Schweizer Monatsschrift für Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia / SSO
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Schweiz Monatsschr Zahnmed · Jan 2013
Survey on oral hygiene measures for intubated patients in Swiss intensive care units.
Five to ten percent of all hospitalized patients are treated in intensive care units. The risk of nosocomial infections is inherent in the latter, especially in cases of intubation. In this context, impaired oral hygiene may play a pivotal role. ⋯ In summary, oral prophylaxis was neither standardized nor consistently implemented in the evaluated Swiss intensive care units of the responding hospitals. Only a small proportion had protocols available for preventing VAP, which is in accordance with similar surveys conducted in the US and Europe. Additional and improved measures have to be determined to confirm or optimize prophylactic oral strategies and to create standards and guidelines for this at-risk patient collective.
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Stress and burnout have been well-documented in graduate medical and undergraduate dental education, but studies among dental graduate students and residents are sparse. The purpose of this investigation was to examine perceived stressors and three dimensions of burnout among dental residents enrolled in the University of Bern, Switzerland. Thirty-six residents enrolled in five specialty programmes were administered the Graduate Dental Environment Stress (GDES30) questionnaire and the Maslach Burnout Inventory (MBI). ⋯ Thirty-six percent of respondents were burnout "cases" on the PA scale, while this proportion was 17% for EE and 8% for DP. Both stress and burnout levels increased according to year of study, whereas younger residents and females had consistently higher stress and burnout scores compared to older ones and males. Overall, low levels of perceived stress and burnout were found among this group of Swiss dental residents.
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Schweiz Monatsschr Zahnmed · Jan 2008
Case Reports[Necrotizing sialometaplasia: diagnosis of a rare entity].
A differential diagnosis of an ulcer on the hard palate must consider a wide variety of diseases and conditions, among them rare entities such as necrotizing sialometaplasia. We report the case of a patient who presented with a painful ulcer on the hard palate. ⋯ The ulcer resolved spontaneously within seven weeks and required no specific treatment. The case presented here shows that early diagnosis of necrotizing sialometaplasia is important in order to prevent unnecessary treatment.
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Schweiz Monatsschr Zahnmed · Jan 2008
[Effects of tobacco use on general health: relevant information for dentistry (I)--part 1: pulmonary diseases and other malignancies].
This fifth part of a series of publications from the Swiss task force named "Smoking--Intervention in the private dental office" on the topic "tobacco use and dental medicine" focuses on the effects of tobacco use on general health. A significant increase of tobacco use associated morbidity and mortality for many cardiovascular and pulmonary diseases has been well documented in the literature. ⋯ In addition, a causal relationship between nicotine abuse and an increased carcinoma incidence for other malignancies but lung cancer will be discussed. Regarding the evidence in the present literature, it is undisputable that smoking is the most preventable cause for COPD and lung cancer.
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Schweiz Monatsschr Zahnmed · Jan 2007
Comparative StudyAlternative concept of ventilation during cardiopulmonary resuscitation (CPR) in dental chairs.
Infrequent training of artificial ventilation in dental facilities implies poor performance of this procedure under CPR. Gastric inflation is a significant issue when ventilation is performed on an unprotected airway. An Easy Grip (EG) Bag-Valve-Mask Resuscitator, a Laryngeal Tube (LT), size #5, and a SMART BAG (SB) resuscitator, a pressure-limiting device, were tested to assess the respiratory effects especially focussing on prevention of gastric inflation during simulated CPR. ⋯ In a later stage of CPR or in case of mask ventilation difficulties, the LT may serve as a helpful tool in dental facilities. CPR training must focus on the importance of chest compression which must not be discontinued if an LT is inserted. The SB might gain value if higher tidal volumes are achieved, exerting a higher risk of gastric inflation.