ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01453.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.tb01454.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Little is known about dental appearance in terms of the elderly population. The purpose of this paper is to compare self‐reported dental appearance with dentist‐rated appearance for individuals over 65. The subjects (N = 550) were participants in the Los Angeles based Medicare Screening and Health Promotion Trial. Most were female (57.3%), white (89.0%), and married (62.0%), with a mean age of 74.5 years. About one‐third had incomes greater than $25,000. Results are based on a 45 minute telephone interview and onsite dental screening.Findings show that 40% of the self‐ratings on a five point scale were higher than the dentist ratings, and 22% were lower. Bivariate analyses showed that both sets of ratings were related to dental status variables, self‐reported health, and education. High self‐ratings were also associated with being white and having a positive mental health status, white high dentist ratings were associated with patients who were younger, married, and who had higher income and social network scores. Comparison of results from two multiple regressions showed unique predictors for the self‐ratings (marital status and GOHAI scores) and for the dentist ratings (sex and income). These discrepancies can raise barriers to effective treatment planning in the elderly, which could affect utilization and

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01455.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Part 1 of this study describes the dental disorders and patient characteristics of 253 patients who presented as dental emergencies to the University Hospital dental clinic, Vancouver, BC, during a three‐month period. Most patients had a true perception of what constitutes a dental emergency. Dental pain was the predominant reason for seeking help, and the pain existed for more than seven days prior to contact in more than 50% of patients. Patients were not always able to identify the number and location of painful teeth, and a perceived low cost for treatment was a major reason for contacting the hospital. Reliability of emergency patients in keeping scheduled appointments was very high. Almost 69% of patients did not see a dentist regularly. Referrals to the hospital dental service were most numerous in the summer months. Diagnosis of the complaints revealed infection to be the cause of pain in 76.7% of patient

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01456.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Many studies have described the general dental findings in institutionalized older patients, but few studies have used standard dental indices to describe the dental status of these populations. Eighty‐five dentate nursing home residents were examined by a single dentist. Dental findings were reported by means of the DMFS, DMFT, and RCI indices along with the D/DFS ratio for coronal and root caries. The mean DMFS, DMFT, and RCI were 97.0, 22.9, and 28.7%, respectively. The percentages of untreated coronal and root caries lesions, as measured by the D/DFS ratios were 65.4% and 85.4%, respectively. Forty‐eight percent of the subjects had at least one retained root, with a mean of 1.0 for all 85 subjects. None of the dental findings was statistically significant in association with age, gender, or length of stay in the institution. In the population examined, no statistical or clinical differences in relation to age, gender, or length of stay in the institution were found. The dental status of a dentate older adult population can be accurately described by means of the standardized indices of DMFS, DMFT, and RCI along with the D/DFS ratios, with the caveat that these indices must be interpreted differently than when used with pediatric populations. Retained roots present a fifth surface at risk for root caries, the occlusal surface. The role of the occlusal root surface in the dental status of a population needs to be reported and analy

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01457.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Huntington's Disease is a chronic, progressive, hereditary disorder of unknown etiology. Onset occurs between 35 and 42 years of age and is characterized by chorea, behavioral changes, dementia, and irregular gait. Dyslalia is a common feature due to the severe darting movements of the tongue and head. Huntington's Disease is rarely diagnosed in children (less than 1% of all cases are documented in children under 10 years of age). This is a case report of an 11 year 5 month old white male, diagnosed at age 5, who was brought to the University of Minnesota Hospital Dental Clinic for an oral examination. The findings are presented, and the management of patients with Huntington's Disease is discussed.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01458.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The number of recipients of liver transplants has grown rapidly in the last few years and is likely to continue to do so in the future. The dentist should be prepared to see individuals who are contemplating or have had liver transplants.The major goal of dental intervention, before and after liver transplantation, is the prevention of bacteremia from an oral source that could lead to systemic infection. In addition, pre‐transplant medical conditions of concern to the dentist include poor drug metabolism, bleeding disorders, poor wound healing, and an inability to metabolize swallowed blood. Post‐transplant dental treatment must take into consideration immunosuppressive drugs and the potential for infections.Dental treatment should include a thorough dental examination, elimination of dental problems that could cause medical problems, and an intensive preventive dentistry program to minimize the occurrence of dental dise

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01459.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The purpose of this study was to determine the attitudes of Chinese dental students and dental surgery assistants toward disabled persons using the Scale to Determine Attitudes Toward Disabled Persons, the SADP. A group of 99 Hong Kong University psychology students, 50 male and 49 female, was used as the control and to determine the internal consistency and reliability of the Chinese version of the scale. A group of 4th year (n = 25) and a group of 3rd year (n = 46) dental students and a group of in‐house dental surgery assistants (n = 86) at the Prince Philip Dental Hospital, Hong Kong, were asked to complete a Chinese translation of the SADP. Results showed that there was no significant difference between attitude scores of 3rd and 4th year dental students (p = 0.06). There was a significant difference in attitude scores between dental students and the dental surgery assistants (p

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01460.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Book reviewed in this article:Practical Treatment Planning for the Paedodontic PatientAnthony S. Blinkhorn and Ian S. MackieAging and Rehabilitation II. The State of the PracticeJ.D. Brody and L.G. Pawlson, editors

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01461.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.tb01462.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY