موجز عن البحث:
|
Multiple myeloma (MM) is defined
as cancer of the plasma cells that is characterized by the production of
abnormal immunoglobulin. It most commonly presents in people over 65 years of
age, with a higher prevalence in men. People with MM can present with bone
pain, renal failure, anaemia, thrombocytopenia and neutropenia, which can
arise from the condition itself or from its treatment. A large proportion
will be treated with intravenous bisphosphonates, therefore putting them at
an increased risk of developing medication-related osteonecrosis of the jaw
(MRONJ). This paper aims to provide guidance on the oral and dental
management of people with multiple myeloma.
Clinical relevance: To
provide an update to dental care providers on the oral and dental management
of people with multiple myeloma and provide a guide on what factors to
consider when deciding on the most appropriate setting for the provision of
their dental care.
|
موجز عن البحث:
|
Special Care Dentistry (SCD) is
defined as “an improvement of oral health of the individuals and groups in
society who have a medical, physical, mental, psychological, social,
intellectual, emotional, or sensory impairment or disability or, more often,
a combination of a number of these factors” (Fiske, 2006). It
tends to assess the oral health needs of people who have medically
compromised conditions, are taking multiple medications, or have poor access
to dental care (Abed, 2017). In
2008, SCD was recognised by the General Dental Council (GDC) as a specialty
in the United Kingdom (General Dental Council, 2012).
On 12th of March
2016, a symposium run by the Society for the Advancement of
Anaesthesia in Dentistry (SAAD) and the British Society for Disability and
Oral Health (BSDH) in the United Kingdom delivered suggestions about
“Setting up Dental Sedation Services for Special Care Patients.” It
discussed six possible barriers that any health organization might face while
setting up dental sedation services for special care patients. Why do these
patients need this kind of special services? What are the barriers and the
solutions? Also, how could these services be established and delivered
positively? Is it possible to deliver different types of dental treatment
such as dental extractions, scaling and root planing, restorations, root
canal treatment and prosthodontics with reasonable cost for both health
organizations and patients?
|
موجز عن البحث:
|
Objectives: To
assess barriers to patients with mental illness receiving oral healthcare in
Makkah city, Saudi Arabia. Methods: is was a 3-month cross-sectional
study from the Department of Psychiatry at Al-Noor, Specialist Hospital in
Makkah city, Saudi Arabia, between January 2017 and April 2017. A structured
questionnaire with closed- ended questions was considered. A total of 161
psychiatric patients were recruited, made up of 81 male (50.3%) and 80 female
(49.7%) participants. Simple descriptive statistics were used to de ne the
characteristics of the study variables, through a form of counts and
percentages. e chi-square test was also used to evaluate the distribution of
the nominal variables. Results: Of the 161 psychiatric patients, 51
were aged 26-35 years old (31.7%). Most participants (n=73) had psychological
development disorders (45.3%). Ninety-one (56.5%) were unemployed, and among
them, 25 (15.5%) reported problems with access to oral health and dental
care. Participants also su ered from dry mouth (64%) and dental anxiety
(23%). Conclusions: is study suggested that dental anxiety is
considered the major barrier to dental care, followed by the cost of dental
treatments and accessibility. Most belonged to the group of psychological
development disorder and reported having the most barriers to oral healthcare.
|