Referrals by general dental practitioners and medical practitioners to oral medicine specialists in New Zealand: a study to develop protocol guidelines

2020 ◽  
Vol 130 (1) ◽  
pp. 43-51.e5
Author(s):  
Guangzhao Guan ◽  
Jessica Lau ◽  
Vanessa Yew ◽  
Jiayun U ◽  
Wenwen Qu ◽  
...  
Author(s):  
Robert Ireland

This dictionary covers thousands of important terms and concepts used in dentistry today. Entries are written in clear and concise English without the use of unnecessary dental or medical jargon, and many entries are supplemented by detailed line drawings or colour photographs. The dictionary defines terms in a broad range of dental specialist areas. In this edition expanded coverage has been given in particular to topics that include oral surgery, oral medicine, special care dentistry, anaesthesia, restorative dentistry, paediatric dentistry, anatomy, and orthodontics. An essential guide for dental practitioners and dental students, it is also an invaluable reference source for all members of the dental team, medical practitioners, lawyers involved with members of the dental profession, and the general reader.


1994 ◽  
Vol 80 (2) ◽  
pp. 62-65
Author(s):  
C R Priestland

AbstractIn the second part of this review the various forms of Gingivitis will be described outlining their aetiological and modifying factors. This group of inflammatory lesions of the gingivae is grouped according to the classification accepted by the World Workshop on Periodontics (1989). In view of the relationship between gingivitis and systemic modifying factors, it is important that all general dental practitioners have a sound knowledge of oral medicine and oral pathology in order that patients exhibiting exaggerated oral symptoms or signs of disease, may be referred to the appropriate dental or medical practitioner/specialist. Furthermore it is highly desirable that general medical practitioners have adequate experience in oral examination and are able to recognise deviations from the normal oral appearance.


2013 ◽  
Vol 5 (3) ◽  
pp. 223 ◽  
Author(s):  
Ernieda Hatah ◽  
Rhiannon Braund ◽  
Stephen Duffull ◽  
June Tordoff

INTRODUCTION: Internationally, non-medical practitioners are increasingly involved in tasks traditionally undertaken by general practitioners (GPs), such as medication review and prescribing. This study aims to evaluate GPs’ perceptions of pharmacists’ contributions to those services. METHODS: Semi-structured interviews were carried out in two localities with GPs whose patients had and had not undergone a pharmacist-led adherence support Medication Use Review (MUR). GPs were asked their opinions of pharmacists’ provision of MUR, clinical medication review and prescribing. Data were analysed thematically using NVivo 8 and grouped by strengths, weaknesses, opportunities and threats (SWOT) category. FINDINGS: Eighteen GPs were interviewed. GPs mentioned their own skills, training and knowledge of clinical conditions. These were considered GPs’ major strengths. GPs’ perceived weaknesses were their time constraints and heavy workloads. GPs thought pharmacists’ strengths were their knowledge of pharmacology and having more time for in-depth medication review than GPs. Nevertheless, GPs felt pharmacist-led medication reviews might confuse patients, and increase GP workloads. GPs were concerned that pharmacist prescribing might include pharmacists making a diagnosis. This is not the proposed model for New Zealand. In general, GPs were more accepting of pharmacists providing medication reviews than of pharmacist prescribing, unless appropriate controls, close collaboration and co-location of services took place. CONCLUSION: GPs perceived their own skills were well suited to reviewing medication and prescribing, but thought pharmacists might also have strengths and skills in these areas. In future, GPs thought that working together with pharmacists in these services might be possible in a collaborative setting. KEYWORDS: Community pharmacy services; general practitioners; New Zealand; primary health care; professional role


2005 ◽  
Vol os12 (3) ◽  
pp. 78-82 ◽  
Author(s):  
Finlay Sutton ◽  
Zvi N Ellituv ◽  
Rachel Seed

