Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.516
Malihe Moeinian
Resin infiltration is a minimally invasive technique to treat mild hypomineralized lesions. It seals the porosity of the affected enamel, strengthens the enamel defect and improves the aesthetics of the lesion. However, there are disadvantages such as lack of evidence on its long-term durability and microleakage. This article provides an overview on the resin infiltration concept and the procedure for its application. Resin infiltration is a minimally invasive procedure that occludes the pores and inhibits further demineralization. within the lesion body.
{"title":"An overview of the resin-infiltration technique","authors":"Malihe Moeinian","doi":"10.12968/denu.2024.51.7.516","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.516","url":null,"abstract":"Resin infiltration is a minimally invasive technique to treat mild hypomineralized lesions. It seals the porosity of the affected enamel, strengthens the enamel defect and improves the aesthetics of the lesion. However, there are disadvantages such as lack of evidence on its long-term durability and microleakage. This article provides an overview on the resin infiltration concept and the procedure for its application. Resin infiltration is a minimally invasive procedure that occludes the pores and inhibits further demineralization. within the lesion body.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838507","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}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.502
Jack Slaymaker
This report introduces the reader to the concepts and applications of augmented and virtual reality in dentistry. Virtual reality (VR) is the computer-generated three-dimensional simulation of a virtual environment accessed through a headset. Augmented reality (AR) is the superimposition of computer-generated imagery or graphics onto the real world, accessed through phones, tablets and headsets. The technology has advanced in recent years with early applications to the medical field revolving around anxiety management, teaching and surgical planning. Uses for surgical orthognathic and other restorative interventions are also in an early phase of development and adoption. VR and AR have promising applications, but more research must be carried out to determine the technology's validity in dentistry.
本报告向读者介绍牙科中增强现实和虚拟现实的概念和应用。虚拟现实（VR）是计算机生成的虚拟环境的三维模拟，可通过头戴式设备访问。增强现实（AR）是将计算机生成的图像或图形叠加到现实世界中，通过手机、平板电脑和头戴式设备访问。该技术近年来不断发展，在医疗领域的早期应用主要围绕焦虑管理、教学和手术规划。手术正颌和其他修复干预的应用也处于早期开发和采用阶段。VR 和 AR 的应用前景广阔，但要确定该技术在牙科领域的有效性，还必须开展更多的研究。
{"title":"Augmented and virtual reality in dentistry: an introduction","authors":"Jack Slaymaker","doi":"10.12968/denu.2024.51.7.502","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.502","url":null,"abstract":"This report introduces the reader to the concepts and applications of augmented and virtual reality in dentistry. Virtual reality (VR) is the computer-generated three-dimensional simulation of a virtual environment accessed through a headset. Augmented reality (AR) is the superimposition of computer-generated imagery or graphics onto the real world, accessed through phones, tablets and headsets. The technology has advanced in recent years with early applications to the medical field revolving around anxiety management, teaching and surgical planning. Uses for surgical orthognathic and other restorative interventions are also in an early phase of development and adoption. VR and AR have promising applications, but more research must be carried out to determine the technology's validity in dentistry.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838262","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.264
Danielle Caga, Danielle Caga
Hearing impairments affect up to 1.57 billion individuals globally, and 11 million people within the UK. Worldwide, 60% of hearing loss in children is due to preventable causes. Types of hearing loss vary in their aetiology and severity; however, all can negatively affect an individual's quality of life. The general health of those within the deaf population has been shown to be poorer than that of the general population, with under-diagnosis and under-treatment of chronic conditions putting individuals at risk of preventable ill-health. Deaf individuals experience greater problems in accessing healthcare, with a lack of British Sign Language (BSL), deafness awareness training and other communication aids being identified as barriers in such settings. With respect to dental health, deafness can result in poorer oral hygiene and greater dental caries. Communication issues faced at the dentist include being called from the waiting room, communicating with the dental team, mask wearing and background noise in the surgery. British Sign Language is a visual and spatial language, using movements of the hands, body, face and head. With its own grammar, syntax, idioms and regional variations, it is recognized as an official language in England, Wales and Scotland. This article provides a general background on hearing loss, its influence on general and dental health, an introduction to BSL, and hopes to encourage the general dental practitioner to seek further training in BSL. CPD/Clinical Relevance: To aid in effective communication with patients who have hearing loss, a knowledge of BSL would be helpful.
