Scielo RSS http://www.scielo.org.za/rss.php?pid=0011-851620190007&lang=en vol. 74 num. 7 lang. en http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700001&lng=en&nrm=iso&tlng=en http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700002&lng=en&nrm=iso&tlng=en http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700003&lng=en&nrm=iso&tlng=en INTRODUCTION: Serious head and facial injuries contribute as one of the leading causes of higher injury severity scores, prolonged hospital stay, mortality and morbidity in young children AIM: To determine the prevalence of traumatic facial fractures in children under the age of 15 years in Johannesburg, South Africa OBJECTIVES: To determine the aetiology, age and gender mostly affected, identify anatomical distribution with associated injuries and to record the management of facial fractures METHODS: This was a retrospective study based on data retrieved from admission records RESULTS: Of the 4044 admissions, 171 children had facial fractures, a prevalence of 4,2%. Most patients were males. The mean age was 6.45 ± 3.47 years The most frequent causes of the 247 facial fractures recorded were pedestrian vehicle accidents (PVAs), motor vehicle accidents (MVAs) and falls. The frontal bone followed by the orbital bone were the most common fracture sites. Twelve patients showed ophthalmic/globe involvement, 49 had an associated tooth injury, 117 had associated bodily injuries and 435 facial soft tissue injuries (STIs) were detected. One hundred and nine (63.7%) patients were managed conservatively, while 58 (34.0%) required surgical intervention. CONCLUSION: There is a statistically significant association between age and the cause of fracture http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700004&lng=en&nrm=iso&tlng=en INTRODUCTION: Oral-related health does not primarily attract attention among healthcare providers during planning and processing of rehabilitation after stroke. AIM: To investigate demographic correlates of oral-hygiene among stroke survivors undergoing rehabilitation. METHODS: A cross-sectional study was conducted to determine the socio-demographic correlates of oral hygiene in stroke survivors receiving rehabilitation at the National Hospital Abuja (NHA), Nigeria. Sixty stroke survivors participated in this study. Sociodemographic factors of age, sex, education, socioeconomic status, type of stroke, duration of stroke and arm dominance were documented. Oral-hygiene was assessed using the Simplified Oral-Hygiene Index (OHI-S) and the Oral Health Impact Profile 14 (OHIP-14). Descriptive and correlation statistics were used to analyse the data collected. RESULTS: Results showed that more than half of the participants have had either poor or a fair level of oral-hygiene (23% and 30% respectively). Oral hygiene correlated significantly positive with age (r = 0.49) but significantly negative with level of education (r = -0.67), socioeconomic status (r = -0.61) and place of residence (r = -0.55). CONCLUSION: Oral hygiene is compromised in stroke survivors undergoing rehabilitation and is largely influenced by old age, poor socioeconomic status, low level of education and poor residential status. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700005&lng=en&nrm=iso&tlng=en INTRODUCTION: Appropriatech is a philosophy under which methods have been proposed to reduce the number of visits necessary for procedures such as complete denture therapy, thereby reducing costs. One such method uses acrylic bases after the first visit which will require a subsequent dual cure which may produce distortion of the base. AIM: To measure the three-dimensional distortion of different dual curing methods using the same resin. METHODS: A standardised maxillary denture base with teeth was created. Markers were set at different heights, to enable three-dimensional recordings, taken to an accuracy of 4 using a reflex microscope. First, the teeth were set in wax on the clear acrylic heat-cured base, and the positions of the markers recorded. These bases were then subjected to a second processing, and measurements again taken. Four dual curing methods of varying temperatures and times were used. RESULTS AND CONCLUSIONS: All methods produced similar three-dimensional distortions of the denture base but the distortion was small, not affecting the fit or retention of the base. The most rapid method can therefore be used for a second cure onto an existing denture base. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700006&lng=en&nrm=iso&tlng=en INTRODUCTION: From the perspective of patients, quality of care can be defined as the ability of healthcare products and services to satisfy their stated or implied needs. Dental professionals have a moral obligation to deliver the best quality care in today's increasingly informed, consumer-driven society AIM: To jumpstart the discussion on assessing quality of dental care, using patient perceptions DESIGN: A cross-sectional study of South African dental patients METHODS: Questionnaires were distributed to all non-emergency, adult patients at a teaching dental hospital in South Africa The outcome variables were: a) Access to Care; b) Technical Quality; c) Structure and Facilities; d) Communication; e) Global Rating of Safety. RESULTS: Overall, 58.6% of the participants had a positive view about the quality of dental care in South Africa. Age, race, marital status, child status, employment status, household income and educational status were associated with higher