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A Systematic Review on the Effectiveness of Palmitoylethanolamide for the Treatment of Pain in Arthrogenic Temporomandibular Joint Dysfunction and Related Disorders 棕榈酰乙醇酰胺治疗关节源性颞下颌关节功能障碍及相关疾病疼痛疗效的系统综述
Pub Date : 2019-10-09 DOI: 10.31038/jdmr.2019243
Immanuel Sani, Yaser Hamza
Arthrogenic temporomandibular joint dysfunction is a prevalent condition often associated with arthralgia. It is also commonly caused by osteoarthritis. Palmitoylethanolamide has been reported to exhibit analgesic, neuroprotective and anti-inflammatory effects in pain pathological conditions. This paper will critically appraise recent evidence on the effectiveness of palmitoylethanolamide for the treatment of pain in arthrogenic temporomandibular joint dysfunction and related disorders. This paper will assess both the magnitude and longevity of the analgesic effect of palmitoylethanolamide. Method: An electronic database search was performed by two independent authors on the following databases: PubMed, Web of Science, Medline and Embase. A total of 23 articles were retrieved including relevant articles from reference lists. After the elimination of duplicates and further eligibility screening, a resultant total of 5 articles were suitable for review. One of these was a retrospective cohort study while the following 4 were randomised clinical trials. There was considerable heterogeneity of primary outcome variables and trial design across all selected studies which did not permit a meta-analysis of results. Conclusion: Palmitoylethanolamide is effective for the treatment of pain in arthrogenic temporomandibular joint dysfunction and related disorders. However, the longevity of palmitoylethanolamide-induced analgesia remains unclear. Further high-quality trials are warranted to reveal the relative effectiveness of palmitoylethanolamide in comparison to current medication.
关节源性颞下颌关节功能障碍是一种常见的疾病,通常与关节痛有关。它也通常由骨关节炎引起。棕榈酰乙醇酰胺已被报道在疼痛病理条件下表现出镇痛、神经保护和抗炎作用。本文将批判性地评价棕榈酰乙醇酰胺治疗关节源性颞下颌关节功能障碍和相关疾病疼痛的有效性的最新证据。本文将评估棕榈酰乙醇酰胺镇痛作用的强度和持续时间。方法:由两位独立作者对PubMed、Web of Science、Medline和Embase数据库进行电子检索。共检索到23篇文献,包括参考文献列表中的相关文献。在消除重复和进一步的资格筛选后,总共有5篇文章适合审查。其中一项是回顾性队列研究,接下来的4项是随机临床试验。在所有选定的研究中,主要结局变量和试验设计存在相当大的异质性,因此不允许对结果进行荟萃分析。结论:棕榈酰乙醇酰胺可有效治疗关节源性颞下颌关节功能障碍及相关疾病引起的疼痛。然而,棕榈酰乙醇酰胺诱导的镇痛效果的持续时间尚不清楚。需要进一步的高质量试验来揭示棕榈酰乙醇酰胺与当前药物相比的相对有效性。
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引用次数: 1
Information and Experiences in Connection with Emergency Dental visits – an Exploratory Pilot Enquiry among Syrian Asylum-seeking Patients, Swedish Patients and Dental Staff 与紧急牙科就诊有关的信息和经验——对叙利亚寻求庇护病人、瑞典病人和牙科工作人员进行探索性试点调查
Pub Date : 2019-09-20 DOI: 10.31038/jdmr.2019242
Mersiha Velic, B. Marklund, P. Lingström, Sven Kylén, Jenny M Bernson
Objective Sweden has received a large number of asylum-seeking individuals in recent years and many refugees are in need of urgent dental care. Refugees do not usually receive regular information about the Swedish dental-care system and its regulations upon arrival. The study was aimed to examine information and experiences associated with emergency dental care among newly arrived Syrian asylum-seeking patients in comparison with Swedish patients and to monitor how the dental staff perceived these two groups of patients. The hypothesis was that the Syrian patients lacked information about the Swedish dental-care system and that they were more dissatisfied with their emergency treatments. Two questionnaires for patients and therapists relating to information and experiences in connection with emergency dental visits were produced. The questionnaires were distributed consecutively and responded to by 96% of all involved patients and care- givers. patients received less help with their reasons for treatment, were less satisfied with the treatment and experienced more fear. The therapists had greater difficulties in interpreting the Syrian patients’ fear, their satisfaction with treatment and whether or not their expectations were met. In order to achieve a mutuality in the communication and understanding between the newly arrived refugee as a patient and the dental staff, it is important to provide accurate information about the Swedish dental care system to the refugee before the first dental care visit. There is also a need for improved skills among the dental-care providers in communicating and interpreting patients from other countries and different cultures.
