S Akhtar, J Tissainayagam, J Lo, A Siddiqi, S Zafar
{"title":"The impact of COVID-19 on the mental health of dental students at an Australian school.","authors":"S Akhtar, J Tissainayagam, J Lo, A Siddiqi, S Zafar","doi":"10.1111/adj.13029","DOIUrl":"10.1111/adj.13029","url":null,"abstract":"<p><strong>Aims: </strong>The dentistry program is extremely demanding mentally and physically. Consequently, it can induce high levels of stress, anxiety and depression in students. There is some research in measuring these ramifications on dental students, but they lack the influence of the COVID-19 pandemic which has brought about many fundamental changes to the curriculum of dental students. The aim of this study was to assess dental students' mental health through the Depression, Anxiety and Stress Scale (DASS-21) during the COVID-19 pandemic in an Australian dental School.</p><p><strong>Methods: </strong>The Bachelor of Dental Science (Honours) students enrolled in years 2-5 were requested to complete an online questionnaire that included the DASS-21 and additional questions regarding the impact of COVID-19 on quality of life. Jamovi was utilized to conduct descriptive data analysis.</p><p><strong>Results: </strong>179 students completed the survey with 81 males (45%) and 98 females (55%). 70.4% of the participants described elevated anxiety for the health of their loved ones and themselves during the COVID-19 pandemic. The overall mean DASS-21 scores were 7.1 (5.07) in depression, 4.9 (4.00) in anxiety and 6.5 (4.32) in stress.</p><p><strong>Conclusions: </strong>The results indicate that the COVID-19 pandemic negatively impacted the mental health of dental students. While further research is still required, it is important for universities to recognize how this pandemic affected the mental wellbeing of students so that they can implement appropriate support programs and improve dental education.</p><p><strong>Clinical relevance: </strong>The COVID-19 pandemic has had a profound impact on social and mental health worldwide, and dental students are notably affected. Recognized as a psychological risk factor, COVID-19 has been linked to an increased rate of suicidal deaths. This paper underlines the importance of recognizing the full scope of the pandemic's impact on dental students, including their views and the potential effects on their physical and mental health. The study indicates a pressing need for more robust support from the organizations to improve the mental health and overall well-being of dental students.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"312-319"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141625846","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":"Prostate cancer presenting as an oral swelling-A case report.","authors":"S Beaumont, K Cavanagh, C Angel, K Choong","doi":"10.1111/adj.13051","DOIUrl":"https://doi.org/10.1111/adj.13051","url":null,"abstract":"<p><p>Tumour metastasis to the jaw is an uncommon finding. When it does present, it is usually evidence of widespread metastatic disease and represents an unfavourable prognostic indicator. The clinical presentation of metastatic disease in the jaw can vary and may occur in the oral soft tissues, subcutaneous tissues adjacent to bone, mandible or maxillary alveolus and can mimic dental pathology. The radiographic appearance of metastatic disease is most commonly an expansive, lytic lesion with irregular borders. This case report describes the presentation of an otherwise medically well 76-year-old male patient to his dentist with a mobile lower left pre-molar. Following extraction of the tooth, a rapid increase in the jaw swelling resulted in further medical investigation, leading to a diagnosis of metastatic prostate cancer. This case serves to remind dental practitioners to remain vigilant when dental treatment of seemingly obvious dental pathology does not resolve within the expected timeframe, and to maintain a low threshold for medical review and investigation when suspicious lesions arise. This is particularly relevant in the older patient when the incidence of other diseases, such as cancer, is more common.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749543","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}
SE Alavi, M Gholami, L Malik, R Matti, S Oktaei, F Al-Najafi, A Sharma, LA Sharma
{"title":"Assessment of teledentistry in improving access to dental care: a systematic review","authors":"SE Alavi, M Gholami, L Malik, R Matti, S Oktaei, F Al-Najafi, A Sharma, LA Sharma","doi":"10.1111/adj.13045","DOIUrl":"10.1111/adj.13045","url":null,"abstract":"<p>Teledentistry has emerged as a promising approach to improving access to dental care, particularly for underserved populations. This systematic review aims to evaluate the effectiveness of teledentistry interventions in enhancing access to dental care. A comprehensive search across multiple databases was conducted to identify studies evaluating teledentistry interventions. Studies were included if they investigated the impact of teledentistry on dental care accessibility, utilization, or patient outcomes. Eligibility criteria were applied systematically to select relevant studies for inclusion. Forty-six studies met the inclusion criteria and were included in the review. The synthesized evidence showed the effectiveness of teledentistry interventions in improving access to oral healthcare services, facilitating timely diagnosis and treatment planning, and enhancing patient outcomes. Despite variations in study designs and methodologies, teledentistry interventions consistently exhibited high diagnostic accuracy and concordance rates compared to traditional face-to-face consultations. The findings highlight teledentistry's transformative potential in modernizing oral healthcare delivery and reducing access disparities.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"4-41"},"PeriodicalIF":1.9,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493735","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 current attitudes and practices of dentists in Australia towards composite repair: A cross-sectional survey study","authors":"R Khanna, J Han, E Liang, CY Lee, J Manakil","doi":"10.1111/adj.13041","DOIUrl":"10.1111/adj.13041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Whether to replace or repair a composite restoration is controversial and varies among clinicians. This study was designed to collect information on the attitudes and practices of Australian dentists towards composite repair.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An electronic 16-item questionnaire was distributed online on Australian clinicians’ dental forum with a URL address and instructions on completing the survey. The questionnaire remained accessible for 2 months. The data collected were analysed statistically using descriptive, average rank, Pearson chi-square and Kruskal–Wallis tests at <i>α</i> = 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Repair of composite restorations was a widely accepted treatment modality among surveyed dentists. Despite this, approximately half of clinicians reported the prognosis of repaired restorations to be worse when compared to replacement. The most cited indications for repair were partial loss or fracture of the restoration, while the most common reason for repair was because this treatment modality was more conservative in terms of tooth structure removal. Most important patient factor influencing decision to repair composite restoration was caries risk of the patient (<i>n</i> = 50). Most significant situational factor to consider in decision whether to repair was previous (failed) attempts to repair (<i>n</i> = 74). The most important tooth level factor was the proximity of restoration to pulp (mean statistic rank 2.22). The most common composite surface treatment employed by participants bonding to old composite was acid etching (<i>n</i> = 87), and the main reason participants employed their chosen surface treatment was based on personal experience (<i>n</i> = 72).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The repair of composite restorations was a commonly performed procedure that is well accepted but may still be viewed as an inferior treatment to replacement by many Australian dentists. Most dentists agreed on indications for repair restorations and surface conditioning techniques, but there was wide variation in opinions overall. Due to the lack of high-quality evidence regarding composite repair techniques, dentists tend to rely on personal experience to guide their clinical decisions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"49-57"},"PeriodicalIF":1.9,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142370864","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":"Implications of the global strategy and action plan on oral health for Australia","authors":"B Christian, A Ghanbarzadegan, W Sohn, H Spallek","doi":"10.1111/adj.13034","DOIUrl":"10.1111/adj.13034","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"88-94"},"PeriodicalIF":1.9,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131700","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}
J Patel, S Cai, B Huong, M Macdonald, R Anthonappa
{"title":"Competitive swimming and dental staining among Australian children","authors":"J Patel, S Cai, B Huong, M Macdonald, R Anthonappa","doi":"10.1111/adj.13033","DOIUrl":"10.1111/adj.13033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Swimming has classically been associated with a distinctive type of extrinsic dental staining. However, its prevalence and characteristics have not been explored in Australia. This case controlled cross-sectional cohort study aimed to determine the prevalence and severity of dental staining among children who swim competitively compared to non-swimmers and its impact on oral health-related quality of life (OHRQL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents and children from Western Australian swimming clubs completed a survey assessing swimming routine, risk factors for staining and OHRQL. Intra-oral photographs were taken and staining of anterior teeth was assessed using a modified Lobene Stain Index. A Global Stain Score (GSS) was calculated and compared against age-matched non-swimmer controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Maxillary anterior teeth from swimmers (n = 400) and non-swimmers (n = 400) were analysed. Staining prevalence was greater in swimmers (83%) than non-swimmers (44%). GSS scores were positively correlated with both the total lifetime swimming hours and practice time (<i>P</i> < 0.05), with a significant difference in GSS between swimmers and non-swimmers (<i>P</i> = <0.001, OR: 6.21). Dietary factors for staining were not significantly correlated with GSS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Swimmers had a greater risk of developing staining than non-swimmers, and this negatively impacted their OHRQL. The extent and intensity of staining were associated with the amount of swimming.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"42-48"},"PeriodicalIF":1.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124675","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":"Alveolar osteonecrosis and tooth exfoliation following herpes zoster infection: A case report and review of the literature","authors":"Z Sun, E Chen, D Yi, S Xiao","doi":"10.1111/adj.13031","DOIUrl":"10.1111/adj.13031","url":null,"abstract":"<div>\u0000 \u0000 <p>Tooth loss and osteonecrosis of the jaw are a serious and rare oral complications of herpes zoster infection, particularly in immunocompetent individuals. An immunocompetent 58-year-old male patient presented with a sudden exfoliation of almost all the teeth in his right mandible 2 days prior. Three weeks before this event, he had been diagnosed with herpes zoster infection, which led to irreversible necrosis on the right side of his mandible over 3 months. He was subsequently diagnosed with the osteonecrosis of the right mandible following herpes zoster infection and received aggressive treatment including medication, laser therapy and surgery. We present here our insights into the risk factors, differential diagnosis, pathogenesis and treatment options for this rare complication based on our case and latest literature review.</p>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"78-87"},"PeriodicalIF":1.9,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016205","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}