Abstract:
:Aim To identify distinct characteristics of unexplained orofacial pain that could be used by dental practitioners in making an early diagnosis.Methods Subjects reporting orofacial pain in a postal questionnaire-based cross-sectional survey were invited for clinical examination. The interviewer was blinded to the questionnaire responses of the subjects. A diagnosis was made following the examination and subjects were assigned into two groups: unexplained pain and dental pain. The questionnaire responses of subjects who had consulted a healthcare professional within these two groups were then compared with particular attention to demographics, orofacial pain characteristics, consultation behaviour and relationship with other unexplained syndromes.Results Subjects who had consulted for their pain and were assigned to the unexplained orofacial pain group were significantly (p <0.05) more likely to report the following characteristics: pain descriptors (nagging, aching, tingling), pain pattern (worse with stress), site (poorly localised), duration (persistent/chronic), high disability, multiple consultations and co-morbidities (teeth grinding, reporting of other unexplained syndromes).Conclusion This study has shown that unexplained orofacial pain has distinct characteristics that differentiate it from other common dental conditions. This provides a good evidence base which can reduce uncertainty among dental practitioners, allowing them to make an early diagnosis.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Aggarwal VR,McBeth J,Zakrzewska JM,Macfarlane GJdoi
10.1038/sj.bdj.2008.585subject
Has Abstractpub_date
2008-08-09 00:00:00pages
E6; discussion 140-1issue
3eissn
0007-0610issn
1476-5373pii
sj.bdj.2008.585journal_volume
205pub_type
杂志文章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::These extracts from the literary archive focus on the role of teeth as a facial feature. Their contribution to favourable and unfavourable facial appearance by their presence or absence, their use as a guide to character and as a means of identification are illustrated. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801207
更新日期:2001-10-27 00:00:00
abstract::Ninety-eight cigarette smokers attending the Newcastle upon Tyne Dental Hospital, wishing to reduce their tobacco consumption, received smoking reduction advice in combination with dental health instruction and periodontal care. Those advised against smoking showed a greater reduction (P < 0.001) in reported cigarette...
journal_title:British dental journal
pub_type: 临床试验,杂志文章
doi:10.1038/sj.bdj.4809067
更新日期:1996-04-20 00:00:00
abstract::Debate based on an opinion article published in the British Dental Journal entitled 'Truth or consequences: the potential implications of short-term cosmetic orthodontics for general dental practitioners' by R. A. C. Chate ( 2013; 215: 551-553; www.nature.com/bdj/journal/v215/n11/full/sj.bdj.2013.1140.html). ...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2014.258
更新日期:2014-04-01 00:00:00
abstract::Endodontic considerations is the fourth in the series on crowns and other extra-coronal restorations. This article focuses strongly on contemporary biological principles, and is not intended to provide a comprehensive review of commercially available materials and techniques. Principles are illustrated in a variety of...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4801365
更新日期:2002-03-23 00:00:00
abstract:OBJECTIVE:To compare directly inhalation sedation and general anaesthesia in terms of treatment success rate, various aspects of morbidity and time taken, when used for patients having orthodontic extractions. DESIGN:Patients requiring orthodontic extractions were treated with either inhalation sedation or general ana...
