scholarly journals Opinions on Dental Erosive Lesions, Knowledge of Diagnosis, and Treatment Strategies among Norwegian Dentists: A Questionnaire Survey

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Aida Mulic ◽  
Simen Vidnes-Kopperud ◽  
Anne B. Skaare ◽  
Anne Bjørg Tveit ◽  
Alix Young
Keyword(s):  
Dental Health ◽  
Treatment Strategies ◽  
Erosive Wear ◽  
Preventive Treatment ◽  
Diagnosis And Treatment ◽  
Tooth Surface ◽  
Dietary History ◽  
Saliva Secretion ◽  
Anterior Teeth ◽  
Occlusal Surfaces

This study aimed to investigate dentists’ general experience, knowledge about diagnosis, and treatment of dental erosive wear in young adults. A questionnaire was sent to 1262 Norwegian public dental health-employed dentists. The response rate was 60%. Results indicated that most dentists recorded erosive wear, half of them used a specific scoring system, and half registered lesions at the tooth surface level. Lesions were reported most often on palatal surfaces of upper anterior teeth (79% of dentists), on occlusal surfaces of lower 1st molars (74%), and on upper 1st molars (32%). Half the dentists used clinical photographs for documentation and 60% made study models. While 40% reported more erosive lesions in males, 36% reported no gender differences. High intake of carbonated beverages and acidic juices were reported as the most common cause by 97% and 72% of the dentists, respectively. Only 21% of dentists recorded the patient’s dietary history, and 73% never measured saliva secretion. The majority (78%) of the dentists treated patients with erosive wear themselves. In general, the survey suggests that the dentists are relatively up to date regarding the clinical recording, diagnosis, and treatment of dental erosive wear. However, dietary and salivary analyses were not given priority, and early, preventive treatment was lacking.

scholarly journals Opinions and Treatment Decisions for Dental Erosive Wear: A Questionnaire Survey among Icelandic Dentists

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Aida Mulic ◽  
Inga B. Árnadòttir ◽  
Torbjòrg Jensdottir ◽  
Simen E. Kopperud
Keyword(s):  
Erosive Wear ◽  
Treatment Decision ◽  
Treatment Decisions ◽  
Dental Erosion ◽  
Invasive Approach ◽  
Dietary History ◽  
Anterior Teeth ◽  
Dental Practitioners ◽  
Occlusal Surfaces ◽  
High Fluoride

Dental erosive wear (DEW) is common among children and adolescents, and a survey of Icelandic children showed that 30.7% of 15-year-olds were diagnosed with the condition. Objective. To gain knowledge about dental practitioners’ experiences, opinions, and treatment decisions. Materials and Methods. A precoded questionnaire, previously used among Norwegian dentists, was sent electronically to all dentists in Iceland (n = 341). Results. The response rate was 64.2%, and 58% of dentists were male. More than half of the clinicians (54%) thought that prevalence had increased the last 10–15 years, and 67% reported it to be more common in male. Most (96%) recorded presence of DEW, but only 4% used a detailed scoring system. Lesions were mostly on occlusal surfaces of first mandibular molars (73%), on palatal in upper anterior teeth (61%), and on occlusal of maxillary first molars (36%). Most dentists (74%) reported a probable cause, e.g., high consumption of carbonated beverages (98%), acidic juices (68%), sport drinks (58%), reflux (54%), and eating disorders (20%). Dietary history was often recorded by 38%, and 65% never measured saliva. Most of the dentists (88%) treated patients themselves, and half of them preferred prevention with high fluoride and resin sealants. While some dentists wanted to restore teeth more invasively, most considered to restore with a filling. Conclusion. Icelandic dentists seem to be well educated for diagnosis and treatment of dental erosion, and dentists are aware of a minimally invasive approach. Clinical Significance. It is challenging for dentists to make the best treatment decision for patients with DEW, both in a short perspective and long perspective. At present, little is known about their knowledge and treatment approach, and there is no standard treatment which can be recommended. Therefore, the present study investigated dental practitioners’ treatment decisions, as well as knowledge, experiences, and awareness of DEW.

scholarly journals Longitudinal 3D Study of Anterior Tooth Wear from Adolescence to Adulthood in Modern Humans

Biology ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 660
Author(s):  
Nikolaos Gkantidis ◽  
Konstantinos Dritsas ◽  
Meret Gebistorf ◽  
Demetrios Halazonetis ◽  
Yijin Ren ◽  
...  
Keyword(s):  
Human Subjects ◽  
Tooth Wear ◽  
Anterior Tooth ◽  
Tooth Surface ◽  
Modern Humans ◽  
Anterior Teeth ◽  
Occlusal Surfaces ◽  
Risk Patients ◽  
Dental Models ◽  
Average Loss

