Clinical Governance. What is it and how can it be Delivered in Dental Practices?

2004 ◽  
Vol os11 (2) ◽  
pp. 57-61
Author(s):  
Yann G Maidment
Keyword(s):  
Literature Search ◽  
Clinical Governance ◽  
Dental Practice ◽  
Dental Practitioner ◽  
General Dental Practice ◽  
General Dental Practitioner ◽  
Dental Practices

This paper describes how a Scottish general dental practitioner carried out a literature search to inform his teaching on the topic of clinical governance in general dental practice. He found relatively few publications on the topic, most of which were descriptive rather than reports of scientific studies. Nevertheless, he has used the results of the literature search to inform his teaching. His opinion on what clinical governance is and how it can be introduced follows a brief description of the literature search.

Generalised Hypercementosis: A Case Report

2004 ◽  
Vol os11 (4) ◽  
pp. 119-122 ◽  
Author(s):  
Rachel Seed ◽  
Paul P Nixon
Keyword(s):  
Case Report ◽  
Systemic Disease ◽  
Disease Process ◽  
Unusual Presentation ◽  
Dental Practice ◽  
Dental Practitioner ◽  
General Dental Practice ◽  
General Dental Practitioner

The following case report describes the clinical and radiographical presentation of a female who attended a general dental practice as a new patient. The patient was diagnosed with generalised hyper-cementosis, possibly attributable to oral neglect. Hypercementosis is associated with a number of aetiological factors, which may be local or systemic in nature. It is important that the general dental practitioner is aware of these factors and is able to distinguish presentation due to a local cause from that of a systemic disease process. The aims of this paper are to illustrate an unusual presentation of hypercementosis and to discuss the radiographic differentiation that led to diagnosis.

Drug interactions in general dental practice – considerations for the dental practitioner

BDJ ◽  
2014 ◽  
Vol 216 (1) ◽  
pp. 15-23 ◽  
Author(s):  
B. E. S. Dawoud ◽  
A. Roberts ◽  
J. M. Yates
Keyword(s):  
Drug Interactions ◽  
Dental Practice ◽  
Dental Practitioner ◽  
General Dental Practice

The Provision of Occlusal Splints in Primary Dental Care

2000 ◽  
Vol os7 (3) ◽  
pp. 109-113 ◽  
Author(s):  
Kalpesh Patel ◽  
Kenneth W Hemmings ◽  
Simon Vaughan
Keyword(s):  
Treatment Plan ◽  
Acrylic Resin ◽  
Dental Practice ◽  
Occlusal Splint ◽  
Occlusal Splints ◽  
General Dental Practice ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
Wide Range ◽  
Conservative Dentistry

Occlusal splints (Michigan splints, night/bite guards or bite-raising appliances) can be an effective, inexpensive and reversible treatment for a wide range of dental problems. Objective The aim of this study was to analyse retrospectively the provision of occlusal splint (‘Michigan’ type) in general dental practice, following a prescription by a restorative dental consultant. Method One hundred patients were recruited from consultant clinics in a department of conservative dentistry during 1995 and 1996. All patients were prescribed a maxillary, full-coverage, heat-cured, acrylic-resin splint (Michigan splint) as part of a treatment plan. An explanatory letter and questionnaire were sent to all patients and to their referring general dental practitioner in 1997 and 1998. Results A response rate of 79% was achieved in obtaining completed questionnaires from both patients and general dental practitioners. Of respondents 43% (34/79) received an occlusal splint of some form. A small proportion of the respondents (16.5% [13/79]) received a Michigan splint as prescribed. Irrespective of the type of appliance provided, most patients (82% [28/34]) found them helpful. Of those who did not receive an occlusal splint, 38% (17/45) of patients felt financial implications deterred them from obtaining an appliance. Other common reasons for non-provision included: patients felt that symptoms had improved (18% [8/45]) and patients did not agree with treatment (18% [8/45]). The general dental practitioners had similar opinions to their patients. Discussion These findings raise some serious doubts on the efficacy of consultant clinic advice in the prescription of occlusal splints in general dental practice. The financial and educational issues raised by this study will need to be addressed to improve service provision. Conclusion The results of this study indicate that 16.5% of patient respondents prescribed a Michigan splint at a consultant clinic received such an appliance in general dental practice.

Oral Signs and Symptoms as Predictors of Salivary Gland Hypofunction in General Dental Practice

2001 ◽  
Vol os8 (3) ◽  
pp. 111-114 ◽  
Author(s):  
E Anne Field ◽  
Lesley P Longman ◽  
Simon Fear ◽  
Susan Higham ◽  
Jocelyne Rostron ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Oral Mucosa ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Dental Practice ◽  
General Dental Practice ◽  
Objective Evidence ◽  
Oral Dryness ◽  
Dental Practices ◽  
Salivary Gland Hypofunction

Objective To evaluate the signs and symptoms of oral dryness as predictors of salivary gland hypofunction (SGH) in general dental practice. Design and setting Prospective study recruiting adult patients attending five general dental practices in Merseyside in 1999. Materials and method Patients were screened for subjective symptoms of oral dysfunction and clinical signs of oral dryness. Patients with oral symptoms or signs of SGH were invited to undergo sialometry. Results were analysed using multiple logistic regression. Results 1103 patients were screened for signs and symptoms of oral dryness, 115 reported continuous xerostomia, of these 65 were also clinically (subjectively) assessed as having a dry oral mucosa. One hundred and one patients attended for sialometry and 73% of these had objective evidence of SGH. Neither the patients’ complaints of oral dryness or the assessment of dryness of the oral mucosa were significant predictors of SGH. Conclusions Symptoms of oral dysfunction and clinical signs of oral dryness were not significant predictors of SGH in dental practice.

Clinical Governance in General Dental Practice

2017 ◽  
Author(s):  
Raj Rattan ◽  
Ruth Chambers ◽  
Gill Wakley
Keyword(s):  
Clinical Governance ◽  
Dental Practice ◽  
General Dental Practice

The Use of an Evidence-Based Portfolio in the Management of Change in Dental Practice

2006 ◽  
Vol os13 (4) ◽  
pp. 142-146
Author(s):  
John Hall
Keyword(s):  
Quality Of Care ◽  
Clinical Governance ◽  
Evidence Based ◽  
Dental Practice ◽  
Management Of Change ◽  
General Dental Practice ◽  
Key Skills

In this paper the author gives his opinion about the problems of getting practices to change systems in order to institute clinical governance. There are many reasons why practices need to change and for this change to be monitored. This paper explains the need for change and the use of the evidence-based portfolio, which is produced by candidates for the Membership of the Faculty of General Dental Practice (UK) [MFGDP(UK)] examination. It can also be produced by individuals who are not taking the MFGDP(UK) examination in conjunction with the Faculty of General Dental Practice (UK)'s key skills programme. It provides a mechanism for demonstrating change and for assessing the quality of care provided by a general dental practice. The author concludes that the evidence-based portfolio will enable a practitioner to apply clinical governance in a practical way.

Clinical governance in general dental practice

2019 ◽  
Vol 11 (3) ◽  
pp. 107
Author(s):  
MohammadHossein Khoshnevisan ◽  
Danoosh Dehghanian ◽  
Peigham Heydarpoor ◽  
Nona Attaran
Keyword(s):  
Clinical Governance ◽  
Dental Practice ◽  
General Dental Practice

Adult Dental Trauma: What should the Dental Practitioner Know?

2016 ◽  
Vol 5 (2) ◽  
pp. 64-75
Author(s):  
Ravi Chauhan ◽  
Lakshmi Rasaratnam ◽  
Aws Alani ◽  
Serpil Djemal
Keyword(s):  
Dental Trauma ◽  
Dental Practice ◽  
Basic Principles ◽  
Initial Management ◽  
Dental Practitioner ◽  
General Dental Practice ◽  
Large Influence ◽  
Medical Emergencies ◽  
Daunting Challenge

The management of adult dental trauma can be a daunting challenge for practitioners at any level. Like medical emergencies, initial management can have a large influence on prognosis. It is important that practitioners understand the basic principles of managing the acute presentations of dental trauma. This article aims to illustrate a step-by-step approach in order to improve the management within general dental practice for better outcomes for patients.

Drug Profile of Adult Patients Attending Five General Dental Practices in Merseyside

2003 ◽  
Vol os10 (4) ◽  
pp. 113-118 ◽  
Author(s):  
Maria J Brindley ◽  
Lesley P Longman ◽  
Christine Randall ◽  
E Anne Field
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Adult Patients ◽  
Dental Practice ◽  
Drug Profile ◽  
Dental Patients ◽  
Oral Side ◽  
General Dental Practitioner ◽  
Systemic Medication ◽  
Dental Practices

Objective To evaluate the drug profile of patients attending general dental practice and to assess the significance of this for the provision of dental care. Design and setting Prospective study of adult patients attending five general dental practices in Merseyside. Materials and methods Patients were questioned about prescribed medication. The data were analysed to assess any potential oral side-effects, pertinent drug interactions, or potential complications of dental treatment. Results A total of 1103 patients were recruited; of these, 287 (26%) were taking systemic medication. Conclusion Approximately a quarter of dental patients attending for routine dental care were taking prescribed medication. The majority of these drugs have significant implications for the general dental practitioner.

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