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Australian Dental Journal

Kathryn A Briggs, Omar Breik, Ko Ito, Alastair Norman Goss
BACKGROUND: Temporomandibular disorders (TMD) cover a wide spectrum of disorder; myalgic, arthralgic and psychogenic. The procedure of TMJ arthrocentesis has a role in managing patients with arthralgic pain and limitation if they fail to respond to non-surgical therapy. METHOD: The patient records of a single private specialist OMS were searched over the nine year period of 2006-2014 to identify patients who had arthrocentesis as part of their multidisciplinary management...
November 13, 2018: Australian Dental Journal
Angie Nilsson, Louise Young, Felicity Croker
AIM: This literature review explores the need for greater prominence of gerodontology in the undergraduate dental curriculum, focusing on the significance of gerodontology for dental students on clinical placements. BACKGROUND: As Australia's population ages the number of dentate older people is increasing. An assessment of the dental profession's preparedness, including that of future providers, is needed to ensure that this public health issue is addressed. METHODS: A database search was performed in MEDLINE (Ovid), CINAHL, and JCU OneSearch...
November 2, 2018: Australian Dental Journal
Kaley Butten, Newell W Johnson, Kerry K Hall, Jennie Anderson, Maree Toombs, Neil King, Kerry-Ann F O'Grady
BACKGROUND: The caries process follows a strong social gradient which can commence in the first years of life. Yet data on young children remain limited. This study reports the potential risk factors and indicators in urban, Aboriginal and Torres Strait Islander children aged less than 5 and estimates the prevalence of caries. METHODS: Demographic and risk factor and risk indicator data were collected at baseline in a cohort study of children attending a health clinic in north Brisbane...
October 30, 2018: Australian Dental Journal
Nebu Philip, Laurence Walsh
Contemporary caries prevention protocols recommend not only effective remineralizing agents but also ecological measures to reverse the dental plaque dysbiosis responsible for the disease pathogenesis. There is a high-level of evidence supporting the remineralizing efficacy of Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) from studies around the world. There is now emerging evidence that CPP-ACP may also have a beneficial influence on the dental plaque microbial ecology and homeostasis. The ecological cariostatic effects of CPP-ACP are believed to be mediated predominantly through its anti-adhesion, buffering, and biofilm disrupting actions...
October 30, 2018: Australian Dental Journal
Ajesh George, Amy R Villarosa, Tiffany Patterson Norrie, Julia Hoolsema, Hannah G Dahlen, Shilpi Ajwani, Sameer Bhole, Anthony Blinkhorn, Ravi Srinivas, Albert Yaacoub, Andrew Milat, John Skinner, Maree Johnson
BACKGROUND: Pregnant women in Australia seldom seek dental care and are unaware of its importance. To address these gaps the midwifery-initiated oral health dental service (MIOH-DS) program was comprehensive trialled and found effective. The aim of this study was to undertake a process evaluation of the MIOH-DS using the perspectives of pregnant women who participated in the trial. METHODS: A qualitative research design was utilised, whereby content analysis was undertaken on data from 11 semi-structured interviews with women who participated in the program...
October 30, 2018: Australian Dental Journal
Cpc Sim, G D Walker, D J Manton, Y L Soong, Jts Wee, G G Adams, E C Reynolds
BACKGROUND: The aim of this study was to investigate the effect of treatment with the saliva biomimetic, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and SnF2 /NaF compared with SnF2 /NaF alone on coronal surface caries progression in head-and-neck cancer patients undergoing radiotherapy. METHODS: Twenty-four participants were randomized into two groups. Both groups used 0.4% SnF2 gel and a 0.32% NaF toothpaste; the test group also applied a crème containing 10% CPP-ACP three times daily while the control group used an identical crème without CPP-ACP (placebo)...
