Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251317770
Lavínia L Costa, Jaderson F S Dantas, Patrícia B Santos
{"title":"The role of endodontists in managing patients with molar incisor hypomineralisation.","authors":"Lavínia L Costa, Jaderson F S Dantas, Patrícia B Santos","doi":"10.1177/20501684251317770","DOIUrl":"https://doi.org/10.1177/20501684251317770","url":null,"abstract":"<p><strong>Objective: </strong>To explore the role of endodontists in the management of molar incisor hypomineralisation (MIH) in children, focusing on the challenges of diagnosis, treatment, and interdisciplinary collaboration.</p><p><strong>Methods: </strong>A review of the current literature and clinical approaches was conducted, emphasising the endodontic considerations regarding MIH.</p><p><strong>Results: </strong>37 relevant articles were identified. The findings suggest that selective caries removal and vital pulp therapy (VPT) are essential approaches to preserving the vitality of compromised first molars, although there is a scarcity of evidence addressing specifically the management of molars affected by MIH. Diagnosing pulpal conditions in children with MIH is challenging, as pulp tests may be unreliable. This can lead to exaggerated responses and an increased risk of misdiagnosis, resulting in unnecessary treatments like endodontic therapy or extractions. The involvement of endodontists is critical, especially when minimally invasive techniques are needed to preserve dental tissue. Endodontists face additional challenges related to pulp therapy in these patients due to subclinical pulp inflammation, which can impair anaesthesia effectiveness and reduce a child's cooperation.</p><p><strong>Conclusion: </strong>Interdisciplinary collaboration between paediatric dentists and endodontists is essential for improving outcomes in MIH management. The development of advanced behaviour management skills and minimally invasive treatment approaches is recommended to enhance patient care.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"74-81"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063994","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251320694
Jodie N Nelson, John H Duthie, Elvira V Lang
{"title":"Procedural hypnosis: a powerful tool for reducing stress, anxiety and pain in clinical dental care.","authors":"Jodie N Nelson, John H Duthie, Elvira V Lang","doi":"10.1177/20501684251320694","DOIUrl":"https://doi.org/10.1177/20501684251320694","url":null,"abstract":"<p><p>Dealing with stress, negative feedback and unrealistic demands can be a daunting experience for the dental healthcare team, potentially resulting in job dissatisfaction and reduced performance levels. Learning how to cope with stressful situations and associated circumstances by developing advanced rapport skills in interventional healthcare can help in the management of stressful situations in dental practice. These skills can also help to decrease anxiety and level of pain experienced by the patient. This article outlines how stressful encounters can be managed in the dental practice environment by applying hypnotic techniques for anxious and stressed patients to better cope with dental interventions.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036320","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251331277
Mohammed Adam, Camran Miah, Andrew Goodall
{"title":"Skin cancer: a guide for the dental healthcare practitioner.","authors":"Mohammed Adam, Camran Miah, Andrew Goodall","doi":"10.1177/20501684251331277","DOIUrl":"10.1177/20501684251331277","url":null,"abstract":"<p><p>The incidence of developing a skin cancer is increasing in the UK. The vast majority of skin cancers occur on the head and neck, linked to the increased exposure to ultraviolet light from the sun. Dental healthcare practitioners are expert at examining the head and neck, although anecdotal evidence suggests a lack of confidence in screening for and in managing skin lesions. This article briefly describes the epidemiology, key features and management of various skin lesions, in addition to practical steps general dentists can take to screen for skin cancer. It also describes the various presentations of skin cancer, including in darker skin tones, and how dentists can manage such patients.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"67-73"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036321","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251319889
Scott David Pelok, Luc Loyola, Ilser Turkyilmaz
{"title":"Artificial intelligence in evaluating patient medical histories: challenges and opportunities.","authors":"Scott David Pelok, Luc Loyola, Ilser Turkyilmaz","doi":"10.1177/20501684251319889","DOIUrl":"https://doi.org/10.1177/20501684251319889","url":null,"abstract":"","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"46-47"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063988","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-03DOI: 10.1177/20501684251330044
Martin G Kelleher, Reanna A Craig, Igor R Blum
