{"title":"Bacterial contamination of disinfectants: prevalence and students’ compliance with infection control practices","authors":"NM Madzivani, S. Mthethwa, EM Sekati","doi":"10.17159/sadj.v79i01.16718","DOIUrl":"https://doi.org/10.17159/sadj.v79i01.16718","url":null,"abstract":"Contaminated disinfectants have been occasional vehicles of healthcare associated infections. To determine the presence and level of bacterial contamination of disinfectants used to decontaminate suction devices and to assess the extent to which students comply with infection control practices. A two-part cross-sectional descriptive study consisting of microbiological testing of disinfectants and a questionnaire based observation of students Unannounced observation of students disinfecting suction devices were recorded using a questionnaire. The process involved collecting a prepared disinfectant from a storage bin using a kitchen measuring jug. Specimens of disinfectants and swabs of jugs were collected for aerobic culture. Data pertaining to compliance with infection control practices was gathered. Only 33.6% of the students were observed unannounced. An overwhelming majority (84.9%) of students disinfected suction devices; 52% cleaned and disinfected the external surface of suction hoses and the spittoon bowl; 18.6% allowed the disinfectant to remain in the system long enough, and 14% advised their patients not to close their lips around the suction device. The majority of disinfectant samples (56.3%) as well jugs (55.6%) were contaminated with bacteria. Bacterial contamination of disinfectants was common in addition to poor compliance with infection control practices.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"29 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262333","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":"Root and canal morphology of the maxillary first molar: A micro-computed tomography-focused review of literature with illustrative cases. Part 1: External root morphology","authors":"C. Jonker, P. J. van der Vyver, A. Oettlé","doi":"10.17159/sadj.v79i01.16863","DOIUrl":"https://doi.org/10.17159/sadj.v79i01.16863","url":null,"abstract":"Cleaning and shaping of the root canal are profoundly affected by the complexity of root and canal morphology. Undiscovered roots or canals may lead to a reduced prognosis of a treated tooth as hidden causative organisms and their by-products can cause re-infection. Most maxillary first molars have three roots, namely mesio-buccal (MB), disto-buccal (DB) and palatal (P). They can be separate or fused, with incidences varying between populations. Anomalies have also been documented that include single rooted, double-rooted, four and even five-rooted teeth. Additional roots are mostly in the form of additional palatal roots and are known as either a radix mesiolingualis (RML) or radix distolingualis (RDL). This paper is the first of two giving an overview, focused on micro-CT, of available literature on various aspects of the root and canal morphology of the maxillary first permanent molar. The aim of this paper is to provide an overview of relevant aspects of the external root morphology in different populations. The content is supported by illustrative micro-CT images and case reports of rare morphological findings on maxillary first molars.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"17 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140077878","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-reported experience of Outreach activities amongst undergraduate Oral Health students at a University in South Africa","authors":"Candida Kruger, N. Nkambule, A. Bhayat","doi":"10.17159/sadj.v79i01.16603","DOIUrl":"https://doi.org/10.17159/sadj.v79i01.16603","url":null,"abstract":"Outreach activities (OAs) are structured learning experiences, combining intentional learning goals with services to underserved communities. Oral health students participated on the Phelophepa Train (PT) and school-based programmes (SBPs) as part of their OAs. To evaluate the self-reported experiences of OA amongst undergraduate oral health students. Cross-sectional which included final year dental (N=62) and oral hygiene students (N= 13) registered in 2019. Information was obtained using a modified, self administered questionnaire which included the number and type of procedures performed; work-related limitations,personal work benefits, academic development and civic responsibility. The response rate was 93% (N=65) and students performed more procedures on the train compared to the SBP. Most common procedures undertaken by dental students were screening (64%) and restorations (56%) for oral hygiene students it was screenings (92%) and examinations, fissure sealants and screenings 39% on the train and 31% at SBPs. The most common challenges on both the train and SBPs were inadequate materials (74%) and (41%), poor infection control (15%) and (41% and defective equipment (31%) and (38%) respectively. Although students performed a variety of clinical services they reported to have faced a number of challenges. The majority of students reported that OAs exposed them to the needs of the communities and encouraged them to improve their independence and accountability towards patients.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"25 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262039","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":"A simplified and evidence-informed approach to removable partial dentures. Part 4. Seven simple steps to design","authors":"CP Owen","doi":"10.17159/sadj.v79i01.18041","DOIUrl":"https://doi.org/10.17159/sadj.v79i01.18041","url":null,"abstract":"For many decades the literature has regularly reported that there is a discrepancy between what is taught in dental school and what is practised, especially in the fi eld of removable partial dentures. Not only that, but for more than 60 years reports from around the world have shown that, usually, the majority of clinicians abdicate their responsibility to design a removable partial denture (RPD) and instead leave this to the dental technician, who has no knowledge of the clinical condition of the patient and works only from a cast. Most patients around the world who require RPDs to improve aesthetics and chewing can only afford a removable prosthesis simply because the majority are poor. But RPDs can improve these aspects and contribute to an improved quality of life.