Enhancing the effectiveness of interprofessional education in health science education: a state-of-the-art review.

Background: In order to foster effective collaboration and improve healthcare outcomes, students from multiple health professions engage in interprofessional education (IPE), learning together and from each other. Existing literature explores the effectiveness of IPE within health sciences but presents varied findings. The purpose of this study is to The effectiveness of IPE is defined as the four levels of training evaluation delineated by Kirkpatrick: reaction, learning, behavior, and results.

[Postoperative risk of bleeding after removal of third molars in healthy patients - a prospective observational clinical study].

Removal of third molars in healthy patients is considered a procedure with a low risk of bleeding. However, exactly how low the incidence of postoperative bleeding is remains unclear due to the heterogeneity of available studies. To determine the exact postoperative risk of bleeding after the removal of third molars in healthy patients, a prospective observational multicentre study was conducted.

[Dental aspects of Marfan syndrome].

Marfan syndrome is characterized by several (severe) medical disorders, the most important of which is aortic dilatation. Treatment of these disorders has consequences for oral care, in particular with regard to endocarditis prophylaxis and the use of anticoagulation. Furthermore, several orofacial anomalies of Marfan syndrome relevant to dental care are described in the literature.

[Using the new clinical guidelines on antithrombotics in the dental practice].

A 64-year-old man has deep caries in tooth 37 without acute pain; extraction is indicated, however. According to his list of medications, he takes the antithrombotics apixaban and clopidogrel. Or: a 78-year-old woman has upper and lower dentures that don't function well, and she experiences retention problems.

[Antithrombotics: backgrounds with haemostasis and antithrombotic therapy].

The clinical guidelines on antithrombotics, published by the Dutch Institute of Expertise for Oral Healthcare, give advice on policy to be followed in cases of dental procedures involving bleeding. The guidelines allow room for professional assessment of bleeding risks, for which background knowledge about haemostasis, thrombosis and antithrombotic processes is necessary. Normal haemostasis can be divided in several steps: vasoconstriction, primary haemostasis by aggregation of thrombocytes, and secondary haemostasis by the formation of fibrin out of coagulation factors.

Oral adverse effects: drug-induced tongue disorders.

Objectives: Due to a worldwide increase in drug consumption, oral healthcare professionals are frequently confronted with patients using one or more drugs. A large number of drugs can be accompanied with adverse drug reactions in the orofacial region, amongst others of the tongue. This paper aims to give an overview of drugs that are known to be accompanied with tongue disorders.

[Can dental students and dental care providers in the Netherlands effectively and safely prescribe drugs?].

Dentists and dental specialists are qualified to prescribe drugs. In this study, we assessed and compared the pharmacotherapeutic knowledge and skills of final year dental students, dentists and dental specialists in the Netherlands. In 2017, a random sample of these three groups was invited to complete an assessment.

[Education and the dentist in 2025. Three educational programmes in dentistry in the Netherlands: three kinds of dentist?].

In the context of the series on education and the dentist in 2025, the directors of education and training at the 3 dentistry programmes in the Netherlands were asked about the kind of dentist they are training. If, after all, the head of a dental practice is looking for a new colleague and has 3 candidates, each from a different faculty, what can he expect of each of them and are there differences in the 'kind of dentist' they are? In the spring of 2019, Geerling Langenbach and Corine Visscher of the ACTA (Academic Centre for Dentistry Amsterdam), Nico Creugers and Ohlin Cremers of the Radboud University in Nijmegen and Luc van der Sluis and Berdien Kooistra-Akse of the Rijksuniversiteit Groningen were interviewed one after another by Denise van Diermen, guest editor of the series 'Education and the dentist in 2025'.

Are Dutch dental students and dental-care providers competent prescribers of drugs?

Dental students and dental-care providers should be able to prescribe drugs safely and effectively. As it is unknown whether this is the case, we assessed and compared the prescribing competence of dental students and dental-care providers in the Netherlands. In 2017, all Dutch final-year dental students and a random sample of all qualified general dental practitioners and dental specialists (oral and maxillofacial surgeons and orthodontists) were invited to complete validated prescribing knowledge-assessment and skills-assessment instruments.

[Series: Education and the dentist in 2025. An interfaculty National Progress Test for Dentistry as future method of testing?].

The interuniversity Progress Test in Medicine is a measuring instrument consisting of about 200 test items, to measure the development of medical students' knowledge during their studies. The Progress Test consists of 4 tests per academic year. Future versions of the Progress Test will likely be based on computerised administration of the test.

[The medical-dental interactions scanner: an Electronic Health Record-integrated quality and safety module for medical-dental interactions].

Dental professionals will be confronted more frequently with medically compromised patients due to an increasing life expectancy in Western countries. The patients' systemic diseases and medication usage can both have consequences for oral health and dental treatment. It is often impossible to have all medical-dental interactions handy in the dental practice.

Predictors of oral cavity bleeding and clinical outcome after dental procedures in patients on vitamin K antagonists. A cohort study.

Patients on vitamin K antagonists (VKA) often undergo invasive dental procedures. International guidelines consider all dental procedures as low-risk procedures, while bleeding risk may differ between standard low-risk (e. g.

Management recommendations for invasive dental treatment in patients using oral antithrombotic medication, including novel oral anticoagulants.

Objective: The aims were (1) to search the scientific literature from 2007 to 2012 for guidelines and new studies on the dental management of patients using oral antithrombotic medication; (2) to summarize the articles' evidence and recommendations; and (3) to propose an updated clinical practice guideline for general dentists.

Study Design: A systematic literature search in MEDLINE, Embase, and the Guideline websites, from October 2007 to October 2012, produced articles that were critically evaluated.

