Primary dental care : journal of the Faculty of General Dental Practitioners (UK)最新文献

{"title":"Consultations and even more consultations.","authors":"Kenneth A Eaton","doi":"10.1308/135576111795162929","DOIUrl":"https://doi.org/10.1308/135576111795162929","url":null,"abstract":"","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 2","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111795162929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29786277","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 investigation into dental digital radiography in dental practices in West Kent following the introduction of the 2006 NHS General Dental Services contract.","authors":"Peter W Mauthe,&nbsp;Kenneth A Eaton","doi":"10.1308/135576111795162893","DOIUrl":"https://doi.org/10.1308/135576111795162893","url":null,"abstract":"<p><strong>Aims: </strong>The primary aims of the study were to investigate the use of digital radiography within primary dental care practices in the West Kent Primary Care Trust (PCT) area and general dental practitioners' (GDPs) self-reported change in radiographic prescribing patterns following the introduction of the nGDS contract in 2006.</p><p><strong>Methods: </strong>Data were gathered via a piloted, self-completed questionnaire, and circulated to all GDPs listed on the National Health Service (NHS) Choices website as practising in the West Kent PCT area. There were three mailings and follow-up telephone calls. The resulting data were entered into a statistical software database and, where relevant, statistically tested, using the chi-square test and Pearson correlation coefficient.</p><p><strong>Results: </strong>Of 223 GDPs, 168 (75%) responded. There were 163 usable questionnaires. The respondents represented 85% of the general dental practices in West Kent. Eighty (49%) respondents were using digital intra-oral radiography. Of those who used digital radiography, 44 (55%) reported that they used phosphor plate systems and 36 (45%) that they used direct digital sensors. Eighty-three (51%) had a panoramic machine in their practice, 46 of whom (55%) were using digital systems; of these, 32 (67%) were using a direct digital system. Seventy-one GDPs reported that they worked exclusively or mainly in private practice. Forty (56%) of these 'mainly private' GDPs reported that they used digital radiographic systems, whereas only 40 (44%) of the 89 'mainly NHS' GDPs reported using digital radio-graphic systems. On average, mainly private GDPs made the transition to a digital radiographic system six months before mainly NHS GDPs. Of those who provided NHS dentistry before and after April 2006, only 18 (14%) reported taking fewer radiographs and seven (6%) taking more.</p><p><strong>Conclusions: </strong>In February 2010, of the West Kent GDPs who responded to the questionnaire, just under 50% used digital radio graphy. Mainly private GDPs were more likely to use digital radiography than their mainly NHS counterparts. A link between digital radiography and increased prescription of radiographs was not specifically apparent from this study. There was no evidence that West Kent GDPs were taking fewer radiographs than they did prior to the introduction of the new GDS contract in April 2006. Research is needed to investigate whether the uptake of digital radiography by GDPs in the rest of the country is similar to that in West Kent.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 2","pages":"73-81"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111795162893","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29786281","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 feasibility of data collection in dental practices, using codes for the International Caries Detection and Assessment System (ICDAS), to allow European general dental practitioners to monitor dental caries at local, national, and international levels.","authors":"Brian C Bonner,&nbsp;Denis M Bourgeois,&nbsp;Gail V Douglas,&nbsp;Karen Chan,&nbsp;Nigel B Pitts","doi":"10.1308/135576111795162875","DOIUrl":"https://doi.org/10.1308/135576111795162875","url":null,"abstract":"<p><strong>Aim: </strong>To determine whether or not European general dental practitioners can carry out comprehensive dental caries assessments of the teeth of selected quotas of their patients during routine dental check-ups, as an alternative or complement to the work of specialised, salaried, dental epidemiologists.</p><p><strong>Methods: </strong>Dentists from several European countries were invited by local coordinators to be trained to carry out dental disease assessments. For caries, they used the International Caries Detection and Assessment System (ICDAS), as part of a wider oral health indicators project with a European perspective. They attended training events and recruited and examined patients in their own practices before completing questionnaires, which they returned to a central data-processing facility.