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Padmanabhan V, Islam MS, Rahman MM, Chaitanya NC, Sivan PP. Understanding patient safety in dentistry: evaluating the present and envisioning the future-a narrative review. BMJ Open Qual 2024; 13:e002502. [PMID: 38719522 PMCID: PMC11086509 DOI: 10.1136/bmjoq-2023-002502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 10/26/2023] [Indexed: 05/12/2024] Open
Abstract
BACKGROUND Patient safety is crucial in dentistry, yet it has received delayed recognition compared with other healthcare fields. This literature review assesses the current state of patient safety in dentistry, investigates the reasons for the delay, and offers recommendations for enhancing patient safety in dental practices, dental schools, and hospitals. METHODS The review incorporates a thorough analysis of existing literature on patient safety in dentistry. Various sources, including research articles, guidelines and reports, were reviewed to gather insights into patient safety definitions, challenges and best practices specific to dentistry. RESULTS The review underscores the importance of prioritising patient safety in dentistry at all levels of healthcare. It identifies key definitions and factors contributing to the delayed focus on patient safety in the field. Additionally, it emphasises the significance of establishing a patient safety culture and discusses approaches such as safety plans, incident management systems, blame-free cultures and ethical frameworks to enhance patient safety. CONCLUSION Patient safety is vital in dentistry to ensure high-quality care and patient well-being. The review emphasises the importance of prioritising patient safety in dental practices, dental schools and hospitals. Through the implementation of recommended strategies and best practices, dental organisations can cultivate a patient safety culture, enhance communication, mitigate risks and continually improve patient safety outcomes. The dissemination of knowledge and the active involvement of all stakeholders are crucial for promoting patient safety and establishing a safe dental healthcare system.
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Affiliation(s)
- Vivek Padmanabhan
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, UAE
| | - Md Sofiqul Islam
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, UAE
| | | | - Nallan Csk Chaitanya
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, UAE
| | - Padma Priya Sivan
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, UAE
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Saeed MHB, Raja UB, Khan Y, Gidman J, Niazi M. Interplay between leadership and patient safety in dentistry: a dental hospital-based cross-sectional study. BMJ Open Qual 2024; 13:e002376. [PMID: 38719526 PMCID: PMC11086432 DOI: 10.1136/bmjoq-2023-002376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 12/19/2023] [Indexed: 05/12/2024] Open
Abstract
OBJECTIVES The study aimed to study the association of leadership practices and patient safety culture in a dental hospital. DESIGN Hospital-based, cross-sectional study SETTING: Riphah Dental Hospital (RDH), Islamabad, Pakistan. PARTICIPANTS All dentists working at RDH were invited to participate. MAIN OUTCOME MEASURES A questionnaire comprised of the Transformational Leadership Scale (TLS) and the Dental adapted version of the Medical Office Survey of Patient Safety Culture (DMOSOPS) was distributed among the participants. The response rates for each dimension were calculated. The positive responses were added to calculate scores for each of the patient safety and leadership dimensions and the Total Leadership Score (TLS) and total patient safety score (TPSS). Correlational analysis is performed to assess any associations. RESULTS A total of 104 dentists participated in the study. A high positive response was observed on three of the leadership dimensions: inspirational communication (85.25%), intellectual stimulation (86%), and supportive leadership (75.17%). A low positive response was found on the following items: 'acknowledges improvement in my quality of work' (19%) and 'has a clear sense of where he/she wants our unit to be in 5 years' (35.64%). The reported positive responses in the patient safety dimensions were high on three of the patient safety dimensions: organisational learning (78.41%), teamwork (82.91%), and patient care tracking/follow-up (77.05%); and low on work pressure and pace (32.02%). A moderately positive correlation was found between TLS and TPSS (r=0.455, p<0.001). CONCLUSIONS Leadership was found to be associated with patient safety culture in a dental hospital. Leadership training programmes should be incorporated during dental training to prepare future leaders who can inspire a positive patient safety culture.
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Affiliation(s)
- Muhammad Humza Bin Saeed
- Community Dentistry, Riphah International University, Islamabad, Pakistan
- Research, Development & Grants, NHS North Bristol Trust, Bristol, Bristol, UK
| | | | - Yawar Khan
- Riphah International University Faculty of Health and Medical Sciences, Islamabad, Pakistan
| | - Janice Gidman
- University of Chester, Chester, Cheshire West and Chester, UK
| | - Manahil Niazi
- Community Dentistry, Riphah International University, Islamabad, Pakistan
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Kanwal L, Gulzar M, Idrees W, Ikram F, Sukhia RH, Fida M. The application of virtual reality and augmented reality in dentistry - a literature review. J PAK MED ASSOC 2024; 74:S126-S131. [PMID: 38712420 DOI: 10.47391/jpma.aku-9s-19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
In recent times, dentistry has seen significant technological advancements that have transformed various specialized areas within the field. Developed into applications for mobile devices, augmented reality (AR) seamlessly merges digital components with the physical world, enhancing both realms while maintaining their individual separateness. On the other hand, virtual reality (VR) relies on advanced, tailored software to visualize a digital 3D environment stimulating the operator's senses through computer generated sensations and feedback. The current advances use the application of VR, haptic simulators, the use of an AI algorithm and many more that provides new opportunities for smart learning and enhance the teaching environment. As this technology continues to evolve, it is poised to become even more remarkable, enabling specialists to potentially visualize both soft and hard tissues within the patient's body for effective treatment planning. This literature aims to present the newest advancements and ongoing development of AR and VR in dentistry and medicine. It highlights their diverse applications while identifying areas needing further research for effective integration into clinical practice.
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Key Words
- Augmented Reality, Haptic Technology,
Virtual Reality, Computers, Dentistry, Handheld,
Algorithms, Sensation, Artificial Intelligence, Augmented
reality, Dental education, Endodontics, Implantology, Oral
and maxillofacial surgery.
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Affiliation(s)
- Leelan Kanwal
- Department of Surgery, Section of Dentistry, Aga Khan University Hospital, Karachi, Pakistan
| | - Munnal Gulzar
- Department of Surgery, Section of Dentistry, Aga Khan University Hospital, Karachi, Pakistan
| | - Wafa Idrees
- Department of Surgery, Section of Dentistry, Aga Khan University Hospital, Karachi, Pakistan
| | - Fizzah Ikram
- Department of Surgery, Section of Dentistry, Aga Khan University Hospital, Karachi, Pakistan
| | - Rashna Hoshang Sukhia
- Department of Surgery, Section of Dentistry, Aga Khan University Hospital, Karachi, Pakistan
| | - Mubassar Fida
- Department of Surgery, Section of Dentistry, Aga Khan University Hospital, Karachi, Pakistan
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Scheerman JFM, Qari AH, Varenne B, Bijwaard H, Swinckels L, Giraudeau N, van Meijel B, Mariño R. A Systematic Umbrella Review of the Effects of Teledentistry on Costs and Oral-Health Outcomes. Int J Environ Res Public Health 2024; 21:407. [PMID: 38673320 PMCID: PMC11050059 DOI: 10.3390/ijerph21040407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 03/19/2024] [Accepted: 03/20/2024] [Indexed: 04/28/2024]
Abstract
Teledentistry offers possibilities for improving efficiency and quality of care and supporting cost-effective healthcare systems. This umbrella review aims to synthesize existing systematic reviews on teledentistry and provide a summary of evidence of its clinical- and cost-effectiveness. A comprehensive search strategy involving various teledentistry-related terms, across seven databases, was conducted. Articles published until 24 April 2023 were considered. Two researchers independently reviewed titles, abstracts and full-text articles. The quality of the included reviews was critically appraised with the AMSTAR-2 checklist. Out of 749 studies identified, 10 were included in this umbrella review. Two reviews focusing on oral-health outcomes revealed that, despite positive findings, there is not yet enough evidence for the long-term clinical effectiveness of teledentistry. Ten reviews reported on economic evaluations or costs, indicating that teledentistry is cost-saving. However, these conclusions were based on assumptions due to insufficient evidence on cost-effectiveness. The main limitation of our umbrella review was the critically low quality of the included reviews according to AMSTAR-2 criteria, with many of these reviews basing their conclusions on low-quality studies. This highlights the need for high-quality experimental studies (e.g., RCTs, factorial designs, stepped-wedge designs, SMARTs and MRTs) to assess teledentistry's clinical- and cost-effectiveness.
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Affiliation(s)
- Janneke F. M. Scheerman
- Oral Hygiene, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 1081 LA Amsterdam, The Netherlands
- Medical Technology Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
- Mental Health Nursing Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
| | - Alaa H. Qari
- College of Dental Medicine, Umm Al-Qura University, Makkah 24381, Saudi Arabia
| | - Benoit Varenne
- Oral Health Programme, Department of Noncommunicable Diseases, Rehabilitation and Disability (NCD), World Health Organization, 1202 Geneva, Switzerland;
| | - Harmen Bijwaard
- Medical Technology Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
- Centre for Safety, National Institute for Public Health and the Environment (RIVM), 3720 BA Bilthoven, The Netherlands
| | - Laura Swinckels
- Oral Hygiene, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 1081 LA Amsterdam, The Netherlands
- Medical Technology Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
- Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, 1081 LA Amsterdam, The Netherlands
| | | | - Berno van Meijel
- Mental Health Nursing Research Group, Cluster Health, Sport and Welfare, Inholland University of Applied Sciences, 2015 CE Haarlem, The Netherlands
- Department of Psychiatry, Amsterdam University Medical Centre (UMC) and Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
- Parnassia Psychiatric Institute, Parnassia Academy, 2552 DH The Hague, The Netherlands
| | - Rodrigo Mariño
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco 01145, Chile
- Melbourne Dental School, University of Melbourne, Melbourne, VIC 3052, Australia
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Németh O, Uhrin E, Girasek E, Boros J, Győrffy Z. The impact of digital healthcare and teledentistry on dentistry in the 21st Century: a survey of Hungarian dentists. BMC Oral Health 2023; 23:1025. [PMID: 38115014 PMCID: PMC10731718 DOI: 10.1186/s12903-023-03770-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 12/12/2023] [Indexed: 12/21/2023] Open
Abstract
BACKGROUND The era of digitalization has arrived in the field of dentistry. Teledentistry (TD), the use of digital solutions in dentistry, is already used in practice; however, only some possibilities are considered. During the COVID-19 pandemic, remote patient monitoring and patient communication had to be solved with TD, thus causing a rapid spread of new tools. In addition to digital workflows, patient communication, AI, and online forums are also available. METHODS An online self-administered survey was developed for the study. The Hungarian Medical Chamber contacted potential respondents in a newsletter or e-mail. The Evasys survey system was used. The weighting procedure was executed for gender, age group, and type of settlement. A digital dental index variable was created and built with a linear regression model as a dependent variable. Explanatory variables are advantages, disadvantages, what would be necessary, experienced needs from the patients, and age. RESULTS A total of 171 dentists completed the survey. The best-known digital technologies are online conferences (96.5%), E-prescriptions (94.6%), and digital impressions (86.0%). Unawareness is the highest in the field of artificial intelligence in dentistry (50.5%), store-forward solutions (43.5%), and real-time solutions (41.8%). The digital dental index is 14.24 (standard deviation (SD) = 5.5), with a high power of the model. CONCLUSION Hungarian dentists need to be made aware of all the possibilities of TD. In addition to digital workflows, store-forward and real-time solutions can be beneficial to substitute face-to-face visits. TD can be used effectively to monitor oral cavity changes and develop dental confidence and proper oral care habits. Our survey suggests that it is necessary and inevitable to integrate TD into both graduate and postgraduate education, which may form the basis of primary health care in the next decade.
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Affiliation(s)
- Orsolya Németh
- Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
| | - Eszter Uhrin
- Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Edmond Girasek
- Institute of Behavioral Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Julianna Boros
- Institute of Behavioral Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Zsuzsa Győrffy
- Institute of Behavioral Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
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Lin GSS, Tan WW, Foong CC. A phenomenological study on East and Southeast Asian dental educators: perceived importance, challenges, and strategies in teaching dental materials science. BMC Oral Health 2023; 23:571. [PMID: 37574553 PMCID: PMC10424391 DOI: 10.1186/s12903-023-03293-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 08/07/2023] [Indexed: 08/15/2023] Open
Abstract
BACKGROUND Effective teaching of dental materials science is crucial for dental students to develop a comprehensive understanding of materials used in clinical practice. However, literature on educators' views on teaching this subject is still scarce. This qualitative study aimed to explore the lived experiences of dental educators in teaching dental materials science subjects, thereby addressing potential gaps and enhancing teaching practices. METHODS Thirteen dental educators from East and Southeast Asian countries (Malaysia, China, Indonesia, Thailand, South Korea, and Japan) participated in the present study. The present study adopted a transcendental phenomenological approach. One-to-one semi-structured online interviews were conducted. Interviews were recorded and transcribed verbatim. Thematic analysis was employed to identify patterns in the educators' experiences. RESULTS Three themes emerged from the present study. First, perceptions of the importance of dental materials science, highlighting its relevance in clinical practice, patient care, and lifelong learning. Second, the challenges faced in teaching dental materials science include limited instructional time, complex content, and insufficient resources. Third, specific strategies, such as applying interactive teaching methods, integrating clinical scenarios, and promoting critical thinking skills have been suggested to enhance teaching and learning. CONCLUSION Understanding dental educators' experiences can improve dental materials science education, curriculum development, teaching methods, and faculty training programmes, ultimately enhancing the knowledge and skills of dental students in this field.
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Affiliation(s)
- Galvin Sim Siang Lin
- Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Bedong, Kedah, 08100, Malaysia.
| | - Wen Wu Tan
- Department of Dental Public Health, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Bedong, Kedah, 08100, Malaysia
| | - Chan Choong Foong
- Medical Education and Research Development Unit (MERDU), Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia
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Abstract
Dentistry is confronted with the functional and aesthetic consequences that result from an increased prevalence of misaligned and discrepant dental occlusal relations in modern industrialised societies. Previous studies have indicated that a reduction in jaw size in response to softer and more heavily processed foods during and following the Industrial Revolution (1,700 CE to present) was an important factor in increased levels of poor dental occlusion. The functional demands placed on the masticatory system play a crucial role in jaw ontogenetic development; however, the way in which chewing behaviours changed in response to the consumption of softer foods during this period remains poorly understood. Here we show that eating more heavily processed food has radically transformed occlusal power stroke kinematics. Results of virtual 3D analysis of the dental macrowear patterns of molars in 104 individuals dating to the Industrial Revolution (1,700-1,900 CE), and 130 of their medieval and early post-medieval antecedents (1,100-1,700 CE) revealed changes in masticatory behaviour that occurred during the early stages of the transition towards eating more heavily processed foods. The industrial-era groups examined chewed with a reduced transverse component of jaw movement. These results show a diminished sequence of occlusal contacts indicating that a dental revolution has taken place in modern times, involving a dramatic shift in the way in which teeth occlude and wear during mastication. Molar macrowear suggests a close connection between progressive changes in chewing since the industrialization of food production and an increase in the prevalence of poor dental occlusion in modern societies.
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Affiliation(s)
| | - Ottmar Kullmer
- Department of Paleoanthropology, Senckenberg Research Institute and Natural History Museum Frankfurt, Frankfurt, Germany
- Department of Palaeobiology and Environment, Institute of Ecology, Evolution, and Diversity, Johann Wolfgang Goethe University, Frankfurt, Germany
| | - Simon Hillson
- Institute of Archaeology, University College London, London, United Kingdom
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8
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Herrick KR, Terrio JM, Herrick C. Medical Clearance for Common Dental Procedures. Am Fam Physician 2021; 104:476-483. [PMID: 34783493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Medical consultations before dental procedures present opportunities to integrate cross-disciplinary preventive care and improve patient health. This article presents recommendations related to patients with certain medical conditions who are planning to undergo common dental procedures, such as cleanings, extractions, restorations, endodontic procedures, abscess drainage, and mucosal biopsies. Specifically, prophylactic antibiotics are not recommended for preventing prosthetic joint infections or infectious endocarditis except in certain circumstances. Anticoagulation and antiplatelet therapies typically should not be suspended for common dental treatments. Elective dental care should be avoided for six weeks after myocardial infarction or bare-metal stent placement or for six months after drug-eluting stent placement. It is important that any history of antiresorptive or antiangiogenic therapies be communicated to the dentist. Ascites is not an indication for initiating prophylactic antibiotics before dental treatment, and acetaminophen is the analgesic of choice for patients with liver dysfunction or cirrhosis who abstain from alcohol. Nephrotoxic medications should be avoided in patients with chronic kidney disease, and the consultation should include the patient's glomerular filtration rate. Although patients undergoing chemotherapy may receive routine dental care, it should be postponed when possible in those currently undergoing head and neck radiation therapy. A detailed history of head and neck radiation therapy should be provided to the dentist. Multimodal, nonnarcotic analgesia is recommended for managing acute dental pain.
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Noordien N, Mulder-van Staden S, Mulder R. In Vivo Study of Aerosol, Droplets and Splatter Reduction in Dentistry. Viruses 2021; 13:1928. [PMID: 34696357 PMCID: PMC8539735 DOI: 10.3390/v13101928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 09/21/2021] [Accepted: 09/22/2021] [Indexed: 11/21/2022] Open
Abstract
Oral health care workers (OHCW) are exposed to pathogenic microorganisms during dental aerosol-generating procedures. Technologies aimed at the reduction of aerosol, droplets and splatter are essential. This in vivo study assessed aerosol, droplet and splatter contamination in a simulated clinical scenario. The coolant of the high-speed air turbine was colored with red concentrate. The red aerosol, droplets and splatter contamination on the wrists of the OHCW and chests of the OHCW/volunteer protective gowns, were assessed and quantified in cm2. The efficacy of various evacuation strategies was assessed: low-volume saliva ejector (LV) alone, high-volume evacuator (HV) plus LV and an extra-oral dental aerosol suction device (DASD) plus LV. The Kruskal-Wallis rank-sum test for multiple independent samples with a post-hoc test was used. No significant difference between the LV alone compared to the HV plus LV was demonstrated (p = 0.372059). The DASD combined with LV resulted in a 62% reduction of contamination of the OHCW. The HV plus LV reduced contamination by 53% compared to LV alone (p = 0.019945). The DASD demonstrated a 50% reduction in the contamination of the OHCWs wrists and a 30% reduction in chest contamination compared to HV plus LV. The DASD in conjunction with LV was more effective in reducing aerosol, droplets and splatter than HV plus LV.
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Affiliation(s)
- Naeemah Noordien
- Paediatric Dentistry, The University of the Western Cape, Cape Town 7530, South Africa;
| | - Suné Mulder-van Staden
- Oral Medicine, Periodontology and Implantology Department, The University of the Western Cape, Cape Town 7530, South Africa
| | - Riaan Mulder
- Restorative Dentistry, The University of the Western Cape, Cape Town 7530, South Africa;
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Subhan R, Ismail WA, Musharraf S, Khan M, Hafeez R, Alam MK. Teledentistry as a Supportive Tool for Dentists in Pakistan. Biomed Res Int 2021; 2021:8757859. [PMID: 34540998 PMCID: PMC8443341 DOI: 10.1155/2021/8757859] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 08/27/2021] [Indexed: 11/27/2022]
Abstract
The current scenario of the COVID-19 pandemic has forced dentists to seek different options for delivering healthcare services other than the in-person direct examination in clinical practice. Teledentistry is one of the options for remote patient care and monitoring. Objective. The present survey was conducted to assess the knowledge and perception of the dentists in Pakistan regarding teledentistry as an emergent supportive tool. Materials and Methods. A self-administered, close-ended, and prevalidated survey questionnaire was used, comprising 21 questions, and distributed electronically via e-mail, WhatsApp, and Facebook Messenger to evaluate the knowledge and perception of dentists regarding teledentistry. The data collected was compiled in a systematic manner and analyzed in terms of frequency (yes/no). Results. Out of a total of 350 dentists, 325 responded to the questionnaire, and it was seen that 62.5% of them did not have knowledge about teledentistry prior to COVID-19. 65.8% of dentists considered the practice of teledentistry in nonpandemic situations in the future. Conclusion. In the present study, it was observed that most of the dental professionals had inadequate knowledge about teledentistry before COVID-19, but the awareness and perception regarding teledentistry were currently satisfactory among the dental professionals in Pakistan. This emerging trend gives a positive hope for the implementation of teledentistry in the healthcare setup of Pakistan in the near future, as it will prove to be beneficial for safe dental practice during times of pandemic and even after.
