PubMed Health⌕ Search

Biomedical subjects

H A Beckett

Publications and source records attributed to H A Beckett.

9 recordsLinked to original sources

Record keeping by undergraduate dental students: a clinical audit.

AIMS AND OBJECTIVES: An audit was carried out to assess the standard of clinical record keeping by undergraduate dental students, with the object of improving the quality of care of patients treated by these students. METHODOLOGY: One hundred sets of undergraduate student clinical treatment records were evaluated against a modified CRABEL scoring system. The results of this initial part of the audit were presented in tutorial form to a group of 20 students, together with a teaching session on good record keeping, after which the audit was repeated, and another 100 records were examined over five consecutive Fridays, thus completing one complete audit cycle. RESULTS: The most commonly absent record related to the department where the patient was seen followed by illegible signatures of both the demonstrator and the student. Almost all elements of record keeping investigated had improved in the second audit, most reaching 100% compliance, except for two (the updated medical history and the patient's most recent complaint). CONCLUSION: Positive changes can be achieved by creating awareness among dental students on the importance of keeping records.

Dental Audit↗

The interface between orthodontics and restorative dentistry in the management of anterior tooth surface loss.

Anterior tooth surface loss is a significant problem, ideally requiring early recognition, diagnosis and prevention of progression. However, when first noted it is often sufficiently advanced to warrant treatment. Management should be aimed at minimizing further tooth surface loss and frequently benefits from an integration of treatment procedures. The problems, aims of treatment, and relevant treatment modalities are discussed, and two illustrative cases presented.

Acids↗

Changing the appearance of anterior teeth with porcelain veneers: a case report.

A case is described in which porcelain veneers were used to improve the appearance of the upper anterior teeth and disguise a marked dental centre-line asymmetry. This followed the traumatic loss of the upper left central incisor and complete space loss. Four anterior teeth were treated so that the illusion of symmetry might be enhanced, and the rationale behind this approach is discussed.

Child↗

The voluntary reflux phenomenon.

Dental erosion can be caused by recurrent contact with regurgitated gastric acid and there are a number of recognised conditions in which this can occur. A previously undescribed condition, which we have termed the 'voluntary reflux phenomenon', is described, and an illustrative case history given, together with details of several other similar cases. The condition may well be first recognised by the dentist, may have serious psychiatric implications, and has features which can help distinguish it from other causes of gastric acid mediated dental erosion. These features are described and discussed, and some suggestions for initial management in general practice made, should the condition be suspected.

Adult↗

Construction of a gingival mask in association with an implant-retained fixed maxillary prosthesis--a case report.

A case of an implant-retained maxillary prosthesis is described where, despite preoperative planning, functional and adaptive problems requiring further treatment occurred. An acceptable solution was achieved with the use of linked buccal and palatal gingival masks. A technique for obtaining an impression of the bridge, abutments and residual ridge without removing the prosthesis is described.

Dental Implants↗

Resistance to local analgesia--report of a case treated using 5% lignocaine solution.

A case is described of a patient who appeared to belong to the category labelled 'resistant' to local analgesia, in whom use of a 5% lignocaine solution with 1 in 100,000 adrenaline allowed painless routine dental treatment to be carried out. A discussion of the case, and the various other opinions which were considered for management, are presented.

Adult↗