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British Dental Journal

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https://www.readbyqxmd.com/read/29097795/cochrane-and-the-comet-initiative-developing-the-evidence-base-in-oral-medicine
#1
J Taylor, T Walsh, H Worthington, P Brocklehurst, M N Pemberton, A M Glenny
All clinicians in medicine and dentistry aim to deliver evidence-based practice; however, it is widely recognised that the current evidence base for interventions in oral medicine, as with many other specialties, is of a low quality. The highest level of evidence is considered to be the systematic review and meta-analysis. The Cochrane Collaboration and the Cochrane Oral Health group produce high quality systematic reviews, however, despite the large number of trials carried out for treatments in oral medicine, the results are often not able to be utilised to guide clinical care due to the various methodological limitations of the trials including the heterogeneity of outcome measures used...
November 3, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29097798/oral-medicine-in-children
#2
A J Crighton
Children have oral mucosal conditions and other head and neck medical problems which have both similarities and differences to those found in adults. This article highlights the common areas of oral medicine seen in children and notes where management of the condition in children may differ from that in adults. This is either due to different aetiological factors or due to the child's age or cooperation influencing treatment decisions and outcomes.
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29097797/the-use-of-topical-steroid-preparations-in-oral-medicine-in-the-uk
#3
M Rudralingam, C Randall, A J Mighell
Topical corticosteroids (TCs) are the most commonly prescribed drugs in oral medicine practice. Use in management of immune-driven inflammatory oral mucosal disease is predominantly off-label and poorly supported by evidence, yet oral medicine specialists have considerable collective experience of prescribing, administering and managing these medications. TCs are also prescribed by others in healthcare including general dental practitioners. Successful TC use is influenced by accurate diagnosis, TC choice (potency and formulation), patient acceptability (including ease of use, taste and texture), frequency of application, duration of treatment, adverse effects, patient support and medication regulations and access...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29097796/development-of-a-managed-clinical-network-in-oral-medicine
#4
J Montgomery-Cranny, M Edmondson, J Reid, S Eapen-Simon, A M Hegarty, A J Mighell
Oral medicine is concerned with the oral health care of patients with chronic, recurrent and medically related disorders of the oral and maxillofacial region, and with their diagnosis and non-surgical management. For historical reasons care for conditions falling within the scope of oral medicine practice has been inconsistent with limited planning of clinical services. Managed Clinical Networks (MCNs) bring advantages to all stakeholders with a positive impact on patient pathways and access to equitable and quality care across a network of providers working in a coordinated way to make best use of NHS resources...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29097794/oral-leukoplakia-and-proliferative-verrucous-leukoplakia-a-review-for-dental-practitioners
#5
K Staines, H Rogers
Objectives To provide an overview of the current thinking in terms of the diagnosis and management of oral leukoplakia and proliferative verrucous leukoplakia as relevant to general dental practitioners.Data sources, data selection, data extraction, data synthesis We searched the MEDLINE Ovid, EMBASE databases and the Cochrane Library, (1990 to 16 April 2017), restricting our search to English language with the following key words: leukoplakia, white patch, proliferative verrucous leukoplakia, precancerous lesion, premalignant lesions, potentially malignant oral conditions and potentially malignant oral disorders...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29097793/patient-reported-outcome-and-experience-measures-of-oral-disease-in-oral-medicine
#6
R Ní Ríordáin, P Wiriyakijja
A recent meeting of health ministers from over 40 countries worldwide deemed that time and money should be spent on outcome and experience measures that would allow us to determine whether our health systems deliver outcomes that truly matter to patients. This meeting, along with recent national programmes to promote the use of outcome measures in evaluating medical and surgical interventions, highlighted the important role that patient reported outcome measures (PROMs) and patient reported experience measures (PREMs) have in healthcare...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29074941/orofacial-pain-an-update-on-diagnosis-and-management
#7
S Ghurye, R McMillan
The diagnosis and management of orofacial pain may be challenging due to complex histories, pathophysiology and associated psychosocial co-morbidities such as depression and anxiety. Neuropathic facial pain conditions such as burning mouth syndrome (BMS), persistent idiopathic facial pain (PIFP), atypical odontalgia (AO) and trigeminal neuralgia (TN) require early recognition by primary care clinicians and referral to secondary care. Acute pain-related temporomandibular disorder (TMD) may be managed in the primary care setting, with identification of those at risk of developing chronic TMD receiving an early referral to secondary care...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29074940/checklists-for-safe-prescribing-in-oral-medicine-clinics
