Special care dentistry: part 1. Dental management of patients with inherited bleeding disorders.

Unlabelled: The most common cause of excessive bleeding is idiopathic, but bleeding can also be caused by inherited or acquired conditions associated with vascular defects, platelet defects or coagulation disorders. This paper will cover inherited bleeding disorders. Every clinician will encounter a patient who complains of prolonged bleeding following certain procedures; most commonly dental extractions.

Domiciliary oral healthcare.

Unlabelled: There is increasing demand for Domiciliary Oral Healthcare (DOHC) and the skills and equipment required to provide a quality, patient-centred service with careful assessment and management in a sometimes compromised situation. Commissioning of DOHC needs to be set in the context and current agenda of equality, diversity and human rights in both health and social care. Effective marketing and community engagement are required to promote awareness of how to access services amongst people confined to home and their families and carers.

Surviving child sexual abuse: the relevance to dental practice.

Unlabelled: Child sexual abuse (CSA) occurs in all communities, ethnic backgrounds, religions, cultures, social and economic classes, and is experienced by both males and females. The physical and psychological effects of CSA have significant effects on adult health outcomes. Parallels have been drawn between the physical and emotional environment of dental treatment and features of the CSA experience.

The potential benefits of dental implants on the oral health quality of life of people with Parkinson's disease.

Objective: To investigate how dental implants impact on the oral health quality of life of people with Parkinson's disease (PD).

Background: PD is a progressive neurological disorder that can result in a number of oral health care challenges, including denture difficulties. Lack of evidence related to use of implants in PD prompted this study to investigate their use in this group of people.

Management of the petrified dental patient.

Unlabelled: Fear and anxiety are common responses to anticipated or actual dental treatment. This may range from slight feelings of unease during routine procedures, such as an injection or cavity preparation, to feelings of extreme anxiety long before treatment is happening. There is general agreement that anxiety constitutes a major problem for the dentist, and a barrier to optimal care for the patient, as one of the most significant consequences is avoidance of dental treatment.

Infection control: a survey of UK special care dentists and dental care professionals.

Aim: To determine attitudes to and practice of infection control among practitioners involved in special care dentistry.

Methods: A questionnaire on the issues of decontamination and infection control was sent to all 680 members of the British Society for Disability and Oral Health.

Results: The response rate was 63.

Oral health and dental care facilities in Maltese residential homes.

Objectives: To establish oral health care practices, including the use of dental services, in the residential homes of Malta and Gozo by assessing the knowledge of home managers and assistance of care staff regarding residents' oral health and hygiene; and evaluating the residents' demand for dental treatment and residential home managers response to this demand.

Subjects: A total population sample of licensed residential homes (38) in Malta and Gozo was used comprising all home managers in government (seven), church (20), and privately run (11) residential homes.

Method: A 19-question questionnaire was designed, piloted and sent to the home managers requesting them to report on the dental care provision for their elderly residents.

Diabetes mellitus and oral care.

Diabetes is a common condition. Its incidence is increasing. It can lead to medical complications including visual impairment, neuropathies, renal and cardiovascular disease.

Multiple sclerosis and oral care.

Multiple sclerosis is a complex neurological condition affecting sensory and motor nerve transmission. Its progression and symptoms are unpredictable and vary from person to person as well as over time. Common early symptoms include visual disturbances, facial pain or trigeminal neuralgia and paraesthesia or numbness of feet, legs, hands and arms.

Use of the Internet as a research method in a study of the emotional effects of tooth loss in Poland.

The study explored the use of the Internet to investigate the emotional effects of tooth loss in a Polish population. The Internet was used as a novel method of recruiting study participants. The study was announced on Internet pages in the Polish language inviting anyone who had lost some natural teeth to respond.

Epilepsy and oral care.

Epilepsy is a common symptom of an underlying neurological disorder. The seizures can take a variety of forms. Both the condition and its medical management can affect oral health.