Role Of Dentist Research Articles

A Study to Analyze the willingness of Smokers to Quit Smoking Following Dentist’s Advice

Aim: To analyze the patient’s perceptions about the role of dentists in smoking prevention, counseling andcessation and to analyze the willingness of smokers to quit smoking following dentist’s advice.Materials and Methods: A descriptive study was conducted among dental patients visiting Dental Collegeand Hospital in the month of November 2019 using a self administered questionnaire. Convenient samplingwas done. Among five hundred patients who participated in the study, 486 completed it with a response rateof 97.2%. The descriptive statistics and chi square analysis was performed to analyze data.Results: The patients had good knowledge about the effects of smoking on general and oral health. Howeverits effect on hair loss, ageing and wound healing can be reinforced. Non smokers had significantly higher(p<0.05) knowledge about the effects of smoking on ageing, bad breath, gum diseases and oral cancercompared to smokers. Patients had positive perception about the role of dentist in smoking cessationactivities. Smokers exhibited willingness to quit if suggested by the dentist.Conclusion: Patients perceive that dentists can play an important part in smoking cessation activities. Hencedentists should not hesitate to give smoking advice to their patients and grasp this opportunity to improve thegeneral and oral health of the community.

Child Abuse and Neglect: Role and Obligation of Pediatric Dentist in India

Background: Child abuse is a form of behavior that involves treating someone (child, under the age of18years) with cruelty or violence resulting in actual or potential harm to the child. It has no boundariesand may occur in any geography, culture, or in any socioeconomic strata. Many studies reveal that there isinadequate knowledge and awareness regarding child abuse recognition and reporting among health workers.Method: Most of the studies reported that trauma to head and facial region occurs in approximately 50%or more of physically abused children. Therefore Pediatric Dentist has major chance of witnessing thephysical abuse in clinical practice. On the same time they are not the authority to make diagnosis of childabuse & neglect, rather identify and report the suspected cases, so that a process for effective protection ofthe victimized children can be initiated. It is the responsibility of the child protection agency/commission toconfirm the crime and do the needful. Hence, the role of pediatric dentist in the identification and reportingof suspected child abuse is crucial. He is expected to practice 4R’s: Recognize, Refer (if any), Record andReportConclusion: Understanding the peculiar role of Pediatric Dentist in recognizing and reporting child abuseand neglect which ultimately contributes towards making better world for children.

The Role of Dentist in the Diagnosis of Primary Sjögren Syndrome

The Role of Dentist in the Diagnosis of Primary Sjögren Syndrome

Odontología Materno Infantil

En la ciudad de Sao Paulo, el día 21 de Agosto de 2014, bajo la coordinación del Prof. Fabián Calixto Fraiz, se inició la exposición de los programas de Odontología Materno Infantil de siete países de América Latina: Argentina, Chile, Méjico, Paraguay, Perú, Uruguay y Venezuela. A partir de los relatos de los representantes de cada asociación quedó evidente que las experiencias de atención en salud bucal materno infantil en América Latina presentan gran diversidad de estrategias, protocolos y actividades. Esas especificidades responden a las distintas coyunturas sociales, económicas, culturales, políticas y administrativas de cada pais. Se por un lado reconocer esa rica diversidad permitirá la formulación de propuestas que atiendan las demandas locales con mayor eficiencia y eficacia, por otro lado, identificar los desafíos semejantes y encontrar los puntos de confluencia en nuestra practica permitirá la formulación de propuestas integradoras. Las experiencias relatadas indican que las estrategias de atención materno-infantil exigen avances conceptuales, los cuales emergieran de la profunda y constante reflexión sobre el papel de la odontología en el campo de la promoción y educación en salud, asistencia y formación de recursos humanos para el abordaje transdisciplinar para ese grupo poblacional.

Role of Dentistry in Global Health: Challenges and Research Priorities

Despite some improvements in the oral health of populations globally, major problems remain all over the planet, most notably among underprivileged communities of low- and middle-income countries but also in high-income countries. Furthermore, essential oral health care has been a privilege, instead of a right, for most individuals. The release of the Lancet issue on oral health in July 2019 built up some momentum and put oral conditions and dental services in the limelight. Yet, much work is still needed to bridge the gap between dental research and global health and get oral health recognized as a population health priority worldwide. Using the framework proposed by Shiffman, we argue that a global health network for oral health must be harnessed to influence global health policy and drive health system reform. We have identified challenges around 4 key areas (problem definition, positioning, coalition building, and governance) from our experience working in the global health arena and with collaborators in multidisciplinary teams. These challenges are outlined here to validate them externally but also to call the attention of interested players inside and outside dentistry. How well our profession addresses these challenges will shape our performance during the Sustainable Development Goals era and beyond. This analysis is followed by a discussion of fundamental gaps in knowledge, particularly in 3 areas of oral health action: 1) epidemiology and health information systems; 2) collection, harmonization, and rigorous assessment of evidence for prevention, equity, and treatment; and 3) optimal strategies for delivering essential quality care to all who need it without financial hardship.

Human Papilloma Virus: Current Knowledge and Focus on Oral Health.

The human papilloma virus (HPV) is responsible for different pathological manifestations in humans. This agent gives rise to lesions of different types and in different areas of the organism, including the oral cavity. The aim of this study is to show which are the main diseases for which HPV is responsible and to bring to light some of the interceptive and therapeutic strategies. The analysis was conducted by consulting the major scientific databases with the aim of obtaining information on the characteristics of oral HPV and its management; furthermore, the literature was supported by some clinical cases proposed by the authors. The role of dentistry is essential in the early diagnosis of this type of pathologies and above all in knowing how to direct patients towards a path that can lead to patient management, especially in the event that these lesions have a malignant potential. Enhancing the knowledge and role of dentistry can lead to early diagnosis of this type of injury, intercepting a pathology that could have multiorgan implications.

Organ Transplantation and Dental Aspects- The Road ahead

Organs fail to fulfil their need in the body due to different etiological factors. Hence, demand for the transplantation of a viable organ arises. Oral cavity is capable of projecting the faults of an improperly functioning organ. Dentists are more likely to encounter such cases in their daily practice. However, such cases go unreported due to inadequate knowledge in this field. This review is formatted by collecting all available literature on PubMed, Google Scholar and Google search engines to showcase the role of dentists in the management of patients undergoing Organ Transplantation. This review enlightens on how Dentists can better equip themselves to tackle such cases, when they come across one. This review also projects on the infection foci arising from the oral cavity disturbing the systemic organs and the treatment protocols for managing it.

The importance of Dentistry in COVID-19 pandemic and the role of saliva as a diagnostic tool

ABSTRACT News of the symptoms caused by a coronavirus in humans began to be documented in December 2019, when several cases of pneumonia caused by the virus occurred in China. Studies are showing the increasing role of saliva and oral cavity in the transmission of the virus, because the receptors of epithelial cells in this region play a critical role by allowing the virus to enter those cells. The standard method to diagnose the coronavirus is based on the collection of samples in the nasopharynx and oropharynx to detect viral RNA. However, this method results in the interaction between health care professionals and patients, which increases risk of transmission; moreover, this collection can be painful for the patient and cause bleeding. As an alternative, diagnosis can be made using saliva, which only requires patients to deposit the saliva sample in a sterile container. Thus, the objective of this literature review is to present the main forms of contagion and to describe the diagnosis tools, emphasizing the risk that dental professionals are exposed to and, therefore, the growing need for better and faster diagnostic methods for coronavirus, especially using saliva. Medline, PubMed, SciELO, and Bireme databases were used for the literature search with the descriptors: Salivary diagnosis, COVID-19, and Contagion. The review explored the scientific race to develop more effective forms of diagnosis, including saliva tests, and prevention methods taking into account time, accessibility, and cost-benefit and, as a consequence, the role of dentistry has been continuously increasing.

