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Journal Cover Annals of the Royal Australasian College of Dental Surgeons
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   Full-text available via subscription Subscription journal
   ISSN (Print) 0158-1570
   Published by RMIT Publishing Homepage  [403 journals]
  • Volume 23 In vivo confocal microscopy for the oral mucosa
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Dental and crevical vertebrae maturation of isolated unilateral
           clift lip and palate in Australian children: A controlled, longitudinal
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Contributor's index and sponsors
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Pyscho-social effects of malocclusion: Do we measure it and are
           we interested'
    • Abstract: O'Brien, Kevin
      One of the most common reasons for a person to have orthodontic treatment is to improve their appearance and perhaps increase the way that they feel about themselves. As a result, if we are to study the effects of orthodontic treatment it could be suggested that we should measure the effect of the change of dental appearance. However, when we evaluate the orthodontic research literature, it has been suggested that reported outcomes may be mostly relevant to clinicians and not patients.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 The relationship between facial convexity in young children and
           perceived intelligence
    • Abstract: Vasudavan, Sivabalan; Sonis, Andrew L
      Objective: The principle objective of this study was to investigate the relationship between a pre-adolescent child's perceived intelligence and their sagittal facial relationship as determined by second and third grade elementary school educators. Materials and Methods: A digitized lateral cephalogram and photograph of an eight-year old child with Class I occlusion and normal overbite and overjet were entered into the Dolphin software program. The lateral cephalogram and photograph were linked to allow computerized manipulation to generate five profiles with a Steiner ANB value ranging from two to ten degrees by retruding the mandible in four profiles at two degree intervals and one profile by proclining the maxillary incisors to create an overjet relationship of 10 mm. Each profile simulation was then converted to a simple silhouette and printed out to create a series of "flashcards". Results: Fifty Elementary School teachers force ranked the profile silhouette flashcards for perceived intelligence. Profile images corresponding to Steiner ANB angles of two and four degrees consistently filled the position of highest in intelligence perception. Conversely, the position of lowest intelligence was exclusively filled by profile images with ANB angles of eight and ten degrees. Images with ANB angles equal to two and four degrees had a 48% and 52% chance respectively to be ranked as having the highest intelligence, while figures with ANB angles of eight and ten degrees had 16% and 84% chance respectively to be ranked as having the lowest intelligence. Conclusion: According to our data, elementary school teachers almost uniformly associate a retrognathic profile of a pre-adolescent child with decreased intelligence. The findings of our study re-affirm the need for considering psychological indications for initiating interceptive orthodontics treatment in class II child patients.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Paradigm shifts in orthodontics and orthognathic surgery
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 In the land of no evidence is the salesman king'
    • Abstract: O'Brien, Kevin
      This abstract is closely based on a previous publication that was published in the American Journal of Orthodontics and Dentofacial Orthodontics 2010: 138: 3, and on Kevin O'Brien's Orthodontic Blog. This is reproduced by permission of the editor of the American Journal of Orthodontics.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Managing caries risk: The role of probiotic bacteria in oral and
           general health
    • Abstract: Twetman, Svante
      Probiotic bacteria are live microorganisms which when administered in adequate amounts confer a health benefit on the host. The background thinking is that a harmless effector strain is implanted in the host's microflora to maintain or restore the natural microbiome by interference and/or inhibition of other microorganisms. Typically, probiotic bacteria are natural species belonging to the Lactobacillus or Bifidobacterium genera but host effects are strain specific. In addition to locally-induced oral events, systemic effects through immunomodulation have been demonstrated although a permanent colonization of probiotic bacteria seems unlikely. Recent clinical trials have gathered evidence of probiotic effectiveness in caries prevention, gingival and periodontal health. Studies in early childhood have suggested a metabolic domino effect with long-term improvements of oral and general health according to the common risk factor approach. The use probiotics may be a valuable adjunct to the established methods in preventing and combating caries and other oral diseases.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Caries experience in Victorian children with orofacial clefts
    • Abstract: Raj, Jyotsna
      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Restorations under stress - can they survive'
    • Abstract: Wylie, Simon
      Restoration of teeth is undergoing a revolution in preparation concepts, materials, and production. CAD technologies are opening opportunities for indirect restorations that were the domain of large direct amalgams or composite resins. But are we meeting the specifications required for long term results' Are the lesson learned in the previous decades in the area of 'resistance and retention form' relevant to the adhesive age' This paper aims to review he specifications required to successfully restore the posterior tooth and to evaluate our progress with the advancement of novel ceramic options.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Brushing up on antarctic dentistry
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Oral biofilms: Implications in the medically compromised
    • Abstract: Newnham, Melinda
      Medically compromised patients in Australia are generally affected by chronic disease. Chronic disease accounts for the majority of hospitalisations in Australia and results in a heavy burden of debilitation, disability and mortality. Chronic disease is currently Australia's biggest health challenge. The dental management of oral biofilm-related disease in medically compromised patients is often complex, requiring consultation with the patient's physician. Eliminating dental foci of infection is of vital importance to prevent infective sequelae during invasive medical treatment. The objective of this paper is to review the health status of Australians, specifically those who are hospitalized and to consider the significance of oral biofilm-related disease within this susceptible population.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Management of biofilm disease around implants: A contrast to
           disease management around teeth
    • Abstract: Ngo, Luan
      Dental implants are becoming an increasingly common part of dental treatment offered to our patients for the replacement of teeth in partial and fully edentulous situations. In many cases, dental implant retained single crowns, bridges or dentures are the gold standard for tooth replacement. Infections can occur around implants as they do around teeth. The different physical characteristics of implants, as well as the differing peri-implant tissues, create a challenge to the practitioner for effective management.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Living and dying with dignity - pallative care in 2016
    • Abstract: Lee, Philip G
      Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Palliative care is not just about end of life care. What it does is provide relief of these symptoms while a patient continues to receive disease-controlling treatment. In this sense palliative care is about living better with life limiting illnesses, not just focussing on the terminal phase.

      There are problems with how Australians are dying, but access to good-quality palliative care can change that. As a society we need to invest more in giving people more time to live as well as they can for as long as they can. However we all require honesty in communication to have sufficient time to prepare for death.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Cancer and pallative care: Oral and dental manifestations,
           considerations and complications
    • Abstract: Schifter, Mark
      Cancer and its treatment has been revolutionised by our improved understanding of genetics and is now increasingly managed as a chronic disease. When cure is not possible, durable remission is achievable. Notwithstanding, many cancers are, or become, incurable and their treatments are still acutely and chronically painful, distressing and unpleasant. A management approach that emphases comfort, relief of pain and suffering, as well as symptom control, is the remit of palliative care. The oral and dental manifestations and complications seen in patients receiving palliative care has to date, been under-recognised, is poorly researched and so the care provided often fails to address or improve such patients comfort and/or quality of life. This paper (presented at the 23rd Convocation of the RACDS) aims to provide a classification of the oral and dental problems seen in patients receiving palliative care, provide a practical treatment approach and give examples of the management of such problems.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Contemporary surgical management of oral cancer
    • Abstract: Wong, Timothy
      Every patient with oral cancer presents the Oral and Maxillofacial surgeon with a unique set of challenging, complex and multidisciplinary clinical problems, the solutions to which impact both their quantity and quality of life. In the vast majority of cases, surgery remains the mainstay of their overall treatment. Dental professionals play a critical role in the early detection of oral cancers. A majority of referrals for new and recurrent oral cancers are from dental professionals.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Why do some people feel bad about their appearance':
           Understanding risk and protective factors for poor body image
    • Abstract: Paxton, Susan J
      Body dissatisfaction and appearance concerns predict the development of serious psychological problems including depressive symptoms, health risk behaviours such as smoking and clinical eating disorders. In addition to cosmetic dental procedures, body dissatisfaction is of particular relevance to dental care as a predictor of disordered eating behaviours which frequently have a negative impact on dental health. This paper reviews the negative impact of body dissatisfaction and risk and protective factors for body image problems. Research into biological, psychological and social risk factors will be discussed including the recent findings of a relationship between social media use and body image concerns. Our understanding of risk factors for body dissatisfaction has guided the development of prevention and therapy interventions. As dentists may observe the dental results of an eating disorder, their role in secondary prevention is discussed.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Preventing early childhood caries: Motivating families
    • Abstract: Twetman, Svante
      In spite of intensive research, early childhood caries (ECC) remains a public health problem. Unfortunately, recent systematic reviews have failed to establish evidence for the best way to prevent and manage the disease. Apart from the biological risk factors, behavioral and family factors, socio-economy and oral health literacy are significant determinants of ECC. Several attempts to bridge the caries inequalities have been implemented for vulnerable risk groups and ethnic minorities. Although there is no "one-size-fits-all", the chronic disease management concept, focusing on self-care through identifying facilitators and barriers for a healthy behavior, is most promising. Another key factor is to integrate oral health into the overall health care through establishing a professional skill-mix around the child. Motivational interviewing is associated with significant improvements in tooth brushing, diet and physical activity but the effects on ECC are yet inconclusive. Video games and digital platforms may be used to enhance compliance.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Managing the root canal biofilm: Strategy and possibility
    • Abstract: Cheung, Gary
      The infected canal is the root cause of apical periodontitis. Bacteria that colonize the root canal system are not free floating, but exist as a biofilm attaching on the canal wall. Management of the infected root canal has customarily been achieved via chemomechanical preparation, with numerous studies in the 21st century focusing on mechanical debridement or instrumentation techniques. In the new millennium, there is a shift in research emphasis to removal of the endodontic biofilm by various physical and chemical means. This presentation examines various clinical strategies, and explores newer and potentially more effective approach to combat the root canal biofilm.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Healthy tooth, healthy mouth, healthy body: Endodontics in the
           systemic universe
    • Abstract: Moloney, Luke G; Soma, Artika
