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Social media, body image issues and dentistry 社交媒体,身体形象问题和牙科
Pub Date : 2023-07-01 DOI: 10.1308/rcsfdj.2023.25
Zoe Buontempo, M. Kelleher
Social media trends have had devastating effects on many people's mental and dental health with increasing incidence of social anxiety, eating disorders and demands for dubious dentistry.
社交媒体趋势对许多人的心理和牙齿健康产生了毁灭性的影响,社交焦虑、饮食失调和对可疑牙医的需求日益增加。
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引用次数: 0
Artificial intelligence: “summoning the demon” or “a tool, not a threat”? 人工智能:“召唤恶魔”还是“工具,不是威胁”?
Pub Date : 2023-07-01 DOI: 10.1308/rcsfdj.2023.18
S. Crean
Our editor discusses whether we should be wary of artificial intelligence being implemented into dental practice, and its potential benefits as a tool.
我们的编辑讨论了我们是否应该警惕人工智能在牙科实践中的应用,以及它作为一种工具的潜在好处。
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引用次数: 0
Antibiotic prescription practices among dentists treating children in the UK 在英国牙医治疗儿童的抗生素处方做法
Pub Date : 2023-07-01 DOI: 10.1308/rcsfdj.2023.22
S. Nazar, M. Dave, S. Barry
There are limited paediatric specific data on antibiotic prescribing practices, which have been cited as one of the causes of general overuse and misuse of antibiotics in young patients. The aim of this study was to investigate prescribing practices among dentists with an interest in paediatric dentistry in the UK. A prospective cross-sectional survey was distributed electronically to members of the British Society of Paediatric Dentistry between February and May 2021. The questions and scenarios were based on antibiotic prescribing guidelines in the UK. Two hundred and six dentists completed the survey (45% response rate). Most participants (93%) conformed to guidelines and prescribed amoxicillin as a first-line antibiotic for an odontogenic infection. For patients with a penicillin allergy, 16% of dentists reported clindamycin as their first-choice antibiotic. Seventeen per cent of those surveyed stated that they would prescribe antibiotics for local swelling without any additional factors indicating a persistent or spreading bacterial infection. Further insights into prescribing practices for prophylaxis, paediatric doses and non-clinical factors are described. Antibiotics are part of the armamentarium that dentists can use to treat patients. The results of this survey highlight some positive trends as well as some variation in prescribing practice that requires correction and discussion for future research.
关于抗生素处方做法的儿科具体数据有限,这被认为是年轻患者普遍过度使用和滥用抗生素的原因之一。本研究的目的是调查在英国对儿科牙科有兴趣的牙医开处方的做法。在2021年2月至5月期间,一项前瞻性横断面调查以电子方式分发给英国儿科牙科学会的成员。这些问题和场景是基于英国的抗生素处方指南。206名牙医完成调查(回应率45%)。大多数参与者(93%)遵守指南并将阿莫西林作为治疗牙源性感染的一线抗生素。对于青霉素过敏的患者,16%的牙医报告克林霉素是他们的首选抗生素。17%的受访者表示,他们会为局部肿胀开具抗生素,而没有任何表明持续或扩散的细菌感染的其他因素。进一步深入了解处方做法的预防,儿科剂量和非临床因素进行了描述。抗生素是牙医用来治疗病人的医疗器械的一部分。这项调查的结果突出了一些积极的趋势,以及一些变化的处方实践,需要纠正和讨论,为未来的研究。
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引用次数: 0
AI in dentistry: understanding and realising its full potential 牙科中的人工智能:理解并实现其全部潜力
Pub Date : 2023-07-01 DOI: 10.1308/rcsfdj.2023.24
Janak Gunatilleke
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引用次数: 0
Antibiotic prescribing for children referred to an emergency dental clinic during the COVID-19 lockdown 在COVID-19封锁期间,儿童转介到紧急牙科诊所的抗生素处方
Pub Date : 2023-07-01 DOI: 10.1308/rcsfdj.2023.23
Hanean Muhsin, Amrisha Ondhia, K. Patel, V. Muirhead, J. Davies
During the COVID-19 pandemic, antibiotics for dental infections have been prescribed more frequently owing to reduced access to face-to-face appointments. Updated guidance emphasised antimicrobial prescribing for children. This study assessed whether the correct dose of antibiotics had been prescribed for children who were triaged by telephone at a dental emergency clinic in a London teaching hospital during the COVID-19 lockdown. Data were collected for a retrospective service evaluation from the case notes of children whose parents had contacted the triage telephone line between May and September 2020. A proforma was used to extract information including the type of antibiotics that had been prescribed, the prescriber and the dose. Of the 815 children who were triaged via the telephone emergency clinic, 229 (28%) had received antibiotics. Three-quarters (n = 175, 76%) had been prescribed amoxicillin. Half of these (n = 88, 50%) had been prescribed a lower than recommended dose of amoxicillin; all incorrect dosages were prescribed by dentists in primary care. Patients aged 5–11 years were most affected by this (65%). Incorrect antibiotic dose prescribing is a likely contributor to antimicrobial resistance as these patients often required further antimicrobial treatment. Our service evaluation highlights the importance of prescribing in line with the latest guidelines and literature.
