4,126 results on '"dental prophylaxis"'
Search Results
2. The impact of timing and modalities of dental prophylaxis on the risk of 5-fluorouracil–related oral mucositis in patients with head and neck cancer: a nationwide population-based cohort study
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Chung-Ta Chang, Hsiang-Hsi Hong, Kuan-Ming Chiu, Chih-Hsin Muo, Cheng-Chang Chen, Hsuan-Ju Chen, Yi-Fang Huang, Shih Ping Liu, Yu-Fang Liao, and Chun-Hao Tsai
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medicine.medical_specialty ,education.field_of_study ,business.industry ,Dental Prophylaxis ,Chlorhexidine ,Head and neck cancer ,Population ,Cancer ,Odds ratio ,medicine.disease ,Confidence interval ,Oncology ,Internal medicine ,Mucositis ,Medicine ,business ,education ,medicine.drug - Abstract
This study investigated the impact of dental prophylaxis on 5-fluorouracil (5-FU)–related oral mucositis (OM) according to the head and neck cancer (HNC) locations and treatment times. A total of 13,969 HNC participants, including 482 5-FU–related OM subjects and 13,487 comparisons were enrolled from the Longitudinal Health Insurance Database for Catastrophic Illness Patients of Taiwan between 2000 and 2008. All subjects were stratified into subgroups based on the times to perform chlorhexidine use, scaling, and fluoride application before 5-FU administration. The dental prophylaxis related to 5-FU–related OM was estimated by multiple logistic regression and represented with odds ratio (OR) and 95% confidence interval (CI). Fluoride gel application and scaling significantly impacted on OM development (p
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- 2020
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3. Dental prophylaxis influence in tooth color assessment—Clinical study
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Rita Alves, Daniela Corado, Rúben Pereira, João Silveira, António Mata, and Duarte Marques
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Ceramics ,0206 medical engineering ,Extrinsic stain ,Color ,Dentistry ,02 engineering and technology ,Clinical study ,03 medical and health sciences ,0302 clinical medicine ,stomatognathic system ,Humans ,Medicine ,Clinical significance ,General Dentistry ,Volunteer ,Anterior teeth ,Prosthesis Coloring ,business.industry ,Dental Prophylaxis ,030206 dentistry ,020601 biomedical engineering ,stomatognathic diseases ,Spectrophotometry ,Tooth color ,business ,Tooth ,Student's t-test - Abstract
Objective To evaluate dental prophylaxis influence in tooth color assessment with the use of different methods. Materials and methods Volunteers were consecutively recruited and screened according to appropriate inclusion/exclusion criteria. Each participant's upper right central incisive and canine color was measured before and after dental prophylaxis with a one-week interval. Tooth color assessment was performed by calibrated operators and the patient using a VITA Classical shade guide and by spectrophotometric methods with a proper device (SpectroShade). Color was reported as mean with SD of Commission Internationale De l'Eclairage (CIE) L*a*b* values, ΔEab and ΔE00. One-way analysis of variance and Tukey post hoc were performed to assess differences between methods and paired t test for assessing differences in tooth color coordinates after dental prophylaxis. Values of P < .05 were taken as significant. Results Fifty patients were included. Self-assessed dental prophylaxis effects equated to a significantly different mean ΔE00 value of 2.3 ± 1.7 (P < .01), when compared to the calibrated operator reported 0.8 ± 1.1 and the spectrophotometer 1.0 ± 0.5. Half of volunteer's ΔE00 values surpassed the acceptability threshold, when compared to 28% from investigator and 10% from spectrophotometer. Conclusion Performing a dental prophylaxis did have an influence in tooth color perception with a higher self-perceived effect in the patient assessment. Clinical significance The results of this study suggest that performing professional dental prophylaxis presented a perceived effect in tooth color regardless of the method used being that patients precepted whiter and less yellowish teeth. Since extrinsic stain is considered as one of the factors that could influence tooth color assessment, performing professional dental prophylaxis prior to composite or ceramic color selection in anterior teeth restorations could consequently increase treatment predictability.
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- 2020
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4. Is dental prophylaxis required following spinal fusion?—a systematic review and call for evidence
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Maria Porta, Ilyas S. Aleem, Rakesh P. Patel, Rajbir Hundal, Kathryn Matulich, and Parker Martin
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Dental Prophylaxis ,Dental procedures ,Context (language use) ,030206 dentistry ,Cochrane Library ,Antimicrobial ,stomatognathic diseases ,03 medical and health sciences ,0302 clinical medicine ,Spine surgery ,Spinal fusion ,Inclusion and exclusion criteria ,medicine ,Original Study ,Orthopedics and Sports Medicine ,Surgery ,Intensive care medicine ,business ,030217 neurology & neurosurgery - Abstract
Background Controversy exists regarding the need for antimicrobial prophylaxis prior to dental procedures following spinal fusion. In this review, we attempt to synthesize a comprehensive summary of the published literature to provide recommendations on the use of antimicrobial prophylaxis before dental procedures in patients with a history of spinal fusion. Methods We searched PubMed, Web of Science, Cochrane Library, and EMBASE databases from inception to February 2018. Eligible studies included patients with a history of spinal fusion treated with or without antimicrobial prophylaxis in preparation for dental procedures. Two reviewers independently assessed the eligibility of potential studies and extracted data. Outcomes of interest were the indications and efficacy of antimicrobial prophylaxis to protect against infection of spinal prostheses with dental origin. Results A total of 1,909 articles were initially screened. After inclusion and exclusion criteria were applied, one study was found specifically relating to dental prophylaxis and spine surgery. The survey, as well as objective studies and professional organization guidelines on dental prophylaxis in patients with total hip and knee replacements, were reviewed to add context to the controversy. Conclusions There is a significant paucity of literature regarding dental prophylaxis in spine surgery patients. Although there has been a recent movement away from recommending antimicrobial prophylaxis before dental work in patients with other forms of orthopaedic prostheses, the gap in the literature addressing spine patients represents an important question that requires more targeted and specific research.
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- 2020
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5. [Is dental prophylaxis justified in activities of occupational medicine?]
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Małgorzata Jaraszek, Wojciech Hanke, and Andrzej Marcinkiewicz
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Male ,Health Knowledge, Attitudes, Practice ,Occupational Medicine ,Public Health, Environmental and Occupational Health ,Dental Prophylaxis ,Humans ,General Medicine ,Oral Hygiene ,Students - Abstract
The growing incidence of caries at all ages groups, justifies the need of constant search for effective methods of preventing, also in the context of the assessment of the impact of occupational agent. The research hypothesis assumed that due to the specificity of the profession, students of the gastronomic school have forced, additional contact with food. Thus it might be difficult for them students to maintain proper oral hygiene and, consequently, increase the incidence of tooth decay.The study group comprised 109 men: 55 students of a gastronomic technical school (GA) and for comparison 54 students of an electrical and IT technical school (E-I), whose vocational education was completely unrelated to food processing. The study was performed at 2 stages (at the beginning and after 3 years of practical vocational training) and comprised of 2 parts: a dental examination and a questionnaire examination (assessment of individual oral hygiene, preferred food products and sources of knowledge about nutrition).After 3 years of observation, a higher, statistically significant, increase in the number of people with caries (P0) was observed in the group of students from the E-I school. The analysis of the sources of knowledge on healthy eating and oral hygiene showed that after 3 years of practical vocational training, the main source of knowledge for GA students was school and the Internet, for E-I students the internet and the family.The smaller increase in the incidence of tooth decay in the group of GA might probably be associated with the theoretical and practical teaching of food and nutrition in the school. Therefore, the methods of conducting pro-health education on oral hygiene in vocational schools should be improved and the standards of medical conduct during obligatory preventive examinations in every student starting their practical vocational training should be extended. Med Pr. 2022;73(3):219-27.Rosnąca częstość występowania próchnicy zębów u osób w każdym wieku uzasadnia potrzebę ciągłego poszukiwania skutecznych metod zapobiegania jej rozwojowi, także w kontekście oceny oddziaływania szkodliwości zawodowych. Hipoteza badawcza niniejszej pracy zakładała, że uczniowie szkoły gastronomicznej z racji specyfiki zawodu mają wymuszony, dodatkowy kontakt z żywnością, co może utrudniać im utrzymanie prawidłowej higieny jamy ustnej i w konsekwencji zwiększać zachorowalność na próchnicę.Grupę badaną stanowiło 109 mężczyzn: 55 uczniów technikum gastronomicznego (GA) oraz dla porównania 54 uczniów technikum elektryczno-informatycznego (E-I), całkowicie niezwiązanego z obróbką żywności. Badanie każdego ucznia, przeprowadzane w 2 etapach (na początku edukacji zawodowej w technikum i po 3 latach praktycznej nauki zawodu), składało się z 2 części – badania stomatologicznego oraz badania kwestionariuszowego (ocena indywidualnej higieny jamy ustnej, preferowanych artykułów spożywczych i źródeł wiedzy na temat żywienia).Po 3 latach obserwacji większy wzrost liczby osób z próchnicą (P0) zaobserwowano w grupie E-I (różnica istotna statystycznie). W grupie GA wzrost liczby osób z próchnicą był nieistotny statystycznie. Analiza źródeł wiedzy na temat zdrowego odżywiania i higieny jamy ustnej wykazała, że po 3 latach praktycznej nauki zawodu dla uczniów GA głównym źródłem wiedzy stała się szkoła i uzupełniająco internet, a dla uczniów E-I – przede wszystkim internet, a dodatkowo rodzina.Mniejszy przyrost częstości występowania próchnicy w grupie GA należy wiązać z realizowaną w szkole teoretyczną i praktyczną nauką na temat żywności oraz żywienia. Dlatego należy udoskonalać metody prowadzenia edukacji prozdrowotnej dotyczącej higieny jamy ustnej w szkołach zawodowych i poszerzyć standardy postępowania lekarskiego podczas obligatoryjnych badań profilaktycznych u każdego ucznia rozpoczynającego praktyczną naukę zawodu. Med. Pr. 2022;73(3):219–227.
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- 2022
6. Immediate impact of dental prophylaxis and oral hygiene improvement on multifocal pyogenic granulomas: a case report
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Rawan, Ashshi, Faizan, Alawi, Temitope T, Omolehinwa, Nicolas, Graillon, and Rabie M, Shanti
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Adult ,Male ,Gingiva ,Dental Prophylaxis ,Humans ,Mandible ,Granuloma, Pyogenic ,Oral Hygiene - Abstract
A 31-year-old man presented with gingival mass-like lesions. The patient reported occasional bleeding from lesions; otherwise, the lesions were asymptomatic. Intraoral examination revealed multiple interdental red/purple soft, sessile, nodular lesions involving both the maxillary and mandibular buccal and lingual gingivae, with poor oral hygiene. After performing incisional biopsy, the patient was diagnosed with pyogenic granuloma. Subsequently, the patient underwent cleaning of his teeth and within only 3 days of dental cleaning, the patient reported rapid regression of all his lesions.
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- 2022
7. Dental Plaque Disclosing as an Auxiliary Method for Professional Dental Prophylaxis in Early Childhood
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Heitor Marques Honório, Celso Dv Tripodi, Daniela Rios, Franciny Querobim Ionta, Thais Marchini de Oliveira, Catarina Rb de Alencar, Priscilla Sp Gonçalves, and Gabriela Cristina de Oliveira
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PLACA BACTERIANA ,Preventive dentistry ,Dentistry ,Orthodontics ,Dental plaque ,03 medical and health sciences ,Professional education ,0302 clinical medicine ,Coloring agents ,stomatognathic system ,medicine ,Clinical significance ,Early childhood ,030219 obstetrics & reproductive medicine ,business.industry ,Dental Prophylaxis ,Dental Care for Children ,Dental prophylaxis ,030206 dentistry ,Preventive Dentistry ,medicine.disease ,Clinical trial ,stomatognathic diseases ,Pediatrics, Perinatology and Child Health ,Periodontics ,Original Article ,Oral Surgery ,business ,Early childhood caries ,Dental care for children - Abstract
Aim This study aimed to clarify whether dental plaque disclosing before professional prophylaxis would improve the visualization of dental plaque, therefore optimizing the procedure. Materials and methods The sample comprised both the smooth and occlusal surfaces of the teeth of 25 children from 18 to 36 months. A randomized crossover clinical trial was conducted with two groups: GI-with disclosing and GII-without disclosing (washout/1 month). The teeth were stained with 1% malachite green solution to assess the amount of dental plaque on smooth and occlusal surfaces. Results Dental plaque removal was more effective and statistically faster (391.27 seconds ±142.2) in GI. The plaque index and the prophylaxis duration were inversely related in GI. The child's behavior did not affect the plaque removal effectiveness, regardless of plaque disclosure (p > 0.05). Conclusion Dental plaque disclosing in young children is an effective and less time-consuming method that improves the quality of the professional dental prophylaxis. Clinical significance Biofilm control is important for the success of programs for prevention of early childhood caries (ECC) and considering the particularities inherent to the dental care of infants, it is necessary that periodic professional prophylaxis is effective in eliminating the oral biofilm, ideally reducing chair time. Although dental plaque disclosing has been traditionally performed on educational basis during oral hygiene instruction, this resource can be safely employed to help professional prophylaxis in infants. How to cite this article de Alencar CRB, de Oliveira GC, et al. Dental Plaque Disclosing as an Auxiliary Method for Professional Dental Prophylaxis in Early Childhood. Int J Clin Pediatr Dent 2019;12(3):189-193.
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- 2019
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8. The impact of timing and modalities of dental prophylaxis on the risk of 5-fluorouracil-related oral mucositis in patients with head and neck cancer: a nationwide population-based cohort study
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Yi-Fang, Huang, Shih-Ping, Liu, Chih-Hsin, Muo, Hsuan-Ju, Chen, Yu-Fang, Liao, Kuan-Ming, Chiu, Cheng-Chang, Chen, Chun-Hao, Tsai, Hsiang-Hsi, Hong, and Chung-Ta, Chang
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Adult ,Cohort Studies ,Male ,Stomatitis ,Young Adult ,Cross-Sectional Studies ,Head and Neck Neoplasms ,Dental Prophylaxis ,Humans ,Female ,Fluorouracil ,Middle Aged ,Aged - Abstract
This study investigated the impact of dental prophylaxis on 5-fluorouracil (5-FU)-related oral mucositis (OM) according to the head and neck cancer (HNC) locations and treatment times.A total of 13,969 HNC participants, including 482 5-FU-related OM subjects and 13,487 comparisons were enrolled from the Longitudinal Health Insurance Database for Catastrophic Illness Patients of Taiwan between 2000 and 2008. All subjects were stratified into subgroups based on the times to perform chlorhexidine use, scaling, and fluoride application before 5-FU administration. The dental prophylaxis related to 5-FU-related OM was estimated by multiple logistic regression and represented with odds ratio (OR) and 95% confidence interval (CI).Fluoride gel application and scaling significantly impacted on OM development (p 0.001), and the joint effect of fluoride gel and scaling induced 5-FU-related OM (OR = 3.46, 95% CI = 2.39-5.01). The risk of OM was raised 2.25-fold as scaling within 3 weeks before 5-FU-related chemotherapy (95% CI = 1.81-2.81), and a 3.22-fold increased risk of OM while fluoride gel was applied during 5-FU-related treatment (95% CI = 1.46-7.13).Dental prophylaxis significantly affected 5-FU-related OM in the HNC population. A short interval between dental scaling or fluoride application and 5-FU administration may be associated with higher prevalence of OM. Scaling simultaneously combined with chlorohexidine promoted 5-FU-related OM in specific HNC patients excluding the oral cancer and nasopharyngeal cancer population. Proper timing of the prophylactic dental treatments prior to 5-FU therapy could reduce the risk to develop 5-FU-related OM.
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- 2020
9. The impact of a needs-oriented dental prophylaxis program on bacteremia after toothbrushing and systemic inflammation in children, adolescents, and young adults with chronic kidney disease
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Rasmus Ehren, Christina Taylan, Anna Turnowsky, Georg Plum, Lutz T. Weber, Hanna Witte, Michael J. Noack, and Karolin Höfer
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Nephrology ,Male ,Toothbrushing ,medicine.medical_specialty ,Adolescent ,Bacteremia ,Pilot Projects ,Systemic inflammation ,03 medical and health sciences ,Gingivitis ,Young Adult ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,Young adult ,Renal Insufficiency, Chronic ,Child ,business.industry ,Dental Prophylaxis ,030206 dentistry ,medicine.disease ,Cardiovascular Diseases ,Pediatrics, Perinatology and Child Health ,Cohort ,Female ,medicine.symptom ,business ,Kidney disease - Abstract
Background Chronic kidney disease (CKD) still leads to high mortality rates, mainly due to cardiovascular disease. One important influencing factor is persisting low-grade chronic inflammation partly maintained by gingivitis that favors transient bacteremia during daily activities such as toothbrushing. Methods To examine whether intensive dental prophylaxis can restore oral health, reduce the prevalence of bacteremia and degree of systemic inflammation indicated by CRP levels, we conducted this pilot study examining 30 CKD patients aged 6–26 years, 15 receiving intensive prophylaxis (IP), 15 receiving treatment as usual (TAU) serving as control group. There were three appointments for examination, each 10 ± 1 weeks apart (at baseline, after intervention periods one and two, when TAU also received IP, and the IP group stopped prophylaxis). Results The gingival index (GI) in the IP group decreased by 90% (GI 0.09; p=0.001), resulting in almost healthy gingiva. There was no significant change in CRP or prevalence of bacteremia. General prevalence of bacteremia after toothbrushing was 9.5% affecting 7 (26%) of the participants. In three participants, bacteremia dissolved after IP, in one after TAU. Two patients developed bacteremia ≥ 10 weeks after ending IP. We identified eight different bacterial species. Conclusions We were able to show that IP can effectively treat gingivitis. It might be a promising approach to reduce systemic inflammation and subsequently lower premature cardiovascular disease, despite the lack of statistical significance. Future research requires a larger patient cohort to enable matched treatment groups with long-term follow-up and molecular detection methods for bacteremia. Graphical abstract
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- 2021
10. Conventional versus comprehensive dental prophylaxis: comparing the clinical outcomes between rubber cup and air polishing and the importance of plaque disclosure
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Jia-Hui, Fu, Li Beng, Wong, Huei-Jinn, Tong, and Yu-Fan, Sim
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Adult ,Male ,Young Adult ,Dental Plaque ,Dental Prophylaxis ,Humans ,Female ,Single-Blind Method ,Disclosure ,Rubber ,Dental Polishing - Abstract
Objective: This study aimed to compare the clinical outcomes in dental prophylaxis between rubber cup polishing and an air polishing system using erythritol powder, with or without prior dental plaque disclosure. Method and materials: In this single-blind, randomized, controlled, split-mouth clinical trial, healthy participants with full-mouth plaque score ≥ 60% were recruited. Quadrants in each participant were randomly assigned to four treatment groups: air polishing with prior plaque disclosure; air polishing without plaque disclosure; rubber cup polishing with prior plaque disclosure; or rubber cup polishing without plaque disclosure. Plaque scores and treatment time for each quadrant were recorded. Posttreatment satisfaction questionnaires for both the participants and operators were also completed. Results: In total, 88 participants consisting of 42 men and 46 women (mean age 23.1 ± 2.0 years) were recruited. Air polishing with prior plaque disclosure had significantly lower posttreatment marginal mean plaque score (21.7 ± 17.5%) compared to air polishing (33.5 ± 23.4%) or rubber cup polishing (34.5 ± 19.7%) without prior plaque disclosure (P.001). Marginal mean treatment time for air polishing (325 seconds; SE = 10 seconds) was significantly shorter compared to rubber cup polishing (407 seconds; SE = 15 seconds) (P.001). Both the participants and operators preferred air polishing over rubber cup polishing (P.001). Conclusion: Prior plaque disclosure enhanced the effectiveness of plaque removal. Air polishing exhibited better treatment efficiency than rubber cup polishing and was the patients' and clinicians' preferred treatment modality.
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- 2021
11. Effectiveness of dental biofilm removal with different accessories during dental prophylaxis in pediatric patients
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Núñez Picado, Betzabé and Ulate Jiménez, Joseph
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biofilme dental ,pediátrica ,Pediatric dentistry ,dental plaque ,placa dental ,dental brushing ,profilaxia dentária ,cepillado dental ,profilaxis dental ,materiales dentales ,higiene dental ,Odontopediatría ,dental biofilm ,dental hygiene ,dental materials ,dental prophylaxis ,escovação dentária - Abstract
Resumen En odontología pediátrica un procedimiento sencillo y que es eficaz para introducir al niño al ambiente del consultorio dental es la profilaxis dental, y a la vez es indispensable para la remoción del biofilme dental a escala profesional. Se analizaron tres de los aditamentos más utilizados, la copa de hule, el cepillo para profilaxis convencional y el microcepillo ICB, este último para reforzar superficies oclusales con el objetivo de conocer cuál presenta una mayor efectividad en la remoción, se utilizó el cepillo dental convencional como control. Como resultado se observó que el cepillo para profilaxis es el aditamento de mayor eficacia en la remoción del biofilm dental en todas las superficies, con un porcentaje de remoción total de 70,57% con diferencia estadísticamente significativa respecto a los demás aditamentos. Abstract In pediatric dentistry, a simple procedure that is effective to introduce the child to the environment of the dental office is dental prophylaxis, at the same time it is indispensable for the removal of the dental biofilm at a professional level. Three of the most frequently used additives, the rubber cup, the conventional prophylaxis brush and the ICB microbrush were analyzed, the latter to reinforce occlusal surfaces in order to know which one has a greater effectiveness in the removal, the conventional toothbrush as control. As a result, the prophylaxis brush is the most effective additive in the removal of dental biofilm on all surfaces, with a total removal percentage of 70.57%, with a statistically significant difference with respect to the other accessories. Resumo Em odontologia pediátrica é um procedimento simples que é eficaz para introduzir a criança para o ambiente de escritório dental é profilaxia dentária, embora seja essencial para a remoção do biofilme dental profissionalmente. Três dos adjuvantes mais vulgarmente utilizados foram analisados, a taça de borracha, o convencional profilaxia e ICB microbrush última escova de reforçar superfícies de oclusão, a fim de saber qual tem uma remoção mais eficaz, a escova de dentes convencional é utilizada como controlo. A profilaxia escova resultante é a remoção mais eficaz de biofilme em todas as superfícies, com uma percentagem de remoção total de 70,57%, com diferen estatisticamente significativa relativamente aos outros adjuntos.
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- 2020
12. Serious antibiotic-related adverse effects following unnecessary dental prophylaxis in the United States
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Gregory S. Calip, Rose M. Perez, Katie J. Suda, Ronald C. Hershow, Charlesnika T. Evans, Jifang Zhou, Alan E. Gross, Jessina C. McGregor, and Susan A. Rowan
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Microbiology (medical) ,medicine.medical_specialty ,Epidemiology ,medicine.drug_class ,business.industry ,Dental Prophylaxis ,Antibiotics ,MEDLINE ,Endocarditis, Bacterial ,Antibiotic Prophylaxis ,United States ,Article ,Anti-Bacterial Agents ,Infectious Diseases ,medicine ,Humans ,Intensive care medicine ,business ,Adverse effect ,Dental Care - Published
- 2020
13. Appropriate prescribing of dental prophylaxis in patients with orthopedic implants
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Amy Steinhour and Jeremy Hodder
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medicine.medical_specialty ,Prosthesis-Related Infections ,Psychological intervention ,Nurse Assisting ,Formative assessment ,03 medical and health sciences ,Antimicrobial Stewardship ,0302 clinical medicine ,medicine ,Antimicrobial stewardship ,Humans ,Social media ,030212 general & internal medicine ,Arthroplasty, Replacement ,Digital divide ,030222 orthopedics ,Medical education ,Public health ,Arthritis ,Dental Prophylaxis ,Prostheses and Implants ,Antibiotic Prophylaxis ,Child development ,Mental health ,United States ,Orthopedics ,Psychology - Abstract
Over the past 2 decades, personal digital devices have evolved to become portable, attractive, readily accessible, interactive, and ubiquitous. Although digital and social media have evidence-based benefits, including early learning, exposure to new ideas and knowledge, and increased opportunities for social contact and support, unsupervised and unchecked use of personal digital devices can have negative consequences for the physical and mental health of children in their formative years.The widespread use of portable digital devices has been accompanied by a concomitant rise in the prevalence of physical and mental health issues in children. Research suggests an association between these trends, which also may be considered from a public health perspective. Proposed interventions include the development and implementation of individual family media use plans for children of all ages.
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- 2020
14. Policy on the Role of Dental Prophylaxis in Pediatric Dentistry
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Policy ,Societies, Dental ,Pediatric Dentistry ,Dental Prophylaxis ,Humans ,Child - Published
- 2020
15. Influence of dental prophylaxis procedures on the tooth veneer interface in resin-based composite and polymer-infiltrated ceramic veneer restorations: an in vitro study
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Lena Unterschütz, Florian Fuchs, Laura-Antonia Mayer, Andreas Koenig, Nadia Challakh, Ellen Schulz-Kornas, Dirk Ziebolz, and Sebastian Hahnel
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General Dentistry - Abstract
Objectives The aim of this study was to investigate the influence of dental prophylaxis cleaning procedures and artificial aging on veneers in human teeth. The external marginal and internal tooth veneer as well as the restoration surfaces were examined. Material and methods Thirty-two extracted premolars were restored with resin-based composite (RBC) and polymer-infiltrated ceramic network (PICN) veneers. Artificial aging by alternating thermocycling and subsequent prophylaxis procedure (glycine-based powder air polishing or ultrasonic scaling) was conducted for five consecutive cycles. The external marginal interface was examined by height profile measurements and the internal interface was investigated using micro X-ray computed tomography. In addition, the surface texture of the veneer surface was analyzed using confocal laser scanning microscopy. Results The application of both prophylaxis procedures resulted in a deepening of the marginal interface (10 µm ± 8 µm) for materials. Furthermore, the internal interface of PICN restorations showed marginal gaps after both treatments and artificial aging (16 µm ± 3 µm). In contrast to the RBC specimens, a significant increase in surface roughness was identified for PICN veneers after ultrasonic scaling. Conclusions The marginal and internal interface regions in veneers fabricated from PICN and RBC were affected by prophylaxis procedures. Furthermore, it may result in increased veneer surface roughness, especially in PICN and after ultrasonic scaling, which might affect bioadhesion and longevity. Clinical relevance After dental prophylaxis procedures, examination of the marginal and the internal interface as well as the veneer surface provides a precise insight into damage mechanisms and offers an assessment of longevity.
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- 2022
16. Photobiomodulation as an Inflammatory Therapeutic Following Dental Prophylaxis in Canines
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Cord M. Brundage and Andrea H Watson
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Male ,medicine.medical_specialty ,Erythema ,business.industry ,Dental Prophylaxis ,Biomedical Engineering ,Gingiva ,food and beverages ,Dermatology ,stomatognathic diseases ,Dogs ,Edema ,Medicine ,Animals ,Radiology, Nuclear Medicine and imaging ,Female ,medicine.symptom ,Lasers, Semiconductor ,Low-Level Light Therapy ,business ,Periodontal Diseases - Abstract
Objective: The aim of this study was to determine if a single photobiomodulation treatment can reduce oral erythema and edema following routine dental prophylaxis in canines. Background: P...
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- 2019
17. 5 Dental Prophylaxis
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Markus Eickhoff
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business.industry ,Dental Prophylaxis ,Dentistry ,Medicine ,business - Published
- 2020
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18. Dental Prophylaxis and Osteoradionecrosis: A Population-Based Study
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Chih-Hsin Muo, Chun-Hao Tsai, Shih Ping Liu, C. T. Chang, and Y. F. Huang
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Male ,Osteoradionecrosis ,medicine.medical_treatment ,Mouthwashes ,Taiwan ,Dentistry ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,medicine ,Humans ,Fluorides, Topical ,Longitudinal Studies ,General Dentistry ,Aged ,Retrospective Studies ,business.industry ,Dental Prophylaxis ,Incidence (epidemiology) ,Chlorhexidine ,Hazard ratio ,Head and neck cancer ,030206 dentistry ,Middle Aged ,respiratory system ,medicine.disease ,Radiation therapy ,Head and Neck Neoplasms ,Case-Control Studies ,030220 oncology & carcinogenesis ,Practice Guidelines as Topic ,Cohort ,Anti-Infective Agents, Local ,Female ,sense organs ,business ,medicine.drug - Abstract
The aim of this study was to investigate the association of different dental prophylactic modalities and osteoradionecrosis (ORN) and determine the risk of ORN under different timing periods of scaling, with the use chlorhexidine mouth rinse after surgery and with different strategies of fluoride gel application in head and neck cancer (HNC) participants. A cohort of 18,231 HNC participants, including 941 ORN patients and 17,290 matched control cases, were enrolled from a Longitudinal Health Insurance Database for Catastrophic Illness Patients (LHID-CIP) in Taiwan. Based on different dental prophylactic modalities before radiotherapy, including chlorhexidine mouth rinse, scaling, and fluoride gel, all HNC subjects were stratified into different groups. The Cox proportional hazard regression was used to compare ORN incidences under different dental prophylactic modalities. The results revealed that scaling and chlorhexidine mouth rinse were significantly related to ORN risk ( P = 0.004 and P < 0.0001). Chlorhexidine mouth rinse was highly correlated to ORN occurrence (hazard ratio [HR], 1.83–2.66), as exposure increased the risk by 2.43-fold among oral cancer patients, regardless of whether they had received major oral surgery or not. Oral cancer patients receiving scaling within 2 wk before radiotherapy increased their incidence of ORN by 1.28-fold compared with patients who had not undergone scaling within 6 mo. There is no significance of fluoride application for dental prophylaxis in increasing ORN occurrence. In conclusion, dental prophylaxis before radiotherapy is strongly correlated to ORN in HNC patients. Chlorhexidine exposure and dental scaling within 2 wk before radiotherapy is significantly related to ORN risk, especially in oral cancer patients. The use of 1.1% NaF topical application did not significantly increase the risk of ORN in HNC patients. An optimal dental prophylaxis protocol to reduce ORN should concern cancer location, cautious prescription of chlorhexidine mouth rinse, and proper timing of scaling.
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- 2017
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19. Effect of Photobiomodulation on Erythema and Edema following Dental Prophylaxis in Dogs
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Cord M. Brundage and Andrea H Watson
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medicine.medical_specialty ,Erythema ,business.industry ,Dental Prophylaxis ,Edema ,Genetics ,Medicine ,medicine.symptom ,business ,Molecular Biology ,Biochemistry ,Dermatology ,Biotechnology - Published
- 2019
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20. The Effect of Photobiomodulation Therapy on Inflammation Following Dental Prophylaxis
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João C. Alves, Patricia Jorge, and Ana Santos
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General Veterinary - Abstract
To evaluate the effectiveness of photobiomodulation therapy (PBMT) in reducing gingivitis following professional dental prophylaxis in dogs in a prospective, randomly controlled, double-blind study. The study included 47 dogs (male n = 23, female n = 24), with a mean age of 6.5 ± 2.6 years and a bodyweight of 28.9 ± 5.3 kg. Breeds included: Belgian Malinois Shepherd Dogs (n = 23), German Shepherd Dogs (n = 14), Labrador Retriever (n = 4), and Dutch Shepherd Dogs (n = 3). The left side of the mouth was treated by performing dental prophylaxis (control group). The right side received dental prophylaxis and a single session of PBMT using a Class IV therapeutic laser (treatment group). Each side was graded individually for periodontal disease (PD), gingivitis, and calculus. Follow-up observations were conducted on days 1, 3, 8, and 15 post-treatment. Results were compared using a Mann-Whitney Test. Multiple regression was run to predict PD, gingivitis, and calculus scores using age, sex, and breed. A p
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- 2023
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21. Effect of fluoride application after dental prophylaxis by the type of dental floss
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Myung-Ok Ha, Minjung Cho, Kyung-Hee Kim, and Nam-Hee Hong
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Saliva ,Materials science ,Enamel paint ,business.industry ,Dental Prophylaxis ,05 social sciences ,Significant difference ,Dentistry ,030206 dentistry ,050105 experimental psychology ,Caries lesion ,stomatognathic diseases ,03 medical and health sciences ,Dental floss ,chemistry.chemical_compound ,0302 clinical medicine ,stomatognathic system ,chemistry ,visual_art ,visual_art.visual_art_medium ,0501 psychology and cognitive sciences ,business ,Fluoride ,Permanent teeth - Abstract
Objectives: This study was carried out to investigate the effect of fluoride application after dental prophylaxis by the type of dental floss. Methods: Artificial caries lesion was made on the surface of cow's permanent teeth having sound enamel surface and vickers hardness number(VHN) was measured. Specimens were classified into APF gel group and artificial saliva group. Each group was divided into waxed floss group and unwaxed flossed group. All specimens were immersed into the artificial saliva for one minute and dental f lossing was applied to waxed or unwaxed floss. After washing and drying, APF gel groups were applied with fluoride for four minutes an d artificial saliva groups were immersed into the artificial saliva for four minutes. After treatment, specimens were measured by VHN and surface conditions of enamel were confirmed by scanning electron microscopy(SEM). Results: VHN of waxed flossing and fluoride application group increased to 6.78±2.75. VHN of unwaxed flossing and fluoride application group increased to 7.36±2.51. There was no significant difference between waxed and unwaxed groups(p>0.05). VHN of waxed flossi ng and artificial saliva group increased to 1.07±2.84. VHN of waxed flossing and artificial saliva group increased to 1.05±3.13. There was no significant difference between waxed and unwaxed groups(p>0.05). There was significant increase in VHN between waxed/unwaxed flossing and fluoride application. However, waxed/unwaxed flossing with artificial saliva showed no significant V HN increase. SEM demonstrated no residue on the enamel surface in the waxed flossing groups.
