{"title":"[Soft tissue injuries of the face; a summary with practical guidelines].","authors":"R T Karsten, J Jansen, R Helmers, L Dubois","doi":"Gedeelte van de doi n https://doi.org/.","DOIUrl":"https://doi.org/Gedeelte van de doi n https://doi.org/.","url":null,"abstract":"<p><p>Engelse samenvatting incl laatste punt.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 5","pages":"254-263"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847171","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}
C J M Koning Ter Heege, R Helmers, H M Chan, L Dubois
{"title":"[Dental emergencies at the emergency department: current practice, challenges, and opportunities for collaboration].","authors":"C J M Koning Ter Heege, R Helmers, H M Chan, L Dubois","doi":"10.5177/ntvt.2026.05.25061","DOIUrl":"https://doi.org/10.5177/ntvt.2026.05.25061","url":null,"abstract":"<p><p>Intensified collaboration between general practitioner surgeries and emergency departments has led to more efficient triage and patient flow. Emergency departments now focus on more complex cases, while dental emergencies do not primarily fall within their scope of care. This study explores the experiences of emergency department staff of the organization of emergency dental care. Although dental care primarily is a responsibility of primary care providers, emergency department staff are frequently confronted with dental issues. Of emergency departments 79% report having no collaboration with an on-call dentist. In cases of dental emergencies, 76% of emergency departments require patients to contact a dentist themselves. Case studies indicate that dental issues often are not immediately referred to a dentist, resulting in delay and unnecessary strain on healthcare services. Collaboration is necessary to improve the quality and efficiency of emergency care and for better integration of dental emergency care into the emergency care system.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 5","pages":"222-231"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847240","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":"[Digital analysis of occlusion and articulation using the T-Scan: the scientific background].","authors":"M M W Mir, M C F M de Kuijper, R C W Vochteloo","doi":"10.5177/ntvt.2026.05.24101","DOIUrl":"https://doi.org/10.5177/ntvt.2026.05.24101","url":null,"abstract":"<p><p>The T-Scan is a diagnostic tool used for accurately diagnosing occlusion and articulation. While, among other things, articulation paper is traditionally used for these purposes, the T-Scan seems to offer more advanced capabilities besides recording occlusal contacts, including: intensity of occlusal loading force, and timing of occlusal loading forces during the closure trajectory of the lower jaw. Hereby, the T-Scan would objectify the diagnostic process. Research on the T-scan has yielded conflicting results regarding accuracy and reproducibility. Some studies emphasize the potential benefits of the T-Scan and report high reproducibility values in recording relative loading force and timing, while others report the opposite and state that the T-Scan is inferior compared to traditional methods in terms of locating occlusal contacts. Further research is needed to draw a clearer conclusion on the effectiveness of the T-Scan in occlusion and articulation diagnostics. In the meantime, articulation paper remains an essential tool, even when utilising the T-Scan and so clinician interpretation still plays a significant role.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 5","pages":"240-247"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847177","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 personal exploration of oral health in amyotrophic lateral sclerosis].","authors":"M K A van Selms, F Lobbezoo, M C Verhoeff","doi":"10.5177/ntvt.2026.05.26012","DOIUrl":"https://doi.org/10.5177/ntvt.2026.05.26012","url":null,"abstract":"<p><p>Amyotrophic lateral sclerosis is a progressive neurodegenerative disease impairing motor functions, including those of the oral muscles. As a result, oral hygiene and oral care become challenging. Nonetheless, oral health in patients with amyotrophic lateral sclerosis often remains under-addressed. On the basis of interviews with Dr M.K.A. van Selms dental researcher and patient oral health in amyotrophic lateral sclerosis was explored, highlighting care, research and education. Dr van Selms identifies the neglect of oral hygiene in the care of patients with amyotrophic lateral sclerosis, and advocates for patient-informed, functionally tailored guidelines, interdisciplinary collaboration, and improved access to dental services. He also calls for ethically sensitive, patient-centred research; he stresses the relevance of inclusive training for all involved; and recommends developing instructional material for carers and patients. Dr van Selms unique perspective reveals the necessity to integrate oral health into the care for this patient group and offers starting points for improving oral health and quality of life in amyotrophic lateral sclerosis and similar diseases.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 5","pages":"232-238"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847243","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":"[Understanding dental anxiety better: an overview of possible causes].","authors":"M M Bildt, A de Beij","doi":"10.5177/ntvt.2026.04.25094","DOIUrl":"https://doi.org/10.5177/ntvt.2026.04.25094","url":null,"abstract":"<p><p>Anxious behaviour in the oral healthcare is often called as dental anxiety or dental phobia . However, the terminology is more nuanced and such behaviour could also be a symptom of other anxiety problems. These might include anxiety disorders, such as a specific phobia, social anxiety disorder or panic disorder. But it may also involve other psychological disorders with pronounced anxiety characteristics, such as post-traumatic stress disorder, obsessive-compulsive disorder and illness anxiety disorder. Finally, anxious behaviour can also stem from certain personality disorders (avoidant, dependent, compulsive). The characteristics of the most common anxiety-related disorders relevant to an oral healthcare practice are described. Pathological type of anxiety can complicate dental treatment and/or patient-dentist relationship, and lead to avoidance behaviour. It is therefore important for oral healthcare professionals to have a better understanding of the concept of anxiety , to be able to distinguish between mild/moderate anxiety and various pathological forms of anxiety, and refer to patients to differentiated care if necessary.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 4","pages":"204-211"},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635310","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 peripheral osteoma in the mandible: diagnosis and surgical approach].","authors":"E L G H Rijksen, S E C Pichardo","doi":"10.5177/ntvt.2026.04.25073","DOIUrl":"https://doi.org/10.5177/ntvt.2026.04.25073","url":null,"abstract":"<p><p>A 57-year-old man presented with a painless, hard swelling that had existed for some time, on the right side of his mandible. The patient had had an osteoma removed at the same site 20 years earlier. Surgical excision using a 3D-planned cutting guide was performed, after which, histopathological analysis confirmed the diagnosis of a (recurrent) osteoma. Osteomas are benign osseous lesions of unknown aetiology, most frequently observed in the mandible. The literature, however, also reports their occurrence in the frontal and maxillary sinuses. In cases where multiple osteomas are found, the possibility of Gardner s syndrome should be considered.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 4","pages":"172-176"},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635380","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}
