Special Care in Dentistry

Publisher: American Association of Hospital Dentists; Academy of Dentistry for the Handicapped; American Society for Geriatric Dentistry, Blackwell Publishing

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  • Other titles
    Special care in dentistry (Online), Special care in dentistry, SCD
  • ISSN
    1754-4505
  • OCLC
    60617777
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Blackwell Publishing

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    • See Wiley-Blackwell entry for articles after February 2007
    • Publisher version cannot be used
    • On author or institutional or subject-based server
    • Server must be non-commercial
    • Publisher copyright and source must be acknowledged with set statement ("The definitive version is available at www.blackwell-synergy.com ")
    • Articles in some journals can be made Open Access on payment of additional charge
    • 'Blackwell Publishing' is an imprint of 'Wiley-Blackwell'
  • Classification
    ​ yellow

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Detection of HIV infection provides an opportunity for transmission reduction and lifesaving treatment strategies. This study examined patients' willingness to take a routine, rapid oral HIV test if offered at a dental school clinic. For fifteen days in 2011, an anonymous survey containing demographic information and willingness to be tested questions was offered to all patients awaiting treatment. A total of 383 of 443 people approached, answered the questionnaire (40.2% Hispanic, 27.2% Caucasian, and 19.3% African American) with 58.8% indicating that they had been previously tested for HIV (as compared to the California mean of 39.2%). Patients were highly likely to participate (84.0% of Hispanics, 63.6% of Caucasians, 80.0% of African Americans and 66.7% of Asians) in a free HIV rapid test when given the opportunity. Of respondents never tested before, 62.6% reported a willingness to be tested in this study. HIV screening in a dental clinic during routine visits may allow new undiagnosed cases to be detected with subsequent referral into medical treatment.
    Special Care in Dentistry 10/2014;
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    ABSTRACT: Objective To evaluate the need for dental treatment in chronic renal insufficiency (CRI) patients undergoing hemodialysis.DesignTransversal study and case control.SettingCRI patients were examined at the Pequeno Príncipe Hospital in Curitiba, Brazil. The control group was examined at Nossa Senhora da Conceição Health Clinic in Campo Magro, Brazil.Subjects (Materials) and Methods Thirty-four CRI patients were undergoing hemodialysis. The control group consisted of 34 normoreactive individuals paired by gender and age.InterventionsThe clinical examination was performed under an artificial light, using an oral mirror, an exploratory probe, a periodontal probe, and a tongue depressor.Main outcome measuresThis study adopted the methodology proposed by the World Health Organization (WHO).ResultsThe CRI patient group needs periodontal and orthodontic treatment. The control group needs restorative treatments, prostheses, as well as surgical and endodontic treatment.Conclusion The profile of dental treatment needs proved to be distinct among the studied groups.
    Special Care in Dentistry 10/2014;
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    ABSTRACT: Paraneoplastic pemphigus (PNP) is a mucocutaneous disease that occurs in association with an underlying neoplasm. Oral mucosal lesions may be the only manifestation of this condition, or they may be observed in association with cutaneous lesions. The prognosis of PNP is generally poor, and the disease is often fatal. This article highlights an aggressive case of PNP that initially presented with oral mucosal lesions and emphasizes the importance of a multidisciplinary approach for evaluation and management of this condition.
    Special Care in Dentistry 09/2014;
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    ABSTRACT: Gorlin-Goltz syndrome (GGS) seems to be unusual in black persons. The authors present an Afro-Brazilian family case report of GGS. The main complaint of the index case was a painless swelling of the left mandible, which was diagnosed as an odontogenic keratocyst. Further classical features of the Syndrome were present in this patient. Other two family members were diagnosed as cases of GGS and one of them presented 11 clinical findings characteristic of the syndrome. From the three cases reported, two of them presented five major diagnostic criteria for the GGS, and the diagnosis was only made because of an oral complaint. This case series emphasizes the importance of carefully examining the patient and close relatives for signs of GGS, even if they belong to an ethnic group in which this diagnosis is unusual.