Tobacco Smoking, Secondhand Smoke Exposure and Cessation Perceptions by Dental Students in Al Madinah, a Conservative Saudi Society

Objective: To explore the prevalence of tobacco use and secondhand smoke (SHS) exposure in dental students and to investigate their perceptions on the role of dentists in tobacco cessation activities. Material and Methods: A questionnaire-based study was conducted in a public university in Al Madinah, Saudi Arabia. The questionnaire investigated demographic factors, tobacco use practices, SHS exposure, and student perceptions of tobacco cessation activities. Descriptive statistics and statistical significance of differences between demographic groups were calculated. Results: A total of 228 students participated with 43.0% (n=98) males and 57.0% (n=130) females. A proportion of 30.7% (n=70) of the participants smoked tobacco, and these constituted 51 males (73%) and 19 females (27%). Only 39 students (15 females and 24 males) indicated their method of tobacco use, which was mainly cigarettes and waterpipes. One in two students was exposed to SHS. Non-smokers had better awareness of the health hazards of SHS (p<0.001), and were more likely to adopt tobacco cessation activities recommended by dentists (p<0.05). Conclusion: A substantial proportion of dental students in a very conservative religious area smoke tobacco and are exposed to SHS. Their perceptions of the harms of SHS and attitudes on cessation need improvement. The influence of culture and religion in shaping health risk behaviors in conservative communities needs to be verified.

Oral Manifestations in Hemodialysis Patients and Their Knowledge and Attitude Towards Oral Health

Oral cavity is the mirror of systemic health. Amongst various systemic diseases, Chronic Kidney Disease (CKD) is one such disease that presents with a spectrum of oral manifestations. The oral health care professionals need to attain a holistic approach to the management of patients with complex medical problems and should be in par with the changing technology and medical advances. Amongst all the systemic disorders, diseases of the renal system pose a major cause of morbidity and mortality worldwide, as the kidneys are vital organs for maintaining a stable internal environment. The plethora of oral manifestations observed in chronic renal failure and associated therapies are altered taste, gingival enlargement, xerostomia, various mucosal lesions like hairy leukoplakia, lichenoid reactions, ulcerations, angular chelitis, candidiasis etc. With growing awareness about the inter-relationship between dental and medical problems, the role of dentist has become pivotal in overall health care of patients with CKD and also to render services for the oral findings of such diseases. This information can be used for designing effective intervention strategies to prevent and manage oral manifestations in adult hemodialysis patients of Nepal. The objective of this cross sectional study was to see the oral manifestations in hemodialysis patients and their Knowledge and attitude towards Oral Health. Face to face interviews was done with the patients to gather knowledge regarding socio-demographic variables and tobacco history. Following statistical analysis, it was seen that multiple oral manifestations were seen in patients undergoing hemodialysis.

Prevention of Sports Related Orofacial Injuries- A Review on Dental Perspective

The field of sports dentistry mainly deals with the prevention and management of sports-related to maxillofacial trauma. There are many potential challenges to the oral health of athletes including exercise-induced trauma, dental decay due to specialized diet, lack of awareness, oral dehydration and lack of prioritization for dental care. However, there is good evidence that some oral diseases are preventable by simple interventions with good efficacy. Hence dentists today must respond to these patient's specialized needs, providing them with the quality of care that they deserve. In this review article, we discuss the various preventive aspects of sports-related injuries and the impeccable role of dentist in preventing and managing the sport-related oro-facial injuries.