</p><p><strong>Results: </strong>Ninety-six dentists returned questionnaires giving their opinions of the data-collection system after performing ICDAS assessments on 1216 patients. Mean times for assessments varied between countries from 7.8 to 14.06 minutes and were dependent on the age of the patient and the number and general condition of the teeth present. Given a choice of six difficulty/ease options for both understanding and applying the system, 89% of the dental examiners chose one of the two categories indicating the least difficulty for understanding and 73% chose one of these two categories for applying.</p><p><strong>Conclusion: </strong>Volunteer general dental practitioners (GDPs) from six European countries were able successfully to perform data collection for survey work in addition to their routine practice. If larger numbers of GDPs across Europe are prepared to undertake this type of work for selected quota samples, it should be possible to collect data to monitor caries levels among patients who attend dental practices at local, national, and international levels, provided that the time taken is considered and remunerated appropriately.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 2","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111795162875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29786282","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 survey of general dental practitioners in the North West of England concerning the dental care of patients following head and neck radiotherapy.","authors":"Adam B Husein,&nbsp;Chris J Butterworth,&nbsp;Meena S Ranka,&nbsp;Andrew Kwasnicki,&nbsp;Simon N Rogers","doi":"10.1308/135576111795162910","DOIUrl":"https://doi.org/10.1308/135576111795162910","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this survey was to investigate the views of general dental practitioners (GDPs) on their perceived roles and the barriers regarding dental care of patients following head and neck radio-therapy.</p><p><strong>Methods: </strong>From a total of 1163 GDPs on the Mersey Postgraduate Dental Deanery mailing list, 369 were selected at random. Questionnaires were sent out in February 2010 followed by reminders a month later. A study-specific questionnaire was piloted prior to the survey.</p><p><strong>Results: </strong>One hundred and ninety-eight of the potential 336 respondents returned valid questionnaires, a response rate of 59%. They did not respond to all questions. Of those who responded, 99/188 (53%) were either 'not at all' or 'little' happy about managing these patients and 118/183 (64%) and 100/173 (58%), respectively, perceived that complex management and the new General Dental Services (nGDS) contract introduced in 2006 were 'quite a bit' or 'very much' barriers to treatment. The majority of the respondents felt that they were 'quite a bit' or 'very much' happy to carry out routine fillings (177/195; 90%), periodontal treatment (166/195; 85%), removable dentures (161/195; 83%), crown and bridge work (123/192; 64%), and root canal therapy (114/195; 58%) but only 53/191 (28%) to perform dental extractions. Over half of the respondents felt that they had 'quite a bit' or a 'main role' in managing radiotherapy caries, xerostomia, detecting recurrence and offering smoking-cessation advice.</p><p><strong>Conclusion: </strong>The majority of the GDPs who responded had been involved in the management of patients who had undergone radio-therapy to the head and neck. A substantial number perceived barriers to care, such as the complexity of the treatment and the nGDS contract. These findings need further investigation. Continuing professional development would be helpful to improve GDPs' confidence in dealing with this group of patients.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 2","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111795162910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29786279","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 introduction to research for primary dental care clinicians part 3: stage 5. Writing a protocol.","authors":"Kenneth A Eaton,&nbsp;Ario Santini","doi":"10.1308/135576111795162901","DOIUrl":"https://doi.org/10.1308/135576111795162901","url":null,"abstract":"A. What is a protocol and why is a written protocol necessary? A research protocol is a detailed plan of a proposed project that provides written evidence of the need for the proposed study and its feasibility. It is the starting point for all quality research and indicates that the proposers have, as far as possible, considered all relevant points before starting the project. Research ethics committees, research and development committees, and funding bodies will only consider an application if it is accompanied by a protocol. It allows any individual or organisation the opportunity to make a judgment about the scientific and ethical aspects of a proposed project. It also supplements any application forms that have been submitted and can be used as a resource to provide answers to questions arising from the application form. The protocol also provides its authors with a reference point during a project as it can (and should) constantly be referred to in order to check that all stages of the project are being satisfactorily completed within the schedule. Some organisations, such as the Department of Health and the Medical Research Council, issue specific guidelines on the contents of a protocol. Before writing, it is therefore wise to check whether the organisation to which the protocol is to be submitted has such guidelines. Time spent in designing a protocol is time well spent and will benefit the subsequent stages of the project. Help and advice should be sought before writing it. A wide range of opinion should be canvassed from statisticians, ethics committee chairpersons and clinical colleagues. A protocol should include justification of the need for the project and a detailed plan that sets out for the investigation: • What is to be investigated. • Where and when it will take place. • Procedures and methods to be used. • Proposed timetable. • Resources required (technical, scientific, and financial).","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 2","pages":"91-4"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111795162901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29786719","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 audit of the use of intra-septal local anaesthesia in a dental practice in the South of England.","authors":"Stephen M Doman","doi":"10.1308/135576111795162848","DOIUrl":"https://doi.org/10.1308/135576111795162848","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this audit was to evaluate the efficacy, when used by the author, of the intra-septal local anaesthetic technique for cavity preparation in mandibular molar and premolar teeth.</p><p><strong>Methods: </strong>One hundred and thirteen consecutive patients who required local anaesthesia (LA) for cavity preparation in lower molar and premolar teeth in a general dental practice took part in the audit sample. Articaine 4%, with 1:100,000 adrenaline (epinephrine), was administered using the intra-septal technique. Visual analogue scales (VAS) were used to record pain experienced on injection and the quality of anaesthesia obtained. Any side-effects reported were recorded. The standards set were that at least 70% should find the administration of the LA pain-free and that at least 80% should experience no pain during cavity preparation.</p><p><strong>Results: </strong>Sixty-nine (62%) patients reported the injection technique to be completely pain-free and a further 23 (20%) reported very minor pain on injection. Eighty (71%) patients reported pain-free treatment and 18 (16%) experienced very minor pain during treatment. No side-effects were reported. Patients aged under 40 years and those who had cavities prepared in first premolar teeth appeared more likely to experience pain during cavity preparation.</p><p><strong>Conclusion: </strong>The intra-septal injection technique requires no specialist equipment, is easily administered, rapid in onset and provides a level of anaesthesia equivalent to that produced by an inferior dental nerve block and with fewer side-effects. The injection is relatively painless to administer.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 2","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111795162848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29786280","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":"Factors that dentists use to decide whether or not to render a patient edentulous. Part 2. An investigation using a postal questionnaire sent to dentists in East lancashire.","authors":"Mark Pearce,&nbsp;Catherine Gedling,&nbsp;Gary Whittle,&nbsp;Janet Robinson,&nbsp;Hilary Whitehead","doi":"10.1308/135576111794065757","DOIUrl":"https://doi.org/10.1308/135576111794065757","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the factors that dentists use to decide whether or not to make a patient edentulous.</p><p><strong>Method: </strong>A previous qualitative investigation identified factors that dentists would consider when making a patient edentulous. Using this information, a questionnaire was created and sent to all dentists practising in East Lancashire, asking them whether these factors would make them more or less likely to extract all remaining teeth for a patient.</p><p><strong>Results: </strong>123 usable questionnaires were returned from 187 dentists, a response rate of 67%. Dentists felt that clinical factors such as poor periodontal health and active decay were more likely to make them extract all remaining teeth. They were also concerned about retention and were keen to retain strategic teeth. Apart from their acknowledgment of the need to comply with the patient's wish to keep his or her teeth, the dentists had a neutral opinion of other factors such as poor health or their personal attitude to treatment. On average, respondents were rendering just over three patients per year edentulous.