ORCID Profile
0000-0001-9348-5817
Current Organisations
University of London
,
University of Manchester
,
King's College London
,
University of Adelaide
,
Royal College of Surgeons of Edinburgh
,
Royal College of Surgeons of England
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Publications
Dental abrasion of incisor caused by a babies' dummy clip: a case report
Publisher: Mark Allen Group
Date: 02-09-2015
DOI: 10.12968/DENU.2015.42.7.681
Abstract: Tooth surface loss (TSL), the non-carious loss of tooth tissue, is considered pathological if the teeth involved experience sensitivity and pain, are functionally compromised or they detract from the patient's appearance. TSL is a common clinical finding in many patient groups, although differences between the primary and permanent dentition contribute to TSL occurring at a faster rate and with worse outcomes in the primary dentition. This case report presents localized abrasion and associated apical periodontitis affecting a single primary tooth in a 2-year-old infant following the misuse of a babies' dummy clip whilst teething. Abrasion is rare in the primary dentition. CPD/Clinical Relevance: This article highlights an unusual presentation of dental abrasion affecting the primary dentition caused by a previously unreported foreign object abrasion in this case was a side-effect of soothing the discomfort of teething.
Some factors influencing the stability of Sterilox®, a super-oxidised water
Publisher: Springer Science and Business Media LLC
Date: 04-03-2011
Abstract: Super-oxidised waters, particularly Sterilox(®), have been suggested for the disinfection of dental unit water lines and dental impression materials owing to their antimicrobial efficacy. One of the previously suggested characteristics is their short shelf life. The purpose of this investigation was to understand the effect of storage conditions on Sterilox(®)'s stability. Eight bottles (four completely full, four half-full) of freshly prepared solution were ided into four groups and subsequently stored by being either exposed to or protected from sunlight. The chlorine concentration was monitored using chlorine test strips until the concentration reached zero, or until the thirteenth week. Statistically significant differences between the groups exposed to sunlight and the non-exposed groups (p <0.001) were found. The mean loss of chlorine per day for the non-exposed s les was 1.01 mg/L, whilst the mean for the exposed s les was 2.42 mg/L. The presence of air did not affect the chlorine decomposition in the bottles. The results of this investigation indicate that when the solution is exposed to sunlight, the decrease of chlorine starts at day 4, whilst for the groups sheltered from sunlight, the process started after day 14. Therefore, Sterilox(®) solutions appear to be more stable than previously surmised.
The association of overjet with traumatic dental injuries: a systematic review protocol
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2018
DOI: 10.11124/JBISRIR-2017-003599
Abstract: The objective of this review of association (etiology) is to identify the relationship between different overjet measurements and developing a traumatic dental injury (TDI) across different dentition stages. Specifically, the review will elucidate the critical level, in millimetres, at which an overjet will place an in idual at an increased risk of developing a TDI within each specific dentition stage. The specific review questions are:
Root Canal Treatment versus Single-Tooth Implant: A Systematic Review of Internet Content
Publisher: Elsevier BV
Date: 06-2016
DOI: 10.1016/J.JOEN.2016.02.011
Abstract: There is an absence of professional consensus regarding when a tooth should be retained with root canal treatment and when to extract and replace it with an implant. Considering that patients often seek health-related information on the Internet, completeness and accuracy of online content are highly desirable. Websites should also fulfill several technical characteristics to be accessible to all. The search term root canal treatment implant was entered into 4 search engines. The first 100 webpages per engine search were evaluated. After removal of duplicates, those webpages comparing root canal treatment against single-tooth implant by using the AAE Implant Statement criteria as a benchmark were included. Completeness of information was evaluated against the AAE Statement by using a binary scale assessment tool. The related content was synthesized by using a protocol for systematic review of textual, non-research evidence. The webpages/sites were assessed for accessibility, usability, reliability, and quality of information by using the DISCERN and LIDA tools. Twenty-six relevant webpages were found. Information completeness scores ranged from 1 to 6 however, nearly one third scored 1. Nine syntheses were derived relating to survival rates, tooth restorability, bone quality, esthetic demands, and systemic factors. The median overall scores for LIDA and DISCERN were 72% and 61%, respectively. There is scarcity of information available on the Internet for the lay public with respect to the specific clinical question, although the webpages' content was consistent with available scientific literature. The accessibility, usability, reliability, and quality of information were largely moderate or low.
Chairside manipulation of chlorhexidine solutions.