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.4800471
更新日期:2000-03-25 00:00:00
abstract::Each year since 1970, the charity CRISIS has provided a place of warmth and shelter for the homeless of London (guests) over the Christmas period. In 1990 they converted a large factory warehouse off the Old Kent Road and set it up to cook meals, provide beds, games, televisions, hairdressing, chiropody, medical and d...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807709
更新日期:1991-11-23 00:00:00
abstract:BACKGROUND:Recent clinical studies suggest that substance use may be associated with an acceleration of the ageing process, possibly related to a deficit of stem cell number or function. As this clinic had access to both medical and drug dependent patients, we tested the hypothesis that there may be an association betw...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.932
更新日期:2008-12-13 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:OBJECTIVE:There is little information available on journal based verifiable continuing professional development (CPD). The aim of this study was to survey those dentists who have undertaken this form of CPD and elicit their views. DESIGN:A questionnaire survey. METHOD:Four hundred dentists who had registered to under...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812928
更新日期:2005-11-26 00:00:00
abstract::This paper outlines the development of the training of orthodontic therapists in the UK, the experiences of the first cohort to pass through the Bristol course, the roles and responsibilities of the therapist and possible issues with future orthodontic manpower planning. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.766
更新日期:2009-09-12 00:00:00
abstract::The literature regarding external root resorption in relation to orthodontics and its radiographic diagnosis is reviewed, including a summary of the more common radiographic techniques available. Sample cases are presented which demonstrate the need for good radiographic technique and an awareness of the limitations o...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800870
更新日期:2001-01-13 00:00:00
abstract::Many UK patients in the search for their perfect smile have now decided to have their dental treatment abroad, the main reasons being that they believe they can have the same treatment but at a much lower price. With many overseas clinics offering treatment packages that also include a holiday, dental tourism seems an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2591-6
更新日期:2021-01-01 00:00:00
abstract::Prosthetic dentistry in general practice produces many challenges for both the newly qualified trainee and the long-standing practitioner. If these challenges are not appreciated, met and dealt with effectively, the dentist may be left disillusioned with his skills and expertise, and stressed at the thought of treatin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806977
更新日期:1989-10-07 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::Oral health promotion in the community pharmacy: an evaluation of a pilot oral health promotion intervention. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.860
更新日期:2017-10-13 00:00:00
abstract::Since the outbreak of war in the former Yugoslavia, the British Government has accepted a number of people with special humanitarian needs from Bosnia. In October 1992, seven families, comprising of ten adults aged between 24 and 42 years old and 13 children aged between 18 months and 15 years old, arrived in Surrey h...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808265
更新日期:1993-09-11 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:BACKGROUND:There is an urgent need to consider the skill-mix of the dental team to meet the oral health needs and demands of the population in general, and older people in particular. As people live longer and retain their teeth there will be a progressive change in both the volume and type of dental care required, and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.106
更新日期:2010-02-13 00:00:00
abstract::Since the introduction of nightguard vital bleaching (tray bleaching) in 1989, dentistry has witnessed an astronomical rise in the interest in tooth whitening.(1) As a result, the most frequently asked question is, 'what bleaching technique works best?' Virtually all of today's whitening approaches work, because bleac...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812298
更新日期:2005-04-23 00:00:00
abstract::Oral problems are often the first significant clinical manifestations of infection with human immunodeficiency virus (HIV). Their early recognition affords the best opportunity for effective therapeutic intervention of HIV infection and opportunistic infections, as well as for oral health education in order to avoid f...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807360
更新日期:1990-11-10 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::After a century of increasing dental caries levels there have been dramatic reductions in dental caries and periodontal disease in the past 15 years in most industrialised countries. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806783
更新日期:1989-04-08 00:00:00
abstract::In Zambia's population of 8 million, 69% are under 24 years of age. The country has a crippling foreign debt, and consequently public services are poorly funded. From March this year my wife and I have been working in Zambia. I have been asked to establish and develop a dental service based at Mukinge Hospital in the ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807933
更新日期:1992-07-11 00:00:00
abstract::This paper explains how to screen tooth wear in general practice using the Basic Erosive Wear Examination (BEWE) index. It explains how stakeholders in the UK acknowledged the convenience of the BEWE and that it could be recorded at the same time as the Basic Periodontal Examination (BPE). The article contains example...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1246-y
更新日期:2020-02-01 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::Feasibility study: Assessing the efficacy and social acceptability of using dental hygienist-therapists as front-line clinicians. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.907
更新日期:2016-12-09 00:00:00
abstract::Background Heart transplants have become a successful treatment for some cardiovascular diseases. To prevent rejection of the transplanted heart, patients have to take immunosuppressive medication.Aims The aims of this study were to identify and review oral health complications after heart transplantation.Methods The ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1244-0
更新日期:2020-02-01 00:00:00
abstract::An introduction to the practical application of acupuncture in dentistry is presented in the light of current research. It is concluded that acupuncture could supplement conventional treatment modalities. Its value in the treatment of temporomandibular dysfunction syndrome and facial pain has been well documented and ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800704
更新日期:2000-08-12 00:00:00
abstract::Although this study heralded that over half the implants gained bone, this was between 1 and 5 years after placement, the amounts were trivial, and this has to be balanced with loss of bone during the first year. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.410
更新日期:2016-06-10 00:00:00