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Primary Dental Journal Mar 2020The general assessment and extra oral examination of the dental patient can identify undiagnosed or undisclosed medical conditions, such as malignancies, endocrine... (Review)
Review
The general assessment and extra oral examination of the dental patient can identify undiagnosed or undisclosed medical conditions, such as malignancies, endocrine conditions and signs indicating raised cardiovascular or cerebral vascular risk. This knowledge may influence dental treatment, and could impact the morbidity and mortality of the patient. This article gives an overview of the general and extra oral examination of the dental patient.
Topics: Dental Care; Diagnosis, Oral; Humans
PubMed: 32519612
DOI: 10.1177/2050168420911016 -
Journal of the World Federation of... Dec 2022In the digital dentistry era, new tools, algorithms, data science approaches, and computer applications are available to researchers and clinicians. However, there is... (Review)
Review
In the digital dentistry era, new tools, algorithms, data science approaches, and computer applications are available to researchers and clinicians. However, there is also a strong need for better knowledge and understanding of multisource data applications, including three-dimensional imaging information such as cone-beam computed tomography images and digital dental models for multidisciplinary cases. In addition, artificial intelligence models and automated clinical decision systems are rising. The clinician needs to plan the treatment based on state-of-the-art diagnosis for better and more personalized treatment. This article aimed to review basic concepts and the current panorama of digital implant planning in orthodontics, with open-source and closed-source tools for assessing cone-beam computed images and digital dental models. The visualization and processing of the three-dimensional data allow better implant planning based on bone conditions, adjacent teeth and root positions, and the prognosis of the case. We showed that many tools for assessment, segmentation, and visualization of cone-beam computed tomographic images and digital dental models could facilitate the treatment planning of patients needing implants or space closure. The tools and approaches presented are toward personalized treatment and better prognosis, following the path to a more automated clinical decision system based on multisource three-dimensional data, artificial intelligence models, and digital planning. In summary, the orthodontist needs to analyze each patient individually and use different software or tools that better fit their practice, allowing efficient treatment planning and satisfactory results with an adequate prognosis.
Topics: Humans; Orthodontics; Artificial Intelligence; Dental Implants; Dental Care; Orthodontists
PubMed: 36400658
DOI: 10.1016/j.ejwf.2022.10.006 -
BMC Oral Health May 2023Under dentistry's social contract with the public, dental professionals have a social responsibility to address the oral health needs of the population at large....
BACKGROUND
Under dentistry's social contract with the public, dental professionals have a social responsibility to address the oral health needs of the population at large. However, dental education places little emphasis on such moral commitments. By ascertaining dental students' stance regarding these notions, we may be able to inform changes in dental education. This paper thus explores dental students' comprehension of dentistry's social contract using the concepts of moral inclusion, moral community and empathy.
METHODS
A cross-sectional online survey collected information from undergraduate dental students at the Faculty of Dentistry, University of Toronto (N = 430). Moral inclusion was assessed through the breadth of students' moral community by computing a "moral inclusion score" (MIS) from Likert scale responses to statements that asked students about their duty of care for different population groups, wherein a higher MIS indicated a broader moral community and in turn greater moral inclusiveness. Empathy was assessed using Likert scale responses to statements that gauged the extent to which students understood the effect of social determinants on people's health. Association of the MIS with environmental, institutional and student-related factors was also investigated using non-parametric tests and linear regression.
RESULTS
The survey yielded a response rate of 51.4% (n = 221). Overall, students in this sample were morally inclusive and displayed empathy. Regression results showed that the MIS was most strongly associated with choosing a small town/rural area as a future practice location (β = 4.76, 95% CI: 0.52, 9.01) and viewing patients as consumers (β = -3.71, 95%CI: -7.13, -0.29).
CONCLUSION
Students in this sample made morally inclusive choices, which implied that they had a basic understanding of the obligations under dentistry's social contract. Improving knowledge and experience with regards to addressing the social and economic determinants of oral health and access to oral health care may positively influence students' perceptions of their professional duties under the social contract.
Topics: Humans; Students, Dental; Cross-Sectional Studies; Morals; Faculty; Dentistry
PubMed: 37165354
DOI: 10.1186/s12903-023-02994-0 -
Dental Press Journal of Orthodontics 2022To develop and make available, at no cost to the user, Information and Communications Technology (ICT) tools for Dentistry, providing dental information and advice...
OBJECTIVE
To develop and make available, at no cost to the user, Information and Communications Technology (ICT) tools for Dentistry, providing dental information and advice geared toward patients undergoing orthodontic treatment with fixed appliances.
MATERIAL AND METHODS
A Dentistry-based content that contemplated information and advice concerning orthodontic treatment with fixed appliances was elaborated. The materials, which included instructions on oral hygiene and treatment strategies when faced with possible complications, were evaluated and validated by specialists, whose assessments reached a 85% approval. From the validated content, products using four distinct ICT tools were formulated.
