Ahmed Jebril, Fadi Jarad, Chris J Butterworth, Kathryn Bebb
{"title":"Assessment of oral disease burden among head and neck cancer patients in the Merseyside region.","authors":"Ahmed Jebril, Fadi Jarad, Chris J Butterworth, Kathryn Bebb","doi":"10.1038/s41415-024-8060-x","DOIUrl":"https://doi.org/10.1038/s41415-024-8060-x","url":null,"abstract":"<p><p>Introduction Head and neck cancer (HANC) significantly impacts the oral cavity and dental health issues may complicate cancer treatment and post-treatment quality of life. Pre-treatment dental evaluation is critical for identifying and managing existing oral health problems. However, limited literature exists on the dental health status of patients at the time of HANC diagnosis. This study aims to address this gap and emphasise the importance of dental care in the management of HANC.Methods A retrospective analysis of medical records was conducted on patients scheduled for radiotherapy for HANC. Data on demographic characteristics, tumour characteristics and dental exam findings were extracted from the patient record.Results Of the 191 included patients, the average age was 62.9 years (SD: 10.09), with 80% being men. The prevalence of dental disease revealed 59% of cases presenting with unstable periodontal disease and an average decayed, missing, and filled teeth score of 19.9. Two-thirds of patients exhibited one or more carious lesions.Conclusion This retrospective study sheds light on the dental health status of patients with HANC at their pre-treatment evaluation. The high prevalence rates of dental caries and unstable periodontal disease highlight the importance of dental evaluation and intervention as part of the overall management of HANC patients.</p>","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638085","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":"A qualitative study of dentists' and dental students' preparedness to support patients with lived experience of intimate partner violence and abuse.","authors":"Sarah Farmer, Janice Ellis, Hayley Alderson","doi":"10.1038/s41415-024-8059-3","DOIUrl":"https://doi.org/10.1038/s41415-024-8059-3","url":null,"abstract":"<p><p>Introduction Intimate partner violence and abuse (IPVA) is a public health crisis with long-term implications for an individual's mental and physical health. IPVA can result in head and neck trauma, including oral injuries, placing dentists in a unique position to be able to identify at-risk patients. It is therefore important to understand any barriers dentists may experience when supporting IPVA patients.Aims The aim of this study was to explore whether dentists and dental students are prepared to support patients with lived experience of IPVA.Method This study adopted a qualitative cross-sectional research design using focus groups and interviews. Data were collected using the principles of grounded theory and analysed using thematic analysis.Results Data were collected from 14 dentists and 22 dental students showing that they did not feel confident or prepared in identifying and responding to patients they suspected were experiencing IPVA. Barriers included a lack of practical knowledge and fear of 'getting it wrong', resulting in professional paralysis.Conclusion Improving current safeguarding educational frameworks at both the undergraduate and postgraduate stage could be key to improving the confidence and practical knowledge of dental practitioners.</p>","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638081","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}