Authors:
A.H.M. Verrijt, R. van der Plaats, A.J.M. Plasschaert
Source:
NTvT january 2000; 107: 003 - 7
Section:
Summary:
A questionnaire was sent to 328 dentists graduated from the University of Nijmegen in the period 1990-1998, to ask their opinion concerning the way they were prepared by dental education for their professional career. Comparison with similar data from Amsterdam Academic Centre for Dentistry has been carried out. The results show unanimity among graduates that they have been adequately prepared for the requirements in general dental practice as far as knowledge is concerned related to cariology, periodontology, crown and bridgework and dental radiology. They also have a positive assessment regarding other dental cognitive domains, except implantology. There is positive unanimity regarding their skills in various clinical areas. Shortcomings in dental education have been experienced in practice management and infection prevention, treatment of medically compromised patients, treatment of anxious patients and handicapped patients. Almost all responders have the opinion that they gained enough experience throughout their dental education to be competent to start their dental career independently. In general the Nijmegen graduates have a positive opinion concerning their dental education, although preparation for professional life could be strengthened in some specific areas. Comparison with ACTA-graduates shows that in both programmes the weakest areas are implantology and practice management.
Authors:
A. de Jongh
Source:
NTvT january 2000; 107: 008 - 11
Section:
Summary:
Clinically significant forms of choking fear (i.e., choking phobia) are characterized by fear and avoidance of objects and situations that may lead to choking such as ingestion of food or pills. During dental treatment patients may also be confronted with situations that give rise to extreme fear of suffocating or being choked (mouth full of water, the making of dental radiographs and dental impressions). Choking phobia often develops following an episode of choking on food. The paper shortly reviews relevant literature, medical and psychiatric differential diagnosis, as well as possible treatment approaches to individuals suffering from choking fear.
Authors:
J.A. Baart, J.M. van Hagen
Source:
NTvT january 2000; 107: 012 - 14
Section:
Summary:
The X-linked hypohidrotic ectodermal dysplasia (HED) is characterized by hypohidrosis, hypotrichosis and hypodontia. Sebaceous and salivary glands ar also affected. Recognition of the syndrom usually comes from affected man, although female carriers may show symptoms. Dental treatment is complicated and should be coordinated by a dentist in a centre for special dental care. Cooperation with an orthodontist and an oral and maxillofacial surgeon is advocated.
Authors:
G.J. Meijer, M.S. Cune, F.L.J.A. de Wijs
Source:
NTvT january 2000; 107: 025 - 26
Section:
Summary:
After placement of three dental implants in the (right) partially edentulous maxillary region, a patient complains about a constant penetrating smell of sulphur. This is probably caused by anaerobic, sulphur-producing microorganisms. Immediately after removal of the most dorsal implant in conjunction with extirpation of a benign mucosal cyst in the sinus combined with antibiotic treatment, the problem was resolved.
Authors:
P. Bol
Source:
NTvT january 2000; 107: 027 - 28
Section:
Summary:
Helicobacter pylori infections of the gastric mucosa are common among elderly adults, particularly in developing countries. It has now been proven that in nearly all cases of gastric ulcer the bacterium plays a role. Moreover, the adenocarcinoma of the stomach which occurs frequently in poor countries, develops mostly in connection with H.pylori infections. Nevertheless, more is needed than just this bacterium, for the majority of the infected never develop gastric carcinoma. The diagnosis of bacterial infection of the stomach can be made with endoscopical biopsy material but also with non-invasive methods. The infection can be treated with combinations of antibiotics after which the patient is completely cured in most of the cases.
Authors:
S.L. Liem
Source:
NTvT january 2000; 107: 029 - 29
Section:
Summary:
The World Health Organization (WHO) are involved with oral health next to other health care related issues. A separate website with the title ´WHO Oral Health Country/Area Profile Programme´(CAPP) mentions the objectives of this organization to offer information on dental anomalities on a worldwide scale and provide care with regard to oral health. The website offers a wide varieity of statistic data from the available epidemiologic research on a number of dental anomalies.
