{"title":"Should dentists perform independent jaw wiring for weight loss? A principlist analysis","authors":"J. Gardner, H. Miniggio","doi":"10.17159/sadj.v79i05.18336","DOIUrl":"https://doi.org/10.17159/sadj.v79i05.18336","url":null,"abstract":"This article presents an ethical analysis for the practice of jaw wiring as an independent weight loss intervention by dentists. The four foundational principles of autonomy, nonmaleficence, beneficence and justice serve as a framework for evaluating the ethical dimensions of the practice, and whether it can be justified. The ethical analysis of this weight loss procedure requires dentists to debate the potential benefits with possible harms, while respecting the autonomy and desires of the patient. While patients possess a fundamental right to autonomous decision-making, conceding to their autonomy is not absolute and dentists need to balance their decisions with considerations of beneficence and nonmaleficence. The ethical analysis concludes that dentists who refuse requests to independently perform jaw wiring for purely weight loss purposes are ethically justified within the principlist framework when the principles of nonmaleficence and beneficence are at stake. The wellbeing and health of the patient, as well as professional obligations, justify their refusal.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"8 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141642507","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":"Radiographic methods: The way forward in age estimation in the Western Cape, South Africa","authors":"Susan Chandler, K. C. Bailie, Ria Laubscher","doi":"10.17159/sadj.v79i05.18247","DOIUrl":"https://doi.org/10.17159/sadj.v79i05.18247","url":null,"abstract":"Age assessment of human remains is essential in forensic and anthropological settings, based on age-related alterations in bones and teeth. Teeth are crucial for identification, especially in decayed or charred corpses. Gustafson’s approach, frequently employed in the Western Cape, South Africa, has demonstrated inaccuracies among the local population.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"11 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141641183","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}
Millicent Boitumelo Sitoe, Leanne Sykes, C. Bradfield
{"title":"Evaluation of different baseplate materials on casts with various palatal vault depths","authors":"Millicent Boitumelo Sitoe, Leanne Sykes, C. Bradfield","doi":"10.17159/sadj.v79i05.18274","DOIUrl":"https://doi.org/10.17159/sadj.v79i05.18274","url":null,"abstract":"The choice of baseplate material for a trial complete maxillary denture is a critical decision in prosthodontic practice. One significant factor to consider is the depth of the palatal vault, which can influence the suitability of the baseplate material. Close adaptation of the denture base is essential in preventing lateral denture movement and enhancing denture retention and support.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"65 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141643638","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":"Spindle cell carcinoma of the lower lip: A case report and review of the literature","authors":"B. Bunn, P. Gwengu, Dakalo Nelwamondo","doi":"10.17159/sadj.v79i05.18054","DOIUrl":"https://doi.org/10.17159/sadj.v79i05.18054","url":null,"abstract":"To document the lip as an unusual site of clinical presentation of spindle cell carcinoma and to conduct a review of the literature. A 66-year-old male patient presented with an ulcerated lesion of the lower lip. Morphological examination and immunohistochemical profiling of the lesion were performed.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"5 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141642068","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":"Oral Presentation of Haematological Disease: Part I – Diseases of Bone Marrow Failure","authors":"Jeanine Fourie, Jan Gert Nel","doi":"10.17159/sadj.v79i05.18080","DOIUrl":"https://doi.org/10.17159/sadj.v79i05.18080","url":null,"abstract":"The bone marrow is responsible for haemopoiesis, but when it fails, oral mucosal lesions may be seen due to reduced platelets, white blood cells, or red blood cells. This study aims to report on three patients who presented with leukaemia, aplastic anaemia and neutropenia, respectively, with spontaneous bleeding, ulceration and mucosal pallor.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"7 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141642004","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":"Ethical considerations for artificial intelligence in dentistry","authors":"Ronel D Maart, R. Mulder","doi":"10.17159/sadj.v79i05.18355","DOIUrl":"https://doi.org/10.17159/sadj.v79i05.18355","url":null,"abstract":"The incorporation of artificial intelligence (AI) is accelerating in the dental field and even patients are catching on to the trend. There is a form of perceived pressure mounting on practitioners to incorporate modern dental equipment and online services to accelerate treatment time or supplement the diagnosis with visual treatment planning. Many of these applications utilise AI as part of the software to process the inserted data. The use of these products in practice presents various