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Mentoring in dental implants: from mentee to mentor. 牙科植入指导:从被指导者到指导者。
Pub Date : 2024-09-01 DOI: 10.1177/20501684241285080
Beatriz Sanchez-Iñigo, Colin Campbell
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引用次数: 0
The hygienist's role in the management of the implant patient in primary care. 卫生师在初级保健中对种植病人的管理中的作用。
Pub Date : 2024-09-01 DOI: 10.1177/20501684241279898
Kate Reading, Lisa Knowles, Sarah Towns

The scope of practice for dental hygienists includes the care of implants and peri-implant tissues. Hygienists in primary care settings must therefore be competent and confident in assessing, managing, and treating implant restorations and their peri-implant health. Dental hygienists also play a key role in the education of patients on oral health as part of their daily practice, a recognised and valued aspect of their clinical care responsibilities. Dental hygienists and therapists therefore have a pivotal role as adjunct support in a patient's implant journey where they can offer essential support throughout their treatment period and can provide guidance and education at regular intervals.Using current guidelines, dental hygienists and therapists can create and implement practice protocols to help deliver the necessary clinical care during pre-implant, peri-implant, and post-implant phases of care. This article discusses the processes required to achieve a healthy implant patient, how the dental team can support the patient, and how clinicians can work together to achieve the best possible clinical outcome. This article will explore current evidence-based guidance and how to implement guidance in a practice setting, with protocols for all members of the dental team, with the final goal of a dentally healthy, motivated patient.

牙科卫生学家的执业范围包括种植体和种植体周围组织的护理。因此,初级保健机构的卫生员必须有能力和信心评估、管理和治疗种植修复体及其种植体周围的健康状况。作为日常工作的一部分,牙科卫生员在对患者进行口腔健康教育方面也发挥着关键作用,这也是他们临床护理职责中公认的、有价值的方面。因此,牙科卫生员和治疗师在患者的种植过程中扮演着重要的辅助支持角色,他们可以在患者的整个治疗过程中提供必要的支持,并定期为患者提供指导和教育。本文将讨论健康的种植患者所需的过程,牙科团队如何为患者提供支持,以及临床医生如何通力合作以达到最佳临床效果。本文将探讨当前的循证指导以及如何在实践环境中实施指导,并为牙科团队的所有成员制定协议,最终目标是使患者牙科健康、积极主动。
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引用次数: 0
Evidence-based clinical management of localised tooth wear and a repeatedly dislodged posterior crown utilising the Dahl Concept. 利用达尔概念对局部牙齿磨损和反复脱落的后牙冠进行循证临床治疗。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241249558
Joshua Ee Xin Ong, Igor R Blum

This clinical case report demonstrates the use of the Dahl Concept in the management of the repeated dislodgement of a posterior full coverage crown associated with a reduced restorative space. The described technique harnesses the addition of resin composite and a temporarily cemented provisional full coverage crown to create sufficient restorative space for the cementation of a definitive posterior full coverage crown restoration at the six-month review.

本临床病例报告展示了达氏概念在处理后牙全冠反复脱落并导致修复空间缩小时的应用。该技术通过添加树脂复合材料和临时粘接临时全覆盖冠来创造足够的修复空间,以便在六个月复查时粘接最终的后全覆盖冠修复体。
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引用次数: 0
Silver modified atraumatic restorative treatment: a paradigm shift in dental caries management. 银改性无损伤修复治疗:龋齿治疗模式的转变。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241249545
Damodar Hegde, Baranya Shrikrishna Suprabha, Arathi Rao

Silver diamine fluoride (SDF) and atraumatic restorative treatment (ART) are treatment modalities that are minimally invasive and used for the prevention and control of dental caries. The amalgamation of these two techniques has led to the development of silver modified atraumatic restorative treatment (SMART). In this approach the carious lesion is restored with glass-ionomer cement (GIC) after SDF application. SMART effectively arrests caries without removing additional tooth structure, making it a promising option for caries management in children who lack cooperative ability.This article reviews the literature on SMART, the evidence regarding its applications in dental practice, its advantages, drawbacks, the scope for research, and clinical use.