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Affiliation(s)
- Rootab Subhan
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
| | - Waleed A. Ismail
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
- Periodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kota Bharu, Kelantan, Malaysia
| | - Sadia Musharraf
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
| | - Mylla Khan
- Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad 44000, Pakistan
| | - Resham Hafeez
- Department of Periodontology, Army Medical College, National University of Medical Sciences, Rawalpindi 46000, Pakistan
| | - Mohammad Khursheed Alam
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Al Jouf 72345, Saudi Arabia
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Seredin P, Goloshchapov D, Ippolitov Y, Vongsvivut J. Engineering of a Biomimetic Interface between a Native Dental Tissue and Restorative Composite and Its Study Using Synchrotron FTIR Microscopic Mapping. Int J Mol Sci 2021; 22:6510. [PMID: 34204524 PMCID: PMC8233930 DOI: 10.3390/ijms22126510] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 06/13/2021] [Accepted: 06/14/2021] [Indexed: 01/04/2023] Open
Abstract
The aim of this work is to develop a biomimetic interface between the natural tooth tissue and the restorative composite and to study it on the basis of synchrotron micro-FTIR mapping and multidimensional processing of the spectral data array. Using hierarchical cluster analysis of 3D FTIR data revealed marked improvements in the formation of the dentine/adhesive/dental hybrid interface using a biomimetic approach. The use of a biomimetic strategy (application of an amino acid-modified primer, alkaline calcium and a nano-c-HAp-modified adhesive) allowed the formation of a matrix that can be structurally integrated with natural dentine and dental composite. The biomimetic hybrid layer was characterised by homogeneous chemical composition and a higher degree of conversion of the adhesive during polymerisation, which should provide optimal integration of the dental composite with the dentine.
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Affiliation(s)
- Pavel Seredin
- Solid State Physics and Nanostructures Department, Voronezh State University, University sq.1, 394018 Voronezh, Russia;
- Scientific and Educational Center “Nanomaterials and Nanotechnologies”, Ural Federal University named after the first President of Russia B. N. Yeltsin, Mir av., 620002 Yekaterinburg, Russia
| | - Dmitry Goloshchapov
- Solid State Physics and Nanostructures Department, Voronezh State University, University sq.1, 394018 Voronezh, Russia;
| | - Yuri Ippolitov
- Department of Pediatric Dentistry with Orthodontia, Voronezh State Medical University, Studentcheskaya st. 11, 394006 Voronezh, Russia;
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da Silva Barboza A, Aitken-Saavedra JP, Ferreira ML, Fábio Aranha AM, Lund RG. Are propolis extracts potential pharmacological agents in human oral health? - A scoping review and technology prospecting. J Ethnopharmacol 2021; 271:113846. [PMID: 33485981 DOI: 10.1016/j.jep.2021.113846] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 12/22/2020] [Accepted: 01/14/2021] [Indexed: 05/20/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE The antimicrobial potential of propolis - a honey bee product - was correlated with its traditional use as a natural medicine, mainly known for antimicrobial and antioxidant properties. Moreover, research on natural products in dentistry has increased in recent years in the search for products with greater therapeutic activity, lower toxicity, better biocompatibility, and more affordable cost to the population. OBJECTIVE Considering that the beneficial effect of propolis is acknowledged for several oral conditions, this study aimed to synthesize the research and technological forecasts of existing evidence on the use of propolis extract as a potential antimicrobial agent in dentistry. METHODS Studies were identified through an investigation in the PubMed, Web of Science, Scopus, and Scielo electronic databases. Additionally, the following patent databases were screened: Google Patents, WIPO, INPI, Espacenet, and Questel Orbit. The data were tabulated and analyzed using Microsoft Office Excel 2013 and Questel Orbit. RESULTS A total of 174 scientific articles and 276 patents fulfilled all the criteria and were included in the investigation. The highest number of patents (n = 144) was produced by China. Additionally, the most prevalent studies were performed on an experimental basis (72%), followed by clinical studies (n = 27) and review articles (n = 21). The effect of using propolis has been extensively observed in oral care products, periodontics, pathology, and cariology, among other dental specialties. CONCLUSION It was possible to identify the current scientific and technological scenario of the application of propolis in dentistry, with the number of patents increasing in recent years. However, all studies related to the use of propolis in dentistry have shown a potentially safe antimicrobial agent in an extensive field of application.
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Affiliation(s)
- Andressa da Silva Barboza
- Post-graduate Program in Dentistry, Laboratory of Oral Microbiology, School of Dentistry, Federal University of Pelotas, RS, Brazil
| | - Juan Pablo Aitken-Saavedra
- Post-graduate Program in Dentistry, Laboratory of Oral Microbiology, School of Dentistry, Federal University of Pelotas, RS, Brazil; Department of Oral Pathology and Medicine, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Monika Lamas Ferreira
- Post-graduate Program in Dentistry, Laboratory of Oral Microbiology, School of Dentistry, Federal University of Pelotas, RS, Brazil
| | - Andreza Maria Fábio Aranha
- Post-graduate Program in Integrated Dental Sciences, School of Dentistry, University of Cuiabá, Cuiabá, MT, Brazil
| | - Rafael Guerra Lund
- Post-graduate Program in Dentistry, Laboratory of Oral Microbiology, School of Dentistry, Federal University of Pelotas, RS, Brazil; Post-graduate Program in Biochemistry and Bioprospecting, Federal University of Pelotas, Pelotas, RS, Brazil.
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13
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Kun-Szabó F, Gheorghita D, Ajtai T, Hodovány S, Bozóki Z, Braunitzer G, Antal MÁ. Aerosol generation and control in the dental operatory: An in vitro spectrometric study of typical clinical setups. PLoS One 2021; 16:e0246543. [PMID: 33539439 PMCID: PMC7861533 DOI: 10.1371/journal.pone.0246543] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 01/20/2021] [Indexed: 11/18/2022] Open
Abstract
Dental turbines and scalers, used every day in dental operatories, feature built-in water spray that generates considerable amounts of water aerosol. The problem is that it is not exactly known how much. Since the outbreak of COVID-19, several aerosol safety recommendations have been issued-based on little empirical evidence, as almost no data are available on the exact aerosol concentrations generated during dental treatment. Similarly, little is known about the differences in the efficacy of different commercially available aerosol control systems to reduce in-treatment aerosol load. In this in vitro study, we used spectrometry to explore these questions. The time-dependent effect of conventional airing on aerosol concentrations was also studied. Everyday patient treatment situations were modeled. The test setups were defined by the applied instrument and its spray direction (high-speed turbine with direct/indirect airspray or ultrasonic scaler with indirect airspray) and the applied aerosol control system (the conventional high-volume evacuator or a lately introduced aerosol exhaustor). Two parameters were analyzed: total number concentration in the entire measurement range of the spectrometer and total number concentration within the 60 to 384 nm range. The results suggest that instrument type and spray direction significantly influence the resulting aerosol concentrations. Aerosol generation by the ultrasonic scaler is easily controlled. As for the high-speed turbine, the efficiency of control might depend on how exactly the instrument is used during a treatment. The results suggest that scenarios where the airspray is frequently directed toward the air of the operatory are the most difficult to control. The tested control systems did not differ in their efficiency, but the study could not provide conclusive results in this respect. With conventional airing through windows with a standard fan, a safety airing period of at least 15 minutes between treatments is recommended.
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Affiliation(s)
- Fruzsina Kun-Szabó
- Department of Optics and Quantum Electronics, Faculty of Science and Informatics, University of Szeged, Szeged, Hungary
| | - Dorottya Gheorghita
- Department of Esthetic and Operative Dentistry, Faculty of Dentistry, University of Szeged, Szeged, Hungary
| | - Tibor Ajtai
- Department of Optics and Quantum Electronics, Faculty of Science and Informatics, University of Szeged, Szeged, Hungary
| | - Szabolcs Hodovány
- Department of Optics and Quantum Electronics, Faculty of Science and Informatics, University of Szeged, Szeged, Hungary
| | - Zoltán Bozóki
- Department of Optics and Quantum Electronics, Faculty of Science and Informatics, University of Szeged, Szeged, Hungary
| | | | - Márk Ádám Antal
- Department of Esthetic and Operative Dentistry, Faculty of Dentistry, University of Szeged, Szeged, Hungary
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14
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Kathree BA, Khan SB, Ahmed R, Maart R, Layloo N, Asia-Michaels W. COVID-19 and its impact in the dental setting: A scoping review. PLoS One 2020; 15:e0244352. [PMID: 33338073 PMCID: PMC7748282 DOI: 10.1371/journal.pone.0244352] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 12/08/2020] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION The scoping review examined the evidence related to infection control and transmission measures of the SARS-CoV-2 virus in a dental setting during this pandemic. Dental practitioners are normally guided in practice by set ethical principles, thus the researchers wanted to determine how these rules are managed during this pandemic. METHODS A protocol specific for the objectives of this study was developed according to the criteria for a scoping review. Relevant databases (Pubmed, Scopus, Elsevier, Science Direct, Wiley), including online access to health/ dental organizations (World Health Organization/ American Dental Association), were searched to identify evidence which was restricted to the English language for the period 2015-2020. Predetermined eligibility criteria were applied, evidence was assessed and data extracted for each included article. Relevant outcomes assessed were: infection control measures, transmission of the SARS-CoV-2 virus, such as modes and sources of transmission and the ethical principles related to the dental setting with a focus on the COVID-19 pandemic. RESULTS Searches yielded a total of 402 articles: 387 from electronic databases and 15 from other sources. Of these, 231 were unrelated to the objectives of the current scoping review. The full text of 69 studies was assessed for eligibility, of which 26 were finalized for inclusion following the objectives and inclusion criteria set for the scoping review. Most of the included articles were reviews, recommendations and guidelines for dentists. A narrative explanation of the pre-specified outcomes is reported for the 3 areas covered for this review. There is no clinical evidence available that can support the recommendations by individuals, dental organizations or health authorities related to the objectives of this review, but these may be considered as the much needed guidelines during the unprecedented COVID-19 pandemic. A different ethical framework is required during a pandemic and these must be informed by evidence.