      For the most of the last century 'dead' teeth were considered by many to be potential sources of infection that could contribute to or cause disease elsewhere in the body. Even healthy endodontically treated teeth were considered by many doctors and dentists to harbour bacteria that could leach toxins into the surrounding tissues or again cause disease in other organs. Many believed that extraction was the only option for non-vital teeth. Despite the great volume of research that has shown no association between non-vital teeth and systemic disease, many health practitioners still advocate removal of teeth to remedy any number of non-dental ailments. This presentation revisits the focal infection theory and asks the question 'Are your root filled teeth causing you harm''

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Oral and general health interface
    • Abstract: Brunton, Paul
      Over recent years dental education has made a paradigm shift from training "tooth fixers" to educating oral physicians who can also fix teeth as and when required. Consequently, the importance of oral health to general health and vice versa has gained increasing importance and is now more than ever relevant to how we both effectively and safely manage our patients. The management of non-carious tooth tissue loss specifically intrinsic dental erosion, sleep bruxism and myalgia make excellent examples of how an increased understanding of the impact of general health on oral health and vice versa can only serve to improve patient outcomes.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Diagnosis and 'non dental' treatments of sleep related breathing
    • Abstract: Naughton, Matthew T
      The diagnosis and management of sleep related breathing disorders requires an understanding of basic upper airway anatomy and sleep physiology. Snoring and obstructive sleep apnoea are the commonest SRBD in adults, estimated to occur in up to 25% of women and 50% of men. They are associated with a doubling of the risk of developing cardiovascular disease and post-operative complications. A detailed history and examination should be undertaken prior to management decisions which include conservative, dental, surgical and positive airway pressure devices. Identification and management of SRBD can be both professionally rewarding and challenging. Outcomes of treatment vary depending upon patient selection, severity of disease and the underlying lifestyle choices and associated medical disorders. A multidisciplinary team approach, involving dental, surgical and medical colleagues is the norm rather than the exception, and accordingly should be discussed with all patients seeking an opinion for underlying SRBD.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Opening address govenor of Tasmania
    • Abstract: Warner, Kate
      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 New fellows and members
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Admission as an honorary fellow
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Fellow by election without examination
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Meritorious service award
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Young lecturer award
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Seventeenth Robert Harris oration vice chancellor of the
           university of Tasmania
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Oral biofilms in health and disease
    • Abstract: Twetman, Svante
      Analytical epidemiology can be a powerful tool to determine risk factors for diseases, and potentially uncover causality of chronic diseases. However, it is governed by strict research methodology to ensure rigour of the results of studies. In the attempts to identify and quantify risk factors for periodontitis, many of the studies fall short of the scientific rigour, particularly with regard to the measurement and classification of individuals with and without disease, or progression of periodontal disease. The lack of consensus over how to measure and classify periodontitis cases has led to reporting of a plethora of "significant" associations, either identifying periodontitis as a risk factor for systemic diseases, or in identifying risk factors for the development of periodontitis. Many of these results are later not validated by replicate studies, or by studies using a different method of classifying a person with periodontitis. This paper looks as some of these methodological issues and the influence of classification on analytical epidemiological results.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Can we practice evidence based orthodontics'
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Dementia: Issues in contemporary research and management
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Autumn leaves: A journey with dementia
    • Abstract: Ting, Graeme
      This paper presents the current trends in population demographics for older people and how these impact on oral health care provision. In particular it focuses on the relationship between ageing, medical problems in the older population and their potential impact on oral health and oral health care. The main item discussed is dementia and its impact on oral health from the patient, caregiver (including oral health professional care provider) perspective.

      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Presidential address
    • Abstract: Sykes, David
      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Council 2014-2016
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Founders and honorary fellows of the college
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Elected members of council
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Office bearers
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Scientific arrangements committee; convocation arrangements
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Convocations of the college
    • PubDate: Thu, 20 Jul 2017 22:24:44 GMT
  • Volume 23 Editorial
    • Abstract: Abuzar, Menaka
      PubDate: Thu, 20 Jul 2017 22:24:44 GMT
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