ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01077.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.tb01078.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Severe dental disease has been reported for patients receiving psychiatric treatment. This study compared the oral status of non‐institutionalized adults with chronic mental illness with a similar group without such history, and evaluated relative risk factors, for example, xerostomia, diet, hygiene, and poverty. A sample of 37 subjects with chronic mental illness (CMI) and 29 control subjects without mental illness were assessed for dental, medical and social history; head, neck, and oral soft tissue pathology; salivary flow; DMFS, gingivitis, loss of periodontal attachment, plaque, and calculus. The groups were equivalent in socioeconomic level, education, dental history, and home care. All subjects with CMI received psychotropic medications (mean of 3.8 drugs for 10.3 years). The CMI group had significantly higher incidence in the following variables: self‐reported dry mouth; consumption of carbonated beverages (P<.001); mucosal, lip, and tongue lesions (P<.01); coronal smooth surface caries (P<.001); severity of plaque (P<.001) and calculus (P<.01); and salivary flow (P<.05). No significant differences were evident in the M and F components of DMFS, in gingivitis or loss of attachment. The results indicate significant increases in risk factors and increased oral pathosis in persons with mental illness who live in community settings compared with a control group that showed dental negl

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01079.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Cri‐du‐chat syndrome is a severe disease resulting from a deletion of the short arm of chromosome number 5. The basic medical disorder includes dysmorphic facies, mental retardation, and a striking catlike cry in infancy. Because of significant oral anomalies and difficulty in behavior management, the syndrome is of particular interest to the dental practitioner. A case with many of the typical medical findings and significant dental considerations is reported.An aggressive preventive dentistry program is essential. A thorough understanding of the medical and developmental problems of the patient with cri‐du‐chat syndrome ensures safe and effective dent

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01080.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A random sample of 1,016 subjects aged 65 and older were interviewed and examined in their own homes. The sample was stratified by race and place of residence. As part of the interview, the 821 dentate subjects were asked to rate their mouth appearance, chewing ability, and mouth health. Most subjects responded positively to these questions. The self‐perception of mouth health was most related to the presence of anterior teeth. Perception of chewing ability was most related to the number of anterior teeth present, total number of teeth present, and the need for extractions. Subjects also were asked about their perceived dental needs. A small proportion of subjects thought they needed restorations, periodontal treatment, or teeth replacement. Subjects generally were not able to define the extent of their treatment needs, but their self‐perceptions of mouth appearance, chewing ability, and mouth health had some relationship to their oral hea

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01081.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Oral mucositis associated with head and neck radiotherapy can substantially hinder completion of cancer therapy. Alleviation of this often severe stomatitis can provide enhanced patient comfort and facilitate appropriate care.A double‐blind format was used in a pilot project to measure, against a control rinse, the effectiveness of an oral rinse consisting of hydrocortisone, nystatin, tetracycline, and diphenhydramine in controlling radiation‐related mucositis. A combination of clinical evaluation and patient responses to a questionnaire was used to judge the results of the topical medications.Patients using the experimental medication developed less mucositis than did patients in the control gr

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01082.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

To assess current practice of dental protocols for the patient with a cardiac transplant, a 19‐question survey was designed and distributed to all general practice and oral surgery residency programs accredited by the American Dental Association. Analysis of the survey demonstrates a great amount of variability in the protocols used in this field.With the discovery of cyclosporine in 1976 by Borel, organ transplantation surgery has become increasingly common. This is especially true of heart transplantation. Success rates have increased dramatically in recent years; they are now documented at 81% at 1 year, 74% at 2 years, and 50% at 5 years. The two primary causes of death after cardiac transplantation are organ rejection and infection.Cyclosporine and azathioprine have improved the delicate balance between preventing organ rejection and encouraging infections. However, numerous bacterial infections, viral infections, and fungal infections may originate in the mouth and become life‐threatening problems. For this reason, dentists must be members of the cardiac transplant teams and a nationally accepted dental protocol should be devised to ensure proper patient c

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01083.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study describes an intraoral appliance designed to reposition the tongue to facilitate a patent airway for infants experiencing respiratory distress. Transcutaneous pulse oximetry is used to objectively evaluate this method of airway management in 15 neonates with craniofacial anomalies. The appliance can significantly improve the blood oxygen saturation level in the infants in whom it is used (P<.0001).

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1990.tb01084.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.tb01085.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.tb01086.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY