Australian dental journal最新文献

{"title":"Perspectives of Oral Health Practitioners Working in Rural New South Wales: Culture, Wellbeing and Workforce Sustainability","authors":"Lisa Hai My Do,&nbsp;Jessica Biles,&nbsp;Bradley Christian,&nbsp;Woosung Sohn","doi":"10.1111/adj.70054","DOIUrl":"10.1111/adj.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While limited research has explored the experiences of this workforce, oral health practitioners in rural areas face distinct cultural and personal challenges that influence workforce sustainability and delivery of care. This study aims to understand the cultural and personal experiences of oral health practitioners working in rural New South Wales and identify factors influencing their cultural capabilities, personal wellbeing and workforce sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted among oral health practitioners across three rural Local Health Districts in New South Wales. The survey included items on sociodemographic characteristics, cultural capabilities and awareness, and personal experiences. Data was analysed using descriptive statistics and subgroup comparisons made based on profession (dentists vs. other oral health practitioners) and years of experience (less or more than 10 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen participants completed the survey, primarily dentists and oral health therapists, with few dental therapists. Most reported initial cultural awareness training; however, less than half reported ongoing training. Most participants reported personal growth associated with their role. Dentists reported greater access to support systems and training opportunities than other oral health practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is need for continuous cultural capability training and equitable support systems to strengthen rural oral health workforce sustainability. Despite small participant numbers, this study provides valuable insight into practitioner experiences and identifies opportunities for a culturally safe and wellbeing-focused workforce in rural NSW.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 3","pages":"263-270"},"PeriodicalIF":3.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Surgical Prophylaxis Prescribing for Dentoalveolar Procedures in Australian Hospitals: 2016 to 2022","authors":"Jane Chen,&nbsp;Marietta Taylor,&nbsp;Rodney James,&nbsp;Karin Thursky,&nbsp;Michael McCullough,&nbsp;Leanne Teoh,&nbsp;Courtney Ierano","doi":"10.1111/adj.70058","DOIUrl":"https://doi.org/10.1111/adj.70058","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"71 3","pages":"271-272"},"PeriodicalIF":3.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811287","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":"Paediatric Hospital Presentations for Odontogenic Pain and Infection in Western Australia.","authors":"Jilen Patel, Joshua Ding, Aaron Kovacs, Banafsheh Sheriff, Alethea Rea, John Winters, Robert Anthonappa","doi":"10.1111/adj.70060","DOIUrl":"https://doi.org/10.1111/adj.70060","url":null,"abstract":"<p><strong>Background: </strong>Oral health-related conditions are a leading and preventable cause of paediatric hospital presentations in Australia, contributing substantially to healthcare expenditure and placing increasing pressure on public hospital infrastructure. Preschool-aged children are disproportionately affected, often presenting late with advanced disease requiring resource-intensive care, including emergency extractions under general anaesthesia. In Western Australia, these challenges are further compounded by geographic barriers that limit timely access to public dental services.</p><p><strong>Methods: </strong>This study provides longitudinal data on dental-related emergency presentations at Perth Children's Hospital (PCH) and its predecessor, Princess Margaret Hospital for Children (PMH), over six years (2016-2021). The primary aim was to characterise the nature, volume, and demographic profile of unplanned emergency presentations associated with odontogenic infection.</p><p><strong>Results: </strong>Emergency presentations for odontogenic infections accounted for 46% of all presentations to the dental department. Children under five years accounted for nearly 60% of these cases, demonstrating a pronounced age-related disparity. A consistent year-on-year increase was observed in emergency presentations, with over 30,000 teeth being extracted, the majority of these requiring general anaesthesia. Posterior primary teeth comprised the majority of extractions, likely reflecting advanced, untreated early childhood caries.</p><p><strong>Conclusions: </strong>These findings highlight a persistent and escalating burden of preventable disease presenting at a late stage, where care is more invasive, costly, and resource-intensive. Without strategic investment in early, accessible, and preventive models of care, increasing demand will continue to strain hospital-based services and divert resources from other critical areas of paediatric healthcare.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787682","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":"Evaluation of the Adequate Radiopacity of Cavity Lining/Base and Core Build-Up Light Cured Composite Resins.","authors":"Carolina Alves Andrade, Isabela de Souza Silva, Letícia Passarelli Petris, Savio José Cardoso Bezerra, Cláudio Costa, Maria Angela Pita Sobral","doi":"10.1111/adj.70064","DOIUrl":"https://doi.org/10.1111/adj.70064","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the radiopacity of composite resins (CR) used as lining, base, and core-build up materials with enamel and dentine and evaluate their compliance with ISO 4049.</p><p><strong>Methods: </strong>Specimens of 1, 2, and 3 mm thicknesses; (n = 6) were fabricated from 13 low-viscosity and 10 regular-viscosity CRs. Slices of enamel and dentine from human molar crowns (1, 2, and 3 mm, n = 3) were used as references. Five radiographic exposures of all samples were taken and analysed through Welch One-way ANOVA with Games-Howell/Dunnett's or Kruskal-Wallis with Dwass-Steel-Critchlow-Fligner tests regarding viscosity, insertion technique, particle size, filler size and composition.</p><p><strong>Results: </strong>At 1 mm thickness, the mean radiopacity of all materials was above 1 mm aluminium. At all thicknesses, bulk-fill application technique exhibited significantly higher radiopacity than incremental (p < 0.001). Regular viscosity composite resins were significantly more radiopaque than low viscosity at 2 mm (p = 0.013) and 3 mm (p = 0.005) thicknesses. All tested composite resins complied with ISO 4049 radiopacity requirements. However, for liner and core build-up applications, radiopacity higher than dentine may be clinically advantageous for reliable radiographic detection. Thus, material selection should consider the intended clinical use, as current ISO criteria may not fully address all restorative purposes.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787717","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":"Low-Concentration Mineralization-Promoting Peptide-3-Containing Slurries Compared With Casein Phosphopeptide-Amorphous Calcium Phosphate on Demineralized Permanent Enamel: An Exploratory Ex Vivo Study.","authors":"Rıza Mert Sahın, Cenkhan Bal, Ayse Mete, Mustafa Gungormus, Hilal Incıl, Doga Ekin Orhan, Nurgul Karadas Bakırhan","doi":"10.1111/adj.70063","DOIUrl":"https://doi.org/10.1111/adj.70063","url":null,"abstract":"<p><strong>Background: </strong>Casein phosphopeptide-amorphous calcium phosphate is a biomimetic remineralizing agent but is unsuitable for individuals with a milk-protein allergy. This exploratory ex vivo study compared low-concentration slurries containing mineralization-promoting peptide-3, sodium fluoride plus mineralization-promoting peptide-3, vehicle cream or casein phosphopeptide-amorphous calcium phosphate on demineralized enamel.</p><p><strong>Methods: </strong>Forty-eight permanent molars were randomly allocated to four groups. Formulations were applied as 0.1% weight/volume slurries once daily for 10 days after 28-day pH cycling. Surface microhardness was measured at baseline, after demineralization and on Days 5 and 10. Micro-computed tomography grey-level units were assessed at baseline, after demineralization and on Day 5. Between-group comparisons used surface microhardness change and percentage recovery.</p><p><strong>Results: </strong>No significant between-group differences were detected for surface microhardness change on Day 5 (p = 0.126) or Day 10 (p = 0.412), or for percentage recovery on Day 5 (p = 0.543) or Day 10 (p = 0.406). All groups showed significant recovery from post-demineralization to Day 10. Grey-level units increased descriptively in all groups by Day 5.</p><p><strong>Conclusions: </strong>Under this low-concentration model, all formulations produced partial surface microhardness recovery without evidence of differential efficacy. The findings are exploratory and do not demonstrate equivalence or clinical effectiveness.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757730","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":"Letter to the Editor Re: Chronic Traumatic Dental Occlusion: Its Impact on Temporomandibular Joint and Systemic Health, and Clinical Management Strategies.","authors":"Adam Hamilton, Ramesh Balasubramaniam","doi":"10.1111/adj.70062","DOIUrl":"https://doi.org/10.1111/adj.70062","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766030","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 of Work-Related Hazards Impacting Health and Well-Being Among Australian Dental Practitioners: A Scoping Review.","authors":"Negar Jamshidi, Ilsa Hampton, Katy Theodore, Santosh Tadakamadla, Roisin McGrath, Tejashree Kangutkar","doi":"10.1111/adj.70061","DOIUrl":"https://doi.org/10.1111/adj.70061","url":null,"abstract":"<p><p>This scoping review explored the prevalence of work-related psychological and physical health issues among Australian dental practitioners, mapped across key occupational hazard domains (psychosocial/organisational, physical/ergonomic and environmental/infection-related) and summarised reported impacts on practitioner well-being and workforce outcomes. Databases including Embase, PsycINFO and PubMed were systematically searched from 2015 to March 2025 to capture contemporary practice and COVID-19 pandemic period. Eligible studies focused on Australian dental practitioners and reported the prevalence of psychological or musculoskeletal outcomes, and risk or protective factors. Data were synthesised narratively in line with a hazard-outcome framework. Sixteen studies met inclusion criteria (nine pandemic-era, seven pre-pandemic). Across these studies, dental practitioners frequently reported psychological outcomes (distress, burnout, anxiety, depression, suicidal ideation) and musculoskeletal symptoms related to awkward postures and repetitive tasks, particularly when exposed to high workload pressures, emotional demands and limited support. Pandemic-related infection-control and workload pressures were associated with additional stress and fatigue. Reported protective factors included resilience, emotional regulation and supportive workplace or peer environments. This scoping review indicates persistent and overlapping psychosocial, ergonomic and infection-related hazards that may place Australian dental practitioners at risk of mental and physical health challenges, emphasising need for integrated, multi-level strategies and tailored workplace interventions to foster psychologically safe workplaces.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759572","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":"Investigating the Impact of a Chronic Disease Management Protocol on Reducing the Need for Dental General Anaesthesia for Treating Early Childhood Caries in Australia.","authors":"Harleen Kumar, Shanika Nanayakkara, Carrie Tsai, Angel Rauniyar, Alice Kucera","doi":"10.1111/adj.70057","DOIUrl":"https://doi.org/10.1111/adj.70057","url":null,"abstract":"<p><strong>Background: </strong>An increasing number of children are being admitted to hospitals for dental general anaesthesia (GA). This study investigated the effects of a chronic disease management (CDM) protocol on rates of dental treatment under GA for Early Childhood Caries (ECC).</p><p><strong>Methods: </strong>A 24-month study was conducted in New South Wales, Australia. Children aged < 72 months with ECC were managed utilising a CDM protocol. Rates of treatment completed in the chair vs. GA were compared to historical controls. The effect of silver fluoride treatment on avoiding the need for GA in the prospective group was also analysed.</p><p><strong>Results: </strong>GA was avoided and treatment completed in the chair for 47% of the children in the prospective group (who were 9.6 times more likely to avoid a GA) compared to 15% in the retrospective control group. For participants in the prospective cohort who were initially referred for GA, silver fluoride application was associated with significantly increased odds of avoiding GA and completing treatment in the chair compared with those who did not receive silver fluoride (OR 5.51, 95% CI: 2.09-14.57).</p><p><strong>Conclusion: </strong>The CDM protocol was effective in reducing the number of dental treatments under GA for ECC in select public dental clinics.