搜索结果：British dental journal

Aims To explore the attitudes of undergraduate dental students towards dental foundation training (DFT), also known as dental vocational training in Scotland, and other early career pathways.Methods An online questionnaire was distributed via the British Dental Students' Association's communication channels to UK dental students using convenience and snowball sampling. The survey included closed- and open-ended questions. Quantitative data were analysed statistically and thematic analysis was applied to open-ended responses.Results A total of 177 responses were received, primarily from final-year students. Nearly all respondents planned to apply for DFT, with 25% aiming for NHS-only work, 52% for mixed NHS and private work, 9% private-only, 4% abroad, and 10% undecided. Expected earnings post-DFT ranged from £30,000 to £70,000 (median £50,000-£60,000) and a trend toward reducing workdays over time was noted.Conclusion UK dental students perceive DFT as a valuable step in preparing for independent practice. Insights into student attitudes, along with concerns about NHS challenges, financial pressures and career pathways, can inform workforce planning and policy, supporting sustainable development of the dental profession.

Background Twenty-first century dentistry in first world countries should be based on sound evidence-based prevention and timely access to relevant dental care, but is not the picture currently portrayed of dentistry within the UK, by and for the key players involved (e.g., patients/public, government/commissioners, National Health Service, contract providers and performer workforce).Aims To summarise the issues that face the public, dental educators, dental workforce and commissioners of dental care in the UK (England) that were formally discussed at the British Society of Prosthodontics (BSSPD) Conference 2025.Method A panel was selected to include experts and spokespeople for the Department of Health/Chief Dental Officer, dental public health, the British Dental Association, postgraduate dental education and training, and workforce research, to debate five themes of sustainability in front of an audience of foundation dentists, dental core trainees and educational supervisors, speciality trainees, as well as general dental practitioners, specialists and consultants in prosthodontics and restorative dentistry.Conclusion The discussions of this debate on sustainability confirmed the need for novel approaches/offers with better understanding, funding and delivery of effective prevention models, urgent contract reform, with suggestions for education and health systems that can support (new and existing) dental workforce challenges.

Aims Describes the development and early implementation of the Cancer Action Support Practice (CASP) pathway in South West England, aiming to improve dental care access for head and neck cancer (HNC) survivors in the primary care setting.Summary of CASP development Stakeholder engagement was central to CASP's design, involving input from general dental practitioners, local dental committees, commissioners, and secondary care teams. Funding and commissioning options were explored through the regional integrated care boards (ICBs). CASP aligns with national policy, including NHS England's guidance on oral health for cancer patients. CASP provides a structured pathway enabling HNC patients to access routine and preventive dentistry in primary care to prepare them for and maintain them after oral rehabilitation. Two commissioning models (units of dental activity uplift and sessional rate approach) were proposed, allowing regional flexibility by commissioning ICBs. Consultant-led peer review, data collection, and ongoing professional development are embedded. A pilot CASP has been commissioned in Cornwall, with further strong regional interest.Conclusion CASP demonstrates a regionally coordinated approach to improving dental access for a vulnerable and complex patient group. The model supports integration between primary and secondary care, informed by national guidance and local clinical need, and has potential applicability to other medical conditions with significant dental involvement.

From September 2025, dental education in the UK followed a new curriculum called the Safe Practitioner Framework. This represents a departure from the previous curricula in three key ways: 1) a shift from the previous developmental goal of becoming a 'safe beginner' to that of a 'safe practitioner'; 2) creating a set of explicit behavioural learning outcomes in conjunction with the existing knowledge- and clinical-based learning outcomes; and 3) the addition of contemporary issues into the formal curriculum, including equality, diversity and inclusion topics, mental health and wellbeing, and sustainability. Considering that there has been 'reliance on professional regulation as shorthand for the ethical development of students' in dental education, this paper will offer a perspective on how dental ethics are represented in the new curriculum and what it means for aspiring and future dental professionals in the UK. In this paper, it will be argued that an ethics of care philosophy appears to underpin these curricular changes, though it is not named explicitly. The lack of formal engagement with ethics of care means that students and educators alike may be ill-prepared for the ethical dilemmas, moral distress and pedagogic challenges the new curriculum will create.

This study assessed the impact of a newly created set of video-based nutrition education cases on dental hygiene students' knowledge, skills, and perceptions. A pre/post study design examined changes in students' knowledge, skills, and perceptions from baseline traditional lecture-style classes (2020) to post-implementation of the new curriculum (2021). The technology-enhanced curriculum required online previewing, in-class discussions, and assessment of three nutrition cases. UBC's Behavioural Research Ethics Board (H20-00358) approved this project. A 5-point Likert scale used in the baseline (n = 23) and post surveys (n = 25) showed a range of responses to 15 variables, including dental hygiene students' working knowledge of nutrition, attitudes toward peer-to-peer education, and abilities to work on interdisciplinary healthcare teams. The statements with highest agreement were: I had to prepare for class in order to be successful (p = 0.006); Teaching and learning methods promoted understanding and application of key concepts (p = 0.042); and Course work facilitated critical thinking and problem solving (p = 0.001). Open-ended comments from both cohorts favoured more opportunities for case discussions and social exchanges with each other to better understand the fundamentals of nutrition education. The new curriculum improved measured outcomes while retaining student interest in both online and classroom settings. The development of the video-based case studies fostered interprofessional collaboration between dietetic and dental hygiene students, and the implementation improved students' educational experiences and development of professional skills.

