{"title":"Does the early bird catch the worm? Tick box culture and precocious teaching qualifications for aspiring specialty trainees","authors":"C. Donnell, H. Rogers","doi":"10.1308/rcsfdj.2023.17","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.17","url":null,"abstract":"","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"28 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134062599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vasovagal presyncope and syncope while attending operating theatres have been reported among medical trainees. However, no such studies are available in relation to dental trainees. The aim of this study was to investigate the prevalence, preventative measures and attitudes towards these events among dental trainees. An anonymised online questionnaire was sent to all dental core trainees in the Thames Valley and Wessex regions (n = 34). Nineteen of these participated (56% response rate). Ten (53%) had experienced a presyncopal or syncopal episode. The majority had experienced an episode during a major operation. High operating room temperatures and needing to stand for a long time were reported as the most common predisposing factors (60%). Several different actions were taken to prevent further episodes, with 90% of respondents reporting that these helped. Seven trainees expressed their desire to pursue a surgical career; five of these had experienced a vasovagal event. Most (78%) felt that this would not discourage them from following a career in surgery. Seven respondents felt that there was a perceived stigma about trainees who experienced such an episode. This study revealed that operating theatre related syncope is common among dental trainees. We highlight the importance of educating trainees on preventative strategies.
{"title":"Dental core trainees’ experience of vasovagal episodes while attending the operating theatre","authors":"Rosalind Baker, R. Singh","doi":"10.1308/rcsfdj.2023.13","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.13","url":null,"abstract":"Vasovagal presyncope and syncope while attending operating theatres have been reported among medical trainees. However, no such studies are available in relation to dental trainees. The aim of this study was to investigate the prevalence, preventative measures and attitudes towards these events among dental trainees. An anonymised online questionnaire was sent to all dental core trainees in the Thames Valley and Wessex regions (n = 34). Nineteen of these participated (56% response rate). Ten (53%) had experienced a presyncopal or syncopal episode. The majority had experienced an episode during a major operation. High operating room temperatures and needing to stand for a long time were reported as the most common predisposing factors (60%). Several different actions were taken to prevent further episodes, with 90% of respondents reporting that these helped. Seven trainees expressed their desire to pursue a surgical career; five of these had experienced a vasovagal event. Most (78%) felt that this would not discourage them from following a career in surgery. Seven respondents felt that there was a perceived stigma about trainees who experienced such an episode. This study revealed that operating theatre related syncope is common among dental trainees. We highlight the importance of educating trainees on preventative strategies.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134460973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sônia Sin, Helen Rogers, R. Cowie, K. Staines, L. Hollén, D. Shanahan
Mycophenolate mofetil (MMF) is often used in oral medicine. Reasons include its efficacy in treating inflammatory diseases, its steroid sparing property and its favourable side effects profile. There is, however, limited scientific evidence to justify its use in oral medicine. The aim of this study was to review the indications and prescribing practice relating to MMF in a tertiary oral medicine centre, and to document its tolerability and efficacy. A retrospective record review was undertaken of patients prescribed MMF between January 2019 and January 2022 at Bristol Dental Hospital. Patients were identified from a local database set up to highlight and monitor departmental immunosuppressant medication usage. Medical records were assessed using a standardised data collection proforma. Twenty-five patients (20 female, 5 male; median age 64 years) were included in the study. The conditions for which MMF was prescribed comprised oral lichen planus (48%), mucous membrane pemphigoid (36%), pemphigus vulgaris (12%) and recurrent aphthous stomatitis (4%). Typically, MMF was prescribed at 500 mg twice daily. The median duration of treatment was 28 months. Side effects were documented in 52% of patients. In all cases, MMF was commenced owing to inadequate response to previous treatments. Over half (56%) of the patients discontinued systemic prednisolone while using MMF. Overall, 80% achieved complete clinical improvement. MMF is effective and well tolerated in oral medicine patients. Its use is comparable with that documented in the dermatology literature.
