{"title":"Persistent post-surgical orofacial pain","authors":"D. Canavan, Philip Hardy, M. O'Sullivan, G. Clark","doi":"10.58541/001c.71458","DOIUrl":"https://doi.org/10.58541/001c.71458","url":null,"abstract":"Delivery of pain-free dental treatment is the ultimate goal for clinicians, and the hoped-for result by patients. Thanks to the optimised use of local anaesthesia and high standards of clinical training, this goal is frequently achieved. Research also tells us that the incidence of persistent pain following dental procedures, while relatively low, is not zero. Given the number of procedures we perform as dentists, the number of patients affected with post-treatment pain is still substantial. Moreover, persistent pain is not exclusive to dentistry, but is a risk for all surgical interventions. When this pain lasts over six months it has been labelled persistent or chronic post-surgical pain (CPSP), and as expected it has a detrimental effect on the patient’s quality of life. While all persistent pain is vexing, it is especially true for persistent orofacial pain. It creates increased levels of stress, anxiety and confusion for the patient, which in turn may place a strain on the dentist-patient relationship. On occasions, patient dissatisfaction may even result in medicolegal litigation. This article describes some of the common clinical scenarios associated with chronic pain after dental procedures. Known risk factors are also discussed and recommendations are made so that clinicians might identify those at risk prior to an invasive procedure, and then possibly prevent post-surgical pain.","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":"43114059","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":"Necrotising periodontal diseases","authors":"E. Donohoe, Jamshaid Butt, Peter Harrison","doi":"10.58541/001c.72299","DOIUrl":"https://doi.org/10.58541/001c.72299","url":null,"abstract":"Necrotising periodontal diseases (NPDs) are a group of infectious diseases that include necrotising gingivitis (NG), necrotising periodontitis (NP) and necrotising stomatitis (NS). These three clinical presentations may represent different stages of a continuum of the same disease process, with shared aetiological factors, and broadly similar initial clinical features and treatments. The term ‘ulcerative’ is no longer used in classification as ulceration is considered secondary to the gingival necrosis present. NP may result in destruction of periodontal ligament and supporting bone, while in NS, destruction progresses to deeper tissues such as the lip, cheeks and tongue. These presentations are more frequently seen in patients with HIV/AIDS or other systemic/immune compromise and, in developing countries, among those with severe malnourishment, respectively. In an Irish context, NG will represent the most common clinical form seen in general dental practice and may present as an acute condition requiring urgent management. Consequently, the current review will focus on NG. Table 1 provides an overview of the key aspects of NG.","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":"47656665","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":"Coming home.","authors":"Joe Kenneally, P. O'Grady","doi":"10.2307/j.ctt17mcs6h.13","DOIUrl":"https://doi.org/10.2307/j.ctt17mcs6h.13","url":null,"abstract":"In this autoethnography, I find a series of pathways homeward, skirting the minefields of a painful, violent, traumatic past. I write my way home, from the tragic to the comic, by means of story-crafting my past traumas and losses into present laughter.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"61 2 1","pages":"64-5"},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45904092","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 scoping review of the use of motivational interviewing in oral healthcare settings","authors":"Rebekah Brennan, R. O’Driscoll","doi":"10.58541/001c.71443","DOIUrl":"https://doi.org/10.58541/001c.71443","url":null,"abstract":"##Statement of the problem Recently, attention has been given to the use of motivational interviewing (MI), a therapeutic approach that helps people to change, in the oral healthcare setting. MI can be used to evoke positive change in oral health practices using a patient-centred approach that supports dental practitioner-patient relationship building. This can include a broad focus on oral hygiene, nutrition and lifestyle behaviours, or can be specific to elements of oral healthcare such as periodontal treatment. However, the research literature on the efficacy of MI in this context is sparse. ##Purpose of the study The purpose of this study is to collate what is currently known on the use of MI in the oral healthcare setting. ##Materials and methods This comprehensive scoping review collated 50 published articles on this topic. Articles were scrutinised and analysed using thematic analysis. ##Results Findings indicate that there is a heterogeneous literature base on the use of MI in the oral healthcare setting of varying quality. However, evidence is building for positive outcomes where MI training has contributed to increased confidence, professionalism and relationship building in oral healthcare practitioners, and improved oral healthcare outcomes in patients across a range of oral health issues and oral healthcare prevention. Conclusion: Further research is recommended into what constitutes optimal MI training delivery to ensure best practice and outcomes for patients and professionals.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48911115","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 necrotic orofacial lesion presenting in an immunocompromised patient in the UK: case review with features of noma","authors":"Gagandip Singh Dhanjal, K. Mizen, J. Philip","doi":"10.58541/001c.71441","DOIUrl":"https://doi.org/10.58541/001c.71441","url":null,"abstract":"Noma is a gangrenous and destructive orofacial disease. It comes from the Greek word nomein, meaning ‘to devour’. Caused by a rapidly spreading opportunistic infection, noma has a strong affiliation to extreme poverty and is infamously known as the ‘face of poverty’. It is predominantly endemic to children between the ages of two and six who are malnourished, and is incited by disease. However, there is rare precedent of this disease emerging in adulthood in more economically developed countries, with noma-like lesions in the UK doubling since 2015. We report on a 90-year-old patient who initially presented to their general medical practitioner for a necrotic lip ulcer, which was originally thought to be a cold sore. The patient was later admitted to hospital due to reduced mobility and severe anaemia, with underlying features of sepsis, malnutrition, immunosuppression, oral necrosis and progressive ulceration over three weeks. Immediate treatment began following admission, including intravenous antibiotics, oral care and nutritional supplementation, before a definitive clinical diagnosis of noma was made after a biopsy, which ruled out malignancy. The rapid treatment response, albeit before a diagnosis was confirmed, allowed for the disease process to halt. This atypical presentation in a UK hospital highlights the need for periodic review of such lesions, so that current knowledge of their presentation and management is maintained.