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The role of the dental surgeon in the overall medical situation arising during times of war or civil disaster in the light of military dentistry

Lin VY

Dent J Malaysia Singapore, 1970 Oct;10(2):16-9.
PMID: 5278504
Matched MeSH terms: Dentists/utilization
Fulltext Knowledge and perception of flexible dentures among dental private practitioners in Klang Valley, Malaysia

Rozano, A.S., Asman, N., Zubaidah Z.A., Lim, G.S.

Ann Dent, 2017;24(2):33-38.
MyJurnal

Prescription of flexible denture (FD) is non preference by the clinician in Ministry of Health Malaysia and it was not included in the curriculum of public university. However, among private dental practitioner (PDP) this treatment modality is highly favourable. Therefore, this study was conducted to assess the level of knowledge and perception on the flexible dentures by the PDP. The level of perception and knowledge on FD was analysed using validated questionnaire. 42 PDP had participated. An independent t-test was employed to determine the statistical difference between genders. One Way ANOVA was used to evaluate the statistical difference between their years of experience in private sector on knowledge and perception of flexible denture. There was no significant different in knowledge between female and male (p=0.892) and years of experience (p=0.617). Perceptions of flexible denture, was not significantly influence by genders (p=0.068) but by year of experiences between group A and B (p=0.039), and between group B and group C (p=0.039). P value was set at 0.05. In conclusion, there is a correlation between perceptions of flexible denture and years of experience of private dental practitioner.

Matched MeSH terms: Dentists
Contemporary issues in risk management: "risk management for dentists"

Lewis K

Med J Malaysia, 2003 Mar;58 Suppl A:134-40.
PMID: 14556361

The management of the clinician who generates complaints and claims on a regular basis, raises issues of professional responsibility and presents ethical challenges for the defence team, in addition to the immediate practical need for advice and representation. This short session examines some of these issues and suggests some ways that are already being used to address them.

Matched MeSH terms: Dentists*
Fulltext Plummer Vinson Syndrome: A Rare Syndrome in Male with Review of the Literature

Karthikeyan P, Aswath N, Kumaresan R

Case Rep Dent, 2017;2017:6205925.
PMID: 28932606 DOI: 10.1155/2017/6205925

INTRODUCTION: Plummer Vinson syndrome also known as Paterson Brown-Kelly syndrome is a syndrome associated with the triad of symptoms comprising microcytic hypochromic anemia, oesophageal strictures, and dysphagia. PVS is commonly found in women of middle age especially in the fourth and fifth decade of life and is rarely reported in males.
CASE REPORT: The authors report a case of 43-year-old male patient who presented with the classic symptoms of Plummer Vinson syndrome.
CONCLUSION: Dentists have to be familiar with symptoms of PVS and a thorough clinical examination of the patient is necessary for early diagnosis and treatment. As PVS is a precancerous condition with high malignant potential, early diagnosis is of utmost importance for better prognosis.
CLINICAL SIGNIFICANCE: Mutual interaction of systemic and oral health has largely been underestimated by many patients in the developing countries and hence this report includes a note on importance of adequate medical history taking and its relevance to the dental health and treatment.

Matched MeSH terms: Dentists
Fulltext Acrylic partial dentures fixed to adjacent teeth: a case report on quack dentistry

Nik Madihah Nik Azis, Khamiza Zainol Abidin

Archives of Orofacial Sciences, 2015;10(1):41-45.
MyJurnal

The practice of quack dentistry worldwide is a challenge to the profession of dentistry as it undermines the trust of the general public and places the patients at unnecessary risks through their illegal practices. Although the ratio of patients to dentists is rapidly decreasing in Malaysia due to the increased output of qualified dentists from both local and foreign institutions, quack dentistry is still practiced in many areas. This report intends to highlight a popular treatment prescribed by these quack dentists which is removable partial dentures that is fixed to the adjacent teeth by cold cure acrylic. We also aim to discuss the design of the denture and the means employed to remove this ’fixed partial denture’. It is hoped that this case report will highlight the prevalence of the practice of quack dentistry especially in geographical area of this case report and allow the authorities to devise means to stop this illegal practice.

Matched MeSH terms: Dentists
Fulltext Patient's Perceptions And Knowledge On Tooth Bleaching

Ahmad, R., Ariffin, E.H.Z.M., Vengrasalam, I., Kasim, N.H.A.

