Introducing and Evaluating Intraprofessional Team-Based Care Delivery in a Dental School Clinic: A Pilot Study

2018 ◽  
Vol 82 (9) ◽  
pp. 980-988 ◽  
Author(s):  
Hiwet Ephrem ◽  
Karl D. Self ◽  
Christine M. Blue
2021 ◽  
Vol 23 (1) ◽  
pp. 68-71
Author(s):  
José Henrique Nascimento Souza-Junior ◽  
André Farias Andrade ◽  
Luiz Evaristo Ricci Volpato ◽  
Mateus Rodrigues Tonetto ◽  
Aurélio Rosa da Silva Junior ◽  
...  

AbstractPhotoactivated composite resins are among the most widespread restorative materials in dentistry, particularly in cosmetic dentistry. To obtain the best properties of the material, the resins must have their polymerization reaction initiated by means of the light-curing device, which activates the photoinitiators present in the composites. For this process to occur in the desired way, it is essential that the light-curing device emits light at the intensity necessary to properly activate the photoinitiators. Thus, a pilot study was carried out to assess the light intensity emitted by the light-curing devices used in a school clinic. To assess the light intensity emitted by the devices, a radiometer was used. Twenty-four light-curing devices were evaluated, 13 Optilight Max devices, 8 Optilight LD MAX 440 devices, 3 Emitter C. devices. All the devices had an emitted light below 400 mW / cm² and 67% of the devices had intensity above 300 mW/cm². The average light emission values of the light-curing devices were Optilight Max 334mW/cm², Emitter C 275mW/cm², Optilight LD MAX 440 296mW/cm². It was concluded that no light-curing device emitted light at the recommended intensity (400 mW/cm²), two thirds of the devices emitted light in intensity above the minimum required for photopolymerization of composite resin increments of up to 2mm and one third emitted light in intensity below the required minimum. There was no difference among the light-curing device models tested in this study. Keywords: Photoinitiators, Dental. Dental. Tooth. Composite Resins. ResumoAs resinas compostas fotoativadas estão entre os materiais restauradores mais difundidos em odontologia, particularmente na odontologia estética. Para obtenção das melhores propriedades do material, as resinas precisam ter sua reação de polimerização iniciada por meio do fotopolimerizador, que ativa os fotoiniciadores presentes nos compósitos. Para que esse processo ocorra da forma desejada, é fundamental que o fotopolimerizador emita a luz na intensidade necessária para ativar adequadamente os fotoiniciadores. Assim, foi realizado um estudo piloto para avaliadar a intensidade da luz emitida pelo fotopolimerizadores utilizados em uma clínica-escola. Para avaliar a intensidade da luz emitida pelos dispositivos, foi utilizado um radiômetro. Vinte e quatro fotopolimerizadores foram avaliados, 13 aparelhos Optilight Max, 8 aparelhos Optilight LD MAX 440, 3 aparelhos Emitter C. Todos os dispositivos tiveram a luz emitida em intensidade inferior a 400 mW/cm² e 67% dos dispositivos apresentaram intensidade acima de 300 mW/cm². As médias de valores de emissão de luz dos fotopolimerizadores foram, Optilight Max 334mW/cm², Emitter C 275mW/cm², Optilight LD MAX 440 296mW/cm²Concluiu-se que nenhum fotopolimerizador emitiu luz na intensidade recomendada (400 mW/cm²), dois terços dos aparelhos emitiram luz em intensidade acima da mínima necessária para fotopolimerização de incrementos de resina composta de até 2mm e um terço emitiu luz em intensidade abaixo da mínima necessária. Não houve diferença entre os modelos de fotopolimerizador testados neste estudo. Palavras-chave: Fotoiniciadores Dentários. Dente. Resinas Compostas.


2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Atsushi Saito ◽  
Momomi Kikuchi ◽  
Fumie Ueshima ◽  
Shinya Matsumoto ◽  
Hiroki Hayakawa ◽  
...  

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Jarod Parrish ◽  
Ciantel A Blyler ◽  
Henry E Okafor ◽  
L. Cindy Chang ◽  
Devika Nair ◽  
...  