{"title":"British Sign Language and its Role in Dentistry","authors":"Danielle Caga, Danielle Caga","doi":"10.12968/denu.2024.51.4.264","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.264","url":null,"abstract":"Hearing impairments affect up to 1.57 billion individuals globally, and 11 million people within the UK. Worldwide, 60% of hearing loss in children is due to preventable causes. Types of hearing loss vary in their aetiology and severity; however, all can negatively affect an individual's quality of life. The general health of those within the deaf population has been shown to be poorer than that of the general population, with under-diagnosis and under-treatment of chronic conditions putting individuals at risk of preventable ill-health. Deaf individuals experience greater problems in accessing healthcare, with a lack of British Sign Language (BSL), deafness awareness training and other communication aids being identified as barriers in such settings. With respect to dental health, deafness can result in poorer oral hygiene and greater dental caries. Communication issues faced at the dentist include being called from the waiting room, communicating with the dental team, mask wearing and background noise in the surgery. British Sign Language is a visual and spatial language, using movements of the hands, body, face and head. With its own grammar, syntax, idioms and regional variations, it is recognized as an official language in England, Wales and Scotland. This article provides a general background on hearing loss, its influence on general and dental health, an introduction to BSL, and hopes to encourage the general dental practitioner to seek further training in BSL. CPD/Clinical Relevance: To aid in effective communication with patients who have hearing loss, a knowledge of BSL would be helpful.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753598","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.280
Robert Smith, Graeme Bryce
Actinomycosis is a chronic bacterial infection caused by Actinomyces species. Actinomyces are commensals of the human oropharynx and can invade local structures when mucosal integrity is breached. Within an actinomycosis lesion chronically inflamed and necrotic tissue may undergo dystrophic calcification. This case report documents the assessment, diagnosis, and management of Actinomyces-associated calcification within a nasopalatine cyst, a previously unreported situation. CPD/Clinical Relevance: Actinomycosis lesions of the jaws may present with radiographically detectable calcification(s).
{"title":"Actinomyces-associated Calcification in a Nasopalatine Cyst","authors":"Robert Smith, Graeme Bryce","doi":"10.12968/denu.2024.51.4.280","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.280","url":null,"abstract":"Actinomycosis is a chronic bacterial infection caused by Actinomyces species. Actinomyces are commensals of the human oropharynx and can invade local structures when mucosal integrity is breached. Within an actinomycosis lesion chronically inflamed and necrotic tissue may undergo dystrophic calcification. This case report documents the assessment, diagnosis, and management of Actinomyces-associated calcification within a nasopalatine cyst, a previously unreported situation. CPD/Clinical Relevance: Actinomycosis lesions of the jaws may present with radiographically detectable calcification(s).","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753194","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.243
Joshua Hudson, U. Darbar
This is the second article in a two-part series on gingival recession. The first article covered the aetiology and prevalence of gingival recession, while this article focuses on the factors affecting decision making and the management, including treatment of gingival recession alongside the evidence base. With more than half of the population suffering from gingival recession, the clinician should be aware of the different options and treatment modalities available to manage gingival recession. This will enable them to engage with the patient, giving them the necessary and required information to make a patient-centred decision about the most suitable treatment option that will address their concerns. CPD/Clinical Relevance: The clinician should be aware of the different options and treatment modalities available to manage gingival recession.
{"title":"Gingival Recession. Part 2: Treatment Options and When to Intervene Surgically","authors":"Joshua Hudson, U. Darbar","doi":"10.12968/denu.2024.51.4.243","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.243","url":null,"abstract":"This is the second article in a two-part series on gingival recession. The first article covered the aetiology and prevalence of gingival recession, while this article focuses on the factors affecting decision making and the management, including treatment of gingival recession alongside the evidence base. With more than half of the population suffering from gingival recession, the clinician should be aware of the different options and treatment modalities available to manage gingival recession. This will enable them to engage with the patient, giving them the necessary and required information to make a patient-centred decision about the most suitable treatment option that will address their concerns. CPD/Clinical Relevance: The clinician should be aware of the different options and treatment modalities available to manage gingival recession.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140751351","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.251
C. Valkenburg, F. V. D. van der Weijden, D. E. Slot
This article, the third in a series about dentifrices, emphasizes the essential role of dentifrices in oral healthcare, highlighting their contributions beyond mechanical plaque removal to include plaque inhibition and delivery of therapeutic agents. Despite the sometimes-limited impact on mechanical plaque removal, the importance of fluoridated dentifrices, must not be underestimated. The article reviews the effectiveness and safety of dentifrices, including the challenges posed by subjective clinical indices and potential allergenic ingredients. It discusses the potential of innovative dentifrice formulations to improve compliance and oral health outcomes. Additionally, it emphasizes the critical role of dental care professionals in recommending dentifrices based on safety and effectiveness rather than cosmetic claims or cost. Through an analysis of the literature and clinical guidelines, this work aims to guide healthcare providers in making informed decisions about dentifrice recommendations for optimal oral health. CPD/Clinical Relevance: Dentifrices are complex formulations that need to be proven effective in (clinical) trials and be appreciated by end users.