    Special Care in Dentistry 07/2014;
  • Special Care in Dentistry 07/2014; 34(4).
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    ABSTRACT: The purpose of this study was to investigate the distribution of permanent canine agenesis in subjects with Down syndrome (DS). Subjects with canine agenesis were determined by means of panoramic radiographs from 150 DS subjects attending a center for special care dentistry. Our results confirm the high prevalence of agenetic canines in DS (21 canines, 14%). We found specific effects on the distribution both of phenotype and of location (jaw). In subjects with a mild expression of hypodontia (phenotype nonoligodontia) agenetic canines primarily occurred in the mandibula, whereas in subjects with severe hypodontia (phenotype oligodontia) agenetic canines virtually only occurred in the maxilla. In both phenotypes cooccurrence of an agenetic lateral incisor with an agenetic canine was observed in the maxilla. It was striking that canine agenesis in the mandibula did not cooccur with agenesis of other teeth. These results can be important for treatment planning.
    Special Care in Dentistry 07/2014;
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    ABSTRACT: Despite having a high prevalence of functionally compromising malocclusions, individuals with intellectual and developmental disabilities do not regularly receive necessary orthodontic treatment. Patients with behavior challenges are unlikely to be offered this treatment option. However, with appropriate behavior management interventions and pharmacologic sedation, orthodontic treatment becomes a possibility for clinicians to consider. Parents will likely seek out clinicians who can provide this type of advanced orthodontic care. Additional training is now becoming available as accredited Fellowship Programs in Craniofacial and Special Care Orthodontics are developed. Hopefully, the clinical examples described in this article will no longer be unique in the area of special care dentistry.
    Special Care in Dentistry 07/2014;
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    ABSTRACT: PurposeTo explore the experiences and expectations of HIV-related stigma in dental settings.Methods This was a cross-sectional study of 60 HIV+ adult volunteers. We conducted audio-recorded interviews; responses to four open-ended questions were analyzed qualitatively for theme and content.ResultsTwenty-seven participants (45%) reported ever having anticipated being judged, stigmatized or treated with disrespect in a dental setting due to HIV status. Thematic response categories included concerns about: (i) receiving humane and respectful treatment, (ii) being judged or stereotyped and (iii) giving HIV to the dentist. Regarding hesitancy to visit the dentist, subjects equally endorsed fear of the dentist (35%) and concerns about confidentiality and receiving humane treatment (35%).ConclusionHIV+ individuals encounter many fears and concerns related to dental care; fear of the dentist and concerns about confidentiality and receiving humane treatment appear to be central issues. Dental providers should be aware of and better manage these issues.
    Special Care in Dentistry 07/2014;
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    ABSTRACT: Cowden syndrome or multiple hamartoma syndrome, is a rare genetic condition inherited in an autosomal dominant pattern characterized by cutaneous manifestations, polyps, thyroid gland neoplasias, and macrocephaly. This report presents the case of a 36-year-old patient who looked for dental treatment for a gingival nodule. Current and past medical history and oral and facial manifestations led to the diagnosis of Cowden syndrome. This case report emphasizes the role of the dental surgeon in the diagnosis of this systemic disease, based on the analysis of medical history and manifestations in the oral cavity.
    Special Care in Dentistry 07/2014;
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    ABSTRACT: Background Medicaid patients have been associated with lack of compliance during their orthodontic treatment in comparison with the non-Medicaid patients. In this study, Medicaid and non-Medicaid orthodontic patients’ compliance from a state university and private practice orthodontic clinic within close location were analyzed.Methods Charts of 30 Medicaid and 30 non-Medicaid orthodontic patients at each orthodontic clinic were reviewed. From each chart, mean percentage of failed and late appointments, number of broken appliances, number of comments on compliance with auxiliary wear and number of comments on oral hygiene maintenance were recorded.ResultsStatistically significant differences between Medicaid and non-Medicaid orthodontic patients were not found.Conclusions The results of this study indicated that in general there are no differences between Medicaid and non-Medicaid orthodontic patients.Practical ImplicationsThese results may alleviate the doubts of the dental practitioner in treating Medicaid patients.
