British Dental Journal最新文献_第6页

Guidance published to help neurodivergent children benefit from supervised toothbrushing 指导出版，以帮助神经分化儿童受益于监督刷牙

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-26 DOI: 10.1038/s41415-025-9228-8

引用次数: 0

Prevalence of disease associated with horizontal and mesioangular-impacted mandibular third molars in relation to age 水平和中角阻生下颌第三磨牙的患病率与年龄的关系

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-19 DOI: 10.1038/s41415-025-8891-0

Callum Wemyss, Garmon W. Bell, Angus K. McFadyen

{"title":"Prevalence of disease associated with horizontal and mesioangular-impacted mandibular third molars in relation to age","authors":"Callum Wemyss, Garmon W. Bell, Angus K. McFadyen","doi":"10.1038/s41415-025-8891-0","DOIUrl":"10.1038/s41415-025-8891-0","url":null,"abstract":"Background The management of impacted mandibular third molars (M3Ms) has been an area of contention over the last 25 years. This study investigated the prevalence of disease processes in relation to age for a sample of patients with horizontal and mesioangular M3Ms. Method All concomitant disease processes including probing pocket depths (PPDs) and alveolar bone loss (ABL) distal to mandibular second molars (M2Ms) were recorded from a sample of 400 patients. Results From 536 M3M/M2M interfaces, 41% (n = 219) had a disease process present on the distal surface of the M2M and 11% (n = 61) had such significant disease that the M2M was removed. Presence of M3M caries was 38.2% (n = 205); localised periodontitis, 21.5% (n = 115); pericoronitis, 20.1% (n = 108); and M2M caries, 18.5% (n = 99). No simple correlation between age and number of disease processes was found (r = -0.020; p = 0.648); although, the prevalence of M2M caries and pericoronitis was related to age (χ2 = 9.951; p = 0.007 and χ2 = 12.834; p = 0.002), as was PPD and ABL (p <0.001). Conclusion(s) Multiple disease processes can occur concomitantly with horizontal or mesioangular M3Ms. Discussion of disease risk with regular clinical and intra-oral radiographic monitoring by general dental practitioners is recommended.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 6","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-8891-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145090815","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}

引用次数: 0

A multi-site service evaluation on remimazolam for dental conscious sedation 雷马唑仑用于牙齿清醒镇静的多站点服务评价。

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-19 DOI: 10.1038/s41415-025-8717-0

Xin Hui Yeo, Mili Doshi, Stacey Clough, Zahra Shehabi

{"title":"A multi-site service evaluation on remimazolam for dental conscious sedation","authors":"Xin Hui Yeo, Mili Doshi, Stacey Clough, Zahra Shehabi","doi":"10.1038/s41415-025-8717-0","DOIUrl":"10.1038/s41415-025-8717-0","url":null,"abstract":"Background Remimazolam is a novel ultra-short-acting benzodiazepine which shows a high efficacy and safety profile for medical procedures, such as endoscopy; however, its use in dentistry is relatively new and lacks an evidence base. Aims The service evaluation aimed to establish the safety and efficacy of remimazolam as a conscious sedation agent in dental outpatient settings since its introduction into two secondary care sedation and special care dental services in 2023. Method Retrospective data collection of remimazolam sedation cases from April 2023 to April 2024 was carried out. Results The success rate of 111 remimazolam sedation cases was 97%. The mean interval between sedation start time and beginning of treatment was 2-4 minutes, while the mean time from the last administered dose to patient discharge was 24 minutes. The mean dose of remimazolam administered was 11.9 mg, with a range of 1.5-35 mg. Patients required a mean of four additional doses, with a mean interval of 5.7 minutes between top-ups. The majority of cases (82.9%) resulted in Ellis scores of 1 or 2. Five complications were documented: three cases of desaturation, one case of disinhibition and one case of post-operative hypertension, none of which necessitated flumazenil reversal. Conclusion This service evaluation provided promising insights into the potential safety profile and effectiveness of remimazolam for dental sedation in two secondary care settings; however, larger-scale studies are necessary to substantiate these findings. This is a rapidly emerging area of sedation practice that is likely to see an influx of research and development in the near future.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 6","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091243","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}

引用次数: 0

A survey of the special care specialist workforce and its speciality trainees 对特护专科人员及其专业受训人员的调查。

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-19 DOI: 10.1038/s41415-025-8723-2

