Journal of dentistry
-
Journal of dentistry · Mar 2014
ReviewCharacteristics of child dental neglect: a systematic review.
Neglect of a child's oral health can lead to pain, poor growth and impaired quality of life. In populations where there is a high prevalence of dental caries, the determination of which children are experiencing dental neglect is challenging. This systematic review aims to identify the features of oral neglect in children. ⋯ Diagnosing dental neglect can be challenging, influencing a reluctance to report cases. Published evidence does exist to support these referrals when conditions as above are described, although further quality case control studies defining distinguishing patterns of dental caries would be welcome.
-
Journal of dentistry · Mar 2014
ReviewCharacteristics of child dental neglect: a systematic review.
Neglect of a child's oral health can lead to pain, poor growth and impaired quality of life. In populations where there is a high prevalence of dental caries, the determination of which children are experiencing dental neglect is challenging. This systematic review aims to identify the features of oral neglect in children. ⋯ Diagnosing dental neglect can be challenging, influencing a reluctance to report cases. Published evidence does exist to support these referrals when conditions as above are described, although further quality case control studies defining distinguishing patterns of dental caries would be welcome.
-
Journal of dentistry · May 2011
Review Meta AnalysisAcupuncture for treating temporomandibular joint disorders: a systematic review and meta-analysis of randomized, sham-controlled trials.
The aim of this article was to assess the clinical evidence for or against acupuncture and acupuncture-like therapies as treatments for temporomandibular joint disorder (TMD). ⋯ In conclusion, our systematic review and meta-analysis demonstrate that the evidence for acupuncture as a symptomatic treatment of TMD is limited. Further rigorous studies are, however, required to establish beyond doubt whether acupuncture has therapeutic value for this indication.
-
Pain following removal of impacted third molar teeth has proven to be a useful clinical model for evaluating oral analgesics. Moreover, as the underlying pathophysiology becomes elucidated the model serves as a tool for monitoring the relative contributions of different pain events, including peripheral and central sensitization. Non-steroidal anti-inflammatory drugs (NSAIDs) demonstrate high potency in this model, reflecting the large contribution that peripheral prostaglandins may make to the pathophysiology of postoperative pain. ⋯ Such enhanced activity is also demonstrated by higher doses of certain NSAIDs, e.g. ketoprofen 100 mg. This may reflect the existence of complimentary analgesic activities within a single therapeutic agent. As a clinical research tool the dental pain model has several attributes which suggest that it will continue to be of value in identifying potentially improved analgesic strategies for postoperative pain.
-
Journal of dentistry · Apr 1992
ReviewExpert systems in dentistry. Past performance--future prospects.
Expert systems are knowledge-based computer programs designed to provide assistance in diagnosis and treatment planning. They assist the practitioner in decision making. A search of the literature on expert system design for medical and dental applications was carried out. ⋯ In the last part of the paper the features of several dental expert systems developed in the past decade are described in the light of these criteria. It is concluded that in the future more attention should be paid to the development and evaluation of expert systems in the clinical setting. Only well-designed and properly evaluated expert systems can be expected to earn a place in everyday practice.