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 sedation and clinical procedures provided. In addition, the occurrence of any adverse effects and parental satisfaction were noted along with recovery. All children were ASA I and II, with an average age of 7.5 years. Children were referred because of management problems and were assessed to be at the high anxious level of four and five on the Venham scale. A weight related 0.25 mg/kg was initially administered with additional increments of 0.25 mg/kg given if required. The average total dose provided was 0.41 mg/kg. RESULTS:The majority of children (76%) accepted all treatment with no problems, with 19% experiencing a small amount of resistance. Although a range of dental treatment was provided, it was mostly exodontias of carious primary dentition. A 27% response was provided assessing satisfaction which was very favourable. No adverse reactions occurred although the most common postoperative experience was nausea. CONCLUSION:This audit demonstrated the safety and effectiveness of using intravenous ketamine for paediatric conscious sedation and implications for training and appropriate service delivery were discussed.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Wood MN,Manley MC,Bezzina N,Hassan Rdoi
10.1038/sj.bdj.2015.390subject
Has Abstractpub_date
2015-05-22 00:00:00pages
573-7issue
10eissn
0007-0610issn
1476-5373pii
sj.bdj.2015.390journal_volume
218pub_type
杂志文章abstract:UNLABELLED:There is significant evidence to support the regular review of patients with chronic periodontitis. There is, however, comparatively little evidence to demonstrate how often such reviews should take place. This paper looks at the periodontal healing period, the risks of periodontal progression and current th...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.868
更新日期:2011-10-21 00:00:00
abstract::This article explores the theoretical aspects and clinical procedures involved in recording centric relation. Established clinical techniques to record centric relation are considered and described in part one. The second article considers more recent concepts of centric relation and clinical techniques to record it. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2502-x
更新日期:2021-01-01 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::While local anaesthetic agents are usually safe and are used ubiquitously, inadvertent overdoses may have potentially fatal consequences. Errors in the dosing of local anaesthetics frequently occur due to inherent difficulties in remembering the toxic dosage limits, difficulties in performing the appropriate calculati...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2015.297
更新日期:2015-04-24 00:00:00
abstract::The principal aim of this study was to assess the feasibility of conducting a systematic examination of the oral mucosa, as an integral part of the routine dental check-up and in conditions comparable with those in NHS dental practice. A total of 1949 individuals, who were already registered as patients with an indust...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808894
更新日期:1995-10-07 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:OBJECTIVE:The aim of this paper is to examine the factors that vocational trainers regard as important in a 'good' dentist and to assess whether they think recent graduates were achieving these factors. DESIGN:The study was based on a statistical analysis of returns from a postal questionnaire. SETTING:Postal questio...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800829
更新日期:2000-11-25 00:00:00
abstract::Too many people worldwide suffer from the consequences of untreated dentine carious lesions. This finding reflects the inability of the currently used traditional mode of treatments to manage such lesions. A change is needed. Dental training institutions should depart from the traditional 'drill and fill' treatments a...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2017.664
更新日期:2017-08-11 00:00:00
abstract::There are certain advantages to restoring a complete arch simultaneously, however, attempting to do this requires that the dentist maintains control during all stages of treatment. Maintaining control alleviates the preassure of time, which in turn allows for precision to be obtained at all clinical and laboratory sta...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2008.3
更新日期:2008-01-26 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::A 19-year-old female was referred by her dental practitioner for the restoration of missing maxillary lateral incisors and canines. Ridge augmentation was required. This was undertaken using mandibular tori as the sites for harvesting bone. The grafting was successful and the spaces were subsequently restored using re...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801009
更新日期:2001-05-12 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::Treatment of the cavity with silver diamine fluoride before placement of glass ionomer cement containing CPP-ACP enhances anticariogenic effect in vitro. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.580
更新日期:2017-07-07 00:00:00
abstract::In another article in this series the authors' preference for screw retained implant supported restorations was presented together with a literature review and rationale.(1) There remain situations when screw retention is not possible due to implant position, implant trajectory, aesthetics or function. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814205
更新日期:2006-11-11 00:00:00
abstract::The Overseas Registration Examination is a route to entry to the UK Dentists Register for dentists who have qualified outside the European Economic Area. The role of the examination is to protect the public by ensuring that such dentists meet minimum standards of competence. Candidates invest considerable time and res...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.645
