ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00444.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00445.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Systemic lupus erythematosus (SUE) is associated with multiple cardiac complications, including valvular damage and an increased risk of bacterial endocarditis. The purpose of this study was to evaluate prospectively a group of patients with SLE for the presence of valvular abnormalities in order to assess their candidacy for antibiotic prophylaxis prior to invasive dental procedures. Of the 43 participants, 19 (44%) had echocardiographic evidence of valvular pathology; however, only seven (16%) had a physical exam consistent with pathologic valve anatomy or function. Because of the high percentage of SLE patients with valvular abnormalities, and the poor sensitivity of the physical exam, referral to a cardiologist for echocardiography is suggested prior to invasive dental care for patients with SLE. If cardiac valvular pathology is detected, antibiotic prophylaxis should be considered.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00446.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The need to match residency program experiences with the Interests, skills, and personal goals of residents is Influenced by many factors. A structured system, the Individualized Educational Plan, is described which provides a formalized means of addressing each of these needs. The development of an educational plan, similar in concept to the development of a formal treatment plan for patients, provides the basis for the system. The system provides both the program director and the resident with the means to evaluate in detail the resident's progress and the program's performance in helping the resident achieve competency.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00447.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Dental professionals are Increasingly aware of their ethical responsibility to permit patients to participate in treatment decisions through the Informed consent process. At the same time, growing numbers of geriatric patients present special challenges that can Jeopardize the use of informed consent. Consequently, the use of informed consent with geriatric patients warrants special analysis due to complicating factors such as patient passivity and questionable competency. This article establishes the relationship between the ethical principle of autonomy and informed consent while examining factors that must be present in order for a valid informed consent to be obtained. Additionally, the article addresses informed consent issues regarding competent patients, geriatric patients with fluctuating or uncertain competency, and patients who are clearly incompetent

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00448.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Pica is a behavior commonly displayed by children, pregnant females, and Individuals with mental retardation. A population of Institutionalized adults with mental retardation was assessed for pica. Of this population, 10.8% were identified with this behavior. Also, this article discusses aspects of pica and describes how this behavior can affect the mouth.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00449.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

A clinical report is presented describing the prosthodontic rehabilitation of an oral cancer patient, and the techniques involved.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00450.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

In order to examine the clinical treatment outcome for dental fears, we examined 111 active patient records retrospectively using an 80‐item structured format. Subjects were from three fear subtypes: needle phobic (N = 15), gagger (N = 11), and non‐specific dental fear (N = 85). Mean subtype Dental Fear Survey scores ranged from 72.3 to 81.0. Patients received either behavioral therapy alone (N = 85) or behavioral therapy with a nitrous oxide or IV sedation adjunct (N = 26). Mean psychological treatment time was 3.9 hours (SD = 2.8 h) and did not differ by fear subtype (p>0.05). All patients successfully completed initial dental treatment. Relapse of fear requiring additional psychological treatment occurred only in the nonspecific fear subtype (rate = 11.2%). Patients receiving pharmacological adjuncts to behavior therapy (nitrous oxide) experienced less rela

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00451.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

High‐dose‐rate remote (HDR) brachytherapy eliminates radiation exposure hazard to personnel, allows for optimum dosage planning (dosimetry), and delivers high radiation dose close to the tumor in only a few minutes. The catheters can be Incorporated into a fixed geometry within a mold, allowing for repeated treatments without the need for repeated implantation of radioactive Isotopes or repeated dosimetry. This article presents the use of HDR brachytherapy in three patients to Illustrate the advantages of HDR brachytherapy for the treatment of head and neck cancers in the following circumstances: (a) for outpatient therapy, (b) as an addition to or potentiation of external beam irradiation, (c) for preservation of function of regional structures, (d) for optimization of dosimetry, and (e) for palliation. It requires close interaction among the radiation oncologist, head and neck surgeon, and the dental oncologist and/or maxillofacial prosthodontist in order for optimum benefit for the patient to be achie

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00452.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Book reviewed in this article:Practical Infection Control In DentistryOutcomes Assessment: A Resource BookTissue Integration in Oral, Orthopedic and Maxillofacial Reconstruction

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1992.tb00453.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY