British dental journal
-
British dental journal · Nov 2010
Clinical decision making by dentists working in the NHS General Dental Services since April 2006.
In April 2006 a new contract was introduced that governed how NHS General Dental Practitioners would be funded for the services they provide. This study looks at the impact that the contract has had in the three years since its introduction, evaluating its influence on the clinical care that patients receive and the clinical decisions that dentists are making. This qualitative service evaluation involved interviewing 12 dentists representative of a range of NHS dentists involved with the new NHS dental contract using a semi-structured approach. ⋯ Dentists often feel that complex treatments (for example, endodontic treatments) are financially unviable. Some dentists are referring difficult cases that might previously have been treated 'in house', such as extractions, to another provider, as this enables offloading of costs while potentially retaining full fees. Younger and less experienced dentists may be further pressured.
-
British dental journal · Nov 2010
Comparative StudyTrigeminal nerve injuries in relation to the local anaesthesia in mandibular injections.
This study reports the signs and symptoms that are the features of trigeminal nerve injuries caused by local anaesthesia (LA). ⋯ Chronic pain is often a symptom after local anaesthetic-induced nerve injury. Patients in the study population with lingual nerve injury were significantly more likely to have received multiple injections compared to those with IANI.