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[PMID]:29292329
[Au] Autor:Heym R; Krause S; Hennessen T; Pitchika V; Ern C; Hickel R
[Ad] Endereço:Dr. Heym is Associate Professor in Periodontology, Department of Conservative Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. Krause is a dentist in private practice; Mr. Hennessen is a dental student, Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a
[Ti] Título:A Computer-Assisted Training Approach for Performing and Charting Periodontal Examinations: A Retrospective Study.
[So] Source:J Dent Educ;82(1):76-83, 2018 Jan.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to retrospectively investigate the development of a model-based, computer-assisted training approach for performing and charting periodontal examinations in a dental clinic in Germany. The study was initiated in summer semester 2013 and repeated in two consecutive semesters (S1: 44 students, S2: 48 students, and S3: 61 students) because technical features were introduced (S2: feedback and time control; S3: input control). In each semester, new dental students who had never performed periodontal examinations participated. Students were divided into two groups and received intense training at different time points. Agreement levels were calculated at baseline, after the first group received training, and after the second group received training. Comparisons were also made among the semesters. All 153 enrolled students in the three semesters participated. The results showed that probing depth accuracy significantly decreased in S1 from baseline to training completion (79.9% to 74.5%), and the probing depth accuracy significantly increased in S2 (76.1% to 78.9%) and S3 (77.2% to 82.3%). The students who received intense training at a late stage of the tutorial showed greater improvement, especially in the case of S3. Small changes in accuracy were observed for recession (S1: 94.5% to 96.1%; S2: 93.8% to 93.9%; S3: 95.4% to 96.6%). Accuracy for furcation involvement improved significantly in S1 (46.1% to 52.0%), S2 (46.8% to 59.7%), and S3 (44.2% to 58.3%); the improvements occurred when the students received intense training. The time taken for periodontal examination decreased significantly for S2 (23.6 to 14.2 min) and S3 (25.7 to 13.9 min). This study found that when feedback was provided, the students' periodontal examinations improved in accuracy and duration.
[Mh] Termos MeSH primário: Instrução por Computador
Diagnóstico Bucal/educação
Educação em Odontologia/métodos
Doenças Periodontais/diagnóstico
[Mh] Termos MeSH secundário: Competência Clínica
Modelos Dentários
Feminino
Alemanha
Seres Humanos
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.009


  2 / 1649 MEDLINE  
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[PMID]:28987149
[Au] Autor:Walls AW
[Ti] Título:New Frontiers in Dental Technology.
[So] Source:Prim Dent J;6(3 Suppl):22-27, 2017 08 31.
[Is] ISSN:2050-1684
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Diagnóstico Bucal/instrumentação
Tecnologia Odontológica/tendências
[Mh] Termos MeSH secundário: Diagnóstico por Imagem/tendências
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171009
[St] Status:MEDLINE
[do] DOI:10.1308/205016817821930890


  3 / 1649 MEDLINE  
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[PMID]:28926671
[Au] Autor:Yanagisawa S; Nakano M; Goto T; Yoshioka M; Shirayama Y
[Ti] Título:Development of an Oral Assessment Sheet for Evaluating Older Adults in Nursing Homes.
[So] Source:Res Gerontol Nurs;10(5):234-239, 2017 Sep 01.
[Is] ISSN:1938-2464
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A new general use oral assessment sheet (OAS), comprising three items each in three categories (i.e., oral hygiene, biting and chewing, and oral function), was developed to improve the oral health of older adults requiring nursing care. Seventy-nine care workers used the assessment sheet to evaluate oral conditions in 188 institutionalized older adults. Forty-five care workers and three dental professionals then assessed oral conditions in 45 institutionalized older adults using the test-retest method before and after dental professional guidance. Cronbach's alpha of the OAS was 0.72, and 0.65, 0.57, and 0.82 for the three subcategories of oral hygiene, biting and chewing, and oral function, respectively. After dental professional intervention, absolute and relative agreement coefficients increased to more than 0.6 and 0.89, respectively. Reliability and validity of the OAS were verified, and difficulties in oral assessment experienced by care workers were identified. [Res Gerontol Nurs. 2017; 10(5):234-239.].
[Mh] Termos MeSH primário: Assistência Odontológica para Idosos/métodos
Diagnóstico Bucal/normas
Casas de Saúde
Saúde Bucal
Higiene Bucal/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Avaliação Geriátrica/métodos
Seres Humanos
Masculino
Mastigação/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE
[do] DOI:10.3928/19404921-20170621-04


