{"title":"What’s new for the clinician – summaries of recently published papers (June 2023)","authors":"V Yengopal","doi":"10.17159/sadj.v78i05.16845","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16845","url":null,"abstract":"There has been a huge increase in the number of adolescents and young adults on fixed orthodontic treatment for periods longer than 1 year. Often the desired outcome of having a perfectly aligned set of teeth has been marred by the significant increase in the presence of white spot lesions (WSLs). These lesions are commonly observed on the labial surfaces of the maxillary incisors adjacent to the brackets, thus jeopardising the final aesthetic result of the treatment and having limited chances of improvement even after the orthodontic appliances are removed.1 The incidence and prevalence of WSLs during multibracketed fixed orthodontic treatment are relatively high with a wide range, and the problem is quite alarming for the orthodontists and patients.1 Patients with multibracketed fixed orthodontic appliances have been considered to be at moderate to high risk for caries and various preventive strategies have been examined to prevent the development of WSLs, among which topical fluorides have been studied widely and found to be efficacious in reducing the incidence of WSLs around the brackets.1 Among the various forms of topical fluorides studied, varnishes are deemed critical for preventing the WSL formation. The efficacy of topical fluoride varnishes has been established through multiple systematic reviews1 with a preventive fraction of about 43% and 37% in permanent and primary dentitions respectively, compared with that in the placebo or no treatment.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110293","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":"Driving oral-health transformation in South Africa: The need for a roadmap to implementing the WHO Resolution","authors":"Neil Wood","doi":"10.17159/sadj.v78i05.16846","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16846","url":null,"abstract":"The World Health Assembly’s adoption of the Resolution on oral health in 2021 was a turning point in the worldwide effort to advance oral health outcomes. The resolution underlines the significance of promoting oral health, integrating oral health care within the primary health-care system, and ensuring universal coverage, shifting the paradigm from a curative to a preventive approach. In this editorial, a prospective action plan is explored that would include a national oral health survey, short-, medium-, and long-term goals, as well as appropriate regulations and procedures to fulfill the WHO’s 2030 target. With the roll-out of the National Health Insurance (NHI) bill, complying with these resolutions are becoming more important and urgent.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"184 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110298","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":"Measuring tongue strength in adults after partial glossectomy: a review","authors":"Wade Shaw, Azra Ismail, Baka Jolyne Vangu, Deen Kimmie, Saijal Naidoo, Rosy Katulondi, Nkoe Madikoa, Zarreen Cassim, Nadir Kana, Shivesh Maharaj","doi":"10.17159/sadj.v78i05.16892","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16892","url":null,"abstract":"The purpose of this study is to present a scoping review of the measurements of tongue strength available, particularly in adult patients, following partial glossectomy. The subsequent impact on functionality and quality of life were also explored. 
 Materials and methodsThis study used a scoping review and the study selection comprised two stages of screening: the review of the title and abstract followed by a full-text review. During the first stage of screening, the title and abstracts of all retrieved references were reviewed against the predetermined inclusion criteria. In the second stage of screening, all studies were reviewed at full-text level, utilising the Full-Text Screening Relevance measure. A total of 20 articles were reviewed as they met the inclusion criteria
 Results The study found that subjective and quality-of-life measures may still be useful in measuring tongue strength in developing contexts as they closely approximate objective measures and are reliable as an interim measure. However, there is still a need for the development of other objective measures, should funding be available.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110302","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":"Knowledge, attitude and perceptions of dental professionals on patients seeking oral health care from traditional healers in KwaZulu-Natal, South Africa","authors":"Sibusisiwe Dlamini, Ilana Moodley, Mogie Reddy","doi":"10.17159/sadj.v78i05.16886","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16886","url":null,"abstract":"BackgroundThe general and oral healthcare needs of communities far exceed the capacity of the current public health system of South Africa (SA). This results in patients deferring treatment or seeking alternative measures in the form of the traditional health practice. It is important for dental professionals in the health system to be aware of such oral health care seeking behaviour within rural communities to initiate joint corporate oral health education programmes and referral systems that resonate with these communities. 
