ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01471.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.tb01472.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A controlled pillot study determined oral heallth in persons with quadriplegia due to spinal cord injury, and compared dental disease rates in spinal cord injury and other disability groups. Seventeen adults with spinal cord injury and 17 controls were assessed for dental/medical/social history; manual function; head, neck, and oral lesions; salivary flow; DMFS; and gingivitis, periodontal pockets, plaque, and calculus. Findings were compared with those from prior studies according to the same protocol, for groups of similar age with mental retardation, cerebral palsy, traumatic brain injury, and chronic mental illness. No significant differences between spinal cord injury and control subjects were noted, except that fewer spinal cord injury subjects brushed daily or flossed (p<0.05); dependent subjects tended to have more plaque and gingivitis than those brushing independently. Subjects with spinal cord injury and mental illness had less gingivitis than those with mental retardation and cerebral palsy (p<0.001); on calculus, subjects with spinal cord injury ranked lower than subjects with mental illness (p<0.05). On DFS, mentally ill subjects and those with traumatic brain injury ranked higher than mentally retarded and cerebral palsy groups, with spinal cord Injury subjects intermediate. Mentally retarded and traumatic‐brain‐injured subjects had fewer teeth than other groups (p<0.05). The findings suggest differences in oral health status and oral care for various disabled populati

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01473.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Gingival and periodontal involvement has been described in individuals with Human Immunodeficiency Virus (HIV) infection. The manifestations often include erythematous gingivitis, necrotizing gingivitis, and periodontal involvement characterized by rampant loss of bone and soft tissue, resulting in recession without the formation of periodontal pockets. We present cases of HIV‐associated periodontitis (HIV‐P) in which advanced periodontal pocket formation was present. Periodontal disease may show a broad range of severity in patients with various T,4helper cell cou

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01474.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Amyotrophic lateral sclerosis (ALS) is a progressive motor neuron disease. Methods of dental treatment of a young male patient with ALS are presented. This case is unusual in several respects: the early age of onset, the long survival time, and the period of time in which the case was followed in our dental clinic. Aspects of ALS which are of concern to dentistry, as related to clinical care and strategies for effective oral health delivery, are presented.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01475.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The most frequently used method to request and collect health‐related information has been the mail questionnaire. While self‐administered surveys offer a relatively low‐cost and convenient method for collecting health data, they have been unpopular among researchers because of concerns about low response rates and nonresponse bias. This study examines differences in demographic and health characteristics between mail survey respondents and nonrespondents who were subsequently interviewed by telephone. Subjects for this study had at least one health care encounter in 1990 from a Medicare‐waiver program. The telephone survey was conducted approximately two months after the last wave of a three‐wave mailing survey of this urban elderly population. No significant differences were found between telephone and mail respondents for demographic, socioeconomic, quality of life, or perceived oral health characteristics. However, mail respondents were more likely to be dentate and report better perceived general health than were the telephone re

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01476.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Major depression is a psychiatric disorder in which mood, thought content, and behavioral patterns are impaired, offen for an extended period of time. The condition is encountered among elderly persons admitted to the hospital and those residing in nursing homes. Major depression is predominantly biologic in origin and may arise from dysfunction of the limbic‐hypothalamicpituitary‐adrenal axis. it is associated with personal neglect, including a disinterest in performing appropriate preventive oral hygiene techniques. The majority of antidepressant medications cause xerostomia and magnify the incidence of dental disease. Appropriate dental management of patients with the disorder necessitates the use of anti‐caries agents containing fluoride, saliva substitutes, and special precautions when analgesics and local anes the tics are being prescribed or administered. Dental treatment helps to improve the patient's self‐image and quality

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01477.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Preoperative transfusion of sickle cell anemia (SCA) patients prior to general anesthesia is considered a routine procedure to ensure adequate levels of normal adult hemoglobin A to prevent a sickle cell crisis. Blood transfusion risks have led some clinicians to question this procedure. A case report is presented in which a SCA patient developed a delayed hemolytic reaction from a transfusion given prior to dental treatment under general anesthesia. The controversy of transfusion in this patient group is presented

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01478.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.tb01479.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.tb01480.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY