Internal diseases encountered by dental students while treating dental patients during undergraduate training

Humbert, Anja; Schmage, Petra; Harendza, Sigrid

doi:10.1186/s12909-018-1258-3

“…Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%) musculoskeletal (23.0%) endocrine (22.4%) and respiratory disease (17.8%) constituted the most common conditions reported with the pattern of medication usage paralleling the diseases reported. This is in keeping with other studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] and also re ects the most common chronic diseases in Australia [27]. Each of those conditions and associated medication use can not only contribute to the presentation of numerous intraoral pathosis but also affect the safe delivery of dental treatment.…”

Section: Discussionsupporting

confidence: 88%

Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

Frydrych¹,

Parsons

²

,

Kujan

³

2020

Preprint

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Background: Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution.Methods: This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence.Results: Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p=0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p=0.0002) or a mental health condition (p=0.0368). Conclusions: Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

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“…Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%) musculoskeletal (23.0%) endocrine (22.4%) and respiratory disease (17.8%) constituted the most common conditions reported with the pattern of medication usage paralleling the diseases reported. This is in keeping with other studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] and also re ects the most common chronic diseases in Australia [25]. Each of those conditions and associated medication use can not only contribute to the presentation of numerous intraoral pathosis but also affect the safe delivery of dental treatment.…”

Section: Discussionsupporting

confidence: 88%

Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

Frydrych¹,

Parsons

²

,

Kujan

³

2020

Preprint

0

View full text Add to dashboard Cite

Background: Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution.Methods: This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence.Results: Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p=0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p=0.0002) or a mental health condition (p=0.0368). Conclusions: Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

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“…A previous German study found that undergraduate dental students treat a high number of patients with systemic internal diseases during their clinical semesters [15]. Thereby, it was also concluded that more studies focusing on medical topics in dental education would be necessary [15].…”

Section: Comparison With Available Literaturementioning

confidence: 99%

“…Against this background, it is of increasing relevance for undergraduate dental students to be prepared for future challenges in the dental care of patients with general diseases, conditions and/or medications [15]. Thereby, awareness and knowledge of antimicrobial prophylaxis need to be strongly emphasized [16].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an educational concept for risk-oriented prevention in undergraduate dental education

Schmalz

¹

,

Krause

²

,

Grzelkowski

³

et al. 2020

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Background Aim of this observational study with a three-month follow-up was to evaluate an educational concept for risk-oriented prevention applied by fifth-year undergraduate dental students. Methods Dental students from two clinical treatment courses of the last undergraduate year were included. The subjects were divided into two groups according to their assignment to the two clinical classes. Group A received a sequence of seminars, including the basics of a risk classification system (RCS) with the theoretical background and case studies in the context of preventive dentistry. Thereby, 1) a theoretical seminar (background, RCS, cases) and 2) the transfer of the RCS on a clinical patient case chosen by the student, and its presentation within a discussion round was applied. Group B served as a comparison group with students who did not receive any of teaching events in terms of RCS. The self-perceived knowledge and importance of RCS, as well as objective knowledge (qualitative questions), were assessed with a standardized questionnaire at baseline and after 3 months. Results Out of 90 students at baseline, 79 (group A: 39, group B: 40) were re-evaluated after 3 months. At this follow-up, Group A estimated their confidence in handling the medication (p = 0.02), the RCS (p < 0.01), and in identifying the risk of oral diseases (p = 0.02) higher than group B. Furthermore, group A felt it was more important to identify patients at risk (p = 0.02), the risk of complications (p = 0.02) and to apply an RCS (p = 0.03). At follow-up, group A exhibited more correct answers of qualitative questions than group B regarding risk of complications (p < 0.01) and bacteremia (p < 0.01). Group A felt more confident with at-risk patients and more competent concerning RCS than group B (p < 0.01). Conclusion The concept for educating risk-oriented prevention increased the self-perceived skills and the knowledge of undergraduate dental students after 3 months within a clinical treatment course.

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Internal diseases encountered by dental students while treating dental patients during undergraduate training

Cited by 12 publications

References 24 publications

Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

Evaluation of an educational concept for risk-oriented prevention in undergraduate dental education

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