A qualitative study examining the experience of primary care dentists in the detection and management of potentially malignant lesions. 1. Factors influencing detection and the decision to refer.

Abstract:

BACKGROUND AND AIMS:Many oral squamous cell carcinomas present as late stage disease and so the detection of early and pre-malignancy is considered to be of paramount importance. The majority of research examining primary care dentists' experience of the detection and management of early disease has been undertaken using questionnaires, with the inherent bias this introduces. The aim of this study was to use qualitative methods to develop a richer account of practitioners' views about screening and what factors influence the decision to refer a patient. METHODS:Semi-structured interviews were undertaken with eighteen dentists in Sheffield, transcribed and analysed using thematic analysis. Ten codes were identified according to the aims of the study and organized into four overarching themes. RESULTS:Although many dentists were screening regularly, some did not appear to be adopting a rigorous and systematic approach. A number of participants also placed more reliance on 'classical' presentations rather than the more varied presentation of potentially malignant lesions and were more influenced by the clinical history of the lesion rather than risk factors. CONCLUSION:Overall, the present research suggests that for some dentists, more rigour is required when examining for early disease.

journal_name

Br Dent J

journal_title

British dental journal

authors

Brocklehurst PR,Baker SR,Speight PM

doi

10.1038/sj.bdj.2010.54

subject

Has Abstract

pub_date

2010-01-23 00:00:00

pages

E3; discussion 72-3

issue

2

eissn

0007-0610

issn

1476-5373

pii

sj.bdj.2010.54

journal_volume

208

pub_type

杂志文章
  • Angiotensin converting enzyme inhibitors and delayed onset, recurrent angioedema of the head and neck.

    abstract::Angiotensin converting enzyme (ACE) inhibitors are a commonly prescribed, effective medication in the treatment of hypertension and heart failure. Several side-effects of dental relevance can occur including angioedema of the lips, mouth and throat. This adverse effect is well reported and can be fatal, but it is not ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2008.982

    authors: Wakefield YS,Theaker ED,Pemberton MN

    更新日期:2008-11-22 00:00:00

  • Summary of: the impact of fluoride application training: survey of trained dental nurses from King's College Hospital NHS Trust.

    abstract:OBJECTIVES:To explore the perceived benefits of a fluoride varnish training scheme, subsequent use of extended skills and any barriers that exist, in order to inform future training and practice. METHOD:Questionnaire survey of the first four cohorts of fluoride varnish training at one London dental hospital. RESULTS:...

    journal_title:British dental journal

    pub_type: 评论,杂志文章

    doi:10.1038/sj.bdj.2012.443

    authors: Levine RS

    更新日期:2012-05-25 00:00:00

  • Conscious sedation for dentistry: an update.

    abstract::Despite its excellent safety record there remains disquiet about the provision of conscious sedation for dental care. This applies particularly to the use of 'alternative' sedation techniques which extend beyond the 'standard' techniques (intravenous midazolam for adults and nitrous oxide/oxygen) described in Consciou...

    journal_title:British dental journal

    pub_type: 杂志文章,实务指引

    doi:10.1038/bdj.2007.1105

    authors: Craig DC,Wildsmith JA,Royal College of Anaesthetists.,Royal College of Surgeons of England.

    更新日期:2007-12-08 00:00:00

  • Articaine buccal infiltration vs lidocaine inferior dental block - a review of the literature.

    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

    authors: Bartlett G,Mansoor J

    更新日期:2016-02-12 00:00:00

  • Survival analysis of composite Dahl restorations provided to manage localised anterior tooth wear (ten year follow-up).

    abstract:OBJECTIVE:To evaluate ten-year survival and clinical performance of resin-based composite restorations placed at increased vertical dimension as a 'Dahl' type appliance to manage localised anterior tooth wear.Design A prospective survival analysis of restorations provided at a single centre.Setting UK NHS hospital and ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2011.683

    authors: Gulamali AB,Hemmings KW,Tredwin CJ,Petrie A

    更新日期:2011-08-26 00:00:00

  • The relevance of alcohol to dental practice.

    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

    authors: Grocock R

    更新日期:2018-01-01 00:00:00

  • Practical marketing for dentistry. 10. Integrating marketing into the dental practice.

    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

    authors: Ball R

    更新日期:1996-10-05 00:00:00

  • Quality development.

    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

    authors: Grace M

    更新日期:1992-11-07 00:00:00

  • The delivery of dental care to older adults in Scotland: a survey of dental hygienists and therapists.

