Abstract:
BACKGROUND:The objective of this research was to assess the efficacy and cost-effectiveness of a non-invasive approach to dental caries management in private dental practice. METHODS:Private dental practices from a variety of locations in New South Wales were randomly allocated to either non-invasive management of caries, or continue with usual care. Patients were followed for three years and caries incidence assessed. A patient-level decision analytic model was constructed to assess the cost-effectiveness of the intervention at two years, three years, and hypothetical lifetime. RESULTS:Twenty-two dental practices and 920 patients were recruited. Within the clinical trial there was a significant difference in caries increment favouring non-invasive therapy at both two and three years. Efficacy was independent of age, gender, medical concerns, fluoride history, or previous history of dental caries, in a population of patients attending for treatment in private dental practices, in a variety of locations both urban and rural. Cost per DMFT avoided estimate was A$1287.07 (two years), A$1148.91 (three years) decreasing to A$702.52 in (medium) and A$545.93 (high) risk patients (three years). CONCLUSIONS:A joint preventive and non-invasive therapeutic approach appears to be cost-effective in patients at medium and high risk of developing dental caries when compared to the standard care provided by private dental practice.
journal_name
Aust Dent Jjournal_title
Australian dental journalauthors
Curtis B,Warren E,Pollicino C,Evans RW,Schwarz E,Sbaraini Adoi
10.1111/j.1834-7819.2010.01286.xsubject
Has Abstractpub_date
2011-03-01 00:00:00pages
48-55issue
1eissn
0045-0421issn
1834-7819journal_volume
56pub_type
杂志文章,随机对照试验abstract::Augmentation of the extraction socket (ridge preservation) is increasingly being advocated in anticipation of implant placement. The aim of this article is to review the available evidence with regards to ridge preservation procedures, investigating whether these techniques improve dental implant treatment outcomes. E...
journal_title:Australian dental journal
pub_type: 杂志文章,评审
doi:10.1111/adj.12098
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Titanium is generally considered a safe metal to use in implantation but some studies have suggested that particulate titanium may cause health problems either at the site overlying the implant or in distant organs, particularly after frictional wear of a medical prosthesis. It was the purpose of this invest...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.2002.tb00331.x
更新日期:2002-09-01 00:00:00
abstract::It is predicted that more Australians will retain their natural dentitions into old age and their dental needs will have to be met with a wide range of dental services by dentists acting with understanding, kindness, and sympathy. The empathy to do so requires experience of appropriate delivery systems in the environm...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1982.tb04080.x
更新日期:1982-06-01 00:00:00
abstract::A recently discovered alloy of cobalt and samarium (CO5Sm) has exceptional magnetic properties. A laboratory evaluation was made of the grip force of samples of this alloy of a size suitable for dental use. A review of both dental and general literature points to the need for establishing, prior to widespread usage, t...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1978.tb02393.x
更新日期:1978-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to clinically examine the efficacy of tunnel preparations in primary molars restored with glass-ionomer cement during a 36-month observation period. METHODS:A total of 233 tunnel restorations were placed in primary molars of 203 patients aged 6-10 years. Restorations were evalu...
journal_title:Australian dental journal
pub_type: 临床试验,杂志文章
doi:10.1111/j.1834-7819.2007.00007.x
更新日期:2008-03-01 00:00:00
abstract::Endodontic and periodontal diseases can provide many diagnostic and management challenges to clinicians, particularly when they occur concurrently. As with all diseases, a thorough history combined with comprehensive clinical and radiographic examinations are all required so an accurate diagnosis can be made. This is ...
journal_title:Australian dental journal
pub_type: 杂志文章,评审
doi:10.1111/j.1834-7819.2009.01145.x
更新日期:2009-09-01 00:00:00
abstract::In this the second of a series of life cycles of dental trauma victims, the short and particularly long-term responses of four survivors of either multiple luxation injuries or avulsions have been documented over periods varying up to 41 years. The development of ankylosis, either in the short or longer term post trau...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/adj.12430
更新日期:2016-09-01 00:00:00
abstract::Disorders of the Temporomandibular joint (TMJ) may clinically present with jaw pain and restricted mouth opening that may limit a patient's access to comprehensive dental care. The aim of this article is to provide a general overview of the current treatment strategies available in the management of disorders of the T...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/adj.12593
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:The current retrospective cross-sectional study investigated 5-18-year treatment outcomes in subjects who did not complete a recommended course of periodontal therapy. METHODS:Sixty-five subjects who voluntarily discontinued therapy were recalled. The subjects' demographic data and dental history since disc...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/adj.12440
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:The dental profession has a pivotal role in cancer prevention. In Queensland, oral health therapists (OHTs) are in a unique position to provide quality smoking cessation programmes and intervention strategies to young adolescents through the school based oral health services they provide. METHODS:This study...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/adj.12078
更新日期:2013-09-01 00:00:00
abstract::The discovery of a radiolucency within an unerupted tooth is a rare occurrence. One cause is external resorption. The clinical features, the histology, and the management of three cases are described. ...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1991.tb00805.x
更新日期:1991-02-01 00:00:00
abstract::A case of progressive anaphylactoid reaction complicating a local anaesthetic agent administered to a dental patient is described. The management of the condition is discussed. ...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1998.tb00159.x
更新日期:1998-06-01 00:00:00
abstract::Mandibular and maxillary third molars are mostly consigned to 'waste bins' in dental practices because they are terminal in developmental timing and positioning in the dental arches, and regarded as functionally non-essential. Thus, many dental practitioners do not attach significance to the presence of third molars w...
