Australian dental journal最新文献

Australian dental practitioner attitudes to expanding Medicare to include more dental services. 澳大利亚牙科医生对扩大医疗保险以包括更多牙科服务的态度。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-04-24 DOI: 10.1111/adj.13073

M S Hopcraft, Acl Holden

{"title":"Australian dental practitioner attitudes to expanding Medicare to include more dental services.","authors":"M S Hopcraft, Acl Holden","doi":"10.1111/adj.13073","DOIUrl":"https://doi.org/10.1111/adj.13073","url":null,"abstract":"Background: The exclusion of dentistry from Medicare in Australia means there is limited public funding available to address widespread disparities in access to dental care, which is provided predominantly by private practitioners. The aim of this study was to investigate dental practitioners' attitudes towards expanding Medicare to include more dental services.Methods: An online survey was distributed to Australian dental practitioners between November 2024 and February 2025. The survey collected demographic information and assessed support for various models of Medicare expansion and perceptions related to affordability and access.Results: A total of 447 dental practitioners completed the survey. Overall, 64.7% supported expanding Medicare to include more dental services, with higher support amongst females, non-dentists (oral health therapists, dental therapists, dental hygienists and dental prosthetists), those with more experience, and practitioners in regional/remote areas or the public sector. Respondents reported a significant proportion of their patients faced challenges affording dental care. Practitioners favoured means-tested and capped schemes that included diagnostic, preventive, restorative and periodontal treatments. Tensions between social responsibility and business imperatives were evident, with concerns raised about the impact on income, potential for overservicing, and the need for appropriate oversight.Conclusion: There was strong support from dental practitioners for expanding Medicare to include more dental services, particularly to financially disadvantaged patient groups with targeted and capped schemes and a focus on essential dental care. This study reinforces the need to reform the dental care system in Australia and take steps towards universal health coverage for dental services to address disparities in access and health outcomes.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of cracks in posterior teeth and factors associated with symptoms: a cross-sectional practice-based observational study. 后牙裂缝的特征及与症状相关的因素：一项基于实践的横断面观察研究

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-04-24 DOI: 10.1111/adj.13075

P Renner, U Krishnan, A Moule, M Swain

{"title":"Characteristics of cracks in posterior teeth and factors associated with symptoms: a cross-sectional practice-based observational study.","authors":"P Renner, U Krishnan, A Moule, M Swain","doi":"10.1111/adj.13075","DOIUrl":"https://doi.org/10.1111/adj.13075","url":null,"abstract":"Background: Cracks in teeth are the third most common reason for tooth loss. The primary aim of this study was to identify the patient-specific and tooth-specific characteristics of individuals who presented to a private general dental practice with cracked posterior teeth. The secondary aim was to explore the relationship between the above characteristics and investigate their influence on signs and symptoms.Materials and methods: A total of 147 records were analysed in terms of patient-specific, tooth-specific and crack-specific characteristics. Initial data analysis involved the use of descriptive statistics and chi-square tests. Stepwise logistic regression was used for model building, and further data analysis was performed using binomial and multinomial logistic regression.Results: Most cracked teeth were asymptomatic (55.1%) and were not visible before removal of restoration. Unrestored marginal ridges (OR2.89), cracks visible before restoration removal (OR3.04) and cracks involving both the body and cusps of teeth (OR3.11) were associated with cold sensitivity. Not all cracked teeth were positive for the bite test. Molar teeth (OR8.79) and those with amalgam restoration (OR4.81) were associated with intersecting cracks.Conclusion: The presentation of teeth with cracks in general dental practice seems to differ from that reported in the literature from specialist practice.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare infection induced recurrent erythema multiforme. 罕见感染引起复发性多形性红斑。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-04-14 DOI: 10.1111/adj.13072

Y Yan, Y Pan, C Qu, Q Chen, X Zeng, J Wang

引用次数: 0

Influence of patient demographics and socio-economic status on treatment choices for permanent mature teeth with painful vital teeth: a pilot study in the Australian public dental system. 患者人口统计和社会经济地位对治疗选择的影响恒成熟牙与疼痛的重要牙齿：在澳大利亚公共牙科系统的试点研究。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-25 DOI: 10.1111/adj.13069

Y Alfaisal, O A Peters, G Idris, S Zafar, C I Peters

{"title":"Influence of patient demographics and socio-economic status on treatment choices for permanent mature teeth with painful vital teeth: a pilot study in the Australian public dental system.","authors":"Y Alfaisal, O A Peters, G Idris, S Zafar, C I Peters","doi":"10.1111/adj.13069","DOIUrl":"https://doi.org/10.1111/adj.13069","url":null,"abstract":"Introduction: Socio-economic status influences treatment decisions. This influence remains uncovered in teeth with painful pulpitis.Aims: To investigate the influence of patients' demographics and socio-economic status on treatment choices for permanent mature teeth with painful vital teeth.Methods: Records of adult patients who received extraction, root canal treatment and vital pulp therapy in public sector dental care were categorized. Correlation of patient age, gender and socio-economic status with rendered treatments was investigated. Patients' socio-economic status was determined using their postcode's Socio-Economic Indices for Areas (SEIFA) scores; a high score indicates higher status. Three groups of n = 25 patients per treatment were randomly selected after applying the inclusion criteria. Data were analysed using chi-square test, One-way ANOVA and Kruskal-Wallis test.Results: There was no significant correlation between patient age or gender and treatment performed (P = 0.250, P = 0.683). SEIFA scores were higher for vital pulp therapy, then root canal treatments and lowest for extraction; however, no significant association existed between patients' socio-economic status and treatment type (P = 0.210). A formal diagnosis was not documented in 8% of vital pulp therapies, 28% of root canal treatments, and 64% of extraction cases. Vital pulp therapy was never offered in root canal treatment or extraction groups. Pulp exposure guided vital pulp treatments, while patient preference drove half of root canal treatment and extraction choices.Conclusions: Patients age and gender did not affect treatment decisions. Socio-economic status might influence treatment decisions in painful permanent teeth. The service setting appears to have a major impact.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Competitive swimming and dental staining among Australian children 澳大利亚儿童的竞技游泳和牙齿着色。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-24 DOI: 10.1111/adj.13068

J Patel, S Cai, B Huong, M Macdonald, R Anthonappa

引用次数: 0

Cost-effectiveness of atraumatic restorative treatment combined with the Hall Technique for managing dental caries in remote Indigenous children. 非创伤性修复治疗结合霍尔技术治疗偏远土著儿童龋齿的成本效益。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-14 DOI: 10.1111/adj.13066

U Tonmukayakul, S Kularatna, S Piggott, D Atkinson, D Brennan, L Jamieson, P Arrow

{"title":"Cost-effectiveness of atraumatic restorative treatment combined with the Hall Technique for managing dental caries in remote Indigenous children.","authors":"U Tonmukayakul, S Kularatna, S Piggott, D Atkinson, D Brennan, L Jamieson, P Arrow","doi":"10.1111/adj.13066","DOIUrl":"https://doi.org/10.1111/adj.13066","url":null,"abstract":"Background: Indigenous children in remote Australia face significant disparities in oral health and have limited access to dental care. This study evaluated the cost-effectiveness of Atraumatic Restorative Treatment combined with the Hall Technique (ART-HT) compared to usual care.Methods: A cost-effectiveness analysis using data from a 1-year ART-HT trial estimated dental caries status and costs from a health-provider perspective. Two scenarios were examined: (1) actual treatment costs and (2) minimum dental services. The incremental cost per decayed, missing, and filled teeth (dmft) prevented was calculated in AUD 2021 prices. A probabilistic sensitivity analysis was conducted.Results: Among 228 children (ART-HT = 122; usual care = 106), deterministic analysis showed ART-HT required additional costs of $59.54 and $72.37 for scenarios 1 and 2, with 0.90 dmft prevented. Probabilistic sensitivity analysis revealed ART-HT resulted in better oral health outcomes with a mean dmft prevented of 0.58 (95% uncertainty interval: 0.09 to1.07). The mean additional cost per dmft prevented was $118.50 and $181.84 for scenarios 1 and 2.Conclusions: ART-HT effectively managed dental caries in Indigenous children, providing better oral health outcomes compared to usual care, albeit with modest additional costs. This approach may improve access to culturally appropriate dental care in remote communities.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why policy relevant research still matters for community water fluoridation. 为什么政策相关研究对社区水氟化仍然很重要。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-03 DOI: 10.1111/adj.13063

