During the first wave of the COVID-19 pandemic, routine dental care in Wales stopped with only urgent dental care being provided. Postgraduate trainees (dental core trainees [DCTs] and dental specialty registrars [StRs]) in Wales experienced disruption to their training as a result. The aim of this study was to explore the impact of the pandemic on DCTs and StRs in Wales in terms of trainee learning, development, mental health and wellbeing. Postgraduate trainees (66 DCTs, 26 StRs) across Wales were invited to complete a survey exploring their experiences during the pandemic. Results were analysed and compared quantitatively and qualitatively. Of the 92 postgraduate trainees contacted, 44 responded, yielding a 48% total response rate. Nineteen DCTs (76%) and seventeen StRs (90%) stated that the pandemic had caused a negative impact on their mental health. Eleven DCTs (44% DCTs) and nine StRs (32%) were redeployed to different clinical roles. Twenty-one DCTs (84%) and fourteen StRs (74%) felt concerned about the effects on training/careers, with around three-quarters (76% DCTs, 74% StRs) believing the impact was negative. Twenty-two DCTs (88%) and fifteen StRs (79%) performed fewer clinical procedures while twenty DCTs (80%) and sixteen StRs (84%) had educational events cancelled. The COVID-19 pandemic has had a negative impact on postgraduate trainees in Wales owing to reduced clinical training and redeployment. Despite this, different experiences/skills were gained such as improved leadership skills. DCTs and StRs feel that extending their training, increasing departmental teaching and carrying over the annual study budget to the next year would be beneficial.
{"title":"The COVID-19 effect on training opportunities, mental health and wellbeing of postgraduate trainees in Wales","authors":"P. Mylonas, O. Barratt, Jann Siew Chin","doi":"10.1308/rcsfdj.2022.5","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.5","url":null,"abstract":"During the first wave of the COVID-19 pandemic, routine dental care in Wales stopped with only urgent dental care being provided. Postgraduate trainees (dental core trainees [DCTs] and dental specialty registrars [StRs]) in Wales experienced disruption to their training as a result. The aim of this study was to explore the impact of the pandemic on DCTs and StRs in Wales in terms of trainee learning, development, mental health and wellbeing. Postgraduate trainees (66 DCTs, 26 StRs) across Wales were invited to complete a survey exploring their experiences during the pandemic. Results were analysed and compared quantitatively and qualitatively. Of the 92 postgraduate trainees contacted, 44 responded, yielding a 48% total response rate. Nineteen DCTs (76%) and seventeen StRs (90%) stated that the pandemic had caused a negative impact on their mental health. Eleven DCTs (44% DCTs) and nine StRs (32%) were redeployed to different clinical roles. Twenty-one DCTs (84%) and fourteen StRs (74%) felt concerned about the effects on training/careers, with around three-quarters (76% DCTs, 74% StRs) believing the impact was negative. Twenty-two DCTs (88%) and fifteen StRs (79%) performed fewer clinical procedures while twenty DCTs (80%) and sixteen StRs (84%) had educational events cancelled. The COVID-19 pandemic has had a negative impact on postgraduate trainees in Wales owing to reduced clinical training and redeployment. Despite this, different experiences/skills were gained such as improved leadership skills. DCTs and StRs feel that extending their training, increasing departmental teaching and carrying over the annual study budget to the next year would be beneficial.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133099684","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}
Oral squamous cell carcinoma is a lethal and deforming disease of rising global significance. Detailed information on contemporary incidence, patient awareness and preventative strategies in Australia remains somewhat lacking, however. Geographic profiling has shown a high burden of disease in regional and remote areas compared with metropolitan districts, with Indigenous Australians in particular exhibiting a high incidence of oral squamous cell carcinoma, reduced access to specialist treatment and ultimately, poor clinical outcomes. Strategies to deliver enhanced preventative techniques, improve diagnostic accuracy and encourage targetted interventional management for high risk populations in regional and remote communities are recommended
{"title":"Oral cancer in Australia: regional and remote perspectives","authors":"Poornima Ramamurthy, Dileep Sharma, Peter Thomson","doi":"10.1308/rcsfdj.2022.9","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.9","url":null,"abstract":"Oral squamous cell carcinoma is a lethal and deforming disease of rising global significance. Detailed information on contemporary incidence, patient awareness and preventative strategies in Australia remains somewhat lacking, however. Geographic profiling has shown a high burden of disease in regional and remote areas compared with metropolitan districts, with Indigenous Australians in particular exhibiting a high incidence of oral squamous cell carcinoma, reduced access to specialist treatment and ultimately, poor clinical outcomes. Strategies to deliver enhanced preventative techniques, improve diagnostic accuracy and encourage targetted interventional management for high risk populations in regional and remote communities are recommended","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128260260","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}
Renee Sahni, R. Tattar, S. Al‐habba, S. Ariyaratnam, S. Barry, P. Coulthard, N. Patel, N. Seoudi, Graham Walton, J. Lear, Helen Young, M. Dave
Contact dermatitis is an inflammatory skin disorder that can present as an acute, subacute or chronic condition. This review highlights the burden of allergic contact dermatitis for dental professionals as well as discussing its cellular mechanism, clinical features, common causative agents in dentistry and treatment options. There are two main types of contact dermatitis. Allergic contact dermatitis accounts for 20% of reported contact dermatitis cases while the remainder are due to irritant contact dermatitis. Allergic contact dermatitis is a type IV hypersensitivity reaction that affects 22-43% of dental professionals globally. There is limited literature on the impact of this condition on dental healthcare professionals. Moreover, with the increased and prolonged use of personal protective equipment (PPE) to prevent occupational transmission of SARS-CoV-2, more healthcare professionals are presenting with allergic contact dermatitis against their PPE. Allergic contact dermatitis is a prevalent occupational skin condition that can affect all members of the dental team, especially with the increased use of PPE due to the COVID-19 pandemic. Dental professionals with signs and symptoms should seek relevant advice and reduce exposure to known allergens.