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Affiliation(s)
- Bashier Ahmed Kathree
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Saadika B. Khan
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Rukshana Ahmed
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Ronel Maart
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Nazreen Layloo
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Winifred Asia-Michaels
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
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15
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Moghadam ET, Yazdanian M, Tahmasebi E, Tebyanian H, Ranjbar R, Yazdanian A, Seifalian A, Tafazoli A. Current herbal medicine as an alternative treatment in dentistry: In vitro, in vivo and clinical studies. Eur J Pharmacol 2020; 889:173665. [PMID: 33098834 DOI: 10.1016/j.ejphar.2020.173665] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 10/16/2020] [Accepted: 10/21/2020] [Indexed: 12/29/2022]
Abstract
Since the time that human population comprehended the importance of general health maintenance and the burden of disease, there has been a search for healing properties in the natural environment. Herbal medicine is the use of plants with medical properties for prevention and treatment of conditions that can affect general health. Recently, a growing interest has been observed toward the use of traditional herbal medicine alongside synthetic modern drugs. Around 80% of the population, especially in developing countries relies on it for healthcare. Oral healthcare is considered a major part of general health. According to the world health organization (WHO), oral health is considered an important part of general health and quality of life. The utilization of natural medications for the management of pathologic oro-dental conditions can be a logical alternative to pharmaceutical methods due to their availability, low costs, and lower side effects. The current literature review aimed at exploration of the variety and extent of herbal products application in oral health maintenance including different fields of oral healthcare such as dental caries, periodontal maintenance, microbial infections, oral cancers, and inflammatory conditions.
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Affiliation(s)
- Ehsan Tafazoli Moghadam
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mohsen Yazdanian
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Elahe Tahmasebi
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran.
| | - Hamid Tebyanian
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran.
| | - Reza Ranjbar
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Alireza Yazdanian
- Department of Veterinary, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Alexander Seifalian
- Nanotechnology and Regenerative Medicine Commercialization Centre (NanoRegMed Ltd), The London Bioscience Innovation Centre, London, United Kingdom
| | - Ali Tafazoli
- Clinical Pharmacy Department, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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16
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Lo Nigro G, Bizzoca ME, Lo Muzio L, Campisi G. The Management of Dental Practices in the Post-COVID 19 Era: An Economic and Operational Perspective. Int J Environ Res Public Health 2020; 17:ijerph17238905. [PMID: 33266115 PMCID: PMC7731334 DOI: 10.3390/ijerph17238905] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Revised: 11/23/2020] [Accepted: 11/26/2020] [Indexed: 01/05/2023]
Abstract
Background: In order to protect dental teams and their patients during the COVID-19 pandemic, dentists have had to adopt several measures (operating and post-operating procedures) which may increase the total treatment time and costs relating to individual protective measures. This paper will propose a thorough analysis of operating dentistry procedures, comparing the economic performance of the activity in a dental surgery before and after the adoption of these protective measures, which are required to contain the risk of SARS-COV-2 infections. Methods: The economic analysis is articulated in three approaches. Firstly, it assesses a reduction in markup by maintaining current charges (A); alternatively, it suggests revised charges to adopt in order to maintain unvaried levels of markup (B). And the third Approach (C) examines available dental treatments, highlighting how to profitably combine treatment volumes to reduce markup loss or a restricted increase in dental charges. Results: Maintaining dental charges could cause a loss in markup, even rising to 200% (A); attempting to maintain unvaried levels of markup will result in an increase in dental charges, even at 100% (B); and varying the volumes of the single dental treatments on offer (increasing those which current research indicates as the most profitable) could mitigate the economic impact of the measures to prevent the transmission of SARS-COV-2 (C). Conclusions: The authors of this paper provide managerial insights which can assist the dentist-entrepreneur to become aware of the boundaries of the economic consequences of governmental measures in containing the virus infection.
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Affiliation(s)
- Giovanna Lo Nigro
- Department of Engineering, University of Palermo, 90128 Palermo, Italy;
| | - Maria Eleonora Bizzoca
- Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy;
| | - Lorenzo Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy;
- C.I.N.B.O. (Consorzio Interuniversitario Nazionale per la Bio-Oncologia), 66100 Chieti, Italy
- Correspondence: ; Tel.: +39-0881-588090; Fax: +39-0881-588081
| | - Giuseppina Campisi
- Department of Surgical, Oncological and Oral Sciences (DiChirOnS), University of Palermo, 90127 Palermo, Italy; or
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Marinello L, Zanotti G, Spinelli A, Zarantonello M, De Santis D, Zotti F, Iurlaro A, Alberti C, Zangani A, Capocasale G, Bertajola A, Donadello D, Finotti M. Ketamine in dentistry: a useful way for non-compliant pediatric patients. J BIOL REG HOMEOS AG 2020; 34:63-68. [PMID: 33541065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The infant, like the young un-cooperative or odontophobic patient, constitute the most complex type of patient to be treated and it is frequent in modern society. The treatment of these patients is necessary to resolve the infectious-antalgic urgency and subsequently to build the patient/doctor relationship for continuing general dental care. Conscious sedation is the only way to approach this type of patient. Where therapeutic success with traditional sedation techniques is not achieved, as frequently happens in these patients, sedation with ketamine is the extreme ratio for the purpose of effective resolution of the dental problem, obviously carried out within facilities authorized for these anesthesiological modalities such as private outpatient surgery structures where, when necessary, it is possible to carry out the treatments also under general anesthesia as well as with ketamine.
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Affiliation(s)
| | | | | | | | - D De Santis
- University of Verona-Surgical Science, Dentistry, Gynecology and Pediatrics Department, Verona, Italy
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18
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Abstract
Background Teledentistry is believed to improve dentalcare provided to patients and time management efficiency. In addition, teledentistry can be a useful tool for peer education, consultations and ensures proper channeling for referrals. Objective This study aimed to explore Saudi Arabian dental professionals' perceptions of teledentistry's benefits in improving dental practice and patient care. Methods A descriptive cross-sectional study involving an electronic survey of a sample of Saudi Arabian dental professionals. A validated 26-item, 5-point Likert-scale questionnaire was used to assess perceptions of dental professionals in four domains: usefulness of teledentistry for patients, the usefulness of teledentistry for dental practice; the potential of teledentistry to improve practice; and existing concerns about the use of teledentistry. Statistical analyses involved descriptive statistics, bivariate analysis using SPSS software. Significant differences were considered at a p-value of 0.05. Results With an overall response rate of 28.6%, 286 dental professionals participated in the study. More than 70% of respondents agreed or strongly agreed that teledentistry would improve dental practice through enhancing communication with peers, guidance and referral of new patients. A substantial proportion of respondents (60–70%) expressed uncertainty with technical reliability, privacy and diagnostic accuracy. The participants' qualification was statistically significant with usefulness of teledentistry for patients (p = 0.027), while work experience in years was statistically significant with both usefulness of teledentistry for dental practice and patients (p = 0.046 and <0.0001 respectively). Conclusion Generally, the feedback gained by this study showed readiness of the dental professionals to be engaged in the teledentistry approach. Further investigation of the business model of teledentistry is needed to understand the readiness and challenges. Directed campaign to educate dentists and the public of the technology and it is potential is necessary.
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Affiliation(s)
- Khalifa S. Al-Khalifa
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
- * E-mail:
| | - Rasha AlSheikh
- Restorative Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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19
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Siebert T, Janickova M, Stenchlakova B, Statelova D. Dental treatment recommendations and coronavirus disease 19 (COVID-19). ACTA ACUST UNITED AC 2020; 121:712-716. [PMID: 32955902 DOI: 10.4149/bll_2020_116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Health is a state of complete physical, mental and social well-being. The outbreak of coronavirus disease 2019 (COVID-19) in the area of Wuhan, China, has evolved rapidly into a public health crisis and has spread exponentially to other parts of the world.There is strong evidence that this novel coronavirus is similar to coronavirus species found in bats and potentially pangolins, confirming the zoonotic nature of this new cross-species virus-mediated disease.Dentists provide support and management for patients. They proceed in accordance with the current guidelines of the government of each country as well as with the valid standards and preventive, diagnostic and therapeutic procedures for COVID-19.This article mainly focuses on the recommended methods in dental medicine designed to protect patients and healthcare professionals (Tab. 2, Ref. 29). Keywords: coronavirus, COVID-19, dental strategies, dental treatment recommendations.
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20
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Abstract
BACKGROUND AND AIMS Dentistry involves close face-to-face interaction with patients, hence during the COVID-19 pandemic, it has mostly been suspended. Teledentistry can offer an innovative solution to resume dental practice during this pandemic. In this review, we provide a brief overview of applications of teledentistry. METHODS Articles on teledentistry, relevant to this review, were searched and consulted from PubMed, Google Scholar, and Cochrane database. RESULTS Teledentistry is the remote facilitating of dental treatment, guidance, and education via the use of information technology instead of direct face-to-face contact with patients. Teleconsultation, telediagnosis, teletriage, and telemonitoring are subunits of teledentistry that have important functions relevant to dental practice. There are many challenges for acceptance of teledentistry by the dentists as well as patients, which need to be addressed urgently. CONCLUSION Teledentistry can offer a novel solution to resume dental practice during the current pandemic, hence, the need of the hour is to incorporate teledentistry into routine dental practice. If not fully replace, at least teledentistry can complement the existing compromised dental system during the current pandemic.
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Affiliation(s)
- Suhani Ghai
- Department of Oral and Maxillofacial Surgery, People's Dental Academy, People's University, Karond By-Pass, Bhanpur, Bhopal, 462037, India.
