Saudi Journal of Oral Sciences最新文献

{"title":"Caries-related treatment decisions of general dental practitioners in Riyadh, Saudi Arabia","authors":"M. Elagra, H. Alzaid, Mai Alsabeh, Nada Altoub, Sahar Binhowaimel","doi":"10.4103/sjos.sjoralsci_63_19","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_63_19","url":null,"abstract":"Introduction: For decades, caries management strategies followed G. V. Black's concept, which has been considered an invasive approach since the development of operative care. Several studies showed a wide variation in restorative treatment decisions even among dentists within the same country. Aim: The aim of this study is to investigate treatment decisions for carious lesions in relation to the patients' caries risk among general practitioners. Materials and Methods: A cross-sectional study using a self-administered paper-based questionnaire was conducted among general dental practitioners in Riyadh city. The demographic characteristics of the practitioners were obtained. The questionnaire included five clinical scenarios aided by photographs; each scenario involved either a high- or a low-caries risk condition, and the scenarios were presented alternately. The recall interval was recorded. Occlusal and proximal caries thresholds were also explored. Data were analyzed using SPSS version 21 software. Chi-square and logistic regression analyses were conducted, and values of P ≤ 0.05 were considered statistically significant. Results: A total of 340 participants were included in the analysis. The treatment decisions of the general dental practitioners for the International Caries Detection and Assessment System code 2 scenarios were mostly preventive. Proximal carious lesions extending to the dentinoenamel junction were the principal indication for operative treatment. Most participants preferred to recall patients after 6 months. Conclusion: There was vast discordance between knowledge and practice in restorative treatment decisions for occlusal carious lesions. The general dentists tended to opt for restorative treatment in high-risk patients three times more often than in low-risk patients. Clinical Significance: A low level of clinical implementation of evidence-based information was observed in this study regarding occlusal caries.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"31 1","pages":"174 - 180"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73479599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical practice preferences of Australian and New Zealand practitioners in the implant management of the edentulous mandible","authors":"J. Dudley, F. Mughal","doi":"10.4103/sjos.sjoralsci_9_20","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_9_20","url":null,"abstract":"Introduction: Mandibular edentulism remains a widespread health burden with a variety of available treatment modalities, but without an accepted single best practice approach. The purpose of the present study was to survey clinical practice preferences of Australian and New Zealand practitioners in the management of patients with edentulous mandibles with a specific focus on the use of dental implants. Materials and Methods: A questionnaire comprising thirty questions was developed and administered online via a unique web link sent to all known Australian and New Zealand general dental and specialist professional membership bodies. Results: Responses received from the members of five of the ten membership bodies constituted 7.35% overall response rate. Respondents who had undertaken implant training and were involved in implant treatment of the edentulous mandible totaled 65.5%. The pattern of referral to specialists for surgical implant placement varied according to the type of prosthesis being constructed. Of 111 respondents, 72% preferred two implants for mandibular implant overdentures (MIODs), whereas 97% of 98 respondents preferred four or more implants for a mandibular fixed complete implant denture. The main reasons for choosing MIOD instead of fixed complete implant denture were cost, patient preference, and available jaw bone. Conclusions: The highest level of education in implant dentistry varied significantly between respondents and was potentially reflected in the wide variety of reported treatment approaches. Even within a specific implant prosthesis type, there was no universally accepted modality of management. Future research should focus on alternative survey strategies for obtaining important data representative of the total practicing population.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"1 1","pages":"156 - 163"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78933243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of presurgical nasoalveolar molding on the surgical and quality of life outcome: A case report with 1-year follow-up","authors":"F. Almotawah","doi":"10.4103/sjos.sjoralsci_24_20","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_24_20","url":null,"abstract":"Since its introduction in 1996, the use of presurgical nasoalveolar molding (P-NAM) has been a controversial topic. While P-NAM has become routine in many cleft centers, there have been others who have refused to adopt it. Difficulties cited have included the apparent lack of parent co-operation and perceived challenges in parent compliance. This report looks at both the esthetic postsurgical outcomes and the impact the procedure has on the overall oral health-related quality of life. The report looks at not only the procedure of P-NAM but also examines the steps a multidisciplinary team would need to take in order to make the experience beneficial to both the surgeon and the parent.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"66 1","pages":"206 - 209"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79741290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of pediatric dental clinical environment on children's behaviors in Riyadh City","authors":"Haneen Alshukairi, Dalal N Al Muhaidib, Saja Aleidan","doi":"10.4103/sjos.sjoralsci_66_19","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_66_19","url":null,"abstract":"Background: Fear of dental treatment prevents children from cooperation in the dental clinic. Children's behavior can be improved if the environment of the dental practice is modified. Aim: This study aims to assess the effect of the atmosphere of the dental clinic and the dentist's attitude on the patient's behaviors. Materials and Methods: A 13 questions survey was developed to assess the various factors contributing to childhood fears in the dental clinic. One hundred and thirty children presenting to Riyadh Elm University who agreed to participate consented. Results: Fifty percent of children prefer to have a female doctor, and 60% of them like to see a dentist in a white coat. Furthermore, 46% of children are happy watching a cartoon, and 44% enjoy listening to a story during treatment. The presence of parents during the procedure and getting a reward at the end show significant children satisfaction. In addition, having a play station in the waiting room and having a dental tour before starting treatment were useful tools to reduce the fear of children. Finally, the color and the smell of the clinic, as well as the time of the dental appointment, were not significant factors to improve children anxiety. Conclusion: Improving the environment of the dental clinic and the attitude of the dentist are crucial elements to reduce children's fear during dental treatment.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"28 1","pages":"164 - 168"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85555982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-perceived preparedness of dental school graduates and the impact of COVID-19 pandemic on their confidence","authors":"I. A. Alraheam, Mays A. Alashqar, S. Hattar, A. Alhadidi, Alaa Alhaddad, F. Sawair","doi":"10.21203/rs.3.rs-49483/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-49483/v1","url":null,"abstract":"Introduction: Dental education quality is reflected by assessing graduating students' professional preparedness. Coronavirus disease 2019 (COVID-19) has had many challenges for dentistry some of which may have further long-term impacts on clinical practice, dental education, and dental research. Impact on education can be directly reflected on graduates' preparedness. Aim: The aim of this study is to study self-perceived preparedness of dental school graduates and the impact of COVID-19 on their preparedness. Materials and Methods: An online survey was designed and sent electronically to 5th year students who were graduating in 2020, dentists who graduated in 2019 and were doing their prelicensure training, and dentists who graduated before 2019. The survey was self-designed and validated by an experienced professor in the school then tested by couple of participants. The survey composed of multiple sections. Four-point Likert scale was used to assess participants' perception in all the survey sections. Results and Discussion: A total of 209 participants responded to the online questionnaire. The mean total preparedness score (TPS) for the 209 participants was 97.6 (standard deviation ± 9.7) with a range of 69–120. The mean TPS of the different classes of participants was 99.5 for the class graduated before 2019, 98.1 for the 2020 class, and 95.1 for the 2019 class. Participants felt they are confident and extremely confident doing most of the required competencies. Weakness was mainly reported in surgical extraction for 2020 graduates due to the 8 weeks loss of their training. COVID-19 had considerable impact on 59.7% of the participants and marginal to no impact on 40.3%. The highest prevalence of those who thought it had some to severe impact on their confidence was those who graduated in year 2019 (73.4%). Conclusions: The graduates who participated in the survey felt confident in performing the majority of general dentistry procedures. COVID-19 pandemic negatively impacted the confidence of all the classes of participants even those graduated before 2019.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"32 1","pages":"163 - 171"},"PeriodicalIF":0.0,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83167514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing trends in postgraduate dental education","authors":"A. Alshammery","doi":"10.4103/sjos.sjoralsci_40_20","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_40_20","url":null,"abstract":"","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"17 4 1","pages":"63 - 64"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83515104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of local and systemic factors upon dental implant osseointegration: A critical review","authors":"J. Naghshbandi","doi":"10.4103/sjos.sjoralsci_79_19","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_79_19","url":null,"abstract":"Successful dental implant therapy largely depends upon the implant osseointegration. Many local and systemic factors interfere with this process. Hence, this study critically reviews the impact that these factors might have on the osseointegration. This review emphasizes the importance of a vigilant preoperative assessment of the local and systemic risk factors as they play a significant role in the long-term success of dental implants.