scholarly journals Psychological Backgrounds of Medically Compromised Patients and Its Implication in Dentistry: A Narrative Review

2021 ◽  
Vol 18 (16) ◽  
pp. 8792
Author(s):  
Yoshihiro Abiko ◽  
Durga Paudel ◽  
Hirofumi Matsuoka ◽  
Mitsuru Moriya ◽  
Akira Toyofuku
Keyword(s):  
Dental Treatment ◽  
Poor Quality ◽  
Narrative Review ◽  
Stress Disorders ◽  
Post Traumatic Stress ◽  
Dental Patients ◽  
Panic Disorders ◽  
Meta Analyses ◽  
Dental Professionals ◽  
Compromised Patients

The number of medically compromised dental patients is increasing every year with the increase in the super-aged population. Many of these patients have underlying psychiatric problems and diseases, which need to be recognized by dental professionals for better treatment outcomes. The aim of this narrative review article is to summarize the psychological and psychiatric backgrounds of medically compromised patients who are frequently visited and taken care of by dentists using findings from recent systematic reviews and meta-analyses. Anxiety and symptoms of depression, post-traumatic stress disorders, panic disorders, poor cognitive functions, and poor quality of life were some of the common psychological backgrounds in medically compromised patients. Additionally, the consequences of these psychological problems and the considerations that need to be taken by the dentist while treating these patients have been discussed. Dental professionals should be aware of and recognize the different psychological backgrounds of medically compromised dental patients in order to provide appropriate dental treatment and to prevent oral conditions from worsening.

Relationship between Dental Procedures and Shunt Infections in Hydrocephalic Patients: A Narrative Review

2018 ◽  
Vol 42 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Chidambaram Ramasamy
Keyword(s):  
Dental Treatment ◽  
Surgical Care ◽  
Narrative Review ◽  
Dental Procedures ◽  
Specialized Care ◽  
Medical Reports ◽  
The Relationship ◽  
Shunt Infections ◽  
Compromised Patients ◽  
Sizable Number

Oral physicians frequently encounter medically compromised patients in their everyday practice and a sizable number of these patients are in urgent need of specialized care. One such medically specialized category is that of patients suffering from hydrocephalus. A large number of medical reports and citations in support of surgical care of the hydrocephalic disorder are available in literature. However, reports on dental studies offer contradictory statements on the relationship between hydrocephalic shunts and oral manoeuvres. The present narrative review aims to delineate the historical journey of the association between shunt infections and dental procedures, decode the existing controversies and provide updated information on antibiotic prophylaxis prior dental treatment for hydrocephalic patients.

scholarly journals Evidence Based Decision Making in Dental Treatment During COVID-19 Outbreak

2020 ◽  
Author(s):  
Ajay Mahajan ◽  
Kanwarjit Singh Asi ◽  
Ashadeep Kaushal ◽  
Vindeshwari Bhatia ◽  
Poonam Mahajan
Keyword(s):  
Health Care Professionals ◽  
Dental Treatment ◽  
Evidence Based ◽  
Dental Patients ◽  
Global Pandemic ◽  
Electronic Database Search ◽  
Spread Of Infection ◽  
Evidence Based Decision Making ◽  
Dental Professionals ◽  
Broad Overview

Background: SARS-CoV-2 has resulted in a global pandemic, COVID-19. The disease has spread outrageously from Wuhan, china to rest of the world affecting millions of people. The human transmission is mainly known to occur by aerosols. As almost every dental procedure is associated with aerosol production, oral health care professionals are at a high risk of getting the infection. An attempt has been made to render cohesive practical suggestions for dental professionals amid COVID-19 outbreak. Objectives: The paper aims at providing evidence based information in managing dental patients during this pandemic. Material and Methods: The paper provides a broad overview of predominant findings based on electronic database search regarding COVID-19 outbreak and its effect on dental practice. Conclusion: Dental care should not be neglected due to the pandemic. Thorough knowledge about the disease and its prevention will not only help us in providing care to these patients but will also help in preventing the nosocomial spread of infection.

scholarly journals Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial

2021 ◽  
Vol 10 (14) ◽  
pp. 3019
Author(s):  
Cristina Gómez-Polo ◽  
Ana-Aida Vilches ◽  
David Ribas ◽  
Antonio Castaño-Séiquer ◽  
Javier Montero
Keyword(s):  
Virtual Reality ◽  
Dental Treatment ◽  
Randomised Clinical Trial ◽  
Control Group ◽  
Chi Square ◽  
Anxiety Management ◽  
Dental Patients ◽  
Paediatric Patients ◽  
Chi Square Test ◽  
Scale Test