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21
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Peditto M, Scapellato S, Marcianò A, Costa P, Oteri G. Dentistry during the COVID-19 Epidemic: An Italian Workflow for the Management of Dental Practice. Int J Environ Res Public Health 2020; 17:ijerph17093325. [PMID: 32403248 PMCID: PMC7246688 DOI: 10.3390/ijerph17093325] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 05/05/2020] [Accepted: 05/08/2020] [Indexed: 01/08/2023]
Abstract
The COVID-19 outbreak has raised concerns about infection control all over the world. Among health workers, dentists are particularly exposed to the COVID-19 infection risk. The aim of this paper is to present a workflow to manage dental procedures already in use at the Dental Unit of the University Hospital of Messina. The proposed workflow accounts for the many aspects of dental practitioners’ risk in the COVID-19 era, and focuses on the assessment of patient risk level, a two-phase dental procedure management (remote and face-to-face), and the use of specific preventive measures. No cases of COVID-19 infection were detected among patients and staff of the dental unit in a two-month period of time while using this protocol. This workflow seems a promising and effective solution to manage dental procedures during the COVID-19 outbreak, and could be implemented in both public and private practices until the emergency is contained.
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Affiliation(s)
- Matteo Peditto
- Postgraduate School of Oral Surgery, Department of Biomedical, Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy; (M.P.); (S.S.); (P.C.)
| | - Simone Scapellato
- Postgraduate School of Oral Surgery, Department of Biomedical, Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy; (M.P.); (S.S.); (P.C.)
| | - Antonia Marcianò
- Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, Italy;
| | - Paola Costa
- Postgraduate School of Oral Surgery, Department of Biomedical, Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy; (M.P.); (S.S.); (P.C.)
| | - Giacomo Oteri
- Postgraduate School of Oral Surgery, Department of Biomedical, Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy; (M.P.); (S.S.); (P.C.)
- Correspondence:
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Abstract
At present, researchers in the field of biomaterials are focusing on the oral hard and soft tissue engineering with bioactive ingredients by activating body immune cells or different proteins of the body. By doing this natural ground substance, tissue component and long-lasting tissues grow. One of the current biomaterials is known as bioactive glass (BAG). The bioactive properties make BAG applicable to several clinical applications involving the regeneration of hard tissues in medicine and dentistry. In dentistry, its uses include dental restorative materials, mineralizing agents, as a coating material for dental implants, pulp capping, root canal treatment, and air-abrasion, and in medicine it has its applications from orthopedics to soft-tissue restoration. This review aims to provide an overview of promising and current uses of bioactive glasses in dentistry.
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Affiliation(s)
| | - Dinesh Rokaya
- Informetrics Research Group, Ton Duc Thang University, Ho Chi Minh City 7000, Vietnam
- Faculty of Applied Sciences, Ton Duc Thang University, Ho Chi Minh City 7000, Vietnam
| | - Zohaib Khurshid
- Prosthodontic and Dental Implantology Department, College of Dentistry, King Faisal University, Al-Hofuf, Al-Ahsa 31982, Saudi Arabia;
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi Arabia;
- Islamic International Dental College, Riphah International University Islamabad 44000, Pakistan
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Tatullo M, Codispoti B, Paduano F, Nuzzolese M, Makeeva I. Strategic Tools in Regenerative and Translational Dentistry. Int J Mol Sci 2019; 20:ijms20081879. [PMID: 30995738 PMCID: PMC6514784 DOI: 10.3390/ijms20081879] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 04/10/2019] [Accepted: 04/14/2019] [Indexed: 02/06/2023] Open
Abstract
Human oral-derived stem cells can be easily obtained from several oral tissues, such as dental pulp, periodontal ligament, from gingiva, or periapical cysts. Due to their differentiation potential, oral-derived mesenchymal stem cells are promising for tissue engineering and regenerative medicine. The regenerative ability showed by some oral tissues strongly depends on their sleeping adult stem cell populations that are able to repair small defects and to manage local inflammation. To date, researchers are working on effective and efficient methods to ensure safe and predictable protocols to translate stem cell research into human models. In the last decades, the challenge has been to finally use oral-derived stem cells together with biomaterials or scaffold-free techniques, to obtain strategic tools for regenerative and translational dentistry. This paper aims to give a clear point of view on state of the art developments, with some exciting insights into future strategies.
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Affiliation(s)
- Marco Tatullo
- Department of Regenerative Medicine, Tecnologica Research Institute, 88900 Crotone, Italy.
- Department of Experimental Medicine, Marrelli Hospital, 88900 Crotone, Italy.
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University, 119435 Moscow, Russia.
| | - Bruna Codispoti
- Department of Regenerative Medicine, Tecnologica Research Institute, 88900 Crotone, Italy.
- Department of Experimental Medicine, Marrelli Hospital, 88900 Crotone, Italy.
| | - Francesco Paduano
- Department of Regenerative Medicine, Tecnologica Research Institute, 88900 Crotone, Italy.
- Department of Experimental Medicine, Marrelli Hospital, 88900 Crotone, Italy.
| | - Manuel Nuzzolese
- Department of NHS Foundation Trust, University Hospitals Birmingham ⁻ NHS Foundation Trust, Birmingham B152GW, UK.
| | - Irina Makeeva
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University, 119435 Moscow, Russia.
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Abstract
Over the past 30 years and fueled by both a rapidly evolving understanding of dental diseases and technological advances in diagnostics and therapy, dentistry has been changing dramatically. Managing dental caries and carious lesions had, for nearly a century, encompassed only a small number of basic concepts that were applied to virtually all patients and lesions, namely, invasive removal of any carious tissue regardless of its activity or depth and its replacement with restorative materials (amalgams or crowns for most of the past) or tooth removal and prosthetic replacement. Grounded in a deeper understanding of the disease "caries," its management-aiming to control the causes of the disease, to slow down or alleviate existing disease, and, only as a last resort, to remove its symptoms using a bur or forceps-has become more complex and diverse. In parallel and at nearly unprecedented speed, our patients are changing, as mirrored by ongoing debates as to the demographic and, with it, the social future of most high-income countries. This article describes how these changes will have a profound future impact on how we practice dental medicine in the future. It will deduce, from both demographic and epidemiologic trends, why there is the need to apply not one but rather the whole range of existing evidence-based concepts in an individualized (personalized) manner, hence increasing the effectiveness and efficiency of dental management strategies, and also describe how these strategies should be tailored according not only to our patients (their age and risk profiles) but also to the specific tooth (or site or lesion).
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25
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Lugassy D, Levanon Y, Shpack N, Levartovsky S, Pilo R, Brosh T. An interventional study for improving the manual dexterity of dentistry students. PLoS One 2019; 14:e0211639. [PMID: 30707724 PMCID: PMC6358065 DOI: 10.1371/journal.pone.0211639] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Accepted: 01/17/2019] [Indexed: 12/03/2022] Open
Abstract
Objectives Traditionally, the acquisition of manual skills in most dental schools worldwide is based on exercises on plastic teeth placed in a "phantom head simulator". No manual trainings are done at home. Studies revealed that preliminary training of one motoric task leads to significant improvement in performance of the required motoric task that has similar components. Performing tasks indirectly via a dental mirror are complicated for the young dental students. We hypothesized that instructed training of basic skills required in dentistry at home on a tool simulating the phantom laboratory will improve the capabilities of the students and will be reflected by their clinical grades. Methods We developed a portable tool PhantHome which is composed of jaws, gingival tissue, rubber cover and a compatible stand. Specific teeth produced by a 3D printer with drills in different directions were placed in both jaws. Students were requested to insert pins by using tweezers and dental mirror according to instructions initiating with easy tasks and continue to ones that are more complicated. 106 first clinical year dental students participated in the study; 65 trained only in the traditional phantom lab (control). 41 trained at home by the PhantHome tool two weeks before and 2 months during the initial stage of phantom lab. The students grades routinely provided in the phantom laboratory at different stages were compared. Results Students who trained with the portable tool performed better than the control group in the first direct and second indirect preparations (p<0.05). These exams were taken when the PhantHome was available to the students. Then, the tool was returned and the phantom course continued regularly. We believe that this is why no differences between the grades of the groups were observed further on. Conclusions Training by the PhantHome improves motor skills and consequently the clinical performances.
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Affiliation(s)
- Diva Lugassy
- Department of Oral Biology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yafi Levanon
- Department of Occupational Therapy, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Nir Shpack
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shifra Levartovsky
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Raphael Pilo
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tamar Brosh
- Department of Oral Biology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- * E-mail:
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Zimta AA, Baru O, Badea M, Buduru SD, Berindan-Neagoe I. The Role of Angiogenesis and Pro-Angiogenic Exosomes in Regenerative Dentistry. Int J Mol Sci 2019; 20:ijms20020406. [PMID: 30669338 PMCID: PMC6359271 DOI: 10.3390/ijms20020406] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 01/04/2019] [Accepted: 01/15/2019] [Indexed: 02/07/2023] Open
Abstract
Dental surgeries can result in traumatic wounds that provoke major discomfort and have a high risk of infection. In recent years, density research has taken a keen interest in finding answers to this problem by looking at the latest results made in regenerative medicine and adapting them to the specificities of oral tissue. One of the undertaken directions is the study of angiogenesis as an integrative part of oral tissue regeneration. The stimulation of this process is intended to enhance the local availability of stem cells, oxygen levels, nutrient supply, and evacuation of toxic waste. For a successful stimulation of local angiogenesis, two major cellular components must be considered: the stem cells and the vascular endothelial cells. The exosomes are extracellular vesicles, which mediate the communication between two cell types. In regenerative dentistry, the analysis of exosome miRNA content taps into the extended communication between these cell types with the purpose of improving the regenerative potential of oral tissue. This review analyzes the stem cells available for the dentistry, the molecular cargo of their exosomes, and the possible implications these may have for a future therapeutic induction of angiogenesis in the oral wounds.
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Affiliation(s)
- Alina-Andreea Zimta
- MEDFUTURE-Research Center for Advanced Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 23 Marinescu Street, 400337 Cluj-Napoca, Romania.
| | - Oana Baru
- Department of Preventive Dentistry, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania.
| | - Mandra Badea
- Department of Preventive Dentistry, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania.
| | - Smaranda Dana Buduru
- Prosthetics and Dental materials, Faculty of Dental Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania.
