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Medicine, Health Care, and Philosophy Jun 2020Commercialisation and consumerism have had lasting and profound effects upon the nature of oral health and how dental services are provided. The stigma of a spoiled...
Commercialisation and consumerism have had lasting and profound effects upon the nature of oral health and how dental services are provided. The stigma of a spoiled dental appearance, along with the attraction of the smile as a symbol of status and prestige, places the mouth and teeth as an object and product to be bought and sold. How the dental profession interacts with this acquired status of the mouth has direct implications for the professional status of dentistry and the relationship between the profession and society. This essay examines the mouth's developing position as a symbol of status and prestige and how the dental profession's interaction and response to this may have important effects on the nature of dentistry's social contract with society. As rates of dental disease reduce in higher socioeconomic groups, dentistry is experiencing a reorientation from being positioned within a therapeutic context, to be increasingly viewed as body work. This is not in of itself problematic; as a discipline dentistry places a very high value upon the provision of enhanced or improved aesthetics. This position changes when the symbolic exchange value of an aesthetic smile becomes the main motivation for treatment, encouraging a shift towards a commercialised model of practice that attenuates professional altruism. The dental profession should not welcome the association of the mouth as a status and prestige symbol lightly; this article examines how this paradigm shift might impact upon the social contract and dentistry's professional status.
Topics: Beauty Culture; Dentistry; Ethics, Dental; Humans; Motivation; Mouth; Philosophy, Medical; Professionalism; Psychological Distance
PubMed: 31538275
DOI: 10.1007/s11019-019-09924-4 -
Oral Health & Preventive Dentistry 2015
Topics: Dentistry; Dentistry, Operative; Exhibitions as Topic; Humans; Industry; Preventive Dentistry; Technology, Dental
PubMed: 25909094
DOI: 10.3290/j.ohpd.a34075 -
Journal of the American Dental... Sep 2020
Topics: Dentistry; Societies
PubMed: 32854865
DOI: 10.1016/j.adaj.2020.07.012 -
Compendium of Continuing Education in... 2021Along with the many technological advancements in implant-supported restorations that have impacted dentistry in recent years has come an evolution in clinical workflows... (Review)
Review
Along with the many technological advancements in implant-supported restorations that have impacted dentistry in recent years has come an evolution in clinical workflows and the dental materials to support them. Today, a synergy is rapidly forming in the dental industry among digital design, processing equipment, and restorative materials. This interaction is leading to increased clinical predictability supported by high-quality products. This review discusses the latest cutting-edge materials used in the restoration of implant-supported cases and how these materials fit into modern-day digital workflows.
Topics: Dental Implants; Dental Materials; Dental Prosthesis Design; Dental Prosthesis, Implant-Supported; Esthetics, Dental; Workflow
PubMed: 34297593
DOI: No ID Found -
Clinical Oral Investigations Dec 2020A narrative review on the NO properties and their relationship with the oral environment describing NO's molecular origin, role, and perspectives regarding oral... (Review)
Review
OBJECTIVES
A narrative review on the NO properties and their relationship with the oral environment describing NO's molecular origin, role, and perspectives regarding oral pathological, physiological, and regenerative processes for future applications and possible use as prevention or treatment in dentistry.
MATERIALS AND METHODS
Pubmed was searched using the word "nitric oxide." Reviews, clinical studies, and experimental studies were eligible for the screening process. Similar search procedures were then performed with the additional search words "conservative dentistry," "orthodontics," "endodontics," "implants," "periodontics," "oral cancer," "pulp revascularization," and "oral surgery." Furthermore, references of included articles were examined to identify further relevant articles.
RESULTS
There is a relationship between NO production and oral diseases such as caries, periodontal diseases, pulp inflammation, apical periodontitis, oral cancer, with implants, and orthodontics. Studies on this relationship and uses of NO, in diagnosis, prevention, and treatment, are being developed. Also, some NO and oral cavity patents have already registered.
CONCLUSIONS
The understanding of how NO can interfere in oral health maintenance or disease processes can contribute to elucidate the disease development and optimize treatment approaches.
CLINICAL RELEVANCE
NO has considerable biotechnological potential and can contribute to improving diagnostics and treating the oral environment. As a biomarker, NO has an important role in the early diagnosis of diseases. Regarding treatments, NO can possibly be used as a regulator of inflammation, anti-biofilm action, replacing antibiotics, inducing apoptosis of cancerous cells, and contributing to the angiogenesis. All these studies are initial considerations regarding the relationship between NO and dentistry.
Topics: Endodontics; Nitric Oxide; Orthodontics; Periodontics; Surgery, Oral
PubMed: 33057827
DOI: 10.1007/s00784-020-03629-2 -
Journal of the California Dental... Apr 2015The successful management of a patient's functional and esthetic dental needs frequently requires a multidisciplinary approach. One such avenue for collaboration is... (Review)
Review
The successful management of a patient's functional and esthetic dental needs frequently requires a multidisciplinary approach. One such avenue for collaboration is between the orthodontist and the restorative dentist. Orthodontic therapy can also assist the surgeon in preparing a surgical site for implant placement. The practical application of orthodontic therapy in restorative dentistry as well as an approximate time frame for a proposed orthodontic intervention is described in this article.
Topics: Dental Implants; Dental Prosthesis; Esthetics, Dental; Humans; Interprofessional Relations; Orthodontics, Corrective; Patient Care Planning; Patient Care Team
PubMed: 25916011
DOI: No ID Found -
Nederlands Tijdschrift Voor... Jan 2016
Topics: Dentistry; Humans; Legislation, Dental; Netherlands; Quality of Health Care
PubMed: 27187997
DOI: No ID Found -
Journal of the American Dental... Feb 2023This study provides an update on the income gap between men and women in dentistry, evaluating the impact of dentists' household, personal, and employment...
BACKGROUND
This study provides an update on the income gap between men and women in dentistry, evaluating the impact of dentists' household, personal, and employment characteristics on income differences.
METHODS
This cross-sectional study used data from the US Census Bureau's 5-year American Community Survey (2014-2018). Data were analyzed using descriptive statistics and regression analysis (ordinary least squares regressions, Oaxaca-Blinder regression decomposition on logged personal income).
RESULTS
Female dentists were less likely to be White and born in the United States and more likely to be bilingual than male dentists. Adjusted estimates indicated that male dentists earned 22% more than female dentists (risk ratio, 1.22; 95% CI, 1.15 to 1.29). Black dentists earned 24% less (risk ratio, 0.76; 95% CI, 0.68 to 0.85) and other race non-Hispanic dentists earned 17% less (risk ratio, 0.83; 95% CI, 0.70 to 0.97) than non-Hispanic White dentists, after adjustment for covariates. Dentists with a nondentist partner or spouse earned more than those without a partner or spouse, and dentists with 3 or more children earned 19% more than those who were childless (P < .001; 95% CI, 1.09 to 1.31). The income gap between sexes was $51,784 (in 2018 dollars); 27.2% of this gap was explained by observable personal (that is, race and ethnicity, bilingualism), employment (for example, hours worked and employee or ownership status), and household (for example, partner or spouse occupation and education) characteristics.
CONCLUSIONS
The dental workforce is diversifying, but sex and racial disparities in income persist. The income gap between sexes, although reduced over time, is now less explainable than in the past.
PRACTICAL IMPLICATIONS
The diversification of the dental workforce is a promising sign for an increasingly diverse population's present and future oral health, but it is important that existing income gaps between men and women are addressed.
Topics: Child; Female; Humans; Male; Cross-Sectional Studies; Dentistry; Employment; Ethnicity; Income; United States; Health Workforce
PubMed: 36608997
DOI: 10.1016/j.adaj.2022.11.007 -
Journal of Periodontology Mar 2017The aim of this systematic review is to evaluate the relationship between two methods used to assess implant stability, investigating whether both provide similar... (Review)
Review
BACKGROUND
The aim of this systematic review is to evaluate the relationship between two methods used to assess implant stability, investigating whether both provide similar implant stability assessments for the same clinical case.
METHODS
A literature search was conducted on MEDLINE-PubMed and Scopus databases, without limitation of the publication period, up to November 2015. The following key words were used, with associations among them: "dental implant," "dental implants," "Osstell," "resonance frequency analysis," "implant stability quotient," "ISQ," "Periotest," "Periotest value," and "PTV." Inclusion criteria were English language, prospective, retrospective, and randomized controlled clinical trials that evaluated implant stability through use of resonance frequency analysis (RFA) and damping capacity analysis (DCA). The study should assess implant stability of only a specific region for all patients or discriminate results evaluated for each region if the analysis had been made in various regions; RFA and DCA should have been applied in the same implants and periods. Studies have been carefully selected, and data of interest were tabulated.
RESULTS
Six studies met the inclusion criteria. Although there was significant numerical correlation between values obtained by both methods, data showed that less than half (46%) of cases coincided in relation to implant stability classification.
CONCLUSIONS
It can be considered that there is not always a consensus and standardization in the classification of implant stability related to the values obtained by RFA and DCA devices, which could create disagreements and miscommunication among dentistry professionals.
Topics: Dental Implantation, Endosseous; Dental Implants; Dental Prosthesis Design; Dental Prosthesis Retention; Dental Restoration Failure; Dental Stress Analysis; Elastic Modulus; Humans; Osseointegration
PubMed: 27767386
DOI: 10.1902/jop.2016.160436 -
Compendium of Continuing Education in... Jun 2020Dental impressions are used to produce a replica of an oral structure for use as a permanent record or in the production of a dental restoration or prosthesis. Accurate... (Review)
Review
Dental impressions are used to produce a replica of an oral structure for use as a permanent record or in the production of a dental restoration or prosthesis. Accurate impression-taking is an essential procedure in implant dentistry. Traditionally, clinicians have used two different implant impression techniques: transfer and pick-up. The pick-up impression technique is considered to be the more accurate of the two because with this technique the impression copings are maintained within the impression upon removal from the mouth, thus eliminating the potential for error that may occur when manually placing the copings in the impression as in the transfer technique. This design has become increasingly popular and useful for multi-unit impressions. The purpose of this article is to review various pick-up impression copings and propose a new impression coping design for accurate, easy impression-taking without discrepancies.
Topics: Adaptation, Psychological; Dental Abutments; Dental Implants; Dental Impression Materials; Dental Impression Technique; Dental Prosthesis Design; Models, Dental
PubMed: 32551716
DOI: No ID Found