In modern humans, tooth wear can easily be observed as a loss of tooth substance, but its precise measurement is problematic. The aim of this longitudinal cohort study was to determine the precise amount of occlusal tooth wear in the anterior permanent dentition from adolescence to adulthood. Corresponding tooth crowns from serial 3D digital dental models of 72 individuals were best fit-approximated by applying novel, highly accurate 3D superimposition methods. The superimposed crowns were simultaneously sliced on intact structures, and the differences in the volumes of the subsequent occlusal parts were calculated. Over a thirteen-year period, there was an average loss of anterior occlusal surfaces of 1.58 mm3 per tooth. Tooth surface loss in at least one tooth was higher than 1 mm3 in 93.1% of the human subjects. Tooth wear severity differed by sex and tooth type, with males showing higher values versus females and upper canines versus other anterior teeth. The study revealed the endemic occurrence of occlusal anterior tooth wear, highlighting the need for monitoring of the condition in the population to identify high-risk patients and enable timely interventions. The novel methods applied here on 3D digital models are recommended for this.

scholarly journals Erosive Tooth Wear: Knowledge Of Diagnosis And Treatment Strategies Among Private Dental Practitioners In Kuantan, Pahang

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Noorhazayti Ab. Halim ◽  
Nur Atiyah Fakhri ◽  
Nur Izzati Aisyah Azhar
Keyword(s):  
Formal Education ◽  
Descriptive Analysis ◽  
Treatment Strategies ◽  
Tooth Wear ◽  
Diagnosis And Treatment ◽  
Tooth Surface ◽  
Erosive Tooth Wear ◽  
Individual Level ◽  
Validated Questionnaire ◽  
Dental Practitioners

Introduction: Awareness of erosive tooth wear (ETW) by the public is still low and most dental practitioners overlooked the very early stages dismissing minor tooth surface loss of erosive tooth wear. Therefore, this study aimed to assess knowledge of diagnosis and treatment strategies of ETW among private dental practitioners (PDP) in Kuantan. Materials and Methods: A crosssectional study was conducted in Kuantan private clinics involving PDP and general dental practitioners who performed locum by using convenience sampling. A self-administered validated questionnaire was distributed and descriptive analysis was performed. Results: Overall response rate was 75%. Results indicated that majority of participants (79.2%) received formal education about ETW. About half of participants further learned through continuous dental education. All participants agreed that carbonated drink was the cause of ETW and majority of them reported that gastro-esophageal reflux diseases and pickles also contributed to ETW. Regarding ETW documentation, majority of participants (79%) preferred case notes. Nevertheless, 40.9% and 36.4% record at tooth surface level and individual level respectively. In term of specific scoring in assessing ETW, 79% of them did not know about it. Most of participants prefer giving oral hygiene instruction and diet counseling as preventive measures; however usage of fluorides was not prioritized. 77% of participants never referred case to dental specialist and prefer to treat patient by themselves. Conclusion(s): Knowledge of ETW among recruited PDP is adequate however they did not use any specific indices for ETW scoring and treatment strategies were insufficient.

Saliva and Dental Caries

2000 ◽  
Vol 14 (1) ◽  
pp. 40-47 ◽  
Author(s):  
M. Lenander-Lumikari ◽  
V. Loimaranta
Keyword(s):  
Infectious Disease ◽  
Dental Caries ◽  
Dental Health ◽  
Subsequent Development ◽  
External Factors ◽  
Tooth Surface ◽  
Hormonal Status ◽  
Complex Phenomenon ◽  
Cariogenic Bacteria ◽  
Saliva Secretion

Caries is a unique multifactorial infectious disease. Our understanding of etiological factors, the progress of the disease, and the effectiveness of prophylactic procedures have led us to believe that we understand the disease. However, we still have too few answers to many questions: "Why can we not predict who will get the disease?" "Why do we not become immunized?" "How much saliva is enough?" or "Which salivary components are protective?" and "Which salivary components predispose for caries?" It is generally accepted, however, that saliva secretion and salivary components secreted in saliva are important for dental health. The final result, "caries to be or not to be", is a complex phenomenon involving internal defense factors, such as saliva, tooth surface morphology, general health, and nutritional and hormonal status, and a number of external factors-for example, diet, the microbial flora colonizing the teeth, oral hygiene, and fluoride availability. In this article, our aim is to focus on the effects of saliva and salivary constituents on cariogenic bacteria and the subsequent development of dental caries.