 Aims and objectivesThe study aimed to explore the knowledge, attitude and perceptions of dental professionals (16 dentists, 25 dental therapists, 4 oral hygienists and 3 dental assistants) regarding patients seeking oral health care from traditional healers. 
 MethodsThis was an exploratory, cross-sectional study that evaluated dental professionals’ knowledge, attitude and perceptions on patients seeking oral health care from traditional healers. A purposive sampling technique using specific inclusion criteria was used to select 48 qualified dental professionals (oral hygienists, dentists, dental assistants and dental therapists) practising in rural KwaZulu-Natal. A self-administered questionnaire was used for data collection. Data related to sociodemographic variables and knowledge, attitudes and perceptions of dental professionals were recorded. 
 ResultsMost (77.1%) dental professionals were aware that their patients were seeking oral health care from traditional healers. They further maintained that the traditional health practice included ideas and methods from which the oral health fraternity could benefit. 
 ConclusionThis study revealed most of the dental professionals in rural Kwa-Zulu Natal have encountered patients who have consulted traditional health practitioners for oral health care. The dental personnel were accepting of traditional healers and believed that traditional healers could contribute positively to rural oral health care.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110295","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":"Maxillofacial Radiology 205","authors":"Lené Merbold, Chané Smit, André Uys","doi":"10.17159/sadj.v78i05.16871","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16871","url":null,"abstract":"A 13-year-old male patient presented with a painless expansile swelling of the anterior mandible. Radiographic examination showed a unilocular radiolucent lesion resulting in bony expansion and teeth displacement (Figure 1). The lesion was biopsied and histological examination showed a conventional ameloblastoma. The lesion was marsupialised and was followed up over a period of 96 months (Figure 2-5). Subsequent signs of bone fill and absence of the lesion was noted for the follow-up period of 12 months (Figure 3). The lesion, however, recurred after 68 months with greater amounts of expansion compared to the initial presentation (Figure 4,5).","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110301","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":"Learning experiences of undergraduate first-year dental and oral hygiene students at a South African dental university","authors":"Mpho Morule, Ahmed Bhayat, Candida Kruger","doi":"10.17159/sadj.v78i05.16878","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16878","url":null,"abstract":"Students in higher education institutions endure many difficulties which may adversely affect their career choices, learning experience and academic success. 
 Aims and objectivesThe aim of this study was to identify factors contributing to learning experiences of undergraduate dental and oral hygiene students during their first year of study at a South African dental university.
 DesignCross-sectional design that included quantitative and qualitative data.MethodsAn online questionnaire was used to capture the students’ perceptions towards learning experiences and factors contributing to academic success. The sample consists of 84 first-year dental and oral hygiene students registered in the 2021 academic year. ResultsA total of 59 students responded (70%) and most of them reported to have problems with academic learning, time management, heavy workload and a negative attitude towards online lectures. Problems related to social learning included inability to make friends and lack of participation in university social activities, finances and accommodation. In terms of coping mechanisms, students utilised tutoring classes, sought advice from senior students, watched educational YouTube videos and applied for a study loan or bursary. Students reported to obtain emotional support from friends and family members and adopted a positive attitude resulting in committed self-motivation. 