  4 / 1649 MEDLINE  
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[PMID]:28661802
[Au] Autor:Braun PA; Widmer-Racich K; Sevick C; Starzyk EJ; Mauritson K; Hambidge SJ
[Ad] Endereço:Patricia A. Braun, Katina Widmer-Racich, and Carter Sevick are with the Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz School of Medicine, Aurora. Erin J. Starzyk and Katya Mauritson are with the Colorado Department of Public Health and
[Ti] Título:Effectiveness on Early Childhood Caries of an Oral Health Promotion Program for Medical Providers.
[So] Source:Am J Public Health;107(S1):S97-S103, 2017 May.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess an oral health promotion (OHP) intervention for medical providers' impact on early childhood caries (ECC). METHODS: We implemented a quasiexperimental OHP intervention in 8 federally qualified health centers that trained medical providers on ECC risk assessment, oral examination and instruction, dental referral, and fluoride varnish applications (FVAs). We measured OHP delivery by FVA count at medical visits. We measured the intervention's impact on ECC in 3 unique cohorts of children aged 3 to 4 years in 2009 (preintervention; n = 202), 2011 (midintervention; n = 420), and 2015 (≥ 4 FVAs; n = 153). We compared numbers of decayed, missing, and filled tooth surfaces using adjusted zero-inflated negative binomial models. RESULTS: Across 3 unique cohorts, the FVA mean (range) count was 0.0 (0), 1.1 (0-7), and 4.5 (4-7) in 2009, 2011, and 2015, respectively. In adjusted zero-inflated negative binomial models analyses, children in the 2015 cohort had significantly fewer decayed, missing, and filled tooth surfaces than did children in previous cohorts. CONCLUSIONS: An OHP intervention targeting medical providers reduced ECC when children received 4 or more FVAs at a medical visit by age 3 years.
[Mh] Termos MeSH primário: Cárie Dentária/prevenção & controle
Pessoal de Saúde/educação
Promoção da Saúde
Saúde Bucal
[Mh] Termos MeSH secundário: Pré-Escolar
Odontólogos
Diagnóstico Bucal/métodos
Fluoretos
Seres Humanos
Pintura
Fosfatos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Phosphates); 15181-43-8 (fluorophosphate); Q80VPU408O (Fluorides)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303817


  5 / 1649 MEDLINE  
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[PMID]:28572412
[Au] Autor:Young DA; Alvear Fa B; Rogers N; Rechmann P
[Ad] Endereço:Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Fa is Assistant Professor, Department of Integrated Reconstructive Dental Sciences, Arthur A. Dugoni School of Dentistry, University of the Pacific; Mr. Rogers is Administrativ
[Ti] Título:The Effect of Calibration on Caries Risk Assessment Performance by Students and Clinical Faculty.
[So] Source:J Dent Educ;81(6):667-674, 2017 Jun.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Caries management requires a complete oral examination and an accurate caries risk assessment (CRA). Performing Caries Management by Risk Assessment (CAMBRA) is inefficient when the caries risk level assignment is incorrect. The aim of this study was to evaluate the ability of faculty members and students at one U.S. dental school to correctly assign caries risk levels for 22 CRA cases, followed by calibration with guidelines on how to use the CRA form and a post-calibration test two months after calibration. Inter-examiner reliability to a gold standard (consensus of three experts) was assessed as poor, fair, moderate, good, and very good. Of the 162 students and 125 faculty members invited to participate, 13 students and 20 faculty members returned pre-calibration tests, for response rates of 8% and 16%, respectively. On the post-calibration test, eight students and 13 faculty members participated for response rates of 5% and 10%, respectively. Without guidelines and calibration, both faculty members and students when evaluated as one group performed only poor to fair in assigning correct caries risk levels. After calibration, levels improved to good and very good agreements with the gold standard. When faculty and students were evaluated separately, in the pre-calibration test they correctly assigned the caries risk level on average in only one-quarter of the cases (students 24.1%±13.3%; faculty 23.6%±17.5%). After calibration, both groups significantly improved their correct assignment rate. Faculty members (73.8% correct assignments) showed even significantly higher correct assignment rates than students (47.7% correct assignments). These findings suggest that calibration with a specific set of guidelines improved CRA outcomes for both the faculty members and students. Improved guidelines on how to use a CRA form should lead to improved caries risk assessment and proper treatment strategy for patients.
[Mh] Termos MeSH primário: Cárie Dentária/diagnóstico
Educação em Odontologia/normas
Docentes de Odontologia/normas
Medição de Risco
Estudantes de Odontologia
[Mh] Termos MeSH secundário: Calibragem
Diagnóstico Bucal
Seres Humanos
São Francisco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.013


