Abstract:
:Chronic obstructive pulmonary disease (COPD) affects an estimated 3 million people in the United Kingdom, and is most common among elderly smokers. Patients may present with recurrent coughing of mucoid secretions (chronic bronchitis) or breathlessness caused by destruction of the airways (emphysema). If possible, it is advisable to treat the severely affected patients with them sitting upright in the dental chair as they may find it difficult to breathe when lying in the horizontal position. Periodontal bacteria can be carried into the lung where they can cause respiratory infection; therefore oral hygiene instruction should be emphasised in these patients. The objective of this article is to describe the oral and dental implications of chronic obstructive pulmonary disease. In particular, there have been a number of recent developments in the management of patients with COPD that have direct relevance to the dentist. The drug regime used in the treatment of patients with COPD can have profound implications for clinical dental practice, manifested as dry mouth or oral candidiasis. There is also increasing evidence of a link between COPD and both gastro-oesophageal reflux disease and periodontal disease.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Devlin Jdoi
10.1038/sj.bdj.2014.756subject
Has Abstractpub_date
2014-09-01 00:00:00pages
235-7issue
5eissn
0007-0610issn
1476-5373pii
sj.bdj.2014.756journal_volume
217pub_type
杂志文章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::These extracts from the literary archive focus on the role of teeth as a facial feature. Their contribution to favourable and unfavourable facial appearance by their presence or absence, their use as a guide to character and as a means of identification are illustrated. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801207
更新日期:2001-10-27 00:00:00
abstract::Objectives This study investigated patients' insights into whether virtual reality (VR) technology plays a beneficial role in reducing anxiety levels while undergoing dental extractions.Design Explorative study.Setting Oral Surgery Department of Birmingham Dental Hospital in July 2017.Material and methods Fifty patien...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0939-6
更新日期:2019-11-01 00:00:00
abstract:AIM:To investigate the therapeutic prescribing of antibiotics to patients presenting for emergency dental treatment. DESIGN:A prospective clinical study. METHOD:Information was collected via a questionnaire concerning the patient's reason for attendance and treatment undertaken at emergency dental clinics in North an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801190
更新日期:2001-10-13 00:00:00
abstract:INTRODUCTION:Before April 2006, English dentists were either working as an NHS general dental service (GDS) practitioner (fee-per-item, no local contractual obligations); an NHS personal dental service (PDS) practitioner (block contract with the primary care trust (PCT)); a private practitioner (either fee-per-item or ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.1204
更新日期:2008-01-12 00:00:00
abstract::The popularity of caricature at the end of the eighteenth century allows a researcher to observe the social as well as the technical side of dentistry as it was then available throughout the kingdom. The value of these caricatures is further enhanced by the unconscious inclusion of everyday objects which a narrative a...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.4801237
更新日期:2001-11-24 00:00:00
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
更新日期:2012-05-25 00:00:00
abstract::The flexible use of a visual/verbal analogue scale--the thermometer--is described as a means of monitoring patients' levels of cognitive fear, trust, pain and self-esteem during treatment visits. Variations for use with very young children and those with physical and learning disabilities are also described. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:
更新日期:2002-10-26 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: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::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::Following several highly publicised inquiries into the deaths of children from abuse and neglect, there has been much recent interest in the role and responsibility of all health professionals to protect children at risk of maltreatment. The findings of a postal questionnaire, sent in March 2005 to 789 dentists and de...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.307
更新日期:2009-04-25 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::Aim The objective of this study was to determine dental patients' uptake of two preliminary screening tools for risk of diabetes (the Finnish Diabetes Risk Score -FINDRISC- and HbA1c finger-prick testing) in general dental practice, and to determine the number of patients at risk of type 2 diabetes (T2D) based on the ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.174
更新日期:2017-02-24 00:00:00
abstract:OBJECTIVE:To review episodes of infective endocarditis involving dental procedures that have resulted in litigation and to determine if any clinical recommendations can be obtained. DESIGN:13-year retrospective study. INTERVENTION:Patient records were analysed to identify the probable cause of infective endocarditis....
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809414
更新日期:1997-06-28 00:00:00
abstract:AIM:To evaluate a simulation laboratory course that used student-centred small-group problem-orientated discussion activities as the main medium of instruction. METHODS:A structured questionnaire using a six-point Likert scale with 30 statements relating to a fixed prosthodontics course was distributed to 4th-year and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801253
更新日期:2001-12-08 00:00:00
abstract::Stomatitis glandularis is an unusual chronic inflammatory condition of the minor salivary glands, mainly affecting the lower lip. Two cases are reported, one of which was progressive and affected the glands of both the cheeks as well as the lips. After confirmation of the clinical diagnosis by histopathological appear...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809351
更新日期:1997-03-22 00:00:00
abstract:OBJECTIVE:To assess inequalities in the availability of NHS dental services between Health Boards in Scotland. STUDY DESIGN:Postal questionnaire survey of all dentists (n = 2,852) registered with the General Dental Council at an address in Scotland. METHODS:Data obtained on NHS working hours were used to model dentis...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.1107
更新日期:2008-02-09 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::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
更新日期:2019-10-01 00:00:00
abstract::Hunter-Schreger bands are an optical phenomenon observed in mammalian tooth enamel. Familiar to all current and former students of dental histology, this optical phenomenon appears as alternating patterns of dark and light bands when cut enamel is viewed under reflected light. The discovery of this important feature o...
journal_title:British dental journal
pub_type: 传,历史文章,杂志文章
doi:10.1038/sj.bdj.2010.980
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:We explored the role of personality and pre-treatment contentment with one's face and body in predicting satisfaction following simple aesthetic dental procedures. METHODS:In a single-centre repeated measures cohort design we examined the extent to which patient personality and baseline satisfaction with one...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.524
更新日期:2014-06-01 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
abstract::In part 2 of this series, we look at the clinician's role in replacing multiple missing teeth and the associated soft tissues and bone, following severe forms of trauma. These patients usually wish to have fixed prostheses to help restore their appearance and function. In order to fulfil the patient's request, the mul...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2014.1102
更新日期:2014-12-01 00:00:00
abstract::Psychosis is an uncommon but well-recognised complication of short-term corticosteroid administration. We report a case of steroid-induced psychosis subsequent to a bimaxillary osteotomy. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812929
更新日期:2005-11-26 00:00:00
abstract::The aim of the study was to determine current and future use of micro-computers in general dental practice. A piloted questionnaire was sent to 736 general dental practitioners in Scotland, with the intention of contacting one principal from every dental practice known to the Scottish Dental Estimates Board. A total o...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806793
更新日期:1989-04-08 00:00:00
abstract::'...absence of any leachable antibacterial agent.' ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.823
更新日期:2016-11-04 00:00:00
abstract::There are many varying factors which impact on the behaviour of reluctant patients and the understanding of theoretical behavioural models can help to understand some of the key issues. This paper considers such models and the effective use of marketing communications in helping to change behaviour. The paper conclude...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800135
更新日期:1999-05-08 00:00:00
abstract::The Apothecaries Act of 1815, (revised by the Act of 1825) has been credited with being the most important forward step in the education of the general medical profession in the nineteenth century, although a closely argued revisionist view of its significance by S W F Holloway makes clear his view that it was also a ...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.4801645
更新日期:2002-12-07 00:00:00
abstract::Objective This paper presents the results of a systematic review, designed to explore how patient-centred care (PCC) is defined in the dental literature.Method An electronic search of MEDLINE (1946-2012), Embase (1980-2012) PsycINFO (1806-2012), the Cochrane Library and non-peer reviewed literature was conducted using...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.777
更新日期:2016-10-21 00:00:00