{"title":"A review of allergic contact dermatitis for dental professionals","authors":"Renee Sahni, R. Tattar, S. Al‐habba, S. Ariyaratnam, S. Barry, P. Coulthard, N. Patel, N. Seoudi, Graham Walton, J. Lear, Helen Young, M. Dave","doi":"10.1308/rcsfdj.2022.8","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.8","url":null,"abstract":"Contact dermatitis is an inflammatory skin disorder that can present as an acute, subacute or chronic condition. This review highlights the burden of allergic contact dermatitis for dental professionals as well as discussing its cellular mechanism, clinical features, common causative agents in dentistry and treatment options. There are two main types of contact dermatitis. Allergic contact dermatitis accounts for 20% of reported contact dermatitis cases while the remainder are due to irritant contact dermatitis. Allergic contact dermatitis is a type IV hypersensitivity reaction that affects 22-43% of dental professionals globally. There is limited literature on the impact of this condition on dental healthcare professionals. Moreover, with the increased and prolonged use of personal protective equipment (PPE) to prevent occupational transmission of SARS-CoV-2, more healthcare professionals are presenting with allergic contact dermatitis against their PPE. Allergic contact dermatitis is a prevalent occupational skin condition that can affect all members of the dental team, especially with the increased use of PPE due to the COVID-19 pandemic. Dental professionals with signs and symptoms should seek relevant advice and reduce exposure to known allergens.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131838382","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}
There has been an increase, particularly on social media, of people taking dentistry into their own hands. How do we address this and prevent dangerous outcomes of this new trend?
{"title":"‘Do-it-yourself’ dentistry","authors":"Gerald Simmons","doi":"10.1308/rcsfdj.2022.11","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.11","url":null,"abstract":"There has been an increase, particularly on social media, of people taking dentistry into their own hands. How do we address this and prevent dangerous outcomes of this new trend?","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122192118","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 return to normality is in sight, but we still need to keep cautious and be considerate of those around us, especially in the winter months.
恢复正常近在眼前,但我们仍然需要保持谨慎,为我们周围的人着想,尤其是在冬季。
{"title":"‘No one can whistle a symphony; it takes a whole orchestra to play it’","authors":"S. Crean","doi":"10.1308/rcsfdj.2022.1","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.1","url":null,"abstract":"The return to normality is in sight, but we still need to keep cautious and be considerate of those around us, especially in the winter months.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"640 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122951807","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 dental core training programme acts as a springboard for postgraduate dentists to consider specialisation or further training. In January 2020, the outbreak of the coronavirus disease resulted in a restructuring of the National Health Service, directly affecting trainees across all specialties. At University Hospitals Coventry and Warwickshire NHS Trust, dental core trainees were transferred to an alternative COVID rota with skeleton teams deployed to cover on-call duties. This paper examines whether the repercussions of the pandemic have had an objective impact on the clinical exposure of and training opportunities for dental core trainees.
{"title":"The impact of COVID-19 on dental core training: a single centre experience","authors":"F. Siodlak, R. Pandya, G. Walton","doi":"10.1308/rcsfdj.2022.4","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.4","url":null,"abstract":"The dental core training programme acts as a springboard for postgraduate dentists to consider specialisation or further training. In January 2020, the outbreak of the coronavirus disease resulted in a restructuring of the National Health Service, directly affecting trainees across all specialties. At University Hospitals Coventry and Warwickshire NHS Trust, dental core trainees were transferred to an alternative COVID rota with skeleton teams deployed to cover on-call duties. This paper examines whether the repercussions of the pandemic have had an objective impact on the clinical exposure of and training opportunities for dental core trainees.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128380157","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}
In England, there are over half a million people living with severe mental illness (SMI) such as schizophrenia and bipolar disorder. These people die on average up to 20 years earlier than the general population and 2 in 3 deaths are from physical illnesses that can be prevented. Recent government publications such as the NHS Long Term Plan and NHS England's mental health implementation plan have highlighted the need to address the physical health needs of people with SMI in order to reduce the serious inequality of health outcomes experienced. Disappointingly, however, neither document mentions the poor oral health experienced by this cohort of the population, nor do they recognise the link between poor oral health and poor general health. This article examines the available literature and results from a recent survey that explored the oral health behaviours of service users at a secure mental health facility to raise awareness of the oral health needs of this population. Oral health is an integral aspect of general health and can positively influence wellbeing. A healthy mouth ensures individuals can eat, speak and interact socially, free from pain and embarrassment. Poor oral health can therefore not only have a profound impact on a person's quality of life (QoL) but it can also have wider implications for systemic disease.
