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International Journal of Environmental... Jun 2023Antibiotics have undoubtedly revolutionized medicine and the health and survival of patients with life-threatening infections, being nonetheless free from potential... (Review)
Review
Antibiotics have undoubtedly revolutionized medicine and the health and survival of patients with life-threatening infections, being nonetheless free from potential adverse effects, and the risk of intestinal dysbiosis, antimicrobial resistance, and the resulting consequences for the patient's health and the public purse. The present study narratively reviewed the epidemiological data on worldwide antibiotic consumption and administration in dental practice, patients' adherence to prescriptions, the antimicrobial resistance phenomenon in dentistry, and the evidence supporting and recommending appropriate antibiotic use in dental care. Eligible systematic reviews and original studies in humans published in the English language from January 2000 to 26 January 2023 were considered. A total of 78 studies, 47 on the epidemiology of antibiotic use and prescription in dentistry, 6 on antibiotic therapy in dentistry, 12 on antibiotic prophylaxis in dentistry, 0 on adherence of dental patients to antibiotic prescription, and 13 on antimicrobial resistance in dentistry, were presently considered. Retrieved evidence revealed that antibiotics are frequently overused and misused in dental practice, dental patients frequently do not adhere to prescriptions, and antimicrobial resistance in dentistry is a still rising phenomenon also secondary to improper oral antiseptics use. The present findings highlighted the need to establish more evidence-based and accurate antibiotic prescriptions to sensitize dentists and dental patients to minimize and rationalize the use of antibiotics only when it is indicated and necessary, improve patients' adherence, and enhance knowledge and awareness of the antimicrobial resistance in dentistry.
Topics: Humans; Anti-Bacterial Agents; Dentists; Antibiotic Prophylaxis; Prescriptions; Dentistry
PubMed: 37297629
DOI: 10.3390/ijerph20116025 -
European Journal of Paediatric Dentistry Feb 2023It is widely recognised by the scientific dental community that the correct development of the deciduous and mixed dentitions is paramount to the oral health of...
It is widely recognised by the scientific dental community that the correct development of the deciduous and mixed dentitions is paramount to the oral health of paediatric patients. In this respect, interceptive orthodontics plays a fundamental role in the process. Specifically, the paediatric dentist monitors the condition of the mouth from early childhood, distinguishing three age brackets for intervention, each defined by their own characteristics. It would also be desirable for other professionals who treat young patients and their mothers to various extents, such as paediatricians, gynaecologists, obstetricians and speech therapists to share valuable information with us. What follows is a brief summary of important conditions and key information regarding interceptive orthodontics. Age range 0-3 years: breastfeeding during the first months of life has been shown to have a positive effect on the development of the jaws. Later on, the transition to solid food, promoted by the eruption of the deciduous teeth, further stimulates their growth. During this phase, it is recommended to monitor and intercept any muscular hypotonia and low tongue postures. Additionally, it is essential to instruct parents on the proper dietary and lifestyle behaviours needed to ensure the physiological growth of the child, while protecting the health of their oral cavity. Age range 4-6 years: attention should be paid to the deciduous dentition and the development of the upper and lower maxillary bones, along with prompt interception and correction of bad habits such as the continued use of the pacifier, finger sucking, oral breathing and atypical swallowing. Age >6 years: within this phase, the careful monitoring of the space available in the arch, the natural exfoliation of milk teeth, the eruption of the permanent teeth and their occlusal relationship, as well as the maxillomandibular relationship are all important. If necessary, in addition to removing any risk factor, fixed or mobile orthodontic appliances can also be used during the above stages, especially stage 2 and 3, depending on the occlusal and skeletal status of the patient. Early diagnosis of malocclusion is crucial, as well as the sharing of information with other clinicians that deal with children and their parents, who need to be informed about the various therapies that their child may need. The paediatric dentist could, in fact, directly reach out to families to make them understand that malocclusion and other manifestations linked to conditions affecting oral functions such as breathing, sleeping, chewing and feeding often show the first signs as early as pre-school age, long before eruption of the first milk tooth, which is the time when the first dental visit is usually booked! We trust that awareness is the first form of prevention, and this is the message that must be conveyed to all of those involved in paediatric dentistry, patients and professionals alike: awareness and prevention is the first cure.
