scholarly journals Sedative and behavioral effects of intranasal midazolam in comparison with other administrative routes in children undergoing dental treatment – A systematic review

2021 ◽  
Vol 12 (2) ◽  
pp. 105
Author(s):  
Sujatha Somasundaram ◽  
NeethuAnn Preethy
Keyword(s):  
Systematic Review ◽  
Dental Treatment ◽  
Behavioral Effects ◽  
Intranasal Midazolam

scholarly journals Oral Antibiotic for Empirical Management of Acute Dentoalveolar Infections—A Systematic Review

Antibiotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 240
Author(s):  
Leanne Teoh ◽  
Monique C Cheung ◽  
Stuart Dashper ◽  
Rodney James ◽  
Michael J McCullough
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
Broad Spectrum ◽  
Dental Treatment ◽  
Clinical Success ◽  
Empirical Therapy ◽  
Oral Antibiotic ◽  
Dose Frequency ◽  
Odontogenic Infections ◽  
Broad Spectrum Antibiotics

Concerns regarding increasing antibiotic resistance raise the question of the most appropriate oral antibiotic for empirical therapy in dentistry. The aim of this systematic review was to investigate the antibiotic choices and regimens used to manage acute dentoalveolar infections and their clinical outcomes. A systematic review was undertaken across three databases. Two authors independently screened and quality-assessed the included studies and extracted the antibiotic regimens used and the clinical outcomes. Searches identified 2994 studies, and after screening and quality assessment, 8 studies were included. In addition to incision and drainage, the antibiotics used to manage dentoalveolar infections included amoxicillin, amoxicillin/clavulanic acid, cefalexin, clindamycin, erythromycin, metronidazole, moxifloxacin, ornidazole and phenoxymethylpenicillin. Regimens varied in dose, frequency and duration. The vast majority of regimens showed clinical success. One study showed that patients who did not receive any antibiotics had the same clinical outcomes as patients who received broad-spectrum antibiotics. The ideal choice, regimen and spectrum of empirical oral antibiotics as adjunctive management of acute dentoalveolar infections are unclear. Given that all regimens showed clinical success, broad-spectrum antibiotics as first-line empirical therapy are unnecessary. Narrow-spectrum agents appear to be as effective in an otherwise healthy individual. This review highlights the effectiveness of dental treatment to address the source of infection as being the primary factor in the successful management of dentoalveolar abscesses. Furthermore, the role of antibiotics is questioned in primary space odontogenic infections, if drainage can be established.

O impacto da Covid-19 na Odontologia – revisão sistemática

2021 ◽  
Vol 12 (46) ◽  
pp. 15-22
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Francisca Janiele de Sousa
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Dental Care ◽  
Dental Treatment ◽  
Dental Trauma ◽  
Urgent Care ◽  
Inclusion Criteria ◽  
Dental Clinics ◽  
Mode Of Transmission ◽  
Irreversible Pulpitis

This study aimed to review, qualify and summarize the existing evidence on associations and risk factors for Covid-19 during dental treatment and dentists’ knowledge about these risks. After being registered with PROSPERO, the systematic review was carried out in accordance with the PRISMA guidelines, with searches in electronic databases, in specific journals, manual searches and Google Scholar, without language restrictions, from December 2019 to August 2020. Two questions were asked to be investigated: did patients seek dental care in the emergency room and do dentists know the symptoms and the mode of transmission of Covid-19, feeling qualified to attend them? Only 6 articles were included because they met all defined inclusion criteria. It was concluded that endodontic urgencies and emergencies with symptomatic irreversible pulpitis are the most common, consisting of a much higher proportion of dental emergencies during Covid-19 epidemic compared with dental trauma and no-urgent care. Although dentists are aware of the symptoms, mode of transmission, infection controls, and measures in dental clinics, they do not feel confident about the correct measures to be taken to prevent Covid-19 for their staff and patients.

scholarly journals CRITERIA FOR SELECTING SPECIAL HEALTH CARE NEEDS PATIENTS FOR GENERAL ANESTHESIA IN DENTAL TREATMENT: A SYSTEMATIC REVIEW

2021 ◽  
Vol 9 (12) ◽  
pp. 507-515
Author(s):  
Nourah Al-Lwemi ◽  
◽  
Nuha Al-Shalabi ◽  
Noor Al-Basheeti ◽  
Hafsa Yasser ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Dental Treatment ◽  
Oral Health Status ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Cross Sectional ◽  
Special Health Care ◽  
Special Health

Objective:This systematic review aimed to investigate the available evidence on how to decide whether your special health care needs patient needs GA for dental treatments or not. Materials and methods:A systematic search was conducted in four electronic databases PubMed, Google Scholar, ResearchGate and SDL. The search was restricted to articles published between 2005 and 2020. Publications reporting on the special health care needs patients dental treatment were included. The papers were analyzed regarding title and abstract contents to eliminate the ones that were out of context and not relevant to the review. Results:The search strategy resulted in 99 unique and potentially relevant articles. In total, 6 publications which include 5 retrospective articles and one cross-sectional study were selected. Conclusions:The main standards for selecting patients for hospitalized dental treatments include a full analysis of SNP including their medical history, behavior and emotional factors, oral health status, allergies, social and non-clinical factors, and caregivers factors. It is important for general dentists and families of these patients to be acquainted with the procedure, its need, and its contraindications.

scholarly journals Conscious sedation for the management of dental anxiety in third molar extraction surgery: a systematic review.

