ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00672.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00673.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThis paper examines the appropriateness and continuity of dental care rendered by the 25 hospital facilities participating in the Hospital‐Sponsored Ambulatory Dental Services Program, a $10 million effort established by the Robert Wood Johnson Foundation from 1979 to 1983.Record review data on 5,200 patients in 13 of the hospitals show that a substantially greater number of patients entered as episodic users of the system in the final phase of the evaluation than in the baseline visit; fewer of these episodic patients made the transition to initial care in the final phase. A followup study on baseline patients indicates that only 28% of the sample had a visit after the year of first contact.The trend toward episodic care is reflected in a reduced amount of preventive and operative services from baseline to final assessments. Compared with a study of private practices in California, the emphasis on surgery in the hospitals is dramatic: a dental patient accessing a hospital clinic will lose approximately one tooth as compared with a half tooth in private practice. Private practices also perform more crown and fixed partial denture services and more services across‐the‐board than the hospital clinics.Telephone interviews show that overall patient satisfaction with the hospital dental services remained high during the study (87% to 89%). Fewer patients in the final sample, however, planned to return to the hospital for all or part of their care. These findings reveal that continuity of care is a problem for hospital dental clinics. The preponderance of episodic care raises questions as to the breadth of experience offered by these hospitals to general practice resi

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00674.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTHerpes viruses andCandida albicansare among the most common opportunistic pathogens infecting patients with neoplastic disease, especially those patients receiving cancer chemotherapy.Herpes virus infections have increased as treatment of oncological disease has become more aggressive and immunosuppression disorders have become more prevalent. Herpes simplex virus on the lips and mouth of a patient receiving chemotherapy can progress to multiple lesions in the mouth, larynx, and in rare instances can lead to pneumonitis and widely disseminated infection. The management and dental findings of a 13‐year‐old patient with acute lymphocytic leukemia are descri

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00675.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTTo assess the status of geriatric education in dental hygiene curricula, a pretested survey was sent to a 55% random sample of the 198 US dental hygiene programs. Of the 109 surveys mailed, a 90% response rate showed that geriatric didactic material is most frequently presented via occasional lectures, rather than in a formal course or an organized series of presentations. Seventy‐five percent of the programs have a geriatric clinical component. Baccalaureate programs and programs longer than 2 years are more likely than associate programs and programs shorter than 2 years, respectively, to teach geriatrics in a more formalized setting. There is no significant difference in the way geriatric material is presented between hygiene programs that are and are not within dental school

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00676.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThe hypothesis of this study was to determine whether the use of rectal diazepam in solution would effectively modify the uncooperative behavior of patients with mentally and physically handicapping conditions during dental treatment. The sample consisted of 42 patients with mild to severe mentally handicapping conditions, 4 to 31 years old, who live in a homecare center. Supragingival and subgingival scaling and prophylaxis were attempted during a 5‐minute period and the patient's behavior was assessed. Conscious sedation using a rectal solution of diazepam (Stesolid) was used for those patients with voluntary or involuntary uncooperative behavior that prevented treatment. Twenty‐two subjects (52.4%) were treated without diazepam. The rectal solution of diazepam proved to be a significantly (P<.01) effective agent for behavior modification permitting the successful treatment of 16 (80%) of the 20 remaining subjects. The following behaviors were significantly modified: places hand(s) or arm(s) in front of mouth (P<.01); does not open mouth, lips held firmly together (P<05); turns head to one side or side to side (P<05); attempts to grab instruments (P<.05). No relationship was found between the results and the variables of medical history, gender, age, weight, quantity of diazepam administered, routine medication, pulse rate, blood pressure, and respirat

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00677.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTA report of case of a patient with Beckwith‐Wiedemann syndrome is presented. The macroglossia associated with the syndrome necessitated long‐term dental follow‐up to prevent and treat problems with occlusion, speech, and esthetic appearance that might develop. Early intervention might be required if feeding or respiratory difficulties, resulting from the macroglossia, arise. The diagnosis of the syndrome should alert the dentist to the increased incidence of intra‐abdominal malignancies and the need for periodic obse

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00678.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

SummaryThe formation of a hospital‐based dental phobia clinic requires little initial outlay in terms of capital. It can provide badly needed care by accessing a group of patients that have not been able to receive dental care. A dental phobia clinic cam provide an additional facet of training to house staff and attending staff, using existing facilities. The hospital environment provides an appropriate setting for this specialized kind of car

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00679.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThe PDL injection can be effective when used in the dental patient who has hemophilia. In the case reported here, no postoperative complications related to hemorrhage or hematoma formation were recorded. The PDL injection offers the patient with hemophilia improved anesthetic reliability without factor administration for routine dental procedures.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00680.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThe Periodontol Treatment Needs System (PTNS) was used to classify needs of 102 patients, 97 males and five females, at the VAMC Dental Service. The PTNS is based on the presence or absence of plaque, calculus or overhangs, inflammation, and pocket depth. In addition, need for restorative and prosthetic care was added to the PTNS based on dentists' diagnosis. All classification was done by quadrant.All subjects required dental hygiene or periodontal care; 45% of the subjects need restorative treatment, prosthetic treatment, or both. Differences in numbers of patients requiring each type of treatment were highly significant. Multiple regression showed that age was positively related to type of treatment needed, with a significant difference in dental hygiene or periodontal needs by quadrant.The results of this study show greater need for dental hygiene and periodontal treatment than for dental treatment in these patients.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00681.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY