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Reidy J.T.,Dublin Dental University Hospital
Journal of the Irish Dental Association | Year: 2011

This article will review the most recent literature on the effects of alcohol on the oral mucosa, and the possible mechanisms by which alcohol is thought to act as a carcinogen. The article will also consider the possible link between alcohol-containing mouthrinses and oral cancer. The authors recommend that the use of alcohol-containing mouthrinses in high-risk populations should be restricted, pending the outcome of further research.

Finucane D.,Dublin Dental University Hospital
European Archives of Paediatric Dentistry | Year: 2012

Background: The literature regarding dental and systemic effects of Early Childhood Caries (ECC), consequences of leaving carious primary teeth untreated, benefits of appropriate treatment, and concerns regarding dental treatment of young children and the potential for dental anxiety, is reviewed. ECC has consequences, affecting both the child's dental health and his/her general health. This paper reviews the literature regarding ECC and its consequences (pain, sepsis, space loss, disruption to quality of life, failure to thrive, effects on intellectual development, greater risk of new carious lesions in both primary and permanent dentitions, higher incidence of hospitalisation and emergency visits, and increased treatment costs and time). The effects of treatment of ECC are also reviewed; and concerns regarding purported associations between treatment of ECC and dental anxiety are addressed. Search Method: A Pub Med search was conducted of peer reviewed papers published in the English language in the years 1986-2011, using the search terms: Early Childhood Caries (ECC), Nursing Caries (NC), Consequences and ECC/NC, Treatment and ECC/NC, Treatment outcomes and ECC/NC, Dental anxiety, Dental fears, Onset of dental anxiety/fear, Dental experiences and dental fear/anxiety. More than 300 articles were studied. Reference lists of the selected articles were also studied, and frequently quoted articles were thus also located. Articles with small sample size, poor or poorly described methodology, and unclear or unsupportable conclusions were rejected. A representative sample is presented in this paper, citing the articles with greater levels of evidence, with a description of study methods, where appropriate. Conclusion: This review has demonstrated that ECC has implications for both the dental and general health of the affected child. Such problems are potentially serious, even life-threatening. Evidence has been provided of the beneficial effects on dental and general health of dental rehabilitation of children with caries. Causes of dental anxiety are multifactorial, and treatment of ECC does not invariably contribute to dental anxiety, as long as the child's experience of dentistry is not traumatic. Children with the highest levels of dental disease are primarily from disadvantaged communities. Failure to adequately treat their dental disease may further disadvantage these children. Paediatric Dental Societies, renowned experts in Paediatric Dentistry, and the Medical Protection Society (Dental Protection, Professional Insurance) do not support a policy of leaving carious primary teeth untreated.

Margaritis V.,University of Washington | Nunn J.,Dublin Dental University Hospital
Monographs in Oral Science | Year: 2014

Indices for assessing erosive wear are expected to deliver more than is expected of an ideal index: simple with defined scoring criteria so that it is reproducible, reflective of the aetiology of the condition and accurately categorizing shape, area and depth of affect, both at a point in time (prevalence) and longitudinally (incidence/increment). In addition, the differential diagnosis of erosive wear is complex, as it usually co-exists with other types of tooth wear. Therefore, a valid recording of erosive wear at an individual as well as at a population level without a thorough history with respect to general health, diet and habits is a challenge. The aims of this chapter are to describe the potential methodological challenges in assessing erosive wear, to critique the strengths and limitations of the existing erosion indices and to propose the adoption of a validated erosion index for the purpose for which it is intended. © 2014 S. Karger AG, Basel.

Warreth A.,Dublin Dental University Hospital
Journal of the Irish Dental Association | Year: 2013

Replacing missing teeth using dental implants is a good treatment option with a high degree of success. As the dental implantology field develops and the number of implants placed worldwide increases, several terms and techniques have been formulated. Therefore, a basic knowledge of dental implants is necessary for every dental student and dentist. The current article sheds light on how the dental implant integrates with its surrounding bone and what factors can affect this integration. The relationship between the implant and its surrounding soft tissue, different types of the dental implants, and the restorative components and procedures, are all reviewed.

McCartan B.E.,Royal College of Surgeons in Ireland | Healy C.M.,Trinity College Dublin | Healy C.M.,Dublin Dental University Hospital | McCreary C.E.,University College Cork | And 6 more authors.
Oral Diseases | Year: 2011

Objectives: Orofacial granulomatosis has mostly been described in reports of very small numbers of cases. Few large case groups have been described. The aim of this study was to describe the demographics, symptoms, clinical features and laboratory findings in a large cohort of cases. Subjects and Methods: Clinical and laboratory data for 119 cases of orofacial granulomatosis who attended oral medicine clinics in Dublin, Ireland, were examined for demographic characteristics at the time of first presentation. The male/female ratio was approximately 1:1, with a median age (and range) of 28 (5-84) years. Results: Symptoms had been present for a median duration of 12weeks. A food association was suspected by 30% of patients. The predominant complaint was lip swelling (77%) with only 15% reporting facial swelling, while 8% complained of both. Almost all patients had clinical evidence of lip or facial swelling (95%). Other common extra-oral manifestations were lip fissuring (30%), angular cheilitis (28%) and perioral erythema (28%). Common intra-oral manifestations were cobblestoning of the buccal mucosa (63%), ulcers (36%), granulomatous gingivitis (33%), mucosal tags (29%) and fissured tongue (17%). Over half of the biopsies (56%) performed were reported as typical of orofacial granulomatosis. Conclusion: This is one of the largest cohorts of orofacial granulomatosis patients to have been described in detail. © 2011 John Wiley & Sons A/S.

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