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Atkin PA, Tejura S, Simms ML. Medical history complexity of patients attending dental student restorative treatment clinics compared with dental emergency clinics. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024; 28:673-678. [PMID: 38332504 DOI: 10.1111/eje.12994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 01/21/2024] [Accepted: 01/22/2024] [Indexed: 02/10/2024]
Abstract
INTRODUCTION Dental students should graduate from undergraduate programmes with the knowledge and skills to safely manage patients. This requires exposure to patients with a range of medical needs, which may impact the planning and delivery of care. AIMS AND OBJECTIVES We wished to establish the medical history complexity of patients presenting to student restorative clinics and compare them to patients attending a dental emergency clinic. MATERIALS AND METHODS We recorded the medical history data of 200 anonymised patients attending student restorative clinics and compared them to previously collected data from 200 dental emergency clinic patients. We collected basic demographic data (age/gender) and noted the number of medical disorders, amount of comorbidity and the number and types of medications for each patient. RESULTS The age and medical complexity of patients were different, with fewer young patients seen in the dental restorative clinics. Patients attending restorative clinics were more likely to have multiple comorbidities and took greater numbers and types of medications than those seen in dental emergency clinics. CONCLUSIONS For patients seen in student restorative clinics, medical histories are taken once at the beginning of care and the subsequent treatment plan is delivered over many appointments accounting for that medical history. Emergency clinic patients attend for single treatment episodes and their medical complexity is immediately relevant to the treatment offered. Students have multiple, single encounters with patients in emergency clinics. In both clinics, dental treatment plans need to be adjusted to account for patients' drugs and diseases, providing opportunities to consolidate human disease learning.
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Affiliation(s)
- Philip Alan Atkin
- Cardiff Dental Hospital and School, University Hospital of Wales, Cardiff, UK
| | - Sonali Tejura
- Cardiff Dental Hospital and School, University Hospital of Wales, Cardiff, UK
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Atkin PA, Simms ML, Ravindran N. Consolidating human disease learning in the Dental Emergency Clinic. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022. [PMID: 35713002 DOI: 10.1111/eje.12829] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Revised: 01/18/2022] [Accepted: 05/27/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Dental undergraduates typically learn and are assessed on aspects of human disease (HD) in the early part of their programme, but it is not until later in the programme that their HD knowledge is put into practice when they provide courses of treatment for numerous patients over multiple visits. The teaching of HD provides core knowledge on medical conditions and medications and is therefore essential in allowing newly graduated dentists to provide safe treatment for medically compromised patients or those taking medications. We wanted to examine the medical complexity of patients attending a university hospital dental emergency clinic to determine whether this was a suitable group that would help students to consolidate their HD learning in the context of a single visit where treatment was also provided. MATERIALS AND METHODS We examined the medical history of 200 patients attending the dental emergency clinic in the University Dental Hospital, Cardiff, using a previous study as a benchmark. Anonymous data were collected using the medical history proforma, and included age, gender, medications, types and number of medical conditions/disorders. RESULTS Patients attending the clinic were more medically complex than those in the comparator study and the demographics reflect wider population data showing increasing numbers of older patients with greater medical morbidity. DISCUSSION/CONCLUSIONS The emergency dental clinic is the place where most patients are new to the hospital, have a dental history, medical history, investigations, diagnosis and treatment in a single visit, and offers excellent opportunities for consolidating HD learning in a one-stop clinical treatment episode, guided by suitable instructors.
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Halling F, Weigl K. Medical status of elderly patients consulting two oral and maxillofacial surgery departments in Germany. Br J Oral Maxillofac Surg 2022; 60:1097-1101. [DOI: 10.1016/j.bjoms.2022.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 01/20/2022] [Accepted: 04/20/2022] [Indexed: 01/04/2023]
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ARAT MADEN E, ÖZEN B, ALTUN C. The effect of COVID-19 pandemic on life quality of dental professionals. JOURNAL OF HEALTH SCIENCES AND MEDICINE 2022. [DOI: 10.32322/jhsm.1004942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Braimah R, Ali-Alsuliman D, Alyami B, Taiwo A, Ibikunle A, Al-Walah A. Clinico-odontological management of medically compromised patients during intra-alveolar exodontia in Saudi Arabia: A retrospective study. JOURNAL OF CLINICAL SCIENCES 2022. [DOI: 10.4103/jcls.jcls_31_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Ransford N, Marnell B, Randall C, Yates C, Howie G. Systemic medicines taken by adult special care dental patients and implications for the management of their care. Br Dent J 2021; 231:33-42. [PMID: 34244646 DOI: 10.1038/s41415-021-3180-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 11/11/2020] [Indexed: 12/26/2022]
Abstract
Introduction Significant changes have taken place in the profile of prescription medicines being taken by the adult UK population over the last decade. The aims of this article are to review the literature to understand the overall trends and underlying factors, and then to compare this with the medication profile of a cohort of adult special care dental (SCD) patients. Materials and method Five hundred patient records were examined and retrospective data on systemic medicines being taken were obtained and classified according to the index used in the British National Formulary (BNF).Results The results revealed a high level of polypharmacy with 57% of SCD patients taking three or more medicines compared to 24% of the population in England. Antiepileptic drugs were the most frequently taken group of medicines (42%), followed by antidepressants (39.7%) and antipsychotics (37.6%). Conclusions Our results demonstrate the medical complexity of patients in this cohort and enable clinicians to increase their familiarity with the most commonly taken medicines and the tools available to manage the implications for dental care.
