Abstract:
BACKGROUND:Contemporary evidence for the effectiveness of water fluoridation schemes in the U.K. is sparse. The utility of routinely collected data in providing evidence warrants further research. OBJECTIVES:To examine inpatient hospital episodes statistics for dental extractions as an alternative population marker for the effectiveness of water fluoridation by comparing hospital admissions between two major strategic health authority (SHA) areas, the West Midlands SHA-largely fluoridated--and the North West SHA--largely unfluoridated. METHOD:Hospital episodes statistics (HES) were interrogated to provide data on admissions for simple and surgical dental extractions, which had a primary diagnostic code of either dental caries or diseases of pulp and periapical tissues for financial years 2006/7, 2007/8 and 2008/9. Data was aggregated by SHA area and quinary age group. Directly standardised rates (DSR) of admissions purchased for each primary care trust (PCT) were calculated and ranked by index of multiple deprivation (IMD). RESULTS:A significant difference in DSRs of admission between PCTs in the West Midlands and North West was observed (Mann-Whitney U test [p <0.0001]) irrespective of IMD ranking. The difference in rates between the two most deprived PCTs was 27-fold. CONCLUSIONS:After ranking by IMD, DSRs of hospital admissions for the extraction of decayed or pulpally/periapically involved teeth is lower in areas with a fluoridated water supply. The analysis of routinely collected HES data may help identify the impact of water fluoridation schemes.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Elmer TB,Langford JW,Morris AJdoi
10.1038/sj.bdj.2014.180subject
Has Abstractpub_date
2014-03-01 00:00:00pages
E10issue
5eissn
0007-0610issn
1476-5373pii
sj.bdj.2014.180journal_volume
216pub_type
杂志文章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::Background Heart transplants have become a successful treatment for some cardiovascular diseases. To prevent rejection of the transplanted heart, patients have to take immunosuppressive medication.Aims The aims of this study were to identify and review oral health complications after heart transplantation.Methods The ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1244-0
更新日期:2020-02-01 00:00:00
abstract::During the course of a 3-year parallel, controlled clinical trial comparing a capitation system of remuneration with fee-for-service for the dental care of children, the views of the dentists were gained through meetings, informal communication, and a structured questionnaire sent to every dentist in the study. The qu...
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.4807170
更新日期:1990-04-07 00:00:00
abstract::Bone is a specialised connective tissue that, together with cartilage, makes up the skeleton. These tissues serve three functions: (a) mechanical support and site of muscle attachment for locomotion; (b) protection for vital organs and bone marrow and (c) a metabolic reserve of ions for the entire organism, especially...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807835
更新日期:1992-03-21 00:00:00
abstract::The geographic tongue of a 23-year-old female student was examined daily for one year. The size, number and location of the lesions were recorded using transparent films. The phase of the oral contraceptive cycle appeared to have a marked effect on the initiation and duration of the circinate lesions, the tongue chang...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807618
更新日期:1991-08-10 00:00:00
abstract::Simulation training involves reproducing the management of real patients in a risk-free environment. This study aims to assess the use of simulation training in the management of acutely ill patients for those in second year oral and maxillofacial surgery dental foundation training (DF2s). DF2s attended four full day ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.1143
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:To discover what dentists require of a hospital response letter with regards to content and timeliness. DESIGN:Postal survey. SETTING:South Wales. SUBJECTS AND METHODS:A postal questionnaire was issued to all dentists (n = 256) who had referred a patient to the dental hospital between 1 January 2003 and 1...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813641
更新日期:2006-06-10 00:00:00
abstract::This fourth paper in the Future of Dentistry series examines the future of dental practice, particularly in terms of the National Health Service. David Watson-James' vision is, he explains, intrinsically linked to past and present developments in dentistry and as the last 50 years has seen dental practice largely infl...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809290
更新日期:1997-01-11 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:OBJECTIVE:To evaluate orthodontic practice websites for the reliability of information presented, accessibility, usability for patients and compliance to General Dental Council (GDC) regulations on ethical advertising. SETTING:World Wide Web. MATERIALS AND METHODS:The term 'orthodontic practice' was entered into thre...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.403
更新日期:2014-05-01 00:00:00
abstract:AIM:The aim of this study was to measure organ doses and calculate the effective dose for indirect and direct digital cephalometric exposures. MATERIAL AND METHODS:Indirect digital cephalometric exposures were made of a Rando phantom head using a Cranex Tome multipurpose unit with storage phosphor plates from Agfa and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811532
更新日期:2004-08-14 00:00:00
abstract:OBJECTIVE:To quantify the level of unmet dental access need which had been reported locally and to provide information about the perceived need for dental treatment with particular reference to those not registered for continuing NHS care. DESIGN:A postal survey of adults resident in Aylesbury Vale, Buckinghamshire wa...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809622
更新日期:1998-04-11 00:00:00