Publisher: Elsevier BV
Date: 12-2020
Impacted maxillary canines: contemporary management and review of the literature
Publisher: Royal College of Surgeons of England
Date: 10-2012
DOI: 10.1308/204268512X13466824724715
Abstract: Management of impacted maxillary canines forms a sizeable proportion of orthodontic treatment provided in dental school and district general hospital settings. Patients presenting with impacted canines fall into the highest category on the Index of Orthodontic Treatment Need (IOTN). Patients who agree to have surgical exposure and subsequent orthodontic alignment of an impacted canine are committing themselves to a course of treatment that could take up to three years, towards the end of which the patient's enthusiasm may be waning. Prevention, or at least early interception of the impacted canine, could save a protracted course of treatment and avert not only the surgical morbidity associated with exposure of the impacted tooth but also the general risks associated with orthodontic treatment.
Odontogenic keratocyst: the pitfalls of uncoordinated multidisciplinary care
Publisher: Elsevier BV
Date: 02-2018
Patient-related outcomes and Oral Health-Related Quality of Life in endodontics
Publisher: Wiley
Date: 02-10-2023
DOI: 10.1111/IEJ.13830
Abstract: There is increased interest in outcome measures that complement the classic goal of endodontics, being the prevention and healing of apical periodontitis. Possible outcome measures can be sub ided into patient‐centred outcomes (PCOs), encompassing data collected by nonpatients aiming to assess the effectiveness of an intervention and patient‐reported outcomes (PROs), which are reported directly by the patient. PROs can be subsequently classed into PRO measures that ascertain patients' view of their symptoms, their functional status, and their health‐related quality of life, and patient‐reported experience measures that focus on aspects including the humanity of care, patient satisfaction, patient preference and adherence, personal costs, expectation fulfilment, and decision regrets. The present review aims to define various patient‐related outcomes and discuss the literature available regarding PCOs and PROs in endodontics. This includes those proposed to assess the effectiveness of endodontic treatment for pulpitis and apical periodontitis for use in the development of European Society of Endodontology S3‐level clinical practice guidelines that have been included by all working groups, except for the radiographic assessment of apical periodontitis. Based on limited evidence in the field, it can be summarized that after recall periods of various lengths, endodontic treatment is associated with a high likelihood of tooth survival and limited need for further intervention, including extraction and further restorative procedures. Oral Health‐Related Quality of Life (OHRQoL) is likely to improve following the completion of treatment. Nonetheless, the literature assessing the association between OHRQoL and endodontics is h ered by the use of instruments that have not been previously validated. Amongst the remaining outcome measures discussed in the present review, it is worth highlighting that there is only one study assessing exacerbations in teeth with the presence of endodontic pathosis, which suggests a very low incidence of this adverse effect following endodontic treatment. Patients' expectation fulfilment, adherence, and satisfaction are closely inter‐related and depend also on various nonclinical factors. Further studies assessing PCOs and PROs, in association with healing and prevention of apical periodontitis, are required to better understand endodontic treatment from the perspective of patients.
Predictors of societal and professional impact of Endodontology research articles: A multivariate scientometric analysis
Publisher: Wiley
Date: 17-01-2022
DOI: 10.1111/IEJ.13676
Abstract: To identify factors that are predictive of short‐term professional and societal impact of research within the specialty of Endodontology and to identify the top‐10 articles that achieved the greatest societal impact and describe their characteristics. Research articles in the field of Endodontology published in 2019 were eligible for inclusion, with the s le identified using Medline. Following screening of titles and abstracts, bibliometric data of the identified articles were exported into a spreadsheet, where further data related to continental origin, type of article, type of journal (endodontic or non‐endodontic) and grant‐funding were collated, with additional data concerning presence of journal impact factor, citations, news mentions and Altmetric‐tracked‐mentions and scores compiled using Clarivate, Scopus, ProQuest and Altmetric Explorer, respectively. Data analysis comprised descriptive statistics, frequency distributions, cross‐tabulations and un/adjusted negative binomial regression models ( p .05). The search retrieved 30 443 articles 951 were included for analysis. Most articles originated from Asia (43.2%) with over 51.5% of articles published in endodontic journals and 80% published in a journal with an impact factor. Over three‐quarters of articles were primary research, 141 were grant‐funded, 165 had a news mention, 338 achieved an Altmetric Attention Score (AAS) and 808 were cited. The five‐highest ranked articles were mentioned in general news bulletins, five of the top‐10 articles were primary research and six of the top‐10 were published in endodontic journals. The highest AAS and citation count were 100 and 87, respectively. Adjusted models demonstrated that the type of article, publication in a journal with an impact factor, absence of grant‐funding and coverage within general news bulletins predicted the AAS 's ( p .001). Article type, publication in an impact‐factor journal and presence of an AAS were predictive of citations ( p .001). Article type and publication in a journal with an impact factor were significant predictors of both societal and professional impact of research articles within Endodontology in the short‐term. Non grant‐funded research and coverage in general news bulletins achieved greater societal impact, whereas an article achieving an AAS was also strongly related to professional impact.
Bovine pulp tissue dissolution ability of HealOzone®, Aquatine Alpha Electrolyte® and sodium hypochlorite
Publisher: Wiley
Date: 05-11-2010
DOI: 10.1111/J.1747-4477.2010.00287.X
Abstract: The aim of this study was to evaluate the bovine pulp tissue dissolution ability of HealOzone, Aquatine Alpha Electrolyte® and 0.5% sodium hypochlorite, used alone or in combination. Thirty bovine pulp fragments were weighed, ided into six groups and placed in idually in Eppendorf tubes containing the tested solution until total dissolution occurred. The groups were: G1: saline (negative control), G2: Aquatine Alpha Electrolyte®, G3: 0.5% NaOCl (positive control), G4: Saline + HealOzone, G5: 0.5% NaOCl + HealOzone, G6: Aquatine Alpha Electrolyte® + HealOzone. HealOzone was activated for 2 min with a #6 cup covering the test tube opening on a fixed platform. Two blinded observers using 2× loupes magnification assessed the s les continuously for the first 2 h, and then every hour for the next 8 h. Dissolution speed was calculated by iding pulp weight by dissolution time (mg min(-1) ). G3 (NaOCl) and G5 (NaOCl + HealOzone) dissolved the pulp tissue completely. The mean dissolution speed for G3 was 0.396 mg min(-1) (SD 0.032) and for G5 was 0.775 mg min(-1) (SD 0.2). Student's t-test showed that G5 dissolved bovine pulp tissue faster than G3 (P = 0.01). Only groups containing sodium hypochlorite dissolved pulp tissue, whilst HealOzone enhanced speed of dissolution.
The long-term influence of orthodontic treatment on adults’ psychosocial outcomes: An Australian cohort study
Publisher: Wiley
Date: 17-06-2019
DOI: 10.1111/OCR.12327
Abstract: To assess the influence of orthodontic treatment on psychosocial outcomes in 30-year-olds. The research hypothesis tested was that participants previously treated orthodontically would have better psychosocial outcomes. A prospective longitudinal cohort design was used to follow-up a s le of 1859 30-year-olds from Adelaide, South Australia, who had previously participated in an oral epidemiology study. Clinical examination in 1988-1989 recorded participants' malocclusion severity. In 2005-2006, participants were invited to complete a questionnaire collecting data on socio-demographic characteristics, dental health behaviours, receipt of orthodontic treatment and psychosocial factors. Data were analysed descriptively and by linear regression models. Data for 448 participants were available 56% of participants were female. Over a third of participants had received orthodontic treatment. Higher income earners had the best psychosocial outcomes while participants with a basic level of secondary education had the lowest. Regardless of initial malocclusion severity, orthodontic treatment was not associated with better psychosocial outcomes. Instead, a pattern of better psychosocial outcome was observed amongst untreated participants, regardless of malocclusion severity, this being significant for optimism. Adjusted models controlling for socio-demographic, dental health behaviour and malocclusion severity showed no association between orthodontic treatment and self-efficacy, health competence or social support. There was, however, a strong association with optimism. There was no difference in long-term psychosocial outcomes based on orthodontic treatment. Our study does not support the contention that orthodontic treatment produces better psychosocial functioning later in life.
Interaction between chlorhexidine‐impregnated gutta‐percha points and several chlorine‐containing endodontic irrigating solutions
Publisher: Wiley
Date: 21-01-2013
DOI: 10.1111/IEJ.12044
Abstract: To evaluate if the immersion of chlorhexidine-impregnated gutta-percha points in chlorine-containing endodontic irrigants causes colour changes and precipitate formation. Eighty-one size 25 chlorhexidine medicated (Activ Points, Roeko, Langenau, Germany) and 27 size 25 standard gutta-percha points (Roeko) were immersed in microtubes, containing the following solutions: 0.5 and 5.25% NaOCl or Aquatine (Optident, Ilkley, UK). The s les were visually assessed, by two independent observers, at regular intervals over 3 weeks, to detect colour changes and precipitate formation. A score system was used to grade the precipitate intensity. To compare the number of days required for a precipitate to form mean and standard differences were calculated the means between the groups were compared using a one-way analysis of variance test. Mean intensity scores were calculated and compared between groups using Kruskal-Wallis procedure followed by the Mann-Whitney test. The groups containing 5.25% NaOCl started to produce a visible precipitate after fourteen days (16.48 ± 0.98) for the Activ points this process was first noticed with the standard gutta-percha group on day 17 (18.33 ± 1.22 days), with a statistically significant difference (P = 0.002). When looking at the intensity scores from day 17 onwards, these two groups differed statistically, with a greater amount for the AP group (P < 0.001). No other test group presented with changes. The placement of impregnated gutta-percha points, in 5.25% NaOCl for a 2-week period, caused the formation of a precipitate in the experimental conditions of this study.
Bioactive plasma coatings on orthodontic brackets: In vitro metal ion release and cytotoxicity
Publisher: MDPI AG
Date: 17-07-2021
Abstract: The metal ion release characteristics and biocompatibility of meta-based materials are key factors that influence their use in orthodontics. Although stainless steel-based alloys have gained much interest and use due to their mechanical properties and cost, they are prone to localised attack after prolonged exposure to the hostile oral environment. Metal ions may induce cellular toxicity at high dosages. To circumvent these issues, orthodontic brackets were coated with a functional nano-thin layer of plasma polymer and further immobilised with enantiomers of tryptophan. Analysis of the physicochemical properties confirmed the presence of functional coatings on the surface of the brackets. The quantification of metal ion release using mass spectrometry proved that plasma functionalisation could minimise metal ion release from orthodontic brackets. Furthermore, the biocompatibility of the brackets has been improved after functionalisation. These findings demonstrate that plasma polymer facilitated surface functionalisation of orthodontic brackets is a promising approach to reducing metal toxicity without impacting their bulk properties.
Endodontic complications associated with orthodontic temporary anchorage devices: A systematic review of human studies
Publisher: Wiley
Date: 17-10-2019
DOI: 10.1111/AEJ.12375
Abstract: This review, registered in PROSPERO (CRD42018102582), assessed the effect of temporary anchorage device placement on endodontic complications. A search strategy was followed to identify studies where any temporary anchorage devices contacted or were in proximity to tooth roots in humans. Studies with low possibility of bias and published in English or Latin-character languages were considered for inclusion. Ten studies were identified five case reports, one clinical study and four studies with intentional injury, totalling 736 temporary anchorage devices in 327 patients. Complications may ensue following temporary anchorage device placement, whether or not root contact occurs. Chronic apical periodontitis developed when there was root injury involving the pulp necrosis can also occur. When damage was limited to the periodontal ligament, cementum or dentine, repair occurred, normally within 12 weeks. Clinicians should be aware of the potential for endodontic complications during temporary anchorage device placement, as well as during orthodontic treatment.
Malocclusions in young children
Publisher: Elsevier BV
Date: 08-2017
DOI: 10.1016/J.ADAJ.2017.05.018
Abstract: Researchers have purported that breast-feeding can decrease the risk of malocclusions. The authors studied the relationship of breast-feeding on malocclusions in young children by means of conducting a systematic review of association (etiology). The authors used a 3-step search strategy, including electronic searches. They considered studies whose investigators included healthy children with primary dentition with a history of breast-feeding and in which the study investigators had assessed specific malocclusion outcomes to be eligible for inclusion in this review. The authors considered prospective and retrospective (longitudinal) studies, case-control studies, and analytical cross-sectional studies. Two of the authors, using standardized instruments, independently assessed the methodological quality and extracted data from the included studies. For situations for which there were a sufficient number of studies, the authors conducted meta-analyses using the random-effects model, supplemented with the fixed-effects model in situations for which statistical heterogeneity was 50% or less, assessed using the I The authors identified 7 studies that were included in the review. They found that children who had breast-fed suboptimally had an increased risk of developing malocclusions and that a strong and significant association existed between a shorter duration of breast-feeding (less than 12 months) and the development of an anterior open bite (n = 1,875 risk ratio, 3.58 95% confidence interval, 2.55 to 5.03 P < .00001) and a class II canine relationship (n = 1,203 risk ratio, 1.65 95% confidence interval, 1.38 to 1.97 P < .00001). Young children with a history of suboptimal breast-feeding have a higher prevalence and risk ratio for malocclusions. These children have an increased risk of developing a class II canine relationship, posterior crossbite, and anterior open bite. Dental health care professionals should continue to encourage and promote breast-feeding however, patients should be aware that children still can develop malocclusions, despite having received optimal breast-feeding, owing to the multifactorial etiology of malocclusions.
