Personal learning plans for general dental practitioners: a Scottish perspective. Part 2.
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Attitude of Health Personnel↗
Biomedical subjects
P V Carrotte
Publications and source records attributed to P V Carrotte.
Personal learning plans for general dental practitioners, a Scottish experience. Part 1.
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Attitude of Health Personnel↗
Current practice in endodontics: 6. Retreatments and periradicular surgery.
The prime aim of this series of six articles has been to improve the quality of endodontic treatment in general dental practice by considering what is currently being taught in dental schools. This final article considers what may go wrong following completion of root canal treatment, whether orthograde retreatment is possible and how it may be achieved, and if or when periradicular surgery may be indicated.
Dental Restoration Failure↗
Current practice in endodontics: 4. A review of techniques for canal preparation.
The prime aim of this series is to improve the quality of endodontic treatment in general dental practice by considering what is currently being taught in dental schools. This article reviews the development of today's endodontic techniques and suggests alternative methods of obtaining a clean and shaped canal, in keeping with the varying requirements of practitioners of differing backgrounds and abilities, while keeping in mind the established aims and objectives of endodontic treatment.
Calcium Hydroxide↗
Current practice in endodontics.
The aim of this series of six articles is to improve the quality of endodontic treatment in general dental practice by considering what is currently being taught in dental schools. This first article considers the rationale behind endodontic treatment, what we are aiming to achieve and why. It looks at the dental and medico-legal issues which dictate the standards of our practice, and sets out the programme for the series.
Dental Pulp Cavity↗
Current practice in endodontics: 2. Diagnosis and treatment planning.
The aim of this series of six articles is to improve the quality of endodontic treatment in general dental practice by considering what is currently being taught in dental schools. This second article considers the accurate diagnosis of endodontic lesions, which frequently present as emergencies requiring prompt, rapid and efficient attention. The paper then presents the treatment normally indicated once a correct and accurate diagnosis has been made.
Acute Disease↗
Current practice in endodontics: 3. Access is success, and rubber dam is easy.
The prime aim of this series of articles is to improve the quality of endodontic treatment in general dental practice by considering what is currently being taught in dental schools. This, the third article, offers guidance and hints to ease the use of rubber dam, which should be mandatory for root canal therapy. It also considers the shape, position and extent of access cavities. The access cavity can make all the difference in success or failure of endodontic treatment.
Anesthesia, Dental↗
Most compensation claims concern restorative or oral surgery procedures.
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Adolescent↗
The quality of impressions for crowns and bridges received at commercial dental laboratories.
OBJECTIVE: To determine the quality of impressions for crown and bridge work made in general dental practice. DESIGN AND SETTING: All impressions for crown and bridge work which had been sent to four commercial dental laboratories in the UK were assessed by two examiners, each laboratory being visited on two occasions. MATERIALS AND METHODS: 290 cases which had been received by the laboratories on the days of the visits were assessed for a number of factors related to quality. There was no selection or rejection--all impressions received were examined. RESULTS: Flexible plastic trays were used for the majority of working impressions for crown and bridge work in general dental practice (72%), many had been re-used (> 13%), defects in the recording of the prepared teeth were common, and cross infection control was not routine. CONCLUSIONS: Quality standards for impressions for crown and bridge work in general dental practice in the UK are a cause for concern if the sample of cases seen in this study is typical.
Crowns↗
Dental students' choice of learning resources.
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Choice Behavior↗
Report on the Annual Conference of the British Association of Teachers of Conservative Dentistry.
The Annual Conference of the British Association of Teachers of Conservative Dentistry (BATCD) was held in Sheffield on 16 and 17 September 1993. The main programme addressed educational issues in three areas: the undergraduate/vocational-trainee interface, the teaching of implants in the undergraduate curriculum, and the changing role of dental instructors in restorative dentistry. The programme also included a number of research papers and poster demonstrations, which were submitted for the Association's new QED/Maillefer prizes in Restorative Dentistry. This paper presents reports of the four principal lectures, and abstracts of the research papers and poster demonstrations, with details of the prize winners.
Curriculum↗
Active learning in the United Kingdom undergraduate dental course.
'Active Learning' is a frequently encountered term much in vogue in educational circles and widely considered in many current textbooks and papers. It is, however, a most difficult term to define. This paper seeks firstly to explore and discuss the meaning of the term with special relation to undergraduate dental education, and then, in a consideration of the different approaches to studying, considers aspects of the current dental undergraduate curriculum, both teaching and assessment, which may have an influence on the student's approach to learning.
Education, Dental↗
The assessment of dental students--a university education?
In this paper I would like to pose the question, 'Does a degree from a dental school guarantee a well-educated dentist?' At first sight this may appear to be a question related to the curriculum or to the quality of teaching, but the awarding of a degree depends entirely upon assessment.
Education, Dental↗
A study of the quality of impressions for anterior crowns received at a commercial laboratory.
A report is presented of a study which was carried out to investigate the standard of impressions for anterior crowns received at a commercial dental laboratory in Great Britain. Aspects examined were the type of tray and its suitability to the impression technique used, fixation of the impression to the tray, the method of storage in transit, contamination, defects on the preparations and defects elsewhere affecting the occlusion. The quality of the actual preparation was not examined in this study. Similar details were noted for the opposing impression. Of the 50 cases examined only 12 were recorded as totally satisfactory, with 26 cases being recorded as not being of an acceptable standard for the construction of an adequate restoration. The results are presented with the conclusion that in this survey the general quality of impression was unacceptable.
Cross Infection↗
Scanning electron microscopic investigation of changes in the dentogingival area during experimental gingivitis.
The purpose of this study was to investigate the changes that occur in the dentogingival area during experimental gingivitis using a replication technique and scanning electron microscopy (SEM). The upper 1st premolars of 20 subjects were examined prior to plaque accumulation, after plaque had become clinically visible and after 3 weeks plaque accumulation. 3 distinct zones were examined: the tooth surface and its integuments, the gingival crevice and the oral gingiva. Surface features such as perichymata, pits, depressions and cracks were rapidly covered by plaque deposits. These had a raised globular surface with occasional embedded desquamated epithelial cells. Raised plaque colonies were frequently seen by the end of the study. Initially, the gingival crevice presented a layered undulating appearance. With plaque accumulation many desquamating epithelial cells were seen and variations occurred in the width of the crevice. These changes were mirrored in the oral gingiva. The junctional epithelium was initially smooth with occasional pores and emigrating leucocytes. As plaque accumulated, the presence of pores and leucocytes increased and considerable disruption by desquamating epithelial cells was noted. No subject proved resistant to the influence of plaque-induced changes.
Adolescent↗
An unusual case of child abuse.
A case is presented of a most unusual and bizarre form of child abuse which escaped detection for several years. Three children in a family of six were found to have various missing permanent incisors, and it was eventually discovered that their parents were extracting teeth as a punishment for misdemeanours. The children were treated when in the care of the local authority and the missing teeth replaced with partial dentures. It is emphasised that all practitioners should be vigilant when patients present with abnormal injuries which may be the result of abuse, and further investigation should be instigated.
Adolescent↗
The influence of the impression tray on the accuracy of impressions for crown and bridge work--an investigation and review.
OBJECTIVE: To evaluate the accuracy of working casts for crown and bridge restorations made from twin mix putty/wash silicone elastomeric impression materials using different types of stock tray. DESIGN: A master cast was made from ivorine teeth in a mandibular model. Three teeth were prepared for full crown restorations to simulate a single unit and a three unit bridge. Impressions were taken using four different types of impression tray and two different viscosities of silicone putty, together with a wash. Full metal crowns were constructed and seated on duplicate master casts and measurements made of the marginal discrepancies. SETTING: The work was carried out in a dental technology laboratory in a university department of restorative dentistry in 1995/1996. RESULTS: Metal and rigid plastic impression trays showed the least discrepancy (about 50 microns), the latter slightly greater with the normal putty than the soft one. Impressions taken with flexible plastic trays produced considerable discrepancy with both putties, approximately 210 microns and 180 microns respectively. CONCLUSIONS: Metal and rigid plastic stock trays give greater accuracy in the putty/wash silicone twin mix impression technique compared with flexible plastic ones for crown and bridge work. Those using the latter should be aware of their shortcoming in this respect.
Crowns↗
Current practice in endodontics: 5. Obturation.
The aim of this series of six articles is to improve the quality of endodontic treatment in general dental practice by considering what is currently being taught in dental schools. This article first considers the possible reasons for persisting symptoms following preparation of the root canals. It then reviews the many and varied methods of obturating the prepared root canal system that are available to the general dental practitioner. By considering the objectives of their treatment, and their own level of expertise, readers may decide that one or more new techniques may benefit their practice.
Dental Leakage↗