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Biomedical subjects

A P Burtner

Publications and source records attributed to A P Burtner.

12 recordsLinked to original sources
PubMedDate not supplied

Pouching of medications in the mouth: a case report.

Foods or medicines can be pouched or held in the mouth to prolong taste, enjoyment, or effect. This article describes a patient who pouches medications. The oral injury that occurred from this behavior is reported.

Administration, Oral↗
PubMedDate not supplied

A survey of the availability of dental services to developmentally disabled persons residing in the community.

Public Law 88-164, enacted in 1963, has led to extensive deinstitutionalization of persons with mental retardation from a peak census of 194,650 in 1967 to 91,440 by 1988. This population now depends on the community-based health care system for medical and dental care. A survey conducted to determine the availability of dental care to the developmentally disabled residing in group homes located in north central Florida indicated that 40% of caretakers experienced difficulty in locating dentists willing to provide comprehensive dental services for residents. According to the caretakers, although 75% of the residents were cooperative dental patients, dentists were reluctant to provide services for a variety of reasons, including financial disincentives, inadequate knowledge and preparation, and a lack of proper equipment necessary to treat this group of special patients.

Adolescent↗
PubMedDate not supplied

Effects of chlorhexidine spray on plaque and gingival health in institutionalized persons with mental retardation.

In this study, eight institutionalized males received a 0.12% chlorhexidine gluconate spray twice daily. A second group of eight males received a placebo spray in the same manner. The results indicated that pump-administered chlorhexidine spray can effectively reduce plaque and gingivitis in patients with mental retardation who are unable to brush their own teeth.

Adult↗
PubMedDate not supplied

Pica: a peculiar behavior with oral involvement.

Pica is a behavior commonly displayed by children, pregnant females, and individuals with mental retardation. A population of institutionalized adults with mental retardation was assessed for pica. Of this population, 10.8% were identified with this behavior. Also, this article discusses aspects of pica and describes how this behavior can affect the mouth.

Adolescent↗
PubMedDate not supplied

Oral side-effects of the most frequently prescribed drugs.

Oral side-effects and their respective prevalence rates for the 200 most frequently prescribed drugs for 1992, as measured by IMS America's National Prescription Audit is reviewed. Accounting for duplication due to brand and generic name listings, the actual number of different medications covered was 131. The results of this review are presented in a table and include the oral side-effects and prevalences as reported in the literature. The three most frequent side-effects encountered with these medications were xerostomia (80.5%), dysgeusia (47.5%), and stomatitis (33.9%). The included table should fill the need for a ready reference for dentists in monitoring and counseling patients regarding the potential oral side-effects of the medications.

Drug Utilization↗
PubMedDate not supplied

Tobacco and the institutionalized mentally retarded: usage choices and ethical considerations.

Patterns of tobacco use were observed among 749 people diagnosed with mental retardation residing in a state-operated facility. Specifically, individual preference for tobacco products and frequency of use were documented. Subjects were observed using several types of tobacco products: cigarettes, cigars, chewing tobacco, snuff, and cigarette butts. Approximately 7% (n = 52) used at least one form of tobacco; ten individuals used more than one tobacco product. Interestingly, 20.5% of the individuals diagnosed with mild or moderate mental retardation (n = 122) consumed tobacco products, a pattern of behavior that closely approximates that of the general population (20-24%). Ethical considerations pertaining to the availability of tobacco products to this special population are presented.

Adult↗
PubMedDate not supplied

Administration of chlorhexidine to persons with mental retardation residing in an institution: patient acceptance and staff compliance.

Chlorhexidine is beneficial in maintaining the oral health of persons diagnosed with mental retardation. Proper daily oral administration, however, depends upon the compliance of caregivers as well as patient acceptance. If caregivers are noncompliant or if patients are overly resistant to daily applications of chlorhexidine, its proven benefits will not be realized. This study evaluated two methods of chlorhexidine administration for patient acceptance and direct-care staff compliance among 44 institutionalized individuals diagnosed with mental retardation.

Adult↗
PubMedDate not supplied

Providing oral health care to individuals with severe disabilities residing in the community: alternative care delivery systems.

For some individuals with disabilities who reside in the community, comprehensive oral health care is inaccessible. This deficiency has been noted by health care professionals and advocacy organizations. For example, most dentists who provide care to people with disabilities who reside in the institutional setting perceive that present resources within the community, both private and public, are generally unprepared to provide comprehensive dental care to the adult with severe disabilities; they also believe that special facilities and programs are needed that will be geographically and financially accessible to these individuals. Fortunately, several "special programs" have been established that successfully provide dental care to this population. This article describes these alternative care delivery systems and discusses their characteristics, advantages, and disadvantages. In addition, given the continuing process of community placement, implications for institutional dental programs are presented.

Ambulatory Care Facilities↗