Dentists' attitudes toward chairside screening for medical conditions

Greenberg, Barbara; Glick, Michael; Frantsve‐Hawley, Julie; Kantor, Mel L.

doi:10.14219/jada.archive.2010.0021

Cited by 166 publications

(183 citation statements)

References 40 publications

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“…22 Son yıllarda yapılan çalışmalar hem hastaların hem de diş hekimlerinin, muayene sırasında bireylerin bazı tıbbi hastalıklar yönünden değerlendirilmesine olumlu baktığını göstermektedir. 23,24 Sağlık hizmetlerinde bu şekil-de bir bütünleşik yaklaşım, obstrüktif uyku apnesi gibi hastalıkların uzun dönem olumsuz etkilerinin azaltılması-na yardımcı olabilir. Bizim çalışmamızda da ebeveynlerin büyük çoğunluğu diş hekimlerinin ve ortodontistlerin tıb-bi hastalık riskleri yönünden çocuklarında değerlendirme yapmasının çok önemli olduğu görüşündeydi.…”

Section: Discussionunclassified

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Aydinatay¹,

Aksu²,

Taner³

2018

Yeditepe J Dent

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ÖZET Amaç: Bu kesitsel çalışmanın amacı ebeveynlerin pediatrik uyku apnesi ile ilgili bilgilerini ve ortodontistin bu hastalığın teşhis ve tedavisindeki yeri ile ilgili fikirlerini değerlendirme-ktir. Gereç ve Yöntem: Pediatrik uyku apnesi hakkındaki farkın-dalık ve görüşleri ölçmek üzere tasarlanmış bir anket, çocuklarının ortodontik tedavisi için bir üniversite ortodonti kliniğine başvuran uygun örneklem grubu ebeveynlere uygulandı. Elde edilen veriler ortalama ve sıklıkları içeren tanım-layıcı istatistikler ile analiz edildi. Demografik değişkenler ile sorgulanan bilgi maddeleri arasındaki korelasyonlar Pearson ki-kare testi kullanılarak incelendi. Bulgular: Anket toplam 260 ebeveyn tarafından cevaplandı. (Ortalama yaş: 40,7±6,6 yıl, 169 kadın, 91 erkek). Ebeveynlerin çoğu, diş hekimleri ve ortodontistlerin tıbbi hastalık riskleri yönünden çocuklarında değerlendirme yapmasının çok önemli olduğu görüşündeydi (sırasıyla %76,5 ve %76,2). Ebeveynler aynı zamanda ortodontistin çocuklarını uyku apnesi riski yönünden değerlendirmesini isteyeceklerini (%92,7) ve eğer ortodontist yönlendirirse uyku apnesi açısından değerlendirilmek üzere çocuklarını doktora götüreceklerini (%97,5) belirttiler. Çoğu ebeveyn pediatrik uyku apnesi hakkında temel düzeyde bir bilgiye sahip olmasına rağmen, bu hastalığın etyolojisi, semptomları, teşhisi, sonuçları ve tedavileri hakkında bilgileri yoktu. Artmış eğitim seviyesi, pediatrik uyku apnesi hakkındaki bilgi düzeyi ile anlamlı düzeyde ilişkiliydi (p<0,05). Sonuç: Sonuçlar ortodonti kliniğine başvuran ebeveynlerin çocuklarının uyku apnesi yönünden incelenmesine olumlu baktığını göstermiştir. Ancak bilgi düzeylerinin düşüklüğü, ebeveynler arasında pediatrik uyku apnesi farkındalığını arttırmak için eğitsel yöntemlerin geliştirilmesi gerekliliğini ortaya koymuştur. Anahtar kelimeler: Obstrüktif uyku apnesi, bilgi düzeyi, anket SUMMARY Aim: The purpose of this cross-sectional study was to assess parents' knowledge on pediatric sleep apnea and their attitudes regarding the role of the orthodontist in the diagnosis and management of sleep apnea. Materials and Methods: A questionnaire designed to evaluate awareness and views about pediatric sleep apnea was given to a convenience sample of parents visiting a university clinic for the orthodontic treatment of their children. Data were analyzed using descriptive statistics including means and frequencies. Pearson's chi-square statistics were used in order to determine the correlation between knowledge items questioned and demographic variables. Results: The survey was completed by 260 parents (mean age: 40.7±6.6 years, 169 female, 91 male). The majority of parents thought it was very important for dentists and ortho-ÖZGÜN ARAŞTIRMA

