dental management

牙科管理
  • 文章类型: Case Reports
    牙瘤是最常见的牙齿样错构瘤,通常无症状,在常规X光片上发现。牙瘤通常分为两种类型:复杂和复合牙瘤。牙瘤的最常见后果是牙齿嵌塞和/或延迟的牙齿萌出。本报告描述了一名12岁的年轻患者上颌前区多发性复杂牙瘤的独特病例,这是罕见的。此病例报告的独特性在于位置,number,复杂肿瘤的复杂性。早期诊断,适当的治疗计划,适当的管理,定期随访这些牙列切除有助于完全切除,甚至在随访12个月后也能防止复发.
    Odontomas are the most common tooth-like hamartomatous odontogenic tumours, which are usually asymptomatic and found on routine radiographs. Odontomas are commonly classified into two types: complex and compound odontomas. The most common consequences of odontoma are tooth impaction and/or delayed tooth eruption. The present report describes a unique case of multiple complex odontoma in the anterior maxillary region in a 12-year-old young patient, which is a rare occurrence. The uniqueness of this case report is in the location, number, and complexity of the complex tumours. Early diagnosis, proper treatment planning, appropriate management, and regular follow-ups of these odontomas helped in complete removal and prevented recurrence even after 12 months of follow-up.
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  • 文章类型: Case Reports
    福布斯奥尔布赖特综合征是一种与垂体肿瘤相关的高催乳素血症综合征,伴有溢乳和闭经。卡麦角林,麦角导数,是它的首选药物.这里,我们报告了一例32岁女性的口腔表现和处理,诊断和治疗相同。患者龋齿的发生率和进展惊人地增加。她的诊断和管理得到了强调。这会对个人的心理和功能产生霸道的影响,因此,早期诊断和精确管理很重要。
    Forbes Albright syndrome is a hyperprolactinemia syndrome linked to a pituitary tumor associated with galactorrhea and amenorrhea. Cabergoline, an ergot derivative, is its drug of choice. Here, we report the oral manifestations and management of a case of a 32-year-old female, diagnosed and treated with the same. The patient had an alarming increase in the incidence and progression of dental caries. Her diagnosis and management have been highlighted. This can have overbearing effects on the psychology and function of the individual, thus making early diagnosis and precise management important.
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  • 文章类型: Journal Article
    本研究通过对患者对牙科护理的满意度进行全面分析,解决了文献中的差距。
    方法:通过将定量和定性调查方法与PSQ相结合,这项研究旨在通过更全面地描述患者的满意度来增强正在进行的活动,以增强牙科患者的体验。
    结果:当被问及他们的总体满意度时,77.1%的患者表示他们从办公室人员那里得到了出色的服务,72.2%的患者表示他们信任他们的医生。
    结论:在牙科服务质量领域评估患者满意度对于提高服务质量和准确性至关重要。这对病人和牙医都有好处,最终,改善公众健康。
    This research addresses a gap in the literature by conducting a comprehensive analysis of patients\' level of satisfaction with dental care.
    METHODS: By combining quantitative and qualitative survey methods with a PSQ, this study aims to augment ongoing initiatives to enhance dental patients\' experiences by painting a more comprehensive depiction of patients\' level of satisfaction.
    RESULTS: When asked about their overall level of satisfaction 77.1% of the patients said that they received excellent services from office personnel and 72.2% said they trust their doctors.
    CONCLUSIONS: Assessing patient satisfaction in the realm of dental service quality is crucial for enhancing service quality and accuracy, which would benefit both patients and dentists and, ultimately, improve public health.
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  • 文章类型: Systematic Review
    目的:严格回顾和总结现有的知识,牙科,和儿童癌症幸存者(CCS)抗肿瘤治疗的颅面副作用。
    方法:对报道4-19岁儿童的研究进行了文献检索,这些儿童治疗了15岁以下的任何类型的恶性肿瘤,在考试的时候,治疗结束后已超过8个月。收集了有关牙齿和颅面复合体的牙齿后期影响的数据,并报告了每种缺陷的平均患病率。
    结果:从确定的800篇文章中,17项研究符合纳入标准并被纳入。共检查了983个CCS,健康对照者总数为1266名儿童。血液恶性肿瘤是最普遍的诊断,诊断年龄在0-15岁之间。实施了多种抗肿瘤方案,时间为8个月至17年。三分之一的CCS经历了至少一个后期效应,对照组的相应值低于25%。在临床发现的缺陷中,microdontia,在1/4的CCS中记录到牙体发育不全和牙釉质发育缺陷。根系生长和发育不全是影像学记录的两个缺陷。对牙齿成熟度和唾液腺的影响尚不清楚。
    结论:CCS由于其疾病及其治疗而有发展牙齿晚期效应的风险,因此,常规定期检查对于记录其发展和提供全面的口腔保健至关重要。
    OBJECTIVE: Critically review and summarise existing knowledge on prevalence of oral, dental, and craniofacial side-effects of antineoplastic treatment in childhood cancer survivors (CCS).