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262818","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":"What’s new for the clinician – summaries of recently published papers (February 2024)","authors":"V. Yengopal","doi":"10.17159/sadj.v79i01.16697","DOIUrl":"https://doi.org/10.17159/sadj.v79i01.16697","url":null,"abstract":"The first thousand days of life refer to the period between conception and 24 months of life and it is a critical period in which foundations for the healthy development of the child are laid, having a huge impact on the health of unborn babies, infants and young children. Pregnancy and the postpartum period are considered a phase where women have an increased vulnerability to mental disorders. Studies have shown that around 12% of pregnant women experience depression in the antenatal period and the prevalence of postpartum depression ranges from 10%- 15%.1 These psychiatric disorders are not only associated with poor maternal health but also with negative effects on children, affecting the cognitive development and behaviour.1 Studies have also shown that there is a strong correlation between the oral health knowledge, practice and behaviour of the mother and the oral health status of the young child. Mothers who have poor oral health often have children who have higher levels of early childhood caries (ECC). Mothers with mental disorders have also been shown to be unable to take care of their own health optimally thereby also placing the health (and oral health) of their children at risk. Due to a lack of longitudinal studies investigating the influence of maternal depressive disorders on the occurrence of child’s dental caries, da Fonseca Cumerlato and colleagues from Brazil (2023)1 reported on a study that sought to investigate the effect of the trajectory of maternal depressive disorders in the first thousand days of the child’s life on the prevalence of early childhood dental caries at 48 months of age in a birth cohort.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"29 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262827","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}
N. DrVamsee, Mds Krishna, Dr M Chandrasekhar, C. Dr, Mds SunilKumar, Dr S SunilKumar, Dr KS Chandra Babu, Dr R Bharathi Suma, Dr V Krishna, Z. N. Sanjana, C. SunilKumar, KS Chandra Babu, Bharathi Suma
{"title":"Comparative evaluation of shear bond strength to dentin with three different aesthetic chemically bonded restorative materials – an In-vitro study","authors":"N. DrVamsee, Mds Krishna, Dr M Chandrasekhar, C. Dr, Mds SunilKumar, Dr S SunilKumar, Dr KS Chandra Babu, Dr R Bharathi Suma, Dr V Krishna, Z. N. Sanjana, C. SunilKumar, KS Chandra Babu, Bharathi Suma","doi":"10.17159/sadj.v79i01.16613","DOIUrl":"https://doi.org/10.17159/sadj.v79i01.16613","url":null,"abstract":"The use of glass ionomer cements (GIC) as a restorative material was limited to areas of low masticatory forces due to their low mechanical properties which were also affected by the powder/liquid mixing ratio of this material. Bond strength is important for the clinical success of adhesive material. The shear bond strength (SBS) is the maximum force that an adhesive joint can tolerate before fracture which is tested by SBS tests. The high bond strength helps the adhesive to resist stresses caused by resin contraction and forces for a longer time and thus prevents the problems of bond failure such as recurrent caries, tooth sensitivity and restoration failure. GIC as a restorative material has the capacity to release fluoride and shows good bonding ability. The use of GIC in anterior applications appears to be satisfactory, but they have limitations for use in permanent posterior teeth, particularly with regard to large restorations. Zirconia-reinforced GI (Zirconomer, Shofu Inc, Japan) is a new class of restorative material containing reinforced glass ionomer with special zirconia fillers that promises the strength and durability of amalgam with the protective benefits of glass ionomer while eliminating the hazards of mercury. Amalgomer CR (Advanced Health Care, Tonbridge, Kent, UK), a novel ceramic-reinforced GIC, was introduced, which combines the benefits of GIC with the high strength of ceramics. In the present study, shear bond strength to the dentin with Zirconomer, Amalgomer CR and Fuji type IX GIC (GC Tokyo) are compared.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"47 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262058","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":"Root and canal morphology of the mandibular first molar: A micro-computed tomography-focused observation of literature with illustrative cases. Part 2: Internal root morphology","authors":"C. Jonker, P. J. van der Vyver, A. Oettlé","doi":"10.17159/sadj.v78i10.16862","DOIUrl":"https://doi.org/10.17159/sadj.v78i10.16862","url":null,"abstract":"The endodontic intervention of the mandibular first molar can be challenging. Once root canals or any portion of them remain undiscovered and untreated, the risk of treatment failure greatly increases. The consensus is that mandibular first molars may have three or four main root canals. However, variations have been noted between populations, which include the mid-mesial canal (MM) and the mid-distal canal (MD). Authors have also attempted to classify root canal configurations to identify common patterns for diagnostic and treatment planning purposes. The introduction of micro-computed tomography (micro-CT) to root and canal morphological studies revolutionised observation of complex root canal anatomy in three dimensions and high definition. This paper is the second of two providing an overview of literature on various aspect of the external and internal root and canal morphology of the mandibular first permanent molar. The aim is to provide an overview of relevant aspects of the internal root morphology of the mandibular first molar in different populations. The content is supported by illustrative micro-CT images and a report on clinical cases where anomalies have been treated","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"88 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445339","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}
