Abstract:
OBJECTIVES:The objectives of this study were to determine on what evidence infective endocarditis (IE) could be legally linked to dental treatment. METHOD:The records of 319 legal cases involving dental treatment as the probable cause of IE were analysed. The medical history, type of dental operation, and whether antibiotic prophylaxis was provided were noted. The time taken for the onset of symptoms (incubation period) and hospitalisation was calculated. The identity of the infecting micro-organism was investigated and it was also noted whether litigation was successful for the patient. RESULTS:A total of 83 patients were successful in legally linking dental treatment to the onset of infective endocarditis. In all successful cases there was a short incubation period (circa nine days) and in 80 of the patients an oral Streptococcus was isolated. The dental operations included exodontia (28), scaling (29), endodontics (12) and minor oral surgery (11). CONCLUSIONS:Dental treatment was deemed to be the probable cause of IE in 26% of patients who sought litigation. In the majority of legal cases clinicians did not follow recognised guidelines or keep adequate clinical notes. The three main factors which link dental procedures legally were the dental operation, the isolation from the blood of an oral micro-organism and a short incubation period.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Martin MV,Longman LP,Forde MP,Butterworth MLdoi
10.1038/bdj.2007.123subject
Has Abstractpub_date
2007-07-14 00:00:00pages
E1; discussion 38-9issue
1eissn
0007-0610issn
1476-5373pii
bdj.2007.123journal_volume
203pub_type
杂志文章abstract:BACKGROUND:The aim of this study was to describe New England dental professionals' attitudes and behaviours regarding domestic violence (DV) and to identify barriers faced in intervening to help suspected victims. METHODS:A cross-sectional survey using a convenience sample of dentists (n = 169) and hygienists (n = 190...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.7
更新日期:2009-02-14 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:BACKGROUND:The aim was to obtain stakeholders' views on the former London Deanery's joint educational service development initiative to train dentists with a special interest (DwSIs) in endodontics in conjunction with the National Health Services (NHS) and examine the models of care provided. METHODS:A convergent para...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.652
更新日期:2014-08-01 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 rise of the dental profession coinciding with the invention and rapid spread of photography means that there are very few paintings of dentists in action. The present article describes Sir John Lavery's unusual depiction of The Dentist (Conrad Ackner and his Patient) in which the conventions of contemporary societ...
journal_title:British dental journal
pub_type: 传,历史文章,杂志文章
doi:10.1038/sj.bdj.2011.4
更新日期:2011-01-22 00:00:00
abstract::Examinations for overseas-trained dentists are enforced to qualify for registration to perform dental practices in some countries. Feedback on the examinations in Australia and the UK is presented as formative and summative evaluations from a participant and practitioner's perspective. The formats of both examinations...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0371-y
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:Before April 2006, English dentists were either working as an NHS general dental service (GDS) practitioner (fee-per-item, no local contractual obligations); an NHS personal dental service (PDS) practitioner (block contract with the primary care trust (PCT)); a private practitioner (either fee-per-item or ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.1204
更新日期:2008-01-12 00:00:00
abstract::A 14-year-old boy suffered transient uniocular blindness after extraction of four permanent first molar teeth under general anaesthetic. We discuss the theoretical basis for ocular vasospasm secondary to the minor trauma of dental extraction being relayed to the orbit. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808168
更新日期:1993-05-08 00:00:00
abstract::There is evidence, although limited, for beneficial effects of bisphophonates (BPs) across multiple dental specialties. Within implant dentistry BP coatings have been shown to significantly increase pull out forces and bone density in animal models, and significantly increase implant stability whilst reducing marginal...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2017.412
更新日期:2017-05-12 00:00:00
abstract::At one time the incidence of broken hypodermic needles was a fairly common occurrence in general dental practice. Fortunately the routine use of modern stainless steel needles has all but eliminated this emergency. Occasionally a patient may make a sudden movement during administration of local anaesthetic, particular...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809128
更新日期:1996-06-22 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::Objectives To explore the level and nature of dental care provided by dental hygienists and therapists to older adults (65 and over) and to identify barriers to such care.Methods An online survey of all GDC-registered hygienists and therapists in Scotland.Results Thirty-two percent (196 of 609) responded. Seventy-five...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1790-5
更新日期:2020-08-14 00:00:00
abstract:INTRODUCTION:General referral letters to any hospital specialty are universally poor. These letters are the main source of information regarding the clinical problem and shortfalls can compromise the management of the patient. METHOD:One hundred retrospective randomly selected oral surgery referral letters in the form...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.929
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:We explored the role of personality and pre-treatment contentment with one's face and body in predicting satisfaction following simple aesthetic dental procedures. METHODS:In a single-centre repeated measures cohort design we examined the extent to which patient personality and baseline satisfaction with one...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.524
更新日期:2014-06-01 00:00:00
