Pub Date : 2025-01-10DOI: 10.1038/s41415-025-8300-8
{"title":"The demand for tooth straightening among adults continues to rise","authors":"","doi":"10.1038/s41415-025-8300-8","DOIUrl":"10.1038/s41415-025-8300-8","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 1","pages":"21-21"},"PeriodicalIF":2.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8300-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941361","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 : 2025-01-10DOI: 10.1038/s41415-024-8115-z
Georgia Ashworth-Davies, Ellen L. Johnson, Pratik K. Sharma
Transient apical breakdown (TAB) is widely reported in response to trauma, yet its occurrence due to orthodontic forces, particularly in aligner therapy, is less documented within current literature. TAB can easily be misdiagnosed as pulp necrosis, potentially leading to unnecessary and irreversible endodontic procedures. This case report describes an instance of TAB following the initiation of aligner treatment, where the affected tooth initially presented with signs suggesting pulp necrosis but regained normal coloration and pulpal response after six months of active monitoring. This case highlights the importance of raising awareness among dental practitioners, especially those providing aligner therapy, about the risk of TAB. This awareness is crucial given the increasing provision of aligner treatment in general practice settings and the associated medico-legal implications.
{"title":"Transient apical breakdown associated with clear aligner therapy: a case report","authors":"Georgia Ashworth-Davies, Ellen L. Johnson, Pratik K. Sharma","doi":"10.1038/s41415-024-8115-z","DOIUrl":"10.1038/s41415-024-8115-z","url":null,"abstract":"Transient apical breakdown (TAB) is widely reported in response to trauma, yet its occurrence due to orthodontic forces, particularly in aligner therapy, is less documented within current literature. TAB can easily be misdiagnosed as pulp necrosis, potentially leading to unnecessary and irreversible endodontic procedures. This case report describes an instance of TAB following the initiation of aligner treatment, where the affected tooth initially presented with signs suggesting pulp necrosis but regained normal coloration and pulpal response after six months of active monitoring. This case highlights the importance of raising awareness among dental practitioners, especially those providing aligner therapy, about the risk of TAB. This awareness is crucial given the increasing provision of aligner treatment in general practice settings and the associated medico-legal implications.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 1","pages":"29-32"},"PeriodicalIF":2.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941328","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}
Pub Date : 2025-01-10DOI: 10.1038/s41415-025-8311-5
{"title":"A spot of prevention to keep your patients smiling","authors":"","doi":"10.1038/s41415-025-8311-5","DOIUrl":"10.1038/s41415-025-8311-5","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 1","pages":"64-64"},"PeriodicalIF":2.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8311-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941342","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 : 2025-01-10DOI: 10.1038/s41415-024-8187-9
Hesham Matabdin, Ian Mills, Amy Rathbone, Laura Clarry, Sally Hanks
Introduction The challenges of recruitment and retention of dentists within the NHS are a major contributory factor in delivering dental access. Availability and geographical location of dental foundation training (DFT) placements is considered to be an important element in recruiting new dental graduates to poorly served areas. A recent decline in the number of dentists applying to act as educational supervisors (ESs) for DFT has been observed, which could have a direct impact on the future sustainability of NHS services. Aims This study aimed to explore the challenges faced by ESs which influence participation in DFT in South West England. Design A cohort study of existing and previous ESs using qualitative methodology. Methods ESs within South West England were invited to participate in semi-structured interviews to explore the challenges of providing DFT. Data underwent inductive thematic analysis. Results In total, 18 ESs were interviewed, with the main challenges identified as workload, financial, recruitment process, feeling valued and the application process. Conclusion An increasing number of challenges are undermining the positive benefits of being an ES. These challenges need to be addressed urgently to avoid further difficulties in recruitment and retention of ESs. Some of these challenges can be addressed at a regional or local level, but factors related to funding, national recruitment and the increasing educational responsibility of the ES need to be addressed at a national level.