Orthodontic thermoformed retainers: a two-arm laboratory study into post-fabrication outcomes
Publisher: Wiley
Date: 24-05-2018
DOI: 10.1111/ADJ.12610
Abstract: Retainers are commonly used to maintain post-orthodontic occlusion stability. We aimed to determine post-fabrication thickness and thinning rate of thermoformed retainers. Forty-eight retainers were fabricated from polyethylenterepthalat-glycol copolyester or polypropylene blanks, using vacuum- or pressure-thermoforming. Retainer thickness was measured at multiple locations. Thinning rate had a broad range: the mid-labial incisor region of 1 mm polyethylenterepthalat-glycol copolyester pressure-thermoformed mandibular retainers had the greatest thinning rate (68.25 ± 8.26%) and smallest mean post-fabrication thickness (0.32 ± 0.08 mm). Polyethylenterepthalat-glycol copolyester retainers were 0.11 mm thinner than polypropylene (P=0.0222), and polypropylene retainers were 0.21 mm thicker, when pressure-thermoformed (P<0.0001). The interaction of manufacturing method and material used, and tooth type, explained over a third of the variability in the post-fabrication thickness of these retainers. Maxillary retainers made from 1 mm blanks were 0.04 mm thicker in the incisor region compared with the molar region (P=0.0492). Thermoformed retainers do no thin uniformly against in idual teeth and have variable intra- and inter-arch post-fabrication thicknesses. There is no clear benefit in using a specific type of thermoforming machine or material for increasing post-fabrication thickness or reducing thinning rate. Blank thickness and tooth morphology influence these outcomes.
DENTAL PATIENT-REPORTED OUTCOMES IN ENDODONTICS - A NARRATIVE REVIEW
Publisher: Elsevier BV
Date: 03-2023
The long-term influence of orthodontic treatment on dental knowledge and behaviour: An Australian cohort study
Publisher: Elsevier BV
Date: 09-2020
The association of overjet size and traumatic dental injuries—A systematic review and meta-analysis
Publisher: Wiley
Date: 28-06-2019
DOI: 10.1111/EDT.12481
Abstract: Traumatic dental injuries are one of the most prevalent diseases globally, impacting people of different ages and socio-economic statuses. As disease prevention is preferable to management, understanding when an in idual's overjet is prone to dental trauma helps identify at-risk patients, so to institute preventive strategies. The aim of this study was to identify the different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages. The title and protocol were registered and published a priori with the Joanna Briggs Institute (JBI) and PROSPERO (CRD42017060907) and followed the JBI methodology of systematic reviews of association (etiology). A three-step search strategy was performed, including electronic searches of gray literature and four databases. Studies of healthy human participants of any age and in any dental dentition stage were considered for inclusion. Only high methodological quality studies with low risk of bias were included. Where possible, meta-analyses were performed using the random-effects model, supplemented with the fixed-effects model in situations where statistical heterogeneity was ≤50%, assessed using the I The study identified 3718 articles, 41 were included. An increased overjet was significantly associated with higher odds of developing trauma in all dentition stages and age groups. Children 0-6 years with an overjet ≥3mm have an odds of 3.37 (95%CI, 1.36-8.38, P = 0.009) for trauma. Children in the mixed and secondary dentition with an overjet >5mm have an odds of 2.43 (95%CI, 1.34-4.42, P = 0.004). Twelve-year-old children with an overjet >5mm have an odds of 1.81 (95%CI, 1.44-2.27, P < 0.0001). The results confirm the association between increased overjet and dental trauma. A child in the primary dentition could be considered as having an overjet at risk for trauma when it is ≥3mm. In the early secondary dentition, the threshold for trauma is an overjet ≥5mm.
Accuracy of periapical and panoramic radiography for detection of root morphologies: a comparative study
Publisher: FapUNIFESP (SciELO)
Date: 2021
Effect of breastfeeding on different features of malocclusions in the primary dentition: a systematic review protocol
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2017
DOI: 10.11124/JBISRIR-2016-003069
Abstract: : The objective of this review of association (etiology) is to identify the association of breastfeeding with the development of different features of malocclusions in the primary dentition. The specific review questions are: What is the risk of developing different features of malocclusions in the primary dentition: In those who have been breastfed compared to those who have not been breastfed? In those who have been exclusively breastfed compared to those who have not been exclusively breastfed? In those who have been breastfed for a long duration compared to those who have been breastfed for a short duration?
