Abstract：
OBJECTIVE:To investigate whether clinical audit can improve general dental practitioners' prescribing of antibiotics. DESIGN:An intervention study carried out in general dental practice in the North West of England. METHOD:Information was collected over an initial six-week period from 175 general dental practitioners on their current antibiotic prescribing practices. The information collected was the antibiotic prescribed including dose, frequency and duration, the clinically presenting signs and conditions, the medical history (if for prophylaxis), and any other reasons for prescribing. This was compared to the practitioners' antibiotic prescribing for a further six-week period following an audit, which included an educational component and the issuing of guidelines. RESULTS:During the initial period practitioners issued 2316 prescriptions for antibiotics. This was reduced by 42.5% to 1330 during the audit. The majority of the antibiotics (81%) for both periods were prescribed for therapeutic reasons. The most commonly prescribed antibiotics were amoxycillin (57.6%), metronidazole (23.8%), penicillin (9.3%), erythromycin (4.8%) and a combination of amoxycillin and metronidazole (1.7%). The antibiotic regimens used by practitioners were significantly changed by the audit (P<0.001) and there was a significant reduction in the number of prescriptions (P<0.05) which did not conform to national guidelines. CONCLUSIONS:The results from this investigation support the conclusion that clinical audit, with the issuing of guidelines and an educational component, can change prescribing practices leading to a more rational and appropriate use of antibiotics in general dental practice.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Palmer NA,Dailey YM,Martin MVdoi
10.1038/sj.bdj.4801156asubject
Has Abstractpub_date
2001-09-08 00:00:00pages
253-5issue
5eissn
0007-0610issn
1476-5373journal_volume
191pub_type
杂志文章abstract：:Aim The objective of this study was to determine dental patients' uptake of two preliminary screening tools for risk of diabetes (the Finnish Diabetes Risk Score -FINDRISC- and HbA1c finger-prick testing) in general dental practice, and to determine the number of patients at risk of type 2 diabetes (T2D) based on the ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2017.174
更新日期：2017-02-24 00:00:00
abstract：:Having listened to, examined, tested, diagnosed and recommended a course of action to the patient, treatment will usually follow at the same or subsequent visits. In the vast majority of cases, the foregoing will have proceeded without a hitch, and the treatment completed to the satisfaction of both the practitioner a...
journal_title：British dental journal
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doi：10.1038/sj.bdj.4806759
更新日期：1989-03-11 00:00:00
abstract：:Congenital alveolar synechiae is rarely seen as an isolated disease. It is generally observed together with various syndromes such as Van der Woude and cleft palate lateral alveolar synechiae syndrome, and is concomitant with other anomalies in the maxillofacial or other regions of the body. Prior to this case report ...
journal_title：British dental journal
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doi：10.1038/sj.bdj.4811971
更新日期：2005-01-22 00:00:00
abstract：:A comparison of the results of the Adult Dental Health Surveys in England and Wales in 1968 and England, Wales and Northern Ireland in 2009 shows marked improvements in many aspects of oral health. Edentulousness in adults aged 16 years and over has reduced from 37% to 6%. Dentate adults today have 9 to 10 more sound ...
journal_title：British dental journal
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doi：10.1038/sj.bdj.2011.903
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abstract：:Many terms have been used to describe incomplete tooth fractures. This paper reviews them, discusses the clinical features of incomplete tooth fractures and proposes a clinically representative definition. ...
journal_title：British dental journal
pub_type： 杂志文章,评审
doi：10.1038/sj.bdj.4800992
更新日期：2001-04-28 00:00:00
abstract：:The restoration of endodontically treated teeth has undergone significant changes in the last 20 years. Most of these changes are associated with the preservation of tooth structure, this has been achieved first of all with the increasing use of operative microscopes, nickel titanium instruments and more recently cone...
journal_title：British dental journal
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doi：10.1038/sj.bdj.2014.198
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVE:To assess the outcome of compliance of advice sent to patients and dentists about monitoring tooth wear in general practice. METHOD:Postal questionnaires were sent to 70 patients and their dentists requesting information on the outcome of letters of advice sent to general dental practitioners regarding monit...
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pub_type： 杂志文章
doi：10.1038/sj.bdj.4812570
更新日期：2005-08-13 00:00:00
abstract：:Bone is a specialised connective tissue that, together with cartilage, makes up the skeleton. These tissues serve three functions: (a) mechanical support and site of muscle attachment for locomotion; (b) protection for vital organs and bone marrow and (c) a metabolic reserve of ions for the entire organism, especially...
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pub_type： 杂志文章,评审
doi：10.1038/sj.bdj.4807835
更新日期：1992-03-21 00:00:00
abstract：:This fourth paper in the Future of Dentistry series examines the future of dental practice, particularly in terms of the National Health Service. David Watson-James' vision is, he explains, intrinsically linked to past and present developments in dentistry and as the last 50 years has seen dental practice largely infl...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4809290
更新日期：1997-01-11 00:00:00
abstract：:This article reports a brief overview of the risks associated with lower third molar extractions, and the claims that coronectomy may be useful as a treatment modality in managing some aspects of those risks. It discusses the position in terms of consent, and reports that some cases suggest that clinicians who do not ...
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doi：10.1038/sj.bdj.2016.217
更新日期：2016-03-25 00:00:00
abstract：:Introduction Shared decision-making (SDM) is a process by which patients and clinicians work collaboratively to make decisions about healthcare. Previously, research has shown that patients want to be more involved in decisions about their care, but more recent evidence suggests that some patients may not wish to have...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-020-1638-z
更新日期：2020-06-01 00:00:00
abstract：:A case of oral non-Hodgkin's lymphoma presenting following a tooth extraction is reported. The clinical presentation was that of a periodontal lesion and an extraction socket that failed to heal, which may have led to initial confusion in diagnosis and management. ...
journal_title：British dental journal
pub_type： 杂志文章,评审
doi：10.1038/sj.bdj.4800308
更新日期：1999-11-13 00:00:00
abstract：OBJECTIVES:This study investigated if the patient can have a role in reporting early peri-implant complications. DESIGN:An exploratory, single-centred study comparing patient's perceptions of implant success to the clinical success at an examination. SETTING, MATERIALS AND METHODS :Seventy-five patients were randomly ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2015.503
更新日期：2015-06-12 00:00:00
abstract：:A novel calcium-based cement was launched in 2009 claiming to be a revolutionary material capable of offering a bioactive and biocompatible replacement for dentine. The calcium-based cement has been reported to encourage the repair and regeneration of lost dental tissue, preserve pulp vitality, promote pulp healing an...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2013.53
更新日期：2013-01-01 00:00:00
abstract：:Dentists are now required to treat HIV-positive patients in their practices. Dentists working in high HIV prevalence areas treat HIV seropositive patients but what affects this treatment decision? The aim of this study is to investigate the role of conflict with regard to treatment decisions. All 371 dentists practisi...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4808975
更新日期：1996-01-20 00:00:00
abstract：OBJECTIVE:To investigate the effectiveness of chargeable light curing units and their ability to sustain a high radiant output following successive discharge cycles. SETTING:University based research investigation assessing the output intensity of three battery powered light activation units and the effect of successi...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4809431
更新日期：1997-08-09 00:00:00
abstract：OBJECTIVE:To identify the true nature of an acute reaction in 25 patients initially diagnosed as allergic to local anaesthetic drugs. SETTING:University General and Dental Hospitals. INTERVENTIONS:Detailed review of each patient's previous exposure to local anaesthetic drugs and of the history of the acute event was ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4809676
更新日期：1998-05-23 00:00:00
abstract：BACKGROUND AND AIMS:Many oral squamous cell carcinomas present as late stage disease and so the detection of early and pre-malignancy is considered to be of paramount importance. The majority of research examining primary care dentists' experience of the detection and management of early disease has been undertaken usi...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2010.54
更新日期：2010-01-23 00:00:00
abstract：:Acute idiopathic thrombocytopaenic purpura is the most common of the thrombocytopaenias of childhood. Clinically it is associated with petechiae, mucocutaneous bleeding and occasionally haemorrhage into tissues. The oral mucosa is frequently involved. This paper describes a case presenting in general dental practice. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4809422
更新日期：1997-07-12 00:00:00
abstract：:Bleaching has changed the way the world looks at teeth, with lighter teeth becoming the norm due to the ease and simplicity of tray bleaching. The resultant lighter teeth have changed prosthodontics in that there is less need for some types of restoration, less aggressive preparation design, as well as new techniques ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0314-7
更新日期：2019-05-01 00:00:00
abstract：:Introduction Consistent evidence has shown that periodontitis can be considered a risk factor for the development of vascular complications such as myocardial infarction and cerebrovascular accident. The majority of cases of erectile dysfunction (ED) are considered to result from the complication of vascular impairmen...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0724-6
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To investigate job satisfaction among hygienist-therapists. Increasing numbers of hygienist-therapists work in UK primary dental care teams. Earlier studies suggest a clinical remit/clinical activity mismatch, without investigating any link with job satisfaction. METHODS:A UK-wide survey of dental hygienist-...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2011.116
更新日期：2011-02-26 00:00:00
abstract：:Discrepancies of the incisal edges of the anterior teeth, particularly in the upper jaw, could adversely affect dental aesthetics. This paper presents an easy and straight forward treatment of such a case, which was accomplished taking the patient's demands and profession into consideration. In dentistry, the social s...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4811801
更新日期：2004-11-13 00:00:00
abstract：:Aim To explore the time taken and the types of communication strategies used by dental health professionals (DHPs) when interacting with and providing fluoride varnish and oral health advice to children with their parents.Methods A video observational study was conducted to explore the types of communication strategie...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0890-6
更新日期：2019-11-01 00:00:00
abstract：:Tuberculosis (TB) is a preventable and curable infection, but remains a significant cause of death. The dental team is likely to encounter patients with a history of TB, however, at present there is limited guidance available to inform the provision of oral healthcare for this patient group. This may lead to confusion...
journal_title：British dental journal
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doi：10.1038/sj.bdj.2018.430
更新日期：2018-06-22 00:00:00
abstract：AIMS:The aims of this study were to articulate the concept of preparedness of dental graduates for foundation training programme in the United Kingdom and identify the essential attributes of preparedness. METHODS:A qualitative approach using semi-structured interviews was used to explore the concept of preparedness. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2014.648
更新日期：2014-08-01 00:00:00
abstract：:First aid encompasses a wide range of scenarios ranging from simple reassurance following a minor mishap to dealing with a life-threatening emergency. Dentists may need to provide first aid in their dental practice to a patient, relative or member of staff. This article provides an overview to first aid in the dental ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2016.452
更新日期：2016-06-24 00:00:00
abstract：:In orthodontic practice, many patients present with unerupted and impacted maxillary canine teeth. The clinical outcome is frequently compromised by a failure to diagnose the problem at the appropriate age. This article reviews the development of the maxillary canine, the assessment of normal and abnormal eruptive pat...
journal_title：British dental journal
pub_type： 杂志文章,评审
doi：10.1038/sj.bdj.4807250
更新日期：1990-07-07 00:00:00
abstract：:Alcohol abuse is an important problem in Britain and is imposing increasing burdens both in general practice and in the hospital service. In the absence of previous investigations of the prevalence of intoxication and dependence in dental patients, 225 consecutive patients who attended the University of Bristol Dental...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4807364
更新日期：1990-11-24 00:00:00
abstract：:Orthodontic mini-implants (OMIs) represent a new form of anchorage provision and appear to provide a variety of benefits for both anchorage-demanding and complex orthodontic cases. This paper reports the latest perspectives on OMIs in terms of the emerging clinical evidence base coupled with their varied clinical appl...
journal_title：British dental journal
pub_type： 杂志文章,评审
doi：10.1038/sj.bdj.2015.53
更新日期：2015-02-16 00:00:00