- Stomestet Stomatology Clinic, Calea Manastur 68A Street, 400658 Cluj-Napoca, Romania.
| | - Ioana Berindan-Neagoe
- MEDFUTURE-Research Center for Advanced Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 23 Marinescu Street, 400337 Cluj-Napoca, Romania.
- Research Center for Functional Genomics, Biomedicine and Translational Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 23 Marinescu Street, 400337 Cluj-Napoca, Romania.
- Department of Functional Genomics and Experimental Pathology, The Oncology Institute "Prof. Dr. Ion Chiricuta", Republicii 34th street, 400015 Cluj-Napoca, Romania.
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Witter DJ, Brands WG, Kole JJ, Creugers NHJ. [Wish fulfilling medicine and wish fulfilling dentistry: legal aspects]. Ned Tijdschr Tandheelkd 2019; 126:17-21. [PMID: 30636261 DOI: 10.5177/ntvt.2019.01.17226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Wish fulfilling medicine (human enhancement (therapy)) concerns medical treatment without a direct medical need. In traditional medicine, a classical triad applies: 1. after investigation symptoms of illness lead to 2. a diagnosis, followed by 3. a proposal for treatment by the health care provider. In wish fulfilling medicine, the emphasis lies on patient's wishes. Wish fulfilling medicine concerns medical treatment, often at the request of the patient, and should be distinguished from shared decision-making,a form of communication seeking to meet the preferences of the patient and to actively involve the patient in his treatment. In the Netherlands, in accordance with the Healthcare Quality, Complaints and Disputes Act, health care providers have to offer good care at a good level, which is safe, effective, efficient and client-orientated, offered in a timely fashion and geared to the real needs of the client. Good care has to meet professional standards. In this way, fulfilling patients' wishes for treatment without a medical need can be restricted by law.
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Lee H, Chalmers NI, Brow A, Boynes S, Monopoli M, Doherty M, Croom O, Engineer L. Person-centered care model in dentistry. BMC Oral Health 2018; 18:198. [PMID: 30497465 PMCID: PMC6267887 DOI: 10.1186/s12903-018-0661-9] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 11/12/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To achieve optimal health and oral health, the system of care must place a person and their social well-being at the center of decision making and understand factors spent outside the clinical settings, including individual behavior, context and lifestyle. MAIN TEXT Person-centered care offers a unique and compelling opportunity for dentistry, and its practitioners, to improve quality of care and overall health outcomes. For decades, the dominant treatment modalities within dentistry primarily focused on a surgical, treatment-oriented approach as opposed to health promotion and improvement. However, new business and care models are disrupting the dental care system, and transforming it into one that is focused on disease management and prevention-oriented primary care that considers overall health and well-being. We proposed a person-centered care model to improve oral health as an integral part of overall health. The model identified three key players who act as change agents with their respective roles and responsibilities: Person, provider, and health care system designer. CONCLUSIONS While previous person-centered models in dentistry focused on the role of providers within the clinical setting, this work emphasizes the role of the care designer in creating an environment where both person and provider are able to communicate effectively and achieve improved health outcomes.
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Affiliation(s)
- Hyewon Lee
- DentaQuest Institute, 10320 Little Patuxent Pkwy., Suite 200, Columbia, MD 21044 USA
- AcademyHealth, 1666 K Street NW, Suite 1100, Washington, DC, 20006 USA
| | - Natalia I. Chalmers
- DentaQuest Institute, 10320 Little Patuxent Pkwy., Suite 200, Columbia, MD 21044 USA
- Present address: U.S. Food and Drug Administration, Silver Spring, USA
| | - Avery Brow
- DentaQuest Institute, 10320 Little Patuxent Pkwy., Suite 200, Columbia, MD 21044 USA
| | - Sean Boynes
- DentaQuest Institute, 2400 Computer Dr, Westborough, MA 01581 USA
| | | | - Mark Doherty
- Safety Net Solutions, DentaQuest Institute, 2400 Computer Dr, Westborough, MA 01581 USA
| | - Olivia Croom
- DentaQuest Foundation, 465 Medford St, Boston, MA 02129 USA
| | - Lilly Engineer
- Department of Anesthesia and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205 USA
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 600 N. Wolfe St, Baltimore, MD 21205 USA
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29
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Pacifici L, Pacifici A. Digital flow in medicine and dentistry: whats new? J BIOL REG HOMEOS AG 2018; 32:1027-1031. [PMID: 30043589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The increasing requirements of standardization in medical applications have led physicians towards a deep revision of their protocols. The phenomenon of digital health has revolutionized the way a patient accesses medical information, but it has also improved the way the doctor handles the surgical and clinical phases. In digital dentistry, the working steps are mainly reported as digital image acquisition, preparation and/or processing of data, device production and clinical application on patients; the new technologies have brought significant benefits to both the dentist and the patient. Digital processing of anatomical data uses virtual models, which represent a precise representation of the patients anatomy. Recent advances in digital image acquisition technologies and the enormous complexity of modern software have made intraoral scans possible to realize digital dental arch models, however, the digital model is able to report substantial information to the clinician. Therefore, both complex surgeries and less invasive local therapies can be easily planned, with an accurate analysis of biological regulators improving the regenerative procedures, to achieve the best results in a shorter treatment.
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Affiliation(s)
- L Pacifici
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome Italy
| | - A Pacifici
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome Italy
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Araújo JDO, Motta RHL, Bergamaschi CDC, Guimarães CC, Ramacciato JC, de Andrade NK, Fiqueiró MF, Lopes LC. Effectiveness and safety of oral sedation in adult patients undergoing dental procedures: protocol for a systematic review. BMJ Open 2018; 8:e017681. [PMID: 29331966 PMCID: PMC5780706 DOI: 10.1136/bmjopen-2017-017681] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
INTRODUCTION The management of anxious patients undergoing dental procedures is still a challenge in clinical practice. Despite a wide variety of drugs for oral sedation in adult patients, there are relatively few systematic reviews that compare the effectiveness and safety of different drugs administered via this route. Thus, this study will evaluate the effectiveness and safety of oral sedation with benzodiazepines and other agents to patients undergoing dental surgical procedures. METHOD/DESIGN We will conduct a systematic review and, if appropriate, a meta-analysis of randomised controlled clinical trials that will evaluate the use of conscious sedation administered orally to adult patients undergoing oral surgery. The search will be conducted using electronic databases, such as the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (via Ovid), EMBASE (via Ovid), CINAHL (via Ovid), Lilacs (SciELO) and Capes database, without restriction of languages or date of publication. Primary outcomes include anxiety, sedation, treatment satisfaction, pain and adverse effects. Secondary outcomes include vital parameters (heart rate, respiratory rate and blood pressure) and patient cooperation during intervention. A team of reviewers will independently assess each citation for eligibility and in duplicates. For eligible studies, the same reviewers will perform data extraction, risk of bias assessment and determination of the overall quality of evidence using the Grading of Recommendations Assessment, Development and Evaluation classification system. ETHICS AND DISSEMINATION The evidence gathered from this study should provide dental surgeons with knowledge on the effectiveness and safety of oral sedation in adults requiring dental surgical procedures. This in turn should contribute towards the decision-making process in dental practice, minimising the risks of anxiety and ineffective pain control in clinical procedures, as well as possible side effects. Ethics approval is not required in protocols for systematic reviews. The systematic review will be published in a peer-reviewed journal and presented at conferences. PROSPERO REGISTRATION NUMBER CRD42017057142.
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Affiliation(s)
- Jimmy de Oliveira Araújo
- Department of Pharmacology, Anesthesiology and Therapeutics, São Leopoldo Mandic Dental School and Research Center, Campinas, São Paulo, Brazil
| | - Rogério Heládio Lopes Motta
- Department of Pharmacology, Anesthesiology and Therapeutics, São Leopoldo Mandic Dental School and Research Center, Campinas, São Paulo, Brazil
| | | | - Caio Chaves Guimarães
- Department of Pharmacology, Anesthesiology and Therapeutics, São Leopoldo Mandic Dental School and Research Center, Campinas, São Paulo, Brazil
| | - Juliana Cama Ramacciato
- Department of Pharmacology, Anesthesiology and Therapeutics, São Leopoldo Mandic Dental School and Research Center, Campinas, São Paulo, Brazil
| | - Natalia Karol de Andrade
- Department of Pharmacology, Anesthesiology and Therapeutics, São Leopoldo Mandic Dental School and Research Center, Campinas, São Paulo, Brazil
| | | | - Luciane Cruz Lopes
- Department of Pharmaceutical Sciences, University of Sorocaba, Sorocaba, São Paulo, Brazil
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Abstract
Les amalgames dentaires constituent des matériaux d'obturation utilisés pour le traitement des lésions carieuses depuis plus de 150 ans. Cependant le mercure servant de base à la préparation des amalgames est universellement considéré comme un toxique très dangereux pour l'être humain. L'objectif de ce travail est de monter à travers un cas clinique certains signes locaux et généraux d'intoxication au mercure, les précautions à prendre lors de la dépose des amalgames, ainsi que les solutions de remplacements actuels qu'on doit proposer à nos patients. En réalité la toxicité des amalgames n'est que la partie émergée de l'iceberg. Les autres métaux employés en dentisterie peuvent également provoquer des problèmes importants en induisant des effets galvaniques, des intolérances, des allergies, des réactions d'intoxication ou de sub-intoxication. En matière de santé publique, ces motifs justifient amplement l'intérêt que tout thérapeute doit accorder aux alternatives prothétiques n'incluant pas de métal. Dental amalgams are dental filling materials which have been used to fill cavities caused by tooth decay for more than 150 years. However, mercury used as a basis for the preparation of amalgams is universally regarded as toxic and thus very dangerous for the human being. This clinical case report aimed to describe some local and general signs of mercury poisoning, to emphasize necessary precautions during amalgam filling and to highlight current replacement techniques that should be proposed to our patients. In effect, amalgam toxicity is just the tip of the iceberg. Other metals used in dentistry can cause significant problems bringing about galvanic effects, intolerances, allergies, toxic and subtoxic reactions. In public health, this is a sufficient reason to justify therapists’ interest in non-metal prosthetic alternatives.