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- 2016
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22. The role of proper maternal nutrition during pregnancy for caries prevention in both mother and child. Opinion of the working group of the Polish Alliance for a Cavity-Free Future on dental prophylaxis in pregnant women
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Renata Chałas, Angelika Kobylińska, Elżbieta Pels, Anna Szulik, and Magdalena Kukurba-Setkowicz
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stomatognathic diseases ,medicine.medical_specialty ,Alliance ,business.industry ,Family medicine ,Dental Prophylaxis ,medicine ,Maternal nutrition during pregnancy ,business - Abstract
Introduction. Proper nutrition in pregnancy has effects on the health and well-being of the mother as well as is a key factor responsible for foetal growth and development, which are initiated at conception and last throughout pregnancy. Aim. The aim of the paper was to present relevant data on the role of prenatal maternal nutrition for caries prevention in both mother and child. Material and methods. Pubmed, EMBASE, MEDLINE, guidelines of dental associations and World Health Organization were searched using the following keywords: “diet”, “dentition”, “pregnancy”, “oral health in pregnancy”. Results. The diet of a pregnant woman should be well-balanced and rich in proteins, calcium, phosphorus, fluorine and vitamins (A, C and D). Women should avoid sneaks between meals or at night to avoid dental plaque accumulation and oral pH decrease. Balanced nutrition influences the development of future nutritional habits of the child as taste receptors begin to develop already at month 4 of pregnancy. High maternal consumption of confectionery in this period may in the future increase the child’s tendency to consume sweet food products. Conclusions. There is a need to intensify dental prophylaxis among pregnant women through introduction and promotion of proper nutrition in dental offices, up-dating teaching programs for dental hygienists and education in birth schools.
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- 2018
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23. A Retrospective Analysis Of Dental Extraction Sparing Pre Radiotherapy Dental Prophylaxis In Head And Neck Cancers In Younger Patients
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Deepayan Bhowmik and Aviraj Datta
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Cancer Research ,Radiation ,business.industry ,medicine.medical_treatment ,Dental Prophylaxis ,Dentistry ,Radiation therapy ,Oncology ,Dental extraction ,medicine ,Retrospective analysis ,Radiology, Nuclear Medicine and imaging ,Head and neck ,business - Published
- 2020
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24. Dental prophylaxis and 5-fluorouracil related oral mucositis in head and neck cancer patients: A population-based cohort study
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C.-T. Chang and Y.-F. Huang
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medicine.medical_specialty ,business.industry ,Dental Prophylaxis ,Head and neck cancer ,Cancer ,Hematology ,Odds ratio ,medicine.disease ,Confidence interval ,Clinical trial ,Oncology ,Internal medicine ,medicine ,Mucositis ,business ,Stroke - Abstract
Background It is hard to prevent 5-fluorouracil (5-FU) related oral mucositis (OM). The aim of this study was to determine the association between dental prophylactic modalities and the risk of OM in HNC patients with 5-FU-related treatment. Methods During 2000 to 2008, 20,715 HNC (ICD-9-CM 140-149) patients with newly 5-FU-related chemotherapy were selected from the registry of LHID-CIP, and the date of 5-FU therapy initiation was defined as the index date. These HNC patients were stratified into three groups according to their cancer locations: oral cancers (ICD-9-CM 140-145), nasopharyngeal cancer (NPC, ICD-9-CM 147) and other cancers (ICD-9-CM 146, 148 and 149).The end date was defined as the date of OM diagnosis, withdrawal from the NHI program, or the 21thday after the day of 5-FU therapy initiation, whichever came first. Patients with OM diagnosis (ICD-9 CM 528.00, 528.01, 528.2, and 528.9). The records of dental treatment was determined for each patient within 180 days prior to the index date, which included fluoride gel application, chlorhexidine mouth rinse, scaling, and major oral surgery. Based on the different dental prophylactic modalities, all HNC subjects were stratified into different groups. Odds ratios (OR) and 95% confidence intervals (CI) were determined by multiple logistic regression model. Results 13,969 HNC participants, including 482 5-FU-related OM subjects and 13,487 controls were enrolled. Fluoride gel application and scaling were significantly related to OM development (p Conclusions This study highlighted a remarkable association between dental prophylactic modalitiesand the risk of 5-FU-related OM in HNC population.Clinical practitioners have to be vigilant about the joint effect of scaling and fluoride gel application in the increased risk of OM. Optimal timing of scaling and appropriate fluoride gel application strategy are necessary in reducing the risk of 5-FU-related OM. Editorial acknowledgement This study is supported in part by Taiwan Ministry of Health and Welfare Clinical Trial and Research Center of Excellence (MOHW105-TDU-B-212-133019), China Medical University Hospital, Academia Sinica Taiwan Biobank Stroke Biosignature Project (BM10501010037), NRPB Stroke Clinical Trial Consortium (MOST 105-2325-B-039-003), Chang Gung Memorial Hospital (CMRPG3I0151), Far Eastern Memorial Hospital (FEMH-2019-C-039), Tseng-Lien Lin Foundation, Taichung, Taiwan, Taiwan Brain Disease Foundation, Taipei, Taiwan, and Katsuzo and Kiyo Aoshima Memorial Funds, Japan. Legal entity responsible for the study The authors. Funding Has not received any funding. Disclosure All authors have declared no conflicts of interest.
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- 2019
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25. Effect of Dental Prophylaxis Techniques on the Surface Roughness of Resin Composites
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Isabella A Gomes, Rudys Rodolfo De Jesus Tavarez, Hevylla Ggs Mendes, Matheus Coelho Bandeca, Cláudia de Castro Rizzi, Cecilia Pedroso Turssi, Etevaldo Matos Maia Filho, Ana Jc Vasconcelos, and Mario G Nina
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Sodium bicarbonate ,Rubber Cup ,Materials science ,Surface Properties ,Dental Prophylaxis ,Silicates ,Composite number ,Polishing ,030206 dentistry ,Surface finish ,Composite Resins ,Dental Polishing ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Sodium Bicarbonate ,chemistry ,Distilled water ,Surface roughness ,Composite material ,General Dentistry ,030217 neurology & neurosurgery - Abstract
AIM The aim of this study is to evaluate the effect of dental prophylaxis techniques on surface roughness of composite resins. MATERIALS AND METHODS A total of 36 nanohybrid resin composite test specimens were fabricated and divided into three groups (n = 12). They were kept in distilled water at 37°C for 24 hours and submitted to the finishing and polishing technique. For the prophylactic techniques, in group G1, a mixture of pumice stone and distilled water was used with the aid of a rubber cup; in group G2, Herjos-F prophy paste was used with a rubber cup; and in group G3, a bicarbonate jet spray was used. Afterward, all the samples were repolished using the Soflex pop-on disks. A roughness meter was used to measure surface roughness at three points in time: Before the prophylactic techniques (1st evaluation), afterward (2nd evaluation), and following repeat polishing (3rd evaluation). RESULTS It was found that roughness values changed significantly between the 1st and 2nd evaluations (p < 0.05) and between the 2nd and 3rd evaluations (p < 0.05), showing that the change in roughness depended on the type of prophylactic treatment. Roughness was significantly higher after the bicarbonate jet (p < 0.05). CONCLUSION Prophylaxis using the sodium bicarbonate jet significantly altered the roughness of nanoparticle-reinforced resin. CLINICAL SIGNIFICANCE Dental prophylaxis is the most common practice employed to remove bacterial plaque and other coatings. However, one side effect of the cleaning may be a rougher surface subject to degradation and staining. The correct use of prophylactic devices and avoiding prolonged use on resin restorations reduce surface roughness.
