C. Mac Giolla Phadraig, Niall Neeson, Olivia Murdoch, B. Daly
{"title":"Training for dental professionals improves confidence in managing patients with dental anxiety in Ireland","authors":"C. Mac Giolla Phadraig, Niall Neeson, Olivia Murdoch, B. Daly","doi":"10.58541/001c.72019","DOIUrl":"https://doi.org/10.58541/001c.72019","url":null,"abstract":"##Statement of the problem Dental anxiety is common and its impact can be profound. Dental professionals may lack training and confidence to support patients with dental anxiety. In 2017, an educational intervention was provided to dental care professionals designed to improve participants’ management of adults and children with dental anxiety. The aim of this study was to measure the impact of the intervention on participants’ confidence in managing patients with varying levels of dental anxiety. ##Methods Dentists and dental care professionals were invited to participate in a bespoke training day on dental anxiety management. Self-administered questionnaires were completed immediately before and immediately after the educational intervention. Respondents scored their level of confidence in managing patients who are anxious about dental treatment before and after training using a visual analogue scale. Differences were tested using Student’s t-test. ##Results Fifty-seven participants responded (RR=73.1%). Participants were predominantly female (n=52, 91.8%) and reported seeing a median of 12, 10 and two patients with mild, moderate and severe dental anxiety, respectively, per week. Paired data were available for 40 participants regarding mildly and moderately anxious patients, and for 39 respondents for severely anxious patients. Mean confidence scores increased from pre to post training, increasing by 9.1%, 11.9% and 25.1% for management of patients with mild, moderate and severe dental anxiety, respectively (p<0.01). ##Conclusions Training was effective in improving confidence among dental professionals regarding the treatment of patients with mild, moderate and severe dental anxiety. Participants highlighted barriers to oral healthcare for patients with dental anxiety.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"365 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41274402","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":"Case report: post-maxillary (mouth) cancer: oro-facial and dental rehabilitation using zygomatic implants to support a bar-retained obturator","authors":"M. Freedman, Una Lally, L. Stassen","doi":"10.58541/001c.72021","DOIUrl":"https://doi.org/10.58541/001c.72021","url":null,"abstract":"This case report details the orofacial dental rehabilitation of a 46-year-old man, who had lost significant maxillary bone following a T4N2 oral squamous cell carcinoma. The cancer was treated with surgery and adjuvant chemoradiotherapy. Rehabilitation was based on the placement of four oncology zygomatic implants, which were splinted by a ring-shaped milled titanium bar. This formed the support for a removable obturator, which was retained by precision attachments. The treatment resulted in a large reported improvement in the patient’s quality of life, chewing capacity, speech and appearance. The treatment also allows for long-term mouth cancer surveillance in a young man of this age, as the resection site can be easily visualised on removal of the obturator.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43400723","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 as a manifestation of cyclic neutropenia: case report with a 34-year follow-up","authors":"Liam Costello, C. McNamara, D. Maccarthy","doi":"10.58541/001c.71501","DOIUrl":"https://doi.org/10.58541/001c.71501","url":null,"abstract":"##Introduction Cyclic neutropenia is an autosomal-dominant haematological disorder. It is characterised by a periodic depression of peripheral blood neutrophils at 21-day intervals. Patients have a decreased ability to fight infection and commonly experience fever, ulceration, skin infections and lymphadenopathy. ##Case report A 17-year-old patient was referred by her consultant haematologist for periodontal assessment due to painful oral tissues and loose teeth. Clinical and radiographic examination revealed advanced periodontal destruction. A course of cause-related, non-surgical periodontal treatment, followed by an orthodontic and reconstructive phase, was carried out to arrest disease progression and stabilise her dentition. This case was followed up intermittently for over 34 years. ##Discussion The oral manifestations of cyclic neutropenia include oral ulcerations, angular cheilitis, periodontal destruction and early tooth loss. Early identification and regular follow-up should be employed for this patient cohort. Restorative procedures should be meticulously planned and executed to facilitate plaque control. ##Conclusion This case report illustrates the challenges of long-term management of severe periodontitis in a young individual who suffers from cyclic neutropenia. Delivery of dental and periodontal care was complicated by long travel distances, periods of non-attendance and financial issues. Early interventions to improve periodontal health and align the teeth proved successful, and this case report illustrates the benefit of planning periodontal care on a case-by-case basis. Regular supportive oral care is essential.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47802401","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":"Determining dental students’ and dental hygiene students’ perceptions of eating disorders and their management","authors":"Maeve Cush, M. Domingos, M. Hayes, A. Roberts","doi":"10.58541/001c.71500","DOIUrl":"https://doi.org/10.58541/001c.71500","url":null,"abstract":"##Statement of the problem Pathological tooth surface loss (TSL) is an increasing challenge for dental healthcare professionals (DHCPs). Patients with eating disorders (EDs) may present with TSL and future DHCPs should be aware of the medical, dental and general management of patients with EDs who may present with TSL. ##Purpose of the study Determine perceptions of undergraduate students at Cork University Dental School and Hospital (CUDSH) regarding their training and the management of eating disorders. ##Methods A questionnaire was distributed to final year dental (FYD; n=47) and dental hygiene (FYDH;n=14) students approaching the end of their studies at University College Cork. ##Results A response rate of 40% for FYD (n=19) and 86% for FYDH (n=12) students showed no obvious trends differentiating between perceptions of FYDs and FYDHs. The perceived confidence of students in managing patients with EDs varied widely. A number of respondents perceived inadequate training in relation to oral manifestations (32%) and dental management (16%) of patients with EDs. In relation to the medical management (90%), personality traits (71%) and psychological needs (81%), students perceived a requirement for further training. A total of 77% of respondents were unaware of local support services available to ED patients, with 94% also unaware of Eating Disorder Centre Cork (EDCC). ##Conclusion There is a need for improvement within the dental curricula in education regarding patients with EDs, specifically their comprehensive management by DHCPs and surrounding services.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48313950","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":"Making a difference.","authors":"S. O’Toole","doi":"10.1201/9781003071044","DOIUrl":"https://doi.org/10.1201/9781003071044","url":null,"abstract":"","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"61 4 1","pages":"214"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44615891","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}
Caroline O’Dwyer, M. O'Regan, K. Ekanayake, Leo F.A. Stassen
{"title":"Prospective audit: anterograde amnesic effects of IV sedation with midazolam in patients having oral surgery procedures","authors":"Caroline O’Dwyer, M. O'Regan, K. Ekanayake, Leo F.A. Stassen","doi":"10.58541/001c.71497","DOIUrl":"https://doi.org/10.58541/001c.71497","url":null,"abstract":"##Statement of the problem Concerns were expressed over the level of sedation patients were receiving for oral surgery procedures, with many patients claiming to have had a recollection of the procedure despite receiving IV sedation. ##Purpose of study To determine if patients who are undergoing IV sedation with midazolam in the Oral Surgery Department in the Dublin Dental University Hospital (DDUH) and at the National Centre for Coagulation Disorders are being adequately sedated. ##Material and methods IV midazolam was administered by the sedationists incrementally. Data was collected through specific questionnaires at two different stages. These assessed patients’ objective and subjective recollection of events following their procedure under IV sedation. The patients were asked specific questions immediately postoperatively and subsequently at their review appointment. This assessed the patients’ objective and subjective recall of the procedure under IV sedation. ##Result Immediately postoperatively, 23% of patients had no recollection of the procedure, 55% had only partial recollection of the procedure, while 22% of patients recalled the procedure. One week postoperatively, total amnesia increased to 32%, partial amnesia reduced to 46%, while those recalling the procedure remained the same at 22%. While 78% of patients had some degree of amnesia of the procedure there were 22% who did not have amnesic effects from the sedative. ##Conclusions There is large inter-individual variation in response to IV sedation with midazolam regarding the anterograde amnesic effects. The reason why a certain proportion of patients have full recollection of the procedure needs to be fully investigated, and any confounding factors identified. Improving anterograde amnesia will provide us with the ability to ensure patient comfort, which is crucial to improving patient care.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47155682","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":"Alveolar lymphangioma diagnosed in a white Irish neonate: a previously unreported finding","authors":"Charlotte McCarra, K. Fitzgerald","doi":"10.58541/001c.71498","DOIUrl":"https://doi.org/10.58541/001c.71498","url":null,"abstract":"Historically, alveolar lymphangiomas have been reported exclusively in the oral cavities of black infants. To the author’s knowledge this is the first report of alveolar lymphangioma in a white Irish neonate. The paper presents multiple alveolar lymphangiomas found in the oral cavity of a white Irish neonate in a Dublin children’s hospital. The child’s medical background, differential diagnosis, management options and outcome are discussed.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44284446","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}
A. Kakade, R. Desai, Anitha Santosh, Rutika Lalwani, Sheetal Badnaware, Sayali Mali
{"title":"A dentigerous cyst associated with a pulpectomised primary molar: case report","authors":"A. Kakade, R. Desai, Anitha Santosh, Rutika Lalwani, Sheetal Badnaware, Sayali Mali","doi":"10.58541/001c.71464","DOIUrl":"https://doi.org/10.58541/001c.71464","url":null,"abstract":"A pulpectomy is a routinely performed procedure in carious primary teeth. While adverse effects are not common, these can include a dentigerous cyst. A dentigerous cyst is an odontogenic cyst that surrounds the crown of an unerupted tooth, and is caused by a fluid accumulation between the reduced enamel epithelium (REE) and the enamel surface. Residual periapical inflammation from an endodontically treated primary tooth may lead to the development of an inflammatory dentigerous cyst in the unerupted permanent successor. This case report illustrates an infected dentigerous cyst in a seven-and-a-half-year-old female child related to the mandibular left second primary molar, which had been pulpectomised two years earlier. In general, the incidence of dentigerous cysts associated with pulpectomised primary teeth is extremely low. While there is no single factor that can be attributed to cystic transformation, it is prudent that teeth receiving pulp therapy should be observed periodically, and radiographs should be taken at regular intervals.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"17 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41248635","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}
Aileen Callanan, M. Harding, C. Lynch, F. Burke, M. Hayes
{"title":"Dentists’ attitudes towards the phase-down of dental amalgam in Ireland","authors":"Aileen Callanan, M. Harding, C. Lynch, F. Burke, M. Hayes","doi":"10.58541/001c.71465","DOIUrl":"https://doi.org/10.58541/001c.71465","url":null,"abstract":"##Aim This study aimed to explore the attitudes of dentists in Ireland towards the phase-down of dental amalgam in relation to the Minamata Convention on Mercury. ##Methods A cross-sectional survey design was adopted using a quantitative 53-question survey piloted and distributed to dentists working in general dental practice. ##Results The study had a response rate of 11.8% (n=285). The study found a high level of awareness regarding recommended guidelines concerning the Minamata Convention on Mercury, with 96% of participants reporting that they were aware of the recommendations. Over half of the participants (61%) reported that they felt the phase-down was a good idea. ##Conclusions Training and remuneration were identified as the main barriers to a total phase-out of dental amalgam in Ireland in the future.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48619890","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}