| 1. |
- Devlin, Hugh, et al.
(författare)
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The role of the dental surgeon in detecting osteoporosis : the OSTEODENT study
- 2008
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 204:10
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- OBJECTIVE: To determine if thinning (<3 mm width) of the lower cortical border of the mandible on dental panoramic radiographs, as well as other clinical risk factors, may provide a useful diagnostic test for osteoporosis in young postmenopausal women. DESIGN: Six hundred and fifty-two subjects (age range 45-70 years) were involved in this multi-centre, cross-sectional study. SETTING: Patients were recruited from centres in Leuven (Belgium), Athens (Greece), Manchester (UK), and Malmo (Sweden). SUBJECTS AND METHODS: The subject's age, body weight, whether the patient took hormone replacement therapy or had a history of low trauma fracture were used to form a clinical osteoporosis risk assessment (the OSteoporosis Index of RISk or OSIRIS index). Each patient also received a dental panoramic radiographic examination. RESULTS: One hundred and forty subjects had osteoporosis involving at least one of the measurement sites (lumbar spine, femoral neck or total hip). Those with osteoporosis tended to have a low OSIRIS score and a thinned cortical mandibular border. The area under the ROC curve for using both cortical width and OSIRIS to predict osteoporosis was 0.90 (95% CI = 0.87 to 0.92). There was a significant improvement in the diagnostic ability of the combined OSIRIS and cortical width test over both tests applied separately (p <0.001). The cost effectiveness of the cortical width and OSIRIS model was improved by using a high specificity threshold rather than high sensitivity. However, this analysis ignores the costs associated with missed cases of osteoporosis. CONCLUSION: Dentists have a role to play in the detection and referral of patients at high risk of osteoporosis.
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| 2. |
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| 3. |
- Ellervall, E, et al.
(författare)
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Antibiotic prophylaxis in oral healthcare - the agreement between Swedish recommendations and evidence.
- 2010
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 1476-5373 .- 0007-0610. ; 208:3, s. 5-115
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Almost all (17/20) Swedish counties have pharmaceutical committees that establish recommendations for the use of antibiotic prophylaxis in oral healthcare.Objective To evaluate the evidence for the use of antibiotic prophylaxis in oral healthcare and the agreement between Swedish recommendations and evidence. MATERIAL AND METHODS: We conducted a systematic literature search in PubMed and the Cochrane Controlled Trials Register. The MeSH terms 'antibiotic prophylaxis' and 'dentistry' were used in the database search. Abstracts were reviewed according to specific inclusion and exclusion criteria. A total of 186 articles were read in full text by the four authors independently. Data extraction and interpretation of data was carried out using a pre-defined protocol. In the end, one case-control study was included for evaluation of evidence. RESULTS: The case-control study included patients with specific cardiac conditions. The study reported a 49% protective efficacy (odds ratio: 0.51) of antibiotic prophylaxis for first-time episodes of endocarditis within 30 days of procedure. This result was not statistically significant. The quality of the evidence was low. No studies were evaluated on patients with other medical conditions. The recommendations included several cardiac and other medical conditions for which there is a lack of evidence or no evidence to support the use of antibiotic prophylaxis.CONCLUSIONS: There is a lack of evidence to support the use of antibiotic prophylaxis. To avoid the risk of adverse events from antibiotics and the risk of developing resistant bacterial strains, the use of antibiotic prophylaxis should be minimised and recommendations in Sweden should be revised to be more evidence-based.
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| 4. |
- Eriksson, Annika, et al.
(författare)
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Clinical factors and clinical variation influencing the reproducibility of interocclusal recording methods
- 2002
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Ingår i: British Dental Journal. - 0007-0610 .- 1476-5373. ; 192:7, s. 395-400
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Tidskriftsartikel (refereegranskat)abstract
- Objective The reproducibility of clinical records of the occlusion was assessed in three dimensions using mounted casts. Three distinct areas were examined: 1) mandibular positions (intercuspal position (IP) or retruded contact position (RCP)), 2) materials used in recording the occlusion, 3) clinical variation. Design Interocclusal records were made in a random order of three patients: one fixed prosthodontics case, one removable partial denture case and one complete denture case, with two different types of waxes, record rims, two different brands of vinyl polysiloxanes and one irreversible hydrocolloid. Setting Private practice and Karolinska Institute, Huddinge, Sweden, Subjects One general dental practitioner and three voluntary patients. Results Point estimation of variance components indicate that 70-93% of the variation of the positions of the mounted casts are caused by: 1) clinical variation for all three cases and in three directions, 2) the influence of recording materials 0-29%, and 3) mandibular positions (IP/RCP) 0-11%. The ranges of the positions of the mounted casts were lower for the dentate case (0.04-1.39 mm) than for the partially dentate case (0.17-2.65 mm), which in turn was lower than those for the edentulous case (1.42-5.59 mm). Conclusion Clinical variation seems to dominate the variation in positions of mounting casts when making interocclusal records, rather than mandibular position or the recording materials used. Therefore a dentist who makes one single interocclusal record cannot presume that it will reproduce the interocclusal relationship intended, which in the present study was most obvious for the edentulous case. The results showed that impression materials stabilised by a tray did not differ significantly from waxes and record rims concerning the reproducibility. Therefore the stabilised impression materials are an alternative, which also give additional advantages like reduction of appointments as well as superior accuracy.
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| 5. |
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| 6. |
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| 7. |
- Ferreria Kunrath, Marcel, 1988, et al.
(författare)
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Does saliva contamination interfere or stimulate regenerative processes applying current biomaterials on oral surgical sites?
- 2023
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 234:5, s. 305-307
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Tidskriftsartikel (refereegranskat)abstract
- Innovative dental biomaterials have been developed in order to stimulate higher biocompatibility and faster healing times using responsive surfaces for regenerative procedures. However, saliva is one of the fluids to interact with these biomaterials in the first instance. Studies have revealed significant negative effects on the biomaterials' properties, biocompatibility and bacterial colonisation after saliva contact. Nevertheless, the current literature is unclear about the profound effects of saliva on regenerative procedures. The scientific community urges further detailed studies associating innovative biomaterials/saliva/microbiology/immunology in order to clarify clinical outcomes. This paper discusses and provides information about the challenges of research using human saliva, the lack of standardisation in protocols applying saliva, and tentative applications of saliva proteins associated with innovative dental biomaterials.
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| 8. |
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| 9. |
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| 10. |
- Hedlund, Sven-Olof, et al.
(författare)
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Retention of prefabricated and individually cast root canal posts in vitro.
- 2003
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Ingår i: British Dental Journal. - 0007-0610 .- 1476-5373. ; 195:3, s. 155-158
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The aim of the study was to evaluate the retention of prefabricated root canal posts made of a variety of materials that have recently been introduced into dentistry. Materials and methods: The posts studied were CosmoPost, Composipost carbon fibres, Composipost Æstheti-Plus, Composipost Light-Post, and Para Post Fiber White. The posts were luted in extracted human premolars and the cores were built up with the resin composites recommended by the manufactures. The retention of individually cast gold alloy posts luted with zinc-phosphate cement were used as reference. A universal testing machine was used to determine the retention of each cemented post. Data were compared using ANOVA supplemented with Fisher’s PLSD at a significance level of p < 0.05. Results: Only the CosmoPost system exhibited retention values that were significantly lower then for the conventionally cast gold alloy posts luted with zinc-phosphate cement. The force necessary to loosen the CosmoPost specimens was significantly less than that needed to loosen the Composipost Æstheti-Plus (p < 0.05) and the Composipost Light-Post systems (p < 0.001). The force necessary to loosen the Para Post Fiber White specimens was significantly less than for the Composipost Light-Post system (p < 0.01). Other combinations did not differ significantly (p > 0.05). Conclusions: When zirconium oxide ceramic posts are luted with resin composites the bonding between the ceramic and resin composite seems to be weak. Further studies are thus necessary to achieve improved retention of all-ceramic root canal posts.
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| 11. |
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| 12. |
- Kharazmi, Mohammad, et al.
(författare)
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Case report : Oral surgery
- 2017
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 223:9
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Tidskriftsartikel (refereegranskat)
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| 13. |
- Kharazmi, Mohammad, et al.
(författare)
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Oral surgery : Prominent bone shelves
- 2014
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 216:10, s. 544-545
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Tidskriftsartikel (refereegranskat)
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| 14. |
- Klingberg, Gunilla
(författare)
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Summary of pain: Pain behaviour and distress in children during two sequential dental visits : comparing a computerised anaesthesia delivery system and a traditional syringe
- 2008
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 205:1, s. 30-31
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Objective To compare the pain and distress response of children receiving a local anesthesia injection using a computerised device (Wand((R))) or a traditional syringe over two consecutive treatment sessions and to study whether the response to the two injection techniques was different for high or low dentally anxious children.Design Randomised controlled trial.Setting Secondary dental care practice specialised in treating children.Subjects and Methods Children were selected and randomly allocated to the Wand((R)) or traditional injection condition. Parents completed the Dental Subscale of the Children's Fear Survey Schedule (CFSS-ds). Based on video recordings of the injections, for each 15 seconds, the occurrence of five pain related behaviours was registered and a score was given on the Venham distress scale. Children rated their pain after each injection.Intervention Over two consecutive treatment sessions one group received two local anaesthesia injections with the traditional syringe and the other group received two injections with the Wand((R)).Outcome measures The mean number of pain related behaviours, the mean distress scores and the self-reported pain scores were compared. Based on the CFSS-ds subjects were split into highly and low dentally anxious children.Results One hundred and forty-seven subjects participated in the study: aged 4-11 years, 71 girls. Based on the behaviour displayed during the local anaesthesia injection and the self-reported pain after the injection, no difference could be found between an injection with the traditional syringe or the Wand((R)) over the first or second treatment session. However, on the first treatment session, highly anxious children reported more pain (p = 0.001), displayed more pain related behaviour (p = 0.002) and more distress (p <0.001) than low anxious children in reaction to the local anaesthesia injection.Conclusion No clear difference in the response of referred children could be found between an injection with the Wand((R)) or the traditional syringe. Level of dental anxiety was found to be an important factor in the response of children to a local anaesthesia injection.
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| 15. |
- Liedholm, Rolf, et al.
(författare)
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Third molar treatment outcome : a comparison of patients' preferences in Sweden and Wales
- 2005
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 199:5, s. 287-291
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To elucidate and compare patients’ outcome preferences with regard to removal and retention of mandibular third molars in Sweden and Wales. Subjects and Method: The subjects comprised patients referred for and scheduled for removal of one or both mandibular third molars in both Sweden and Wales. To study patients’ preferences for outcomes of removal and retention of the mandibular third molar, the Multi-attribute utility (MAU) methodology was applied to these patients. Results: Relative weighting of domains was similar in the two countries. “Home and social life” received the highest relative weighting in Sweden and “General health and well-being” in Wales. “Your appearance” received the lowest relative weighting in Sweden and Wales. In both Sweden and Wales operative jaw fracture was considered to be the outcome with most impact and dentigerous cyst and imbricated incisors the least impact. Outcome ranking was similar in the two countries and operative outcomes were considered by patients to be more detrimental to health than retention outcomes. Conclusions: This European comparison showed that patients’ preferences in Sweden and Wales were similar and that the outcomes of surgery were considered worse after third molar removal than retention. Patient-orientated treatment decisions are less subject to variation than clinician-orientated decisions.
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| 16. |
- Plangger, K., et al.
(författare)
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Smart dental practice : capitalising on smart mobile technology
- 2015
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 219:3, s. 135-138
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Tidskriftsartikel (refereegranskat)abstract
- To keep pace with consumer adoption of smart mobile devices, such as smartphones and tablets, and the applications ('apps') developed for these devices, dental professionals should consider how this technology could be used to simultaneously improve both patient service experiences and dental practice management. Using U-Commerce as a theoretical lens, this article discusses the potential value of smart mobile technology to the dental practice context, with a particular focus on the unique and customisable capabilities of apps. To take full advantage of this technology, a process is outlined for identifying and designing bespoke dental apps that takes into account the unique advantages of these devices. Dental practices, with increasing financial and competitive pressures, may improve the efficiency and profitability of operations and better manage patients, employees and stakeholders by integrating smart mobile technology.
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| 17. |
- Pälvärinne, Raimo, et al.
(författare)
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The healthcare system and the provision of oral healthcare in European Union member states. Part 9: Sweden
- 2018
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 224:8, s. 647-651
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Tidskriftsartikel (refereegranskat)abstract
- Equally accessible and affordable dental services for all population groups have been a political goal in Sweden for almost a century. All political parties have shared the idea that a person's social background should not have consequences for his or her dental status. Strategic tools to achieve this ambitious goal have been the wide use of publicly provided oral healthcare services, covering even sparsely populated areas, focusing on preventive care and significant subsidies for necessary treatments. Besides free care for children and young adults, oral healthcare is reimbursed from public funds. The public subsidy was particularly generous in 1975-1999 when a 'full clearance' of adults' dentitions was undertaken both by the public and private providers under fixed prices and high reimbursement levels for all treatment measures. Today, preventive oral healthcare for the elderly is given higher priority as most Swedes have been able to keep their natural teeth. © 2018 Nature Publishing Group. All Rights Reserved.
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| 18. |
- Sandy, J, et al.
(författare)
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Using service rationalisation to build a research network : lessons from the centralisation of UK services for children with cleft lip and palate
- 2012
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Ingår i: British Dental Journal. - 0007-0610 .- 1476-5373. ; 212:11, s. 553-5
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Tidskriftsartikel (refereegranskat)abstract
- In the UK around a thousand children are born annually with a cleft lip and/or palate that requires treatment. In the last decade services have been centralised in the UK reducing the 57 centres operating on these children in 1998, down to 11 centres or managed clinical networks in 2011. While the rationale for centralisation was to improve the standard of care (and in so doing the outcome) for children born with cleft lip and/or palate, research was central to this process. We illustrate how research informed and shaped this service rationalisation and how it facilitated the emergence of a research culture within the newly configured teams. We also describe how these changes in service provision were linked to the development of a national research strategy and to the identification of the resources necessary to support this strategy.
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| 19. |
- Sandy, J, et al.
(författare)
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Why are multi-centre clinical observational studies still so difficult to run?
- 2011
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Ingår i: British Dental Journal. - 0007-0610 .- 1476-5373. ; 211:2, s. 59-61
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Tidskriftsartikel (refereegranskat)abstract
- Despite the introduction of IRAS, obtaining R&D approvals for multicentre studies is a major rate limiting step. Our experience with cleft research demonstrates that this approvals process must be drastically and rapidly improved if we wish to continue attract clinical research to the UK.
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| 20. |
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| 21. |
- Sjögren, P., et al.
(författare)
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Medline search validity for randomised controlled trials in different areas of dental research
- 2002
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Ingår i: British Dental Journal. - 0007-0610 .- 1476-5373. ; 192:2, s. 97-99
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine the validity of Medline searches for randomised controlled trials in dental research (RCT-Ds), using the medical subject headings (MeSH-terms). DESIGN: The Medline database was searched for randomised controlled trials in dental research (RCT-Ds) published in 1999 and with MeSH-terms corresponding to different areas of dental research. All RCT-Ds were manually examined for relevance to the different areas of dental research and cross-tabulated against the Medline search results. The sensitivity, specificity, positive (precision) and negative predictive values, as well as the accuracy of the search results were calculated. RESULTS: The highest validity in the Medline searches for RCT-Ds was seen for endodontics, followed by orthodontics, whereas the lowest validity was seen for pediatric dentistry and public health dentistry. For pediatric dentistry the MeSH-term searches had too low a sensitivity for adequate location of RCT-Ds. CONCLUSIONS: MeSH-term searches on Medline are a useful tool for rapid location of RCT-Ds in most areas of dental research. However, there is a vast variation in the search validity. More refined search strategies are required to locate RCT-Ds in areas of dental research with low search validity.
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| 22. |
- Sjögren, Petteri, et al.
(författare)
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Medline search validity for randomised controlled trials in different areas of dental research
- 2002
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 192:2, s. 97-99
-
Tidskriftsartikel (refereegranskat)abstract
- Objective To determine the validity of Medline searches for randomised controlled trials in dental research (RCT-Ds), using the medical subject headings (MeSH-terms).Design The Medline database was searched for randomised controlled trials in dental research (RCT-Ds) published in 1999 and with MeSH-terms corresponding to different areas of dental research. All RCT-Ds were manually examined for relevance to the different areas of dental research and cross-tabulated against the Medline search results. The sensitivity, specificity, positive (precision) and negative predictive values, as well as the accuracy of the search results were calculated.Results The highest validity in the Medline searches for RCT-Ds was seen for endodontics, followed by orthodontics, whereas the lowest validity was seen for pediatric dentistry and public health dentistry. For pediatric dentistry the MeSH-term searches had too low a sensitivity for adequate location of RCT-Ds.Conclusions MeSH-term searches on Medline are a useful tool for rapid location of RCT-Ds in most areas of dental research. However, there is a vast variation in the search validity. More refined search strategies are required to locate RCT-Ds in areas of dental research with low search validity.
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| 23. |
- Sjögren, P., et al.
(författare)
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Medline search validity for randomised controlled trials in different areas of dental research
- 2002
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Ingår i: British Dental Journal. - : Nature Publishing Group. - 0007-0610 .- 1476-5373. ; 192:2, s. 97-99
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine the validity of Medline searches for randomised controlled trials in dental research (RCT-Ds), using the medical subject headings (MeSH-terms). DESIGN: The Medline database was searched for randomised controlled trials in dental research (RCT-Ds) published in 1999 and with MeSH-terms corresponding to different areas of dental research. All RCT-Ds were manually examined for relevance to the different areas of dental research and cross-tabulated against the Medline search results. The sensitivity, specificity, positive (precision) and negative predictive values, as well as the accuracy of the search results were calculated. RESULTS: The highest validity in the Medline searches for RCT-Ds was seen for endodontics, followed by orthodontics, whereas the lowest validity was seen for pediatric dentistry and public health dentistry. For pediatric dentistry the MeSH-term searches had too low a sensitivity for adequate location of RCT-Ds. CONCLUSIONS: MeSH-term searches on Medline are a useful tool for rapid location of RCT-Ds in most areas of dental research. However, there is a vast variation in the search validity. More refined search strategies are required to locate RCT-Ds in areas of dental research with low search validity.
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| 24. |
- Sjögren, P., et al.
(författare)
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Quality of reporting randomised clinical trials in dental and medical research
- 2002
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Ingår i: British Dental Journal. - 0007-0610 .- 1476-5373. ; 192:2, s. 100-103
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess 1) the quality of reporting randomised clinical trials in dental (RCT-Ds) and medical research (RCT-Ms), 2) the quality of RCT reports in relation to the journal impact factor, 3) the source of funding, and 4) the quality of RCT-Ds in different areas of dental research. DESIGN RANDOM: samples of 100 RCT-Ds and 100 RCT-Ms published in 1999 were evaluated for quality of reporting under blinded conditions with the Jadad quality assessment scale. In addition, correlation between the quality scores and journal impact factor or source of funding, as well as area of dental research were analysed. RESULTS: The quality of RCT-Ds and RCT-Ms published in 1999 was generally inadequate. The quality was largely equivalent in RCT-Ds and RCT-Ms. There was no correlation between the quality scores and the journal impact factor or the source of funding. Some differences were found in the quality scores between different areas of dental research. CONCLUSIONS: The results from these RCT-Ds and RCT-Ms show that most of them were imperfect in the reporting of methodology and trial conduct. There is a clear need to improve the quality of trial reporting in dental and medical research.
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| 25. |
- Sjögren, Petteri, et al.
(författare)
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Quality of reporting randomised clinical trials in dental and medical research
- 2002
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 192:2, s. 100-103
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Tidskriftsartikel (refereegranskat)abstract
- Objective To assess 1) the quality of reporting randomised clinical trials in dental (RCT-Ds) and medical research (RCT-Ms), 2) the quality of RCT reports in relation to the journal impact factor, 3) the source of funding, and 4) the quality of RCT-Ds in different areas of dental research.Design Random samples of 100 RCT-Ds and 100 RCT-Ms published in 1999 were evaluated for quality of reporting under blinded conditions with the Jadad quality assessment scale. In addition, correlation between the quality scores and journal impact factor or source of funding, as well as area of dental research were analysed.Results The quality of RCT-Ds and RCT-Ms published in 1999 was generally inadequate. The quality was largely equivalent in RCT-Ds and RCT-Ms. There was no correlation between the quality scores and the journal impact factor or the source of funding. Some differences were found in the quality scores between different areas of dental research.Conclusions The results from these RCT-Ds and RCT-Ms show that most of them were imperfect in the reporting of methodology and trial conduct. There is a clear need to improve the quality of trial reporting in dental and medical research.
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| 26. |
- Sjögren, P., et al.
(författare)
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Quality of reporting randomised clinical trials in dental and medical research
- 2002
-
Ingår i: British Dental Journal. - : Nature Publishing Group. - 0007-0610 .- 1476-5373. ; 192:2, s. 100-103
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess 1) the quality of reporting randomised clinical trials in dental (RCT-Ds) and medical research (RCT-Ms), 2) the quality of RCT reports in relation to the journal impact factor, 3) the source of funding, and 4) the quality of RCT-Ds in different areas of dental research. DESIGN RANDOM: samples of 100 RCT-Ds and 100 RCT-Ms published in 1999 were evaluated for quality of reporting under blinded conditions with the Jadad quality assessment scale. In addition, correlation between the quality scores and journal impact factor or source of funding, as well as area of dental research were analysed. RESULTS: The quality of RCT-Ds and RCT-Ms published in 1999 was generally inadequate. The quality was largely equivalent in RCT-Ds and RCT-Ms. There was no correlation between the quality scores and the journal impact factor or the source of funding. Some differences were found in the quality scores between different areas of dental research. CONCLUSIONS: The results from these RCT-Ds and RCT-Ms show that most of them were imperfect in the reporting of methodology and trial conduct. There is a clear need to improve the quality of trial reporting in dental and medical research.
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| 27. |
- Trachtenberg, F L, et al.
(författare)
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Dental composite materials and renal function in children.
- 2014
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Ingår i: British dental journal. - : Springer Science and Business Media LLC. - 1476-5373 .- 0007-0610. ; 216:2
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Tidskriftsartikel (refereegranskat)abstract
- To examine whether greater exposure to resin-based composite materials, which may intra-orally release bisphenol A (BPA), is associated with worse renal function outcomes in children.
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| 28. |
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| 29. |
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