Journal of the Irish Dental Association最新文献

{"title":"Contemporary management options for molar incisor hypomineralisation","authors":"Aoibheann Wall, R. Leith","doi":"10.58541/001c.71462","DOIUrl":"https://doi.org/10.58541/001c.71462","url":null,"abstract":"##Background Molar incisor hypomineralisation (MIH) is a well-known and prevalent qualitative enamel defect, which can carry a heavy treatment burden for many patients. Early identification of MIH is paramount in order to instigate preventive regimes and potentially spare children from the restorative cycle many endure. Once enamel breakdown occurs management is challenging, as all cases present different individual considerations, from behaviour management issues to restorative decisions. The aim of this article was to review the recent literature on MIH in order to give the reader an update on contemporary management options for MIH-affected molars and incisors, and their evidence base. ##Conclusion Effective management can be very difficult for the clinician and there are limited treatment guidelines available. The individual needs of the patient will often dictate the most appropriate management and therefore clinicians need to be aware of all available options.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48174388","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":"Use and waste management of restorative materials in the Republic of Ireland","authors":"Aileen Callanan, C. Lynch, M. Harding, F. Burke, M. Hayes","doi":"10.58541/001c.71461","DOIUrl":"https://doi.org/10.58541/001c.71461","url":null,"abstract":"##Aim This study aimed to investigate the use and waste management of dental amalgam and mercury-free alternatives by general dental practitioners in Ireland. ##Methods A cross-sectional survey-based study was adopted. A 53-question survey was piloted and distributed to dentists working in general dentistry in Ireland. Participants were recruited from the Dental Council of Ireland Dental Register. ##Results A total of 285 dentists (12%) responded to the survey. The study found that resin composite was the most commonly placed restorative material by respondents (69%), followed by dental amalgam (20%). Compliance with waste management of dental amalgam was high, with 93% of respondents reporting having a waste management policy concerning the disposal of waste amalgam and 87% compliance with the fitting of amalgam separators. ##Conclusions The study found that dentists in Ireland are compliant with the Minamata Convention on Mercury, and identified training and remuneration as two of the main barriers to implementing a total phase-out of dental amalgam.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41773437","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":"Public relations.","authors":"H. Hillenbrand","doi":"10.1080/00971170.1979.10618993","DOIUrl":"https://doi.org/10.1080/00971170.1979.10618993","url":null,"abstract":"","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"12 3 1","pages":"62-7"},"PeriodicalIF":0.0,"publicationDate":"2020-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00971170.1979.10618993","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44368297","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":"Hypomineralised second primary molars may be indicative of future molar incisor hypomineralisation","authors":"R. Leith","doi":"10.58541/001c.72054","DOIUrl":"https://doi.org/10.58541/001c.72054","url":null,"abstract":"##Background The term hypomineralised second primary molars (HSPM) describes a prevalent qualitative developmental defect of enamel. Children with HSPM are at a high risk of caries, and are reportedly five times more likely to develop molar incisor hypomineralisation (MIH). ##Aetiology There is an overlap in the development of the second primary molar and the first permanent molar. It is likely that MIH and HSPM have some shared aetiological factors, but in the case of HSPM the insult likely occurred earlier. ##Diagnosis HSPM can be identified as soon as the second primary molar erupts. It has a distinct clinical presentation and many clinical similarities with MIH. HSPM should be differentiated from typical early childhood caries. ##Conclusion Early dental visits for all children would allow early diagnosis of HSPM, which is essential to prevent future problems. Dental teams who work with children should be familiar with the signs of HSPM and use high caries risk preventive strategies, as well as increased vigilance during eruption of the first permanent molars.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48658706","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":"Extraction of a severely impacted mandibular third molar using a sagittal split osteotomy – a case report","authors":"S. O’Dwyer, M. Kelly, D. Pierse","doi":"10.58541/001c.72292","DOIUrl":"https://doi.org/10.58541/001c.72292","url":null,"abstract":"##Statement of the problem: Mandibular third molar tooth impaction is a frequently encountered pathological phenomenon in oral and maxillofacial surgery. Deeply impacted mandibular third molars require extensive bone removal to facilitate extraction. Sagittal split osteotomies provide an alternative treatment option, which can preserve bone and reduce the risk of pathological or iatrogenic jaw fracture in high-risk cases. ##Purpose of the review Clinical awareness of alternative extraction techniques is fundamental to the attainment of optimal patient outcomes. This case report provides an overview of the indications, risks, procedure and outcomes of the sagittal split osteotomy as a technique for the removal of a deeply impacted mandibular third molar. ##Method A case report of surgical removal of an impacted third molar and associated dentigerous cyst by sagittal split is presented. Patient consent was obtained prior to surgery. The chart was reviewed, and clinical information gathered and compiled into a case report. A review of the literature was then carried out to compare the technique presented with similar cases. ##Conclusion This case report highlights the value of sagittal split osteotomy for the removal of deeply impacted mandibular third molars. As part of informed consent, clinicians should consider the sagittal split osteotomy as an alternative treatment option for patients with a high risk of mandibular fracture.