October 19, 2018: Australian Dental Journal
Philip Yuan-Ho Chien
Subcutaneous facial emphysema (SFE) following routine dental operative procedure is an uncommon but potentially life-threatening complication. The present case details a Class V restoration where air was introduced into the fascial tissue planes via the gingival sulcus from the use of an air-driven dental handpiece. Although the SFE is usually self-limiting within 3-10 days, such instances should be regarded as a medical emergency as in severe cases, the air may spread to the neck, mediastinum and thorax to result in cervicofacial emphysema with potential pneumomediastinum and pneumothorax...
October 1, 2018: Australian Dental Journal
Sally Cochrane, Michael F Burrow, Peter Parashos
BACKGROUND: Evidence is lacking concerning the suitability of using bovine dentine in endodontic research. This study compared the mechanical properties of human and bovine root dentine using endodontic medicaments and irrigants. METHODS: Standardised human and bovine dentine bars were allocated to six experimental groups (n=15): calcium hydroxide paste (Calasept® Plus); Odontopaste® ; 0.5% and 1% NaOCl gels; 1% and 4% NaOCl solutions. The bars were exposed to the materials for seven days and then immediately subjected to a three-point bend test and Vickers microhardness test...
October 1, 2018: Australian Dental Journal
S Corbella, A Alberti, E Calciolari, S Taschieri, L Francetti
BACKGROUND: The aim of the study was to evaluate the use of enamel matrix derivative (EMD) alone or in association with deproteinized bovine bone mineral (DBBM) for the treatment of partially contained intrabony defects. METHODS: A total of 20 two-walled intrabony defects belonging to nine patients were included. Ten defects were treated with EMD alone (test group 1) and the other 10 were treated with EMD and DBBM (test group 2), applying either modified papilla preservation technique or simplified papilla preservation technique...
September 26, 2018: Australian Dental Journal
N Amarasena, D Haag, K G Peres
To identify and map the caries risk management protocols with multiple strategies, which were used in Australia and New Zealand and reported in the existing literature, a scoping review was carried out by electronically searching PubMed, Web of Science, Scopus, Embase and Dentistry and Oral Science. Studies on caries risk management protocols, written in English, limited to Australia and New Zealand and published up to March 2018 were included in the review. There was no restriction on participants' age. Of 257 studies identified, seven were included in the review...
September 22, 2018: Australian Dental Journal
Muhammed Yakin, Benedict Seo, Haizal Hussaini, Alison Rich, Keith Hunter
There is a global increase in the prevalence of HPV-driven oropharyngeal squamous cell carcinoma (OPSCC), including in Australia and New Zealand. Risk factors for Human Papillomavirus (HPV)-positive OPSCC are male gender, white race, age older than 40 but younger than 59 years old, having multiple lifetime sex partners, having oro-genital and oro-anal sex. High-risk HPV subtypes play a major role in the pathogenesis of OPSCC whereas they play a much lesser role in oral squamous cell carcinoma (OSCC). Among the laboratory tests used to detect oncogenic HPV infection, polymerase chain reaction is a sensitive method but does not reflect role of HPV in oncogenesis...
September 20, 2018: Australian Dental Journal
S Constantine, D Roach, S Liberali, A Kiermeier, P Sarkar, J Jannes, P Sambrook, P Anderson, J Beltrame
It is unclear whether incidental carotid artery calcification (CAC) on radiographs has a defined relationship to clinically significant carotid artery stenosis, and therefore risk of stroke. The primary objective of this study was to ascertain the relationship between dental radiograph detected carotid calcification and carotid artery stenoses ≥50% on carotid duplex ultrasound. We carried out an observational study of patients undergoing routine dental orthopantomogram (OPG) examinations. Consecutive patients with CAC on OPG were prospectively matched to those without CAC based on age and gender...
September 14, 2018: Australian Dental Journal
K T Ng, Mhm Fan, M C Leung, G Fokas, N Mattheos
OBJECTIVES: This retrospective study assessed radiographic bone changes and prevalence of inflammation around teeth and neighbouring implants supporting a single-unit fixed dental prosthesis (FDP), in relation to implant- positioning and characteristics. MATERIAL AND METHODS: Patients with an implant-supported FDP in function for at least 1 year were recruited. The radiographic horizontal and vertical position of the implants were identified. Probing depth (PD), bleeding on probing (BOP) and radiographic bone level around implants and adjacent teeth at the time of placement, prosthesis delivery, and the most recent review were assessed...
