ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00520.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Patients who undergo radiation therapy that includes the salivary glands frequently experience severe xerostomia. The standard of care for these patients who have natural teeth has become daily application of fluoride by means of custom‐fabricated carriers. The purpose of this study was to determine patient compliance with fluoride gel application using carriers.Using a structured verbal questionnaire, we interviewed 76 patients who had completed radiation therapy for head and neck cancer. Thirty of these patients were seen regularly in the dental clinic of the Cancer Agency (group 1); the remaining 46 were not seen on a regular basis (group 2).Overall, 43% of patients reported using fluoride gel regularly (once a day). In group 1, 67% of patients used fluoride regularly, as did 28% of patients in group 2 (p = 0.001). There were no significant differences between the groups in frequency of toothbrushing and use of dental floss. Compliance with the use of fluoride in carriers was not associated with differences in other oral care measures in the two groups, which suggests that fluoride application in carriers achieves limited compliance in relation to daily oral health care measures. Regular follow‐up of patients after radiation therapy is needed to assess their need for, and compliance with, daily fluoride applicat

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00521.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Cervical carotid artery atherosclerosis, a major cause of stroke (cerebrovascular accident, CVA), commonly occurs in older individuals with a history of hypertension and smoking. These atheromatous plaques, when calcified, may be imaged on conventional panoramic dental radiographs. Dentists caring for “at‐risk patients” must be able to identify these lesions and to differentiate them from anatomical and other pathological radiopacities frequently observed in the carotid artery territory. Prompt referral of these individuals to a physician may preclude a s

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00522.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

A twice‐weekly oral and perioral examination was provided to 120 patients receiving antineoplastic therapy. Sixty patients were monitored while following the traditional hospital oral care protocol (chlorhexidine, hydrogen peroxide, sodium bicarbonate, thymol glycol, benzocaine mouthrinse, and nystatin). The mouth care protocol was then changed (experimental protocol = chlorhexidine, benzocaine lozenges, amphotericin B lozenges), and patients were monitored until the sample size matched that of the hospital mouth care regime. There was a statistically significant reduction in oral complications upon introduction and maintenance of the experimental protoco

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00523.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Drooling occurs commonly in children with cerebral palsy (CP). Surgical procedures, known as sialodochoplasties, are often performed for the control of drooling. These Include major salivary gland excision, parasympathetic nerve section, duct ligation, and duct re‐routing. Alterations in saliva amount, flow, and consistency occur following sialodochoplasty, and the resultant effect on dental homeostasis requires further investigation.This controlled study investigated 19 children with CP following sialodochoplasty (surgery group) and 75 children with CP treated nonsurgically (control group) who attended our hospital. Dental caries experience—including dmft, DMFT, and partial DMFS scores of mandibular incisors and canines only—plaque index, and enamel developmental defects index were recorded. Saliva buffering capacity and bacterial counts were assessed.The surgical group (median DMFT = 5.00) had significantly more dental caries when compared with the control group (median DMFT = 0.00), Wilcoxon Signed‐rank Test, P<0.0001.This study has shown that children with CP following sialodochoplasty have increased risk of dental caries when compared with those treated nonsurgically for drooling. Although no caries predictors were identified, alterations to the caries‐protective role of saliva are considered the likely cause. Children who undergo this procedure should receive intensive pre‐and postsurgical preventive den

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00524.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

This paper describes a state‐funded program providing dental services for community‐based mentally ill clients. Contrasts between outpatient services for persons with mental illness and similar programs serving the mentally retarded population are emphasized. Implications of client eligibility, communication, and compliance issues relative to limitations of care are discussed. Suggestions for improving similar programs are provi

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00525.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1995.tb00526.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY