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

{"title":"Putting the teeth into the UK Biobank.","authors":"John Galloway","doi":"10.1308/135576111794065720","DOIUrl":"https://doi.org/10.1308/135576111794065720","url":null,"abstract":"<p><p>The author of this article has been involved in the development of the UK Biobank, and was instrumental in ensuring that dentistry has been included in the project. He describes what the UK Biobank is, what the project involves and aims to achieve, and how by July 2010 some 500,000 UK citizens aged from 40-69 years had been recruited. He then details the events that led to the inclusion of dentistry in the project, the key role that stored saliva samples will have, and how the project will link to data stored by the Dental Practice Board and now the National Health Service Business Services Authority. The article ends with a brief look into the future of the project.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581842","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":"Dentists' and specialists' knowledge of chronic orofacial pain: results from a continuing professional development survey.","authors":"Vishal R Aggarwal,&nbsp;Amy Joughin,&nbsp;Joanna M Zakrzewska,&nbsp;Fiona J Crawford,&nbsp;Martin Tickle","doi":"10.1308/135576111794065838","DOIUrl":"https://doi.org/10.1308/135576111794065838","url":null,"abstract":"<p><strong>Aim: </strong>To explore the knowledge of chronic orofacial pain within general dental practitioners (GDPs) and dental specialists.</p><p><strong>Methods: </strong>Following a recent national survey of GDPs and specialists on the diagnosis of facial pain, all those who responded were asked to answer four multiple-choice questions on chronic orofacial pain as part of a continuing professional development exercise. The questions were formulated using a review of the literature and consultation with a facial pain expert and were administered by post.</p><p><strong>Results: </strong>Of the 380 subjects who completed the original survey, 212 (56%) returned completed multiple-choice questionnaires. Specialists correctly answered significantly more questions than GDPs (P<0.001). The majority of specialists-49/83 (59%)-obtained a score of three or more, compared to 39/129 (30%) GDPs. This was due to variation in answering one question. Significantly more specialists--50 (60%)--correctly selected trigeminal neuralgia (TN) as a condition that is not associated with COFP, whereas only 41 (32%) GDPs chose this answer. Both specialists and GDPs grossly underestimated the prevalence of COFP in secondary care clinics.</p><p><strong>Conclusions: </strong>The results suggest that specialists and GDPs may have sufficient knowledge to make an appropriate diagnosis of COFP, but they also highlight the knowledge gaps and perhaps the need for more extensive inclusion of COFP in the dental undergraduate curriculum.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065838","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581848","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":"Parental satisfaction with children's primary dental care in Valencia, Spain.","authors":"Carmen Llena,&nbsp;Gonzalo Clemente,&nbsp;Leopoldo Forner","doi":"10.1308/135576111794065739","DOIUrl":"https://doi.org/10.1308/135576111794065739","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate parents' satisfaction with the dental care that their children received in a primary dental care unit in Valencia, Spain.</p><p><strong>Methods: </strong>A cross-sectional study was designed. Parents were given a self-administered questionnaire with questions on accessibility, information received from the dentist and hygienist, staff interest in their child, dentist's and hygienist's apparent professional competence, handling of the child's behaviour, cleanliness of the office (surgery), overall parent satisfaction, parent's and child's age, and parental educational level. The chi-square test was used to assess overall parental satisfaction and the other study variables. For the multivariant study, CHAID (CHi-square Automatic Interaction Detection) analysis was used.</p><p><strong>Results: </strong>Out of a possible 400 respondents, 389 completed the questionnaire, of whom 384 completed it in full. The variables significantly associated with overall parental satisfaction were waiting time before the consultation, cleanliness of the surgery, the manner in which appointments were made, staff attitude with regard to helping, listening and understanding, the dentist's and hygienist's professionalism, handling of the child's behaviour, and information given by the dentist and hygienist. In logistic regression, the aspects that significantly explained parental satisfaction were the professionals' apparent competence, the information given by the dentist, staff interest in their child, and the handling of the child's behaviour.</p><p><strong>Conclusion: </strong>The parents who took part in this study were satisfied with the care that their children received, mainly with aspects related to professional competence and information provided.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581845","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 difficult new year?","authors":"Kenneth A Eaton","doi":"10.1308/135576111794065766","DOIUrl":"https://doi.org/10.1308/135576111794065766","url":null,"abstract":"","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065766","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29582405","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":"Personal construct psychology: a theory to help understand professional development, a philosophy to support it.","authors":"Vernon Holt","doi":"10.1308/135576111794065748","DOIUrl":"https://doi.org/10.1308/135576111794065748","url":null,"abstract":"SIR—I wish to applaud your inclusion in the last issue of Primary Dental Care of the paper by Paul Brocklehurst on personal construct psychology (PCP).1 Because most of the teeth that arrive in our surgeries come with people attached, it is highly appropriate that the human sciences, including psychology, should receive increased attention in dental literature and especially in our Faculty of General Dental Practice (UK) journal. I also wish to congratulate Paul Brocklehurst on an interesting and informative paper. Brocklehurst was kind enough to refer to the series of papers that I wrote with Russ Ladwa on mentoring and there is a lot of common ground between the thesis of his paper and that of ours. The two papers agree profoundly on the importance of lifelong learning, the value of mentor support throughout professional life, the importance of the quality of the relationship between the mentee and the mentor, and the conceptualisation of the learning and developing process as a journey. They also agree on the key role that meaning plays in many aspects of our life and especially in motivation. However, I should wish to develop the concept of meaning much further in a broader philosophical sense than Brocklehurst has done, in order to develop a strong moral foundation for ethical practice— but that is another subject. The papers also agree profoundly on the importance in the mentee–mentor relationship of the mentor playing a facilitative—as distinct from a directive—role. Indeed, I would argue that this is a model for us all to seek to follow as we relate in many environments—including, for example, groups in committee where the facilitative chairperson seeks to draw out the contributions and ideas from each member— just as good mentors will do with their mentee (or their patient)—rather than direct the group towards a pre-determined desirable ‘decision’. This brings me to the point where I wish to clarify some subtle—but key—variations in approach between PCP used as a tool in the mentoring relationship as Brocklehurst seems to suggest, as distinct from using PCP as a means of seeking to understand what is going on in the mentee’s mind. Here, I need briefly to contrast the approaches of Kelly (and PCP) and Rogers (and the person-centred approach— PCA). Rogers (1951/2003), over a professional life spanning 60 years, went much further than Kelly in developing a theory of personality and behaviour which he articulated in his 1951 book2 Client-Centred Therapy (pp 481-533). (The last step in the evolution from patientto clientto person-centred terms was completed some years later.) Rogers further developed his approach in other fields including education, business, family and other forms of group work. The first foundation block of the PCA emerged from Rogers’ recognition over many years of dealing with clients that every person has a tendency to actualise themselves in the direction of becoming the most complete person that they have the potential","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"18 1","pages":"4; author reply 5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576111794065748","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29581841","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":"Artefact in a panoral radiograph: a short communication.","authors":"Shiu-Yin Cho,&nbsp;Vanessa Chu,&nbsp;Yung Ki","doi":"10.1308/135576110792936104","DOIUrl":"https://doi.org/10.1308/135576110792936104","url":null,"abstract":"<p><p>Artefacts in dental radiographs are not uncommon findings. In some cases, however, such film faults might lead to difficult or even wrong diagnoses. In this brief report, the authors present a case where a small piece of paper cast a foreign body-like image onto a panoral radiograph. The importance of proper techniques and film handling when taking radiographs cannot be over-emphasised.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"17 4","pages":"188-90"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576110792936104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29317249","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 1: the first three stages in a research project.","authors":"Roger Farbey,&nbsp;Kenneth A Eaton,&nbsp;Ario Santini","doi":"10.1308/135576110792936131","DOIUrl":"https://doi.org/10.1308/135576110792936131","url":null,"abstract":"Asking the clinical question Evidence-based primary care practice requires that clinicians draw on the best available research to facilitate their decision-making. The first step in this procedure is to source the relevant research literature, and this is dependant on asking a well-designed clinical question. There are two types of question that can be asked, and the type helps to determine which resources to access in order to answer the clinical question: • ‘Background’ questions ask for general know ledge about a condition or specific topic. An Introduction to Research for Primary Dental Care Clinicians Part 1: The First Three Stages In A Research Project","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"17 4","pages":"168-72"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576110792936131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29317924","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":"Helping