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"1 1","pages":"65 - 75"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73573209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of dental treatment of children under outpatient general anesthesia in children: A 6-year retrospective study in Saudi Arabia","authors":"S. Pani, Reem AlKaoud, Ghaida AlMoqbel, Azzam Almeshrafi, Shahad Binateeq, S. Sonbol","doi":"10.4103/sjos.sjoralsci_12_20","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_12_20","url":null,"abstract":"Background and Aim: This study aimed to assess the pattern of cases and types of dental procedures performed in an outpatient general anesthesia (GA) operatory. Methodology: A retrospective observational study design was used. The sample comprised of children aged between 2 and 14 years of age (285 males and 267 females) who received dental treatment under GA from April 2013 to March 2019 and whose parents consented to review of dental and medical records. The American Society of Anesthesiologists (ASA) status of patient on admission, presence or absence of complications from the anesthesia, and type of dental procedures carried out in primary and permanent teeth were recorded and subjected to statistical analyses. Results: Nearly 90% of the cases treated were ASA I (n = 498), with only four cases that were classified as being above ASA III. The mean number of teeth treated per child was 10.6 (standard deviation ± 3.89) teeth. There was a gradual reduction in mean number of teeth treated from 2013 to 2018. There were no cases of serious complications of GA or delayed postoperative recovery reported over the 6-year period. Conclusions: Outpatient surgery is an effective means of providing dental care under GA, even for children with mild systemic disorders.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"176 1","pages":"80 - 84"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72528377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of premature loss of primary teeth among children in Dammam city and parents' awareness toward space maintainers","authors":"Laila AlMeedani, Hebah Al-Ghanim, Noor G. Al-Sahwan, Sukainah AlMeedani","doi":"10.4103/sjos.sjoralsci_9_19","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_9_19","url":null,"abstract":"Context: Premature loss of primary teeth is one of the most prevalent dental problems affecting children worldwide. It is commonly caused by dental caries and trauma. Parents are responsible for their children's oral health and should pay close attention to the consequences of space loss. Aims: The aim of this study is to assess the prevalence of premature loss of primary teeth among children in Dammam city, Saudi Arabia and evaluate the parents' awareness toward space maintainers. Settings and Design: A cross-sectional study was planned to randomly select children aged between 4 and 9 years who attend governmental and private clinics in Dammam city. Materials and Methods: WHO criteria (WHO 1997) were used to examine decay-missing-filled index and premature loss of primary teeth. Questionnaires were distributed by hand to the parents of selected children to explore their demographic data and their awareness toward space maintainers. Statistical Analysis: Descriptive statistics were used to describe and summarize data collected numerically by SPSS version 20.0. The level of statistical significance was set at P < 0.05. Data from the questionnaires were analyzed using the following: frequencies, percentages, cross-tabulation, and Chi-square tests. Results: The mean dmf of the participated children in the study was 2.24 (standard deviation = 2.08). The prevalence of premature loss of primary teeth of the selected children was 20%. Only 37 (18.5%) out of 200 parents were aware about space maintainers. Conclusions: The current study revealed a high prevalence of premature loss of primary teeth among children in Saudi Arabia. The parents were unaware about the space maintainer, its used, maintenance, and benefits.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"52 1","pages":"85 - 89"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79395261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osseous choristoma of the mandibular buccal vestibule: A case report and review of the literature","authors":"Reema Alshawaf, A. Zahrani","doi":"10.4103/sjos.sjoralsci_80_19","DOIUrl":"https://doi.org/10.4103/sjos.sjoralsci_80_19","url":null,"abstract":"Osseous choristoma is a tumor-like growth of lamellar bone which is found in a location where the bone does not normally form. It rarely occurs in the mandibular buccal vestibule. These lesions are either developmental (arising from ectopic mesenchymal cells) or a consequence of trauma and chronic irritation. A 50-year-old male was presented for diagnostic evaluation and surgical management of a long-standing hard mass involving the buccal vestibular sulcus of the mandible. The lesion was clinically examined and radiographically investigated using panoramic, intraoral, and cone-beam computed tomography images. Surgical excision was considered the ideal treatment, and postoperative histopathological examination confirmed a diagnosis of osseous choristoma. There was no evidence of recurrence over a 2-year follow-up period. Osseous choristoma involving the mandibular buccal vestibule can be misdiagnosed as an osteoma because of its clinical presentation; however, the lesion is typically not attached to the underlying bone and can be easily separated from the surrounding tissues. The diagnosis is based on clinical and radiographic examinations and generally confirmed by histopathological analyses.","PeriodicalId":32335,"journal":{"name":"Saudi Journal of Oral Sciences","volume":"58 1","pages":"111 - 116"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84600084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}