{"title":"Candida: case report of an uncommon presentation of the common culprit","authors":"M. Crowley, E. O'Sullivan","doi":"10.58541/001c.71285","DOIUrl":"https://doi.org/10.58541/001c.71285","url":null,"abstract":"Candida albicans is present as a normal commensal fungus of the oral cavity in 35-69% of the healthy adult population. Infection is caused by an overgrowth of these normal fungi, which can be precipitated by systemic or local host factors. Thrush is a well-known and recognisable presentation of oral candidiasis; however, it is prudent that clinicians be aware of other less common presentations. Here we describe a case involving soft tissue changes in the oral cavity that proved to be a diagnostic challenge for clinicians across various disciplines. This case aims to highlight the diagnostic dilemma that can face clinicians when diagnosing oral lesions and the benefits of a multidisciplinary approach. Candidiasis may not always present as a white coating on the mucosa, but can also cause soft tissue changes of the tongue. The patient’s medical history should be thoroughly inspected to identify any potential contributing factors.","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":"42180143","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}
H. Byrne, Hengjia Zhang, K. Baig, C. McCarthy, P. Brady
{"title":"Acute myeloid leukaemia: an update for dentists","authors":"H. Byrne, Hengjia Zhang, K. Baig, C. McCarthy, P. Brady","doi":"10.58541/001c.70356","DOIUrl":"https://doi.org/10.58541/001c.70356","url":null,"abstract":"Many systemic diseases exhibit oral involvement. These intra- and extra-oral signs can have diagnostic weighting. Acute myeloid leukaemia (AML) is just one of a number of conditions that can present in the mouth. AML is a haematological malignancy, seen generally in the older population. Cervical lymphadenopathy and gingival enlargement, attributed to AML are the two most common signs that may present in a dental setting. The case report also demonstrates that the treatment of systemic diseases can resolve the oral complications of the particular disease. In this case report, the treatment of the AML resulted in a resolution of the gingival hyperplasia.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48129373","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}
Deirdre O'Neill, Michael Kinirons, M. Harding, Junaid Nayyar
{"title":"Pit and fissure sealants – an update","authors":"Deirdre O'Neill, Michael Kinirons, M. Harding, Junaid Nayyar","doi":"10.58541/001c.70350","DOIUrl":"https://doi.org/10.58541/001c.70350","url":null,"abstract":"##Purpose To evaluate evidence on pit and fissure sealants available since the publication: Pit and fissure Sealants: Evidence-based guidance on the use of sealants for the prevention and management of pit and fissure caries (2010) and assess whether there is a need to adapt current practice, considering the Covid-19 pandemic. ##Process Search Strategy: PubMed, Cochrane Library, Guideline International Network and Medline through PubMed databases were searched from January 2010 to June 2020. The guidelines that were used as a basis for the original guideline were also searched for updates. Ninety-six relevant papers were identified. In-vitro studies and review papers were excluded, and the 35 remaining studies were critically appraised, with results from relevant studies tabulated including the strength of the evidence. ##Results 1. Pit and fissure sealants are effective and should be placed on first and second permanent molars. 2. Non-operative cleaning of fissures using a toothbrush or bristle brush is recommended. Mechanical preparation of fissures is not recommended. 3. Patients should be recalled at six-month intervals, or more frequently based on caries risk level. 4. Fluoride application can be considered when pit and fissure sealants cannot be satisfactorily placed and patients recalled within three to six months depending on caries risk level. Further research is required to establish: 5. The use of self-etching agents. 6. The use of a bonding agent when placing sealants. ##Conclusions Processes should be put in place to ensure regular updating of guidelines.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46556200","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":"Application of the new periodontal classification: part 3","authors":"C. da Mata, M. Hayes, A. Roberts","doi":"10.58541/001c.72297","DOIUrl":"https://doi.org/10.58541/001c.72297","url":null,"abstract":"The World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions was convened in 2017 and resulted in the publication of a new classification system in 2018.1 This replaces the formerly used 1999 (Armitage) Classification.2 The complete Workshop proceedings are available to clinicians for free online via the European Federation of Periodontology (EFP) website.3 The new process for diagnosing and classifying cases of periodontitis incorporates staging and grading of each case.4 At its simplest, the stage represents an interpretation of periodontitis severity and complexity of management of the case. The grade provides supplemental evidence on the historic rate of disease progression, and can help to identify cases where risk factors exist and/or where expected outcomes of therapy may be less favourable.5 Diagnostic decision trees may be of value to practitioners in applying the new classification in daily practice. The current series utilises the decision tree published by the British Society of Periodontology (BSP),6 as this arguably represents the simplest approach to classifying periodontitis cases.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44782236","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":"Management of the deep carious lesion: a literature review","authors":"B. Barrett, M. O'Sullivan","doi":"10.58541/001c.70206","DOIUrl":"https://doi.org/10.58541/001c.70206","url":null,"abstract":"##Statement of the problem The management of the deep carious lesion is a topic of keen interest to the dental profession with many and varied treatment modalities advocated in the scientific literature. ##Purpose of the study This literature review proposes to summarise current consensus approaches and scientific thinking in this area. Some new treatment advances have been advocated in recent years and their efficacy is also examined. Topics and areas of interest are proposed for future research. ##Methods The studies examined in this review were based on searches online in the PubMed, Embase, and Google Scholar search engines, and Cochrane reviews, and include systematic reviews and consensus papers, as well as observational studies, randomised controlled trials and meta-analyses. ##Conclusion Problems exist in this area regarding precise definitions and measurement of deep carious lesions in practice, and standardisations of measurement do not currently exist. This is an area where further study and research would be welcome.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49562263","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}