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Affiliation(s)
- Saida El Khayati
- Service de Prothèse Conjointe du Centre de Consultation et de Traitement Dentaire de Rabat, Maroc
| | - Amal El Yamani
- Service de Prothèse Conjointe du Centre de Consultation et de Traitement Dentaire de Rabat, Maroc
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32
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Ottria L, Palmieri A, Andreasi Bassi M, Lauritano D, Candotto V, Tagliabue A, Tettamanti L. Clinical applications of Natural Bone Morphoproteins in dentistry: a narrative review. J BIOL REG HOMEOS AG 2018; 32:35-41. [PMID: 29460516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The need to restore bone loss in maxilla and mandible has led to find natural bone substitutes, such as fresh autogenous bone grafts. Fresh autogenous bone grafts (FABGs) have a remarkable capacity to induce new bone formation, a phenomenon called osteoinduction. FABGs are useful in craniomaxillofacial and oral applications to restore bone deficiencies. The isolation of those proteins believed to be responsible for the osteoinductive activity of FABGs, namely Natural Bone Morphogenetic Proteins (NBMPs), led to a new era in bone regeneration. NBMPs have been approved for use in specific oral and maxillofacial applications. Clinical trials and studies of oral and craniofacial surgery have indicated that NBMPs can promote bone repair. Information about the biology, chemistry, and actions of NBMPs has called into question whether NBMPs would result in clinically useful bone induction and morphogenesis. Preclinical and specific clinical trials have indicated the efficacy of NBMPs either combined with autograft or compared with an autograft alone. In light of questions about potency and safety of NBMPs, however, additional high-level evidence is needed for specific clinical indications and appropriate patient populations that would benefit from their use.
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Affiliation(s)
- L Ottria
- Dental School, Tor Vergata University, Rome, Italy
| | - A Palmieri
- Department Of Experimental, Diagnostic And Specialty Medicine, University Of Bologna, Bologna, Italy
| | | | - D Lauritano
- Department Of Medicine And Surgery, University Of Milano Bicocca, Monza, Italy
| | - V Candotto
- Department Of Biomedical, Surgical And Dental Sciences, University Of Milan, Milan, Italy
| | - A Tagliabue
- Department Of Medicine And Surgery, University Of Insubria, Varese, Italy
| | - L Tettamanti
- Department Of Medicine And Surgery, University Of Insubria, Varese, Italy
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Gaudio RM, Ottria L, Lauritano D, Palmieri A, Cura F, Tagliabue A, Tettamanti L. Peri-implant test is a proposal of a new procedure to prevent peri-implantitis and forensic claims. J BIOL REG HOMEOS AG 2018; 32:43-50. [PMID: 29460517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Implant dentistry has become one of the most successful techniques for oral rehabilitation over the last 20 years. The success rate of implant oral rehabilitation is above 80% while peri-implant disease (PID) is the most important complication of implant dentistry. The main cause of PID is considered bacterial leakage at the implant-abutment connection of a two-piece implant system. Prevention and control of bacterial leakage at the implant-abutment connection is mandatory for reducing inflammation process around implants neck and achieving bone stability. Since bacteria leakage at implant-abutment connection level is the main cause of PID, a microbiological test should be important to identify bacteria that cause PID. According with the conclusion of workshop of the European Federation on Periodontology, a test that detects the most frequent bacterial species involved in the onset of PID (Actinobacillus actinomycetecomitans, Porphyromonas gengivalis, Tannnerella forsythia, Treponema denticola) should be used in clinical practice. In fact, PID progression depends on the typology, quantity and composition of bacterial flora in peri-implant pockets, so controlling PID onset and progression, is a keystone for preventing implant failures and consequently forensic conflicts. The effort to prevent PID and consequently assurance or forensic conflicts have become one of the main focal points of all dental professionals. Behind these efforts lie, above all, ethical but also economic reasons, as well as a desire to prevent PID, improving implant care quality and increasing the legal security of health care professionals themselves. Since the legal decisions in our society influence how we practice dentistry, especially in the fast-evolving field of implant dentistry, using diagnostic tools that will allow dentists to demonstrate that they have acted correctly in accordance with the knowledge of modern medicine, it is of great importance to defend themselves in the case of legal-legal disputes.
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Affiliation(s)
- R M Gaudio
- Department Of Medical Sciences, University Of Ferrara, Ferrara, Italy
| | - L Ottria
- Dental School, Tor Vergata University, Rome, Italy
| | - D Lauritano
- Department Of Medicine And Surgery, University Of Milan- Bicocca, Milan, Italy
| | - A Palmieri
- Department Of Experimental, Diagnostic And Specialty Medicine, University Of Bologna, Bologna, Italy
| | - F Cura
- Department Of Medical Sciences, University Of Ferrara, Ferrara, Italy
| | - A Tagliabue
- Department Of Medicine And Surgery, University Of Insubria, Varese, Italy
| | - L Tettamanti
- Department Of Medicine And Surgery, University Of Insubria, Varese, Italy
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Walther J, Golde J, Kirsten L, Tetschke F, Hempel F, Rosenauer T, Hannig C, Koch E. In vivo imaging of human oral hard and soft tissues by polarization-sensitive optical coherence tomography. J Biomed Opt 2017; 22:1-17. [PMID: 29264891 DOI: 10.1117/1.jbo.22.12.121717] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Accepted: 11/27/2017] [Indexed: 05/21/2023]
Abstract
Since optical coherence tomography (OCT) provides three-dimensional high-resolution images of biological tissue, the benefit of polarization contrast in the field of dentistry is highlighted in this study. Polarization-sensitive OCT (PS OCT) with phase-sensitive recording is used for imaging dental and mucosal tissues in the human oral cavity in vivo. An enhanced polarization contrast of oral structures is reached by analyzing the signals of the co- and crosspolarized channels of the swept source PS OCT system quantitatively with respect to reflectivity, retardation, optic axis orientation, and depolarization. The calculation of these polarization parameters enables a high tissue-specific contrast imaging for the detailed physical interpretation of human oral hard and soft tissues. For the proof-of-principle, imaging of composite restorations and mineralization defects at premolars as well as gingival, lingual, and labial oral mucosa was performed in vivo within the anterior oral cavity. The achieved contrast-enhanced results of the investigated human oral tissues by means of polarization-sensitive imaging are evaluated by the comparison with conventional intensity-based OCT.
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Affiliation(s)
- Julia Walther
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Department of Medical Physics and Biomedical Engi, Germany
| | - Jonas Golde
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
| | - Lars Kirsten
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
| | - Florian Tetschke
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry,, Germany
| | - Franz Hempel
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
| | - Tobias Rosenauer
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry,, Germany
| | - Christian Hannig
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry,, Germany
| | - Edmund Koch
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
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Cruz Martínez C, Diaz Gómez M, Oh MS. Use of traditional herbal medicine as an alternative in dental treatment in Mexican dentistry: a review. Pharm Biol 2017; 55:1992-1998. [PMID: 28738710 PMCID: PMC6130662 DOI: 10.1080/13880209.2017.1347188] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2016] [Revised: 03/31/2017] [Accepted: 06/22/2017] [Indexed: 05/25/2023]
Abstract
CONTEXT Herbal therapies are used worldwide to treat health conditions. In Mexico, generations have used them to treat gingivitis, periodontitis, mouth infections, and discoloured teeth. However, few studies have collected scientific evidence on their effects. OBJECTIVE This study aimed at searching and compiling scientific evidence of alternative oral and dental treatments using medicinal herbs from Mexico. METHODS We collected various Mexican medicinal plants used in the dental treatment from the database of the Institute of Biology at the National Autonomous University of Mexico. To correlate with existing scientific evidence, we used the PubMed database with the key term '(scientific name) and (oral or dental)'. RESULTS Mexico has various medical herbs with antibacterial and antimicrobial properties, according to ancestral medicinal books and healers. Despite a paucity of experimental research demonstrating the antibacterial, antimicrobial, and antiplaque effects of these Mexican plants, they could still be useful as an alternative treatment of several periodontal diseases or as anticariogenic agents. However, the number of studies supporting their uses and effects remains insufficient. DISCUSSION AND CONCLUSION It is important for the health of consumers to scientifically demonstrate the real effects of natural medicine, as well as clarify and establish their possible therapeutic applications. Through this bibliographical revision, we found papers that testify or refute their ancestral uses, and conclude that the use of plants to treat oral conditions or to add to the dental pharmacological arsenal should be based on experimental studies verifying their suitability for dental treatments.
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Affiliation(s)
- Cindy Cruz Martínez
- Department of Oriental Pharmaceutical Science, College of Pharmacy, Kyung Hee University, Seoul, Republic of Korea
| | - Martha Diaz Gómez
- Deparment of History, College of Dentistry, National Autonomous University of Mexico (UNAM), Coyoacan, Mexico
| | - Myung Sook Oh
- Department of Oriental Pharmaceutical Science, College of Pharmacy, Kyung Hee University, Seoul, Republic of Korea
- Department of Life and Nanopharmaceutical Sciences, Graduate School, Kyung Hee University, Seoul, Republic of Korea
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36
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Garcia PPNS, Gottardello ACA, Wajngarten D, Presoto CD, Campos JADB. Ergonomics in dentistry: experiences of the practice by dental students. Eur J Dent Educ 2017; 21:175-179. [PMID: 26998591 DOI: 10.1111/eje.12197] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/16/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The aim of this study was to qualitatively evaluate the experiences of students enrolled in the last year of dentistry school with ergonomic practice. METHODS This is a qualitative, observational and cross-sectional study, with a non-probabilistic sample design. The sample comprised students enrolled in the last year of dentistry in Araraquara-UNESP (n = 29). The data were collected by means of open semi-structured and individual interviews, captured by a digital voice recorder. The students were interviewed in their own university at a time that was previously scheduled, and care was taken to provide a private and welcoming environment to carry out the interviews. A script containing questions related to practices in ergonomics was prepared at the university. Data analysis was carried out using the qualitative-quantitative Collective Subject Discourse technique with the aid of Qualiquantisoft® software program. RESULTS It was found that more than half of the students (58.6%) believe that adopting an ergonomic posture is important to prevent future problems, pain and occupational diseases, and 62.1% of the students confirm having difficulties in adopting ergonomic postures due to the types of treatment required and the regions of the mouth being treated. The main reasons stated for the fact that their colleagues do not adopt ergonomic postures are lack of attention, practice and forgetfulness (44.8%) and difficulty in visualising the operatory field or the procedure performed (27.6%). CONCLUSION It is possible to conclude that the students interviewed know ergonomic principles and their importance in occupational health. However, they found it difficult to put these principles into practice.
