-
Oral and Maxillofacial Surgery Dec 2022For prevention of wound-healing complications, patients in German-speaking countries are traditionally advised to avoid consumption of milk and dairy products after oral... (Review)
Review
Avoidance of milk and dairy products after oral surgery-is such a recommendation still valid? A cross-sectional study among German and international oral and maxillofacial surgeons and dental practitioners with review of the literature.
PURPOSE
For prevention of wound-healing complications, patients in German-speaking countries are traditionally advised to avoid consumption of milk and dairy products after oral surgery. In the absence of national and international guidelines, this study investigates scientific evidence and compares international practice, frequency scale, and rationale behind such recommendation.
METHODS
Comparison of a German cross-sectional mono-center-questionnaire pilot study and a survey among international oral and maxillofacial surgeons (OMFS), specialized oral surgeons and general dentists, evaluating international practice regarding post-operative dietary and nutrition recommendations. Our literature review further assessed scientific evidence for relevant effects of probiotics, prebiotics, and/or synbiotics.
RESULTS
Among German study participants, 56% (n = 64/114) advise patients to avoid milk and dairy products, with 42% of OMFS (n = 38) and 65% (n = 76) of the general dentists recommending abstention (p = .027). In striking contrast, such recommendation could not be identified in our international survey (n = 143) (t test, p < .001) nor in the literature. There were significant differences between German and international study participants regarding the rationale for dietary recommendations, with dental schools and literature most frequently indicated as sources (Fisher's exact test, p < .001).
CONCLUSION
The hypothesis of a harmful effect of the consumption of milk and dairy products after dentoalveolar surgery could not be supported by evidence. The recommendation to avoid dairy products post-surgery was identified as a specific phenomenon practiced almost exclusively in German-speaking countries. Corresponding recommendations, most probably based on a now irrelevant risk of contracting tuberculosis from milk products, can at present no longer be substantiated.
Topics: Humans; Animals; Milk; Cross-Sectional Studies; Oral and Maxillofacial Surgeons; Dentists; Pilot Projects; Professional Role; Oral Surgical Procedures
PubMed: 34694519
DOI: 10.1007/s10006-021-01017-y -
International Journal of Environmental... May 2019To describe the current oral health care needs and the number and category of dental personnel required to provide necessary services in South Africa (SA). This is a... (Review)
Review
To describe the current oral health care needs and the number and category of dental personnel required to provide necessary services in South Africa (SA). This is a review of the current disease burden based on local epidemiological studies and the number of oral health personnel registered with the Health Professions Council of South Africa (HPCSA). In SA, oral health services are rendered by oral hygienists, dental therapists, dentists, and dental specialists. Dental caries remains one of the most prevalent conditions, and much of them are untreated. The majority of oral care providers are employed in the private sector even though the majority of the population access the public sector which only offers a basic package of oral care. The high prevalence of caries could be prevented and treated by the public sector. The infrastructure at primary health care facilities needs to be improved so that dentists performing community service can be more effectively utilized. At present, SA requires more dental therapists and oral hygienists to be trained at the academic training institutions.
Topics: Dental Caries; Dentists; Humans; Malocclusion; Mouth Neoplasms; Oral Health; Periodontal Diseases; South Africa
PubMed: 31091648
DOI: 10.3390/ijerph16101668 -
The Angle Orthodontist Jan 2022To evaluate and compare the perception of different dental professionals and laypersons toward altered gingival characteristics (microesthetics) and to identify those...
OBJECTIVES
To evaluate and compare the perception of different dental professionals and laypersons toward altered gingival characteristics (microesthetics) and to identify those characteristics that are most negatively and positively rated.
MATERIALS AND METHODS
A smiling photograph of a female dental student was selected and digitally manipulated to create changes in different microesthetic parameters. These altered images were rated by the following five groups: 120 orthodontists, 45 periodontists, 49 prosthodontists, 130 general dentists, and 172 laypersons. Smile esthetics scores were calculated, and comparisons between groups were performed using the univariate general linear model.
RESULTS
The presence of black triangles between the upper incisors was the most negatively rated, and the ideal smile was the most positively rated. Significant differences were detected in the rating scores among the different study groups (P < .05). Orthodontists, prosthodontists, and general dentists scored the presence of a black triangle in the smile as the least attractive, whereas periodontists and laypersons perceived the inflamed gingiva and pigmented gingiva as the least attractive, respectively. Dental specialists tended to give the altered smile images lower scores than the laypersons.
