Dental Informatics Bibliography

Database: MEDLINE <1996 to March Week 3 2002>
Search Strategy:
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1 exp *MEDICAL INFORMATICS/ or exp *MEDICAL INFORMATICS APPLICATIONS/ (55441)
2 1 and exp *dentistry/ (715)
3 1 and exp *mouth diseases/ (152)
4 2 or 3 (822)
5 limit 4 to (english language and yr=2002) (3)
6 from 5 keep 1-3 (3)

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1.
Unique Identifier - 11849796
Medline Identifier - 21838881
Authors - Bragg CM. Conway J. Robinson MH.
Institution - Department of Clinical Oncology, Weston Park Hospital, Sheffield, South Yorkshire, United Kingdom. Christopher.Bragg@STH.nhs.uk
Title - The role of intensity-modulated radiotherapy in the treatment of parotid tumors.
Source - International Journal of Radiation Oncology, Biology, Physics. 52(3):729-38, 2002 Mar 1.
Local Messages - At: Norris(all yrs),GenHosp.
Abstract
Purpose: To compare intensity-modulated radiotherapy (IMRT) treatment plans with three-dimensional conformal radiotherapy (3D-CRT) plans to investigate the suitability of IMRT for the treatment of tumors of the parotid gland.
Methods and Materials: One 3D-CRT treatment plan and 10 IMRT treatment plans with differing beam arrangements were produced for each of nine patient data sets. The plans were compared using regret analysis, dose conformity, dose to organs at risk, and uncomplicated tumor control probability (UTCP).
Results: The target dose was comparable in the 3D-CRT and IMRT plans, although improvements were seen when seven and nine IMRT fields were used. IMRT reduced the mean dose to the contralateral parotid gland and the maximum doses to the brain and the spinal cord, but increased the ipsilateral lens dose in some cases. Each IMRT arrangement produced a higher UTCP than the 3D-CRT plans; the largest absolute difference was 9.6%.
Conclusions: IMRT is a suitable means for treating cancer of the parotid, and a five-field class solution is proposed. It produced substantial sparing of organs at risk and higher UTCPs than 3D-CRT and should enable dose escalation.

2.
Unique Identifier - 11785740
Medline Identifier - 21643022
Author - Clive J.
Institution - Office of Biostatistical Consultation, University of Connecticut Health Center, Farmington 06030, USA. clive@nso1.uch.edu
Title - Biostatistical consultation for dental research.
Source - Dental Clinics of North America. 46(1):137-55, viii, 2002 Jan.
Local Messages - At: Dental,CHLA.
Abstract
Dental science researchers do not really need a detailed, ready-at-hand knowledge of statistics to design and perform high quality scientific research. Although the acquisition and utilization of such knowledge by dental researchers is not discouraged, it is proposed that it is more important for dental researchers to be committed to developing and maintaining a long term, ongoing, interactive consulting relationship with a biostatistician. The nature of this relationship will depend in large part on the complexity of the dental research being conducted. While the statistical consultant will assist in interpreting analytic results for the dental researcher, the latter will need to provide extensive input in assisting in the estimation of sample size and power, and for expressing scientific hypotheses in statistical terms so that the appropriate data analytic methodology can be specified.

