Dental caries continues to be a major public health problem in Ireland and worldwide. Untreated dental caries in permanent teeth is the most common health condition in the world according to the Global Burden of Disease 2019 study.1 Dental team members are acutely aware of the negative impacts of untreated dental caries on the health and well-being of our patients, not to mention the wider societal and economic consequences.2 In Ireland each year, approximately 7,000 children are referred for dental extractions under general anaesthesia.3 Although perceived by many as a disease of childhood, the risk and consequences of caries continue into adulthood, and indeed may initiate a lifetime burden of care. Dental caries is a multifactorial disease, which progresses when pathological factors outweigh preventive factors by tipping the ‘caries balance’ towards demineralisation and breakdown of the dental hard tissues (Figure 1). While restorative dental techniques for caries management and tooth retention have improved significantly over the years, it is clear that preventing dental caries is still preferable to cure.4,5 Successful management of dental caries requires both preventive measures and behaviour change, in addition to clinical intervention, preferably using a minimally invasive approach. Caries risk is the likelihood of a patient developing new caries lesions in the near future. Assessment of a patient’s caries risk level can aid clinicians in predicting development of new caries lesions and allow for an individualised approach to caries management. This is in keeping with the concept of minimal intervention dentistry (MID), which deals with the causes of dental disease and not just the outcomes. The aim of MID is to maintain as much healthy tooth structure as possible and keep teeth functional for life.
{"title":"Minimally Invasive Dentistry Series: Caries Risk Assessment","authors":"Gavin Nugent, Rose Kingston, S. Lucey","doi":"10.58541/001c.121470","DOIUrl":"https://doi.org/10.58541/001c.121470","url":null,"abstract":"Dental caries continues to be a major public health problem in Ireland and worldwide. Untreated dental caries in permanent teeth is the most common health condition in the world according to the Global Burden of Disease 2019 study.1 Dental team members are acutely aware of the negative impacts of untreated dental caries on the health and well-being of our patients, not to mention the wider societal and economic consequences.2 In Ireland each year, approximately 7,000 children are referred for dental extractions under general anaesthesia.3 Although perceived by many as a disease of childhood, the risk and consequences of caries continue into adulthood, and indeed may initiate a lifetime burden of care. Dental caries is a multifactorial disease, which progresses when pathological factors outweigh preventive factors by tipping the ‘caries balance’ towards demineralisation and breakdown of the dental hard tissues (Figure 1). While restorative dental techniques for caries management and tooth retention have improved significantly over the years, it is clear that preventing dental caries is still preferable to cure.4,5 Successful management of dental caries requires both preventive measures and behaviour change, in addition to clinical intervention, preferably using a minimally invasive approach. Caries risk is the likelihood of a patient developing new caries lesions in the near future. Assessment of a patient’s caries risk level can aid clinicians in predicting development of new caries lesions and allow for an individualised approach to caries management. This is in keeping with the concept of minimal intervention dentistry (MID), which deals with the causes of dental disease and not just the outcomes. The aim of MID is to maintain as much healthy tooth structure as possible and keep teeth functional for life.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827450","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}
To ascertain reported practices and perceptions of orthodontists regarding interproximal reduction (IPR) in the Republic of Ireland (RoI). Questionnaires were administered to orthodontists in the RoI, seeking their demographics, reported IPR practices and related perceptions. Questionnaire responses were received from 105 (75%) of those invited to participate. Nearly all (98%) performed IPR, with 44% reporting increased recent use. Lower labial segment teeth were most frequently reduced in adults or adolescents to reshape teeth, resolve mild crowding or address tooth size discrepancies. This was in conjunction with aligner (59%) or fixed appliance (33%) treatments. Removal of 2-4mm of enamel per arch was most common (60%). The majority (82%) performed IPR over several visits with handheld strips, (87%) or strips in holders (58%), or with diamond burs in an air rotor (51%). Orthodontists perceived their patients to be unfamiliar with IPR, to find it uncomfortable (48%) rather than painful (9%) and preferable to extraction (71%). Conservative IPR of less than 4mm per arch was mostly undertaken for teeth in the lower labial segment in adults or adolescents in conjunction with aligner or fixed appliance treatments. Handheld strips were most commonly used. Orthodontists perceived their patients to be unfamiliar with IPR, to find it uncomfortable rather than painful and preferable to extraction.