Aim The aim of this study was to evaluate the self-perceived educational needs of a randomly selected group of general dental practitioners (GDPs) in the Merseyside region (UK). Materials and Methods Eighty-seven GDPs were randomly selected from 850 in the region and asked to complete a self-evaluation questionnaire regarding their self-perceived educational needs. Results Seventy-five (86%) responded, of which 52 (69.3%) were male and 23 (30.7%) female. There was no significant difference in self-perceived knowledge in any of the dental disciplines when gender and period of time since qualification were used as predictor variables. The majority of the GDPs felt they had a good knowledge of restorative dentistry and dental radiography. Some of the GDPs felt they had poor knowledge in implant dentistry, oral medicine, orthodontics, dental sedation techniques, oral surgery, endodontics, periodontics and dental radiography. None of the respondents felt they had poor knowledge in restorative dentistry, prosthodontics and paediatric dentistry. Seventy-four (98.7%) of the responding GDPs were motivated to attend continuing professional development (CPD) courses because of an interest in a particular dental discipline and only one reported attending out of personal learning needs. Implant dentistry was indicated by 30 (40.0%) of the respondents as their training programme of choice. Conclusions The respondents had high self-perceived knowledge of restorative dentistry, dental radiography, periodontics, endodontics, paediatric dentistry and prosthodontics. The respondents had low self-perceived knowledge of implant dentistry, orthodontics, oral medicine and dental sedation techniques. Of GDPs surveyed, 98.7% applied for courses they liked to attend, rather than needed to attend. Fifty-two per cent of male GDPs surveyed expressed a desire for training in implant dentistry.


2014 ◽  
Vol 38 (1) ◽  
pp. 44 ◽  
Author(s):  
Kay Porche ◽  
Liz Reymond ◽  
John O' Callaghan ◽  
Margaret Charles

Objective To explore the practices of members of the Australian and New Zealand Society of Palliative Medicine (ANZSPM) in assessing and treating depression in palliative care patients. Methods Semistructured questionnaires were forwarded to ANZSPM members in consecutive mail-outs to survey diagnostic and treatment practices for depression. Results The response rate was 62.3%. The median prevalence of depression, as perceived by respondents, in the present respondent patient populations was 20% (range 0%–90%); 57.1% of respondents always assessed for depression, whereas 42.9% assessed for depression sometimes. The majority (98.9%) of respondents relied on clinical interviews to assess depression; non-somatic symptoms of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria were more useful than somatic symptoms. The depression screening tools most frequently used were one- and two-item questions. Pharmacological and non-pharmacological methods were used to treat depression, with selective serotonin reuptake inhibitors the most frequently prescribed medications. Psycho-educational and supportive counselling were the most frequently used non-pharmacological interventions. Nominated measures to augment depression management included improving access to psychiatry, psychology and other allied health services, the development of a screening tool specific to palliative care patients and associated guidelines for depression management. Conclusions This is the first Australasian study to explore the practice of medical practitioners regarding depression in palliative patients. Incorporation of screening tool questions into palliative care assessment interviews may warrant future research. What is known about the topic? Depression in palliative care patients has a negative impact on quality of life; however, little is known about how Australasian palliative care medical practitioners manage depression in this patient population. What does this paper add? To the researchers’ knowledge, this is the first Australasian study that explores the practices of local palliative care specialists in the management of depression in palliative patients. What are the implications for practitioners? Overall management of depression in palliative care populations by Australasian practitioners is similar to that of their European colleagues. Consensus is that for assessment of depression in palliative patients, non-somatic symptoms of DSM-IV criteria are more useful than somatic symptoms. Practitioners report the need for improved access to psychiatric, psychological and other support services, for a palliative care-specific depression screening tool and for depression management guidelines applicable to palliative care patients.


2019 ◽  
Vol 7 (1) ◽  
pp. 11
Author(s):  
Dr. Anfal AlAnazi ◽  
Dr. Lujain AlZahrani ◽  
Dr. Heba Alshammary ◽  
Dr. Nadeen AlMaghamsi ◽  
Dr. Saja Alobaidi ◽  
...  

