Issue: Volume 44 Number 10 - November 2017

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P917  Editorial:  The Risk Issue by T Burke

It seems like every time we get out of bed there is a risk issue. Recently, I saw a female patient who was walking her dog along a road, minding her own business, when a lorry carrying a length of pipe came around the corner of the road: the pipe had been propped up on the top of the cab of the...  Read more

P918  Guest Editorial:  Near Misses by T Renton

Patient safety isn’t just about checklists, it is about making clinical teams aware and interested in patient care improvement, thus changing the culture in healthcare, placing patient safety at the very centre of our daily work.  Read more

Articles

P919  Aviation:  Lessons for Dentistry from the Flightdeck? by S Hawkins

I first met Professor Trevor Burke in our local French restaurant, when we happened to be dining at adjacent tables. The conversation took off that evening, prompted, as I recall, by a natural interest in what each of us do for a living; pilot and dentist. There have been many equally lively and...  Read more

P922  Implantology/MentalHealth:  The Importance of Recording Mental Health History – A Case Report by I James Mills, S Barker, T Renton

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Until recently, dentists were not trained in psychology and access to education in psychiatry and mental health remained limited within the dental curriculum. A major obstacle for integrating mental health initiatives into primary healthcare services is the lack of consensus on a definition of...  Read more

P937  Occupational Health:  Dental Burnout – Is Social Media a Help or Hindrance? by C Bain, L Jerome

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In the past 30 years Burnout has been recognized as a condition separate from, but related to, both Stress and Depression. More recently, Social Media has become the dominant medium of communication and, within dentistry, is used for education, advertising, self-promotion and group discussion....  Read more

P947  Patient Safety:  Patient Safety in Dentistry by T Renton, S Master, M Pemberton

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Patient safety is the absence of preventable harm to a patient during the process of healthcare and is critical to the provision of a quality service. Many National Health Service (NHS) improvement initiatives have been developed in relation to patient safety, resulting in changes in culture,...  Read more

P957  Oral surgery:  Risk Assessment of M3Ms and Decisions on Ordering a CBCT and Prescribing a Coronectomy by T Renton

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Coronectomy is a procedure that is evidence based in order to prevent inferior alveolar nerve injury (IANI) related to surgery for high risk mandibular third molars (M3Ms). The justification for undertaking coronectomy rather than third molar removal is based upon risk assessment of the M3M, for...  Read more

P979  General Dental practice:  Errors and Adverse Events in Dentistry – A Review by S Wright, G Crofts, C Ucer, D Speechley

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As dental professionals we must change the way we think about error. By adopting a more positive, constructive approach, centred around analysing why errors happen, we can then accept our vulnerability and design systems and protocols to prevent errors from occurring. Errors are inextricably...  Read more

P984  Oral and Maxillofacial Surgery:  A Case of Poorly-Differentiated Squamous Cell Carcinoma following Dental Extractions by A Kalra, C Huppa

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Gingival squamous cell carcinomas (SCC) are relatively rare and make up approximately 10% of oral squamous cell carcinomas.1 The initial signs and symptoms of a gingival SCC can resemble common dental and periodontal infections and hence it is usually diagnosed late with a relatively poor...  Read more

P986  General Dental practice:  Aspiration of Dental Impression Material – A Case Report by G Bateman, S Saha

Aspiration of dental impression material is a rare but potentially serious complication of routine care. Prior to this case report the authors found three other reports of impression material aspiration. The following report describes the presentation, management and sequelae of a case.  Read more

P988  Oral surgery:  Migration of Bone Graft Material into the Maxillary Sinus: A Case Report by C Evangelou, G Peck, N Somaia, W Halfpenny

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A 48-year-old patient presented at the Oral and Maxillofacial Surgery department complaining of symptoms of chronic sinusitis and gave a history of a recent sinus lift procedure in primary care. The patient was examined and investigated via a CBCT which showed extruded bone graft material in the...  Read more

P993  Endodontics:  Surgical Endodontics to Manage a Separated Instrument: A Case Report by T Yusuf Noorani, N Rozainah Nik Abdul Ghani, J Ahmed Asif, I Abdul Rahim

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Various iatrogenic mishaps can impede adequate biomechanical preparation of the root canal system. Instrument separation can be treated by orthograde retreatment, with or without instrument removal, endodontic surgery or extraction. The aim of this case report is to describe a minor surgical...  Read more

P998  Restorative dentistry:  What’s Left in the Cleft? A Rare Complication Following Displacement of Dental Impression Material into a Palatal Cleft by S Datta, A Agarwal, A Alani, D Akintola

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Discoveries of foreign bodies lodged in the nose, palate and maxillary sinuses have been well documented. A rare, iatrogenic cause is displacement of dental impression material which, if left undetected at these sites, may lead to acute respiratory obstruction or chronic problems, such as nasal...  Read more

P1003  Medical Emergency:  ABCDE Assessment and the Out-of-Hospital Cardiac Arrest by A Steele, M Greenwood, H Desai

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Whilst life-threatening emergencies are a rare occurrence in dental practice, a sound knowledge of the assessment of the critically unwell patient is vital for a positive patient outcome in a medical emergency. Automated External Defibrillators (AEDs) are now routine equipment in the...  Read more

P1010  Letters to the Editor:  Letters to the Editor by F Mehrabi, T Renton, L Ann Elias

I am a Dental Foundation trainee and not long ago attended one of Tara Renton’s lectures regarding orofacial pain management. I recently experienced a case in practice in which the lecture heavily influenced my decision.  Read more

P1012  Technique Tips:  Planning for Failure by P Sands

Whilst we all like to think our restorative treatment will last indefinitely, the fact of the matter is that everything will fail, given time. The forward thinking practitioner would be wise to take this into consideration when treatment planning.   Read more

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