CONCLUSIONS
The ideal smile and that with black triangles between the upper incisors were rated as the most and the least attractive smiles, respectively. Orthodontists, prosthodontists, and general dentists scored the presence of black triangles in the smile as the least attractive, whereas periodontists and laypersons perceived the inflamed gingiva and pigmented gingiva as the least attractive smiles, respectively. Dental specialists tended to give the altered smile images lower scores than the laypersons.
Topics: Attitude of Health Personnel; Attitude to Health; Dentists; Esthetics, Dental; Female; Gingiva; Humans; Smiling
PubMed: 34520516
DOI: 10.2319/020521-108.1 -
Australian Dental Journal Mar 2020To examine the efect of age and gender on dental services provided by dentists in Australia, and compare with previous estimates across the period 1983-1984 to 2013-2014.
OBJECTIVES
To examine the efect of age and gender on dental services provided by dentists in Australia, and compare with previous estimates across the period 1983-1984 to 2013-2014.
METHODS
Data were collected by mailed survey from a random sample of Australian dentists. Private sector dentists were the focus of the analysis. Data were weighted to the age and sex distribution of Australian practising dentists.
RESULTS
The analysis was based on service logs collected from n = 211 dentists. Adjusted results (rate ratio, 95% CI) showed male dentists had higher endodontic rates (1.7, 1.0-2.9) than female dentists. Dentists aged 40-49 years had higher restorative rates (1.6, 1.1-2.2) but lower preventive rates (0.5, 0.3-0.9) than those aged 20-29 years. Diagnostic services were lower for dentists aged 40-49 to 60+ years (0.8, 0.6-0.9), while denture services were higher for dentists aged 40-49 (11.1, 2.5-48.5) to 60+ years (6.4, 1.2-33.3). Crowns were higher for dentists aged 40-49 (2.4, 1.0-5.6) and 50-59 years (2.9, 1.3-6.6). Diagnostic and preventive services were consistently higher across 1983-1984 to 2013-2014.
CONCLUSIONS
Younger dentists provided higher rates of diagnostic and preventive services. Over a 30-year period, there was a consistent trend towards higher provision of diagnostic and preventive services.
Topics: Adult; Australia; Crowns; Dental Care; Dentists; Dentists, Women; Female; General Practice, Dental; Humans; Male; Middle Aged; Practice Patterns, Dentists'; Sex Distribution; Surveys and Questionnaires; Young Adult
PubMed: 31814141
DOI: 10.1111/adj.12741 -
Canadian Journal of Public Health =... Sep 2017
Topics: Attitude of Health Personnel; Canada; Culturally Competent Care; Dental Health Services; Dentists; Health Services, Indigenous; Health Status Disparities; Humans; Indians, North American; Oral Health
PubMed: 28910241
DOI: 10.17269/CJPH.108.6243 -
Acta Otorhinolaryngologica Italica :... Apr 2021
Topics: Dentists; Head; Head and Neck Neoplasms; Humans; Neck; Surgeons
PubMed: 34060528
DOI: 10.14639/0392-100X-suppl.1-41-2021-13 -
BioMed Research International 2021The function of the masticatory apparatus is complete when the dentition is intact with contact between the individual teeth and proper occlusion with the antagonists....
INTRODUCTION
The function of the masticatory apparatus is complete when the dentition is intact with contact between the individual teeth and proper occlusion with the antagonists. For years, occlusal contacts have been studied to determine their exact location and describing various materials and methods for their registration such as paper foil, silk, and Shimstock foil. For years, occlusal contacts have been studied to determine their exact location and describe various materials and methods for their registration such as paper foil, silk, shim stock foil, the T-Scan system, and more recently the OccluSense system. The primary aim of the study was at evaluating which of the occlusal indicators is the most commonly used in practice, and the secondary aim was whether dentists are willing to use digital methods to examine occlusion.
MATERIALS AND METHODS
The main primary information of the survey was collected by sending electronically anonymous questionnaires to 2014 dentists, randomly selected from all regions of the country. 228 questionnaires were filled in and returned. To achieve the goal of the study, the self-developed questionnaire was created and tested to survey the opinion about the use of occlusal indicators in dental practice. Each questionnaire contains questions about the sociodemographic and professional status of the people in the group and their opinion about the positives and negatives and the effectiveness of occlusal indicators.
RESULTS
The obtained results confirm the statement that the most frequently used occlusal indicator in dental practice is the articulation paper. Articulation foil and silk are used less frequently than articulation paper. Of the listed quality indicators, Shimstock foil is rarely used in practice. Of the indicated quantitative indicators, the T-Scan system is more used than the OccluSense system. In the era of rapid technology development, the opinion and desire of dentists to increasingly want to introduce in their clinical practice quantitative methods are the digital diagnosis of occlusion.
CONCLUSION
In any dental practice, if technically possible, digital methods would be used, giving more accurate and reliable data on the registered occlusal contacts.
Topics: Adult; Aged; Attitude; Bulgaria; Dental Occlusion; Dentistry; Dentists; Diagnostic Tests, Routine; Female; Humans; Indicators and Reagents; Jaw Relation Record; Male; Malocclusion; Middle Aged; Motivation; Occlusal Adjustment; Surveys and Questionnaires
PubMed: 34778449
DOI: 10.1155/2021/2177385 -
International Journal of Environmental... Apr 2023The advent of new technology has caused significant changes in the field of dentistry, enabling dentists and orthodontists to provide more efficient and effective...
The advent of new technology has caused significant changes in the field of dentistry, enabling dentists and orthodontists to provide more efficient and effective treatments to their patients [...].
Topics: Humans; Dentists; Public Health; Orthodontists; Dental Care; Technology
PubMed: 37047978
DOI: 10.3390/ijerph20075364 -
International Dental Journal Aug 2022This study aimed to evaluate the level of knowledge, perception, and experience of teledentistry amongst Brazilian dentists with the ongoing COVID-19 pandemic.
OBJECTIVES
This study aimed to evaluate the level of knowledge, perception, and experience of teledentistry amongst Brazilian dentists with the ongoing COVID-19 pandemic.
METHODS
Between June and July 2020, an online questionnaire was used to collect information on the demographic and professional profiles of dentists and their levels of knowledge, perception, and attitudes towards teledentistry. Descriptive statistics were reported as percentages, and Chi-squared test was used to compare responses amongst general practitioners, specialists, and those with varying levels of professional experience.
RESULTS
This study included 575 dentists, the majority of whom were from the southeast region of Brazil (73.4%) and had a specialist degree (70.4%). Approximately 42.4% of the study sample had graduated more than 10 years ago, 39.3% between 2 and 10 years ago, and 18.3% up to 2 years ago. In general, the majority of dentists exhibited only a superficial awareness of the resolution that regulates teledentistry in Brazil. A greater number of specialists were aware of the resolution (P = .007) and felt confident performing teledentistry (P = .000) compared to general practitioners, whilst those with more experience (graduated more than 10 years ago) exhibited greater knowledge (P = .012) and preparation (P = .000). More than 60% of the dentists, regardless of dental specialty and clinical experience, had no knowledge of providing prescriptions via teledentistry. The majority of general practitioners (89.5%) and specialists (81.4%) had no previous experience using teledentistry.
CONCLUSIONS
The findings of this study suggest that Brazilian dentists are inadequately prepared for the implementation of teledentistry.
Topics: COVID-19; Dentists; Humans; Pandemics; Perception; Surveys and Questionnaires
PubMed: 34538666
DOI: 10.1016/j.identj.2021.07.007 -
British Dental Journal Apr 2021Registering as a dentist and working in the UK is a goal that many overseas dentists aspire to. Overseas-qualified dentists need to either pass a registration exam to be...
Registering as a dentist and working in the UK is a goal that many overseas dentists aspire to. Overseas-qualified dentists need to either pass a registration exam to be able to practise dentistry in the UK or, under certain circumstances, they can register through assessment. Additionally, temporary registration gives overseas-qualified dentists the opportunity to practise dentistry under supervision for up to five years. However, these routes are difficult and it could take a few years before a dentist is registered. These dentists have the academic route as well, but similar to the registration route, it is not easy and very competitive and expensive. Brexit and COVID-19 had their impact on the journey of these dentists and altered their plans to pursue their career in the UK. To sum up, the current system could probably be modified to be more in line with that of neighbouring countries. To my colleagues who have graduated from the UK or EU and are registered with the General Dental Council, please be aware that it is not an easy journey, requires a lot of money and time, and is an incredibly stressful time.
Topics: COVID-19; Dentists; European Union; Humans; SARS-CoV-2; United Kingdom
PubMed: 33893423
DOI: 10.1038/s41415-021-2835-0