalities, the dentist can answer any simple questions the patient may have, signposting them towards specialist cessation centres when appropriate.

RECOMMENDED TACTICS FOR THE EVALUATION OF POTENTIALLY MALIGNANT DISORDERS IN THE ORAL CAVITY

Since oral cavity, head and neck are relatively well-visualized anatomical sites, the dentists have multifold possibilities for the evaluation of the oral mucosa, face skin, lips, and neck lymph nodes during their routine work. Dentists are the specialists who are able to detect malignant tumors and refer patients to the oncologists.
 The aim of the article is to compare the clinical recommendations of the Ministry of Healthcare of Ukraine and the recommendation made by the American Dental Association (ADA) in their updated clinical practice guidelines for the evaluation of potentially malignant disorders in the oral cavity.
 Basic principles of the oncological alertness in dentistry, and the route organization of clinical patient. The usage of the classification of precancerous diseases, proposed by Ye.V. Borovskyi, M.F. Danilevskyi, A.L. Mashquillain (1991) is the first step of the oncological alertness in dentistry. The role of dentist is adjuvant and helps to identify a suspicious oral lesion. A pattern of action in such situations is referring patients directly to an oncologist, who will conduct a biopsy, histological examination and treat the cancer. Consequently, the attention of Ukrainian dentists is focused on precancerous lesions, but less attention is paid actually to the cancer. Responsibility for dispanserisation (clinical follow up) is carried mainly by dentists-surgeons without participation of orthopedists, pediatric dentists, and orthodontists. Those involve whole series of redirections of the patient among dentists themselves, before referring to the really necessary specialist, and it represents a negative item in the organization.
 In contrast to the algorithm provided by the Ministry of Healthcare of Ukraine, doing an immediate biopsy in patients with a suspicious oral lesion – or referring a patient to a specialist who can do that – remains the only most important recommendation made by the American Dental Association (ADA) in their updated clinical practice guidelines for the evaluation of potentially malignant disorders in the oral cavity.
 Epidemiological data in Ukraine, unlike the USA, is not enough to understand the real situation and to plan the measures of oncological alertness.
 Risk factors for malignant lesions in the oral cavity. The role of HPV-related cancer of the oral cavity is underestimated in Ukraine. “Over the past 20 years HPV infection has surpassed tobacco and alcohol as a major risk factor [for head and neck cancer],” the ADA authors note, and they estimate that HPV infection causes approximately 75% of all OPSCCs identified today. 
 Adjunctive test for precancerous and cancerous cases in the oral cavity (include autofluorescence, tissue reflectance, vital staining, and salivary adjuncts) is recognized by the Ukrainian and American experts, as “adjuncts”, none of which was felt to be accurate enough to identify target lesions in the primary care setting. These methods do not exceed the accuracy of the histological examination.
 Conclusions. Regardless the geography, dentists have a good opportunity to assess patients for oral cancer caused by traditional head and neck risk factors. Dentists of Ukraine have a good opportunity at the primary care setting to get reports about head and neck cancer prevention, and to inform their patients. The clinical route of a patient with suspected oral lesions is flexible and is connected with appropriate consulting centers, which facilitates the activity of a dentist, but creates additional redirections instead of referring to the specialist immediately. Ukrainian dentists should take signs of HPV-related cancer – cancer that occur at the back of the throat, at the base of the tongue, and on the tonsils – are difficult if not impossible to visualize. So dentists must be trained not only to look inside the mouth but also to assess patients for tonsillar asymmetry.

The dentist's role in smoking cessation management — a literature review and recommendations: part 1

Abstract: In Europe, 29% of individuals identify as smokers, with tobacco use directly related to 650,000 mortalities each year across the continent; roughly 14% of all deaths. From a dental perspective, smoking is directly implicated in numerous chronic, and potentially life-threatening, sequelae which exclusively affect the oral cavity. By familiarizing the dental team with gold-standard cessation advice, it can be ensured that smokers are assisted at every available opportunity. Dentists should aim to give cessation advice to smokers based on how willing they are to change their smoking habit. The authors are developing an online resource to assist with smoking cessation advice. It is available at http://www.smokingcessationtraining.com/ CPD/Clinical Relevance: Dentists will see many smokers regularly, and advice should be given routinely to this cohort of patients. By improving understanding of potential oral sequelae and identifying individuals who may wish to quit, targeted advice can be offered to increase cessation success. Brief patient-centred advice ensures the highest chance of delivering successful smoking cessation, alongside safeguarding time for the dentist to examine and treat the individual.

