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Biomedical subjects

G Hoad-Reddick

Publications and source records attributed to G Hoad-Reddick.

At least 19 recordsLinked to original sources

An analysis of an admissions system: can performance in the first year of the dental course be predicted?

The admissions process must be scrupulously fair and select the most suitable students. Data on applicants to the Manchester Dental School for the 1996/97 academic year were analysed. The aims of this project were to: describe the applicants using information from the UCAS (university entrance) form; to relate information from the UCAS form to interview performance and A-level results; and to evaluate whether these factors can predict performance during the first year of the course.

Achievement

Geroprosthodontics: The Nijmegen and Manchester Dental Schools approach.

If quality of care for elderly patients is to be achieved, thorough and realistic geroprosthodontic treatment planning is essential. This requires mature consideration, incorporating comprehensive patient assessment and selection of the most appropriate treatment option for each patient. The latter should be based on criteria which meet the demands of a healthy dentition and which enable a patient to achieve satisfactory oral function. The Nijmegen and Manchester Dental Schools have evolved simple patient-related treatment guidelines. These start with a problem-oriented approach which leads to a provisional treatment. The provisional treatment is intended to result in a healthy dentition that is monitored over an appropriate period. Evaluation of the provisional treatment leads to three options: extension of the monitoring time, preservation of the natural occlusion or loss of the natural occlusion. Definitive prosthodontic treatment plans are based on the second or third option. In the maintenance of good oral health after prosthodontic treatments, plaque and diet control are essential elements. Recall or maintenance programmes must be carried out if successful treatment is to be achieved and maintained.

Aged

Student debt: an inevitable problem?

Since the government introduced the loan scheme for university students in 1990, it has become abundantly apparent that students are falling increasingly into debt. This paper describes the results of two studies undertaken by Manchester undergraduate dental students into the level and consequences of debt on dental students.

Education, Dental

Student debt.

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Education, Dental

Identification of elderly in particular need: results of a survey undertaken in residential homes in the Manchester area.

OBJECTIVES: This paper aims to identify which groups of elderly people living in residential institutions are in particular need of dental care and advice. Comparison of different types of residential institution allows identification of elderly in greatest need of dental assistance. METHODS: A postal survey of carers in 250 residential homes for elderly people in Manchester, UK, was undertaken to determine the frequency of dental visits, arrangements for dental care of the residents' teeth and denture cleansing and appliance-wearing patterns and, also, the carers' knowledge and practice of simple dental and oral maintenance procedures for residents. Comparisons were undertaken using the SPSS software package of: social service and private homes, large and small homes, homes where regular visits were undertaken and those not regularly visited, and also homes which maintained records of their clients' dental state with those which did not. RESULTS: Residents' oral health tended to be more at risk in smaller or privately managed homes, in those where no dentist visited regularly and where no records of dental care were kept. CONCLUSION: The dental profession needs to especially target homes where care is less well organized, not only to examine and treat residents, but also to instruct carers in simple mouth care techniques, in order that dental disability in an increasingly dentate population can be minimized.

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Organization, appointment planning, and surgery design in the treatment of the older patient.

As the proportion of the elderly in society increases and as more people retain teeth into old age, the type of dental treatment needed for this group will increase in both complexity and quantity. This article describes problems faced by the elderly such as mobility, fear, and medical conditions that may affect dental treatment either by increasing anxiety levels or by affecting duration or timing of appointments. The effects of visual impairment, hearing loss, and common medical conditions on elderly people are considered.

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Provision of domiciliary care in a UK urban area: results of a survey.

A proportion of the population is unable to attend a dentist for treatment and it is therefore essential that an adequate domiciliary service is available. The availability of such a service was evaluated by means of a postal questionnaire distributed to 180 dentists practising in Manchester. The response rate was 57.8%. The results indicated that domiciliary care was provided by 84.6% of respondents, with the mean number of domiciliary patients treated per month being 2.9. Appointments for domiciliary care were arranged outside normal working hours by 65.9% of respondents and by arranging specific time periods by 43.2% of respondents. In general, domiciliary care was limited to prosthetic treatment, extractions, scaling and polishing, and simple restorations. A statistical association was found between number of years since graduation and the provision of domiciliary care.

