A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Shantan Reddy, M.
- Comprehensive Knowledge on Dental Management of HIV/AIDS: a Survey on Private Sector Oral Health Care Providers in Andhra Pradesh
Authors
1 Association for Rural and Urban Needy (ARUN) Plot # 37-112/4; Sri Colony; Neredmet X Road; R.K.Puram; Secunderabad-500056 Andhra Pradesh, IN
2 Eco Foundation for Research and Training (EFFORT) 2-56/4; Pakabanda Bazar; Khammam; Andhra Pradesh, IN
3 Narayana Super Specialty Dental Hospital Opposite Little Chums School; Sahara Road; Mansoorabad; L.B.Nagar; Hyderabad-68 Andhra Pradesh, IN
4 A.V. Super Specialty Dental Hospital Near Amberpet Masjid; Amberpet; Hyderabad; Andhra Pradesh, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 115-119Abstract
Background: In India capacity building and training in HIV/AIDS has been focused on doctors, nurses, and counsellors. Oral healthcare providers namely, dentists, dental assistants and nursing assistants have been marginalized. Dentists form the first source of healthcare contact to many HIV/ AIDS patients for complaints of oral lesions, with absolutely no knowledge of their patients HIV status. As there is a lack of data on oral health care providers and HIV /AIDS in India, ARUN took the initiative to address this issue and collect data that can prove invaluable in designing future programs and policies.
Methodology: The sampling technique used for the assessment is simple random sampling. The survey was carried out in dental colleges and private clinics and trust hospitals both in the rural and urban settings. A total of 75 dental health care providers from 5 dental colleges and 12 private clinics participated in the survey. The tool was a self administered questionnaire. MS Excel was used for recording the findings. Data analysis was done using SPSS software.
Results: None of the oral health care providers are referring the patients to HIV testing centres in government hospitals.67% are referring the patients for HIV testing to labs in private sector.32% of the dentists are referring patients for HIV testing based on the clinical manifestations, 23% as a routine, 8% based on risk behaviour, and 37% of dentists are not at all referring for HIV testing. Only 20% oral health care providers were aware of oral manifestations of HIV/AIDS, 56% of them are not sterilizing the instruments after each use, 61% of them are disinfecting the impressions before sending to the dental laboratory, only 61% dentists are following Universal safety precautions, 94% are not aware of PEP.
Conclusion: Approximately 10776 patients seeking oral health care in 20 private dental colleges and hospitals can be presented with potential HIV infection and approximately 2000 dentists need to be trained every year. Involving dentists would help in early detection and reducing the HIV epidemic.
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- Intraoral Periapical Radiographic Changes of Teeth and Jaw Bones in Chronic Renal Failure Patients - an Observational Case-control Study
Authors
1 A.V. Super Specialty Dental Hospital, Near Amberpet Masjid; Amberpet; Hyderabad; Andhra Pradesh, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 120-124Abstract
Background: Chronic renal failure is an important health care problem throughout the world, with a prevalence of 7852 cases per million population (p.m.p) in India. Patients afflicted by this medical condition can visit a general dentist's office with number of clinical as well radiological manifestations. This study is undertaken to observe the soft radiologic changes occurring in teeth and jaw bones through Intraoral Periapical Radiographs (IOPA) which could be warning signs for undiagnosed kidney disease in these patients.
Methods: IOPA radiographs of 30 patients present in the initial stage of chronic renal failure (CRF) and have not undergone dialysis and 30 control group were taken in to the study. Maxillofacial radiologists measured the changes in the morphological features of the lamina dura, trabecular pattern, pulp size and radiographic density presenting in the teeth and jaw bones.
Results: In patients with CRF the significant changes were observed in lamina dura in the maxilla (93.3% of cases and 43.3% in controls; p=<0.0001) as well as mandible (83.3% of case and 33.3% of controls; p=<0.0001) when compared with controls. Changes in the trabecular pattern of both maxilla (86.6% of cases and 43.3% of controls; p=<0.001) and mandible (86.6% in cases and 10% in controls; p=<0.0001) were very evident in the case group when compared with controls. The radiographic density in case group showed significant change in maxilla (93.3% in cases&20% in controls; p=<0.0001) when compared to controls but interestingly negligible change was seen in mandible of both case and control groups (40% in cases and 23.3% of controls; p=0.1647).No significant change was observed in size of pulp chamber in both maxilla (86.6% in patients and 70% in controls; p=0.117)and mandible (63.3% in patients and 30% in controls; p=0.0096) in both case and control groups.
Conclusions: The results suggest that changes IOPA radiographic changes in Lamina dura, trabecular pattern and overall radiographic density can be a good prognostic tool for assessment and management CRF patients.
Keywords
IOPA, Lamina Dura, Trabecular Pattern, Radiographic Density, Pulp ChamberReferences
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