Contemporary exodontia

Sambrook, Paul; Goss, AN

doi:10.1111/adj.12586

Cited by 12 publications

(18 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent studies show that antibiotic prescription is not necessary in healthy patients as long as strict aseptic and antiseptic management is performed. [56][57][58] A lower percentage of dentists erroneously prescribed antibiotics during endodontic treatments without systemic symptoms (18.7 percent), periodontal treatment without surgery (11.7 percent), gingivitis (13.9 percent), anesthetic complications (4.9 percent), and pain (3.6 percent). Abbot 59 interviewed US dentists and endodontists to learn the prescription of antibiotics for different pulpal and periapical conditions and found that these professionals used Chi-square test to compare the awareness, attitudes, and intention to practice levels among dentists in the seven cities.…”

Section: Discussionmentioning

confidence: 99%

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Angarita-Díaz

Cepeda

Rodriguez‐Paz

et al. 2020

J Public Health Dent

View full text Add to dashboard Cite

Objectives: Inappropriate prescription of antibiotics contributes to antibiotic resistance. Therefore, the objective of this study was to determine the awareness, attitudes, and intention to practice of dentists prescribing antibiotics in Colombia in order to design a virtual learning environment on this subject. Methods: In a descriptive study across seven cities, 700 dentists from different Colombian cities were requested to complete a validated questionnaire containing five sections: general information, awareness on antibiotic effectiveness and antibiotic resistance, attitudes regarding prescription decision, intention to practice concerning clinical cases, and complementary information. The level of awareness, attitudes, and intention to practice was determined and Chi-square test was used to determine the existence of significant differences among cities. Results: The majority of dentists showed a medium level regarding the number of correct answers on awareness (62.4 percent) and attitudes (88.7 percent) and a high level on intention to practice (91.7 percent). Common errors within the awareness section included the meaning of the term "antibiotic resistance" (35 percent) and most dentists were not convinced that such resistance could be derived from prescription of antibiotics (51.2 percent). In the attitudes section, only 45 percent declared that they prescribe antibiotics based mainly on symptoms, and the intention to practice section showed a significant percentage of unnecessary prescription (51 percent for pacemaker users) or absence of prescription (53.9 percent for ventricular septal defect) in antibiotic prophylaxis for infectious endocarditis (IE). Conclusion:The dentists interviewed should be trained and made aware of antibiotic resistance, microbiological and clinical foundations, and current antibiotic prophylaxis guidelines.

show abstract

Section: Discussionmentioning

confidence: 99%

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Angarita-Díaz

Cepeda

Rodriguez‐Paz

et al. 2020

J Public Health Dent

View full text Add to dashboard Cite

show abstract

“…The indication is, therefore, also always a balancing of different requirements. In general, tooth extraction serves as a last resort when every other treatment option failed or is not indicated anymore [4].…”

Section: Introductionmentioning

confidence: 99%

Insights into Predicting Tooth Extraction from Panoramic Dental Images: Artificial Intelligence vs. Dentists

Motmaen,

Xie,

Schönbrunn

et al. 2024

Preprint

View full text Add to dashboard Cite

Objectives: Tooth extraction is one of the most frequently performed medical procedures. The indication is based on the combination of clinical and radiological examination and individual patient parameters and should be made with great care. However, determining whether a tooth should be extracted is not always a straightforward decision. Moreover, visual and cognitive pitfalls in the analysis of radiographs may lead to incorrect decisions. Artificial intelligence (AI) could be used as a decision support tool to provide a score of tooth extractability. Material and Methods: Using 26,956 single teeth images from 1,184 panoramic radiographs (PANs), we trained a ResNet50 network to classify teeth as either extraction-worthy or preservable. For this purpose, teeth were cropped with different margins from PANs and annotated. The usefulness of the AI-based classification as well that of dentists was evaluated on a test dataset. In addition, the explainability of the best AI model was visualized via a class activation mapping using CAMERAS. Results: The ROC-AUC for the best AI model to discriminate teeth worthy of preservation was 0.901 with 2% margin on dental images. In contrast, the average ROC-AUC for dentists was only 0.797. With a 19.1% tooth extractions prevalence, the AI model's PR-AUC was 0.749, while the human evaluation only reached 0.589. Conclusion: AI models outperform dentists/specialists in predicting tooth extraction based solely on X-ray images, while the AI performance improves with increasing contextual information. Clinical Relevance: AI could help monitor at-risk teeth and reduce errors in indications for extractions.