{"title":"Interproximal reduction in orthodontics: Reported practices and perceptions of orthodontists in the Republic of Ireland","authors":"Joey Donovan, Declan T Millett, Mairead Harding","doi":"10.58541/001c.120946","DOIUrl":"https://doi.org/10.58541/001c.120946","url":null,"abstract":"To ascertain reported practices and perceptions of orthodontists regarding interproximal reduction (IPR) in the Republic of Ireland (RoI). Questionnaires were administered to orthodontists in the RoI, seeking their demographics, reported IPR practices and related perceptions. Questionnaire responses were received from 105 (75%) of those invited to participate. Nearly all (98%) performed IPR, with 44% reporting increased recent use. Lower labial segment teeth were most frequently reduced in adults or adolescents to reshape teeth, resolve mild crowding or address tooth size discrepancies. This was in conjunction with aligner (59%) or fixed appliance (33%) treatments. Removal of 2-4mm of enamel per arch was most common (60%). The majority (82%) performed IPR over several visits with handheld strips, (87%) or strips in holders (58%), or with diamond burs in an air rotor (51%). Orthodontists perceived their patients to be unfamiliar with IPR, to find it uncomfortable (48%) rather than painful (9%) and preferable to extraction (71%). Conservative IPR of less than 4mm per arch was mostly undertaken for teeth in the lower labial segment in adults or adolescents in conjunction with aligner or fixed appliance treatments. Handheld strips were most commonly used. Orthodontists perceived their patients to be unfamiliar with IPR, to find it uncomfortable rather than painful and preferable to extraction.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141676285","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}
Tuberosity fracture is a recognised complication of upper molar extractions. Failure to recognise the signs of a fractured tuberosity, and inadequate immediate management, can result in significant avoidable morbidity for patients. With an ageing population, and tooth retention into later life, such complications will become more commonplace. It is imperative that clinicians are competent at dealing with such complications, to ensure the best possible outcomes for their patients.
{"title":"Management of the fractured maxillary tuberosity","authors":"Laura O'Sullivan","doi":"10.58541/001c.117616","DOIUrl":"https://doi.org/10.58541/001c.117616","url":null,"abstract":"Tuberosity fracture is a recognised complication of upper molar extractions. Failure to recognise the signs of a fractured tuberosity, and inadequate immediate management, can result in significant avoidable morbidity for patients. With an ageing population, and tooth retention into later life, such complications will become more commonplace. It is imperative that clinicians are competent at dealing with such complications, to ensure the best possible outcomes for their patients.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"124 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140977737","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}
Dysphagia is the medical term for swallowing problems and is defined as “difficulty in swallowing or impairment in the movement of swallowed material from the pharynx to the stomach”. Normal swallowing occurs in the following three phases: 1.Oral – the conversion of food into a bolus that is then transported to the back of the oral cavity. 2.Pharyngeal – pharyngeal swallow is rapid and sequential, occurring within seconds, propelling the bolus through the pharynx into the oesophagus. The larynx and trachea are protected from the pharynx during food passage to prevent the food from entering the airway. Breathing stops momentarily to allow the vocal folds to come together. 3.Oesophageal – peristalsis transports the bolus through the oesophagus, and the lower oesophageal sphincter opens as the bolus approaches the stomach.