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- 2018
26. Dental prophylaxis decreases the risk of acute myocardial infarction: a nationwide population-based study in Taiwan
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Lee YL, Hu HY, Chou P, and Chu D
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Geriatrics ,periodontal disease ,RC952-954.6 ,acute myocardial infarction ,dental scaling ,dental prophylaxis - Abstract
Ya-Ling Lee,1,2 Hsiao-Yun Hu,2,3 Pesus Chou,2 Dachen Chu2,4,5 1Department of Dentistry, Taipei City Hospital, 2Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, 3Department ofEducation and Research, Taipei City Hospital, 4Department ofHealth Care Management, National Taipei University of Nursing and Health Sciences, 5Department ofNeurosurgery, Taipei City Hospital, Taipei, Taiwan Purpose: To investigate the association between periodontal disease (PD) and acute myocardial infarction (AMI), and evaluate the effect of dental prophylaxis on the incidence rate (IR) ofAMI.Methods: The Longitudinal Health Insurance Database 2000 from the National Health Insurance program was used to identify 511,630 patients with PD and 208,713 without PD during 2000–2010. Subjects with PD were grouped according to treatment (dental prophylaxis, intensive treatment, and PD without treatment). The IRs of AMI during the 10-year follow-up period were compared among groups. Cox regression analysis adjusted for age, sex, socioeconomic status, residential urbanicity, and comorbidities was used to evaluate the effect of PD treatment on the incidence of AMI.Results: The IR of AMI among subjects without PD was 0.19%/year. Among those with PD, the IR of AMI was lowest in the dental prophylaxis group (0.11%/year), followed by the intensive treatment (0.28%/year) and PD without treatment (0.31%/year; P
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- 2015
27. Study on Preventive Dental Prophylaxis Laboratory Environment and Infection Prevention Awareness of Visitor Benefiting
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Hye-jin Kim
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Anesthesiology and Pain Medicine ,Nursing ,business.industry ,Visitor pattern ,Dental Prophylaxis ,medicine ,Infection control ,Medical emergency ,medicine.disease ,business - Published
- 2015
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28. SUBCUTANEOUS EMPHYSEMA DUE TO DENTAL PROPHYLAXIS
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Giovanna Lopes Lanza, Ana Luiza Rodrigues Gomes, Luiza Carvalho Lamounier Cardoso, Marcelo Ferreira Pinto Cardoso, and Giovanna Ribeiro Souto
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Radiology, Nuclear Medicine and imaging ,Dentistry (miscellaneous) ,Surgery ,Oral Surgery ,Pathology and Forensic Medicine - Published
- 2022
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29. Effect of professional dental prophylaxis on the surface gloss and roughness of CAD/CAM restorative materials
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Toshiko Sugiyama, Akiko Haruyama, Setsuko Sugiyama, Atsushi Kameyama, Aoi Chiba, Toshiyuki Takahashi, Makoto Hosaka, and Tomoka Enokuchi
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Materials science ,0206 medical engineering ,Composite number ,Polishing ,Dentistry ,02 engineering and technology ,Surface finish ,Operative Dentistry and Endodontics ,03 medical and health sciences ,0302 clinical medicine ,Surface roughness ,Ceramic ,Composite material ,General Dentistry ,business.industry ,Dental Prophylaxis ,Research ,030206 dentistry ,CIENCIAS MÉDICAS [UNESCO] ,020601 biomedical engineering ,Gloss (optics) ,visual_art ,UNESCO::CIENCIAS MÉDICAS ,visual_art.visual_art_medium ,Profilometer ,business - Abstract
Background This study aimed to evaluate the effect of dental prophylaxis on the surface gloss and roughness of different indirect restorative materials for computer-aided design/computer-aided manufacturing (CAD/CAM): two types of CAD/CAM composite resin blocks (Shofu Block HC and Estelite Block) and two types of CAD/CAM ceramic blocks (IPS Empress CAD and Celtra DUO). Material and methods After polishing the CAD/CAM blocks and applying prophylaxis pastes, professional dental prophylaxis was performed using four different experimental protocols (n = 5 each): mechanical cleaning with Merssage Regular for 10 s four times (Group 1); four cycles of mechanical cleaning with Merssage Regular for 10 s and Merssage Fine for 10 s (Group 2); four cycles of mechanical cleaning with Merssage Regular for 10 s and Merssage Fine for 30 s (Group 3); and mechanical cleaning with Merssage Fine for 10 s four times (Group 4). A glossmeter was used to measure surface gloss before and after mechanical cleaning, and a contact stylus profilometer was used to measure surface roughness (Ra). Results Polishing with prophylactic paste led to a significant reduction in surface gloss and increase in surface roughness among resin composite blocks, whereas the polishing-related change in surface gloss or roughness was smaller in Celtra DUO, a zirconia-reinforced lithium silicate block. Conclusions Changes in surface gloss and roughness due to polishing with a prophylactic paste containing large particles were not improved by subsequent polishing with a prophylactic paste containing fine particles. Key words:CAD/CAM, professional dental prophylaxis, prophylactic paste, surface gloss, surface roughness.
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- 2017
30. Effect of 0.12% chlorhexidine in reducing microorganisms found in aerosol used for dental prophylaxis of patients submitted to fixed orthodontic treatment
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Myrela Galvão Cardoso Costa, Ana Cristina Azevedo Moreira, Isis Rodrigues Menezes dos Santos, and Marcelo de Castellucci e Barbosa
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Adult ,Male ,Adolescent ,Air microbiology ,Air Microbiology ,Mouthwashes ,Dentistry ,Orthodontics ,Orthodontics, Corrective ,Air contamination ,Aerosol propellant ,chemistry.chemical_compound ,Young Adult ,stomatognathic system ,Orthodontic Appliances ,medicine ,Humans ,Statistical analysis ,Longitudinal Studies ,Child ,Aerosolization ,Effects of air contamination ,Aerosols ,Sodium bicarbonate ,Bacteria ,business.industry ,Dental Prophylaxis ,Propelentes de aerossol ,Chlorhexidine ,Clorexidina ,Efeitos da contaminação do ar ,Bacterial Load ,lcsh:RK1-715 ,Sodium Bicarbonate ,chemistry ,lcsh:Dentistry ,Air Pollution, Indoor ,Anti-Infective Agents, Local ,Original Article ,Female ,Oral Surgery ,business ,medicine.drug - Abstract
OBJECTIVE: This study aimed at assessing, in vivo, whether the prior use of 0.12% chlorhexidine as mouthwash would decrease air contamination caused by aerosolized sodium bicarbonate during dental prophylaxis. The study was conducted with 23 patients aged between 10 and 40 years old who were randomly selected and undergoing fixed orthodontic treatment. METHODS: The study was divided into two phases (T1 and T2) with a 30-day interval in between. In both phases, dental prophylaxis was performed with aerosolized sodium bicarbonate jetted to the upper and lower arches for 4 minutes. In T1, 10 minutes before the prophylaxis procedure, the participants used distilled water as mouthwash for one minute; whereas in T2, mouthwash was performed with 0.12% chlorhexidine. Microbial samples were collected in BHI agar plates for microbiological analysis. Two dishes were positioned on the clinician (10 cm from the mouth) and a third one at 15 cm from the patient's mouth. The samples were incubated for 48 hours at 37°C. Results were expressed in colony-forming units (CFU). RESULTS: Statistical analysis carried out by means of Student's t test, as well as Wilconxon and Kruskal-Wallis tests revealed that the prior use of 0.12% chlorhexidine as mouthwash significantly reduced CFU in the three positions studied (P < 0.001). CONCLUSION: The prior use of 0.12% chlorhexidine as mouthwash significantly reduced contamination caused by aerosolized sodium bicarbonate during dental prophylaxis in the orthodontic clinic. OBJETIVO: avaliar, in vivo, se a utilização prévia do bochecho com clorexidina a 0,12% diminui a contaminação do ar gerada pelo jato de bicarbonato de sódio durante a profilaxia dentária. O estudo foi realizado com 23 pacientes, na faixa etária entre 10 e 40 anos, escolhidos aleatoriamente, que faziam uso de aparelho ortodôntico fixo. MÉTODOS: o estudo foi dividido em duas fases (T1 e T2), com intervalo de 30 dias entre elas. Em ambas, foi realizada profilaxia dentária com jato de bicarbonato de sódio na arcada superior e inferior, durante quatro minutos. Em T1, 10 minutos antes do procedimento, os participantes realizaram bochecho com água destilada durante um minuto, e, em T2, o bochecho foi realizado com clorexidina a 0,12%. Amostras dos microrganismos foram coletadas em placas de ágar BHI para análise microbiológica, sendo duas placas posicionadas no profissional (a 10cm da boca) e uma terceira a 15cm da boca do paciente. Após a coleta, as placas foram incubadas por 48 horas a 37°C. O resultado foi expresso em número de unidades formadoras de colônias (UFC). RESULTADOS: após análise estatística utilizando teste t de Student, teste de Wilconxon e teste de Kruskal-Wallis, observou-se que o bochecho prévio com clorexidina a 0,12% reduziu significativamente a média de UFC nas três posições estudadas (p < 0,001). CONCLUSÃO: os resultados permitem concluir que o bochecho prévio com clorexidina a 0,12% proporcionou uma redução estatisticamente significativa na contaminação gerada por meio do jato de bicarbonato de sódio durante a profilaxia dentária na clínica ortodôntica.
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- 2014
31. Policy on the Role of Dental Prophylaxis in Pediatric Dentistry
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Pediatric Dentistry ,Health Policy ,Dental Prophylaxis ,Humans ,Child ,United States - Published
- 2017
32. Analysis of factors affecting the scaling experience of patients visiting the dental prophylaxis practice lab
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Gyu-Yil Choi and Yun-Hyun-Kyung
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stomatognathic diseases ,medicine.medical_specialty ,business.industry ,Dental Prophylaxis ,Family medicine ,medicine ,Dentistry ,Oral health care ,Dental hygiene ,Oral health ,Logistic regression ,business - Abstract
Received : 24 July, 2013 Revised : 7 November, 2013 Accepted : 3 December, 2013 ABSTRACT Objectives : The purpose of this study is to establish the regular scaling checkup service and to improve oral health care on the basis of knowledge, attitude, and belief by Dental Prophylaxis Practice Lab in A university. Methods : Subjects were 324 patients who visited Dental Prophylaxis Practice Lab in A university for the preventive removal of tartar from April to June 8, 2012. Data were analyzed using SPSS version 18.0 through the frequency analysis, chi-test, and logistics regression analysis. Corresponding Author Gyu-Yil Choi Department of Dental Hygiene Chungcheong University 38 Wolgok-Gil, Gangnae-Myeon Cheongwon-Gun Chungcheongbuk-Do, 363-792, korea. Tel : +82-43-230-2475, +82-10-4856-3466 Fax : +82-43-230-2669 E-mail : edugy@hanmail.net Results : In relation to scaling experience by age, 65.3% had experienced scaling checkup and those between 20 to 29 (34.7%) did not receive the scaling therapy. Smokers tended to have received more scaling experience than nonsmokers. Second, the number of untreated dental caries and missing teeth due to dental caries were important because the variables of oral health condition affected the scaling experience. Conclusions : It is necessary to increase the scaling experience and regular dental checkup by providing the education to improve dental clinics visit based on the knowledge and belief towards the scaling.
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- 2013
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33. Dental Prophylaxis and Periodontal Treatment Are Protective Factors to Ischemic Stroke
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Nicole Huang, Ya Ling Lee, De Kuang Hwang, Dachen Chu, Hsiao Yun Hu, and Pesus Chou
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Adult ,Male ,Risk ,medicine.medical_specialty ,Databases, Factual ,Comorbidity ,Brain Ischemia ,Cohort Studies ,Brain ischemia ,Internal medicine ,medicine ,Humans ,Stroke ,Periodontal Diseases ,Aged ,Proportional Hazards Models ,Retrospective Studies ,Advanced and Specialized Nursing ,Models, Statistical ,Proportional hazards model ,business.industry ,Incidence ,Incidence (epidemiology) ,Dental Prophylaxis ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Surgery ,Regression Analysis ,Female ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,business ,Cohort study - Abstract
Background and Purpose— A correlation has been found between periodontal disease (PD) and stroke. This study was conducted to investigate whether dental prophylaxis and periodontal treatment reduce the incidence rate (IR) of ischemic stroke. Methods— We identified 510 762 PD cases and 208 674 non-PD subjects from January 1, 2000, to December 31, 2010. The PD cases were divided into dental prophylaxis, intensive treatment, and no treatment groups. The stroke IRs were assessed among groups during follow-up. Cox regression analysis was used after adjustment for age, sex, and comorbidities to determine the relationship between periodontal treatment and incidence of ischemic stroke. Results— The stroke IR of the non-PD subjects was 0.32%/year. In the PD group, subjects who received dental prophylaxis had the lowest stroke IR (0.14%/year); subjects with intensive treatment or tooth extraction had a higher stroke IR (0.39%/year); and subjects without PD treatment had the highest stroke IR (0.48%/year; P Conclusions— Maintaining periodontal health by receiving dental prophylaxis and PD treatment can help reduce the incidence of ischemic stroke.
