{"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":"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":"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":"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":"[Series: Concise Research. Dentists want more research in Dutch professional journals].","authors":"F Kok, A Schuller","doi":"10.5177/ntvt.2026.03.25084","DOIUrl":"https://doi.org/10.5177/ntvt.2026.03.25084","url":null,"abstract":"<p><p>In recent years, a great deal of scientific research has been published within Dutch dentistry. It is common practice to do this primarily in international journals. But do practicing dentists also obtain their scientific knowledge from there? The aim of this research was to gain insight into the publication behavior of researchers at dental faculties in the Netherlands and the information search behavior of practicing dentists in the Netherlands, and the extent to which these correspond.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 3","pages":"142"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914545","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}
F Papenhuijzen, E A J M Schulten, D H J Jager, J P T F Ho
{"title":"[Patient-specific subperiosteal implant for the treatment of upper denture retention problems].","authors":"F Papenhuijzen, E A J M Schulten, D H J Jager, J P T F Ho","doi":"10.5177/ntvt.2026.03.25071","DOIUrl":"10.5177/ntvt.2026.03.25071","url":null,"abstract":"<p><p>A 66-year-old man presented with a loose complete denture in the edentulous maxilla, 1 year after receiving treatment for mucormycosis. This fungal infection had caused progressive necrosis of the maxilla, eventually resulting in a partial maxillary resection. Due to the defect in the jawbone, the denture was unstable and the retention poor. To improve denture retention, a patient-specific subperiosteal implant was fabricated. Computed tomography was used to create a 3-dimensional design and the implant was manufactured from titanium using selective laser melting. The implant was fixed to the remaining jawbone with titanium screws under general anaesthetic. The final denture was placed after 6 weeks. Follow-up after 2 years showed that the subperiosteal implant and denture were functioning well, with a high level of patient satisfaction. This case study demonstrates the effectiveness of the latest generation of patient-specific subperiosteal implants for patients with defects in the jawbone resulting from pathology or severe physiological resorption of the alveolar bone.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"130 3","pages":"144-150"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349889","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":"[Impact of the COVID-19 pandemic on prescribing antibiotics in dental care].","authors":"A El Khalfioui, I F Persoon","doi":"10.5177/ntvt.2026.03.25082","DOIUrl":"10.5177/ntvt.2026.03.25082","url":null,"abstract":"<p><p>Each use of antibiotics contributes to antimicrobial resistance. The COVID-19 pandemic affected the accessibility and treatment policies of dental care worldwide. This study examined the impact of the pandemic on prescribing antibiotics in the dental practice in the Netherlands by means of a retrospective database analysis of an academic dental clinic (2015-2022) combined with an online survey among Dutch dentists (2020). During the pandemic, fewer antibiotics were prescribed in the academic clinic. Most prescriptions concerned amoxicillin, often for implant and periodontal procedures. In general dental practices in the Netherlands, dentists temporarily prescribed more antibiotics in 9% of cases. Although the long-term impact of COVID-19 appears limited, this study stresses the importance of guideline implementation, increased awareness, and crisis preparedness in order to contribute to reducing antimicrobial resistance, including during future pandemics.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 3","pages":"158-163"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349939","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":"[Outcomes of bimaxillary osteotomy for obstructive sleep apnoea].","authors":"N Zhou, J P T F Ho, J de Lange","doi":"10.5177/ntvt.2026.02.25026","DOIUrl":"10.5177/ntvt.2026.02.25026","url":null,"abstract":"<p><p>Bimaxillary osteotomy is skeletal surgery for the treatment of obstructive sleep apnoea. Several studies have shown bimaxillary osteotomy to significantly improve respiratory parameters - including the apnoea-hypopnoea index, zero oxygen saturation, and the respiratory disturbance index - in the short and the long term. Additionally, research has shown that bimaxillary osteotomy contributes to a reduction in systemic blood pressure and to improvements in sleep architecture and neurocognitive functions. Subjectively, a significant proportion of patients report a decrease in daytime sleepiness, an improvement in sleep-related and general quality of life, and a positive change in facial aesthetics. Potential disadvantages of the procedure include temporary or permanent sensory disorders, a temporary reduction in oral health-related quality of life, and a temporary restricted functioning of the lower jaw. Nevertheless, bimaxillary osteotomy is considered a durable and effective treatment option for patients with obstructive sleep apnoea.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115203","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 Ghandour, A K Singh, B Grift, E P van der Hoeve, L J Koppendraaier, V R Y Hollaar, M H T de Ruiter
{"title":"[Periodontal health in patients with obstructive sleep apnoea].","authors":"R Ghandour, A K Singh, B Grift, E P van der Hoeve, L J Koppendraaier, V R Y Hollaar, M H T de Ruiter","doi":"10.5177/ntvt.2026.02.25025","DOIUrl":"10.5177/ntvt.2026.02.25025","url":null,"abstract":"<p><p>Obstructive sleep apnoea is a sleep-related breathing disorder characterized by repeated episodes of partial or complete obstruction of the upper airway during the sleep. The severity of obstructive sleep apnoea is determined by the apnoea-hypopnea index, which represents the number of apnoea s and hypopnea s per hour of sleep. A systematic literature review on the association between obstructive sleep apnoea and the periodontal condition was conducted in the PubMed and Dentistry and Oral Sciences databases. Independent selection and assessment of methodological quality were performed by 2 researchers, followed by a descriptive comparison of the results. From 236 search results, with a total of 462 participants aged 18 to 77, four cross-sectional studies met the inclusion criteria. A significant decrease in clinical attachment level and increase in bleeding tendency was observed in participants with an apnoea-hypopnoea index ? 5. Patients with obstructive sleep apnoea exhibit impaired periodontal health, particularly with regard to clinical attachment level and bleeding tendency. There appears to be a possible association, which may be influenced by shared risk factors.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"96-102"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115114","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}