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Artificial intelligence in evaluating patient medical histories: challenges and opportunities. 评估患者病史的人工智能:挑战与机遇。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 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}
引用次数: 0
Fluoride Varnish For The Prevention Of White Spot Lesions During Orthodontic Treatment: A Systematic Review And Meta-Analysis. 氟化物清漆预防正畸治疗中的白斑病变:系统综述和荟萃分析。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 10.1177/20501684251327612
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
{"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}
引用次数: 0
Sensible Solutions to Perennial Problems of the Interdental Col. 牙际冷长期问题的明智解决办法。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-03 DOI: 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":"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}
引用次数: 0
Minimum intervention oral care: incentivising preventive management of high-needs/high caries-risk patients using phased courses of treatment. 最小干预口腔护理:鼓励采用分阶段治疗方案对高需求/高龋齿风险患者进行预防性管理。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 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":"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}
引用次数: 0
YouTube Shorts' Recommendations for Teeth Whitening: A Cross-Sectional Analysis. YouTube短片对牙齿美白的建议:横断面分析。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 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":"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}
引用次数: 0
Assessing behaviours in antimicrobial prescribing and implants in the UK: a pilot study. 评估行为在抗菌处方和植入物在英国:试点研究。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 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":"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}
引用次数: 0
Marking another milestone: the 50th issue of the Primary Dental Journal. 标志着另一个里程碑:第50期初级牙科杂志。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 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}
引用次数: 0
Evolution of Dental Occlusion: Integrating Digital Innovations. 牙合的进化:整合数字创新。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 10.1177/20501684251320452
Ziad Al-Ani, Riaz Yar
{"title":"Evolution of Dental Occlusion: Integrating Digital Innovations.","authors":"Ziad Al-Ani, Riaz Yar","doi":"10.1177/20501684251320452","DOIUrl":"10.1177/20501684251320452","url":null,"abstract":"<p><p>The landscape of dental occlusion is undergoing a transformative shift with the integration of digital technologies offering accuracy, efficiency, and improved patient outcomes. This article explores the advancements in digital innovations that have reshaped occlusal analysis and management. By examining tools such as three-dimensional (3D) scanning, virtual articulators, and occlusal diagnostic software, we highlight their impact on treatment planning and clinical workflows. These technologies enable dental professionals to analyse occlusal relationships with a level of detail previously unattainable, paving the way for more accurate and individualised treatment plans. The implementation of digital approaches also enhances patient engagement, as visual data aids in understanding treatment processes. This article also reviews the available research on the reliability of these innovations, providing an evidence-based perspective on their clinical application.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"53-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045894","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}
引用次数: 0
President's Update. 总统的更新。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-13 DOI: 10.1177/20501684251339403
Roshni Karia
{"title":"President's Update.","authors":"Roshni Karia","doi":"10.1177/20501684251339403","DOIUrl":"https://doi.org/10.1177/20501684251339403","url":null,"abstract":"","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060234","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}
引用次数: 0
'SHEEP scoring': A practical tool for evaluating the prognosis and restorability of compromised teeth. “绵羊评分”:评估受损牙齿预后和可修复性的实用工具。
Primary dental journal Pub Date : 2025-03-01 Epub Date: 2025-05-03 DOI: 10.1177/20501684251328184
Martin G Kelleher, Reanna A Craig, Nagina Safi
{"title":"'SHEEP scoring': A practical tool for evaluating the prognosis and restorability of compromised teeth.","authors":"Martin G Kelleher, Reanna A Craig, Nagina Safi","doi":"10.1177/20501684251328184","DOIUrl":"10.1177/20501684251328184","url":null,"abstract":"<p><p>This article describes a practical approach to assessing compromised teeth using a process called 'SHEEP scoring' which is an acronym based on the categories of <b>S</b>tructure, <b>H</b>istory, <b>E</b>ndodontic, <b>E</b>xpertise, and <b>P</b>eriodontal. Any compromised tooth is awarded marks out of ten under each of those five categories. Totalling those five scores (out of a maximum 50) and multiplying that number by two results in a patient-understandable 'percentage chance odds' for that compromised tooth. This pragmatic way of identifying the pre-existing problems first, before quantifying those in an intelligible way, helps to develop trust by making potential patients more aware of any existing problems with their tooth/teeth. That analysis ought to be undertaken separately and well before offering any theoretically possible solutions.Only when both sides understand the significant problems that already exist, should a '<b>B</b>enefits <b>R</b>isks <b>a</b>nd <b>N</b>othing (BRAN) analysis' be undertaken with the patient. This involves discussing the benefits and risks that might be involved in different approaches, compared with the option of doing nothing. The main objective is to help patients to evaluate their likely odds of some 'theoretically possible' treatment being successful in their particular case. Those explanations lead to outlining the time and costs that could be involved, as opposed to monitoring the situation while helping that patient to prevent further deterioration. Analysing and discussing existing problems first (separately to discussing potential treatments, and thereby avoiding availability bias and confirmation bias), means that patients can exercise their autonomy over how they would like to proceed with some treatment - or with none - which should help to ensure that their consent is likely to be valid for whatever decision they make.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049108","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}
引用次数: 0
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