Abstract：
AIM:To compare the performance of a computer based decision support system (a neural network) and consultant oral and maxillofacial surgeons in making decisions about the need to remove lower third molars. DESIGN AND SETTING:Receiver operating characteristic (ROC) analysis at a hospital department of oral and maxillofacial surgery. SUBJECTS AND METHODS:Three consultant oral and maxillofacial surgeons indicated on a six-point rating scale how certain they were that each of 50 documented lower third molars required removal. Similar data were obtained from the neural network following appropriate coding of the clinical information. These data were compared with gold standard treatment decisions for each tooth based on National Institutes of Health Concensus criteria using ROC analysis. MAIN OUTCOME MEASURES:The area beneath each operator ROC curve (varying between zero and one with greater areas indicating better performance). RESULTS:The network performed as well a two consultants (P = 0.12/0.18, NS) and significantly better than the third (z = 526, P < 0.01). CONCLUSIONS:This work suggests that this computer based neural network could play a useful role in supporting dental practitioners making third molar referral decisions.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Brickley MR,Shepherd JPdoi
10.1038/sj.bdj.4809299subject
Has Abstractpub_date
1997-01-25 00:00:00pages
59-63issue
2eissn
0007-0610issn
1476-5373journal_volume
182pub_type
杂志文章abstract：:Email is a computer based method of sending messages from one computer to another. From its humble beginnings 40 years, it has matured to become a crucial tool in utilising the power of the Internet. More people have access to email than to any other Internet application, and despite the problems with spam email and v...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/bdj.2007.271
更新日期：2007-04-14 00:00:00
abstract：AIM:The aim of this study was to determine whether an educational intervention delivered by a computer aided learning package improved the sensitivity and specificity of dentists' restorative treatment decisions. METHOD:The study was a randomised controlled study using a Solomon three-group design. Ninety-five dentist...
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.4801033
更新日期：2001-05-26 00:00:00
abstract：:The problem with improving quality in dental practice is not so much a difficulty with understanding exactly what quality means, but more a lack of clear guidance as to how to take the simple, practical steps to achieving that improvement in the daily pressures of practice life. This article describes Quality Developm...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4808028
更新日期：1992-11-07 00:00:00
abstract：OBJECTIVES:To determine whether practising dental therapists, including dually qualified hygienist/therapists, considered themselves to be part of the clinical team and whether clinical work referred to them met with their expectations. METHODS:A postal survey enquired about work experiences of UK dental therapists, a...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2009.1104
更新日期：2009-12-12 00:00:00
abstract：:In this paper we will provide our personal viewpoint on the current provision of orthodontic education and discuss the need for further developments. This will include training relevant to the following: (i) student dentists, (ii) specialists, and (iii) general practitioners: particularly those who wish to develop an ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2015.50
更新日期：2015-02-16 00:00:00
abstract：OBJECTIVE:To determine the sensitivity of conventional sensory assessment in monitoring lingual nerve recovery subsequent to third molar surgery and to evaluate if the assessment methods can be predictive of injury outcome. METHOD:A prospective case series of 94 patients presenting with lingual nerve injuries evaluate...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4813584
更新日期：2006-05-27 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：:Objective To ascertain the survival of teeth having undergone root canal therapy, when bacterial photo-dynamic therapy (bacterial PDT) was used as an adjunct during root canal system disinfection. Design Retrospective survival analysis (Kaplan-Meier method) of endodontically-treated teeth, when bacterial PDT was used ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0026-z
更新日期：2019-03-01 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：OBJECTIVE:To determine the relationships between working conditions for new dental graduates and their mental and physical health. DESIGN:A cross-sectional postal survey. SUBJECTS:Graduates from the years 1991 and 1994 were selected to provide cohorts before and after the introduction of mandatory vocational training...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4800010
更新日期：1999-01-09 00:00:00
abstract：:The factors which influence the uptake of orthodontic treatment are reviewed with respect to the features and aspirations of the consumers (patients and parents) and the providers (dentists, orthodontists and health system). It appears that the assessment of orthodontic treatment need is influenced by many variables r...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4807421
更新日期：1991-01-19 00:00:00
abstract：:It is important that dental extractions under general anaesthesia (GA) are planned appropriately to avoid a repeat GA in the future. Current guidelines recommend the input of an orthodontist when the treatment plan involves a permanent tooth extraction but the number of children undergoing GA extractions makes this ch...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0408-2
更新日期：2019-06-01 00:00:00
