ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01445.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.tb01446.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Many care‐dependent elderly individuals live in nursing homes and must depend on nursing home aides for oral hygiene care. It is generally agreed that the level of oral hygiene care among care‐dependent nursing home residents is less than optimal. Two reasons are time constraints and the difficulty involved in brushing other individuals' teeth. The identification of effective and efficient plaque‐removal devices for use by care‐providers should make it easier for nursing home aides to incorporate effective oral hygiene care into their daily routines. This pilot study was undertaken to determine the relative effectiveness of four plaque removal devices with different basic designs when used by a non‐professional careprovider on 10 healthy volunteers. A brush with curved bristles on the lateral aspect of the brush head and short straight bristles in the center (Collis‐curver̀) and an electric toothbrush with tuffs that rotate reciprocally (Interplakr̀) were the most effective, a conventional brush (Oral‐Br̀) was somewhat less effective, and a disposable foam brush (Abcor̀) was least effective and similar to the prebrushing plaque score (baseline). All the volunteers reported that the Collis‐curver̀ as the most comfortable brush, and the care‐provider reported that it

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01447.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Occasionally, a dental patient presents his/her dentist with a history of hypersensitivity to local anesthetic agents. The symptoms may include immediate reactions to the injection procedure (dizziness, shortness of breath, tachycardia, etc), or delayed reactions to the anesthetic (swelling, urticaria, etc). Although the true incidence of local anesthetic allergy is low, such a history often involves the patient's anxiety regarding the use of the drug in question, and the dentist's apprehension to treat the “problematic” patient. In such cases, hypnosis can play a major role in controlling pain and the associated distress. In the present article, the method concerning the implementation of hypnosis to induce local anesthesia is described and illustrated through case demonstrati

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01448.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The pattern of utilization of oral health services by older adults is changing as more older people maintain their natural teeth. Heterogenicity among persons aged 65 and older is probably greater than in any other period in the life cycle; however, all too often, all age groups over age 65 have been grouped together for program planning or data analysis. The socio‐dental and historical influences on five specific age cohorts born between 1905 and 1945 are presented so that dentists may better understand the differences in attitudes and expectations of these individuals when they seek treatmen

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01449.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Previously published national guidelines related to the teaching and performance of conscious sedation in dentistry have not included guidance in this area for program directors of General Practice Residency and Advanced Education in General Dentistry Programs. A suggested curriculum is presented here for use by program directors of such programs who wish to design training experiences in their own programs or as a reference for program directors who wish to compare their programs with experiences provided in other locations. Guidelines are provided for facilities, equipment, personnel, records and preparation necessary to perform conscious sedation procedures, as well as goals, objectives, and evaluation methodology for training residents in conscious sedation.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01450.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Outcome measures are necessary for assessment of the appropriateness, quality, necessity for, and effectiveness of oral health care. With the growing number of older adults in the United States, it is appropriate to reflect on the unique characteristics of this segment of our society and how these characteristics may influence the identification of appropriate outcome measures. Older people often demonstrate multiple acute or chronic oral diseases with interrelated symptoms and clinical findings. Older persons are more likely to take medications with potentially adverse oral health effects. Patients experience a variety of disease processes over many years and have variable access to and experiences with the dental care system. These characteristics make the selection and interpretation of outcomes complex. Limitations of existing measures and considerations for the development of new outcomes measures specifically for older populations are reviewed.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1993.tb01451.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.tb01452.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY