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Primary Dental Journal

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https://read.qxmd.com/read/30835670/chronic-pain-and-overview-or-differential-diagnoses-of-non-odontogenic-orofacial-pain
#1
Tara Renton
Orofacial pain is defined as pain arising from the regions of the face and mouth. Dental pain is the most common inflammatory pain presenting in this region; however, chronic pain conditions presenting frequently, including temporomandibular joint disorders (TMDs), primary headaches (neurovascular), neuropathic pain and idiopathic pain conditions, can often mimic toothache. Dentists are familiar with TMDs but have no training or experience in diagnosing or treating headaches that mainly present in the first trigeminal division...
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835669/temporomandibular-disorder-for-the-general-dental-practitioner
#2
Emma Beecroft, Chris Penlington, Hannah Desai, Justin Durham
Temporomandibular disorder (TMD) is the most common cause of chronic pain in the orofacial region. With prevalence in the general population reported at 10% to 15%, patients will regularly present to general dental practitioners (GDPs) with symptoms relating to TMD. despite its relative commonality, TMD continues to pose both a diagnostic and management challenge for the general dental practitioner. This article aims to guide clinicians with regards to clinical examination, diagnosis and biopsychosocial management of TMD within primary care...
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835668/optimal-local-anaesthesia-for-dentistry
#3
Tara Renton
Dentistry is unique in that high-volume surgery is undertaken efficiently on conscious patients, an anathema to most other surgical specialties, who predominantly operate on unconscious patients. local anaesthesia (LA) provides an efficient block to nociceptive pain (the first stage of the pain pathway) but only addresses one small part of the pain experience. Currently the inferior dental block is the "go to" standard for dental LA for mandibular dentistry, despite its significant short comings. Unfortunately, habit means that we continue to practise what is taught to us at dental school, thus, not developing safer modern LA practice...
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835667/perioperative-surgical-pain-management
#4
Nadine Khawaja
Acute dental pain continues to be under-managed, despite availability of several effective over-the-counter analgesics. This article discusses the mechanisms underlying the pain experience, the impact of post-operative pain and how to overcome barriers to optimal pain management. Prescribing using principles of multi-modal analgesia will be covered as well as discussion of associated side effects.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835666/medical-management-of-dental-anxiety
#5
Paul Coulthard
The use of medical management techniques for the management of anxiety is fundamental to the practice of dentistry. Around 7% of the population are likely to need these techniques for general dental care and a higher proportion for more invasive treatment such as oral surgery. This paper highlights the current expectation of effective and safe practice of conscious sedation techniques in light of recent updated guidance from several UK institutions.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835665/an-overview-of-dental-anxiety-and-the-non-pharmacological-management-of-dental-anxiety
#6
Jennifer Hare, Geanina Bruj-Milasan, Tim Newton
In this article we will seek to provide an overview of dental anxiety and fear, including its most extreme manifestation, dental phobia. We will explore the prevalence of different levels of dental anxiety and outline some broad principles for the management of dental anxiety based on an approach which suggests that management should be proportionate to the level of anxiety.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835664/psychological-interventions-for-persistent-orofacial-pain
#7
Sarah Barker, Monika Urbanek, Chris Penlington
Persistent pain has been defined as pain lasting beyond the normal time of healing (up to six months), often in the absence of observable tissue pathology. it includes a range of conditions which are likely to present in the dental setting including temporomandibular disorders, burning mouth syndrome, persistent dentoalveolar pain, trigeminal nerve injury, trigeminal neuralgia and atypical facial pain.<br/> This article reviews psychological interventions for pain. this includes interventions that have been researched in a range of persistent pain settings, including but not limited to those that have been directly applied to persistent orofacial pain (POFP)...
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835663/psychological-theories-of-pain
#8
Chris Penlington, Monika Urbanek, Sarah Barker
While pain has traditionally been understood within a medical model that equates pain to tissue damage or disease, this understanding is not consistent with everyday observations of pain or with clinical examples of persistent pain where there is often very little correlation between pain experienced and physical findings.<br/> This article considers psychological and multidimensional theories of pain, which are described within the historical context within which they were developed, including behavioural, cognitive, contextual and functional theories...
