A recent Senate Select Committee has tabled its report into the provision of and access to dental care in Australia. The Senate Committee heard:
There were 35 recommendations for reform centred around the need to put the mouth back in the body and covered by five broad themes:
This paper provides an overview of the problem and focuses on the recommended funding reforms necessary to improve access to dental care.
The aim of the study was to compare serum ferritin and iron levels and periodontal status in pre- and post-menopausal female patients.
A total of 108 systemically healthy patients were included in the study, 63 patients in the pre-menopause group and 45 patients in the post-menopause group. The periodontal diagnosis was made according to the new periodontal disease classification of the American Academy of Periodontology and the European Federation of Periodontology Serum Iron (μg/dL) and Serum Ferritin (ng/mL) values were analysed in patients divided into groups according to menopausal status and periodontal status.
The mean ferritin in pre-menopausal women (34.96 ± 27.87 ng/mL) was lower than the mean ferritin in post-menopausal women (64.24 ± 36.05 ng/mL), and this difference was found to be statistically significant (P<0.001). There was no statistically significant difference between the averages of iron and ferritin according to periodontal diagnosis in pre-menopausal women (P = 0.200 and P = 0.858). A statistically significant difference was found between serum ferritin averages according to periodontal diagnosis in post-menopausal women (P < 0.001). Serum ferritin at % Interdental bone loss = 0 in Post-M was 33.93 ± 8.65 ng/mL; 47.51 ± 16.17 ng/mL in Stage 1 periodontitis; 72.66 ± 18.12 ng/mL in Stage 2 periodontitis; It was found to be 87.4 ± 47.1 ng/mL in Stage 3–4 periodontitis.
Serum ferritin values might vary depending on the presence or severity of periodontitis in post-menopausal women.
The oral and maxillofacial complex is subject to a range of traumas. Injuries to the region are devastating and have a great impact on social health outcomes. This review intends to investigate the aetiologies of maxillofacial trauma across Australia.
This review was written in accordance with the PRISMA-ScR. Comprehensive searches of CINAHL, MEDLINE, Ovid, Scopus, and Web of Science databases were conducted to identify potentially relevant literature. Quantitative observational epidemiological studies were sought and were required to include at least one aetiology to the maxillofacial region in their data set. A total of 31 eligible studies were included.
The greatest recorded causes of maxillofacial injuries included inter-personal violence (34.98%) falls (20.87%), sports (15.62%), and motor-vehicle accidents (14.31%). These four aetiologies cumulatively accounted for more than 85% of maxillofacial injuries. From all sustained injuries (n = 7661), the orbit was the most prevalent site of fracture (31.85%), followed by the zygoma (22.01%), mandible (21%), nasal bone (12.45%), maxilla (10.04%), dentoalveolus (1.84%), antrum (<1%), and frontal bone (<1%).
Violence was an unprecedented cause of trauma—additional research is recommended to further characterize the correlation between the two variables. Research is also recommended specifically in regional/rural communities, where data was particularly limited. © 2024 Australian Dental Association.
Test your knowledge by first reading the article, then go to www.ada.org.au. Log on to the members site and click on Professional Information. Under Publications, follow the links to this month's Quiz. Select the option that you think provides the best answer to each question. Click ‘Done’ and in an instant you'll know how you scored. Remember to print out a copy of your score for your records. Completion of this quiz entitles you to 1 CPD hour. Please note the Editorial Office does not accept hard copies of completed questionnaires. The Quiz must be completed online and a printed copy of your results retained for CPD audit purposes.
Q1
Correct answer: d
Q2
Correct answer: d
Q3
Correct answer: a
Q4
Correct answer: a
Q5
Correct answer: c
MA Atieh: Concept/design, data collection, data analysis/interpretation, drafting article, critical revision of article and approval of article. M Shah: Data analysis/interpretation, critical revision of article and approval of article. A Hakam: Critical revision of article and approval of article. M Alghafri: Critical revision of article and approval of article. A Tawse-Smith: Critical revision of article and approval of article. NHM Alsabeeha: Critical revision of article and approval of article.
