Scielo RSS <![CDATA[South African Dental Journal ]]> http://www.scielo.org.za/rss.php?pid=0011-851620160005&lang=pt vol. 71 num. 5 lang. pt <![CDATA[SciELO Logo]]> http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za <![CDATA[<b>Rustication and rejuvenation</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500001&lng=pt&nrm=iso&tlng=pt <![CDATA[<b>A Peripeteia </b><b>…</b><b> a sudden change</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500002&lng=pt&nrm=iso&tlng=pt <![CDATA[<b>The psychological impact of malocclusion on patients seeking orthodontic treatment at a South African oral health training centre</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500003&lng=pt&nrm=iso&tlng=pt OBJECTIVE: The study set out to assess the psychosocial impact of dental aesthetics among a sample of patients seeking orthodontic treatment at Medunsa Oral Health Centre (MOHC), Sefako Makgatho Health Sciences University (SMU). METHODS: One hundred and fifty patients (100 females and 50 males, aged 13-29 years) presenting for orthodontic treatment were prospectively enrolled. Following comprehensive orthodontic clinical examination, patients were requested to complete the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), which was supplemented by a few additional items. The data were analysed using Chi-square, Student's t-tests and ANOVA. RESULTS: The questionnaire demonstrated good reliability, with a Cronbach score of 0.85. Total psychological impact and particularly social impact were significantly greater among those older than 18 years (p =0.017) than amongst the younger patients (p= 0.035), and dental self-confidence was significantly higher among females than males (p = 0.045). Self-perceived malocclusion had a significant positive association with aesthetic concern (p = 0.036). CONCLUSION: Malocclusion, particularly when self-perceived, has a significant negative impact on the psychological wellbeing of patients, especially for those older and male. Orthodontic treatment may result in improved oral health-related quality of life and thus enhance the general psychological wellbeing of patients. <![CDATA[<b>'Dentistry: Not a Critical Skill?'</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500004&lng=pt&nrm=iso&tlng=pt INTRODUCTION: Dentistry has not been allocated 'Critical Skills' status in South Africa after the repeal of the previous 'Exceptional Skills' permit, thus making it impossible for a foreign-born dentist to obtain a temporary or permanent work permit on the basis of his/her qualification alone. AIM: To determine and discuss, on a need basis, whether Dentistry should be classified as a critical skill. OBJECTIVES: 1) Compare the current SA ratio of one dentist per 10,000 population with WHO recommendations. 2) Obtain the ideal health care worker: population ratio for other health care fields listed as Critical/Scarce skills 3) Determine whether Dentistry meets the parameters of a 'Critical Skill'.. DESIGN: a descriptive study, with aggregated data. METHODS: Data was collected from: 1) Health Professions Council of South Africa (HPCSA):, 2)The WHO country data on health workers, 3) Health Systems Trust (HST), 4) Analysis of various 'Scarce Skill Lists.' RESULTS: There is a comparative shortage of dentists, and the percentage increase required to achieve WHO recommendations is greater than for other professions already classified as 'Critical Skills.' CONCLUSIONS: There needs to be a more scientific, evidence-based approach to classifying professions as Scarce Skills. In light of the evidence Dentistry should be considered as a Critical Skill. <![CDATA[<b>The development of a physiotherapy intervention programme for mandibular condyle fracture patients</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500005&lng=pt&nrm=iso&tlng=pt INTRODUCTION: The need for physiotherapy in the treatment of mandibular condyle fractures has been highlighted, but there has been no agreement regarding an exercise programme for these patients. AIMS AND OBJECTIVES: The study aimed to develop proposals for an appropriate program for patients who had sustained mandibular condyle fractures. DESIGN: Quantitative, non-experimental study, by means of a Delphi questionnaire. METHODS: Data obtained from the literature and a previously conducted needs analysis was used in compiling a Delphi questionnaire dealing with the type and dosage of a suitable physiotherapeutic treatment protocol. The questionnaire was distributed amongst 20 experts (national and international) in the fields of physiotherapy, maxillo-facial surgery and dental surgery. A convenience sampling method was used to select appropriately trained participants for the Delphi review pane.l RESULTS: The Delphi technique was used in the development of a suitable physiotherapy intervention program for mandibular