 ConclusionMost students had challenges with academic and social factors. Students requested they be assisted in time management skills and study skills, in coping mechanisms to deal with a demanding workload and having access to an educational psychologist.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"190 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110294","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":"Final-year oral hygiene and dental therapy students’ perceptions of teaching and learning at a South African university","authors":"Harsha Pillay, Rajeshree Moodley","doi":"10.17159/sadj.v78i05.16887","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16887","url":null,"abstract":"Dental students may provide insightful course evaluation and feedback due to their direct engagement with theoretical and clinical instruction during their training. According to the literature, student feedback may enhance dental education. This study investigated students’ perceptions of teaching and learning, the various aspects of which will be discussed further.\u0000Aims and objectivesThe study aimed to determine the perceptions of the final year dental therapy and oral hygiene students regarding teaching and learning at a South African university. Topics such as teaching methods, suitable attributes of academic staff, potential barriers to learning, clinical quotas, effects of the pandemic and recommendations to enhance teaching and learning were investigated.\u0000MethodsA cross-sectional study was conducted during the 2021 and 2022 academic years. Quantitative and qualitative data was captured via an online questionnaire. Participants were asked to rate their perceptions of teaching and learning via a five-point Likert scale and respond to open-ended questions.\u0000ResultsSixty-nine students participated in this study, yielding a response rate of 65.09%. The findings demonstrated students’ preference for contact teaching methods such as clinical observation (80%; n=55) and clinical demonstrations (78%; n=54) compared to online lectures (54%; n=37). Stress (78%; n=54) and insufficient feedback (88%; n=61) were identified as learning barriers. Increased clinical training was among the suggestions to enhance learning.\u0000ConclusionStudents should be encouraged to provide feedback regarding teaching and learning as this may positively influence curriculum design and development.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110291","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":"Professional virtues: illuminating the path to ethical research in oral health","authors":"HD Miniggio","doi":"10.17159/sadj.v78i05.16847","DOIUrl":"https://doi.org/10.17159/sadj.v78i05.16847","url":null,"abstract":"Ethical research is vital in pursuit of advancing scientific knowledge as well as promoting and improving oral health outcomes that are in accordance with the needs of communities. Guidelines, principles and duties outlined in various international and national professional associations serve to guide ethical research in healthcare, including oral health.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135110297","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":"Restorative considerations in children with congenital dental anomalies","authors":"Leanne Sykes, Londiwe Mkhonza","doi":"10.17159/sadj.v78i07.17070","DOIUrl":"https://doi.org/10.17159/sadj.v78i07.17070","url":null,"abstract":"Children with congenital dental manifestations may have to endure challenges due to their abnormal tooth development, altered skeletal growth, compromised masticatory and speech function and poor aesthetics. This may further lead to psychosocial problems. These children may have deficient ridge height and volume in edentulous areas, missing teeth, malformed or malpositioned teeth and often the added complication of xerostomia. These anomalies complicate conventional treatment and have led clinicians to consider alternative restorative treatment options. Recent literature suggests that Osseo integrated implant therapy may be a viable option for children with congenital dental defects. However, studies are scarce, with no standardization of success or survival criteria, and little long-term follow-up results. This paper explores the various restorative options and highlights the need for a multidisciplinary team. approach.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136036956","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":"MAXILLOFACIAL RADIOLOGY Nevoid Basal Cell Carcinoma Syndrome","authors":"Lené Merbold, Zarah Yakoob","doi":"10.17159/sadj.v78i07.17071","DOIUrl":"https://doi.org/10.17159/sadj.v78i07.17071","url":null,"abstract":"An 18-year-old male patient presented at our dental clinic in 2009 for a dental assessment. A panoramic radiograph was taken to evaluate dental crowning (Figure 1). An incidental finding was noted in the right maxilla, presenting as a well-demarcated, round, unilocular, radiolucent lesion with a corticated rim extending from the right maxillary tuberosity area to distal of the 16 causing. impaction of the 18. A biopsy was taken and diagnosed as an odontogenic keratocyst (OKC) that was subsequently enucleated. In 2021 the patient returned, and another panoramic radiograph (Figure 2) and a Waters view was taken where calcification of the falx cerebri was seen (Figure 3). On the panoramic radiograph an additional mandibular lesion was visible that presented as a well-demarcated, round, unilocular, radiolucent lesion with a corticated rim extending from distal of the 46 into the missing 47, 48 area. A CBCT was then. taken to further analyse the lesions (Figure 4). A biopsy was taken in the right posterior mandible and diagnosed as an OKC. In 2023 the patient returned and a CBCT was taken. The right maxilla showed increased bone density adjacent to the enucleated lesion (Figure 5).","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136036960","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}