3.
Unique Identifier - 11757002
Medline Identifier - 21629640
Authors - Bettega G. Cinquin P. Lebeau J. Raphael B.
Institution - Plastic and Maxillofacial Surgery Department, CHU. A. Michallon, Grenoble, Cedex, France. GBettega@chu-grenoble.fr
Title - Computer-assisted orthognathic surgery: clinical evaluation of a mandibular condyle repositioning system.
Source - Journal of Oral & Maxillofacial Surgery. 60(1):27-34; discussion 34-5, 2002 Jan.
Local Messages - At: Norris(partial),Dental,GenHosp,CHLA.
Abstract
Purpose: The purpose of this study was to evaluate a new method for positioning the mandibular condyle during orthognathic surgery based on 3-dimensional optical localization of infrared emitting diodes.
Patients and Methods: Eleven patients ("empirical group") underwent condylar repositioning using the empirical repositioning method (standard technique) and were considered controls. In 10 patients ("active group"), the computer-assisted system was used to replace the condyle-bearing fragment in its sagittal preoperative position. In these patients, the condylar torque was not controlled. In the third group of 10 patients ("graft group"), the computer-assisted system was used to replace the condyle in all 3 directions. Very often it was necessary in this group to fill the osteotomy gap with a bone graft. The clinical evaluation was based on 4 major criteria: the quality of the postoperative occlusion, the stability of skeletal position on successive cephalometric radiographs, the occurrence of temporomandibular dysfunction (TMD), and the preservation of mandibular motion. Clinical assessment was made at 1, 3, 6, and 12 months follow-up.
Results: Forty-five percent of the "empirical group" did not have the expected postoperative occlusion, 5 patients showed evidence of clinical relapse at 1 year, 45% had worsened TMD status, and only 63.37% of mandibular motion had been recovered at 6 months. All the patients in the "active group" had the expected occlusion and only 1 patient exhibited a mild relapse and TMD symptoms; however the average mandibular motion recovery was only 62.65% at 6 months. All the patients in the "graft group" had a good occlusion and no relapse or TMD. Their percentage of mandibular motion recovery was 77.58%.
Conclusion: The quality of sagittal repositioning is the main factor contributing to a good occlusion and bone stability. Functional results (in particular, recovery of mandibular motion) are more related to limiting condylar torque. Copyright 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:27-34, 2002

4.
Unique Identifier - 11367964
Medline Identifier - 21261264
Author - Schleyer T, Spallek H
Institution - Department of Dental Informatics, Temple University School of Dentistry, 3223 N Broad St., TU 600-00, Philadelphia, Pa. 19140, USA. titus@DENTAL.Temple.edu
Title - Dental informatics. A cornerstone of dental practice. [Review] [62 refs]
Source - Journal of the American Dental Association 2001 May;132(5):605-13
Local Messages - At: Dental,GenHosp,CHLA.
Abstract
Background: Dental informatics is a relatively new field that has significant potential for supporting clinical care. Most dentists are unaware of what dental informatics is, what its goals are, what it has achieved and how they can get involved in it.
Methods: The authors conducted a literature review and several round-table discussions with dental informatics experts to discuss the preceding issues surrounding dental informatics.
Results: Dental informatics is the application of computer and information sciences to improve dental practice, research, education and management. Numerous applications that support clinical care, education and research have been developed. Dental informatics is beginning to exhibit the characteristics of a discipline: core literature, trained specialists and educational programs.
Conclusions: Dental informatics presents possible solutions to many long-standing problems in dentistry, but it also faces significant obstacles and challenges. Its maturation will depend as much on the efforts of people as on the collective efforts of the profession.
Practice Implications: Dental informatics will produce an increasing number of applications and tools for clinical practice. Dentists must keep up with these developments to make informed choices. [References: 62]

5.
Unique Identifier - 11194403
Medline Identifier - 21035503
Author - Corry AM
Institution - University of Missouri-Kansas City, School of Dentistry, 650 E. 25th St., Kansas City, Mo. 64108-2784, USA. corrya@umkc.edu
Title - Utilization of library outreach services by dental school alumni, 1988-1998.
Source - Journal of the American Dental Association 2001 Jan;132(1):76-82
Local Messages - At: Dental,GenHosp,CHLA.
Abstract
Background: The University of Missouri-Kansas City School of Dentistry Library outreach service includes the Dental Reference Service, or DRS; Loansome Doc service, Career Opportunity Center, or COC; and the Instructional Resources Library, or IRL. The author reviewed usage of services for 1988-1998 to analyze use by alumni and nonalumni and to determine possible trends.
Methods: The author reviewed the UMKC School of Dentistry Library outreach service database from 1988-1998 to determine the total number of contacts for all services, numbers of contacts for each service, overall number of items sent and the number of dental health professionals contacting the services.
Results: The author found that the COC received 55 percent of contacts for the years 1988-1998, while the DRS received 26 percent of the total contacts and the IRL service received 19 percent. The DRS had the highest usage by alumni (80 percent); Loansome Doc service accounted for 11 percent of the DRS contacts. Total number of items sent in response to all requests was 34,325, of which 22,647 (66 percent) were to alumni. Alumni usage of all outreach services was consistent, ranging from 54 to 63 percent of the total.
Conclusions: It appears that UMKC School of Dentistry alumni are active information-seekers. Several questions, however, remain, indicating that additional research should be done in the area of dental informatics.
Practice Implications: Information-seeking behaviors are an important part of the active clinical practice and may become more important as evidenced-based dentistry becomes more prevalent.