show abstract

“…En particular la exodoncia, uno de los procedimientos cardinales de la odontología, al ser una cirugía ambulatoria depende de un último factor que es ajeno a la pericia del tratante: el cuidado postoperatorio. (Sittitavornwong et al, 2005;Alvira-González & Gay-Escoda, 2015;Sambrook & Goss, 2018).…”

Section: Introductionunclassified

“…La exodoncia es un procedimiento ambulatorio frecuente, que puede presentar múltiples complicaciones (Pitekova et al, 2010;Solé Besoaín & Muñoz Thomson, 2012;Akinbami & Godspower, 2014;Hupp et al, 2014;Alvira-González & Gay-Escoda, 2015;Taberner-Vallverdú et al, 2017;Mamoun, 2018;Sambrook & Goss, 2018). Dentro de estos, se ha evaluado principalmente el consumo de tabaco, edad y género, uso de anticonceptivos, cantidad de anestesia utilizada, número de exodoncias en un acto quirúrgico, entre otros (Akinbami & Godspower, 2014;Taberner-Vallverdú et al, 2017;Mamoun, 2018).…”

Section: Introductionunclassified

Evaluación de estrategias para la indicación de instrucciones postoperatorias en exodoncia: Estudio clínico aleatorizado. Primera etapa

Vargas

Bendersky

Narea

2022

ARS med

View full text Add to dashboard Cite

Introducción: la exodoncia presenta diversos factores que influyen en el éxito del período postoperatorio. El aprendizaje de las indicaciones postoperatorias ha evidenciado influir en la morbilidad, complicaciones y calidad de vida del paciente durante sus cuidados postoperatorios. Sin embargo, la estrategia de aprendizaje convencional para entregar las instrucciones postoperatorias verbal-escrita (VE) no toma en cuenta el posible compromiso cognitivo, psicológico y emocional del individuo, realizando una entrega de instrucciones indiferente al estado del paciente. Materiales y métodos: los pacientes serán asignados aleatoriamente a grupos divididos según estrategia de aprendizaje utilizada: convencional VE y psicopedagógica visual, auditiva y kinésica (VAK). Inmediatamente posterior al procedimiento se realizará la explicación de los cuidados postoperatorios según grupo. Se realizará una encuesta inmediatamente posterior a la entrega de instrucciones, luego a las 24 horas y a los 7 días luego de la cirugía, con el objetivo de evaluar el grado de retención. Finalmente, para comparar, se contrastaron las medias de cada grupo en los tres tiempos de aplicación. Resultados: se observa una media mayor en el grupo VAK, visible en todos los tiempos de aplicación, donde observamos una tendencia a presentar mejores niveles de retención. Diferencias aun no estadísticamente significativas, ya que la muestra aún no representa el total del muestreo calculado. Discusión: los resultados preliminares nos muestran que la estrategia visual-kinésica-auditiva es superior a la convencional en cuanto a nivel de retención, lo cual podría convertirla en un método de elección al momento de entregar indicaciones post exodoncia, para tener un resultado postoperatorio óptimo.

show abstract

Contemporary exodontia

Cited by 12 publications

References 25 publications

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Insights into Predicting Tooth Extraction from Panoramic Dental Images: Artificial Intelligence vs. Dentists

Evaluación de estrategias para la indicación de instrucciones postoperatorias en exodoncia: Estudio clínico aleatorizado. Primera etapa

Contact Info

Product

Resources

About