Australian dental journal最新文献

{"title":"Influence of patient demographics and socio-economic status on treatment choices for permanent mature teeth with painful vital teeth: a pilot study in the Australian public dental system","authors":"Y Alfaisal,&nbsp;OA Peters,&nbsp;G Idris,&nbsp;S Zafar,&nbsp;CI Peters","doi":"10.1111/adj.13069","DOIUrl":"10.1111/adj.13069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Socio-economic status influences treatment decisions. This influence remains uncovered in teeth with painful pulpitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the influence of patients' demographics and socio-economic status on treatment choices for permanent mature teeth with painful vital teeth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Records of adult patients who received extraction, root canal treatment and vital pulp therapy in public sector dental care were categorized. Correlation of patient age, gender and socio-economic status with rendered treatments was investigated. Patients' socio-economic status was determined using their postcode's Socio-Economic Indices for Areas (SEIFA) scores; a high score indicates higher status. Three groups of n = 25 patients per treatment were randomly selected after applying the inclusion criteria. Data were analysed using chi-square test, One-way ANOVA and Kruskal–Wallis test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was no significant correlation between patient age or gender and treatment performed (<i>P</i> = 0.250, <i>P</i> = 0.683). SEIFA scores were higher for vital pulp therapy, then root canal treatments and lowest for extraction; however, no significant association existed between patients' socio-economic status and treatment type (<i>P</i> = 0.210). A formal diagnosis was not documented in 8% of vital pulp therapies, 28% of root canal treatments, and 64% of extraction cases. Vital pulp therapy was never offered in root canal treatment or extraction groups. Pulp exposure guided vital pulp treatments, while patient preference drove half of root canal treatment and extraction choices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients age and gender did not affect treatment decisions. Socio-economic status might influence treatment decisions in painful permanent teeth. The service setting appears to have a major impact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 3","pages":"160-170"},"PeriodicalIF":2.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Competitive swimming and dental staining among Australian children","authors":"J Patel,&nbsp;S Cai,&nbsp;B Huong,&nbsp;M Macdonald,&nbsp;R Anthonappa","doi":"10.1111/adj.13068","DOIUrl":"10.1111/adj.13068","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"95-96"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-effectiveness of atraumatic restorative treatment combined with the Hall Technique for managing dental caries in remote Indigenous children","authors":"U Tonmukayakul,&nbsp;S Kularatna,&nbsp;S Piggott,&nbsp;D Atkinson,&nbsp;D Brennan,&nbsp;L Jamieson,&nbsp;P Arrow","doi":"10.1111/adj.13066","DOIUrl":"10.1111/adj.13066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Indigenous children in remote Australia face significant disparities in oral health and have limited access to dental care. This study evaluated the cost-effectiveness of Atraumatic Restorative Treatment combined with the Hall Technique (ART-HT) compared to usual care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cost-effectiveness analysis using data from a 1-year ART-HT trial estimated dental caries status and costs from a health-provider perspective. Two scenarios were examined: (1) actual treatment costs and (2) minimum dental services. The incremental cost per decayed, missing, and filled teeth (dmft) prevented was calculated in AUD 2021 prices. A probabilistic sensitivity analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 228 children (ART-HT = 122; usual care = 106), deterministic analysis showed ART-HT required additional costs of $59.54 and $72.37 for scenarios 1 and 2, with 0.90 dmft prevented. Probabilistic sensitivity analysis revealed ART-HT resulted in better oral health outcomes with a mean dmft prevented of 0.58 (95% uncertainty interval: 0.09 to1.07). The mean additional cost per dmft prevented was $118.50 and $181.84 for scenarios 1 and 2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ART-HT effectively managed dental caries in Indigenous children, providing better oral health outcomes compared to usual care, albeit with modest additional costs. This approach may improve access to culturally appropriate dental care in remote communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 3","pages":"150-159"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why policy relevant research still matters for community water fluoridation","authors":"TM Nguyen,&nbsp;C Sexton,&nbsp;L Do","doi":"10.1111/adj.13063","DOIUrl":"10.1111/adj.13063","url":null,"abstract":"<p>Community water fluoridation is one of the most important public health interventions. Despite reliable systematically revised evidence supporting the associated health and economic benefits, its implementation to expand community water fluoridation is variable in Australia. Our editorial provides commentary on the existing evidence, and the gaps in adopting Cochrane review methods, and calls for more policy-relevant research to ensure community water fluoridation remains a priority for all levels of government and civil society actors.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 2","pages":"99-102"},"PeriodicalIF":1.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Am I incompetent?","authors":"I Darby","doi":"10.1111/adj.13064","DOIUrl":"10.1111/adj.13064","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"3"},"PeriodicalIF":1.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the effects of occlusal splint and Botox injections on the amount of mouth opening and chronic pain in individuals with temporomandibular disorders: a systematic review and meta-analysis","authors":"Ö İşisağ,&nbsp;H Atasoy,&nbsp;S Yıldız","doi":"10.1111/adj.13059","DOIUrl":"10.1111/adj.13059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review and meta-analysis study was carried out to compare the effectiveness of occlusal splint (OS) and Botox (BTX) injections in temporomandibular disorders (TMDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Irrespective of the starting year, studies were searched for up to 2024 using PubMed, Web of Science, Scopus databases and the Google Scholar search engine. In the study, graded chronic pain scale and maximum mouth opening amount parameters were analysed with Comprehensive Meta-Analysis programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 619 studies, only six were included in the meta-analysis. The effect size was 0.293 in favour of BTX in the studies evaluating the maximum mouth-opening (MMO) range. However, the amount of MMO did not show a statistically significant difference between the OS and BTX groups (95% CI – 0.383 to 0.969, <i>P</i> = 0.395, <i>z</i> = −0.850). In the subgroup analyses carried out based on the follow-up periods, it was found that the MMO was statistically significantly higher in the BTX group at the first week and in the OS group at the third month. However, there was no significant difference observed at the first, second, sixth and twelfth month follow-ups (<i>P</i> &gt; 0.05). No significant difference was found between the groups (<i>P</i> &gt; 0.05) in the publications that evaluated the graded chronic pain scale (GCPS), although an effect size of 0.673 was found in favour of OS (95% CI 0.331 to 1.365, <i>P</i> = 0.272, <i>z</i> = −1.098).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>BTX injections and OS applications show significant differences in the MMO of individuals in the early period. In contrast, the MMO of individuals and the GCPS show similar findings in the sixth month and longer follow-up.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 2","pages":"132-140"},"PeriodicalIF":1.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causal relationship between 14 micronutrients and chronic periodontitis: a Mendelian randomization study","authors":"Z Yu,&nbsp;Y Yang,&nbsp;Z Yu,&nbsp;Z Yan,&nbsp;R Gao","doi":"10.1111/adj.13056","DOIUrl":"10.1111/adj.13056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Chronic periodontitis is one of the most common inflammatory diseases worldwide. Micronutrients play a significant impact on health and periodontal disease progression. However, there is still a lack of conclusive studies confirming the causal association of micronutrients with chronic periodontitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and methods</h3>\u0000 \u0000 <p>Genome-wide association study pooled data on chronic periodontitis were collected from the FinnGen consortium, and 14 micronutrients (calcium, copper, zinc, potassium, magnesium, selenium, iron, carotenoids, vitamin B6, B12, C, D, E and folate) were obtained from the OpenGWAS and UK Biobank Study. Instrumental variables were screened by strict criteria. Five Mendelian randomization (MR) methods were used. Finally, the robustness of the findings was verified by sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found that vitamin D reduced the risk of chronic periodontitis (OR: 0.605, 95%CI: 0.398–0.921, <i>P</i> = 0.019). However, we had no evidence of a significant association between other micronutrients and chronic periodontitis. Multiple sensitivity analyses confirmed the robustness of the findings. A variety of sensitivity analysis methods confirmed the reliability of the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In this study, we found a potential causal relationship between vitamin D and chronic periodontitis by MR analysis, whereas we did not find an association between 13 other micronutrients and chronic periodontitis. This result might provide new ideas for the prevention and treatment of chronic periodontitis to some extent. However, despite the rigorous analytical methods used in this study, this finding needs to be interpreted with caution. Further randomized controlled studies might provide more in-depth references to the findings of this study.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 2","pages":"124-131"},"PeriodicalIF":1.9,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating oral health into primary care: a proof-of-concept for dry mouth management in the Australian community pharmacy setting","authors":"H Calache,&nbsp;R Martin,&nbsp;C Loton,&nbsp;M-W Taing,&nbsp;K Mc Namara,&nbsp;L Smith,&nbsp;B Christian","doi":"10.1111/adj.13054","DOIUrl":"10.1111/adj.13054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Xerostomia (dry mouth) is a common yet severe problem, causing difficulty with eating, speaking, dental caries, and discomfort. Access issues to dental services, including cost and availability of dental practitioners, can delay timely diagnosis and management of dry mouth. Thus, there is a need for innovative approaches to manage xerostomia, involving non-dental primary care health practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods/Designs</h3>\u0000 \u0000 <p>This proof-of-concept study assessed the feasibility of a co-designed oral health education resource to enable pharmacists to support their clients in managing xerostomia. The co-design process involved input from consumers with lived experience and an expert advisory group. Ten community pharmacists then participated in a pilot programme to deliver oral health advice on dry mouth to their clients. Pre- and post-intervention surveys assessed the pharmacists' confidence, recommendations and knowledge on dry mouth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Through the co-design process, several resources were developed, including an information guide for pharmacists, a flyer and a sticker for clients. Participating pharmacists had an increase in confidence, knowledge and ability to provide dry mouth management advice when supported by appropriate resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is feasible for pharmacists to provide oral healthcare advice in a community pharmacy setting if they receive the right training, resources, and support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 2","pages":"114-123"},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The validity of teledentistry examinations during the COVID-19 pandemic in Sydney, Australia","authors":"T Mahony,&nbsp;A George,&nbsp;SG Kezhekkekara,&nbsp;A Villarosa,&nbsp;C Friel,&nbsp;A Yaacoub","doi":"10.1111/adj.13053","DOIUrl":"10.1111/adj.13053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During the COVID-19 pandemic, non-urgent dental treatments were deferred. To identify and prioritize urgent dental patients, teledentistry was implemented across NSW public dental services. This study aimed to establish the validity of teledentistry examinations to provide a clinical diagnosis compared to face-to-face, clinical examination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective review using convenience sampling was used to source clinical data from a public dental service for two periods in 2020 and 2021. Researchers compared the diagnoses identified from teledentistry consultations with follow-up face-to-face consultations, diagnoses were grouped into 14 sub-categories that broadly covered common oral health conditions and pathologies. Sensitivity, specificity, NPV and PPV were calculated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 1965 patients who underwent teledentistry followed by face-to-face consultations, with a mean age of 47.79 ± 21.92 years. Teledentistry showed high specificity ranging from 74.08% to 99.95% while the sensitivity ranged from 18.75% to 100%. The highest specificity (99.90%) was noted for diagnosing orthodontic concerns. The lowest specificity was observed for irreversible pulpal diseases at 74.08%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Teledentistry has a role in public dental services, diagnosing various dental conditions and identifying patient acuity. It can provide patients with oral health information/advice and ensures effective use of emergency appointments within public dental services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 2","pages":"103-113"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention of medication-related osteonecrosis of the jaw: institutional insights from a retrospective study","authors":"YS Chang,&nbsp;S Nanayakkara,&nbsp;A Yaacoub,&nbsp;SC Cox","doi":"10.1111/adj.13050","DOIUrl":"10.1111/adj.13050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medication-related osteonecrosis of the jaw (MRONJ) is a serious, debilitating condition of the jaw bones. Dental extraction is the most significant independent risk factor for MRONJ. This interim study aimed to evaluate the demographics, medical data and outcomes of patients at risk for MRONJ who underwent dental extractions in a dedicated MRONJ clinic following a risk reduction protocol at a large public dental clinic in New South Wales Health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective study analysed demographic and clinical data of patients at risk for MRONJ who underwent dental extractions between March 2020 and April 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 329 at-risk patients who underwent 836 dental extractions were included. Most patients were women (75.1%) with a median age of 74 years (IQR 67–80). The primary indication for medications was osteoporosis (85.4%), with Denosumab being the most frequently prescribed (66.9%). Eighteen patients (5.5%) developed MRONJ at 8 weeks of follow-up. Patients categorized as high-risk had a higher incidence of MRONJ (72.2%) compared to the low-risk group (22.2%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study is the first retrospective audit carried out after implementing preventive protocols in this dedicated MRONJ clinic. The higher incidence of MRONJ in patients classified as ‘high risk’ underscores the importance of considering individual risk factors in their treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"70 1","pages":"70-77"},"PeriodicalIF":1.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}