Journal of the Irish Dental Association最新文献_第2页

How to maximize dental attendance among older patients 如何最大限度地提高老年患者的牙科就诊率

Journal of the Irish Dental Association Pub Date : 2024-02-14 DOI: 10.58541/001c.94040

Leonardo Marchini, R. Ettinger

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How to maximize dental attendance among older patients 如何最大限度地提高老年患者的牙科就诊率

Journal of the Irish Dental Association Pub Date : 2024-02-14 DOI: 10.58541/001c.94040

Leonardo Marchini, R. Ettinger

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Oral leukoplakia: an update for dental practitioners 口腔白斑病：为牙科医生提供的最新信息

Journal of the Irish Dental Association Pub Date : 2024-02-09 DOI: 10.58541/001c.93880

Dr Brian Maloney, Dr. Sheila Galvin, Professor Claire Healy

{"title":"Oral leukoplakia: an update for dental practitioners","authors":"Dr Brian Maloney, Dr. Sheila Galvin, Professor Claire Healy","doi":"10.58541/001c.93880","DOIUrl":"https://doi.org/10.58541/001c.93880","url":null,"abstract":"Oral leukoplakia (OLK) is a common mucosal pathology frequently encountered in general dental practice which belongs to a group of conditions known as oral potentially malignant disorders (OPMDs). This inferred risk of progression to oral squamous cell carcinoma warrants an understanding of the etiology of this condition, its clinical presentation, and how patients diagnosed with OLK are managed in both general and specialist care practices. To update the dental practitioner on the current understanding concerning the diagnosis and management of OLK. A search strategy was conducted in the MEDLINE Ovid and Embasse databases and the Cochrane Library. No time limit was applied. The search results were limited to those in the English language. The etiology for oral white patches can range considerably from innocuous frictional keratosis to oral squamous cell carcinoma. A thorough history and clinical examination should precede referrals to secondary care, with the elimination of risk factors a priority. In cases where white patches are suspicious or remain despite managing known risk factors, prompt referral to a specialist centre is warranted. Despite the extent of research in this field, controversy remains in OLK management and there is currently no agreed international consensus on the management of OLK from governing bodies. Therefore, management is primarily governed by local contemporaneous guidelines, and management is based on the most reliable predictor of malignant transformation: the grade of dysplasia. Despite various treatments, OLK may still undergo transformation to malignancy. General dental practitioners (GDPs) are the health care practitioners best placed to detect OLK on a daily basis, given the volume of patients encountered from various backgrounds. An understanding of the causes and presentation of OLK will allow GDPs to recognise this entity in practice, and facilitate further management and treatment in a bid to prevent transformation.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"63 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140459774","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

Patients’ knowledge and perceptions of interproximal reduction as part of orthodontic treatment in a publicly-funded orthodontic service in the Republic of Ireland 在爱尔兰共和国由政府资助的正畸服务机构中，患者对作为正畸治疗一部分的近端间缩小术的了解和看法

Journal of the Irish Dental Association Pub Date : 2024-01-24 DOI: 10.58541/001c.92529

Joey Donovan, Declan T Millett, Mairead Harding

{"title":"Patients’ knowledge and perceptions of interproximal reduction as part of orthodontic treatment in a publicly-funded orthodontic service in the Republic of Ireland","authors":"Joey Donovan, Declan T Millett, Mairead Harding","doi":"10.58541/001c.92529","DOIUrl":"https://doi.org/10.58541/001c.92529","url":null,"abstract":"Extractions for orthodontic reasons are on the decline and interproximal reduction (IPR) has become a popular alternative. No survey has been undertaken to identify patients’ perceptions regarding IPR. To determine patients’ knowledge and perceptions of having IPR as part of orthodontic treatment. A questionnaire was administered to patients receiving orthodontic treatment with IPR in a publicly funded orthodontic service. Information was collected on demographics, knowledge and perceptions of IPR. Thirty patients completed the questionnaire. Only 17% were aware of IPR before treatment, but all clearly understood its rationale after explanation. Most (93%) “did not mind” IPR being undertaken, 37% considered it “uncomfortable” and 13% “painful”. All perceived IPR as preferable to extraction. Compared to extraction, IPR was most commonly perceived as less painful, faster, and allowing retention of natural teeth. When asked what patients would tell a friend or family member about IPR, a small number would mention advantages over extraction, speed of the procedure and benefits for treatment. Most would provide reassurance as to the lack of pain and discomfort. Although initially unfamiliar with IPR, patients found it easy to understand on explanation and considered it uncomfortable rather than painful. Minimal negative feedback was received and IPR was perceived as preferable to extraction.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"27 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140497438","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

Sustainability and General Dental Practice: An Overview. 可持续性与普通牙科实践：概述。

Journal of the Irish Dental Association Pub Date : 2024-01-22 DOI: 10.58541/001c.92458

Rhian Fitzgerald, Declan Millett

引用次数: 0

Coronectomy? A case report following coronectomy of a ‘high-risk’ mandibular third molar 冠状切除术？高风险 "下颌第三磨牙冠状切除术后的病例报告

