Journal of the Canadian Dental Association最新文献

Osteomyelitis of the Jaw: A 10-Year Retrospective Analysis at a Tertiary Health Care Centre in Canada. 颌骨骨髓炎：加拿大一家三级医疗保健中心的 10 年回顾性分析。

IF 1.2 4区医学

Journal of the Canadian Dental Association Pub Date : 2024-07-01

Ahmad Almuzayyen, Sherif M Elsaraj, Salem Agabawi

{"title":"Osteomyelitis of the Jaw: A 10-Year Retrospective Analysis at a Tertiary Health Care Centre in Canada.","authors":"Ahmad Almuzayyen, Sherif M Elsaraj, Salem Agabawi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Osteomyelitis (OM) of the jaw is a rare medical condition. In this review, we provide a descriptive analysis of the experience with this condition at a single tertiary health care centre in Canada over 10 years.Materials and methods: We conducted a retrospective chart review of adult patients aged ≥ 18 years presenting with OM of the jaw at the University of Manitoba Health Sciences Centre between January 2009 and May 2019. We included cases with consistent clinical symptoms and radiographic and/or microbiologic evidence of OM of the jaw. Excluded were cases with a previous history of head and neck cancer, radiation therapy in the head and neck regions and use of anti-resorptive medications.Results: Of the 37 patients who met our criteria, the mean age was 44 years (standard deviation [SD] ± 16 years), 21 (56.8%) were male, 16 (43.2%) were diagnosed with acute OM and 21 (57.8%) with chronic OM. Underlying comorbidities, such as diabetes mellitus and chronic kidney diseases, were reported in 6 (16.2%) and 3 patients (8.1%), respectively. Traumatic injuries to the facial skeleton were the most common predisposing factor (11 patients [29.7%]). The most commonly isolated infective organisms were viridans group streptococci (VGS; 75.8%), followed by Prevotella spp. (45.4%). Results showed a higher level of resistance to penicillin of the isolated organisms in chronic OM compared with acute OM.Conclusions: This description of acute and chronic forms of OM of the jaw will enable clinicians to better understand OM patient profiles, leading to early diagnosis, improved patient care and better outcomes.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infective Endocarditis: Etiology, Epidemiology and Current Recommendations for the Dental Practitioner. 感染性心内膜炎：病因学、流行病学和对牙科医生的当前建议。

IF 1.2 4区医学

Journal of the Canadian Dental Association Pub Date : 2024-05-01

Michael Martico, Harry Kapageridis, Aviv Ouanounou

引用次数: 0

Long-Term Trends in Access to Dental Care in Canada. 加拿大牙科保健的长期趋势。

IF 1.2 4区医学

Journal of the Canadian Dental Association Pub Date : 2024-04-01

Paul Grootendorst, Hai Nguyen, Carlos Quiñonez

{"title":"Long-Term Trends in Access to Dental Care in Canada.","authors":"Paul Grootendorst, Hai Nguyen, Carlos Quiñonez","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: Although routine dental care is essential for both oral and overall health, in Canada, access to such care is uneven. Those with low or medium income and no workplace dental coverage often face financial barriers in accessing dental care. However, the factors that affect access - income, employer-provided health benefits and public dental care subsidy programs - have changed over the decades. This study examines the net impact of these factors on long-term trends in dental care access among different groups in Canada over the past 5 decades.Methods: Using data from 1 235 268 respondents to 20 Canadian cross-sectional surveys administered between 1972 and 2017, we estimated the proportion of people who had at least 1 consult with a dental professional over the past 12 months. Prevalence trends by region, age group, education and income level were compared.Results: In each age group, the proportion of people consulting a dental professional at least annually gradually increased over the last 5 decades. During the recession of the early 1990s, a temporary drop in use occurred, particularly among younger age groups. We noted significant regional differences in use among individuals in the same age group: rates were highest in Ontario and British Columbia and lowest in Quebec and the Atlantic provinces. Marked differences in use by level of education and income persisted over the 5 decades. Dental care use was significantly higher among those with higher levels of education and higher incomes. The increase in overall rates of dental care use suggest that an increasing fraction of Canadians have higher incomes or are better educated, or both. Nevertheless, about a third of Canadians ≥ 15 years did not receive dental care in 2015.Conclusions: Given that dental care is almost wholly privately funded and displays a high degree of income-related inequity, there is an urgent need for policy action to address unequal access to dental care in Canada.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? 尽管接受了多次牙科相关治疗，牙痛仍然持续：怎么会这样？

