3,892 results on '"DENTISTS"'
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2. An integrated curriculum for dentists and dental therapists in Liverpool.
- Author
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Gartshore L, Bowles J, Dawson LJ, and Bissell V
- Subjects
- Humans, England, Patient Care Team, Curriculum, Education, Dental methods, Dental Auxiliaries education, Dentists
- Abstract
The role of the dental therapist has evolved over the course of the past 70 years, both in the UK and across the globe. The General Dental Council's Scope of practice guidance sets out the skills and abilities of each of the professional roles within the dental team, including the dental therapist. Scope of practice of the multidisciplinary team remains poorly understood, to the detriment of teamworking. The dental profession is under pressure and the development of a flexible and appropriately trained skill mix might help us adapt to meet the oral health needs of the population, while leveraging a sustainable workforce. In 2019, the School of Dentistry at the University of Liverpool introduced a novel 'centennial curriculum', designed to fully integrate the interprofessional training requirements of dentists and dental therapists, following application via two distinct routes of entry. Challenges have arisen and addressing these has required a culture of openness and honesty regarding the complexities of shared care and scope of practice., (© 2024. The Author(s), under exclusive licence to the British Dental Association.)
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- 2024
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3. Network with likeminded clinicians.
- Subjects
- Humans, United Kingdom, Dentists
- Published
- 2024
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- View/download PDF
4. The importance of income protection for dentists.
- Subjects
- Humans, United Kingdom, Dentists, Income
- Published
- 2024
- Full Text
- View/download PDF
5. Peri-implantitis diagnosis: insights from UK dental practitioners.
- Author
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Thomas HA
- Subjects
- Humans, United Kingdom, Practice Patterns, Dentists', Dentists, Peri-Implantitis diagnosis, Peri-Implantitis diagnostic imaging
- Published
- 2024
- Full Text
- View/download PDF
6. Optimising referral letters for the dental practitioner.
- Author
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Gorman H and Patel K
- Subjects
- Humans, United Kingdom, Dental Care standards, Dentists, General Practice, Dental, Referral and Consultation, Correspondence as Topic
- Abstract
Referrals are defined as 'a process in which a health worker at one level of the health system, having insufficient resources (drugs, equipment, skills) to manage a clinical condition, seeks the help of a better or differently resourced facility at the same or higher level to assist in patient management'. Within the UK, the NHS dental service is divided into nationally defined levels of care, which provide treatment based upon complexity and patient modifying factors. Having a sound knowledge of these levels will help general dental practitioners (GDPs) make appropriate and efficient onward referrals to the correct service.This article aims to outline the key information required for all strong GDP referrals, as well as highlighting information that may be specific to each speciality. This is with the hope of creating a key list for GDPs to use on clinic when writing referrals to reduce the incidence of missed information and subsequent rejection. The article also aims to outline the levels of NHS dental care and what factors and treatments are suitable for each to aid GDPs during their referral decision-making process., (© 2024. The Author(s), under exclusive licence to the British Dental Association.)
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- 2024
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7. Prevention of infective endocarditis in at-risk patients: how should dentists proceed in 2024?
- Author
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Thornhill M, Prendergast B, Dayer M, Frisby A, Lockhart P, and Baddour LM
- Subjects
- Humans, Dental Care, Risk Factors, Informed Consent legislation & jurisprudence, Dentists, Endocarditis, Bacterial prevention & control, Antibiotic Prophylaxis, Endocarditis prevention & control
- Abstract
National Institute for Health and Care Excellence (NICE) guidelines are ambiguous over the need for patients at increased risk of infective endocarditis (IE) to receive antibiotic prophylaxis (AP) prior to invasive dental procedures (IDPs), and this has caused confusion for patients and dentists alike. Moreover, the current law on consent requires clinicians to ensure that patients are made aware of any material risk they might be exposed to by any proposed dental treatment and what can be done to ameliorate this risk, so that the patient can decide for themselves how they wish to proceed. The aim of this article is to provide dentists with the latest information on the IE-risk posed by IDPs to different patient populations (the general population and those defined as being at moderate or high risk of IE), and data on the effectiveness of AP in reducing the IE risk in these populations. This provides the information dentists need to facilitate the informed consent discussions they are legally required to have with patients at increased risk of IE about the risks posed by IDPs and how this can be minimised. The article also provides practical information and advice for dentists on how to manage patients at increased IE risk who present for dental treatment., (© 2024. The Author(s).)
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- 2024
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8. 'Having a dental degree gives us a golden ticket to an abundance of career opportunities'.
- Subjects
- Humans, United Kingdom, Education, Dental, Dentists, Career Choice
- Published
- 2024
- Full Text
- View/download PDF
9. Supportive periodontal care in dental practice: Part 1 - the importance and implications for general dental practitioners.
- Author
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Rana ST and Darbar UR
- Subjects
- Humans, Professional Role, Dental Care, General Practice, Dental, Dentists, Periodontal Diseases complications, Periodontal Diseases prevention & control
- Abstract
Supportive periodontal care is an essential component of maintaining the outcome of periodontal treatment. It is essential to ensure cost benefit to both patients and the health services where millions are spent on treating patients with periodontal disease. The dentist must be able to recognise the crucial and important role they play in providing supportive care and therapy to periodontally compromised patients, either independently or as part of a wider dental team, over and above the various challenges they may experience in the provision of such care in general dental practice. The timely intervention with treatment or referral during this phase will help reduce the risk of tooth loss and adverse consequences to the dentist and their team by way of litigation. The aim of this paper is to provide an update on the delivery of supportive periodontal care in general dental practice with a particular reference to the role of the dentist., (© 2024. The Author(s), under exclusive licence to the British Dental Association.)
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- 2024
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10. What is occlusion? Part 2.