{"title":"Sensible Solutions to Perennial Problems of the Interdental Col.","authors":"Martin G Kelleher, Reanna A Craig, Igor R Blum","doi":"10.1177/20501684251330044","DOIUrl":"https://doi.org/10.1177/20501684251330044","url":null,"abstract":"<p><p>This article highlights the perennial problems posed by the interdental col as well as their consequences for patients' dental health and for many aspects of general dentistry. When the interdental col is not considered properly during restorative procedures new problems can arise instead of resolving existing ones. Dental professionals must be constantly vigilant because any oozing of inflammatory gingival crevicular fluid, or frank bleeding, from the col regions can impact adversely on adhesive bonding, pulpal health, impression accuracy, and restoration cementation. This article emphasises the importance of patients accepting <i>their</i> responsibilities early on for gaining and maintaining <i>their</i> dental health by appropriate cleaning of <i>their</i> col areas. In addition, this article demonstrates practical and cost-effective adjustments of interproximal restorations that promote periodontal health. It highlights that restored teeth often need to be made anatomically different to natural teeth to reduce the likelihood of perpetuating problems of the col. Careful design and precise execution of interproximal restorations are both essential to prevent reproducing problems which often necessitated those restorations in the first place.This article also provides some practical hints on restoring teeth near the interdental col which will become ever more important in general practice following the imminent banning of dental amalgam.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"117-125"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050342","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":"Fluoride Varnish For The Prevention Of White Spot Lesions During Orthodontic Treatment: A Systematic Review And Meta-Analysis.","authors":"Farhan Musaie, Nikoo Ghasemi, Khafizov Irek, Negar Sadighnia, Fatemeh Kamali, Alireza Ghajary, Farnoosh Alimohammadi, Mahdis Sadat Miri, Amirhossein Safari, Anahita Alemi, Ava Rowshani, Seyed Mahmoud Atarodi, Zahra Sadat Aghamir, Saba Vasegh, Mohammad Mahdi Khanmohammadi Khorrami, Mohadeseh Poudineh, Kimia Kelidari, Niloofar Deravi","doi":"10.1177/20501684251327612","DOIUrl":"10.1177/20501684251327612","url":null,"abstract":"<p><strong>Background and aim: </strong>White spot lesions are a potential side effect of orthodontic treatment. This occurs frequently, with a prevalence ranging from 50% to 90%. The lesions typically occur on the labial surface of the gingival region of the tooth. Caries prophylaxis requires use of soluble fluoride to prevent demineralisation and stimulate remineralisation of enamel and dentine. The administration of fluoride varnish is a controlled and professional way of delivering high-fluoride concentrations that do not rely on patient compliance. This meta-analysis will assess the effectiveness of fluoride varnish in avoiding white spot lesions in orthodontics.</p><p><strong>Materials: </strong>A thorough search was conducted on PubMed/Medline, Scopus, and Google Scholar databases using advanced search strategies, appropriate operators, and tags based on the title and abstract. Two reviewers worked independently to extract data and ensure accuracy and consistency.</p><p><strong>Results: </strong>Eight randomised control trial articles involving 654 individuals were included. The findings revealed that fluoride varnishes significantly reduced white spot lesions on teeth. Patients who were treated with this substance had visibly reduced lesions (weighted mean difference = -0.54, 95% confidence interval = [-1.01 and -0.07], <i>P</i> < 0.001, I<sup>2</sup> = 85.9%).</p><p><strong>Conclusion: </strong>Fluoride varnish significantly reduces the incidence of white spot lesions, but high heterogeneity among studies suggests cautious interpretation of the results.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"82-90"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014108","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251327614
Avijit Banerjee, Zain Hameed, M Ali Chohan, Kish Patel, Jin J Vaghela, Fahad Sheikh, Nick Barker, Pritesh Shah, Divyash Patel