目标近年来,瑞典接收了大量寻求庇护的人,许多难民需要紧急牙科护理。难民抵达后通常得不到关于瑞典牙科保健系统及其规定的定期信息。这项研究的目的是将新近抵达的叙利亚寻求庇护患者与瑞典患者进行比较,以检查与紧急牙科护理相关的信息和经验,并监测牙科工作人员如何看待这两组患者。假设是叙利亚病人缺乏对瑞典牙科保健系统的了解,他们对他们的紧急治疗更不满意。为病人和治疗师制作了两份问卷,内容涉及与紧急牙科就诊有关的信息和经验。问卷是连续发放的,96%的患者和护理人员回答了问卷。患者在解释治疗原因方面得到的帮助较少,对治疗的满意度较低,并且经历了更多的恐惧。治疗师在解释叙利亚病人的恐惧、他们对治疗的满意度以及他们的期望是否得到满足方面有更大的困难。为了在新来的难民作为病人和牙科工作人员之间实现相互的沟通和理解,在第一次牙科护理访问之前向难民提供有关瑞典牙科保健系统的准确信息是很重要的。在与来自其他国家和不同文化的病人沟通和解释方面,还需要提高牙科保健提供者的技能。
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引用次数: 0
The Application of a CO2 Laser in Implant Site Development: A Case Report CO2激光在种植体发育中的应用:1例报告
Pub Date : 2019-09-18 DOI: 10.31038/jdmr.2019235
J. Villanueva, S. Blanchard, Y. Hamada
Introduction: Ridge preservation procedures have been utilized to minimize the alveolar ridge dimensional changes following tooth extraction. This case report describes a novel approach to ridge preservation with an application of a carbon dioxide laser (CO2 laser) to stabilize blood clot formation and stimulate wound healing. Case presentation: A 76-year-old Caucasian male with history of type 2 diabetes was referred for extraction of #8 and placement of a dental implant to reconstruct the area. Extraction was performed in a minimal traumatic manner and a mineralized freeze-dried bone allograft was placed in the socket. A 10,600 nm wavelength CO2 laser was used in setting of 1.0 watts focused continuous wave energy to stabilize the blood clot over the extraction site. The laser was used until a char layer was formed. This char layer was a non-bleeding stable blood clot, and the end-point of laser application was set as “no blood flow from the clot are within 10 seconds.” No membranes or sutures were used. Eleven weeks after the extraction and ridge preservation, a 4.1x10mm dental implant was placed with >35N/cm of primary stability and Implant stability quotient (ISQ) value of 83. A provisional crown was delivered at the time of implant placement. Three months following implant placement, the final restoration was delivered. The soft and hard tissue healing were uneventful to achieve esthetic and functional outcomes. Conclusion: Within limits of this case report, the application of CO2 laser for “Laser-Assisted Blood Clot Formation” may enhance the soft and hard tissue healing following extraction for ridge preservations.
