Pub Date : 2025-03-14DOI: 10.1038/s41415-025-8334-y
Rose M. Thomas, Daniel Sisson
Emerging evidence reveals vital pulp therapy to be an alternative treatment modality for teeth that may have been considered candidates for root canal treatment or extraction. The aim of the procedure is to maintain the vitality of the tooth thus providing minimally invasive treatment. The procedure can be implemented in appropriate cases following clinical and radiographic examination. Direct examination of the exposed pulp tissue under magnification and strict aseptic conditions have been recommended for a successful outcome. This case report describes management of a patient with a deep caries lesion, involving the mesial pulp horn, using a vital pulp therapy procedure. The treatment options and discussions with the patient are highlighted together with the stages of the procedure carried out. A successful outcome of the partial pulpotomy is evidenced by clinical and radiographic examination two years post-treatment.
{"title":"Successful partial pulpotomy of a permanent mandibular molar: a two-year case report","authors":"Rose M. Thomas, Daniel Sisson","doi":"10.1038/s41415-025-8334-y","DOIUrl":"10.1038/s41415-025-8334-y","url":null,"abstract":"Emerging evidence reveals vital pulp therapy to be an alternative treatment modality for teeth that may have been considered candidates for root canal treatment or extraction. The aim of the procedure is to maintain the vitality of the tooth thus providing minimally invasive treatment. The procedure can be implemented in appropriate cases following clinical and radiographic examination. Direct examination of the exposed pulp tissue under magnification and strict aseptic conditions have been recommended for a successful outcome. This case report describes management of a patient with a deep caries lesion, involving the mesial pulp horn, using a vital pulp therapy procedure. The treatment options and discussions with the patient are highlighted together with the stages of the procedure carried out. A successful outcome of the partial pulpotomy is evidenced by clinical and radiographic examination two years post-treatment.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 5","pages":"324-327"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8334-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612651","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}
Pub Date : 2025-03-14DOI: 10.1038/s41415-025-8517-6
M. McCleary, J. Girdler
{"title":"Can I see the doctor please?","authors":"M. McCleary, J. Girdler","doi":"10.1038/s41415-025-8517-6","DOIUrl":"10.1038/s41415-025-8517-6","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 5","pages":"293-294"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8517-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612652","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}
Pub Date : 2025-03-14DOI: 10.1038/s41415-024-8057-5
Bhavini Patel, Thomas Anthony Dyer
Aim To examine how the ethics of community water fluoridation has been appraised in the literature. Method A scoping review using an updated Arksey and O''Malley framework. Six electronic databases were searched: Medline via OVID; Scopus; Web of Science; Cochrane Library; StarPlus and Google Scholar. Grey literature and reference lists of included studies were also searched. Results In total, 51 studies from 15 countries were included. Many referred to biomedical ethical principles intended for clinical rather than public health interventions. Some primarily aimed to appraise its ethics whereas others considered it as part of more general discussions on fluoridation. While most acknowledged its complexity, those more supportive of fluoridation often emphasised collective benefit and those less supportive emphasised infringement of autonomy or personal liberty and concerns about harm. Few referred to public health ethics principles and frameworks available in the literature. Conclusion Different approaches have been taken to appraise the ethics of fluoridation. Frequently, these were conceived for individual medical rather than public health interventions and are inadequate to resolve tension between inevitable infringement of individual consent and collective benefit in public health. Other approaches conceived specifically for public health exist that have more utility in debates and ethical decision-making.