A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

This qualitative study aimed to explore psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity (PwCSO). Eight focus groups were conducted by one researcher with 40 adult participants at the Adult Healthy Weight Clinic within a hospital-based obesity service. Thematic analysis of focus group transcripts was performed to reveal insights relating to how PwCSO experience dental care and view oral health. A total of 11 participants were male, 29 female, all between the ages of 23 to 74 (mean age of 50). The body mass index of participants ranged from 31.6 to 84.6 kg/m2 . The results highlighted four key themes, including "disempowerment to act to improve oral health", "weight-related stigma and discrimination", "unpredictability of the dental environment" and a "lack of tailored services for PwCSO". A number of subthemes were identified, which reflect the six categories of barriers to access from the disability literature: availability, affordability, acceptability, accommodation, accessibility and appropriateness. These were explored to further appreciate the unique psychosocial considerations for this group. This study concluded that PwCSO face significant barriers to accessing dental services across all six categories highlighted in the disability literature. The study findings provide valuable patient-based information regarding the psychosocial barriers to accessing dental services, which are relevant for all healthcare professionals. The study reflected an increased need for promotion of the dentist's role in obesity management and obesity-related dental training, including familiarization with the biopsychosocial domains of obesity to reduce weight related stigma and discrimination, as an area for further study. The findings also guide the design of Specialized Bariatric Dental Services in the future, with a focus on enablers to access.

The role of dentists in controlling hepatocellular carcinoma in Japan (Review).

In Japan, the method of treatment for hepatitis is well established due to the high rates of hepatitis C. However, the identification of patients with hepatitis who do not receive appropriate treatment poses a major problem. Some patients with this disease may need to consult with a dentist due to the development of extrahepatic manifestations, such as lichen planus, in the oral cavity. Alternatively, the dentist might discover patients with untreated hepatitis C and hepatitis B during routine dental examination. In such cases, the patient should be referred to a hepatologist for further examinations and treatment. Thus, dentists are required to act as ‘gatekeepers of hepatitis’. Furthermore, Japanese dentists need to increase hepatitis B vaccine coverage for infection control. By acting as a ‘care coordinator of hepatitis’, the dentist will be able to contribute to the eradication of liver cancer in Japan, thereby eliminating the discrimination and prejudice against patients with hepatitis. Dentists need to have a deep understanding of liver disease from the viewpoints of both nosocomial infection control and treatment of oral diseases.

GINGIVAL SQUAMOUS CELL CARCINOMA- A CASE REPORT

Gingival squamous cell carcinoma (GSCC) is a relatively rare malignant neoplasm of the oral cavity. It represents less than 4-6.3% of diagnosed intraoral carcinomas. GSCC may cause odontogenic symptoms such as mobility and pain of teeth mimicking inflammatory conditions such as periodontitis. Early diagnosis and prompt management of GSCC is of paramount importance as the prognosis of gingival squamous cell carcinoma is mainly dependent on these factors. Further, as, GSCCs spread rapidly to involve the underlying bone, the role of dentists in early detection of gingival squamous cell carcinoma cannot be undermined. The present report describes a rare case of GSCC in a 31 year old male. The detailed recording of the case history and clinical examination, radiographic, and laboratory investigations, along with review of similar conditions led to the diagnosis, and treatment was initiated.

Craniofacial and dental injuries associated with stand-up electric scooters.

With the recent increased share of stand-up electric scooters (e-scooters), it is common to see people riding e-scooters on the roads in Korea. The aim of this study was to investigate traumatic injuries to the craniofacial region related to e-scooter accidents and to determine the role of dentists (especially oral and maxillofacial surgeons) in the evaluation of patients with trauma at the emergency department due to an e-scooter accident. This retrospective study investigated the medical records of patients who visited the Gangnam Severance Hospital Emergency Care Center for trauma related to e-scooter use from January 1, 2017 to March 31, 2020. Medical records were reviewed to determine the injuries sustained to the craniofacial region related to e-scooter use, including location of the injury (eg, cranium, craniofacial bone, teeth, soft tissue) and the type of trauma (eg, fracture, laceration, abrasion, contusion, concussion). A total of 256 patients' medical records were evaluated. Among them, 125 patients (48.8% of all patients) had sustained craniofacial trauma. Laceration (n=56, 44.8%) was the most common type of craniofacial injury, followed by cerebral concussion (n=49, 39.2%), dental injury (n=27, 21.6%), and craniofacial bone fracture (n=16, 12.8%). Dentists should always consider the possibility of brain trauma and perform a complete craniofacial and oral examination when assessing patients after e-scooter accidents as outlined by the International Association of Dental Traumatology guidelines. Additionally, it is necessary to educate e-scooter riders about the importance of wearing protective devices, such as helmets, to reduce the risk of injuries to the craniofacial region.