Ann Dent, 2005;12(1):-.
MyJurnal

The main objective of this study was to assess knowledge on tooth bleaching among patients visiting dental health care centres in Klang Valley. A total of 200 patients were conveniently selected and interviewed using structured questionnaires. Among the 200 respondents, 75.5% knew about bleaching. There was no statistically significant difference in knowledge of bleaching in relation to age, gender, ethnic group and income level of the patients interviewed (p>0.05) but the education level had a significant influence (p=0.049). Respondents with tertiary education had better knowledge about tooth bleaching as compared to those respondents without tertiary education. The sources of information about bleaching came from advertisements on electronic media (65.5%), articles in newspapers and magazines (14.7%), dentists (10.9%) and family and friends (8.8%). Out of the 75.5% of respondents who knew about bleaching, 18.2% had tried bleaching their teeth using either over-the-counter products or had undergone professional bleaching treatment. The commonest reasons cited for bleaching treatment were to remove coffee and tea stains (70%) and cigarette stains (16.7%). 73.3% of these patients were satisfied with the results achieved after bleaching. However, the majority of these patients (59.6%) were unsure of the safety of these bleaching products/procedures. In conclusion, 75.5% of patients interviewed in this study knew that bleaching is one of the treatment options available to improve dental aesthetics but only 18.2% have tried bleaching their teeth. Their main source of knowledge about bleaching came from advertisements on electronic media.

Matched MeSH terms: Dentists
Fulltext The Use of Hall's Technique Preformed Metal Crown (HTPMC) by Pediatric Dentists in Malaysia

Jesmin F, Kamarudin A, Baharin F, Ahmad WMABW, Mohammed M, Marya A, et al.

Biomed Res Int, 2021;2021:8424206.
PMID: 34977246 DOI: 10.1155/2021/8424206

Introduction: Hall's technique preformed metal crown (HTPMC) has been used widely by pediatric dentists in developed countries as a new approach for managing decayed primary molars without local anesthesia, caries removal, and tooth preparation. Currently, inadequate information is available regarding the implementation of this technique (HTPMC) in Malaysia. This study is aimed at evaluating the implementation of HTPMC by Malaysia's pediatric dentists and identify the co-occurrence frequencies of the HTPMC implementation with the respondents' demographic profile.
Materials and Methods: A cross-sectional questionnaire-based research was conducted among 65 pediatric dentists in Malaysia. Online questionnaires were distributed to the pediatric dentists employed at public hospitals (MOH) and universities in Malaysia.
Result: It was found that over half of the respondents (65.6%) employed HTPMC. The analysis of the co-occurrence network frequency revealed that a high frequency of female pediatric dentists who were within the age group of 31-40 years old had fulfilled their postgraduation overseas and was employed in the university mainly applied HTPMC.
Conclusion: The application of HTPMC among respondent pediatric dentists in Malaysia was high. However, most respondents considered HTPMC a treatment option only to manage carious primary molar rather than a treatment of choice.

Matched MeSH terms: Dentists/statistics & numerical data*; Practice Patterns, Dentists'/statistics & numerical data*
Fulltext A Review on COVID-19 Mediated Impacts and Risk Mitigation Strategies for Dental Health Professionals

Sharma S, Parolia A, Kanagasingam S

Eur J Dent, 2020 Dec;14(S 01):S159-S164.
PMID: 33167046 DOI: 10.1055/s-0040-1718240

In the light of coronavirus disease 2019 (COVID-19), dentistry is facing unprecedented challenges. The closure of clinics has impacted dental health professionals (DHPs) not only financially but also psychologically. In this review, these consequences are discussed in detail to highlight the challenges that DHPs are facing thus far, in both developing and developed nations. Compromised mental health among DHPs is an important area that requires attention during this difficult period. Although, in previous pandemics, dentists have not worked on the frontline, the article discusses how their wide range of skillsets can be leveraged if another wave of COVID-19 pandemic appears. Finally, guidelines to reopen clinics and patient management have been discussed in detail that could serve as a quick reference guide for DHPs.

Matched MeSH terms: Dentists
Fulltext Malaysia: empowering dentists into smoking cessation

Nordin AS, Kadir RA

Tob Control, 2014 Jul;23(4):284.
PMID: 25061647
Matched MeSH terms: Practice Patterns, Dentists'/organization & administration*
Co-operation between doctors and dentists

Johnson HA

Malayan Medical Journal, 1935;10:148-50.