牙槽嵴保存程序已被用于减少拔牙后牙槽嵴尺寸的变化。本病例报告描述了一种应用二氧化碳激光(CO2激光)来稳定血凝块形成和刺激伤口愈合的新方法。病例介绍:一位76岁的白人男性,有2型糖尿病病史,因拔除8号牙并植入种植体重建该区域而被推荐。以最小的创伤方式进行拔牙,并将矿化冷冻干燥的同种异体骨移植物放置在窝内。使用波长10600 nm的CO2激光器设置1.0瓦聚焦连续波能量,以稳定提取部位的血凝块。激光一直使用到炭层形成为止。该炭层为不出血的稳定血凝块,激光应用终点设定为“10秒内血凝块无血流”。未使用膜或缝合线。拔牙保存后11周,放置4.1x10mm种植体,初级稳定性>35N/cm,种植体稳定商(ISQ)值为83。在种植体放置时提供临时冠。植入后3个月,完成最终修复。软硬组织愈合顺利,达到美观和功能效果。结论:在本病例报告的范围内,应用CO2激光进行“激光辅助血凝块形成”可以促进拔牙保存后软硬组织的愈合。
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引用次数: 1
Three-Dimensional Analysis of Digital Models Generated from Intraoral, Extraoral, and CBCT Scanning Devices 由口内、口外和CBCT扫描设备生成的数字模型的三维分析
Pub Date : 2019-09-17 DOI: 10.31038/jdmr.2019241
Stuart J. Ryan, K. Stewart, A. Ghoneima
Objective : To compare the intra- and inter-arch accuracy of three-dimensional (3D) digital models acquired from various orthodontic scanners, including: an intraoral scanner, an extraoral scanner, and a cone beam computed tomography (CBCT) scan compared with the original, trimmed stone models. Methods : Fifteen sets of maxillary and mandibular finished plaster models were scanned using: Carestream 3600 intraoral scanner, Ortho-Insight 3D Motion View extraoral scanner, and Carestream 9300 CBCT scanner. Dolphin Imaging software was used to calculate various anatomic measurements on the digital models. Digital calipers were used to calculate the same measurements on the original plaster models for comparative purposes. Intraclass Correlation Coefficients (ICC) and pair-wise analysis of variance (ANOVA) were utilized to compare the 4 methods (original plaster models and 3 scanning methods). Results : ICC values for all intra-arch measurements between the 4 data groups were all >0.90. ICC values for the two inter-arch measurements (overbite and overjet) were both 0.79. CBCT measurements were significantly smaller than the two scanned models as well as the stone models for many intra-arch parameters. On average, these differences were less than 0.5mm. Conclusion : Digital models produced from CBCT scans of plaster casts appear to have adequate accuracy for orthodontic treatment planning and recordkeeping. Further studies are needed to determine the clinical efficiency of appliance design, fabrication, and chairside delivery using CBCT scanning technologies.
目的:比较各种正畸扫描仪(包括口内扫描仪、口外扫描仪和锥形束计算机断层扫描(CBCT)扫描)获得的三维(3D)数字模型与原始的、修整过的结石模型的弓内和弓间精度。方法:使用Carestream 3600口腔内扫描仪、Ortho-Insight 3D Motion View口腔外扫描仪和Carestream 9300 CBCT扫描仪扫描15套上颌和下颌石膏成品模型。使用Dolphin Imaging软件对数字模型进行各种解剖测量计算。数字卡尺用于计算原始石膏模型的相同测量以进行比较。采用类内相关系数(ICC)和双方差分析(ANOVA)对4种方法(原始石膏模型和3种扫描方法)进行比较。结果:4个数据组间所有足弓内测量的ICC值均为>0.90。两种牙弓间测量(覆盖咬合和覆盖喷流)的ICC值均为0.79。CBCT测量值明显小于两种扫描模型以及许多拱内参数的石头模型。这些差异平均小于0.5mm。结论:由石膏模型CBCT扫描产生的数字模型对于正畸治疗计划和记录保存具有足够的准确性。需要进一步的研究来确定使用CBCT扫描技术的矫治器设计、制造和椅子旁递送的临床效率。
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引用次数: 2
Increase in Parental Knowledge and Confidence Following Communication of Dental Imaging Risks versus Benefits 通过对牙科成像风险与益处的交流,增加了父母的知识和信心
Pub Date : 2019-09-17 DOI: 10.31038/jdmr.2019232
Jayapriyaa R. Shanmugham, John Zavras, Haejin Hwang, Grant Murray, Abeer Zletni
Objective: To explore the role of parental education and communication of risks versus benefits of pediatric dental image on parents’ knowledge, comfort and confidence in allowing their children to receive the necessary imaging procedures. Methods: Parents of children <18 years of age were recruited during routine dental visits at the Boston University Pediatric Oral Health Care Center and Department of Dentistry at the Boston Medical Center, Boston, Massachusetts. Participants completed two brief questionnaires immediately before and after the educational intervention. A brief two-sided printed informational handout and a mobile application called Medical Imaging Risk (MIR) were used in the educational intervention for parental health education and communication of information on radiation risks. Statistical analysis was conducted using STATA version 14.0 to compare pre-intervention and post-intervention responses of participants. Results: Among 213 parents, the majorities were mothers (83%), African American (55%), with MassHealth insurance (82%) and reported that their child/children have had previous dental radiographs (75%). A significant improvement in confidence of their knowledge on benefits and risks of dental imaging was observed following the educational intervention (p<0.001). Parents’ level of comfort in allowing the use of dental radiographs for their children significantly improved after the educational intervention (p<0.001). Parents preferred the printed handout (53%) only slightly more than the mobile application (47%). Conclusion: The results from our study suggest that a simple brief educational intervention that includes easy to understand materials can significantly improve parental level of knowledge and confidence towards pediatric dental imaging. Thus dental practitioners should aim to include risk-benefit dialogues as part of the routine dental care visit to improve communication and acceptance of pediatric imaging.
