Objectives
Human papillomavirus (HPV) is associated with 70% of oropharyngeal squamous cell carcinomas. Coronavirus disease 2019 (COVID‐19) is the infectious cause of a global pandemic that killed ...millions worldwide. Effective vaccinations exist against both diseases, but patient acceptance remains a challenge. The objective of this study was to assess patients' attitudes toward oral healthcare providers' (OHCPs) roles in HPV and COVID‐19 vaccinations.
Methods
A cross‐sectional survey of young adult patients was distributed in Philadelphia, PA, between April and June 2021. The survey assessed knowledge and attitudes around OHCPs serving various roles in COVID‐19 and HPV vaccination.
Results
Nearly 70% of 163 respondents would accept the recommendation for a COVID‐19 vaccine from an OHCP, while 56% would for HPV. Those previously vaccinated against COVID‐19 were more comfortable discussing COVID‐19 vaccines (92%, p < .001) or HPV vaccines (76%, p < .001) with OHCPs compared to those who were unvaccinated against COVID‐19. African American/Black patients were less comfortable discussing vaccines, irrespective of vaccination status.
Conclusions
OHCP can play a vital role in increasing the overall COVID‐19 and HPV vaccination status of the public, as demonstrated by the high acceptance of dental involvement in both vaccine campaigns. Racial disparity in vaccination attitude is a public health challenge that needs to be addressed.
A patient who underwent a recent total joint replacement (TJR) of the left temporomandibular joint presents for evaluation and management of #19. The diagnosis was consistent with irreversible ...pulpitis, and root canal therapy was recommended. Because of the recent TJR and limitations in opening, a bite block was used during the procedure.
A patient presents with severe one-sided temporomandibular joint (TMJ) pain. Workup reveals a diagnosis of TMJ degenerative joint disease, articular disc disorder with reduction, and myofascial pain ...of the muscles of mastication. The patient’s goals were to remain noninvasive in treatment. Conservative recommendations such as physical therapy, analgesics, and current occlusal appliance wear were recommended.
Patients with JIA, specifically the polyarticular subtype, may present with temporomandibular joint arthritis. Given the pain typically present in the joint, limitations in opening may be noted. As ...such, oral health and hygiene practices may be compromised in this patient population. Dental management considerations during treatment include shorter visits, safe measures to maintain mouth opening, frequent breaks during procedures, and counselling on condition management to reduce risks in the future. In dental extractions, bite blocks or props may be used to complete the procedure safely and reduce pain.
A patient with a past medical history significant for fibromyalgia presents for an incisional oral biopsy. The condition is being managed pharmacologically with duloxetine and ibuprofen. Given the ...patient’s medical condition and medications, specific considerations were placed on chair positioning, muscle pain and tenderness, and achieving hemostasis through local measures. The patient was advised to follow up in 2 weeks for postoperative evaluation.
A young female patient presents to the dental clinic for scaling and root planing with known gonococcal arthritis. The patient is undergoing treatment for the condition with antibiotics. She endorses ...bilateral temporomandibular joint pain. For treatment, the scaling and root planning procedure was completed by quadrant. The patient tolerated the procedure well in this fashion.
Introduction
There is a wide variation in the knowledge related to oral radiology. This study aims to assess the prior knowledge of radiology amongst freshman dental students prior to beginning any ...formal dental school instruction.
Materials and Methods
A total of 139 newly matriculated freshman dental students were asked to complete a 7‐question radiology, take‐home survey regarding their prior knowledge. The questionnaire was built within their course site and was presented prior to beginning the radiology lectures.
Results
The responses were varied for all seven questions based on previous experiences and existing knowledge. Significant variation was noted in responses to Q4, Q6 and Q7 as opposed to Qs 1–3 and 5. Many students believed that the acquisition of radiographs should be selective. The acquisition of radiographs in pregnant women yielded comments in line with the belief that dose and frequency of radiation exposure would impact the health of the pregnant woman and developing foetus. Additionally, many students agreed with the statement regarding orthodontists over‐radiating children as reported in the New York Times. Perceptions based on social media and news outlets need to be addressed and changed in a dental school setting based on evidence.
Conclusion
Dental school instruction must use the cues from surveys similar to that used in this research and structure their instruction to increase the critical teaching of radiology. The eventual goal of such an instruction would be to have a scientifically accurate information and remove the perceptions that the students came with when they began their dental education.
Atypical gingival swelling Aldosary, Sara; Ramachandran, Maya; Alfaifi, Afrah ...
The Journal of the American Dental Association (1939)
155, Številka:
5
Journal Article
Gastroesophageal reflux disease (GERD) is a clinical condition in which stomach contents leak backward into the esophagus. It affects millions of people worldwide and has a detrimental effect on ...quality of life. Heartburn and acid regurgitation are typical GERD symptoms, while atypical manifestations include noncardiac chest pain, cough and laryngitis. The oral and maxillofacial manifestations of GERD may include dental erosion, xerostomia, mucositis, aphthous like ulcerations, sour taste, burning mouth, hyperesthesia, bruxism, and/or temporomandibular disorder (TMD). This narrative review provides oral health care professionals with an update to medical aspects of GERD, recognition and management of oral and maxillofacial manifestations of the condition and provision of appropriate dental care for this patient population.
PDF
