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1.
Prim Dent J ; 13(2): 26-28, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38888070

RESUMO

INTRODUCTION: With increasing numbers of oral cancer diagnoses and guidance recommending that patients approach their doctors or dentists for assessments, when searching for information regarding mouth cancer, patients may first look to their dental practice website. This study aimed to evaluate the variance of patient information provided regarding oral cancer on dental practice websites. MATERIALS AND METHODS: Dental practices within the Manchester area with an active website were included with assessment of whether there was any information provided regarding reducing oral cancer risk factors, signs to look out for and if oral cancer screening was included as part of the general check-up, using a three-point score based on the joint statement from the British and Irish Society for Oral Medicine (BISOM) and Cancer Research UK (CRUK) regarding oral cancer diagnosis and prevention. RESULTS: In total, 66.6% (n=60) of practices provided no accessible information regarding oral cancer screening and prevention on their websites. Only 12.2% (n=11) discussed all three factors of oral screening, symptoms and reducing risk factors. Screening as part of routine examination was most frequently mentioned at 27% (n=24), risk factors were discussed by 23% (n=21) of practices and symptoms to be aware of by 13% (n=12). DISCUSSION: There is a lack of information available to patients on dental practice websites regarding oral cancer. To overcome lack of quality assurance on the internet, dentists can provide factual information via their dental practice websites. This could help with improving patient awareness and therefore aiding in early detection, improving patient outcomes.


Assuntos
Internet , Neoplasias Bucais , Humanos , Neoplasias Bucais/diagnóstico , Fatores de Risco , Detecção Precoce de Câncer , Educação de Pacientes como Assunto , Informação de Saúde ao Consumidor/normas , Inglaterra
3.
Br Dent J ; 233(9): 749-756, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36369556

RESUMO

Surgical treatment of head and neck cancer can cause loss of teeth, loss of hard and soft tissues and result in significantly altered anatomy. Prosthodontic rehabilitation for such patients can be challenging, requiring pre-surgical planning at a time-sensitive point in the patient's cancer pathway. Rehabilitative outcomes are optimised by early and collaborative planning at the multidisciplinary team discussion, involving surgeons, oncologists and consultants in restorative dentistry. Conventional and implant-based prosthodontics contribute to the armamentarium of rehabilitative approaches used in this patient cohort. In order to achieve the best possible outcomes for patients, collaborative planning and teamworking between head and neck surgeons and restorative dental consultants is required from the outset. Each plan is bespoke, considering the patient's needs and wishes within the context of their holistic and cancer-specific care and their general and dental health.


Assuntos
Implantes Dentários , Neoplasias de Cabeça e Pescoço , Humanos , Prostodontia , Neoplasias de Cabeça e Pescoço/cirurgia , Mandíbula/cirurgia , Odontologia
4.
Prim Dent J ; 11(1): 66-71, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35383496

RESUMO

This article details the unusual presentation of an oral squamous cell carcinoma (SCC) referred to secondary care during the COVID-19 pandemic. The patient's chief complaints were trismus and pain from a lower left partially erupted third molar, which was assumed to be pericoronitis-related on referral. Intra-oral examination was difficult due to the patient's symptoms, but radiographic assessment of an orthopantomogram (OPG) showed a pathological fracture and poorly defined radiolucency in the lower left third molar region. Oral SCC was diagnosed after biopsy, and surgery and radiotherapy were swiftly carried out despite COVID-19 restrictions. General dental practitioners (GDPs) remain the frontline healthcare professionals in the screening and detection of oral cancer through detailed history taking and examinations. Primary care dental practitioners should always remain vigilant with patients at risk of oral cancer. Prompt referral to secondary care for further investigations and management should be made when a suspicion of oral malignancy is raised, to ensure a better treatment outcome. Video consultations have had their merits in dentistry amid the coronavirus pandemic, but face-to-face consultations are essential to establish quality patient care.


Assuntos
COVID-19 , Carcinoma de Células Escamosas , Neoplasias Bucais , COVID-19/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Odontólogos , Diagnóstico Bucal , Humanos , Neoplasias Bucais/diagnóstico , Pandemias , Papel Profissional
5.
Br J Oral Maxillofac Surg ; 55(1): 86-89, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27238201

RESUMO

Odontogenic infections are often referred to the oral and maxillofacial surgical department, which can cause a dilemma for junior clinicians who have to decide whether such patients require admission. We have devised a score to be used on admission to our unit to help junior on-call staff, and designed a prospective pilot study to assess it.


Assuntos
Técnicas de Apoio para a Decisão , Infecção Focal Dentária/diagnóstico , Admissão do Paciente/normas , Adolescente , Adulto , Feminino , Infecção Focal Dentária/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Índice de Gravidade de Doença , Adulto Jovem
6.
Br J Oral Maxillofac Surg ; 54(10): 1102-1105, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27576160

RESUMO

Odontogenic infections can range from simple toothache to life-threatening swellings in the neck. We conducted a national survey to assess the confidence of the "first on-call" in oral and maxillofacial surgery (OMFS) to admit or discharge these patients, and to see if local protocols or guidelines were in place to aid decision-making. We designed a questionnaire and emailed it to all OMFS units across the UK over a 3-week period in June 2015. We also contacted first on-call OMFS juniors by phone. A total of 54 respondents were confident and 24 were very confident to admit patients with odontogenic infections without a senior review, but only 45 were confident and 9 very confident to discharge patients from the emergency department without a senior review. Twenty-one were fairly confident to admit patients, and 37 were fairly confident to discharge them. One respondent was not confident to admit patients at all, and 9 did not feel confident to discharge patients without a senior review. Seventy-eight reported that no local protocols or structured guidance on odontogenic infections were used in their unit. This survey highlights the need for admission criteria to help junior clinicians decide whether to admit or discharge these patients.


Assuntos
Infecção Focal Dentária , Doenças Ósseas/diagnóstico , Doenças Ósseas/terapia , Competência Clínica , Infecção Focal Dentária/diagnóstico , Infecção Focal Dentária/terapia , Hospitalização , Humanos , Admissão do Paciente , Alta do Paciente , Inquéritos e Questionários
7.
Br J Neurosurg ; 30(4): 459-60, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26449688

RESUMO

We report a case of tumour-related hydrocephalus in a child treated with a ventriculo-peritoneal shunt which subsequently became infected with gram negative bacteria (Escherichia coli). After successful treatment of the infection the patient became shunt independent and has remained so for over 2 years. Gram negative ventriculitis is associated with diminished cerebro-spinal fluid production and we discuss the literature to date regarding this phenomenon.


Assuntos
Derivações do Líquido Cefalorraquidiano , Infecções por Escherichia coli/tratamento farmacológico , Hidrocefalia/microbiologia , Hidrocefalia/cirurgia , Derivação Ventriculoperitoneal , Adolescente , Derivações do Líquido Cefalorraquidiano/métodos , Feminino , Humanos , Hidrocefalia/diagnóstico , Complicações Pós-Operatórias , Resultado do Tratamento , Derivação Ventriculoperitoneal/métodos
10.
Br J Oral Maxillofac Surg ; 46(8): 671-2, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18499311

RESUMO

We report the case of an 88-year-old lady who presented with acute necrosis of the whole tongue. Giant cell arteritis was suspected, and early treatment with corticosteroids led to complete resolution and no need for further intervention. We emphasise the importance of early diagnosis of giant cell arteritis and treatment with corticosteroids to stabilise the condition and to avoid serious ocular complications.


Assuntos
Arterite de Células Gigantes/complicações , Arterite de Células Gigantes/tratamento farmacológico , Doenças da Língua/etiologia , Língua/patologia , Doença Aguda , Idoso de 80 Anos ou mais , Feminino , Glucocorticoides/uso terapêutico , Humanos , Necrose/etiologia , Prednisona/uso terapêutico , Doenças da Língua/tratamento farmacológico
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