Abstract:
:When confronting a defiant or pre-co-operative young patient with extensive dental decay the dentist must decide between treatment under conscious sedation with passive restraint or general anaesthesia. Although some practitioners prefer to attempt and exhaust sedative techniques in most cases and use general anaesthesia as a last resort, many others do not mandate that alternate approaches first be attempted before treating under general anaesthesia and routinely recommend it as their first choice. What are the considerations involved in this decision-making process? Should the use of conscious sedation with restraint be revisited and perhaps even be considered the preferred method? What is the role of the dentist in the decision-making process? The purpose of this opinion-based paper is to present to the UK dentist a dilemma that paediatric dentists face in the US and in other countries as well and allow the reader to establish an opinion.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Kupietzky Adoi
10.1038/sj.bdj.4810932subject
Has Abstractpub_date
2004-02-14 00:00:00pages
133-8issue
3eissn
0007-0610issn
1476-5373pii
4810932journal_volume
196pub_type
杂志文章abstract::Introduction Prescribing checklists are a means of managing risk related to systemic medications in oral medicine practice.Methods Checklists for workup and monitoring for azathioprine, mycophenolate mofetil (MMF) and dapsone were introduced to an oral medicine clinic. Compliance with the checklists was audited at six...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.887
更新日期:2017-12-01 00:00:00
abstract::Dental caries continues to affect the British population, despite advances in prevention and management options. There are many treatment and preventive treatment strategies to address dental caries. Silver diamine fluoride (SDF) is a colourless alkaline solution containing silver and fluoride, which forms a complex w...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1641-4
更新日期:2020-06-01 00:00:00
abstract::Darier's disease, a genetically transmitted, autosomal dominant hyperkeratosis is a condition only occasionally described in the dental literature. A familial study is presented, which highlights the autosomal dominant inheritance mode of the condition and emphasises the similarity between the palatal lesions and nico...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807086
更新日期:1990-01-20 00:00:00
abstract:AIM:The aim of this study was to determine whether an educational intervention delivered by a computer aided learning package improved the sensitivity and specificity of dentists' restorative treatment decisions. METHOD:The study was a randomised controlled study using a Solomon three-group design. Ninety-five dentist...
journal_title:British dental journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1038/sj.bdj.4801033
更新日期:2001-05-26 00:00:00
abstract::There are various motivators that prompt people to study dentistry but there is evidence that the salience of each varies according to gender and black and minority ethnic (BME) group. Given the current focus on inequality within the science, technology, engineering, medicine and mathematics (STEMM) academic disciplin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.22
更新日期:2017-01-13 00:00:00
abstract::The development of adhesive restorative materials has led to more conservative cavity design with greater reliance being placed upon the bond of a material with tooth tissue for retention of the restoration. Glass-ionomer cements may offer particular advantages but have yet to achieve the durability reported for amalg...
journal_title:British dental journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1038/sj.bdj.4808867
更新日期:1995-09-09 00:00:00
abstract:OBJECTIVES:To gather information on the types of panoramic x-ray equipment used in NHS dental practice and whether dentists satisfy the legal requirements for safety, to determine which practice personnel take panoramic radiographs and to assess the prevalence of the practice of 'routine' panoramic radiography among NH...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800098
更新日期:1999-04-10 00:00:00
abstract::This paper describes and illustrates the use of the blanket or continuous hem loop suture for periodontal flap surgery. It is suggested that this may be a particularly suitable suture for certain conservative surgical techniques. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806888
更新日期:1989-07-08 00:00:00
abstract::Partly as a consequence of the inquiries into the events at the Bristol Royal Infirmary and the Royal Liverpool Children's Hospital (Alder Hey), the Government recently enacted the Human Tissue Act 2004. The main provisions of the Act came into force on 1 September 2006 and have potential implications for dentists. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814378
更新日期:2006-12-23 00:00:00
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::Hypoglycaemic attacks in patients with insulin-treated diabetes are unpleasant and inconvenient at best, but may constitute a medical emergency at their most severe. This article provides the dental practitioner with an insight into the physiological processes which occur during such attacks, with clues to the recogni...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809836
更新日期:1998-11-14 00:00:00
abstract::The incidence of oral and oropharyngeal cancer is rising in the UK, its aetiology is changing and early detection and referral saves lives. This article covers how and to what depth oral and oropharyngeal cancer is taught to dental students and other preregistration dental care professionals and examines the threats i...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.925
更新日期:2018-11-09 00:00:00
abstract::This article explores the theoretical aspects and clinical procedures involved in recording centric relation. Established clinical techniques to record centric relation are considered and described in part one. The second article considers more recent concepts of centric relation and clinical techniques to record it. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2502-x
更新日期:2021-01-01 00:00:00
abstract::Implants and fixed and removable prostheses are very successful in replacing missing units but their cost can be inhibitory to a number of patients. In addition fixed and removable prostheses can be destructive to sound abutment teeth and can result in damage to dental and soft tissue. This report describes the restor...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800804
更新日期:2000-11-11 00:00:00
abstract:OBJECTIVES:To undertake a clinical trial comparing the efficiency of a compomer restoration with a glass ionomer restoration in the management of caries in primary molar teeth. DESIGN:Subjects were admitted to the trial if they required at least one pair of restorations in primary molar teeth. SETTING:Department of C...
journal_title:British dental journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1038/sj.bdj.4800693
更新日期:2000-07-22 00:00:00
abstract:OBJECTIVE:To analyse the factors affecting the clinical performance and those influencing the survival of resin-retained bridgework provided at a UK dental teaching hospital between 1994 and 2001. DESIGN:A prospective analysis of restorations provided at a single centre using case notes with all patients invited for r...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.250
更新日期:2015-04-10 00:00:00
abstract:OBJECTIVE:To identify reasons behind a lower than expected participant recruitment rate within the FiCTION trial, a multi-centre paediatric primary dental care randomised controlled trial (RCT). SUBJECTS (MATERIALS) AND METHODS:An online survey, based on a previously published tool, consisting of both quantitative and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.1009
更新日期:2014-11-01 00:00:00
abstract::In the last few decades, the number of targeted chemotherapies approved for cancer treatment and undergoing clinical trials has risen. In comparison to conventional chemotherapy, targeted therapies (TTs) act on specific molecular targets involved in cancer development and progression, with reduced detrimental effects ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1365-5
更新日期:2020-03-01 00:00:00
abstract::Despite its excellent safety record there remains disquiet about the provision of conscious sedation for dental care. This applies particularly to the use of 'alternative' sedation techniques which extend beyond the 'standard' techniques (intravenous midazolam for adults and nitrous oxide/oxygen) described in Consciou...
journal_title:British dental journal
pub_type: 杂志文章,实务指引
doi:10.1038/bdj.2007.1105
更新日期:2007-12-08 00:00:00
abstract::Decontamination of dental instruments has recently been the subject of considerable debate. However, little information is available on the potential bacterial colonisation of dental appliances returning from dental laboratories and their need for decontamination. This study investigated the extent and nature of micro...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.675
更新日期:2011-08-26 00:00:00
abstract::Introduction People from vulnerable groups have higher levels of untreated dental disease compared to the general population, yet often experience barriers to accessing care. Difficulties accessing oral healthcare services have been suggested as one of the pathways that contribute to oral health inequalities.Aim To co...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-019-0529-7
更新日期:2019-07-01 00:00:00
abstract::Aqueous sodium hypochlorite (bleach) solution is widely used in dental practice during root canal treatment. Although it is generally regarded as being very safe, potentially severe complications can occur when it comes into contact with soft tissue. This paper discusses the use of sodium hypochlorite in dental treatm...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/bdj.2007.374
更新日期:2007-05-12 00:00:00
abstract::The international migration of dentists is an issue of pressing significance that poses several complex policy challenges. Policy-making is mainly constrained by the lack of workforce surveillance, research evidence and political advocacy - all three are required to work together, yet with different purposes. We first...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.195
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:To investigate the composition of black tea in terms of its erosive potential. To determine the pH profile at the palatal surface of anterior and posterior sites of the dentition after drinking black tea. METHODS:Tea solution was analysed for its pH and anion composition to provide information on its acid c...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800977
更新日期:2001-04-14 00:00:00
abstract:OBJECTIVE:To determine the level of knowledge and understanding of informed consent amongst consultant orthodontists. DESIGN:A questionnaire which covered a range of legal issues on informed consent as it pertains to clinical practice in three of the four nations of the United Kingdom. SETTING:Hospital orthodontic de...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.1043
更新日期:2008-12-20 00:00:00
abstract:AIM:The primary aim was to evaluate the effect of ethnicity, social deprivation and oral health on oral self perceptions of 14-15-year-old Asians and Whites. A secondary aim was to assess the influence of ethnicity and social deprivation on oral treatment need in the same sample. DESIGN:A cross-sectional epidemiologic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809813
更新日期:1998-10-10 00:00:00
abstract:OBJECTIVE:The aim of this paper is to examine the factors that vocational trainers regard as important in a 'good' dentist and to assess whether they think recent graduates were achieving these factors. DESIGN:The study was based on a statistical analysis of returns from a postal questionnaire. SETTING:Postal questio...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800829
更新日期:2000-11-25 00:00:00
abstract:OBJECTIVE:To evaluate shortened courses of antibiotics in the management of dentoalveolar abscesses. DESIGN:Prospective clinical study over a 3-year period. SETTING:Examinations department of the Liverpool University Dental Hospital. SUBJECTS:759 patients, with acute dentoalveolar abscesses associated with swelling,...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809444
更新日期:1997-08-23 00:00:00
abstract::The factors which influence the uptake of orthodontic treatment are reviewed with respect to the features and aspirations of the consumers (patients and parents) and the providers (dentists, orthodontists and health system). It appears that the assessment of orthodontic treatment need is influenced by many variables r...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807421
更新日期:1991-01-19 00:00:00
abstract:AIM:This paper is the first in a series of two that investigate the undergraduate teaching of complete dentures in the UK. MATERIALS AND METHODS:A questionnaire was sent by email to 13 UK dental schools enquiring about the number of hours spent in the lecture theatre, laboratory and clinic. The schools were also asked...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.792
更新日期:2013-08-01 00:00:00