    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

    authors: Turner S,Symeonoglou P,Ross MK

    更新日期:2020-08-14 00:00:00

  • Congenital alveolar synechiae - a case report.

    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

    authors: Tanrikulu R,Erol B,Görgün B,Ilhan O

    更新日期:2005-01-22 00:00:00

  • The history of commonly used dental elevators.

    abstract::Despite the extensive and regular use of dental elevators on a daily basis in both general dental and specialist oral and maxillofacial surgical practice, little is known about the history and origins of such instruments and this remains an intriguing question. This question has been the basis for the following articl...

    journal_title:British dental journal

    pub_type: 传,历史文章,杂志文章

    doi:10.1038/sj.bdj.2008.933

    authors: Bussell MA,Graham RM

    更新日期:2008-11-08 00:00:00

  • Lower third molar surgery - consent and coronectomy.

    abstract::This article reports a brief overview of the risks associated with lower third molar extractions, and the claims that coronectomy may be useful as a treatment modality in managing some aspects of those risks. It discusses the position in terms of consent, and reports that some cases suggest that clinicians who do not ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2016.217

    authors: Williams M,Tollervey D

    更新日期:2016-03-25 00:00:00

  • Oral histoplasmosis associated with candidiasis in HIV-infected patients: a report of two cases.

    abstract::Oral histoplasmosis, a rare condition, is reported in two HIV-infected patients. The lesions showed different characteristics. One was an ulcerative lesion presenting as the only manifestation of the disease. The other was nodular, with disseminated histoplasmosis. In both cases infection with Candida was also noted w...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4809373

    authors: Nittayananta W,Kumplanont P,Srisintorn S,Akkayanont P,Chungpanich S,Teanpaisan R,Chareonwatanan M,Nuntanaranont T

    更新日期:1997-04-26 00:00:00

  • Educational aspects of oral cancer.

    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

    authors: Farthing PM,Speight PM

    更新日期:2018-11-09 00:00:00

  • The management of tooth wear with crowns and indirect restorations.

    abstract::This manuscript summarises the reasons behind choosing indirect restorations in the treatment of tooth wear. The purpose of this article is to discuss the use of crowns as a restorative treatment option for tooth wear. There are also challenges with the use of composites as they can repeatedly fail and in these situat...

    journal_title:British dental journal

    pub_type: 杂志文章,评审

    doi:10.1038/sj.bdj.2018.170

    authors: Varma S,Preiskel A,Bartlett D

    更新日期:2018-03-09 00:00:00

  • Prevention of secondary caries using silver diamine fluoride treatment and casein phosphopeptide-amorphous calcium phosphate modified glass-ionomer cement.

    abstract::Treatment of the cavity with silver diamine fluoride before placement of glass ionomer cement containing CPP-ACP enhances anticariogenic effect in vitro. ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2017.580

    authors:

    更新日期:2017-07-07 00:00:00

  • Public perceptions of the funding of NHS dental services.

    abstract::A survey was carried out of 102 members of the general public, asking for their views of the recent changes in the government funding of NHS dentistry. Approximately 80% of those surveyed had heard about the changes. The majority thought that the implications of the change would be a rise in costs to patients and a fa...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4807988

    authors: Allen D,Barker T,Gibbons D,Newton T,Thorogood N

    更新日期:1992-09-19 00:00:00

  • Repair vs replacement of failed restorations in general dental practice: factors influencing treatment choices and outcomes.

    abstract:OBJECTIVE:To investigate the impact of repair vs replacement of failed restorations on patient related outcome measures, and to explore the clinical factors that influence this decision. DESIGN:Multicentre, prospective practice-based study. SETTING:Dental practices within Salford, Trafford and East Lancashire in the ...

    journal_title:British dental journal

    pub_type: 杂志文章,多中心研究

    doi:10.1038/sj.bdj.2014.1165

    authors: Javidi H,Tickle M,Aggarwal VR

    更新日期:2015-01-01 00:00:00

  • Preparedness of dental graduates for foundation training: a qualitative study.

    abstract:AIMS:The aims of this study were to articulate the concept of preparedness of dental graduates for foundation training programme in the United Kingdom and identify the essential attributes of preparedness. METHODS:A qualitative approach using semi-structured interviews was used to explore the concept of preparedness. ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2014.648

    authors: Ali K,Tredwin C,Kay EJ,Slade A,Pooler J

    更新日期:2014-08-01 00:00:00

  • Measuring oral health self perceptions as part of a concise patient survey.

