Social media and orthodontics: Are our patients scrolling?

Objective: To assess patients' awareness of the availability of information related to orthodontics on social media, and to explore patients' willingness to engage with social media to aid with orthodontic treatment.

Design: Prospective cross-sectional survey.

Setting: This survey was conducted at Croydon University Hospital orthodontic department.

A proof of concept pilot trial of probiotics in symptomatic oral lichen planus (CABRIO).

Objective: To preliminary evaluate the clinical effects of probiotics in individuals with symptomatic oral lichen planus and the possible mechanisms of action.

Subjects And Methods: A group of 30 individuals with symptomatic oral lichen planus were recruited in a randomised double-blind parallel group controlled (1:1) proof-of-concept pilot trial of probiotic VSL#3 vs placebo. Efficacy outcomes included changes in pain numeric rating scale, oral disease severity score and the chronic oral mucosal disease questionnaire.

Trigeminal neuralgia: a practical guide.

Trigeminal neuralgia (TN) is a highly disabling disorder characterised by very severe, brief and electric shock like recurrent episodes of facial pain. New diagnostic criteria, which subclassify TN on the basis of presence of trigeminal neurovascular conflict or an underlying neurological disorder, should be used as they allow better characterisation of patients and help in decision-making regarding medical and surgical treatments. MR imaging, including high-resolution trigeminal sequences, should be performed as part of the diagnostic work-up.

Gender incongruence/dysphoria in children and adolescents: overview and implications for dentistry.

Introduction Over the past 10 to 15 years, there has been growing recognition that the traditional spectrum of gender-defined dichotomised roles does not necessarily, or accurately, fit within a certain subsection of the population. A condition associated with gender incongruity that dental practitioners must be aware of is gender dysphoria.Aims Our role as dental and oral healthcare professionals necessitates us to provide safe and effective dental healthcare to all members of the population; as such, it is essential for dental healthcare professionals to undertake appropriate professional development to increase their knowledge of gender dysphoria.

Considerations in the management of trans patients.

It is essential to raise awareness of the health and social needs of trans individuals. This article presents the barriers that trans people may encounter when accessing healthcare services and offers practical recommendations on how holistic care may be achieved.

Dental experiences of a group of autistic adults based in the United Kingdom.

Aims: Previous international research has shown that autistic people have difficulty accessing dental care due to sensory processing, anxiety and communication issues. However, it is not known whether autistic adults in the United Kingdom are experiencing similar dental care barriers. The current study investigated autistic adults' dental experiences in the United Kingdom.

Rehearsal Sound Exposure and Choir Singers' Hearing: A Pilot Field Study.

Unlabelled: Exposure to high- and moderate-intensity sound is inevitable for professional singers during their working day, the majority of which is spent in rehearsal, preparing for a performance. The impact of self-produced sound exposure on singers' hearing within the rehearsal setting has not been examined.

Objectives: This original pilot field study investigates the feasibility of data collection and hypothesis testing of singers' hearing within the rehearsal environment.

Service evaluation of an intravenous sedation service within a hospital paediatric dentistry unit: ten-year results.

Background An intravenous sedation (IVS) service was established in 2008 for young people aged 12 years or over, within the paediatric dentistry department at the Eastman Dental Hospital in London. The aim of this study was to carry out a service evaluation and assess the case mix and success rate of this service over the last ten years.Materials and methods A retrospective service evaluation was carried out, including all patients attending the IVS clinic between April 2009 and March 2019.

Dense bone islands in pediatric patients: a case series study.

Background: Dense Bone Islands (DBIs) are anatomic variants defined as radiopaque lesions consisting of hamartomatous cortical bone, often presenting as incidental radiographic findings. DBIs can also be known as idiopathic osteosclerosis, bone whorl, focal periapical osteopetrosis, bone scar and enostosis. We found a paucity of literature for management and reporting of this condition in children.

Guidelines for reporting on CBCT scans.

The aim of a radiographic report is to provide an accurate interpretation of images to facilitate the diagnostic process, and when indicated prompt the appropriate management for the patient. It is part of the patient's clinical records. This paper describes the imaging chain involved in the cone beam computed tomography (CBCT) workflow from referring to reporting on a CBCT scan.

Developing a child patient satisfaction survey: a quality improvement project.

Aim: To develop a child-centred patient satisfaction questionnaire for use in an Outpatient Paediatric Dental Department.

Method: Data from patient satisfaction interviews was used to develop a child satisfaction questionnaire, which was used in two different centres after piloting.

Results: The final questionnaire contained 7 questions and a comments section, using writing and facial images used to record children views.

The role of a clinical nurse specialist in managing patients with trigeminal neuralgia.

Background And Aims: Patients with trigeminal neuralgia (TN) can be overwhelmed with information they are given when first seen in a specialist secondary care clinic. The purpose of this study is to evaluate the extent to which a telephone service provided by the clinical nurse specialist (CNS) with independent prescribing rights improves patient management and satisfaction and reduces costs.

