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Special Care in Dentistry

Aza Rahman, Najla Nizarali, Alison Dougall, Blánaid Daly
INTRODUCTION: Optimal delivery of dental care for adults with congenital bleeding disorders (CBD) requires close collaboration between hemophilia treaters and dentists. AIM: To explore U.K. hemophilia treaters' knowledge of dental procedures and associated hemostatic management in adults with CBD. METHOD: Staff (N = 180) from N = 60 hemophilia facilities in the United Kingdom were invited to participate in a questionnaire-based study using a web-based tool...
February 17, 2019: Special Care in Dentistry
Mervyn Gornitsky, Sherif M Elsaraj, Olivia Canie, Shrisha Mohit, Ana M Velly, Hyman M Schipper
AIMS: This study describes a novel nerve block directed at the maxillary (V2) division of the fifth cranial nerve as treatment for medication-refractory trigeminal neuralgia (TN). METHODS AND RESULTS: The authors present three cases of TN treated with V2 nerve block using commonly available local anesthetics injected through the greater palatine foramen. Patients' medications were noted before and after the procedure. Following the injection, patients were followed over time and outcome was assessed...
February 15, 2019: Special Care in Dentistry
Marisol Tellez, Shannon Myers Virtue, Sheryl Neckritz, Vinodh Bhoopathi, Matilde Hernández, Barbara Shearer
BACKGROUND: Health education has a focus on knowledge dissemination and advice giving, which seldom translates into behavioral changes. Motivational interviewing (MI) has potential for helping elderly patients. However, most oral health studies conducted to date have excluded older individuals, and the outcomes examined have been exclusively clinical. This study examines the treatment fidelity of an individual-based MI intervention and assesses baseline characteristics related to older adults' self-efficacy (SE), oral-health-related quality of life (OHRQoL), oral health knowledge, and facilitators, barriers, and confidence on achieving MI goals...
February 14, 2019: Special Care in Dentistry
Camilla Vieira Esteves, Wellington H Yanaguizawa, Celso A Lemos, Fábio A Alves, Oslei Paes de Almeida, Norberto Nobuo Sugaya
Oral manifestations of tuberculosis (TB) are not so frequent, and the lesions may emerge in immunosuppressed patients as a secondary expression of pulmonary TB. The following two case reports focus on the clinical challenge of early diagnosis of painful ulcerative lesions in oral mucosa that occurred in two senior females, both human immunodeficiency virus negative patients, however receiving immunosuppressing medication. The patients did not present classic symptoms of TB. Nevertheless, based on different studies, extrapulmonary TB should still be considered as differential diagnosis for the oral mucosa lesions developed by these patients...
February 14, 2019: Special Care in Dentistry
Sophie-Caroline Campana, Thibault Canceill, Rémi Esclassan
SAPHO is an acronym for Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis. The syndrome is difficult to diagnose because it may present many different manifestations in adults and children. Its origin is still unknown, although some infectious, genetic and immune hypotheses have been put forward. We report the case of a 49-year-old woman with SAPHO syndrome, who developed a serious cutaneous allergy following the insertion of a removable partial denture (RPD). The oral care and treatment of this patient are described...
February 14, 2019: Special Care in Dentistry
Zahra Delavarian, Atessa Pakfetrat, Ala Ghazi, Mahmoud Reza Jaafari, Fatemeh Homaei Shandiz, Zohreh Dalirsani, Amir Hooshang Mohammadpour, Hamid Reza Rahimi
Oral mucositis (OM) is a complication of head and neck cancer (HNC) therapy with negative impact on the quality of life. Although definitive treatment has not yet been established, there is interest towards the use of natural compounds owing to their few side effects. Curcumin has a variety of biological and pharmacological properties including anticancer and anti-inflammatory effects. AIM: The aim of this study is to evaluate the effect of curcumin in the form of nanomicelle on OM in HNC patients receiving radiotherapy...
February 14, 2019: Special Care in Dentistry
Mang Shin Ma, Mohammadamin Najirad, Doaa Taqi, Jean-Marc Retrouvey, Faleh Tamimi, Didem Dagdeviren, Francis H Glorieux, Brendan Lee, Vernon Reid Sutton, Frank Rauch, Shahrokh Esfandiari
OBJECTIVE: Dentinogenesis Imperfecta (DI) forms a group of dental abnormalities frequently found associated with Osteogenesis Imperfecta (OI), a hereditary disease characterized by bone fragility. The objectives of this study were to quantify the dental caries prevalence and experience among different OI-types in the sample population and quantify how much these values change for the subset with DI. METHODS: To determine which clinical characteristics were associated with increased Caries Prevalence and Experience (CPE) in patients with OI, the adjusted DFT scores were used to account for frequent hypodontia, impacted teeth and retained teeth in OI population...