Post-operative instructions following minor oral surgery - the quality and level of evidence: a cross-sectional study
Publisher: Springer Science and Business Media LLC
Date: 06-2020
Response to letter to editor
Publisher: Elsevier BV
Date: 02-2016
The influence of orthodontic treatment on dental caries: An Australian cohort study
Publisher: Wiley
Date: 17-01-2019
DOI: 10.1111/CDOE.12446
Abstract: To assess the influence of orthodontic treatment on long-term caries experience in 30-year-old South Australians. The research hypothesis that was tested was that those with previous orthodontic treatment would have lower caries experience. In 2005-2006, a s le of 1859 30-year-olds from Adelaide, South Australia, who comprised 47% of participants who had previously taken part in an oral epidemiology study in 1988-1989, were traced from the Australian electoral roll and invited to participate in a cross-sectional study investigating long-term dental health outcomes. Participants completed a questionnaire that collected information on socio-demographic characteristics, dental health behaviours and receipt of orthodontic treatment. This was followed by clinical examination. The outcome variables were the summed decayed, missing and filled teeth (DMFT) score, and its in idual components. Data were analysed using negative binomial regression. The response rate for the questionnaire was 34% (n = 632). There were no systematic differences between those who were followed up and those who were not followed up. Clinical data for 448 participants were available for analyses, representing 24% of the originally contacted in iduals. By the age of 30, over a third of participants had received orthodontic treatment. Regardless of initial malocclusion classification, orthodontically treated participants had a lower DMFT score at age 30 but this did not reach statistical significance. Adjusted models controlling for socio-demographic, dental health behaviour and malocclusion status showed no associations between orthodontic treatment and decayed (Exp B: 1.00, 95% CI: 0.72-1.40), missing (Exp B: 1.00, 95% CI: 0.59-1.69), or filled teeth (Exp B: 1.18, 95% CI: 0.93-1.51) or overall DMFT (Exp B: 1.12, 95% CI: 0.88-1.41). There was no difference in the long-term caries experience of South Australians aged 30 years based on past orthodontic treatment. Our study does not support the contention that those treated orthodontically have better dental health later in life.
Breast-feeding and malocclusions
Publisher: Elsevier BV
Date: 10-2016
DOI: 10.1016/J.ADAJ.2016.04.018
Abstract: The authors sought to assess the quality of information on the Internet for laypeople regarding the effect of breast-feeding on malocclusions and to determine the levels of evidence of the articles cited to support the information. The first author (E.J.D.) entered a key word term, "breast-feeding and crooked teeth," and a natural language term, "does breast-feeding protect against crooked teeth," into 4 search engines. The author performed consecutive s ling of every Web site until 5 Web sites were identified that fulfilled the inclusion criteria per search engine, per search term, producing 40 Web sites for evaluation. The author assessed quality using the LIDA instrument and determined the levels of evidence of the cited articles according to the Joanna Briggs Institute Levels of Evidence. The author determined that the quality of the Web sites was moderate, represented by a median overall LIDA score of 73%. The author identified only 2 high-quality Web sites. Nearly one-half of the Web sites cited a combined total of 10 scientific articles to support their content, and these ranged from moderate to very low levels of evidence. The authors found the quality of freely available information on the Internet for laypeople about the protective effect of breast-feeding against malocclusions to be moderate and that the evidence base cited to support the content ranged from moderate to very low levels of evidence. Increasingly, patients are seeking health information online, although not all information is credible. Dental heath care practitioners should regularly review their practices' Web sites to ensure that they are accessible and that the content is usable, reliable, and up-to-date, particularly as new, higher-level evidence becomes available.
Removable orthodontic retainers: practical considerations
Publisher: Springer Science and Business Media LLC
Date: 06-2021
DOI: 10.1038/S41415-021-2893-3
Abstract: This article provides an overview of removable orthodontic retainers, discussing their history and the different types available, and compares the two most popular removable retainers. Practical information on consent and the clinical steps involved in the provision of removable retainers, as well as suggested wear and care instructions, are also presented.
Orthodontic Retainer Wear: A Cross-sectional Study of Information Quality Available on the Internet
Publisher: Informa UK Limited
Date: 02-01-2016
Dental patient-reported outcomes following traumatic dental injuries and treatment: a narrative review
Publisher: Wiley
Date: 19-02-2023
DOI: 10.1111/EDT.12827
Abstract: Dental patient‐reported outcomes (dPROs) are self‐reported descriptions of a patient's oral health status that are not modified or interpreted by a healthcare professional. Dental patient‐reported outcome measures (dPROMs) are objective or subjective measurements used to assess dPROs. In oral healthcare settings, the emphasis on assessing treatment outcomes from the patient's perspective has increased and this is particularly important after traumatic dental injuries (TDIs), as this group of injuries represent the fifth most prevalent disease or condition worldwide. The purpose of this review is to summarize the current use of dPROs and dPROMs in the field of dental traumatology. Oral Health‐Related Quality of Life, pain, swelling, aesthetics, function, adverse effects, patient satisfaction, number of clinical visits and trauma‐related dental anxiety are the key dPROs following TDIs. Clinicians and researchers should consider the well‐being of patients as their top priority and conduct routine evaluations of dPROs using measures that are appropriate, accurate and reflect what is important to the patient. After a TDI, dPROs can assist clinicians and patients to choose the best management option(s) for each in idual patient and potentially improve the methodology, design and relevance of clinical studies.