{"title":"Exploring the challenges which influence general dental practitioners'' participation as educational supervisors in dental foundation training in the South West of England","authors":"Hesham Matabdin, Ian Mills, Amy Rathbone, Laura Clarry, Sally Hanks","doi":"10.1038/s41415-024-8187-9","DOIUrl":"10.1038/s41415-024-8187-9","url":null,"abstract":"Introduction The challenges of recruitment and retention of dentists within the NHS are a major contributory factor in delivering dental access. Availability and geographical location of dental foundation training (DFT) placements is considered to be an important element in recruiting new dental graduates to poorly served areas. A recent decline in the number of dentists applying to act as educational supervisors (ESs) for DFT has been observed, which could have a direct impact on the future sustainability of NHS services. Aims This study aimed to explore the challenges faced by ESs which influence participation in DFT in South West England. Design A cohort study of existing and previous ESs using qualitative methodology. Methods ESs within South West England were invited to participate in semi-structured interviews to explore the challenges of providing DFT. Data underwent inductive thematic analysis. Results In total, 18 ESs were interviewed, with the main challenges identified as workload, financial, recruitment process, feeling valued and the application process. Conclusion An increasing number of challenges are undermining the positive benefits of being an ES. These challenges need to be addressed urgently to avoid further difficulties in recruitment and retention of ESs. Some of these challenges can be addressed at a regional or local level, but factors related to funding, national recruitment and the increasing educational responsibility of the ES need to be addressed at a national level.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 1","pages":"44-50"},"PeriodicalIF":2.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941317","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}
Pub Date : 2025-01-10DOI: 10.1038/s41415-025-8292-4
Paul Hellyer
{"title":"OJ for brekky? When to brush","authors":"Paul Hellyer","doi":"10.1038/s41415-025-8292-4","DOIUrl":"10.1038/s41415-025-8292-4","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 1","pages":"36-36"},"PeriodicalIF":2.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8292-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941340","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 : 2024-12-20DOI: 10.1038/s41415-024-8154-5
Dami Showunmi, Harpoonam Kalsi, Cynthia Juma, Gosia Swoboda, Catherine Dumlao, Jose M. Rodriguez
Advice and guidance clinics allow one clinician to seek advice from another using the concept of telemedicine for the provision of real time care, including diagnosis, treatment planning and consulting. While advice and guidance (AAG) is more commonly used in medicine, the service is currently underutilised in dentistry. There is limited evidence regarding the patient outcomes of AAG services and the benefits and drawbacks of this service in dentistry. This paper outlines results from a pilot study implementing AAG clinics at the dental directorate at Guy''s and St Thomas'' NHS Foundation Trust which has been rolled out to give remote specialist advice for patients referred to restorative dentistry, periodontology and sedation and special care. The service has also been rolled out to deliver remote multidisciplinary meetings for the planning and treatment of patients with hypodontia.
{"title":"Advice and guidance clinics using remote specialist advice to support primary dental care practitioners","authors":"Dami Showunmi, Harpoonam Kalsi, Cynthia Juma, Gosia Swoboda, Catherine Dumlao, Jose M. Rodriguez","doi":"10.1038/s41415-024-8154-5","DOIUrl":"10.1038/s41415-024-8154-5","url":null,"abstract":"Advice and guidance clinics allow one clinician to seek advice from another using the concept of telemedicine for the provision of real time care, including diagnosis, treatment planning and consulting. While advice and guidance (AAG) is more commonly used in medicine, the service is currently underutilised in dentistry. There is limited evidence regarding the patient outcomes of AAG services and the benefits and drawbacks of this service in dentistry. This paper outlines results from a pilot study implementing AAG clinics at the dental directorate at Guy''s and St Thomas'' NHS Foundation Trust which has been rolled out to give remote specialist advice for patients referred to restorative dentistry, periodontology and sedation and special care. The service has also been rolled out to deliver remote multidisciplinary meetings for the planning and treatment of patients with hypodontia.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"237 12","pages":"907-910"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-024-8154-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142870495","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 : 2024-12-20DOI: 10.1038/s41415-024-8225-7
Arunika Nehra
{"title":"Dream, believe, achieve - how to be a success in dentistry","authors":"Arunika Nehra","doi":"10.1038/s41415-024-8225-7","DOIUrl":"10.1038/s41415-024-8225-7","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"237 12","pages":"905-905"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-024-8225-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142870513","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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