Abstract:
AIM:To report the development and evaluation of an evidence-based, online, patient assessment tool, capable of measuring oral health status, future disease risk and capitation fee guidance. METHODS:An online integrated oral health and risk assessment tool called DEPPA was developed, incorporating 1) PreViser(™) risk scores for periodontal disease, caries, non-carious tooth surface loss and oral cancer, 2) revised versions of Denplan Excel's Oral Health Score and 3) capitation fee guidance score. DEPPA was piloted by 25 dentists who provided quantitative and qualitative feedback. RESULTS:Six hundred and forty assessments were performed. There was strong agreement on the need for such a tool, that it constituted a comprehensive assessment and supported good patient communication. The validity of the system was perceived as sound and the revised capitation fee guidance broadly welcomed. While some deemed the caries risk scoring algorithm to be too sensitive, the 30% high/very high risk rating is consistent with current rates of active caries in UK adults. CONCLUSIONS:A viable online oral health and risk-assessment tool has been developed (DEPPA) that will allow dental teams to measure oral health status, future disease risk and receive ongoing guidance on capitation fee setting. The indications are that DEPPA could be a valuable audit, care planning and patient communication tool.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Busby M,Chapple E,Matthews R,Chapple ILdoi
10.1038/sj.bdj.2013.738subject
Has Abstractpub_date
2013-08-01 00:00:00pages
115-20issue
3eissn
0007-0610issn
1476-5373pii
sj.bdj.2013.738journal_volume
215pub_type
杂志文章abstract::Aim To investigate the relationship between deprivation and distance to NHS dental providers in Scotland, Wales and Northern Ireland.Methods A total of 1,795 NHS dental practices were located at the smallest geographic areas for Scotland, Wales and Northern Ireland. A geographic information system (GIS) was used to ov...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1748-7
更新日期:2020-07-01 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::The factors which influence the uptake of orthodontic treatment are reviewed with respect to the features and aspirations of the consumers (patients and parents) and the providers (dentists, orthodontists and health system). It appears that the assessment of orthodontic treatment need is influenced by many variables r...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807421
更新日期:1991-01-19 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::Widely varying prevalence rates of oral lesions in patients with Crohn's disease have been reported, ranging from 0.5% to 37%. These manifestations may coincide with or precede intestinal symptoms. Oral manifestations can be classified as specific lesions, when macroscopic examination shows similar changes to those ob...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.954
更新日期:2016-12-16 00:00:00
abstract::A brief review of the literature of digit sucking is followed by the report of a study of 68 treated Class II division 1 malocclusions, designed to attempt to clarify the significance of digit sucking in their aetiology. Case histories of two of the patients from the study are briefly discussed to illustrate the range...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807724
更新日期:1991-12-07 00:00:00
abstract:BACKGROUND:The aim was to obtain stakeholders' views on the former London Deanery's joint educational service development initiative to train dentists with a special interest (DwSIs) in endodontics in conjunction with the National Health Services (NHS) and examine the models of care provided. METHODS:A convergent para...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.652
更新日期:2014-08-01 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::This case report describes a metastatic bronchogenic deposit involving the lower lip and the adjacent bone in the lower incisor region. The presenting symptoms were very similar to those of a dentoalveolar infection and extraction of the lower incisor teeth failed to provide any relief. Comparison of radiographs taken...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808197
更新日期:1993-06-19 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:OBJECTIVES:To assess changes in dental team knowledge and awareness about domestic violence following attendance at a brief training intervention. MATERIALS AND METHODS:Seventy-five dental hospital staff at the University of Manchester Dental Hospital attended a two-hour session delivered by Manchester's City Wide NHS...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814232
更新日期:2006-11-25 00:00:00
abstract::I believe the time is coming when we should consider dropping the term 'malocclusion'. In its present meaning it is too mechanical and misrepresents the fundamental fact that an occlusion can only be judged against the tissue reactions to it or the patient's assessment of it. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.372
更新日期:2007-05-12 00:00:00
abstract::Using a postal questionnaire, the use of general anaesthesia and sedation in general dental practice in two cities over a 4-week period was investigated. Questionnaires were sent to a random sample of one in five dental practitioners in Bristol and Sheffield, and an 82% response rate was attained. More practices in Sh...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807312
更新日期:1990-09-22 00:00:00
abstract::Objective To establish the appropriateness of timing of referrals for patients referred for the management of ectopic maxillary canines, and to evaluate the success of previous recommendations to educate referrers.Design Retrospective clinical re-audit.Setting Royal Surrey County Hospital NHS Foundation Trust.Subjects...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.816
