Authors:
E.J. van Maanen , N. van Dinter , J. Versloot, J.S.J. Veerkamp
Source:
NTvT january 2009; 116: 003 - 8
Section:
Summary:
This research considers whether fear of dental treatment among children is linked with a prior (negative) experience with local anaesthesia or with psychological functioning. Furthermore, the study investigated whether these factors play a role in anxious behaviour before and during a local anaesthetic injection. In this study 128 children between the ages of 4 and 11 took part. With the help of video recordings, the anxious behaviour before and during the local anaesthetic injection was scored using the Venham-scale. During the treatment one of the child’s parents or guardians was asked if the child had previously been given a local anaesthetic injection (experience). The fear of dental treatment and the child’s psychological functioning were measured using the parents’ version of the ‘Dental Subscale’ of the ‘Children’s Fear Survey Schedule’ and the ‘Strengths and Difficulties Questionnaire’ respectively. Results showed a correlation between on one hand fear of dental treatment and on the other hand anxious behaviour before and during a local anaesthetic injection and psychological functioning. Furthermore, results indicated that children with fear of dental treatment exhibited more fearful behaviour before and during an injection with local anaesthetic. Only in the case of children whose psychological functioning was reduced there was a significant relationship between experience with local anaesthesia and fearful behaviour prior to the injection of a local anaesthetic.
Authors:
F.J.M. Roeters, L.C.G. de Jong, N.J.M. Opdam
Source:
NTvT january 2009; 116: 010 - 15
Section:
Summary:
In dentistry much research focuses on the development of procedures and materials with the aim of preventing negative effects of polymerisation shrinkage stress of composite resin. The clinical implications of shrinkage stress seem to be limited as long as correct restorative procedures are precisely followed. With the introduction of a silorane-based composite resin exhibiting a low-shrinkage behaviour the dentist is confronted with some uncertain factors. Long-term clinical studies are needed before applying these materials on a large scale.
Authors:
J.J.M. Bruers
Source:
NTvT january 2009; 116: 017 - 21
Section:
Summary:
The article offers an adapted translation in Dutch of an editorial essay in The Journal of the American Dental Association concerning the benefits of practice-based research networks in dentistry. These are networks of dental practices in which general dental practitioners conduct clinical research in cooperation with university researchers. It is claimed that this approach to research better takes into account the role of the dentist in providing care because research results are developed in ‘normal’ practices and not in laboratories or university clinics. New insights emerging from this kind of research could be adopted more quickly in general practices. In a response to this editorial the possibilities of introducing practice-based research in a similar way in The Netherlands are considered.
Authors:
L.M.J. De Visschere, G.J. van der Putten, C. de Baat, J.M.G.A. Schols, J.N.O. Vanobbergen
Source:
NTvT january 2009; 116: 023 - 27
Section:
Summary:
Oral health care includes self-care, volunteer care, and professional care for maintaining or advancing appropriate oral health. It has been demonstrated that the oral health care in long-term care facilities for elderly people in The Netherlands and Flanders (Belgium) is not adequate. Daily oral hygiene care, carers’ knowledge and skills providing adequate oral health care, (co)morbidity, and drug usage are points of special interest in realizing an improvement of oral health care and oral health. The Dutch Association of Nursing home Physicians has formulated oral health care guidelines for elderly people in long-term care facilities. A research project on the effectiveness and implementation will be carried out, determining the guidelines’ quality. The aim of the project is improving the quality of oral health care for and the quality of oral health and life of elderly people in long-term care facilities in The Netherlands and Flanders.
Authors:
A. Visser, M. Hoff, G.M. Raghoebar, A. Vissink
Source:
NTvT january 2009; 116: 029 - 32
Section:
Summary:
An 8-year-old boy with ectodermal dysplasia had only 6 deciduous maxillary teeth and an edentulous mandible. As a result, he suffered from aesthetic and functional problems. The maxilla was already rehabilitated by a removable partial denture with wire clasp arms and retentive composite resin extensions on the abutment teeth. Consideration was given to the fabrication of a conventional complete mandibular denture. The underdevelopment of the alveolar ridge and absence of the buccal vestibule, however, rendered this impractical. Although the placement of implants in patients who are still growing is not generally recommended, a decision was made, based on a study of the literature, to insert 2 implants in the intraforaminal region as a support for an overdenture. Subsequently, an implant-supported mandibular overdenture on 2 ball attachments was fabricated. Two years after inserting the implants, no complications had arisen. The patient was satisfied with the functional and aesthetic results of the treatment.
Authors:
S.L. Liem
Source:
NTvT january 2009; 116: 040 - 42
Section:
Summary:
Driven by advanced computer technology, it is now possible to show the human anatomy on a computer. On the internet, the Visible Body programme makes it possible to navigate in all directions through the anatomical structures of the human body, using mouse and keyboard. Visible Body is a wonderful tool to give insight in the human structures, body functions and organs.