</p><p><strong>Conclusion: </strong>In this group of dentists, the key clinical factors that were considered when they decided whether or not to render a patient edentulous were periodontal disease, caries, and the attitude of the patient to tooth loss. Relatively few patients were rendered edentulous each year and if this pattern is common elsewhere in the United Kingdom, it may lead to a lack of skills within the dental workforce in managing patients' transition from dentate to edentulous.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065757","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581844","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":"Factors that dentists use to decide whether or not to render a patient edentulous. Part 1. A qualitative study of East Lancashire general dental practitioners' views.","authors":"Mark Pearce,&nbsp;Catherine Gedling,&nbsp;Gary Whittle,&nbsp;Martin Tickle,&nbsp;Sara Mallinson","doi":"10.1308/135576111794065801","DOIUrl":"https://doi.org/10.1308/135576111794065801","url":null,"abstract":"Aims To identify the factors that dentists use to decide whether to render a patient edentulous, prior to developing a questionnaire to investigate the factors that dentists use when making this decision. Method This was a qualitative study involving two groups of seven dentists practising in primary care in East Lancashire who were given scenarios involving patients of different types to facilitate discussion and identify all factors. Audio recordings were used during the focus groups and were subsequently fully transcribed. Two members of the research team independently coded the transcripts and then used thematic analysis to identify key themes. Results Analysis of the results identified 12 factors that the dentists considered when making a patient edentulous. These were caries, periodontal disease, position of the teeth, aesthetics, bone support, the transition from partial dentures, patient motivation, medicolegal issues, age of the patient, patient choice, cost of treatment, and the dentist's attitude and skills. Conclusion The dentists identified a large number of factors that they might consider before making a patient edentulous. There was a consensus that the change should be made gradually, if possible.","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"13-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581843","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 tooth surface loss and quality of life in university students.","authors":"Blanaid Daly,&nbsp;J Timothy Newton,&nbsp;Joumana Fares,&nbsp;Katherine Chiu,&nbsp;Norasmatul Ahmad,&nbsp;Soha Shirodaria,&nbsp;David Bartlett","doi":"10.1308/135576111794065793","DOIUrl":"https://doi.org/10.1308/135576111794065793","url":null,"abstract":"<p><strong>Aim: </strong>To determine the relationship between toothwear into dentine and oral health-related quality of life impacts in a sample of university students not attending for dental treatment.</p><p><strong>Methods: </strong>A cross-sectional survey of 1010 university students was undertaken. Clinical examination, including the Smith & Knight (1984) index of tooth erosion, was performed and completion of the Oral Health Impact Profile-49 (OHIP-49) measure of oral health-related quality of life was arranged.</p><p><strong>Results: </strong>Seventy-seven per cent of the students had at least one tooth with tooth surface loss into dentine. Overall OHIP scores were similar for individuals with different levels of severity of tooth surface loss. Individuals with severe tooth surface loss were more likely to report that their appearance had been affected by, and that they had felt self-conscious because of, the condition of their mouth and teeth.</p><p><strong>Conclusions: </strong>Tooth surface loss into dentine was prevalent among the young adults who were examined in this study. They reported that it had little impact on oral health-related quality of life at the non-clinical levels seen in this study.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"31-5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581846","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 introduction to research for primary dental care clinicians Part 2: Stage 4. Planning the study.","authors":"Andrew Toy,&nbsp;Kenneth A Eaton,&nbsp;Ario Santini","doi":"10.1308/135576111794065810","DOIUrl":"https://doi.org/10.1308/135576111794065810","url":null,"abstract":"Introduction In the first paper in this series,1 the ten stages in a research project (listed below) were identified and the first three were addressed. They are the initial idea (asking a research question), searching the literature and refining the question. 1. The initial idea (asking a research question). 2. Searching the literature. 3. Refining the research question. 4. Planning the study. 5. Writing a protocol. 6. Obtaining ethics approval and funding. 7. Piloting the methodology and project management. 8. Collecting data. 9. Analysing the data. 10. Writing up and disseminating the results. This second paper addresses the tasks involved in the next stage: the study planning. Introduction to Research in Primary Dental Care","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581847","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}