February 13, 2019: Special Care in Dentistry
Lance T Vernon, Jason D Seacat, Catherine A Demko, Andre Paes B da Silva, Stephen J Zyzanski
AIMS: Periodontal diseases (PDs) affect nearly half of Americans ≥30 years old and are common in human immunodeficiency virus-positive (HIV+) adults. A validated measure of oral hygiene skill could improve tailored prevention-focused health communication. METHODS: We developed Oral Hygiene Skill Mastery (OHSIM), a provider-observed measure of toothbrushing and flossing ability. We examined OHSIM's inter-rater reliability (IRR) and concurrent validity using a blinded, cross-sectional study design with a convenience sample of HIV+/- adults...
February 13, 2019: Special Care in Dentistry
Stephanie M Munz, Joseph I Helman, Margaret K Tiner, Anita L Hart
This reflection describes a life-limiting case of oral squamous cell carcinoma (SCC) that required thoughtful management facilitated by an advance care plan (ACP). A 70-year-old female was diagnosed with a T4aN2bM0 biopsy-proven invasive, well-differentiated keratinizing SCC. Surgical wide-local excision included teeth #11-16 with left unilateral neck dissection, levels I-V. She was rehabilitated with maxillary obturator prosthesis and underwent chemoradiation therapy. Her course was complicated by dysphagia and trismus...
February 12, 2019: Special Care in Dentistry
Gail Kim, Caroline Carrico, Carole Ivey, Patrice B Wunsch
AIMS: This was a pilot study assessing the impact of a sensory adapted dental environment (SADE) on children with developmental disabilities (DD) receiving routine dental care. METHODS: A crossover study of 22 children with DD, aged 6 through 21, was conducted at a University Pediatric Dental clinic. Each participant was randomized to a sequence of two dental cleanings on a 3- to 4-month recall schedule, one with a regular dental environment (RDE) and one with SADE...
February 6, 2019: Special Care in Dentistry
Yasmine Elhamouly, Karin Ml Dowidar
Ectrodactyly ectodermal dysplasia with clefting is a rare syndrome resulting from TP63 gene mutations. It is inherited in autosomal dominant manner or as a de novo transfiguration. It is characterized by a triad of ectodermal dysplasia, ectrodactyly, and facial clefts. This report represents a clinical case of 5 years and 6 months-old male child with ectrodactyly ectodermal dysplasia cleft lip and palate syndrome requiring treatment of his carious teeth. After history taking and clinical examination, the necessary treatment was provided under general anesthesia due to the definitely negative behavior of the child...
February 5, 2019: Special Care in Dentistry
Piedad Suarez-Durall, Maile S Osborne, Reyes Enciso, M Diane Melrose, Roseann Mulligan
To broaden the availability of human immunodeficiency virus (HIV) testing, we offered rapid HIV screening tests to 811 patients attending a dental school for routine dental hygiene care. Study design is a prospective cross-sectional study. The 319 (39.3%) agreeing to test, self-identified as: Hispanic (34.4%), White (25.8%), African American (13.1%), Asian (8.3%), Native American/Pacific Islander (0.9%), more than one race/ethnicity (1.1%) or declining to state (16.5%). Over 35% (n = 113) were first time HIV test takers, with another 2...
February 4, 2019: Special Care in Dentistry
Talita Castro, Cintia de Paula Martins Santos, Adriana de Oliveira Lira Ortega, Marina Gallottini
AIM: The aim of this study was to evaluate oral characteristics and comorbidities that may affect dental treatment of individuals with Williams syndrome (WS). METHODS AND RESULTS: Fifty-two subjects diagnosed with WS were included in this observational study. Demographic data and medical history were compiled. Facial aspects, tooth abnormalities and oral characteristics were obtained through clinical and radiographic evaluation by a researcher/dentist. Among 52 subjects, 25 were also evaluated for temporomandibular and occlusal disorders, caries and periodontal disease...