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Affiliation(s)
- Nicholas Ransford
- Consultant in Special Care Dentistry, Birmingham Dental Hospital, 5 Mill Pool Way, Pebble Mill, Birmingham, B5 7SW, UK.
| | - Ben Marnell
- Dental Core Trainee, Birmingham Dental Hospital, 5 Mill Pool Way, Pebble Mill, Birmingham, B5 7SW, UK
| | - Christine Randall
- Assistant Director and Lead Pharmacist for Dental Medicines Information and Pharmacovigilance, North West Medicines Information Centre, 70 Pembroke Place, Liverpool, L69 3GF, UK
| | - Clare Yates
- Specialist in Special Care Dentistry, Birmingham Dental Hospital, 5 Mill Pool Way, Pebble Mill, Birmingham, B5 7SW, UK
| | - Gillian Howie
- Speciality Trainee in Special Care Dentistry, Birmingham Dental Hospital, 5 Mill Pool Way, Pebble Mill, Birmingham, B5 7SW, UK
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Mahdee AF, Gul SS, Abdulkareem AA, Qasim SSB. Anxiety, Practice Modification, and Economic Impact Among Iraqi Dentists During the COVID-19 Outbreak. Front Med (Lausanne) 2020; 7:595028. [PMID: 33425944 PMCID: PMC7793761 DOI: 10.3389/fmed.2020.595028] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 12/02/2020] [Indexed: 12/15/2022] Open
Abstract
Objectives: As health care workers on the front line during the coronavirus (COVID-19) pandemic, dental practitioners are amongst those at risk due to their close contact with potentially infected individuals. The aim of the current study was to assess the anxiety, awareness practice modification, and economic impact amongst Iraqi dentists whilst working during the outbreak. Methods: This study was performed using an online survey questionnaire with aid of Google forms from 2nd to 23rd July 2020. A total of 484 clinicians responded. The questionnaire was composed of open end, closed end, and Likert five-point scale questions to assess anxiety, awareness and financial impact of COVID-19 on dentists. Mann–Whitney test was used to compare two groups, whilst Kruskal–Wallis was performed by post-hoc test for multigroup comparisons. Results: The mean age of participants was 36.51 ± 9.164 years and the majority (75.2%) of these were graduate dentists only. More than 80% of participants reported anxiety of catching COVID-19. The recorded anxiety level was higher amongst younger dentists and females. Awareness and practice levels among these dentists of precautions and infection-control measures associated with COVID-19 (94%) was found to be high and to be statistically significantly affected by age, qualification and designation (except GP vs. Specialist). With respect to the economic impact, about 75% of practitioners, regardless of demographical variables, reported that their income had declined by about 50%. Conclusions: The investigation provides clear insights into the anxiety, practice modifications and economic impact on dentists working in Iraq. Although there is a high level of knowledge and awareness of required practice regarding the COVID-19 outbreak among Iraqi dentists, they also reported a high level of anxiety.
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Affiliation(s)
- Anas F Mahdee
- Department of Restorative and Aesthetic Dentistry, College of Dentistry, University of Baghdad, Baghdad, Iraq
| | - Sarhang S Gul
- Department of Periodontics, College of Dentistry, University of Sulaimani, Sulaimani, Iraq
| | - Ali A Abdulkareem
- Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
| | - Syed Saad B Qasim
- Department of Bioclinical Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait
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Oyetola EO, Adesina OM, Ogunbameru K, Egunjobi S, Adejobi AF. Distribution of Medical Conditions among Dental Patients. Niger Med J 2020; 61:129-135. [PMID: 33100463 PMCID: PMC7547757 DOI: 10.4103/nmj.nmj_80_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 12/04/2019] [Accepted: 02/13/2020] [Indexed: 11/04/2022] Open
Abstract
Aims The aim of the study was to determine the distribution of medical conditions among dental patients in our local environment. Settings and Design This is a descriptive cross-sectional study conducted at the Oral Diagnosis (OD) Clinic of Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife, Osun State. Materials and Methods Participants were selected using a simple random method from the pool of dental patients who presented at the OD Clinic of OAUTHC during the study period. Information was obtained from each participant using a structured questionnaire organized into sections. Section 1 collected information on participants' biodata such as age, sex, and weight. Section 2 recorded data on the history of the presence of relevant oral and systemic symptoms, while section 3 collected information on findings from intraoral and extraoral examination. Statistical Analysis Used The results were analyzed using STATA 13 statistical software. Results Of the 1503 patients who visited dental hospital during the study period, 176 (11.7%) had medical problems. The mean age of patients with medical problems was 48.5 ± 21.0 years. The mean age was higher in men compared to women (P = 0.013). More than one-fifth (21.6%) of the patients were first diagnosed in the dental clinic. Hypertension was the most frequently seen medical condition, closely followed by peptic ulcer and diabetes mellitus. Patients whose medical problems were first diagnosed following dental consultation were significantly older than those with known medical conditions. Conclusions Prevalence of medical conditions in dental patients is high. Hypertension is the most frequently associated systemic conditions among dental patients. Medical conditions were common among older age group (>50 years), males, and those with gum problems.
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Affiliation(s)
- Elijah Olufemi Oyetola
- Department of Preventive and Community Dentistry, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria
| | - Olufunlola Motunrayo Adesina
- Department of Oral and Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria
| | - Kayode Ogunbameru
- Department of Preventive and Community Dentistry, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria
| | - Shola Egunjobi
- Department of Oral and Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria
| | - Adewale Francis Adejobi
- Department of Oral and Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria
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Navabi N, Zeynali M, Mansori M, Hashemipour MA, Nassab SARG. Patients Attitudes' Toward Chairside Medical Screening in a Dental Setting. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Affiliation(s)
- Nader Navabi
- Kerman University of Medical Science, Iran; Kerman University of Medical Sciences, Iran
| | - Mahdiyeh Zeynali
- Kerman University of Medical Science, Iran; Kerman University of Medical Sciences, Iran
| | - Mozhdeh Mansori
- Kerman University of Medical Sciences, Iran; Kerman University of Medical Sciences, Iran
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Taghibakhsh M, Moezzi ghadim N, Rayat zadeh M. Evaluation of the Prevalence of Systemic Diseases in Patients Referring to the Oral and Maxillofacial Medicine Department of the Dental Branch of Islamic Azad University of Tehran During 2016-17. JOURNAL OF RESEARCH IN DENTAL AND MAXILLOFACIAL SCIENCES 2018. [DOI: 10.29252/jrdms.3.3.9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Monteserín-Matesanz M, Esparza-Gómez GC, García-Chías B, Gasco-García C, Cerero-Lapiedra R. Descriptive study of the patients treated at the clinic "integrated dentistry for patients with special needs" at Complutense University of Madrid (2003-2012). Med Oral Patol Oral Cir Bucal 2015; 20:e211-7. [PMID: 25662539 PMCID: PMC4393985 DOI: 10.4317/medoral.20030] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Indexed: 11/23/2022] Open
Abstract
Objectives: To study clinical and epidemiological characteristics of the patients treated at the clinic “Integrated Dentistry for Patients with Special Needs (Special Care Dentistry)” at Complutense University of Madrid (UCM), as well as to know the dental treatments performed in these patients and the modifications from the usual treatment protocol. The information obtained from the results could also be applied in order to assess the needs of dental students education about this type of patients.
Study Design: Medical records review of all the patients referred to the clinic of “Integrated Dentistry for Patients with Special Needs”, performing a retrospective cross-sectional study analyzing their main pathology, ASA risk score (Classification system used by the American Society of Anesthesiologists to estimate the risk posed by the anesthesia for various patient conditions), pharmacological treatment, what kind of dental treatment was necessary, whether the patient was treated or not, and if it was required to change any procedure due to the patient health status (sedation or antibiotic prophylaxis).
Results: The number of patients referred to the clinic was 447, of whom 426 were included in this study. Out of them, 52,35 % were men and 47,89 were women, with a mean age of 49,20 years. More frequent pathologies were cardiovascular or cerebrovascular diseases (24,29 %), infectious diseases (12,41%), endocrine diseases (11,66%) and intellectual disability (8,85%). 70’18% of the patients were treated, with sedation being necessary in 9,03% of the cases and antibiotic prophylaxis in 11,70%.
Conclusions: Given the high number of patients with some kind of pathology and the amount of medicines that they use, it seems necessary for dentistry students to have a specific training regarding how to handle and treat these patients, so they will be able to provide them the best possible care.
Key words:Patients with special needs, medically compromised patients, dental treatment, special care dentistry.
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Affiliation(s)
- Marta Monteserín-Matesanz
- Department of Medicine and Buccofacial Surgery, Faculty of Dentistry, UCM, Plaza Ramón y Cajal s/n, Ciudad Universitaria, 28040 Madrid, Spain,
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