Age Factors

Osseoretention? Comparative assessment of particulate hydroxyapatite inserted beneath immediate dentures.

This paper presents the results of a study to observe the effect on bone resorption and residual alveolar ridge form, of placement of dense non-resorbable hydroxyapatite granules into fresh canine sockets, at the time of immediate denture provision. Thirty five subjects were randomly divided into two groups cross matched for age and sex. All subjects required bilateral extraction of at least a lower canine and an adjacent tooth. Results demonstrate that six months post-extraction the control group had lost four times more bone than the implant group. These results were highly significant (P=0.000, LHS and P=0.001, RHS).

Adult

Attitudes to identification of dentures: the patients' perspective.

The importance of placing identification marks on dentures has long been acknowledged by the dental profession. More recently, following the fatalities at the Bradford City, England, football club fire, the need for marking dentures has been made more public. This paper outlines the different types of marking systems available and describes a survey on denture wearers to investigate their attitude toward the placement of identification marks on dentures. Results show that few dentures are marked at manufacture but that wearers are in favor of having their name on their denture. Of the 63 subjects sampled, 93.5% did not know that identification marks could be placed on dentures. The profession must be encouraged to routinely label all dentures at manufacture.

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Assessment of elderly people on entry to residential homes and continuing care arrangements.

Increasing numbers of elderly people are entering private residential homes in the UK. Results of surveys show poor oral health in this group. A survey was therefore conducted of 50 residential homes (housing 1337 residents) to determine assessment on entry and continuing care provision. In 38 per cent of homes no written notes were made of the initial assessment. Topics of dental interests were infrequently assessed on entry (only 16 per cent of carers examined the oral cavity, 52 per cent assessed the subject's ability to care for their dentures). Medical topics (mobility, incontinence, eyesight, etc) were all assessed in more than 80 per cent of subjects. Suggestions are made for utilization of an easy assessment questionnaire and improved denture naming arrangements. The importance of regular check-ups, education and publicity for this group is stressed.

Activities of Daily Living

A study to determine oral health needs of institutionalised elderly patients by non dental health care workers.

In this survey normative need as assessed by an examining dentist and the subject's own perceived need are compared with need assessed by untrained care workers. A method for simple assessment of elderly people on admission to day centres or elderly peoples' residential homes is described and its efficiency in use assessed during a survey of 41 subjects. Results suggest that use of a simple questionnaire can alert carers to problems requiring dental care--oral hygiene regimens can then be improved, dentures named and dentists called to provide treatment. Too often this type of initial assessment is neglected.

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Investigation into the cleanliness of dentures in an elderly population.

During a survey of 233 elderly people of whom 89.9% were edentulous, attitudes toward denture cleaning were investigated. Questioning revealed the frequency of cleaning and methods used. Examination showed which dentures were clean, types and amounts of stain present, and comparison of clean dentures directly with dirty ones. Comparison of different residential groups highlighted problems particular to a group, so that recommendations for improvements could be made. Only 40% of dentures were properly clean. Subjects resident in the long-stay hospitals had the cleanest dentures and those in the elderly persons' homes the dirtiest. One quarter of the dentures examined were over 30 years old. They tended to be dirtier than the newer ones and related to a higher incidence of denture stomatitis. Wearers of cleaner dentures were more satisfied with their cleansing methods and more likely to use a proprietary cleanser regularly than those with dirty dentures.

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Oral pathology and prostheses--are they related? Investigations in an elderly population.

A survey of 233 elderly subjects living in the district served by the Halton Health Authority (Cheshire, England) investigated the relationship between the age of dentures, their need for replacement and the presence of any oral pathological lesions. The retention, stability, occlusion and cleanliness of the dentures were all found to be worse in the older appliances; perceived need for denture replacement was found to increase from 40% in 5-year-old dentures to 84% in dentures over 31 years old. While 41% of the sample had an oral pathological lesion, no significant relationship was found between denture age and pathology or place of residence. People resident in the community with no assistance had the highest incidence of oral pathology and those living in long-stay hospitals the least. The absence of a relationship between denture age and oral pathology is considered to be a powerful indicator of the need for regular oral examination of the edentulous population.

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