journal_title:Australian dental journal
pub_type: 杂志文章,评审
doi:10.1111/j.1834-7819.1999.tb00225.x
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:This study aimed to evaluate microhardness and chemical analysis of carious and caries-affected dentine. The hypothesis tested was that calcium:phosphorous (Ca:P) ratios correlate with microhardness values. METHODS:Four carious human third molars were sectioned through the caries lesion in the mesiodistal l...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.2005.tb00368.x
更新日期:2005-12-01 00:00:00
abstract::This case report describes an approach to treatment for a patient with severe bone loss resulting from advanced periodontal diseae. A provisional splint was constructed in conjunction with suitable periodontal therapy. The purpose was to allow time for evaluation prior to deciding whether to commit the patient to perm...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1977.tb05117.x
更新日期:1977-10-01 00:00:00
abstract::In this study, enamel surface roughness was investigated following the use of various combinations of bonding agents, burrs and polishing procedures. Orthodontic brackets were bonded to 135 premolar teeth extracted from adolescents. Subsequent to debonding and finishing, the enamel surface was gold coated and examined...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1990.tb05402.x
更新日期:1990-06-01 00:00:00
abstract::Maxillary molar teeth may have accessory roots. The aim of this paper is to review and discuss the endodontic implications of this anatomical variation. A review of the literature was undertaken to identify studies and reported cases where accessory roots have been recorded in maxillary molar teeth. The results show t...
journal_title:Australian dental journal
pub_type: 杂志文章,评审
doi:10.1111/j.1834-7819.2012.01678.x
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Easily applied, age-specific standards are useful in assisting clinicians to decide whether the extent of tooth wear observed in a given patient at a specific age is acceptable or whether intervention is indicated. METHOD:A simple method of scoring tooth wear and previously established mathematical relation...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.2003.tb00041.x
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:To photoelastically examine load transfer by unilateral distal extension removable partial dentures with supporting and retentive components made of the lower stiffness polyacetal resins. METHODS:A mandibular photoelastic model, with edentulous space distal to the right second premolar and missing the left ...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.2008.01085.x
更新日期:2009-03-01 00:00:00
abstract::Extracted teeth, root-filled by single cone and lateral condensation techniques, using friction fitted and solvent (chloroform and eucalyptol) dip-fitted primary gutta-percha cones, were compared with respect to apical sealing as measured by length of dye penetration and frequency of no dye penetration. Overall, the s...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1989.tb03005.x
更新日期:1989-02-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to compare the displacement of tooth arrangement in dentures fabricated by additive manufacturing (AM) and heat curing. METHODS:Three-dimensional (3D) scanning was performed for edentulous jaw models. After the teeth were arranged, 3D scanning for the wax denture was performed....
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/adj.12817
更新日期:2021-01-07 00:00:00
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journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.2001.tb00283.x
更新日期:2001-09-01 00:00:00
abstract::The overlay denture concept may be used to postpone and in some cases avoid the atrophied mandibular ridge syndrome. The co-operation of the patient is a vital factor for success and the treatment regimen is divided into a series of self-contained stages to allow the patient to demonstrate his mastery of each before p...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1978.tb03534.x
更新日期:1978-08-01 00:00:00
abstract::This laboratory study compared the retention of prefabricated posts in well-fitting and loose-fitting post canals using different cement materials. Eighty-three human teeth were prepared for post placement. One of zinc phosphate cement, polycarboxylate cement, glass ionomer cement or resin cement was used to cement ea...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1993.tb05449.x
更新日期:1993-02-01 00:00:00
abstract::Service-mix can reflect changes in demographic factors, oral health, patient demand and treatment philosophies. The aim of this study was to compare service-mix by patient age in 1988 with baseline data from 1983. A weighted, stratified random sample of dentists in Australia was surveyed by mailed questionnaire in 198...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1994.tb05569.x
更新日期:1994-10-01 00:00:00
abstract::Halitosis, an offensive breath odour, has multiple sources and negative impacts on people's social interactions and quality of life. It is important for health care professionals, including general physicians and dental professionals, to understand its aetiology and risk factors in order to diagnose and treat patients...
journal_title:Australian dental journal
pub_type: 杂志文章,评审
doi:10.1111/adj.12725
更新日期:2020-03-01 00:00:00
abstract::The nature and the diagnosis and prognosis of the two forms of viral hepatitis is discussed. The possibility of transmission of these diseases during dental treatment to other patients or to dentists or their staff is considered and measures to reduce this risk are suggested. ...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1977.tb05154.x
更新日期:1977-12-01 00:00:00
abstract::Glass ionomer (polyalkenoate) cements have proved to be superior to zinc phosphate cements as orthodontic luting agents. Setting behaviours at different temperatures were recorded by an oscillating rheometer under controlled conditions. The working time of these cements can be increased by mixing on a chilled glass sl...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1991.tb04711.x
更新日期:1991-06-01 00:00:00
abstract::A multidisciplinary pain centre study of 120 consecutive chronic orofacial pain patients assessed pain description and intensity ratings, gender differences, prevalence of concurrent conditions, and interinstrument relationships of the McGill Pain Questionnaire and visual analogue scale. Pain words chosen by patients ...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.1998.tb00200.x
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:Psychosomatic factors and their association with dermatological disorders are well recognized, yet their importance in oral lichen planus (OLP) is still debated. This study was done to determine the importance of psychosocial stressors in patients with OLP. METHODS:An analytical age-sex matched double contr...
journal_title:Australian dental journal
pub_type: 杂志文章
doi:10.1111/j.1834-7819.2004.tb00072.x
更新日期:2004-12-01 00:00:00