ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00791.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00792.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Public Law 88–164, enacted in 1963, has led to extensive deinstitutionalization of persons with mental retardation from a peak census of 194,650 in 1967 to 91,440 by 1988. This population now depends on the community‐based health care system for medical and dental care. A survey conducted to determine the availability of dental care to the developmentally disabled residing in group homes located in north central Florida indicated that 40% of caretakers experienced difficulty in locating dentists willing to provide comprehensive dental services for residents. According to the caretakers, although 75% of the residents were cooperative dental patients, dentists were reluctant to provide services for a variety of reasons, including financial disincentives, inadequate knowledge and preparation, and a lack of proper equipment necessary to treat this group of special patie

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00793.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Aplastic anemia (AA) is a rare blood dyscrasia in which the peripheral blood cells are decreased because of bone marrow failure. The clinical course reflects the severity of pancytopenia and is unpredictable for the individual. Hemorrhage and infection remain the major threats to these patients. Recent advances in transfusion medicine, infection management, bone marrow transplantation, and immunosuppressive therapy have improved survival of patients with AA. Oral manifestations of AA are common and may have serious sequelae. Two cases of acute periodontal infection associated with AA are presented. Dental management guidelines are presented in the context of interdisciplinary care.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00794.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A system for assessing the severity of mucositis in patients undergoing bone marrow transplantation (BMT) is presented. Ten criteria were graded to give component scores together with a total score. The overall severity score ranged from 0 through 21. Scores were assigned three times daily by nursing staff members and verified daily by the attending dental and medical practitioners. Total scores were highly reproducible and were related to the severity of neutropenia. Variation between sequential total scores was not related to interexaminer variation but rather to changes in the severity of oral mucositis. Component scores provided a useful means for transmitting oral health information between health care personnel. Total scores were used to regulate the nature and frequency of oral hygiene procedures for patients undergoing BMT as well as other hematology/oncology patients. Application of this oral assessment system to other institutional settings may be beneficial.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00795.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Oral herpes simplex virus infection is a common complication of cardiac transplantation. Lesions are secondary to reactivation of the virus, are atypical in appearance, and can involve any oral and perioral surface. Diagnosis on clinical grounds is difficult and should be confirmed with laboratory testing. A case report and review of the literature are presented to support the features of this infection.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00796.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00797.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00798.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00799.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb00800.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY