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Module 10: Meaningful patient involvement
Published in Raj Rattan, Ruth Chambers, Gill Wakley, Clinical Governance in General Dental Practice, 2017
Raj Rattan, Ruth Chambers, Gill Wakley
This mechanism of patient-led decision making can also operate in the opposite direction. For example, a patient may insist on cosmetic dentistry which, whilst it may satisfy the patient’s desires, may leave the clinician with an ethical dilemma if it is the clinician’s view that the procedure is too invasive to be justified for cosmetic reasons alone. (The distinction is made here that cosmetic dentistry differs from aesthetic dentistry in that the latter includes a functional element to the decision-making process.) This is a scenario that more and more clinicians are dealing with as the public becomes more aware of and better informed about aesthetic solutions.
Computers in general dental practice
Published in Raj Rattan, Kevin Lewis, Raj Rattan, Making Sense of Dental Practice Management, 2017
Intra-oral imaging techniques, in association with cameras and radiovisiography systems, promise much for the future. Images are captured using miniature video cameras and can be digitally processed to create before and after effects to show the outcome of proposed treatment plans, such as aesthetic dentistry. ‘Radiographic’ images can be captured and stored for easy retrieval at a later date.
Treatment Planning for Successful Whitening
Published in Linda Greenwall, Tooth Whitening Techniques, 2017
Although tooth whitening is an elective esthetic treatment, it also has essential therapeutic benefits; these are discussed in Chapter 24. Before undertaking any esthetic treatment, it is essential that excellent and clear communication be established with the patient. It is essential for the dentist to understand exactly what the patient is requesting, in order to understand the patient’s concerns about his or her tooth discoloration and esthetic needs. Beauty is an abstract and subjective concept, but an essential and ineradicable part of human nature (Etcoff 1999). Culture, age, gender, and time can influence perception of beauty. Because of this subjectivity, it is extremely important to establish good communication between the dentist and patient early, so that both can work toward the same goals. Excellent communication leads to treatment acceptance (Jameson 1994). To provide informed consent, the patient needs to understand the benefits and risks and advantages and disadvantages of treatment; the issues associated with not going ahead with treatment; and the importance of each treatment option that is available. Risks and benefits of the treatment need to be discussed before it commences. This is particularly important when the patient’s expectations exceed the reality of what is possible to achieve. Studies have shown significant differences between dentists’ and patients’ preferences for esthetic dentistry (Brisman 1980).
A three-year randomized clinical trial evaluating direct posterior composite restorations placed with three self-etch adhesives
Published in Biomaterial Investigations in Dentistry, 2021
Joseph Sabbagh, Layal El Masri, Jean Claude Fahd, Paul Nahas
This randomized trial was a single-site study conducted at university dental clinics in the Department of Restorative and Aesthetic Dentistry, Faculty of Dental Medicine, Lebanese University, Lebanon. The study was designed according to the Consolidated Standards of Reporting Trials (CONSORT) statement (Figure 1). A consent form and the protocol were submitted, reviewed and approved by the Ethical Committee of the Lebanese University. All procedures were performed according to the ethical standards of the institutional and/or national research committee and world medical association Declaration of Helsinki [16]. Selected patients were assessed for eligibility for participation, using the following inclusion criteria: (1) teeth with shallow to moderate Class I or II carious lesions, (2) a good periodontal status, (3) the absence of pulp pathology, (4) the absence of restorations on selected teeth, (5) the absence of parafunctional habits, (6) the included teeth were vital. Patients were healthy, physically and mentally with a non-compromised medical history and with the absence of allergic history to methacrylate. Patients that did not fit any of these criteria were excluded from the study. They were informed with the clinical procedure and signed an informed consent form.
Effect of resin infiltration and microabrasion on the microhardness, surface roughness and morphology of incipient carious lesions
Published in Acta Odontologica Scandinavica, 2018
White spot lesions are characterized by tiny pores within the lesion body of initial enamel caries, whereas the surface of the lesion remains relatively intact (pseudointact surface layer). Because it could hamper the resin from penetrating into the lesion, the pseudointact surface layer is removed by acid etching with hydrochloric acid using a resin infiltration technique [2,4,23]. Hydrochloric acid in similar concentrations is also accepted in esthetic dentistry to remove superficial discolorations and as a proposed treatment approach for the management of white spot lesions using enamel microabrasion [10–12]. However, more superficial enamel surface removal has been achieved with the resin infiltration technique compared with enamel microabrasion [2,5]. The primary aim of the resin infiltration technique is not complete removal of the surface layer, but rather, to increase the penetrability of low-viscosity light curing resins into the pores of incipient lesions, thereby protecting the lesion from further acid attacks. Moreover, after curing the resin material, lesion progression might be arrested and a mechanical support for the enamel lesion structure might be achieved [2,24,25].
A case study of salivary microbiome in smokers and non-smokers in Hungary: analysis by shotgun metagenome sequencing
Published in Journal of Oral Microbiology, 2020
Roland Wirth, Gergely Maróti, Róbert Mihók, Donát Simon-Fiala, Márk Antal, Bernadett Pap, Anett Demcsák, Janos Minarovits, Kornél L. Kovács
The study protocol was approved by the Institutional Review Board of the University of Szeged, Szeged, Hungary. Signed informed consent was obtained from each healthy adult participant enrolled into the study at the Department of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, Hungary. Study participants were divided into two groups, non-smokers and current smokers, based on the data they provided regarding tobacco consumption (cigarette smoking). The smoking exposure of current smokers was calculated in pack-years. One pack contained 20 cigarettes.