The quality of information on the Internet on orthodontic retainer wear: a cross-sectional study
Publisher: Informa UK Limited
Date: 02-01-2016
DOI: 10.1080/14653125.2015.1114711
Abstract: The objectives of this study were to assess the accessibility, usability, reliability and quality of information on the Internet written for the lay public about orthodontic retainers, and to elucidate the different retention protocols encouraged. A cross-sectional, observational study. Online, using a computer connected to the Internet in Australia. Two search terms 'orthodontic retainer' and 'how long should someone wear a retainer after their braces are removed?' were entered alternatively into five search engines. Twenty results for each search term per search engine that fulfilled the inclusion criteria were evaluated in terms of accessibility, usability, reliability and quality of information using the LIDA and DISCERN instruments, ensuring there were no internal or cross-search engine duplicates. Any information about frequency and duration of retainer wear was also collected. Two hundred different websites were identified and assessed. The median overall LIDA score was 72%, corresponding to a moderate quality level. The median total DISCERN score was 47%. Twenty-two websites recommended patients adhere to the specific protocol prescribed to them by their practitioner. There were 45 (22.5%) and 28 (14%) websites advising indefinite use of removable and bonded retainers respectively. Information about retainers on the Internet is easily accessible and usable, though the quality of the content is generally of a moderate level. However, the information is not always accurate and reliable. Both full-time and part-time wear of removable retainers was suggested over greatly varying time periods. Indefinite wear of removable and bonded retainers was also advocated.
The long-term influence of orthodontic treatment on adults' psychosocial outcomes: Reflections and critique on a recent commentary
Publisher: Wiley
Date: 26-10-2021
DOI: 10.1111/OCR.12432
Letters to the Editor
Publisher: Mark Allen Group
Date: 02-07-2020
Breastfeeding and Malocclusions: A Current Opinion
Publisher: SAGE Publications
Date: 03-2021
Establishing the association between nonnutritive sucking behavior and malocclusions
Publisher: Elsevier BV
Date: 12-2016
DOI: 10.1016/J.ADAJ.2016.08.018
Abstract: The authors studied the effects of nonnutritive sucking behavior (NNSB) on malocclusions through a systematic review of association (etiology). The authors performed a 3-step search strategy, including electronic searches. Studies of healthy participants with a history of active or previous NNSB, for whom specific malocclusion outcomes had been assessed, were eligible for inclusion. The authors considered before-and-after studies, prospective and retrospective (longitudinal) studies, case-control studies, and analytical cross-sectional studies. They excluded reviews, text- and opinion-based articles, conference abstracts, case reports, case-series, and descriptive cross-sectional studies. The authors, using standardized instruments, independently assessed methodological quality and extracted data from the included studies. In situations for which there were sufficient studies, the authors conducted meta-analyses using the random-effects model, supplemented with the fixed-effects model in situations for which statistical heterogeneity was less than 50%, which the authors assessed using the I The authors included 15 identified studies. They found that NNSB was associated with varying risks of developing malocclusions. Pacifier suckers are less likely to develop an increased overjet compared with digit suckers, although the results of a meta-analysis of 7 studies whose investigators had assessed posterior crossbite in the primary dentition demonstrated a significant association with pacifier sucking over digit sucking (n = 5,560 risk ratio, 1.42 95% confidence interval, 1.18-1.70 P = .0001). Longer duration of NNSB was associated with an increased risk of developing malocclusions. Across-study heterogeneity likely resulted from methodological and s le size differences. The authors of this study have confirmed the association between NNSB and the development of malocclusions. This study provides the highest level of evidence on this topic. Pacifiers were associated with a higher risk of developing most malocclusion features when compared with digit sucking. Though malocclusions are of multifactorial etiology, clinicians should inform parents and caregivers about the dental risks of NNSB, an environmental factor that is modifiable. NNSB should be discouraged in order to avoid the development of malocclusions. Future studies should adopt standardized, universally agreed and accepted definitions and classifications when measuring and reporting orthodontic outcome measures. This will help achieve across-study homogeneity.
Maxillary sinus unilateral aplasia as an incidental finding following cone‐beam computed (volumetric) tomography
Publisher: Wiley
Date: 15-11-2012
DOI: 10.1111/AEJ.12001
Abstract: This paper presents a case of maxillary sinus unilateral aplasia, an uncommon condition in adults, diagnosed as an incidental finding during cone-beam computed tomography (CBCT) examination for an endodontic case analysis. The patient was referred to a specialist endodontic practice for management of an upper right central incisor tooth. A CBCT scan was performed. The images of the left maxillary sinus showed a total lack of pneumatisation, prompting the diagnosis of aplasia. The patient's otolaryngologist was made aware of the findings. Clinical evaluation of volumetric images should be performed by an adequately trained dentist or radiologist so the maximum amount of information is gathered for the patient. This requires a systematic approach to ensure that no relevant information is missed and should include the paranasal sinuses and other surrounding structures as incidental findings can be observed during CBCT analysis.
