Abstract:
:Objectives The aim of this paper is to identify the factors that affect the complexity of implant restoration and to explore the indices that help us to assess it. With this knowledge the growing number of clinicians restoring dental implants will have a better understanding of the available guidance and evidence base, and the differing levels of competence required.Study design A literature review was conducted. The selection of publications reporting on complexity was based on predetermined criteria and was agreed upon by the authors. After title and abstract screening 17 articles were reviewed. The articles that were utilised to form the ITI SAC tool and Cologne Risk Assessment we also included.Assessing complexity Two key guides are available: International Team for Implantology's Straight-forward Advanced Complex tool and the Cologne ABC risk score. While these guides help identify treatment complexity they do not provide a strong enough evidence base from which to solely base clinical decisions. The key patient factors are expectation, communication, the oral environment, aesthetic outcome, occlusion, soft tissue profile and the intra-arch distance, whereas the key technical factors are impression taking, type of retention, loading protocol and the need for provisional restorations. Human factors also have a significant effect on complexity, specifically, the experience and training of the clinician, team communication and the work environment.Conclusions There are many interconnecting factors that affect the complexity of dental implant restoration. Furthermore the two widely used indices for the assessment of complexity have been investigated, and although these offer a good guideline as to the level of complexity, there is a lack evidence to support their use. The development of evidence-based treatment and protocols is necessary to develop the current indices further, and these need to be expanded to include other critical areas, such as human factors. A practical guide to aid practitioners in reducing complexity has been proposed.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Wright SP,Hayden J,Lynd JA,Walker-Finch K,Willett J,Ucer C,Speechley SDdoi
10.1038/sj.bdj.2016.855subject
Has Abstractpub_date
2016-11-18 00:00:00pages
615-622issue
10eissn
0007-0610issn
1476-5373pii
sj.bdj.2016.855journal_volume
221pub_type
杂志文章,评审abstract:PURPOSE:To report the results at year one of a three-year evaluation of the performance of fixed all-ceramic bridges, constructed with a yttrium tetragonal zirconia polycrystal substructure placed in adult patients in UK general dental practices and cemented using a self-adhesive resin-based cement. METHODS:Ethical ap...
journal_title:British dental journal
pub_type: 杂志文章,多中心研究
doi:10.1038/sj.bdj.2008.937
更新日期:2008-11-08 00:00:00
abstract::Enamel hypomineralisation is a qualitative defect, with reduced mineralisation resulting in discoloured enamel in a tooth of normal shape and size. Because the enamel is weaker, teeth can undergo post eruptive breakdown, resulting in missing enamel. Enamel hypoplasia is a quantitative defect of the enamel presenting a...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-019-0782-9
更新日期:2019-10-01 00:00:00
abstract::Oral problems are often the first significant clinical manifestations of infection with human immunodeficiency virus (HIV). Their early recognition affords the best opportunity for effective therapeutic intervention of HIV infection and opportunistic infections, as well as for oral health education in order to avoid f...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807360
更新日期:1990-11-10 00:00:00
abstract::This article highlights several areas of confusion that have arisen in relation to professional standards in the UK. In doing so, it provides a possible explanation for the fact that litigation levels against UK dentists, and also the level of regulatory challenge and criticism that they face, are both at levels far b...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.251
更新日期:2015-04-10 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::Aim To assess socioeconomic inequality regarding specific preventive interventions (fissure sealants or any treatment to prevent caries) and dental visits among UK children.Method Data were from the Children's Dental Health Survey 2003, which included participants from England, Wales, Scotland, and Northern Ireland. T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.499
更新日期:2017-06-09 00:00:00
abstract::The Community Dental Service has been encouraged to refer regular attending patients to General Dental Practice whilst maintaining a monitoring system to ensure that referred patients do not 'fall through the net'. The referral and monitoring system run by Halton Health Authority for one year is described. During this...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807400
更新日期:1991-01-05 00:00:00
abstract::It is now more than one year since the Specialist List in Orthodontics closed on 30 June 2000. I therefore felt it appropriate that I should give my views on the list, having probably had more experience in this process than any other dentist in the UK. ...