目的:探讨儿童牙科影像学风险与益处的家长教育和沟通对家长接受必要影像学检查的知识、舒适度和信心的作用。方法:在波士顿大学儿童口腔卫生保健中心和波士顿医学中心牙科部进行常规牙科就诊时招募年龄<18岁儿童的家长。参与者在教育干预前后完成了两份简短的问卷调查。在对父母进行健康教育和传播辐射风险信息的教育干预中,使用了一份简短的双面印刷信息讲义和一个名为“医学成像风险”的移动应用程序。采用STATA 14.0版本进行统计分析,比较干预前和干预后参与者的反应。结果:在213名父母中,大多数是母亲(83%),非裔美国人(55%),拥有大众健康保险(82%),并报告他们的孩子/孩子以前做过牙科x光片(75%)。在教育干预后,他们对牙科成像的益处和风险的信心显著提高(p<0.001)。教育干预后,家长允许孩子使用牙科x线片的舒适程度显著提高(p<0.001)。家长们(53%)比手机应用程序(47%)更喜欢打印的讲义。结论:本研究结果表明,简单简短的教育干预,包括易于理解的材料,可以显著提高家长对儿童牙科影像学的知识水平和信心。因此,牙科医生应该将风险-收益对话作为常规牙科护理访问的一部分,以改善儿童影像学的沟通和接受度。
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引用次数: 1
Use of the Occlusal Device for Prosthetic Rehabilitation in a Patient with the Absence of the Right Mandible Branch 右下颌骨分支缺失患者使用咬合装置进行修复康复
Pub Date : 2019-09-10 DOI: 10.31038/jdmr.2019234
Frederico Andrade e Silva
Flaws in the control of dental caries and periodontal disease, possibility of root fractures and the difficulty in understand and reproduce the bilaterally balanced occlusion, takes many professionals to be reluctant to indicates this technique, preferring to remove remaining teeth and install implants [3,4,6]. However, the use of natural tooth roots to support overdentures brings benefits to the patient, assisting the proprioception, eliminating the osseointegration period and reducing the final cost of the prosthesis, because it eliminates the need for the acquisition of prosthetic components, and clinical and laboratory procedures related to installation of implants. Maintaining compliance with oral hygiene and specific care with the natural supports and prosthesis, the time life justifies the indication of this technique. In addition, an appropriate treatment plan for the making of overdentures on natural roots is a mandatory choice for patients who have underwent radiotherapy as a complementary treatment of cancerous lesions. Several authors are unanimous in stating that the radiation is a factor associated with the loss of implants and the decrease in its survival rate [7–16]. The effects of the radiotherapy appear to be more severe in the jaw due the less blood supply in the newly formed bone. So the benefit of the indication of the overdenture on natural roots in these cases, when compared to the overdenture on implant must overcome risk [7].
