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排序方式: 共有154条查询结果,搜索用时 15 毫秒
1.
Valerie L. Blanco RDH MS Steven M. Levy DDS MPH Ronald L. Ettinger BDS MDS DDSc Henrietta Logan PhD Kathleen C. Buckwalter PhD RN 《Special care in dentistry》1997,17(4):129-132
Little is known about oral health care behaviors of community-dwelling, cognitively impaired elderly (CIE) persons. Few studies have been conducted regarding the actual provision of oral care for CIE persons or the attitudes and concerns about oral health among their caregivers. The CIE person's ability to perform self-care decreases over time, and the role of the caregiver in daily oral care becomes increasingly important. The purpose of this pilot study was to explore the attitudes toward oral health and identify related concerns among caregivers who care for community-dwelling CIE persons. Caregivers were surveyed by means of a self-administered, mailed questionnaire. To maintain confidentiality, an intermediary was used for recruitment and data collection. Overall, 148 caregivers were invited by an intermediary to participate in the survey; only 21 (14%) consented to participate and returned the questionnaire. This paper discusses some of the numerous methodological challenges identified when an attempt was made to survey caregivers' attitudes toward and barriers to providing oral care for a dependent CIE. 相似文献
2.
Felipe Scalco Manzano DDSc Lucia Mercuri Granero MD Danilo Masiero MD Maria Teresa Botti Rodrigues dos Santos DDSc PhD 《Special care in dentistry》2004,24(4):235-239
This study was designed to verify the safety and efficacy of botulinum toxin type A (BTX-A) used as a neuromuscular block on spastic masticatory musculature of children with cerebral palsy. Six patients who had spastic-tetraplegic cerebral-palsy, aged 5 to 20 years were selected. All patients had spasticity of the jaw muscles, bruxism, lower lip trauma, limited mouth opening, and difficulties in cleaning the oral cavity. The patients were sedated under general anesthesia, while the dentist injected the masseter and temporalis muscles bilaterally with 150 and 75 units of BTX-A each. Clinical examinations were conducted at 7, 14, 30, and 90 days after the initial appointment. We found statistically significant decreases in muscle spasticity and bruxism ( p = 0.002), improved inter-incisal opening ( p = 0.002), improved oral hygiene ( p = 0.031), and less lower lip trauma ( p = 0.060) after the neuromuscular blocking. 相似文献
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Brian Nunez BS John Warren DDS MS Ronald L. Ettinger BDS MDS DDSc DABSCD Fang Qian PhD 《Special care in dentistry》2011,31(1):33-40
Using a stratified random sample, a questionnaire was mailed to 400 practicing dentists and 200 directors of nursing (DONs). Response rates were 58.3% for dentists and 50% for DONs. Dentists were representative of Iowa dentists, with 85% male, mean age 49.1 years, and 22.4 years in practice. All DONs were female, with mean age of 44.9 years. Of the participating dentists, 86% had provided dental care for nursing home residents, but the majority of care was completed in dental offices. Three‐quarters of dentists were somewhat/not interested in nursing home dentistry. Dentists and DONs held common perceptions of the most frequent problems related to care provision at nursing homes: low financial reimbursement, especially for Medicaid patients; no portable dental equipment; no suitable area for dentistry; dentist's preference to treat patients at their dental practice; and transportation of residents to a dental practice. Dentists and DONs had some differing perceptions about oral health care (p < .01). Minimal dental care was provided on‐site at Iowa nursing homes. 相似文献
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Manfred Lagemann BDSc Roy George BDS MDS PhD Lei Chai BDS MDS PhD Laurence J. Walsh BDSc PhD DDSc 《Australian endodontic journal : the journal of the Australian Society of Endodontology Inc》2014,40(2):72-75
Laser enhancement of ethylenediaminetetraacetic acid with cetrimide (EDTAC) has previously been shown to increase removal of smear layer, for middle‐infrared erbium lasers. This study evaluated the efficiency of EDTAC activation using a near‐infrared‐pulsed 940 nm laser delivered by plain fibre tips into 15% EDTAC or 3% hydrogen peroxide. Root canals in 4 groups of 10 single roots were prepared using rotary files, with controls for the presence and absence of smear layer. After laser treatment (80 mJ pulse?1, 50 Hz, 6 cycles of 10 s), roots were split and the apical, middle and coronal thirds of the canal were examined using scanning electron microscopy, with the area of dentine tubules determined by a validated quantitative image analysis method. Lasing EDTAC considerably improved smear layer removal, while lasing into peroxide gave minimal smear layer removal. The laser protocol used was more effective for smear layer removal than the ‘gold standard’ protocol using EDTAC with sodium hypochlorite (NaOCl). In addition, lasers may also provide a benefit through photothermal disinfection. Further research is needed to optimise irrigant activation protocols using near‐infrared diode lasers of other wavelengths. 相似文献
8.