{"title":"Dysphagia in adults and its relationship with oral health and dental treatment","authors":"Mili Doshi, Ahmed Kahatab","doi":"10.58541/001c.117463","DOIUrl":"https://doi.org/10.58541/001c.117463","url":null,"abstract":"Dysphagia is the medical term for swallowing problems and is defined as “difficulty in swallowing or impairment in the movement of swallowed material from the pharynx to the stomach”. Normal swallowing occurs in the following three phases: 1.Oral – the conversion of food into a bolus that is then transported to the back of the oral cavity. 2.Pharyngeal – pharyngeal swallow is rapid and sequential, occurring within seconds, propelling the bolus through the pharynx into the oesophagus. The larynx and trachea are protected from the pharynx during food passage to prevent the food from entering the airway. Breathing stops momentarily to allow the vocal folds to come together. 3.Oesophageal – peristalsis transports the bolus through the oesophagus, and the lower oesophageal sphincter opens as the bolus approaches the stomach.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140995772","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}
Fixed appliance therapy is an integral facet of contemporary orthodontics. Despite the benefits of orthodontic care to the patient , fixed appliances, in the absence of effective and sustained oral hygiene, can result in deleterious effects to the dentition and supporting structures. The current evidence regarding the effectiveness of available methods for plaque control during fixed appliance therapy is considerable but with significant variation between studies. No review to date has summarised the available evidence for different oral hygiene interventions. The purpose of this article is to summarize the evidence for plaque control methods based on the best available evidence. In this way, our research may serve to assist clinicians in educating patients regarding optimum plaque control during fixed appliance therapy.
{"title":"What Are The Optimum Plaque Control Methods For Patients With Fixed Orthodontic Appliances?","authors":"Brian Maloney, Ruth Duffy, Angus Burns","doi":"10.58541/001c.117420","DOIUrl":"https://doi.org/10.58541/001c.117420","url":null,"abstract":"Fixed appliance therapy is an integral facet of contemporary orthodontics. Despite the benefits of orthodontic care to the patient , fixed appliances, in the absence of effective and sustained oral hygiene, can result in deleterious effects to the dentition and supporting structures. The current evidence regarding the effectiveness of available methods for plaque control during fixed appliance therapy is considerable but with significant variation between studies. No review to date has summarised the available evidence for different oral hygiene interventions. The purpose of this article is to summarize the evidence for plaque control methods based on the best available evidence. In this way, our research may serve to assist clinicians in educating patients regarding optimum plaque control during fixed appliance therapy.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"96 s392","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003007","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}
Nick Armstrong, Michaela Dalton, Eamon Croke, Ahmed Kahatab
The world is now in an existential ecological crisis. Our deleterious and unsustainable impact on the planet has, among other things, increased greenhouse gas emissions, with further injury from plastics and other waste in the environment. The evidence for an accelerating biodiversity crisis and serious soil degradation in many parts of the world is irrefutable. The pandemic risk to our species and our planet is not if, but when. We have to change the way we organise society in order to make the future sustainable for all species. Worldwide health systems are a significant contributor to environmental damage. The first article in this series discussed general aspects of sustainability in general practice, and this second article examines the use of chemicals in practice.
{"title":"Sustainability in dentistry part II: Sustainability and the use of chemicals in dentistry","authors":"Nick Armstrong, Michaela Dalton, Eamon Croke, Ahmed Kahatab","doi":"10.58541/001c.116384","DOIUrl":"https://doi.org/10.58541/001c.116384","url":null,"abstract":"The world is now in an existential ecological crisis. Our deleterious and unsustainable impact on the planet has, among other things, increased greenhouse gas emissions, with further injury from plastics and other waste in the environment. The evidence for an accelerating biodiversity crisis and serious soil degradation in many parts of the world is irrefutable. The pandemic risk to our species and our planet is not if, but when. We have to change the way we organise society in order to make the future sustainable for all species. Worldwide health systems are a significant contributor to environmental damage. The first article in this series discussed general aspects of sustainability in general practice, and this second article examines the use of chemicals in practice.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"319 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140719373","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}
Background The discovery of antibiotics revolutionised modern medicine and extended the average human lifespan by 23 years.1 Antimicrobial resistance threatens to reverse the progress that has been made. In 2019, there were 4.95 million deaths globally associated with drug-resistant bacterial infections.2 That figure may rise to as many as 50 million by 2050, making this an unprecedented global public health problem.3 The threat of a post-antibiotic era has prompted the publication of Ireland’s One Health National Action Plan on Antimicrobial Resistance (2021-2025).4 This National Action Plan advocates for the judicious use of antimicrobials to limit any unintended consequences and antimicrobial resistance. This is commonly known as Antimicrobial Stewardship. Antibiotic resistance is largely driven by the overuse and misuse of antibiotics in people, animals and in the environment.4 Dentists are responsible for approximately 10% of antibiotic prescribing in humans globally.5 With several international studies of dental antibiotic prescribing demonstrating that overprescribing occurs frequently5, dentists have an opportunity to contribute significantly to slowing the development and spread of antibiotic resistance by optimising prescribing. This article aims to show how dentists can support good antimicrobial stewardship in their practice.