Matched MeSH terms: Dentists
Knowledge, awareness, attitude and practice of dental practitioners regarding Covid-19 pandemic and infection control: a cross sectional study in Kolkata metropolitan region

Bera R, Kalia P, Hiremath S, Jaiswal D

Rocz Panstw Zakl Hig, 2021;72(1):95-101.
PMID: 33883104 DOI: 10.32394/rpzh.2021.0150

Background: Coronavirus disease 2019 (COVID-19) is a global pandemic with more than 53,973 people affected in West Bengal state of India.
Objectives: The aim of present study was to assess the Knowledge, Attitudes and Practices (KAP) of dental practitioners in Kolkata city, West Bengal, India regarding COVID-2019 pandemic.
Materials and method: Online questionnaire was distributed among dentists across West Bengal city, using a combination of convenience and snowball sampling. The questionnaire had 17 questions: (1) Section A was 'General section' which comprised of socio-demographic and professional details of the subjects; and (2) Section B comprised of 14 questions depicting knowledge, awareness attitude and practice regarding COVID-19. The data collected was subjected to statistical analysis with level of significance at p=0.05. The descriptive statistical analysis was done to compute frequency and percentages. Intergroup comparison was determined by Chi-square statistical analysis to determine the level of significance for responses of each question.
Results: Around 70.4% undergraduates participated in the study. Only 4.3% showed accurate knowledge with respect to the incubation period of coronavirus. Coughing and sneezing was considered to be the most common mode of transmission. 98.9% of dentists considered fever to be the characteristic symptom of the disease. Hand washing and alcohol rubs was advocated by 99.5% of the dentist. Emergency procedures were considered necessary by 90.8% dentists. 75.1% of dentists agree that their practice has been affected by the pandemic.
Conclusion: A constant update regarding COVID-19 should be made available to dental health care professionals through webinars, seminars, discussions and articles. Dentists should keep themselves updated and help to fight against this pandemic.

Matched MeSH terms: Dentists/psychology; Dentists/statistics & numerical data*; Practice Patterns, Dentists'/statistics & numerical data*
Utilization, knowledge and attitudes concerning sealants among Malaysian dentists: a national survey

Abdul Razak IA, Esa R, Jalallundin RL, Jaafar N

J Pedod, 1990;14(4):242-5.
PMID: 2098079

The aim of this postal survey was to assess the utilization, knowledge and attitude concerning sealants among Malaysian dentists. A pretested questionnaire was sent to all dentists (1217) who were on the Dentist Register of Malaysia of 1987. A response rate of 61.1% was obtained. The results indicate that 52.6% of the respondents have used sealants, but of these only 13.6% have used them frequently. The two "knowledge" related questions receiving the most support concerned the suitability of the first permanent molars for sealants and the loss of sealants attributable to problems at the time of application. The two "attitudinal" questions receiving the most support concerned the value of sealants in preventing dental caries and the need for the profession to expand more efforts toward increasing public demand for sealants. Only about 50% of the respondents believed that sealants are cost-effective.

Matched MeSH terms: Dentists
Fulltext Dentist’s role as smoking cessation counsellor

Asmaon, A.F., Ishak, A.R.

Malaysian Dental Journal, 2007;28(2):72-77.
MyJurnal

The aim of the study was to assess the potential role of dentists as smoking cessation counsellors in their practice. The target group comprised of all public and private sector dentists in the Federal Territory of Kuala Lumpur (FTKL) and Selangor. Data were collected via a twenty-six item questionnaire which was mailed to 831 dentists. A response rate of 67.1% was obtained. Results revealed that the majority of the respondents (97.8%) perceived that in addition to providing oral care, dentists should also be interested in their patients’ general health. Generally, about two-thirds of dentists (69.1%) and especially those from the public sector (76.4%) considered that they have an important role to play as smoking cessation counsellors. However, less than half of the respondents (40.3%) perceived that patients do not expect smoking cessation advice from their dentists. Yet, more than half of the respondents (55.1%) provided advice or helpful hints in order to motivate their patients to quit smoking. About 65% of the overall respondents did explain to their patients regarding the health risk due to smoking and its detrimental effects. Perceived obstacles to smoking cessation include lack of information between dentistry and smoking cessation (86.1%) followed by lack of training and lack of time.

Matched MeSH terms: Dentists
Oral health problems among foreign workers

Ishak AR

JUMMEC, 2002;7:46-51.