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Section: Discussionunclassified

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Aydinatay¹,

Aksu²,

Taner³

2018

Yeditepe J Dent

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“…In addition, there are many Latinas and other adult women who visit a dentist during a given year, including many who do not visit a general health care provider (Strauss, Alfano, Shelley, & Fulmer, 2012). Several studies have demonstrated that the dental visit offers a feasible and acceptable diabetes screening opportunity from the perspective of both patients and providers Greenberg, Glick, Frantsve-Hawley, & Kantor, 2010;Greenberg, Kantor, Jiang, & Glick, 2012;Laurence, 2012;Rosedale & Strauss, 2012). Also needed are targeted programs to encourage Latinas to get screened for diabetes, such as that between the National Latina Health Network and the popular blogger SoLatina that collaborated to encourage Latinas with a history of gestational diabetes to get this screening (National Diabetes Education Program, 2012).…”

Section: Discussionmentioning

confidence: 99%

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Strauß

Vega²,

Clayton-Jeter

et al. 2014

Hisp Hlth Care Int

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For Latinas with fasting plasma glucose (FPG) levels in the pre-diabetes and diabetes ranges, early detection can support steps to optimize their health. Data collected in 2009-2010 indicate that 36.7% of Latinas in the U.S. had elevated FPG levels. Latinas with elevated FPG who were unaware of their diabetes status were significantly less likely than non-Hispanic White and nonHispanic Black women to have seen a health care provider in the past year (75.8%, 92.9%, and 90.2%, respectively; p = .018). With almost 1 million Latinas in the U.S. with elevated FPG unaware of their diabetes risk, and less likely than other at-risk women to see health care providers, there is an urgent need to establish alternate sites of opportunity for their diabetes screening.

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“…The continuity of providing ongoing dental services presents an opportunity to identify both oral and general risk factors and points out the benefit of medical screening in dental settings which is why such screening activity has recently been introduced to dentistry and is the subject of research because of its positive results [29][30][31][32][33]8,9,[34][35][36][37].…”

Section: Implications Of This Studymentioning

confidence: 99%

“…Data from a selfadministered study questionnaire to 7,400 U.S.-based practicing dentists showed that these respondents were positively inclined towards integrated disease prevention [8].…”

Section: Introductionmentioning

confidence: 99%

Identifying patients in dental settings at risk of cardiovascular disease and diabetes

Friman¹,

Wårdh²,

Nilsson³

et al. 2013

Cardio Vasc Syst

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Background: The purpose of our study was to identify patients in a dental setting at risk of already having or developing high blood pressure or high plasma glucose, investigate possible associations between these conditions and periodontal status and explore the correlation between screening results and follow-up assessments concerning the need for medical treatment and/or lifestyle changes performed by medical staff. Methods: A total of 170 dental patients were consecutively included at their regular yearly check-up visit. Data on age, weight, height, amount and use of tobacco and medication for cardiovascular disease and diabetes mellitus were collected, as well as data about systolic and diastolic blood pressure, in addition to pulse and plasma glucose. Clinical and radiographic examinations revealed data about periodontal status by probing periodontal pockets and measuring marginal alveolar bone loss by means of x-rays. Patients who exceeded normal diastolic blood pressure and plasma glucose values were referred for diagnosis and care. Results: Thirty-nine patients exhibiting high values were provided referrals and 24 or 14.1% of the 170 participants required additional care. The correlation between oral and medical health care concerning blood pressure recorded was 64.5% (p<0.001), while the correlation was 40.0% (p<0.001) concerning plasma glucose. Among middle aged men and elderly subjects, the data revealed/showed a significant correlation between marginal alveolar bone loss and high systolic blood pressure (p=0.001). Conclusions:The correlation between oral health care and medical health care registrations based on blood pressure and plasma glucose indicates that it may be appropriate for dental professionals to perform opportunistic medical screening and refer risk patients to the medical care system before complications occur. In order to identify medical risk patients in dental settings on the basis of high blood pressure, a suggestion may be to examine middle-aged men and elderly patients of both sexes who exhibit radiographic markers for marginal alveolar bone loss.

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Dentists' attitudes toward chairside screening for medical conditions

Cited by 166 publications

References 40 publications

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Identifying patients in dental settings at risk of cardiovascular disease and diabetes

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