- Author
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Davies S
- Subjects
- Humans, Male, Dental Occlusion, Dentistry, Emotions, Dentists, Professional Role
- Abstract
Some dentists choose to ignore the subject of occlusion, while others propose a set of doctrinal rules. It is of little wonder therefore that it can become a source of confusion and even controversy. This series of two papers aims, firstly, to answer the very simple question of 'what is occlusion?'. It will put occlusion into the context of the articulatory system because that is the bio-mechanical environment where the majority of dentists do their work. The concept of jaw relation will also be discussed but within the context of this locomotive system. Ideal occlusion will be described but only after answering the question: for whom or what might an occlusion be considered ideal? Although, in the book of which this is the first chapter, he presents what has worked for him during many years as a general dental practitioner, university lecturer and specialist in restorative dentistry, he has tried not to be didactic because he feels that, in a profession, there are no right answers, only the right questions., (© 2024. Springer Nature Switzerland AG 2022. Republished.)
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- 2024
- Full Text
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11. Paradigms matter: why persistent pain is different and how dentists can help.
- Author
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Penlington C, Durham J, and Beecroft E
- Subjects
- Humans, Pain Management methods, Dentists, Chronic Pain therapy
- Abstract
Dental professionals often expect, and are used to treating, pain that has a clear, organic and likely pathological cause. Patients visiting the dentist are also likely to share this expectation. However, in addition to potential organic contributions to the experience of pain, the nociceptive system (pain signalling system) also plays an important role. Alongside organic contributions, it is important to also consider that persistent pain is different to acute pain and requires different explanations and different management. Dental professionals need to be equipped to understand and explain persistent pain and to incorporate this understanding into their ongoing patient management so that patients can be educated in why the two are different and therefore require different approaches., (© 2024. The Author(s), under exclusive licence to the British Dental Association.)
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- 2024
- Full Text
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12. What is occlusion? Part 1.
- Author
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Davies S
- Subjects
- Humans, Dental Occlusion, Dentistry, Dentists, Professional Role
- Abstract
Some dentists choose to ignore the subject of occlusion, while others propose a set of doctrinal rules. It is of little wonder therefore that it can become a source of confusion and even controversy. This series of two papers aims, firstly, to answer the very simple question of 'what is occlusion?'. It will put occlusion into the context of the articulatory system because that is the bio-mechanical environment where the majority of dentists do their work. The concept of jaw relation will also be discussed but within the context of this locomotive system. Ideal occlusion will be described but only after answering the question: for whom or what might an occlusion be considered ideal? Although, in the book of which this is the first chapter, he presents what has worked for him during many years as a general dental practitioner, university lecturer and specialist in restorative dentistry, he has tried not to be didactic because he feels that, in a profession, there are no right answers, only the right questions., (© 2024. Springer Nature Switzerland AG 2022. Republished.)
- Published
- 2024
- Full Text
- View/download PDF
13. Biological therapies and management of oral mucosal disease.
- Author
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Healy CM and Galvin S
- Subjects
- Humans, Dentists, Professional Role, Antibodies, Monoclonal therapeutic use, Biological Therapy, Arthritis, Rheumatoid drug therapy, Biological Products therapeutic use
- Abstract
Biologic drugs are drugs made by living organisms and the term is usually limited to monoclonal antibodies or receptors targeting specific cytokines or cells that have been developed in recent decades. These drugs have had an enormous impact on the management of cancers, including head and neck cancers, and immune-mediated inflammatory conditions, for example, rheumatoid arthritis and inflammatory bowel disease. General dental practitioners will routinely be managing patients who are on these medications for a wide range of systemic conditions. These drugs also have a limited role in the management of immune-mediated oral mucosal disease. In this article, we will introduce the range of biological agents and their systemic indications and then elaborate on their use in oral mucosal disease and the disadvantages associated with their use., (© 2024. The Author(s).)
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- 2024
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14. Oral lichen planus and lichenoid lesions - challenges and pitfalls for the general dental practitioner.
- Author
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Binnie R, Dobson ML, Chrystal A, and Hijazi K
- Subjects
- Humans, Dentists, Professional Role, Diagnosis, Differential, Lichen Planus, Oral diagnosis, Lichen Planus, Oral pathology
- Abstract
Lichen planus is a chronic, mucocutaneous inflammatory condition which, due to its prevalence, will be familiar to the dental profession. However, diverse forms of presentation, important differential diagnosis, potential malignant change and monitoring requirements often result in challenges for those in primary care. This paper looks to examine these challenges and provide information to support those who are involved in recognition and management of patients with lichen planus., (© 2024. The Author(s).)
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- 2024
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15. Oral mucosal disease: dilemmas and challenges in general dental practice.
- Author
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Atkin PA and Cowie R
- Subjects
- Humans, Dentists, Professional Role, General Practice, Dental, Oral Medicine, Medicine
- Abstract
Oral medicine (OM) is a recognised component of all UK undergraduate dental programmes and practising dentists are expected to safely investigate and manage patients presenting with oral mucosal disease. Delivering OM care for patients in a general dental practice setting does however come with a number of challenges and dilemmas for practitioners.General dental practitioners may be limited in their ability to arrange diagnostic tests such as biopsies or blood tests, important in reaching a definitive OM diagnosis. Lack of operator skill or lack of access to appropriate laboratory facilities to process diagnostic samples will likely contribute to this. In addition, general dental practitioners may feel underconfident to reliably interpret test results. Management of OM patients can also be time-consuming and may not generate a significant remunerative reward under current NHS payment systems.OM is a subject that overlaps with several medical specialities, and up until 2010, required dual qualification in both undergraduate dentistry and medicine. Practitioners who have not undertaken OM training beyond undergraduate dentistry may lack confidence with the subject, and fear of misjudging a lesion of concern will certainly prompt referrals from primary care into hospital-based OM clinics., (© 2024. The Author(s).)
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- 2024
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16. Proliferative verrucous leukoplakia: a general dental practitioner-focused clinical review.
- Author
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Staines K and Rogers H
- Subjects
- Humans, Female, Professional Role, Leukoplakia, Oral diagnosis, Leukoplakia, Oral therapy, Leukoplakia, Oral pathology, Mouth Mucosa pathology, Dentists, Neoplasm Recurrence, Local pathology
- Abstract
Proliferative verrucous leukoplakia (PVL) is a distinct type of oral leukoplakia which has the potential to enlarge or develop into new areas of leukoplakia coupled with areas of a warty surface texture. PVL is usually diagnosed from the fifth decade onwards and is more common in female patients. The most frequent sites involved tend to be gingivae, followed by buccal mucosa and lateral border of tongue. It is one of the oral potentially malignant conditions with a high risk of malignant transformation. It is important for general dental practitioners (GDPs) to identify such lesions to facilitate referral for further investigation and diagnosis. Management is challenging with long-term monitoring and surgical excision when appropriate; however, PVL tends to recur following surgical excision. This article provides an up-to-date review tailored for GDPs on the present knowledge of PVL and illustrates the management challenges with clinical cases., (© 2024. The Author(s).)
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- 2024
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17. Skin cancer - what general dental practitioners should look for.
- Author
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R Drodge D, Staines K, and Shipley D
- Subjects
- Humans, Dentists, Professional Role, General Practice, Dental, General Practitioners, Skin Neoplasms diagnosis
- Abstract
General dental practitioners (GDPs) are well-placed to identify incidental skin lesions when they see patients for routine dental care. Indeed, some patients with an undiagnosed skin malignancy may only see their GDP on a regular basis rather than their general medical practitioner (GMP). GDPs should be able to assess exposed areas of skin, particularly focusing on the head and neck, to identify any lesions of concern and liaise with the patient's GMP where appropriate. We provide an overview focused upon the clinical appearances of isolated benign and malignant lesions, tailored for GDPs., (© 2024. The Author(s).)
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- 2024
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18. Ear protection for dental practitioners.
- Author
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Aukett J
- Subjects
- Humans, Child, Professional Role, General Practice, Dental, Dentists, Child Abuse
- Published
- 2024
- Full Text
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19. Teeth for life? Some hope...
- Author
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Hellyer P
- Subjects
- Humans, Contracts, Dentists, Professional Role
- Abstract
The consequences of the 2006 contract for general dental practitioners have been frequently discussed. Recent government tinkering with it has made little difference and access to NHS dentistry is now difficult, if not impossible, in some parts of the country. The promises of the 1950s and 1960s that teeth could be saved and kept for life have been broken by the concept of 'units of dental activity.' Older generations in particular have been let down badly by their introduction., (© 2024. The Author(s), under exclusive licence to the British Dental Association.)
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- 2024
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20. A carbon calculator: the development of a user-friendly greenhouse gas measuring tool for general dental practice (Part 2).
- Author
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Duane B, Steinbach I, and Mackenzie L
- Subjects
- Humans, Dentists, Carbon, Professional Role, Carbon Footprint, Greenhouse Gases
- Abstract
The need to reduce carbon emissions and limit global warming to 1.5 °C has spurred various sectors towards net-zero emission goals. This paper introduces a specialised carbon calculator for dental practices to compute and monitor their carbon footprints (CFPs). The carbon calculator is developed using recent carbon modelling, utilising methodologies and data from estimating the average NHS dental practice's CFP. It employs both spend-based and activity-based carbon accounting methods, simplifying carbon emission estimation. It offers dental practices a user-friendly, rudimentary, cost-free tool to determine their baseline CFP and track sustainability progress. It includes conversion factors for patient travel, procurement and waste management, enabling practices to input data and generate personalised CFP charts. It also acknowledges assumptions and uncertainties related to procurement and waste management, emphasising the availability of personalised consultancy services for more precise carbon footprinting. This carbon calculator supports environmental sustainability in dental practices as an accessible starting point. By raising awareness of their CFP, it encourages progress in 'green dentistry' and promotes environmental responsibility in oral healthcare. The calculator is freely downloadable and part of a broader 'green dentistry' initiative. Continuous carbon emission measurement and monitoring are crucial for a sustainable future, with this tool aiding dental practitioners in their environmental contributions., (© 2024. The Author(s), under exclusive licence to the British Dental Association.)
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- 2024
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21. Oral ulceration (Part 2).
- Author
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A O Lewis M and Lamey PJ
- Subjects
- Humans, Dentists, Professional Role, Oral Ulcer diagnosis, Oral Ulcer etiology, Mouth Neoplasms diagnosis, Mouth Neoplasms pathology, Carcinoma, Squamous Cell diagnosis
- Abstract
Ulceration is probably the oral mucosal condition seen most frequently by general dental practitioners. It is almost always painful and therefore sufferers are prompt to seek advice. An important exception to this generalisation is the occurrence of oral squamous cell carcinoma, which is often painless in its early stages. Definitive diagnosis, which requires mucosal biopsy, is mandatory for any persistent area of oral ulceration., (© 2023. Springer Nature Switzerland AG 2019. Republished.)
- Published
- 2023
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- View/download PDF
22. Oral ulceration (Part 1).
- Author
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Lewis MAO and Lamey PJ
- Subjects
- Humans, Dentists, Professional Role, Oral Ulcer diagnosis, Oral Ulcer etiology, Mouth Neoplasms diagnosis, Mouth Neoplasms pathology, Carcinoma, Squamous Cell diagnosis
- Abstract
Ulceration is probably the oral mucosal condition seen most frequently by general dental practitioners. It is almost always painful and therefore sufferers are prompt to seek advice. An important exception to this generalisation is the occurrence of oral squamous cell carcinoma, which is often painless in its early stages. Definitive diagnosis, which requires mucosal biopsy, is mandatory for any persistent area of oral ulceration., (© 2023. Springer Nature Switzerland AG 2019. Republished.)
- Published
- 2023
- Full Text
- View/download PDF
23. Uncontrolled hypertension at the dentist: a case report of integrated healthcare.
- Author
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Doble A, Bescos R, Witton R, Shivji S, and Brookes Z
- Subjects
- Male, Adult, Humans, Aged, Antihypertensive Agents therapeutic use, Antihypertensive Agents pharmacology, Blood Pressure, Dentists, Hypertension complications, Hypertension diagnosis, Hypertension drug therapy, Delivery of Health Care, Integrated
- Abstract
Hypertension is a risk factor for major cardiovascular events and it is usually detected and managed by general medical practitioners (GPs) in primary care. However, it is estimated that 4.8 million adults are living with untreated high blood pressure (BP) in the UK. Health authorities are encouraging more collaborative work across health professions to find and refer individuals with undiagnosed hypertension. In this case, in 2022, a 65-year-old man with a previous history of hypertension, taking antihypertensive medication, attended a BP clinic at the University of Plymouth, Peninsula Dental School as part of a hypertension case finding pilot. His systolic and diastolic BP were 150 and 85 mmHg, respectively, and as per the trial protocol, a referral letter was sent to his GP for suspected further assessment and investigation. Then, an onward referral was made to secondary care and the participant was subsequently hospitalised for 13 days for treatment of heart failure and suspected acute coronary syndrome. This case report highlights that BP readings taken in a primary care dental setting can be very useful and recommends better integration of dental services into primary care to reduce the risk of major cardiovascular events., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
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- 2023
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24. Prevalence of medical emergency events in primary dental care within the UK.
- Author
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Sin M, Edwards D, Currie C, and Corbett I
- Subjects
- Humans, Prevalence, Cross-Sectional Studies, United Kingdom epidemiology, Dentists, Emergencies, Dental Care
- Abstract
Introduction Dental professionals have an ethical and legal obligation to diagnose and manage medical emergencies which may occur in primary dental care.Aims and objectives To investigate the prevalence of medical emergencies in UK primary dental care and explore the medical emergency training needs of UK primary dental care professionals.Design and setting Cross-sectional survey, targeting dentists, dental hygienists and dental therapists across the UK working within primary dental care.Materials and methods An online survey was distributed via dental society mailing lists, social media groups and a dental conference. The questionnaire consisted of participants demographics and training in, prevalence of and confidence surrounding medical emergencies.Results Respondents (n = 400) were dentists (55.8%), dental hygienists/therapists (38.8%) and specialists (5.5%). Most participants received basic life support training (62%) in 2019, before COVID-19. The most common medical emergencies were syncope, non-specific collapse and hypoglycaemia, being encountered every 1.59, 1.64 and 8.26 years, respectively. The preferred method for medical emergency training was practical based, with more training in administering emergency drugs and equipment identified as a training need.Conclusion Dental professionals will encounter medical emergencies in primary dental care every 1-2 years and are therefore not uncommon., (© 2023. The Author(s).)
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- 2023
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25. Can AI replace dentists?
- Author
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Alotaibi S and Deligianni E
- Subjects
- Humans, Dentists, Dental Restoration, Permanent
- Published
- 2023
- Full Text
- View/download PDF
26. The history of the British Dental Association Benevolent Fund: the beginnings - Part 1.
- Author
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Hellyer P and Ulahannan J
- Subjects
- Humans, Dentists, Charities, Financial Management
- Abstract
The British Dental Association Benevolent Fund is a charity which exists to support all dentists, dental students and their dependents in times of hardship. For the past 140 years, the Fund has provided financial, educational and personal support to thousands of struggling members of the profession and their families. Its history is tied firmly to the development of dentistry as a profession, with the introduction of registration of dentists and with the creation of the British Dental Association. Those who had the vision for an association of dentists also saw it as an opportunity - perhaps a necessity - for a community of professional people to support each other in times of need. This paper describes the years before the foundation of the Fund in 1883, along with the attendant dental politics and the social environment into which it was born, as well as the very early years of the Fund itself. It is the first of four papers describing the history of the Fund, those who gave their time to manage it and those to whom it gave help., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
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- 2023
- Full Text
- View/download PDF
27. The role of the general dental practitioner in the management of the hypodontia patient.
- Author
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Rana S, Orloff C, I Bomfim D, P Ashley M, and Bassi GS
- Subjects
- Humans, Child, Dentists, Professional Role, Dentition, Permanent, Anodontia therapy
- Abstract
The general dental practitioner (GDP) is usually the first person to suspect that a young patient is affected by hypodontia. The condition occurs rarely in the primary dentition but is relatively common in the permanent dentition. Between the ages of 7 and 12 years, failure of a permanent tooth to erupt as expected will lead the GDP to initiate and then contribute to the ideal management of the patient's condition. This ranges from reassurance and preventive measures to providing aspects of treatment in a long-term management plan, alongside a multidisciplinary specialist team and thereafter, delivery of life-long dental care., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
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- 2023
- Full Text
- View/download PDF
28. Restorative dentistry clinical decision-making for hypodontia: complex cases.
- Author
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Pace-Balzan A, Chatzipantelis A, J Dunn K, Charan G, and P Ashley M
- Subjects
- Humans, Dentists, Professional Role, Dentistry, Patient Care Planning, Anodontia therapy
- Abstract
Hypodontia is a relatively common condition and patients will be seen by both general dental practitioners and specialist dental colleagues. Although hypodontia can be described as mild, moderate and severe, this does not directly correlate with the complexity of treatment required to provide an acceptable outcome. In addition, the complexity of treatment provided by one colleague in the multidisciplinary team may not be the same as for other colleagues.When treatment planning and delivering dental care for these patients, especially those with severe hypodontia, it is useful to recognise the factors that make their care complex and also to follow principles for multidisciplinary treatment planning., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
29. Who wants to be a dentist?
- Author
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Hancocks Obe S
- Subjects
- Humans, Dentists, Career Choice
- Published
- 2023
- Full Text
- View/download PDF
30. The continuation of oral anticoagulation and antiplatelet therapy for dento-alveolar surgery: a service evaluation.
- Author
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Sandhu P, Mayor S, Sproat C, Kwok J, Beneng K, and Patel V
- Subjects
- Humans, Dentists, Professional Role, Anticoagulants adverse effects, Postoperative Hemorrhage prevention & control, Postoperative Complications prevention & control, Platelet Aggregation Inhibitors adverse effects, Hemostatics
- Abstract
Background Patients taking oral anticoagulants (OACs) and oral antiplatelets (OAPs) have a risk of post-operative bleeding when dental extractions are required. Guidance exists to assist dental practitioners on how best to clinically manage these patients, but this is based upon low-quality evidence. The current service evaluation provides real world clinical data when these drugs are not discontinued for oral surgery procedures.Materials and methods All OACs and OAPs were continued and patients requiring dental extractions had local haemostatic measures (local anaesthesia with adrenaline, socket packing with haemostat and resorbable sutures). All patients were offered a follow-up via a telephone clinic service after surgery to assess any post-operative bleeding.Results A total of 439 patients underwent 513 surgical episodes, equating to 1,001 dental extractions. Overall, 412 (95.9%) patients reported no post-operative bleeding complications. A total of 18 (4.1%) patients reported post-operative bleeding requiring further intervention. All but two patients were managed with local haemostatic measures, and no patient required hospital admission. For the single novel OAC cohort of patients, 8/185 (4.3%) procedures had post-operative bleeding.Conclusion This current service evaluation highlights that the risk of significant or life-threatening bleeding following dental extraction when OACs or OAPs are continued remains rare., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
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- 2023
- Full Text
- View/download PDF
31. An analysis of the portrayal of dentistry in modern popular film from a dentist's perspective.
- Author
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Simpson CD and Smillie SM
- Subjects
- Male, Humans, Female, Crime, Dentistry, Dentists, Motion Pictures, Conscious Sedation
- Abstract
Dentists have been portrayed negatively in many forms of media, including in film. These portrayals may affect the public perception of the profession. This study aimed to quantify the proportion of modern popular films which depicted dentistry in a negative light and to evaluate the common themes arising in films containing dental professionals.Popular films containing references to dentistry or dental treatment were identified from previous publications, and by searching plot summaries of the top 100 films released during each year 1980-2019. All films identified were watched, relevant dialogue was transcribed and pertinent details from scenes with dentists were documented.A total of 60 films that had the potential to influence public perception of dentistry were included in the analysis. Many portrayals were negative (50%), with very few positive depictions (5%), and 30 films contained scenes of clinical dentistry, which were often medically inaccurate (30%). In total, 57% of patients in clinical scenes were distressed or physically harmed. Conscious sedation is frequently abused. Dentists are most commonly portrayed by white men, whereas women may be cast as hygienists. Common themes include sexual misconduct, crime and an unfavourable comparison with medicine.The portrayal of dentistry in film is largely negative and frequently inaccurate., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
32. UK dentistry: a timeline of events 1920-2020 - Part 2: 1946-1993.
- Author
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Tidman S
- Subjects
- Humans, Dentistry, United Kingdom, Dentists, Professional Role
- Abstract
This is the second of a three-part series detailing significant developments in the delivery of dentistry in the UK between 1920 and 2020, covering the period that saw the introduction of the NHS general dental services to a major change in remunerating its dental practitioners and the immediate aftermath., (© 2023. The Author(s), under exclusive licence to the British Dental Association 2022.)
- Published
- 2023
- Full Text
- View/download PDF
33. Patient-reported understanding and dentist-reported management of periodontal diseases - a survey: do you know what gum disease is?
- Author
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Rana H, Warnes B, Davies M, and West NX
- Subjects
- Humans, Patient Reported Outcome Measures, Dentists, Dental Plaque, Periodontal Diseases therapy, Gingivitis therapy
- Abstract
Introduction Mild-to-moderate gingivitis is treatable by effective toothbrushing with appropriate over-the-counter oral health care products; however, rates remain high.Aim To determine patient knowledge of gingivitis and dentists' views on management.Methods Surveys were completed by dentists and dental hospital patients.Results In total, 224 patients and 50 dentists participated. Clinical health, gingivitis, or periodontitis was detected in 2%, 33% and 56% of patients, respectively; 32% reported never suffering gingival bleeding. Moreover, 74% of patients reported gingival health as very important but only 53.7% with gingivitis occasionally/often were moderately-extremely worried about their symptoms. More than 50% of patients knew gingivitis causes poor oral health but <20% knew it elevated risks of other systemic conditions. Patients thought education on risks associated with poor oral health and product recommendations were most likely, and daily reminders least likely, to improve compliance with oral health advice (OHA). Also, 40% of dentists thought their patients were relatively unaware of the importance of gingival health, 76.9% of their patient-base had gingivitis, and 96% give OHA to these patients but only 30% thought this effected improvement. The most useful tools for improving oral health were better patient knowledge of the consequences and one-to-one instruction.Conclusion Patients struggle to attain oral health following OHA. Education about gingivitis-associated risks might improve OHA compliance., (© 2023. The Author(s).)
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- 2023
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34. The orthodontic management of patients with cleft lip and palate: from birth to the late mixed dentition.
- Author
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Gillgrass T
- Subjects
- Child, Humans, Dentition, Mixed, Dentists, Bone Transplantation, Professional Role, Cleft Lip surgery, Cleft Palate surgery
- Abstract
This is the first of two papers outlining the orthodontic management of patients with cleft lip and palate. This paper will review orthodontic input into children with cleft lip and palate from birth to the late mixed dentition before definitive orthodontics. It will emphasise the importance of timing in alveolar bone grafting, the role of the general dental practitioner and the impact of timing on definitive orthodontic outcome., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
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- 2023
- Full Text
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35. Challenges for dental care of the paediatric patient born with cleft lip and/or palate.
- Author
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May J, Smallridge J, Collard M, Vaidyanathan M, and Bhujel N
- Subjects
- Child, Humans, Dentists, Professional Role, Dental Care, Cleft Lip complications, Cleft Lip surgery, Cleft Palate therapy, Dental Caries etiology, Dental Caries therapy
- Abstract
This paper forms part of a series on the management of patients with cleft lip and/or palate (CLP). Children with CLP have a higher incidence of dental caries and dental anomalies. This paper explains the important roles of both the general dental practitioner and specialist paediatric dentist on the cleft team in managing these children alongside the multidisciplinary team., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
36. Restorative dentistry in the young cleft patient.
- Author
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Critchlow SB and Popat S
- Subjects
- Humans, Dentists, Professional Role, Dentistry, Cleft Lip surgery, Cleft Palate surgery
- Abstract
This clinical paper outlines the role of the restorative consultant in the treatment of young cleft lip and palate patients up to the end of their cleft package of care on their 22
nd birthday. The multidisciplinary nature of the care is highlighted, including the role of the general dental practitioner in caring for cleft patients in primary care. The various clinical treatment modalities used in this patient group are described with an emphasis on minimally invasive and adhesive approaches. The role of dental implants and removable prostheses are described. Considerations for long-term maintenance, much of which will take place in primary care, are also included., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)- Published
- 2023
- Full Text
- View/download PDF
37. The restorative dentistry management of adult cleft patients: 'the adult returner'.
- Author
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Popat S and Critchlow S
- Subjects
- Humans, Adult, Dentists, Professional Role, Dentistry, Cleft Lip therapy, Cleft Palate therapy
- Abstract
This paper will discuss the management of adult patients with cleft lip and palate who return to care, often many decades after their initial course of treatment. This can be a very complex group of patients to treat as they often present with anxiety about dental care and often have other long-standing psychosocial issues. Working very closely with the multi-disciplinary team and the general dental practitioner is crucial to the successful outcome of care. This paper will outline the most common complaints that these patients may present with and the restorative dentistry solutions that are available to address them., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
38. Secondary surgery techniques to optimise functional and aesthetic outcomes in orofacial clefting.
- Author
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Martin SV, Van Eeden S, and Swan MC
- Subjects
- Humans, Dentists, Esthetics, Dental, Professional Role, Cleft Lip surgery, Cleft Palate surgery
- Abstract
Although the goal of primary surgery is to avoid the need for secondary surgery, in a proportion of patients this is not always possible. Secondary, or revisional, surgery is frequently undertaken in patients with orofacial clefts and may present a complex and challenging problem for the multidisciplinary team. There are a broad range of functional and aesthetic issues that secondary surgery might aim to address. These include palatal fistulae (that may be symptomatic for air, fluid or food), velopharyngeal insufficiency (typically manifesting with decreased intelligibility or nasal regurgitation), suboptimal cleft lip scars (that can significantly impact upon the psychosocial wellbeing of the patient), and nasal asymmetry (that is frequently accompanied by nasal airway concerns). Unilateral and bilateral clefts are each associated with a characteristic nasal deformity that requires a tailored surgical approach. Suboptimal maxillary growth in repaired orofacial clefts may impact negatively on both appearance and function; surgical correction through orthognathic surgery can be transformational for the patient. The general dental practitioner, cleft orthodontist and restorative dentist all play a critical role in this process., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
39. Dental anomalies in cleft lip and/or palate children at age 10 - a retrospective review across three cleft centres: Part 1.
- Author
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Ezzeldin M, Gee S, Curtis J, Clark VJ, Smallridge J, and Collard M
- Subjects
- Humans, Child, Retrospective Studies, Dentists, Esthetics, Dental, Professional Role, Cleft Lip complications, Cleft Lip epidemiology, Cleft Palate epidemiology, Cleft Palate complications
- Abstract
Introduction Children with oral clefts often present with dental anomalies which can impact function, aesthetics and complicate the patient's dental treatment and needs. An understanding of potential anomalies, along with early recognition and planning, is thus essential for effective care.Aim This paper is the first in a two-part three-centre series. This paper will assess the dental anomalies identified in 10-year-old patients attending three cleft centres in the UK.Method Retrospective review was undertaken of the clinical notes of 10-year-old patients attending South Wales (SW), Cleft NET East (CNE) and West Midlands (WM) cleft units, for their ten-year audit record appointment in 2016/2017.Results In total, 144 patients were reviewed (SW = 42; CNE = 52; WM = 50). Dental anomalies were recorded for 80.6% of patients (n = 116).Discussion The review gives insight into the dental complexities of UK oral cleft patients. These patients require specialist paediatric dental input and intensive preventive regimes.Conclusion Shared care between cleft team specialists and general dental practitioners is important when providing holistic care for cleft patients., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
40. Associated medical conditions among 10-year-old children with oral clefts - a retrospective review across three cleft centres: Part 2.