condyle fracture patients. Inter-reviewer consensus was reached regarding the commencement and dosage of various jaw exercises, as well as what would constitute in-hospital physiotherapy visits. CONCLUSIONS: The proposed post-surgical intervention program could serve as a baseline for clinical implementation and in further research studies. The advantages of referring these patients to physiotherapy are also highlighted. <![CDATA[<b>Efficacy of Er,Cr:YSGG Laser in treatment of unusual presentation of Pyogenic Granuloma in a 9 year old girl</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500006&lng=pt&nrm=iso&tlng=pt The term pyogenic granuloma is a misnomer because the lesion does not contain pus and is not strictly speaking a granuloma. The growth is typically seen in young adults; however it may occur in any age, especially in individuals with poor oral hygiene. Some cases have also been reported in children. The latest treatment options include lasers of different type. Final diagnosis of the lesion is mainly by biopsy and histopathological examination. Here we report a case of pyogenic granuloma in a paediatric patient who was treated with Er,Cr:YSGG laser. <![CDATA[<b>The importance of record keeping in Forensic Odontology: A case discussion and general medico-legal guidelines for all practitioners</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500007&lng=pt&nrm=iso&tlng=pt The term pyogenic granuloma is a misnomer because the lesion does not contain pus and is not strictly speaking a granuloma. The growth is typically seen in young adults; however it may occur in any age, especially in individuals with poor oral hygiene. Some cases have also been reported in children. The latest treatment options include lasers of different type. Final diagnosis of the lesion is mainly by biopsy and histopathological examination. Here we report a case of pyogenic granuloma in a paediatric patient who was treated with Er,Cr:YSGG laser. <![CDATA[<b>Continuous education in sedation 2: Protecting the airway during sedation</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500008&lng=pt&nrm=iso&tlng=pt The term pyogenic granuloma is a misnomer because the lesion does not contain pus and is not strictly speaking a granuloma. The growth is typically seen in young adults; however it may occur in any age, especially in individuals with poor oral hygiene. Some cases have also been reported in children. The latest treatment options include lasers of different type. Final diagnosis of the lesion is mainly by biopsy and histopathological examination. Here we report a case of pyogenic granuloma in a paediatric patient who was treated with Er,Cr:YSGG laser. <![CDATA[<b>Dealing with non-compliant, abusive or aggressive patients in dental practice</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500009&lng=pt&nrm=iso&tlng=pt The term pyogenic granuloma is a misnomer because the lesion does not contain pus and is not strictly speaking a granuloma. The growth is typically seen in young adults; however it may occur in any age, especially in individuals with poor oral hygiene. Some cases have also been reported in children. The latest treatment options include lasers of different type. Final diagnosis of the lesion is mainly by biopsy and histopathological examination. Here we report a case of pyogenic granuloma in a paediatric patient who was treated with Er,Cr:YSGG laser. <![CDATA[<b>Maxillo-facial radiology case 141</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500010&lng=pt&nrm=iso&tlng=pt The term pyogenic granuloma is a misnomer because the lesion does not contain pus and is not strictly speaking a granuloma. The growth is typically seen in young adults; however it may occur in any age, especially in individuals with poor oral hygiene. Some cases have also been reported in children. The latest treatment options include lasers of different type. Final diagnosis of the lesion is mainly by biopsy and histopathological examination. Here we report a case of pyogenic granuloma in a paediatric patient who was treated with Er,Cr:YSGG laser. <![CDATA[<b>What's new for the clinician? Summaries of and excerpts from recently published papers</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162016000500011&lng=pt&nrm=iso&tlng=pt The term pyogenic granuloma is a misnomer because the lesion does not contain pus and is not strictly speaking a granuloma. The growth is typically seen in young adults; however it may occur in any age, especially in individuals with poor oral hygiene. Some cases have also been reported in children. The latest treatment options include lasers of different type. Final diagnosis of the lesion is mainly by biopsy and histopathological examination. Here we report a case of pyogenic granuloma in a paediatric patient who was treated with Er,Cr:YSGG laser.