Identification of Functional Variants Associated with Obesity in Pakistani Kindred

2020 ◽  
Vol 1 (1) ◽  
pp. 58-68
Author(s):  
Ayesha Aftab ◽  
Syed Babar Jamal ◽  
Syeda Marriam Bakhtiar
Keyword(s):  
Functional Analysis ◽  
Protein Stability ◽  
Treatment Strategies ◽  
Type Ii Diabetes Mellitus ◽  
Diagnosis And Treatment ◽  
Ratio Test ◽  
Processed Food ◽  
Pakistani Population ◽  
Functional Variants ◽  
Environmental Causes

Background: Obesity is an emerging pandemic considered to be an outcome of change in lifestyle owing to more processed food and the use of mechanical locomotives. Obesity has not only appeared as a problem in the esthetic appearance of an individual rather is a serious health issue due to its associations with various chronic diseases such as coronary and cardiovascular problems, hypertension, osteoarthritis, type-II diabetes mellitus, hyperlipidemia, and certain cancers. It is estimated that 30 percent of the world’s population, i.e. approximately 2.1 billion people, are victims of obesity. In addition to environmental causes, various genes and a group of genes are reported to be increasing the suceptibility of obesity. Objective: Pakistan is a heterogeneous population, an amalgam of various races, therefore, narrowing down the list of obesity-associated genes and their functional variance could help molecular biologists to select potential SNPs in the Pakistani population for molecular diagnosis and treatment. Method: The extraction of a set of obesity-associated genes has been performed by using Polysearch2. SNPs for each gene are retrieved from dbSNP. RegulomeDB and SNPinfo tools have been used for the functional analysis of SNPs retrieved against the Pakistani population. For the prediction of potential deleterious SNPs, SIFT, Polyphen-2, MUTTASTER, MUTASSESSOR, and LRT (likelihood ratio test) are utilized. Functional analysis of potential deleterious SNPs has been performed by studying protein stability and mapping of identified SNPs to protein structure. For the protein stability analysis, I-Mutant and SNPs3D have been used. Results: Four genes FTO, POMC, LEPR, and MC4R and further analysis revealed 3 deleterious SNPs in FTO, 4 in POMC, 1 in LEPR, and 1 in MC4R. Conclusion: This research was designed to identify obesity-associated genes and the most impactful deleterious SNPs in these genes. These findings will be helpful for the molecular biologists and pharmacists to design better and focused diagnosis and treatment strategies.

scholarly journals 3D enamel profilometry reveals faster growth but similar stress severity in Neanderthal versus Homo sapiens teeth

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kate McGrath ◽  
Laura Sophia Limmer ◽  
Annabelle-Louise Lockey ◽  
Debbie Guatelli-Steinberg ◽  
Donald J. Reid ◽  
...  
Keyword(s):  
Life Stress ◽  
Early Life ◽  
Homo Sapiens ◽  
Normal Growth ◽  
Population Level ◽  
Growth Patterns ◽  
Upper Paleolithic ◽  
Tooth Surface ◽  
Growth Increments ◽  
Anterior Teeth

AbstractEarly life stress disrupts growth and creates horizontal grooves on the tooth surface in humans and other mammals, yet there is no consensus for their quantitative analysis. Linear defects are considered to be nonspecific stress indicators, but evidence suggests that intermittent, severe stressors create deeper defects than chronic, low-level stressors. However, species-specific growth patterns also influence defect morphology, with faster-growing teeth having shallower defects at the population level. Here we describe a method to measure the depth of linear enamel defects and normal growth increments (i.e., perikymata) from high-resolution 3D topographies using confocal profilometry and apply it to a diverse sample of Homo neanderthalensis and H. sapiens anterior teeth. Debate surrounds whether Neanderthals exhibited modern human-like growth patterns in their teeth and other systems, with some researchers suggesting that they experienced more severe childhood stress. Our results suggest that Neanderthals have shallower features than H. sapiens from the Upper Paleolithic, Neolithic, and medieval eras, mirroring the faster growth rates in Neanderthal anterior teeth. However, when defect depth is scaled by perikymata depth to assess their severity, Neolithic humans have less severe defects, while Neanderthals and the other H. sapiens groups show evidence of more severe early life growth disruptions.

Avoid suboptimal perioperative analgesia during major surgery by enhancing thoracic epidural catheter placement and hemodynamic performance

2021 ◽  
pp. rapm-2020-102352
Author(s):  
Sarah A Bachman ◽  
Johan Lundberg ◽  
Michael Herrick
Keyword(s):  
Epidural Catheter ◽  
Treatment Strategies ◽  
Preventive Treatment ◽  
Catheter Placement ◽  
Major Surgery ◽  
Perioperative Analgesia ◽  
Neuraxial Blockade ◽  
Epidural Catheter Placement ◽  
Thoracic Epidural ◽  
Catheter Failure

