- Temporomandibular Joint Disorders
- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Pediatric Pain Management Techniques
- Botulinum Toxin and Related Neurological Disorders
- Medical Education and Admissions
- Pain Mechanisms and Treatments
- Diversity and Career in Medicine
- Obstructive Sleep Apnea Research
- Eating Disorders and Behaviors
- Voice and Speech Disorders
- Dental Education, Practice, Research
- Dental Anxiety and Anesthesia Techniques
- Innovations in Medical Education
- Complementary and Alternative Medicine Studies
- Mindfulness and Compassion Interventions
- Oropharyngeal Anatomy and Pathologies
- Attachment and Relationship Dynamics
- Reflective Practices in Education
- Mental Health and Patient Involvement
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Occupational Therapy Practice and Research
- Myofascial pain diagnosis and treatment
- Healthcare professionals’ stress and burnout
- Dysphagia Assessment and Management
Newcastle University
2018-2024
Newcastle upon Tyne Hospitals NHS Foundation Trust
2019-2023
Newcastle Dental Hospital
2018-2023
University of Newcastle Australia
2018-2021
Unlike the psychosocial assessment established for adults in Diagnostic Criteria Temporomandibular Disorders (DC/TMD), a standardised children and adolescents with TMD complaints has not yet been established.To develop new instrument set to assess functioning by adapting status pain-related disability (Axis II) of adult DC/TMD including instruments.A modified Delphi method was used survey 23 international experts four psychological factors consensus regarding tools adolescents. The reviewed...
The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) use in adults is worldwide. Until now, no version of this instrument adolescents has been proposed.To present comprehensive and short-form adaptations the adult DC/TMD that are appropriate with clinical research settings.International experts TMDs pain psychology participated a Delphi process to identify ways adapting protocol physical psychosocial assessment adolescents.The proposed adaptation defines adolescence as ages 10-19...
It is widely known that the mind and body, although described medically almost as separate entities, are in fact highly interrelated. This not, however, always reflected within medical settings where physical interventions often favoured over more holistic management, even case of long-term symptoms and/or pain there a strong evidence to favour use latter. Mindfulness an established evidence-based intervention which can help people living with symptoms. Interventions based on Compassion...
Regular dental attendance is important in order to receive preventive care, maintain good oral health and identify disease at an early stage; however, many people do not visit their dentist regularly. Barriers regular have been studied small patient groups but the wider general population.To outline concerns about visiting suggestions how dentists could help using a population sample.A survey was constructed Qualtrics XM software circulated. Respondents completed questionnaires anxiety...
Abstract Background The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) are used worldwide in adults. Until now, no adaptation use children has been proposed. Objective aim of this study was to present comprehensive and short‐form adaptations Axis I II the DC/TMD adults that appropriate with clinical research settings. Methods Global Delphi studies experts TMDs pain psychology identified ways adapting children. Results proposed is suitable aged 6–9 years. Proposed changes...
Background Supported self-management is an important component of management for persistent pain according to current recommendations and guidelines. However, it unclear whether staff from differing disciplines who may be in early contact with people established or developing are confident introduce support this patient group. Aim To determine the confidence across professional self-management. Design Setting Cross-sectional online survey. Methods Charts were constructed represent...
Abstract Background Advice about a ‘soft diet’ may be useful in the short‐term alleviation of temporomandibular disorders (TMD) but contradict long‐term aims multi‐dimensional approaches if poor nutritional state is caused or exacerbated. The changes patients with TMD make to their diet, because condition its management, have not previously been explored. Objectives To explore relationship and trends between TMD, interventions diet using self‐report measures. Methods Registrants...
Introduction Supported self-management is an important aspect of managing pain, however widely held beliefs about the biomedical nature pain and limited time availability can make it a tricky concept to introduce patients. Social prescribers are in ideal position support if appropriate training available them. This study aimed evaluate for social explore their opinions experiences providing support. Methods was mixed methods study. Repeated measures t-tests were used compare reported...
While pain has traditionally been understood within a medical model that equates to tissue damage or disease, this understanding is not consistent with everyday observations of clinical examples persistent where there often very little correlation between experienced and physical findings. This article considers psychological multidimensional theories pain, which are described the historical context they were developed, including behavioural, cognitive, contextual functional theories....