Topics: Humans; Child; Child, Preschool; Female; Infant, Newborn; Infant; Orthodontics, Interceptive; Malocclusion; Breast Feeding; Dentists; Dentition, Mixed
PubMed: 36853207
DOI: 10.23804/ejpd.2023.24.01.01 -
The Journal of Clinical Pediatric... Sep 2023Stainless steel crowns (SSCs) are the preferred restoration of pediatric dentists for children requiring a pediatric dental rehabilitation due to their low cost and...
Stainless steel crowns (SSCs) are the preferred restoration of pediatric dentists for children requiring a pediatric dental rehabilitation due to their low cost and durability. Despite low technique sensitivity SSC placement can be challenging in some clinical situations including when placed on primary canines. Primary canines restored with SSCs often result in premature contacts and posterior open bite making acquiring an "as the patient presented" (ATPP) occlusion difficult when providing a pediatric dental rehabilitation. Opening of the posterior occlusion due to premature canine contact in a dental rehabilitation is often viewed as unavoidable. This technique article describes a simple method to address this clinical situation and reviews basic principles and techniques for placing SSCs.
Topics: Child; Humans; Dentists; Open Bite
PubMed: 37732429
DOI: 10.22514/jocpd.2023.047 -
Anesthesia Progress Jun 2022
Topics: Dental Technicians; Dentists; Humans; Oral Health
PubMed: 35849807
DOI: 10.2344/anpr-69-02-15 -
Missouri Medicine 2019
Topics: Analgesics, Opioid; Dentistry; Dentists; Humans; Practice Patterns, Physicians'
PubMed: 31911725
DOI: No ID Found -
Primary Dental Journal Mar 2020As part of the holistic approach to their patients, General Dental Practitioners are well placed to identify common skin lesions. Awareness and recognition of worrying... (Review)
Review
As part of the holistic approach to their patients, General Dental Practitioners are well placed to identify common skin lesions. Awareness and recognition of worrying lesions allow timely and appropriate referrals for further investigation and treatment. In this paper, we review benign, premalignant and malignant skin lesions, as well as genetic skin conditions. Past medical, family and social history (including sun exposure and previous cutaneous malignancy) is important. Examination includes the lesion, the skin type and the regional lymph nodes. The different common lesions are described, and the epidemiology, clinical features and treatment are discussed. Screening for skin lesions on the head and neck may be undertaken as part of overall dental care as part of the holistic examination of patients. Particularly with precancerous lesions and skin cancer, an early detection and referral from a dentist can expedite treatment and improve prognosis.
Topics: Dentists; Dermatology; Humans; Precancerous Conditions; Professional Role; Skin Neoplasms
PubMed: 32519610
DOI: 10.1177/2050168420911028 -
British Dental Journal Feb 2022Introduction Mentoring plays a key role in supporting individuals and organisations. It is a journey in which the mentor aids the development of their clients by setting... (Review)
Review
Introduction Mentoring plays a key role in supporting individuals and organisations. It is a journey in which the mentor aids the development of their clients by setting achievable goals and realistic plans, monitoring progress and providing feedback or assisting reflection. The mentor assists the learner in solving problems and providing personal support and motivation. As the relationship develops over time, the mentor will need to utilise various skills, knowledge and behaviours in order to facilitate successful outcomes. Effective mentoring relies on a process known as the 'mentor life cycle.' This involves the matching process, contracting, use of mentor models or diagnostic tools, appraisal, peer and group supervision.Methods A literature review was performed (keywords were 'coaching' or 'coach', 'mentoring' or 'mentor' and 'dentistry'). Guidance, institutional publications and original research were considered. Limits were applied (2013 onwards, English only). The evidence was appraised to inform a best practice guide for use in mentoring, applicable to dentistry.Conclusion Mentoring can create a positive culture that can help team members share knowledge, cultivate new ideas and improve team working. This paper explores the role of mentoring in a dental healthcare setting and the use of the 'mentor's toolkit' to promote professional development of the individuals involved. It also highlights the stages of the mentoring process, use of the GROW model and the role of supervision to support mentors in mutual growth and learning. When used effectively, the mentoring process positively impacts on both the organisation and the individuals within it, ultimately resulting in better patient care.