#8
M K Shephard, C Venda Nova, P Thakrar, T Hodgson
Introduction Prescribing checklists are a means of managing risk related to systemic medications in oral medicine practice.Methods Checklists for workup and monitoring for azathioprine, mycophenolate mofetil (MMF) and dapsone were introduced to an oral medicine clinic. Compliance with the checklists was audited at six and 12-24 months post introduction, and compared to previous clinical practice.Results Azathioprine: compliance with viral serology screening improved from <10% to over 80% at 6 months post checklist introduction, and was 100% at 12 months...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29074939/oral-medicine-in-europe-past-present-and-future
#9
C Bez, A Sklavounou, M Carrozzo
Oral medicine (OM) is a relatively young dental specialty usually dealing with the oral healthcare of patients suffering from chronic recurrent and medically-related disorders of the mouth and maxillofacial region and with their diagnosis and mostly non-surgical management. The beginning of OM goes back to 1925 in the USA and 1950s in Europe. However, official specialty recognition is more recent and within Europe, it is only in the UK, Croatia and Israel where OM is recognised by local registering authorities, although in several other European countries it is viewed as a distinct field of study...
December 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123319/help-shape-the-future-of-oral-and-dental-health-research
#10
(no author information available yet)
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123318/diagnostic-adjuncts-on-oral-cancer-and-precancer-an-update-for-practitioners
#11
S Warnakulasuriya
A variety of devices and techniques are now available to aid the clinician in visualising clinical changes that may be found in the oral cavity. These techniques can now be applied at chairside to characterise these changes and many offer a real time result at the point of care. They may assist in a practitioner referring a case earlier to a specialist to undertake further investigations. The translational value of the research published so far has been limited as these technologies have not been adapted for routine use in primary care...
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123317/antibiotic-resistance
#12
(no author information available yet)
New antibiotics and further education about prescribing are needed.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123316/do-patients-at-risk-of-infective-endocarditis-need-antibiotics-before-dental-procedures
#13
(no author information available yet)
Individual risk assessment is needed for each patient at risk of infective endocarditis.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123314/retraction-note-socket-preservation
#14
L Fee
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123313/case-report-oral-surgery-bone-exposure
#15
M Kharazmi, U Nilsson, P Hallberg
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123312/anaesthesia-and-sedation-no-such-thing
#16
COMMENT
T Caen
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123310/worldwide-pattern-of-antibiotic-prescription-in-endodontic-infections
#17
(no author information available yet)
Antibiotic prescribing practices are frequently inappropriate in endodontic therapy.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123309/oral-dryness-and-sj%C3%A3-gren-s-an-update
#18
P J Shirlaw, A Khan
Oral dryness is a very common condition presenting to a general dental practitioner or hospital specialist. The most common cause of oral dryness is drug related, however, patients with Sjögren's syndrome, a multisystem autoimmune condition, may present to their dentist rather than their GP complaining of dry mouth and dry eyes. This update article explores the causes of oral dryness and how to manage it. The update on Sjögren's syndrome explains the latest relevant diagnostic criteria, presenting signs, symptoms, investigations and management principles...
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123305/the-development-and-implementation-of-a-biopsy-safety-strategy-for-oral-medicine
#19
D J Finn, B P Rajlawat, D J Holt, S R L Adair, K Kent, E A Field
The development and implementation of a biopsy safety strategy is described in this article. Analysis of previous adverse incidents relating to biopsies acted as a catalyst to review our biopsy pathway at Liverpool University Dental Hospital. Input from all staff involved enabled us to develop a biopsy safety strategy which was divided into five stages: preoperative assessment of patient and procedure, team briefings, biopsy surgical safety checklist, surgical removal and handling of biopsy specimens, and post-biopsy follow-up...
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29123304/cosmetic-dentistry-an-excellent-review
#20
COMMENT
S Johnston
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
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