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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Medical Model in Caries Management.

Madeline Jun Yu Yon1, Sherry Shiqian Gao2, Kitty Jieyi Chen3

  • 1Faculty of Dentistry, The University of Hong Kong, Hong Kong, China. yonjunyu@hku.hk.

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|April 4, 2019
PubMed
Summary

This study advocates for a shift from surgical drilling and filling to a medical model for dental caries management. This approach tackles the root causes of tooth decay for sustainable prevention and improved oral health.

Keywords:
caries managementcaries riskmedical modelpreventionremineralisation

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Area of Science:

  • Dental Science
  • Preventive Medicine
  • Public Health

Background:

  • Current dental caries management relies heavily on irreversible surgical interventions like drilling and filling.
  • Caries prevention strategies are often overlooked, leading to a focus on symptomatic treatment rather than disease etiology.
  • Dental caries is defined as the demineralization of dental hard tissues caused by bacterial acids from fermentable carbohydrates.

Purpose of the Study:

  • To discuss the paradigm shift towards a medical model for dental caries management.
  • To highlight the importance of addressing the causes and risk factors of caries.
  • To promote a philosophy of sustainable caries management and improved oral health-related quality of life.

Main Methods:

  • The medical model emphasizes controlling bacterial infection and reducing risk factors.
  • Strategies include dietary counseling, plaque control, dental sealants, fluoride agents, and chemotherapeutic medications.
  • Long-term follow-up and monitoring of remineralization are integral components.

Main Results:

  • The medical model aims to prevent new and recurrent caries by altering the cariogenic environment.
  • It supports the healing of remineralizable enamel and dentine.
  • This approach seeks to maintain a caries-free dentition and enhance oral health-related quality of life.

Conclusions:

  • A paradigm shift from a surgical to a medical model is crucial for effective dental caries management.
  • This approach offers a sustainable strategy for caries prevention and treatment.
  • Adopting the medical model is anticipated to significantly improve long-term oral health outcomes.