由于龋齿和牙周病控制上的缺陷、牙根断裂的可能性以及对双侧平衡咬合的难以理解和再现,许多专业人士不愿采用这种技术,而倾向于拔除剩余牙齿并安装种植体[3,4,6]。然而,使用天然牙根来支持覆盖义齿给患者带来好处,有助于本体感觉,消除骨整合期,降低义齿的最终成本,因为它消除了获取义肢部件的需要,以及与安装种植体相关的临床和实验室程序。保持口腔卫生和特殊护理的自然支持和假体,时间的生活证明了这种技术的适应症。此外,在自然牙根上制作合适的覆盖义齿的治疗方案是接受放射治疗作为癌症病变补充治疗的患者的强制性选择。几位作者一致认为,辐射是导致植入物丢失及其存活率降低的一个因素[7-16]。放射治疗对颌骨的影响似乎更严重,因为新形成的骨骼中血液供应较少。因此,在这些病例中,与种植体覆盖义齿相比,自然根覆盖义齿的适应症必须克服风险[7]。
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引用次数: 0
Making Smiles in the Community 在社区中制造微笑
Pub Date : 2019-09-03 DOI: 10.31038/jdmr.2019231
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引用次数: 0
Immediate Function of 3.25 mm Diameter Implants in Aesthetic Regions. An 18-month Clinical, Radiographic and Resonance Frequency Analysis (RFA) Study 3.25毫米直径植入物在美学区域的即时功能。一项为期18个月的临床、放射学和共振频率分析研究
Pub Date : 2019-06-13 DOI: 10.31038/jdmr.2019223
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引用次数: 0
James (Jean/Jacques) Gardette (1756-1831)
Pub Date : 2019-05-09 DOI: 10.31038/jdmr.2019221
X. Riaud
James Gardette, Surgeon Dentist, was the second son of Jean Blaize Gardette, and was born 13th of August, 1756, in the town of Agen, departement de Lot et Garonne, France. His father died when James was quite a lad, and we are but little acquainted with this early period of his life : nor, indeed, does it enter into the plan for the performance of our task. We only know that he possessed a very trifling patrimony, insufficient for his maintenance or education, and that after his father’s death he was brought up by his paternal uncle, Blaize Gardette, who lived at Agen, and held the office of Prosecuting Attorney until an advanced age. His uncle designed James for the medical profession, and with that view, after the ordinary academical studies of that day in a provincial town of France, sent him to Paris. He remained at the capital about two years (from 1773 to 1775), pursuing the study of Anatomy and Surgery in the Royal Medical School; and thence he was removed to the Hospital at Toulouse, where he resided eighteen months as a pupil in the Institution [1; 5]. At the end of this period he was sent to Bayonne, and there was examined by the surgeons of the Admiralty, and commissioned as a surgeon in the French navy. On obtaining the commission in the navy, he received orders to embark in his professional capacity, on board the brig of war La Barquaize de St. Jean de Luz, destined for Boston, Massachusetts. He sailed in October, 1777, with La Fayette and the Count of Rochambeau [1]. He arrived at Plymouth early in January following (1778). The love of liberty and popular movement throughout France, which brought so many young Frenchmen to the United States, at the period of our «Declaration of Independence,» had no small influence in governing the course of Gardette. He made a cruise of four months, during which an engagement occurred with two British ships, lasting three hours and a half, and in which there were several killed and wounded on board the vessel of which he was the surgeon. This seems to have terminated his official duties and connection with the French navy, from which he resigned, intending to adopt this country as his home. When the French fleet and army arrived at Newport (1780), he was induced to visit that town, and commence practice as a Dentist, the officers affording him considerable and congenial occupation for a short time. He had received instructions in dental operations (as part of his profession of Naval Surgeon) from Mrs. Le Roy de la Faudinière et Louis Laforgue, Dentists at Paris, then in high repute. He had also provided himself with the best works extant (Fauchard and Bourdet) on the Teeth, and with a limited set of dental instruments : still we scarcely think he could have had any expectations of pursuing the profession of Dentist in this country, at the time he left France [2]. In 1781-1782, he became acquainted with a young American soldier, Josiah Flagg (1763-1816), whom he is thought to have instructed in the