C J M Koning Ter Heege, R Helmers, H M Chan, L Dubois
{"title":"[Emergency dental care from the perspective of general practitioner out-of-hours services].","authors":"C J M Koning Ter Heege, R Helmers, H M Chan, L Dubois","doi":"10.5177/ntvt.2026.04.25031","DOIUrl":"https://doi.org/10.5177/ntvt.2026.04.25031","url":null,"abstract":"<p><p>The general practitioner out-of hours services play a pivotal role in emergency primary medical care, but also frequently encounter patients with dental emergencies. In order to have a better picture of emergency dental care from the perspective of the general practitioner out-of-hours services, a survey was sent to all general practitioner out-of-hours services in the Netherlands (n = 103, 83% response rate). Respondents were asked about the organization of emergency dental care and its direct and indirect implications for daily operations. Analysis of the findings reveals significant shortcomings from the perspective of general practitioners regarding the accessibility, availability, and reachability of emergency dental care. Factors such as travel times and limited phone accessibility contribute to these issues. To improve the accessibility and quality of emergency dental care, cooperation with general practitioner out-of-hours services is essential, so dentists and general practitioners can support each other in managing patients presenting at the general practioner s with dental emergencies.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 4","pages":"178-187"},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635368","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":"[The role of bone level and prosthetic status in hemisections a series of case studies with up to 50 years of follow-up].","authors":"R S Hartman","doi":"10.5177/ntvt.2026.04.25074","DOIUrl":"https://doi.org/10.5177/ntvt.2026.04.25074","url":null,"abstract":"<p><p>Root resections are more successful when there is at least 50% bone remaining, and after splinting the remaining root to adjacent teeth. This study examined the relationship between these two factors. 39 cases from 1 dental practice, with a mean follow-up of 27.8 years were analysed. Cumulative survival after 10 years was 87.2%, 72.9% after 20 years, and 64.7% after 30 years. Bone level, prosthetic status and the ratio of attachment of connected abutments were recorded. Between failed and successful resections there was no difference in bone level at the start of treatment. Connection with other teeth had a significant positive effect. When there was a large difference in attachment between the remaining root and a connected tooth, resection was significantly less successful, provided a dummy span was present. The success of resections with a minimum of 50% remaining bone appears to be due to favourable mechanical loading of connected teeth rather than periodontal stability.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 4","pages":"189-196"},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635337","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}
R Helmers, C J M Koning Ter Heege, R Bexkens, L de Nooij, H M Chan
{"title":"[The organization of (primary) emergency care in the Netherlands].","authors":"R Helmers, C J M Koning Ter Heege, R Bexkens, L de Nooij, H M Chan","doi":"10.5177/ntvt.2026.03.25040","DOIUrl":"10.5177/ntvt.2026.03.25040","url":null,"abstract":"<p><p>Emergency care in the Netherlands is efficiently organized through collaboration between general practitioner out-of-hours services, emergency departments, and ambulance services. In contrast, emergency dental care remains fragmented, lacking uniform triage, offering possibilities to opt out of service provision, or lacking quality assurance. The structure of general practitioner emergency care can serve as a model for emergency dental services. Integration into emergency care centres, the implementation of standardized triage systems, and the active involvement of the dental professional association can contribute to better coordination and quality of care. National oversight and a clear long-term vision are necessary for making emergency dental care more sustainable and better aligned with the broader emergency care network.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 3","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349893","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":"[The Dutch Dental Trauma Guide: practical support for the management of dental trauma in the dental practice].","authors":"N M Molenaar, L Dubois, D S Barendregt, E Eggink","doi":"10.5177/ntvt.2026.03.25091","DOIUrl":"10.5177/ntvt.2026.03.25091","url":null,"abstract":"<p><p>Since April 2025, the new Dental Trauma guideline has been available. It consists of two interrelated components: the Dutch-language online Dental Trauma Guide, which supports oral healthcare professionals step by step in diagnosis, treatment, and follow-up, and the KIMO Dental Trauma guideline, which describes the organization of dental emergency care. The KIMO guideline is supplemented by additional documents, such as splinting instructions, a patient s medical history form, and a dental trauma telephone card. This guideline replaces the 2010 KNMT guideline and includes clear agreements on accessibility and collaboration between general practitioner out-of-hours services, accident and emergency departments, and dental emergency clinics, while encouraging warm handovers between healthcare providers. The guideline also emphasizes the importance of careful documentation following the initial treatment. The integrated use of the Dental Trauma Guide and the KIMO guideline promotes uniformity, continuity, and quality of care in the management of dental trauma.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 12","pages":"130-134"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349891","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}