ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01463.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

In order to examine the clinical treatment outcome for dental fears, we compared the records of 18 phobics who had co‐morbid substance use disorder (SUD) with those of 27 subjects who were phobic without concomitant SUD. Outcomes were determined by calculation of changes in the Dental Fear Survey (DFS score. Subjects were classified by the Structured Clinical Interview for DSM‐III‐R. All subjects received exposure based behavioral therapy with or without pharmacological adjuncts. All 27 subjects in the non‐SUD group and 15 of 18 (83.3%) of subjects in the SUD group improved. Non‐SUD subjects improved more than SUD's on the avoidance and specific fear, but not on the physioiogical upset, dimensions o

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01464.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A significant proportion of older adults has communication impairments. Language disorders involve problems with the use of earned symbol systems, Including numbers, pictures, and words. Aphasia is one of the most common types of language disorders experienced by the elderly and is usually caused by a cerebrovascular accident or stroke, but can also be caused by head trauma and tumors. The growing number of dental patients with this language disorder will challenge the dental team to understand and evaluate aphasia and develop effective communication strategies. This paper describes the language impairments commonly experienced by stroke victims, and discusses assessment and communication strategies specifically for the aphasic dental patient.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01465.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper reviews the use of an intracavitary mold in the radiotherapeutic management of recurrent sub‐orbital carcinoma of the maxillary sinus. An overview of the clinical features of antral carcinomas and the concept of brachytherapy in the management of these lesions is presented. Brachytherapy is usually reserved for relatively accessible lesions. Post‐surgical and radiation‐induced trismus can be a complicating factor, as in the case presented, where the inter‐incisal distance was less than three millimeters. To circumvent the problem, a multi‐layer antral plug was utilized as a carrier for the radioactive sources, and its construction is

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01466.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Patients with Parkinson's Disease display a number of orofacial manifestations. These manifestations are secondary to motor and sensory deficits, resulting in bradykinesia, muscle rigidity and tremor, and difficulties with speech, swallowing, proprioception, tactile sensitivity, and hard‐ and soft‐tissue trauma. This case describes the use of a bruxism splint which benefited a PD patient by diminishing the occurrence of orofacial pain secondary to muscle tremor and rigidity while reducing the cumulative damage to the oral structures common with the disease. The impact of therapy on sleep, speech, and swallowing difficulties is also discus

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01467.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Head and neck radiation therapy patients have permanent damage to their salivary glands, tissue, and bone. This damage may result in late effects such as: xerostomia, rampant dental caries, demineralization, trismus, and osteoradionecrosis. Therefore, a pretherapy dental evaluation and treatment and compliance with a long‐term oral care regimen are necessary. This retrospective study was designed to assess the late effects of radiation therapy and compliance with long‐term care recommendations of patients seen in the Oncology Dental Support Clinic at the University of Missouri‐Kansas City School of Dentistry during 1981 to 1989. Telephone interviews of patients and their dentists were conducted, and a written questionnaire to the dentists provided further data. Late effects were consistent with those reported in the literature. A compliance rate of approximately 50% was reported. Several measures have been implemented in an attempt to increase compl

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01468.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Malignancy in the nasopharynx, although uncommon, Is potentially devastating because of the anatomy of the region and benign early symptoms, which result In infrequent early diagnosis. High‐dose radiation therapy, with fields including the oral structures, is the treatment of choice and may result In significant oral complications. This paper reviews 39 cases of nasopharyngeal carcinoma diagnosed at the University of North Carolina Hospitals over a 15‐year period. Patient demographics, histopathology, presenting signs and symptoms, stage at diagnosis, possible risk factors, treatment modalities, survival, side‐effects of therapy, and dental Intervention are rep

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01469.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Prevalence and indicators of medication use with potential oral health implications among 4,163 people horn the Duke Established Populations for Epidemiologic Studies of the Elderly were studied. Medications were grouped into seven potential oral adverse drug reaction (POADR) Categories. Eighty percent of participants were taking at least one medication from any of the seven categories. Drugs with the potential to cause xerostomia were taken by 56.1%, abnormal hemostasis by 51.7%, soft tissue reactions by 23.4%, taste changes by 11.0%, alteration In host resistance by 8.7%, gingival overgrowth by 5.0%, and movement disorders by 2.4% of participants. Race‐stratified analyses revealed that medication use with any POADR was significantly associated (p ≤ 0.001) with being female for both races Among nonblacks, being ≥ 75 years old was associated with higher POADR use. Blacks who had a dental visit in the previous six months were more likely to take medications with POADR than those who did not. POADR medication use was not related to place of residence. Elderly often take medications with potential oral health i

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01470.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY