{"title":"Dental assessment pro forma for adult patients at risk of medication-related osteonecrosis of the jaw","authors":"Gemma Allen, Sara Harford, Jessica Mann","doi":"10.1038/s41415-025-8881-2","DOIUrl":"10.1038/s41415-025-8881-2","url":null,"abstract":"This paper introduces a dental screening pro forma designed for the dental assessment of adult patients who are starting or currently taking medications that pose them at risk of medication-related osteonecrosis of the jaw (MRONJ). Medications considered are those with current Drug Safety Update alerts for MRONJ from the Medications and Healthcare products Regulatory Agency. These include anti-resorptive drugs and some anti-angiogenic drugs. Patients taking these medications face a risk of osteonecrosis from certain dental procedures, dental pathology or chronic trauma. Although rare, MRONJ is difficult to manage once it occurs and can significantly affect a patient's quality of life. The pro forma aligns with national guidance from the Scottish Dental Clinical Effectiveness Programme and The National Institute for Health and Care Excellence, emphasising prevention, risk assessment and tailored oral health management. The pro forma captures information led by the guidance and presents it in a format to enable ongoing auditing and quality improvement. In addition to its diagnostic and monitoring functions, it also has a prevention focus. This aims to help reduce the future need for dental treatment and therefore the likelihood of medication-related osteonecrosis, due to the long-lasting effects of some anti-resorptive drugs. The pro forma is currently implemented in University Hospital Bristol and Weston Primary Care Dental Service, Bristol Dental Hospital and Wiltshire Primary Care Dental Service. It could also be adapted for use in general dental practice or used as a template for referrals.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"316-320"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038587","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 generation of students learn differently","authors":"Paul Hellyer","doi":"10.1038/s41415-025-9161-x","DOIUrl":"10.1038/s41415-025-9161-x","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"324-324"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-9161-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038588","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":"Support you can trust","authors":"","doi":"10.1038/s41415-025-9184-3","DOIUrl":"10.1038/s41415-025-9184-3","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"351-351"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-9184-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038590","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":"Push and pull in the NHS","authors":"Philip Preshaw","doi":"10.1038/s41415-025-9165-6","DOIUrl":"10.1038/s41415-025-9165-6","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"297-297"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-9165-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038612","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}
Christopher Mackie, Karen McLeod, Conor Davis, Yaa Agyei-Akwa, Aleksandra Omiecinska, Diana Ispas, Lindsay-Jo Sevier-Guy, Abigail Heffernan
{"title":"‘It is relevant, it is useful and we won't be scared to ask': the response of undergraduate dental students to suicide awareness education","authors":"Christopher Mackie, Karen McLeod, Conor Davis, Yaa Agyei-Akwa, Aleksandra Omiecinska, Diana Ispas, Lindsay-Jo Sevier-Guy, Abigail Heffernan","doi":"10.1038/s41415-025-8720-5","DOIUrl":"10.1038/s41415-025-8720-5","url":null,"abstract":"Introduction There are over 6,000 deaths by suicide each year in the United Kingdom. National suicide prevention strategies seek to improve the way services assess those who are suicidal. It was highlighted that undergraduate dental students lack confidence when assessing individuals for suicide risk and there is an appetite for education on this topic. Aims To design, deliver and evaluate a brief teaching intervention on suicide awareness for undergraduate dental students using NHS Model for Improvement methodology. Methodology A scoping literature search found no formal framework or evaluation on suicide awareness teaching for undergraduate dental students. Following development and delivery of a pilot teaching intervention, an anonymised questionnaire was distributed with free-text boxes to capture qualitative feedback. Analysis informed subsequent improvement cycles and teaching. Results The vast majority of students felt the teaching was relevant, useful, and reported increased confidence and awareness of how to signpost following disclosures of suicidal ideation. Qualitative feedback was overall very positive, with the importance and universal impact of the topic highlighted. In total, 98% of students felt this topic should continue to be taught at undergraduate level and an appetite was expressed for further teaching. Conclusions There is strong support for further suicide awareness teaching at undergraduate level and scope for a unified approach to suicide prevention teaching in the United Kingdom. Consideration of the lived or living experience of those who have been affected by suicide, alongside input from national experts and charities, will be crucial in the development and delivery of this educational material.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"334-342"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-8720-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038614","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":"Get your back out of it","authors":"Sharif Islam","doi":"10.1038/s41415-025-9172-7","DOIUrl":"10.1038/s41415-025-9172-7","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"304-304"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-9172-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038620","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":"Enhancing the quality of orthodontic care","authors":"","doi":"10.1038/s41415-025-9193-2","DOIUrl":"10.1038/s41415-025-9193-2","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"239 5","pages":"354-354"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-9193-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038602","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}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