Johnny P. Salonga DMD Hideo Matsumura DDS DDSc Katsuhiro Yasuda PhD Yoshihisa Yamabe DDS 《The Journal of prosthetic dentistry》1994,72(6)
This in vitro study evaluated the influence of chromium content on bond strength and durability between nickel-chromium alloys and an adhesive resin that contained 4-methacryloxyethyl trimellitate anhydride. Three nickel-chromium alloys with different chromium content, as well as pure chromium and pure nickel metals, were bonded and tested for shear strength. After repeated thermocycling, shear bond strength decrease was lower in alloys containing high chromium content. Pure chromium metal demonstrated a 15.2% decrease, whereas pure nickel metal demonstrated the greatest (53.7%) decrease. The results suggest that nickel-chromium alloys with higher chromium content are desirable for 4-methacryloxyethyl trimellitate anhydride resin-bonded restorations. 相似文献
9.
Anton Bonett MD DPH Margaret Davy FRACOG FRCOG David Roder DDSc MPH 《The Australian & New Zealand journal of obstetrics & gynaecology》1989,29(3):193-196
Summary: Approximately 90% of cervical cancers are considered preventable through regular screening and the treatment of precursor lesions, but fewer than 20% of South Australian women were found to have been screened in 1984.
Data from the State Cancer Registry have shown an increase in cervical cancer incidence of approximately 80% in women under 50 years of age in the 9-year period to 1986, but a decrease of about 25% in older women. Mortality data have shown similar patterns by age, although the increase in younger women tended to extend to an older age.
Case survival was unchanged between the diagnostic periods 1977–1981 and 1982–1987 and there was little change in the proportion of cases that were adeno-carcinomas. 相似文献
Data from the State Cancer Registry have shown an increase in cervical cancer incidence of approximately 80% in women under 50 years of age in the 9-year period to 1986, but a decrease of about 25% in older women. Mortality data have shown similar patterns by age, although the increase in younger women tended to extend to an older age.
Case survival was unchanged between the diagnostic periods 1977–1981 and 1982–1987 and there was little change in the proportion of cases that were adeno-carcinomas. 相似文献
10.
Maria Teresa Botti Rodrigues dos Santos DDSc PhD Danilo Masiero MD Maria Regina Lorenzetti Simionato DDSc PhD 《Special care in dentistry》2002,22(3):103-107
This study was conducted to examine the oral condition and the salivary and microbiological parameters associated with dental caries in 62 children with cerebral palsy, who came from households of low socioeconomic status (Study Group). This group had mixed (6 to 11 years old) and permanent (11 to 16 years old) dentition. Dental examinations were performed to measure dental caries, plaque index, salivary levels of mutans streptococci and lactobacilli, salivary flow rate, pH of stimulated saliva, and buffer capacity of saliva. A group of 67 non-handicapped children from similar socioeconomic backgrounds also were examined using these parameters (Control Group). Data were analyzed statistically by non-parametric tests and by correlation. The results showed that children with cerebral palsy who had permanent dentitions had a higher mean decayed, missing and filled surfaces index, as well as a higher plaque index for both sexes. Microbiological examination revealed higher levels of mutans streptococci among Study Group subjects with mixed dentition than in the Control Group. Also, lactobacillus counts were higher in the Study Group, regardless of sex or dentition. With respect to salivary flow rate, pH and buffering capacity, lower mean values were obtained for the Study Group. 相似文献