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Chapter 2

Review of related literature and studies

Foreign Literature

Antibiotic prophylaxis recommendations for the prevention of infective endocarditis are based in

part on studies of bacteremia from dental procedures, but toothbrushing may pose a greater

threat. The purpose of this study was to compare the incidence, duration, nature, and

magnitude of endocarditis-related bacteremia from single-tooth extraction and toothbrushing

and to determine the impact of amoxicillin prophylaxis on single-tooth extraction. amoxicillin has

a significant impact on bacteremia resulting from a single-tooth extraction, given the greater

frequency for oral hygiene, toothbrushing may be a greater threat for individuals at risk for

infective endocarditis.

Infective endocarditis (IE) often is caused by bacteria that colonize teeth. The authors

conducted a study to determine if poor oral hygiene or dental disease are risk factors for

developing bacteremia after toothbrushing or single-tooth extraction.

One hundred ninety-four participants in a study were in either a toothbrushing group or a single-

tooth extraction with placebo group. The authors assessed the participants' oral hygiene,

gingivitis and periodontitis statuses. They assayed blood samples obtained before, during and

after the toothbrushing or extraction interventions for IE-associated bacteria

Foreign studies

According to Martin J Davis Pediatr Dent 10 (4), 328B329, 2009Members of the College of

Diplomates of the American Board of Pediatric Dentistry were surveyed in January, 2009, to

establish current trends in the use of conscious sedation and to relate these trends to certain
demographic data and circumstances of contemporary pediatric dentistry practice. Several

questions were restatements of the 1980 Association of Pedodontic

According to Michael A Truocchio US Patent 5,217, 2010 A dentistry practice or method

requiring a patient's possession of dental drill components, ie drill burr, handset or drill burr

attaching means, etc., which are unavoidably in danger of HIV virus contamination during typical

use, and the relinquishing of this possession to the dentist preparatory to the use thereof,

thereby totally obviating any inter-patient contamination of these dental drill components that

could transmit the HIV virus resulting in AIDS.

Journal of dental research 87 (7), 605, 2008 Controlled clinical trials have long been recognized

as the ‘gold standard’for evidence-based research related to clinical practice. They may be

randomized (RCTs) to reduce or eliminate bias in patient selection, operator inclination, and

other confounding factors. These trials have been funded by public and private institutions,

including the dental industry. They form the basis for approval of clinical treatments and the

introduction of new or modified dental materials prior to marketing. The RCTs also form the

basis for meta-analysis, which is considered to be the optimal approach to evidence-based

dentistry. Practice-based dental research (PBDR) networks have been in function in the UK for

some time. They vary markedly in approach to the research, covering anything from product

testing to educational networks, with emphasis on continuing and advanced education.

Recently, practice-based clinical research formally entered the dental research arena in the

US—much to the credit of an initiative by the NIDCR/NIH (National Institute of Dental and

Craniofacial Research/National Institutes of Health), after the Institute announced, in 2003, the

opportunity for funding practice-based research over a seven-year period. Three equal awards

were funded in 2005, totaling $75 million. Since dental practice-based research networks are

developing on a large scale in the US, it is timely to consider the potential advantages of PBDR.

Much can be learned from the numerous medical practice-based research networks that have
been in operation internationally for several years. However, it must be kept in mind that the

outcomes of dental treatment differ from those in medical practice, in that the technical aspects

of the treatment usually have more influence on the outcome in dental practice than in medical

practice. The dentists in RCTs are established, recognized, experienced, and often specially

trained clinicians. These trials have specific requirements for patient selection, including types of

lesions to be treated, patient age, health status, and sometimes gender. The clinicians work

without time constraints. The diagnostic criteria and the outcome measures are defined. They

are followed up by standardization and calibration of the involved dentists. The clinicians

evaluating the outcome are different from the operators performing the procedure, and they are

blinded to the procedure whenever possible. These conditions may also apply to practice-based

research, but there is more to practice-based studies than doing controlled clinical trials in

general practice settings, including identification of recurring problems in dental practice. It has

been suggested that the training of selected clinicians to conduct standardized

Local literature

According to Habib Benzian, decay is the most common childhood disease worldwide and most

of the decay remains untreated. In the Philippines caries levels are among the highest in the

South East Asian region. Elementary school children suffer from high prevalence of stunting and

underweight. The present study aimed to investigate the association between untreated dental

decay and Body Mass Index (BMI) among 12-year-old Filipino children.

According to Republic Act 9489

The regulation, control, and supervision of the practice of dentistry, dental hygiene and dental

technology in the Philippines; The giving of licensure examination to graduates of recognized

dental schools of dentistry, dental hygiene and dental technology for the purpose of registration;
The accreditation of the various specialties’ of dentistry; The promotion and development of

continuing dental education and research in the country; The enforcement of the Code of Ethics

and Code of Dental Practice in the Philippines; and The stipulation of penalties for &actions or

violations of this Act or any other laws, rules and regulations authorized under the provisions of

this Act.

Local studies

According to “Philippine Dental Act of 2007”, rules and regulations governing the practice of

Dentistry, and this Code, as may be committed by a duly licensed dentist, dental hygienist, or

dental technologist, or non-Dentist, which comes to their knowledge, to the appropriate chapter

or affiliate society, the Board, or the Professional Regulation Commission. Alleged illegal dental

practitioners must be treated with due respect in accordance to their primary human rights and

must be presumed innocent until proven guilty.

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