Clinicians should appreciate the effectiveness of virtual reality (VR) headsets for managing both the anxiety and the behaviour of non-cooperative paediatric patients who require treatment over several dental appointments. The aim of this study was to assess the effectiveness of using a VR headset as a distraction for managing the anxiety and behaviour of paediatric patients during their dental treatment. Eighty patients, aged between five and ten years old and who required dental treatment over three or more appointments, were randomly allocated into two groups. One group used a VR headset during all their appointments, and the other one did not use any distraction technique. The patients were asked to take a Facial Image Scale Test during their first and last appointments to assess their level of anxiety. Additionally, the dentist completed the Frankl Test to quantify the child’s behaviour at the beginning and the end of their treatment. The results obtained, both from the group using the VR headset and from the control group, were compared using the chi-square test. The use of a VR headset during dental treatment significantly reduced anxiety (95% of the children were happy) and improved behaviour (100% positive behaviour) as compared with the control group (40% and 57.5%, respectively). A VR headset can effectively distract a paediatric patient, helping to reduce anxiety and manage behaviour during dental treatment

„Meine Seele ist vom Sturm getrieben …“

Millennium ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 163-202
Author(s):  
Patrick Reinard ◽  
Christian Rollinger
Keyword(s):  
War Trauma ◽  
Ancient World ◽  
Stress Disorders ◽  
Literary Texts ◽  
Late Antique ◽  
Post Traumatic Stress ◽  
Quarter Century ◽  
Person Perspective ◽  
Traumatic Stress Disorders ◽  
Post Traumatic

AbstractA contribution to a scholarly controversy that has been on-going for a quarter century now, this article provides a critical review of previous studies on the existence of post-traumatic stress disorders (PTSD) as a consequence of extreme violence in the ancient world. It highlights methodological difficulties in attempting to ‘diagnose’ psychological illnesses across a distance of more than two millennia by means of highly stylized literary texts. Simultaneously, it introduces crucial new evidence in the form of a late antique papyrus originally published in 1924 (P.Oxy. 16/1873), which has hitherto been almost completely ignored by scholarship. The papyrus, a letter written by a man called Martyrios in sixth century Lycopolis and addressed to his father, recounts psychological war trauma as a result of an attack on his hometown. He does so in a first-person perspective, using a highly select and unusual vocabulary to describe his emotional impairment. Because of its syntactical and vocabulary extravagance, this letter is sometimes seen as a fictional literary reflex. The authors argue, on the contrary, that this letter is the only reliable documentary evidence for psychological war trauma from the ancient world known so far.

scholarly journals PAI-1 protein is a key molecular effector in the transition from normal to PTSD-like fear memory

2021 ◽  
Author(s):  
C. Bouarab ◽  
V. Roullot-Lacarrière ◽  
M. Vallée ◽  
A. Le Roux ◽  
C. Guette ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Predictive Biomarker ◽  
Stress Disorders ◽  
Glucocorticoid Hormones ◽  
Post Traumatic Stress ◽  
Traumatic Stress Disorders ◽  
Post Traumatic ◽  
Very High ◽  
Moderate Stress ◽  
Pai 1

AbstractModerate stress increases memory and facilitates adaptation. In contrast, intense stress can induce pathological memories as observed in post-traumatic stress disorders (PTSD). A shift in the balance between the expression of tPA and PAI-1 proteins is responsible for this transition. In conditions of moderate stress, glucocorticoid hormones increase the expression of the tPA protein in the hippocampal brain region which by triggering the Erk1/2MAPK signaling cascade strengthens memory. When stress is particularly intense, very high levels of glucocorticoid hormones then increase the production of PAI-1 protein, which by blocking the activity of tPA induces PTSD-like memories. PAI-1 levels after trauma could be a predictive biomarker of the subsequent appearance of PTSD and pharmacological inhibition of PAI-1 activity a new therapeutic approach to this debilitating condition.

scholarly journals Effects of Extraoral Suction on Droplets and Aerosols for Infection Control Practices

2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  
Keyword(s):  
Infection Control ◽  
Adenosine Triphosphate ◽  
Dental Care ◽  
Dental Treatment ◽  
Effective Area ◽  
Infection Risk ◽  
Physical Characteristics ◽  
Dental Hygienist ◽  
Increased Risk ◽  
Dental Professionals

Dental professionals are at increased risk of being infected with airborne pathogens such as SARS-CoV-2 because they are often exposed to droplets/aerosols production during dental treatment. To scientifically clear the effects of extraoral and oral suctions on the droplets and aerosols produced by dental treatments using an ultrasonic scaler was analyzed. The adenosine triphosphate and bacteria in droplets and aerosols produced during simulated scaling were quantitatively observed by reactions with luciferin/luciferase and incubation in culture plates to grow bacteria, respectively. The protection against spreading droplets and aerosols by oral and extraoral suctions was recognized, and the areas were limited to the left and posterior sides of the dental chair head when a right-handed dentist and dental hygienist performed scaling. Extraoral suction is a very useful tool for reducing the infection risk of COVID-19 in dental care, but the effective area is limited depending on physical characteristics of dentist and dental hygienist.

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