{"title":"The ethics of community water fluoridation: Part 2 - how has the ethics of community water fluoridation been appraised in the literature? A scoping review","authors":"Bhavini Patel, Thomas Anthony Dyer","doi":"10.1038/s41415-024-8057-5","DOIUrl":"10.1038/s41415-024-8057-5","url":null,"abstract":"Aim To examine how the ethics of community water fluoridation has been appraised in the literature. Method A scoping review using an updated Arksey and O''Malley framework. Six electronic databases were searched: Medline via OVID; Scopus; Web of Science; Cochrane Library; StarPlus and Google Scholar. Grey literature and reference lists of included studies were also searched. Results In total, 51 studies from 15 countries were included. Many referred to biomedical ethical principles intended for clinical rather than public health interventions. Some primarily aimed to appraise its ethics whereas others considered it as part of more general discussions on fluoridation. While most acknowledged its complexity, those more supportive of fluoridation often emphasised collective benefit and those less supportive emphasised infringement of autonomy or personal liberty and concerns about harm. Few referred to public health ethics principles and frameworks available in the literature. Conclusion Different approaches have been taken to appraise the ethics of fluoridation. Frequently, these were conceived for individual medical rather than public health interventions and are inadequate to resolve tension between inevitable infringement of individual consent and collective benefit in public health. Other approaches conceived specifically for public health exist that have more utility in debates and ethical decision-making.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 5","pages":"336-343"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-024-8057-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612668","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}
Pub Date : 2025-03-14DOI: 10.1038/s41415-025-8544-3
{"title":"All Rhodes lead to Greece this May","authors":"","doi":"10.1038/s41415-025-8544-3","DOIUrl":"10.1038/s41415-025-8544-3","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 5","pages":"353-353"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8544-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612659","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}
Pub Date : 2025-03-14DOI: 10.1038/s41415-025-8499-4
Paul Hellyer
{"title":"What makes a happy practice?","authors":"Paul Hellyer","doi":"10.1038/s41415-025-8499-4","DOIUrl":"10.1038/s41415-025-8499-4","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 5","pages":"334-334"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8499-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612682","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}
Pub Date : 2025-03-14DOI: 10.1038/s41415-024-8058-4
Bhavini Patel, Alison Patrick, Thomas Anthony Dyer
Aim To provide an overview of public health ethics, how it differs from medical ethics, and why this is important when considering the justification of public health interventions, such as community water fluoridation. Method Narrative review of the literature. Results Like medical ethics, public health ethics is underpinned by moral-based theories: consequentialism and non-consequentialism. Utilitarianism is an example of the former and sees moral action as that which produces the overall greatest benefit or wellbeing in society. In contrast, non-consequentialist theories focus on whether an action is right or wrong regardless of consequences. One such approach is principlism, where respect for autonomy, beneficence (benefit), non-maleficence (avoidance of harm), and justice are considered. However, as most public health interventions restrict autonomy to some extent, these require modification to balance this with any collective benefit. Similarly, political theory influences public health ethical thinking: liberalism''s focus on autonomy and avoidance of infringement of freedoms challenges many public health interventions. Given these complexities, frameworks exist to help guide ethical deliberation in public health. Conclusion Various principles and ethical frameworks have been proposed for public health interventions. They have more utility when considering the ethics of interventions, such as community water fluoridation, than those for medical interventions.
{"title":"The ethics of community water fluoridation: Part 1 - an overview of public health ethics","authors":"Bhavini Patel, Alison Patrick, Thomas Anthony Dyer","doi":"10.1038/s41415-024-8058-4","DOIUrl":"10.1038/s41415-024-8058-4","url":null,"abstract":"Aim To provide an overview of public health ethics, how it differs from medical ethics, and why this is important when considering the justification of public health interventions, such as community water fluoridation. Method Narrative review of the literature. Results Like medical ethics, public health ethics is underpinned by moral-based theories: consequentialism and non-consequentialism. Utilitarianism is an example of the former and sees moral action as that which produces the overall greatest benefit or wellbeing in society. In contrast, non-consequentialist theories focus on whether an action is right or wrong regardless of consequences. One such approach is principlism, where respect for autonomy, beneficence (benefit), non-maleficence (avoidance of harm), and justice are considered. However, as most public health interventions restrict autonomy to some extent, these require modification to balance this with any collective benefit. Similarly, political theory influences public health ethical thinking: liberalism''s focus on autonomy and avoidance of infringement of freedoms challenges many public health interventions. Given these complexities, frameworks exist to help guide ethical deliberation in public health. Conclusion Various principles and ethical frameworks have been proposed for public health interventions. They have more utility when considering the ethics of interventions, such as community water fluoridation, than those for medical interventions.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 5","pages":"311-315"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-024-8058-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612621","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}
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