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 North West of England. SUBJECTS AND METHODS:General dental practitioners were asked to participate and to recruit adult patients attending for routine dental treatment.Interventions Repair or replacement of failed restorations. MAIN OUTCOME MEASURES:Dental anxiety before treatment using the Corah Dental Anxiety Scale and pain intensity immediately and 24 hours post-operatively using the McGill short form pain questionnaire. Operative outcomes included depth of caries, time taken to complete the procedure, use of local anaesthetic and dental material used. RESULTS:Of the 103 patients diagnosed with a failed restoration, a statistically significantly greater number underwent replacement than repair (p = 0.004). Patients undergoing repairs were significantly less anxious (p = 0.008) and had shorter procedure times (p = 0.044). Repairs were associated with minimal caries depth and less use of local anaesthetic. CONCLUSION:Failed restorations should be repaired where clinically possible, as they are quick and associated with less patient anxiety. Future research should focus on providing high quality prospective data evaluating the longevity of repaired vs replaced restorations.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Blum IRdoi
10.1038/sj.bdj.2014.1164subject
Has Abstractpub_date
2015-01-01 00:00:00pages
22-3issue
1eissn
0007-0610issn
1476-5373pii
sj.bdj.2014.1164journal_volume
218pub_type
评论,杂志文章abstract::Introduction Many studies have shown financial worries and debt to induce stress in individuals, this combined with the existing stress of being a dentist raises the question of how student debt affects students' and dentists' stress levels.Objectives Determine whether student debt has had any noticeable effect on stu...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.876
更新日期:2017-10-27 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::Introduction Studies across the health service reveal benefits of teamwork and barriers to its optimal use. Drawing upon the established Maturity Matrix Dentistry method, the Skills Optimisation Self-Evaluation Toolkit (SOSET) was developed to enable the whole dental team to critically review how they address skill-mi...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1367-3
更新日期:2020-03-01 00:00:00
abstract::This report describes an unusual case of blanching of the facial and palatal soft tissues following the administration of an inferior dental block injection. Possible anatomical explanations for the clinical observations are discussed. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808847
更新日期:1995-08-05 00:00:00
abstract::Endodontic procedures are challenging and technically demanding. In the UK standards of treatment have been shown to have fallen short of acceptable guidelines, laying many dentists open to litigation on questions of clinical negligence by patients who understand and know what should be considered as current best prac...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.721
更新日期:2010-08-28 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, and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.106
更新日期:2010-02-13 00:00:00
abstract::Debate based on an opinion article published in the British Dental Journal entitled 'Truth or consequences: the potential implications of short-term cosmetic orthodontics for general dental practitioners' by R. A. C. Chate ( 2013; 215: 551-553; www.nature.com/bdj/journal/v215/n11/full/sj.bdj.2013.1140.html). ...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2014.258
更新日期:2014-04-01 00:00:00
abstract::Three accidental cases of accidental ingestion of radiolucent upper partial dentures are presented. As impaction in the upper gastrointestinal tract has a serious morbidity and even mortality, we recommend that dental surgeons consider this possibility when designing a prosthesis to replace anterior teeth. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807919
更新日期:1992-06-20 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:OBJECTIVE:To determine the level of knowledge and understanding of informed consent amongst consultant orthodontists. DESIGN:A questionnaire which covered a range of legal issues on informed consent as it pertains to clinical practice in three of the four nations of the United Kingdom. SETTING:Hospital orthodontic de...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.1043
更新日期:2008-12-20 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:AIM:An audit of the use of intravenous ketamine for the provision of conscious sedation in paediatric dentistry was carried out over a three-year period. AUDIT DESIGN: In the audit, 3,751 children were treated and an evaluation was carried out for safety and effectiveness of the drug and procedure, the quality of sedat...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.390
更新日期:2015-05-22 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::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::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::Continuing professional development should embrace all aspects of our professional life. Changes in the pattern of oral disease, developing concepts of specialisation and delivery of dental care require a flexible approach to the interface between the end of the undergraduate dental course and the early years of gener...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809004
更新日期:1996-02-24 00:00:00
abstract::Bony disease is typically evident with radiographic examination. Loss of bone mass consistent with osteoporosis is evident on plain dental radiographs, and it is reasonable to expect that anti-resorptive treatment of osteoporosis would lead to changes in radiodensity of structures visible on dental radiographs. Review...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.307
更新日期:2017-04-07 00:00:00
abstract::This paper outlines the development of the training of orthodontic therapists in the UK, the experiences of the first cohort to pass through the Bristol course, the roles and responsibilities of the therapist and possible issues with future orthodontic manpower planning. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.766
更新日期:2009-09-12 00:00:00
abstract:OBJECTIVE:To compare directly inhalation sedation and general anaesthesia in terms of treatment success rate, various aspects of morbidity and time taken, when used for patients having orthodontic extractions. DESIGN:Patients requiring orthodontic extractions were treated with either inhalation sedation or general ana...
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.4800471
更新日期:2000-03-25 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:OBJECTIVE:To assess the activity of consultants in restorative dentistry in the United Kingdom in the provision of osseointegrated dental implants within the National Health Service Hospital service and to evaluate their attitudes concerning the relevant medical and oral factors considered in patient selection for impl...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800892
更新日期:2001-01-27 00:00:00
abstract:BACKGROUND:The United Kingdom and its national healthcare system represent a unique comparison for many other developed countries (such as Australia and France), as the practice of prophylactic removal of third molars in the United Kingdom has been discouraged for nearly two decades, with clear guidelines issued by the...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.251
更新日期:2014-04-01 00:00:00
abstract::Darier's disease, a genetically transmitted, autosomal dominant hyperkeratosis is a condition only occasionally described in the dental literature. A familial study is presented, which highlights the autosomal dominant inheritance mode of the condition and emphasises the similarity between the palatal lesions and nico...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807086
更新日期:1990-01-20 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:OBJECTIVE:To investigate job satisfaction among hygienist-therapists. Increasing numbers of hygienist-therapists work in UK primary dental care teams. Earlier studies suggest a clinical remit/clinical activity mismatch, without investigating any link with job satisfaction. METHODS:A UK-wide survey of dental hygienist-...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.116
更新日期:2011-02-26 00:00:00
abstract::Mercury amalgam has been used for dental fillings since the 1830s. Over that time, questions have occasionally been raised with regard to its safety, but a recent TV programme in America has re-focussed attention in this area. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807608
更新日期:1991-08-10 00:00:00
abstract:AIM:To determine if restrictive NHS contracts are of benefit in addressing health inequalities in oral health, by using an ecological approach based upon an area measure of material deprivation. METHODS:Postcodes of patients seen under all the restrictive contracts (49) within the North East of England were identified...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.857
更新日期:2009-10-24 00:00:00
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
更新日期:2018-11-09 00:00:00
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
更新日期:2005-01-22 00:00:00
abstract::Disorders of the blood can affect the management of dental patients. Particular oral signs may be produced. In addition healing may be affected and the choice of anaesthesia for operative procedures will be influenced. Similarly, patients who have problems with haemostasis are a concern. Surgical procedures are obviou...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4810526
更新日期:2003-09-27 00:00:00