About 27% of the eligible respondents reported having experienced some form of dental problems in the preceding one year prior to the interview. Female respondents (57.1%) were more likely to have encountered a dental problem as compared to male respondents (22.6%). Of the various nationalities, the Thais (60.7%) and the Pakistanis were the most and least likely respectively to have encountered a dental problem in the preceding one year. This pattern among the Thais was consistent for both the male (48.4%) and female (70.6%) population. Toothache (85.0%) was reportedly the most prevalent dental problems encountered regardless of gender and nationality, followed by sensitivity to hot and cold drinks (34.4%). About 1 in 4 subjects who had dental problem reported having bleeding gums. About 1 in 4 subjects who had dental problems had consulted the doctor or dentists regarding their problem and one more than one-half had self-medicated. Overall the majority (84.4%) of the respondents have never visited the dentists in Malaysia. Lack of perceived need was cited as the main reason for this.

Matched MeSH terms: Dentists
Fulltext Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study

Irfan B, Zahid I, Khan MS, Khan OAA, Zaidi S, Awan S, et al.

BMC Health Serv Res, 2019 Nov 21;19(1):865.
PMID: 31752855 DOI: 10.1186/s12913-019-4676-y

BACKGROUND: Basic Life Support (BLS) is the recognition of sudden cardiac arrest and activation of the emergency response system, followed by resuscitation, and rapid defibrillation. According to WHO, Pakistan has one of the highest mortality rates from accidental deaths therefore assessment and comparison of BLS knowledge in health professionals is crucial. We thereby aim to assess and compare the knowledge of BLS in doctors, dentists and nurses.
METHODS: A multi-centric cross-sectional survey was conducted in Karachi at different institutions belonging to the private as well as government sector from January to March 2018. We used a structured questionnaire which was adapted from pretested questionnaires that have been used previously in similar studies. Descriptive statistics were analyzed using SPSS v22.0, where adequate knowledge was taken as a score of at least 50%. P

Matched MeSH terms: Dentists/statistics & numerical data
Fulltext A study on the clients’ charter in the Teluk Wanjah Dental Clinic, Kedah

Lake, Shuet Toh, Humiyati, R.

Malaysian Journal of Public Health Medicine, 2005;5(2):50-57.
MyJurnal

The objective of this study was to evaluate compliance :0 the cliencs’ charter in a dental clinic and factors that may afect the updating of the charter. Our clients’ charter states that registration time is within IO minutes and waiting-mom time before being seen by the dentist is within 30 minutes. Convenience sampling was carried our over two weeks. Only patients above 12 years treated by dental officers were included. Data recorded included registration and wrziting-room time, treatment time, punctualiry afpaniems and workload of ajcicers. There were a total of 532 patients (407 walk»in/outpatients, 125 appointments). Results show that the mean waiting-mom time for all paticnm was nor compliant to the clients' charter (42.7 x 23.8 min for walking flll 44.9 : 32.7 min for appointments). Only 33% were seen within 30 min whilst about 23% waited for more than 60 minutes. All The mean registration time (17.9 1- 12.8 min) was ncmcomplianr everyday except on Thursdays where there were very few patients. Waiting time for elderly patients was not statistically significant from the younger patients. About 36% of appointment ariems were seen within 30 minutes; althou h hal 0 them were late, Exmzctivns, dentures and examination and diagnosis took the shortest time wrzh about 88%, 91% and 98% completed within 30 minutes respectwely. There was variable individual speed and number of patients managed by different operators, although the majority was flrsnyear dental officers. Factors that may contribute waiting time included number of patients per day, operator and punctualizy of patients.

Matched MeSH terms: Dentists
Knowledge about Human Papillomavirus and Cervical Cancer: Predictors of HPV Vaccination among Dental Students

