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At least 433 records · Page 24Linked to original sources
PubMed2006

[Gerodontology teaching program at the geriatric dental clinic in Yad Sarah].

OBJECTIVES: World demographic changes show an increase in the elderly population worldwide. Due to increase in life span, the continuously growing elderly population requires extra attention. This has a great effect on private medical practice. A long term result is the necessity of training dentists in the practice of geriatric dentistry. Geriatric patients have problems that are age dependent, general health problems and specific dental problems. These problems require special skills on the part of the dentist. Yad Sarah has undertaken responsibility for this important task and provides dentists with a geriatric dental (gerodontology) training program. Elderly patients in need of geriatric dental treatment are served in both stationary and mobile clinics. The program includes both theoretical and practical studies. For this purpose, the Hebrew University-Hadassah School of Dental Medicine and Yad Sarah have created a three-year program at the end of which the dentists, working voluntarily, receive a diploma in geriatric dentistry. The purpose of the present study is to evaluate the teaching program in the past few years. METHODS: All the lectures given in the program from 2001 to 2005, both theoretical and practical, have been summarized and categorized by subject. RESULTS: In 2001-2002, the teaching program was theoretical only. Starting from 2003 practical studies were added to the program so that now it includes both theoretical and practical studies. The results presented do not include the many clinical teaching hours during supervised treatment that are given privately to the dentists, from the preparation of the dental treatment plan until the conclusion of treatment. The result shows a steady increase in teaching hours during the years 2001-2005. Not only has the quantity increased; the content has changed too, because of the changes in the needs and the character of work in the geriatric dentistry field. The increasing activity through the mobile dental clinic for homebound patients has led to stepped up teaching in subjects that are related to this kind of treatment, such as oral medicine, systemic disease and oral rehabilitation relating to at-home treatment. The increase in implant treatments created the need to train the dentists in the surgical and rehabilitative aspects of care. The area of oral medicine (26%) and oral rehabilitation (24%) received the most teaching hours, while endodontics (4%) received the least. CONCLUSIONS: The teaching program at Yad Sarah is need-dependent--needs of the patients and of the volunteer dentists as well. At Yad Sarah the dentists come to volunteer, to give needy people quality dental treatment that they cannot afford themselves at regular clinics. An additional motive of these dentists is to advance themselves professionally. The Yad Sarah Dental Clinic offers a unique teaching program that contributes to enhancing knowledge in gerodontology. As the needs at the clinic change, so does the teaching program.

Aged↗
PubMed2000

Patterns of attendance and treatment at an emergency dental clinic: a three year follow-up.

OBJECTIVES: Patterns of attendance at the Dublin Dental Hospital's Accident and Emergency Clinic in 1996 were compared with figures from 1993 to look for changes, especially in the light of changing provision of public funding for dental treatment for medical card holders and dependants. METHODS: An audit of patient clinical records for one month in 1996 was compared to previously published data relating to 1993. RESULTS: While patient numbers were similar in the two time periods (718 in 1993 versus 708 in 1996), the proportion of attendances by medical card holders or their dependants dropped from 48 per cent to 36 per cent. The proportion of non urgent treatments had also dropped over the three years. CONCLUSIONS: Changes in the provision of publicly funded dental treatment for medical card holders and dependants has reduced the proportion of such patients attending the clinic. However, their places have been taken by other patients.

Adolescent↗
PubMedDate not supplied

Management of patients with adrenocortical insufficiency in the dental clinic.

Patients with systemic disorders are often seen in dental practice. If not adequately evaluated, the existence of such alterations may lead to undesirable clinical situations. This is the case of patients with adrenocortical insufficiency. The causes underlying such insufficiency require a distinction between primary adrenal insufficiency or Addison's disease, involving an intrinsic alteration of the adrenal gland cortex, and secondary adrenal failure attributable to hypophyseal or hypothalamic pathology. Another frequent situation involves patients subjected to high-dose steroid therapy -- which induces a reduction in ACTH (adrenocorticotropic hormone) secretion with secondary atrophy of the adrenal cortex. In this context, sudden interruption of corticoid therapy gives rise to acute adrenocortical insufficiency, particularly if the patient is subjected to some form of stress. Corticotherapy is provided in many disorders such as autoimmune connective tissue diseases, different types of cancer, blood dyscrasias and transplant patients, among others. This makes it likely for dentists to occasionally see patients who are receiving, or have received, corticoid treatment. Some of these patients may be unable to tolerate the stress of dental treatment, thus giving rise to the risk of acute adrenal cortical failure. The present study addresses the prevention of these unpleasant and hazardous situations, with a review of the different corticoid replacement therapies applicable in dental practice.

Addison Disease↗