Pub Date : 2025-02-14DOI: 10.1038/s41415-024-7938-y
Karan Patel, Richard Moore
Introduction Kickboxing is a heavily participated combat sport within the UK. With the sport involving striking opponents, it is widely perceived to be associated with an elevated risk of maxillofacial injury. However, the research is limited, with gaps that require further investigation. This study aimed to assess the frequency and distribution of these injuries and whether protective modalities, including headgear and mouthguards, help reduce them. Materials and methods In total, 92 kickboxers completed an electronic questionnaire from 11 October to 11 November 2021. Results There was an incidence rate of 71.7% where participants had experienced at least one maxillofacial injury. The lip was the most affected (26.1%; p <0.05). Injury rates per participant for headgears, mouthguards and no protection were 2.1, 2.6 and 4.7, respectively. Conclusions Maxillofacial injuries in kickboxing have a prevalence of 71%. Protective equipment successfully reduced the frequency of maxillofacial injuries (p <0.05). Experience levels are a major contributor in the incidence of these injuries. Updated regulations to mandate protective equipment may significantly reduce incidence of injury. More research is required in relation to variables such as ethnicity and bone density to identify high-risk groups.
{"title":"Incidence of maxillofacial trauma related to kickboxing and the efficacy of protective equipment","authors":"Karan Patel, Richard Moore","doi":"10.1038/s41415-024-7938-y","DOIUrl":"10.1038/s41415-024-7938-y","url":null,"abstract":"Introduction Kickboxing is a heavily participated combat sport within the UK. With the sport involving striking opponents, it is widely perceived to be associated with an elevated risk of maxillofacial injury. However, the research is limited, with gaps that require further investigation. This study aimed to assess the frequency and distribution of these injuries and whether protective modalities, including headgear and mouthguards, help reduce them. Materials and methods In total, 92 kickboxers completed an electronic questionnaire from 11 October to 11 November 2021. Results There was an incidence rate of 71.7% where participants had experienced at least one maxillofacial injury. The lip was the most affected (26.1%; p <0.05). Injury rates per participant for headgears, mouthguards and no protection were 2.1, 2.6 and 4.7, respectively. Conclusions Maxillofacial injuries in kickboxing have a prevalence of 71%. Protective equipment successfully reduced the frequency of maxillofacial injuries (p <0.05). Experience levels are a major contributor in the incidence of these injuries. Updated regulations to mandate protective equipment may significantly reduce incidence of injury. More research is required in relation to variables such as ethnicity and bone density to identify high-risk groups.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 3","pages":"178-182"},"PeriodicalIF":2.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424382","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 : 2025-02-07DOI: 10.1038/s41415-024-7954-y
Callum Wemyss, Garmon W. Bell, Angus K. McFadyen
Background Mesio-angular and horizontal mandibular third molars (M3Ms) are a risk factor for the development of dental disease, particularly affecting mandibular second molars (M2Ms). The aim of this study was to gain an insight into patient knowledge, views and opinions on management of disease-free horizontal and mesio-angular M3Ms. Methods Adult patients with at least one horizontal or mesio-angular M3M with an adjacent M2M attending an oral and maxillofacial surgery clinic were invited to participate in a structured survey. Results From 400 responses, 64% (n = 257) of respondents stated they would choose to have their impacted M3M prophylactically removed given the hypothetical scenario that they have never experienced any symptoms from their wisdom tooth. Of patients that never experienced symptoms from their wisdom teeth, 39.1% (n = 43) selected prophylactic removal, compared with 73.8% (n = 214) of patients that had previously experienced symptoms (χ2 = 40.3; p <0.001). The extent of disease progression significantly influenced patient preference for surgery (χ2 = 55.173; p <0.001), as did age (χ2 = 28.28; p <0.001). Conclusion In most cases, symptoms, age and disease experience influenced patients'' treatment preferences. These findings support the importance of discussion and shared decision-making in the consent process.
{"title":"Patient preference for the management of mandibular third molars with mesio-angular and horizontal impactions","authors":"Callum Wemyss, Garmon W. Bell, Angus K. McFadyen","doi":"10.1038/s41415-024-7954-y","DOIUrl":"10.1038/s41415-024-7954-y","url":null,"abstract":"Background Mesio-angular and horizontal mandibular third molars (M3Ms) are a risk factor for the development of dental disease, particularly affecting mandibular second molars (M2Ms). The aim of this study was to gain an insight into patient knowledge, views and opinions on management of disease-free horizontal and mesio-angular M3Ms. Methods Adult patients with at least one horizontal or mesio-angular M3M with an adjacent M2M attending an oral and maxillofacial surgery clinic were invited to participate in a structured survey. Results From 400 responses, 64% (n = 257) of respondents stated they would choose to have their impacted M3M prophylactically removed given the hypothetical scenario that they have never experienced any symptoms from their wisdom tooth. Of patients that never experienced symptoms from their wisdom teeth, 39.1% (n = 43) selected prophylactic removal, compared with 73.8% (n = 214) of patients that had previously experienced symptoms (χ2 = 40.3; p <0.001). The extent of disease progression significantly influenced patient preference for surgery (χ2 = 55.173; p <0.001), as did age (χ2 = 28.28; p <0.001). Conclusion In most cases, symptoms, age and disease experience influenced patients'' treatment preferences. These findings support the importance of discussion and shared decision-making in the consent process.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 3","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370464","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 : 2025-02-07DOI: 10.1038/s41415-024-7841-6
James Wootton, Millie Forrest, Mitul Patel, Naren Thanabalan, Mital Patel
Aim Within the National Health Service (NHS) England, dental hospitals are tasked with assessing and managing complex root canal treatments (RCTs) referred from various service providers. The aim of this service evaluation was to investigate the root canal treatment and retreatment (RCreT) output, case complexity designation and referral pathways to the Royal London Dental Hospital. Methods Data were collected and analysed on non-surgical RCTs completed between 1 April 2021 to 31 March 2022, including the number of completed treatments, reason and origin of referrals, referral-to-treatment timelines and complexity of treatments. Results In total, 339 teeth met the inclusion criteria, with external referrals (n = 198) taking an average of 47 weeks from referral to treatment commencement compared to 16 weeks for internal referrals (n = 141). Maxillary incisors and first permanent molars were most commonly referred, with anatomical challenges (33.5%), RCreT (32.2%) and trauma (18%) being the most common reasons. Treatment was completed within an average of 2.7 appointments, with a high proportion of complexity Level 2 and 3 cases being completed. Conclusions The RCT output was shown to be increasing within the service. External referrals are taking longer to be seen and treated compared to NHS targets and internally referred patients; although, further information is needed to understand the exact cause of this. Allocation of treatment complexity appeared to be in line with the clinician''s skill set and experience level, taking an average of 2.7 appointments to complete treatment. Further information on the number of referrals, available consultations and clinic space would provide additional insight into the efficiency and pressures of the service.
{"title":"A service evaluation assessing the root canal referral and treatment pathway within the Royal London Dental Hospital","authors":"James Wootton, Millie Forrest, Mitul Patel, Naren Thanabalan, Mital Patel","doi":"10.1038/s41415-024-7841-6","DOIUrl":"10.1038/s41415-024-7841-6","url":null,"abstract":"Aim Within the National Health Service (NHS) England, dental hospitals are tasked with assessing and managing complex root canal treatments (RCTs) referred from various service providers. The aim of this service evaluation was to investigate the root canal treatment and retreatment (RCreT) output, case complexity designation and referral pathways to the Royal London Dental Hospital. Methods Data were collected and analysed on non-surgical RCTs completed between 1 April 2021 to 31 March 2022, including the number of completed treatments, reason and origin of referrals, referral-to-treatment timelines and complexity of treatments. Results In total, 339 teeth met the inclusion criteria, with external referrals (n = 198) taking an average of 47 weeks from referral to treatment commencement compared to 16 weeks for internal referrals (n = 141). Maxillary incisors and first permanent molars were most commonly referred, with anatomical challenges (33.5%), RCreT (32.2%) and trauma (18%) being the most common reasons. Treatment was completed within an average of 2.7 appointments, with a high proportion of complexity Level 2 and 3 cases being completed. Conclusions The RCT output was shown to be increasing within the service. External referrals are taking longer to be seen and treated compared to NHS targets and internally referred patients; although, further information is needed to understand the exact cause of this. Allocation of treatment complexity appeared to be in line with the clinician''s skill set and experience level, taking an average of 2.7 appointments to complete treatment. Further information on the number of referrals, available consultations and clinic space would provide additional insight into the efficiency and pressures of the service.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 3","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370447","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 : 2025-01-24DOI: 10.1038/s41415-024-7936-0
Emma Morgan, Jennifer Preston, Sondos Albadri
Public involvement (PI) in health research is an umbrella term which describes the process by which research is undertaken ‘with'' or ‘by'' people rather than ‘to'', ‘about'' or ‘for'' them. The United Nations Convention of the Rights of the Child provides children and young people (CYP) with a comprehensive set of human rights. In line with Article 12, every child has a right to express their views in all matters which may affect them. Additionally, there has been increased expectation from funders for PI to be demonstrated as part of research. While PI encompasses all activities which aim to involve CYP, they can be categorised into different levels, including consultation, collaboration and user-led. CYP can be involved in many different aspects of research, from research question identification, research design and dissemination. Despite this, there may be challenges to delivering PI, such as funding and time. Using the basic principles outlined in this paper, there is opportunity for involvement of CYP in a range of settings to produce meaningful involvement with CYP.
