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 and embrace the holistic oral healthcare approach that is minimal intervention dentistry (MID) and includes within it minimally invasive operative skills. Dental caries is, after all, a preventable disease. The atraumatic restorative treatment (ART) concept is an example of MID. ART consists of a preventive (ART sealant) and a restorative (ART restoration) component. ART sealants using high-viscosity glass-ionomer (HVGIC) have a very high dentine carious lesion preventive effect. The survival rate of these sealants is not significantly different from that of sealants produced with resin. The survival rate of ART/HVGIC restorations matches those of amalgam and resin composite in single- and multiple-surface cavities in primary teeth and in single-surface cavities in permanent teeth. The principles of carious tissue removal within a cavity recommended by the International Caries Consensus Collaboration are in line with those of treating a cavity using ART. Owing to its good performance and the low levels of discomfort/pain and dental anxiety associated with it, ART and/or other evidence-based atraumatic care procedures should be the first treatment for a primary dentine carious lesion. Only if the use of ART is not indicated should other more invasive and less-atraumatic care procedures be used in both primary and permanent dentitions.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Frencken JEdoi
10.1038/sj.bdj.2017.664subject
Has Abstractpub_date
2017-08-11 00:00:00pages
183-189issue
3eissn
0007-0610issn
1476-5373pii
sj.bdj.2017.664journal_volume
223pub_type
杂志文章,评审abstract:AIM:The aim of this study was to compare the effectiveness of a computer assisted learning (CAL) programme with that of traditional small group tutorials in teaching theoretical and practical aspects of periodontal pocket charting. METHOD:Sixty-one third year undergraduate dental students were randomized to either rec...
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.4810535
更新日期:2003-09-27 00:00:00
abstract::Dental caries continues to affect the British population, despite advances in prevention and management options. There are many treatment and preventive treatment strategies to address dental caries. Silver diamine fluoride (SDF) is a colourless alkaline solution containing silver and fluoride, which forms a complex w...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1641-4
更新日期:2020-06-01 00:00:00
abstract::The purpose of this study was to examine histologically teeth containing 27 tooth-coloured restorations with both stained and unstained margins for comparison of their caries status. Histological examination of 56 cavity margins showed that early caries lesions were present adjacent to many stained and unstained margi...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807677
更新日期:1991-10-19 00:00:00
abstract:AIM:The primary objective was to assess the standard of new-patient referral communications to the Periodontology Department of a teaching hospital and evaluate any differences in referral quality between referrals that used a standardised proforma and conventional letters. Secondary objectives were to evaluate the pot...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800198
更新日期:1999-07-10 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::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 dental treatment needs of 8- and 9-year-old children registered with a GDP for at least 6 months were compared with the dental treatment needs of children from a similar social background who were neither registered nor regularly attending the Community Dental Service. The children were examined by one of the auth...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808630
更新日期:1994-12-10 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::In 1998, research on 'What the general public wants from the general dental service' was carried out by the Centre for Dental Services Studies (CDSS) at the University of York and was commissioned by the British Dental Association (BDA). The research culminated in the report: 'User Priorities for General Dental Servic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800588
更新日期:2000-07-08 00:00:00
abstract::The effectiveness of pain relieving treatments given for acute dental pain has been evaluated after 24 hours in 172 patients who presented to a dental hospital emergency department. Patients were contacted by telephone the day after attendance and graded their pain on a scale from 1 (no pain) to 5 (pain much worse). T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808469
更新日期:1994-06-11 00:00:00
abstract::The Shirley Glasstone Hughes Trust Fund was set up in 1990 in order to fund 'prizes or scholarships for dental research' and since 1991 it has provided grants for dental research projects. Between 2005 and 2006, the Trust reviewed the outcomes of its funding over the previous 15 years in order to assess the relevance ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.727
更新日期:2009-08-22 00:00:00
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::Paraformaldehyde is used both as a disinfectant and to devitalise inflamed pulps when local anaesthesia is ineffective. Despite the clinical benefits, paraformaldehyde is not confined to the pulp, but penetrates the dentine and is gradually released as formaldehyde. This case series describes the effects on periodonta...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.995
更新日期:2007-11-10 00:00:00
abstract::This article reviews and discusses the difficulties posed by the application of epidemiological indices for the measurement of dental erosion. It covers several aspects of index design. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.722
更新日期:2011-09-09 00:00:00
abstract::The regulation of cell growth is fundamental to the maintenance of health: disturbed regulation can result in neoplasia. Genes in normal cells (protooncogenes) code for proteins involved in the regulation of cell growth and differentiation; abnormalities in these genes (oncogenes) or their expression are often involve...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807936
更新日期:1992-07-25 00:00:00
abstract::Introduction Despite overall improvements in oral health, the number of children admitted to hospital for extraction of teeth due to caries under general anaesthesia (GA) has been reported as increasing dramatically in England. The new UK government plans to transform NHS dentistry by improving oral health.Aim To eval...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.313
更新日期:2011-04-23 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:OBJECTIVES:To gather information on the types of panoramic x-ray equipment used in NHS dental practice and whether dentists satisfy the legal requirements for safety, to determine which practice personnel take panoramic radiographs and to assess the prevalence of the practice of 'routine' panoramic radiography among NH...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800098
更新日期:1999-04-10 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::This clinical article describes and discusses a technique, using a preoperative occlusal matrix, whereby the occlusal morphology of a tooth may be replicated when placing a posterior resin composite. Two clinical cases are described. The technique offers the clinician considerable time saving for required occlusal adj...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.215
更新日期:2009-03-28 00:00:00
abstract::Dental standards play a vital and important role in society by contributing to the quality and safety levels of products used in dental treatments by dental professionals as well as the hygiene products used by the general public. Few members of the public or indeed many dentists fully appreciate the contribution made...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2012.835
更新日期:2012-09-01 00:00:00
abstract::Aim The aim of the study was to investigate: i) the geographical reach and reaction of the online participants engaging in an oral health campaign 'National Smile Month' UK 2016 (NSM); and ii) whether dental practices during NSM were using Twitter to help address regional oral health inequalities.Methods Twitter posts...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0593-z
更新日期:2019-08-01 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::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::Even though dental care is sometimes erroneously considered a modern practice, written records from major ancient civilisation all around the world date back to several millennia BC. In particular, in the Middle Ages, among the tenth and thirteenth centuries, the illustrious Medical School of Salerno in Italy, the mos...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2016.528
更新日期:2016-07-22 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::Many British dentists consider that because of the NHS, oral healthcare provision in Europe is more comprehensive, less controlled and more remunerative than the UK, a view that is often shared by their European colleagues. In this article, the oral healthcare systems of most European countries are classified and comp...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809719
更新日期:1998-07-11 00:00:00
abstract::There have been many stories concerning VAT and dental practices over the past year, sometimes true but often distorting the facts. This article attempts to document the current state of play so that practitioners can make their own decision on registration. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808368
更新日期:1994-01-22 00:00:00
abstract::Dens invaginatus is a developmental malformation, in which there is an infolding of enamel into dentine. These infolds represent stagnation sites for bacteria and can predispose to dental caries. The carious infection can spread via enamel and dentine to contaminate the pulp and cause soft tissue necrosis. The altered...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.724
更新日期:2016-10-07 00:00:00
abstract:OBJECTIVE:To derive an estimate of encounters with halitosis and to assess the impact of halitosis on their psychosocial interactions with halitosis patients. METHODS:Participants were 1,006 members of an online panel, being representative of the population of the Netherlands with regard to gender, age, family situati...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.101
更新日期:2014-02-01 00:00:00