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 clinical indications for surgery. The impact of these guidelines has not been fully evaluated and this research hopes to focus the effect of these guidelines over the last ten years. METHODS:Using data obtained from a variety of NHS databases such as HES (Eng & Wales), the NHSBSA and data from NHS Scotland, we looked at the age range of patients requiring third molar removal and the number of patients having third molars removed in both primary and secondary care environments from 1989 to 2009. In addition we looked at the clinical indications for TMS activity in secondary care. FINDINGS:The mean age of patients increased from 25 years in 2000 to 32 years in 2010, with the modal (most common) age increasing from 26 to 29 years. After the introduction of clinical guidelines the number of patients requiring third molar removal in secondary care dropped by over 30%, however, since 2003 the number of patients has risen by 97%. There is also a significant increase in caries as an indication for third molar removal. CONCLUSIONS:More patients are requiring third molar removal with an increasing number of patients having caries related to their third molars. Patients are, on average, older confirming that the removal of third molars is shifting from a young adult population group to an older adult population group. NICE guidelines did appear to have contributed to a fall in the volume of third molars removed within the NHS post 2000. However, concluding that this reduction demonstrates the success of NICE's guidance would be a premature assumption. The number of patients now requiring third molar removal is comparable to that of the mid 1990s. NICE has influenced the management of patients with third molars but this has not resulted in any reduction in the number of patients requiring third molar removal. Coding and data collection for third molars is not uniform, leading to potential misrepresentation of data. This perhaps raises the issue that an improved universal coding system is required for the NHS and that the NICE guidelines need review.
journal_name
Br Dent Jjournal_title
British dental journalauthors
McArdle LW,Renton Tdoi
10.1038/sj.bdj.2012.780subject
Has Abstractpub_date
2012-09-01 00:00:00pages
E8issue
5eissn
0007-0610issn
1476-5373pii
sj.bdj.2012.780journal_volume
213pub_type
杂志文章abstract:OBJECTIVE:To evaluate published reviews of the appropriateness of prophylactic removal of impacted third molars. DESIGN:Systematic review and critical appraisal of relevant reviews. METHODS:Computerised databases (Medline and Embase), the Index to Dental Literature, and the references of articles were searched to ide...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4809378
更新日期:1997-05-10 00:00:00
abstract::This paper will explore the pathological process involved in dental resorption as well as its classifications and aetiology. The second subsequent paper will look at its diagnosis and management. ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2013.431
更新日期:2013-05-01 00:00:00
abstract::If you have a great idea for an innovative project or scheme that has an impact on patient care, or even if you've already completed one, then the inaugural Dental and Oral Health Innovation Awards could be your big opportunity to take it further. In this article, Danny Pine calls for entries to the Awards and looks a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.413
更新日期:2008-05-24 00:00:00
abstract::Dentists are now required to treat HIV-positive patients in their practices. Dentists working in high HIV prevalence areas treat HIV seropositive patients but what affects this treatment decision? The aim of this study is to investigate the role of conflict with regard to treatment decisions. All 371 dentists practisi...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808975
更新日期:1996-01-20 00:00:00
abstract::Author's correction note:Letter Br Dent J 2020; 229: 326.V. Mellish was omitted from the author list of this letter. The author list should have read:T. Kadiyo, V. Mellish.This has been corrected online.The authors apologise for any convenience caused. ...
