{"title":"Oral Ulceration - Clinical Feature","authors":"N. Rawlings, A. Willis","doi":"10.58541/001c.74191","DOIUrl":"https://doi.org/10.58541/001c.74191","url":null,"abstract":"General Dental Practitioners (GDPs) frequently encounter patients presenting with oral ulceration. Oral ulceration has a variety of aetiologies and clinical presentations, which can aid in the diagnosis and management of the condition. This article discusses the different aetiologies, classical clinical findings, and management regimes for oral ulceration. Furthermore, this article will also support GDPs to identify cases of oral ulceration that may require referral to a secondary care setting.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48763039","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":"Subgingival instrumentation for the treatment of periodontitis","authors":"Elaine Kehily","doi":"10.58541/001c.81975","DOIUrl":"https://doi.org/10.58541/001c.81975","url":null,"abstract":"Periodontal disease is the most common chronic inflammatory non-communicable disease in the human population. It is estimated that severe periodontitis affects 11% of the world’s population, with prevalence increasing with age. Subgingival instrumentation refers to all non-surgical procedures, either performed by hand (i.e., curettes) or with power-driven instruments (i.e., sonic/ultrasonic devices).","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42048452","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}
Assim Banjar, Nehal Al-Masri, Abbad Akil, A. Demyati, H. Abed
{"title":"Aggressive pyogenic granuloma mimicking a malignant lesion: Case report and review.","authors":"Assim Banjar, Nehal Al-Masri, Abbad Akil, A. Demyati, H. Abed","doi":"10.58541/001c.70263","DOIUrl":"https://doi.org/10.58541/001c.70263","url":null,"abstract":"A pyogenic granuloma is a reactive hyperplastic inflammatory lesion that arises as a result of various stimuli such as low-grade local irritation, trauma, hormones, and certain medications. In the oral cavity, it is a relatively common gingival soft tissue lesion, which originates as an expansile growth of the mucous membrane. It could exhibit aggressive behaviour mimicking that of malignant lesions with different presentations. This article aims to present the case of a patient who attended the dental clinic while complaining about a large and rapidly growing intraoral mass with aggressive behaviour, which had manifested as a fast-growing lesion causing rapid expansion of the buccal and palatal bone, bleeding, and alveolar bone destruction associated with mobile teeth. The article also aims to compare this case with current reported cases of aggressive pyogenic granuloma in the literature.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43465869","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":"Periodontal Disease in the Older Patient","authors":"A. Roberts, M. Milward","doi":"10.58541/001c.74870","DOIUrl":"https://doi.org/10.58541/001c.74870","url":null,"abstract":"This clinical feature describes the key elements of periodontal disease in the older patient with a clinical case to illustrate many of these features.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45998645","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":"Glass ionomer fissure sealants","authors":"N. Lemasney, S. Lucey","doi":"10.58541/001c.81976","DOIUrl":"https://doi.org/10.58541/001c.81976","url":null,"abstract":"Glass ionomer (GI) sealants can be utilised when a resin-based sealant is indicated but cannot be placed due to poor moisture control, resulting from either inadequate tooth eruption or poor patient co-operation. GI is hydrophilic, making it more compatible with the oral environment. Another significant advantage of GI sealants is their action as a fluoride reservoir, aiding in the remineralisation of enamel.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48861485","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 and oral health-related quality of life in a homeless population in Ireland: a pilot study","authors":"Shane O'Dowling Keane, G. Quilligan, M. Harding","doi":"10.58541/001c.68192","DOIUrl":"https://doi.org/10.58541/001c.68192","url":null,"abstract":"##Background Smile agus Sláinte – the National Oral Health Policy (2019), aims to reduce oral health inequalities by enabling vulnerable groups, including the homeless, to access oral healthcare. However, there is sparse evidence regarding the oral health of people experiencing homelessness. This study aims to assess the oral health and oral health-related impact on quality of life among homeless adults for the first time in an Irish population. ##Methods A pilot cross-sectional epidemiological study of homeless adults in Cork City, Ireland, including clinical examination and interviewer-administered questionnaire and OHIP-14 survey, was conducted. A convenience sample was recruited in collaboration with homeless service providers. ##Results The sample consisted of 25 participants. The mean D3vcMFT of the participants was 19.4 (SD ± 7.1). The D3vcT% was 41.8%. Participants had poor oral hygiene, and 70.8% had periodontal pocketing of 4mm or more. Some 79% of participants had experienced dental trauma. Participants’ most commonly reported oral health-related impacts on quality of life were feeling embarrassed (60%), feeling uncomfortable to eat (56%), feeling self-conscious (48%), and painful aching (48%). Conclusions ##Homeless adults in Ireland experience extreme oral health inequalities. To achieve the goals of Smile agus Sláinte, a foundation of high-quality epidemiological evidence is required. Further research will require extensive collaboration with homeless service providers and the wider health profession, and should seek to inform the design of oral healthcare services for homeless adults.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49413431","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 sagittal split osteotomy approach for removal of a large cementoblastoma at the mandibular angle","authors":"Mark A. Cotter, Zeeshan Khattak, C. Cotter","doi":"10.58541/001c.67924","DOIUrl":"https://doi.org/10.58541/001c.67924","url":null,"abstract":"Benign lesions at the angle of mandible are frequently removed by a conventional intra oral approach to gain access and achieve complete visualisation. This method is quick and effective when dealing with small benign lesions that are superficially located at the angle of mandible. The removal of large and deeply located lesions with a conventional intra oral approach however, bring about a unique set of challenges particularly when the third molar is displaced towards the inferior border of mandible including lack of complete visualisation of the lesion, difficulty in identification and protection of the inferior alveolar nerve and necessitating removal of a considerable amount of osseous structure thus increasing the risk of a mandibular fracture. Alternative techniques for such lesions include an extra oral approach but one which could potentially create a cosmetic defect from cutaneous scarring and can result in facial nerve injury. This case report describes the use of a unilateral sagittal split osteotomy (SSO) in the removal of a mandibular cementoblastoma. This is a safe and effective technique allowing optimal access to the tumor with complete visualisation, identification and protection of the inferior alveolar nerve with minimal bone removal while maintaining mandibular integrity, strength and facial aesthetics.