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2024-02-01

Dean A Kolbinson, Jean-Paul Name Goulet

{"title":"Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be?","authors":"Dean A Kolbinson, Jean-Paul Name Goulet","doi":"","DOIUrl":"","url":null,"abstract":"Patients with recurrent or persistent dentoalveolar pain usually believe that endodontic treatment or extracting a tooth will alleviate it, and most cannot conceive that the pain might not be tooth related. Understanding that dental procedures of any kind will be ineffective when a tooth-related pathology is ruled out and that a nonodontogenic etiology best explains the \"toothache\" pain goes against their beliefs. In this article, we present an overview of basic concepts to help manage such cases by briefly outlining possible causes of nonodontogenic pain as well as diagnostic pitfalls that may lead to questionable treatments. The decision to provide dental treatment is justified only when definitive peripheral mechanisms driving the pain are uncovered and the multitude of factors that might contribute to the various presentations of persistent dental pain have been considered. Otherwise, patients might be managed with treatments that are not the norm for those with unremitting tooth pain in general dental practice. We also make suggestions for clinicians to assure that patients with recurrent or persistent dental pain receive a thorough work-up that considers odontogenic and nonodontogenic sources to arrive at the correct diagnosis before treatment, taking psychosocial factors into account when devising the treatment plan.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Delayed Dental Treatment during the COVID-19 Pandemic in an Undergraduate Dental Clinic in Southwestern Ontario, Canada - A Retrospective Chart Review. 加拿大安大略省西南部一家本科生牙科诊所在 COVID-19 大流行期间延迟牙科治疗的影响 - 病历回顾。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2024-01-01

Fatima Hanif, Abiola Adeniyi, Rae Dorion, Noha Gomaa, Abbas Jessani

{"title":"Impact of Delayed Dental Treatment during the COVID-19 Pandemic in an Undergraduate Dental Clinic in Southwestern Ontario, Canada - A Retrospective Chart Review.","authors":"Fatima Hanif, Abiola Adeniyi, Rae Dorion, Noha Gomaa, Abbas Jessani","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To investigate the impact of a COVID-19 mandated lockdown on the type and frequency of dental services accessed at an undergraduate dental clinic in southwestern Ontario.Methods: We retrieved anonymized sociodemographic (n = 4791) and billing data (n = 11616) of patients for 2 periods of 199 days, before (T1) and after (T2) lockdown. We applied descriptive statistics and used Student's t test to compare the type and frequency of dental services provided between the 2 periods. We mapped forward sortation area (FSA) codes of each patient.Results: Of the 4791 patients seen collectively in T1 and T2, most (67%) sought care before the lockdown. In both periods, most patients were ≥ 60 years of age (51.8%), female (33.9%) and residing in an urban area (88.6%). Compared with T1, there was a significant increase in middle-aged adults (p = 0.002) and significantly fewer patients earning over CAD 100 000 (p = 0.021) in T2. A total of 11616 billable procedures were carried out during T1 and T2: in T1, most procedures were preventative, whereas in T2, most were related to urgent care. Significantly fewer males than females sought urgent care, regardless of time. Finally, mapping showed a decrease in patients from Toronto, central and northern Ontario and clustering of patients in southwestern Ontario.Conclusion: We noted an overall reduction in billed services following the COVID-19 lockdown. The decrease in both billed services and patients seen during T2 demonstrates the impact of COVID-19 on access to timely and definitive dental care during the first 2 years of the pandemic.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Equity, Diversity, and Inclusion Throughout the Lifecycle of Artificial Intelligence for Better Health and Oral Health Care: A Workshop Summary. 将公平、多样性和包容性融入人工智能的整个生命周期，以改善健康和口腔保健：研讨会摘要。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2023-11-01

Elham Emami, Samira A Rahimi, Milka Nyariro

引用次数: 0

Pattern of Dental Emergencies at a Pediatric Tertiary Care Hospital during the COVID-19 Pandemic: A Retrospective Study. COVID-19 大流行期间一家儿科三级医院的牙科急诊模式：回顾性研究。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2023-10-01

Mohammad Hassan Bacho, Michel Sina Mounir, Edwin Km Chan, Beatriz Ferraz Dos Santos

{"title":"Pattern of Dental Emergencies at a Pediatric Tertiary Care Hospital during the COVID-19 Pandemic: A Retrospective Study.","authors":"Mohammad Hassan Bacho, Michel Sina Mounir, Edwin Km Chan, Beatriz Ferraz Dos Santos","doi":"","DOIUrl":"","url":null,"abstract":"Background: The onset of the COVID-19 pandemic and government restrictions affecting dental health care professionals had an impact on pediatric dental emergency trends. The purpose of this study was to describe the effect of the COVID-19 pandemic on the characteristics, outcomes and management of pediatric dental emergencies in a single tertiary care hospital.Methods: A retrospective review of children presenting to Montreal Children's Hospital for dental emergencies before and during the pandemic was conducted. Data collected included children's demographic characteristics, type of emergency visit, clinical signs and symptoms, as well as emergency management. For the pandemic period, data regarding patient symptoms of COVID-19 infection were also noted.Results: Of the 2745 pediatric dental emergencies included, 1336 (48.7%) occurred in 2019 and 1409 (51.3%) in 2020. During the first wave of COVID-19, the number of pediatric dental emergencies increased by 21% over pre-pandemic levels. A significant increase in the number of emergencies associated with dental infection was noted during the pandemic period (p = 0.04). A significant increase in the number of visits not receiving effective immediate treatment (p < 0.01) occurred during the early pandemic period.Conclusion: Our study shows a significant increase in the rates of dental emergencies and acuity of dental conditions during the first wave of the pandemic. Increased public health measures and adaptation to this ongoing public health crisis are important to ensure continued high-quality dental care for pediatric patients.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Use of Medically Required Dental Services by Youth with Intellectual/Developmental Disabilities in British Columbia, Canada. 加拿大不列颠哥伦比亚省智障/发育障碍青年使用所需医疗牙科服务的情况。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2023-07-01