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- 2013
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34. 1895. Serious Antibiotic-Related Adverse Effects Following Unnecessary Dental Prophylaxis in the United States
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Alan E. Gross, Charlesnika T. Evans, Ronald C. Hershow, Rose M. Perez, Katie J. Suda, Gregory S. Calip, Susan A. Rowan, Jifang Zhou, and Jessina C. McGregor
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medicine.medical_specialty ,business.industry ,Surrogate endpoint ,medicine.drug_class ,Dental Prophylaxis ,Antibiotics ,Absolute risk reduction ,Clindamycin ,Amoxicillin ,Abstracts ,Infectious Diseases ,Oral Abstracts ,Oncology ,Medicine ,Antibiotic prophylaxis ,business ,Adverse effect ,Intensive care medicine ,medicine.drug - Abstract
Background Dentists prescribe 10% of outpatient antibiotics in the United States, with a significant portion of these being for prophylaxis. We previously found that 80% of prescriptions for prophylaxis prescribed prior to dental visits are unnecessary; however, the sequelae of these unnecessary antibiotics have not been characterized. Our objective was to assess the harms of unnecessary antibiotic prophylaxis using Truven, a national health claims database. Methods This was a retrospective cohort study of patients with dental visits from 2011 to 2015 linked to medical and prescription claims. Patients with commercial dental insurance without a hospitalization or extra-oral infection 14 days prior to antibiotic prophylaxis (≤2 days supply dispensed within 7 days before a dental visit) were assessed for inclusion. Patients with unnecessary antibiotic prophylaxis (defined as antibiotic prophylaxis in patients who both did not undergo a procedure that manipulated the gingiva/tooth periapex and did not have an appropriate cardiac diagnosis) were included and assessed for serious antibiotic-related adverse effects (AAE). The primary endpoint was the cumulative incidence of any AAE within 14 days post-prescription (composite of allergy, anaphylaxis, C. difficile infection, or ED visit). The secondary analyses were the cumulative incidence of each individual AAE and the risk difference of the primary endpoint between amoxicillin and clindamycin. Results Of the 168,420 dental visits with antibiotic prophylaxis, 136,177 (80%) were unnecessary and included for analysis. 3.8% of unnecessary prescriptions were associated with an AAE; primary and secondary endpoints are listed in the Table. ED visits (1.2%) and new allergies (2.9%) were most frequent. Clindamycin was associated with more AAE than amoxicillin (risk difference 322.1 per 1000 person-years, 95% CI: 238.5 - 405.8). Conclusion Even though antibiotic prophylaxis is prescribed for a short duration (≤2 days), it is not without risk. Since most AAE are diagnosed in medical settings, dentists may not be aware of these adverse effects. These data provide further impetus to decrease unnecessary prescribing of antibiotic prophylaxis prior to dental procedures. Disclosures All Authors: No reported Disclosures.
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- 2019
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35. Comparison of two methods of dental prophylaxis: evaluation of arterial pressure and patient comfort in a clinical randomized controlled trial
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Mauro Pedrine Santamaria, Lucio Murilo dos Santos, Maria Aparecida Neves Jardini, Antonio Braulino de Melo Filho, Camila Lopes Ferreira, and Universidade Estadual Paulista (Unesp)
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medicine.medical_specialty ,Visual analogue scale ,bicarbonate sodium ,Bicarbonate ,lcsh:Medicine ,ensaio clínico ,030204 cardiovascular system & hematology ,law.invention ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Randomized controlled trial ,law ,medicine ,pressão arterial ,Lead (electronics) ,Sodium bicarbonate ,business.industry ,Dental Prophylaxis ,lcsh:R ,Dental prophylaxis ,bicarbonato de sódio ,clinical trial ,030206 dentistry ,General Medicine ,Surgery ,lcsh:RK1-715 ,Blood pressure ,chemistry ,Profilaxia dentária ,lcsh:Dentistry ,Anesthesia ,Analysis of variance ,arterial pressure ,business - Abstract
Made available in DSpace on 2018-11-12T17:27:09Z (GMT). No. of bitstreams: 0 Previous issue date: 2016-06-01. Added 1 bitstream(s) on 2018-11-12T17:35:05Z : No. of bitstreams: 1 S1807-25772016000300177.pdf: 817530 bytes, checksum: c6fdc1c4c6a98458da48e54c4b970737 (MD5) ResumoIntrodução A quantidade de pacientes hipertensivos está aumentando e, a profilaxia com jato de bicarbonato de sódio é bastante empregada na prática clínica usando grande quantidade dessa substância em um período curto de tempo que poderia aumentar a pressão arterial.Objetivo Foi avaliado a alteração da pressão arterial antes e após os dois métodos de profilaxia dental e obtido a opinião de conforto do paciente em relação a esses métodos.Material e método Selecionou-se 20 pacientes, na faixa etária de 18 a 30 anos, que necessitavam de profilaxia para remoção de biofilme dental e foram submetidos aos três tipos diferentes de tratamento: jato de bicarbonato de sódio (G1), profilaxia convencional (G2), e controle (G3), em intervalos de um mês entre eles. Os pacientes foram divididos de forma randomizada. As aferições realizaram-se antes da profilaxia, imediatamente ao fim do procedimento, 15 e 30 minutos após o término do tratamento. O conforto do paciente foi medido por meio de uma Escala Analógica Visual (VAS) após o final de cada tratamento. Os dados foram analisados por meio de teste de Variância.Resultado Houve diferença estatisticamente significante quanto ao conforto dos procedimentos, sendo G2 e G3 melhores que G1. Observou-se aumento da pressão arterial diastólica no grupo jato de bicarbonato de sódio imediatamente após a profilaxia.Conclusão A profilaxia convencional é mais confortável do ponto de vista do paciente e não altera a pressão arterial. AbstractIntroduction The number of hypertensive patients is increasing and prophylaxis with bicarbonate jet are widely performed in clinical practice using large amounts of this substance in a short period of time, which may lead to increased arterial pressure. In the literature there are several studies that analyze the effect of sodium bicarbonate jet on the biofilm and dental structures, but not report the effect on arterial pressure.Aim Evaluated the change in arterial pressure before and after two procedures of dental prophylaxis, jet baking soda application and conventional prophylaxis, and patient opinion of the comfort of each system was obtained.Material and method We selected 20 patients aged 18 to 30 in need of prophylaxis to remove biofilm. The patients were placed into three different treatment groups: sodium bicarbonate jet (G1), conventional prophylaxis (G2) and control (G3), with a one month interval between treatments. Patients were divided into groups randomly. Measurements were performed immediately before and after the procedure, 15 and 30 minutes after the end of treatment. Patient comfort was measured using a Visual Analog Scale (VAS) at the end of each treatment. Data were analyzed by analysis of variance.Result There was a statistically significant difference in the comfort of the procedures, with G2 and G3 being better than G1. Additionally, an increase in the diastolic blood pressure was observed in sodium bicarbonate jet group evaluated just after the procedure.Conclusion The conventional prophylaxis is more comfortable from the patient stand point and does not alter arterial pressure. Universidade Estadual Paulista Instituto de Ciência e Tecnologia Universidade Estadual Paulista Instituto de Ciência e Tecnologia
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- 2016
36. Bisphosphonate-Related Osteonecrosis of the Jaw: A Retrospective Study on the Role of Dental Prophylaxis
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G. Saponaro, V. Sciannameo, C. Matteini, M. Perugini, P. Di Curzio, and C. Taglia
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Dental Prophylaxis ,lcsh:R ,Immunology ,lcsh:Medicine ,Dentistry ,Retrospective cohort study ,Maxillary Bones ,Bisphosphonate ,medicine.disease ,Surgery ,Bone remodeling ,Pharmacotherapy ,medicine ,Immunology and Allergy ,Osteonecrosis of the jaw ,business ,Complication - Abstract
Clinicians use bisphosphonates in neoplastic and metabolic bone diseases. Osteonecrosis is the main complication of the maxillary bones, along with late mucosal healing with necrotic bone exposure, pain, burning sensation, paresthesia, and is commonly associated with osteonecrosis. In the dental unit of our department, we checked 181 patients, and divided them into three groups: patients who had not undergone therapy, patients who were currently undergoing bisphosphonate therapy, and those who had completed bisphosphonate therapy (but who had not been followed-up). For clinical management, patients were treated with a dental prophylaxis protocol or drug therapy, involving topical and/or systemic administration, and then underwent surgical resections when the osteonecrosis did not improve with any treatment. Variability with the percent of complications was statistically significant in the three groups. Despite the limited number of patients in this study, which will require further investigation, our experience demonstrated that preventive strategies in relation to complications are crucial. At this point, a satisfactory treatment for this pathology does not exist.
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- 2013
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37. How to perform dental prophylaxis to reduce periodontal disease
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Jennifer Hamlin
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business.industry ,media_common.quotation_subject ,Dental Prophylaxis ,Calculus (dental) ,food and beverages ,Dentistry ,medicine.disease ,Tooth brushing ,stomatognathic diseases ,Nursing care ,stomatognathic system ,Clinical attachment loss ,Periodontal disease ,Hygiene ,medicine ,Periodontal Probing ,business ,media_common - Abstract
Periodontal disease is one of the most prevalent conditions seen in companion animal practice, and there are growing concerns about how it can contribute to the incidence of systemic disease in these animals. Regular oral examinations coupled with effective dental prophylaxis can help prevent periodontal disease and thus can contribute to the overall health and well-being of patients. Dental prophylaxis consists of several steps, including external and internal oral examinations followed by de-scaling (scaling), polishing and periodontal probing to measure attachment loss of the gingiva to the tooth roots. Regular preventive dental care is an area that nurses can play a vital role in to help animals live longer, healthier lives. Good nursing care and skill in dental prophylaxsis and hygiene techniques is paramount to ensure effective prevention of periodontal disease.
