{"title":"Teething signs and symptoms: persisting misconceptions among health professionals in New Zealand.","authors":"Rares S Ispas, Erin K Mahoney, Robin A Whyman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate current beliefs and treatment recommendations for teething symptoms among health professionals in New Zealand.</p><p><strong>Design: </strong>Cross-sectional survey of seven groups of health professionals.</p><p><strong>Method: </strong>A written questionnaire was mailed in March 2011 to 336 health professionals practising in Wellington City, Hutt Valley and Kapiti Coast, in New Zealand. The self-administered questionnaire sought information on how many children are perceived to experience teething symptoms, what symptoms are attributed to teething, suggested treatments for teething symptoms, and how distressing teething is to children and parents.</p><p><strong>Results: </strong>The response rate to the single-wave survey was 41%. Although the beliefs varied widely across the groups, almost half (48%) of health professionals believed that some children have teething-associated problems, and 32% believed that most children do. Just over one-third of participants incorrectly attributed fever to teething. Health professionals also incorrectly chose nappy rash (31%), loose stools (27%), runny nose (19%) and mouth ulcers (15%) as teething signs or symptoms. Most participants (65%) suggested paracetamol as a treatment for teething; 60% chose teething gels and 48% suggested teething toys or rings. Most respondents believed that teething is moderately distressing to both the child and parent.</p><p><strong>Conclusions: </strong>The findings show that misconceptions about the symptoms of teething are held by some health professionals. Many believe that teething causes a variety of serious and systemic symptoms. The study has also shown that teething beliefs vary greatly across the different health professions.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"109 1","pages":"2-5"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31638778","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":"Orthodontic tooth movement of traumatised or root-canal-treated teeth: a clinical review.","authors":"V J Beck, S Stacknik, N P Chandler, M Farella","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"109 1","pages":"6-11"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31638780","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 decade of a dental student community engagement in Rotorua.","authors":"John R Broughton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"109 1","pages":"24-5"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31638531","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":"Multidisciplinary approach to implants: a review.","authors":"Doreen Y Ng, Andrew Y C Wong, Peter N Liston","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As implant dentistry grows in popularity, greater numbers of general dental practitioners (GDPs) are offering this service to their patients. In order to improve treatment success for both patient and practitioner, a multidisciplinary approach to implant planning and placement should be taken. However, the literature currently holds few articles which offer advice to the GDP on how to take a multidisciplinary approach to implant treatment. The aim of this review is to provide practitioners with evidence-based guidance for taking a multidisciplinary approach to implant treatment. A MEDLINE/PubMed search for articles published between 1980 and mid-2012 was undertaken. The search strategy used different combinations of the following terms: dental implants, osseointegration, medical contraindications, patient habits, radiography, prosthodontics, endodontics, orthodontics, periodontics and surgical factors. The review demonstrated the importance of thorough medical and dental history-taking, and how different facets of each speciality contribute to the outcome of implant treatment. Successful implant treatment is the result of careful planning and integration of various areas of dentistry, not just those of prosthodontics and surgery.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"108 4","pages":"123-8"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31295552","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}
Jessica J Rothnie, Catherine Anne Walsh, Margaret J-J Wang, Kate C Morgaine, Bernadette K Drummond
{"title":"An exploratory study of pregnant women's knowledge of child oral health care in New Zealand.","authors":"Jessica J Rothnie, Catherine Anne Walsh, Margaret J-J Wang, Kate C Morgaine, Bernadette K Drummond","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To be maximally effective, oral health preventive strategies should start at birth. There appear to be few reports on pregnant women's knowledge of oral health care for their developing children.</p><p><strong>Objectives: </strong>This exploratory study assessed Dunedin expectant mothers' knowledge of the oral health care of their future children.</p><p><strong>Methods: </strong>A questionnaire was developed to assess expectant mothers' knowledge of child oral health and appropriate prevention strategies. Three public Lead Maternity Carer (LMC) organisations and 30 private individual LMCs were asked to distribute the questionnaire to their clients attending appointments during a one-month period. Questions focused on the mother's knowledge of oral health practices for their future children, including oral hygiene and access to dental care.</p><p><strong>Results: </strong>Fewer than half of the participants thought they had enough information about their child's oral health needs. One-quarter thought that toothbrushing should not start until after two years of age. The majority thought their child should not be seen by a dental professional until this age, while one-fifth did not think their child should be seen until four years old. Poorer child oral health knowledge was found in first-time mothers, younger women, those from low-SES groups, and those who were not New Zealand (NZ) Europeans.