British dental journal
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The title, of course, came from a patient. The precise and original answer to the question has been largely overwhelmed by the vast changes in the profession over 30-odd years. The author discusses why he is glad he chose general dental practice; why it remains a career of interest, stimulus, challenge and satisfaction; and why he would commend it enthusiastically to today's school leavers.
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British dental journal · Jul 1998
Comparative StudyDentistry and the National Health Service in the context of Europe.
Many British dentists consider that because of the NHS, oral healthcare provision in Europe is more comprehensive, less controlled and more remunerative than the UK, a view that is often shared by their European colleagues. In this article, the oral healthcare systems of most European countries are classified and compared, and some strengths, similarities and weaknesses are identified and discussed.
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British dental journal · Jul 1998
Comparative Study Historical ArticleThe National Health Service and social inequalities in dental health.
Since establishment of the NHS, remarkable improvements in oral health have been seen. Social differences still remain, but in absolute terms they are far smaller than those which existed prior to creation of the service. Although the improvements have not been unique to the UK, and in consequence may not be entirely ascribed to the NHS, the overall costs to society have been remarkably small when compared with other countries. ⋯ The arguments for maintaining dental services within the NHS must be based upon the contribution they make to improving oral health. Judged on the past 50 years, it has helped to make major inroads into reducing the current inequalities. For the next 50 years, as the service adapts, the profession must remember that it is there for those with least resources not just those with the ability to pay.
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Local anaesthetic overdose is not common in dental practice but can occur. In rare cases it can be fatal. ⋯ In addition, thorough medical history taking should forewarn the dentist of any patient who has experienced problems in the past and will also alert the operator to those few patients who exhibit idiosyncratic reactions. This article aims to offer practical advice to help avoid local anaesthetic toxicity.