ethical dilemmas the clinician would need to mitigate. Practitioners who own or are considering adding applications and equipment that are AI-based to their treatment repertoire have an ethical and legal responsibility to ensure that the best interest and safety of the patient are observed. Patient autonomy and protection of all information become a paramount consideration over and above improving profit or personal gain. By no means could the ethical dilemmas in this communication be exhausted, as the rapid AI innovation and the dynamic nature of technological advances have the potential to raise even more debate. As a fraternity, we need to be vigilant and remain grounded with the basic ethical principles underpinned by autonomy, patient confidentiality/ privacy and the practitioner-patient relationship.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"9 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640627","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":"Location of mandibular foramen in adult black South African population: A morphometric analysis and investigation into possible radiographic correlation","authors":"K. Tshite, Olatunbosun Olaleye","doi":"10.17159/sadj.v79i04.18570","DOIUrl":"https://doi.org/10.17159/sadj.v79i04.18570","url":null,"abstract":"The mandibular foramen (MF) is located bilaterally just above the centre of internal surface of ramus of mandible, however, its exact position varies amongst different population groups. The aim of this study was to determine the exact location of mandibular foramen among black South African population using a possible correlation of radiographic and morphometric analysis. ","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"10 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141652593","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}
Siphokazi M Matomane, Motimedi L Machete, P. Motloba
{"title":"Predictors of Covid-19 vaccination intention among oral health professionals in South Africa","authors":"Siphokazi M Matomane, Motimedi L Machete, P. Motloba","doi":"10.17159/sadj.v79i04.17882","DOIUrl":"https://doi.org/10.17159/sadj.v79i04.17882","url":null,"abstract":"Dentistry is regarded as a high-risk profession due to increased levels of exposure to oral secretions, aerosols and fomites that harbour infectious microorganism. Yet evidence indicates poor uptake of vaccines against HBV and, most recently, Covid-19. This study sought to investigate the predictors of Covid-19 vaccination intention among oral health professionals in South Africa.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"40 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655025","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}
Dr SP Mpungose, PGdip. Implantology BChD, Dr M Mashamba
{"title":"Plasmablastic lymphoma: a case report","authors":"Dr SP Mpungose, PGdip. Implantology BChD, Dr M Mashamba","doi":"10.17159/sadj.v79i04.16793","DOIUrl":"https://doi.org/10.17159/sadj.v79i04.16793","url":null,"abstract":"A male patient presented at the University of Witwatersrand with a rapidly growing mass on the palate extending across to the buccal aspect. The growth had a history of three months and presented with symptoms of pain together with spontaneous bleeding. Examination revealed that the patient was a smoker and tested seropositive for HIV despite being unaware of the condition.Radiographic bone loss is evident on a panoramic radiograph and clinically corelated by grade three mobility of involved teeth. The biopsy revealed a definitive diagnosis of plasmablastic lymphoma which is linked to oncogenesis potential of Epstein Barr virus. Presented in this paper is a case study of an HIV positive male who developed plasmablastic lymphoma.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654012","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":"Cervical margin relocation in indirect restorations","authors":"Jurie Kok, Leanne Sykes","doi":"10.17159/sadj.v79i04.17724","DOIUrl":"https://doi.org/10.17159/sadj.v79i04.17724","url":null,"abstract":"Cervical margin relocation (CMR) is a technique used to raise the deepest portion of a cavity preparation from a subgingival to a supragingival level. This paper presents an overview of the technique and an analysis of current thinking and practices regarding the use of CMR when carrying out indirect restorations on teeth with deep subgingival margins. Despite promising results, the procedure is still controversial and most studies have been focused on laboratory-based testing of parameters such as bond strength, marginal integrity and fracture behaviour of the restorations. Although long-term clinical survival rates are reportedly high (96%), debate continues regarding the procedure’s impact on gingival health. This paper will explore the historical and clinical development of CMR, its indications, advantages and disadvantages, as well as the time and cost implications, and long-term prognosis. While CMR appears to be safe and effective in appropriately selected cases, with meticulous application techniques, further randomised controlled clinical trials are necessary to draw definitive conclusions.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"15 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654122","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}