journal_title:British dental journal
pub_type: 已发布勘误
doi:10.1038/s41415-020-2302-3
更新日期:2020-10-01 00:00:00
abstract::The provision of dental treatment under both local anaesthesia and sedation has an excellent safety record, although medical problems may occur. The high prevalence of cardiac disease in the population, particularly ischaemic heart disease, makes it the most common medical problem encountered in dental practice. Addit...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800750
更新日期:2000-09-23 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::In 1994 the Department of Health commissioned a survey of early feeding practices within the Asian community. The survey conducted by the Office for National Statistics (ONS) was designed to assess from a nationally representative sample of infants from the Bangladeshi, Indian and Pakistani communities from across Eng...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800374
更新日期:2000-01-08 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::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::One day Andy Beazley was a busy dentist, the next he found himself setting off for a week in a Romanian children's hospital, loaded to the brim with blankets, bedding and toys. When he goes back in March, he hopes to take a couple of Portakabins and some drainage equipment. What did he discover while he was there and ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807432
更新日期:1991-02-09 00:00:00
abstract::Aim To investigate clinical dental technicians' (CDTs) current working practices and their perception as registered dental professionals regarding their practice of dentistry, role and relationships in the dental team and within the UK healthcare system.Methods A postal questionnaire was sent to all 304 CDTs registere...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0081-5
更新日期:2019-03-01 00:00:00
abstract::Subdural empyema is a rare but serious complication of paranasal sinusitis which may result in death or permanent disability in a significant proportion of cases. A case is presented in which displacement of a premolar root in the maxillary sinus led to a subdural empyema and a resultant left-sided hemiplegia. This ca...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809404
更新日期:1997-06-14 00:00:00
abstract::On 6 July 2005, the EU Physical Agents (Vibration) Directive (2002) came into force across all member states. This will mean that legally enforceable limits on hand-arm vibration exposures will be introduced and that risk management must be set in place at work. This article briefly describes the content of the Direct...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812902
更新日期:2005-11-12 00:00:00
abstract::Paper 3 of this series on the current concepts of tooth wear management will focus on the provision of active restorative intervention for cases presenting with generalised tooth wear. The use of both contemporary adhesive and traditional conventional techniques applied to treat cases of generalised tooth wear will be...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2012.97
更新日期:2012-02-10 00:00:00
abstract::A brief clinical orthodontic examination is described as a method of screening young people in practices, community clinics or at school inspections for malocclusions requiring a more comprehensive assessment. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809779
更新日期:1998-09-12 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::Objectives To describe the approach taken by dental hygienists and therapists (DH/Ts) in Wales regarding dental implant maintenance. To gather their opinions about the current level of implant education.Materials and methods Online questionnaires were distributed to 257 DH/Ts within Wales.Results The response rate was...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0365-9
更新日期:2019-06-01 00:00:00
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
更新日期:1996-10-05 00:00:00
abstract::Two hundred and sixteen additional dentists enter the Register from Europe annually [corrected]. Dental educational standards vary widely across Europe. Convergence is best promoted through exchanges (SOCRATES) and voluntary school visitations (DENTED). UK standards are set by the GDC and maintained by the schools. Co...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800184
更新日期:1999-06-26 00:00:00
abstract::This is your show so come and see what it has to offer you. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.657
更新日期:2016-09-09 00:00:00
abstract::Cost efficiency of removing third molars in a practice specialising in minor oral surgery was compared to that of a hospital oral surgery department. A total of 100 patients treated in each locality were prospectively audited during the financial year 1989-90. Surgical complexity, waiting time, complications and patie...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808154
更新日期:1993-04-24 00:00:00
abstract::Introduction Despite improvements in oral health outcomes in New Zealand over the last number of decades, there are still high levels of preventable tooth decay in adults and children. We investigate the prevalence and spatial variation of non-fluoride toothpaste use in a nationally representative sample of adults and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1304-5
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To survey the attitudes, knowledge and practice of general dental practitioners (GDPs) with regard to hypertension in dental patients and to assess opinion with regard to the concept of screening. SETTING:General dental practice. SUBJECTS AND METHODS:GDPs via a postal survey. To achieve an acceptable level ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801544
更新日期:2002-09-14 00:00:00
abstract:AIM:This prospective, randomised, parallel, controlled study was conducted firstly to compare the onset of local anaesthesia (LA) when using the conventional technique versus the Wand computer-controlled LA and secondly to assess the pain experience in children. METHOD:Thirty children were randomly allocated to the tr...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2012.988
更新日期:2012-11-01 00:00:00
abstract::The use of problem-based learning as part of a vocational training scheme for vocational dental practitioners is described and evaluated. Problem-based learning is currently viewed as an effective means of delivering medical education and has been adopted as a principal style of education by many undergraduate medical...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800213
更新日期:1999-07-24 00:00:00
abstract::It is important that dental extractions under general anaesthesia (GA) are planned appropriately to avoid a repeat GA in the future. Current guidelines recommend the input of an orthodontist when the treatment plan involves a permanent tooth extraction but the number of children undergoing GA extractions makes this ch...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0408-2
更新日期:2019-06-01 00:00:00
abstract::Background Different skill-mix models have changed the face of the dental workforce. This study aimed to assess how this skill-mix translates into different practice models of care and the employer-dentists' perception of the dental team.Methods Twenty-two oral health therapists (OHTs) and 12 employer-dentists from bo...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1529-3
更新日期:2020-05-01 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: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
更新日期:2015-01-01 00:00:00