• Age-related oral changes.

      Mckenna, Gerald; Burke, Francis M; Restorative Dentistry, University College Cork, Ireland. (2010-10)
      Age-related oral changes are seen in the oral hard and soft tissues as well as in bone, the temporomandibular joints and the oral mucosa. As older patients retain their natural teeth for longer, the clinical picture consists of normal physiological age changes in combination with pathological and iatrogenic effects. Clinical Relevance: With an ageing population retaining more of its natural teeth for longer, dental professionals should expect to observe oral age changes more frequently.
    • Burning mouth syndrome and oral health-related quality of life: is there a change over time?

      Ni Riordain, R; Moloney, E; O'Sullivan, K; McCreary, C; Oral Medicine Unit, Cork University Dental School and Hospital, Wilton, Cork, Ireland. richeal.niriordain@ucc.ie (2010-10)
      The symptoms associated with burning mouth syndrome can be quite varied and can interfere with the every day lives of patients. Management of the condition can be challenging for clinicians.
    • Demographics of implant placement and complications of a patient subgroup in a dental hospital population.

      Brennan, Maire; Houston, Frank; O'Sullivan, Michael; O'Connell, Brian; Department of Restorative Dentistry, University Dental School and Hospital, Wilton, Cork. (Irish Dental Association, 2010-05)
      Little has been reported about the demographics of implant placement in the Irish population and the complications that occur. This is important in terms of service planning and providing patient information.
    • Dental patients' use of the Internet.

      Ní Ríordáin, R; McCreary, C; Cork University Dental School and Hospital, Wilton, Cork, Ireland. richeal.nirordain@ucc.ie (2009-12-19)
      To determine the use of the Internet by patients attending a range of dental clinics to search for information regarding dental procedures, and also to investigate their interest in online dental consultations and 'dental tourism'.
    • Determining the minimally important difference for the Oral Health Impact Profile-20.

      Allen, P Finbarr; O'Sullivan, Maeve; Locker, David; Department of Restorative Dentistry, Cork University Dental School & Hospital, Wilton, Cork, Ireland. f.allen@ucc.ie (2009-04)
      In the context of clinical trials, measurement of change is critical. The aim of this study was to determine the minimally important difference (MID) for the Oral Health Impact Profile-20 (OHIP-20) when used with partially dentate patients undergoing treatment that included the provision of removable partial dentures. In a prospective clinical trial, 51 consecutive patients were provided with removable partial dentures. In addition to demographic and dental status data, patients completed an OHIP-20 prior to treatment. One month postoperatively, patients completed a post-treatment OHIP-20 and a global transition scale. Domains assessed in the global transition scale were appearance, ability to chew food, oral comfort, and speech. The MID for the OHIP-20 was calculated using the anchor-based approach. From the initial sample of 51 patients, 44 completed post-treatment questionnaires and were included in the analysis. Change scores in the four transition domains indicated that new dentures had a positive impact in the majority of subjects, especially in perceived impact on chewing and appearance. The study provided a guideline as to what constitutes the MID for the OHIP-20. This benchmark can be used when interpreting the impact of clinical intervention for replacing missing teeth and for power calculation in statistical analyses.
    • Endodontic treatment completion following emergency pulpectomy.

      Lynch, C D; Burke, F M; Ríordáin, R Ní; Hannigan, A; Cardiff University School of Dentistry, Heath Park, Cardiff CF14 4XY, UK. LynchCD@cardiff.ac.uk (2010-06)
      Emergency pulpectomy is frequently performed to relieve pain experienced by patients following acute episodes of endodontic pain, or to limit the risks of infection or possible root resorption following traumatic pulpal exposures. The aim of this study was to examine subsequent patient attendance for completion of root canal treatment following pulpectomy procedures in a dental emergency unit.
    • Fluoridation and tooth wear in Irish adults.

      Burke, F M; Whelton, H; Harding, M; Crowley, E; O'Mullane, D; Cronin, M; Kelleher, V; Byrtek, M; Oral Health Services Research Centre, University Dental School and Hospital, University College Cork, Cork, Ireland. f.burke@ucc.ie (2010-10)
      The aim of this study was to determine the prevalence of tooth wear in adults in Ireland and its relationship with water fluoridation. The National Survey of Adult Oral Health was conducted in 2000/2001. Tooth wear was determined using a partial mouth examination assessing the upper and lower anterior teeth. A total of 2456 subjects were examined. In this survey, increasing levels and severity of tooth wear were associated with ageing. Men were more affected by tooth wear and were more likely to be affected by severe tooth wear than women. It was found that age, and gender were significant predictors of tooth wear (P < 0.01). Overall, there was no significant relationship between fluoridation and tooth wear in this study.
    • Gerodontology--how big is the challenge in Ireland?

