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
Javidi H,Tickle M,Aggarwal VRdoi
10.1038/sj.bdj.2014.1165subject
Has Abstractpub_date
2015-01-01 00:00:00pages
E2issue
1eissn
0007-0610issn
1476-5373pii
sj.bdj.2014.1165journal_volume
218pub_type
杂志文章,多中心研究abstract:INTRODUCTION:General referral letters to any hospital specialty are universally poor. These letters are the main source of information regarding the clinical problem and shortfalls can compromise the management of the patient. METHOD:One hundred retrospective randomly selected oral surgery referral letters in the form...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.929
更新日期:2012-10-01 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::In December 2014, Public Health Wales introduced a proof-of-concept incentive scheme, aiming to encourage National Health Service (NHS) dental practitioners in Wales to provide brief intervention for smoking cessation and increase referrals to Stop Smoking Wales (SSW). The scheme ran for 11 weeks. Practitioners were a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.916
更新日期:2016-12-09 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::Angiotensin converting enzyme (ACE) inhibitors are a commonly prescribed, effective medication in the treatment of hypertension and heart failure. Several side-effects of dental relevance can occur including angioedema of the lips, mouth and throat. This adverse effect is well reported and can be fatal, but it is not ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.982
更新日期:2008-11-22 00:00:00
abstract::A theoretical model was proposed and tested to evaluate some of the factors involved in patients' decisions to undergo extensive restorative dental treatment. This model incorporates aspects of the environment within which the decision occurred (the patient/provider relationship, social influence and the role of cues ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808807
更新日期:1995-07-08 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::This final instalment in the literary series deals with the relationship between general and oral health and methods of maintaining good oral hygiene. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811811
更新日期:2004-11-13 00:00:00
abstract::The intended outcome of dental education is to produce dental clinicians who have the knowledge, technical skills, personal attributes, values and professional outlook to deliver the highest level of patient care. Due to the development and improvement of dental materials and clinical techniques, combined with a stead...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0317-4
更新日期:2019-05-01 00:00:00
abstract::The number of immunocompromised patients is increasing because of iatrogenic immunosuppression and HIV infection. Most have T lymphocyte defects and are prone to develop persistent and severe fungal and viral infections. Oral candidosis and peri-oral herpes simplex infections are particularly common. Other oral lesion...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807902
更新日期:1992-06-06 00:00:00
abstract:OBJECTIVES:To evaluate two total purchasing (TP) sites and ascertain whether general dental practitioners (GDPs) could be successfully included in the total purchasing model of health care commissioning. Another objective was to examine the role GDPs may play in future primary care commissioning groups and trusts. DES...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800861
更新日期:2000-12-23 00:00:00
abstract:OBJECTIVE:To develop and evaluate the effectiveness of referral guidelines for the referral of orthodontic patients to consultant and specialist practitioner orthodontists. DESIGN:Single centre randomised controlled trial with random allocation of referral guidelines for orthodontic treatment to general dental practit...
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.4800492
更新日期:2000-04-08 00:00:00
abstract:OBJECTIVE:To develop a national level cost model of both the direct and indirect costs of hospitalisations for impacted teeth in Australia. This model will then be used to compare a watchful monitoring strategy for impacted third molars versus prophylactic removal under GA, and calculate possible cost savings in the sc...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.529
更新日期:2015-07-10 00:00:00
abstract::Background Conscious dental sedation is commissioned by NHS England for patients who are unable to accept dental treatment under local anaesthetic and behavioural techniques alone. Dental sedation provided by NHS England is carried out on a referral basis but this can be carried out in a primary or secondary care sett...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0714-8
更新日期:2019-09-01 00:00:00
abstract:AIM:This paper is the first in a series of two that investigate the undergraduate teaching of complete dentures in the UK. MATERIALS AND METHODS:A questionnaire was sent by email to 13 UK dental schools enquiring about the number of hours spent in the lecture theatre, laboratory and clinic. The schools were also asked...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.792
更新日期:2013-08-01 00:00:00
abstract::Within the BDS curriculum, dental public health and the importance of social responsibility is clearly emphasised though often in a didactic manner, without practical application. Preventative concepts are taught and relayed to individual patients being treated within a dental school. The impact of oral disease on gen...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.595
更新日期:2014-07-01 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 literature regarding external root resorption in relation to orthodontics and its radiographic diagnosis is reviewed, including a summary of the more common radiographic techniques available. Sample cases are presented which demonstrate the need for good radiographic technique and an awareness of the limitations o...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800870
更新日期:2001-01-13 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::Email is a computer based method of sending messages from one computer to another. From its humble beginnings 40 years, it has matured to become a crucial tool in utilising the power of the Internet. More people have access to email than to any other Internet application, and despite the problems with spam email and v...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.271
更新日期:2007-04-14 00:00:00
abstract::The late Professor Aubrey Sheiham shaped dental public health as a discipline. He leaves behind cohorts of confident public health professionals in dentistry worldwide, including many former students, each with their own kaleidoscope of memories of him as teacher, mentor, colleague and friend. A paper that he publishe...
journal_title:British dental journal
pub_type: 传,历史文章,杂志文章
doi:10.1038/sj.bdj.2016.442
更新日期:2016-06-24 00:00:00
abstract::An in-vitro study was carried out to investigate the effects of contamination of the porcelain surface on the shear-bond strength of a dual-cure composite luting cement to etched, silanated porcelain. Furthermore, the effects of different cleaning regimens were studied. A total of 390 etched, silanated porcelain speci...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808872
更新日期:1995-09-23 00:00:00
abstract::After a century of increasing dental caries levels there have been dramatic reductions in dental caries and periodontal disease in the past 15 years in most industrialised countries. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806783
更新日期:1989-04-08 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::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:OBJECTIVES:To determine the range and frequency of diagnoses in specimens submitted for histopathological examination by general dental practitioners (GDPs). METHODS:A retrospective analysis was carried out of all cases submitted by GDPs for the period 1974-2003, using a Foxpro Windows database. The data were collated...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813464
更新日期:2006-04-22 00:00:00
abstract::Professor Ian Benington OBE was installed as the President of the British Dental Association at last year's British and Irish Dental Association's Annual Conference in Belfast 2002. At this year's 2003 British Dental Association's Annual Conference in Manchester on April 24-26, 2003, he gave his valedictory address. ...
journal_title:British dental journal
pub_type:
doi:10.1038/sj.bdj.4810186
更新日期:2003-05-24 00:00:00
abstract:BACKGROUND:An oromucosal spray has been developed from the major components of marijuana (cannabis), including tetrahydrocannabinol (THC) and cannabidiol (CBD), in alcohol with a peppermint flavouring, designed to be administered as a spray under the tongue or on the buccal mucosa to relieve pain in multiple sclerosis....
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.749
更新日期:2007-09-22 00:00:00
abstract::This article is the second part of a BDJ series of Practice papers on the subject of clinical examination and related record keeping. The series is taken from the Faculty of General Dental Practice UK (FGDP[UK]) 2016 Good Practice Guidelines book on this topic, edited by A. M. Hadden. This particular article discusses...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.989
更新日期:2017-12-15 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