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43711854","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 LYMPHOMA: A REPORT OF TWO CONTRASTING CASES","authors":"Sindhuja Meda, E. Houlston, J. Gallagher","doi":"10.58541/001c.67926","DOIUrl":"https://doi.org/10.58541/001c.67926","url":null,"abstract":"##Introduction: Non-Hodgkin’s lymphoma (NHL) is a broad term for malignancies of the lymphoreticular system. NHL of the oral cavity is relatively rare and can manifest in a variety of ways, which can make initial diagnosis difficult. ##Objectives: We discuss two contrasting cases of patients who initially presented with oral lesions to highlight the heterogeneity of lymphoma in the oral cavity and the importance of a thorough history and examination. ##Methods: Case note review was undertaken for Case 1 and Case 2. ##Results: Case 1 involves a 56-year-old male who was referred from his general practitioner to the oral and maxillofacial surgery (OMFS) emergency clinic with a three-week history of painful, intra-oral, ulcerated swellings in all four quadrants. He had recently developed fever, drenching night sweats and unexplained weight loss. The patient was admitted under OMFS until biopsy confirmed NK-T cell NHL. Case 2 involves a 68-year-old male who was urgently referred by his dentist, who had noticed a red patch on the left hard/soft palate junction at routine check-up. On examination, there was a 15mm erythematous, fixed submucosal lump on the left hard/soft palate junction. He was otherwise asymptomatic. Biopsy confirmed follicular B-cell NHL. Both patients were referred to haematology for ongoing care. ##Conclusions: For intra-oral lesions, lymphoma should be considered as a differential diagnosis until ruled out by biopsy. Biopsies should be performed promptly in order to prevent delays in treatment. A thorough history may help to identify the presence of ‘B symptoms’.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47441302","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":"Smartphone and mobile technology use among the dental profession","authors":"Bernadette John, C. McCreary, A. Roberts","doi":"10.58541/001c.67927","DOIUrl":"https://doi.org/10.58541/001c.67927","url":null,"abstract":"##Statement of the problem: Smartphone technologies have changed the landscape of digital communication across society. The Covid-19 pandemic has accelerated the adoption of and requirement for technical solutions to facilitate remote clinical communications. Despite the benefits of smartphones in a clinical communication context, there are risks associated with their use. ##Purpose of the study: The primary purpose of this study was to determine the extent of smartphone use among dental professionals in the Republic of Ireland (ROI). In addition, we sought to determine the perception and knowledge of potential pitfalls, risks, and limitations of these technologies among the same population. A smaller cohort of UK dental professionals was surveyed for comparison. ##Materials and methods: An online quantitative survey was distributed to evaluate dental professionals’ knowledge and understanding of the risks and limitations of smartphone and mobile technology, providing general understanding of the current use of smartphone technology in healthcare in the ROI and the UK. ##Results: A total of 123 responses were received from dental professionals in the ROI (UK: n=77). The majority of dental professionals confirmed that they were aware of the risks associated with smartphone use and perceived that they were adequately skilled in digital professionalism. However, concerning practice regarding the communication of sensitive patient data was identified, with the potential for these data to be stored on insecure devices and cloud servers. Many ROI and UK dental professionals confirmed that they would need support to remove patient-identifying data when trading in their device. ##Conclusions: App, smartphone and mobile device ownership among dental professionals for clinical communications is widespread in the ROI (and UK), with respondents using their devices to send images (photos and radiographs) to one another. However, the risks of such activities are only partly acknowledged, with many having a lack of insight into data security.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44619776","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 Qualitative Study of Senior Academics’ Perceptions of Undergraduate Prosthodontics Teaching and Assessment Methods","authors":"Khaleel Al Khalaf, C. Lynch, C. da Mata","doi":"10.58541/001c.67780","DOIUrl":"https://doi.org/10.58541/001c.67780","url":null,"abstract":"Introduction: Divergence in undergraduate teaching methods in prosthodontics is widely reported, and this could impact on graduate dentists’ competence and affect patient safety. Objectives: To explore the perspectives held by senior dental academics worldwide regarding the undergraduate prosthodontics curriculum, teaching and assessment methods, and teaching staff profile. Materials and methods: Twelve senior dental academics from seven countries participated in semi-structured interviews exploring their perspectives and opinions of the undergraduate prosthodontics curriculum, and current and best teaching and assessment methods. Interviews were undertaken virtually, video-recorded and auto-transcribed. Semantic thematic analysis was used for data analysis. Results: Academic professors, consultants and specialists were considered the most suitable staff members to supervise students during preclinical hands-on sessions due to their experience level. Additionally, participants mentioned the availability of suitable patients for treatment, dental schools’ curricula, and the level of students’ skills as factors influencing the start of clinical sessions in fixed prosthodontics. The course contents and the extent of teaching on dental implants were different between schools. Tailoring the curriculum according to what is expected from the graduating dentists and allowing students to observe dental implant cases before dealing with simple cases were suggestions made by the participants, to include an implant course at undergraduate level. Conclusions: Despite some differences in opinions and current practices in different institutions, barriers to the implementation of an ideal curriculum seemed to be similar in the different institutions. This study provided deeper understanding of the current divergence in prosthodontics teaching, which would allow for future improvement in the dental curriculum.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44841384","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}