A New Era for the University of Bristol’s new Dental School with Salud.

A New Era for the University of Bristol’s new Dental School with Salud.

Original post available at Dentistry.co.uk

The University of Bristol’s Dental School will move to a new site in central Bristol in 2023 after outgrowing its existing premises at the Dental Hospital where it has been based for many years.

With this move, the school aims to deliver enhancements to the quality of clinical education along with significant improvements to student, staff, and patient experience.

In 2022 the school set out to procure several IT systems to support the clinical practice elements of the school. After a detailed procurement process, the University of Bristol has awarded the Patient Management System contract to Titanium Solutions, with their product Salud.

Salud will manage interactions with patients digitally, including a full record of all interactions with the patient, treatment planning, booking of appointments and clinics, digital access to scans and images, patient letters and other documents associated with the patient or their treatment.

Over 700 users will use the system, which will be deployed via Azure, in a customer specific cloud instance managed by Titanium.

‘’We’re thrilled to be working with the team at University of Bristol on this exciting new chapter for the Dental School. With a world leading product, and our team’s extensive oral health education experience, we’ll deliver a modern and innovative solution to meet the evolving needs of the Dental School. “said Áine Hayes – Global Head of Marketing, Titanium Solutions.

The winning system

Salud is a modern web-based solution designed from inception as an enterprise solution for Dental Schools worldwide.

Extreme flexibility in the software configuration allows customers to effectively adjust their data collection and business processes. This makes it a software that matches customer needs, which is crucial for large Dental Schools with very specialised requirements.

With flexibility at its core, Salud can be deployed On-Premises or on Azure/AWS.

Titanium Solutions are leading the way in this field as they offer customers cloud deployment with a customer specific cloud instance.

Titanium Solutions

The company behind Salud is Titanium Solutions. In 2021, Two-Ten Health (better known by its brand, Salud) and Titanium Solutions merged operations to form a global group under the name Titanium Solutions.

Titanium Solutions specialise in oral health software with products used in 7 languages, spanning 5 continents. The Group has over 27 years’ experience creating and delivering world class products for large dental institutions, with specialised products in 3 market segments:  Dental Schools, Public Health, Defence/Military.

With a mission to empower innovative oral health care. They develop world leading solutions to enable oral health care providers to provide optimised health services to patients worldwide.

Now, with offices in New Zealand, Australia, Ireland and a global network of partners and distributors, the company has grown from strength to strength to remain a market leader.

Prone Position in Management of COVID-19 Patients and Dentistry

Prone Position in Management of COVID-19 Patients and Dentistry

This term, widely used in intensive care units (ICUs) has gained prominence in recent months because of coronavirus infection (COVID-19).

Patients are faced down on their hospital bed in practice, known as pruning.

This change in the position is often enough to improve lung functionality and reduce the impact of respiratory distress caused by covid-19.

Proning — or placing a patient face-down — minimizes the effects of gravity on the lungs.

Putting the patient with the belly down helps increase the ability to use the lungs to absorb more oxygen.  In this position, the heart no longer weighs heavily on the lung tissue but instead rests against the sternum.

As a result, lung tissue at the back of the thoracic cavity is relieved of the burden of gravity and is more capable of expansion and gas exchange.

In COVID-19, severe patients with Respiratory Distress Syndrome (RDS) have important dysfunction of the gas exchange made by the lungs.

A primary position is an important tool for improving these exchanges, being a viable option in the treatment since gas exchange would be facilitated. As a result, the patient would improve the oxygenation levels of the body, a fact observed in about 70% to 80% of patients with RDS.

How can dentistry assist patients in prone position?

The patient can be in a prone position for 18 hours per day, even with disabilities, oral hygiene still can be done.

To perform this procedure, the multidisciplinary team must be very well trained as constant manoeuvres are necessary to avoid injuries that may occur, due to the long stay of the patient in the same position.

In the orofacial region, it is very frequent the appearance of lesions in the mentum, cheeks, nose, lips, vestibular mucosa and dental traumas.

Before we carried out any mouth care it was important to ensure that the endotracheal tube cuff was inflated to prevent aspiration, and it was important to note how far the endotracheal tube was in the mouth.

The following recommendations were made for mouth care for proned patients:

Carry out tooth brushing at least once a day ideally with a disposable toothbrush. Try and brush all surfaces of the teeth.

  • Avoid using electric toothbrushes as they generate more aerosol spray.
  • Use a small-headed toothbrush with a long handle for better access.
  • Use a smear of toothpaste or a non-foaming toothpaste on a dry toothbrush to prevent the build-up of secretions.
  • Carry out gentle oral suctioning or use a single-use suction toothbrush.
  • Try to stand to the side of the patient or behind them so your face is not directly in front of their face.
  • Carry out dry mouth care regularly by moistening the mouth with water or using a dry mouth gel on a toothbrush as needed
  • Gently brush the tongue in a forward sweeping action.
  • Make sure the lips are regularly lubricated with a lip balm or water-based gel.

The prone is a technique that can save lives. However, applying the necessary care is essential to mitigate the sequels of a disease that has left many marks. Especially the emotional one.

Dr Adriana Figueiredo Flato