quality ratings THE QUESTION: "The instrument used in treating me appeared clean" (97.6%) was rated highly, while the question "Whenever I was sent to a new dentist, I had to repeat the tests that I did at the previous dentist" rated very low (36.9% CONCLUSIONS: The findings suggest that the dental profession still has challenges in meeting the expectations of patients http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700007&lng=en&nrm=iso&tlng=en INTRODUCTION: Incomplete or missing records compromise the validity and reliability of investigations. Aims and objectives: This study describes the extent of the problem of missing or incomplete records at Medunsa Oral Health Centre. Dental records of repeat patients who consulted during July 2017 were assessed for completeness. The proportion missing was determined. DESIGN: This was a retrospective, descriptive cross-sectional study in which existing dental records were reviewed. METHODS: A systematic random sample of 110 dental records of repeat patients who consulted at Medunsa Oral Health Centre during July 2017 was traced in records rooms. Eleven routine data items were selected for evaluation of completeness. A yes or no checkbox was ticked in Microsoft Excel software to indicate whether or not the information was entered in the record. RESULTS: A response rate of 79.1% was obtained. The first visit of 87.3% of patients occurred in the past six years. A scant 3.6% of the records were fully completed; half were less than 80% completed. Records of a third of patients who had visited the hospital for the first time in 2011 could not be found. CONCLUSIONS: The standard of record-keeping in this random sample falls far short of the HPCSA standard. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700008&lng=en&nrm=iso&tlng=en Cephalometric analysis remains a preferred tool in the diagnosis and treatment planning of orthodontic and of orthognathic surgical cases. A cephalometric tracing can be prepared and analysed manually or by a computer using cephalometric tracing software. A number of software programmes on cephalometric analyses have been introduced but their widespread use has been restricted by cost factors, especially in situations having a constraint on resources. This report will give a step-by-step procedure to enable the identification of cephalometric points and planes used in orthodontic diagnosis and treatment planning and to facilitate the manual tracing of a lateral cephalogram. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700009&lng=en&nrm=iso&tlng=en Cephalometric analysis remains a preferred tool in the diagnosis and treatment planning of orthodontic and of orthognathic surgical cases. A cephalometric tracing can be prepared and analysed manually or by a computer using cephalometric tracing software. A number of software programmes on cephalometric analyses have been introduced but their widespread use has been restricted by cost factors, especially in situations having a constraint on resources. This report will give a step-by-step procedure to enable the identification of cephalometric points and planes used in orthodontic diagnosis and treatment planning and to facilitate the manual tracing of a lateral cephalogram. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700010&lng=en&nrm=iso&tlng=en Cephalometric analysis remains a preferred tool in the diagnosis and treatment planning of orthodontic and of orthognathic surgical cases. A cephalometric tracing can be prepared and analysed manually or by a computer using cephalometric tracing software. A number of software programmes on cephalometric analyses have been introduced but their widespread use has been restricted by cost factors, especially in situations having a constraint on resources. This report will give a step-by-step procedure to enable the identification of cephalometric points and planes used in orthodontic diagnosis and treatment planning and to facilitate the manual tracing of a lateral cephalogram. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700011&lng=en&nrm=iso&tlng=en Cephalometric analysis remains a preferred tool in the diagnosis and treatment planning of orthodontic and of orthognathic surgical cases. A cephalometric tracing can be prepared and analysed manually or by a computer using cephalometric tracing software. A number of software programmes on cephalometric analyses have been introduced but their widespread use has been restricted by cost factors, especially in situations having a constraint on resources. This report will give a step-by-step procedure to enable the identification of cephalometric points and planes used in orthodontic diagnosis and treatment planning and to facilitate the manual tracing of a lateral cephalogram. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162019000700012&lng=en&nrm=iso&tlng=en Cephalometric analysis remains a preferred tool in the diagnosis and treatment planning of orthodontic and of orthognathic surgical cases. A cephalometric tracing can be prepared and analysed manually or by a computer using cephalometric tracing software. A number of software programmes on cephalometric analyses have been introduced but their widespread use has been restricted by cost factors, especially in situations having a constraint on resources. This report will give a step-by-step procedure to enable the identification of cephalometric points and planes used in orthodontic diagnosis and treatment planning and to facilitate the manual tracing of a lateral cephalogram.