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At least 1,009 records · Page 56Linked to original sources
PubMed1994

The effect of changes in caries prevalence on dental education.

While rising levels of dental caries were primarily responsible for the growth in dental schools in developed countries, the recent decline in caries prevalence has not resulted in a major decline in dental education. Indeed, the reduction in caries prevalence has had very little influence upon a group of major changes that arguably should have had a marked effect upon dental education in recent years, but which have failed so to do. These include a quantum leap in applying the scientific basis of caries management, focused down to the teaching of minimally invasive restorative care within a context of risk assessment and maximum non-invasive care where appropriate. A possible way forward in accelerating the necessary changes in dental practice would be for only a proportion of dental undergraduates in the future to be taught practical restorative procedures, leaving the remainder to concentrate on diagnostic and non-invasive care without the distraction of possible restorative treatment.

Adult↗
PubMed1994

Audit in restorative dentistry.

Auditing activity requires patient data to be collected and analysed to allow comparisons to be made and conclusions drawn. Within the General Dental Services the Dental Practice Board regularly collects practitioner specific clinical data and distributes this to allow dentists to compare their own clinical activity with local and national means. In hospital dentistry, a software package has been developed to enable orthodontic audit to be performed in hospital practice. The package is now being piloted in several centres. A similar software package is required for auditing restorative dentistry activity in units where consultant services are provided. Hospital patient administration systems provide demographic data and appointment systems predominantly with little opportunity for patient specific clinical analysis. Carefully designed software will allow appropriate clinical data and analysis. To ensure compliance and accurate recording both by clinical and support staff it is essential that any software system should be easy to use.

Dental Service, Hospital↗
PubMed2001

The provision of dental implants in the National Health Service Hospital dental services--a national questionnaire.

OBJECTIVE: To assess the activity of consultants in restorative dentistry in the United Kingdom in the provision of osseointegrated dental implants within the National Health Service Hospital service and to evaluate their attitudes concerning the relevant medical and oral factors considered in patient selection for implant treatment. DESIGN/SETTING: Anonymous postal questionnaire in the United Kingdom. SUBJECTS: Consultants in restorative dentistry. RESULTS: Out of the sample of 145, 109 consultants (75%) completed the questionnaire in 1999. 54 of the 109 consultants (49.5%) are involved in the provision of osseointegrated implant treatment, treating an average of 29 cases/year (range 2-150). However, over one third of the respondents treated 10 or less cases/year. 89% worked with oral surgeons as an implant team. 68% used Branemark (Nobel Biocare) implants as their main system. The majority of consultants felt that smoking, psychoses and previous irradiation were the most important medical factors that contra-indicated implant retained restorations whilst untreated periodontitis, poor oral hygiene and uncontrolled caries were the most important oral contra-indications. Many centres were experiencing significant problems with the funding of implant treatment with one centre receiving no funding. The implications for patient care and specialist training are discussed. CONCLUSIONS: There is a marked variation in the number of patients treated with endosseous dental implants within the United Kingdom National Health Service hospitals. Many consultants treat 10 or fewer patients each year. In the main, there is agreement about the factors that contra-indicate implant treatment; these are in line with national guidelines.

Contraindications↗
PubMed1984

Dental visiting patterns of Finns and Swedes in Sweden, 1976-1980.

Information on treatment provided to a random (cluster) sample of all adult patients treated under the dental insurance scheme in Sweden since 1974 is stored at the National Social Insurance Board (NSIB). In this study the use of dental services by settled Finnish immigrants and Swedes over a 5-year period (1976-80) was compared, using this information. The material consisted of 1152 17- to 64-year-old Finnish immigrants, selected in accordance with the same criteria as the NSIB sample, registered on the population register of Stockholm county in 1975 and still on the register in 1982, and a comparison group of individually matched Swedes. Standard NSIB computer programs and a special program for recurrent use of dental services in 1976-79 were used. Because of regulations on confidentiality of personal information, comparisons were based on inter-group differences. Each year about 40% of Finnish immigrants and 50% of Swedes had been to a dentist. In both groups women visited a dentist more frequently. The proportion of persons in the different groups who had used dental services in the period 1976-80 varied only slightly from year to year. In the 4-year period 1976-79, 74% of Finnish immigrants and 87% of Swedes in the studied groups had been to a dentist at least once. Significantly more Swedes than Finnish immigrants had seen a dentist annually. Of those who had been to a dentist, a significantly greater proportion of Finnish immigrants than Swedes had received acute treatment and dentures.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1995

[Gustave Ginestet (1897-1966), doctor general. Life and work of a pioneer of cosmetic and reconstructive maxillofacial surgery].

Gustave Ginestet, pratician and surgeon of two world wars in Europe, military medical in Lebanon and Syrian French Protectorat (1925-1931), countries where his works are not forgotten, was an admired and respectable master, pioneer of the maxillo facial and stomatologic French school of surgery, chief, between 1936 and 1966, and now, spiritual father of the referent services for head and neck surgery in France.

Dentistry, Operative↗
PubMed1989

[Cotton roll or rubber dam in endodontic treatment?].

In a clinical-microbiological study of the bacterial flora on deep areas of carious dentine in deciduous and permanent human teeth the aseptic rubber dam technique was given preference to remove successive samples of dentine from the cavity floors. The application of the rubber dam made it possible to establish and maintain a surgically clean field of operation and were an effective safeguard against contamination through seepage of saliva.

Dentistry, Operative↗
PubMedDate not supplied

Rubber dam isolation of cervical lesions. Part 1: Alternative techniques which avoid injury to the periodontium.

While it is arguable that the operative procedures depicted in this article could have been done equally well with alternative forms of isolation, it is indisputable that rubber dam provides for the most thorough 'isolation' in the comprehensive sense of the term. It allows for the finite control over peripheral variables such as access and controlled gingival retraction. This in turn permits meticulous execution of restorative procedures within the luxury of 'true four-handed dentistry'. Most operative procedures are done within the limitations of single handed dentistry as the other 'three hands' are involved with retraction, fluid evacuation and access control. The rubber dam is indeed indispensable and with the increased awareness of infection control it is conceivable that rubber dam isolation will continue to be associated with quality patient care. Part 2 of this article will detail the application of the 'Modified Gingival Retractor' in the isolation of cervical lesions.

Constriction↗