</p><p><strong>Conclusions: </strong>A substantial number of participants were unaware of how to provide appropriate oral health care for their children despite the available information. This lack of awareness needs to be taken into account when designing oral health promotion strategies for parents of very young children.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"108 4","pages":"129-33"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31295553","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":"Changes in periodontitis prevalence over two decades in New Zealand: evidence from the 1988 and 2009 national surveys.","authors":"Robyn J Haisman-Welsh, W Murray Thomson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether the prevalence of periodontitis in New Zealand adults changed between 1988 and 2009, and, if changes did occur, to determine the nature of any sex differences in those changes.</p><p><strong>Design: </strong>Secondary analysis of data from national oral health surveys conducted in 1988 and 2009.</p><p><strong>Methods: </strong>Computation of CPITN-equivalent estimates from the 2009 data, in order to enable direct comparison with the 1988 estimates. The statistical significance of any observed changes was determined by examining for overlapping 95% confidence intervals.</p><p><strong>Results: </strong>For CPITN scores 3 and 4 (\"any pocketing\"), there was no change in the 20-24 age group, but significant decreases in the 35-44 and 65-74 age groups were observed. Among males, there was a slight increase in the 20-24 age group, and substantial decreases in the 35-44 and 65-74 age groups. Among females, there was a slight increase in the 20-24 age group, and substantial, statistically significant decreases in the 35-44 and 65-74 age groups.</p><p><strong>Conclusions: </strong>There have been significant reductions in the prevalence of periodontitis among people aged 35-44 and 65-74 years over two decades in New Zealand (and most notably among women), but no such reductions were observed among those aged 20-24 years.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"108 4","pages":"134-8"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31295554","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":"Common medications among dental outpatients: considerations in general dental practice.","authors":"Nicholas I Cutfield, Darryl C Tong","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To provide information about the most common medications listed as being taken by dental patients presenting to an outpatient setting at a tertiary institution and to establish a list of the most common medications for review for the general dental practitioner.</p><p><strong>Methods: </strong>A retrospective review was undertaken of 300 dental outpatient notes chosen from patients seen in the urgent dental care and exodontia clinics at the School of Dentistry in Dunedin. Data were recorded on patient age, medication list reported at the time of presentation and the number of medications. The ten most common medications encountered were listed in order of frequency, along with the ten most common prescription medications and the most common supplements or alternative remedies. A concise pharmacological synopsis for each of the ten most common medications was then presented as a review.</p><p><strong>Results: </strong>The age range of patients was from 18 to 88 years, with a mean age of 43.2 years (median age 41 years). More than one-quarter were aged 20-29 years. Some 56% of patients reported taking at least one medication at the time of presentation. The greatest number of medications being taken by an individual patient was 15. Of 138 different medications identified, the most commonly reported included aspirin, paracetamol and omeprazole. A list of the ten most common medications was established for concise review, in order to outline aspects important to the general dental practitioner.</p><p><strong>Conclusions: </strong>This study provides information on the most common medications reported among dental outpatients presenting to a tertiary institution and highlights the need for general dental practitioners to be knowledgeable about them and their impact on dental treatment.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"108 4","pages":"140-7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31295555","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":"Charity and dental care.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"108 4","pages":"122"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31295551","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}
Amit Mhapuskar, Hemant Umarji, Nalini Jain, Rohit Behere, Amita Aditya
{"title":"Intra-oral malignant melanoma--a case report and review of the literature.","authors":"Amit Mhapuskar, Hemant Umarji, Nalini Jain, Rohit Behere, Amita Aditya","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malignant melanomas represent one of the most life-threatening forms of cancer. Arising from melanocyte precursors, they have the ability to invade or readily metastasise to any organ. Intra-oral melanomas represent 1-2% of all oral malignancies, and 0.2-8% of all melanomas. Prognoses and eight-year survival rates for intra-oral malignant melanomas are poorer than for cutaneous malignant melanomas (20% and 60% survival, respectively) because of: the absence of symptoms in the early stage of the disease delaying diagnosis; difficulty in determining the width of the radical surgical excision due to anatomic limitations; and the rich blood supply to the region, which may facilitate haematogenic propagation. We report a case of a 65-year-old man with malignant melanoma of the anterior maxillary gingiva. Considering the poor prognosis associated with oral melanomas, it also emphasises the fact that suspicious pigmented lesions should be surgically removed and investigated further.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"108 3","pages":"102-4"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30939594","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}