更新日期:2016-09-09 00:00:00
abstract::This paper addresses the questions of whether a dental profession existed in ancient Egypt and if it did then considers whether these practitioners were operative dental surgeons as we know them today or whether they were pharmacists. Evidence from hieroglyphic inscriptions, from the dentitions of the surviving mummif...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2009.355
更新日期:2009-05-09 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of tobacco smoking, alcohol and drug use among UK vocational dental practitioners (VDPs) in 2005, and compare these with prevalence in 2000. DESIGN:Cross-sectional survey using an anonymous self-report questionnaire. SUBJECTS AND METHODS:All 767 VDPs who started practice in the su...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.1112
更新日期:2007-12-22 00:00:00
abstract::It was a watershed moment when Archie Cochrane published his work on Effectiveness and efficiency: random reflections on health services which was considered the start of evidence-based healthcare as we now know it. From there onward, evidence-based dentistry (EBD) has developed and evolved and there has been little a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2019.145
更新日期:2019-02-08 00:00:00
abstract::Calcium channel blockers are widely used in medical practice for the management of cardiovascular disorders. Of concern to the dental practitioner is the effect of these drugs on the gingival tissues. All classes of calcium channel blockers have been implicated in causing gingival overgrowth. This review considers the...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807564
更新日期:1991-05-25 00:00:00
abstract:OBJECTIVES:This trial aimed to assess the effectiveness of two different communication tools on the levels of anxiety and concern when a change in patients' treatment was introduced. METHOD:Patients previously advised to have antibiotic prophylaxis before their dental treatments were randomised to receive information ...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2013.742
更新日期:2013-08-01 00:00:00
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 ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.756
更新日期:2014-09-01 00:00:00
abstract:AIMS:The aims of this survey were to establish the demographic profile of dental hygienists (DHs) and dental hygienist/therapists (DH/Ts) in the United Kingdom in 2011 and their patterns of practice as DHs. METHODS:A 10% sample of all those registered with the General Dental Council as DHs or DH/Ts in April 2011 were ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2012.1041
更新日期:2012-11-01 00:00:00
abstract:AIM:To identify those patients most likely to fail to attend dental appointments. DESIGN:Retrospective analysis of the attendance pattern of patients. SETTING:A National Health Service practice in Kent. SUBJECTS AND METHODS:Dental records of 1000 patients. MAIN OUTCOME MEASURES:Data (age, gender, plaque score, trea...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809325
更新日期:1997-02-22 00:00:00
abstract:OBJECTIVE:To analyse the factors affecting the clinical performance and those influencing the survival of resin-retained bridgework provided at a UK dental teaching hospital between 1994 and 2001. DESIGN:A prospective analysis of restorations provided at a single centre using case notes with all patients invited for r...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.250
更新日期:2015-04-10 00:00:00
abstract::Alcohol abuse is an important problem in Britain and is imposing increasing burdens both in general practice and in the hospital service. In the absence of previous investigations of the prevalence of intoxication and dependence in dental patients, 225 consecutive patients who attended the University of Bristol Dental...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807364
更新日期:1990-11-24 00:00:00
abstract::There are international grumbles from those perturbed by an impending identity crisis within oral and maxillofacial surgery (OMFS). This unrest is further compounded by scattered suggestions that a name change may prove beneficial in raising the profile of OMFS. The purpose of this paper is to consider novel methods o...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.1180
更新日期:2011-01-08 00:00:00
abstract:OBJECTIVES:This article presents a review of published literature examining fibre-based endodontic post systems. DATA SOURCES:A MEDLINE search was carried out for any articles in dental journals pertaining to fibre-based post systems. Wherever possible articles cited were obtained from the journals and where this was ...
journal_title:British dental journal
pub_type: 杂志文章,meta分析
doi:10.1038/sj.bdj.4810278
更新日期:2003-07-12 00:00:00
abstract:OBJECTIVE:To determine the relationships between working conditions for new dental graduates and their mental and physical health. DESIGN:A cross-sectional postal survey. SUBJECTS:Graduates from the years 1991 and 1994 were selected to provide cohorts before and after the introduction of mandatory vocational training...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800010
更新日期:1999-01-09 00:00:00
abstract:AIM:To describe the occurrence of dental caries at the person, tooth and tooth surface level from childhood to early mid-life. BACKGROUND:No studies have reported on age and caries experience in a population-based sample through the first half of life. METHODS:Prospective cohort study of a complete birth cohort (n = ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.991
更新日期:2013-10-01 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