{"title":"A practical guide to public involvement with children and young people in dental research","authors":"Emma Morgan, Jennifer Preston, Sondos Albadri","doi":"10.1038/s41415-024-7936-0","DOIUrl":"10.1038/s41415-024-7936-0","url":null,"abstract":"Public involvement (PI) in health research is an umbrella term which describes the process by which research is undertaken ‘with'' or ‘by'' people rather than ‘to'', ‘about'' or ‘for'' them. The United Nations Convention of the Rights of the Child provides children and young people (CYP) with a comprehensive set of human rights. In line with Article 12, every child has a right to express their views in all matters which may affect them. Additionally, there has been increased expectation from funders for PI to be demonstrated as part of research. While PI encompasses all activities which aim to involve CYP, they can be categorised into different levels, including consultation, collaboration and user-led. CYP can be involved in many different aspects of research, from research question identification, research design and dissemination. Despite this, there may be challenges to delivering PI, such as funding and time. Using the basic principles outlined in this paper, there is opportunity for involvement of CYP in a range of settings to produce meaningful involvement with CYP.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 2","pages":"129-133"},"PeriodicalIF":2.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143037210","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 : 2025-01-24DOI: 10.1038/s41415-024-8279-6
Edmund Proffitt
{"title":"‘Be in the room where it happens'' - BDIA Summer Conference 2024","authors":"Edmund Proffitt","doi":"10.1038/s41415-024-8279-6","DOIUrl":"10.1038/s41415-024-8279-6","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 2","pages":"113-114"},"PeriodicalIF":2.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143037264","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 : 2025-01-24DOI: 10.1038/s41415-025-8371-6
{"title":"Cologne set for the new generation of digital dentistry","authors":"","doi":"10.1038/s41415-025-8371-6","DOIUrl":"10.1038/s41415-025-8371-6","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 2","pages":"139-139"},"PeriodicalIF":2.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8371-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143037267","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 : 2025-01-24DOI: 10.1038/s41415-024-7783-z
Eser Rengin Nalbantoglu, Parmjit Singh
Introduction Balancing and compensating extractions (BCEs) of primary teeth aims to minimise the development of more severe malocclusions and reduce the need for subsequent complex orthodontics. Purpose To assess the demographics, practice characteristics and clinical preferences of United Kingdom paediatric dentists for BCEs of primary teeth. Methods All members of the British Society of Paediatric Dentistry were sent an electronic questionnaire. Questions offered frequency options (always/frequently, often/sometimes and rarely/never) for a range of clinical scenarios in patients up to five years and between 6-9 years. Results Of the 288 specialists invited, 67 (23.3%) completed the questionnaire. Respondents were mostly female (n = 55; 82.1%), with most working in secondary care (n = 51; 77.3%). The majority (n = 54; 81.8%) supported the application of guidelines. A total of 39 paediatric dentists (58.2%) always/frequently encountered BCEs, with 31 (46.2%) performing BCEs in over 40 patients in the past year. Additionally, 40 respondents (59.7%) reported always/frequently complying with guidelines. Data from 65 respondents indicates that 83.6% (n = 56) rarely/never made referrals to an orthodontist, while 65.7% (n = 44) rarely/never consulted an orthodontist (p <0.001). Conclusions There was variation across clinical scenarios, with good adherence to guidelines in BCEs of primary teeth among paediatric dentists. However, there was limited interdisciplinary collaboration with orthodontists.
{"title":"Patterns of balancing and compensating primary tooth extractions among paediatric dentists","authors":"Eser Rengin Nalbantoglu, Parmjit Singh","doi":"10.1038/s41415-024-7783-z","DOIUrl":"10.1038/s41415-024-7783-z","url":null,"abstract":"Introduction Balancing and compensating extractions (BCEs) of primary teeth aims to minimise the development of more severe malocclusions and reduce the need for subsequent complex orthodontics. Purpose To assess the demographics, practice characteristics and clinical preferences of United Kingdom paediatric dentists for BCEs of primary teeth. Methods All members of the British Society of Paediatric Dentistry were sent an electronic questionnaire. Questions offered frequency options (always/frequently, often/sometimes and rarely/never) for a range of clinical scenarios in patients up to five years and between 6-9 years. Results Of the 288 specialists invited, 67 (23.3%) completed the questionnaire. Respondents were mostly female (n = 55; 82.1%), with most working in secondary care (n = 51; 77.3%). The majority (n = 54; 81.8%) supported the application of guidelines. A total of 39 paediatric dentists (58.2%) always/frequently encountered BCEs, with 31 (46.2%) performing BCEs in over 40 patients in the past year. Additionally, 40 respondents (59.7%) reported always/frequently complying with guidelines. Data from 65 respondents indicates that 83.6% (n = 56) rarely/never made referrals to an orthodontist, while 65.7% (n = 44) rarely/never consulted an orthodontist (p <0.001). Conclusions There was variation across clinical scenarios, with good adherence to guidelines in BCEs of primary teeth among paediatric dentists. However, there was limited interdisciplinary collaboration with orthodontists.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 2","pages":"122-128"},"PeriodicalIF":2.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143037287","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}
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