Journal of the Irish Dental Association Pub Date : 2023-12-14 DOI: 10.58541/001c.89984

Joshua Cheng

{"title":"Coronectomy? A case report following coronectomy of a ‘high-risk’ mandibular third molar","authors":"Joshua Cheng","doi":"10.58541/001c.89984","DOIUrl":"https://doi.org/10.58541/001c.89984","url":null,"abstract":"The surgical removal of mandibular third molar (M3M) is a common procedure performed by oral and maxillofacial surgeons, oral surgeons, and general dental practitioners. Apart from risks such as pain, swelling, bruising, bleeding, trismus, alveolar osteitis, post-op infection, and damage to adjacent structures which are common to all surgical extractions, M3M removal includes the risk of permanent or temporary damage to the inferior alveolar nerve (IAN) or the lingual nerve. IAN damage can significantly impact the quality of life due to altered sensation of the lip and chin area. As such, the alternative surgical option of coronectomy, which is the sectioning of the crown from the tooth and deliberate retention of the roots, can be offered to high-risk cases to avoid IAN damage. 36-year-old female was diagnosed with recurrent pericoronitis of her left M3M. Her left M3M was partially erupted and horizontally impacted with bulbous roots that were in close proximity to the IAN. Due to a higher risk of IAN damage, she underwent a coronectomy procedure of her left M3M instead of a complete removal. She experienced typical post-operative pain and swelling but no other complications such as altered nerve sensation were reported. The surgical site was healed with full mucosal coverage after 12 weeks. Coronectomy provides a viable alternative surgical option to removal for mandibular third molars that are at high risk of IAN damage. This is due to the significant reduction of risk of IAN damage and low incidence of failure.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"89 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138971353","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

Silver Diamine Fluoride: Clinical Tips 二氨基氟化银：临床小贴士

Journal of the Irish Dental Association Pub Date : 2023-12-04 DOI: 10.58541/001c.90867

L. Timms

引用次数: 0

Silver Diamine Fluoride for treatment of caries in the primary dentition 用于治疗基牙龋齿的二胺氟化银

Journal of the Irish Dental Association Pub Date : 2023-11-16 DOI: 10.58541/001c.90193

R. Leith, I. Olegário

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Pulp Diagnosis: Current guidelines, shortcomings, and future developments 牙髓诊断:目前的指南，缺点和未来的发展

Journal of the Irish Dental Association Pub Date : 2023-11-10 DOI: 10.58541/001c.90027

Dr Brian Maloney, Dr Greg Creavin, Professor Henry Fergus Duncan

{"title":"Pulp Diagnosis: Current guidelines, shortcomings, and future developments","authors":"Dr Brian Maloney, Dr Greg Creavin, Professor Henry Fergus Duncan","doi":"10.58541/001c.90027","DOIUrl":"https://doi.org/10.58541/001c.90027","url":null,"abstract":"Statement of the problem: Accurate diagnosis of the inflammatory condition of the dental pulp is at the core of endodontics and is essential in selecting the most appropriate treatment option. Available pulpal sensibility tests are useful adjuncts in the formulation of a pulpal diagnosis. However, these tests are associated with a degree of uncertainty and have known limitations. Purpose of the review: The aim of this review manuscript is to analyse current diagnostic systems, discuss their use and limitations as well as highlight future areas of development. Methods: A search strategy was conducted in the MEDLINE Ovid and Embasse databases and the Cochrane Library. No time limit was applied. The search results were limited to those in the English language. Discussion: Sensibility tests, including thermal and electrical stimuli, measure the condition of the neurovascular supply of the tooth, thus providing only a proxy measure of the health of the pulp. In comparison, vitality tests, including pulse oximetry and laser Doppler flow provide a more objective and quantitative measure of the condition of the pulp. However, these latter tools are not accessible clinically. Sensibility testing remains our current gold standard of providing information relating to the health of the pulp and combined with history, examination, and radiographic tests, allows the formulation of a diagnosis to guide treatment. Future trends promise more objective measures of the state of the dental pulp, but further, evidence-based research and non-cost-limiting equipment need to be produced. Conclusions: There is currently no pulpal diagnostic test that is ideal. Despite the limitations outlined, these tools remain essential in the endo diagnostic arsenal. Understanding the accuracy and limitations of current gold standard pulp tests will aid practitioners in accurately diagnosing the degree of pulpitis, thereby facilitating the selection of the most appropriate and effective treatment for dental pulp.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"116 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135137452","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}

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HIV infection-related stigma and oral lesions: an update and new perspectives HIV感染相关的病耻感和口腔病变:一个更新和新的观点

Journal of the Irish Dental Association Pub Date : 2023-11-10 DOI: 10.58541/001c.90015

Ricardo Alves Mesquita, Mariela Dutra Gontijo de Moura, Fernanda Vieira Heimlich, Juliana Diogo de Almeida Sampaio, Lucas Guimarães Abreu, José Alcides Almeida de Arruda

引用次数: 0