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DENTAL GİRİŞİM YAPILACAK HASTALARA FARMAKOLOJİK YAKLAŞIM

PHARMACOLOGICAL APPROACH TO DENTAL PATIENTS

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Abstract (2. Language): 
The aim of this study is to determine the competency of dental practioners in the following areas: Ability to obtain adequate patient histories by interviewing , knowledge of dental-medical interactions, knowledge of drug treatment,recognition of their side effects on the oral cavity and patterns of antibiotic use. For this purpose interview sheets for patients in different departments of two faculties, and 36 private dental practices were analyzed. The questionaires were given to a total of 703 dentists in 27 cities. 508 of them were evaluated. The results showed that their interview techniques used in the practices were not adequate to obtain meaningful patient history information and did not reflect the instruction they had been given by dental schools The results of this study also showed deficient knowledge of dental-medical interactions and ability to recognise drug-induced oral cavity diseases. Furthermore it showed that those questioned had difficulty in obtaining information on improvements in antibiotic use in their field. All this suggests an urgent need to implement post-education and to set up an easily accessible system for accumulating scientific data.
Abstract (Original Language): 
Çalışmamızın amacı, 2 fakültede ve 36 muayenehanede anamnez uygulamaları, dişhekimlerinin çeşitli sistemik hastalıkların varlığında dental-medikal etkileşimlere farmakolojik yaklaşımları, ilaçların neden olduğu oral kavite hastalıklarının tanınma oranı ve dişhekimliğinde antibiyotik kullanımının belirlenmesidir. Bu amaçla iki fakültenin farklı dallarında ve 36 dişhekimi muayenehanesinde yapılan anamnez uygulamaları değerlendirilmiştir. Ayrıca 27 ilde 703 dişhekimine anket uygulanmış ve bunların 508 'i değerlen d iri im iştir. Sonuçlarımız anamnez uygulamalarının fakültelerdeki uygulamaları yansıtmadığını göstermektedir. Yine çalışmamızda dental-medikal etkileşim, ilaçların neden olduğu oral kavite hastalıklarının tanınma oranı ve dişhekimliğinde antibiyotik uygulaması konusunda güncel bilgilere ulaşılamadığının ve incelenen parametreler açısından ciddi eksikliklerin olduğunun belirlenmesi nedeniyle, mezuniyet sonrası eğitimin ve hekimlerin kolaylıkla ulaşabilecekleri bilgi aktarımının gerekliliği ortaya konmuştur.
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REFERENCES

References: 

1. Ş.Atamer-Şimşek Ş., Gençoğlu N., Şener G.:Drug Intake and Oral status in on Institutionalized Geriatric PopuIation.Turk Med Biol Res. 1992:3:4, 273-280.
2. Cawson R.A.,Spector R.G.:Toxic effects of drugs. Clinical Pharmacology in Dentistry, Fifth ed., Churchill Livigstone, Edinburgh, 1989: 205-217.
3. Christensen C.M.,Navazesh M., Brightman V.J.: Effects of pharmacologic reductions in salivary flow on taste thresholds in man. Archs Oral Biol 1984: 29:17-23
4. Dajani A.S., Taubert K..A., Wilson W., Bolger A.F., Bayer A., Ferrieri P., Gewitz M.H., Shulman ST., Nouri S., Newburger J.W., Hutto C, Pallasch T.J., Gage T.W., Levison M.E., Peter G., Zuccaro G. Jr. : Prevention of bacterial endocarditis:recommendations by the American Heart Association. Clin Infect Dis. Dec. 1997: 25:6: 1448-58.
5. Frank M.McCarthy:Essentials of Safe Dentistry for the Medically Compromised Patient. 1st ed. W.B.Saunders Comp.1-18,1989
6. Guide to good prescribing:World Health Organization Action Programme on Essential Drugs, WHO/DAP/94,1995 .11.
7. Handelman S.L.,Baric J.M.,Espeland M.A.,Berglund K.L.: Prevalance of drug causing hyposalivation in an institutionalized geriatric population. Oral Surg Oral Med Oral Pathol 1986: 62:26-31
8. Karuza J.,Miller W.A., Ledeniy L.,Lieberman D., Trevisanİ R.,K.atz P.,Thines T.:Oral status and well-being in institutionalized geriatric populations.! Dent Res 1990: 69: 331
9. Winer J.A., Bahn S.:Loss of teeth with antidepressant drug therapy. Arch GenPsychiat 1967:16:239-240.
10. Kazmier L.J.,Pohl,N.F.:Testing the difference between two proportion. Basic Statistics for business and economics, Mc Graw-Hill Company, Newyork, second edition, 1987:254-256.
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- ATAMER, ŞİMŞEK, H.ÖLMEZ ŞALVARLI, TOLGA ÇEKİÇ,
ZEKİYE RAHŞAN GÜRPINAR, ENVER ALPER SİNANOĞLU, EBRU URAL
11. Scully C, Cawson R.A. :Medical Problems in Dentistry. Third ed. Butterwoth-Heinenon, 1993.
12. Seulvy C, Cawson R.A. :Drug Problems in Dentistry, third ed. Redwood Press Ltd.Witshire, 1993: 565-582.
13. Silver L.L.,Bostian K.A..Discovery and development of new antibiotics, the problem of antibiotic resistance. Antimicrob Agents Chemother 1993:37:377-383.
14. Wallace J., Barrett R.A., Boozer C.H. *: Personal Health Information. Clinical Dentistry, (Diagnosis Patient Management) ed.:James W.Clark, 1985:1:1-19.

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