  6 / 1649 MEDLINE  
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[PMID]:28317821
[Au] Autor:Olesova VN; Uiba VV; Novozemtseva TN; Remizova AA; Olesov EE
[Ad] Endereço:Institute of Continuous Education of Federal Medical and Biological Agency of Russia, Moscow, Russia.
[Ti] Título:[Long-term results of dental health examinations of employees of industrial enterprises with hazardous working conditions].
[Ti] Título:Otdalennye rezul'taty stomatologicheskoi dispanserizatsii rabotnikov promyshlennykh predpriyatii s opasnymi usloviyami truda..
[So] Source:Stomatologiia (Mosk);96(1):12-15, 2017.
[Is] ISSN:0039-1735
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The article analyzes the results of dental examination of employees with hazardous and normal working conditions in Atomenergomash enterprise with various dental care organization regimens and provides clear evidence of the effectiveness of serial attendances care in enterprise dental offices in terms of reduction in the dental treatment needs. Additional funding for departmental dental services was calculated by comparing the real cost of dental treatment and MHI tariffs allowing implementation of proposed dental care program.
[Mh] Termos MeSH primário: Assistência Odontológica
Diagnóstico Bucal
Saúde Bucal
Exposição à Radiação
Saúde Radiológica
Doenças Estomatognáticas/epidemiologia
Doenças Estomatognáticas/prevenção & controle
[Mh] Termos MeSH secundário: Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Federação Russa/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE
[do] DOI:10.17116/stomat201796112-15


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[PMID]:28153122
[Au] Autor:Edwards PC
[Ad] Endereço:Oral and Maxillofacial Pathology Section Editor, Editor, American Academy of Oral and Maxillofacial Pathology, Professor, Department of Oral Pathology, Medicine and Radiology, Indiana University School of Dentistry, Indiana, USA.
[Ti] Título:Welcoming ambiguity in dental medicine-an opportunity for curricular development?
[So] Source:Oral Surg Oral Med Oral Pathol Oral Radiol;123(3):281-282, 2017 Mar.
[Is] ISSN:2212-4411
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Currículo/tendências
Diagnóstico Bucal
Educação em Odontologia/tendências
Incerteza
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE


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[PMID]:27845809
[Au] Autor:Ohno T; Heshiki Y; Kogure M; Sumi Y; Miura H
[Ti] Título:Comparison of Oral Assessment Results Between Non-Oral and Oral Feeding Patients: A Preliminary Study.
[So] Source:J Gerontol Nurs;43(4):23-28, 2017 Apr 01.
[Is] ISSN:0098-9134
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the current study, evaluation and comparison of oral status was performed to confirm the necessity of oral care for non-oral feeding patients. The study involved patients consulting an attending physician in one hospital's Department of Dentistry for oral care. Based on the feeding method, participants were divided into two groups: (a) non-oral (n = 66) and (b) oral (n = 66) feeding. Characteristics and Oral Assessment Guide scores were compared between groups. The non-oral feeding group had significantly worse scores than the oral feeding group. The non-oral feeding group also showed significantly lower voice-, swallowing-, saliva-, and tongue-related scores. The poor oral status of non-oral feeding patients was clarified. The results suggest the importance of oral care for non-oral feeding patients. [Journal of Gerontological Nursing, 43(4), 23-28.].
[Mh] Termos MeSH primário: Administração Oral
Transtornos de Deglutição/dietoterapia
Diagnóstico Bucal
Saúde Bucal
Nutrição Parenteral
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161116
[St] Status:MEDLINE
[do] DOI:10.3928/00989134-20161109-05