September 4, 2018: Australian Dental Journal
M Vaughan, A Park, A Esterman
The management of medical emergencies is widely considered a requisite skill for all dentists. Timely intervention of an emergency can significantly alter the outcome for a patient's morbidity and possible mortality. This scoping review examines the prevalence of medical emergencies in dental practice, as well as dentists' attitude, confidence, and competence, of medical emergency management within a dental setting. Key findings include a lack of preparedness towards medical emergencies, despite a universal recognition of the importance and desire to improve key medical skills...
August 31, 2018: Australian Dental Journal
A Khominsky, Mawt Lim
Medication-related osteonecrosis of the jaw (MRONJ) is a severe adverse drug effect consisting of bone destruction of the maxilla and/or mandible. The most common precipitating event described in the literature is the extraction of a tooth followed by "spontaneous" occurrence with no clear predisposing event. Current studies are investigating methods of managing dental extractions in patients at risk of MRONJ; however, no studies to date examine the aetiology and management of "spontaneous" MRONJ...
August 24, 2018: Australian Dental Journal
K J Oliver, Mmh Cheung, K Hallett, D J Manton
BACKGROUND: Poor oral health in children with cardiac conditions can have negative effects on quality of life and increased risk of infective endocarditis. The aim of this study was to investigate the caries experience in children with cardiac conditions attending the Royal Children's Hospital, Melbourne. METHODS: Medical and dental records of 428 children aged <12 years were examined. Cardiac and other medical diagnoses, decayed, missing and filled surfaces/teeth were recorded and analysed...
August 20, 2018: Australian Dental Journal
A Pakdaman, A Montazeri, R W Evans
The objective of this review was to investigate rates of caries lesion progression, arrest, and regression in approximal surfaces of deciduous teeth following secondary preventive interventions in order to inform caries management protocols. Studies published in English and other languages from 1960 till February 2017 were searched in electronic databases. Inclusion criteria were: randomized controlled clinical trials and longitudinal studies that involved non-invasive preventive treatment. We excluded: in vivo studies and incidence studies...
August 1, 2018: Australian Dental Journal
L Teoh, K Stewart, R Marino, M McCullough
Antibiotic resistance is a well-established global public health crisis, with the use and misuse of antibiotics being the principal cause of bacterial resistance. Studies in both Australia and overseas have demonstrated that the dental prescribing of antibiotics is increasing and that dentists tend to prescribe antibiotics unnecessarily and for incorrect clinical indications. Dental practitioners in Australia also prefer to prescribe moderate to broad-spectrum antibacterial agents and make some inappropriate antibiotic prescribing choices...
July 14, 2018: Australian Dental Journal
D G Selim, C Sexton, P Monsour
BACKGROUND: Dentomaxillofacial Radiology (DMFR) is comprised of the smallest cohort of specialists in Australia. A survey was undertaken to assess awareness of DMFR, radiology reporting and referring protocols as well as dental practitioners' satisfaction with their radiology reporting arrangements. METHODS: An original online survey created using Checkbox† was sent to dental practitioners. The survey was promoted on Australian-based dental Facebook forums and emailed to targeted members via Australian professional dental associations...
July 2, 2018: Australian Dental Journal
J Sum, V J O'Rourke
BACKGROUND: Current research highlights a need to investigate the factors affecting periodontal disease referral. Limited literature exists on periodontal disease referral in Australia and no comparison to the periodontal disease referral guidelines exists. OBJECTIVE: This study analyses the factors affecting periodontal disease referral and the adherence to guidelines in general dentists in Queensland, Australia. METHODS: Fifty-seven general dentists who are members of the Australian Dental Association (Queensland) undertook an online survey...
June 27, 2018: Australian Dental Journal
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