ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01625.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01626.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Multiple sclerosis (MS) is an inflammatory disease of unknown etiology involving the central nervous system. Since MS affects the whole body, orofacial aspects of the disease must be expected, particularly since loss of muscular coordination may result in a diminished ability to maintain oral hygiene. This preliminary study examined the dental health status of 22 volunteer MS patients. A questionnaire collected data regarding medical and dental histories and socieo‐demographic information. Extra‐ and intra‐oral examinations were carried out on all subjects to determine the particular dental treatment needs of this special group. The DMFT and CPITN scores for this group did not indicate that MS patients were more susceptible to dental caries or periodontal disease. However, the prevalence of trigeminal neuralgia and symptoms of TMJ dysfunction in the group studied indicated that these conditions may be manifest in MS patients and warrant further investiga

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01627.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This study was conducted to determine whether significant relationships exist among the masticatory ability, chewing‐stimulated salivary flow rate, food preferences, and dietary intake of older adults with complete natural dentitions. Pearson r correlations revealed that significant relationships existed between: (1) salivary flow rate and eighteen out of the twenty‐two nutrients comprising dietary intake; (2) masticatory ability and six out of the twenty‐two nutrients comprising dietary intake; and (3) the perceived frequency of ingestion of the thirteen test foods and the dietary intake of thirteen of the nutrients comprising dietary intake. No significant relationships were found among salivary flow rate, masticatory ability, and food preferences. The amount of saliva accumulated in the mouth during the consumption of food may play an important role in food choices and subsequent intake of nutrients by older adults. Masticatory ability may not play as large a role as salivary flow rate in determining the selection and consumption of nutrient‐ric

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01628.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The development of diaphragmatic hernias, their associated physical and diagnostic signs and symptoms, and the potential complications with nitrous oxide use are presented with a case report. Depending upon the location and extent of the diaphragmatic defect, portions of the stomach, omentum, liver and/or intestine can occupy a portion of the thoracic cavity. Nitrous oxide's solubility properties allow for rapid expansion of the herniated bowel, resulting in compression of the thoracic organs or strangulation of the herniated abdominal viscera. The presence of a diaphragmatic hernia may necessitate a change in sedation or anesthesia plans to eliminate the use of nitrous oxide during prolonged procedures.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01629.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Two hundred and fifty‐three patients treated for dental emergencies at the University Hospital dental clinic over a three‐month period were surveyed by telephone 24 to 48 hours and one year after treatment. The purpose was to investigate the success of treatment in resolving the chief complaint of pain and to determine the compliance with further dental care for the original dental problem. The results of the telephone survey showed that: patients available for questioning totaled 49.1% at 24 to 48 hours and 28.9% at one year; an 80.7% success rate was recorded in resolving pain within 24 to 48 hours; and the original emergency problem did not motivate a large number of these patients to seek further dental c

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01630.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The increasing incidence of HIV infection in the pediatric population is of concern for the practicing dentist. Long incubation periods of the virus, combined with difficulty in detection, results in many undiagnosed cases of prenatal and natal infections with HIV. As a result, many dentists will unknowingly treat HIV‐positive children. This article presents most common features of pediatric HIV infection, placing special emphasis on manifestations which affect the head, neck, and oral tissue

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01631.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A survey was conducted by interviewing a randomly selected sample of practicing dentists in Israel in 1991. The aim of this study was to evaluate methods of infection control in current use and to learn about the access to care for medically compremised patients.One hundred seventeen dentists were interviewed. This group represented a majority of graduates from Israeli schools (66).With respect to infection control, only 28% of the population surveyed routinely uses gloves, but 43% use steam autoclave, and 70% use dry‐heat sterilization.A very high percentage (87%) took a verbal medical history, while a small minority (27%) had their patients fill out a written questionnaire. Only occasionally was the name of the patient's physician requested or recorded, implying a flaw in interprofessional communications. Only 26% of the dentists said they would treat patients with hepatitis and/or AIDS. Only about half the dentists accepted patients on chemotherapy or radiotherapy or those who were taking anticoagulant drugs.Physical access for dental patients in wheelchair or stretcher was markedly limited, with referral to regional hospitals the routine for these patient

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01632.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The post‐operative symptoms of patients who had undergone third molar extractions by Oral/Maxillofacial Surgery (OMS) residents were compared with those of patients whose extractions were performed by General Dentistry (GD) residents. The OMS group had more extractions per visit and were more likely to use intravenous sedation than the GD‐treated group. No significant differences were found when the provider groups were compared by postoperative symptoms such as osteitis, infection, trismus, or paresthesia/dysthesia. The pain relief due to postoperative analgesics during the immediate 12‐hour period was higher for patients treated by GD residents. Multiple regression analysis revealed that this difference was due to the number of teeth extracted and the complexity of the surgical procedure, independent of type of pro

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01633.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper describes the various fiscal and programatic strategies used by a carefully managed, institutionally integrated, and financially viable dental department that was suddenly told to close its outpatient program and General Practice Residency Program. This case history emphasizes the importance of external factors and the need for the dental leadership in an institution to be certain that the dental department's goals are consistent with the mission of the host institution, especially in times of change. As new programs develop and existing departments expand, the reasons for the success as well as failure experienced by others should be evaluated carefully. This paper adds to this understanding.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01634.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY