Abstract:
:Having listened to, examined, tested, diagnosed and recommended a course of action to the patient, treatment will usually follow at the same or subsequent visits. In the vast majority of cases, the foregoing will have proceeded without a hitch, and the treatment completed to the satisfaction of both the practitioner and the patient. Years of study, and the acquisition of knowledge, skills and expertise, will have been condensed into a short amount of clinical time. Unfortunately, this highly desirable state of affairs cannot apply every time; problems can arise anywhere along the pathway leading to the successful completion of treatment. Some patients will present difficulties in diagnosis and treatment planning, whereas others will have problems either during the execution of treatment or post-operatively. Whenever a difficulty arises, it is essential to identify the problem, reappraise the situation and decide upon an appropriate course of action; flexibility is the key to success! In this article, three difficult areas are looked at: the fractured root, the use of antibiotics and the swollen face.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Caplin RLdoi
10.1038/sj.bdj.4806759subject
Has Abstractpub_date
1989-03-11 00:00:00pages
171-7issue
5eissn
0007-0610issn
1476-5373journal_volume
166pub_type
杂志文章abstract::Acute idiopathic thrombocytopaenic purpura is the most common of the thrombocytopaenias of childhood. Clinically it is associated with petechiae, mucocutaneous bleeding and occasionally haemorrhage into tissues. The oral mucosa is frequently involved. This paper describes a case presenting in general dental practice. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809422
更新日期:1997-07-12 00:00:00
abstract::Even dentures exhibiting superb aesthetics are of no use if they visibly move during speech and social intercourse. In this, the second paper of three on removable denture aesthetics, we describe impression making and shaping the wax occlusal record rims. Not only are the impressions important for producing dentures w...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.76
更新日期:2018-02-09 00:00:00
abstract:BACKGROUND:The aim of this study was to describe New England dental professionals' attitudes and behaviours regarding domestic violence (DV) and to identify barriers faced in intervening to help suspected victims. METHODS:A cross-sectional survey using a convenience sample of dentists (n = 169) and hygienists (n = 190...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.7
更新日期:2009-02-14 00:00:00
abstract:BACKGROUND:Recent clinical studies suggest that substance use may be associated with an acceleration of the ageing process, possibly related to a deficit of stem cell number or function. As this clinic had access to both medical and drug dependent patients, we tested the hypothesis that there may be an association betw...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.932
更新日期:2008-12-13 00:00:00
abstract:OBJECTIVES:Various techniques have been suggested to enable the operator to produce an even reduction of 0.5 mm of labial tooth enamel during preparation for a porcelain veneer. For example, in addition to the traditional free hand method, longitudinal or horizontal depth orientation grooves and the use of small round ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801385
更新日期:2002-04-13 00:00:00
abstract::Aim Stories of dentists and their professional behaviours can be communicated around the world through news media. This may influence people's perceptions of dentistry and their trust in professionals. The aim of this study was to explore reports of dentists and their professional behaviours in newspaper media.Method ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1987-7
更新日期:2020-08-27 00:00:00
abstract::One hundred and fifty years ago, a dentist practising in Tavistock signed off a letter to the editor of The British Journal of Dental Science, 'Suaviter et Fortiter'. This paper discusses the commissioning from the eminent portrait painter Fiona Graham-Mackay of a painting of a dentist's hands. In the course of the si...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.603
更新日期:2016-08-26 00:00:00
abstract::The difference between paediatric dentistry and most other branches of dentistry is that in the child the occlusion is changing. Consequently 'Good Occlusal Practice' in children is a matter of making the right clinical decisions for the future occlusion. The clinician needs to be able to predict the influence that di...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801261a
更新日期:2001-12-22 00:00:00
abstract::The first two articles in this series exploring the oral and dental health of male prisoners in the UK demonstrated how the general and oral health of prisoners is compromised compared to those of a similar age who are not prisoners. In caring for the oral health needs of this group the high demand for emergency denta...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.646
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To assess inequalities in the availability of NHS dental services between Health Boards in Scotland. STUDY DESIGN:Postal questionnaire survey of all dentists (n = 2,852) registered with the General Dental Council at an address in Scotland. METHODS:Data obtained on NHS working hours were used to model dentis...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.1107
更新日期:2008-02-09 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::Introduction Heavy alcohol and illicit drug use has been documented amongst medical and dental professionals and educational programs have been developed to attempt to reduce such behaviour in clinical undergraduates. This pilot study aims to investigate the legal and moral perceptions of substance use in clinical and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.124
更新日期:2017-02-10 00:00:00