      Allen, Finbarr; McKenna, Gerald; Mata, Cristiane; Cronin, Michael; Woods, Noel; O'Mahony, Denis; Allen, Edith; Cork Dental School and Hospital, Wilton, Cork. f.allen@ucc.ie (2011-03-14)
      Population trends suggest that the Irish population is ageing, and that this population will have substantial treatment needs. These patients will be better informed than previous generations, and will demand treatment aimed at preserving a natural dentition. This will impact upon delivery of oral healthcare and manpower planning needs to consider how to address the increased demand for dental care. Poor oral health is associated with systemic health problems, including cardiovascular disease, respiratory disease and diabetes mellitus. It also has a negative impact upon quality of life, and the World Health Organisation has encouraged public healthcare administrators and decision makers to design effective and affordable strategies for better oral health and quality of life of older adults, which, in turn, are integrated into general health management programmes. Treatment concepts such as minimally invasive dentistry and the shortened dental arch concept are discussed in the context of these demographic changes and recommendations.
    • Impact of chronic oral mucosal disease on daily life: preliminary observations from a qualitative study.

      Riordain, R Ni; Meaney, S; McCreary, C; Cork University Dental School and Hospital, Wilton, Cork, Ireland. richeal.niriordain@ucc.ie (2011-04)
      To explore the experience of daily life of persons with chronic oral mucosal conditions.
    • The importance of oral health for the systemic well being of an ageing population.

      McKenna, G; Allen, P F; O'Mahony, D; DaMata, C; Cronin, M; Woods, N (2011-02-22)
    • Oral medicine and the elderly.

      McCreary, Christine; Ní Ríordáin, Richeal; Cork University Dental School and Hospital, Wilton, Cork, Ireland. (2011-03-15)
      A focus often exists in dental practice on the maintenance and management of the dentition and the periodontium, however, conditions of the oral mucosa and orofacial pain can cause significant problems for older patients. Oral mucosal conditions are more prevalent in older patients and many orofacial pain disorders, such as burning mouth syndrome and trigeminal neuralgia, are more common in patients over the age of 50 years. Although these conditions may not be routinely managed in general practice, identification of these patients in primary care and appropriate referral will lead to more prompt and effective treatment. CLINICAL RELEVANCE: Dental practitioners need to be able to identify what is considered to be within the normal physiological limits of the ageing oral tissue and hence what is abnormal and requires further investigation to facilitate appropriate referral.
    • A qualitative study of trends in patient preferences for the management of the partially dentate state.

      Cronin, Mary; Meaney, Sarah; Jepson, Nicholas J A; Allen, P Finbarr; Department of Public Health and Epidemiology, Brookfield, Cork, Ireland. (2009-06)
      To identify factors influencing attitudes of partially dentate adults towards dental treatment in Ireland.
    • Systemic diseases and the elderly.

      McCreary, Christine; Ni Riordáin, Richeal; Oral Medicine Unit, Cork University Dental School and Hospital, Wilton, Cork, Ireland. (2010-11)
      Although systemic diseases can occur at any age, they are more common in older patients. Accurate and detailed medical and drug histories are important in dental practice as many conditions and medications can influence oral health and dental care in patients. Not only can these conditions influence patient care in the surgery and oral hygiene at home, but access to dental services may also be adversely affected. Clinical Relevance: The systemic diseases can impact upon oral care or can have oral manifestations. Many of the pharmacological interventions prescribed for chronic conditions can have multiple and diverse adverse effects on the oral environment.
    • Technical quality of root canal fillings performed in a dental school and the associated retention of root-filled teeth: a clinical follow-up study over a 5-year period.

      Burke, F M; Lynch, C D; Ní Ríordáin, R; Hannigan, A; University Dental School & Hospital, University College, Cork, Ireland. (2009-07)
      The aim of this study was to examine the technical quality of root canal fillings performed in a dental school and to investigate the associated effect on the survival/retention of root-filled teeth. A review of case notes of patients who had root canal treatment performed in the department of Restorative Dentistry, University Dental School and Hospital, Cork, Ireland was carried out. The technical quality of the root canal filling was described according to its relationship with the radiographic apex on a post-treatment radiograph. Tooth status at review was defined as 'tooth present' or 'tooth absent' based on the presence or absence of the root-filled tooth recorded in the treatment records at a review appointment following placement of the root canal filling. One hundred and forty-eight teeth (129 patients) were considered. Of these, 69.6% (n = 103) were of acceptable technical quality, 23.6% (n = 35) were under-extended, and 6.8% (n = 10) were overextended. An increased number of intra-treatment radiographs to confirm the relationship of the canal preparation to the radiographic apex and operator experience were significant predictors of adequate root canal fillings (P < 0.05). Eighty-three per cent (n = 123) of teeth were present at a review appointment held an average of 40 months following completion of treatment (12-60 months). The technical quality of the root canal filling was the only significant factor in predicting tooth survival (P < 0.05), while the presence of pre-treatment periapical pathology had no significant effect on survival of the root-filled tooth. Determination and maintenance of the working length of the canal system is an important feature in producing good quality root canal fillings, which in turn, is associated with increased likelihood of survival/retention of root-filled teeth.