Dental specialist trainees´ competence in instituting tobacco cessation services in Nigeria

1. The role of dentists in clinical tobacco cessation interventions: The status in Nigeria Kehinde Kanmodi Population Medicine CrossRef

Síndrome de Sjögren primária: aspectos relevantes para os dentistas

Objetivo: Esta revisão de literatura tem o propósito de oferecer aos cirurgiões-dentistas entendimento sobre os principais achados clínico-epidemiológicos da síndrome de Sjögren primária (SSp), bem como ressaltar os principais aspectos etiopatogênicos e histopatológicos da doença. Métodos: Buscou-se na base de dados Pubmed/Medline e ScienceDirect os descritores “síndrome de Sjögren”, “glândulas salivares”, “xerostomia”, “diagnóstico”, “glândula salivar menor”, “etiologia”, “biopsia” entre os anos de 1991 a 2017. Discussão: A SSp é uma exocrinopatia autoimune que tem como substrato, em especial, as glândulas lacrimais e salivares, culminando com os sintomas de xeroftalmia e xerostomia. Seu principal achado morfológico é a presença de agregados de leucócitos mononucleares ao redor dos ductos e ácinos. Outras manifestações sistêmicas podem estar presentes, acarretando considerável morbidade nos pacientes acometidos. Atualmente, foi publicado o mais novo conjunto de critérios diagnósticos da doença, sendo um marco histórico no diagnóstico precoce da enfermidade, fundamental para diminuir os altos números de subdiagnósticos e otimizar a conduta clínica. Conclusão: Esta revisão abordou os aspectos clínicos-epidemiológicos, histopatológicos e etiopatogênicos da SSp, objetivando melhor compreensão dessa doença multifatorial e, portanto, a necessidade de uma conduta multidisciplinar e do papel fundamental do cirurgião-dentista no manejo dos pacientes acometidos por essa síndrome.

Widely disseminated sporadic Burkitt lymphoma initially presented as oral manifestations in a 6-year-old boy

Burkitt lymphoma, a subtype of non-Hodgkin’s lymphoma, is an aggressive neoplasm with three variants that are endemic, sporadic, and immunodeficiency associated. We present an unusual case of sporadic Burkitt lymphoma in a 6-year-old boy who initially presented with hypermobile teeth and no other specific signs or symptoms. On dental radiography, the patient was found to have alveolar bone resorption adjacent to the maxillary first molars, with the appearance of floating teeth. In addition, magnetic resonance imaging (MRI) showed extensive soft tissue masses involving four quadrants of the jaws. A definitive diagnosis of Burkitt lymphoma was made based on tissue and bone marrow biopsy. Subsequent images, including abdominal computed tomography (CT) and bone scan, revealed wide dissemination of the lymphoma into the abdominal cavity, pancreas, and numerous bones. This case suggests the possibility of dental complaints as an initial clinical manifestation of sporadic Burkitt lymphoma and emphasizes the role of dentists in early detection of the disease to improve prognosis.

Policy Statement on a Dentist's Role in Treating Sleep-Related Breathing Disorders

Policy Statement on a Dentist's Role in Treating Sleep-Related Breathing Disorders

The Role of Dentistry in Super Aged Society

The Role of Dentistry in Super Aged Society

Face transplant: A revolutionary approach and role of dentist

Face transplant: A revolutionary approach and role of dentist

The prospect of perioperative oral management of cancer patients: The role of dentists in state cancer center hospitals

独立行政法人国立病院機構に属する北海道がんセンターは北海道の都道府県がん診療連携拠点病院（以下 都道府県がん拠点病院）に指定されており全道各地よりがん患者が治療に訪れる。がん治療中の口腔内のトラブルに迅速かつ適切に対応することを目的として2012年に歯科口腔外科は開設され，2016年からは常勤体制となった。同年からは新たに口腔腫瘍外科も加わり，口腔癌診療を精力的に行っている。大学病院を除く都道府県がん拠点病院において，口腔がん治療と周術期口腔機能管理（がん支持療法）が分業できている施設は他になく，当院の特徴である。質の高い周術期口腔機能管理を実践するためには，病院内の他職種と連携が必須である。また，周術期口腔機能管理の継続性を担保するためには地域歯科医院との病診連携も重要になってくる。本稿では都道府県がん拠点病院の歯科としての役割をがん専門病院の立場から述べるとともに，当院で行っている医科歯科連携システムについて紹介する。

The dentist's role in the prevention and management of necrotizing stomatitis in the immunosuppressed.

