Clinical decision making--an art or a science? Part V: Patient preferences and their influence on decision making.

Abstract:

:Part IV of this series introduced the idea that the value a patient places on an outcome has an important influence on the decision making process. This article considers this concept further. It argues that dentists should assess a patient's preferences and consider these before deciding on a treatment option. The article explains that by enumerating all the treatment options and possible outcomes, it is possible to assess the value placed on each result. Similarly an assessment is crucial if the dentist aims to achieve the optimum treatment result--one which is regarded as the most favourable outcome by the patient.

journal_name

Br Dent J

journal_title

British dental journal

authors

Kay E,Nuttall N

doi

10.1038/sj.bdj.4808720

subject

Has Abstract

pub_date

1995-03-25 00:00:00

pages

229-33

issue

6

eissn

0007-0610

issn

1476-5373

journal_volume

178

pub_type

杂志文章
  • Remember the days in the old school yard: from lectures to online learning.

    abstract::Claims have been made that the traditional classroom/lecture-room mode of teaching is under threat with the future being purely online-based. There is no doubt that the impact of ICT systems and services have and will continue to transform teaching practice. From PowerPoint slides introduced to enliven lectures to vir...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2008.299

    authors: Reynolds PA,Mason R,Eaton KA

    更新日期:2008-04-26 00:00:00

  • Unexplained orofacial pain - is an early diagnosis possible?

    abstract::Aim To identify distinct characteristics of unexplained orofacial pain that could be used by dental practitioners in making an early diagnosis.Methods Subjects reporting orofacial pain in a postal questionnaire-based cross-sectional survey were invited for clinical examination. The interviewer was blinded to the quest...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2008.585

    authors: Aggarwal VR,McBeth J,Zakrzewska JM,Macfarlane GJ

    更新日期:2008-08-09 00:00:00

  • Calcium channel blockers and gingival overgrowth.

    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

    authors: Seymour RA

    更新日期:1991-05-25 00:00:00

  • Simulation training for dental foundation in oral and maxillofacial surgery - a new benchmark.

    abstract::Simulation training involves reproducing the management of real patients in a risk-free environment. This study aims to assess the use of simulation training in the management of acutely ill patients for those in second year oral and maxillofacial surgery dental foundation training (DF2s). DF2s attended four full day ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2013.1143

    authors: Kalsi AS,Higham H,McKnight M,Dhariwal DK

    更新日期:2013-12-01 00:00:00

  • An analysis of audio-recordings of general dental practitioners' consultations with adolescent patients.

    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

    authors: Wanless MB,Holloway PJ

    更新日期:1994-08-06 00:00:00

  • Multiple idiopathic internal resorption.

    abstract::A very rare case is presented of multiple idiopathic internal resorption, which progressively involved all the mandibular incisor teeth. ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4806707

    authors: Eveson JW,Gibb DH

    更新日期:1989-01-21 00:00:00

  • Automatic identification of dental appliances.

    abstract:AIM:To develop a reliable, machine-readable coding system for dental appliances. METHODS:Incorporation of two-dimensional bar codes and matrix codes into a range of dental appliances using printed thermal substrates and laser-etched ceramic discs. RESULTS:Problems including reaction of thermal substrates with methyl ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4809336

    authors: Milward PJ,Shepherd P,Brickley MR

    更新日期:1997-03-08 00:00:00

  • Perception of studying dental law and ethics among postgraduate dental students in the UK.

    abstract::Law and ethics is an integral part of medical and dental professional practice. The subject is touched upon in the undergraduate curriculum. Historically, dentists interested in postgraduate study in this subject have accessed courses on medical law and ethics. While there are areas of shared interest (for example, co...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2015.594

    authors: Wassif HS

    更新日期:2015-08-14 00:00:00

  • Facets of job satisfaction of dental practitioners working in different organisational settings in England.

    abstract:INTRODUCTION:Before April 2006, English dentists were either working as an NHS general dental service (GDS) practitioner (fee-per-item, no local contractual obligations); an NHS personal dental service (PDS) practitioner (block contract with the primary care trust (PCT)); a private practitioner (either fee-per-item or ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/bdj.2007.1204

    authors: Harris RV,Ashcroft A,Burnside G,Dancer JM,Smith D,Grieveson B

    更新日期:2008-01-12 00:00:00

  • Strap him down or knock him out: Is conscious sedation with restraint an alternative to general anaesthesia?

    abstract::When confronting a defiant or pre-co-operative young patient with extensive dental decay the dentist must decide between treatment under conscious sedation with passive restraint or general anaesthesia. Although some practitioners prefer to attempt and exhaust sedative techniques in most cases and use general anaesthe...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4810932

    authors: Kupietzky A

    更新日期:2004-02-14 00:00:00

  • Measuring oral health self perceptions as part of a concise patient survey.

    abstract:AIM:To investigate the measurement of oral health self perceptions, as part of a concise patient survey, and to consider the potential value of including this aspect in survey instruments. METHOD:In 2011, the data collected from 42,794 patients attending 276 practices participating in a voluntary accreditation program...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2012.1135

    authors: Busby M,Burke FJ,Matthews R,Cyrta J,Mullins A

    更新日期:2012-12-01 00:00:00

  • The strange tale of Martin van Butchell.

    abstract::In the eighteenth century, a pedestrian strolling around Georgian London may have witnessed the bizarre sight of an ageing gentleman parading the streets on a painted horse and brandishing the jawbone of an ass. Not only was this man an eccentric, he was also a dentist. David Watkins here relates the remarkable story ...

    journal_title:British dental journal

    pub_type: 传,历史文章,杂志文章

    doi:10.1038/sj.bdj.4807021

    authors: Watkins D

    更新日期:1989-11-11 00:00:00

  • The anterior all-ceramic crown: a rationale for the choice of ceramic and cement.

    abstract::The full coverage, all-ceramic restoration of an anterior tooth is a challenging clinical situation for which a variety of all-ceramic systems and cements are available. The decision making process involves the consideration of a number of factors such as underlying substrate colour, tooth preparation geometry, margin...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2008.735

    authors: Mizrahi B

    更新日期:2008-09-13 00:00:00

  • Propofol target-controlled infusions for sedation--a safe technique for the non-anaesthetist?

    abstract:OBJECTIVE:As an alternative to general anaesthesia for dentistry.attention has been focused on other, apparently safer, methods of pain and anxiety control. We have undertaken a study to evaluate the safety and efficacy of intravenous sedation using propofol target-controlled infusions. DESIGN:We describe a retrospect...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4810031

    authors: Blayney MR,Ryan JD,Malins AF

    更新日期:2003-04-26 00:00:00

  • Update on the activities of the Shirley Glasstone Hughes Trust Fund.

    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

    authors: Caines B

    更新日期:2009-08-22 00:00:00

  • Quantitative analysis of particulate matter release during orthodontic procedures: a pilot study.

    abstract::Introduction Transmission of SARS-CoV-2 through aerosol has been suggested, particularly in the presence of highly concentrated aerosols in enclosed environments. It is accepted that aerosols are produced during a range of dental procedures, posing potential risks to both dental practitioners and patients. There has b...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/s41415-020-2280-5

    authors: Din AR,Hindocha A,Patel T,Sudarshan S,Cagney N,Koched A,Mueller JD,Seoudi N,Morgan C,Shahdad S,Fleming PS

    更新日期:2020-11-12 00:00:00

  • The frequency of dental attendance of Scottish dentate adults between 1978 and 1988.

    abstract::The dental attendance of a sample of dentate adults (n = 702) within the National Health Service in Scotland was monitored longitudinally between 1978 and 1988. The attendance pattern of the sample appeared to be no different between 1983-88 than in the preceding 5 years, which suggests that the attendance behaviour o...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4807646

    authors: Nuttall NM,Davies JA

    更新日期:1991-09-21 00:00:00

  • Len D'Cruz: 'Have we been short changing patients for the last 20 years?'.

    abstract::Len D'Cruz talks to the BDJ about change management, NHS England pilots and direct access for DCPs. ...

    journal_title:British dental journal

    pub_type: 面试

    doi:10.1038/sj.bdj.2013.1087

    authors: D'Cruz L

    更新日期:2013-11-08 00:00:00

  • Clinical examination & record-keeping: Part 1: Dental records.

    abstract::This article forms part of a BDJ series of Practice papers on the subject of clinical examination and related record keeping. The series is taken from the Faculty of General Dental Practice UK (FGDP[UK]) 2016 Good Practice Guidelines book on this topic, edited by A. M. Hadden. This particular article, the first in the...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2017.984

    authors: Hadden AM,and the FGDP(UK) Clinical Examination and Record-Keeping Working Group.

