SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging最新文献

{"title":"Is it ethical to immobilize patient’s jaws for weight loss? A deontological perspective","authors":"S. Bhattay-Loonat, J. Gardner, H. Miniggio","doi":"10.17159/sadj.v78i03.16275","DOIUrl":"https://doi.org/10.17159/sadj.v78i03.16275","url":null,"abstract":"The demand for elective aesthetic treatment is increasing globally, in line with aggressive media portrayals of a certain standard of beauty and body image. This trend is also changing the landscape of modern dentistry and is blurring the role of dental professionals as healthcare providers versus aestheticians. This article explores the ethical dilemma that dental professionals are faced with when patients request a treatment modality such as intermaxillary fixation, to treat a medical condition or enhance aesthetics through weight loss. We evaluate whether intermaxillary fixation for weight loss falls within the dentist’s scope of practice from a deontological perspective.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42217694","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":"Should dentistry play a larger role in general medicine","authors":"N. Wood","doi":"10.17159/sadj.v78i03.16267","DOIUrl":"https://doi.org/10.17159/sadj.v78i03.16267","url":null,"abstract":"Dentistry has been traditionally seen as an entirely separate field from general medicine, with a divide between the two professions. However, the current medical-dental divide is becoming increasingly problematic as oral health is closely linked to overall health. Some examples include patients who have uncontrolled diabetes mellitus, rheumatoid arthritis, patients who are transplant recipients, and elderly patients, who are adversely affected by poor oral health, and vice versa. Compounding this problem in South Africa is a large number of rural and outlying regions that need medical and dental care and intervention. At times these communities only receive periodical contact with a doctor or dentist who may be on rotation, or patients must travel large distances to community health clinics. It is conceivable that by empowering these professionals, these communities and patients will benefit greatly.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46380162","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 affected the efficacy of non-surgical periodontal treatment carried out by postgraduate periodontology students","authors":"M. Abdalla, M. Peck, C. Rayner, F. Kimmie-Dhansay, A. Jeftha","doi":"10.17159/sadj.v78i03.16276","DOIUrl":"https://doi.org/10.17159/sadj.v78i03.16276","url":null,"abstract":"The training of postgraduate students in periodontology has a significant clinical impact. The overall assessment of the efficacy of non-surgical treatment of periodontitis, has value to inform training protocols as well as assess the quality of clinical service delivery. Furthermore, obstacles to successful treatment can be identified. The aim of the study was to determine the effectiveness of non-surgical periodontal treatment, as well as the factors that may determine treatment outcome at the postgraduate clinic in the Periodontology Department at the University of the Western Cape, Tygerberg Dental Hospital, between 2016 and 2018. A cross-sectional record-based study of 100 patients was conducted. Demographic, social, clinical, treatment data were obtained from the hospital files. Periodontal parameters including bleeding index (BI), Pocket Probing depth (PPD), Plaque index (PI), and clinical attachment level (CAL), were recorded at the initial visit (Pre-treatment) and follow-up visits (Post-treatment), and the final treatment outcomes were calculated based on the differences of these parameters’ values between the initial visit and the last follow-up visit. Data were presented as mean and range for continuous variables and as a frequency for categorical variables. Statistical analyses were performed to determine if there was a relationship between the varied factors and treatment outcome with p < 0.05 as statistically significant. The results showed that all 100 patients demonstrated a marked reduction in PPD, PI, BI, and loss of CAL. The overall mean PPD reduction was 0.32 (0.5), the mean reduction in PI and BI were 37.2 (24.08) and 34.61 (22.78), respectively, and the mean clinical attachment gain was 0.42 (0.97) mm. Treatment outcome showed no difference in PPD, PI, BI, and CAL between females, smokers, and patients with systemic conditions compared to males, non-smokers, and patients without systemic conditions. On the other hand, patients who underwent more maintenance treatment visits over a period longer than 2 months duration had significantly better outcomes compared to patients who had less than two months of duration of treatment. This study proved the effectiveness of the non-surgical surgical periodontal treatment at the postgraduate periodontal clinic. Treatment duration and frequency of recall visits were the most influential factor impacting the treatment outcome.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41718618","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":"Hard tissue characteristics of patients with bimaxillary protrusion","authors":"Muhammed Ikhwaan Osman, Mosimane Peter Silas Sethusa","doi":"10.17159/sadj.v78i03.16269","DOIUrl":"https://doi.org/10.17159/sadj.v78i03.16269","url":null,"abstract":"Bimaxillary protrusion (BP) is a common developmental condition amongst the South African Black population characterized by proclined incisors with resultant procumbency of the lips. The aim of this study was to perform a cephalometric radiographic analysis of the pre-treatment dental and skeletal structures in a sample of Black South Africans in order to identify the characteristic features of BP in this race group and compare them to norms. Records of 67 South African Black patients divided into 28 males and 39 females with a mean age of 17.8 years, clinically diagnosed with BP were included in the study. Cephalometric parameters were hand traced on lateral cephalometric radiographs and measurements recorded for evaluation and comparison to norm values used for this population group to determine the features that both males and females present with. Characteristic pre-treatment dental features of the sample included maxillary incisors that were proclined and protruded with resultant decreased interincisal angle, mandibular incisors which were favourably positioned. Skeletal features included retrognathic jaws (maxilla to a greater degree) resulting in a mild to moderate Class III skeletal pattern but with females exhibiting a smaller ANB angle indicating a greater tendency for a Class III skeletal pattern. The skeletal growth pattern was vertically directed with an average anterior facial height ratio. The findings indicate that most BP patients in this South African Black population presented with dentoalveolar protrusion, retrognathic jaws and a mild to moderate skeletal Class III pattern","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42126640","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 South African Dental Association (SADA) Celebrates World Oral Health Day 2023 by promoting Health Education and Awareness","authors":"K. Makhubele","doi":"10.17159/sadj.v78i03.16264","DOIUrl":"https://doi.org/10.17159/sadj.v78i03.16264","url":null,"abstract":"World Oral Health Day (WOHD) is a global initiative that takes place annually on 20th March to raise awareness about the significance of oral health and promote good oral hygiene practices. In South Africa, WOHD was celebrated with various activities and events organized and or coordinated by the South African Dental Association (SADA), aimed at promoting oral health education and awareness among the public.