    METHODS: A literature search was conducted for studies reporting on children aged 4-19 years treated for any type of malignancy up to the age of 15 years and for whom, at the time of the examination, more than 8 months have elapsed since the end of treatment. Data regarding dental late effects on teeth and craniofacial complex were collected and mean prevalence of each defect was reported.
    RESULTS: From the 800 articles identified, 17 studies fulfilled inclusion criteria and were included. A total of 983 CCS were examined, with the total number of healthy controls being 1266 children. Haematological malignancy was the most prevalent diagnosis with the age at diagnosis ranging between 0-15 years. Multiple antineoplastic protocols were implemented with the elapsed time being 8 months up to 17 years. One-third of CCS experienced at least one late effect, with corresponding value for the control group being below 25%. Among the defects identified clinically, microdontia, hypodontia and enamel developmental defects were recorded in 1/4 of CCS. Impaired root growth and agenesis were the two defects mostly recorded radiographically. The effect on dental maturity and on salivary glands was unclear.
    CONCLUSIONS: CCS are at risk of developing dental late effects because of their disease and its treatment and therefore, routine periodic examinations are essential to record their development and provide comprehensive oral healthcare.
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  • 文章类型: Journal Article
    目的:旨在测试知识和自我感知的问卷可能是诊断牙医对实践管理和管理的理解的有价值的工具。这项研究的目的是创建并验证一份问卷,用于评估牙医对口腔保健管理的自我感知,该问卷是通过与该领域专家的讨论而开发的。
    方法:为了创建和验证问卷调查,横截面,描述性,描述性并进行了分析研究。参与者的个人信息和四个类别的31个陈述构成了最终的调查表。问卷的答案是李克特量表的形式。在完善了初始版本之后,在牙科诊所共进行了36次访谈,以验证有效性。对于探索性因子分析(EFA),我们使用了Kaiser-Meyer-Olkin(KMO)指数,巴特利特球形度测试,以及问卷有效性的Cronbachα系数。
    结果:通过内部和评估者的可靠性来测量仪器的准确性。对于全民教育,所有社区都超过了0.05的阈值。Cronbach的α系数为0.898,问卷具有足够的内在一致性。
    结论:问卷显示出稳健的信度和效度,从而确认其对预期目的的适用性。
    OBJECTIVE: Questionnaires designed to test knowledge and self-perception can be valuable tools for diagnosing a dentist\'s understanding of the management and administration of a practice. The objective of this study was to create and authenticate a questionnaire for assessing dentists\' self-perception on oral healthcare management developed from discussions with experts in this field.
    METHODS: In order to create and verify a questionnaire survey, a cross-sectional, descriptive, and analytical study was carried out. Participants\' personal information and 31 statements across four categories made up the final questionnaire form. The answers to the questionnaire were in the form of a Likert scale. After refining the initial version, a total of 36 interviews were conducted at dental offices to verify the validity. For the Exploratory Factor Analysis (EFA), we used the Kaiser-Meyer-Olkin (KMO) index, the Bartlett sphericity test, and also Cronbach alpha coefficient for the validity of the questionnaire.
    RESULTS: The accuracy of the instrument was measured by intrarater and interrater reliability. For the EFA, all the communalities exceeded the threshold of 0.05. With a Cronbach\'s alpha coefficient of 0.898, the questionnaire has sufficient internal consistency.
    CONCLUSIONS: The questionnaire demonstrates robust reliability and validity, thereby affirming its suitability for its intended purpose.