{"title":"Mycophenolate mofetil-based treatment for oral mucosal disease in a UK oral medicine department","authors":"Sônia Sin, Helen Rogers, R. Cowie, K. Staines, L. Hollén, D. Shanahan","doi":"10.1308/rcsfdj.2023.7","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.7","url":null,"abstract":"Mycophenolate mofetil (MMF) is often used in oral medicine. Reasons include its efficacy in treating inflammatory diseases, its steroid sparing property and its favourable side effects profile. There is, however, limited scientific evidence to justify its use in oral medicine. The aim of this study was to review the indications and prescribing practice relating to MMF in a tertiary oral medicine centre, and to document its tolerability and efficacy. A retrospective record review was undertaken of patients prescribed MMF between January 2019 and January 2022 at Bristol Dental Hospital. Patients were identified from a local database set up to highlight and monitor departmental immunosuppressant medication usage. Medical records were assessed using a standardised data collection proforma. Twenty-five patients (20 female, 5 male; median age 64 years) were included in the study. The conditions for which MMF was prescribed comprised oral lichen planus (48%), mucous membrane pemphigoid (36%), pemphigus vulgaris (12%) and recurrent aphthous stomatitis (4%). Typically, MMF was prescribed at 500 mg twice daily. The median duration of treatment was 28 months. Side effects were documented in 52% of patients. In all cases, MMF was commenced owing to inadequate response to previous treatments. Over half (56%) of the patients discontinued systemic prednisolone while using MMF. Overall, 80% achieved complete clinical improvement. MMF is effective and well tolerated in oral medicine patients. Its use is comparable with that documented in the dermatology literature.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132304232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patient and population health are influenced by a myriad of factors outside the traditional biomedical model of disease. Health partnerships, based on a collaborative approach and involving both individuals and institutions, provide an important mechanism to improve health service delivery and enhance health outcomes. In order to be successful in delivering health promotion (and therefore improve health itself), the supporting pillars of patients, populations, and relevant and effective partnerships are of fundamental importance in contemporary practice to deliver better health outcomes for our communities.
{"title":"Patients, populations and partnerships: pillars supporting the promotion of health","authors":"Peter Thomson","doi":"10.1308/rcsfdj.2023.6","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.6","url":null,"abstract":"Patient and population health are influenced by a myriad of factors outside the traditional biomedical model of disease. Health partnerships, based on a collaborative approach and involving both individuals and institutions, provide an important mechanism to improve health service delivery and enhance health outcomes. In order to be successful in delivering health promotion (and therefore improve health itself), the supporting pillars of patients, populations, and relevant and effective partnerships are of fundamental importance in contemporary practice to deliver better health outcomes for our communities.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123035255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Can we increase the success of referrals for complex cases through improving existing guidance?
我们能否通过改善现有的指导来提高复杂病例的转介成功率?
{"title":"Assessing secondary care oral surgery referral complexities and casemix","authors":"Roshni Patel, G. Gerrard","doi":"10.1308/rcsfdj.2023.3","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.3","url":null,"abstract":"Can we increase the success of referrals for complex cases through improving existing guidance?","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115790053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic appears to have reignited our passion for the rubber dam, the ambition being reduction in potentially contaminated patient aerosols. However, following the 2015 Montgomery ruling, are we consenting patients properly? The rubber dam is the standard of care for some procedures, with a metal clamp used most often. This paper highlights some of the dangers of metal clamps and recommends strategies for mitigating either an embarrassing or a potentially catastrophic event.
