Browsing by Subject "Dentists"

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    Behavior and attitudes among Spanish general dentists towards the anticoagulated patient: a pilot study
    (Wiley, 2010-01-21) López Jornet, Pia; Camacho Alonso, Fabio; González Escribano, Myriam; Martínez Beneyto, Yolanda; Dermatología, Estomatología, Radiología y Medicina Física
    Aim To determine the attitude of Spanish general dentists in relation to dental extraction in patients with heart valve prostheses subjected to acenocoumarol anticoagulation. Material and methods A telephone survey was made of Spanish general dentists, asking about the indicated approach in the case of performing dental extractions in patients with heart valve prostheses subjected to acenocoumarol (Sintrom®) anticoagulation. Results Of the 271 dentists answered, 175 were male (64.6%) and 96 were female (35.4%), with a mean professional experience of 20.17 ± 9.3 years. A total of 228 dentists (84.1%) indicated the need to refer the patient to a specialist for establishing the required approach, while 43 dentists (15.9%) did not consider such a measure to be necessary. Among this latter group of 43 dentists, 26 (60.5%) considered that acenocoumarol should be withdrawn or replaced by low-molecular weight heparin, while 17 (39.5%) were of the opinion that the anticoagulation regimen should not be modified. In relation to the international normalized ratio, 36 (83.7%) did not consider it necessary to request this parameter. As regards the prevention of endocarditis, 11 (25.6%) specified the need for prophylaxis, although only eight (72.7%) did so correctly. There were no statistically significant differences in behaviour in relation to either gender or years of professional experience. Conclusions This study identifies a lack of knowledge on the part of the dentists regarding the approach to dental extraction in patients with heart valve prostheses subjected to anticoagulation. Due educational measures therefore should be reinforced among these professionals.
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    Hand grip strength in dentists: A comprehensive evaluation of head position, dominance, age, and sex
    (Universidad de Murcia. Servicio de Publicaciones, 2025) Mahmoud, Hayam; Shalabi, K. M.; Battecha, Kadrya H.; Abd El-Kafy, Ehab Mohamed; Alayat, Mohamed Salaheldein; Ebid, Anwar A.; Ahmad, Jana Sami; Alotaibi, Atheer Mohammed; Alsfyani, Nouf Fayez; Alzhrani, Jumana Jamaan; Sin departamento asociado
    This study aimed to identify the effect of different head positions on hand grip strength (HGS) on account of hand dominance, age, and sex in dentists. A total of 197 dental students (DS) and practitioners (DP) (81 females and 50 males were DS, 10 females and 14 males were (DP) aged 19-63 participated. HGS was measured using a dynamometer, and the head angle was determined with an inclinometer. HGS on both sides was greatest in NHP & displayed least strength in HEP. There was a significant difference in HGS measured in NHP, HFP, and HEP (p < 0.05) for the dominant hand, while the non-dominant hand showed no significant difference (p > 0.05) for female DS. A significant difference was recorded between dominant and non-dominant HGS in each head position (p < 0.05). Significant differences were also found between female and male DP HGS (p < 0.05) and DS (p < 0.05), particularly at HFP and HEP. There was a significant difference noted between female DS and DP HGS, however, HGS for both dominant and non-dominant hands in DP was higher than DS in HEP (p < 0.05), while no significant difference noted for HFP and NHP. Females had the strongest grip in NHP, while males in HFP. HGS influenced by age; DP had stronger grip than DS. In a comparison between male and female DP and DS, males had stronger grip than females across all positions. Hand dominance significantly influences HGS, with the dominant having a stronger hand grip.
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    Influence of years of professional experience in relation to the diagnostic skill of general dental practitioners (GDPs) in identifying oral cancer and precancerous lesions
    (FDI/World Dental Press, 2008-06) López Jornet, Pia; Camacho Alonso, Fabio; Martínez Beneyto, Yolanda; Dermatología, Estomatología, Radiología y Medicina Física
    Objective: To evaluate skill in diagnosing cancer and oral precancerous lesions among general dentists in the Autonomous Community of Murcia (Spain). Material and method: Twenty randomly distributed clinical images were used, of which 45% corresponded to benign lesions, 35% to oral precancerous lesions, and 20% to oral cancer. Each case was accompanied by a summarised clinical history. The study sample comprised 150 general dentists divided into two groups: group I (60 recently graduated dentists without professional experience) and group II (90 dentists with established professional activity). Results: In group I, the sensitivity of oral cancer diagnosis was 61.3% versus 85.5% in group II (p<0.001), while the sensitivity of precancerous lesion diagnosis was 71.7% in group I versus 80.7% in group II (p=0.004). Conclusions: The results obtained show that junior dentists and general dentists with public or private practice need more training and more experience in diagnosing cancer and oral precancerous lesions.
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    The combination of different ergonomic supports during dental procedures reduces the muscle activity of the neck and shoulder
    (MDPI, 2019-08-15) García Vidal, José Antonio; López Nicolás, Manuel; Sánchez Sobrado, Ana C.; Escolar Reina, María P.; Medina Mirapeix, Francesc; Bernabeu Mora, Roberto; Fisioterapia
    Ergonomic supports have become popular for the prevention of musculoskeletal disorders. This study sought to evaluate the efficacy of different ergonomic supports and their combination to reduce muscle activity of the neck and shoulder muscles. A one-way repeated measures design was used to evaluate 36 practicing dentists while they performed three posterior composite restoration procedures on a phantom head. Portable surface electromyography (sEMG) recordings were used to measure the muscle activity of three muscles (Upper Trapezius, Lateral Deltoid and Anterior Deltoid) in the dominant upper extremity, with and without the use of different ergonomic supports (ergonomic stool, magnification lenses and both) during the performance of these tasks. A repeated measures analysis of variance was used. The muscle activity of all muscles differed significantly across the four ergonomic conditions during the three tasks. The use of ergonomic supports such as magnification lenses, the ergonomic stool, or the combination of both, is effective for decreasing the muscle activity of the three muscles during the three tasks, when compared to standard practice. In addition, the decrease of muscle activity was higher using magnification lenses when compared to the ergonomic stool. Furthermore, the greatest decrease was found with the combination of both supports