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Diagnosis of oral blistering diseases is often delayed. Diagnostic delay is more common in patients presenting with desquamative gingivitis and those with less severe disease. Improving patients and healthcare professionals' awareness about oral blistering diseases might help reduce diagnostic delay.

Objectives: The aim of this report is to describe the orofacial manifestations and dental management of a girl with Sanjad-Sakati syndrome. Clinical Presentation and Intervention: The facial features included microcephaly, thin lips, beaked nose, low set ears, and a retrognathic mandible. An oral examination revealed oligodontia/hypodontia, small dental arches, a high arched palate, and a deep overbite and increased overjet. Oral rehabilitation involved full coverage prosthetic crowns on the upper central incisors, stainless steel crowns on the lower molars, and removable partial prostheses to replace missing teeth. Conclusion: Recognition of orofacial features might help in the diagnosis of Sanjad-Sakati syndrome. Dental management of affected patients might be complicated by intellectual, neurological, and endocrine abnormalities.

ObjectivesTo explore the experiences of patients with temporomandibular disorders (TMDs) with the National Health Service and to discover their healthcare priorities when seeking treatment.MethodsSemi‐structured interviews were used. They were directed using a topic guide covering subjects such as initial visits in primary care, referrals to secondary care, and the effect on symptoms. The discussions were audiotaped and transcribed verbatim. Thematic analysis was utilised to analyse the data.ResultsIn total, 15 participants took part in three focus groups. Six themes were identified: “access to appropriate care”, “organised and coordinated care”, “receiving a diagnosis and enough information”, “interaction with the clinical staff”, “treatment strategies and having an ‘action plan’” and “support and social networks”.ConclusionsThe participants gave accounts of the difficulties encountered in healthcare in general terms and specific to TMD. Most notable was the struggle to access appropriate care, receive a diagnosis and be understood. Our findings suggest that delays in delivering appointments with people of expertise may have caused the worsening of symptoms. However, when a pleasant experience was encountered, access to care was fast, the clinician was understanding and communication with the clinical team was good. These provided positive experiences and were appreciated by the patients.

Temporomandibular disorder (TMD) refers to a group of conditions that affect the temporomandibular joint and surrounding muscles. 1 Patients often report symptoms of pain in the jaw area and surrounding musculature, clicking sounds, alterations to the joint activities such as: deviation in the arc of movement, limitation to mouth opening, headache and earache. 2,3 TMD represents the most common cause of chronic pain in the orofacial region, 4 and is only behind headache and backache as reason for chronic pain in general. 5 Accepting the nature of chronic pain can be difficult for patients, therefore creating challenges to their daily lives. 6 Simple physical activities could become burdensome, and social interactions with family and friends may become more difficult. Chronic pain is also linked with depression, which may go unrecognised and therefore untreated in such patients. 7,8 It is likely that the relationship is bidirectional, with chronic pain thought to contribute and also result in poor mental health. 9 Similarly with anxiety and fear of pain, which are both linked to increased likelihood of chronic pain and poorer recovery should it develop. 10 It is therefore important for clinicians to be aware of the influence of chronic pain on patients and address the modifiable risk factors such as lifestyle and behaviour to reduce the impact it has on their lives. 11 The aim of this review was to synthesise the available qualitative evidence about the experience of living with TMD and the effects it has on daily life. Qualitative evidence

Little is known on career factors and expectations for female oral and maxillofacial surgeons (OMFS) in developing countries. The study aimed to explore career perceptions of females in 2 related surgical specialties: oral and maxillofacial surgery and otolaryngology (ENT) with a focus on career obstacles and success factors. A structured questionnaire was distributed to female surgeons working in Jordan in the 2 surgical specialties. Questions addressed socio-professional characteristics and career-promoting and hindering factors. All surgeons registered in both specialties were invited. A total of 56 surgeons participated in the survey. Age range was 29 to 55 years (mean ¼ 38.55 AE 5.799). Significantly more OMFS surgeons were single (P ¼ 0.000) younger (P ¼ 0.003), and had fewer years of experience (P ¼ 0.01) than ENT surgeons. Significantly more ENT surgeons perceived the ''hard working'' attribute and ''better communication skills'' as career-promoting factors (P ¼ 0.04, P ¼ 0.015, respectively). Further, significantly more ENT surgeons believed that females in the surgical profession help in changing the traditional surgical stereotype linked with the male gender (93.8% ENT in contrast to 75% OMFS, P ¼ 0.047), and expressed a preference for female mentors (48% ENT in contrast to 0% OMFS, P ¼ 0.000). The results of this study indicate that female OMFS surgeons have different socio-professional characteristics and perceptions to their peers in ENT surgery, and this mainly manifested in professional experience, marital status, and important career perceptions. They seem to lack confidence in female participation and promotion of the surgical career, and they show preference for having exclusively male mentors.

IntroductionThe importance of the patients' clinical experience has been reinforced several times over the last decade by healthcare organisations and policy makers. Routine gathering of experience data can help in enhancing patient‐centred care and provide guidance to quality improvement schemes. Patient‐reported experience measures can help to that end. The aim of this study was to develop a patient‐reported experience measure to evaluate the experience of patients with temporomandibular disorders while receiving healthcare.MethodsInput from several sources was utilised to develop the tool; previous literature, patients with temporomandibular disorders, and experts in the field. A qualitative study was conducted following the COnsensus‐based Standards for the selection of health Measurement Instruments guidance to generate the items of the questionnaire, which subsequently underwent cognitive testing.ResultsSeventeen patients took part in the qualitative study, in addition to six healthcare professionals. The preliminary questionnaire consisted of 28 questions with six response options.ConclusionsThis patient‐reported experience measure is a brief tool to evaluate the clinical experience of patients with temporomandibular disorders. Patients' involvement ensured face and content validity of the questionnaire, in addition to the relevance, comprehensibility and comprehensiveness of the items.