Keegankearns7367

This tends to validate the undergraduate education received and identifies areas to improve.Conclusion New dental graduates are confident in their knowledge and skills, and apply these to the most commonly used radiological investigations used in general dental practice.Aims To assess the management of chronic periodontitis (CP) in general dental practices based in the West Midlands against the British Society of Periodontology (BSP) guidelines and determine whether this varies between NHS, private and mixed sector practices. To examine general dental practitioners' (GDPs') attitudes towards the management of periodontitis, the implementation of the BSP guidelines and explore their suggestions for improved management of the disease.Materials and methods A semi-structured telephone interview was conducted with eight dentists to construct an online questionnaire. Using the NHS Choices database, the practice managers of 30 dental practices were contacted and asked to distribute the online questionnaire to all GDPs within their practice.Results One hundred and three GDPs completed the questionnaire; several dentists indicated their management would not align with the BSP recommendations. Dentists do not believe the BSP guidelines are easy to implement in NHS practice.Discussion Areas where dentists are falling short of the BSP guidelines include periodontal charting, indications for root surface debridement (RSD) and antimicrobials. These topics should be highlighted to dentists. Dentists would prefer NHS remuneration to reflect the time and effort spent, better access to secondary care and increased awareness of periodontal diseases among patients.Conclusion This study identifies clear areas where dentists are not following the BSP guidelines and provides insight from a GDP's perspective to improve the management of CP in practice.Background Following graduation, training costs for an individual trainee to achieve completion of specialist surgical training has been estimated to be between £20,000 to £71,431, and is expected to rise. Furthermore, there are other non-monetary costs to consider, including poor work-life balance and the burden of training on home life.Methods A 22-question online survey using SurveyGizmo was developed and emailed to all current UK and Ireland oral surgery trainees from 2016-2019. The survey consisted of open free text, binomial and variable scale responses related to the cost of training.Results A total of 43 (96%) oral surgery trainees responded to the survey. Sixty-eight percent had enrolled on a postgraduate degree, or other higher qualification, during their training. Of these, only 4.5% were fully funded and nearly half received no funding at all. Trainees reported vast disparities in financial support across deaneries, with an overall average study budget of £687. Annual obligatory costs of up to £4,142 and a mean average spend of £9,240 on courses and £2,830 on conferences were reported. Childcare, relocating and textbooks were listed as additional costs incurred.Conclusion A standardised, transparent and more substantial financial support system is required for dental specialty trainees.Objectives The aim of this in vitro study was to evaluate the effects of five different two-step diamond impregnated polishing systems (Sof-Lex Spiral, Venus Supra, Komet Spiral, CompoMaster and Shapeguard) on the surface roughness and morphology of a submicron hybrid composite resin material (Brilliant Everglow).Materials and methods Two-hundred composite resin discs were prepared with 180 SiC paper to produce a uniform baseline surface. The samples were randomly assigned to one of five groups and polishing was completed by one operator. The arithmetic mean surface roughness (Ra) was measured using contact profilometry and the surfaces were examined under an SEM.Results Statistical differences (p less then 0.05) were identified between the surface roughness remaining after use of the polishers. Diatech Shapeguard (0.22 μm, SD 0.08) and Komet Spiral (0.26 μm, SD 0.09) polishers yielded the lowest Ra values, while the CompoMaster polishing system led to the highest surface roughness values (0.55 μm, SD 0.19).Conclusions Within the limits of this in vitro study of the efficacy of diamond impregnated two-step polishing systems, Diatech Shapeguard and Komet Spiral polishing systems produced the lowest surface roughness values. These polishing systems yielded acceptable surface roughness values with regards to oral health and patient comfort.Clinical relevance Similarly designed polishing systems do not produce comparable surface roughness levels and clinicians should be aware of this when considering polishing protocols for composite restorations.Objective To investigate current strategies of acute management of irreversible pulpitis by general dental practitioners.Design A postal survey was sent to a representative sample based on postal code to 180 dentists registered with the General Dental Council in the North East of England. The questionnaire identified general dental practitioners' strategies for the diagnosis and acute management of irreversible pulpitis.Results One hundred and three questionnaires were returned. Irreversible pulpitis was primarily diagnosed from patients' signs and symptoms. There was a high confidence in anaesthetising a tooth with irreversible pulpitis. Treatment was undertaken with either pulpotomy (with a view to single or multi-stage orthograde root canal treatment) or full extirpation in just over half of respondents (51%). Seventy-one percent of respondents reported using different intrapulpal medicaments. Antibiotics were 'frequently' prescribed in cases of irreversible pulpitis by 25% of respondents. this website For endodontic procedures, dental dam usage was generally low and used 'occasionally' or 'never' by 40% of respondents.Conclusions Antibiotics were being inappropriately prescribed in the management of irreversible pulpitis, transgressing from NICE guidelines on antibiotic usage. Rubber dam use is not universal during the initial management of pulpitis, or during the definitive endodontic procedure, impacting upon the safety and predicility of outcome. Respondents often placed medicaments into the pulp, in spite of a lack of evidence for their efficacy.