Abstract:
INTRODUCTION:A prospective cohort study was undertaken to describe the incidence of dental caries, as recorded by GDPs, in the primary molar teeth of children aged approximately 3-6 years attending general dental practices in the North West of England. METHOD:Detailed dental records of children aged 3-6 years attending 50 general dental practices were assembled over a period of three years. Data from these records were analysed to estimate caries incidence rates at the subject and tooth level. RESULTS:The study population consisted of 739 children aged between 2.8 and 6.2 years; 620 children (84%) were caries free at recruitment. The incidence of developing a first carious (into dentine) lesion in caries free children increased with age. At age four the incidence of the first carious lesion was 9.5 per 100 person years and at age seven it was 19.6 per 100 person years. The tooth specific incidence of caries was found to be approximately 5-6 times greater in children with caries at recruitment than in caries free children. A sub-analysis on 566 children that were followed for more than two years revealed that of 486 children caries free at recruitment 132 (27%) developed caries in their primary molar teeth. By contrast, of the 80 children that had caries in their molar teeth at recruitment, one had eight carious molar teeth and 57 (72%) of the remaining 79 developed new cavities during the follow up period. CONCLUSIONS:Caries incidence increases with age. There is a 5-6 times difference in the incidence of new cavities between caries free children and children with caries, irrespective of when a child developed the disease. As a consequence children with the disease and without the disease should be considered as two different populations; this has implications for care strategies applied to each population.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Milsom KM,Blinkhorn AS,Tickle Mdoi
10.1038/sj.bdj.2008.582subject
Has Abstractpub_date
2008-10-11 00:00:00pages
E14; discussion 384-5issue
7eissn
0007-0610issn
1476-5373pii
sj.bdj.2008.877journal_volume
205pub_type
杂志文章abstract:OBJECTIVE:To compare the dental caries' experience and treatment received by 5-year-old children registered with a GDP. DESIGN:Retrospective case note review of all 5-year-old children registered with seven GDPs. SETTING:The study was carried out in 1996/7 in Wirral and North Cheshire in the north west of England. S...
journal_title:British dental journal
pub_type: 杂志文章,多中心研究
doi:10.1038/sj.bdj.4800042
更新日期:1999-02-13 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:OBJECTIVE:To compare clinical and microbiological responses following non-surgical treatment of moderate to advanced adult periodontitis using subgingival scaling with and without adjunctive topical or systemic metronidazole. DESIGN:A single blind randomised clinical trial of 90 subjects, stratified for periodontitis ...
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.4809695
更新日期:1998-06-13 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::While local anaesthetic agents are usually safe and are used ubiquitously, inadvertent overdoses may have potentially fatal consequences. Errors in the dosing of local anaesthetics frequently occur due to inherent difficulties in remembering the toxic dosage limits, difficulties in performing the appropriate calculati...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2015.297
更新日期:2015-04-24 00:00:00
abstract::Introduction Invasive cervical resorption (ICR) has an unknown aetiology, yet it exhibits very aggressive behaviour compared with typical external root resorption, posing a high risk of tooth loss.Aim To investigate the number of patients at the Dublin Cleft Prosthodontic Department with an oro-facial cleft who experi...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2017.405
更新日期:2017-05-12 00:00:00
abstract::In December 2014, Public Health Wales introduced a proof-of-concept incentive scheme, aiming to encourage National Health Service (NHS) dental practitioners in Wales to provide brief intervention for smoking cessation and increase referrals to Stop Smoking Wales (SSW). The scheme ran for 11 weeks. Practitioners were a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.916
更新日期:2016-12-09 00:00:00
abstract:BACKGROUND:The United Kingdom and its national healthcare system represent a unique comparison for many other developed countries (such as Australia and France), as the practice of prophylactic removal of third molars in the United Kingdom has been discouraged for nearly two decades, with clear guidelines issued by the...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.251
更新日期:2014-04-01 00:00:00
abstract::Since January 1993 general dental practitioners have been able to prescribe dietary fluoride supplements in the form of drops or tablets for their child patients within the conditions of service of the General Dental Service. Many GDPs may already have taken advantage of this to the benefit of their patients. However,...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4808595
更新日期:1994-11-05 00:00:00
abstract::This final instalment in the literary series deals with the relationship between general and oral health and methods of maintaining good oral hygiene. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811811
更新日期:2004-11-13 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::This case study illustrates an unusual condition in childhood, pleomorphic salivary adenoma in a 12-year-old. The management, pathology and treatment are discussed with emphasis on the practitioner to be vigilant for rare conditions. A review of the literature on childhood salivary tumours illustrates the rare nature ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800534
更新日期:2000-05-27 00:00:00
