• Access to dental care-parents' and caregivers' views on dental treatment services for people with disabilities.

      Prabhu, Neeta T; Nunn, June H; Evans, D J; Girdler, N M; Department of Pediatric Dentistry, Westmead Hospital, Sydney, Australia. neetaprabhu@hotmail.com (2010-03)
      The goal of this study was to elicit the views of patients or parents/caregivers of patients with disabilities regarding access to dental care. A questionnaire was generated both from interviews with patients/parents/caregivers already treated under sedation or general anesthesia as well as by use of the Delphi technique with other stakeholders. One hundred thirteen patients from across six community dental clinics and one dental hospital were included. Approximately, 38% of the subjects used a general dental practitioner and 35% used the community dental service for their dental care, with only 27% using the hospital dental services. Overall waiting time for an appointment at the secondary care setting was longer than for the primary care clinics. There was a high rate of parent/caregiver satisfaction with dental services and only five patients reported any difficulty with travel and access to clinics. This study highlights the need for a greater investment in education and training to improve skills in the primary dental care sector.
    • Accuracy of bone mapping and guided flapless implant placement in human cadavers using a model-based planning procedure.

      Fitzgerald, Maurice; O'Sullivan, Michael; O'Connell, Brian; Houston, Frank; Division of Restorative Dentistry and Periodontology, Dublin Dental School and Hospital, Trinity College, Dublin, Ireland. (2010-09)
      The use of the model-based NobelGuide encourages adherence to the restorative-driven approach. The accuracy of the method is within acceptable limits for guided surgery described in the literature, and the use of the bone mapping is satisfactory in cases with adequate bone volume. The technique can also be used in sites with insufficient bone volume, but a mucoperiosteal flap procedure is recommended. Int J Oral Maxillofac Implants 2010;25:999-1006.
    • Adhesive luting of all-ceramic restorations--the impact of cementation variables and short-term water storage on the strength of a feldspathic dental ceramic.

      Addison, Owen; Marquis, Peter M; Fleming, Garry J P; Biomaterials Unit, University of Birmingham School of Dentistry, Birmingham, UK. addisono@adf.bham.ac.uk (2008-08)
      Resin luting of dental ceramics results in significant strengthening likely to impact on clinical performance. The strengthening is dependent on the creation of a resin-ceramic hybrid layer sensitive to cementation variables and clinical placement technique. Short-term water immersion results in a significant degradation of strengthening sensitive to the characteristics of the resin-ceramic hybrid layer.
    • The aetiology of upper aerodigestive tract cancers among young adults in Europe: the ARCAGE study.

      Macfarlane, Tatiana V; Macfarlane, Gary J; Oliver, Richard J; Benhamou, Simone; Bouchardy, Christine; Ahrens, Wolfgang; Pohlabeln, Hermann; Lagiou, Pagona; Lagiou, Areti; Castellsague, Xavier; et al. (2010-12)
      Risk factors already identified as being important for UADT cancers in adults are also important influences on risk in younger adults. The implication of these results is that the public health message in preventing UADT cancers remains the same to young and old alike.
    • Alcohol-related cancers and genetic susceptibility in Europe: the ARCAGE project: study samples and data collection.

      Lagiou, Pagona; Georgila, Christina; Minaki, Ploumitsa; Ahrens, Wolfgang; Pohlabeln, Hermann; Benhamou, Simone; Bouchardy, Christine; Slamova, Alena; Schejbalova, Miriam; Merletti, Franco; et al. (2009-02)
      Cancers of the upper aerodigestive tract (UADT) include those of the oral cavity, pharynx (other than nasopharynx), larynx, and esophagus. Tobacco smoking and consumption of alcoholic beverages are established causes of UADT cancers, whereas reduced intake of vegetables and fruits are likely causes. The role of genetic predisposition and possible interactions of genetic with exogenous factors, however, have not been adequately studied. Moreover, the role of pattern of smoking and drinking, as well as the exact nature of the implicated dietary variables, has not been clarified. To address these issues, the International Agency for Research on Cancer initiated in 2002 the alcohol-related cancers and genetic susceptibility (ARCAGE) in Europe project, with the participation of 15 centers in 11 European countries. Information and biological data from a total of 2304 cases and 2227 controls have been collected and will be used in a series of analyses. A total of 166 single nucleotide polymorphisms of 76 genes are being studied for genetic associations with UADT cancers. We report here the methodology of the ARCAGE project, main demographic and lifestyle characteristics of the cases and controls, as well as the distribution of cases by histology and subsite. About 80% of cases were males and fewer than 20% of all cases occurred before the age of 50 years. Overall, the most common subsite was larynx, followed by oral cavity, oropharynx, esophagus and hypopharynx. Close to 90% of UADT cancers were squamous cell carcinomas. A clear preponderance of smokers and alcohol drinkers among UADT cases compared with controls was observed.
    • Alveolar lymphangioma in infants: report of two cases.

      FitzGerald, Kirsten; Barry, Siobhán; Fleming, Pádraig; Dental Dept., Our Lady's Children's Hospital, Crumlin, Dublin 12. kirsten.fitzgerald@olchc.ie (2009-06)
      The alveolar lymphangioma is a benign but relatively rare condition found only in the oral cavities of black infants. Dentists practising in Ireland may be unaware of this condition due to its racial specificity. This paper presents two case reports of multiple alveolar lymphangiomas found in black infants in a children's hospital in Ireland. The epidemiology, aetiology, clinical presentation, histology, and management options are discussed. The photographs should aid the practitioner in recognising these lesions.
    • Are encapsulated anterior glass-ionomer restoratives better than their hand-mixed equivalents?

      Dowling, Adam H; Fleming, Garry J P; Materials Science Unit, Division of Oral Biosciences, Dublin Dental School & Hospital, Trinity College Dublin, Dublin 2, Ireland. adam.dowling@dental.tcd.ie (2009-02)
      Encapsulated anterior GI restoratives outperform their hand-mixed equivalents for the range of powder to liquid mixing ratios routinely encountered clinically such that they are advocated for use in clinical practice. Anhydrous GI restorative formulations are more susceptible to clinically induced variability on mixing compared with conventional GI restorative formulations that contained a polyalkenoic acidic liquid.
    • Articaine use in children: a review.

      Leith, R; Lynch, K; O'Connell, A C; Dept of Public and Child Dental Health, Trinity College Dublin, Lincoln Place, Dublin 2, Ireland. rona.leith@dental.tcd.ie (2012-12)
      Lidocaine has been considered the gold standard for local analgesia agents in dentistry for years. Articaine is now widely used but there has been a reluctance to use it in children.
    • Association between a 15q25 gene variant, smoking quantity and tobacco-related cancers among 17 000 individuals

      Lips, E. H.; Gaborieau, V.; McKay, J. D.; Chabrier, A.; Hung, R. J.; Boffetta, P.; Hashibe, M.; Zaridze, D.; Szeszenia-Dabrowska, N.; Lissowska, J.; et al. (2010-04)
    • The association between change in body mass index and upper aerodigestive tract cancers in the ARCAGE project: multicenter case-control study.

      Park, Sungshim Lani; Lee, Yuan-Chin Amy; Marron, Manuela; Agudo, Antonio; Ahrens, Wolfgang; Barzan, Luigi; Bencko, Vladimir; Benhamou, Simone; Bouchardy, Christine; Canova, Cristina; et al. (2011-03-15)
      Previous studies reported an inverse relationship between body mass index (BMI) and upper aerodigestive tract (UADT) cancers. Examining change in BMI over time may clarify these previous observations. We used data from 2,048 cases and 2,173 hospital- and population-based controls from ten European countries (alcohol-related cancers and genetic susceptibility in Europe study) to investigate the relationship with BMI and adult change in BMI on UADT cancer risk. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated for associations between BMI at three time intervals and BMI change on UADT cancer development, adjusting for center, age, sex, education, fruit and vegetable intake, smoking and alcohol consumption. We found an inverse relationship between UADT cancers and BMI at time of interview and 2 years before interview. No association was found with BMI at 30 years of age. Regarding BMI change between age 30 and 2 years before interview, BMI decrease (BMI change <-5%) vs. BMI stability (-5% ≤ BMI change <5%) showed no overall association with UADT cancers (OR = 1.15; 95% CI = 0.89, 1.49). An increase in BMI (BMI change ≥+5%) was inversely associated with UADT cancers (OR = 0.74; 95% CI = 0.62, 0.89). BMI gain remained inversely associated across all subsites except for esophageal cancer. When stratified by smoking or by drinking, association with BMI gain was detected only in drinkers and smokers. In conclusion, BMI gain is inversely associated with UADT cancers. These findings may be influenced by smoking and/or drinking behaviors and/or the development of preclinical UADT cancers and should be corroborated in studies of a prospective nature.
    • An atypical presentation of mechanical failure of eruption of a mandibular permanent molar: diagnosis and treatment case report.