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  • 文章类型: Journal Article
    放射治疗(RT)在头颈癌(HNC)的治疗中起着至关重要的作用。本文强调了放射肿瘤学家和牙科专家在HNC护理途径中进行有效沟通和合作的重要性。它还概述了RT在HNC治疗中的作用,并说明了这些团队之间的跨学科合作,以优化患者护理。加急治疗,预防治疗后口腔并发症。使用的方法包括对现有研究文章的彻底分析,病例报告,和临床指南,带有“牙科管理”等术语,“口腔肿瘤学”,\'头颈癌\',和“放射治疗”纳入本审查。这些发现强调了牙科专家早期参与治疗计划阶段以评估和准备患者接受RT的重要性,包括预防性拔牙等策略,以减轻潜在的口腔并发症。此外,治疗后的口腔健康随访和牙科专家的管理对于最大程度地减少RT引起的口腔后遗症的发生率和严重程度至关重要。总之,这些积极措施有助于减少牙科和口腔并发症,during,和治疗后。
    Radiation therapy (RT) plays a crucial role in the treatment of head and neck cancers (HNCs). This paper emphasizes the importance of effective communication and collaboration between radiation oncologists and dental specialists in the HNC care pathway. It also provides an overview of the role of RT in HNC treatment and illustrates the interdisciplinary collaboration between these teams to optimize patient care, expedite treatment, and prevent post-treatment oral complications. The methods utilized include a thorough analysis of existing research articles, case reports, and clinical guidelines, with terms such as \'dental management\', \'oral oncology\', \'head and neck cancer\', and \'radiotherapy\' included for this review. The findings underscore the significance of the early involvement of dental specialists in the treatment planning phase to assess and prepare patients for RT, including strategies such as prophylactic tooth extraction to mitigate potential oral complications. Furthermore, post-treatment oral health follow-up and management by dental specialists are crucial in minimizing the incidence and severity of RT-induced oral sequelae. In conclusion, these proactive measures help minimize dental and oral complications before, during, and after treatment.
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  • 文章类型: Journal Article
    牙科和口腔管理(DOM)是一种历史悠久的治疗方式。这篇范围界定综述旨在叙述性地回顾以前的研究,检查围手术期DOM的影响,找出可用的证据.使用PubMed电子数据库对2000年1月1日至2022年3月8日之间发表的研究进行了文献检索。搜索产生了43项研究,其中大部分是在过去十年中出版的。这项研究的结果证实,改善围手术期口腔卫生可有效预防术后肺炎。我们的结果还表明,术前DOM可有效预防术后手术部位感染。围手术期DOM能有效降低术后肺炎的发生率,SSI,和术后并发症。需要进一步的研究来阐明DOM的各种机制,并检查有效的干预方法和时机。
    Dental and oral management (DOM) is a long-established treatment modality. This scoping review aimed to narratively review previous studies, examine the effects of perioperative DOM, and identify the available evidence. A literature search was conducted using the PubMed electronic database for studies published between January 1, 2000, and March 8, 2022. The search yielded 43 studies, most of which were published in the last 10 years. The results of this study confirmed that improved perioperative oral hygiene is effective in preventing postoperative pneumonia. Our results also suggested that preoperative DOM is effective in preventing postoperative surgical site infections. Perioperative DOM is effective in reducing the incidence of postoperative pneumonia, SSI, and postsurgical complications. Further studies are needed to elucidate the various mechanism of DOM and to examine efficient intervention methods and timing.
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  • 文章类型: Case Reports
    镰状细胞病(SCD)已被确定为最普遍的遗传病之一。它改变了红细胞的形状和功能。这份简短的病例报告介绍了一名患有镰状细胞病的5岁男性,他抱怨由于近端龋齿而导致左下颌区域疼痛。在牙科管理之前,在儿科医生的帮助下进行了完整的健身评估,然后是知情同意。牙科治疗包括牙髓切除术,然后放置不锈钢牙冠和玻璃离聚物水泥(GIC)修复浅表龋齿。观察到其他口腔表现,包括光滑的舌头和粘膜苍白。结论是,牙医和卫生专业人员应了解镰状细胞性贫血患者可能存在的一般和口腔异常,以便采取预防措施并实施有效管理。
    Sickle cell disease (SCD) has been identified as one of the most prevalent genetic conditions. It alters the shape and function of red blood cells. This brief case report presents a case of a five-year-old male with sickle cell disease who complained of pain in the left mandibular region due to deep proximal caries. Before dental management, a complete fitness evaluation was performed with the help of a pediatrician, followed by informed consent. Dental management includes pulpectomy followed by stainless steel crown placement and Glass ionomer cement (GIC) restoration for superficial caries. Other oral manifestations were observed, including a smooth tongue and mucosal pallor. It was concluded that dentists and health professionals should be knowledgeable of the general and oral anomalies that can be present in individuals with sickle cell anemia in order to take preventive action and implement effective management.