在2019冠状病毒病大流行期间,由于面对面预约的机会减少,使用抗生素治疗牙齿感染的频率增加。最新指南强调儿童抗菌素处方。这项研究评估了在COVID-19封锁期间,在伦敦一家教学医院的牙科急诊诊所通过电话分诊的儿童,是否给他们开了正确剂量的抗生素。从父母在2020年5月至9月期间联系过分诊热线的儿童的病例记录中收集数据进行回顾性服务评估。使用形式表格提取信息,包括所开抗生素的类型、处方者和剂量。在通过电话急诊诊所进行分类的815名儿童中,229名(28%)接受了抗生素治疗。四分之三(n = 175,76 %)的患者曾开过阿莫西林。其中一半(n = 88,50%)的阿莫西林处方剂量低于推荐剂量;所有不正确的剂量都是由初级保健牙医开出的。5-11岁的患者受此影响最大(65%)。不正确的抗生素剂量处方可能是造成抗菌素耐药性的一个因素,因为这些患者往往需要进一步的抗菌素治疗。我们的服务评估强调了按照最新指南和文献开具处方的重要性。
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引用次数: 0
Professional competences and the dental curriculum: a view from “Down Under” 专业能力与牙科课程:来自澳大利亚的观点
Pub Date : 2023-04-01 DOI: 10.1308/rcsfdj.2023.14
P. Thomson
Contemporary dental education requires a student-centred, competence-based curriculum that facilitates training for our next generation of practitioners, emphasising in particular their roles as clinician scientists, critical thinkers, oral health team leaders and lifelong learners. In this article, Peter Thomson presents a view of dental education from “Down Under” and reviews the Australian Dental Council’s 2023 approach to defining the professional competences required of newly qualified dental practitioners, reflecting on how dental curricula must continually change and adapt to deliver the precise knowledge and skills required of modern dental practitioners.
当代牙科教育需要以学生为中心、以能力为基础的课程,以促进下一代从业者的培训,特别强调他们作为临床医生、科学家、批判性思考者、口腔健康团队领导者和终身学习者的角色。在这篇文章中,Peter Thomson介绍了澳大利亚牙科教育的观点,并回顾了澳大利亚牙科理事会2023年定义新合格牙科从业者所需专业能力的方法,反思了牙科课程必须如何不断变化和适应,以提供现代牙科从业者所需的精确知识和技能。
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引用次数: 0
Hospital dentists seeking to attend the ATLS® course: like pulling teeth? 寻求参加ATLS®课程的医院牙医:喜欢拔牙吗?
Pub Date : 2023-04-01 DOI: 10.1308/rcsfdj.2023.15
Anthony MacKenzie-Gureje
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引用次数: 0
“Leadership is the capacity to translate vision into reality” “领导力是将愿景变为现实的能力”
Pub Date : 2023-04-01 DOI: 10.1308/rcsfdj.2023.9
S. Crean
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引用次数: 0
Consent for the paediatric patient 儿科患者的同意书
Pub Date : 2023-04-01 DOI: 10.1308/rcsfdj.2023.16
Andrew Jones, J. Hyde, Sharon Lee, S. Albadri, L. Gartshore
Obtaining valid consent is a fundamental process in dentistry. Written consent must be obtained where treatment involves conscious sedation or general anaesthesia. For children, consent may be provided by a person with parental responsibility (PR). A retrospective evaluation was completed of 160 children over 2 UK hospital sites with paediatric services. Cases involving conscious sedation or general anaesthesia for dental treatment were selected. Data were obtained to establish whether it was documented that the correct person had provided consent for a child and whether all possible individuals with PR for the child were identified at the initial visit. UK national legislation and guidance was reviewed, from which a PR form (to determine PR status for a child) was created and implemented. A second evaluation was subsequently completed, again with 160 children. Combined data from both sites confirmed documentation of an appropriate person providing consent in 127 cases (79%) in the first evaluation. This improved to 155 cases (97%) following implementation of the PR form. All possible individuals who had PR for the child were identified at the initial visit in 35 cases (22%). This improved to 139 cases (87%) following the introduction of the PR form. Use of a PR form improved documentation regarding valid consent for children.
获得有效的同意是牙科的一个基本过程。如果治疗涉及清醒镇静或全身麻醉,必须获得书面同意。对于儿童,可由负有父母责任的人提供同意(PR)。回顾性评估完成了160名儿童在2个英国医院网站的儿科服务。病例涉及清醒镇静或全身麻醉的牙科治疗选择。获得数据以确定是否记录了正确的人对儿童提供了同意,以及是否在初次访问时确定了所有可能的儿童PR个人。审查了英国的国家立法和指导,并据此创建和实施了PR表格(以确定儿童的PR地位)。随后又对160名儿童进行了第二次评价。在第一次评估中,来自两个站点的综合数据确认127例(79%)中有合适的人提供了同意。实施PR表格后,这一数字提高到155例(97%)。在35例(22%)患儿的初次就诊中,所有可能患有患儿PR的个体都被确定。引入PR表格后,这一数字提高到139例(87%)。PR表格的使用改进了关于儿童有效同意的文件。
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引用次数: 0
Dental careers: 2022 update 牙科职业:2022年更新
Pub Date : 2023-04-01 DOI: 10.1308/rcsfdj.2023.12
Parnyan Ashtari, Shalini Nayee, Megan V. Clark, J. Gallagher
Dentistry provides an array of pathways and opportunities for young dentists to enjoy an intellectually stimulating and practical career; however, navigating the opportunities can be challenging. The Faculty of Dental Surgery is committed to supporting and developing dental professionals through their careers, offering careers information at all stages from undergraduate to specialist level.
牙科提供了一系列的途径和机会,让年轻的牙医享受智力刺激和实用的职业生涯;然而,把握机遇可能具有挑战性。牙科外科学院致力于支持和发展牙科专业人员的职业生涯,提供从本科到专科水平的各个阶段的职业信息。
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引用次数: 0
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