背景 抗生素的发现彻底改变了现代医学，使人类的平均寿命延长了 23 年1 。3 后抗生素时代的威胁促使爱尔兰发布了《抗菌药耐药性国家行动计划（2021-2025 年）》（One Health National Action Plan on Antimicrobial Resistance）。4 该《国家行动计划》倡导合理使用抗菌药，以限制任何意外后果和抗菌药耐药性。这通常被称为抗菌药物管理。抗生素耐药性在很大程度上是由人类、动物和环境中过度使用和滥用抗生素造成的。4 在全球范围内，牙科医生开具的抗生素处方约占人类抗生素处方的 10%。5 多项关于牙科抗生素处方的国际研究表明，过度开具抗生素处方的情况经常发生5 ，牙科医生有机会通过优化处方，为减缓抗生素耐药性的发展和传播做出重大贡献。本文旨在介绍牙科医生如何在其临床实践中支持良好的抗菌药物管理。
{"title":"Prescribing antimicrobials effectively in Dentistry; Resources to support the role of the dentist in antimicrobial stewardship","authors":"Callum Ryan, Roisin Foran","doi":"10.58541/001c.115471","DOIUrl":"https://doi.org/10.58541/001c.115471","url":null,"abstract":"Background The discovery of antibiotics revolutionised modern medicine and extended the average human lifespan by 23 years.1 Antimicrobial resistance threatens to reverse the progress that has been made. In 2019, there were 4.95 million deaths globally associated with drug-resistant bacterial infections.2 That figure may rise to as many as 50 million by 2050, making this an unprecedented global public health problem.3 The threat of a post-antibiotic era has prompted the publication of Ireland’s One Health National Action Plan on Antimicrobial Resistance (2021-2025).4 This National Action Plan advocates for the judicious use of antimicrobials to limit any unintended consequences and antimicrobial resistance. This is commonly known as Antimicrobial Stewardship. Antibiotic resistance is largely driven by the overuse and misuse of antibiotics in people, animals and in the environment.4 Dentists are responsible for approximately 10% of antibiotic prescribing in humans globally.5 With several international studies of dental antibiotic prescribing demonstrating that overprescribing occurs frequently5, dentists have an opportunity to contribute significantly to slowing the development and spread of antibiotic resistance by optimising prescribing. This article aims to show how dentists can support good antimicrobial stewardship in their practice.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":" 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140221129","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}
To evaluate parental reports of the oral health status and anxiety levels of children who attended a paediatric dental service and their association with children’s caries experience. This questionnaire- and dental record-based study included a total of 70 healthy recall children aged between five and 10 years, who presented for a dental check-up to the specialised paedodontics department at the University of Greifswald, and for whom an application of fluoride varnish was indicated. The accompanying parent (n=70) was asked to evaluate their child’s dental anxiety (dichotomously with a single question – yes or no answer) and oral health status (good, satisfying, poor). Caries experience was categorised according to the dmft index based on World Health Organisation (WHO) criteria. An overall frequency of dental anxiety of 40% (n=28) was found in recall children according to parental report. Only 32.1% (n=9) of those were children with low to very low caries experience, whereas 67.9% (n=19) belonged to the moderate to high/very high caries experience group. Thus, dental anxiety in this study was significantly associated with caries experience based on dmft index (p=0.030, chi-square test). Parental assessment of the oral health status of the schoolchildren and their caries experience level also showed a statistically significant association (p=0.020; chi-square test). Conclusion: Dental anxiety in recall children attending a specialised paediatric university dental clinic is high, which is clearly associated with higher caries experience. The majority of children who attended for dental follow-up appointment had moderate to very high caries experience, which was also associated with higher parent-reported dental anxiety and a poorer oral health status report.
{"title":"Caries risk and dental anxiety in recall patients in a specialised paedodontic university clinic","authors":"Ramiar Karim, Julian Schmoeckel, C. Splieth","doi":"10.58541/001c.94377","DOIUrl":"https://doi.org/10.58541/001c.94377","url":null,"abstract":"To evaluate parental reports of the oral health status and anxiety levels of children who attended a paediatric dental service and their association with children’s caries experience. This questionnaire- and dental record-based study included a total of 70 healthy recall children aged between five and 10 years, who presented for a dental check-up to the specialised paedodontics department at the University of Greifswald, and for whom an application of fluoride varnish was indicated. The accompanying parent (n=70) was asked to evaluate their child’s dental anxiety (dichotomously with a single question – yes or no answer) and oral health status (good, satisfying, poor). Caries experience was categorised according to the dmft index based on World Health Organisation (WHO) criteria. An overall frequency of dental anxiety of 40% (n=28) was found in recall children according to parental report. Only 32.1% (n=9) of those were children with low to very low caries experience, whereas 67.9% (n=19) belonged to the moderate to high/very high caries experience group. Thus, dental anxiety in this study was significantly associated with caries experience based on dmft index (p=0.030, chi-square test). Parental assessment of the oral health status of the schoolchildren and their caries experience level also showed a statistically significant association (p=0.020; chi-square test). Conclusion: Dental anxiety in recall children attending a specialised paediatric university dental clinic is high, which is clearly associated with higher caries experience. The majority of children who attended for dental follow-up appointment had moderate to very high caries experience, which was also associated with higher parent-reported dental anxiety and a poorer oral health status report.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"58 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266105","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}
Ahmed Alfurhud, Sheelah Harrison, Mohammed Alshammari
Different types of inflammatory lesions, such as odontogenic cysts, can affect the oral and maxillofacial regions. The conventional aetiology of inflammatory periapical lesions is triggered by dental caries or traumatic injury to the teeth, leading to the death of the dental pulp and subsequent bacterial infiltration of the periapical area. In rare cases, inflammatory odontogenic cysts may originate from non-inflammatory causes, such as the presence of enamel pearls located within the furcation of teeth with multiple roots. This case report illustrates a case of an asymptomatic inflammatory cyst associated with the upper left first molar in a young female patient. The cyst developed without any obvious clinical explanation and appeared in a typical sound tooth without evidence of pathology-related conditions. The radiographic findings demonstrated a notably aggressive nature not atypical for inflammatory cysts. The cyst expansion resulted in significant displacement of the adjacent upper left second molar, causing it to deviate from its original position within the dental arch. Additionally, the inferior border of the maxillary sinus was displaced in a superior direction. The diagnosis of non-specific inflammatory cyst was confirmed via histopathological examination. In this particular case, it is important to acknowledge that no singular factor is attributed to the cyst development. However, it is worth noting that the tooth in question is associated with enamel pearls, which have been discussed in the field of oral and maxillofacial pathology as a relatively uncommon cause of inflammatory cyst development.
{"title":"An inflammatory Odontogenic Cyst (Unusual Case): A case report","authors":"Ahmed Alfurhud, Sheelah Harrison, Mohammed Alshammari","doi":"10.58541/001c.94407","DOIUrl":"https://doi.org/10.58541/001c.94407","url":null,"abstract":"Different types of inflammatory lesions, such as odontogenic cysts, can affect the oral and maxillofacial regions. The conventional aetiology of inflammatory periapical lesions is triggered by dental caries or traumatic injury to the teeth, leading to the death of the dental pulp and subsequent bacterial infiltration of the periapical area. In rare cases, inflammatory odontogenic cysts may originate from non-inflammatory causes, such as the presence of enamel pearls located within the furcation of teeth with multiple roots. This case report illustrates a case of an asymptomatic inflammatory cyst associated with the upper left first molar in a young female patient. The cyst developed without any obvious clinical explanation and appeared in a typical sound tooth without evidence of pathology-related conditions. The radiographic findings demonstrated a notably aggressive nature not atypical for inflammatory cysts. The cyst expansion resulted in significant displacement of the adjacent upper left second molar, causing it to deviate from its original position within the dental arch. Additionally, the inferior border of the maxillary sinus was displaced in a superior direction. The diagnosis of non-specific inflammatory cyst was confirmed via histopathological examination. In this particular case, it is important to acknowledge that no singular factor is attributed to the cyst development. However, it is worth noting that the tooth in question is associated with enamel pearls, which have been discussed in the field of oral and maxillofacial pathology as a relatively uncommon cause of inflammatory cyst development.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265757","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}
Ailish Hannigan, Joseph Hallissey, Noel J. Ray, Shane O'Dowling Keane, Mary Harrington
Dentistry is a highly sought after university course but the motivations for students choosing dentistry as a career in Ireland are not well understood. The aim of this study is to investigate the reasons why students choose dentistry as a professional career in Ireland. All undergraduate dental students (n=225) in an Irish university in the academic year 2016/17 were invited to participate in a cross-sectional survey. Participants were asked to rate a list of 12 factors that influenced their decision to pursue dentistry as a career. The response rate was 85.3% (n=192). The majority of the participants were female (65%), aged between 18 and 23 years (69%) and from the European Union (60%). Over half (55%) entered the programme directly from secondary-level education. The motivational factor with the highest median rating of importance was altruism. Motivational factors influencing dental students included altruism, financial security, and independence. Having a previous family connection with the dental profession did not feature strongly. Positive previous experiences of dentistry and dental professionals emerged as a new motivational factor. Nationality, mode of entry and year of study influenced the motivational factors of the students surveyed.
{"title":"Motivational factors for choosing dentistry as a career: A survey of undergraduate dental students in Ireland","authors":"Ailish Hannigan, Joseph Hallissey, Noel J. Ray, Shane O'Dowling Keane, Mary Harrington","doi":"10.58541/001c.94409","DOIUrl":"https://doi.org/10.58541/001c.94409","url":null,"abstract":"Dentistry is a highly sought after university course but the motivations for students choosing dentistry as a career in Ireland are not well understood. The aim of this study is to investigate the reasons why students choose dentistry as a professional career in Ireland. All undergraduate dental students (n=225) in an Irish university in the academic year 2016/17 were invited to participate in a cross-sectional survey. Participants were asked to rate a list of 12 factors that influenced their decision to pursue dentistry as a career. The response rate was 85.3% (n=192). The majority of the participants were female (65%), aged between 18 and 23 years (69%) and from the European Union (60%). Over half (55%) entered the programme directly from secondary-level education. The motivational factor with the highest median rating of importance was altruism. Motivational factors influencing dental students included altruism, financial security, and independence. Having a previous family connection with the dental profession did not feature strongly. Positive previous experiences of dentistry and dental professionals emerged as a new motivational factor. Nationality, mode of entry and year of study influenced the motivational factors of the students surveyed.","PeriodicalId":76043,"journal":{"name":"Journal of the Irish Dental Association","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267189","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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