Thoracic epidural analgesia (TEA) is an established gold standard for postoperative pain control especially following laparotomy and thoracotomy. The safety and efficacy of TEA is well known when the attention to patient selection is upheld. Recently, the use of fascial plane blocks (FPBs) has evolved as an alternative to TEA most likely because these blocks avoid problems such as neurological comorbidity, coagulation disorders, epidural catheter failure and hypotension due to sympathetic denervation. However, if an FPB is performed, postoperative monitoring and adjuvant treatments are still necessary. Also, the true efficacy of FPBs is questioned. Thus, should we prioritize less efficient analgesic regimens with FPBs when preventive treatment strategies for epidural catheter failure and hypotension exist for TEA? It is time to promote and underscore the benefits of TEA provided to patients undergoing major open surgical procedures. In our mind, FPBs and landmark-guided techniques should be limited to less extensive surgery and when either neuraxial blockade is contraindicated or resources for optimal epidural catheter placement and maintenance are not available.

scholarly journals Anatomic variations of internal jugular vein, inferior petrosal sinus and its confluence pattern: Implications in inferior petrosal sinus catheterization

2015 ◽  
Vol 21 (6) ◽  
pp. 769-773 ◽  
Author(s):  
Xianli Lv ◽  
Zhongxue Wu
Keyword(s):  
Computed Tomography ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Treatment Strategies ◽  
Diagnosis And Treatment ◽  
Inferior Petrosal Sinus ◽  
Anatomic Variations ◽  
Review Of The Literature ◽  
Spiral Computed ◽  
Intracranial Lesions

Objective The purpose of this study is to describe anatomic variations of the internal jugular vein (IJV), inferior petrosal sinus (IPS) and their confluence pattern and implications in IPS catheterization. The anatomic route of IPS after going out of the cranium and its confluence patterns with IJV and will supply knowledge about typing of IPS-IJV junction. Method A review of the literature was performed. Results There might be different routes for entering the intracranial segment of the IPS and multislice spiral computed tomography (MSCT) is effective in identifying the confluences of the IPS with the IJV and their courses. It is important to find the confluence of IPS with IJV for diagnosis and treatment of intracranial lesions via venous route. Meanwhile, IPS diameter at the confluence can significantly affect success of catheterization. Conclusion The classification and the theory of the development of the caudal end of the IPS may be useful in establishing treatment strategies that involve endovascular manipulation via the IPS.

scholarly journals Concepts in cardio-oncology: definitions, mechanisms, diagnosis and treatment strategies of cancer therapy-induced cardiotoxicity

2016 ◽  
Vol 12 (6) ◽  
pp. 855-870 ◽  
Author(s):  
Chanaka D Wickramasinghe ◽  
Kim-Lien Nguyen ◽  
Karol E Watson ◽  
Gabriel Vorobiof ◽  
Eric H Yang
Keyword(s):  
Cancer Therapy ◽  
Treatment Strategies ◽  
Diagnosis And Treatment

Infectious and inflammatory complications after endoscopic hernioplasty in patients with postoperative ventral hernias: features of diagnosis and treatment strategies

2021 ◽  
Vol 23 (3) ◽  
pp. 157-164
Author(s):  
Valery V. Semenov ◽  
Sofya А. Prudyeva ◽  
Alexander A. Kurygin
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Treatment Strategies ◽  
Repeated Administration ◽  
Early Postoperative Period ◽  
Diagnosis And Treatment ◽  
Wound Therapy ◽  
Active Growth ◽  
Surgical Interventions ◽  
Ventral Hernias

An algorithm for the diagnosis and treatment of infectious and inflammatory complications after endovideosurgical hernioplasty in patients with postoperative ventral hernias using traditional and minimally invasive methods of therapy was proposed. The study was based on the treatment results of 177 patients who underwent endovideosurgery for postoperative ventral hernias. Despite the perioperative antibiotic prophylaxis according to the accepted at the S.M. Kirov Military Medical Academy, according to the protocol scheme (first-generation cephalosporin at a dose of 1 g once parenterally 30 min before the operation, followed by repeated administration in case of operation duration of 3 h), course of the early postoperative period on days 35 in 8 (4,5%) patients after endovideosurgical hernioplasty was complicated by suppuration in the intervention area. When analyzing the causes of infectious and inflammatory complications, in both the main and control groups of observations, all suppuration in the area of surgical interventions was diagnosed in patients with metabolic syndrome (stages IIIII obesity and type 2 diabetes mellitus). The use of the negative pressure wound therapy resulted in wound cleansing for 4.1 2.5 days (p 0.05) and was comparable with the traditional method of treatment, but more active growth of granulation tissue prevailed in the wound, which contributed to its accelerated healing. The negative pressure wound therapy is effective in the systemic infectious and inflammatory process, especially after prosthetic hernioplasty of large W3-postoperative hernias. Drainage of abscesses under ultrasound navigation is possible with small (S 10 cm2) delimited purulent processes in the area of the polypropylene implant with the preservation of the latter.

Sign in / Sign up

Export Citation Format

Share Document