6.
Unique Identifier - 11411339
Medline Identifier - 21305164
Author - Schleyer T
Institution - Temple University School of Dentistry, Department of Dental Informatics, PA, USA.
Title - Dental informatics: a new career in dentistry.
Source - Penn Dental Journal 2000 Nov-Dec;67(6):31-2, 46-8
Local Messages - At: Dental (partial).

7.
Unique Identifier - 10941233
Medline Identifier - 20396828
Author - Lapp RE
Title - ADA Department on Dental Informatics.
Source - Journal of the American College of Dentists 2000 Summer;67(2):37-9
Local Messages - At: Dental (all years).

8.
Unique Identifier - 10870616
Medline Identifier - 20328702
Author - Masic I, Pandza H, Ridanovic Z
Institution - Centre for Medical Informatics of Medical Faculty, University of Sarajevo.
Title - Education of medical informatics in the medical curriculum on biomedical faculties in Sarajevo.
Source - Medicinski Arhiv 1999;53(3 Suppl 3):15-8
Local Messages - Journal is not held at USC. See Reference Librarian for help.
Abstract
In this paper author discussed about experiences of implementing curriculum of education of Medical informatics on biomedical faculties in Sarajevo. Theoretical and practical part of education process, according to new curriculum, during 6 years period of studying at Faculty of medicine in Sarajevo, is hold within the second semester and consists of 30 hours. At Faculty of Dental Medicine in Sarajevo, education is hold in the fourth semester, and consists of 45 hours. At Higher Medical School in Sarajevo, education is also hold in the fourth semester, and consists of 30 hours of theoretical and 30 hours of practical hours as well. Curriculum of Medical Informatics is identical at all these three institutions. Faculty of Dental Medicine education process points out dental informatics, and Higher Medical School devotes more time in education on nursing informatics.

9.
Unique Identifier - 10865364
Medline Identifier - 20323685
Author - Eisner J
Institution - University Buffalo School of Dental Medicine, New York, USA. john_eisner@sdm.buffalo.edu
Title - The future of dental informatics.
Source - European Journal of Dental Education 1999;3 Suppl 1:61-9
Local Messages - At: Dental (all years).

10.
Unique Identifier - 10765876
Medline Identifier - 20228693
Author - Johnson LA, Schleyer T
Institution - Department of Oral Pathology, Radiology and Medicine, University of Iowa, College of Dentistry, Iowa City 52242, USA. Lynn-Johnson@uiowa.edu
Title - Development of standards for the design of educational software. Standards Committee for Dental Informatics.
Source - Quintessence International 1999 Nov;30(11):763-8
Local Messages - At: Dental (all years).
Abstract
The ready availability of computers, combined with the advent of sophisticated software development tools, has resulted in a proliferation of dental instructional software. The quality of these products varies widely. Working Group 5 of the Standards Committee for Dental Informatics has published an initial set of guidelines to help course designers develop high-quality instructional materials. In the future, these guidelines will evolve into standards. This article summarizes the guidelines and considers future actions that may be taken once the standards are in place.