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835662/introduction-to-pain
#9
Tara Renton
This edition of PDJ is intended to provide a wide overview on orofacial pain for dental and medical teams. Both acute and chronic orofacial conditions relevant to dentistry and medicine will be covered, and emphasising a holistic and pragmatic approach. Orofacial pain is the most common presenting symptom for patients presenting to their dentist and increasingly commonly presenting to doctors in general practice and A&E departments.<br/> Pain in the trigeminal system causes much higher psychological and neurophysiological distress compared with other body regions, as the trigeminal nerve is the great sensory protector to the eyes, ears, nose, mouth and meninges, the senses that underpin our very existence...
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835661/dental-pain-anxiety
#10
(no author information available yet)
No abstract text is available yet for this article.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835660/a-round-up-of-the-latest-updates-from-your-faculty
#11
(no author information available yet)
No abstract text is available yet for this article.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835659/dean-s-update
#12
Ian Mills
No abstract text is available yet for this article.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30835658/raising-awareness-of-the-management-of-pain-and-anxiety-in-primary-dental-care
#13
Igor Blum
No abstract text is available yet for this article.
February 19, 2019: Primary Dental Journal
https://read.qxmd.com/read/30428971/event-report
#14
Nairn Wilson
No abstract text is available yet for this article.
September 1, 2018: Primary Dental Journal
https://read.qxmd.com/read/30428969/prevention-and-management-of-post-operative-pain-in-oral-surgery
#15
Edmund Bailey
Post-operative pain is an area of oral surgery that concerns both patients and practitioners. Adequate management of pain and anxiety in oral surgery is an essential component of any oral surgery service. In this paper, we explore the science behind pain and the drugs available to manage post-operative pain. Discussion is focussed on the analgesics available on the dental practitioners' formulary and the evidence base supporting their use. We explore the beneficial and adverse effects of these analgesics. We also discuss recent controversies relating to non-steroidal anti-inflammatory drugs and opioids...
September 1, 2018: Primary Dental Journal
https://read.qxmd.com/read/30428968/medical-emergencies-risk-assessment-and-management
#16
Mark Greenwood
Dental practitioners need to have knowledge of the risk assessment, diagnosis and management of medical emergencies. This paper deals with risk assessment and basic management principles, applicable to all emergencies. More specific aspects of medical emergency management are also discussed.
September 1, 2018: Primary Dental Journal
https://read.qxmd.com/read/30428967/the-importance-of-dental-screening-prior-to-commencing-anti-resorptive-therapy-for-treatment-of-cancer-a-case-report-and-discussion
#17
Fiona McDonnell, Clare Steel
Osteonecrosis of the jaws (ONJ) can be a serious complication of radiation and anti-resorptive therapies. At present, patients due to undergo radiotherapy are required to have a dental assessment to treat current or anticipated dental disease prior to commencing treatment. However no agreed guidelines are in place for those due to start anti-resorptive therapy for cancer. More patients are now being treated with various drug therapies and new combinations of drugs with unknown long-term effects, with many patients now surviving their disease for longer periods of time...
September 1, 2018: Primary Dental Journal
https://read.qxmd.com/read/30428966/an-update-of-gorlin-goltz-syndrome
#18
Aliya Hasan, Dapo Akintola
Gorlin-Goltz syndrome encompasses a variety of clinical signs and symptoms including important oral manifestations which general dental practitioners should be aware of. In light of the risk of malignancy it is important to be aware of this syndrome and recognise the need for early referral for multidisciplinary management. This paper aims to discuss Gorlin-Goltz syndrome, the pathophysiology of the condition and address the wide range of clinical manifestations. The author will pay particular attention to the oral manifestations of the condition and the management of such anomalies...
September 1, 2018: Primary Dental Journal
https://read.qxmd.com/read/30428965/an-evaluation-of-a-practice-based-minor-oral-surgery-service
#19
Thomas Anthony Dyer, Jessica Ga Lai Lau
AIM To report the findings of a service evaluation of an NHS practice-based minor oral surgery service. METHOD A service evaluation including a retrospective analysis of activity and outcome data and assessment of patient and practitioner satisfaction. RESULTS 623 appointments were arranged, with a mean waiting time of 43 days. Treatment provided included: surgical removal of third molars and non-third molars, surgical endodontics and other surgical and oral medicine cases (29.7%, 44.1%, 3.0% and 23.4% of cases respectively)...
September 1, 2018: Primary Dental Journal
https://read.qxmd.com/read/30428964/the-use-of-panoramic-radiography-prior-to-oral-surgery
#20
Keith Horner, Vivian Rushton
No abstract text is available yet for this article.
September 1, 2018: Primary Dental Journal
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