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Biomedical subjects

J L Fried

Publications and source records attributed to J L Fried.

7 recordsLinked to original sources
PubMed1999

Maintaining the oral health of splinted teeth.

The combined and concerted efforts of patients and providers in poststabilization maintenance promote long-term health for the dental splint and its surrounding and supporting soft and hard tissues. Dental splints that are properly placed and contoured enable effective patient self-care and contribute to a positive prognosis. The provider's role in fabrication, placement, and oral hygiene instruction cannot be overemphasized. Professional follow-up concerning periodontal and caries risk assessment, periodontal débridement, and needed preventive interventions are critical to splint longevity. Continued success cannot occur without scrupulous patient self-care. The professional team must provide patients with comprehensive oral care instruction. A host of home care aids are available to assist patients in effective home care practices. With the combination of proficient clinical skill, appropriate dental material selection, good communication, and comprehensive health education, both providers and patients can benefit from esthetic, functional, and healthy dental splints.

Communication↗
PubMed1997

Enhanced visualization using magnification systems.

The purpose of this paper is to discuss the rationale for, practice benefits of, and criteria for selecting a magnification system in dental hygiene practice. Since dental hygiene procedures require seeing the finest of detail, visual acuity is essential to providing quality patient care. Magnifying loupes are a viable solution; the physical benefits include visual assistance for presbyopic dental hygienists and enhanced musculoskeletal health for all clinicians. Clinical benefits may include improved hard- and-soft tissue evaluation, calculus and periodontal pocket detection, and radiographic interpretation without compromising infection control. Head-band or protective-glass mounted, binocular surgical loupes with flip-up capability and 2 to 2.6x magnification are recommended. Although the initial investment for them is somewhat costly, the long-term returns are enhanced quality and comfort. Dental hygienists are encouraged to use magnification systems to enhance their musculoskeletal health, improve visual acuity, and continue providing quality patient care.

Dental Care↗
PubMed1990

Attitudes and behaviors of dental hygienists concerning tobacco use.

This study surveyed a proportionate random sample of licensed dental hygienists in five states and the District of Columbia, to assess their antitobacco use behaviors and attitudes. The response rate was 79.4 percent. Descriptive data as well as chi-square, analysis of variance (ANOVA), and Duncan's multiple range test statistical results were reported. Only 6.9 percent of the hygienists sampled currently smoked. These hygienists appeared to exhibit significantly different aggregate attitudes and select clinical practice behaviors than their nonsmoking counterparts. Years of employment and geographic location showed no significant relationship to aggregate clinical practice behaviors or attitudes, although each was related to individual behaviors and attitudes. Overall, dental hygienists appeared committed to involvement in both individualized and community-based antitobacco-use efforts. Measures to coordinate hygienists' involvement at both of these levels need to be enhanced.

Analysis of Variance↗
PubMed1990

Tobacco use cessation curricula in the U.S. dental schools and dental hygiene programs.

Tobacco-related health problems are the most preventable forms of illness in the United States. By assuming proactive tobacco use cessation counseling roles, dentists and dental hygienists can help reduce the number of people who currently use tobacco. The literature reports that many oral health professionals feel unprepared to assume such roles. To help combat the problem of tobacco-related illness and to help prepare dentists and dental hygienists to assume tobacco use cessation counseling roles, dental schools and dental hygiene programs need to develop appropriate didactic and clinical tobacco use cessation curriculum content. To date, there are limited national data addressing the extent of tobacco use cessation education in dental schools and dental hygiene programs. Studies of medical schools have revealed a need for increased curriculum content on tobacco use prevention and cessation. Further, tobacco use cessation training programs for medical students, practicing dentists, and dental hygienists have resulted in increased student and provider confidence when tobacco use cessation counseling roles were assumed. This study surveyed all dental schools and dental hygiene programs in the U.S. to determine if tobacco-related curriculum content exists, and if so, to what extent. Variables addressed included allocated hours, subject content, scope, department responsible, workplace smoking policy, importance, and future curricular directions. Questionnaires were mailed to all dental hygiene program directors and dental school academic deans. Study findings suggest that dental and dental hygiene students receive limited tobacco use cessation education, and respondent schools have no immediate plans for curriculum change in this area.(ABSTRACT TRUNCATED AT 250 WORDS)

Chi-Square Distribution↗
PubMed1989

Dental hygienists' anti-tobacco role: educational perspectives.

Dental hygienists need to assume a proactive health education role concerning tobacco use. To help measure, define, and broaden this role, a study was conducted to assess dental hygienists' current clinical practice behaviors, attitudes, and perceived curriculum adequacy concerning anti-tobacco efforts. The relationships among these variables and respondents' academic degree and year of graduation were analyzed. The study population consisted of a proportionate random sample of 500 dental hygienists in five states and the District of Columbia. A self-administered questionnaire yielded a response rate of 79.4 percent. Based on chi-square analyses of individual items, it was found that, when controlling for degree held, year of graduation was not significantly related to clinical practice behaviors or attitudes, but was significantly related to the majority of curriculum adequacy items. Academic degree, when controlled for year of graduation, was not significantly related to clinical practice behaviors, but was related to one attitude and two curriculum adequacy items. Analysis of variance and Duncan's multiple range test revealed the following significant relationships for aggregate data: year of graduation and degree held appeared to have no relationship to aggregate clinical practice behaviors or attitudes, M.S. degree respondents assigned higher curriculum adequacy ratings than did other subjects, and respondents who graduated prior to 1972 assigned their curricula more negative adequacy ratings than did all other graduates. The most recent graduates rated their curricula the most positively. The study's overall findings suggest that a fairly well-developed role for dental hygienists in anti-tobacco efforts exists. Given the current emphasis on health promotion, prevention, and holism in the provision of oral health care, it is commendable, but not surprising, that dental hygiene programs appear to have made positive modifications over time in tobacco-related content.

Attitude of Health Personnel↗
PubMedDate not supplied

Maryland dentists' attitudes regarding tobacco issues.

Due to increased national interest in tobacco intervention roles for oral health professionals, a survey of Maryland dentists' attitudes toward tobacco issues was conducted. A convenience sample of 700 members of the Maryland State Dental Association was drawn from the total membership list (N = 2200). A 30% response rate was obtained. Subjects were mailed a twelve-item questionnaire that elicited primarily attitudinal information. Results revealed that 54.3% of the subjects never smoked, 39% formerly smoked and 6.1% currently smoke. Smoking behavior was associated with numerous attitudinal variables including dentistry's role in promoting tobacco-use cessation. Relatively few of the respondents were aware of federal initiatives regarding the oral health professions' roles in intervention. Less than half viewed tobacco-use cessation interventions as a practice builder, yet 82.1% believe cessation advice is the dentist's responsibility. Respondents' interest in obtaining free training in tobacco-use interventions was positive and was significantly related to several attitudinal variables. Dentists in Maryland appear to appreciate their role in tobacco-use interventions at both the clinical and community levels. However, they exhibit ambivalence regarding the economic value of office interventions and the need for formalized training. Maryland dentists also need to be apprised of federal initiatives concerning tobacco use interventions.

Attitude of Health Personnel↗