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At least 1,639 records · Page 91Linked to original sources
PubMedDate not supplied

[Musculo-skeletal problems among Lebanese dental surgeons. Occurrence and risk factors].

OBJECTIVES: Search of factors influencing the occurrence of musculoskelettal problems (MSP) among Lebanese dental surgeons. PATIENTS AND METHODS: Retrospective study, performed in September 2001. A 29 item-questionnaire exploring demographic and personal data, professional activity, the occurrence of musculoskelettal problems during the last month (MSPLM), and the twelve last months (MSPTLM) among Lebanese dental surgeons. RESULTS: 300 questionnaires--170 answers. Descriptive analysis--Age: 37 +/- 9 years; 141 men (83%); 96 general practitioners (56.5%); 93 (56%) practice sports ; stress: 94%; length of service: 12 +/- 8 years; duration: 7 +/- 1.75 hours per day and 5 +/- 0.75 days per week; breaks: 85 +/- 55 minutes per day; MSPLM: 66% ; pains: lumbar spine 85.5%, cervical spine 59%, shoulders and arms 62%, hands 10%, lower limbs 25%. Pins and needles: 32%; MSPTLM: 52.4%. Univariate analysis--Strong correlation for MSPLM occurrence with sports (p = 0.007), breaks duration (p = 0.005), occurrence of MSPTLM and current practice (general practitioners) p = 0.016. Multivariate analysis--Weight gain (p = 0.0119) x 6, history of MSPTLM (p = 0.000) x 21 and pins and needles (p = 0.0339) x 4,5 are the potential risk factors of MSPLM occurrence. CONCLUSION: The prevalence of MSP is high in our series. The preventive and curative care is insufficient, thus information and prevention are necessary.

Adult↗
PubMed2006

Scope of practice comparison: a tool for curriculum decision making.

The proportion of claims filed for specific dental procedures (ADA codes # 05110, 05120, 03320, 03330, 04260, 02150) between January 1, 2000 and June 30, 2004 by Texas general practitioners participating in a preferred provider network was compared to the proportion of these procedures performed by students graduating from the three Texas dental schools during the same period. Analysis of the data revealed that Texas dental students provide class two amalgam restorations in permanent teeth (02150) at approximately the same frequency as Texas general practitioners. Both groups provide periodontal osseous surgery (04260) at an extremely low frequency (<0.02% of total procedures). Bicuspid endodontic procedures (03320) were performed at a slightly higher frequency by students (0.43% of all procedures) than by general practitioners (0.36% of all procedures), and molar endodontic procedures (03330) were performed at a slightly higher frequency by general practitioners (0.65%) than by students (0.36%). Significant discrepancies between the groups were noted for the two complete denture procedures (05110, 05120). Students provided these procedures at frequencies fifteen times (05110) and twenty-five times (05120) greater than general practitioners. Dental schools should use data provided by scope of practice analyses to help determine an appropriate breadth and depth for their educational programs.

American Dental Association↗
PubMed2006

Jonathan Taft: dentistry's great forgotten hero.

One of the greatest figures in the development of the dental profession to the high status it enjoys today is all but forgotten. Jonathan Taft was dean of the second dental school in the world and wrote the most important clinical textbook of his time, one that was reprinted in many editions over a quarter of a century. Later appointed dean of the new University of Michigan Dental School, he instituted innovations in admission requirements and course of study that were copied by all subsequent schools and are the standards adhered to today. The editor of one of the most important dental journals for 44 years, a record unmatched to this day, he set the standards for modern dental periodical literature that have done so much to elevate dentistry that today it stands on a par with medicine as a truly science-based profession. He served dentistry in many capacities: president of the American Dental Association, founder of the National Association of Dental Faculties, and founder of the National Association of Dental Examiners. Over his lifetime, he published almost 200 professional papers and probably attended and lectured at more dental meetings than anyone of his day and since. His memory should be resurrected, and the profession must be made aware of the great debt it owes to this intrepid fighter for a better dental profession.

Dentistry, Operative↗
PubMed2006

Rater reliability: short- and long-term effects of calibration training.

The purpose of this investigation was to evaluate the immediate effects of calibration on inter-rater agreement to a gold standard (GS) and to determine whether the effects can be sustained over a ten-week period. Valid criteria for a Class II amalgam preparation, a three-point rating scale, and a grade form were developed. Three tests were administered: prior to calibration training, immediately following training, and ten weeks later. Each test consisted of faculty independently evaluating ten prepared teeth. Agreement with GS scores for most of the grading criteria improved as a result of training and did not deteriorate over time. The overall percent agreement was 54.5, 66.9, and 64.6 percent across test periods. The most impressive gains in agreement occurred when the criteria evaluated had a GS score of either "standard not met" or "ideal." There was very little gain when the gold standard score was "acceptable." It is concluded that, with training, inter-rater agreement with a gold standard can improve and such improvement is reasonably resistant to deterioration after ten weeks. Nevertheless, future training ought to consider the use of a mastery approach in calibration training to ensure that a satisfactory degree of agreement with the GS is obtained.

Dentistry, Operative↗
PubMedDate not supplied

Risk.

Explore the source record for details and available documents.

Acne Vulgaris↗
PubMed2005

Restoration and enhancement: is cosmetic dentistry ethical?

The ethical ground for restoration (returning a patient to healthy form and function) differs from enhancement (using medical means to improve appearance). Physicians and dentists who argue that enhancements improve self-esteem must reconcile this claim with the fact that they are not licensed to practice psychology. The extreme views are that doctors either should provide cosmetic services as requested by patients or they should not. The middle position is that doctors must retain their fiduciary position of trust based on professional judgment and advocating for patients' health interests. Patient health always outweighs patients' cosmetic desires.

Attitude of Health Personnel↗
PubMed2006

Survival analysis of complete veneer crowns vs. multisurface restorations: a dental school patient population.

The purpose of this study was to compare the longevity of crowns versus large multisurface restorations in posterior teeth. The investigation used the treatment database at Virginia Commonwealth University School of Dentistry. The inclusion criteria for the final data set used for analysis were: only one restored tooth per patient, premolars with three or more restored surfaces, molars with four or more restored surfaces, molars and premolars restored with complete veneer metal crowns, or crowns veneered with metal and porcelain. The Kaplan-Meier approach was used to visualize the survival curves, and the Cox proportional hazards model was used for analysis of predictor variables. The investigation indicates crowns survive longer than large restorations and premolar restorations survive longer than molar restorations. The median survival for crowns exceeded 16.6 years, with the median survival of premolar restorations being 4.4 years and molar restorations 1.3 years. An interaction between age and treatment was discovered, with overall survival decreasing as patient age increases. The doctor supervising the treatment also affected survival with treatment supervised by specialists lasting longer than treatment supervised by nonspecialists.

Adult↗
PubMedDate not supplied

[Characteristics of the pain sensitivity in patients with accompanying allergic diseases prior to stomatologic surgery].

The studies were performed on 161 patients with allergosis, aged 18 to 60 years. The severity of allergosis was the most significant clinical sign affecting the pain sensitivity of the patients under study. All the patients with allergoses were characterized by a higher psychoemotional response to pain stimuli than patients without the accompanying pathology. The patients with severe clinical signs of allergosis in history were characterized by hyperalgesia, while those with moderate allergosis were characterized by hypoalgesia. In patients with severe allergosis afferent signals processing in the central nervous system was disturbed. The differences in pain sensitivity in two groups of patients suggest different approaches to the selection of analgesia technique.

Adult↗