    Special Care in Dentistry 07/2014;
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    ABSTRACT: The purpose of this study was to validate and assess the feasibility of using an assay of oral neutrophils to measure periodontal inflammation in uncooperative adults with special needs. Conventional periodontal measurements and neutrophil counts obtained from oral swabs were performed on patients having dental care under general anesthesia (GA) and at subsequent recall. Forty-nine patients were assessed under GA and 30 (61%) returned for follow-up. A high prevalence of gingival inflammation was found at baseline and oral neutrophil levels positively correlated with traditional periodontal parameters (p < 0.05). Neutrophils were acquired using swabs for 100% of patients examined at recall and a significant reduction in oral inflammatory load was noted after a single treatment session (p < 0.05), despite the persistence of poor oral hygiene and prolonged recall intervals. This study demonstrates that oral neutrophil quantification may serve as a novel and standardized method for clinical assessment of periodontal diseases in people with special needs.
    Special Care in Dentistry 06/2014;
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    ABSTRACT: Cleidocranial dysplasia (CCD) is an autosomal-dominant disorder that occurs due to mutations in the Cbfa 1 gene, also called Runx 2, located on the short arm of chromosome 6, affecting osteoblast skeletal-specific bones that have intramembranous ossification. This condition is characterized by hypoplastic clavicles, short stature, and great clinical significance in the stomatognathic complex, with involvement of facial bones, changes in the eruption patterns, including multiple supernumerary and retained teeth. This study reports six subjects of the same family with CCD identified in the Dentistry Clinic of Oral Diagnosis Department, Universidade Paulista, Campus Sorocaba, Sao Paulo State, Brazil. All cases had clinical and radiographic aspects of this important condition, such as short stature, hypertelorism, severe mobility of the shoulders, and supernumerary and retained teeth. Due to the rare incidence and phenotypic manifestations, CCD can be easily misdiagnosed. The oral commitments are one of the main (functional and aesthetic) causes of complaints in these subjects; and a dentist must establish the diagnosis as early as possible, followed by behaviors and practices that can minimize harmful manifestations of the syndrome and improve health associated with oral and multidisciplinary integration offering improvements in quality of life of these subjects.
    Special Care in Dentistry 05/2014; 34(3):144-50.
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    ABSTRACT: In children infected with human immunodeficiency virus (HIV), initiation of antiretroviral therapy (ART) commences at a very young age. These drugs are administered over a prolonged period and could be a possible risk factor for dental caries in these children. To assess endogenous pH, titratable acidity and type and concentration of sugars present in drugs used in treatment of HIV-infected children. Eleven drugs that are regularly prescribed to treat HIV infection in children (antiretrovirals, antibacterial, antifungal) were selected. The endogenous pH and titratable acidity of each drug was assessed. Type and concentration of sugars present in these medications was estimated using thin layer chromatography. Medications were mostly in syrup form and their pH ranged from 2.27 to 7.98. Titratable acidity varied between 0.01 to 0.37 mmol. Sucrose was present in all medications, and more than 60 g% of sucrose was present in anti-acterial and antifungal preparations. The physical properties and sugar content of medications used in ART pose a risk to dental health of children.
    Special Care in Dentistry 05/2014; 34(3):127-30.