Persistent orofacial pain (POFP) can be caused by a range of conditions affecting the mouth and face is often associated with significant disability. Biopsychosocial factors are known to important predictors have not yet been fully explored in this population.This study aimed explore whether illness perceptions psychological distress (anxiety depression) could predict long-term outcome community-based sample patients receiving routine care for POFP.A longitudinal cohort design assessed 198...
Temporomandibular disorder (TMD) is the most common cause of chronic pain in orofacial region. With prevalence general population reported at 10% to 15%, patients will regularly present dental practitioners (GDPs) with symptoms relating TMD. Despite its relative commonality, TMD continues pose both a diagnostic and management challenge for practitioner. This article aims guide clinicians regards clinical examination, diagnosis biopsychosocial within primary care.
Introduction Diversity is known to be important but diversity of dental school academics in the UK and Ireland low comparison with profession overall population. The aims were explore whether are satisfied their career progression, they believe that there barriers progression schools based on protected characteristics, experience discrimination at work.Methods An online survey, including four free-text questions related study aims, was circulated by Dental Schools Council all schools....
Objectives To elicit perspectives of people with persistent pain about their experiences working management professionals and services as patient advocates to consider implications for current models involving patients in service development research. Design reflexive thematic analysis from a critical realist perspective. Methods Online interviews were conducted individually 10 participants who had acted the field pain. Participants recruited through purposive snowball sampling. Data...
Persistent pain has been defined as lasting beyond the normal time of healing (up to six months), often in absence observable tissue pathology. it includes a range conditions which are likely present dental setting including temporomandibular disorders, burning mouth syndrome, persistent dentoalveolar pain, trigeminal nerve injury, neuralgia and atypical facial pain.<br/> This article reviews psychological interventions for pain. this that have researched settings, but not limited those...
Navigating the healthcare system with chronic pain, alongside navigating experience of pain itself, is recognised to be highly challenging. Frequently available interventions do not fully meet needs people pain. This study aimed explore perspectives who have been through these experiences and now support campaign for improved approaches management. Semi-structured interviews 10 participants independently others some form advocacy or were conducted online. Data digitally recorded,...
Abstract Background Despite advances in Temporomandibular disorders’ (TMDs) diagnosis, the diagnostic process continues to be problematic non-specialist settings. Objective To complete a Delphi shorten Diagnostic Criteria for TMD (DC/TMD) brief DC/TMD (bDC/TMD) diagnoses with most utility general dentistry Methods A international panel was created 23 clinicians representing major specialities, dentistry, and related fields. The comprised full day workshop, four virtual meetings, six rounds...
Abstract Background Despite advances in temporomandibular disorders' (TMDs) diagnosis, the diagnostic process continues to be problematic non‐specialist settings. Objective To complete a Delphi shorten Diagnostic Criteria for TMD (DC/TMD) brief DC/TMD (bDC/TMD) expedient clinical diagnosis and initial management. Methods An international panel was created with 23 clinicians representing major specialities, general dentistry related fields. The comprised full day workshop, seven virtual...
Abstract Persistent orofacial pain (OFP) presents as a range of conditions complex aetiology which include interacting biological, psychological and social aspects. Biopsychosocial factors have an impact on the development, maintenance severity disorders well their treatment. Since OFP is unlikely to be cured, given current knowledge, patients need play active role in using strategies reduce or it has life. This known self‐management provides firm foundation for tailored medical management...
Dental professionals often expect, and are used to treating, pain that has a clear, organic likely pathological cause. Patients visiting the dentist also share this expectation. However, in addition potential contributions experience of pain, nociceptive system (pain signalling system) plays an important role. Alongside contributions, it is consider persistent different acute requires explanations management. need be equipped understand explain incorporate understanding into their ongoing...
Persistent, painful temporomandibular disorders (TMDs) are challenging to manage and usually require the active engagement of patients. To achieve this, it is necessary understand complex multifactorial nature persistent pain. Many dental professionals have little education about pain may prefer offer structural management advice. This research aims explore how people their TMD this understanding has been influenced by treatment providers.