更新日期:2016-11-04 00:00:00
abstract::Orthodontic mini-implants (OMIs) represent a new form of anchorage provision and appear to provide a variety of benefits for both anchorage-demanding and complex orthodontic cases. This paper reports the latest perspectives on OMIs in terms of the emerging clinical evidence base coupled with their varied clinical appl...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.53
更新日期:2015-02-16 00:00:00
abstract:BACKGROUND:Paediatric dentistry requires knowledge of preventive measures, restorative skills and an understanding of child development. AIM:This exploratory, descriptive and qualitative study has analysed children's drawings regarding their perception of dental treatment and oral health. METHOD:Children aged from si...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.545
更新日期:2014-06-01 00:00:00
abstract::A 14-year-old boy suffered transient uniocular blindness after extraction of four permanent first molar teeth under general anaesthetic. We discuss the theoretical basis for ocular vasospasm secondary to the minor trauma of dental extraction being relayed to the orbit. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808168
更新日期:1993-05-08 00:00:00
abstract::The current upward trend in the incidence of tuberculosis, particularly in the USA, and the problems of treating multiply drug resistant strains of Mycobacterium tuberculosis have caused a resurgence of interest in this infection. This review describes the microbiology, routes of transmission and epidemiology of Mycob...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4809093
更新日期:1996-05-25 00:00:00
abstract::Traditionally, the dental profession has endorsed the view that one member should not make public--to patients or colleagues--criticisms of the work of another. Recently, the General Medical Council has disagreed, stating that there may well be circumstances when doctors should not protect colleagues from the conseque...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808094
更新日期:1993-02-06 00:00:00
abstract:OBJECTIVES:To undertake a clinical trial comparing the efficiency of a compomer restoration with a glass ionomer restoration in the management of caries in primary molar teeth. DESIGN:Subjects were admitted to the trial if they required at least one pair of restorations in primary molar teeth. SETTING:Department of C...
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.4800693
更新日期:2000-07-22 00:00:00
abstract:AIM:The aim of this study was to compare the effectiveness of a computer assisted learning (CAL) programme with that of traditional small group tutorials in teaching theoretical and practical aspects of periodontal pocket charting. METHOD:Sixty-one third year undergraduate dental students were randomized to either rec...
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.4810535
更新日期:2003-09-27 00:00:00
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::Methods of measuring the general magnitude or central tendency of sets of data are described, including the mean, median and mode. Similarly, methods of determining the degree of dispersion of the observations about the mean, including range, variance, and standard deviation are presented, together with worked practic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806727
更新日期:1989-02-11 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::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
更新日期:2016-03-25 00:00:00
abstract:AIM:The primary aim was to evaluate the effect of ethnicity, social deprivation and oral health on oral self perceptions of 14-15-year-old Asians and Whites. A secondary aim was to assess the influence of ethnicity and social deprivation on oral treatment need in the same sample. DESIGN:A cross-sectional epidemiologic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809813
更新日期:1998-10-10 00:00:00
abstract::Kawasaki disease (mucocutaneous lymph node syndrome) is a disease of unknown aetiology characterised by vasculitis which may affect the coronary arteries. Young children are most commonly affected although the disease has been described in adults. We report a case of recurrent Kawasaki disease which presented to an or...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800085
更新日期:1999-03-27 00:00:00
abstract::Five hundred dental panoramic tomograms of patients over the age of 17 years were examined and any radiographic relationship of the mandibular second molar to the inferior dental canal noted. The position of the inferior dental canal within the mandible was also noted and compared with previous studies. In the populat...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806893
更新日期:1989-07-08 00:00:00
abstract:AIM:The aim of this study was to determine whether an educational intervention delivered by a computer aided learning package improved the sensitivity and specificity of dentists' restorative treatment decisions. METHOD:The study was a randomised controlled study using a Solomon three-group design. Ninety-five dentist...
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.4801033
更新日期:2001-05-26 00:00:00
abstract::In the first paper of a series exploring quality in primary dental care a definition for quality in dentistry is sought. There is a little agreement in academic literature as to what quality really means in primary dental care and without a true understanding it is difficult to measure and improve quality in a systema...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.740
更新日期:2013-08-01 00:00:00