poorly performing dentists.","authors":"Kenneth A Eaton","doi":"10.1308/135576110792936186","DOIUrl":"https://doi.org/10.1308/135576110792936186","url":null,"abstract":"","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"17 4","pages":"151-2"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576110792936186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29317921","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 use of the International Caries Detection and Assessment System (ICDAS) in a National Health Service general dental practice as part of an oral health assessment.","authors":"Charles Ormond,&nbsp;Gail Douglas,&nbsp;Nigel Pitts","doi":"10.1308/135576110792936177","DOIUrl":"https://doi.org/10.1308/135576110792936177","url":null,"abstract":"<p><strong>Introduction: </strong>The Scottish Dental Clinical Effectiveness Programme (SDCEP) is developing guidance for oral health assessment and review that is intended for use in National Health Service (NHS) general dental practice. One section of this guidance is assessment of the teeth, including their caries status. The detailed caries assessment method identified by the guidance group is the International Caries Detection and Assessment System (ICDAS).</p><p><strong>Aim: </strong>The aim of this study was to investigate the implications of using the ICDAS in an NHS general practice and, in particular, the time taken to use the system.</p><p><strong>Method: </strong>After online and in-practice training and calibration, 50 adult and 50 child patients were randomly allocated for assessment using the ICDAS detection codes. The ICDAS protocol states that the teeth should be clean and dry. For this study, all patients had their teeth brushed by the dentist before the assessment and the results were recorded on draft ICDAS clinical pro forma sheets. The time taken for the assessment was assessed with a stopwatch and recorded in a spreadsheet program.</p><p><strong>Results: </strong>The results showed that the mean time for the assessment of an adult was 3.80 minutes, or 4.99 minutes if the time for pre-examination cleaning and drying was included. For a child, the mean time was 2.53 minutes, or 3.99 minutes if pre-examination brushing time was included.</p><p><strong>Conclusions: </strong>These results indicate that with training and experience, it is possible to carry out an ICDAS assessment in a time that is practical in general dental practice.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"17 4","pages":"153-59"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576110792936177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29317922","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":"Patients' knowledge of risk factors for dental disease. A pilot service evaluation in a general dental practice.","authors":"Vishal R Aggarwal,&nbsp;Hanieh Javidi,&nbsp;Amy Joughin,&nbsp;Fiona I J Crawford,&nbsp;Mohammad O Sharif","doi":"10.1308/135576110792936159","DOIUrl":"https://doi.org/10.1308/135576110792936159","url":null,"abstract":"<p><strong>Unlabelled: </strong>The major dental diseases, including erosion, caries and periodontal disease, are preventable, and the Department of Health has produced guidelines in a 'Prevention Toolkit' to aid prevention of these diseases in primary care.</p><p><strong>Aim: </strong>To investigate patients' knowledge of the key themes in the Prevention Toolkit and to compare their knowledge of the different dental diseases.</p><p><strong>Methods: </strong>Patients attending a general dental practice in North West England were asked to complete a questionnaire while they waited to see their dentist. The questionnaire had been piloted for readability, relevance of questions, and ease of use. It included nine true/false questions on key prevention messages. Data from the respondents were used to assess whether there were differences in knowledge by age or gender and between the types of dental diseases. Results were analysed using chi-square tests.</p><p><strong>Results: </strong>105 patients completed the questionnaire. Of the 420 questions relating to periodontal diseases, 322 (77%) were answered correctly and 196 (47%) of the 420 questions on caries were answered correctly; however, only 32 (31%) of the 105 questions relating to erosion were answered correctly. There were significantly lower levels of knowledge of caries (P<0.01) compared with periodontal diseases. Worryingly, 47 (45%) of 105 respondents stated incorrectly that brushing teeth immediately after consuming a 'fizzy' drink would protect the teeth.</p><p><strong>Conclusion: </strong>The results of this pilot service evaluation indicate that in the practice concerned, more needs to be done to promote disease prevention at the primary care level. The current questionnaire could form a valuable tool to audit and reinforce patients' knowledge, although it needs further development and validation. Longitudinal evaluation of the questionnaire, linking it with disease outcome measures, has the potential to indicate whether change in knowledge translates into behavioural change.</p>","PeriodicalId":79454,"journal":{"name":"Primary dental care : journal of the Faculty of General Dental Practitioners (UK)","volume":"17 4","pages":"173-7"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1308/135576110792936159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29317925","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}