2020 ◽  
Author(s):  
Matteo Melini ◽  
Andrea Forni ◽  
Francesco Cavallin ◽  
Matteo Parotto ◽  
Gastone Zanette
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Meta Analysis ◽  
Dental Anxiety ◽  
Third Molar ◽  
Future Research ◽  
Third Molar Extraction ◽  
Molar Extraction

Abstract Background: Dental anxiety is a condition associated with avoidance of dental treatment and increased medical and surgical risks. This systematic review aims to summarize available evidence on conscious sedation techniques used for the management of Dental anxiety in patients scheduled for third molar extraction surgery, to identify best approaches and knowledge gaps. Methods: A comprehensive search was conducted including MEDLINE/Pubmed, EMBASE, SCOPUS, clinicaltrials.gov and the Cochrane Database of Systematic Reviews through March 2019. Only randomized controlled trials were included. PRISMA guidelines were followed. Risk of bias was appraised as reported in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seventeen RCTs with a total of 1,788 patients were included. Some aspects limited the feasibility of a meaningful meta-analysis, thus a narrative synthesis was conducted. Conscious sedation was associated with improvement in Dental anxiety in six studies. One study reported lower cortisol levels with midazolam vs. placebo, while another study found significant variation in perioperative renin levels with remifentanil vs. placebo. Conclusions: This review found inconclusive and conflicting findings about the role of Conscious sedation in managing Dental anxiety during third molar extraction surgery. Relevant questions remain unanswered due to the lack of consistent, standardized outcome measures. Future research may benefit from addressing these limitations in study design.

scholarly journals Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

2020 ◽  
Vol 2020 ◽  
pp. 1-17
Author(s):  
Saulo V. da Rosa ◽  
Samuel J. Moysés ◽  
Laís C. Theis ◽  
Renata C. Soares ◽  
Simone T. Moysés ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Latin American ◽  
Assessment Tool ◽  
Dental Treatment ◽  
People With Disabilities ◽  
Legal Framework ◽  
Dental Services ◽  
Persons With Disabilities ◽  
Structural Problems

Background. People with disabilities tend to have greater oral health problems compared to those without disabilities. This may be due to barriers they come across in accessing dental services. Objectives. The objective of this systematic review was to provide a critical digest of the scientific literature concerning barriers and facilitators of access to oral health services for people with disabilities. Methods. The electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), and Brazilian Library of Dentistry (BBO) were searched using keywords relevant to the subject. The search was not restricted to specific languages or years of publication; all relevant studies were translated and reviewed. Results. Sixteen studies including 14 articles, a doctoral thesis, and a monograph were selected, and their quality was analysed using the Downs and Black assessment tool. Barriers to dental services were divided into physical or nonphysical based on the dentist’s perspective, as per the perception of parents/guardians or by the persons with disabilities. The barriers that emerged included the dentist’s lack of preparation to assist people with disabilities, structural problems of access to dental offices, communication difficulties, and lack of awareness regarding the need for dental treatment for the disabled person. Conclusion. It is concluded that people with disabilities continue to run into complex physical, behavioural, or multidimensional barriers in accessing dental services. Improved training of dentists for the care of this population is hereby emphasized. The legal framework enabling access to dental care for people with disabilities must also be respected in each country.

Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

2019 ◽  
Vol 30 (2) ◽  
pp. 118-135
Author(s):  
Priscila de Camargo Smolarek ◽  
Letícia M. Wambier ◽  
Leonardo Siqueira Silva ◽  
Ana Cláudia Rodrigues Chibinski
Keyword(s):  
Systematic Review ◽  
Local Anaesthesia ◽  
Dental Treatment ◽  
Meta Analysis ◽  
Paediatric Patients

Psychological and behavioral effects of genetic risk testing for obesity: a systematic review

2016 ◽  
Vol 13 (3) ◽  
pp. 265-277 ◽  
Author(s):  
Emily K Cheera ◽  
DawnKylee S Klarich ◽  
Mee Young Hong
Keyword(s):  
Systematic Review ◽  
Genetic Risk ◽  
Behavioral Effects
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