ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00920.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00921.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00922.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Public and professional interest in community‐based care for persons with handicapping conditions seems to have reached equilibrium, and the new problems faced by those who provide institutional dental care should be scrutinize

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00923.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

SummaryA patient treated for routine dental care had a medical history of temporoman‐dibular joint trauma. A pretreatment panoramic radiograph showed evidence of a fractured condyle; however, further radiographic testing showed no fracture and that the original fracture seen was an artifact. This artifact may have been caused by superimposition of ear cartilage over the mandibular condyle during radiography.By coincidence, the patient was injured in an area that fit the original radiographic observation of a condylar fracture. However, it would be rare to find a condyle with the distal portion fractured at the angle indicated on the radiograph, and unusual for such a condition to remain undetected for 9 years. Remodeling of the bone would have been expected, and this would affect the appearance of the supposed fractur

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00924.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00925.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

SUMMARYThe personnel needed for a dental service are the dentist, the dental assistant, or an appropriately trained aide, and a nurse's aide. The initial visit would include a screening and review of all participants, and providing the home with necessary permission slips. A home care checklist chart is developed for each participating resident. If the forms reflect the organization, completion of the forms is simple, and easily managed and updated. An emergency care room should be established with ample light, a dental chair, a sink, and necessary supplies (Table).On the second and subsequent visits, an aide can organize the charts and bring patients to the dental room for screening. It is easy for the aide or nurse to tell what the personal health and mood of the patient is. A screening examination is charted with potential and immediate problems written on the conservator's form (Fig 2). Treatment may consist of directions to staff, temporary medicated dressing (cement or denture liner, or trimming of denture flanges), and the recommendation for extensive treatment or absolute immediate care in the office of an oral surgeon or a hospital based dental department.Subsequent treatment visits should include education for untrained aides and an update for staff members already trained. Treatment should be done after consultation with staff. New patients with completed conservator's request forms may be screened for potential or immediate need.Any billing would be completed by the dentist or aide, using the same procedures that he or she would use in the private office. The dentist is responsible for billing.Instruction sheets are left at the home on the first day by the secretary. These directives help to keep things slowly smoothly when the dentist comes for the first visit (Fig 2).

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00926.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00927.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00928.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

This paper won first place in the third annualArthur Elfenbaum Essay Contest,sponsored by the American Society for Geriatric Dentistry.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1985.tb00929.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY