5,102 results on '"DENTISTS"'
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2. Tax breaks for dental employers.
- Author
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Feaver G
- Subjects
- Humans, United Kingdom, Employment legislation & jurisprudence, Dentists, Taxes
- Published
- 2024
- Full Text
- View/download PDF
3. Top tips for preventing musculoskeletal disorders and optimising posture for dental professionals.
- Author
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Robinson C, Mysore D, McColl E, and Mysore SB
- Subjects
- Humans, Dentists, Musculoskeletal Diseases prevention & control, Posture, Occupational Diseases prevention & control
- Published
- 2024
- Full Text
- View/download PDF
4. 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.)
- Published
- 2024
- Full Text
- View/download PDF
5. Network with likeminded clinicians.
- Subjects
- Humans, United Kingdom, Dentists
- Published
- 2024
- Full Text
- View/download PDF
6. The importance of income protection for dentists.
- Subjects
- Humans, United Kingdom, Dentists, Income
- Published
- 2024
- Full Text
- View/download PDF
7. Enabling dentists to read CBCT scans.
- Subjects
- Humans, Dentists, Radiography, Dental methods, Cone-Beam Computed Tomography methods
- Published
- 2024
- Full Text
- View/download PDF
8. 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
9. 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.)
- Published
- 2024
- Full Text
- View/download PDF
10. 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).)
- Published
- 2024
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11. '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
12. 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.)
- Published
- 2024
- Full Text
- View/download PDF
13. 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.)
- Published
- 2024
- Full Text
- View/download PDF
14. Hot topics in dental indemnity - an MDDUS perspective.
- Author
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Kaney H
- Subjects
- Humans, United Kingdom, Malpractice legislation & jurisprudence, Dentists
- Published
- 2024
- Full Text
- View/download PDF
15. 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.)
- Published
- 2024
- Full Text
- View/download PDF
16. 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
17. 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).)
- Published
- 2024
- Full Text
- View/download PDF
18. 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).)
- Published
- 2024
- Full Text
- View/download PDF
19. 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
- Full Text
- View/download PDF
20. 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).)
- Published
- 2024
- Full Text
- View/download PDF
21. 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).)
- Published
- 2024
- Full Text
- View/download PDF
22. 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
- View/download PDF
23. 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.)
- Published
- 2024
- Full Text
- View/download PDF
24. 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.)
- Published
- 2024
- Full Text
- View/download PDF
25. Head and neck cancer explained: an overview of management pathways
- Author
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David Owens, Vinidh Paleri, and Adam V. Jones
- Subjects
Professional Role ,Head and Neck Neoplasms ,Dentists ,Quality of Life ,Humans ,General Dentistry - Abstract
Head and neck cancer is a rare disease and general dental practitioners (GDPs) are at the forefront of head and neck assessment for malignancy in the community. Having an awareness of the signs and symptoms with which head and neck cancers can present promotes earlier diagnosis and increases the potential for better prognosis and quality of life. This article will outline the head and neck cancer pathway from presentation, diagnosis and management planning, to treatment and beyond. This should help to give GDPs insight into the process their patients will experience while under the care of the multidisciplinary team and enable them to give patients returning to primary care the best support. This article is part of a larger series that will explore each facet of care in greater detail to give a significantly greater understanding of the pathway.
- Published
- 2022
26. Surgical management of head and neck cancers: implications for dental practitioners
- Author
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Barry G, Main
- Subjects
Professional Role ,Head and Neck Neoplasms ,Dentists ,Carcinoma, Squamous Cell ,Quality of Life ,Humans ,Combined Modality Therapy ,General Dentistry - Abstract
Surgery remains an important, often primary, treatment modality in the management of head and neck cancers (HNCs). Malignant disease of the oral cavity, oropharynx and larynx may all be treated by surgery alone, or in combination with chemotherapy and/or radiotherapy.Recent decades have seen significant advances in the surgical management of HNC. Refinement of surgical technique (particularly in microvascular surgery), improved training standards, advances in peri-operative care and more recent innovations, including transoral robotic surgery, have resulted in better survival and quality of life outcomes.This paper provides the dental practitioner with an overview of common surgical procedures used in the management of HNC, with an emphasis on the management of squamous cell cancers affecting the oral cavity, oropharynx and larynx. Throughout, there is an emphasis on the implications for the dental team of cancer and its surgical management, at each of these anatomical sites.
- Published
- 2022
27. Management of acute dental problems: an aide-mémoire for referrals to oral and maxillofacial surgery
- Author
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Rachel, Cruickshank, Aine, McDonnell, and Fiona, Wright
- Subjects
Professional Role ,Dentists ,General Practice, Dental ,Humans ,Referral and Consultation ,Surgery, Oral ,General Dentistry - Abstract
The acute management of a facial swelling is a core competency for the dental practitioner. Onward referral to secondary care for acutely unwell patients requires timely decisions, with the referrer's initial assessment often critical in later management. Oral and maxillofacial triage is essential to ensure appropriate care is provided in the appropriate environment. Acute swelling and haemorrhage referrals to secondary care are not a common, everyday occurrence in general dental practice; however, the ability to provide a sufficient and safe handover will improve patient outcomes and ensure timely transfer to appropriate care providers. This article aims to provide the dental practitioner with insight into the oral and maxillofacial assessment of acute facial swellings and dental haemorrhage. The reader should be able to make an appropriate clinical assessment and communicate an effective referral to oral and maxillofacial care.
- Published
- 2022
28. From post-war veteran to post-millennium provider: a brief history of general dental practice from 1950-2021 in eight job advertisements
- Author
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Paul, Hellyer
- Subjects
Professional Role ,Advertising ,Dentists ,General Practice, Dental ,Humans ,General Dentistry ,Veterans - Abstract
The British Dental Journal has been the go-to place for jobseekers in general dental practice for many years. Using a selected sample of these advertisements from each decade from 1950 to the present, a brief history of general dental practice is described, from the post-war development of the NHS to the dental performer status 70 years later. The paper highlights some of the changes in practice over time and shows the continuing commitment of dental practitioners to the business of dentistry.
- Published
- 2022
29. Pulp therapy and root canal treatment techniques in immature permanent teeth: an update
- Author
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Anika, Shah, Rachel, Peacock, and Shiyana, Eliyas
- Subjects
Adolescent ,Silicates ,Dentists ,Oxides ,Calcium Compounds ,Dentition, Permanent ,Drug Combinations ,Professional Role ,Treatment Outcome ,Pulpotomy ,Humans ,Dental Pulp Cavity ,Child ,General Dentistry - Abstract
Background According to the Children's Dental Health Survey 2013, around one in ten children in Wales, Northern Ireland and England will have sustained dental trauma to a permanent incisor by the of age 15. Management of an exposed pulp in an immature permanent incisor is often urgent and has an impact on the long-term outcome of the tooth; therefore, it is essential that general dental practitioners feel confident in managing such a scenario to achieve an optimal outcome. This paper discusses the indications, technique, materials and outcomes.Aims This article aims to review the literature, which discusses various treatment modalities and materials for pulpal therapy and root canal treatment in the immature permanent tooth.Method Electronic searches were limited to English language, human studies, published within the past five years and the medical subject heading terms used were: direct pulp capping, apexogenesis, Cvek pulpotomy, full pulpotomy/pulpectomy, partial pulpotomy, apexification, non-vital pulp therapy and mineral trioxide aggregate apexification. Older, seminal articles identified through the references sections have also been included.Conclusion A number of options are available for the management of immature permanent teeth that have suffered an insult such as caries or trauma. This paper reviews the various methods of pulpal treatment, preservation therapy and root canal treatment options depending on the extent of the damage.
- Published
- 2022
30. How the General Dental Council and NHS UDAs crushed the compassion out of dentists
- Author
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Martin, Kelleher
- Subjects
Dentists ,Emotions ,Humans ,Empathy ,General Dentistry ,State Medicine - Abstract
Various actions and policies of governmental agencies and the General Dental Council (GDC) have crushed the compassion out of many dental professionals. Compassion is not the same as sympathy or empathy; compassion involves doing something practical to overcome a patient's problems. However, many compassionate dental professionals now think of the GDC as a bit like being trapped in a lift with a wasp. The statistical probability is that nothing really terrible is going to happen to you for trying to solve a patient's problems pragmatically, but the tension and the worry that it might is always present. One effective way to reduce the chances of a painful experience is not to undertake slightly risky procedures. It is far, far safer to make copious notes but then to refer on anything potentially problematic, especially under the flawed NHS Units of Dental Activity system, 'just to be on the safe side', while bowing low to the GDC and claiming it is 'outside of one's competence'. The net result is a lack of clinical engagement in solving patients' problems practically, coupled with an ongoing lack of experience and confidence in solving similar patients' problems, as well as shifting some problems unnecessarily on to overloaded hospital departments. Who benefits from those perverse outcomes?
- Published
- 2022
31. Professionalism and dental education: in search of a shared understanding
- Author
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Sally Hanks, Amitha Ranauta, Ilona Johnson, Heidi Bateman, Melanie Nasseripour, and Patricia Neville
- Subjects
Professionalism/education ,Professional Role ,Professionalism ,Dentists ,Education, Dental/methods ,Humans ,Learning ,Education, Dental ,General Dentistry - Abstract
Professionalism has profound historical origins; however, the current health care environment in the UK dental sphere is changing, which presents new professional dilemmas that require continued learning and debate. Professionalism is a key aspect of the education of dental students and the lifelong learning and development of dental practitioners. However, 'being' professional can be challenging because while it is recognised as a social good, there is much debate on what professionalism means and how best it can be learned and assessed. Since 2017, the UK Council for the Dental Teachers of Professionalism, consisting of educators from UK dental schools and dental therapy hygiene institutions, has been exploring and debating the role and place of professionalism, as well as sharing challenges and good practice within UK dental education. This paper includes a narrative overview of current thinking in the academic literature on professionalism to consider the use of a shared understanding of professionalism to facilitate conversations between various stakeholders.
- Published
- 2022
32. Natal and neonatal teeth: a review and case series
- Author
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Michaela, DeSeta, Ella, Holden, Dania, Siddik, and Nabina, Bhujel
- Subjects
Professional Role ,Natal Teeth ,Dentists ,Tooth Extraction ,Infant, Newborn ,Humans ,Child ,General Dentistry ,Tooth Eruption - Abstract
Natal and neonatal teeth are a relatively rare but well-documented phenomenon, with the majority being prematurely erupted teeth of the normal primary dentition. Related complications include feeding issues, traumatic lingual ulceration and risk of aspiration. We present three clinical cases referred to the Paediatric Dentistry Department at Guy's and St Thomas' NHS Foundation Trust and their management. Treatment choice is based on individual assessment of each patient and options include monitoring, smoothing of the teeth or extraction. General dental practitioners should be able to diagnose natal and neonatal teeth and provide initial management in primary care, with referral to secondary care services in more complex cases or those which are likely to require extraction.
- Published
- 2022
33. Patient safety in dentistry - the bigger picture
- Author
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Priya, Chohan, Tara, Renton, Jason, Wong, and Edmund, Bailey
- Subjects
Professional Role ,Medical Errors ,Attitude of Health Personnel ,Dentists ,General Practice, Dental ,Humans ,Patient Safety ,Dental Care ,General Dentistry - Abstract
Background Patient safety incidents (PSIs) have recently become a topic of discussion within dentistry. NHS England data has highlighted that wrong tooth extraction is the most common surgical Never Event (NE); however, this data reflects mainly a secondary care picture. Consideration needs to be given to reporting of PSIs occurring in primary care.Aims To establish the current attitudes of both primary and secondary care dentists within this field and to use this to promote a positive, supportive culture.Methods A national electronic survey was sent to dentists for data capture related to this topic, from April to September 2019 inclusively.Results There were 104 responses to the survey. Responses included that 39% of responders were general dental practitioners (GDPs), 90% were aware of NEs, 48% were not aware of how to report PSIs and 74% of dentists felt that fear of the General Dental Council/Care Quality Commission repercussions was a barrier to them reporting PSIs. Additionally, 86% of dentists felt that a trainee/GDP support network would be useful to share learning regarding PSIs.Conclusion The survey results highlighted that there is a lack of knowledge concerning PSI reporting, combined with a culture of fear of the repercussions of reporting. The survey data will aim to be used to implement a supportive network for dentists, develop a positive ethos surrounding PSIs and optimise patient care.
- Published
- 2022
34. 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
- Full Text
- View/download PDF
35. 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
36. 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.)
- Published
- 2023
- Full Text
- View/download PDF
37. 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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38. 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
39. 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.)