Results: The systematic literature search for guidelines yielded 74 citations (MEDLINE, 45; Embase, 22; and the Guideline websites, 7).

Review of postoperative bleeding risk in dental patients on antiplatelet therapy.

Objective: We conducted a review of the literature to assess risk for oral bleeding complications after dental procedures in patients on antiplatelet therapy.

Study Design: We conducted a search in Medline, Embase, and National Guideline Clearinghouse databases for studies involving patients on single and dual antiplatelet therapy that had invasive dental procedures or manipulations that induce oral bleeding.

Results: The literature search yielded 15 studies that met inclusion criteria.

Survey response of oral and maxillofacial surgeons on invasive procedures in patients using antithrombotic medication.

The aim was to evaluate the management strategies of Dutch oral and maxillofacial surgeons when performing invasive dental or oral surgery in patients using oral antithrombotic medication (OAM). In November 2009 a survey was mailed to all 213 members of the Dutch Society for Oral and Maxillofacial Surgery. A response rate of 57% was achieved with 79 surveys returned through mail and 38 surveys answered through the Internet.

[Considerations with respect to the use of corticosteroids in dentoalveolar surgical treatments].

Corticosteroids are used incidentally in dentoalveolar surgical treatments to reduce possible postsurgical problems. Natural corticosteroids are produced in the adrenal cortex. Synthetic corticosteroids are known to have anti-inflammatory effects when they are administered in doses exceeding the normal physiological amounts which the body produces.

Treating dental patients who use oral antithrombotic medication: a survey of dentists in the Netherlands.

Background: For many years, international guidelines have advised health care professionals not to adjust oral antithrombotic medication (OAM) regimens before invasive dental procedures. The authors conducted a study to examine the opinions of Dutch general dentists regarding the dental care of patients receiving treatment with these medications.

Methods: The authors invited via e-mail 1,442 general dentists in the Netherlands to answer a 20-item Internet-based questionnaire that they developed.

The influence of systemic diseases on the diagnosis of oral diseases: a problem-based approach.

Although all dentists are taught about the importance of oral health to general health and that systemic disease can manifest in the oral cavity, the 4-year dental school curriculum does not allow time to gain competency in these relationships. Nevertheless, all dentists must have skills in taking a medical history and an appreciation of oral findings that might have a systemic origin. This article focuses on the identification of abnormal signs and symptoms in the oral cavity and the determination of those that have a systemic origin.

Metabolic profiling of Rhodiola rosea rhizomes by ¹H NMR spectroscopy.

Introduction: Rhodiola rosea is a broadly used medicinal plant with largely unexplored natural variability in secondary metabolite levels.

Objective: The aim of this work was to develop a non-target procedure for ¹H NMR spectroscopic fingerprinting of rhizome extracts for pattern recognition analysis and identification of secondary metabolites responsible for differences in sample composition. To achieve this, plants from three different geographic areas (Swiss Alps, Finland, and Altai region in Siberia) were investigated.

Dental management of patients using antithrombotic drugs: critical appraisal of existing guidelines.

Objectives: The aims were: 1) to identify the guidelines available for management of dental invasive procedures in patients on antithrombotic drugs; 2) to assess their quality with the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument; and 3) to summarize their conclusions and recommendations.

Study Design: Systematic literature search for guidelines in several electronic databases. Retrieved guidelines were evaluated with the AGREE instrument for quality assessment.

Monoamine oxidase inhibition by Rhodiola rosea L. roots.

Aim Of The Study: Rhodiola rosea L. (Crassulaceae) is traditionally used in Eastern Europe and Asia to stimulate the nervous system, enhance physical and mental performance, treat fatigue, psychological stress and depression. In order to investigate the influence of Rhodiola rosea L.

[Dental procedures for patients using oral anticoagulation: new insights].

What treatment is appropriate for a patient who has to undergo an invasive dental procedure if that patient is using medication that influences the blood coagulation system? Should the medication be stopped before the invasive procedure, with the risk of complications involving re-thrombosis? Or should the procedure be carried out without adjusting the medication? What is the risk of bleeding complications? Recent studies appear to indicate that temporarily stopping medication is in many cases unnecessary and can even harm the patient. In recent decades dentists have received a great number of diverse recommendations. In this article recent research in this field is summarized and evaluated.

[Carotid calcification on a panoramic radiograph: what to do?].

A 71-year-old man is discussed in whom the oral and maxillofacial surgeon observed, by chance, a radiopacity on the panoramic radiograph that was highly suggestive of a calcification at the bifurcation of the internal and external carotid artery. While, on the basis of international literature, various treatments are advanced with respect to the importance of vascular investigation and possible surgical removal of significant calcification, at present the view in The Netherlands is that the family doctor has the responsibility to assess whether such patient should be referred for further evaluation by the neurologist or vascular surgeon. The same applies to the possible indication for prescription of antitrombotics.

Dental enamel defects in children with coeliac disease.

Objective: The aim of this study was to investigate whether Dutch children with proven coeliac disease show specific dental enamel defects, and to asses whether children with the same gastrointestinal complaints, but proved no-coeliac disease, lack these specific dental enamel defects.

Materials And Methods: Eighty-one children (53 coeliac patients and 28 control subjects) were examined during the period 2003-2004 in the Oral Surgery Outpatient Clinic of the Academic Medical Centre in Amsterdam.

Result: Twenty-nine (55%) coeliac patients had enamel defects against 5 (18%) control subjects.

[Transient paresis after mandibular block anaesthesia].

Mandibular block anaesthesia is frequently used in dentistry. The technique is more susceptible to failure than local anaesthesia by infiltration. Two cases of patients who were afflicted by transient paresis of (branches of) the facial and vagus nerves after mandibular block anaesthesia have been analysed.