Abstract:
:Bisphosphonate-associated osteonecrosis of the jaws (BONJ) is recognised as a significant complication related to the use of bisphosphonates and currently is gaining importance due to the increasingly widespread use of these medications. Patients are placed into low or high risk groups of developing BONJ depending on the systemic condition for which they have received bisphosphonates. Numerically, the largest group worldwide is patients receiving bisphosphonates for osteoporosis and these generally fall into the low risk group for BONJ. The high risk group, while numerically smaller, is composed of those patients receiving bisphosphonates in the management of malignancy affecting the skeleton, either primary or secondary (metastatic disease). A number of additional systemic and local risk factors are proposed, which have the effect of increasing the risk of BONJ following an extraction. These risk factors may have the effect of moving a low risk categorised patient into a medium, or perhaps more realistically an unknown risk category. An example of a systemic risk factor is the concurrent use of corticosteroids and a local risk factor is mandibular molar extraction. The purpose of this paper is to define and validate an algorithm to guide clinicians in the area of patient information, consent and management for patients currently taking or having previously taken bisphosphonates who require dental extractions.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Malden N,Beltes C,Lopes Vdoi
10.1038/sj.bdj.2009.5subject
Has Abstractpub_date
2009-01-24 00:00:00pages
93-8issue
2eissn
0007-0610issn
1476-5373pii
sj.bdj.2009.5journal_volume
206pub_type
杂志文章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::The problem with improving quality in dental practice is not so much a difficulty with understanding exactly what quality means, but more a lack of clear guidance as to how to take the simple, practical steps to achieving that improvement in the daily pressures of practice life. This article describes Quality Developm...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808028
更新日期:1992-11-07 00:00:00
abstract::The Shirley Glasstone Hughes Trust Fund was set up in 1990 in order to fund 'prizes or scholarships for dental research' and since 1991 it has provided grants for dental research projects. Between 2005 and 2006, the Trust reviewed the outcomes of its funding over the previous 15 years in order to assess the relevance ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.727
更新日期:2009-08-22 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::Aim To explore how working at dental education centres (DECs), away from the university campus, has influenced the attitudes of dental students towards providing dental care in a primary setting, and whether students feel that this model of dental education meets their perceived training needs.Design Exploratory, qual...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0204-z
更新日期:2019-04-01 00:00:00
abstract::Mercury amalgam has been used for dental fillings since the 1830s. Over that time, questions have occasionally been raised with regard to its safety, but a recent TV programme in America has re-focussed attention in this area. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807608
更新日期:1991-08-10 00:00:00
abstract:OBJECTIVES:To determine the range and frequency of diagnoses in specimens submitted for histopathological examination by general dental practitioners (GDPs). METHODS:A retrospective analysis was carried out of all cases submitted by GDPs for the period 1974-2003, using a Foxpro Windows database. The data were collated...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813464
更新日期:2006-04-22 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:OBJECTIVE:To assess recruitment and participation within seven school/pre-school-based programmes for fluoride varnish applications. METHOD:Year-long pilots were undertaken in six primary schools (ages four to seven years) and one pre-school (ages three to four years). Three applications of fluoride varnish were carri...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.834
更新日期:2013-09-01 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::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::This paper explores the concept of quality as applied to healthcare and its subsequent application to dentistry. The assessment of quality arose from the manufacturing industry and is viewed as a cornerstone of current Government thinking. The difficulties in defining and therefore in measuring are examined and, in pa...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.521
更新日期:2011-07-08 00:00:00
abstract::This is the first of two review papers which aim to update the general dental practitioner on contemporary endodontic practice. This first paper reviews advancements in knowledge of endodontic infections, case selection and diagnosis. An overview is given of contemporary pulp therapy and the role of antibiotics in end...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2011.964
更新日期:2011-11-25 00:00:00
abstract::The effectiveness of pain relieving treatments given for acute dental pain has been evaluated after 24 hours in 172 patients who presented to a dental hospital emergency department. Patients were contacted by telephone the day after attendance and graded their pain on a scale from 1 (no pain) to 5 (pain much worse). T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808469