Dentistry for children during and post COVID-19 pandemic outbreak.

BackgroundDuring and post COVID-19 pandemic outbreak, it is essential for safeguarding this viral infection control and prevention in pediatric dental practices. The role of parents and pediatric dentist and their dental team requires specific guidance to deal with dental problems of children in the dental operatory during and post-pandemic outbreak of COVID-19 disease.PurposeTo report dentistry for children during and post COVID-19 pandemic outbreak.ConclusionsThe present review highlights the clinical features, possible modes of transmission of COVID-19 in dental operatory, preventive strategies, emergencies that pose a significant challenge, and treatment strategies for dealing with children and parents during and post COVID-19 pandemic. Absolute measures for children during their visit to dental operatory, quality control for pediatric dental clinics, and additional preventive measures associated with examinations and management of dental problems in children have been covered in this insight.

The role of dentists in clinical tobacco cessation interventions: The status in Nigeria

1. World Health Organization. Tobacco. https://www.who.int/news-room/.... Published May 27, 2020. Accessed August 8, 2020. Google Scholar

Pneumonia and the role of dentistry on ICU Staff

Ventilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p &lt; 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV.

Awareness and Role of Dentist in Preventing Covid-19 Outbreak- A Survey

Background: The coronavirus disease may be a newly discovered viral infection that started in Wuhan, China and caused the outbreak within the rest of the world Dental surgeons are at the higher risk of contacting and transmitting the Coronavirus than other health workers Even though there are many preventive measures guidelines against Covid-19, many dental professionals lack the minimum requirements for infection control The aim of the study is to assess the awareness about the role of dental professionals in preventing the outbreak of Covid-19 Materials and methods: Self administered questionnaires were designed based on the knowledge, attitudes and perception of dental professionals toward Covid-19 The questionnaire was distributed through an online google form in the year 2020 The study population included 200 dental professionals The questions were carefully studied and therefore the corresponding answers were marked by the participants The data was collected and statistically analysed using the SPSS tool Result: Out of 200 dental professionals, female participants were predominant in this sample Here, 75 38% of dental professionals correctly answered the incubation period of Covid-19 Only 11 5% of dental professionals reported that they would take strict disinfection measures only in clinics whereas 88 5% of dentists responded that they would take preventive measures in both clinical settings and public areas Conclusion: From this survey, it can be concluded that most of the dental professionals were conscious of symptoms of Covid-19, mode of transmission and preventive measures taken to control the spread of Covid-19 in both clinics as well as public areas

Prevalence of Sleep-Disordered Breathing in Children Referring for First Dental Examination. A Multicenter Cross-Sectional Study Using Pediatric Sleep Questionnaire.

Background: Sleep-related breathing disorders (SRDB) are a group of pathological conditions characterized by a dysfunction of the upper airways. The value of SRDB’s prevalence, in the pediatric population, ranges from 2 to 11% depending on the different methodologies used in measure and the difficulties in the diagnosis. The aim of this study was to assess the prevalence of SRDB using the Pediatric Sleep Questionnaire (PSQ). Methods: 668 patients were enrolled from the Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Italy and from the Unit of Integrated Pediatric Dentistry, University of Murcia, Spain. The questionnaires were administered to patients with no previous orthodontic and surgical treatment who attended on the first visit at the two units of pediatric dentistry. Data regarding general health status were extracted from the standard anamnestic module for first visit. Prevalence and logistic regression models were computed. Results: The ages ranged from 2 to 16 years old (average 7 years old). The prevalence of SRDB was 9.7% for the entire sample. The models showed a positive correlation between three variables (snoring, bad habits, and anxiety) and SRDB. Conclusions: The prevalence obtained demonstrates the relevance of sleep disorders in the pediatric population and highlights the central role of pediatric dentists in the earlier diagnosis of these disorders.