Clinical Management of Gingival Bleeding During Restorative Procedures: Implications for Dental Assistants
DOI:
https://doi.org/10.22399/ijcesen.4419Keywords:
Gingival bleeding, restorative procedures, clinical management, dental assistants, patient education, oral hygieneAbstract
Gingival bleeding during restorative dental procedures can pose significant challenges for both dental professionals and patients. Effective clinical management of this condition is paramount, as it not only affects the quality of the treatment but also influences patient comfort and anxiety levels. Dental assistants play a critical role in identifying and addressing gingival bleeding. Their responsibilities include anticipating potential bleeding scenarios, selecting appropriate materials to minimize trauma, and ensuring that the patient's medical history is reviewed for any underlying conditions such as periodontal disease or coagulopathies. Proper communication and teamwork between dental assistants and dentists enhance the efficiency of management strategies, enabling a smoother restorative process. In addition to immediate management techniques, dental assistants must also educate patients on post-treatment care to mitigate further bleeding and promote healing. This involves advising patients on oral hygiene practices, the importance of controlling plaque accumulation, and recognizing signs of gingivitis or periodontal issues. By understanding the implications of gingival bleeding and being proactive, dental assistants can significantly improve patient outcomes and satisfaction during restorative procedures. Continuous education and training on the latest practices and materials are crucial for dental assistants to effectively contribute to the clinical management of gingival bleeding, ultimately enhancing the overall standard of dental care.
References
1. Pihlajamaki T, Syrjala AM, Laitala ML, Pesonen P, Virtanen JI. Oral health care-related beliefs among Finnish geriatric home care nurses. Int J Dent Hyg. 2016;14(4):289–294.
2. van der Putten GJ, de Baat C, De Visschere L, Schols J. Poor oral health, a potential new geriatric syndrome. Gerodontology. 2014;31(Suppl 1):17–24.
3. Webb BC, Whittle T, Schwarz E. Oral health and dental care in aged care facilities in New South Wales, Australia. Part 3 concordance between residents’ perceptions and a professional dental examination. Gerodontology. 2016;33(3):363–372.
4. Coker E, Ploeg J, Kaasalainen S. The effect of programs to improve oral hygiene outcomes for older residents in long-term care: a systematic review. Res Gerontol Nurs. 2014;7(2):87–100.
5. Barbe AG, Kottmann HE, Derman SHM, Noack MJ. Efficacy of regular professional brushing by a dental nurse for 3 months in nursing home residents a randomized, controlled clinical trial. Int J Dent Hyg. 2019;17(4):327–335.
6. Ástvaldsdóttir Á, Boström AM, Davidson T, et al. Oral health and dental care of older persons-A systematic map of systematic reviews. Gerodontology. 2018;35(4):290–304.
7. Iinuma T, Arai Y, Abe Y, et al. Denture wearing during sleep doubles the risk of pneumonia in the very elderly. J Dent Res. 2015;94(3 Suppl):28S36S.
8. Seleskog B, Lindqvist L, Wardh I, Engstrom A, von Bultzingslowen I. Theoretical and hands-on guidance from dental hygienists promotes good oral health in elderly people living in nursing homes, a pilot study. Int J Dent Hyg. 2018;16(4):476–483.
9. Fejerskov O, Luan WM, Nyvad B, Budtz-Jorgensen E, Holm-Pedersen P. Active and inactive root surface caries lesions in a selected group of 60- to 80-year-old Danes. Caries Res. 1991;25(5):385–391.
10. Afshar S, Roderick PJ, Kowal P, Dimitrov BD, Hill AG. Multimorbidity and the inequalities of global ageing: a cross-sectional study of 28 countries using the world health surveys. BMC Public Health. 2015;15:776.
11. Sjogren P, Wardh I, Zimmerman M, Almstahl A, Wikstrom M. Oral care and mortality in older adults with pneumonia in hospitals or nursing homes: systematic review and meta-analysis. J Am Geriatr Soc. 2016;64(10):2109–2115.
12. Valdez IH, Fox PC. Diagnosis and management of salivary dysfunction. Crit Rev Oral Biol Med. 1993;4(34):271–277.
13. Wiener RC, Wu B, Crout R, et al. Hyposalivation and xerostomia in dentate older adults. J Am Dent Assoc. 2010;141(3):279–284.