This study aims to examine the associations of ethnicity and socioeconomic factors with obvious dental caries and assess longitudinal changes between 5 and 11-years of age. A retrospective longitudinal design was employed, linking individual-level health and education records for children aged 5 and 11-years living in Scotland between 2004 and 2018 (n = 155,737). At age five, Polish and Gypsy/Traveller children had around four times higher odds for developing obvious caries compared to White Scottish peers (OR = 4.37, 95% CI: 3.87-4.94) and (OR = 3.47, 95% CI: 2.52-4.79) respectively. By age 11, African, Chinese, Indian, and White British children showed lower odds of developing obvious caries, while Gypsy/Traveller (OR = 2.70, 95% CI: 1.98-3.70), and Polish (OR = 1.34, 95% CI: 1.18-1.52) children remained at elevated risk compared to White Scottish children. Longitudinal analysis revealed limited overall ethnic differences in new obvious caries development, though African (OR = 0.51, 95% CI: 0.39-0.67) and Chinese (OR = 0.58, 95% CI: 0.38-0.90) children were less likely to develop new obvious caries compared to White Scottish children. Several minority groups, including Polish, Gypsy/Traveller, Pakistani, and Arab children, demonstrated improvements in caries status between ages five and 11 compared to White Scottish children. Obvious caries presence at age five is strongly associated with caries at age 11 (OR = 3.24, 95% CI: 3.16-3.33). Ethnic disparities in obvious dental caries were evident at age 5 and independent of socioeconomic status. By age 11, these inequalities diminished for most groups, with socioeconomic factors emerging as the primary drivers of oral health inequalities, except among Gypsy/Traveller and Polish children.

This article introduces the concept of transition of care from child to adult services and describes the development of a transitional pathway by the Lancashire Teaching Hospitals National Health Service Trust paediatric and adult special care dental teams. Case reports of patients managed within the pathway are presented to illustrate implementation of the pathway and the various considerations that formed part of the individual care plans. It is hoped that this work will support other dental services to develop arrangements that improve the quality of transitional care for patients.

Introduction The Falkland Islands are a remote archipelago of over 740 islands and host a diverse, multicultural society. Since 2013, consistent efforts to improve and protect children's oral health have been applied and evaluated, and the results after a decade are presented.Methods Child dental health surveys aligning with the World Health Organization methodology have been conducted annually since 2013 (exceptions: 2015 and 2020). Data analysis was undertaken to establish a mean dmft/DMFT (decayed, missing, and filled primary teeth/decayed, missing, and filled permanent teeth) for five-year-olds, 12-year-olds and 15-year-olds within the Falkland Islands.Results Mean dmft/DMFT results have trended down since 2013, with all age groups demonstrating a dmft/DMFT of below 1.0 tooth consistently since 2021. Response rates have been very good to excellent (69% to 97%) which increases confidence in the results.Conclusions Preventative interventions within the Falkland Islands appear to be improving child dental health. There is further scope, and need, for improvement, and additional screening should be investigated to understand the current oral health of the whole population of the Falkland Islands.

This historical study examines the contribution of the Italian physician and anthropologist Paolo Mantegazza (1831-1910) to the early understanding of the relationship between sugar and dental caries. In his Elementi d'Igiene (1864), one of the most influential Italian manuals of public health, Mantegazza conducted a series of laboratory experiments to investigate whether sugar could chemically damage teeth. His results led him to conclude that sugar exerts no direct chemical action on enamel, but that its harmful effects depend on fermentation processes - an interpretation that anticipated, decades in advance, the modern microbiological explanation of caries. This work highlights Mantegazza's pioneering empirical approach, which reflected the emergence of experimental hygiene in 19th century Italy, even in the field of dentistry, and his broader commitment to promoting scientific knowledge as a tool for public education and preventive medicine.

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Aims To investigate the 15-year survival of teeth that had root canal treatment (RCT) in adult patients treated within the NHS General Dental Services (NHS GDS), and to further examine dentist and patient factors affecting outcomes.Methods The source of data was an age-stratified random sample of NHS GDS patients and RCT they received from 1990-2006. The survival was measured to reintervention after RCT, using modified Kaplan-Meier methodology and investigating dentist and patient factors.Results The 15-year survival of 791,375 root canal-treated teeth was 77% based on reintervention (retreatment, surgery, extraction) and 83% based on extraction alone. The investigation of general factors that affect survival of root canal-treated teeth indicated that there were two dentist (age and location of the dental practice) and two patient (age and charge-paying status) factors of relevance. Among tooth-specific factors, lower teeth, posterior teeth and molar teeth performed better than their counterparts.Conclusions The 15-year survival of root canal treated teeth in this study was encouraging and supports the provision of root canal treatment by general dental practitioners working in the NHS GDS. It was most affected by geographical region of the dental practice, age of the patient and the location of the tooth in the mouth.

Aim To synthesise epidemiological and clinical evidence on in-flight barodontalgia in professional aircrew.Methods We searched Scopus, PubMed, Web of Science, and Google Scholar for cross-sectional studies of in-flight barodontalgia. Seven studies (2013-2024) met the inclusion criteria. Data were extracted in duplicate, and risk of bias was assessed with the JBI cross-sectional checklist. Given heterogeneity in case definitions, a narrative synthesis (no meta-analysis) was performed.Results Barodontalgia events occurred predominantly during descent (and also on some ascents). Prevalence varied widely across studies (~6% to 55%). Acute dental pain was the leading symptom, sometimes accompanied by headache or transient concentration loss. Overall study quality was moderate.Conclusions In-flight barodontalgia is a relevant occupational health issue for aircrew. Harmonised case definitions and prospective validation of reports are needed. Preventive measures such as routine pre-flight dental check-ups and appropriate return-to-flight restrictions after recent dental treatment (as determined by aeromedical/occupational policy) may help reduce in-flight occurrences.

Aims This qualitative study explored the feasibility and acceptability of incorporating an intra-oral camera into a supervised toothbrushing programme by examining the practical factors shaping its use from the perspectives of staff involved in its implementation.Methods Six university staff involved in delivering the programme were interviewed, and the data were analysed thematically.Results Participants reported that the camera improved accuracy, supported clearer communication with children. Children engaged well with the technology, and the visual element helped make dental screening feel more understandable and approachable. At the same time, implementation exposed practical hurdles. Technical setup, data security, staffing, and inconsistent operator experience contributed to delays. The process was most effective when qualified staff captured the images, highlighting the importance of defined roles. Strong teamwork and clear protocols were seen as essential for future scaling.Conclusions The findings show that the intra-oral camera is potentially valuable within school-based prevention, but its success depends less on the device itself and more on the systems built around it. Reliable digital infrastructure, dedicated staff time, and a standardised imaging pathway are critical for sustainability. With these elements in place, the technology could strengthen early detection and enhance the educational aims of supervised toothbrushing programmes.

In osteopetrotic mice with homozygous inactivating mutations in the colony stimulating factor 1 (Csf1op/op) or its receptor (Csf1r-/-) gene, teeth fail to erupt due to severe reduction in osteoclastogenesis. Dental abnormalities have been described in the unerupted teeth of these models, but it remains unclear whether these defects arise from direct roles of CSF1R in odontogenesis or indirectly from impaired bone remodeling associated with failed eruption. Here, we examined the spatiotemporal expression of CSF1R during tooth development and inhibited CSF1R pharmacologically in utero using PLX5622 during early stages of tooth morphogenesis. Teeth and surrounding bone were analyzed at embryonic and postnatal stages using histology and high-resolution micro-computed tomography. Embryonic CSF1R inhibition resulted in reproducible abnormalities in incisor and molar morphology that were evident before and after birth and were associated with loss of normal bone remodeling at the tooth-bone interface. In contrast, postnatal CSF1R inhibition did not affect the structure or continuous growth of adult incisors. Together, these findings demonstrate a temporally restricted, indirect role for CSF1R in odontogenesis that is independent of tooth eruption and associated with remodeling of the bony crypts surrounding developing teeth by CSF1R-dependent cells.

Dens invaginatus is a developmental anomaly characterised by enamel and dentine infolding, resulting in highly variable internal anatomy that can complicate diagnosis, treatment planning and long-term prognosis. Traditional two-dimensional classifications such as Oehler's Classification do not fully reflect the morphological complexity of invaginations which can now be evaluated with cone beam computed tomography. This paper provides an updated clinical overview of the aetiology, developmental principles, diagnostic features and key considerations for the management of dens invaginatus.A new three-dimensional classification - the Manchester Classification - is introduced which assesses the vertical extent of the invagination, its horizontal morphology and the proximity to the main canal. This classification offers a more detailed and clinically relevant representation of this anomaly, supporting more predictable diagnostic interpretation and treatment planning.Management recommendations informed by the Manchester Classification are outlined, offering structured guidance for a range of clinical presentations. The classification is intended to support clinical decision-making and bridge the gap between specialist endodontic understanding and general practice. Early recognition and three-dimensionally informed treatment planning have the potential to improve outcomes for teeth affected by dens invaginatus.

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