Michael Nolan, Suha Aljudaibi, Peter Harrison, L. Winning
{"title":"Application of the new periodontal classification: Part 2","authors":"Michael Nolan, Suha Aljudaibi, Peter Harrison, L. Winning","doi":"10.58541/001c.72295","DOIUrl":"https://doi.org/10.58541/001c.72295","url":null,"abstract":"The World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions was convened in 2017 and resulted in the publication of a new classification system in 2018.1 This replaces the formerly used 1999 (Armitage) Classification.2 The complete Workshop proceedings are available to clinicians for free online via the European Federation of Periodontology (EFP) website.3 The new process for diagnosing and classifying cases of periodontitis incorporates staging and grading of each case.4 At its simplest, the stage represents an interpretation of periodontitis severity and the complexity of management of the case. The grade provides supplemental evidence on the historic rate of disease progression, and can help to identify cases where risk factors exist and/or where expected outcomes of therapy may be less favourable.5 Diagnostic decision trees may be of value to practitioners in applying the new classification in daily practice. The current series utilises the decision tree published by the British Society of Periodontology (BSP),6 as this arguably represents the simplest approach to classifying periodontitis cases.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44634898","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}
Ian Reynolds, D. Naughton, L. Winning, Peter Harrison
{"title":"Application of the new periodontal classification: generalised periodontitis","authors":"Ian Reynolds, D. Naughton, L. Winning, Peter Harrison","doi":"10.58541/001c.72293","DOIUrl":"https://doi.org/10.58541/001c.72293","url":null,"abstract":"The World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions was convened in 2017 and resulted in the publication of a new classification system in 2018.1 This replaces the formerly used Armitage Classification.2 The complete Workshop proceedings are available to clinicians for free online via the European Federation of Periodontology (EFP) website.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"150 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41259176","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":"The perils of “phantom bite syndrome” or “occlusal dysaesthesia”","authors":"M. Kelleher, D. Canavan","doi":"10.58541/001c.72036","DOIUrl":"https://doi.org/10.58541/001c.72036","url":null,"abstract":"Occlusal dysaesthesia is a clinical disorder characterised by persistent occlusal discomfort in the absence of obvious occlusal discrepancies. Typically this is associated with significant emotional distress. This condition was first described by Marbach in 1976 as a subgroup of temporomandibular disorder patients, and he coined the phrase ‘phantom bite syndrome’. The term occlusal dysaesthesia was introduced in 1997 by Clark et al. and currently this is the most widely used term in the literature. In keeping with the psychiatric literature of the time Marbach suggested that these patients had a ‘mono-symptomatic hypochondriacal psychosis’. Recently the psychiatric hypothesis has been challenged and alternative explanations have been proposed. It is postulated that the condition might be an intraoral sensory disorder, which can occur: a) spontaneously; b) in conjunction with an underlying autoimmune disorder; or, c) with trigeminal neuropathic pain. Although our understanding of this condition has improved, it remains a real challenge for clinicians to recognise the symptoms and provide appropriate treatment. In the absence of controlled studies and agreed diagnostic criteria, the literature is largely based on descriptive reviews. This article describes the clinical characteristics, diagnosis, aetiology and some management strategies for this disorder. Two case studies are provided, which serve to illustrate both the diagnosis and management of this condition. Importantly, clinicians are advised that inadvertently providing further occlusal treatments can intensify the disorder.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42843975","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":"Dental care in patients with dementia","authors":"L. Fee","doi":"10.58541/001c.72035","DOIUrl":"https://doi.org/10.58541/001c.72035","url":null,"abstract":"##Statement of the problem Dementia is a concern in the ageing population. Approximately 5% of the population live with dementia. This progressive neurological condition negatively impacts on the person’s ability to remember, communicate, understand and reason. The rate of progression of dementia is individual to the person, although comorbidities such as heart disease and diabetes can increase the rate of decline. ##Purpose of the study This literature review aims to enable the dental profession to better understand dementia in order to improve the provision of oral and dental care for this patient group. Patient-centred approaches to aid effective disease prevention and management strategies for patients with dementia are discussed. ##Conclusion Dentists and dental hygienists can support patients living with dementia by establishing an oral care programme as early as possible following diagnosis to ensure continuity of care as dementia progresses. Maintaining oral and dental health improves patients’ self-esteem, social integration, nutrition, and overall well-being, as pain and infection can lead to increased confusion in patients with dementia.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45176302","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":"Bleaching","authors":"Pratima Bajpai","doi":"10.1016/b978-0-12-821800-6.00008-9","DOIUrl":"https://doi.org/10.1016/b978-0-12-821800-6.00008-9","url":null,"abstract":"","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"53905972","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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