abstract：:Examinations for overseas-trained dentists are enforced to qualify for registration to perform dental practices in some countries. Feedback on the examinations in Australia and the UK is presented as formative and summative evaluations from a participant and practitioner's perspective. The formats of both examinations...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0371-y
更新日期：2019-06-01 00:00:00
abstract：AIM:To determine whether adult patients' dental anxiety levels decrease following exodontia carried out under inhalational conscious sedation with nitrous oxide and oxygen (IHS) and local anaesthetic (LA). DESIGN:Retrospective analysis of pre- and post-operative modified dental anxiety score (MDAS) questionnaires comp...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2012.839
更新日期：2012-09-01 00:00:00
abstract：:Psychosis is an uncommon but well-recognised complication of short-term corticosteroid administration. We report a case of steroid-induced psychosis subsequent to a bimaxillary osteotomy. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4812929
更新日期：2005-11-26 00:00:00
abstract：:The prevalence of waterpipe tobacco smoking (also known as shisha, hookah, narghile or hubble bubble) is increasing worldwide and is especially popular among adolescents of all cultures, ethnicities and socio-economic backgrounds. This increased prevalence is thought to be due to a number of factors including the rela...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2016.903
更新日期：2016-12-09 00:00:00
abstract：:Using a postal questionnaire, the use of general anaesthesia and sedation in general dental practice in two cities over a 4-week period was investigated. Questionnaires were sent to a random sample of one in five dental practitioners in Bristol and Sheffield, and an 82% response rate was attained. More practices in Sh...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4807312
更新日期：1990-09-22 00:00:00
abstract：:Despite less surgery, quality-of-life measurements were not superior in patients who received PET-CT-guided surveillance, compared with that group who received routine neck dissection. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2016.327
更新日期：2016-05-13 00:00:00
abstract：:Implant surgery protocols differ slightly with individual systems. However, basic surgical principles are required to ensure successful osseointegration of the implant in the correct location which allows good aesthetics and loading. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4800294
更新日期：1999-10-23 00:00:00
abstract：:Following several highly publicised inquiries into the deaths of children from abuse and neglect, there has been much recent interest in the role and responsibility of all health professionals to protect children at risk of maltreatment. The findings of a postal questionnaire, sent in March 2005 to 789 dentists and de...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2009.307
更新日期：2009-04-25 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：AIM:This paper, the second in a series of two (see 2013; 215: 177-181), investigates the opinions of a cohort of dental foundation year 1 (DF1) practitioners regarding their skills and competence in relation to their educational background in complete dentures. MATERIALS AND METHODS:With the permission of the Dean of ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2013.833
更新日期：2013-09-01 00:00:00
abstract：:This article presents a distant complication in the auricle following the administration of a standard inferior alveolar nerve block. The patient experienced profound numbness of the auricle on the ipsilateral side of the injection that lasted for about an hour following unintended injection to the auriculotemporal ne...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2009.559
更新日期：2009-07-11 00:00:00
abstract：:Bony disease is typically evident with radiographic examination. Loss of bone mass consistent with osteoporosis is evident on plain dental radiographs, and it is reasonable to expect that anti-resorptive treatment of osteoporosis would lead to changes in radiodensity of structures visible on dental radiographs. Review...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.2017.307
更新日期：2017-04-07 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：:There may be unintended changes to the occlusion following the provision of guards and splints. This article describes the management of anterior open bite as an unintentional, iatrogenic occlusal change in patients who have worn a night guard or occlusal splint and one case caused by an orthodontic retainer. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/s41415-019-0261-3
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:Firstly to determine the current provision of sedation in primary dental care in an area of Scotland without local secondary care support and secondly, to investigate dental practitioners' desire for formal postgraduate training in sedation techniques. DESIGN:A prospective postal questionnaire-based study. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4801512
更新日期：2002-08-10 00:00:00
abstract：:The clinical and histological findings in two adult caucasians with focal epithelial hyperplasia (Heck's disease) are described. The literature concerning this rare condition is reviewed. ...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4807162
更新日期：1990-03-24 00:00:00
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
更新日期：2013-08-01 00:00:00
abstract：:A questionnaire was sent to a list of what was considered to be all dentists currently in practice in the General Dental Service (GDS) and Community Dental Service (CDS) in Scotland; 72% responded. The dentists were asked to indicate the general method by which they would prefer to be paid, given a choice of fee for i...
journal_title：British dental journal
pub_type： 杂志文章
doi：10.1038/sj.bdj.4806883
更新日期：1989-06-24 00:00:00