</p><p><strong>Clinical relevance: </strong>Implementation of a CDM protocol in public dentistry has resulted in a seismic shift in the management of caries in young children. Prospective patients referred for treatment under GA were nine times more likely to have their treatment completed in the dental chair and avoid a GA compared to historical controls. Silver fluoride played a vital role in the CDM protocol. Patients that received silver fluoride treatment were five times more likely to avoid a GA. The CDM protocol was highly effective in incorporating disease management visits within the existing appointment framework avoiding the need for additional appointments overall.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444194","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":"Extensive Cervicofacial and Mediastinal Emphysema Following Subgingival Air-Polishing for Peri-Implantitis: A Case Report.","authors":"Benjie Law, Syed Nabil Syed Omar, Hui Yuh Soh","doi":"10.1111/adj.70056","DOIUrl":"https://doi.org/10.1111/adj.70056","url":null,"abstract":"<p><strong>Background: </strong>Subcutaneous emphysema is an uncommon but potentially serious iatrogenic complication of dental treatment caused by the inadvertent introduction of pressurized air into soft tissues. Although air-polishing devices are widely used for biofilm disruption in peri-implant therapy, emphysema associated with subgingival air-polishing is rare.</p><p><strong>Methods: </strong>We report a case of extensive cervicofacial and mediastinal emphysema following non-surgical peri-implantitis debridement at implant site 11 using a subgingival air-polishing device (PERIOFLOW, EMS, Nyon, Switzerland) with erythritol powder. The peri-implant site had an approximately 6-mm pocket and a labial sinus tract prior to treatment.</p><p><strong>Results: </strong>A 32-year-old man developed acute facial and cervical swelling shortly after the second cycle of debridement and rapidly extended to the contralateral face and bilateral neck. Imaging demonstrated air within the peri-implant region, with extensive spread to the bilateral periorbital, facial, parapharyngeal, retropharyngeal, submandibular, cervical, and upper mediastinal regions. The patient remained hemodynamically stable without airway compromise. He was admitted for monitoring and managed with oxygen therapy and intravenous antibiotics. Clinical swelling and crepitus improved substantially within 3 days, and he was discharged without further complications.</p><p><strong>Conclusion: </strong>Extensive cervicofacial and mediastinal emphysema may occur during subgingival air-polishing for peri-implantitis, even after brief application. Early recognition, imaging, and appropriate monitoring are essential.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148395622","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":"What Outcomes Matter in Vital Pulp Therapy? Current Concepts and Challenges.","authors":"Philip Yuan-Ho Chien, Sepanta Hosseinpour, Richard Huynh, Graham Xuanwei Wong, Christine Inge Peters, Ove Andreas Peters","doi":"10.1111/adj.70055","DOIUrl":"https://doi.org/10.1111/adj.70055","url":null,"abstract":"<p><p>Vital pulp therapy (VPT) has re-emerged as a practical and biologically sound alternative for managing deep caries and carious pulp exposures. Although its clinical use is now widespread, the outcomes used to judge the success of VPT remain inconsistent and often difficult to compare across studies. This review brings together the current concepts surrounding VPT outcomes and explores why defining 'success' in this context is more complex than it first appears. Across the VPT spectrum, whether stepwise excavation, indirect and direct pulp capping, or partial and full pulpotomy, reported success rates vary considerably. Much of this variation stems from differences in diagnostic terminology, operator technique, follow-up intervals and the continued reliance on surrogate measures such as sensibility tests, which give only a limited picture of the pulp's true biological state. Although radiographic assessments and the presence or absence of symptoms remain widely used, patient-centred measures such as comfort, function and quality of life are still underrepresented in the literature. Economic evaluations, although limited in number, generally favour VPT over more invasive alternatives. Moving forward, clearer terminology, more consistent reporting and outcome measures that reflect both clinical reality and patient priorities will be essential in determining what genuinely matters when evaluating the success of vital pulp therapy.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148395688","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}