{"title":"Minimum intervention oral care: incentivising preventive management of high-needs/high caries-risk patients using phased courses of treatment.","authors":"Avijit Banerjee, Zain Hameed, M Ali Chohan, Kish Patel, Jin J Vaghela, Fahad Sheikh, Nick Barker, Pritesh Shah, Divyash Patel","doi":"10.1177/20501684251327614","DOIUrl":"https://doi.org/10.1177/20501684251327614","url":null,"abstract":"<p><p>This paper demonstrates how person-focused, prevention-based, risk/needs-related, team-delivered, minimum intervention oral care (MIOC) best principles and approaches can be integrated into the dental profession for the delivery of environmentally sustainable, optimal care to high-needs and high caries-risk/susceptibility patients. It highlights the potential for NHS remuneration for prevention-based, phased, personalised care pathways/plans (PCPs) within a reformed NHS dental contract system. It emphasises the importance of comprehensive and longitudinal patient risk/susceptibility assessments, prevention and stabilisation of the oral environment before considering more complex, definitive restorative work. This paper forms the first of several components of a suite of educational/information materials needed to instil confidence and implementation protocols within primary care clinical oral health care teams delivering MIOC through phased PCPs, especially when managing patients with high needs and/or disease susceptibility.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"112-116"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059671","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251327613
Jun Yaung, Sun Ha Park, Shahed Al Khalifah
{"title":"YouTube Shorts' Recommendations for Teeth Whitening: A Cross-Sectional Analysis.","authors":"Jun Yaung, Sun Ha Park, Shahed Al Khalifah","doi":"10.1177/20501684251327613","DOIUrl":"https://doi.org/10.1177/20501684251327613","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study evaluates YouTube Shorts' recommendations on teeth whitening to determine the prevalence of various treatments and the engagement levels of this content.</p><p><strong>Method: </strong>A sample of 75 videos were analysed based on speaker type (e.g. dentist, blogger, dental product company), recommended treatment, viewer engagement, and claims regarding efficacy.</p><p><strong>Results: </strong>While bloggers and product companies accumulated larger view counts, dental professionals, particularly dentists, provided more thorough discussions of treatment safety and efficacy, using tools such as shade guides and discussing potential sensitivity issues.</p><p><strong>Conclusion: </strong>These findings underscore the influential role that social media content creators play in shaping public perception of cosmetic dental treatments, as well as the pressing need for evidence-based, professional material online.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045930","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251325694
Sami Stagnell, Alaa Aldaadaa
{"title":"Assessing behaviours in antimicrobial prescribing and implants in the UK: a pilot study.","authors":"Sami Stagnell, Alaa Aldaadaa","doi":"10.1177/20501684251325694","DOIUrl":"https://doi.org/10.1177/20501684251325694","url":null,"abstract":"<p><strong>Background: </strong>With implant dentistry growing in popularity as a means of replacing missing teeth, there is an increasing need for guidance to support regular practice and to ensure that implantology is reinforced with an appropriate evidence base for developing safe prescribing habits. This is particularly important as the prescribing of antibiotics in implant dentistry is becoming increasingly controversial owing to the fear of any failure due to post-operative infection; the possible litigation consequences that might emerge can be a major reason for justifying such prescription protocols.</p><p><strong>Methodology: </strong>A questionnaire-based pilot study was carried out, which assessed prescribing behaviours by UK-based dentists placing dental implants. The 11-item questionnaire sought information on implant procedures categorised as straightforward and complex implant procedures. The survey was distributed electronically through local implant study clubs and via dental social media forums.</p><p><strong>Results: </strong>A total of 54 dentists responded, with almost 89% of respondents prescribing antibiotics pre-operatively and 85% prescribing antibiotics post-operatively, with amoxicillin always the primary choice. The recommended course of treatment varied between one and seven or more days. Almost half of the respondents prescribed analgesics pre- and/or post-operatively with ibuprofen and paracetamol as the first and second choices, respectively. Dexamethasone was prescribed pre- and post-operatively by 7% of the dentists.</p><p><strong>Conclusion: </strong>This study highlighted a lack of national antibiotics prescription guidelines and a lack of consistency in implant dentistry practice in the UK. It also indicated the need for multi-centre studies with large sample sizes that can support the foundation for appropriate guidelines on antibiotic prescribing in implant dentistry.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"91-100"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063991","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251331303
Igor R Blum, Nairn H F Wilson
{"title":"Marking another milestone: the 50th issue of the <i>Primary Dental Journal</i>.","authors":"Igor R Blum, Nairn H F Wilson","doi":"10.1177/20501684251331303","DOIUrl":"https://doi.org/10.1177/20501684251331303","url":null,"abstract":"","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055981","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}