      Smith, C P; Al-Awadhi, E A; Garvey, M T; Dublin Dental University Hospital, Ireland. smithdentist@gmail.com (2012-06)
      Failure of eruption of mandibular permanent molars occurs infrequently but is a difficult clinical problem. It can be due to local or systemic factors or failure of the eruption process. Primary failure of eruption (PFE) is a rare condition that can result in severe posterior open bite, requires complex treatment strategies and has unfavourable outcomes. Mechanical failure of eruption (MFE) is more unusual but can respond positively to treatment. Differentiating between the two is crucial in making the correct diagnosis and managing the case successfully.
    • An audit comparing the discrepancies between a verbal enquiry, a written history, and an electronic medical history questionnaire: a suggested medical history/social history form for clinical practice.

      Carey, Barbara; Stassen, Leo; Dublin Dental School and Hospital, Lincoln Place, Dublin 2. (2011-04)
      In everyday practice, dentists are confronted with an increasing number of patients with complex medical problems. There is divergence of opinion among dentists regarding how to obtain a thorough medical/social history.
    • An audit of the baseline dental status and treatment need of individuals referred to Dublin Dental University Hospital for a pre-radiotherapy dental and oral assessment

      MacCarthy, Denise; Clarke, Mary; O’Regan, Myra (Irish Dental Association, 2017-10)
      The objectives of this audit were to establish the baseline dental status and treatment need of pre-radiation head and neck cancer patients in Ireland
    • An audit of the baseline dental status and treatment need of individuals referred to Dublin Dental University Hospital for a pre-radiotherapy dental and oral assessment

      MacCarthy, Denise (Irish Dental Association, 2017-11)
      he objectives of this audit were to establish the baseline dental status and treatment need of pre-radiation head and neck cancer patients in Ireland.
    • An audit of the quality of referral letters received by the Department of Oral and Maxillofacial Surgery, Dublin Dental School and Hospital.

      Moloney, Justin; Stassen, Leo F A; Dublin Dental Hospital, Lincoln Place, Dublin 2. (2010-10)
      One hundred consecutive referral letters, sent by dental practitioners to the Department of Oral and Maxillofacial Surgery, Dublin Dental School and Hospital, were audited in terms of quality. The audit was based on the Scottish Intercollegiate Guidelines Network (SIGN) recommendations of 1998. The audit demonstrated that in general referral letters required modification and did not give the clinician the required information. This paper sets out the results of the audit and suggests a template that should be used for future referrals.
    • An audit of the quality of referral letters received by the Department of Oral and Maxillofacial Surgery, Dublin Dental School and Hospital.

      Moloney, Justin; Stassen, Leo F A; Dublin Dental Hospital, Lincoln Place, Dublin 2. (Irish Dental Association, 2010-11)
      One hundred consecutive referral letters, sent by dental practitioners to the Department of Oral and Maxillofacial Surgery, Dublin Dental School and Hospital, were audited in terms of quality. The audit was based on the Scottish Intercollegiate Guidelines Network (SIGN) recommendations of 1998. The audit demonstrated that in general referral letters required modification and did not give the clinician the required information. This paper sets out the results of the audit and suggests a template that should be used for future referrals.