Rajiah K, Maharajan MK, Fang Num KS, How Koh RC

Asian Pac J Cancer Prev, 2017 06 25;18(6):1573-1579.
PMID: 28669170

Background: The objective of this study is to determine the influence of dental students’ knowledge and attitude
regarding human papillomavirus infection of cervical cancer on willingness to pay for vaccination. Basic research
design: A convenience sampling method was used. The minimal sample size of 136 was calculated using the Raosoft
calculator with a 5 % margin of error and 95% confidence level. Participants: The study population were all final
year dental students from the School of Dentistry. Methods: A self-administered questionnaire was used to measure
knowledge levels and attitudes regarding human papillomavirus vaccination. Contingent valuation was conducted
for willingness to pay for vaccination. Main outcome measures: The Center for Disease Control and Prevention has
stated that human papillomavirus are associated with oropharynx cancer and the American Dental Association insist on
expanding public awareness of the oncogenic potential of some HPV infections. Thus, as future dental practitioners,
dental students should be aware of human papillomavirus and their links with cancer and the benefits of vaccination.
Results: Knowledge on HPV and cervical cancer did not impact on attitudes towards vaccines. However, significant
correlation existed between knowledge and willingness to pay for vaccination. Conclusions: Dental students’ knowledge
on HPV and cervical cancer has no influence on their attitude towards HPV vaccines. However, their willingness to
pay for HPV vaccination is influenced by their knowledge of cervical cancer and HPV vaccination.

Matched MeSH terms: Dentists
The role of the dental surgeon in the overall medical situation arising during times of war or civil disasters in the light of military dentistry

Holland HG

Dent J Malaysia Singapore, 1970 Oct;10(2):11-5.
PMID: 5278503
Matched MeSH terms: Dentists/utilization
Fulltext Reducing the failure rate of ocular prosthesis at Hospital Sultanah Aminah

Muhamad Imran Abdulah, Ikmal Abdul Hakim, Rosni Amin, Rosliza Parumo, Ma, Bee Chai, Noraziyah Abdul Aziz, et al.

Q Bulletin, 2020;1(29):16-27.
MyJurnal

The Department of Oral & Maxillofacial Surgery at Hospital Sultanah Aminah, Johor Bahru started managing patients who lost their eyeballs with ocular prosthesis in 2013. Unfortunately, there was an increasing trend of failed ocular prosthesis from 2013-2015. The failure rate went from 28.6% in 2013 to 40% in 2014 and increased to 44.4% in 2015. Failed ocular prosthesis not only leads to dissatisfied patients but also an increase in cost due to redoing of prosthesis. The objective of this project was to reduce the incidence rate of failed ocular prosthesis. A failed case is when the prosthesis does not pass the issue stage and has to be redone from the beginning. The standard failure rate is 0%, as the average number of cases per year is only about 10 cases. We determined the contributing factors of failed ocular prosthesis by analysing retrospective data from patients’ dental and lab records. This was followed by a self-administered questionnaire on reasons for failed cases which was distributed among the dentists and lab technicians in our department. The contributing factors that were identified included insufficient knowledge or skill of dentist and lab technicians in the construction of the ocular prosthesis, as well as improper screening of new cases which was the main factor of all the failed cases. The strategies for change included improving the process of care by creating a checklist for proper screening of new patients, mentoring of new staff, and continuous training on construction of ocular prosthesis, Fabricated Iris Mould innovation technique and early referral for insertion of eye conformer. The interventions that were implemented reduced the failure rate to 20% in 2016 followed by 0% in 2017, 2018 and 2019. Ongoing efforts are being done to replicate this project in other Oral & Maxillofacial Surgery clinics in Johor.

Matched MeSH terms: Dentists
Fulltext Strength and difficulties questionnaire: A tool as prerequisite to measure child's mental health problems attending dental clinics

Pandiyan NJ, Hedge A

J Indian Soc Pedod Prev Dent, 2016 Oct-Dec;34(4):354-8.
PMID: 27681399 DOI: 10.4103/0970-4388.191417

INTRODUCTION: Child's behavior on dental visit depends on variables such as age, parental behavior, parental anxiety, medical/dental history, and dental procedures. Behavioral-screening questionnaire, such as the Strengths and Difficulties Questionnaire (SDQ), can be used to preassess the child's mental health status which further predicts child behavioral pattern in dental clinics.
AIM: To measure emotional status among children of 3-14 years age group attending dental clinics.
METHODOLOGY: A total of 176 parents of children aged 3-14 years were involved in this study. The child's emotional and behavioral statuses were assessed using SDQ.
RESULTS: On analyzing the SDQ data, it was found that 80% of children came under the abnormal category whereas only 8% of children were found to be in normal category. Twelve percent of children came under borderline category. On the individual behavioral subsets scores, 13% were rated as abnormal on emotional subset, 40% on conduct problems, 12% on hyperactivity, and 29% on peer problems subset.
CONCLUSION: Findings of this study suggest that incorporating tools to identify the current emotional state would give a clue and allow the dentist to develop a behavior guidance plan to accomplish the necessary oral health care. However, the results are preliminary; studies with larger sample should be done to validate the results among diverse populations.

Matched MeSH terms: Dentists

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