Dental Tribune UK & Ireland
Clinical
Irrigating the root canal: A case report

January 22, 2018

The patient reported on in this article is a student in dentistry and his parents are both dentists. They referred their son to a good endodontist, who then referred the case to me. As always, peers are more than welcome in either of my practices, in Rome and London, so when I treated this case, I had three dentists watching me, a future dentist on the chair, placing a great deal of pressure on me.

Professionalism in dentistry

July 19, 2017

Professionalism has been defined as the conduct, aims or qualities that characterise or mark a profession or a professional person. Literature pertaining to health care suggests that professionalism is a competency that can be taught, developed, measured and assessed. Nevertheless, it can be argued that professionalism extends beyond the scope of clinical knowledge and skills and is most certainly multifaceted.

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“But it’s different here”—An international perspective on the business of dentistry

June 30, 2016

As a business consultant, I have been providing training, coaching and mentoring services to UK and Irish dentists and their teams for the last 23 years. Additionally, I have had the opportunity to work with clients in a number of European and other countries, including Turkey, India, the US, Canada and Australia. I consider myself a bit of a rebel and love to talk about innovation in business and how it applies in dentistry and the wider health care environment.

Reassessing risk factors for periodontal disease

January 14, 2016

Traditionally, dentists have been taught that both dental caries and periodontal disease develop and progress as a direct result of patients’ over-frequent consumption of refined sugars and patients’ failure to remove bacterial plaque effectively. Miller’s acidogenic theory of caries development and the non-specific plaque hypothesis based on Loe’s work in the 1960s allow dentists to present a simple cause-and-effect explanation to patients. Since then, the dental profession has blamed patients’ poor oral hygiene for periodontal breakdown and dental caries while often failing to diagnose and treat other contributing causative factors.

Avoiding common problems in tooth extractions

October 7, 2015

The last two decades have seen significant advances in restorative techniques and materials for dentistry. The latter, along with community-based preventive measures that aim to reduce the incidence of caries, have resulted in many patients living with functional teeth for a longer period. Yet, extraction of teeth forms the considerable bulk of the workload in oral surgeries owing to several factors, including the late presentation of patients with advanced dental disease, the presence of symptomatic impacted teeth, such as third molars, and the need to extract teeth for orthodontic or orthognathic treatment.

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Graduation: A minefield for the younger generation of dentists

July 23, 2015

Common reasons for choosing dentistry as a vocation in the UK include having a fulfilling career where, after five hard years invested at dental school, one could be rewarded with a high probability of employment and the opportunity to marry scientific knowledge with practical hand skills to provide for the public, either on an NHS or private basis or both. A-level students have high standards to achieve and maintain to gain admission to undergraduate programmes. Towards the end of their training, young dentists may feel like they are about to enter a minefield on graduation.

Periodontology in the UK: A mixed national picture

April 29, 2015

The UK is gearing up to host the largest conference in Periodontology and Implant Dentistry ever held with EuroPerio8 taking place on 3-6 June at London ExCel. Over 100 speakers will contribute to the main scientific programme and there are many additional sponsor sessions. Over 1500 abstracts have been accepted. Already over 7,000 periodontists, implantologists, general dentists and dental hygienists from 96 different countries have confirmed their attendance.

Understanding orofacial pain

March 19, 2015

Pain is one of the most complex health conditions encountered, as it affects not only the sufferers, but also the community in which they live. It is often associated with other co-morbidities, especially anxiety, depression and chronic pain elsewhere. In the orofacial region, the most commonly reported pain is dental, and this inevitably requires a visit to a dentist, who in most instances can provide a cure. However, there are other pains encountered in the orofacial region that can become chronic, defined as pain that has been present for over three months. These pains need to be diagnosed correctly, as their management is different.

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