Journal of the Irish Dental Association最新文献_第6页

Diagnostic Pathway of Head & Neck Cancer Patients in Ireland: Audit of patterns of first attendance 1983-2019. 爱尔兰癌症头颈部患者的诊断途径：1983-2019年首次就诊模式的审计。

Journal of the Irish Dental Association Pub Date : 2022-06-01 DOI: 10.58541/001c.67919

E. O'Sullivan, D. Maccarthy

{"title":"Diagnostic Pathway of Head & Neck Cancer Patients in Ireland: Audit of patterns of first attendance 1983-2019.","authors":"E. O'Sullivan, D. Maccarthy","doi":"10.58541/001c.67919","DOIUrl":"https://doi.org/10.58541/001c.67919","url":null,"abstract":"##Objectives: This audit explores patterns of HNC patient presentation in primary care in Ireland over four decades and reflects on the possible impact of a 10-year national HNC awareness campaign. ##Materials and Methods: Trends in patient presentation and diagnosis are presented for 920 HNC patients across three time periods: 1983-1990, 2010 and 2018-2019. Descriptive analysis was undertaken using SPSS-v27 on basic demographic details, tumour-related details and primary care referral patterns. ##Results: Patients were generally male (71%), aged 54+ (71%), and 84% were diagnosed with squamous cell carcinoma (SCC). Larynx, tongue and tonsil were the most common sub-sites. General Medical Practitioners (GPs) were the first healthcare contact for 75% cases, with only13% referred by General Dental Practitioners (GDPs). This pattern remained consistent across four decades. GDP role was higher for tongue, floor of mouth and intra-oral tumours (30-47%), with some increase seen in recent years. While symptomology varied by site, symptom burden remained high across the decades with 99.9% exhibiting 1+ NICE ‘red flag signs’ of HNC, suggesting considerable diagnostic delay, despite a 10-year national campaign to raise public and professional awareness. ##Conclusions: This audit highlights the role of GPs in HNC diagnosis, but reveals sub-optimal use of the dental pathway. The high symptom burden reported suggests considerable diagnostic delay. Increased and sustained efforts are required to raise public and professional awareness, encourage regular dental attendance, upskill HCP in opportunistic screening and ensure appropriate responses to symptomatic patients.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47412160","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

A review of the Oral Cancer Referral Pathway System in the Dublin Dental University Hospital 都柏林牙科大学医院口腔癌转诊途径系统综述

Journal of the Irish Dental Association Pub Date : 2022-06-01 DOI: 10.58541/001c.67918

Joshua Cheng, F. Maher, D. Pierse

{"title":"A review of the Oral Cancer Referral Pathway System in the Dublin Dental University Hospital","authors":"Joshua Cheng, F. Maher, D. Pierse","doi":"10.58541/001c.67918","DOIUrl":"https://doi.org/10.58541/001c.67918","url":null,"abstract":"##Introduction: The incidence of oral and oropharyngeal cancer in Ireland is increasing with approximately 503 cases diagnosed annually. A delay in diagnosis for oral cancer leads to advancement in tumour staging which increases the risk of mortality by up to 2-fold. Early detection contributes to the reduction of morbidity and improvement of survival rates. ##Aim: This review aims to assess the sources of referral and evaluate the efficiency of DDUH’s oral cancer referral pathway system. ##Methods: A retrospective search was carried out through the hospital’s electronic dental records (EDR) of patients from 1st of January to 31st of December 2019. Patients who received a histological diagnosis of oral cancer from biopsies carried out were identified and their EDR accessed. ##Results: In 2019, there were 65 confirmed diagnoses of oral cancer in the Dublin Dental University Hospital (DDUH) of which majority (89%) of the cases were assessed within 2 weeks. A large proportion (89%) received the diagnosis within a month from the referral date. The primary cause of delay in the clinical pathway is the delay in patients presenting to primary care. Only 50% of patients with symptoms synonymous with oral cancer presented to primary care within 4 weeks. ##Conclusion: The ‘open door’ policy adopted by the DDUH is beneficial in terms of direct access, reducing waiting time and allows for early detection of oral cancer which helps reduce morbidities and improve the overall survival rates of oral cancer cases.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48654007","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

Efficient and effective use of the electronic apex locator 高效和有效地使用电子顶点定位器

Journal of the Irish Dental Association Pub Date : 2022-04-29 DOI: 10.58541/001c.82023

G. Quilligan

引用次数: 0

Management of Fluorosis using Resin Infiltration Technique 树脂浸润法治疗氟中毒

Journal of the Irish Dental Association Pub Date : 2022-04-01 DOI: 10.58541/001c.67916

Fahad Khan, Saman Ashfaque

引用次数: 0

Oral care principles for older adults: Part 2 老年人口腔护理原则:第2部分

Journal of the Irish Dental Association Pub Date : 2022-04-01 DOI: 10.58541/001c.71288

F. Allen

引用次数: 1

Unmasking the impact of facemasks on healthcare professionals and patients during the COVID-19 pandemic 揭示COVID-19大流行期间口罩对医护人员和患者的影响