Advances in transplant medicine and availability of effective immunosuppressive regimens have dramatically improved survival for patients afflicted with end-stage organ failure. However, chronic immunosuppression predisposes transplant patients to infection caused by a wide spectrum of endogenous or exogenous pathogens as well as necrotizing periodontal conditions. This article reviews clinical features, diagnosis, and management of necrotizing stomatitis in the context of therapeutic immunosuppression and discusses the integral function of dentists in eliminating oral foci of infection in preparation for transplantation as well as life-long maintenance of oral health post-transplant. We also present a renal transplant patient who developed massive soft and hard tissue necrosis in the anterior mandible. Disproportionate periodontal destruction in relation to local factors raised suspicion of iatrogenic overimmunosuppression, and he was hospitalized for management of profound neutropenia.

Dentist Role in Child Abuse and Neglect

Dentist Role in Child Abuse and Neglect

Management of Natal Teeth: Paediatric Dentist Role

The occurrence of teeth at the time of birth is called natal teeth. The incidence of this anomaly has been approximately 1:1400 to 1:3500 live births. Most commonly seen in mandibular primary central incisor region and usually occur in pairs. The present case scenario describes about the management of natal teeth in a seven day old new born baby and also the role of paediatric dentist in its management as well as guidance for medical practitioners and parents.

Oral bullous pemphigoid – a rarity among vesiculobullous lesions

Bullous pemphigoid (BP) otherwise known as parapemphigus is a chronic autoimmune subepidermal blistering disease with tense bullae that rupture and become flaccid. It commonly affects the skin and is rare in oral mucous membrane. Considering its rarity, we are presenting a case report of a 45-year-old female diagnosed with BP that had occurred predominantly in the oral cavity prior to the minimal presentation of skin lesions, along with satisfactory management, thereby stressing the role of dentists in prior diagnosing the lesion.

Oral physician: A portal to systemic health through oral health – A case of hypothyroidism and review of literature

Hypothyroidism refers to deficiency of thyroid hormones. It is potentially fatal if left untreated. It is more commonly seen in females and can be classified on the basis of age, severity, and etiology. Clinical manifestations of hypothyroidism range from subtle changes to life-threatening condition. The most common features are fatigue, lethargy, cold intolerance, weight gain, puffy face, constipation, change in voice, decreased mental activity, and dry skin. Oral manifestations include over-retained deciduous teeth, macroglossia, anterior open bite, enamel hypoplasia, enamel defects, poor periodontal health, and increased incidence of caries. Oral physicians play an important role in early diagnosis of this condition by identifying various signs and symptoms and thus prevent complications associated with dental treatment of such patients. Here, we are presenting a case of hypothyroidism in a 15-year-old female patient diagnosed by oral physician, highlighting the role of dentists in management of such cases.

What is the role of dentists in managing craniofacial ciliopathies?

What is the role of dentists in managing craniofacial ciliopathies?

Profile of smokers and the role of dentists in tobacco use cessation: a cross-sectional study in southern Brazil

OBJECTIVE: The aim of this study was to investigate the profile of smokers in a dental school in southern Brazil and their views about the role of dentists in tobacco use cessation.METHODS: A cross-sectional study was carried out with patients of a dental school, who answered a face-to-face interview. Smokers also took the Fagerström Test for Nicotine Dependence. Data was analysed using descriptive statistics and Chi Square test with a significance level of 5%.RESULTS: The sample consisted of 442 patients, and 93 patients (21.04%) were smokers. The lower the level of schooling the higher the frequency of smokers (p=0.026), and the frequency of nonsmokers was associated with higher income (p=0.021). Regarding the role of dentists in smoking cessation, 97.8% of smokers believe that the dentist should provide information and advice, but 36.6% did not receive any orientation from dentists.CONCLUSION: The study had found a higher frequency of smokers among men and an association between smoking and schooling as well as smoking and income. The majority of smokers would like to quit smoking and had tried at least once to stop. The sample believes that dentists should give information and advice about smoking cessation.