Background: The Los Angeles Barbershop Blood Pressure Study (LABBPS) demonstrated that collaboration between barbers and pharmacists delivering hypertension management could significantly improve blood pressure as well as access to care. It is unknown if this model can be translated to other locations. This single-arm, proof-of-concept pilot study tested the development and implementation of a similar protocol in Nashville, TN (NCT04232124). Methods: Between 2019 and 2021, community stakeholders, clinicians, investigators, and the LABBPS team convened to adapt the study design and protocol. Established barbershops with barbers willing to be trained on study procedures were recruited as study sites. Non-Hispanic Black male clients, aged 35-79 years with systolic blood pressure (SBP) > 140 mmHg on two screening days were eligible for participation. Enrolled participants met with a pharmacist for lifestyle and medication management at least once monthly for a six-month period. Barbers measured blood pressure during haircuts for additional monitoring. Results: Eight barbershops in business for an average of 20 (± 5) years participated in the trial. Barbers from each shop (range: 1-4) were trained. A total of 419 clients completed screening visit 1, 82 were eligible and 52 (12%) completed visit 2. We enrolled 36, with 30 completing the initial clinical visit and 27 had complete data at 6-months. Participants were on average age 50 (± 10) years, had a body mass index 33 (± 6), 44% were currently smoking, 52% with high school or less education, and 56% reported current primary care. Baseline BP 157.7±17.1/ 95.1±13.9 mmHg improved to 125.7±11.9/75.6±9.5, a change of -32.1±21.6/ -19.5±14.1, respectively. At 6-months 85% of the group had a BP<140/90, 74% BP<135/85, and 67% BP<130/80. At baseline 15% of participants reported health as excellent/very good and this increased to 56% at 6-months (p=0.002). Adverse reactions reported were minimal. Conclusion: Implementation of the barber-pharmacist model of hypertension management and care delivery improved BP control among hypertensive Black men in Nashville. Lessons learned regarding adaptation overcoming unforeseen barriers will inform expansion into additional naïve locations for future research.


2021 ◽  
Vol 10 (12) ◽  
pp. 1-14
Author(s):  
Isadora BRESEGHELLO ◽  
Camila Thaiane dos Reis BEZERRA ◽  
Max Doulgas FARIA ◽  
Raquel Carros ANTONIO

Introdução: Os pacientes, diabéticos é um público comum no consultório. Os cirurgiões dentistas fazem uso e prescrevem medicamentos que auxiliam na prevenção e cura de doenças orais, tornando necessário um conhecimento apropriado para a correta indicação de uma determinada doença. Dessa forma, o objetivo do presente estudo é descrever a compreensão dos acadêmicos do Curso de Odontologia do Unifunec sobre seus conhecimentos e o manejo de pacientes com hipertensão, diabetes e gestantes em relação aos anestésicos locais utilizados e à terapêutica medicamentosa. Material e Métodos: Os alunos matriculados no quinto ano do curso de odontologia foram convidados a responder 22 questões sobre perfil pessoal e a prática clínica de atendimento odontológico dos pacientes especiais. Os dados obtidos foram divididos em certos e errados e registrados no Software Microsoft Excelem tabelas elaboradas. Resultados: As tabelas e os gráficos estão exemplificados nos resultados e na discussão. Participaram da pesquisa 68 alunos, sendo que a maioria era do sexo feminino, atendem em clínica escola 100% dos alunos entrevistados. A maioria das questões obteve uma porcentagem de acertos favorável ao da literatura com algumas questões chegando a 90%. Do total de perguntas, as que apresentaram um percentual de acerto menor de 50% foram as questões sobre a anestesia local no paciente diabético e gestante. Conclusão: A compreensão dos graduandos sobre a consulta odontológica de pacientes hipertensos, diabéticos e gestantes encontrou-se em torno de 56%.   UNDERGRADUATE STUDENT’S KNOWLEDGE ABOUT DENTAL APPOINTMENT FOR HYPERTENSIVE, DIABETIC AND PREGNANT PATIENTS   ABSTRACT Introduction: Hypertensive and diabetic patients are frequent in dental offices. Dental surgeons make use and prescribe medications which help in the prevention and cure of oral diseases; it requires appropriate knowledge in order to properly write prescriptions to certain diseases. Consequently, this paper aims at describing the understanding of the undergraduate students’ Dentistry School at Unifunec about their knowledge and management of hypertensive, diabetic, and pregnant patients regarding the use of local anesthetic and drug therapy. Material and methods: Undergraduate students who were enrolled in the fifth year of Dental School were invited to answer 22 questions about personal profile and clinical practice for those particular patients’ dental care. The obtained data was classified as right and wrong and recorded at the Software Microsoft Excel spreadsheets. Results: Spreadsheets and graphics are exemplified in results and discussion.  Sixty-eight undergraduate students participated in the study, most of them were female, 100% of them assisting patients at a dental school clinic.  Most of the questions obtained a favorable percentage of correctness in accordance to the literature with some questions hitting 90% correctness. From the total of the questions, questions about local anesthetics for diabetic and pregnant patients obtained less than 50% correctness. Conclusion: The understanding of the undergraduate students about dental appointment for hypertensive, diabetic, and pregnant patients was found to be around 56%.   Keywords: Hypertension. Diabetes Mellitus. Pregnant women.


2019 ◽  
Vol 83 (11) ◽  
pp. 1339-1344 ◽  
Author(s):  
Michael Murrell ◽  
Leonardo Marchini ◽  
Derek Blanchette ◽  
Sato Ashida

Author(s):  
Piedad Suarez‐Durall ◽  
Maile S. Osborne ◽  
Reyes Enciso ◽  
M. Diane Melrose ◽  
Roseann Mulligan

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