abstract::Displacement of an impacted maxillary third molar into the infratemporal fossa is frequently mentioned but rarely reported. Imaging and retrieval of such a displaced tooth is difficult and requires urgent referral and hospitalisation for removal under general anaesthetic. The use of image intensification equipment in ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808507
更新日期:1994-07-23 00:00:00
abstract::Dental consultations of 30 general practitioners with 132 patients aged 10-17 years were recorded. The dental consultation was found to have a consistent structure composed of a sequence of stages, although not all were present in each consultation. Criteria by which verbal communication in a dental consultation can b...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808519
更新日期:1994-08-06 00:00:00
abstract::Destructive membranous periodontal disease is a rare, destructive and poorly defined entity, which is the part of a systemic disease due to plasminogen deficiency and fibrin deposition. The disease is characterised by gingival enlargement and periodontal tissue destruction that leads to rapid tooth loss despite treatm...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811739
更新日期:2004-10-23 00:00:00
abstract::Safeguarding children from maltreatment and neglect is part of the responsibility of all health professionals, and dental practitioners may be in a unique position to recognise and respond to concerns of this kind. This article outlines some of the ways that abuse can present to the dental team and describes the actio...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.322
更新日期:2007-04-14 00:00:00
abstract::The current debate on our pay system sparked off by the elegant dissertation by David Watson-James (BDJ, October 24 1992) has been welcomed by those of us in the profession who try to see past the size of our next monthly schedule. Having spent the last eight years as a member of the Representative Board of the BDA an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808081
更新日期:1993-01-23 00:00:00
abstract:OBJECTIVE:To determine the relationships between working conditions for new dental graduates and their mental and physical health. DESIGN:A cross-sectional postal survey. SUBJECTS:Graduates from the years 1991 and 1994 were selected to provide cohorts before and after the introduction of mandatory vocational training...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800010
更新日期:1999-01-09 00:00:00
abstract::A case is described of a patient who appeared to belong to the category labelled 'resistant' to local analgesia, in whom use of a 5% lignocaine solution with 1 in 100,000 adrenaline allowed painless routine dental treatment to be carried out. A discussion of the case, and the various other opinions which were consider...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807371
更新日期:1990-11-24 00:00:00
abstract:OBJECTIVE:To develop and evaluate the effectiveness of referral guidelines for the referral of orthodontic patients to consultant and specialist practitioner orthodontists. DESIGN:Single centre randomised controlled trial with random allocation of referral guidelines for orthodontic treatment to general dental practit...
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.4800492
更新日期:2000-04-08 00:00:00
abstract::This article is the second part of a BDJ series of Practice papers on the subject of clinical examination and related record keeping. The series is taken from the Faculty of General Dental Practice UK (FGDP[UK]) 2016 Good Practice Guidelines book on this topic, edited by A. M. Hadden. This particular article discusses...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.989
更新日期:2017-12-15 00:00:00
abstract:AIM:A study of 180 dentists in the West of Scotland was conducted to determine their exposure to mercury during the course of their work and the effects on their health and cognitive function. DESIGN:Data were obtained from questionnaires distributed to dentists and by visiting their surgeries to take measurements of ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811831
更新日期:2004-11-27 00:00:00
abstract::There is some evidence to suggest that dentists suffer a high level of job-related stress. Specifically, social interaction between dentist and patient is considered to be a type of job-related stress which may produce 'burnout', a syndrome of emotional exhaustion, depersonalisation and reduced personal accomplishment...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808616
更新日期:1994-11-19 00:00:00
abstract::There are many causes of oral ulceration, but diagnosis should be relatively straightforward following an adequate history, examination and investigation. If the ulceration fails to respond to treatment, or has an unusual appearance, then an underlying systemic problem such as myeloproliferative disease or HIV infecti...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806938
更新日期:1989-08-19 00:00:00
abstract::Ecstasy (also known as 'love drug', 'XTC' or 'E') is the name commonly used for the illegal designer drug related to amphetamine, 3,4 methylenedioxy-methamphetamine (MDMA). MDMA was patented in 1914 as an appetite suppressant, has been investigated as a mood modifying agent, but with its predecessor 3,4 methylenedioxy...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808200
更新日期:1993-07-10 00:00:00
abstract::There is much mystique surrounding the acquisition by a young practitioner of his or her first dental practice, arising largely from his fear of the unknown. In fact, provided that he or she obtains sound legal and commercial advice, he or she can purchase a dental practice almost exclusively out of borrowed capital. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807524
更新日期:1991-04-20 00:00:00
abstract::Alcohol is a very widely used drug which can cause dental disease and influence dental treatment. It is therefore important that dental professionals take an alcohol history from all patients and are aware of how to give alcohol reduction advice. This article discusses the impact of alcohol on oral health, including o...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.997
更新日期:2018-01-01 00:00:00
abstract::Continuing professional development should embrace all aspects of our professional life. Changes in the pattern of oral disease, developing concepts of specialisation and delivery of dental care require a flexible approach to the interface between the end of the undergraduate dental course and the early years of gener...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809004
更新日期:1996-02-24 00:00:00