Journal of the Irish Dental Association Pub Date : 2022-04-01 DOI: 10.58541/001c.67917

Parnyan Ashtari, M. Ormond, B. Carey

{"title":"Unmasking the impact of facemasks on healthcare professionals and patients during the COVID-19 pandemic","authors":"Parnyan Ashtari, M. Ormond, B. Carey","doi":"10.58541/001c.67917","DOIUrl":"https://doi.org/10.58541/001c.67917","url":null,"abstract":"The foundations of patient interactions are heavily dependent on facial expression, tone and inflection that help communicate treatment plans, obtain consent and break bad news. The expansion in use of face masks during the COVID-19 pandemic may adversely affect the quality of patient-clinician interaction and service provision. ##OBJECTIVES: To assess the impact of face masks on the experience of dental staff and patients at Guy’s and St Thomas’ NHS Foundation Trust. ##METHODS: A survey was developed using a combination of validated psychometric and demographic questions. The survey was administered to 166 dental staff and 57 patients. Data was electronically analysed. Qualitative data was thematically analysed. ##RESULTS: Themes identified included: clinical; physical effects; psychological; pre-existing communication difficulties; communication barriers; and accessibility to dental services. Sixty-three percent (32/57) of patients noted that PPE affected their communication and interaction. Over 70% (119/164) of dental staff reported repetition during consultations. ##CONCLUSION: This study highlights the positive and adverse physical and psychological impacts of facemasks on healthcare professionals and patients. Alternative solutions to mitigate the negative impact of face masks on communication include the use of virtual and visual aids. Furthermore, the implementation of wellbeing and support resources can aid in the challenges presented to healthcare teams.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45086541","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

Quick chairside interventions to improve oral hygiene for dependent adults 改善依赖性成年人口腔卫生的快速椅旁干预措施

Journal of the Irish Dental Association Pub Date : 2022-03-01 DOI: 10.58541/001c.68193

C. Mac Giolla Phadraig, Ceara Cleary, C. Waldron

引用次数: 1

Prosthetic rehabilitation of unilateral congenital microtia with implant-retained auricular prosthesis - a case report 种植体保留耳廓修复单侧先天性小耳畸形1例

Journal of the Irish Dental Association Pub Date : 2022-02-01 DOI: 10.58541/001c.67773

D. Mulcare

引用次数: 0

Perceptions of general dental practitioners in Northern Ireland on the clinical management of patients taking direct oral anticoagulants 北爱尔兰全科牙科医生对直接口服抗凝血剂患者临床管理的看法

Journal of the Irish Dental Association Pub Date : 2021-12-01 DOI: 10.58541/001c.71444

Niamh Kelly, S. Hill, D. O’Carolan, Aoife Nic Íomhair, G. McKenna, Gerry Cleary, K. Burnett

{"title":"Perceptions of general dental practitioners in Northern Ireland on the clinical management of patients taking direct oral anticoagulants","authors":"Niamh Kelly, S. Hill, D. O’Carolan, Aoife Nic Íomhair, G. McKenna, Gerry Cleary, K. Burnett","doi":"10.58541/001c.71444","DOIUrl":"https://doi.org/10.58541/001c.71444","url":null,"abstract":"##Statement of the problem Despite guidance advocating the management of patients taking direct oral anticoagulants (DOACs) in primary dental care settings, evidence from clinical audit in Northern Ireland suggested that a high proportion of patients were being referred to secondary and tertiary care settings for dental procedures with a bleeding risk. ##Purpose of the study The aim of this study was to evaluate the perceptions of general dental practitioners (GDPs) working in the health service in Northern Ireland on the clinical management of patients taking DOACs in primary dental care. ##Materials and methods: A questionnaire was distributed to the 1,167 registered GDPs in Northern Ireland, assessing perceptions of the clinical management of DOAC patients in primary dental care. The data obtained was analysed using SPSS statistical software. Qualitative data underwent thematic analysis. ##Results A total of 344 questionnaires were analysed. Some 83% (285) of responding GDPs were aware of the Scottish Dental Clinical Effectiveness Programme (SDCEP) guidance. Some 98% (337) believed that patients taking DOAC medication could potentially be managed in primary care but that additional training was required. Some 80% (275) of GDPs had referred patients to secondary care. Procedures presenting a low risk of postoperative bleeding complications accounted for 12% (41) of referrals. ##Conclusions A lack of GDP confidence and experience in the management of DOAC patients are motivating factors in referral to secondary care settings for treatment. Some 12% of the referrals analysed were potentially inappropriate, given the low risk of associated postoperative bleeding complications. Additional training and support for GDPs, as well as enhanced awareness of the SDCEP guidance, is essential.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112791","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: 1

Oral care for people with cystic fibrosis requiring a solid organ transplant 需要实体器官移植的囊性纤维化患者的口腔护理

Journal of the Irish Dental Association Pub Date : 2021-12-01 DOI: 10.58541/001c.72305

F. O’Leary, N. Coffey, F. Burke, M. Hayes

引用次数: 0