- Published
- 2011
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38. Effect of the American Heart Association 2007 Guidelines on the Practice of Dental Prophylaxis for the Prevention of Infective Endocarditis in Olmsted County, Minnesota
- Author
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Abdelghani El Rafei, James M. Steckelberg, Jennifer L. St. Sauver, Daniel C. DeSimone, Walter R. Wilson, Brian D. Lahr, Alan B. Carr, Larry M. Baddour, Cynthia M. Bock-Goodner, Douglas W. Challener, James A. Kelly, and Walter A. Rocca
- Subjects
medicine.medical_specialty ,Pediatrics ,business.industry ,Dental Prophylaxis ,MEDLINE ,General Medicine ,030204 cardiovascular system & hematology ,medicine.disease ,stomatognathic diseases ,03 medical and health sciences ,0302 clinical medicine ,Rochester Epidemiology Project ,Dental Offices ,stomatognathic system ,Interquartile range ,Infective endocarditis ,Internal medicine ,medicine ,030212 general & internal medicine ,Antibiotic prophylaxis ,business ,Dental Procedure - Abstract
To determine the adherence of dental providers to the 2007 American Heart Association (AHA) infective endocarditis prevention guidelines regarding antibiotic drug administration before invasive dental procedures.The study included all adults (≥18 years old) with a moderate-risk (MR) or high-risk (HR) cardiac condition who received dental care at participating dental offices from January 1, 2005, through June 1, 2015, in Olmsted County, Minnesota. Data collected included the date and type of dental procedure performed and receipt of antibiotic prophylaxis (AP).A total of 1351 patients underwent 8854 dental visits at participating dental offices during the study period; 1236 patients had an MR cardiac condition and 115 had an HR condition. The percentage of visits in which antibiotic drugs were used for indicated dental procedures in the MR group declined from 64.6% before to 8.6% after publication of the 2007 AHA guidelines (P.001); for the HR group, AP declined from 96.9% before to 81.3% after publication of the guidelines (P=.02).In this historical cohort in Olmsted County there was a statistically significant reduction in AP in the MR group before invasive dental procedures. In addition, there was an unanticipated significant reduction in AP in the HR group after publication of the 2007 AHA guidelines. These findings can be used to provide feedback and education to medical and dental professionals who are involved in decision making regarding the use of dental prophylaxis for their patients.
- Published
- 2017
39. A Clinical Evaluation of Extrinsic Stain Removal: A Rotation-Oscillation Power Toothbrush versus a Dental Prophylaxis
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Julie M. Grender, Patricia A Walters, Robert D Bartizek, Aaron R Biesbrock, and Geza T. Terezhalmy
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business.industry ,Dental Prophylaxis ,Stain removal ,Extrinsic stain ,Dentistry ,Stain ,law.invention ,Fluoride dentifrice ,law ,Power toothbrush ,Medicine ,Toothbrush ,business ,General Dentistry ,Clinical evaluation - Abstract
Aim To assess extrinsic stain removal efficacy of a power toothbrush and a dental prophylaxis followed by the use of a standardized American Dental Association (ADA) reference manual toothbrush. Methods and Materials This was a randomized, positive-controlled, examiner-blind, parallel group, twoweek study. A Lobene stain examination was performed at baseline. Subjects were randomized to one of two treatment groups: Group 1: Oral-B® Vitality™ Pro White power toothbrush or Group 2: Subjects receiving a dental prophylaxis then using a standardized ADA reference manual toothbrush. Subjects were instructed to brush their teeth with the assigned toothbrush and a fluoride dentifrice in front of a mirror twice per day for 2 minutes. Stain was reassessed following 2 weeks of brushing. Results A significant reduction (p 0.1). Conclusions The Oral-B Vitality Pro White power toothbrush showed effective stain removal at a level similar to receiving an oral prophylaxis followed by the use of an ADA reference manual toothbrush. Clinical Significance In this small study the Oral-B Vitality Pro White power toothbrush achieved statistically significant stain removal between dental visits. Citation Terézhalmy GT, Walters PA, Bartizek RD, Grender JM, Biesbrock AR. A Clinical Evaluation of Extrinsic Stain Removal: A Rotation-Oscillation Power Toothbrush versus a Dental Prophylaxis. J Contemp Dent Pract 2008 July; (9)5:001-008.
- Published
- 2008
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40. One-year follow-up of at-home bleaching in smokers before and after dental prophylaxis
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T.A. Hanzen, M.B. de Lara, Eduardo Fernández, Alessandra Reis, Stella Kossatz, Alessandro Dourado Loguercio, and JL de Geus
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Home bleaching ,Adult ,Male ,genetic structures ,One year follow up ,business.industry ,Dental Prophylaxis ,Smoking ,Repeated measures design ,Dentistry ,Home Care Services ,Clinical study ,Clinical trial ,Young Adult ,Tooth Bleaching ,Medicine ,Cigarette smoke ,Humans ,Tooth Discoloration ,Clinical significance ,Female ,business ,General Dentistry ,Follow-Up Studies - Abstract
This clinical study evaluated the color longevity after one-year of at-home bleaching with 10% carbamide peroxide (CP) in smokers and nonsmokers.Sixty patients, 30 smokers and 30 non-smokers were subjected to bleaching with 10% CP during three hours daily for three weeks. The color was measured at baseline and one week, one month and one year after the completion of dental bleaching using the spectrophotometer Vita Easyshade (ΔE*), shade guide Vita classical organized by value and Vita Bleachedguide 3D-MASTER (ΔSGU). In the one-year recall, the color was assessed before and after dental prophylaxis with Robinson brush and prophylaxis paste. Data from color evaluation were analyzed by two-way repeated measures ANOVA and Tukey's test for the contrast of means (α=0.05).Twenty-seven smokers and 28 non-smokers attended the one-year recall. For both study groups, only the main factor assessment time was statistically significant for ΔSGU (Vita classical) and ΔE* (p0.001). Effective whitening was observed for both groups at baseline, which was stable at one-month and one year after dental prophylaxis. A slight darkening was observed after one year when the color was measured without prophylaxis. For the Vita Bleachedguide 3D-MASTER, color rebound was observed irrespectively of dental prophylaxis.The bleaching with 10% CP remained stable in both groups as long as extrinsic stains from diet and cigarette smoke were removed by professional dental prophylaxis.NCT02017873.The results of this study indicate that the bleaching is effective in smokers even after one-year, but dental prophylaxis may be necessary to remove extrinsic stains caused by diet and smoking.
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- 2015
41. The role of dentists on medically compromised children’s oral and dental prophylaxis in Hospital
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Roosje Rosita Oewen
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medicine.medical_specialty ,business.industry ,Dental Prophylaxis ,Dentistry ,oral manifestation ,Disease ,medicine.disease ,lcsh:RK1-715 ,stomatognathic diseases ,Quality of life (healthcare) ,lcsh:Dentistry ,Oral and maxillofacial pathology ,Medicine ,medical problem ,Special care ,prophylaxis ,business ,Intensive care medicine ,management - Abstract
Background: One of dentist’s main roles is to coordinate the management of medically compromised children. The term of medically compromised refers to those children who have medical conditions which affect the dental treatment or manifest as a specific oral and dental problem. Patient’s visit to Special Care for Dentistry Clinic Dr. Hasan Sadikin Hospital Bandung showed a remarkable increase. From under 10 new visit in 2003, now July–December 2008 showed 81 new visit. Purpose: This paper discusses several medical problems (cardiovascular, hematology, respiratory system, and genetic disorder) in children and the role of dentist in the treatment of those patients in the hospital. Review: The increase of attention by all level to these medically compromised children in the hospital also increases the dentist’s role in supporting the prognosis of the disease and patient’s quality of life. The most important effort is oral and dental prophylaxis to prevent oral pathology which is caused by the manifestation of disease as well as the side effects of treatment. Conclusion: It is, concluded that role of the dentist in managing these patients is giving preventive efforts and dental treatment that may be improve patient’s quality of life. The preventive effort and dental treatment is customize according to the patients condition. Nevertheless, cooperation from the dentist and other professional is needed in treating these patients.
- Published
- 2008
42. Microbiological changes associated with dental prophylaxis
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Michael Sweeney, Elizabeth Carpino, Michael D. Palys, J. Max Goodson, Sigmund S. Socransky, and Elizabeth O. Regan
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Adult ,DNA, Bacterial ,Male ,Plaque index ,Adolescent ,Colony Count, Microbial ,Dental Plaque ,Dentistry ,Dental plaque ,Oral hygiene ,Gingivitis ,medicine ,Humans ,General Dentistry ,biology ,business.industry ,Dental Prophylaxis ,Nucleic Acid Hybridization ,Middle Aged ,medicine.disease ,biology.organism_classification ,DNA probe analysis ,Female ,Mild gingivitis ,medicine.symptom ,business ,Bacteria - Abstract
Background Despite the common application of dental prophylaxis as part of patient therapy, there is little reported that describes the microbiological impact of this treatment. Methods The authors gave 20 healthy college-aged subjects three dental prophylaxes with a fluoride-containing prophylaxis paste during a two-week period and instructed them in oral hygiene. They evaluated the microbiological composition of dental plaque samples collected before and after treatment using DNA probe analysis. They analyzed 40 representative bacterial species in seven bacterial complexes by checkerboard DNA–DNA hybridization assay techniques. Results After three dental prophylaxes, the patients' mean Gingival Index score decreased from 0.82 to 0.77, the mean Plaque Index score decreased from 0.72 to zero, and the total number of bacteria per tooth decreased to approximately one-third of the original number. The authors computed two different measures of bacterial presence. The reduction in bacterial numbers was statistically significant and occurred in many species. Bacterial proportion (DNA percentage or percentage of the bacteria per tooth) did not change significantly. Greater reductions in bacterial count occurred in species that showed high numbers before treatment. The total bacterial count decreased by approximately 72 percent of its original level before prophylaxis was initiated. Conclusions Professional dental prophylaxis did not target any particular bacteria or bacterial groups but removed bacteria nonspecifically and in proportion to their initial numbers. Clinical Implications Repeated dental prophylaxes effect a reduction in bacterial amount that is commensurate with the initial amount, but they do does not alter composition. This suggests that mild gingivitis may be a bacterially nonspecific effect of plaque accumulation and emphasizes the need for regular plaque removal to maintain optimal gingival health.