    更新日期:2017-11-24 00:00:00

  • Participation of UK dentists in continuing professional development.

    abstract:INTRODUCTION:This paper reports participation of dentists in continuing professional development (CPD) and factors affecting participation. METHOD:All general dental practitioners (GDPs) in three deaneries in England were surveyed. The overall response rate was 54% (n = 2082); by deanery it was 68% West Midlands, 45% ...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4802413

    authors: Bullock A,Firmstone V,Fielding A,Frame J,Thomas D,Belfield C

    更新日期:2003-01-11 00:00:00

  • Effectiveness of battery powered light activation units.

    abstract:OBJECTIVE:To investigate the effectiveness of chargeable light curing units and their ability to sustain a high radiant output following successive discharge cycles. SETTING:University based research investigation assessing the output intensity of three battery powered light activation units and the effect of successi...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4809431

    authors: Shortall AC,Harrington E

    更新日期:1997-08-09 00:00:00

  • The efficacy of management of acute dental pain.

    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

    authors: Matthews RW,Peak JD,Scully C

    更新日期:1994-06-11 00:00:00

  • Practitioner evaluation of a novel online integrated oral health and risk assessment tool: a practice pilot.

    abstract:AIM:To report the development and evaluation of an evidence-based, online, patient assessment tool, capable of measuring oral health status, future disease risk and capitation fee guidance. METHODS:An online integrated oral health and risk assessment tool called DEPPA was developed, incorporating 1) PreViser(™) risk s...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2013.738

    authors: Busby M,Chapple E,Matthews R,Chapple IL

    更新日期:2013-08-01 00:00:00

  • Does the ethnicity of teenage children influence oral self perception and prevalence of dental disease?

    abstract:AIM:The primary aim was to evaluate the effect of ethnicity, social deprivation and oral health on oral self perceptions of 14-15-year-old Asians and Whites. A secondary aim was to assess the influence of ethnicity and social deprivation on oral treatment need in the same sample. DESIGN:A cross-sectional epidemiologic...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4809813

    authors: Mandall NA,McCord JF,Blinkhorn AS,Worthington HV,O'Brien KD

    更新日期:1998-10-10 00:00:00

  • Centric relation and increasing the occlusal vertical dimension: concepts and clinical techniques - part one.

    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

    authors: Hassall D

    更新日期:2021-01-01 00:00:00

  • A review of dental treatment of head and neck cancer patients, before, during and after radiotherapy: part 1.

    abstract::The incidence of head and neck cancer is on the rise. Most head and neck cancers are treated with surgery, radiotherapy, chemotherapy or a combination of these modalities. Patients undergoing radiotherapy can experience several unwanted oral side effects, which have both short and long term implications. Dental genera...

    journal_title:British dental journal

    pub_type: 杂志文章,评审

    doi:10.1038/sj.bdj.2015.28

    authors: Jawad H,Hodson NA,Nixon PJ

    更新日期:2015-01-01 00:00:00

  • Oncogenes, onco-suppressors, carcinogenesis and oral cancer.

    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

    authors: Scully C

    更新日期:1992-07-25 00:00:00

  • A qualitative study examining the experience of primary care dentists in the detection and management of potentially malignant lesions. 1. Factors influencing detection and the decision to refer.

    abstract:BACKGROUND AND AIMS:Many oral squamous cell carcinomas present as late stage disease and so the detection of early and pre-malignancy is considered to be of paramount importance. The majority of research examining primary care dentists' experience of the detection and management of early disease has been undertaken usi...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2010.54

    authors: Brocklehurst PR,Baker SR,Speight PM

    更新日期:2010-01-23 00:00:00

  • Dentists and community care.

    abstract::April 1993 saw the introduction of the 'Community Care' element of the 1990 NHS and Community Care Act. The term 'Community Care' describes the relocation of long-stay hospital residents to community accommodation. Much public attention has recently been focused on the welfare of psychiatric patients in the community,...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.4808358

    authors: Armstrong M

    更新日期:1994-01-22 00:00:00

  • An investigation of complete denture teaching in the UK: part 1. A survey of undergraduate teaching.

    abstract:AIM:This paper is the first in a series of two that investigate the undergraduate teaching of complete dentures in the UK. MATERIALS AND METHODS:A questionnaire was sent by email to 13 UK dental schools enquiring about the number of hours spent in the lecture theatre, laboratory and clinic. The schools were also asked...

    journal_title:British dental journal

    pub_type: 杂志文章

    doi:10.1038/sj.bdj.2013.792

    authors: Wieder M,Faigenblum M,Eder A,Louca C

    更新日期:2013-08-01 00:00:00