二胺氟化银(SDF)和创伤性修复治疗(ART)是用于预防和控制龋齿的微创治疗方式。将这两种技术融合在一起,开发出了银改性非创伤性修复治疗(SMART)。这种方法是在使用 SDF 后,用玻璃-离子水泥(GIC)修复龋损。本文回顾了有关 SMART 的文献、其在牙科实践中应用的证据、其优点、缺点、研究范围和临床应用。
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引用次数: 0
College News. 学院新闻。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241259077
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引用次数: 0
GIRFT and Measuring Outcomes in MCNs: endodontics in 646 teeth treated in Tier 2 (Primary Care) and Tier 3 (Secondary Care) settings in England. GIRFT 和 MCN 中的成果衡量:英格兰二级(初级医疗)和三级(二级医疗)医疗机构中 646 颗牙齿的牙髓治疗。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241230799
Shiyana Eliyas, Kewal Shah, Nalin Dhamecha, Tapasya Jayaram, Aaron Yusuf, Vishal Jasani, Nirvair Kaur

Aim: This paper aims to assess the complexity, quality and outcome of endodontic treatment provided in Managed Clinical Networks (MCNs) in England to understand if we are "getting it right first time" (GIRFT).

Methods: In a convenient sample of endodontic treatments provided between May 2011 and April 2017, the complexity of teeth treated, the quality of treatment procedure, the radiographic appearance of root fillings, as well as clinical and radiographic healing were retrospectively assessed using records taken as part of treatment. Trained, calibrated examiners independently scored radiographs using previously published scoring systems.

Results: 646 teeth were followed up for 24.7 months (standard deviation [SD] 17.08). The average age of those patients treated was 46.7 years (SD 15.38) with 48.3% being male. Of teeth treated, 70.4% were of complexity level 3. 88.2% of teeth were asymptomatic, and 80% demonstrated complete radiographic healing. Procedural errors inhibited achieving correct working length and taper, with more voids within root canal fillings. When patency filing was reported as being carried out, complete radiographic healing was more likely.

Conclusions: It is possible to collate outcome data in the NHS system, especially if there is provision for ongoing follow up and time allocated for collection of data. Endodontic treatment provided within primary and secondary care settings are of high quality, with outcomes being better with single operators carrying out high volumes of endodontic treatment.

目的:本文旨在评估英格兰托管临床网络(MCN)提供的牙髓治疗的复杂性、质量和结果,以了解我们是否 "第一次就做对了"(GIRFT):在 2011 年 5 月至 2017 年 4 月期间提供的牙髓治疗的方便样本中,使用治疗过程中的记录对所治疗牙齿的复杂性、治疗过程的质量、根充填的放射学外观以及临床和放射学愈合情况进行了回顾性评估。训练有素、经过校准的检查人员使用之前公布的评分系统对射线照片进行独立评分:对 646 颗牙齿进行了 24.7 个月的随访(标准差 [SD] 17.08)。接受治疗的患者平均年龄为 46.7 岁(标准差 15.38),48.3% 为男性。在接受治疗的牙齿中,70.4%的牙齿复杂程度为 3 级。88.2%的牙齿无症状,80%的牙齿在X光片上显示完全愈合。程序错误阻碍了实现正确的工作长度和锥度,根管填充物中的空隙较多。据报告,如果进行了通畅锉,则更有可能获得完全的X光片愈合:在国家医疗服务系统中整理结果数据是可行的,特别是如果有持续的随访和用于收集数据的时间。在初级和二级医疗机构中提供的牙髓治疗都是高质量的,而由单一操作者进行大量牙髓治疗的结果会更好。
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引用次数: 0
Regenerative endodontic treatment of necrotic permanent teeth with pre-eruptive intracoronal radiolucency: a case report. 萌出前冠状沟内有放射线的坏死恒牙的再生牙髓治疗:病例报告。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241251587
Zakaria Karimi, Mustapha El Alloussi

Pre-eruptive intracoronal radiolucency is a rare dental anomaly with unclear aetiology, generally asymptomatic and diagnosed through routine radiographs. Failure to diagnose and treat it early can lead to rapid pulp damage, potentially compromising root development. The presented clinical report describes a mandibular second premolar with pre-eruptive intracoronal radiolucency that caused early pulp necrosis with arrest of root formation and emphasises the endodontic management using regenerative endodontic therapy.

萌出前冠状沟内放射状突起是一种罕见的牙科异常,病因不明,一般无症状,可通过常规X光片诊断。如果不能及早诊断和治疗,可能会导致牙髓迅速受损,从而影响牙根的发育。本临床报告描述了一颗下颌第二前磨牙萌出前冠状沟内放射状突起导致牙髓早期坏死,牙根形成受阻的情况,并强调了使用再生牙髓疗法进行牙髓治疗的重要性。
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引用次数: 0
Diabetes Mellitus and Periodontal Disease: A New Perspective. 糖尿病与牙周病:新视角。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241254654
Christopher Turner

First recorded in 1928, people living with diabetes mellitus (DM) are at a three to four times higher risk of developing periodontal disease (PD) than non-diabetics; for those who smoke this risk increases up to ten times. However, many doctors are unaware of this.DM and PD are bidirectionally linked, the one affecting the other and vice versa, although the mechanism is not fully understood and may be linked to chronic infection. PD has an adverse effect on glycaemic control. That improves when periodontitis is successfully treated.Doctors should consider PD when their patients have persistently high glycated haemoglobin (HbA1c) levels, and dentists should consider diabetes or pre-diabetes when they have patients with unstable or progressive periodontitis.Doctors, dentists, and their teams need to share results. A traffic light system of red, amber and green for both medical and dental risks is proposed, and a pro forma designed, so that diabetics themselves can share them with their professional advisors until such times as there are reliable methods of interprofessional communication and a paradigm shift in working practices is achieved.Dentists need to find ways to teach their medical colleagues about the basics of PD, update their medical records, and understand more about medical risks. More research is required.

糖尿病(DM)患者罹患牙周病(PD)的风险比非糖尿病患者高三到四倍;对于吸烟者来说,这种风险增加到十倍。DM和牙周病是双向联系的,一方影响另一方,反之亦然,但其机制尚不完全清楚,可能与慢性感染有关。牙周病对血糖控制有不利影响。当患者的糖化血红蛋白(HbA1c)水平持续偏高时,医生应考虑糖尿病,而当牙医的患者患有不稳定或进行性牙周炎时,应考虑糖尿病或糖尿病前期。建议对医疗和牙科风险采用红、黄、绿三色交通灯系统,并设计一个表格,以便糖尿病患者自己可以与他们的专业顾问分享,直到有可靠的跨专业沟通方法和实现工作实践的范式转变。需要开展更多的研究。
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引用次数: 0
Intra-radicular retention with custom designed CAD-CAM fibRe-reinforced composite post-core: a dental technique. 使用定制设计的 CAD-CAM 纤维增强复合材料后核进行椎体内固定:一种牙科技术。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241249546
Carolina Yoshi Campos Sugio, Bianca Tavares Rangel, Amanda Aparecida Maia Neves Garcia, Anna Clara Gurgel Gomes, Adolfo Coelho de Oliveira Lopes, Estevam Augusto Bonfante, Karin Hermana Neppelenbroek

A technique is outlined for utilising a polymeric composite reinforced with glass fibres in a three-dimensional mesh as a post-core in aesthetic cases. The clinical procedure involves obtaining an impression of the root canal space, scanning the definitive cast, and milling a fibre-reinforced composite post-core. Subsequently, the intra-radicular post-core is cemented using an adhesive resin cement. The use of custom-made computer-aided design-computer-aided manufacturing (CAD-CAM) fibre-reinforced composite post-core facilitates repairability, provides better adaptation to the root canal space, avoids uneven cement thickness, ensures chemical adhesion to resin cement, and promotes favourable aesthetics when combined with all-ceramic crowns.