Evidence Ndou-Van Zyl, Daniel Nicholas Prince, Suma Rajan
{"title":"Reporting rates and presence of dental pathology on CT brain examinations at a tertiary hospital in Johannesburg, South Africa","authors":"Evidence Ndou-Van Zyl, Daniel Nicholas Prince, Suma Rajan","doi":"10.17159/sadj.v78i10.17032","DOIUrl":"https://doi.org/10.17159/sadj.v78i10.17032","url":null,"abstract":"South Africa is burdened by a high prevalence of dental pathology. It is common to encounter this dental pathology on computed tomography (CT) brain scans. Aims and objectivesTo determine the presence of dental pathology on CT brain scans performed in a tertiary hospital and to assess whether radiologists reported on the encountered pathology. The study aimed to raise awareness among radiologists on reporting dental pathology and highlight the impact this has on oral and general health.DesignA retrospective observational study.MethodsReports of CT brain scans performed between September 2019 and October 2019 were reviewed for dental findings. Two radiologists, Reader 1 and Reader 2, blinded to the reports’ findings, reevaluated the corresponding CT images. Their findings were compared with the findings of the reports.ResultsNone of the 160 reports reviewed had dental findings. Reader 1 and Reader 2, respectively, reported dental pathology in 92% and 79% of the CT scans. The most common dental findings were dental caries (79% and 53%), followed by missing teeth (66% and 53%), periodontal disease (59% and 38%), periapical disease (54% and 29%), odontogenic sinusitis (19% and 3%), restorations (11% and 9%) and dental injuries (4% and 4%).ConclusionsRadiologists do not report on dental pathology encountered on CT brain scans. Recognition of dental findings may alter patient management and reduce related morbidity and mortality.","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"107 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445712","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":"Sodium hypochlorite as an endodontic irrigant and its effect on dentine: a review of literature","authors":"Suwayda Ahmed","doi":"10.17159/sadj.v78i10.16545","DOIUrl":"https://doi.org/10.17159/sadj.v78i10.16545","url":null,"abstract":"Successful endodontic treatment is achieved by a combination of factors which include acceptable instrumentation, optimal irrigation and disinfection of the root canal system. It is vital that a suitable antimicrobial agent be used during irrigation and sodium hypochlorite emerges as the optimal agent to be used as it complies with most of the criteria of an ideal irrigant. Sodium hypochlorite is a popular choice as an endodontic irrigant due to its solvent activity as well as its antimicrobial action. The tissue dissolving ability of sodium hypochlorite depends on its concentration, volume, contact time of solution with tissue remnants, refreshment and/or activation cycles of solution, as well as the surface area of exposed tissue","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"258 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140448192","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":"Dental undergraduate students’ perspectives of online assessments conducted during the Covid-19 pandemic – a report from one South African university","authors":"Ilana Moodley, Shenuka Singh, R. Moodley","doi":"10.17159/sadj.v78i10.16674","DOIUrl":"https://doi.org/10.17159/sadj.v78i10.16674","url":null,"abstract":"IntroductionOnline assessments are commonly used in health sciences curricula worldwide. However, it is unclear on how undergraduate dental therapy and oral hygiene students at a South African university responded to the transition from traditional classroom-based to online assessments, as a result of the Covid-19 pandemic. Aims and objectivesThis paper reports on students’ knowledge and practices of,attitudes towards and preparedness for online assessments.MethodThis was a descriptive study, using a mixed methodsapproach to obtain quantitative and qualitative data through an online questionnaire.ResultsThis study indicated most students (n=93, 87%) were familiar with online assessments; however, only (n=68, 63.5%) were confident about taking these tests. Most students agreed that online assessment helped them grasp all aspects of theory, while less than half of third-year students agreed that online assessments helped them to integrate theory into clinical practice. The reported challenges were connectivity problems with online assessment and insufficient time to complete online tests. ConclusionThis study demonstrated that undergraduate dental students were familiar with online assessments and were confident about taking them. They believed this helped them grasp all aspects of theory despite specific challenges associated with the use of online assessments. This study suggests that online assessments could be a valuable method in measuring student com","PeriodicalId":515896,"journal":{"name":"South African Dental Journal","volume":"195 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445462","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}