Topics: Dentistry; Dentists; Humans; Mentoring; Mentors; Motivation
PubMed: 35217747
DOI: 10.1038/s41415-022-3979-2 -
British Dental Journal May 2022Background Fictional portrayals of dentists in feature films have remained largely unexamined to date. The aim of this review is consequently to catalogue and analyse... (Review)
Review
Background Fictional portrayals of dentists in feature films have remained largely unexamined to date. The aim of this review is consequently to catalogue and analyse available films produced by US entertainment industry that present 'dentists in action'.Methods Relevant motion pictures were identified by means of keyword-based inquiries in search engines, online databases, websites and by handsearch.Results Between 1913-2013, almost 60 American films with dental treatment as a motif were released. Dentists on-screen appeared mainly in comedies and mostly as supporting actors. Surgical treatments dominated in earlier films and tooth-preserving therapy in later films; other fields of dentistry were marginalised. The time lag between a dental innovation and its screen debut varied between 50 years (x-rays) and 10 years (turbine). For a long time, filmmakers refused to allow female dentists to appear on screen. Although there is no consistent stereotype of a dentist, the figure of 'Dr Awkward' can be attributed to the silent film era, 'Dr Prosperous' to the 1960s/1970s and 'Dr Evil' to the 1980s/1990s.Discussion Popular media does not only reflect aspects of reality; they also create reality and establish a professional image. Thus, filmic representations of dentists have an immediate effect on an audience of millions of movie-goers and television viewers. Greater attention should be devoted to the interplay of cinematic and dental art by both dental professionals and film historians.
Topics: Dentists, Women; Female; Humans; Motion Pictures; Stereotyping; Television; United States
PubMed: 35624265
DOI: 10.1038/s41415-022-4145-6 -
Journal of Dentistry Oct 2023Dentists in Australia are the second largest prescriber group, and are generally not formally taught how to prescribe. The objective of this review is to describe the... (Review)
Review
OBJECTIVES
Dentists in Australia are the second largest prescriber group, and are generally not formally taught how to prescribe. The objective of this review is to describe the Prescribing Competencies Framework and its relevance to dentistry.
DATA
The four-model stage of prescribing by Coombes and colleagues, and the seven competencies within the Prescribing Competencies Framework devised by the Australian National Prescribing Service MedicineWise, are discussed and applied to dentistry.
SOURCES AND STUDY SELECTION
Each of the seven competencies are analysed and detailed in the context of clinical dental practice. Competencies 1-5 describe the skillset and tasks required by dentists to safely prescribe, whereas Competencies 6 and 7 describe the clinical environment and recommended resources to support dentists to prescribe safely and effectively.
CONCLUSIONS
The Prescribing Competencies Framework provides an overview of safe and effective prescribing. Prescribing is a process, and a separate skillset to clinical dentistry. The process involves information gathering, clinical assessment, effective communication and review of the patient. Access to timely and appropriate resources and relevant electronic sources of health information for clinicians are important to provide the support required for better informed prescribing decisions. The framework describes a patient-centered prescribing process, and ultimately prescribing should be a shared decision between the dentist and the patient.
CLINICAL SIGNIFICANCE
Safe and effective prescribing is an integral part of dentistry and dentists are the second largest prescriber group. However, dentists display high rates of inappropriate and unnecessary prescribing, and to minimise errors, the Prescribing Competencies Framework has been established. This article details how the Framework applies to clinical practice dentistry.
Topics: Humans; Australia; Dentistry; Dentists
PubMed: 37574106
DOI: 10.1016/j.jdent.2023.104654 -
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