Australian dental journal最新文献

{"title":"Oral Health Meets Commercial Determinants: An Opportunity to Bridge Individual and Structural Approaches.","authors":"Matt Hopcraft, Adyya Gupta, Ankur Singh, Jennifer Lacy-Nichols","doi":"10.1111/adj.13083","DOIUrl":"https://doi.org/10.1111/adj.13083","url":null,"abstract":"<p><p>Oral diseases are among the most prevalent conditions affecting Australians, yet oral health agendas often focus on individual treatment rather than prevention at the population level. Viewing oral health through a commercial determinants of health lens provides an opportunity to bridge this treatment-centred approach with a prevention-focused agenda that targets structural determinants of oral health-the causes of the causes. We highlight the role of structural and commercial factors, operating outside an individual's control, that drive the high prevalence of oral disease and inequities at a population level. Good oral health is a human right, and the role of commercial actors must be acknowledged and addressed to improve health and reduce inequities.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315787","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":"From the Neolithic to the Digitolithic.","authors":"Ivan Darby","doi":"10.1111/adj.13081","DOIUrl":"https://doi.org/10.1111/adj.13081","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265181","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":"Prevalence and Risk Factors of Post-Extraction Complications in a Western Australian Tertiary Dental Hospital: A Retrospective Cross-Sectional Study.","authors":"Peter Dignam, Mariam Elshafey, Aparna Jeganathan, Magdalen Foo, Joon Soo Park, Manorika Ratnaweera","doi":"10.1111/adj.13082","DOIUrl":"https://doi.org/10.1111/adj.13082","url":null,"abstract":"<p><strong>Objectives: </strong>Dental extractions are routine procedures, yet they carry a risk of post-operative complications that can negatively affect patients' quality of life. This study aimed to identify patient-, tooth- and clinician-related risk factors associated with post-extraction complications at Western Australia's only tertiary dental hospital, to inform clinical decision-making and improve outcomes by identifying high-risk groups.</p><p><strong>Methods: </strong>A retrospective audit of patient records was conducted using data from individuals who underwent dental extractions during the audit period. Extracted variables included demographic details, medical history (e.g., smoking status, diabetes, hypertension), extraction characteristics (e.g., simple vs. surgical, tooth location) and clinician factors (e.g., level of training, anaesthesia type). Post-operative complications were identified through clinical follow-up notes. Descriptive and inferential statistical analyses were used to determine significant associations.</p><p><strong>Results: </strong>The overall post-extraction complication rate was 11.0%. The most common complications were persistent post-operative pain (4.1%) and alveolar osteitis (3.4%). Statistically significant patient-related risk factors included smoking, uncontrolled diabetes and hypertension. Surgical extractions and mandibular tooth removals were associated with higher complication risks. Extractions performed by students and those conducted under general anaesthesia were also linked to increased complications.</p><p><strong>Conclusions: </strong>Approximately 1 in 10 patients experienced post-operative complications. Identifying modifiable risk factors and minimising surgical complexity may reduce adverse outcomes. Operator experience and anaesthesia choice should be considered during preoperative planning.</p><p><strong>Clinical relevance: </strong>This study highlights the importance of structured preoperative risk assessment that integrates medical comorbidities, extraction complexity and operator training level. Tailoring surgical planning and post-operative monitoring based on individual risk profiles may improve clinical outcomes, reduce avoidable complications and support safer, more effective delivery of care in tertiary and teaching settings.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257215","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":"Aesthetic Preferences for Replacement of Missing Maxillary Lateral Incisors: A Comparison of Canine Substitution, Implants and Resin-Bonded Bridges Among Australian Dental Professionals and Laypeople.","authors":"Jason Guo, John M Razza, Richard J H Lee, Steven Naoum, Mithran S Goonewardene","doi":"10.1111/adj.13080","DOIUrl":"https://doi.org/10.1111/adj.13080","url":null,"abstract":"<p><strong>Background: </strong>Aesthetic outcomes of treatment options for missing maxillary lateral incisors significantly influence patient satisfaction. This study compared aesthetic treatment outcome preferences for canine substitution, resin-bonded bridges and implants among Australian orthodontists, prosthodontists, general dentists and laypeople.</p><p><strong>Methods: </strong>A cross-sectional online survey assessed attractiveness ratings and preferences using a ranking system and a Likert scale. One-way and two-way ANOVA examined differences by respondent group and treatment type.</p><p><strong>Results: </strong>Among 547 respondents (orthodontists: 117, prosthodontists: 56, general dentists: 167, laypeople: 207), significant differences were found in aesthetic ratings (p < 0.001). Canine substitution was rated most attractive (mean rank = 1.43), followed by resin-bonded bridges (1.78), while implants (2.81) and no treatment (3.99) were rated lower. Two-way ANOVA showed significant main effects of treatment type and respondent group (p < 0.001), with an interaction effect indicating varied preferences among groups.</p><p><strong>Conclusions: </strong>Canine substitution was the preferred treatment outcome aesthetically, particularly among orthodontists. Resin-bonded bridges were also favoured. These findings highlight the impact of professional background on aesthetic preferences and emphasise the need for patient-centred treatment planning.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214718","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":"Response to article 'Prevention of medication-related osteonecrosis of the jaw: institutional insights from a retrospective study'.","authors":"Sajad Ahmad Buch","doi":"10.1111/adj.13074","DOIUrl":"https://doi.org/10.1111/adj.13074","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135974","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The presentation of teeth with cracks in general dental practice seems to differ from that reported in the literature from specialist practice.</p>","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}

{"title":"Rare infection induced recurrent erythema multiforme.","authors":"Y Yan, Y Pan, C Qu, Q Chen, X Zeng, J Wang","doi":"10.1111/adj.13072","DOIUrl":"https://doi.org/10.1111/adj.13072","url":null,"abstract":"<p><p>Erythema multiforme (EM) is an immune-mediated disease involving the skin and/or mucosa, whose aetiology is unclear and the most common predisposing factor is herpes simplex virus (HSV) infection. The presence of typical target-shaped erythema on the skin is key to its diagnosis. However, the diagnosis is a challenge for some patients whose lesions are limited to the oral mucosa. In this study, we reported a rare case of recurrent EM induced by Toxoplasma gondii infection. After confirming the diagnosis through serological testing, the patient was treated with anti-toxoplasma therapy alongside symptomatic management. This led to complete resolution of lesions with no recurrence over a 2-year follow-up period.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958968","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":"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":"<p><strong>Introduction: </strong>Socio-economic status influences treatment decisions. This influence remains uncovered in teeth with painful pulpitis.</p><p><strong>Aims: </strong>To investigate the influence of patients' demographics and socio-economic status on treatment choices for permanent mature teeth with painful vital teeth.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Competitive swimming and dental staining among Australian children","authors":"J Patel,&nbsp;S Cai,&nbsp;B Huong,&nbsp;M Macdonald,&nbsp;R Anthonappa","doi":"10.1111/adj.13068","DOIUrl":"10.1111/adj.13068","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"95-96"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690969","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}