Dental clinics of North America
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With the dramatic demographic change that has resulted in the "graying of the population" has come a compelling interest in the health and health concerns of older adults. The increasing incidence and prevalence of systemic diseases, especially chronic diseases, among older adults, and the concomitant increase in medication use, have provided impetus for the subspecialty of geriatric pharmacology. This article reviews the physiologic changes, nonphysiologic aspects, and pharmacologic changes associated with aging and their implications for dental practice.
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Dent. Clin. North Am. · Jul 2000
ReviewTreatment of trauma to the primary and young permanent dentitions.
An overview of the various possibilities for trauma to the primary and young permanent dentition has been presented. Appropriate treatment procedures have been described. ⋯ The dentist must never forget the variabilities of human responses to any of the treatment techniques, however, and the dentist must never be dogmatic in approach. The dentist should be able to diagnose, interpret, and alter any of the treatment techniques as more scientific evidence is obtained.
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Predicting sports-related traumatic injuries is an important concern for dental health professionals. A predictive index has been developed that determines the likelihood of a sports-related traumatic dental injury in children and adolescents. This index can be used to aid in the prevention of injury by understanding who is most likely to be injured and what factors influence the chance of injury. The index has been designed for ease of use by dental health professionals, and has incorporated data collection and tracking features.
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While anesthetic methods and drugs have undergone many changes in the last 100 years, the incidence of complications during the postanesthesia recovery period remains constant. Prompt recognition and treatment of the complications observed during the postoperative period decreases unexpected hospital admissions and the undesirable mortality or morbidity associated with surgery and anesthesia.
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Dent. Clin. North Am. · Apr 1999
Review Historical ArticleOffice-based anesthesia in dentistry. Past, present, and future trends.
The history of office-based anesthesia dates back to the discovery of nitrous oxide and ether in the 1840s. In recent years, advances in intravenous anesthetic techniques and the rising costs of hospital-based services have combined to promote the practice of ambulatory anesthesia. ⋯ The future of office-based anesthesia in dentistry appears bright. Its development, however, will be influenced by organized dentistry, medical anesthesia, and other groups interested in pain and anxiety control, and state legislatures reacting to public demands for both safe and cost-effective anesthesia care.