{"title":"Rubber dam clamps: friend or foe?","authors":"Dinesh Martin, Asad Rahman","doi":"10.1308/rcsfdj.2023.5","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.5","url":null,"abstract":"The COVID-19 pandemic appears to have reignited our passion for the rubber dam, the ambition being reduction in potentially contaminated patient aerosols. However, following the 2015 Montgomery ruling, are we consenting patients properly? The rubber dam is the standard of care for some procedures, with a metal clamp used most often. This paper highlights some of the dangers of metal clamps and recommends strategies for mitigating either an embarrassing or a potentially catastrophic event.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128727642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The paediatric dentistry department at St Thomas’ Hospital transformed its walk-in emergency service to an urgent dental centre during the COVID-19 pandemic, accepting referrals via the NHS 111 service. There are conflicting ethical duties for tertiary care clinicians managing paediatric dental patients. This study measured the current activity levels of the dental emergency service at St Thomas’ Hospital, the appropriateness of NHS 111 referrals, the proportion of referrals accepted for care and the outcomes of those accepted referrals. A retrospective service evaluation was undertaken including 125 patients referred by the NHS 111 service to the dental emergency clinic at St Thomas’ Hospital between 1 September and 29 October 2021. Half (50%) of the patients seen were aged between 0 and 5 years. A quarter (24%) of referrals were true dental emergencies. Patients were referred for isolated dental pain (58%), facial swelling (25%), trauma (13%), broken fillings (3%) and other conditions (2%). Three-quarters (74%) were accepted for treatment. Most accepted patients were added to waiting lists for treatment under general anaesthesia (66%), local anaesthesia (5%) or inhalation sedation (4%). Two-thirds of accepted patients (67%) were not registered with a dentist while over three-quarters of rejected patients (79%) had their own dentist in primary care. Following the pandemic, paediatric dental emergency services continue to be overwhelmed by children requiring non-urgent dental care. Solutions to deteriorating patient access are crucial, ensuring that provision of care remains ethical and that those who require urgent dental care are prioritised.
{"title":"Emergency referrals to a paediatric dental A&E service in London: where do we stand post-pandemic?","authors":"Divya Pathak, S. Mamdani, N. Bhujel","doi":"10.1308/rcsfdj.2023.4","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.4","url":null,"abstract":"The paediatric dentistry department at St Thomas’ Hospital transformed its walk-in emergency service to an urgent dental centre during the COVID-19 pandemic, accepting referrals via the NHS 111 service. There are conflicting ethical duties for tertiary care clinicians managing paediatric dental patients. This study measured the current activity levels of the dental emergency service at St Thomas’ Hospital, the appropriateness of NHS 111 referrals, the proportion of referrals accepted for care and the outcomes of those accepted referrals. A retrospective service evaluation was undertaken including 125 patients referred by the NHS 111 service to the dental emergency clinic at St Thomas’ Hospital between 1 September and 29 October 2021. Half (50%) of the patients seen were aged between 0 and 5 years. A quarter (24%) of referrals were true dental emergencies. Patients were referred for isolated dental pain (58%), facial swelling (25%), trauma (13%), broken fillings (3%) and other conditions (2%). Three-quarters (74%) were accepted for treatment. Most accepted patients were added to waiting lists for treatment under general anaesthesia (66%), local anaesthesia (5%) or inhalation sedation (4%). Two-thirds of accepted patients (67%) were not registered with a dentist while over three-quarters of rejected patients (79%) had their own dentist in primary care. Following the pandemic, paediatric dental emergency services continue to be overwhelmed by children requiring non-urgent dental care. Solutions to deteriorating patient access are crucial, ensuring that provision of care remains ethical and that those who require urgent dental care are prioritised.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125551252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Our editor reflects on the year and the importance of pursuing your passion.
我们的编辑回顾了这一年，以及追求激情的重要性。
{"title":"'It is never too late to be who you might have been’","authors":"S. Crean","doi":"10.1308/rcsfdj.2023.1","DOIUrl":"https://doi.org/10.1308/rcsfdj.2023.1","url":null,"abstract":"Our editor reflects on the year and the importance of pursuing your passion.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124638807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Telephone consultations in the sedation assessment pathway: impact on service provision","authors":"Elizabeth Offen, K. Wilson, N. Girdler","doi":"10.1308/rcsfdj.2022.37","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.37","url":null,"abstract":"","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"58 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128007027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-production of an information video on silver diammine fluoride – with children, for children","authors":"L. Timms, Z. Marshman, C. Deery, H. Rodd","doi":"10.1308/rcsfdj.2022.36","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.36","url":null,"abstract":"","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"190 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129223830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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