Abstract:
OBJECTIVE:To review episodes of infective endocarditis involving dental procedures that have resulted in litigation and to determine if any clinical recommendations can be obtained. DESIGN:13-year retrospective study. INTERVENTION:Patient records were analysed to identify the probable cause of infective endocarditis. All were judged to be caused by dental manipulations on the basis of dental procedure, cardiac pathology, infecting micro-organism and time between onset of infection and dental manipulation. MAIN OUTCOME MEASURES:Cases were analysed to check if appropriate national guidelines on antibiotic prophylaxis were followed. Status of patient dental records was also evaluated. RESULTS:Dental procedures implicated in infective endocarditis were exodontia (23), scaling (21), root canal therapy with extra-canal instrumentation (7) and minor oral surgery (2). No medical history was recorded in 10 patients. In a further 31 medical history was inadequate or out of date. Dentists involved with these cases failed to give prophylactic antibiotics (48), prescribed incorrect antibiotics (2), or gave antibiotics at inappropriate times (2). There was one episode of prophylaxis with amoxycillin failing despite it being given correctly. CONCLUSIONS:If litigation is to be avoided dental practitioners must keep accurate dental records, take an appropriate medical history that is kept up to date and adhere to national guidelines on antibiotic prophylaxis.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Martin MV,Butterworth ML,Longman LPdoi
10.1038/sj.bdj.4809414subject
Has Abstractpub_date
1997-06-28 00:00:00pages
465-8issue
12eissn
0007-0610issn
1476-5373journal_volume
182pub_type
杂志文章abstract:OBJECTIVE:To evaluate the effectiveness of an orofacial trauma-based brief intervention, designed to raise adolescent males' awareness about the immediate dangers of binge drinking. DESIGN:Non-randomised controlled exploratory trial. SETTING:Secondary level schools. MATERIALS & METHODS:Pre, post and follow up valida...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814204
更新日期:2006-11-11 00:00:00
abstract::Ninety-eight cigarette smokers attending the Newcastle upon Tyne Dental Hospital, wishing to reduce their tobacco consumption, received smoking reduction advice in combination with dental health instruction and periodontal care. Those advised against smoking showed a greater reduction (P < 0.001) in reported cigarette...
journal_title:British dental journal
pub_type: 临床试验,杂志文章
doi:10.1038/sj.bdj.4809067
更新日期:1996-04-20 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::Introduction Upon completion of dental foundation training (DFT), a number of dental graduates apply for further training known as dental core training (DCT). Alternatively, there are two-year integrated training pathways within both primary and secondary care; known as longitudinal dental foundation training (LDFT). ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0949-4
更新日期:2019-12-01 00:00:00
abstract::Tooth wear has been recognised as an increasing problem over the past 10 years. Recent data from epidemiological studies indicate that the condition is common with prevalence of dentine exposure in adults ranging between 2% and 10% and visible surface changes on teeth observed up to 30% of European adults. The Basic E...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.555
更新日期:2016-08-12 00:00:00
abstract:INTRODUCTION:Despite advances in evidence-based dental school educational programmes, the charge is sometimes made that dental students are 'no longer as good as they used to be'. Recent modifications have meant that dental education is now a 'life-long experience', of which dental school is the initial, albeit very im...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.1039
更新日期:2012-11-01 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:OBJECTIVE:The optimum management of dual anti-platelet therapy (DAPT) in patients undergoing dentoalveolar surgery is controversial. The lack of guidelines has meant clinicians have been left to manage these cases from specialist advice or past experience. In view of this the British Association of Oral Surgeons (BAOS)...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.1055
更新日期:2014-12-05 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:AIM:The aim of this study was to measure organ doses and calculate the effective dose for indirect and direct digital cephalometric exposures. MATERIAL AND METHODS:Indirect digital cephalometric exposures were made of a Rando phantom head using a Cranex Tome multipurpose unit with storage phosphor plates from Agfa and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811532
更新日期:2004-08-14 00:00:00
abstract::It was a watershed moment when Archie Cochrane published his work on Effectiveness and efficiency: random reflections on health services which was considered the start of evidence-based healthcare as we now know it. From there onward, evidence-based dentistry (EBD) has developed and evolved and there has been little a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2019.145
更新日期:2019-02-08 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine if increasing cost to the patient of an NHS dental examination was associated with a change in the uptake of dental examinations by Scottish adults aged 18 years and over. The null hypothesis was that there was no significant difference (a = 0.05) in the number of NHS de...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814012
