The neurofibromatoses [NF 1, NF 2 and schwannomatosis] are a group of genetic disorders that lead to the development of nervous system tumours and have diverse dermatologic, neurologic, ophthalmic, skeletal and vascular effects. The most common is NF 1 (Neurofibromatosis 1) also known as von Recklinghausen's disease, which is one of the most common human genetic diseases. Oral manifestations of NF 1 are reported in 72% of cases and in one of our cases precipitated attendance at a general dental practitioner (GDP), subsequent diagnosis and genetic screening for family members. This disease may go undiagnosed due to its variable expressivity of symptoms. The pivotal importance of a GDP in the discovery and early referral to an oral or oral and maxillofacial surgeon for further investigation and diagnosis of this condition is highlighted. Knowledge of the most common features of neurofibromatosis can facilitate the speedy referral and subsequent diagnosis of generalized neurofibromatosis, local surgical management of benign neoplasms and long term management of its other clinical features. Dentists should be aware of the classic symptoms of this condition and of their role in long-term care in view of the risk of local recurrence and malignant transformation.
##Statement of the problem: Dental professionals have embraced the internet as a means to enhance patient care and optimise access to dental services. However, dental information present on the internet is unregulated and varies in quality, accuracy and readability. ##Purpose of the study: This paper aims to assess the quality of the information online relating to third molars. Materials and methods: Two key terms (wisdom tooth pain and wisdom tooth extraction) were entered into Google, Yahoo and Bing search engines. Websites were assessed using the DISCERN and the HoNCode instruments. ##Results: A total of 60 websites were assessed. 2 websites were excluded in accordance with the exclusion criteria and 15 duplicate websites were excluded, leaving 43 unique sites. In the websites addressing “wisdom tooth pain” the average HoNCode score awarded was 40% (range 13-72%) while the average DISCERN score awarded was 43(range 24-70). In the websites addressing “wisdom tooth extraction” the average HoNCode score awarded was 35%(range 15-75%) while the average DISCERN score awarded was 35(range 25-69). ##Conclusions: The overall quality of the websites assessed is fair. This result shows that the reasonable patient may be misinformed by Internet sources on material risks. Clinicians should be aware of tools such as DISCERN and HoNCode and utilise them in the development of online content for their own practice.
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