- Author
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Gee S, Ezzeldin M, Curtis J, Clark VJ, Smallridge J, and Collard M
- Subjects
- Humans, Child, Retrospective Studies, Dentists, Professional Role, Cleft Lip complications, Cleft Lip epidemiology, Cleft Palate complications, Cleft Palate epidemiology
- Abstract
Introduction In many cases, children with oral clefts present with accompanying medical conditions. These associated conditions can add complexity to the patient's dental management, both in terms of their treatment need and risk. Recognition and careful consideration of associated medical conditions is therefore crucial in providing safe and effective care for these patients.Aim This paper is the second in a two-part three-centre series. It investigates the prevalence of medical conditions affecting cleft lip and/or palate patients attending three cleft units within the UK.Method Retrospective review was undertaken within three cleft units: South Wales (SW), Cleft NET East (CNE) and West Midlands (WM). This was completed via assessment of the 10-year audit record appointment clinical notes for the year 2016/2017.Results In total, 144 cases were reviewed (SW = 42; CNE = 52; WM = 50). Of these, 38.9% of patients (n = 56) had associated medical conditions recorded.Discussion The review highlights the variety and impact of medical conditions affecting UK cleft patients providing insight into the consequent complexity of their dental care.Conclusion An awareness of cleft lip and/or palate patients' associated medical conditions is important for all health care professionals involved in their care. Indeed, understanding of the patient's medical needs by multidisciplinary cleft teams is essential for effective planning and completion of holistic care. Involvement of specialists in paediatric dentistry sharing care with general dental practitioners is vital in providing appropriate oral health care and preventive support., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
41. What does the Dentists Act say about orthodontic treatment choice?
- Author
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Mew J and Trenouth M
- Subjects
- Humans, Dental Care, Dentists, Orthodontics
- Abstract
Should one theory of dentistry be allowed to predominate over another in a profession that has a monopoly? This question is traced to the original Dentists Act of 1878, which was set up as a result of the dental reform movement which sought to prevent unqualified dentists from practising. A report into the 'extent and gravity of the evils connected with the practice of dentistry and dental surgery by persons not qualified under the Dentists Act' published in 1919 showed that the original Act had been unsuccessful in this respect, which led to the 1921 Act. The 1919 Report and the current Dentists Act of 1981 both refer to and support this contention. Can a licensed monopoly be justified in excluding the practice of expansion in non-extraction functional jaw orthopaedics while accepting conventional extraction orthodontics? This is especially so, as there is an expanding evidence base to support expansion in functional jaw orthopaedics., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
42. The dental workforce recruitment and retention crisis in the UK.
- Author
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Evans D, Mills I, Burns L, Bryce M, and Hanks S
- Subjects
- Humans, United Kingdom, European Union, Workforce, Dentists, Pandemics prevention & control, COVID-19 epidemiology
- Abstract
The precarious state of NHS dentistry is widely acknowledged, yet there is limited progress in addressing the underlying issues. Further delays will undoubtedly impact patient care, leading to oral health deterioration and unnecessary suffering. This will predominantly affect the most vulnerable in society, resulting in greater oral health inequalities.The underlying issues contributing to the current NHS dental crisis are many, and they include: prolonged delays in contract reform; long-term underinvestment; private sector growth; and fewer dentists working full-time and/or in the NHS. In England, an NHS dental contract that fails to promote prevention or equality of access continues to have a deep and pernicious impact on the future of NHS dentistry. The devastating impact of the COVID-19 pandemic on access cannot be underestimated and neither should the effect of Brexit on the availability of workforce.The recruitment and retention of dentists, and other members of the dental team, is undoubtedly a major issue in terms of capacity and access to NHS dental care. These problems, seen across the UK, are a particular issue in England, with acute challenges within rural and coastal areas.There is an urgent necessity to develop coherent, multifaceted strategies, aided by the collection of clear and accurate workforce data, to tackle these issues., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
43. How can general dental practitioners help in the management of sleep apnoea?
- Author
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Parmenter D and Millar BJ
- Subjects
- Humans, Dentists, Quality of Life, Professional Role, Treatment Outcome, Sleep Apnea Syndromes, Sleep Apnea, Obstructive diagnosis, Sleep Apnea, Obstructive therapy
- Abstract
This article discusses the aetiology, prevalence and treatment of obstructive sleep apnoea (OSA) and highlights the important role general dental practitioners can perform in improving the quality of life of patients suffering from OSA. Clinical and laboratory stages of making a mandibular advancement appliance are also highlighted.Members of the dental team have a duty of care to our patients. The earlier undiagnosed cases of OSA are referred for treatment, the less morbidity and potential mortality endured by patients.After reading this article, the reader should have a greater understanding of OSA, how to identify symptoms of the condition in patients and be confident in referring patients to appropriate healthcare professionals., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
44. Exciting opportunity for primary care dental practitioners!
- Author
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Hamilton AR, Ricketts D, Colloc T, and Clarkson JE
- Subjects
- Humans, Dental Care, General Practice, Dental, Primary Health Care, Dentists, Professional Role
- Published
- 2023
- Full Text
- View/download PDF
45. Are the standards of professionalism expected in dentistry justified? Views of dental professionals and the public.
- Author
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Barrow H, Bartlett S, Bullock A, and Cowpe J
- Subjects
- Humans, Trust, Dentistry, Dentists, Professionalism, Students
- Abstract
Introduction In the UK, the General Dental Council specifies nine principles of professional standards that dental registrants must follow. There are views that such standards are high, patients' expectations are rising, and the professionalism of dental professionals is increasingly scrutinised. This paper explores whether the high standards expected in dentistry are justified.Methods We applied thematic analysis to 772 free-text responses from dental team members and the public to a modified Delphi survey. Respondents described their views of professional and unprofessional behaviours in dentistry. Data were obtained as part of a larger review of professionalism in dentistry.Results Two lines of argument were identified: professionalism standards are high, but justifiably so; and professionalism standards are too high. Within these, four broad themes emerged: patient trust; comparison with other professions; a culture of fear; and perfection.Conclusion High professionalism standards are justified in a profession where patient trust is paramount. However, a problem lies in the culture that surrounds professionalism in terms of litigation and dental professionals feel pressure to possess an unattainable, infallible nature. These negative impacts need minimising. We suggest that undergraduates and continuing professional development approach professionalism with care, to foster a supportive, positive and reflective culture of professionalism., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
46. What every dental practitioner should know about how to examine patients with dental implants.
- Author
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Barrak F, Caga D, and Crean S
- Subjects
- Humans, Dentists, Professional Role, Dental Prosthesis, Implant-Supported, Dental Prosthesis Design, Dental Restoration Failure, Dental Implants
- Abstract
Dental implants are a common treatment modality provided in both primary and secondary care settings. It is increasingly common for a general dental practitioner to see patients with implant-retained restorations. This article suggests an implant safety checklist for general dental practitioners to help them examine an implant-retained prosthesis., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
47. The opinions of GDPs on the challenges of managing tooth wear in primary dental care.
- Author
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Ashley M and Leven AJ
- Subjects
- Humans, Dentists, General Practice, Dental, Professional Role, Dental Care, Attitude of Health Personnel, Tooth Wear diagnosis, Tooth Wear therapy, Tooth Attrition
- Abstract
As patients access most of their dental care within the primary care setting, it is relevant to consider how the experience and opinions of general dental practitioners (GDPs) influence the diagnosis, monitoring and treatment of their patients with tooth wear. This paper records the agreed outcomes of semi-structured discussions with three experienced GDPs. The aim is to continue the broader debate about how patients with tooth wear currently are and ideally could be managed within the primary care settings in England. The outcomes are also likely to be applicable to other countries, regardless of the local funding models for routine patient care., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
48. Eating disorders and the role of the dental team.
- Author
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Anderson S and Gopi-Firth S
- Subjects
- Humans, Dentists, Professional Role, Feeding and Eating Disorders complications, Anorexia Nervosa complications, Anorexia Nervosa therapy, Anorexia Nervosa diagnosis, Bulimia Nervosa complications
- Abstract
Although primarily classified as psychiatric disorders, eating disorders have a complex aetiology and presentation, with comorbidities spanning multiple disciplines, including dental complications. In some cases, general dental practitioners may be the first health professional to become aware that someone is struggling with an eating disorder. The dental team is in an ideal position to sensitively explore the presentation and signpost the patient to appropriate services while offering support and/or remedial management for dental complications of the eating disorder. Anyone from any background, gender or ethnicity may develop an eating disorder, of which the main diagnoses are anorexia nervosa, bulimia nervosa and binge eating disorder. Some of the frequently seen oral manifestations of these disorders include generalised dental erosion, caries, self-inflicted palatal or oropharyngeal trauma, atrophic mucosa, bilateral parotid gland enlargement, xerostomia and periodontal disease. The dentist's role is pivotal in recognising the possible implications of some of these findings, approaching the patient sensitively, and communicating empathetically to engage them in treatment, reducing the risk of further erosion and improving oral health and hygiene. The dental team may be able to signpost the patient to their general practitioner for onward referral or to a local eating disorder support network., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
49. The Metropolitan Branch of the British Dental Association and the personalities involved in its early years.
- Author
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Gelbier S
- Subjects
- Humans, Personality, United Kingdom, Dentists, Professional Role, Societies, Dental history
- Abstract
The British Dental Association came into being in 1880 after a long fight to obtain professional status for dental practitioners, including qualifications and registration. It later formed geographically situated branches to bring it closer to the membership, easing scientific, political and social interchange. Many leading members of the profession belonged to its Metropolitan Branch, founded in 1888., (© 2023. The Author(s), under exclusive licence to the British Dental Association.)
- Published
- 2023
- Full Text
- View/download PDF
50. Explaining diet as a risk factor for periodontal disease in primary dental care.
- Author
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Raindi, D., Thornley, A., and Thornley, P.
- Subjects
- *
PERIODONTITIS , *DENTAL care , *DISEASE prevalence , *OBESITY , *DENTAL hygiene , *PATIENTS , *PERIODONTAL disease prevention , *COMPARATIVE studies , *DENTAL hygienists , *DENTISTS , *DIET , *INTERVIEWING , *RESEARCH methodology , *MEDICAL cooperation , *PATIENT education , *PERIODONTAL disease , *RESEARCH , *EVALUATION research - Abstract
Aims and Objectives: An audit was carried out to assess the delivery of dietary advice in general dental practice for patients diagnosed with chronic/aggressive periodontitis, with the objective of finding ways to deliver dietary advice and improve patient education on a potentially important modifiable risk factor.Methodology: Following a retrospective pilot sample, an initial sample of 50 patients (of dentists, a dental therapist and dental hygienist) was selected. The delivery of dietary advice and the method by which it was given was recorded as part of the data set. A semi-structured interview was also completed to discuss various aspects of delivering dietary advice. A staff meeting was carried out following the first cycle to raise awareness and inform on the link between diet and periodontal disease. Following this a second cycle was carried out to complete the audit cycle and the results were analysed.Results: It was evident that following the first cycle dietary advice was not being given with respect to periodontal prevention. While the standard set was not met following re-audit there was significant improvement in the delivery of dietary advice as well as different ways to deliver the information. The feedback from the semi-structured interview suggested various obstacles in delivering dietary advice including lack of knowledge at first and also overloading patients with too much information initially.Conclusion: Using the entire dental team can be an effective way of educating our patients on risk factors for periodontal disease. It is important to note that this audit focused on clinicians delivering the advice and future direction should consider patient compliance and uptake of information. [ABSTRACT FROM AUTHOR]- Published
- 2015
- Full Text
- View/download PDF
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