Imbursement Array in Dental Practice Management A Review

Dentistry is a dignified healthcare profession but due to transient transformation in dental practice, dentistry has reached to its peak level. The main barrier to cater the dental services throughout all area including rural and urban is financial which has to be removed. Thus, to maintain the glory of the profession and to reach the people at their doorsteps, proper practice management of finance in terms of payment is very important. We present a review on imbursement array in dental practice management which was obtained from the literature search of published articles, online manuals and books

Management of Radicular Cyst: A Clinical Case Report

A radicular cyst defined as a cyst of inflammatory origin arises from epithelial rests of malassez in periodontal ligament due to inflammation of the dental pulp. The cyst begins with carious tooth and further involved periapical and periodontal region. Majority of these lesions engross the whole apex and appear as precise radiolucencies. The cystic lesion lined with the epithelium, which filled with fluid; therefore, they generally referred to as a true cyst. Various mode of treatment available for radicular cyst management including surgical and no-surgical procedures, in this case report we present surgical management of radicular cyst followed by root canal treatment.&nbsp

Comparison of Risk Factors for Pediatric Kidney Stone Formation: The Effects of Sex

Background: Urinary stones are affecting more children, and pediatric stone formers have unique pathophysiology compared to adults. While adult stone formers are most frequently male, children have an age dependent sex prevalence. Under 10 years, a majority of stone formers are boys; adolescent stone formers are mostly female. Previous adult studies have shown that stone composition is influenced by the sex and age of the stone former. Thus, we hypothesize that female and male stone forming children will also have sex and age specific stone phenotypes.Methods: Retrospective chart review of a large pediatric center's stone forming children 6/1/2009 to 6/1/2016. Patients were identified by ICD 9 codes: N20, N20.1, and N20.9. Charts were reviewed for radiographic evidence of stones or documented visualized stone passage.Results: One hundred and thirty six subjects: 54 males and 82 females. Females were older, median age 14 years [interquartile range (IQR): 11, 15] vs. males' median age 12 years (IQR: 11, 14) (p < 0.01). Females had lower height z-scores, median 0.2 (IQR: −0.8, 0.8) vs. males' median 0.8 (IQR: −0.2, 1.8) (p < 0.01). Presenting symptoms were similar except flank pain affecting 39% of females vs. 22% of males (p = 0.04). Leukocyte esterase was positive in more females than males (33 vs. 4%) (p < 0.001). Males had a higher BUN/Cr ratio, mean ± standard deviation of 19.8 ± 6.3 vs. 16.6 ± 6.5 in females (p = 0.01). Glomerular hyperfiltration was present in 9% of patients while 35% of patients had estimated glomerular filtration rate (eGFR) < 90 ml/min/1.73 m2. Treatment strategies and clinical course were similar except females were told to increase dietary citrate more frequently than males (21 vs. 4%) (p < 0.01).Conclusion: We have provided a novel analysis and demonstrated that low height z-score and pyuria are more common in female stone formers. We have also shown that 9% of pediatric stone formers have labs consistent with hyperfiltration. Whether high protein intake and/or chronic dehydration are associated with hyperfiltration and long-term renal function in children with kidney stones will be an area for future research

Acuity of morality in dental practice management

Dentistry is a health-care profession, provides oral care as physician does. Currently, due to transient transformation in dental practice, dentistry reached its zenith level. In this segment, moral and legal aspect is one of the leading concerns in dental practice management. The duties of dentist are allied with many confront along with regulations of moral and legal compliance. The aim of this article is to endow with uncomplicated explanations of dissimilar attitude and knowledge of morality that might affect the dental profession as a whole. The literature on acuity of morality in dental practice management was identified by searching the biomedical databases as a primary research material. The databases were searched for publications from 2001 to 2016, with key articles obtained primarily from Medline, PubMed, Google Scholar, and Cochrane. The literature for the present review was obtained from the following sources such as published articles, unpublished literature, internet news clippings, and online manuals and books

Dental caries prevalence and treatment needs among 12- and 15-year-old school-going children of rural and Urban Areas of Bhopal District, India