詹姆斯·加德特,外科牙医,是让·布莱泽·加德特的次子,于1756年8月13日出生在法国罗特加隆省阿根镇。他的父亲在詹姆斯很小的时候就去世了,我们对他早年的生活知之甚少,事实上,这也不包括在我们的任务计划中。我们只知道他有一笔很少的遗产,不足以维持他的生活和教育,他父亲死后,他是由住在阿根的叔父布雷兹·加德特抚养大的,他一直担任检察官的职务,直到晚年。他的叔叔打算让詹姆斯当医生,带着这个想法,在法国一个省城完成了普通的学术学习后,把他送到了巴黎。他在首都呆了大约两年(从1773年到1775年),在皇家医学院学习解剖学和外科学;此后,他被转移到图卢兹的医院,在那里他作为一名学生住了18个月[1;5)。这段时期结束时,他被派往巴约讷,在那里接受海军部的外科医生的检查,并被任命为法国海军的外科医生。他一得到海军的委任状,就奉命以他的职业身份登上圣让·德·卢兹号战船,驶往马萨诸塞的波士顿。1777年10月,他与拉费耶特和罗尚博伯爵一起出航[1]。1778年1月初,他抵达普利茅斯。在我们的《独立宣言》时期,法国各地对自由的热爱和人民运动把许多年轻的法国人带到美国,这对加尔戴特的进程产生了不小的影响。他进行了为期四个月的巡航,在此期间,他与两艘英国船只交战,持续了三个半小时,在他担任外科医生的船上,有几人死伤。这似乎终止了他的公务和与法国海军的联系,他从法国海军辞职,打算把这个国家作为他的家。当法国舰队和军队到达纽波特(1780年)时,他被劝说去了那个城镇,并开始作为一名牙医执业,军官们在短时间内为他提供了相当可观的和相宜的职业。他曾从当时声誉很高的巴黎牙医勒·洛伊·德·拉·福迪尼·弗勒和路易斯·拉弗格那里接受过牙科手术的指导(这是他海军外科医生职业的一部分)。他还为自己提供了现存最好的关于牙齿的作品(福沙尔和布尔代),以及一套有限的牙科器械。然而,我们几乎不认为他在离开法国的时候会期望在这个国家从事牙医的职业[2]。1781-1782年,他结识了一位年轻的美国士兵Josiah Flagg(1763-1816),他被认为是法国牙科艺术的导师,并成为美国最著名的牙医之一[3]。
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引用次数: 0
A Pilot Oral Health Continuing Education Program in In-Hospital Medicine 医院医学口腔健康继续教育试点项目
Pub Date : 2019-03-13 DOI: 10.31038/jdmr.2019214
Simon S. Kim, Jacob Emge, B. Swann, Lori M. Balestrero, Sang E Park
Objectives: The purpose of the project is to initiate an educational opportunity for hospital based physicians on their understanding of the relationship between oral health and systemic health. The project investigated the current level of oral health knowledge among medical health professionals. Methods: Harvard School of Dental Medicine (HSDM) and Mount Auburn Hospital (MAH) offered an oral health session for in-patient clinicians (Hospitalists, Medicine Residents, and Physician Assistants) to investigate the current level of oral health knowledge among medical health professionals and introduce them to the concept of oral health. In-patient clinicians at MAH were asked to fill out a pre-session survey online, regarding their familiarity with basic oral health concepts and their comfort level with performing oral examinations, and a post-session survey on paper that repeated the pre-session questions. Results : Fifty-three in-patient clinicians participated in the pre-session surveys, of which fourteen attended the educational information session and completed the post-session survey. Results showed that the session aided clinicians’ understanding of the relevance of oral health in overall patient care. Conclusion: The oral health education session can be a useful tool in contributing to awareness of oral health and understanding the link between oral diseases with systemic issues for in-patient clinicians.
目的:该项目的目的是为医院医生提供一个了解口腔健康和全身健康之间关系的教育机会。该项目调查了医疗卫生专业人员目前的口腔卫生知识水平。方法:哈佛大学口腔医学院(HSDM)和Mount Auburn医院(MAH)为住院临床医生(住院医师、住院医师和医师助理)提供口腔健康课程,调查医疗卫生专业人员口腔健康知识的现状,并向他们介绍口腔健康的概念。MAH的住院临床医生被要求填写一份会前在线调查,关于他们对基本口腔健康概念的熟悉程度和他们进行口腔检查的舒适度,以及一份会后书面调查,重复会前的问题。结果:53名住院临床医生参加了会前调查,其中14名参加了教育宣讲会并完成了会后调查。结果显示,该会议有助于临床医生了解口腔健康与整体患者护理的相关性。结论:口腔健康教育是提高临床住院医师口腔健康意识和了解口腔疾病与全身性疾病之间联系的有效工具。
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引用次数: 0
期刊
Journal of Dental and Maxillofacial Research
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