The New Zealand dental journal最新文献

{"title":"Factors influencing the use of oral health services among adolescents in New Zealand.","authors":"T Børsting, J Stanley, M Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the impact of parental use of dental services, ethnicity and socio-economic background on adolescents' recent use of dental services.</p><p><strong>Design: </strong>Secondary analysis of cross-sectional data from the 2009 New Zealand Oral Health Survey (2009 NZOHS). PARTICIPANTS/MATERIALS AND METHODS: A sub-sample of all adolescent participants aged 12-17 years (n = 509) from the nationally representative 2009 NZOHS. The NZOHS included self-report data on oral health status, risks and protective factors, and utilisation of oral health services.</p><p><strong>Main outcome measures: </strong>Outcome measures were 'most recent dental visit' and 'type of provider last visited'. Key exposure factors were 'most recent dental visit by primary caregiver' (among 12-14-year-olds), ethnicity, and socioeconomic deprivation. Univariate analysis for each outcome was conducted using survey-weighted estimates, followed by multivariable analysis using logistic regression.</p><p><strong>Results: </strong>Four in five adolescents reported having visited a dental provider within the last year (79.9%), with almost half having last visited a private general dental practice (46.6%). No significant associations were found for either outcome with the primary caregiver exposure factor (Most recent dental visit outcome fully adjusted OR (primary caregiver not visited) = 0.93, 95% CI 0.32, 2.72; Visited provider other than private general dental practice outcome fully adjusted OR (primary caregiver not visited) = 1.60, 95% CI 0.39, 6.57). Compared to European/Other adolescents, Māori and Pacific adolescents were significantly more likely to have not visited in the last year (Māori 12-14 years fully adjusted OR = 4.20, 95% CI 1.54, 11.50; Pacific 12-17 years fully adjusted OR = 2.61, 95% CI 0.84, 8.07--the latter was not significant after adjusting for socioeconomic deprivation), and significantly less likely to have last visited a private general dental practice (Māori 12-17 years fully adjusted OR = 2.16, 95% CI 1.13, 4.12; Pacific 12-17 years fully adjusted OR = 5.15, 95% CI 1.69, 15.74).</p><p><strong>Conclusion: </strong>Ethnicity was strongly associated with use of oral health services among New Zealand adolescents. No statistically significant evidence was found that primary caregiver use of oral health services or socioeconomic deprivation were impacting on adolescent uptake of oral health services.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 2","pages":"49-57"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33874709","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":"Direct pulp capping of permanent teeth in New Zealand general dental practice--a practice based research study.","authors":"L Friedlander,&nbsp;K McElroy,&nbsp;B Daniel,&nbsp;M Cullinan,&nbsp;S Hanlin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate treatment protocols and opinions towards direct pulp capping (DPC) amongst New Zealand (NZ) general dental practitioners (GDP) through a Practice Based Research Network (PBRN) study.</p><p><strong>Design: </strong>Mixed-methods approach using qualitative thematic and quantitative analysis.</p><p><strong>Methods: </strong>An on-line survey containing Likert scale items and open-ended questions was distributed to GDPs on the Dental Council of New Zealand (DCNZ) register (2012) to collect information on practitioner demographics, treatment protocols, continuing professional development (CPD) and philosophies towards DPC. RESULTs: Two hundred and ten GDPs from North and South Islands providing care in main centres and rural areas engaged with the PBRN and participated in the study. Almost all performed DPC treatment although it was not a common procedure. DPC was perceived as 'successful' or 'very successful' by 95% of respondents, mostly for cases of reversible pulpitis. Most provided DPC for patients of all ages but younger patients were perceived to have the best clinical outcomes. Calcium hydroxide and MTA were the most commonly used materials for DPC. MTA was believed to have the best outcome but cost and handling properties were barriers to its use. The majority of respondents had participated in CPD related to vital pulp therapy and regarded this treatment as conservative and providing time and financial benefits compared with more invasive treatment. Clinicians' timeframes for assessing healing were variable, and combined clinical and radiographic findings were considered most useful.</p><p><strong>Conclusion: </strong>New Zealand dentists perceive DPC as a successful and conservative treatment in selected cases. The findings have provided insights into engagement of NZ dentists in using research to inform everyday clinical practice through a PBRN study.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 2","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33875639","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":"Trends in paediatric maxillofacial trauma presenting to Dunedin Hospital, 2006 to 2012.","authors":"T K Jung,&nbsp;H L De Silva,&nbsp;P P Konthasingha,&nbsp;D C Tong","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to review the epidemiology, aetiology and management of maxillofacial injuries in the paediatric population seen in Dunedin, New Zealand from 2006 to 2012.</p><p><strong>Materials and methods: </strong>A retrospective descriptive analysis was conducted over a 7 year period. Data concerning demographics, injuries and management of patients between the ages of 0-17 years who presented to the oral and maxillofacial service in Dunedin were gathered and analysed.</p><p><strong>Results: </strong>340 incidents that excluded pure dental trauma were recorded. Falls were found to be the most common cause of injury; followed by contact with animate objects (other individuals and animals), contact with inanimate objects and road traffic accidents. Injuries in younger age groups were found to be caused by falls and contact with inanimate objects more often, receiving predominantly soft tissue injuries. In the older age group, a higher number of facial fractures were seen with a change in the most common causes to road traffic accidents and contact with animate objects. An increase in alcohol-related road traffic accidents was noted among females. For all injuries the male to female ratio was 2:1 which is similar to previous reports from New Zealand and overseas. For the sub group of facial fractures a much higher ratio of males were seen at a ratio of 8.5:1.</p><p><strong>Conclusions: </strong>Causes of injury and anatomical location followed similar patterns to reports worldwide, along with a similar male to female ratio. Although the incidence of road traffic accident related facial injuries is relatively low, the high proportion of these accidents involving paediatric patients and alcohol is of concern.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 2","pages":"76-9"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33875641","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":"An exploratory study of parental knowledge of early childhood oral health care in Southland, New Zealand.","authors":"Leonard Chia,&nbsp;Ian Densie,&nbsp;Christian Morgan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective was to clearly assess the oral health care knowledge of Southland parents. The secondary objective was to identify whether inequalities exist between parents with different ethnicity, education or income.</p><p><strong>Design: </strong>An exploratory study based on a simple online/ paper questionnaire.</p><p><strong>Setting: </strong>Participants were recruited through Southland early childcare centres. Researchers contacted 115 centres, 66 agreed to participate and 58 returned questionnaires.</p><p><strong>Methods: </strong>Questionnaires were distributed to each centre to be completed by the parents. The questionnaire was able to be completed online or as a paper copy. Centres were supplied with dental brochures, which were distributed after the questionnaires were returned. Questionnaires were collated and the responses analysed.</p><p><strong>Results: </strong>Six hundred and seventy questionnaires were returned, 213 online and 457 paper copies. The typical participant was a mother (93.9%), age 34 years (median), a non-smoker (86.3%), non-Maori (87.1%), with a university degree (33.9%) and an annual household income between $60,001 and $100,000 (36.5%). Twenty of the 47 questions were selected to reflect parental knowledge. Overall, 65.1% of the respondents answered all 20 questions correctly. Differences in knowledge were identified between mothers and other participants (65.4% vs. 59.4%), smokers and non-smokers (61.3% vs. 65.7%), Maori and non-Maori (61.6% vs. 65.6%) and education level (Primary 58.0% vs. Degree 68.7%) (P < 0.05).</p><p><strong>Conclusions: </strong>This study revealed differences in knowledge in early childhood oral health care. Participants who identified as non-mothers (fathers, step-fathers, legal care givers or other), smokers, Maori or low education displayed significantly less knowledge. Further education and oral health care promotion may be needed to improve this disparity.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33066803","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 impact of patient's complaints on New Zealand dentists.","authors":"Tania Stuart,&nbsp;Wayne Cunningham","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study aimed to investigate the impact of receiving a patient complaint on dentists in New Zealand.</p><p><strong>Method: </strong>A qualitative research method was chosen to investigate the experience of dentists in receipt of a complaint. Nine dentists practising in New Zealand who had received complaints from a variety of sources were interviewed. All volunteered having responded to requests and advertisements seeking participants for the study. In-depth interviews with line-by-line transcript analysis allowed the discovery of themes and subthemes related to the impact of complaints.</p><p><strong>Results: </strong>Receiving a complaint was a stressful experience for these dentists. Anxiety, loss of confidence, fear of loss of income and altered relationships with complainants characterised respondents' personal responses. Dentists were distracted from family time by the complaint, and their families experienced upset and anxiety. Anxiety spread within the practice to colleagues and staff. Respondents and their staff had to cope with difficult and at times abusive behaviour from complainants and their families. Dentists reported feeling helpless, struggling with lack of timeliness, the need for a satisfactory and meaningful resolution and the impact of third parties, particularly in the genesis of the complaint. They were aware of costs incurred by patients. They sought meaningful support but sometimes late in the process. For these respondents the complaint led to few changes in their practice.</p><p><strong>Conclusion: </strong>Receiving a complaint is a stressful experience and dentists need appropriate emotional as well as legal support. The responsibility for this lies with the wider profession.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 1","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33066804","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":"Preliminary findings from the Oranga Niho dental student outplacement project.","authors":"V R Anderson,&nbsp;S T Rapana,&nbsp;J R Broughton,&nbsp;G J Seymour,&nbsp;A M Rich","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To examine stakeholder perspectives of the Bachelor of Dental Surgery 2012-2013 clinical outplacement programme with Māori Oral Health Providers (MOHPs) and inform the programme's ongoing development.</p><p><strong>Design: </strong>A mixed methods kaupapa Māori action research project.</p><p><strong>Setting: </strong>Six North Island MOHPs and the University of Otago Faculty of Dentistry.</p><p><strong>Participants and methods: </strong>Online questionnaires were used to conduct a pre- and post-outplacement survey of dental students and a twice-yearly survey of all MOHP-based clinical supervisors. Paper questionnaires were used to survey adult clients and caregivers of child clients that the students treated. Data were analysed descriptively and thematically.</p><p><strong>Main outcome measures: </strong>68 (61%) of the 112 eligible students completed the pre- and post-outplacement questionnaires; 31 clinical supervisor questionnaire responses were received representing all six MOHPs; and 426 client and 130 caregiver questionnaire responses were received from five MOHPs.