Australian dental journal最新文献

{"title":"Static-Computer Assisted Implant Surgery: Where Are We Now?","authors":"Xin Hui Yeo, Shengchi Fan, Jennifer G M Chantler, James Chow, Atiphan Pimkhaokham, Nikos Mattheos","doi":"10.1111/adj.70007","DOIUrl":"https://doi.org/10.1111/adj.70007","url":null,"abstract":"<p><strong>Background: </strong>Static Computer-Assisted Implant Surgery (s-CAIS) has become a widely accepted standard in guided implant placement, leveraging advancements in digital technologies. Despite its widespread adoption, s-CAIS faces several limitations, and emerging alternatives like dynamic and robotic CAIS are gaining traction.</p><p><strong>Methods: </strong>This narrative review synthesises the current literature on s-CAIS to provide a comprehensive overview of its current state, clinical applications, and future potentials. Key aspects included s-CAIS terminology and componentry, indications, clinical outcomes, patient-reported experience, educational implications, advantages, and limitations.</p><p><strong>Results: </strong>s-CAIS demonstrates superior accuracy compared to non-guided surgery. It can enhance efficiency in complex cases and facilitate minimally invasive and immediate loading protocols. However, limitations include restricted intraoperative flexibility, higher costs, and challenges in cases with limited access or unusual anatomy.</p><p><strong>Conclusion: </strong>Despite emerging technologies such as dynamic navigation and robotic assistance, s-CAIS remains a predictable and widely used modality for guided implant placement. Clinicians should weigh its advantages against limitations and consider patient-specific factors when selecting guided surgery approaches. Further research should prioritise collective assessment of clinical and patient-reported outcomes over accuracy metrics alone.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198021","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}

{"title":"The Oral-Brain Axis: A Novel Perspective on Bruxism and Orofacial Pain.","authors":"Takahiko Nagamine","doi":"10.1111/adj.70008","DOIUrl":"https://doi.org/10.1111/adj.70008","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145172722","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}

{"title":"Understanding the Oral Health Status and Factors Affecting Poor Oral Health in People Living With Severe Mental Illness: A Cross-Sectional Study.","authors":"Shilpi Ajwani, Premala Sureshkumar, Sameer Bhole, Tim Lambert","doi":"10.1111/adj.70006","DOIUrl":"https://doi.org/10.1111/adj.70006","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the oral health status of patients with severe mental illness visiting the Collaborative Centre for Cardiometabolic Health in Psychosis clinics and examine the effect of demographic, medical and social factors on Oral Health (OH).</p><p><strong>Methods: </strong>The cross-sectional study included adults aged 18-65 years with severe mental illness who attended the clinics in Sydney, Australia between June 2016 and December 2020. As part of the OH assessment, information about their oral hygiene behaviours was recorded and participants underwent dental examination to assess their dental status.</p><p><strong>Results: </strong>The majority of the 845 patients were male (63%), with a mean age of 43.4 years and a diagnosis of Schizophrenia (61%). Co-morbidities included dyslipidaemia (93.3%), overweight/obesity (81%), and hypertension (47%). Gingival inflammation was noticed in 80% of participants. Caries experience was high, with 44% having active tooth decay requiring restoration or extraction. Age, smoking, schizophrenia, depression and cardiometabolic conditions like diabetes and hypertension were significantly associated with caries. Gingival inflammation was significantly associated with psychiatric diagnosis and antipsychotic medications, male gender, smoking and diabetes.</p><p><strong>Conclusions: </strong>People with severe mental illness have a high prevalence of dental caries and gingival inflammation. A strong association between dental diseases and demographics as well as cardiometabolic conditions emphasises the need for a multipronged approach to improve the overall health outcomes of people with severe mental illness.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124106","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}

{"title":"Identifying Clinical Variations Across NSW Public Dental Service: An Essential Step to Develop a Roadmap for Value-Based Oral Healthcare.","authors":"Albert Yaacoub, Tony Skapetis","doi":"10.1111/adj.70004","DOIUrl":"https://doi.org/10.1111/adj.70004","url":null,"abstract":"<p><strong>Objective: </strong>This research examines the extent of clinical variation across the NSW public dental service, the largest in Australia. Findings may assist policy makers in reducing variation of care and inequity towards value-based oral healthcare.</p><p><strong>Methods: </strong>Four years of demographic and treatment data, for 741,450 patients between 1 July 2019 and 30 June 2023, were extracted from the Electronic Oral Health Record System and analysed. Sixteen common dental treatment types provided by NSW Local Health Districts (LHDs) for adults and children were analysed relative to all treated patients in terms of clinical variation. Adult-only treatment types included posterior root canal treatment, fixed crowns, occlusal splints and metal-based partial dentures, removal of calculus, as well as full dentures and acrylic partial dentures. Also included, were simple fillings and simple extractions for both adults and children, as well as preformed crowns, pulpotomy, sport mouthguards, treatment under nitrous oxide gas sedation, fissure sealing and fluoride application for children.</p><p><strong>Results: </strong>Of the 16 total treatment types investigated, eight showed significant variations ranging between 43-961 fold for adults and 17-434 fold for children. In contrast, eight treatments showed far less variation ranging between 1.5 and 2.8 fold.</p><p><strong>Conclusion: </strong>This research identified significant variations in general dental adult and child treatments provided across NSW LHDs which cannot be attributed or explained demographically. The presence of unwarranted clinical variation would suggest disproportionate and inequitable care delivery across NSW public dental services. Addressing unwarranted clinical variation will likely promote fairer and more equitable provision of public oral health with enhanced patient outcomes.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079597","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}

{"title":"Digital Workflows in Prosthodontics.","authors":"Jaafar Abduo, Vanya Rasaie","doi":"10.1111/adj.70005","DOIUrl":"https://doi.org/10.1111/adj.70005","url":null,"abstract":"<p><p>The rapid advancement of scanning technologies, design software, and manufacturing techniques has led to the maturation of digital workflows in prosthodontics over the past few decades. Initially perceived as alternatives to analogue workflows, digital workflows now offer significant advantages in diagnosis, treatment planning, communication, and prosthesis design and fabrication. The growing demand for efficient, predictable, aesthetic, and outcome-driven prosthodontic treatments has led to increasing adoption of digital workflows. This integration has transformed each step of prosthodontic treatment, resulting in three digital workflows: laboratory, clinical, and combined clinical-laboratory workflows. Although most prosthodontic treatments can now be executed digitally, a universally applicable digital workflow is yet to be established. Contrary to analogue workflows, digital workflows continue to evolve rapidly, with significant improvements anticipated in the near future that may establish them as the mainstream approach in prosthodontics. This review article aims to: (1) illustrate the importance of digital workflows in modern prosthodontics, (2) discuss available digital workflows in relation to different areas of prosthodontics, and (3) explore how recent advancements in digital dentistry are likely to shape the future of prosthodontics.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063462","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}

{"title":"Dentists' Ability to Identify Tooth Resorption on Radiographic Images and Their Preferences for Terminology.","authors":"Sheema Pham, Paul V Abbott","doi":"10.1111/adj.70003","DOIUrl":"https://doi.org/10.1111/adj.70003","url":null,"abstract":"<p><strong>Background: </strong>Tooth resorption has no universal classification, which leads to confusion. The aims were to assess dentists' ability to radiographically identify resorption and to determine their terminology preferences for three types of resorption.</p><p><strong>Materials and methods: </strong>Dentists completed an electronic questionnaire. Part 1 concerned professional profiles plus self-rating of each participant's level of resorption knowledge. In Part 2, participants identified types of resorption from radiographs. In Part 3, participants chose their preferred terminology and provided reasons for their choices.</p><p><strong>Results: </strong>Of 444 complete responses, 55.6% of participants self-rated their knowledge as 'Acceptable'. The average number of correct responses when identifying resorption was 52.9% (6.3 out of 12; range: 0-12). Significant differences existed for gender, practice area, graduation year and education level. Preferred terms were external inflammatory resorption (72.3%) and external replacement resorption (63.3%) but no clear preference existed for external invasive resorption (31.8%) or external cervical invasive resorption (35.6%). Most common reasons for selecting terms were 'more descriptive', and a 'more accurate representation of what occurs in the tissues'.</p><p><strong>Conclusion: </strong>On average, dentists correctly identified 52.9% of the resorptive defects. There is a need for a standardised classification of the different types of tooth resorption.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940453","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}

{"title":"Supercharged Smiles: A Discourse Analysis of Australian Media Coverage of Funding Dental Care Through Superannuation.","authors":"A C L Holden","doi":"10.1111/adj.70002","DOIUrl":"https://doi.org/10.1111/adj.70002","url":null,"abstract":"<p><strong>Background: </strong>The early use of superannuation savings towards dental treatment is a phenomenon that has emerged in recent years within Australia. This research investigates the media's response and coverage of how this usage of private, yet segregated funds has developed and grown. Through analysing the media's portrayal of this issue, valuable insights into dentists' evolving professionalism and societal attitudes towards oral health can be gained.</p><p><strong>Methods: </strong>A search of two online databases and the grey literature was used to identify relevant media sources that related to the utilisation of superannuation funding to facilitate accessing dental care in the Australian private sector. A discourse analysis methodology was used to analyse the corpus of articles identified through the search strategy.</p><p><strong>Results: </strong>A total of 36 separate, non-duplicate media articles were located through the search strategy. The discourse within the texts was examined and the key themes and power dynamics that emerged were explored in detail. The three themes used to structure the discussion of the corpus of articles were: (1) outrage at the necessity of compassionate release of superannuation for essential dental care; (2) the abuse of the compassionate release of superannuation for elective and cosmetic dental care; and (3) exploitation of vulnerable consumers by professionals.</p><p><strong>Conclusion: </strong>The overarching discourse relating to early superannuation access to fund dental care was negative, with media articles covering instances of consumers losing their money, having to pay more tax as a result of accessing their superannuation early than they were expecting, and the reality that accessing superannuation early has significant financial impacts later in life. Dentists and third-party access facilitators were portrayed as being exploitative and lacking in transparency in relation to the costs involved in early superannuation access. Dentists were also suggested to be aiding in the inappropriate access of superannuation funds for treatment that was largely elective and cosmetic in nature, rather than being more essential in nature in alignment with the intentions of the early compassionate release scheme.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858772","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}

{"title":"Artificial Intelligence in Australian Dental and General Healthcare: A Scoping Review.","authors":"Arosha T Weerakoon, Tonia Girdis, Ove Peters","doi":"10.1111/adj.70000","DOIUrl":"https://doi.org/10.1111/adj.70000","url":null,"abstract":"<p><p>This review contextualises the role of generative Artificial Intelligence (AI) in healthcare within an Australian healthcare regulatory and ethical framework. Four online databases (PubMed, Scopus, CINAHL and Web of Science) were searched for peer-reviewed publications that addressed at least two of the three topics: (1) the current applications of AI in dentistry and healthcare; (2) data security and privacy in AI-enhanced healthcare; (3) ethical, legal and clinical implications of machine errors, and the delegation of healthcare responsibilities to large technology companies. A total of 31 articles were retrieved for full-text analysis using traditional and AI-assisted software. All studies showed promising use of AI to enhance clinical decision-making, automate administrative tasks and augment personalised care. However, integrating AI into the Australian healthcare context introduces complex ethical, regulatory and legal considerations that include bias, data privacy and ambiguous chains of responsibility. To maximise the benefits of AI technologies while safeguarding patient rights, practitioners and developers must establish regulatory frameworks, mandate practitioner training, foster multidisciplinary collaboration and maintain continuous rigorous oversight.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815670","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}

{"title":"Prevention of Medication-Related Osteonecrosis of the Jaw: Institutional Insights From a Retrospective Study.","authors":"Girgis Christain, Schifter Mark","doi":"10.1111/adj.70001","DOIUrl":"https://doi.org/10.1111/adj.70001","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793359","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}

{"title":"The Validity of Teledentistry Examinations During the COVID-19 Pandemic in Sydney, Australia","authors":"Tanya Mahony,&nbsp;Ajesh George,&nbsp;Shwetha Girish Kezhekkekara,&nbsp;Amy Villarosa,&nbsp;Christopher Friel,&nbsp;Albert Yaacoub","doi":"10.1111/adj.13084","DOIUrl":"10.1111/adj.13084","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 3","pages":"195-196"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688818","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}