Methods: All patients with a diagnosis of TN who used the CNS telephone service in 2015 were contacted by two medical students (independent observers) using a semi-structured questionnaire.

Incorporating sustainability into assessment of oral health interventions.

Prior to 1966, consumers purchased food items with very little (if any) nutritional labels. Now, nutritional labelling is an integral part of informed consumer choice. This paper advocates for a similar approach for healthcare-related products, using the toothbrush as an example, with the need to quantify and publish data on their clinical efficacy and environmental impact.

Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model.

Introduction Healthcare professionals should consider environmental sustainability when recommending medical devices to patients, although there is currently little quantitative data available. The toothbrush is a widely recommended healthcare device worldwide. The aim of this study was to compare the sustainability of different types of toothbrush.

Comparison of a polyethylene glycol membrane and a collagen membrane for the treatment of bone dehiscence defects at bone level implants-A prospective, randomized, controlled, multicenter clinical trial.

Objectives: The aim of the present randomized, controlled clinical multicenter trial was to compare a polyethylene glycol (PEG) and a native collagen membrane (BG) for simultaneous guided bone regeneration at bony dehiscence-type defects around bone level titanium implants.

Material And Methods: The study enrolled 117 patients requiring implant treatment in the posterior maxilla or mandible with expected buccal bony dehiscence-type defects at the placed titanium implants. According to a parallel groups design, defects were filled with a synthetic bone filler and randomly assigned to either PEG or BG membrane.

The effective use of an e-dentistry service during the COVID-19 crisis.

In 2020, we experienced the largest disruption to normal life recorded in recent years with the COVID-19 global pandemic. Creative thinking was required to ensure patient care was maintained. In this article, we share a service evaluation and experiences dealing with the crisis through using a virtual office approach with video conferencing to manage emergency consultations, treatment reviews, new patient and multidisciplinary clinics in a hospital orthodontic unit.

Advances in diagnosis, classification, pathophysiology, and management of trigeminal neuralgia.

Trigeminal neuralgia is a very painful neurological condition with severe, stimulus-evoked, short-lasting stabbing pain attacks in the face. The past decade has offered new insights into trigeminal neuralgia symptomatology, pathophysiology, and treatment, leading to a change in the classification of the condition. An accurate diagnosis is crucial because neuroimaging interpretation and clinical management differ among the various forms of facial pain.

Gingival Thickness and Outcome of Periodontal Plastic Surgery Procedures: A Meta-regression Analysis.

Objective: To evaluate the impact of soft tissue thickness (STT) on root coverage achieved with different periodontal plastic surgery procedures.

Background: Gingival recession has been managed successfully through various surgical approaches, with great variability in outcomes. Anatomic characteristics of the recipient site and selected technique account in part for this variability.

Knowledge of, and attitudes to, shared decision-making in orthodontics in the UK.

Objective: To establish UK orthodontic treatment providers' knowledge of, and attitudes to, shared decision-making (SDM). SDM involves patients as equal partners in decisions about treatment.

Design: Cross-sectional survey.

Maxillary sinus osteoma: A case report and literature review.

This case report describes a rare presentation of an osteoma in the maxillary sinus picked up from an incidental finding on an orthopantomogram that was obtained to inform orthodontic treatment. While orthodontists principally use this radiograph to assess the developing dentition, aid treatment planning and monitor treatment, several peripheral anatomical sites are evident on this radiograph. We review the literature in relation to osteomas presenting in the craniofacial area along with its management.

The Why, What, How and What if-The method to present your research and clinical cases.

Background: During the fourth Summer Camp (SC) held by the European Association of Osseointegration (EAO), 20 junior representatives from various European and non-European universities and associations were selected to partake in oral presentation and communication skill development.

Aims: The aim of the EAO Summer Camp (EAO SC) was to identify new methods of enhancing participants' abilities to engage, influence and lead in a professional environment, on both a clinical and scientific level.

Materials And Methods: Four different groups were assigned to discuss one of two topics: (1) an Implant Register and (2) Digital Dentistry.

Breastfeeding - Does It Affect the Occlusion?

The effects of breastfeeding on the occlusion have been much debated, and it is often suggested that breastfeeding facilitates optimal development of the jaws and the dentition, thus preventing the development of a malocclusion. Despite these claims, the evidence is equivocal, and the majority of studies are of low quality and only assess the deciduous dentition. Therefore, at present there is currently no high quality evidence to support claims that breastfeeding has a positive effect on the occlusion, thus the method of feeding should be chosen due to the health benefits and personal preference, not due to any claims regarding occlusal benefits that cannot be substantiated.

Psychological support for orthognathic patients: Who is doing what?

Objective: To investigate: (1) orthodontists' training experience in the psychological assessment of orthognathic patients and their wish for training/further training; (2) the availability of psychological support, referral patterns and outcomes after referral; (3) and adverse incidents prompting orthodontists to refer patients for psychological assessment.

Design: Prospective cross-sectional study.

Methods: A 25-item questionnaire was designed to investigate the above mentioned aims.