- Published
- 2023
- Full Text
- View/download PDF
40. 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
41. 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
42. A qualitative exploration of decisions about dental recall intervals - Part 1: attitudes of NHS general dental practitioners to NICE guideline CG19 on the interval between oral health reviews
- Author
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Hannah Scott, Anwen L. Cope, Fiona Wood, Natalie Joseph-Williams, Anup Karki, Emyr M. Roberts, Candida Lovell-Smith, and Ivor G. Chestnutt
- Subjects
Appointments and Schedules ,Professional Role ,Time Factors ,Attitude ,Dentists ,Humans ,Oral Health ,General Dentistry ,State Medicine - Abstract
Introduction The National Institute for Health and Care Excellence (NICE) Guideline CG19 recommends that the intervals between oral health reviews should be tailored to patients' disease risk. However, evidence suggests that most patients still attend at six-monthly intervals.Aim To explore facilitators and barriers to the implementation of CG19 in general dental practice.Methods Semi-structured telephone interviews were conducted with 25 NHS general dental practitioners (GDPs) in Wales, UK. Transcripts were thematically analysed.Results Dentists described integrating information on clinical risk, patients' social and dental history, and professional judgement when making decisions about recall interval. Although most GDPs reported routinely using risk-based recall intervals, a number of barriers exist to recall intervals at the extremes of the NICE recommendations. Many practitioners were unwilling to extend recall intervals to 24 months, even for the lowest-risk patients. Conversely, dentists described how it could be challenging to secure the agreement of high-risk patients to three-month recalls. In addition, time and workload pressures, the need to meet contractual obligations, pressure from contracting organisations and the fear of litigation also influenced the implementation of risk-based recalls.Conclusions Although awareness of the NICE Guideline CG19 was high, there is a need to explore how risk-based recalls may be best supported through contractual mechanisms.
- Published
- 2022
43. Nearly two years without the Overseas Registration Exam: what's next for internationally qualified dentists in the UK?
- Author
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Shoukat, Ashiti
- Subjects
Dentists ,COVID-19 ,Humans ,European Union ,Pandemics ,General Dentistry ,United Kingdom - Abstract
Due to the effects of the COVID-19 pandemic, internationally qualified dentists have been negatively impacted. This is due to the suspension of the Overseas Registration Exam (ORE) with no confirmation of any future dates. Similarly, UK dentistry was also affected by a significant increase in waiting lists all over the UK, with long waiting lists being present even before the pandemic. Due to these factors, many have highlighted and argued the need for internationally qualified dentists and urged the need to facilitate their registrations. Additionally, after Brexit, the government has introduced new immigration routes to attract overseas, highly educated human resources, so that they can contribute to different sectors in the UK. Considering these circumstances, there are a few alternatives to the ORE that could be introduced to facilitate the registration of internationally qualified dentists and to support NHS dental services. This paper suggests short- and long-term solutions to support the registration of internationally qualified dentists, considering that after two years, European-qualified dentists might need to undertake registration exams as well.
- Published
- 2022
44. GROWing in dentistry: mentoring the dental professional
- Author
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Shrina Nathwani and Naomi Rahman
- Subjects
Motivation ,Dentistry ,Dentists ,Mentors ,Humans ,Mentoring ,General Medicine ,General Dentistry - Abstract
Introduction Mentoring plays a key role in supporting individuals and organisations. It is a journey in which the mentor aids the development of their clients by setting achievable goals and realistic plans, monitoring progress and providing feedback or assisting reflection. The mentor assists the learner in solving problems and providing personal support and motivation. As the relationship develops over time, the mentor will need to utilise various skills, knowledge and behaviours in order to facilitate successful outcomes. Effective mentoring relies on a process known as the 'mentor life cycle.' This involves the matching process, contracting, use of mentor models or diagnostic tools, appraisal, peer and group supervision.Methods A literature review was performed (keywords were 'coaching' or 'coach', 'mentoring' or 'mentor' and 'dentistry'). Guidance, institutional publications and original research were considered. Limits were applied (2013 onwards, English only). The evidence was appraised to inform a best practice guide for use in mentoring, applicable to dentistry.Conclusion Mentoring can create a positive culture that can help team members share knowledge, cultivate new ideas and improve team working. This paper explores the role of mentoring in a dental healthcare setting and the use of the 'mentor's toolkit' to promote professional development of the individuals involved. It also highlights the stages of the mentoring process, use of the GROW model and the role of supervision to support mentors in mutual growth and learning. When used effectively, the mentoring process positively impacts on both the organisation and the individuals within it, ultimately resulting in better patient care.
- Published
- 2022
45. The presenting dental status of solid tumours with bone metastases requiring bone-targeting agents - part 2: breast cancer
- Author
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Vinod, Patel, Rana, Wali, Megan, Burns, Sheelen, Patel, Sanford, Grossman, Isabel, Sassoon, Janine, Mansi, and Marianne, Henien
- Subjects
Professional Role ,Dentists ,Humans ,Bone Neoplasms ,Breast Neoplasms ,Female ,General Dentistry ,Retrospective Studies - Abstract
Introduction Patients with bony metastatic breast cancer (MBC) due to receive bone-targeting agents (BTA) are expected to undertake a dental assessment before commencing. The aim of this study was to determine the dental status of this tumour group and understand the challenges the dental practitioner faces in attempting to achieve 'dental fitness'.Materials and methods Data were retrospectively collected from a dedicated pre-BTA dental assessment clinic and analysed for MBC. Statistical analysis and observational data were used to compare patient and tumour demographics.Results A total of 229 patients were included in this cohort. On average, this cohort loses one tooth per decade (p = 0.003). Classifying the tumour sub-types provided observational differences in dental status with patients with triple negative MBC having the best dentition at presentation. These observations were more clinically profound when overlaid with survival following post-BTA dental assessment as patients with triple negative MBC had the lowest median survival (eight months, p = 0.002). In contrast, patients with luminal A breast cancer had a very complex presenting dentition with a median survival of 20 months.Conclusion A clear difference exists in the outcomes of MBC patients and therefore a pre-BTA dental assessment should consider and integrate both patient and tumour demographics into dental treatment planning.
- Published
- 2022
46. UK Dental Medicines Advisory Service: questions asked by dentists - part 5: prescribing for oromucosal diseases and dry mouth
- Author
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Daniel, Finn, Christine, Randall, and E Anne, Field
- Subjects
Consultants ,Dentists ,Humans ,Xerostomia ,General Dentistry ,United Kingdom - Abstract
The UK Dental Medicines Advisory Service (UKDMAS) provides advice to dentists and other dental healthcare professionals concerning the use of medicines and medical devices in dentistry. The commonly asked questions posed to the UKDMAS concerning medicines used for the management of oromucosal disease and dry mouth are discussed with answers supplemented by relevant information from clinicians. This article includes questions related to topical corticosteroids and analgesics used for oral ulceration, antifungal therapy and saliva replacement products.
- Published
- 2021
47. Nazi dentists before British courts: aspects on the role of the German dental profession in the Third Reich
- Author
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Dominik Gross, Christiane Elisabeth Rinnen, and Lisa A. Bitterich
- Subjects
Dental practice ,media_common.quotation_subject ,Dentists ,Prison ,Nazism ,History, 20th Century ,language.human_language ,German ,Homicide ,Dentistry ,Germany ,National Socialism ,Political science ,Law ,language ,Humans ,Nazi Germany ,War crime ,General Dentistry ,media_common - Abstract
This study is the first to identify and investigate German dentists tried for war crimes by British courts after 1945. Drawing on wide-ranging archival court documents and sources from various international archives, we found and studied 11 dentists from the Third Reich who were put on trial, the majority of whom were accused of manslaughter, homicide or being accessories to murder. Of the accused, two were sentenced to death while the rest (n = 9) were forced to serve prison sentences. After their release, all nine of these dentists were able to resume and advance their professional careers in Germany, most as owners of a private dental practice (n = 8) and one as a clinic director. Many settled in small towns, where they became esteemed members of their local communities.
- Published
- 2021
48. Jaw metastases and the general dental practitioner
- Author
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Sarah Jadun, Vinod Patel, and Lara Zebic
- Subjects
Male ,medicine.medical_specialty ,Lung ,Referral ,business.industry ,Primary sites ,Dentists ,General Medicine ,Review article ,Secondary care ,stomatognathic diseases ,Professional Role ,medicine.anatomical_structure ,Prostate ,Internal medicine ,Humans ,Medicine ,Female ,Mouth Neoplasms ,Sex organ ,Presentation (obstetrics) ,business ,Referral and Consultation ,General Dentistry - Abstract
Metastatic spread to the oral cavity is a rare entity, comprising 1% of oral malignancies. However, 25% of oral metastases are found to be the initial sign of metastatic spread; therefore, initial presentation in the oral cavity may indicate significant underlying disease. Common primary sites for men include the prostate, lung, kidney and liver. For women, it is the breast, kidney, colon and genital organs. General dental practitioners are in a unique position to identify and instigate rapid referrals as gatekeepers of primary care whereby patients commonly present to them with symptoms. This clinical review article aims to educate dental practitioners on appropriate recognition of oral metastatic pathology and referral to secondary care.
- Published
- 2021
49. General dental practitioners' knowledge and opinions of snoring and sleep-related breathing disorders
- Author
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Peter Fine, Robert Blizard, Maurice Faigenblum, Charlotte Leigh, and Albert Leung
- Subjects
Sleep Wake Disorders ,Dental curriculum ,medicine.medical_specialty ,Attitude of Health Personnel ,business.industry ,Research ,Dentists ,Snoring ,MEDLINE ,Affect (psychology) ,Breathing disorders ,Knowledge score ,Professional Role ,Current practice ,Surveys and Questionnaires ,Volunteer Sample ,Family medicine ,General Practice, Dental ,Humans ,Medicine ,Sleep ,business ,General Dentistry - Abstract
Aims There is increasing recognition that sleep disturbances can affect lifestyle, economy and health. General dental practitioners (GDPs) can play a vital role in helping to identify at-risk patients through screening as well as aid in the management of these conditions. The aim of this study was to assess the knowledge of UK-based GDPs in relation to sleep-related breathing disorders (SRBDs). Material and methods A questionnaire was developed to assess GDPs' knowledge of SRBDs and their current practice in relation to the management of SRBDs, and identify the factors associated with improved knowledge and management. A volunteer sample was recruited from social media platforms and conference attendees. Results In total, 152 GDPs completed the questionnaire; 101 (66% [95% CI 59%,74%]) agreed that GDPs should ask their patients about sleep disorders, while only 82 (54% [95% CI 46%,62%]) confirmed that they actually asked their patients about the problem. On a 22-point knowledge scale, the mean score was 12.93 (95%CI 12.23, 13.63). Postgraduate education (F = 5.47; p = 0.001), increasing age (r = 0.23; p = 0.005) and GDP workplace (F = 4.98; p = 0.008) contributed to a higher knowledge score. GDPs were strongly in favour of having more information (N = 141; 93% [95% CI 87%,97%]). Conclusion Although GDPs' knowledge of SRBDs was better than anticipated, they clearly felt a need for further information and training. There is a compelling case to include this subject in the undergraduate dental curriculum. Supplementary Information Zusatzmaterial online: Zu diesem Beitrag sind unter 10.1038/s41415-021-3573-z für autorisierte Leser zusätzliche Dateien abrufbar., Key points Provides an overview of the role of GDPs in supporting patients with sleep-related breathing disorders (SRBDs).Highlights the need for GDPs to work closely with physicians in dealing with SRBDs.Presents evidence for the need of further education of GDPs in recognising and treating SRBDs. Supplementary Information Zusatzmaterial online: Zu diesem Beitrag sind unter 10.1038/s41415-021-3573-z für autorisierte Leser zusätzliche Dateien abrufbar.
- Published
- 2021
50. Dyslexia in dentistry: recommendations to support dental professionals and students with dyslexia
- Author
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Divya Keshani and Linzi Maybin
- Subjects
Medical education ,education.field_of_study ,Dentists ,education ,Population ,Dyslexia ,medicine.disease ,behavioral disciplines and activities ,Dental care ,nervous system diseases ,stomatognathic diseases ,Order (business) ,Dentistry ,mental disorders ,Learning disability ,medicine ,Humans ,Learning ,medicine.symptom ,Students ,Psychology ,General Dentistry - Abstract
Dyslexia is the most common learning difficulty. It affects 10% of the global and UK population. It is a protected characteristic and thus it is recommended that reasonable adjustments are made for individuals in order to help them be successful in their career. This article has identified the need for more research into the impact of dyslexia on dental professionals. Through analysing the literature and from personal experience, recommendations are outlined to support dentists, dental students and dental care professionals with dyslexia.
- Published
- 2021
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