abstract::Introduction Upon completion of dental foundation training (DFT), a number of dental graduates apply for further training known as dental core training (DCT). Alternatively, there are two-year integrated training pathways within both primary and secondary care; known as longitudinal dental foundation training (LDFT). ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0949-4
更新日期:2019-12-01 00:00:00
abstract::Impacted maxillary canine teeth occur in about 2% of the population. Late detection of palatal canines may have treatment implications for the patient and medicolegal implications for the dental practitioner. Dental panoramic tomograms (DPT) are widely taken in practice. Image formation in dental panoramic tomography ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808945
更新日期:1995-12-09 00:00:00
abstract:OBJECTIVES:To determine the methods currently being used to decontaminate photographic retractors in specialist orthodontic practice and to investigate the effectiveness of the cleaning methods. DESIGN:The study was carried out in two parts: I - a postal self-report questionnaire, and II - a cross-sectional clinical a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.310
更新日期:2010-04-10 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::This paper describes the three successive and successful DentEd projects, funded by the European Union, that established a productive thematic network which identified common content within the dental curriculum. It then developed an agreed professional profile, with a defined set of competences and a modular curricul...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.698
更新日期:2008-08-23 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::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:AIM:To compare the performance of a computer based decision support system (a neural network) and consultant oral and maxillofacial surgeons in making decisions about the need to remove lower third molars. DESIGN AND SETTING:Receiver operating characteristic (ROC) analysis at a hospital department of oral and maxillof...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809299
更新日期:1997-01-25 00:00:00
abstract::A case is described of a patient who appeared to belong to the category labelled 'resistant' to local analgesia, in whom use of a 5% lignocaine solution with 1 in 100,000 adrenaline allowed painless routine dental treatment to be carried out. A discussion of the case, and the various other opinions which were consider...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807371
更新日期:1990-11-24 00:00:00
abstract::Background Extensive literature covers the relationship between psychiatric and dental health, but little research explores the ability of dental practitioners to confidently address patient mental health. This paper explored self-reported confidence of dental students when addressing patient mental health in a univer...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1319-y
更新日期:2020-03-01 00:00:00
abstract::Angiotensin enzyme converting (ACE) inhibitors are a widely prescribed group of drugs used in the management of hypertension and heart failure. Several unwanted effects are associated with ACE inhibitors and this paper highlights those significant to the dental surgeon. Of particular concern is the problem of angioede...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809469
更新日期:1997-09-27 00:00:00
abstract:AIM:To describe the characteristics of patients attending a psychologist-led cognitive behavioural therapy (CBT) service for individuals with dental phobia and the outcomes of treatment. METHOD:Analysis of routinely collected assessment and outcome data from 130 patients attending a single secondary service providing ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.890
更新日期:2015-11-27 00:00:00
abstract::The purpose of this paper is to describe the variety of chemical agents and medicines which can produce oral manifestations following poisoning. Rapid diagnosis is essential in covert cases to ensure early treatment. Furthermore, oral care is an important part of the general management of many poisoned patients. ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4808100
更新日期:1993-02-20 00:00:00
abstract:AIM:To compare the demographics (age, sex, ethnicity, social status, disability, country/region) and academic experience (school type) of accepted UK applicants to the five-year and four-year dental programmes in 2007 and 2008. METHODS:Retrospective descriptive analysis was carried out on the University and College Ad...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.107
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To determine whether practising dental therapists, including dually qualified hygienist/therapists, considered themselves to be part of the clinical team and whether clinical work referred to them met with their expectations. METHODS:A postal survey enquired about work experiences of UK dental therapists, a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.1104
更新日期:2009-12-12 00:00:00
abstract::Osteoradionecrosis (ORN) remains a difficult clinical problem. In large refractory cases surgery appears to be the only option but it does not guarantee a cure and is expensive. Cost analysis of 31 patients who had resection with or without reconstruction of their mandible was £892,357. The largest cost was in-patient...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.121
更新日期:2017-02-10 00:00:00
abstract:Introduction:It has been speculated, but never been formally researched that dental professionals are the most experienced workforce in consuming sweet snacks. This is despite many undergraduate dental courses reinforcing the traditional theory that patients should be advised to avoid snacking on foods which are likely...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.1034
更新日期:2018-12-14 00:00:00
abstract::Background Mobile phones are potentially an invaluable tool in addressing the global challenge associated with dental caries as they may elicit behaviour change by incorporating numerous behaviour change techniques (BCTs) to address an individual's capability, opportunity and motivation.Methods The methodology for thi...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0660-5
更新日期:2019-09-01 00:00:00