Jalpa Patel, Cyonee Mukhopadhyaya, Julie Edwards, Carole A. Boyle, Jennifer E. Gallagher, Charlotte Curl

{"title":"A survey of the special care specialist workforce and its speciality trainees","authors":"Jalpa Patel, Cyonee Mukhopadhyaya, Julie Edwards, Carole A. Boyle, Jennifer E. Gallagher, Charlotte Curl","doi":"10.1038/s41415-025-8723-2","DOIUrl":"10.1038/s41415-025-8723-2","url":null,"abstract":"Objectives 1) To explore the professional careers of the target population, including location; 2) to investigate their current role and working patterns; and 3) to explore the perceptions of the speciality and its future direction from the perspective of its workforce. Methods An online questionnaire survey of the special care dentistry workforce nationally was conducted in 2022 (MRA-21/22-29397) using Qualtrics Software. Participants were recruited via multiple professional routes. Data were exported and analysed in Microsoft Excel Version 16.77. Results Approximately half the target population responded (n = 164; 51%), comprising consultants (n = 50; 30%), specialist trainees (n = 23; 14%) and others (n = 91; 56%), such as specialists (Band C) and senior dental officers. Three-quarters of participants were female (n = 122; 75%), with over half working part-time (n = 94; 58%). Most practised in the community dental service (n = 83; 51%), followed by a combination of both hospital and community dental services (n = 32; 20%), and hospital dental service (n = 25; 16%). Specialists raised concerned about poor access to care for people with special care needs and the volume of inappropriate referrals to their services. Given an increasingly ageing and medically complex population nationally, almost all raised concerns about inadequate workforce capacity and coverage. Specific concerns related to training pathway provisions and the limited availability and accessibility of appropriately remunerated specialist roles. Conclusion The special care dentistry workforce is female-dominated with many part-time workers. Participants reported concerns regarding the size of the specialty, patient needs and training opportunities. Workforce planning, informed by modelling of anticipated population needs, and innovation care pathways are recommended to ensure an equitable future service.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 6","pages":"1-6"},"PeriodicalIF":2.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091272","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}

引用次数: 0

Augmented reality: a digital transformation tool to enhance the patient consent process in oral surgery 增强现实：提高口腔手术患者同意过程的数字转换工具。

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-19 DOI: 10.1038/s41415-025-8724-1

Jessica R. Blanchard, Thomas Bean, Sonita Koshal

{"title":"Augmented reality: a digital transformation tool to enhance the patient consent process in oral surgery","authors":"Jessica R. Blanchard, Thomas Bean, Sonita Koshal","doi":"10.1038/s41415-025-8724-1","DOIUrl":"10.1038/s41415-025-8724-1","url":null,"abstract":"Introduction Healthcare literacy within medicine and dentistry is of paramount importance in the modern age. Patients find increasingly novel ways to comprehend and exercise their autonomy with healthcare choices. With the turn of the century, the evolution of the digital world has led to an open forum of resources for patients and healthcare professionals alike. Methods At the Royal National ENT and Eastman Dental Hospitals, a team of clinicians sought to explore the use of augmented reality in the patient consent process for oral surgery. Patients completed a two-part health literacy questionnaire based on their understanding of cone beam computed tomography (CBCT) and a patient-specific holographic image created using Microsoft HoloLens augmented reality technology. Results In total, 28 patients participated voluntarily in the study: 96% patients (n = 27) stated their preference for the holographic image when asked whether CBCT images or HoloLens images were more user-friendly, and 27 patients strongly agreed (Likert score = 7) that the holographic image improved their confidence in decision-making. Conclusion Augmented reality has the potential to change the way healthcare information is conveyed to patients in the 21st century. This study demonstrates how holographic imaging can be used as an adjunct to communicate with patients, improve the consent process and enhance healthcare literacy.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 6","pages":"1-5"},"PeriodicalIF":2.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091257","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}

引用次数: 0

New award in coaching and mentoring 新的教练和指导奖

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-12 DOI: 10.1038/s41415-025-9185-2

引用次数: 0

What to do with mobile teeth? 如何处理活动的牙齿？

IF 2.3 4区医学

British Dental Journal Pub Date : 2025-09-12 DOI: 10.1038/s41415-025-9160-y

Paul Hellyer

引用次数: 0

Vitamin D: A simple, powerful tool for periodontal health 维生素D：一种简单而有力的牙周健康工具

IF 2.3 4区医学