RESULTS
The following technological products were developed: a program for community radios, three blog posts, four educational and informative videos, and a smartphone application - using texts, as well as images and videos. These ICT tools, geared toward patients wearing fixed orthodontic appliances, were made available by internet at no cost to the user, and the number of accesses is already expressive.
CONCLUSION
These technological-scientific tools, developed and provided freely to the population, can aid patients during their treatment with fixed orthodontic appliances, contributing to the dissemination of reliable information, and clarifying doubts that may arise during orthodontic therapy. These free ICT tools serve to facilitate access to scientific knowledge, thereby favoring social inclusion, bearing in mind that this educational and informative material was offered in a simple and accessible manner to the general population.
Topics: Emotions; Humans; Orthodontic Appliances; Orthodontic Appliances, Fixed; Technology
PubMed: 35792794
DOI: 10.1590/2177-6709.27.3.e22spe3 -
Periodontology 2000 Oct 2023Rehabilitation of the edentulous maxilla with implant-supported fixed dental prostheses can represent a significant clinical challenge due to limited bone availability... (Review)
Review
Rehabilitation of the edentulous maxilla with implant-supported fixed dental prostheses can represent a significant clinical challenge due to limited bone availability and surgical access, among other factors. This review addresses several treatment options to replace missing teeth in posterior maxillary segments, namely the placement of standard implants in conjunction with maxillary sinus floor augmentation, short implants, tilted implants, and distal cantilever extensions. Pertinent technical information and a concise summary of relevant evidence on the reported outcomes of these different therapeutic approaches are presented, along with a set of clinical guidelines to facilitate decision-making processes and optimize the outcomes of therapy.
Topics: Humans; Dental Implantation, Endosseous; Dental Implants; Sinus Floor Augmentation; Maxilla; Dental Prosthesis Design; Mouth, Edentulous; Dental Prosthesis, Implant-Supported; Jaw, Edentulous; Treatment Outcome
PubMed: 37486029
DOI: 10.1111/prd.12507 -
European Journal of Paediatric Dentistry Dec 2022The aim of this paper is to illustrate the concept of DOP Dentistry (Digital Ortho Paediatric Dentistry) in daily practice.
AIM
The aim of this paper is to illustrate the concept of DOP Dentistry (Digital Ortho Paediatric Dentistry) in daily practice.
CASE REPORT
DOP Dentistry is a new concept introduced by the authors to express the perfect integration between two disciplines that for a long time have been separated: paediatric dentistry and paediatric orthodontics. In modern dentistry it is increasingly important for the paediatric dentist to have skills and abilities that embrace both of these disciplines. To these we have to add a third element, represented by new digital technologies, as well as new bioactive ionic resin composites and biocompatible technopolymers to perform fully digital, integrated paediatric orthodontic treatments.
CONCLUSION
Based on the DOP Dentistry concept, that definitely changes the paradigm of taking care of children, new and fascinating scenarios open up, that will lead us to a more integrated management of our little patients, their needs and those of their family with a new, more ergonomic, efficient and tailor-made approach.
Topics: Humans; Child; Pediatric Dentistry; Orthodontics; Dental Care; Dentists
PubMed: 36511910
DOI: 10.23804/ejpd.2022.23.04.08 -
BMC Oral Health Dec 2022The aim of the current study was to investigate current dental practice in operative dentistry in Jordan, and the relationship between evidence-based dentistry in caries...
BACKGROUND
The aim of the current study was to investigate current dental practice in operative dentistry in Jordan, and the relationship between evidence-based dentistry in caries research and decision making in clinical practice in operative dentistry.
MATERIALS AND METHODS
This cross-sectional study was conducted through a survey of dentists in Jordan. The survey aimed to explore the degree of knowledge and practice of evidence-based dentistry in caries research the dentists possess regarding clinical decision making in operative dentistry. The sample size was composed of (5811) dentists whom registered in Jordan Dental Association database. Descriptive statistics were generated and Chi-square test was used to examine associations between the different variables and the significance level was set at P < 0.05.
RESULTS
4000 responses were collected from the web-survey, response rate (68.83%). Nearly half of the surveyed dentists focus on the chief complaint of their patients (n = 2032, 50.8%) rather than doing full mouth assessment. Nearly two-thirds of dentists (n = 2608, 65.2%) treat lesions confined to enamel with operative treatment. Half of dentists use operative treatment when asked about the routine management of radiographically detected proximal caries confined to enamel. When treating incipient lesions, the majority (n = 3220, 80.5%) use preventive treatment. Three-quarters of dentists (n = 2992, 74.8%) treat deep dentinal caries by removing just the soft infected carious dentin, and treated old failed restorations with replacement.
CONCLUSION
In operative dentistry, the evidence-based research is not implemented clinically. To optimize relationship between evidence-based dentistry and clinical decision-making, dental curriculum has to be updated and modified constantly.
