Abstract:
OBJECTIVE:The aim of this study was to identify which local anaesthetic solutions were used by general dental practitioners in the United Kingdom and to determine selection criteria. In addition, differences in anaesthetic choice between recent graduates (< or = 5 years) and more experienced practitioners were investigated. MATERIAL AND METHODS:Five hundred and six general dental practitioners attending postgraduate courses on pain control in dentistry completed a questionnaire. Participants were asked to indicate year and place of qualification, anaesthetic solutions available in their surgeries and criteria used in the choice of anaesthetic. In addition, the respondents were asked to indicate choice of local anaesthetic in a number of common medical conditions. Questionnaires were distributed and collected immediately prior to the start of the course presentation and participants were not asked to indicate whether the selection decisions were teaching, experience or evidence based. Data were analysed by using the Chi-square test. RESULTS:Lidocaine with epinephrine was the most widely available solution among this group of practitioners (94%), the second most common solution was prilocaine with felypressin (74%). The majority of practitioners had two or more solutions available. Practitioners who qualified within the last five years (14%) were more likely to have articaine available, the most recently introduced local anaesthetic into the UK (p = 0.04, one degree of freedom). Common medical conditions lead to a modification in anaesthetic selection: the use of prilocaine/felypressin increases in the majority of circumstances, although it is avoided in pregnant females by recent graduates. CONCLUSIONS:Lidocaine/epinephrine continues to be the most common anaesthetic solution used by this group of UK general practitioners. The primary criterion for selection of an anaesthetic agent was perceived efficacy. Prilocaine/felypressin is commonly selected as an alternative solution in the presence of common medical conditions.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Corbett IP,Ramacciato JC,Groppo FC,Meechan JGdoi
10.1038/sj.bdj.4813028subject
Has Abstractpub_date
2005-12-24 00:00:00pages
784-7; discussion 778issue
12eissn
0007-0610issn
1476-5373pii
4813028journal_volume
199pub_type
杂志文章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
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811971
更新日期:2005-01-22 00:00:00
abstract::Objectives The aim of this paper is to identify the factors that affect the complexity of implant restoration and to explore the indices that help us to assess it. With this knowledge the growing number of clinicians restoring dental implants will have a better understanding of the available guidance and evidence base...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.855
更新日期:2016-11-18 00:00:00
abstract::Kawasaki disease (mucocutaneous lymph node syndrome) is a disease of unknown aetiology characterised by vasculitis which may affect the coronary arteries. Young children are most commonly affected although the disease has been described in adults. We report a case of recurrent Kawasaki disease which presented to an or...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800085
更新日期:1999-03-27 00:00:00
abstract::April 1993 saw the introduction of the 'Community Care' element of the 1990 NHS and Community Care Act. The term 'Community Care' describes the relocation of long-stay hospital residents to community accommodation. Much public attention has recently been focused on the welfare of psychiatric patients in the community,...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808358
更新日期:1994-01-22 00:00:00
abstract:OBJECTIVES:To determine the prevalence and severity of fluorosis in permanent incisor teeth in young children in a fluoridated and a fluoride-deficient community and to establish what relationship, if any, there was between the occurrence of dental fluorosis and the reported use of fluoride toothpaste in childhood. DE...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800726
更新日期:2000-08-26 00:00:00
abstract::The British Association of Oral and Maxillofacial Surgeons and the Royal Colleges have rightly responded over the years to pressures within, and outside dentistry for higher levels of training in oral and maxillofacial surgery. There has been adoption of a series of qualification as, at first desirable, then mandatory...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807667
更新日期:1991-10-19 00:00:00
abstract::This review article presents an overview of craniofacial malformations and the role of the orthodontist in their management. The first part of this article focuses on cleft lip and palate, followed by more complex deformities including craniosynostosis and craniofacial microsomia. The main features of these anomalies ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.48
更新日期:2015-02-16 00:00:00
abstract::Tooth wear has been recognised as an increasing problem over the past 10 years. Recent data from epidemiological studies indicate that the condition is common with prevalence of dentine exposure in adults ranging between 2% and 10% and visible surface changes on teeth observed up to 30% of European adults. The Basic E...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.555
更新日期:2016-08-12 00:00:00
abstract:AIM:This qualitative study sought to obtain children's accounts of having dental extractions under general anaesthesia (GA). The aim was to gain greater understanding of the physical and psychological impacts from a child's perspective. METHOD:Ten children, aged 6-11 years, maintained a video diary to document their f...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.333
更新日期:2014-04-01 00:00:00
abstract::A 19-year-old female was referred by her dental practitioner for the restoration of missing maxillary lateral incisors and canines. Ridge augmentation was required. This was undertaken using mandibular tori as the sites for harvesting bone. The grafting was successful and the spaces were subsequently restored using re...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801009
更新日期:2001-05-12 00:00:00
abstract::The oral rehabilitation of head and neck cancer patients is a vital and pivotal part of their care pathway, helping to restore function, aesthetics and improve patient well-being and quality of life. Patient-reported outcome data demonstrates that such patients consider that many of their continued and unmet needs rel...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.927
更新日期:2018-11-09 00:00:00
abstract::The British Orthodontic Society (BOS) recently published a number of news articles aimed at drawing attention to its 'Hold that Smile' campaign which promotes lifelong retainer wear. The BOS's stated intention is to 'generate a viral #HoldthatSmile campaign in order to build awareness of its message that retainers are...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.227
更新日期:2018-04-13 00:00:00
abstract:AIM:This paper, the second in a series of two (see 2013; 215: 177-181), investigates the opinions of a cohort of dental foundation year 1 (DF1) practitioners regarding their skills and competence in relation to their educational background in complete dentures. MATERIALS AND METHODS:With the permission of the Dean of ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.833
更新日期:2013-09-01 00:00:00
abstract::It is important that dental extractions under general anaesthesia (GA) are planned appropriately to avoid a repeat GA in the future. Current guidelines recommend the input of an orthodontist when the treatment plan involves a permanent tooth extraction but the number of children undergoing GA extractions makes this ch...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0408-2
更新日期:2019-06-01 00:00:00
abstract::This final article in the series consider the practical realities of marketing. A series of questions are provided to provide an ongoing marketing 'health check' along with a list of initial ideas to get you started. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809226
更新日期:1996-10-05 00:00:00
abstract::Introduction Despite excellent reviews in the past several years, the use of antibiotics as prophylaxis for implant placement remains controversial.Aim To assess the literature on the efficacy of prophylactic antibiotics prescribed prior to and immediately following implant surgery (PIFS).Outcomes Whether administrati...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1649-9
更新日期:2020-06-01 00:00:00
abstract:Introduction:This paper defines key points from a ten million restoration dataset in order to compare and contrast the data from the previous nine papers, identifying common themes and/or differences in the factors affecting the survival of restored teeth to next intervention or extraction. Aim:It is the aim of this p...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.1029
更新日期:2018-12-14 00:00:00
abstract::The use of problem-based learning as part of a vocational training scheme for vocational dental practitioners is described and evaluated. Problem-based learning is currently viewed as an effective means of delivering medical education and has been adopted as a principal style of education by many undergraduate medical...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800213
更新日期:1999-07-24 00:00:00
abstract::The provision of dental treatment under both local anaesthesia and sedation has an excellent safety record, although medical problems may occur. The high prevalence of cardiac disease in the population, particularly ischaemic heart disease, makes it the most common medical problem encountered in dental practice. Addit...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800750
更新日期:2000-09-23 00:00:00
abstract::Background The expansion of the novelty sweets market in the UK has major potential public health implications in children and young adults as they may cause dental erosion.Objective To investigate the erosive potential of the novelty sweets in term of their physiochemical properties and amount of enamel loss.Subjects...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.363
更新日期:2017-04-21 00:00:00
abstract:OBJECTIVE:To survey the attitudes, knowledge and practice of general dental practitioners (GDPs) with regard to hypertension in dental patients and to assess opinion with regard to the concept of screening. SETTING:General dental practice. SUBJECTS AND METHODS:GDPs via a postal survey. To achieve an acceptable level ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801544
更新日期:2002-09-14 00:00:00
abstract::A baseline study of referrals by letter to a department of conservative dentistry staffed purely by honorary consultants was conducted for one year. Distinct differences were found between the majority of patients referred from general practice and those referred from other sources. Principal reasons for referral were...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808084
更新日期:1993-02-06 00:00:00
abstract::The popularity of caricature at the end of the eighteenth century allows a researcher to observe the social as well as the technical side of dentistry as it was then available throughout the kingdom. The value of these caricatures is further enhanced by the unconscious inclusion of everyday objects which a narrative a...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.4801237
更新日期:2001-11-24 00:00:00
abstract::A case is reported where the callus in a mandibular osteotomy site underwent distraction by means of an intra-oral device. The procedure was undertaken in a 9-year-old patient diagnosed with hemifacial microsomia type I. Using rapid prototyping from a radiographic scan of the facial skeleton an acrylic model was made ...
journal_title:British dental journal
pub_type: 杂志文章
doi:
更新日期:1997-07-26 00:00:00
abstract:AIM:This paper aims to compare the effectiveness of articaine buccal infiltrations (BIs) and lidocaine inferior alveolar nerve blocks (IANBs) for inducing pulpal anaesthesia in mandibular molars. METHOD:Studies which compared articaine BIs with lidocaine IANBs were identified by completing a full literature search usi...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.93
更新日期:2016-02-12 00:00:00
abstract:AIM:To determine if restrictive NHS contracts are of benefit in addressing health inequalities in oral health, by using an ecological approach based upon an area measure of material deprivation. METHODS:Postcodes of patients seen under all the restrictive contracts (49) within the North East of England were identified...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.857
更新日期:2009-10-24 00:00:00
abstract::The Overseas Registration Examination is a route to entry to the UK Dentists Register for dentists who have qualified outside the European Economic Area. The role of the examination is to protect the public by ensuring that such dentists meet minimum standards of competence. Candidates invest considerable time and res...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.645
更新日期:2016-09-09 00:00:00
abstract::This report describes an unusual case of blanching of the facial and palatal soft tissues following the administration of an inferior dental block injection. Possible anatomical explanations for the clinical observations are discussed. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808847
更新日期:1995-08-05 00:00:00
abstract::In 1994 the Department of Health commissioned a survey of early feeding practices within the Asian community. The survey conducted by the Office for National Statistics (ONS) was designed to assess from a nationally representative sample of infants from the Bangladeshi, Indian and Pakistani communities from across Eng...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800374
更新日期:2000-01-08 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of an orofacial trauma-based brief intervention, designed to raise adolescent males' awareness about the immediate dangers of binge drinking. DESIGN:Non-randomised controlled exploratory trial. SETTING:Secondary level schools. MATERIALS & METHODS:Pre, post and follow up valida...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814204
更新日期:2006-11-11 00:00:00