概述了一种在美容病例中使用玻璃纤维三维网状增强聚合物复合材料作为后牙髓的技术。临床程序包括获得根管空间的印模、扫描最终铸模以及铣制纤维增强复合材料后牙髓。随后,使用粘接性树脂水泥粘接根管内的后牙髓。使用定制的计算机辅助设计-计算机辅助制造(CAD-CAM)纤维增强复合材料后牙冠可以方便修复,更好地适应根管空间,避免粘接剂厚度不均,确保与树脂粘接剂的化学粘附性,与全瓷牙冠结合使用时还能提高美观度。
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引用次数: 0
Assessing the information provided regarding oral cancer by dental practice websites within the Greater Manchester area. 评估大曼彻斯特地区牙科诊所网站提供的有关口腔癌的信息。
Pub Date : 2024-06-01 DOI: 10.1177/20501684241230190
Roshni Patel, Sajid Sainuddin

Introduction: With increasing numbers of oral cancer diagnoses and guidance recommending that patients approach their doctors or dentists for assessments, when searching for information regarding mouth cancer, patients may first look to their dental practice website. This study aimed to evaluate the variance of patient information provided regarding oral cancer on dental practice websites.

Materials and methods: Dental practices within the Manchester area with an active website were included with assessment of whether there was any information provided regarding reducing oral cancer risk factors, signs to look out for and if oral cancer screening was included as part of the general check-up, using a three-point score based on the joint statement from the British and Irish Society for Oral Medicine (BISOM) and Cancer Research UK (CRUK) regarding oral cancer diagnosis and prevention.

Results: In total, 66.6% (n=60) of practices provided no accessible information regarding oral cancer screening and prevention on their websites. Only 12.2% (n=11) discussed all three factors of oral screening, symptoms and reducing risk factors. Screening as part of routine examination was most frequently mentioned at 27% (n=24), risk factors were discussed by 23% (n=21) of practices and symptoms to be aware of by 13% (n=12).

Discussion: There is a lack of information available to patients on dental practice websites regarding oral cancer. To overcome lack of quality assurance on the internet, dentists can provide factual information via their dental practice websites. This could help with improving patient awareness and therefore aiding in early detection, improving patient outcomes.

导言:随着口腔癌诊断数量的增加,以及指南建议患者向医生或牙医寻求评估,患者在搜索有关口腔癌的信息时,可能会首先访问牙科诊所的网站。本研究旨在评估牙科诊所网站上提供的有关口腔癌的患者信息的差异:根据英国和爱尔兰口腔医学会(BISOM)和英国癌症研究中心(CRUK)关于口腔癌诊断和预防的联合声明,采用三点评分法,评估曼彻斯特地区拥有活跃网站的牙科诊所是否提供了有关降低口腔癌风险因素、应注意的迹象以及口腔癌筛查是否作为一般检查的一部分等信息:总共有 66.6%(n=60)的诊所没有在其网站上提供有关口腔癌筛查和预防的信息。只有 12.2%(n=11)的诊所讨论了口腔筛查、症状和减少风险因素这三个因素。27%(n=24)的诊所最常提及筛查是常规检查的一部分,23%(n=21)的诊所讨论了风险因素,13%(n=12)的诊所讨论了应注意的症状:讨论:牙科诊所网站上缺乏向患者提供的有关口腔癌的信息。为了克服互联网缺乏质量保证的问题,牙医可以通过他们的牙科诊所网站提供真实的信息。这有助于提高患者对口腔癌的认识,从而有助于早期发现,改善患者的治疗效果。
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引用次数: 0
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Primary dental journal
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