Carpal Tunnel Syndrome (CTS) is a common medical condition that results in numbness, pain and tingling in the arm and constitutes about 90% of neuropathy entrapments. The condition arises when the median nerve in the arm is compressed. CTS can degenerate rapidly to cause nerve damage. The effects of CTS on medical practitioners can be serious given the speculation that the condition is work-related. Consequently, this study seeks to establish the prevalence and knowledge of CTS among dental practitioners in the city of Riyadh. In doing so, the research attempts to find relationships between CTS and workload and the experience of the dental practitioners. The study takes the model of sectional study that targets dental practitioners specifically in the city of Riyadh. The researchers recruited 190 dentists and used google forms to collect data from the respondents. The questions in the survey related to symptoms of the condition and the related demographics. The study found a significant comparison of the prevalence and knowledge of CTS among various subgroups. Daily patient exposure and work experience were some of the underlying features discovered in the study. Dentists with more work experience demonstrated significant knowledge on the condition and registered an equally high prevalence of pain associated with CST. The findings of the research show a direct correlation between workload, work experience, and CST.  


2020 ◽  
Author(s):  
Jun Guo ◽  
Karson Low ◽  
Li Mei ◽  
JiaHui Li ◽  
Wenwen Qu ◽  
...  

Abstract Objective: To explore the views, use of and access to traditional medicine (TM) among different ethnicities living in New Zealand. Methods: Qualitative study and in-depth interviews were used. An individual semi-structured questionnaire was used to collect data. Interviews were recorded, transcribed, and analysed using an inductive approach to identify the main themes. Results: Three main themes were extracted from interviews with 14 participants from diverse cultural backgrounds: (1) the perspectives of TM varied among different ethnic groups and included the involvement of spirituality, the environment, knowledge and usage of TM. (2) The TM that was used by different ethnic groups included plants, herbs, massage, and other forms of healing. Reasons for choosing traditional or western medicines generally included family tradition, access to TM, and finding a competent traditional healer. (3) The barriers in accessing TM included the paucity of traditional healers, difficulty accessing plants and cost, therefore most would look for a substitution or alternative treatment. Conclusion: Even though the access to these TM in New Zealand was a challenge for the majority of the participants, they are still considered the first-line treatment for the majority. This study provided dental practitioners an insight into the different sort of TM used by the population. By understanding and acknowledging the use of TM, dental practitioners could create a supportive environment for patients to disclose their use of TM and allow them to educate patients on the use of TM.


Author(s):  
Ramaa Balkaran

Objective Oral medicine specialists provide care to patients with oral and systemic conditions. Descriptive and retrospective studies have been conducted internationally to understand the referral patterns for oral health conditions, but have not been conducted in Trinidad and Tobago. The purpose of this study was to identify patients’ demographics and lesion types, referral sources to the University of the West Indies (UWI) Dental School, Department of Oral Medicine (UWI OM Department) and Oral Pathology and to determine the mean time (in working days) from patient referral to consultation. Methods Dental students and residents assigned to the OM rotation, completed a questionnaire for all patients referred to the UWI OM department for consultation and treatment, during one year from 2017-2018. All patients were examined using a standard oral assessment protocol by residents of the department. Diagnosis was made based on histological or clinical assessment. Results There were 106 referrals. Patients’ mean age was 47.1yrs, 60.4% were females, 50% were Indo-Caribbean. Most referrals (45.3%) were from private general dentists, followed by dental referrals from a health centre (19.8%). The most common diagnoses included: Mucocele (10.4%), Lichen Planus (8.5%) and Erosive Lichen Planus (7.5%). Oral lesions were most common in sites labelled as “other”. Conclusion The findings suggest that referrals by general dental practitioners were higher in proportion compared to medical practitioners. There were more female participants and most referrals were for oral white lesions. There was just over a two week, mean-time, in working days between the initial referral and date of consultation.


2021 ◽  
Vol 14 (5) ◽  
pp. e241010
Author(s):  
Aravind Warrier ◽  
Maguluru Sruthi ◽  
K Anbarasi

Recurrent aphthous ulcers are the most prevalent oral mucosal disease, but the subset major aphthous ulcer is a less frequent type. These ulcers are refractory, may persist for several weeks to months, and interfere with the normal state of health. The aetiology is multifactorial and so is the treatment. We present a case of an adolescent male patient reported with multiple oral ulcers. He developed three ulcers simultaneously and suffered for 10 months despite using topical medications prescribed by different dental practitioners. We executed a multidisciplinary treatment approach that resulted in a long-term disease-free state. The treatment methods followed in our case could be a successful model to implement by medical practitioners and oral physicians when the situation demands.


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