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42398394","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":"Is there a decline of Scientific Output in South African Dentistry: Addressing the Concerns and Nurturing Future Scientists","authors":"N. Wood","doi":"10.17159/sadj.v78i02.16142","DOIUrl":"https://doi.org/10.17159/sadj.v78i02.16142","url":null,"abstract":"I have received comments in general discussion with colleagues who ask me whether scientific progress in South African dentistry has declined over the last decade. Researchers and academics often point to a decline in the quantity and quality of this research, leading to concern and speculation. While there is no definitive data or statistics to support these claims, anecdotal information suggests that the quantity of dental research publications in South Africa have declined over the past few years. This decline may be due to a number of factors, including financial constraints, lack of resources, limited time available, and his recent COVID-19 pandemic, which has further strained the field. However, these are not a sufficient explanation for the decline and the dental community needs to take action to address this problem.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500766","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 innovative digital workfl ow for the fabrication of a prosthetic ear: A case report","authors":"NE Netshilindi, Asia Michaels, RD Maart","doi":"10.17159/sadj.v78i02.16165","DOIUrl":"https://doi.org/10.17159/sadj.v78i02.16165","url":null,"abstract":"The aim of maxillofacial rehabilitation is to provide suitable prostheses for patients with oro-facial defects, and enable them to resume their roles in society. Recent advances in bionics and prosthetics have combined different techniques to help in the production of aesthetic and functional prostheses. Technology can now supplement the freehand sculpting skills of the clinician by capturing accurate images of the soft tissues from both the defect and non-defect areas, and using these to digitally recreate the desired templates. This case report describes the digital steps used to capture necessary data for the design and fabrication of an auricular template, and fi nal ear prosthesis. Results from this case study suggested that the digital method is: 1) more accurate; 2) less time-consuming than traditional methods; and 3) less invasive, and thus more accepted by patients.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49293510","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":"Supernumerary teeth in a sample of South African dental patients","authors":"E. Thomas, A. Oettlé, P. Becker","doi":"10.17159/sadj.v78i02.16187","DOIUrl":"https://doi.org/10.17159/sadj.v78i02.16187","url":null,"abstract":"Supernumerary teeth (SNT) are often associated with malocclusions. Data on SNT in the South African population are not well documented. To determine the prevalence, distribution of characteristics and any associated complications of SNT in a South African sample of dental patients. The study was retrospective, cross-sectional and descriptive. Method: Orthopantomographs of 12,005 dental patients were reviewed for the presence of SNT. The number, morphology, location, eruption status and orientation of SNT were assessed. Associated orthodontic problems were noted. The prevalence rate was 2.48%. No sexual dimorphism in the distribution of SNT was noted. Types of SNT tabulated were: supplementary, conical, tuberculate and odontoma. Maxilla demonstrated a higher predilection for SNT. Variation in the distribution of SNT in the anterior, premolar and molar regions in each jaw and across jaws was statistically significant. Relationship of eruption status to the morphology and orientation of SNT was of significance. Malocclusions noted were displacement and impaction of adjacent teeth. From an orthodontic perspective, presence of SNT may compromise tooth movement and space closure in patients. Additionally, as majority of SNT in this population were in the maxillary molar and mandibular premolar regions, caution is advised when planning the placement of orthodontic implants in these regions.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49092402","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":"What’s new for the clinician – summaries of recently published papers (March 2023)","authors":"V Yengopal","doi":"10.17159/sadj.v78i02.16143","DOIUrl":"https://doi.org/10.17159/sadj.v78i02.16143","url":null,"abstract":"In a world of increasing emphasis on aesthetics and beauty, the tooth form, colour and appearance has taken on significant importance in the overall makeover that many patients seek as part of their quest for beauty and youthfulness. Common concerns among many patients relate to the appearance and colour of their teeth. This dissatisfaction has led to an increased desire for treatments that improve dental aesthetics, including tooth bleaching, which is a conservative and viable option for attaining a patient’s desired smile when tooth integrity is acceptable.1","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":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135429005","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":"Breaking free from medical aid rates: empowering dentists to provide high quality dental services in South Africa","authors":"K. Makhubele","doi":"10.17159/sadj.v78i02.16140","DOIUrl":"https://doi.org/10.17159/sadj.v78i02.16140","url":null,"abstract":"Dental care is vital to overall health and wellness. There is a myriad of challenges that health practitioners face when dealing with medical schemes/third-party funders. To address some of these challenges, some South African dentists accept medical aid rates for their services, to make their lives, and those of their patients’ lives somewhat easier. In this piece, however, we argue that dentists in South Africa should set their own fees rather than rely on medical aid rates. Initially, the price of dental care varies widely based on the necessary treatment. While calculating their rates, dental practices must account for rent, salaries, equipment, supplies, and other administrative expenses. Accepting medical scheme rates may not correctly reflect the actual cost of providing dental services, resulting in dentists getting less compensation than is necessary to maintain a sustainable practice.","PeriodicalId":79721,"journal":{"name":"SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44718302","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}