Revue belge de medecine dentaire最新文献_第5页

[Decision making in treatment and co-management of periodontal infection: elimination or progression?]. 牙周感染的治疗和共同管理决策:消除还是进展?

Revue belge de medecine dentaire Pub Date : 2008-01-01

J Cosyn, H De Bruyn

{"title":"[Decision making in treatment and co-management of periodontal infection: elimination or progression?].","authors":"J Cosyn, H De Bruyn","doi":"","DOIUrl":"","url":null,"abstract":"An accurate prediction of disease progression after periodontal therapy would enable the clinician to intervene where and whenever necessary and to individualize supportive care. Unfortunately, predicting continued clinical attachment loss on the basis of clinical parameters on a site and tooth level seems relatively unreliable. Consequently, the clinician could play safe by possibly performing overtreatment. Reality shows, however, that persistent pathology prevails in some cases. A recent study has indicated that deep residual pockets of at least 6 mm following active periodontal therapy represent a risk for further disease progression and tooth loss. Significant associations have been shown on a site, tooth and patient level. This finding promotes a pocket elimination approach for the treatment of periodontitis. The strategy, which includes a strict extraction policy for hopeless teeth and thorough pocket disinfection usually by means of surgery, reduces the work load during supportive care. Indeed, additional tooth loss will be limited and a low prevalence of deep residual pockets limits the need for re-treatment. Besides active periodontal therapy supportive care is of pivotal importance to limit disease progression. The appropriate interval is selected on the basis of the patient's risk profile by the periodontist. Since specialists are usually understaffed to provide this for all patients, a 'co-management' concept seems the best alternative. This concept includes regular visits to the specialist and general practitioner. On the other hand, auxiliary personnel can be helpful to assist careproviders in organizing supportive therapy. This concept has proven to be effective over the world except for Belgium where oral hygienists are nonexisting and not allowed by law. Maybe it is time to reorganise health care policy in the benefit of clinicians and patients.","PeriodicalId":77359,"journal":{"name":"Revue belge de medecine dentaire","volume":"63 4","pages":"171-6"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27994303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Guidelines for the use of antimicrobial agents in the treatment of chronic periodontitis in Belgium]. [比利时治疗慢性牙周炎抗菌药物使用指南]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

S Reza Miremadi, Jan Cosyn, Hugo De Bruyn

引用次数: 0

[In the beginning was a relationship]. (一开始是一段关系)。

Revue belge de medecine dentaire Pub Date : 2008-01-01

Guido Vanbelle

引用次数: 0

[Peri-implantitis]. [种植体周围炎]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

Stijn Vervaeke, Hugo De Bruyn

引用次数: 0

[Prevention of endocarditis: changes in the recommendations]. [心内膜炎的预防:建议的变化]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

Paul De Munter, Willy Peetermans, Dominique Declerck

{"title":"[Prevention of endocarditis: changes in the recommendations].","authors":"Paul De Munter, Willy Peetermans, Dominique Declerck","doi":"","DOIUrl":"","url":null,"abstract":"Guidelines for the prophylaxis of infective endocarditis have historically evolved and have been based on limited medical evidence. New data suggest that infectious endocarditis is much more likely to result from frequent exposure to random bacteremias associated with daily activities than from bacteremia caused by a dental, gastrointestinal (GI) or genitourinary (GU) tract procedure, that prophylaxis may prevent an exceedingly small number of cases of endocarditis in patients who undergo a dental, GI tract or GU tract procedure and that the risk of antibiotic-associated adverse events may exceed the benefit from prophylactic antibiotic therapy. Based on these data the 2007 guidelines of the American Heart Association radically limit the indications for endocarditis prophylaxis. In its new consensus guidelines, the UZ Leuven restricts candidates for endocarditis prophylaxis to patients with cardiac conditions with an increased risk for infectious endocarditis and the highest risk of an adverse outcome. Prophylaxis is indicated in these patients in case of dental procedures that involve manipulation of gingival tissue, periapical region or in case of perforation of the mucosa. Daily oral hygiene and regular evaluation and treatment by a dentist are essential in the prevention of infectious endocarditis. The publication of these guidelines intends to stimulate discussion in order to develop uniform Belgian guidelines.","PeriodicalId":77359,"journal":{"name":"Revue belge de medecine dentaire","volume":"63 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27643015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Amalgam, composites and compomers: a comparative histologic study of periodontal tissues (Part 2)]. [汞合金、复合材料和复合材料:牙周组织的比较组织学研究(第二部分)]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

Carina Mehanna Zogheib, Nadim Mokbel, Nada Bou Abboud Naaman

引用次数: 0

[Vascular epulis or lobular capillary hemangioma]. [血管性肾小球或小叶毛细血管瘤]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

A Bouziane, Z Ismaili, A Regragui, L Guamra, O Ennibi

引用次数: 0

[A 24 month evaluation of zinc oxide pulpotomy on primary canines]. [24个月氧化锌髓切开术对初级犬的疗效评价]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

J-C Abou Chédid, C Pilipili

{"title":"[A 24 month evaluation of zinc oxide pulpotomy on primary canines].","authors":"J-C Abou Chédid, C Pilipili","doi":"","DOIUrl":"","url":null,"abstract":"Pulpotomy is the most performed and controversial therapeutic in pediatric dentistry. Since formocresol is known to have a toxic effect on living tissues, plus a mutagenic and carcinogenic potential with a systemic uptake of formocresol via pulpotomized teeth, other alternative products have been investigated. Twenty-five decayed primary canines and twenty-five healthy primary canines necessitating disking for orthodontic purposes were pulpotomized using non modified Zinc Oxide Eugenol. The effects of this material were evaluated both clinically and radiographically. Post operative control examinations were performed at 1, 6, 12, and 24 months trying to detect spontaneous or stimulated pain, pathological tooth mobility, abscesses or fistulas, internal or external pathological tooth resorption, periapical bone destruction, or canal obliteration. Pain was absent at 24 months post operatively. Half of the treated canines presented with a mobility, while internal and external resorptions were more frequent in decayed teeth and their number increased with time. On the other hand, abscesses and fistulas were equally found in both treated groups. The observations were compared to others related to formocresol ferric sulfate, MTA, and laser pulpotomies, using the binominal law, or the comparative test of an observed proportion to a reference proportion. In this study, and based on the excessive negative results in both groups, we demonstrated that non fixative pulpotomies on temporary canines were not a promising technique.","PeriodicalId":77359,"journal":{"name":"Revue belge de medecine dentaire","volume":"63 2","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27608944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Need for clinical guidelines for chronic periodontitis in general and specialized Belgian practice]. [需要在一般和专业比利时实践慢性牙周炎的临床指南]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

Jan Cosyn, Eric Thevissen, Michèle Reners, Eric Rompen, Björn Klinge, Hugo De Bruyn

{"title":"[Need for clinical guidelines for chronic periodontitis in general and specialized Belgian practice].","authors":"Jan Cosyn, Eric Thevissen, Michèle Reners, Eric Rompen, Björn Klinge, Hugo De Bruyn","doi":"","DOIUrl":"","url":null,"abstract":"As the prevalence of periodontitis is more than 40 % in the adult Belgian population, periodontists are clearly understaffed to treat this disease in all patients. Therefore, it seems logic that mild forms of chronic periodontitis are treated by the general practitioner especially because Belgium lacks dental hygienists. Important prerequisites for organizing periodontal care as such relate to the general practitioner who should use the same techniques, have comparable communicative skills to motivate patients and create a similar amount of time for periodontal treatment as the specialist. After all, the patient has the right to qualitative treatment regardless of the level of education of the care provider. In order to guarantee this in general practice as much as possible, there is a need for clinical guidelines developed by specialists. These guidelines should not only support the general practitioner in treating disease; above all, they should assist the dentist in periodontal diagnosis. Hitherto, periodontal screening by general dentists seems to be infrequently performed even though reimbursement of the Dutch Periodontal Screening Index is implemented in the Belgian healthcare security system. In this manuscript possible explanations for this phenomenon are discussed. Apart from the need for guidelines in general practice, guidelines for surgical treatment seem compulsory to uniform treatment protocols in specialized practice. Extreme variation in the recommendation of surgery among Belgian specialists calls for consensus statements.","PeriodicalId":77359,"journal":{"name":"Revue belge de medecine dentaire","volume":"63 2","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27608398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The development of clinical guidelines for the diagnosis and treatment of chronic periodontitis in Belgium]. [比利时慢性牙周炎诊疗临床指南的制定]。

Revue belge de medecine dentaire Pub Date : 2008-01-01

Jan Cosyn, Hugo De Bruyn

引用次数: 0