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Biomedical subjects

L W Blank

Publications and source records attributed to L W Blank.

31 records · Page 2Linked to original sources
PubMedDate not supplied

Nurses' oral health assessments of nursing home residents pre- and post-training: a pilot study.

The purpose of this study was to determine if instruction in how to perform the MDS (Minimum Data Set) oral health assessment and RAP (Resident Assessment Protocol) Summary required by federal regulations will improve nurses' accuracy of the assessments. Fifty residents, admitted within 90 days before a training lecture, were assessed by 18 nurses. A 30-minute training session demonstrated how to perform an oral examination, including hands-on practice under a dentist's supervision. Seven to ten days after the lecture, the nurses re-examined the same residents. These assessments were compared with the admission assessments and a dentist's findings (reference). The results of this study indicate that a 30-minute training session made a significant difference in improving nurses' accuracy in completing the assessments with regard to oral health status and treatment need.

Aged↗
PubMedDate not supplied

The effect of nurses' background on performance of nursing home resident oral health assessments pre- and post-training.

The purpose of this study was to determine the effect of nurses' background on their accuracy in determining oral health status and treatment need of newly admitted nursing home residents before and after tutoring. Eighteen nurses examined 50 nursing home residents before and after an In-service training lecture. Examinations performed by a dentist served as reference. Background items evaluated were: regularity of each nurse's own dental visits; years since graduation from nursing school; length of experience in an LTC facility; and training received in oral health care. At the second evaluation, nurses greatly improved the % agreement on all items. The results of this study indicate that, regardless of background characteristics, the combination of training, the presence of the dentist, and knowledge that they were in a study appeared to improve nurses' performance on the assessment. Before training, more experienced nurses were better able to determine hard tissue abnormalities than their less experienced counterparts; before training, neither group performed well in assessing soft tissue lesions. Therefore, improvements in basic nursing training in this area appear to be necessary.

Aged↗
PubMedDate not supplied

Clinical guidelines for managing mandibular dysfunction.

Temporomandibular disorders are a class of orofacial pain that represents a management challenge to practitioners. This article presents a definition, diagnostic classification, screening mechanism, symptomatology, and management guidelines for a sequential approach to treating temporomandibular disorder patients.

Clinical Protocols↗
PubMedDate not supplied

Percutaneous injuries among dental health care workers.

To evaluate percutaneous injuries among dental health care workers this survey posed two questions: Is there a difference in the number of percutaneous injuries occurring among dentists, dental hygienists, and dental assistants, and Is there a difference in the number of injuries that occur intraorally or extraorally among dental health care workers as a whole, and within each occupational group? This prospective study included demographic information and an incident report. The incident report tabulated type of injury (intraoral or extraoral), procedure during which the injury occurred, and type of instrument that caused the injury.

Accidents, Occupational↗
PubMedDate not supplied

Microleakage of Class 5 composite resin restorations: a comparison between in vivo and in vitro.

The purpose of this study was to determine if a difference exists in microleakage between in vivo and in vitro class 5 composite resin restorations using two variations of a bonding resin (Universal Bond 2 and Universal Bond 3). Class 5 cavities were prepared in 24 matched pairs of teeth on the buccal and lingual surfaces. One tooth of each pair was prepared and restored in vivo and the other in vitro. After preparation and enamel etching, Universal Bond 2 was randomly applied to one surface of each tooth in the pair and Universal Bond 3 to the other surface. Composite resin (Prisma AP.H) was placed in each preparation, light cured, and finished using a standard technique. The in vivo samples were extracted approximately 6 weeks after placement of the restorations. The in vitro samples were thermocycled for 540 cycles (5 to 55 degrees C/1-minute dwell time). All teeth were stained with silver nitrate and longitudinally divided. The teeth were scored on a ranking system of 0 being no leakage to 4 being leakage to the pulpal wall of the preparation. A Wilcoxon matched pairs signed rank test was performed on the data (P < or = 0.05). There were no statistically significant differences in microleakage between restorations using Universal Bond 2 and Universal Bond 3. There were statistically significant differences when comparing the in vivo and in vitro restorations. More microleakage occurred in the in vitro restorations.

Adult↗
PubMedDate not supplied

Microleakage in facial and lingual Class 5 composite restorations: a comparison.

The purpose of this in vitro study was to determine if there is a difference in microleakage between facial and lingual enamel and cementum using two different evaluation techniques. Class 5 preparations were made in 50 teeth on the facial and lingual tooth surfaces and restored using dentin bonding and composite resin. The teeth were thermocycled, silver nitrate stained, and longitudinally sectioned into mesial and distal halves through each restoration. The mesial half was scored using a rank order system. A Kruskal-Wallis one-way ANOVA was performed. The distal half was scored by measurement, and a two-sample t-test was performed. There were no statistically significant differences (P > or = 0.05) in microleakage between facial and lingual tooth enamel or cementum surfaces using either measurement technique.

Analysis of Variance↗