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43053312","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 care for patients with cystic fibrosis","authors":"F. O’Leary, N. Coffey, M. Hayes, F. Burke","doi":"10.58541/001c.72302","DOIUrl":"https://doi.org/10.58541/001c.72302","url":null,"abstract":"##Aim To outline the systemic manifestations and pharmacological management of cystic fibrosis. Oral manifestations and considerations for the provision of dental care are also addressed. ##Methods A literature search was conducted to identify medical and dental manifestations of cystic fibrosis. These findings were then used to provide recommendations regarding the provision of dental care for people with cystic fibrosis. ##Results Cystic fibrosis is a multiorgan condition. There are no known disease-specific contraindications for the provision of dental treatment. However, dentists can implement protocols to facilitate and encourage regular dental attendance. ##Conclusion Further research should be conducted to assess the oral health of people with cystic fibrosis, notably caries and periodontal status, so that, if necessary, appropriate care strategies and guidelines can be developed.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45892689","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":"Prescription of antibiotics for the prevention of failures and postoperative infections in oral implantology: a literature review","authors":"Mohamed El Azrak, I. Polyzois","doi":"10.58541/001c.71314","DOIUrl":"https://doi.org/10.58541/001c.71314","url":null,"abstract":"The increased success and survival of dental implants reported in the literature has led them to become increasingly popular. Albrektsson estimated that more than 12 million implants are placed annually around the globe.1 A recent systematic review reported a mean survival value of 94.6% and success rates ranging from 34.9-100% over a mean follow-up period of 13 years.2 Antibiotics are a type of antimicrobial agent that kill or slow the growth of bacteria, and they are prescribed by health professionals to treat and prevent infections. Surgical antibiotic prophylaxis can be defined as “the use of antibiotics to prevent infections at the surgical site”.3 There are currently no clear guidelines on antibiotic prophylaxis for implant surgery and antibiotic prophylaxis remains a controversial topic.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41351802","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 complications and dental management of childhood cancer: how does the dentist support integrated care?","authors":"A. Cant, N. Bhujel","doi":"10.58541/001c.71315","DOIUrl":"https://doi.org/10.58541/001c.71315","url":null,"abstract":"Childhood cancer is one of the leading causes of childhood mortality. Cancer treatment carries significant orofacial morbidity. ##Objective The reader should understand the acute and long-term implications of cancer treatment on oral health. ##Background Cancer treatment can cause acute and long-term oral complications. Many of these complications are irreversible and dental effects can be seen into the permanent dentition. The severity of dental complications is dependent on the child’s age and stage of dental development at the time of cancer treatment, as well as the type and duration of cancer treatment. ##Conclusion Dental care for children with cancer is important. All dentists must have an awareness of the oral complications of oncology treatment and should be ready to provide appropriate care, including enhanced preventive care, for these patients.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48276706","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 and peri-oral piercings: impact on the gingival tissues","authors":"Apryl O Halloran, D. Maccarthy","doi":"10.58541/001c.71284","DOIUrl":"https://doi.org/10.58541/001c.71284","url":null,"abstract":"##Introduction Oral and peri-oral piercings have increased in popularity in recent years. As a result, general dental practitioners are more frequently seeing the destructive effects within the oral cavity. In this paper we will discuss two cases of gingival injury as a result of lip and tongue piercings, and their management. ##Discussion The purpose of this paper is to highlight the potential negative effects of oral and peri-oral piercings, and the possible treatment options available, so that the dental team can discuss these with patients. ##Conclusion These cases highlight the destructive effect of oral and peri-oral piercings on the gingival tissues, while demonstrating a treatment option to deal with gingival recession.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46593250","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":"Periodontitis: all change please? Introduction to the new S3-level treatment guidelines","authors":"Peter Harrison, A. Roberts, L. Winning","doi":"10.58541/001c.72298","DOIUrl":"https://doi.org/10.58541/001c.72298","url":null,"abstract":"In 2020, the European Federation of Periodontology published an S3-level clinical practice guideline for the management of Stage I-III periodontitis. This guideline discusses four steps of periodontal therapy and provides 62 individual recommendations for prevention and management of disease. Supporting information about the strength of recommendation and level of consensus for each recommendation is also provided. The S3 guideline represents a major milestone in the specialty, and is likely to play a major role in enhancing and standardising the approach to periodontal care among educators and clinicians. This article provides a review of the meeting framework and a commentary on the clinical practice guideline, highlighting key recommendations of interest to the dental team in each treatment step. Corresponding","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43149041","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}