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  • 文章类型: Case Reports
    口腔健康是整体健康的重要组成部分,特别是对于有特殊医疗保健要求的儿童。由于听力损失和语言障碍之间的联系,术语“哑巴”和“哑巴”经常与术语“聋人”联系在一起。听力和语言障碍儿童可能由于沟通障碍而无法完全表达。以最大的照顾和安全对待特殊儿童很重要。此病例报告描述了一名8岁特殊儿童的牙科管理,该儿童在全身麻醉下报告有多个龋齿病变,因为她不熟悉手语。在全麻(GA)的医院环境中,所有必要的治疗都在一次预约中进行。由于它由多学科团队监控,因此可以安全地为患有听力障碍和mutism的儿童提供有效的护理。
    Oral health is a vital part of overall health, particularly for children with special healthcare requirements. The terms \"dumb\" and \"mute\" are frequently linked with the term \"deaf\" due to the connection between hearing loss and speech impairment. A hearing and speech-impaired child may be unable to express completely because of the communication barriers. It is important to treat special children with utmost care and safety. This case report describes the dental management of an 8-year-old special child reported with multiple carious lesions under general anesthesia as she was not well acquainted with sign language. In a hospital setting under general anesthesia (GA), all necessary treatments are carried out in a single appointment. Since it is monitored by a multi-disciplinary team it can safely provide effective care to a child with hearing impairment and mutism.
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  • 文章类型: Systematic Review
    背景:莫比乌斯综合征(MS)是一种罕见的,非进步,神经肌肉,涉及口腔颌面部的同源性疾病。本研究旨在描述MS患者的口腔和口外发现及其全面的牙科管理。
    方法:在PubMed/MEDLINE中进行了数字搜索,Scopus,WebofScience,和谷歌学者,仅限于2000年1月1日至2023年4月2日的英语文章,遵循PRISMA指南。按照JBI指南评估研究的方法学质量。对总体结果进行了定性分析,口外和口内表现,考虑适当的牙科管理。
    结果:纳入了23项研究,对124例MS患者进行分析。82%的MS患者年龄小于15岁。最常见的口外表现是眨眼和视觉问题(78,22%),上肢和下肢畸形(58,22%),双侧面瘫(12,90%),缺乏面部表情(12.09%),和单侧面瘫(6,45%)。另一方面,最常见的口腔表现是舌畸形(78,22%),小颌畸形(37,90%),唇性无能(36,29%),腭裂(22.87%),哥特式腭(16,12%),微小口腔(15,32%),前开口咬伤(15,32%),龋齿(8.87%),和牙周病(8,06%)。大多数MS患者接受儿科牙科治疗(60,86%),使用手术方法(56,52%),和正畸和矫形上颌(43,47%),其次是修复(39,13%),和牙周治疗(21,73%)。
    结论:本系统综述表明,MS患者存在多种口腔和口外表现,根据口腔表现为每个患者计划和定制牙科治疗。这些治疗包括解决问题和口腔健康维护,结合最近的技术来管理和治疗MS患者。
    BACKGROUND: Moebius syndrome (MS) is a rare, non-progressive, neuromuscular, congenic disease involving the oral maxillofacial region. The present study aimed to describe the oral and extraoral findings in MS patients and their comprehensive dental management.
    METHODS: A digital search was carried out in PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar, restricted to articles in English from Jan 01, 2000, to Apr 02, 2023, following PRISMA guidelines. The methodological quality of the studies was evaluated following the JBI guidelines. Qualitative analysis was carried out on the overall result, extraoral and intraoral manifestations, considering dental management as appropriate.
    RESULTS: Twenty-three studies were included, and a total of 124 cases of patients with MS were analyzed. The 82% of patients with MS were younger than 15 years of age. The most frequent extraoral manifestations were blinking and visual problems (78,22%), malformations of the upper and lower limbs (58,22%), bilateral facial paralysis (12,90%), lack of facial expression (12.09%), and unilateral facial paralysis (6,45%). On the other hand, the most frequent oral manifestations were tongue deformities (78,22%), micrognathia (37,90%), labial incompetence (36,29%), cleft palate (22,87%), gothic palate (16,12%), microstomia (15,32%), anterior open bite (15,32%), dental caries (8,87%), and periodontal disease (8,06%). The majority of MS patients were treated by pediatric dentistry (60,86%), using a surgical approach (56,52%), and orthodontic and orthopedic maxillary (43,47%) followed by restorative (39,13%), and periodontal treatments (21,73%).
    CONCLUSIONS: This systematic review demonstrates that patients with MS present a wide variety of oral and extraoral manifestations, for which dental treatments are planned and tailored to each patient in accordance with oral manifestations. These treatments encompass problem resolution and oral health maintenance, incorporating recent techniques in managing and treating patients with MS.
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