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A comparison of combinations of clinical and radiographic examinations in evaluation of a dental clinic population.

Panoramic periapical anterior and posterior bitewing radiographic, mirror-explorer, and transillumination clinical examinations were performed on 300 patients. Various combinations of the radiographic and clinical examination techniques were compared in terms of their ability to diagnose caries, alveolar bone loss, calculus, periapical bone lesions, impacted teeth, root tips, and miscellaneous conditions. A mirror-explorer clinical examination with panoramic and posterior bitewing radiographs and either anterior bitewing radiographs or transillumination proved to be as efficient in the initial examination of patients as the mirror-explorer clinical examination with periapical and posterior bitewing radiographs.

Alveolar Process↗

Amalgam in dentistry. A survey of methods used at dental clinics in Norrbotten to decrease exposure to mercury vapour.

A survey was conducted on the possible factors influencing exposure to mercury vapour during the handling of amalgam and amalgam contaminated products at dental clinics in Norrbotten, the northern part of Sweden, as well as the current methods being used to minimise, if not prevent such exposures. Increased room temperature, a serious problem when working with amalgam, was the most common complaint from the dental personnel reflecting the observation that ventilation in most clinics was far from being satisfactory. However, methods of treating amalgam-contaminated waste products as well as the classification of products as high- or low-risk wastes also differed a lot. The results further showed that although majority of the dental personnel showed concern on the possible hazards of mercury vapour exposure and were interested in having the level of mercury vapour measured in their clinics, very few had access to any protective equipment against it. And among the few who had some forms of protective wear, most found the equipment disturbing and disruptive of work performance.

Adult↗

[Mercury concentrations in the air, in the blood and urine of dentists in dental clinics and free practice].

The concentration of mercury in the air was measured for 12 assistants and students, 27 dentists, and 42 dental assistants. The total concentration of mercury in the blood and the urine was also determined and compared with a control group. The results were as follows: 1. The highest concentration of mercury in the air (3--12 microgram Hg/m3) appeared only briefly. 2. The mercury concentration in the spontaneous urine of the dentists and dental assistants (6 microgram/l) was only slightly higher than that for the nonexposed control group (4 microgram/l). 3. The mercury concentration in the whole blood of the students (22 microgram/l) was the highest; that of the dentists and dental assistants (with several years exposure to mercury vapor, 7.0 and/or 6.5 microgram/l) was only slightly higher than that of the nonexposed control group (5 microgram Hg/l).

Air Pollutants↗

Bell's palsy--a review of five cases seen at Unth Dental Clinic, Enugu Nigeria.

Five cases of facial nerve palsy seen over a period of ten years (1988-1998) at the University of Nigeria Teaching Hospital Dental Clinic were retrospectively reviewed. The materials on file for the five patients were studied and the presenting features sex, age and clinical presentation were reviewed. There were three males and two females. Their ages were between 25 and 28 years. Diagnosis was based on sudden onset, history and clinical presentation.

Adult↗

Attitudes to conscious sedation in patients attending an emergency dental clinic.

INTRODUCTION: Anxiety and fear in relation to dentistry are long-standing problems and the incidence of dental fear does not appear to be decreasing. It can result in poor dental health and wastage of clinical time. Conscious sedation is one method of allaying anxiety in dental patients and enables such patients to accept dental treatment. AIMS, MATERIALS AND METHODS: A questionnaire survey was undertaken among patients attending an emergency dental clinic. Its aims were to assess the levels of dental anxiety in these subjects, the impact on their attendance for dental treatment, and their knowledge of and desire to have conscious sedation, should it be available. RESULTS: The results indicated that in the 72 patients who responded, levels of anxiety regarding dental treatment were high, with 49 (68%) claiming some nervousness or worse. Thirty-one (43%) cited fear/nervousness as a reason for delaying making a dental appointment. Twenty-seven (38%) were not aware of the existence of conscious sedation for dental treatment, of whom half reported that they were in the highly anxious group. Forty (56%) respondents said they would like to have sedation if it were available. Twenty-five (35%) claimed to have received sedation for dental treatment in the past. CONCLUSION: It was concluded that the availability of dental sedation was currently not matching the needs and demands of several patients who took part in the survey. Increased availability of dental sedation could remove a barrier to dental care for many highly anxious dental patients.

Adolescent↗