Introduction: Dental caries is highly prevalent among children and persists to be a significant public health problem worldwide. Aim: The aim of this study is to assess the prevalence of dental caries and treatment needs of 12- and 15-year-old schoolchildren of Bhopal district and to compare the dental caries levels and treatment needs of government schoolchildren of urban and rural areas of Bhopal district. Materials and Methods: A cross-sectional study was conducted among 12- and 15-year-old urban and rural school-going children of Bhopal district. A total of 1100 schoolchildren were screened using a multistage sampling procedure. The children were examined according to the dentition status and treatment needs, WHO (modified) oral health assessment. Student's t-test was used for continuous variables and Chi-square test used for categorical data and P < 0.05 was considered statistically significant. Results: The prevalence of dental caries at the age of 12 years was 33.5% and 26.5% at the age of 15 years. Dental caries was higher in urban schools as compared to rural schools. The maximum need was for one-surface restoration. Conclusion: The prevalence of dental caries at both the age groups was low. This suggested a need of dental health education program including proper oral hygiene instruction which helps children to improve positive dental attitude and behavior

Knowledge and attitude toward informed consent in medical and dental practitioners, of Bhopal City, India

Background: Consent is a lawful right of a patient that makes a decision their involvement in clinical procedures. The meaning of consent is that patient not to be touched or in nevertheless treated without their permission, it deems like an endorsed inquiry for their protection. Concept of consent is an endeavor by which the patient can take part in clinical judgment concerning their treatment and protect each and every patient against any litigation. Thus, knowledge and approach of consent are foremost important due to encroachment in clinical procedures in dental and medical field as well as it is also important for general population. Aim and Objectives: The aim of the study was to appraise the knowledge and attitude toward informed consent in medical and dental practitioners of Bhopal city, India. Materials and Methods: A cross-sectional assessment was carried out among 200 medical and dental practitioners of Bhopal city. A self-administered, close-ended planned questionnaire was used to evaluate their knowledge and attitude regarding informed consent. This questionnaire consists of 10 and 5 questions of knowledge and attitude, respectively. The response format was obtained by a 3-point Likert scale. Statistical analysis was done using SPSS version 20; Chi-square test was used for data analysis. Result: Knowledge and attitude regarding informed consent were uneven amid medical and dental professionals. Although it was slight higher in medical professionals. Conclusion: An unbalanced knowledge of informed consent in medical and dental professionals recommended; a need to conduct assort of awareness programs and workshops regarding informed consent. Thus, this gap of knowledge can fill and an affirmative attitude can develop

Heparin free dialysis in critically sick children using sustained low efficiency dialysis (SLEDD-f): A new hybrid therapy for dialysis in developing world.

In critically sick adults, sustained low efficiency dialysis [SLED] appears to be better tolerated hemodynamically and outcomes seem to be comparable to CRRT. However, there is paucity of data in critically sick children. In children, two recent studies from Taiwan (n = 11) and India (n = 68) showed benefits of SLED in critically sick children.The objective of the study was to look at the feasibility and tolerability of sustained low efficiency daily dialysis-filtration [SLEDD-f] in critically sick pediatric patients.Design: Retrospective study Inclusion criteria: All pediatric patients who had undergone heparin free SLEDD-f from January 2012 to October 2017. Measurements: Data collected included demographic details, vital signs, PRISM III at admission, ventilator parameters (where applicable), number of inotropes, blood gas and electrolytes before, during, and on conclusion of SLED therapy. Technical information was gathered regarding SLEDD-f prescription and complications.Between 2012-2017, a total of 242 sessions of SLEDD-f were performed on 70 patients, out of which 40 children survived. The median age of patients in years was 12 (range 0.8-17 years), and the median weight was 39 kg (range 8.5-66 kg). The mean PRISM score at admission was 8.77±7.22. SLEDD-f sessions were well tolerated, with marked improvement in fluid status and acidosis. Premature terminations had to be done in 23 (9.5%) of the sessions. There were 21 sessions (8.6%) terminated due to hypotension and 2 sessions (0.8%) terminated due to circuit clotting. Post- SLEDD-f hypocalcemia occurred in 15 sessions (6.2%), post- SLEDD-f hypophosphatemia occurred in 1 session (0.4%), and post- SLEDD-f hypokalemia occurred in 17 sessions (7.0%).This study is the largest compiled data on pediatric SLEDD-f use in critically ill patients. Our study confirms the feasibility of heparin free SLEDD-f in a larger pediatric population, and even in children weighing <20 kg on inotropic support

Post SLEDD-f complications.

<p>Post SLEDD-f complications.</p