11.
Unique Identifier - 10599173
Medline Identifier - 20067230
Author - Schleyer TK
Institution - Department of Dental Informatics, Temple University School of Dentistry, Philadelphia, Pa. 19140-5096, USA.
Title - Digital dentistry in the computer age.
Source - Journal of the American Dental Association 1999 Dec;130(12):1713-20
Local Messages - At: Dental,GenHosp,CHLA.
Abstract
Background and Overview: Computers are becoming an integral part of the practice of dentistry. Smaller, smarter and more ergonomic computing devices will support an increasing proportion of dental practice activities. Technology will make practice management more efficient, mainly by reducing transactional overhead. Educational software and intelligent assistants will increasingly support the needs for decision making in clinical practice. Research will benefit from automated tools for data acquisition, management and analysis.
Conclusions: Dentistry must actively shape the application of technology. It can do this by developing a cadre of experts in dental informatics, relying on sound research principles, effectively disseminating best practices and developing strategic objectives for the implementation of technology.
Clinical Implications: Computer technology is an essential ingredient for state-of-the-art patient care. Dentists must stay current with this rapidly developing field to make appropriate choices in their use of technology.

12.
Unique Identifier - 10384486
Medline Identifier - 99312480
Author - Li ZR, Tian AJ, Yang YY
Institution - Institute of Medical Informatics, Hubei Medical University, China. rong@public.wh.hb.cn
Title - Preparing for the third millennium: the views of life informatics.
Source - Medinfo 1998;9 Pt 1:394-6
Local Messages - Journal is not held at USC. See Reference Librarian for help.
Abstract
The chief aspects of this paper are the condition of the birth of life informatics and its tasks, basic concepts, principles, and structure. There are three phases of combining informatics with medicine: product, technological, and theoretic application of which the goals are respectively the informatization of numerical and word processing, data of medical treatment, and the knowledge of medicine. While reached the third phase we have dealt with two types of biological information, physical and nonphysical, i.e., body information (i.e., the information about body's components and structure), and life information (i.e., the information about life codes and life programs). Life informatics is a main branch of bioinformatics. It is a new member of the medical informatics family, and as such is younger than health informatics, nursing informatics, and dental informatics. It's task is to assist biologists and medical doctors to recognize and interfere the human life information procedure just as they are doing well with human body's matter and energy system. Its basic concepts are life information, life information medicine, and life information therapy. Its most important principles are information materialism, general informatics, and information determinism. Its main branches are biomolecule, cellular, organic, individual, and social informatics. In the third millennium, the life informatics will be a leading discipline in biology, medicine and informatics, which will gradually influence modern philosophy and other humanities.

13.
Unique Identifier - 9698700
Medline Identifier - 98363856
Author - Schleyer T
Institution - Department of Dental Informatics, Temple University School of Dentistry, Philadelphia, PA 19140, USA.
Title - Assessing outcomes of an academic computing initiative.
Source - Journal of Dental Education 1998 Jun;62(6):432-40
Local Messages - At: Dental (all years).
Abstract
Academic computing initiatives rank high on the list of priorities of many dental schools. However, outcomes of academic computing initiatives have not been presented. The objectives of this program evaluation were to: 1) document a strategic initiative for academic computing over a five-year period; 2) assess outcomes; and 3) demonstrate how outcomes assessment changed strategic goals for the future. In 1992, Temple University School of Dentistry developed an academic computing plan. The plan proposed to develop the computer literacy of faculty, teach students the computer skills they need to be successful in their careers, and introduce computer-aided instruction as a new teaching tool. Before a new five-year plan was developed in 1997, the original plan's outcomes were summarily assessed. Assessment instruments included faculty and student surveys, budgets, inventory records, and utilization statistics. The school has reached two of three goals of the 1992 plan. Eighty percent of all full-time faculty have computers, are computer literate, and use computers for a variety of purposes. The school has implemented a comprehensive predoctoral dental informatics curriculum. However, the implementation of computer-aided instruction has not met expectations. Goals of the 1998-2003 plan include establishing an online learning infrastructure, improving student access, implementing computer-based oral health records, and further improving the computer literacy of faculty and students. Planning and supporting academic computing initiatives is a substantial challenge. Factors such as institutional culture, capital investment, ongoing support, and technological change influence plans and their success. While process and structure can be assessed relatively easily, measures for changed educational outcomes are still lacking.