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46591178","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":"Minimum intervention dentistry for the management of caries in older adults: a review of the literature","authors":"I. Politi, C. Waldron, C. Mac Giolla Phadraig","doi":"10.58541/001c.72051","DOIUrl":"https://doi.org/10.58541/001c.72051","url":null,"abstract":"##Statement of the problem The population is ageing and the proportion of older adults retaining their natural teeth is increasing. This means that there are increasing numbers of older adults at risk of and from dental caries for longer. This challenges traditional concepts of care delivery for older adults. With advances in the understanding of the pathogenesis of dental caries, there is increasing evidence to support a shift from traditional mechanical ‘drill and fill’ techniques to the management of dental caries biologically as a complex ecological process. Minimum intervention dentistry (MID) has become an increasingly mainstream model of caries management, which minimises the need for treatment that destroys dental tissues. In contrast to traditional management of caries, MID focuses on prevention and risk reduction, while surgical intervention is limited to cases where it is absolutely necessary. This paper reviews the evidence to support adoption of MID, particularly for older adults in Ireland. ##Purpose of the study To review the evidence regarding aspects of MID for caries management among older adults. ##Materials and methods A structured search strategy was undertaken using PubMed, Google Scholar and the Cochrane Library, with additional searching of reference lists. A total of 25 articles were deemed relevant to this literature review. The data was extracted and tabulated. The outcomes and quality of the studies were reported narratively. Weaknesses and clinical implications are discussed. ##Conclusions MID can be recommended for older adults. This review supports the use of topical fluorides in varnish, rinses and high-fluoride toothpaste to prevent dental caries in older adults, and the restoration of caries adopting the atraumatic restorative technique (ART). There was insufficient evidence regarding the effectiveness of oral health education. No studies were identified looking at the effectiveness of caries removal techniques, the resin infiltration technique, or the repair rather than replacement of restorations for older patients.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41436423","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":"Oral health after radiotherapy for head and neck cancer: two case reports","authors":"Danielle S. Dineen, Lilia Collazo, D. Maccarthy","doi":"10.58541/001c.72049","DOIUrl":"https://doi.org/10.58541/001c.72049","url":null,"abstract":"This paper reviews two cases of individuals who have had radiation treatment for head and neck cancer. The cases illustrate the importance of ongoing preventive care and support, including advice on oral hygiene, diet, fluoride use and dry mouth, to maintain oral health in this population.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71021222","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 survey of the provision of orthodontics in Ireland 2018","authors":"Emily Higgins, N. Mcguinness, L. Dobbyn","doi":"10.58541/001c.72047","DOIUrl":"https://doi.org/10.58541/001c.72047","url":null,"abstract":"Workforce planning is important in all aspects of healthcare; in orthodontics, this must take into account several issues including the need for orthodontic treatment, the number of specialist personnel available to provide treatment and the role of orthodontic auxiliaries. The aim of this study was to collect information on the orthodontic workforce in Ireland and to compare this information with previous studies (2001, 2007) in order to determine longitudinal trends in the orthodontic workforce in Ireland. The study was carried out in the form of a survey. The survey included orthodontic specialists practising in the Republic of Ireland. A list of these practitioners was obtained via the Orthodontic Society of Ireland (OSI) and the orthodontic specialist register of the Dental Council of Ireland. The study was circulated both via email and post for completion by March 31, 2018. The electronic version used SurveyMonkey software, which provides a user-friendly interface between the operator and the target population. Data was then collated using both hard copy and online survey responses. The survey showed that the number of orthodontists in Ireland has increased since 2007, with the practitioner ratio to the number of 12-year-olds remaining stable. It also highlights the increasing role for orthodontic auxiliaries, which may affect future workforce levels. Workforce planning must consider current specialist practitioner numbers, population growth and the increasing role of auxiliaries in orthodontic practice, along with the older age profile of practising orthodontists.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41417052","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":"Case report: Management of an impacted second premolar","authors":"Brian Martin, I. Polyzois, Philipos N. Synodinos","doi":"10.58541/001c.72046","DOIUrl":"https://doi.org/10.58541/001c.72046","url":null,"abstract":"Impaction of mandibular second premolar teeth may result from local factors such as abnormal positioning of the tooth bud and insufficient space in the dental arch. It can also be caused by ankylosis, early exfoliation, or prolonged retention of the primary second molars. Pathological factors such as alveolar cysts or odontomes have also been implicated. The recommended treatment for these cases varies according to case-specific clinical characteristics. This may include periodic observation, space maintenance, or surgical exposure with/without orthodontic traction or extraction. In this paper, the aetiology, diagnosis and treatment planning for mandibular second premolar impaction are reviewed. Furthermore, the treatment of one case will be presented.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49578545","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":"How important is sustainability to the dental profession in Ireland?","authors":"Mary Diffley, M. Mohamed, R. Birt, Siobhan Gardiner, Mohamad Kadhim, F. Maher, J. Quearney, Roumaissa Slami, S. Harford, B. Duane","doi":"10.58541/001c.72040","DOIUrl":"https://doi.org/10.58541/001c.72040","url":null,"abstract":"##Objectives To find out how important environmental sustainability is to the dental profession in Ireland. The extent of the dental profession’s interest in and knowledge of sustainability is unclear. ##Materials and methods A total of 735 questionnaires were distributed to dental practices and at dental conferences in Co. Dublin. The questionnaires sought information from the members of the dental team on their interest in sustainability, their understanding of it, their interest in learning more, and whether they consider sustainable energy use, travel, waste disposal, goods and services, and costs. It also sought to find out if they measure their carbon footprint and if they think sustainability should be a HSE priority. ##Results A total of 735 questionnaires were distributed. A total of 69% of the respondents stated that they are interested in sustainability, and 68% think it should be a HSE priority. However, only 31% of dental professionals consider sustainable travel and 43% consider sustainable energy use, while 58% consider sustainable waste disposal practices. Over half of the sample said they fully understand what environmental sustainability means, with 64% of people interested in learning more about it. Of the respondents, 34% think sustainable practices would decrease costs, while 20% measure their practice’s carbon footprint. ##Conclusions The dental profession in Ireland cares about environmental sustainability, but more research and policies should be introduced in Ireland to increase awareness of how sustainable practices can improve within dentistry.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42205275","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}