更新日期:2006-09-23 00:00:00
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
更新日期:1997-08-09 00:00:00
abstract:AIM:To compare the demographics (age, sex, ethnicity, social status, disability, country/region) and academic experience (school type) of accepted UK applicants to the five-year and four-year dental programmes in 2007 and 2008. METHODS:Retrospective descriptive analysis was carried out on the University and College Ad...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.107
更新日期:2013-02-01 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::Introduction and context This paper describes how research and evidence influenced Welsh Government policy to fund a programme (Gwên am Byth - A Lasting Smile) with the aim of improving the oral health of older people living in care homes. It describes how collaborative multi-agency working supported development and d...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2400-2
更新日期:2020-12-01 00:00:00
abstract::In part 2 of this series, we look at the clinician's role in replacing multiple missing teeth and the associated soft tissues and bone, following severe forms of trauma. These patients usually wish to have fixed prostheses to help restore their appearance and function. In order to fulfil the patient's request, the mul...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2014.1102
更新日期:2014-12-01 00:00:00
abstract::A brief clinical orthodontic examination is described as a method of screening young people in practices, community clinics or at school inspections for malocclusions requiring a more comprehensive assessment. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809779
更新日期:1998-09-12 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::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::There are various motivators that prompt people to study dentistry but there is evidence that the salience of each varies according to gender and black and minority ethnic (BME) group. Given the current focus on inequality within the science, technology, engineering, medicine and mathematics (STEMM) academic disciplin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.22
更新日期:2017-01-13 00:00:00
abstract::This paper addresses the questions of whether a dental profession existed in ancient Egypt and if it did then considers whether these practitioners were operative dental surgeons as we know them today or whether they were pharmacists. Evidence from hieroglyphic inscriptions, from the dentitions of the surviving mummif...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2009.355
更新日期:2009-05-09 00:00:00
abstract::For 42 years, the author perused and searched dental literature for the true origin of the mouthpiece. This manuscript is the culmination of that search: identifying the originator, reviewing the contributions of several pioneering dentists in mouthpiece creation, and interviewing two of many notable boxing participan...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.4808485
更新日期:1994-06-25 00:00:00
abstract::A fifth mandibular incisor is a eumorphic supernumerary tooth and has rarely been described in the medical literature. We report here a large Lebanese consanguineous family where four individuals displayed five incisors in the anterior mandible. Such familial observation has not been previously described. The possibil...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811648
更新日期:2004-09-25 00:00:00
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
更新日期:2008-09-13 00:00:00
abstract::Participation in sport carries an increased risk of sustaining dental trauma which can be reduced by the use of a mouthguard. Mouthguards work by dissipating the force of impact, thus reducing the force which is transferred to the dentition. There are different types of mouthguard available which vary in design, costs...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2017.365
更新日期:2017-04-21 00:00:00
abstract::During the autumn of 1991 a meeting was convened in Brussels by Colgate entitled 'European view of fluoride supplementation'. Throughout Europe, product dosage and age related dose recommendations for fluoride supplements vary widely. With the advent of 1992, different instructions on the same packet would cause consi...
journal_title:British dental journal
pub_type:
doi:10.1038/sj.bdj.4807866
更新日期:1992-05-09 00:00:00
abstract::Impacted maxillary canine teeth occur in about 2% of the population. Late detection of palatal canines may have treatment implications for the patient and medicolegal implications for the dental practitioner. Dental panoramic tomograms (DPT) are widely taken in practice. Image formation in dental panoramic tomography ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808945
更新日期:1995-12-09 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::With ongoing changes to the demography of the dental workforce coupled with the changing expectations of those participating in early career post-graduate training, dentistry is experiencing a shift in how it might manage trainees. Drawing on experience from medicine and the anticipated behavioural differences, it is ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0676-x
更新日期:2019-09-01 00:00:00