Topics: Humans; Clinical Decision-Making; Cross-Sectional Studies; Decision Making; Dental Caries; Dental Restoration, Permanent; Dentistry, Operative; Dentists; Evidence-Based Dentistry; Jordan; Practice Patterns, Dentists'; Surveys and Questionnaires; Esthetics, Dental
PubMed: 36566180
DOI: 10.1186/s12903-022-02641-0 -
Advances in Dental Research Dec 2019The aim of this review is to investigate the growth of diversity and inclusion in global academic dental research with a focus on gender equality. A diverse range of... (Review)
Review
The aim of this review is to investigate the growth of diversity and inclusion in global academic dental research with a focus on gender equality. A diverse range of research methodologies were used to conduct this review, including an extensive review of the literature, engagement of key informants in dental academic leadership positions around the world, and review of current data from a variety of national and international organizations. Results provide evidence of gender inequalities that currently persist in dental academics and research. Although the gender gap among graduating dental students in North America and the two most populous countries in Europe (the United Kingdom and France) has been narrowed, women make up 30% to 40% of registered dentists in countries throughout Europe, Oceania, Asia, and Africa. In academic dentistry around the globe, greater gender inequality was found to correlate with higher ranking academic and leadership positions in the United States, United Kingdom, several countries in European Union, Japan, and Saudi Arabia. Further disparities are noted in the dental research sector, where women make up 33% of dental researchers in the European Union, 35% in North America, 55% in Brazil, and 25% in Japan. Family and societal pressures, limited access to research funding, and lack of mentoring and leadership training opportunities are reported as also contributing to gender inequalities. To continue advancing gender equality in dental academia and research, efforts should be geared toward the collection and public dissemination of data on gender-specific distributions. Such evidence-driven information will guide the selection of future strategies and best practices for promoting gender equity in the dental workforce, which provides a major pipeline of researchers and scholars for the dental profession.
Topics: Demography; Dentistry; Humans; Sex Ratio; Socioeconomic Factors; Workforce
PubMed: 31746651
DOI: 10.1177/0022034519877398 -
Dental Materials : Official Publication... Sep 2023Trans-mucosal platforms connecting the bone-anchored implants to the prosthetic teeth are essential for the success of oral rehabilitation in implant dentistry. This... (Review)
Review
OBJECTIVES
Trans-mucosal platforms connecting the bone-anchored implants to the prosthetic teeth are essential for the success of oral rehabilitation in implant dentistry. This region promotes a challenging environment for the successfulness of dental components due to the transitional characteristics between soft and hard tissues, the presence of bacteria, and mechanical forces. This review explored the most current approaches to modify trans-mucosal components in terms of macro-design and surface properties.
METHODS
This critical review article revised intensely the literature until July 2023 to demonstrate, discuss, and summarize the current knowledge about marketable and innovative trans-mucosal components for dental implants.
RESULTS
A large number of dental implant brands have promoted the development of several implant-abutment designs in the clinical market. The progress of abutment designs shows an optimistic reduction of bacteria colonization underlying the implant-abutment gap, although, not completely inhibited. Fundamental and preclinical studies have demonstrated promising outcomes for altered-surface properties targeting antibacterial properties and soft tissue sealing. Nanotopographies, biomimetic coatings, and antibiotic-release properties have been shown to be able to modulate, align, orient soft tissue cells, and induce a reduction in biofilm formation, suggesting superior abilities compared to the current trans-mucosal platforms available on the market.
SIGNIFICANCE
Future clinical implant-abutments show the possibility to reduce peri-implant diseases and fortify soft tissue interaction with the implant-substrate, defending the implant system from bacteria invasion. However, the absence of technologies translated to commercial stages reveals the need for findings to "bridge the gap" between scientific evidences published and applied science in the industry.
Topics: Humans; Dental Implants; Peri-Implantitis; Tooth; Dental Abutments; Dental Implant-Abutment Design
PubMed: 37537095
DOI: 10.1016/j.dental.2023.07.009 -
International Journal of Molecular... Feb 2023Light is an emerging treatment approach that is being used to treat many diseases and conditions such as pain, inflammation, and wound healing. The light used in dental... (Review)
Review
Light is an emerging treatment approach that is being used to treat many diseases and conditions such as pain, inflammation, and wound healing. The light used in dental therapy generally lies in visible and invisible spectral regions. Despite many positive results in the treatment of different conditions, this therapy still faces some skepticism, which has prevented its widespread adoption in clinics. The main reason for this skepticism is the lack of comprehensive information about the molecular, cellular, and tissular mechanisms of action, which underpin the positive effects of phototherapy. However, there is currently promising evidence in support of the use of light therapy across a spectrum of oral hard and soft tissues, as well as in a variety of important dental subspecialties, such as endodontics, periodontics, orthodontics, and maxillofacial surgery. The merging of diagnostic and therapeutic light procedures is also seen as a promising area for future expansion. In the next decade, several light technologies are foreseen as becoming integral parts of modern dentistry practice.
Topics: Photobiology; Orthodontics; Endodontics; Periodontics; Surgery, Oral
PubMed: 36835395
DOI: 10.3390/ijms24043985