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The COVID-19 effect on training opportunities, mental health and wellbeing of postgraduate trainees in Wales 2019冠状病毒病对威尔士研究生培训机会、心理健康和福祉的影响
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.5
P. Mylonas, O. Barratt, Jann Siew Chin
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.
在2019冠状病毒病大流行的第一波期间,威尔士的常规牙科护理停止,只提供紧急牙科护理。威尔士的研究生培训生(牙科核心培训生[dct]和牙科专业注册员[str])因此经历了培训中断。本研究的目的是探讨大流行对威尔士dct和str在受训人员学习、发展、心理健康和福祉方面的影响。威尔士各地的研究生实习生(66名dct, 26名str)被邀请完成一项调查,探讨他们在大流行期间的经历。对结果进行定量和定性分析比较。在联系的92名研究生学员中,有44人回复,总回复率为48%。19个dct(76%)和17个str(90%)表示,大流行对他们的心理健康造成了负面影响。11名DCTs(44%)和9名str(32%)被重新分配到不同的临床角色。21个dct(84%)和14个str(74%)担心对培训/职业的影响,其中约四分之三(76% dct, 74% str)认为影响是负面的。22名dct(88%)和15名str(79%)减少了临床手术,而20名dct(80%)和16名str(84%)取消了教育活动。由于临床培训和重新部署减少,2019冠状病毒病大流行对威尔士的研究生学员产生了负面影响。尽管如此,我们获得了不同的经验/技能,比如提高了领导能力。技术主任和技术研究人员认为,延长培训、增加部门教学和将年度研究预算延续到下一年将是有益的。
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引用次数: 1
Oral cancer in Australia: regional and remote perspectives 澳大利亚口腔癌:区域和远程视角
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.9
Poornima Ramamurthy, Dileep Sharma, Peter Thomson
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
口腔鳞状细胞癌是一种全球性的致死性、致畸性疾病。然而,关于澳大利亚当代发病率、患者意识和预防策略的详细信息仍然有些缺乏。地理分析表明,与大都市地区相比,区域和偏远地区的疾病负担较高,特别是澳大利亚土著居民口腔鳞状细胞癌的发病率较高,获得专科治疗的机会较少,最终临床结果较差。建议采取战略,提供加强的预防技术,提高诊断准确性,并鼓励对区域和偏远社区的高危人群进行有针对性的干预管理
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引用次数: 6
A review of allergic contact dermatitis for dental professionals 牙科专业人员过敏性接触性皮炎的综述
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.8
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.
接触性皮炎是一种皮肤炎症性疾病,可表现为急性、亚急性或慢性疾病。本文综述了过敏性接触性皮炎给牙科专业人员带来的负担,并讨论了其细胞机制、临床特征、常见的牙科病原体和治疗方案。接触性皮炎主要有两种类型。过敏性接触性皮炎占报告的接触性皮炎病例的20%,其余是由于刺激性接触性皮炎。过敏性接触性皮炎是一种IV型超敏反应,影响全球22-43%的牙科专业人员。关于这种情况对牙科保健专业人员的影响的文献有限。此外,随着为防止SARS-CoV-2职业传播而增加和长期使用个人防护装备,越来越多的卫生保健专业人员对其个人防护装备出现过敏性接触性皮炎。过敏性接触性皮炎是一种常见的职业性皮肤病,可影响牙科团队的所有成员,特别是在COVID-19大流行导致个人防护装备使用增加的情况下。有症状和体征的牙科专业人员应寻求相关建议,并减少接触已知的过敏原。
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引用次数: 0
Policy spotlight 政策关注的焦点
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.2
Catherine Wrigley
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引用次数: 0
‘Do-it-yourself’ dentistry “自己动手”牙科
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.11
Gerald Simmons
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?
越来越多的人,尤其是在社交媒体上,选择自己去看牙医。我们如何应对这一问题,防止这种新趋势产生危险后果?
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引用次数: 0
‘No one can whistle a symphony; it takes a whole orchestra to play it’ “没有人能吹出一首交响乐;它需要整个管弦乐队来演奏。”
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.1
S. Crean
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。
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引用次数: 0
The impact of COVID-19 on dental core training: a single centre experience COVID-19对牙芯培训的影响:单一中心体验
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.4
F. Siodlak, R. Pandya, G. Walton
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.
牙科核心培训计划是牙医研究生考虑专业或进一步培训的跳板。2020年1月,冠状病毒疫情的爆发导致英国国家卫生服务体系进行了重组,直接影响到所有专业的实习生。在考文垂大学医院和沃里克郡NHS信托基金,牙科核心学员被转移到另一个COVID轮班,并部署了骨干团队来履行随叫随到的职责。本文探讨了大流行的影响是否对牙核实习生的临床暴露和培训机会产生了客观影响。
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引用次数: 0
DMF (different, missed, forgotten): oral health inequalities experienced by people with severe mental illness DMF(不同、错过、遗忘):严重精神疾病患者所经历的口腔健康不平等
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.6
Maeve Browne, J. Beenstock
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.
在英国,有超过50万人患有严重的精神疾病(SMI),如精神分裂症和双相情感障碍。这些人的平均死亡时间比一般人群早20年,三分之二的死亡是由可以预防的身体疾病造成的。最近的政府出版物,如《国民保健制度长期计划》和《英格兰国民保健制度心理健康实施计划》,强调有必要解决重度精神障碍患者的身体健康需求,以减少所经历的健康结果的严重不平等。然而,令人失望的是,两份文件都没有提到这批人群的口腔健康状况不佳,也没有认识到口腔健康状况不佳与整体健康状况不佳之间的联系。本文研究了现有文献和最近一项调查的结果,该调查探讨了在安全的精神卫生设施中服务使用者的口腔卫生行为,以提高这一人群对口腔卫生需求的认识。口腔健康是整体健康的一个组成部分,可以对健康产生积极影响。健康的口腔可以确保人们可以吃饭、说话和社交,而不会感到痛苦和尴尬。因此,口腔健康状况不佳不仅会对一个人的生活质量(QoL)产生深远的影响,而且还会对全身性疾病产生更广泛的影响。
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引用次数: 0
Book review: Dental Trauma: A Practical Guide to Diagnosis and Management 书评:牙外伤:诊断和管理的实用指南
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.10
A. Eder
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)。
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引用次数: 0
Developmental defects of enamel and dental anomalies in five-year-old cleft patients 五岁唇裂患者牙釉质发育缺陷及牙畸形
Pub Date : 2022-01-01 DOI: 10.1308/rcsfdj.2022.3
M. Agel, M. Vaidyanathan, N. Bhujel
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.
出生时患有唇腭裂(CLP)的儿童有较高的牙釉质发育缺陷和牙齿异常的患病率,并且患龋齿的风险增加。本研究的目的是确定先天性CLP儿童牙畸形和牙釉质发育缺陷的患病率,并评估牙科预防的依从性。研究人员回顾性地收集了四年来在南泰晤士唇腭裂服务中心就诊的儿童的数据。分析了162名儿童的记录。单侧CLP是最常见的唇裂类型。三分之二(65%)的儿童存在影响上门牙牙釉质发育缺陷。三分之一(32%)的患者牙釉质矿化不足。在四年的研究期间,90%到100%的儿童在牙医那里注册。64%至81%的儿童使用常规氟化物清漆,72%至91%的儿童使用适当氟化物浓度的牙膏。需要改善初级牙科保健临床医生和专科儿科牙医之间的共同护理安排,以确保降低出生时患有CLP的儿童患龋齿的风险。这使得专业牙科服务可以专注于复杂的牙科问题,这些问题在CLP中更常见,通常需要多学科的方法。
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引用次数: 1
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Faculty Dental Journal
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