Sandra Name Marquis, Kimberlyn M McGrail, Yona Lunsky, Jennifer Baumbusch

{"title":"The Use of Medically Required Dental Services by Youth with Intellectual/Developmental Disabilities in British Columbia, Canada.","authors":"Sandra Name Marquis, Kimberlyn M McGrail, Yona Lunsky, Jennifer Baumbusch","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The literature indicates that youth with intellectual/developmental disabilities (IDD), such as Down syndrome or autism, have poor oral health. A number of factors influence their oral health, including the use of medically required dental treatments.Methods: This paper describes the first use of population-level administrative health data to examine the use of medically required dental services by youth with IDD compared with youth without IDD in Canada.Results: Youth with IDD had 4-9 times the odds of a medically required dental treatment compared with youth without IDD. Odds varied with age and type of IDD.Conclusions: Youth with IDD used medically required dental services to a greater extent than youth without IDD. Use of medically required dental treatments by youth with IDD declined with age; this may indicate greater difficulty accessing services when youth transition from pediatric to adult services. These findings provide baseline information on the use of medically required dental treatments and can contribute to future assessments of dental services for youth with IDD.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

British Columbia Dentists' Perceptions and Practices Regarding HPV Vaccinations: A Cross-sectional Study. 不列颠哥伦比亚省牙医对HPV疫苗接种的看法和做法:一项横断面研究。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2023-07-01

Michael T L Coyne, Dip Perio, HsingChi von Bergmann, Denise Laronde, Mario A A Brondani

{"title":"British Columbia Dentists' Perceptions and Practices Regarding HPV Vaccinations: A Cross-sectional Study.","authors":"Michael T L Coyne, Dip Perio, HsingChi von Bergmann, Denise Laronde, Mario A A Brondani","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Human papillomavirus (HPV), as the most common form of sexually transmitted infection, has been implicated in almost one-third of oropharyngeal cancers. One way to prevent HPV infections is through vaccination. This study aimed to investigate whether dentists in British Columbia (BC) were willing to discuss, refer and administer the vaccine in a dental practice setting.Methods: Our cross-sectional study used a survey consisting of 14 questions pertaining to demographics, scope of practice, barriers to discussing the HPV vaccine and willingness to engage in HPV vaccination. On 1 April 2021, the survey was distributed to all practising dentists in BC via a URL link; the link remained active for 30 days. Descriptive and inferential statistics were used to analyze results, and statistical significance was set at p < 0.05.Results: Of the 201 respondent who completed a survey, 168 (84%) agreed that discussing the link between HPV and oropharyngeal cancer falls within their scope of practice. Fewer agreed that recommending (74%) and administering (39%) the HPV vaccine were within their scope of practice. Barriers that may contribute to this unwillingness included lack of professional policies and guidelines. Although a significant proportion of respondents were willing to educate patients on HPV, they were unwilling to discuss sexual history in a dental setting (p = 0.02).Conclusions: Despite a willingness to discuss and refer patients for HPV vaccination, most respondents were unwilling to administer the vaccine in a dental setting, as they perceived the act to fall outside their scope of practice. There remains a reluctance to engage in vaccination activities in dental settings in BC.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Prevalence of Patient Aggression Toward Dental Students at a Canadian University Teaching Clinic. 加拿大一所大学牙科教学诊所病人攻击学生的现况。

IF 1.5 4区医学

Journal of the Canadian Dental Association Pub Date : 2023-06-01

Alison Looper, Shahrokh Esfandiari

{"title":"The Prevalence of Patient Aggression Toward Dental Students at a Canadian University Teaching Clinic.","authors":"Alison Looper, Shahrokh Esfandiari","doi":"","DOIUrl":"","url":null,"abstract":"Background: Studies show concerning rates of occupational violence against oral health care workers, but few studies of this nature have been conducted on dental students in university clinics.Methods: We surveyed 3rd-, 4th- and 5th-year dental students in the 2020-2021 academic year at the dental teaching clinic of the University of Montreal, using a 17-item self-report questionnaire exploring 4 types of aggression: physical, verbal, reputational and sexual.Results: Of 239 students, 45 (19%) responded to the online questionnaire, and 28 (62% of respondents) reported some form of aggression in the previous year. Verbal aggression and sexual aggression were each reported by 21 (47%) students. No differences were found between rates of aggression based on ethnicity. Women (74%) reported higher rates of aggression than men (47%), although this difference did not reach statistical significance. Of the 6 students who said they speak a language other than French (the workplace language) at home, 5 (83%) reported experiencing sexual aggression.Conclusion: Most students surveyed reported experiencing some form of patient aggression in the past year. The most common forms of aggression were verbal and sexual. Women and students who speak a language other than French at home may be particularly vulnerable to patient aggression in the clinical setting. This study has implications for dental education and points to the need for training and new solutions to prevent and respond to patient aggression at university dental clinics.","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0