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Affiliation(s)
- P P N S Garcia
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - A C A Gottardello
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - D Wajngarten
- Department of Restorative Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - C D Presoto
- Department of Restorative Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - J A D B Campos
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
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Abstract
Upconversion nanoparticles (UCNPs) have the unique ability to emit multiple colors upon excitation by near-infrared (NIR) light. Herein, we investigate the potential use of UCNPs as contrast agents for dental optical tomography, with a focus on monitoring the status of fillings after dental restoration. The potential of performing tomographic imaging using UCNP emission of visible or NIR light is established. This in silico and ex vivo study paves the way toward employing UCNPs as theranostic agents for dental applications.
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Affiliation(s)
- Feixiao Long
- Rensselaer Polytechnic Institute, Biomedical Engineering, Troy, New York, United States
| | - Xavier Intes
- Rensselaer Polytechnic Institute, Biomedical Engineering, Troy, New York, United States
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Shashirekha G, Jena A, Mohapatra S. Nanotechnology in Dentistry: Clinical Applications, Benefits, and Hazards. Compend Contin Educ Dent 2017; 38:e1-e4. [PMID: 28459243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Nanotechnology is emerging as an interdisciplinary field that is undergoing rapid development and has brought about enormous changes in medicine and dentistry. Nanomaterial-based design is able to mimic some of the mechanical and structural properties of native tissue and can promote biointegration. Nanotechnology has various applications in dentistry, including dentition renaturalization, therapy for dentin hypersensitivity, complete orthodontic realignment in a single visit, covalently bonding diamondized enamel, enhancing properties of root canal sealers, and continuous oral health maintenance using mechanical dentifrobots. A range of synthetic nanoparticles such as hydroxyapatite, bioglass, titanium, zirconia, and silver nanoparticles are proposed for dental restoration. This review focuses on the developments in the field of nanomaterials in dentistry in the form of tissue regeneration materials, implantable devices, nanocomposites, endodontic sealers etc. and issues of patient safety.
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Affiliation(s)
- Govind Shashirekha
- Professor, Department of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
| | - Amit Jena
- Professor, Department of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
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Huff C. A Systematic Method for" "Accurate Functional Diagnosis. Compend Contin Educ Dent 2017; 38:308-316. [PMID: 28459249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The "medical model" is a term coined for a set of procedures in which American physicians are trained. For dentistry, the sequentially ordered set of procedures includes: (1) immediate concerns; (2) medical/ dental histories; (3) physical examination findings; (4) ancillary tests, if needed; (5) diagnosis; (6) risk assessment; (7) prognosis without treatment; (8) treatment-plan options/informed consent; (9) treatment; (10) post-treatment assessment and verification. This case report demonstrates a diagnostic system using the medical model via linear thinking-ie, step-by-step progression-to diagnose and conservatively treat a patient with a constricted chewing pattern.
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Abreu de Souza M, Krefer AG, Benvenutti Borba G, Vizinoni E Silva GJ, Franco APGO, Gamba HR. Generation of 3D thermal models for dentistry applications. Annu Int Conf IEEE Eng Med Biol Soc 2017; 2016:1397-1400. [PMID: 28268587 DOI: 10.1109/embc.2016.7590969] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
There are a variety of medical imaging modalities available, although each modality focus into different aspects, for example: anatomical, physiological or geometrical information. This paper presents a new imaging modality (3D THERMO-SCAN) that combines anatomical computer tomography (CT) imaging slices, together with 2D infrared thermography images and 3D scanned shaped models of the area under study. Therefore, it is presented the 3D reconstructions involving a case study of a volunteer with bruxism. Some characteristics of bruxism are the hyperactivity of the chewing muscles, which changes the dynamics of microcirculation, also changing the correspondent skin's temperature. The emphasis is to show the corresponding structures, such as jaw/mandibular region that will produce either decrease or increase in temperature, which are related to bruxism and the associated use of an occlusal splint, respectively.
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Steenen SA, Dubois L, de Lange J. [Ocular complications of local anaesthesia in dentistry]. Ned Tijdschr Tandheelkd 2017; 124:149-153. [PMID: 28272587 DOI: 10.5177/ntvt.2017.03.16186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
An estimated 1 in 1,000 local anaesthetic injections in the maxilla or the mandible lead to unwanted effects on the ipsilateral eye. We have seen a case with diplopia and lateral rectus palsy following bimaxillary anaesthesia. A systematic literature review of reports on this type of complication resulted in a total of 144 documented cases published between 1936 and 2016. The most frequently reported symptoms included diplopia (72%), partial or full ophthalmoplegia (26%), ptosis (22%), mydriasis (18%), amaurosis (13%) and orbital pain (12%). This type of complication is best understood by pathophysiological hypotheses that include intra-arterial injection, intravenous injection, autonomic dysregulation, or deep injection and diffusion. If ocular symptoms appear after local intraoral anaesthesia, the patient should be reassured. In the case of diplopia, the eye should be covered with a gauze dressing, and the patient should be instructed about associated safety risks. If symptoms persist or when vision deteriorates, referral to an ophthalmologist is advisable.
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Wang YT, Yu JH, Lo LJ, Hsu PH, Lin CHL. Developing Customized Dental Miniscrew Surgical Template from Thermoplastic Polymer Material Using Image Superimposition, CAD System, and 3D Printing. Biomed Res Int 2017; 2017:1906197. [PMID: 28280726 PMCID: PMC5322424 DOI: 10.1155/2017/1906197] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Revised: 01/08/2017] [Accepted: 01/19/2017] [Indexed: 12/21/2022]
Abstract
This study integrates cone-beam computed tomography (CBCT)/laser scan image superposition, computer-aided design (CAD), and 3D printing (3DP) to develop a technology for producing customized dental (orthodontic) miniscrew surgical templates using polymer material. Maxillary bone solid models with the bone and teeth reconstructed using CBCT images and teeth and mucosa outer profile acquired using laser scanning were superimposed to allow miniscrew visual insertion planning and permit surgical template fabrication. The customized surgical template CAD model was fabricated offset based on the teeth/mucosa/bracket contour profiles in the superimposition model and exported to duplicate the plastic template using the 3DP technique and polymer material. An anterior retraction and intrusion clinical test for the maxillary canines/incisors showed that two miniscrews were placed safely and did not produce inflammation or other discomfort symptoms one week after surgery. The fitness between the mucosa and template indicated that the average gap sizes were found smaller than 0.5 mm and confirmed that the surgical template presented good holding power and well-fitting adaption. This study addressed integrating CBCT and laser scan image superposition; CAD and 3DP techniques can be applied to fabricate an accurate customized surgical template for dental orthodontic miniscrews.
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Affiliation(s)
- Yu-Tzu Wang
- Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan
| | - Jian-Hong Yu
- School of Dentistry, College of Medicine, China Medical University, Taichung, Taiwan
| | - Lun-Jou Lo
- Plastic & Reconstructive Surgery, Department of Surgery, Chang Gung Memorial Hospital, Taiwan
| | - Pin-Hsin Hsu
- Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan
| | - CHun-Li Lin
- Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan
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Teichmann D, Teichmann M, Weitz P, Wolfart S, Leonhardt S, Walter M. SensInDenT-Noncontact Sensors Integrated Into Dental Treatment Units. IEEE Trans Biomed Circuits Syst 2017; 11:225-233. [PMID: 27448369 DOI: 10.1109/tbcas.2016.2574922] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This paper presents the first system design (SensInDenT) for noncontact cardiorespiratory monitoring during dental treatment. The system is integrated into a dental treatment unit, and combines sensors based on electromagnetic, optical, and mechanical coupling at different sensor locations. The measurement principles and circuits are described and a system overview is presented. Furthermore, a first proof of concept is provided by taking measurements in healthy volunteers under laboratory conditions.
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Frankenberger R, Van Meerbeek B. Editorial: Adhesive dentistry - no future? We don't think so! J Adhes Dent 2017; 19:3. [PMID: 28261705 DOI: 10.3290/j.jad.a37803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Williams L. Handwashing: what do I use and why? Gen Dent 2016; 64:14-16. [PMID: 27814250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Trost L. The Restorative Interface: Practical Approaches for Better Outcomes. Compend Contin Educ Dent 2016; 37:628-629. [PMID: 28972387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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McCartney M. Margaret McCartney: General practice is going the way of NHS dentistry. BMJ 2016; 354:i4817. [PMID: 27613428 DOI: 10.1136/bmj.i4817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Gambino O, Lima F, Pirrone R, Ardizzone E, Campisi G, di Fede O. A teledentistry system for the second opinion. Annu Int Conf IEEE Eng Med Biol Soc 2016; 2014:1378-81. [PMID: 25570224 DOI: 10.1109/embc.2014.6943856] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
In this paper we present a Teledentistry system aimed to the Second Opinion task. It make use of a particular camera called intra-oral camera, also called dental camera, in order to perform the photo shooting and real-time video of the inner part of the mouth. The pictures acquired by the Operator with such a device are sent to the Oral Medicine Expert (OME) by means of a current File Transfer Protocol (FTP) service and the real-time video is channeled into a video streaming thanks to the VideoLan client/server (VLC) application. It is composed by a HTML5 web-pages generated by PHP and allows to perform the Second Opinion both when Operator and OME are logged and when one of them is offline.
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Adams D. The Changing Face of Restorative Dentistry. Dent Today 2016; 35:8. [PMID: 28437043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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Affiliation(s)
- Stanley Blazejewski
- Matthew J Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia 19104-6010, USA.
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