Special care dentistry.
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Dental Care for Persons with Disabilities↗
Biomedical subjects
Janice Fiske
Publications and source records attributed to Janice Fiske.
Guidelines for the development of local standards of oral health care for people with dementia.
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Aged↗
Oral health and dental care facilities in Maltese residential homes.
OBJECTIVES: To establish oral health care practices, including the use of dental services, in the residential homes of Malta and Gozo by assessing the knowledge of home managers and assistance of care staff regarding residents' oral health and hygiene; and evaluating the residents' demand for dental treatment and residential home managers response to this demand. SUBJECTS: A total population sample of licensed residential homes (38) in Malta and Gozo was used comprising all home managers in government (seven), church (20), and privately run (11) residential homes. METHOD: A 19-question questionnaire was designed, piloted and sent to the home managers requesting them to report on the dental care provision for their elderly residents. The questionnaire was distributed by post, along with a reply-paid envelope and an explanatory letter. A response deadline of 1 month was included. RESULTS: An 87% response rate was achieved. Whilst the majority of home managers (64%) were aware of domiciliary dental services, there was no code of care practice for oral health. Routine dental check-ups were not organised for residents of most homes. Although home staffs were generally given information about residents' oral health and hygiene, the majority did not assist residents with oral hygiene. Home managers identified the following barriers to the use of dental services by residents: cost, communication problems with dental staff, journey to place of treatment, waiting time at the dental clinic, access to premises/clinic, lack of information on oral health and dental service availability, no one to accompany the person to the clinic, and health problems such as mobility, poor eyesight, hearing impairment and mental health status. CONCLUSION: Although most home managers appreciate the importance of oral health care for their residents, the residents still face many barriers to maintaining adequate oral health care and accessing dental services.
Aged↗
Diabetes mellitus and oral care.
Diabetes is a common condition. Its incidence is increasing. It can lead to medical complications including visual impairment, neuropathies, renal and cardiovascular disease. Diabetes can have an adverse effect on oral health and healthcare. Conversely, poor oral health can have an adverse effect on blood glucose control. Repeated oral infections can indicate uncontrolled diabetes and lead to its diagnosis. Whereas hyperglycaemia may occur in untreated diabetes, hypoglycaemic episodes are not uncommon in well-controlled diabetes Type 2. The tight glycaemic control required to prevent its long-term complications can be destabilized by infection, anxiety or missed meals.
Blood Glucose↗
Epilepsy and oral care.
Epilepsy is a common symptom of an underlying neurological disorder. The seizures can take a variety of forms. Both the condition and its medical management can affect oral health. Prevention of oral disease and carefully planned dental treatment are essential to the well-being of people with epilepsy.
Adolescent↗
Use of the Internet as a research method in a study of the emotional effects of tooth loss in Poland.
The study explored the use of the Internet to investigate the emotional effects of tooth loss in a Polish population. The Internet was used as a novel method of recruiting study participants. The study was announced on Internet pages in the Polish language inviting anyone who had lost some natural teeth to respond. Respondents were sent a questionnaire by e-mail, which they completed and returned by the same means. Twenty nine completed questionnaires were received in a twelve month period. The respondents were predominantly males under the age of 50 years reflecting the profile of Internet users in Poland. Despite the sample bias, the results showed a trend similar to the findings of earlier studies into the emotional effects of tooth loss with many of the respondents reporting difficulty in coming to terms with the loss of some or all their natural teeth.
Anger↗
Multiple sclerosis and oral care.
Multiple sclerosis is a complex neurological condition affecting sensory and motor nerve transmission. Its progression and symptoms are unpredictable and vary from person to person as well as over time. Common early symptoms include visual disturbances, facial pain or trigeminal neuralgia and paraesthesia or numbness of feet, legs, hands and arms. These, plus symptoms of spasticity, spasms, tremor, fatigue, depression and progressive disability, impact on the individual's ability to maintain oral health, cope with dental treatment and access dental services. Also, many of the medications used in the symptomatic management of the condition have the potential to cause dry mouth and associated oral disease. There is no cure for multiple sclerosis, and treatment focuses on prevention of disability and maintenance of quality of life. Increasingly a multi-disciplinary team approach is used where the individual, if appropriate his/her carer, and the specialist nurse are key figures. The dental team plays an essential role in ensuring that oral health impacts positively on general health.
Adult↗