February 1, 2019: Special Care in Dentistry
Antti Tiisanoja, Anna-Maija Syrjälä, Miia Tertsonen, Kaija Komulainen, Paula Pesonen, Matti Knuuttila, Sirpa Hartikainen, Pekka Ylöstalo
AIM: To study whether dental caries, periodontal disease, and stomatitis, and the related inflammatory burden associate with diagnosed Alzheimer's disease (AD) and dementia among older people. METHODS: The study population included 170 individuals aged ≥75 years. The primary outcome was diagnosed AD and the secondary outcome was any types of diagnosed dementia. Information about participants' oral diseases and the related inflammatory burden was based on the clinical oral examination...
January 29, 2019: Special Care in Dentistry
Barkha S Tiwari, Anil V Ankola, Sagar Jalihal, Pratibha Patil, Roopali M Sankeshwari, Bhargava R Kashyap
AIM: To assess the oral hygiene status, knowledge, attitude and practices (KAP) in visually impaired children before and after imparting 3 different modes of oral health education. METHODOLOGY AND RESULTS: The present study was a nonrandomized interventional study conducted among visually impaired school children. Ninety visually impaired children aged 12-15 years were selected by lottery method and divided into 3 groups (30 children each). Group 1: ATP (audio, tactile, performance technique), Group 2: Braille, and Group 3: ATP + Braille...
January 18, 2019: Special Care in Dentistry
Tanvi Aggarwal, Mridula Goswami, Jatinder Kaur Dhillon
AIM: The present study was conducted with the aim to assess the effectiveness of Oral Health Education programme on Oral Health Status of visually impaired children in New Delhi. A specially designed oral health educational programme consisting of audio aid, Braille booklet and individualized training was implemented to educate and motivate visually impaired children for maintaining their oral health. METHODS AND RESULTS: A total sample size of 120 children in the age group of 5-15 years was selected and questionnaire based on WHO criteria 2013 was administrated...
January 16, 2019: Special Care in Dentistry
Fadi Titinchi, Nashreen Behardien
AIMS: While oral soft tissue manifestations associated with HIV-infection in children are well documented, few studies have investigated the dental development of this group. The aim of this study was to assess dental development in a sample of HIV-positive children in comparison with an age-matched HIV-negative control group. METHODS AND RESULTS: The sample comprised 44 HIV-positive children and 44 HIV-negative children matched for age, gender, and ethnicity. An orthopantomograph (OPG) of each patient was assessed in order to calculate the dental age...
January 16, 2019: Special Care in Dentistry
John Scott, Chad Adams, Stephen Beetstra, Yuri A Zarate
OBJECTIVE: Identify, diagnose, and document oral clinical and radiographic evidence associated with the genetic condition known as special AT-rich sequence-binding protein 2 (SATB2)-associated syndrome. Through identifying and publishing these common dental and behavioral findings, we hope to educate oral and medical healthcare providers to identify this condition in an attempt to develop meaningful comprehensive care to this patient population. METHODS: A total of 37 patients (19 female), ranging from ages 2 to 20 were evaluated at Arkansas Children's Hospital in Little Rock, Arkansas...
January 16, 2019: Special Care in Dentistry
Anna Greta Barbe, Hannah Elisa Kottmann, Dirk Müller, Dusan Simic, Sonja Henny Maria Derman, Michael Jochen Wicht, Michael Johannes Noack
AIM: We aimed to describe time requirements and costs associated with professional dental cleaning (PDC) performed by a dental nurse in one German nursing home, and to reveal potential differences in required time for demented versus nondemented and mobile versus immobile residents. METHODS AND RESULTS: We performed a retrospective, cross-sectional analysis of treatment time and costs, including a transparent, easily adaptable path of action that allows implementation of PDC in nursing homes...
January 3, 2019: Special Care in Dentistry
Andrea Véliz Ramírez, Susanne Krämer Strenger, Melissa Solar López, Pamela Muñoz Cortes, Camila Corral Núñez
Cerebral palsy (CP) is a condition caused by brain damage before, during, or shortly after birth. Communication can be a challenge when treating patients with CP. Some patients can communicate verbally, while others use augmentative alternative communication tools or have individualized means of communication. Therefore, professional dental treatment in individuals with CP is challenging, especially if the patient is affected by dental trauma and requires emergency treatment. This report shows how individualized communication skills assessment allowed us to successfully manage a 9-year-old patient with CP, who suffered extrusive luxation of the permanent lower incisor...
January 3, 2019: Special Care in Dentistry
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