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::The clinical durability of restorations made using water-based materials depends upon the type of material used. Current specification tests cannot predict durability, possibly because these are carried out on samples matured for 24 hours whereas longer maturation times may be more relevant. The lactic acid jet test w...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808049
更新日期:1992-12-05 00:00:00
abstract::Introduction Shared decision-making (SDM) is a process by which patients and clinicians work collaboratively to make decisions about healthcare. Previously, research has shown that patients want to be more involved in decisions about their care, but more recent evidence suggests that some patients may not wish to have...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1638-z
更新日期:2020-06-01 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::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::The improvement of patient safety has been a long-term aim of healthcare organisations and following recent negative events within the UK, the focus on safety has rightly increased. For over twenty years, clinical audit has been the tool most frequently used to measure safety-related aspects of healthcare and when don...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.861
更新日期:2014-10-01 00:00:00
abstract::The flexible use of a visual/verbal analogue scale--the thermometer--is described as a means of monitoring patients' levels of cognitive fear, trust, pain and self-esteem during treatment visits. Variations for use with very young children and those with physical and learning disabilities are also described. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:
更新日期:2002-10-26 00:00:00
abstract:OBJECTIVE:To investigate the outcome of non-restoration of carious deciduous teeth by means of a retrospective analysis of clinical case notes of children regularly attending two general dental practices and receiving preventive care. DESIGN:Using a carefully defined protocol the fate of deciduous teeth diagnosed as c...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801495
更新日期:2002-07-27 00:00:00
abstract::At one time the incidence of broken hypodermic needles was a fairly common occurrence in general dental practice. Fortunately the routine use of modern stainless steel needles has all but eliminated this emergency. Occasionally a patient may make a sudden movement during administration of local anaesthetic, particular...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809128
更新日期:1996-06-22 00:00:00
abstract::Introduction Consistent evidence has shown that periodontitis can be considered a risk factor for the development of vascular complications such as myocardial infarction and cerebrovascular accident. The majority of cases of erectile dysfunction (ED) are considered to result from the complication of vascular impairmen...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0724-6
更新日期:2019-10-01 00:00:00
abstract::The authors assert that those with oral lichen planus should be screened for hepatitis C infection to expedite diagnosis. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.449
更新日期:2017-05-26 00:00:00
abstract::A patient with intra-oral squamous cell carcinoma arising in an area of cyclosporin-induced gingival hyperplasia associated with a renal transplant is presented. This appears to be the first reported case of its kind. Subsequently, the patient developed a carcinoma of the lateral margin of the tongue, with metastasis ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807594
更新日期:1991-07-06 00:00:00
abstract::This case study illustrates an unusual condition in childhood, pleomorphic salivary adenoma in a 12-year-old. The management, pathology and treatment are discussed with emphasis on the practitioner to be vigilant for rare conditions. A review of the literature on childhood salivary tumours illustrates the rare nature ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800534
更新日期:2000-05-27 00:00:00
abstract:OBJECTIVES:To explore the perceived benefits of a fluoride varnish training scheme, subsequent use of extended skills and any barriers that exist, in order to inform future training and practice. METHOD:Questionnaire survey of the first four cohorts of fluoride varnish training at one London dental hospital. RESULTS:...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2012.443
更新日期:2012-05-25 00:00:00
abstract:Introduction:It has been speculated, but never been formally researched that dental professionals are the most experienced workforce in consuming sweet snacks. This is despite many undergraduate dental courses reinforcing the traditional theory that patients should be advised to avoid snacking on foods which are likely...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.1034
更新日期:2018-12-14 00:00:00
abstract::Aim Dental caries epidemiological surveys produce information that may be used to assist health policy makers in the planning of preventive and curative strategies. The detection instruments used in these surveys should be able to identify the correct, true stage of the disease or medical condition. This makes it esse...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-019-1081-1
更新日期:2020-01-01 00:00:00
abstract::The issue of standards of competence and assessment is central to professions. For the dental profession there have been suggestions that a change from overall competence to specific fields of competence would be a more suitable mechanism to assess whether an individual was competent. This paper examines the implicati...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809751
更新日期:1998-08-08 00:00:00
abstract:OBJECTIVE:Acupuncture is frequently advocated as an effective treatment of dental pain. The question whether or not it is effective for this indication remains controversial. The aim of this systematic review therefore was to assess the effectiveness of acupuncture in dental pain. DATA SOURCES:Four electronic database...
journal_title:British dental journal
pub_type: 杂志文章,meta分析
doi:10.1038/sj.bdj.4809654
更新日期:1998-05-09 00:00:00