14. Nordenram G, Ljunggren G. Oral status, cognitive and functional capacity versus oral treatment need in nursing home residents: a comparison between assessments by dental and ward staff. Oral Dis. 2002;8(6):296–302.
15. Wolfe GR, Stewart JE, Hartz GW. Relationship of dental coping beliefs and oral hygiene. Community Dent Oral Epidemiol. 1991;19(2):112–115.
16. Peltola P, Vehkalahti MM, Wuolijoki-Saaristo K. Oral health and treatment needs of the long-term hospitalised elderly. Gerodontology. 2004;21(2):93–99.
17. Gronbeck-Linden I, Hagglin C, Petersson A, Linander PO, Gahnberg L. Discontinued dental attendance among elderly people in Sweden. J Int Soc Prev Community Dent. 2016;6(3):224–229.
18. Komulainen K, Ylostalo P, Syrjala AM, et al. Preference for dentist’s home visits among older people. Community Dent Oral Epidemiol. 2012;40(1):89–95.
19. Wardh I, Sorensen S. Development of an index to measure oral health care priority among nursing staff. Gerodontology. 2005;22(2):84–90.
20. O’Donnell LE, Smith K, Williams C, et al. Dentures are a reservoir for respiratory pathogens. J Prosthodont. 2016;25(2):99–104.
21. Billings RJ, Proskin HM, Moss ME. Xerostomia and associated factors in a community-dwelling adult population. Community Dent Oral Epidemiol. 1996;24(5):312–316.
22. Doyle DJ, Goyal A, Bansal P, Garmon EH. American Society of Anesthesiologists Classification (ASA Class) [Updated 2020 July 4] In: StatPearls. Treasure Island FL: StatPearls Publishing LLC; 2020: 1–3.
23. Welfare NBoHa. Statistik om äldre och personer med funktionsnedsättning efter regiform; 2018. Available from: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/statistik/2019-2-20.pdf. Accessed February26, 2019.
24. Ishimaru M, Ono S, Morita K, Matsui H, Yasunaga H. Domiciliary dental care among homebound older adults: A nested case-control study in Japan. Geriatr Gerontol Int. 2019;19(7):679–683.
25. Andersson P, Hallberg IR, Renvert S. Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward. Spec Care Dentist. 2002;22(5):181–186.
26. Dermont MA, Sadaghiani SS. Integrating oral health into a dementia care pathway. Community Dent Health. 2014;31(4):196–199.
27. Keboa M, Beaudin A, Cyr J, et al. Dentistry and nursing working together to improve oral health care in a long-term care facility. Geriatr Nurs. 2019;40(2):197–204.
28. Delwel S, Binnekade TT, Perez R, Hertogh C, Scherder EJA, Lobbezoo F. Oral hygiene and oral health in older people with dementia: a comprehensive review with focus on oral soft tissues. Clin Oral Investig. 2018;22(1):93–108.
29. Wolfe GR, Stewart JM, Maeder LA, Hartz GW. Use of dental coping beliefs scale to measure cognitive changes following oral hygiene interventions. Community Dent Oral Epidemiol. 1996;24(1):37–41.
30. Narhi TO. Prevalence of subjective feelings of dry mouth in the elderly. J Dent Res. 1994;73(1):20–25.
31. Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. J Adv Nurs. 2005;52(4):410–419.
32. Wardh IM, Wikstrom MB. Long-term effects of using oral care aides at a nursing home for elderly dependent residents–a pilot study. Spec Care Dentist. 2014;34(2):64–69.
33. Terezakis E, Needleman I, Kumar N, Moles D, Agudo E. The impact of hospitalization on oral health: a systematic review. J Clin Periodontol. 2011;38(7):628–636.
34. Benamghar L, Penaud J, Kaminsky P, Abt F, Martin J. Comparison of gingival index and sulcus bleeding index as indicators of periodontal status. Bull World Health Organ. 1982;60(1):147–151.
35. Wårdh I, Jonsson M, Wikström M. Attitudes to and knowledge about oral health care among nursing home personnel an area in need of improvement. Gerodontology. 2012;29(2):e787792.
36. Healthcare T The Handbook for Healthcare; 2018. Available from: https://www.vardhandboken.se/vard-och-behandling/basal-och-preventiv-omvardnad/munhalsa/testa-dina-kunskaper/. Accessed September16, 2019.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 International Journal of Computational and Experimental Science and Engineering
This work is licensed under a Creative Commons Attribution 4.0 International License.