{"title":"DMF (different, missed, forgotten): oral health inequalities experienced by people with severe mental illness","authors":"Maeve Browne, J. Beenstock","doi":"10.1308/rcsfdj.2022.6","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.6","url":null,"abstract":"In England, there are over half a million people living with severe mental illness (SMI) such as schizophrenia and bipolar disorder. These people die on average up to 20 years earlier than the general population and 2 in 3 deaths are from physical illnesses that can be prevented. Recent government publications such as the NHS Long Term Plan and NHS England's mental health implementation plan have highlighted the need to address the physical health needs of people with SMI in order to reduce the serious inequality of health outcomes experienced. Disappointingly, however, neither document mentions the poor oral health experienced by this cohort of the population, nor do they recognise the link between poor oral health and poor general health. This article examines the available literature and results from a recent survey that explored the oral health behaviours of service users at a secure mental health facility to raise awareness of the oral health needs of this population. Oral health is an integral aspect of general health and can positively influence wellbeing. A healthy mouth ensures individuals can eat, speak and interact socially, free from pain and embarrassment. Poor oral health can therefore not only have a profound impact on a person's quality of life (QoL) but it can also have wider implications for systemic disease.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132167952","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}
Andrew Eder reviews Dental Trauma: A Practical Guide to Diagnosis and Management (2021).
安德鲁·埃德尔评论牙齿创伤:诊断和管理实用指南(2021)。
{"title":"Book review: Dental Trauma: A Practical Guide to Diagnosis and Management","authors":"A. Eder","doi":"10.1308/rcsfdj.2022.10","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.10","url":null,"abstract":"Andrew Eder reviews Dental Trauma: A Practical Guide to Diagnosis and Management (2021).","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122817790","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}
Children born with cleft lip and/or palate (CLP) have a higher prevalence of developmental defects of enamel and dental anomalies, and are at an increased risk of developing dental caries. The aim of this study was to establish the prevalence of dental anomalies and developmental defects of enamel in children born with CLP, and to assess compliance with dental prevention. Data were collected retrospectively for children who attended the five-year-old dental review clinic at the South Thames cleft service over a four-year period. Records of 162 children were analysed. Unilateral CLP was the most common type of cleft. Two-thirds (65%) of the children in this service evaluation had developmental defects of enamel affecting the upper incisors. A third (32%) had enamel hypomineralisation. Between 90% and 100% of children over the four-year study period were registered with a dentist. Regular fluoride varnish application was received by 64% to 81% of children and toothpaste with an appropriate concentration of fluoride was used by 72% to 91% of children. Improvements in shared care arrangements between primary dental care clinicians and specialist paediatric dentists are needed to ensure that caries risk is reduced in children born with CLP. This allows the specialist dental services to focus on the complex dental issues that are seen more frequently in CLP and often require a multidisciplinary approach.
{"title":"Developmental defects of enamel and dental anomalies in five-year-old cleft patients","authors":"M. Agel, M. Vaidyanathan, N. Bhujel","doi":"10.1308/rcsfdj.2022.3","DOIUrl":"https://doi.org/10.1308/rcsfdj.2022.3","url":null,"abstract":"Children born with cleft lip and/or palate (CLP) have a higher prevalence of developmental defects of enamel and dental anomalies, and are at an increased risk of developing dental caries. The aim of this study was to establish the prevalence of dental anomalies and developmental defects of enamel in children born with CLP, and to assess compliance with dental prevention. Data were collected retrospectively for children who attended the five-year-old dental review clinic at the South Thames cleft service over a four-year period. Records of 162 children were analysed. Unilateral CLP was the most common type of cleft. Two-thirds (65%) of the children in this service evaluation had developmental defects of enamel affecting the upper incisors. A third (32%) had enamel hypomineralisation. Between 90% and 100% of children over the four-year study period were registered with a dentist. Regular fluoride varnish application was received by 64% to 81% of children and toothpaste with an appropriate concentration of fluoride was used by 72% to 91% of children. Improvements in shared care arrangements between primary dental care clinicians and specialist paediatric dentists are needed to ensure that caries risk is reduced in children born with CLP. This allows the specialist dental services to focus on the complex dental issues that are seen more frequently in CLP and often require a multidisciplinary approach.","PeriodicalId":342721,"journal":{"name":"Faculty Dental Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116029386","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}