{"title":"Dentifrices. Part 3: Dentifrice Recommendations","authors":"C. Valkenburg, F. V. D. van der Weijden, D. E. Slot","doi":"10.12968/denu.2024.51.4.251","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.251","url":null,"abstract":"This article, the third in a series about dentifrices, emphasizes the essential role of dentifrices in oral healthcare, highlighting their contributions beyond mechanical plaque removal to include plaque inhibition and delivery of therapeutic agents. Despite the sometimes-limited impact on mechanical plaque removal, the importance of fluoridated dentifrices, must not be underestimated. The article reviews the effectiveness and safety of dentifrices, including the challenges posed by subjective clinical indices and potential allergenic ingredients. It discusses the potential of innovative dentifrice formulations to improve compliance and oral health outcomes. Additionally, it emphasizes the critical role of dental care professionals in recommending dentifrices based on safety and effectiveness rather than cosmetic claims or cost. Through an analysis of the literature and clinical guidelines, this work aims to guide healthcare providers in making informed decisions about dentifrice recommendations for optimal oral health. CPD/Clinical Relevance: Dentifrices are complex formulations that need to be proven effective in (clinical) trials and be appreciated by end users.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753491","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.277
Alisha Paul, Adenike Bawor-Omatseye, Julian Page
The infratemporal fossa (IF) is an important anatomical space that carries vital neurovascular structures within it. The formation of an abscess in the IF, particularly of odontogenic aetiology, is rare. It can pose a diagnostic challenge due its uncommon presentation and can be life-threatening with delayed treatment. We present an unusual case of an IF abscess in an otherwise healthy female patient. Due to the rising difficulty accessing emergency NHS dental services, the untimely diagnosis and management of odontogenic infections may lead to similar scenarios. CPD/Clinical Relevance: It is important that clinicians have good knowledge of the anatomy of fascial spaces and be aware of signs and symptoms of spreading infections.
颞下窝（IF）是一个重要的解剖空间，内含重要的神经血管结构。在颞下窝形成脓肿（尤其是牙源性脓肿）的情况非常罕见。由于其不常见的表现形式，它可能会给诊断带来挑战，如果延误治疗，可能会危及生命。我们为大家介绍一例不寻常的 IF 脓肿病例，患者是一名身体健康的女性。由于越来越难以获得国家医疗服务体系的牙科急诊服务，牙源性感染的不及时诊断和治疗可能会导致类似的情况发生。持续专业发展/临床相关性：临床医生必须充分了解筋膜间隙的解剖学知识，并意识到扩散感染的症状和体征。
{"title":"Odontogenic Infection of the Infratemporal Fossa: A Diagnostic Challenge","authors":"Alisha Paul, Adenike Bawor-Omatseye, Julian Page","doi":"10.12968/denu.2024.51.4.277","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.277","url":null,"abstract":"The infratemporal fossa (IF) is an important anatomical space that carries vital neurovascular structures within it. The formation of an abscess in the IF, particularly of odontogenic aetiology, is rare. It can pose a diagnostic challenge due its uncommon presentation and can be life-threatening with delayed treatment. We present an unusual case of an IF abscess in an otherwise healthy female patient. Due to the rising difficulty accessing emergency NHS dental services, the untimely diagnosis and management of odontogenic infections may lead to similar scenarios. CPD/Clinical Relevance: It is important that clinicians have good knowledge of the anatomy of fascial spaces and be aware of signs and symptoms of spreading infections.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755349","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.232
Martin Kelleher, Kevin Lewis
This series of articles challenges some popular myths about supposedly ‘ideal’ treatment plans and is designed to provoke reflection and stimulate debate. It explains the concept of ‘satisficing’ (as opposed to ‘maximizing’) in dentistry, and illustrates how subconscious bias and self-interests might lead supposed experts to promote arbitrary aspirational standards and confuse them with what the law expects (the Bolam Test standard) and what is genuinely in the best interests of an individual patient. It is argued that sound, patient-centred, pragmatic planning and treatment is equally valid, with wider applicability, than routinely defaulting to a self-serving ‘maximalist’ approach. CPD/Clinical Relevance: The ‘satisficing ‘concept has wide and profound application across many fields of clinical (and non-clinical) dentistry.
{"title":"Satisficing in Dentistry. Who decides? Who benefits? Part 3","authors":"Martin Kelleher, Kevin Lewis","doi":"10.12968/denu.2024.51.4.232","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.232","url":null,"abstract":"This series of articles challenges some popular myths about supposedly ‘ideal’ treatment plans and is designed to provoke reflection and stimulate debate. It explains the concept of ‘satisficing’ (as opposed to ‘maximizing’) in dentistry, and illustrates how subconscious bias and self-interests might lead supposed experts to promote arbitrary aspirational standards and confuse them with what the law expects (the Bolam Test standard) and what is genuinely in the best interests of an individual patient. It is argued that sound, patient-centred, pragmatic planning and treatment is equally valid, with wider applicability, than routinely defaulting to a self-serving ‘maximalist’ approach. CPD/Clinical Relevance: The ‘satisficing ‘concept has wide and profound application across many fields of clinical (and non-clinical) dentistry.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140751771","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}
Pub Date : 2024-04-02DOI: 10.12968/denu.2024.51.4.225
Kevin Lewis
{"title":"Vicarious Liability and the Moving Target of Dental Litigation: A Wake-up Call for Practice Owners?","authors":"Kevin Lewis","doi":"10.12968/denu.2024.51.4.225","DOIUrl":"https://doi.org/10.12968/denu.2024.51.4.225","url":null,"abstract":"","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754510","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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