journal_title:British dental journal
pub_type: 社论
doi:10.1038/sj.bdj.4801168a
更新日期:2001-09-22 00:00:00
abstract::Dental health education is an important part of our professional activities given we provide day-to-day treatment of caries and periodontal disease which can mostly be controlled by our patients, provided they implement relatively simple changes in their daily oral health habits. However, efforts in the field of both ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809544
更新日期:1998-01-24 00:00:00
abstract:AIM:The aim of the study was to determine differences between male and female dental practitioners in the positions they occupy within their employment, and to analyse the correlates of such differences. METHOD:Postal questionnaire survey of a 1 in 10 sample of individuals taken from the General Dental Council registe...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800398
更新日期:2000-01-22 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 effect of the presence of fluoride in toothpaste on tooth wear was investigated in extracted human premolar teeth collected from two geographic areas with different fluoride concentrations in the public water supply. Nine teeth from each area were divided bucco-lingually into matched pairs and subjected to a wear ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808450
更新日期:1994-05-07 00:00:00
abstract::With the increasing use of hyaluronic acid-based injectable fillers for cosmetic enhancement a variety of adverse reactions are being reported in the literature. Although most adverse outcomes occur early we describe an interesting case study of a female presenting with granulomatous complications ten years postoperat...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.326
更新日期:2013-04-01 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: 评论,杂志文章
doi:10.1038/sj.bdj.2014.264
更新日期:2014-04-01 00:00:00
abstract::Aim To investigate the relationship between deprivation and distance to NHS dental providers in Scotland, Wales and Northern Ireland.Methods A total of 1,795 NHS dental practices were located at the smallest geographic areas for Scotland, Wales and Northern Ireland. A geographic information system (GIS) was used to ov...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1748-7
更新日期:2020-07-01 00:00:00
abstract::The oral rehabilitation of head and neck cancer patients is a vital and pivotal part of their care pathway, helping to restore function, aesthetics and improve patient well-being and quality of life. Patient-reported outcome data demonstrates that such patients consider that many of their continued and unmet needs rel...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.927
更新日期:2018-11-09 00:00:00
abstract::Many terms have been used to describe incomplete tooth fractures. This paper reviews them, discusses the clinical features of incomplete tooth fractures and proposes a clinically representative definition. ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800992
更新日期:2001-04-28 00:00:00
abstract::This paper argues that 'science' does not tell us 'the truth' but is simply one explanatory framework (of potentially many explanations) for understanding the world. Scientific fact is not a given, located somewhere 'out there' waiting to be discovered. Rather as a set of ideas, which offer to explain the world, scien...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4809450
更新日期:1997-09-13 00:00:00
abstract::Safeguarding children from maltreatment and neglect is part of the responsibility of all health professionals, and dental practitioners may be in a unique position to recognise and respond to concerns of this kind. This article outlines some of the ways that abuse can present to the dental team and describes the actio...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.322
更新日期:2007-04-14 00:00:00
abstract::Aims We have conducted a survey of administrative data, aiming to investigate the reported provision of dental extraction under general anaesthesia in the NHS for adults in secondary care in the following aspects: 1) anaesthetic data accessibility by NHS organisations; 2) the number and proportion of dental extraction...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0262-2
更新日期:2019-05-01 00:00:00
abstract::There are many causes of oral ulceration, but diagnosis should be relatively straightforward following an adequate history, examination and investigation. If the ulceration fails to respond to treatment, or has an unusual appearance, then an underlying systemic problem such as myeloproliferative disease or HIV infecti...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806938
更新日期:1989-08-19 00:00:00
abstract::Aim To compare trends in the volume, socio-demography and academic experience of UK applicants and entrants to medicine and dentistry in the UK with university in general, before and after the major increase in university fees in England in 2012.Methods Descriptive trend analyses of University and College Admissions S...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.122
更新日期:2017-02-10 00:00:00
abstract::A case is presented which illustrates the occlusal problems that can develop when a dental appliance such as a temporomandibular splint with incomplete occlusal cover is worn for a reasonable length of time. As in this case, the selective over-eruption of posterior teeth not incorporated in the appliance can lead to t...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.46
更新日期:2011-02-12 00:00:00
abstract::Dental consultations of 30 general practitioners with 132 patients aged 10-17 years were recorded. The dental consultation was found to have a consistent structure composed of a sequence of stages, although not all were present in each consultation. Criteria by which verbal communication in a dental consultation can b...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808519
更新日期:1994-08-06 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::This article represents the consensus from a meeting of the British Society of Prosthetic Dentistry's Education Group which met to discuss implant dentistry at the undergraduate dental student level. The consensus recognises the need to embed the teaching of implant supported prostheses if such a treatment modality is...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.1175
更新日期:2010-01-09 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::The British Orthodontic Society launched a campaign called 'Hold that smile' to highlight to patients the importance of wearing retainers as a means of reducing relapse following orthodontic treatment. This opinion piece, on behalf of the British Orthodontic Society, is written in response to an article entitled 'Brit...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2018.439
更新日期:2018-06-22 00:00:00
abstract::The objective of this case report is to illustrate the diagnosis and classification of periodontitis according to the 2017 classification system as recommended in the British Society of Periodontology (BSP) implementation plan. We describe two cases in the form of a pair of siblings, who developed periodontitis very e...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2019.2
更新日期:2019-01-11 00:00:00
abstract:OBJECTIVES:To describe the type of patients seen and work undertaken by dental therapists employed in four personal dental service practices and to report on their cost-effectiveness within the context of the dental practice. METHOD:All members of the dental team used a standard day sheet to record all patient contact...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811749
更新日期:2004-10-23 00:00:00