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    ABSTRACT: To compare caries, oral hygiene and periodontal status of chronic kidney disease (CKD) patients in different stages and healthy controls. Seventy-four patients diagnosed with CKD and 150 healthy age and sex matched controls were recruited from General Hospital of Udaipur, India. Each subject was examined for caries by decayed, missing and filled teeth (DMFT) index, oral hygiene by simplified oral hygiene index (OHI-S) while gingival and periodontal status were assessed by Loe and Silness gingival and Community Periodontal Index, respectively. All the examinations were conducted by a single investigator. Study subjects presented significantly lower caries experience than the control group but no significant difference was observed among the subjects in various stages of CKD. The mean gingival index score for study group (1.88) was more than twice to that of control subjects (0.92). Stage of kidney disease influenced the gingival and oral hygiene status which decreased as the stage progressed. The overall prevalence of periodontal pockets (70.3%) in diseased subjects was significantly higher than controls (18.9%). More than three quarters (78.9%) of the patients with stage 5 CKD exhibited deep periodontal pockets. Oral hygiene, gingival, and periodontal status decreased as the stage of CKD increased and was worse among study subjects that the controls. Dental caries did not differ significantly with the stage of the renal disease but was significantly lower among study subjects than the controls.
    Special Care in Dentistry 05/2014; 34(3):122-6.
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    ABSTRACT: Liver failure patients seeking liver transplant in our teaching hospital undergo dental clearance by our Hospital Dentistry Department. A retrospective analysis of 500 patient dental charts was performed. All patients were evaluated previously by physicians and the medical diagnosis of liver failure for each patient was determined. Patients were examined and a treatment plan was formed consisting of the oral care required prior to dental clearance for liver transplant. An oral care treatment algorithm was constructed that, along with clinical parameters, guided the oral care in the pretransplant period. The oral care necessary to clear the patient for transplant was completed for each patient. Besides computing the average cost of oral care necessary to clear patients, analyses were performed to look for correlations among laboratory tests required before oral surgical procedures.
    Special Care in Dentistry 05/2014;
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    ABSTRACT: Objective The purpose of this single blind study was to investigate effects of Buccotherm® spray on subjective symptoms of xerostomia patients.Methods Twenty patients with dry mouth complaint were instructed to use placebo six times a day for 2 weeks. After a wash period, mineral water spray was provided. Patients were asked to reply questions regarding dry mouth using visual analog scale (VAS). Baseline and subsequent subjective findings on 1 hour after the application of the materials at the end of 1st, 7th, and 14th days were recorded.ResultsAt the end of 14-day treatment, no statistically significant differences were observed between the efficacy of placebo and commercial mineral water dental spray (p > 0.05). The VAS scores revealed that difficulty in mastication (p = 0.006), difficulty in swallowing (p = 0.00), need to sip liquids while eating (p = 0.000), difficulty in speech (p = 0.003), and waking up at night to sip water (p = 0.005) were statistically lower for placebo than commercial mineral water spray.Conclusion The commercial mineral water dental spray was not more efficient than placebo in the management of dry mouth-related symptoms.Clinical relevanceThis study emphasizes the fundamental role of saliva in oral health and evaluates the clinical utility of a commercial dental spray.
    Special Care in Dentistry 05/2014;
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    ABSTRACT: Dandy-Walker syndrome (DWS) is congenital disease characterized by hypoplasia of the cerebellum, the formation of cysts that communicate with the fourth ventricle of the posterior cranial fossa, and hydrocephalus. In addition to various other complications, cleft lip/palate, facial retrognathia, a high-arched palate, and maldentition occur at an increased frequency in patients with DWS. However, few studies have reported the dental manifestations of DWS. Herein, we report the clinical manifestations, oral findings, and dental management of a DWS patient who was treated under general anesthesia. Poor oral hygiene, gingivitis, and several congenital dental abnormalities (e.g., generalized microdontia, conical tooth, transposition, and congenitally missing teeth) were observed. This report is the first to describe the oral findings and dental treatment of DWS. Our findings emphasize the importance of a multidisciplinary approach in the diagnosis and treatment of DWS.
    Special Care in Dentistry 05/2014; 34(3):151-5.