No better way to prevent tooth decay
Publisher: Research Square Platform LLC
Date: 2019
Cone-beam computed tomography—Predictors and characteristics of usage in Australia and New Zealand, a multifactorial analysis
Publisher: Wiley
Date: 13-07-2022
DOI: 10.1111/AEJ.12663
Abstract: Cone‐beam computed tomography ( CBCT ) is an increasingly used imaging modality. This study aimed to identify the factors that predict its usage amongst endodontists in Australia and New Zealand and describe usage characteristics. Data were collected via an online questionnaire, with analysis including descriptive statistics, cross‐tabulation and multifactorial modelling. Ninety‐four endodontists completed the questionnaire who were using CBCT for 7 years (median), over half had a CBCT unit in practice, with most prescribing up to 10 scans/month and 55 using a small field of view. Sixty‐eight participated in h of CBCT education/year and a third received a specialist‐prepared report. The number of prescriptions/month was significantly associated with on‐site CBCT units (Exp B: 8.53 95% CI : 1.46–49.86, p 0.05) and the number of years of CBCT usage by participants (Exp B: 1.46 95% CI : 1.17–1.84, p = 0.001). CBCT imaging in endodontics is a useful diagnostic aid to decision making and treatment planning, with widespread acceptance and usage.
Infraposition or infraocclusion– Is it time to rename?
Publisher: Wiley
Date: 19-09-2021
DOI: 10.1111/EDT.12711
Abstract: Dental infraposition and dental infraocclusion, hereinafter referred to as infraposition and infraocclusion respectively, are terms that are often used interchangeably. This can be noted in the International Association of Dental Traumatology guidelines for the management of traumatic dental injuries, where infraocclusion is listed as an injury‐specific outcome following avulsion of permanent teeth. Infraposition and infraocclusion are terms that have been used in the dental literature to describe teeth that interfere with the normal eruption and development of the permanent dentition. While teeth described in this manner share certain clinical characteristics that give rise to these terms being used interchangeably within the dental traumatology field, this may not necessarily be correct and may be confusing. The aim of this short communication is to start a discussion in the dental trauma community regarding the need for a more adequate term, particularly in relation to replanted teeth.
A History of Suboptimal Breastfeeding may Increase the Risk of Developing Anterior Open Bite, Posterior Crossbite, and Class II Canine Relationship
Publisher: Elsevier BV
Date: 06-2018
Comparative Histopathologic Analysis of Granulomatous Tissue of Endodontic and Periodontal Origin
Publisher: Quintessence Publishing
Date: 05-2020
DOI: 10.11607/JOMI.8076
Adult orthodontics: a quality assessment of Internet information
Publisher: Informa UK Limited
Date: 02-07-2016
Clinical importance of incidental findings reported on small-volume dental cone beam computed tomography scans focused on impacted maxillary canine teeth
Publisher: Elsevier BV
Date: 12-2014
DOI: 10.1016/J.OOOO.2014.09.006
Abstract: To investigate the clinical importance of incidental findings reported for small-volume cone beam computed tomography (CBCT) scans of impacted maxillary canine teeth. Radiology reports of CBCT examinations performed as part of diagnosis and treatment planning for impacted or ectopically erupting maxillary canine teeth for 183 consecutive patients were assessed retrospectively. The scans were obtained with a small-volume unit (3 D Accuitomo 80) with a field of view that was either 40 × 40 or 60 × 60 mm. The findings were graded according to their clinical importance as low, intermediate, or high. Three hundred and forty incidental findings were reported. One of the incidental findings was of high importance (0.3%), 97 were of intermediate importance (28.5%), and 242 were of low importance or anatomic variant (71.1%). Incidental findings reported on small-dimension CBCT scans of impacted maxillary canine teeth rarely require immediate attention nonetheless, 28.8% would require follow-up.
Predictors of societal and professional impact of orthodontic research. A multivariate, scientometric approach
Publisher: Springer Science and Business Media LLC
Date: 26-09-2021
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University Of London
Location: United Kingdom of Great Britain and Northern Ireland
University Of Manchester
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King's College London
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Royal College Of Surgeons Of Edinburgh
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Royal College Of Surgeons Of England
Location: United Kingdom of Great Britain and Northern Ireland
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