    abstract:AIM:To investigate the measurement of oral health self perceptions, as part of a concise patient survey, and to consider the potential value of including this aspect in survey instruments. METHOD:In 2011, the data collected from 42,794 patients attending 276 practices participating in a voluntary accreditation program...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2012.1135

    authors: Busby M,Burke FJ,Matthews R,Cyrta J,Mullins A

    更新日期:2012-12-01 00:00:00

  • The new MFDS/MFD examination.

    abstract::The first diet of the Membership of the Faculty of Dental Surgery/Faculty of Dentistry (MFDS/MFD) examination took place on 15 September 1998. This article takes a look at the reasons behind the establishment of this new examination and describes the methods to be used in candidate assessment. ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4809798

    authors: Callis PD

    更新日期:1998-09-26 00:00:00

  • Designing abutments for cement retained implant supported restorations.

    abstract::In another article in this series the authors' preference for screw retained implant supported restorations was presented together with a literature review and rationale.(1) There remain situations when screw retention is not possible due to implant position, implant trajectory, aesthetics or function. ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4814205

    authors: Chee W,Jivraj S

    更新日期:2006-11-11 00:00:00

  • Operation Himalaya!

    abstract::Primary health care is more than a luxury for many of the world's poorest countries. The charity, Action Health 2000, is attempting to develop dental services in, among other places, the northern provinces of India. Linda Hillman answered their advertisement and found herself among the people of the 'God King'. ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4807146

    authors: Hillman L

    更新日期:1990-03-10 00:00:00

  • Archaeological oral health: a comparison of post-medieval and modern-day dental caries exposure of adults in East London.

    abstract::Modern levels of dental decay worldwide are on the rise. This study aimed to calculate historical rates of decay and compare them with recent figures. To compare the rate of dental decay in East Londoners from a post-medieval burial ground and a published modern sample, a database of human remains held at the Museum o...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/s41415-019-0737-1

    authors: Smith JS

    更新日期:2019-10-01 00:00:00

  • Fluoridation in Anglesey: a clinical study of dental caries in mothers at term.

    abstract::A study of dental caries was carried out involving 1537 mothers who attended St David's Hospital, Gwynedd, between July 1986 and July 1987 for their confinement. The study was 'blind' in respect of residence. The mean DMFT value for mothers with continuous residence in the non-fluoridated Gwynedd mainland was 13.6 and...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4807968

    authors: Thomas FD,Kassab JY

    更新日期:1992-09-05 00:00:00

  • Quantitative analysis of particulate matter release during orthodontic procedures: a pilot study.

    abstract::Introduction Transmission of SARS-CoV-2 through aerosol has been suggested, particularly in the presence of highly concentrated aerosols in enclosed environments. It is accepted that aerosols are produced during a range of dental procedures, posing potential risks to both dental practitioners and patients. There has b...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/s41415-020-2280-5

    authors: Din AR,Hindocha A,Patel T,Sudarshan S,Cagney N,Koched A,Mueller JD,Seoudi N,Morgan C,Shahdad S,Fleming PS

    更新日期:2020-11-12 00:00:00

  • Extreme distal migration of a maxillary canine.

    abstract::A case of extreme distal migration of the left maxillary canine is reported. The canine had erupted buccal to the contact area between the left second premolar and first molar. Past reports of similar ectopia are reviewed. ...

    journal_title:British dental journal

    pub_type: 杂志文章,评审

    doi:10.1038/sj.bdj.4807091

    authors: Shanmuhasuntharam P,Thong YL

    更新日期:1990-01-20 00:00:00

  • Our hygienist will see you for your check-up now...

    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

    authors:

    更新日期:2016-12-09 00:00:00

  • The relationship between registration and dental health benefit in 8- and 9-year-old children in Cheshire.

    abstract::The dental treatment needs of 8- and 9-year-old children registered with a GDP for at least 6 months were compared with the dental treatment needs of children from a similar social background who were neither registered nor regularly attending the Community Dental Service. The children were examined by one of the auth...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4808630

    authors: Daley FM,Milsom KM,Lennon MA

    更新日期:1994-12-10 00:00:00

  • Cost effectiveness modelling of a 'watchful monitoring strategy' for impacted third molars vs prophylactic removal under GA: an Australian perspective.

    abstract:OBJECTIVE:To develop a national level cost model of both the direct and indirect costs of hospitalisations for impacted teeth in Australia. This model will then be used to compare a watchful monitoring strategy for impacted third molars versus prophylactic removal under GA, and calculate possible cost savings in the sc...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2015.529

    authors: Anjrini AA,Kruger E,Tennant M

    更新日期:2015-07-10 00:00:00