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1.
J Orthod ; 48(3): 250-259, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-33769125

RESUMEN

OBJECTIVE: To evaluate the smile aesthetics of the different treatment options for impacted maxillary canines as perceived by orthodontists, dentists, patients and parents. DESIGN: Cross-sectional survey. SETTING: Four rater groups were selected to complete the questionnaire consisting of an orthodontist group, a general dental practitioner group, a patient group consisting of patients aged 11-18 years who were considered to be 'Gillick competent' and a parent group consisting of parents/guardians who accompanied the patients to their orthodontic appointments. METHOD: Four digitally manipulated images were created to imitate different treatment options available for the treatment of ectopic maxillary canines including: alignment of the impacted maxillary canine; substituted premolars; retained deciduous canines; or gaps present. The images were embedded into piloted questionnaires. Each participant completing the questionnaire was asked to mark the visual analogue scale (VAS) beneath each image according to their perception of attractiveness of each image. Quantitative scoring of the perceived attractiveness of the smile was assessed by one calibrated assessor measuring the distance from the start of the scale to the marked cross placed on the VAS. A two-way ANOVA (mixed between-within subject's ANOVA) was used to compare perception of differences in smile aesthetics. RESULTS: There were significant differences found in the VAS between the groups (P = 0.002) and between the treatment options (P < 0.001) There was no statistically significant difference found between the aligned canines and substituted premolars images by the patient (P = 0.2) or parent group (P = 0.5). All groups most disliked the treatment option where gaps were present at the end of treatment. CONCLUSION: The patient and parent groups showed similar perception in smile aesthetics for aligned canines and substituted premolars and all groups showed a strong dislike to the presence of gaps. The orthodontist group showed the most critical aesthetic perceptions.


Asunto(s)
Odontólogos , Estética Dental , Actitud del Personal de Salud , Estudios Transversales , Diente Canino , Humanos , Maxilar , Padres , Percepción , Rol Profesional , Sonrisa
2.
Br J Oral Maxillofac Surg ; 52(1): 38-42, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23643247

RESUMEN

The role that human factors have in contributing to air crashes is well known and is included as an essential part of training. Awareness of human factors in surgery is increasingly being recognised but surprisingly few papers have come from head and neck specialties. We circulated a questionnaire on human factors based on an aviation model to 140 head and neck medical and ancillary staff who work in operating theatres in 3 large UK hospitals. Most positive responses were found in the consultant group followed by trainee doctors and support staff. A significant difference was found in the subcategories of Unsafe Supervision (p=0.002) and Preconditions to Unsafe Acts (p=0.001). This work will help to identify multi-system deficiencies that can be corrected, and highlights aspects that may yield the greatest reduction in surgical errors.


Asunto(s)
Actitud del Personal de Salud , Errores Médicos/prevención & control , Cuerpo Médico de Hospitales/psicología , Procedimientos Quirúrgicos Orales/normas , Aviación , Comunicación , Conducta Cooperativa , Humanos , Relaciones Interprofesionales , Quirófanos/organización & administración , Proyectos Piloto , Gestión de Riesgos/clasificación , Administración de la Seguridad/clasificación , Encuestas y Cuestionarios , Recursos Humanos , Lugar de Trabajo
3.
Br J Oral Maxillofac Surg ; 51(1): 8-13, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22236595

RESUMEN

There are many similarities between flying commercial aircraft and surgery, particularly in relation to minimising risk, and managing potentially fatal or catastrophic complications, or both. Since 1979, the development of Crew Resource Management (CRM) has improved air safety significantly by reducing human factors that are responsible for error. Similar developments in the operating theatre have, to a certain extent, lagged behind aviation, and it is well recognised that we can learn much from the industry. An increasing number of publications on aviation factors relate to surgery but to our knowledge there is a lack of research in our own specialty. We discuss how aviation principles related to human factors can be translated to the operating theatre to improve teamwork and safety for patients. Clinical research is clearly needed to develop this fascinating area more fully.


Asunto(s)
Aviación/métodos , Errores Médicos/prevención & control , Cirugía Bucal/métodos , Lista de Verificación , Humanos , Relaciones Interprofesionales , Grupo de Atención al Paciente/organización & administración , Grupo de Atención al Paciente/normas
4.
Br J Oral Maxillofac Surg ; 51(2): 98-102, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22360972

RESUMEN

Lymphatic malformations of the head and neck, also known as lymphangiomas or cystic hygromas, are a diverse group of lesions. They can be small and superficial or large and extensive, and management can be a challenge. Surgically they can be difficult to remove completely because of their poorly defined borders and the potential for damaging neighbouring structures. We review the dilemmas posed in diagnosis and treatment, and discuss the contemporary management of these interesting entities including sclerotherapy, which is gaining popularity.


Asunto(s)
Cabeza/cirugía , Anomalías Linfáticas/cirugía , Cuello/cirugía , Neoplasias de Cabeza y Cuello/diagnóstico , Neoplasias de Cabeza y Cuello/cirugía , Humanos , Linfangioma/diagnóstico , Linfangioma/cirugía , Linfangioma Quístico/diagnóstico , Linfangioma Quístico/cirugía , Anomalías Linfáticas/diagnóstico , Escleroterapia/métodos
5.
Br J Oral Maxillofac Surg ; 50(3): 266-7, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22464757

RESUMEN

Massive tumours of the parotid are uncommon as due to their site, they are usually removed at an earlier stage. We present a bizarre case of a carcinoma ex-pleomorphic adenoma which mimicked an advanced breast cancer, complete with a 'nipple-like' extension and peau d'orange changes in the overlying skin as a result of a dense dermal inflammatory response. A procedure akin to a mastectomy with facial nerve preservation was carried out for removal. To our knowledge, peau d'orange has not been reported before in parotid tumours.


Asunto(s)
Adenoma Pleomórfico/patología , Carcinoma/patología , Transformación Celular Neoplásica/patología , Neoplasias de la Parótida/patología , Anciano , Diagnóstico Diferencial , Femenino , Humanos , Neoplasias Inflamatorias de la Mama/diagnóstico
6.
Dent Update ; 37(7): 478-83, 2010 09.
Artículo en Inglés | MEDLINE | ID: mdl-28809528

RESUMEN

Hand hygiene is crucial in preventing the spread of infection and is considered to be the single most important infection prevention activity in healthcare. Hand hygiene is part of Standard Infection Control Precautions. Several guidance documents have recently been published that emphasize the importance of carrying out excellent hand hygiene in dental practice. The three levels of hand hygiene are social hand hygiene, hygienic hand decontamination and surgical scrub, the choice depending on the procedure undertaken. The following article summarizes the basic principles of hand hygiene for the General Dental Practitioner and his/her dental team.


Asunto(s)
Infección Hospitalaria/prevención & control , Higiene de las Manos/normas , Control de Infecciones/métodos , Humanos , Control de Infecciones/normas
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