更新日期:1994-06-11 00:00:00
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 attendin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.582
更新日期:2008-10-11 00:00:00
abstract::The attendance pattern of dental practitioners who resided in the West Midlands and attended postgraduate courses at Birmingham University Dental School was studied. Data were collected from the participants as to their name, the location of their practice and the type of course that they attended. Other information s...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807274
更新日期:1990-07-21 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 1998, research on 'What the general public wants from the general dental service' was carried out by the Centre for Dental Services Studies (CDSS) at the University of York and was commissioned by the British Dental Association (BDA). The research culminated in the report: 'User Priorities for General Dental Servic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800588
更新日期:2000-07-08 00:00:00
abstract::The full coverage, all-ceramic restoration of an anterior tooth is a challenging clinical situation for which a variety of all-ceramic systems and cements are available. The decision making process involves the consideration of a number of factors such as underlying substrate colour, tooth preparation geometry, margin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.735
更新日期:2008-09-13 00:00:00
abstract::The International Caries Consensus Collaboration (ICCC) presented recommendations on terminology, on carious tissue removal and on managing cavitated carious lesions. It identified 'dental caries' as the name of the disease that dentists should manage, and the importance of controlling the activity of existing cavitat...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.672
更新日期:2017-08-11 00:00:00
abstract::To determine the pattern of antibiotic prescribing (source and type) for acute dental conditions in the emergency setting, a prospective cross-sectional study was undertaken of 500 consecutive new patients attending the examination and emergency clinic of the Cardiff Dental Hospital in May 1994. The source and type of...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809276
更新日期:1996-12-07 00:00:00
abstract::This clinical article describes and discusses a technique, using a preoperative occlusal matrix, whereby the occlusal morphology of a tooth may be replicated when placing a posterior resin composite. Two clinical cases are described. The technique offers the clinician considerable time saving for required occlusal adj...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.215
更新日期:2009-03-28 00:00:00
abstract::Introduction Intentional replantation (IR) may offer a solution for persistent periapical lesions associated with endodontically treated teeth in select cases. This case series demonstrates the use of IR as an alternative treatment approach to both orthograde and surgical endodontic retreatment. The indications, contr...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1988-6
更新日期:2020-08-01 00:00:00
abstract::Objective To ascertain the survival of teeth having undergone root canal therapy, when bacterial photo-dynamic therapy (bacterial PDT) was used as an adjunct during root canal system disinfection. Design Retrospective survival analysis (Kaplan-Meier method) of endodontically-treated teeth, when bacterial PDT was used ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0026-z
更新日期:2019-03-01 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::The impact of oral conditions on children in England, Wales and Northern Ireland 2013. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.634
更新日期:2016-09-09 00:00:00
abstract::A fifth mandibular incisor is a eumorphic supernumerary tooth and has rarely been described in the medical literature. We report here a large Lebanese consanguineous family where four individuals displayed five incisors in the anterior mandible. Such familial observation has not been previously described. The possibil...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811648
更新日期:2004-09-25 00:00:00
abstract:OBJECTIVE:Tooth wear is recognised as a common feature of European dentitions. However, little is known about its progression in susceptible patients. The aim of this study was to assess the degree and progression of tooth wear in patients by examining study casts taken of their teeth on two separate occasions. DESIGN...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809914
更新日期:2003-02-22 00:00:00
abstract::Calcification of the stylohyoid ligament is a well recognised radiographic finding in dental practice. Fortunately, affected individuals seldom develop symptoms. We report a case of a patient whose main complaint was a loud click following jaw movement. This unusual presentation has not been described before and shoul...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800149
更新日期:1999-05-22 00:00:00
abstract::Aim To assess socioeconomic inequality regarding specific preventive interventions (fissure sealants or any treatment to prevent caries) and dental visits among UK children.Method Data were from the Children's Dental Health Survey 2003, which included participants from England, Wales, Scotland, and Northern Ireland. T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.499
更新日期:2017-06-09 00:00:00