abstract::The field of salivary diagnostics to allow risk determination for periodontal diseases is advancing. New technologies in proteomics, genomics and nanotechnologies have continued the discovery of discriminatory periodontal disease biomarkers. This review briefly overviews biomarker studies that have been completed in s...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2014.1005
更新日期:2014-11-01 00:00:00
abstract::The incidence of head and neck cancer is on the rise. Most head and neck cancers are treated with surgery, radiotherapy, chemotherapy or a combination of these modalities. Patients undergoing radiotherapy can experience several unwanted oral side effects, which have both short and long term implications. Dental genera...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.28
更新日期:2015-01-01 00:00:00
abstract::Of note, the symptom load was still high five years after removal of the amalgam restorations. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.450
更新日期:2017-05-26 00:00:00
abstract:OBJECTIVES:To evaluate patient compliance with toothbrushing instructions using a data logger and a brushing diary. METHODS:Dental patients were provided with powered toothbrushes modified to carry electronic data loggers. Demonstration of the most effective way to use the toothbrush was provided with instructions to ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811954
更新日期:2005-01-08 00:00:00
abstract::In Southern Arabia and Eastern Africa, qat chewing is a widely practised socio-cultural habit. It consists of placing the green-leaved plant into the mucobuccal fold and chewing it for several hours, with subsequent release of psychoactive agents. Qat chewing is often accompanied by smoking tobacco. The reported preva...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2008.1122
更新日期:2009-01-10 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:OBJECTIVES:Firstly to determine the current provision of sedation in primary dental care in an area of Scotland without local secondary care support and secondly, to investigate dental practitioners' desire for formal postgraduate training in sedation techniques. DESIGN:A prospective postal questionnaire-based study. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801512
更新日期:2002-08-10 00:00:00
abstract::A case is presented which illustrates the occlusal problems that can develop when a dental appliance such as a temporomandibular splint with incomplete occlusal cover is worn for a reasonable length of time. As in this case, the selective over-eruption of posterior teeth not incorporated in the appliance can lead to t...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.46
更新日期:2011-02-12 00:00:00
abstract:BACKGROUND:Third molar surgery (TMS) is probably one of the most commonly performed surgical procedures undertaken in the NHS. In 2000, the National Institute of Clinical Excellence (NICE) introduced guidelines relating to TMS. These recommended against the prophylactic removal of third molars and listed specific clini...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.780
更新日期:2012-09-01 00:00:00
abstract::Oral cancer has a good prognosis when detected at an early stage yet half of patients diagnosed with oral cancer in the UK have advanced stage disease, for which prognosis is poor. Although most oral tumours are preceded by pre-malignant lesions, the asymptomatic nature of oral cancer, diagnostic delay, and the possib...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.345
更新日期:2010-04-24 00:00:00
abstract::Objectives The objectives of the prospective study were to establish the prevalence of distal caries (DC) in the mandibular second molar and to assess the outcomes of these diseased teeth in our population. Further aims were to identify associated risk factors and to design a protocol for prevention.Methods Clinical a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.677
更新日期:2016-09-23 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::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, an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.132
更新日期:2010-02-13 00:00:00
abstract::Dentists are now advised to use film holders as an aid to intra-oral radiography. The aim of this investigation was to compare a range of commercially available film holders for periapical radiography with the traditional bisecting angle technique using the patient's finger as support for the film, in terms of the eas...
journal_title:British dental journal
pub_type: 临床试验,杂志文章
doi:10.1038/sj.bdj.4808605
更新日期:1994-11-05 00:00:00
abstract::One hundred and fifty years ago, a dentist practising in Tavistock signed off a letter to the editor of The British Journal of Dental Science, 'Suaviter et Fortiter'. This paper discusses the commissioning from the eminent portrait painter Fiona Graham-Mackay of a painting of a dentist's hands. In the course of the si...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.603
更新日期:2016-08-26 00:00:00
abstract:OBJECTIVES:To describe the type of patients seen and work undertaken by dental therapists employed in four personal dental service practices and to report on their cost-effectiveness within the context of the dental practice. METHOD:All members of the dental team used a standard day sheet to record all patient contact...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811749
更新日期:2004-10-23 00:00:00
abstract::Introduction Despite overall improvements in oral health, the number of children admitted to hospital for extraction of teeth due to caries under general anaesthesia (GA) has been reported as increasing dramatically in England. The new UK government plans to transform NHS dentistry by improving oral health.Aim To eval...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.313
更新日期:2011-04-23 00:00:00
abstract::Techniques of linear regression and correlation analysis are discussed and illustrated by means of dentally-related examples. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806811
更新日期:1989-04-22 00:00:00