T M Nguyen, C Sexton, L Do

引用次数: 0

Am I incompetent? 我无能吗？

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-03 DOI: 10.1111/adj.13064

I Darby

引用次数: 0

Comparison of the effects of occlusal splint and Botox injections on the amount of mouth opening and chronic pain in individuals with temporomandibular disorders: a systematic review and meta-analysis. 比较咬合夹板和肉毒杆菌注射对颞下颌疾病患者开口量和慢性疼痛的影响：一项系统回顾和荟萃分析。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-02-14 DOI: 10.1111/adj.13059

Ö İşisağ, H Atasoy, S Yıldız

{"title":"Comparison of the effects of occlusal splint and Botox injections on the amount of mouth opening and chronic pain in individuals with temporomandibular disorders: a systematic review and meta-analysis.","authors":"Ö İşisağ, H Atasoy, S Yıldız","doi":"10.1111/adj.13059","DOIUrl":"https://doi.org/10.1111/adj.13059","url":null,"abstract":"Objective: This systematic review and meta-analysis study was carried out to compare the effectiveness of occlusal splint (OS) and Botox (BTX) injections in temporomandibular disorders (TMDs).Material and methods: Irrespective of the starting year, studies were searched for up to 2024 using PubMed, Web of Science, Scopus databases and the Google Scholar search engine. In the study, graded chronic pain scale and maximum mouth opening amount parameters were analysed with Comprehensive Meta-Analysis programme.Results: Out of 619 studies, only six were included in the meta-analysis. The effect size was 0.293 in favour of BTX in the studies evaluating the maximum mouth-opening (MMO) range. However, the amount of MMO did not show a statistically significant difference between the OS and BTX groups (95% CI - 0.383 to 0.969, P = 0.395, z = -0.850). In the subgroup analyses carried out based on the follow-up periods, it was found that the MMO was statistically significantly higher in the BTX group at the first week and in the OS group at the third month. However, there was no significant difference observed at the first, second, sixth and twelfth month follow-ups (P > 0.05). No significant difference was found between the groups (P > 0.05) in the publications that evaluated the graded chronic pain scale (GCPS), although an effect size of 0.673 was found in favour of OS (95% CI 0.331 to 1.365, P = 0.272, z = -1.098).Conclusion: BTX injections and OS applications show significant differences in the MMO of individuals in the early period. In contrast, the MMO of individuals and the GCPS show similar findings in the sixth month and longer follow-up.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Causal relationship between 14 micronutrients and chronic periodontitis: a Mendelian randomization study. 14种微量营养素与慢性牙周炎的因果关系：一项孟德尔随机研究。

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-01-03 DOI: 10.1111/adj.13056

Z Yu, Y Yang, Z Yu, Z Yan, R Gao

{"title":"Causal relationship between 14 micronutrients and chronic periodontitis: a Mendelian randomization study.","authors":"Z Yu, Y Yang, Z Yu, Z Yan, R Gao","doi":"10.1111/adj.13056","DOIUrl":"https://doi.org/10.1111/adj.13056","url":null,"abstract":"Background: Chronic periodontitis is one of the most common inflammatory diseases worldwide. Micronutrients play a significant impact on health and periodontal disease progression. However, there is still a lack of conclusive studies confirming the causal association of micronutrients with chronic periodontitis.Materials and methods: Genome-wide association study pooled data on chronic periodontitis were collected from the FinnGen consortium, and 14 micronutrients (calcium, copper, zinc, potassium, magnesium, selenium, iron, carotenoids, vitamin B6, B12, C, D, E and folate) were obtained from the OpenGWAS and UK Biobank Study. Instrumental variables were screened by strict criteria. Five Mendelian randomization (MR) methods were used. Finally, the robustness of the findings was verified by sensitivity analyses.Results: We found that vitamin D reduced the risk of chronic periodontitis (OR: 0.605, 95%CI: 0.398-0.921, P = 0.019). However, we had no evidence of a significant association between other micronutrients and chronic periodontitis. Multiple sensitivity analyses confirmed the robustness of the findings. A variety of sensitivity analysis methods confirmed the reliability of the results.Conclusion: In this study, we found a potential causal relationship between vitamin D and chronic periodontitis by MR analysis, whereas we did not find an association between 13 other micronutrients and chronic periodontitis. This result might provide new ideas for the prevention and treatment of chronic periodontitis to some extent. However, despite the rigorous analytical methods used in this study, this finding needs to be interpreted with caution. Further randomized controlled studies might provide more in-depth references to the findings of this study.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0