</p><p><strong>Results: </strong>79% of students felt well prepared for outplacement and 75% indicated that they would consider working for a MOHP in future. Of the clinical supervisors, 93% indicated that the students were adequately prepared for outplacement, and 68%, that they would recommend one or more students for employment. However, 58% associated the outplacements with decreased productivity. More than 97% of adult clients and caregivers of child clients were pleased with the care that the students provided.</p><p><strong>Conclusion: </strong>Recommendations for strengthening the outplacement programme included: increasing communication between the Faculty, MOHPs and students; addressing the financial cost of the programme to the MOHPs; and providing more support for clinical supervisors.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 1","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33066802","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":"Master file size and apical transportation in severely curved root canals.","authors":"S Moradi,&nbsp;R Disfani,&nbsp;H Baziar,&nbsp;F Daneshvar,&nbsp;H Jafarzadeh","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>A curvature leads to asymmetrical removal of root dentine, which results in an increase in the incidence of canal transportation. The aim of this study was to evaluate the effect of master apical file (MAF) size on the apical transportation (AT) of teeth with severe canal curvatures.</p><p><strong>Methods: </strong>Thirty-six mesial roots of human mandibular first molars were included. Inclusion criteria consisted of mature roots with closed apices, absence of carious lesions and resorptions, and root canal curvatures (CC) of 45 degrees < CC < 60 degrees. The root canals were prepared using a crown-down pressureless technique. The samples were equally divided into groups A, B, and C based on MAF size: group A: MAF size equivalent to #20; group B: MAF size equivalent to #25, and group C: MAF size equivalent to #30. Cone beam computed tomography was used to evaluate the AT.</p><p><strong>Results: </strong>There were no statistically significant differences in the AT between the canals with different curvature angles up to MAF size #30 (P = 0.55).</p><p><strong>Conclusion: </strong>Using flexible hand files for canal preparation, an increase in MAF size up to #30 does not significantly influence AT in severely curved canals.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"110 4","pages":"126-9"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32981888","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 pulp in primary teeth--an update.","authors":"M G Brosnan,&nbsp;A K Natarajan,&nbsp;J M Campbell,&nbsp;B K Drummond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Management of the pulpal tissue in primary teeth is a clinical challenge facing dental practitioners on a regular basis. This article reviews the most common treatments used at the present time in the management of the pulp in deciduous teeth. It gives an overview of treatment options and the indications and contra-indications for the different treatment modalities. The evidence behind the medicaments used, their actions and success rates are discussed. Practical guidelines for choosing to retain or extract deciduous teeth and management of the primary tooth pulp with different clinical presentations are discussed. Areas of future research are highlighted.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"110 4","pages":"119-23"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32981887","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 of older people admitted to hospital for needs assessment.","authors":"G Y Ling,&nbsp;R M Love,&nbsp;E E MacFadyen,&nbsp;W M Thomson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the clinical oral health status, treatment needs and oral-health-related quality of life (OHRQoL) of older people admitted to older persons' wards at Dunedin Public Hospital due to a sudden worsening of their general health. Participants and methods: A systematic oral assessment was undertaken for a consecutive case series of 200 patients (59.5% female; mean age 82.6 years, sd 6.6) admitted to older person's wards at Dunedin Public Hospital. The Oral Health Impact Profile-20 (OHIP-20) was used to assess OHRQoL.</p><p><strong>Results: </strong>One in three (36.0%) had been living independently at home prior to admission, and over half (55.0%) had been admitted for a medical reason which required assessment. Half (50.0%) of the participants were dentate (with an average of 16.8 teeth). There was an average of 1.9 decayed teeth present in the dentate group; 70.7% of individuals required restorations or extractions, and about 90% required only simple scaling of the teeth and prophylaxis. A reline or a replacement denture were required by three-quarters of those with dentures. Almost two-thirds of participants did not have a regular dentist, and fewer than one in three had made a dental visit in the previous year. One in six described their oral health as 'fair' or 'poor', and just under one-third reported dry mouth. Dentate participants, those without xerostomia, and those reporting better oral health had better OHRQoL, reflected in lower OHIP-20 scores. Affecting 37.1% of participants, functional limitation was the most commonly experienced of the OHIP-20 domains, followed by physical disability and physical pain (18.0% and 15.6% respectively).</p><p><strong>Conclusions: </strong>The oral health of medically compromised and functionally dependent but cognitively competent older people in this study is generally poor. If transfer to long-term care is indicated, early and proper preventive measures and appropriate dental contact should be advocated in order to reduce morbidity and improve quality of life for older people.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"110 4","pages":"131-7"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32981890","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":"Integrating patient reported outcomes and other emerging methods into evidence-based dentistry.","authors":"Brian Laurence","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"110 4","pages":"130"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32981889","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}