The authors report no conflicts of interest related to this review.
No funding was obtained for this study.
No ethical approval was required for this study.
PROSPERO ID CRD42023430033.
This study aimed to investigate the (1) survival probabilities of prefabricated zirconia crowns (PZCs) placed on primary teeth and (2) identify demographic and tooth-related factors that might affect survival probability.
This study prospectively followed children treated under general anaesthesia by a single practitioner between 2012 and 2020. Demographic variables including the age at treatment, gender and tooth-related variables including FDI tooth number, crown size used and any procedural complications at postoperative reviews were collected.
A total of 155 children involving 319 teeth with PZCs were followed up between 12 and 78 months postoperatively with a mean of 38 months. Of the 319 crowns followed, five failures were observed in three patients requiring extraction. Other procedural complications noted included fracture (n = 3), overhangs (n = 3), internal resorption (n = 5) and 24% of crowns showed signs of radiographic changes on postoperative radiographs when these were taken. Age at treatment, tooth type and need for pulp therapy were not statistically associated with clinical success (P > 0.1).
PZCs provide an aesthetic and durable solution in the management of children with early childhood caries. This study shows very good clinical success and survival extending up to 78 months for PZCs placed on primary teeth under general anaesthesia.
Dental caries constitutes one of the most ubiquitous diseases in Australia, with Indigenous children presenting a notably higher prevalence than their non-Indigenous peers. This literature review aims to update the knowledge base developed by Christian and Blinkhorn in 2012, with a particular focus on the contemporary disparities in dental caries between Indigenous and non-Indigenous children. Our research strategy involved a thorough exploration of the Medline, PubMed, and Scopus databases to identify pertinent studies published between 2009 and 2022. Supplementary resources included various government websites and citation searches. We prioritised studies that focused on children aged 5–6 or 12 years—reflecting the World Health Organization's index ages for oral health—and that reported dental caries prevalence and experience indicators. Our review methodology was guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The updated search, spanning 2009 to 2023, retrieved studies that reported caries estimates exclusively from 2009 to 2014. Within this period, the prevalence of dental caries in Indigenous children's primary teeth ranged between 52% and 77%, while the prevalence in permanent teeth varied from 36% to 60%. This updated review indicated that Indigenous children continue to experience caries at an approximately twice higher rate than non-Indigenous children, sustaining the persisting disparity in caries estimates. The findings from this review show that no discernible improvement in dental caries rates among Australian Indigenous children has been observed in comparison to the previous review; and that Indigenous children continue to experience both higher prevalence and severity of dental caries compared to non-Indigenous children.
Test your knowledge by first reading the article, then go to www.ada.org.au. Log on to the members site and click on Professional Information. Under Publications, follow the links to this month's Quiz. Select the option that you think provides the best answer to each question. Click ‘Done’ and in an instant you will know how you scored. Remember to print out a copy of your score for your records. Completion of this quiz entitles you to 1 CPD hour. Please note the Editorial Office does not accept hard copies of completed questionnaires. The Quiz must be completed online and a printed copy of your results retained for CPD audit purposes.
Paula Moynihan is a member of the Haleon Scientific Advisory Council for which her institution receives a fee. The other authors have no conflicts of interest to declare.
A fundamental aspect of the Endodontic field is the knowledge of root canal anatomy. Using a variety of techniques, the internal and external anatomy of teeth have been extensively investigated throughout the past century. Recent improvements in three-dimensional computed tomography have enabled more detailed evaluations of root canal morphology in both clinical and laboratory settings. Essentially, researches have unveiled that the root canal constitutes a complex system, comprising not only the main root canal but also lateral components, including isthmuses, fins, accessory canals and apical ramifications. Undoubtedly, this intricate morphology poses a significant challenge when it comes to the process of shaping, cleaning and disinfecting the root canal system. This article aims to explore the anatomical aspects of the root canal system that impact the chemomechanical procedures.
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