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[PMID]:27721313
[Au] Autor:Park SE; Donoff RB; Saldana F
[Ad] Endereço:Office of Dental Education, Harvard School of Dental Medicine, Boston, MA, USA.
[Ti] Título:The Impact of Integrating Oral Health Education into a Medical Curriculum.
[So] Source:Med Princ Pract;26(1):61-65, 2017.
[Is] ISSN:1423-0151
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to evaluate our pilot program incorporating oral health education into the medical curriculum by evaluating students' perspectives on the oral health curriculum. SUBJECTS AND METHODS: Two hundred second-year students were asked to fill in a presession survey online regarding their familiarity with basic oral health concepts and their comfort level with performing oral examinations, and a postsession survey on paper that repeated the presession questions and added questions on the effectiveness of the session. RESULTS: Of the 200 students, 164 (82%) participated in the surveys. The pre- and postsurvey results showed that the session helped students become more comfortable with performing oral examinations and recognizing risks for periodontal disease, with an increase from 40 (27%) to 119 (82%) and 51 (35%) to 124 (86%), respectively. CONCLUSION: In this study, the oral health education session contributed to an increase in student awareness and understanding of oral health. Considering the reported effectiveness of the interactive session on student comfort with performing a basic clinical examination, this model shows promise for further use in other institutions.
[Mh] Termos MeSH primário: Educação de Graduação em Medicina/métodos
Conhecimentos, Atitudes e Prática em Saúde
Saúde Bucal/educação
Estudantes de Odontologia/psicologia
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Boston
Currículo
Diagnóstico Bucal
Seres Humanos
Projetos Piloto
Faculdades de Medicina
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161011
[St] Status:MEDLINE
[do] DOI:10.1159/000452275


  10 / 1649 MEDLINE  
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[PMID]:27519932
[Au] Autor:Kowalenko T; Heller BN; Strauss RW; Counselman FL; Mallory MN; Joldersma KB; Coombs AB; Harvey AL; Reisdorff EJ
[Ad] Endereço:Department of Emergency Medicine, William Beaumont Health System, Royal Oak, MI.
[Ti] Título:Initial Validity Analysis of the American Board of Emergency Medicine Enhanced Oral Examination.
[So] Source:Acad Emerg Med;24(1):125-129, 2017 Jan.
[Is] ISSN:1553-2712
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The American Board of Emergency Medicine (ABEM) has introduced a new testing format for the oral certification examination (OCE): the enhanced oral or "eOral" format. The purpose of this study was to perform initial validity analyses of the eOral format. The two hypotheses were: 1) the case content in the eOral format was sufficiently similar to clinical practice and 2) the eOral case materials were sufficiently similar to clinical practice. The eOral and traditional formats were compared for these characteristics. METHODS: This was a prospective survey study. The survey was administered as a voluntary postexamination activity at the end of the 2015 spring (April 25-27) and fall (October 10-13) ABEM OCEs. The survey is a routine part of the ABEM oral examination experience. For 2015, two additional questions were added to gauge the similarity of the eOral format to clinical practice. Validity was defined by content and substantive elements within Messick's model of construct validity as well as portions of Kane's validity model. RESULTS: Of the 1,746 physicians who took the oral examination, 1,380 physicians (79.0%) completed all or part of the study survey questions. The majority of respondents agreed the patient presentations in the cases were similar (strongly agreed or agreed) to cases seen in clinical practice, in both the traditional cases (95.1%) and the eOral cases (90.1%). Likewise, the majority of respondents answered that the case materials (e.g., laboratory, radiographs) were similar (strongly agreed or agreed) to what they encounter in clinical practice, both in the traditional format (85.8%) and in the eOral cases (93.7%). CONCLUSIONS: Most emergency physicians reported that the types of cases tested in the traditional and eOral formats were similar to cases encountered in clinical practice. In addition, most physicians found the case materials to be similar to what is seen in clinical practice. This study provides early validity evidence for the eOral format.
[Mh] Termos MeSH primário: Certificação/normas
Diagnóstico Bucal/normas
Medicina de Emergência/educação
[Mh] Termos MeSH secundário: Seres Humanos
Estudos Prospectivos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160814
[St] Status:MEDLINE
[do] DOI:10.1111/acem.13068



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