Publications by authors named "Jean Noel Vergnes"

Introduction: Developing professionalism notably involves learning how to make professional judgements in ambiguous situations. The Concordance of Judgement Test (CJT) is a learning tool that was proposed to develop professionalism competencies, but it was never performed in dentistry or used with a synchronous methodology. The present study evaluated the feasibility of the use of CJT in the context of dental education, to foster professionalism and stimulate reflexivity and discussion.

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The discipline of “dental public health” derives its epistemological legitimacy from the unique position of dental surgeons within the realm of health care. It serves as a crucial bridge between the domain of public health and the field of dental science. The development of “dental public health” holds a twofold significance.

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It is time to consider the protection of our environment as a major public health issue in oral medicine. Evidence shows that activities related to dental practice, such as patient transportation, use of rare materials and chemicals, or energy consumption, affect our ecosystems and contribute to the global degradation we are increasingly observing. The degradation of our environment is considered the greatest threat to our health.

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Introduction: In fixed prosthodontics, simulators are essential to students for a progressive transition from preclinical to clinical condition. With the 3D printing technology, we developed resin bars allowing students to better visualise by motor chunking technique. Main objectives of this work were to describe this teaching methodology used in preclinic among different promotions of second, third and fourth dental years and to evaluate students' feedback.

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The Hôtel-Dieu Saint-Jacques of Toulouse (in Southwest France) is an ancient hospital officially existing since the 16th century and initially dedicated to the treatment of the poor and the destitute. In the 18th century, it became a hospital in the "modern" sense of the word, by maintaining health and trying to cure diseases. The first official traces of professional dental care in the Hôtel-Dieu Saint-Jacques by a dental surgeon date from 1780.

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Introduction: Narrative medicine is a novel approach aimed at attending to the socio-emotional aspects of illness and care. Parallel charts represent one of the tools of narrative medicine and are brief accounts of care in which practitioners can express their feelings and emotions towards patients and treatments. They are, therefore, intended to collect practitioners' feedback in the form of "narrative" tools to encourage reflection.

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Objectives: The objective of this study was to describe the knowledge, opinions and practices about the defective restoration (DR) management of French general dental practitioners (GDPs).

Methods: A cross-sectional, online survey-based study was carried out amongst 378 GDPs - members of the dental practice-based research network in France (ReCOL). Bivariate comparisons were made using Fisher's exact test to assess the association of the respondent characteristics (age, gender…) with the decision to repair DRs, and responses to clinical cases.

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Background: Developmental Defects of Enamel (DDE) is a pathology of the teeth that can greatly alter the quality of life of patients (hypersensitivity, esthetic issues, loss of function, etc.). The acquired DDE may occur as a result of a wide range of acquired etiological factors and his prevalence of this pathology may reach up to 89.

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Early diagnosis is crucial for individuals who are susceptible to tooth-supporting tissue diseases (e.g., periodontitis) that may lead to tooth loss, so as to prevent systemic implications and maintain quality of life.

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Article Synopsis
  • Tobacco and alcohol are major risk factors for oral squamous cell carcinoma, and despite European health policies aimed at prevention, the disease's incidence remains high, particularly among women.
  • A study analyzed data from Google, Wikipedia, and Twitter across 28 EU countries from 2004 to 2019, comparing interest in oral cancers with public health initiatives; findings showed a clear temporal link between changes in tobacco packaging and increased online searches for oral cancer in several countries.
  • The results suggest that the effectiveness of existing awareness campaigns, like Make Sense, is limited, indicating a need for improved communication strategies and collaboration with public figures to enhance awareness and impact around oral cancer prevention.
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  • There is a lack of tools to help patients understand and navigate person-centred dental care, leading to the creation of the Montreal-Toulouse Wheel of patients' expectations.
  • This Wheel outlines four main expectations (understanding, respect, power, and time) along with three care-specific expectations (being informed, sharing decisions, and comfort during procedures).
  • A Q-List is also provided, featuring the seven expectations and open-ended questions to encourage patient reflection and engagement, aiming to improve the quality of dental care and promote inclusivity within the field.
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  • - The text discusses "portable dentistry," which involves providing dental care at patients' homes or institutions, highlighting the increasing demand but noting dentists' hesitance to adopt these practices.
  • - A systematic literature review identified 28 relevant studies, leading to a model of portable dentistry that organizes the process into three levels: patient, dentist, and society, each with components like service organization and delivery.
  • - The proposed model considers various factors at each level, including human aspects (professionals and patients), non-human aspects (equipment and environment), and financial aspects (cost and remuneration), aiming to aid dentists and educators in implementing portable dental services.
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Aims: We aimed to explore the scientific literature on accessible dental clinics for wheelchair users. More specifically, we sought out literature addressing how the human environment and physical space shape the dental services of accessible dental clinics.

Methods: We conducted a scoping review (May 2019) in Embase, PubMed, Web of Science, and the Avery index of architectural Periodicals (3994 articles).

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Objectives: For more than twenty years, dental practice-based research networks (D-PBRN) have helped to structure clinical research in private practice. They bring together practitioners working in several structures and may include a greater number of subjects. The aims of this study were thus to systematically explore the scientific production from dental private practices in general and to map and describe the D-PBRN activity worldwide.

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  • * Conducted between November 2011 and March 2013 with 2,413 participants, the study found that 42.2% reported experiencing ST in the past year.
  • * Key factors associated with ST included being female, tobacco use, soft drink consumption, limited access to dental care, and poor oral hygiene, highlighting the need for increased awareness and care among dental professionals.
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  • Health professions are increasingly focusing on person-centred care (PCC), but dentistry has not kept pace, still adhering to a biomedical approach.
  • A study in Quebec involved interviews with 11 general dental practitioners, revealing a lack of interest in understanding patients' personal stories and a limited willingness to share decision-making, particularly for high-value procedures.
  • The findings suggest that dentists view their craft as a sacred art, which hinders openness to PCC and highlights the need for the profession to re-evaluate its identity to better meet society's evolving expectations.
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  • CBCT technology has evolved significantly in oral medicine since the early 2000s, focusing on improved image quality and radiation dose management through advancements like new sensors and algorithms.
  • The technology is now widely used in various fields, primarily in endodontics and oral surgery, while its application is expanding into periodontology and ENT medicine, emphasizing careful use of field of view.
  • Effective use of CBCT requires collaboration among multiple professionals to ensure high standards of care and thorough interpretation of images, including clear communication of findings to patients.
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The biomedical model has been severely criticised in the last decades and its dominance challenged. This is why the concept of person-centred dentistry has penetrated the professional discourse and become a growing concern for our profession. Furthermore, dentists have been urged to take patients' environment more into account and to tackle the social determinants of their health, illness and access to care.

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