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- 2004
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43. Dental prophylaxis decreases the risk of acute myocardial infarction: a nationwide population-based study in Taiwan
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Hsiao-Yun Hu, Pesus Chou, Dachen Chu, and Ya Ling Lee
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Adult ,Male ,medicine.medical_specialty ,health care facilities, manpower, and services ,Myocardial Infarction ,Taiwan ,periodontal disease ,acute myocardial infarction ,Comorbidity ,Risk Assessment ,Periodontal disease ,Risk Factors ,Internal medicine ,medicine ,Humans ,cardiovascular diseases ,Myocardial infarction ,health care economics and organizations ,Periodontal Diseases ,Aged ,Proportional Hazards Models ,Original Research ,Proportional hazards model ,business.industry ,Dental Prophylaxis ,Follow up studies ,General Medicine ,Middle Aged ,medicine.disease ,Prognosis ,Surgery ,Population based study ,stomatognathic diseases ,Socioeconomic Factors ,Clinical Interventions in Aging ,dental scaling ,Female ,Geriatrics and Gerontology ,Risk assessment ,business ,Follow-Up Studies - Abstract
Ya-Ling Lee,1,2 Hsiao-Yun Hu,2,3 Pesus Chou,2 Dachen Chu2,4,5 1Department of Dentistry, Taipei City Hospital, 2Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, 3Department ofEducation and Research, Taipei City Hospital, 4Department ofHealth Care Management, National Taipei University of Nursing and Health Sciences, 5Department ofNeurosurgery, Taipei City Hospital, Taipei, Taiwan Purpose: To investigate the association between periodontal disease (PD) and acute myocardial infarction (AMI), and evaluate the effect of dental prophylaxis on the incidence rate (IR) ofAMI.Methods: The Longitudinal Health Insurance Database 2000 from the National Health Insurance program was used to identify 511,630 patients with PD and 208,713 without PD during 2000–2010. Subjects with PD were grouped according to treatment (dental prophylaxis, intensive treatment, and PD without treatment). The IRs of AMI during the 10-year follow-up period were compared among groups. Cox regression analysis adjusted for age, sex, socioeconomic status, residential urbanicity, and comorbidities was used to evaluate the effect of PD treatment on the incidence of AMI.Results: The IR of AMI among subjects without PD was 0.19%/year. Among those with PD, the IR of AMI was lowest in the dental prophylaxis group (0.11%/year), followed by the intensive treatment (0.28%/year) and PD without treatment (0.31%/year; P
- Published
- 2015
44. Assessment of Evidence-Based Dental Prophylaxis Education in Postdoctoral Pediatric Dentistry Programs
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SM Nainar and Deborah Redford-Badwal
- Subjects
Response rate (survey) ,Evidence-based practice ,business.industry ,Dental Prophylaxis ,education ,Dentistry ,General Medicine ,law.invention ,Topical fluoride ,Postal survey ,law ,Geographic regions ,Medicine ,Toothbrush ,business - Abstract
The objective of the study was to investigate various aspects of evidence-based dental prophylaxis education in postdoctoral pediatric dentistry training programs in the United States. An anonymous nationwide postal survey of fifty-two postdoctoral pediatric dentistry program directors was conducted in September 2001. The survey had a response rate of 75 percent with all geographic regions of the nation represented and with a preponderance of university-based programs (62 percent). Most of the training programs (74 percent) routinely recommended dental prophylaxis for all recall patients. The proportion of programs that recommended dental prophylaxis for the following indications were: plaque, stain and/or calculus removal--97 percent; caries prevention--59 percent; prior to topical fluoride application--67 percent; prior to sealant application--62 percent; and for behavioral modification--77 percent. Most training programs (77 percent) defined dental prophylaxis as both rubber cup pumice prophylaxis and toothbrush prophylaxis. However, only one-half of the training programs (51 percent) had modified their teaching to substitute toothbrush prophylaxis in lieu of rubber cup pumice prophylaxis. In conclusion, only one half of postdoctoral pediatric dentistry training programs in the United States teach evidence-based practice of dental prophylaxis for recall patients.
- Published
- 2002
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45. Abstract 13134: Impact of the American Heart Association’s 2007 Guidelines on the Practice of Dental Prophylaxis for the Prevention of Infective Endocarditis in Olmsted County, Minnesota
- Author
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Alan B. Carr, Larry M. Baddour, James M. Steckelberg, Walter R. Wilson, Daniel C. DeSimone, Brian D. Lahr, Jennifer L. St. Sauver, Abdelghani El Rafei, and Walter A. Rocca
- Subjects
medicine.medical_specialty ,business.industry ,Dental Prophylaxis ,valvular heart disease ,medicine.disease ,Dental Offices ,Bicuspid aortic valve ,Physiology (medical) ,Infective endocarditis ,Internal medicine ,medicine ,Endocarditis ,Mitral valve prolapse ,Antibiotic prophylaxis ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background: In 2007, the American Heart Association (AHA) infective endocarditis (IE) prevention guidelines recommended that antibiotic prophylaxis before invasive dental procedures for the “moderate risk” (MR) group, which represented the bulk of patients who were to receive prophylaxis before 2007, be eliminated. This decision was met with much concern among some healthcare providers and that concern persists today. We therefore evaluated dental office records in Olmsted County (OC), Minnesota to determine whether patients included in the MR group continue to receive antibiotic prophylaxis despite the 2007 AHA recommendations. Methods: Eligible patients include all adult (≥18 years) residents of OC, classified as having MR cardiac condition for IE (i.e. mitral valve prolapse [MVP], bicuspid aortic valve [BAV], hypertrophic obstructive cardiomyopathy [HOCM], acquired valvular dysfunction [AVD]), with at least one dental visit between January 1, 2005 and June 1, 2015. Eight dental offices located within OC were sampled to identify both dental procedures and whether antibiotic prophylaxis was administered according to AHA guidelines. Results: We identified 334 MR patients. Approximately 62% of MR patients received antibiotic prophylaxis prior to the change in AHA guidelines in 2007. There was a decrease to 7% post-2007 AHA guidelines (P Conclusion: Following publication of the 2007 AHA IE prevention guidelines, there was a rapid, 9-fold decrease in antibiotic prophylaxis in patients with MR cardiac conditions who underwent invasive dental procedures in OC. These data are also critical as we attempt to evaluate the impact, if any, of this practice on the incidence of IE due to viridans group streptococci.
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- 2015
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46. Anesthetic Considerations for Dental Prophylaxis and Oral Surgery
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Jason W. Soukup and Lesley J. Smith
- Subjects
business.industry ,Oral surgery ,Dental Prophylaxis ,medicine.medical_treatment ,Anesthesia ,Anesthetic ,medicine ,Airway management ,Pain management ,business ,medicine.drug - Published
- 2015
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47. Dental prophylaxis decreases the risk of esophageal cancer in males; a nationwide population-based study in Taiwan
- Author
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Dachen Chu, Hsiao-Yun Hu, Ya Ling Lee, Pesus Chou, and Nan-Ping Yang
- Subjects
Adult ,Male ,medicine.medical_specialty ,Databases, Factual ,Esophageal Neoplasms ,Epidemiology ,Science ,Oral Medicine ,Taiwan ,Oral Health ,Gastroenterology and Hepatology ,Young Adult ,Oral Diseases ,Risk Factors ,Internal medicine ,Diabetes mellitus ,Gastrointestinal Cancers ,medicine ,Medicine and Health Sciences ,Humans ,Clinical Epidemiology ,Longitudinal Studies ,Young adult ,Periodontal Diseases ,Aged ,Retrospective Studies ,Multidisciplinary ,business.industry ,Incidence (epidemiology) ,Dental Prophylaxis ,Incidence ,Case-control study ,Cancer ,Retrospective cohort study ,Esophageal cancer ,Middle Aged ,medicine.disease ,Surgery ,Case-Control Studies ,Dentistry ,Medicine ,Regression Analysis ,Female ,business ,Cancer Epidemiology ,Research Article - Abstract
BackgroundPeriodontal disease (PD) is one of the most common chronic inflammatory diseases. Esophageal cancer (EC) is also a common cause of death due to cancer among males. Systemic inflammatory processes have been shown to increase the risk of cancer. We conducted a retrospective cohort study to investigate the association between PD and EC.MethodsA total of 718,409 subjects were recruited from the Taiwan National Health Insurance Research Database (NHIRD) and followed from January 1, 2000 to December 31, 2010. Of these, 519,831 subjects were diagnosed with PD and were grouped according to the most advanced treatment they received: dental prophylaxis, intensive treatment, or no treatment. The IRs of EC were compared among groups.ResultsA total of 682 patients developed EC, resulting in an overall IR of 0.11 case-number per 1000 person-years (‰/y). The dental prophylaxis group had a significantly lower IR of EC (0.06‰/y) than other groups (pConclusionFor this cohort, subjects received dental prophylaxis reduced the risk of EC compared to all PD and no PD groups among males.
- Published
- 2014
48. Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of the literature
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Gareth Brock
- Subjects
Gingivitis ,Rubber Cup ,Nursing ,business.industry ,Dental Prophylaxis ,Dental nurse ,Professional development ,Medicine ,Nurse education ,medicine.symptom ,business - Abstract
Sometimes we do things in dentistry, or indeed in other parts of our lives because that is ‘the norm’; that is what we have deemed ‘accepted practice’. But what are these norms, these protocols based on? Is there any evidence for them, or are we carrying out procedures with no proven track record, and simply because it seems logical?
- Published
- 2009
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49. Social and health conditioning of dental prophylaxis among students of the State Higher Vocational School in Suwałki
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Beata Modzelewska, Ewa Kleszczewska, Anna Wojszko, Bogusława Karczewska, and Jolanta Gładczuk
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General Earth and Planetary Sciences ,General Environmental Science - Published
- 2016
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50. Comparison of tramadol and buprenorphine analgesia for continuous intravenous propofol anaesthesia in dogs undergoing dental prophylaxis
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I. Capik, C. Tothova, Oskar Nagy, and I. Polkowska
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medicine.medical_specialty ,General Veterinary ,business.industry ,Sedation ,Analgesic ,030208 emergency & critical care medicine ,030226 pharmacology & pharmacy ,Surgery ,Xylazine ,03 medical and health sciences ,0302 clinical medicine ,Anesthesia ,medicine ,Midazolam ,General anaesthesia ,Tramadol ,medicine.symptom ,Propofol ,business ,medicine.drug ,Buprenorphine - Abstract
The objective of this study was to compare, in client-owned patients, the analgesic effects of the centrally acting analgesics tramadol and buprenorphine in continuous intravenous anaesthesia (TIVA) with propofol. The study included forty dogs aged two to seven years and weighing 6-27 kg undergoing prophylactic dental treatment. The animals were classified into ASA (American Society of Anaesthesiologists) I. and II. risk groups. One group of dogs received intravenous administration of tramadol (2 mg/kg) and the second one buprenorphine (0.02 mg/kg) 30 min prior to sedation induced by midazolam (0.3 mg/kg) and xylazine (0.5 mg/kg) i.v . General anaesthesia was induced by propofol (2 mg/kg) and maintained by a 120-minute propofol infusion (0.2 mg/kg min). Arterial blood pressure, heart rate, respiratory rate, saturation of haemoglobin with oxygen, body temperature and deep pain sensation elic - ited by haemostat forceps pressure on the fingers were recorded at ten minute intervals. The tramadol group of dogs showed significantly better blood pressure values (P < 0.001), minimal tendency to bradycardia (P < 0.05) and respira- tory rate (P < 0.001), without any negative effects on oxygen saturation. Significantly better deep pain sensation was achieved in the tramadol group ( P < 0.001). Blood gas/acid base profile analysis showed a non-significant increase in the tramadol group of dogs. In conclusion, in comparison with buprenorphine, tramadol provided significantly better results with respect to degree of analgesia, as well as the tendency towards cardiopulmonary complications arising during anaesthesia. Significantly better analgesia and a lower depressive effect of tramadol on vital functions allows better control and management of the continuous intravenous propofol anaesthesia.
- Published
- 2016
- Full Text
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