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Issue: Volume 44 Number 3 - March 2017

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P173  Guest Editorial:  Fake CPD by T Burke

The term Fake news is a new one to most of us, having come to our attention during the recent US Presidential election.  Read more

Articles

P174  Restorative dentistry:  Type-1 Dentine Dysplasia – Diagnostic and Clinical Challenges in Restorative Management by L Rasaratnam, S Djemal

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Type-1 dentine dysplasia is a rare hereditary condition, associated with an abnormality in dentine formation. Deceptively, teeth have the clinical appearance of normality, however, radiographically, a different picture is seen; with multiple periapical radiolucencies associated with non-carious,...  Read more

P182  Oral Surgery/Radiology:  The Value of Cone Beam Computed Tomography in the Management of Dentigerous Cysts – A Review and Case Report by JR Allison, G Garlington

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Cone Beam Computed Tomography (CBCT) has recently seen an expansion in use, however there are few robust, evidence-based guidelines to inform practitioners. This article reports the case of a large dentigerous cyst in the maxilla affecting the eruption of multiple teeth, considers the use of CBCT...  Read more

P190  Orthodontics:  A Predictable Alternative to a Smile in Six Months? by E Kalantzis, DT Waring, OH Malik

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The aim of this article is to explore the use of Incognito™ Lite as an alternative to competitors advertising a ‘Smile in Six Months’ or rather short-term orthodontics for improving dental appearance through tooth movement. The focus is on the varied clinical use of this appliance system and its...  Read more

P201  Sedation and Special Care Dentistry:  Periodontal Treatment in Patients with Learning Disabilities Part 2: Professional Mechanical Intervention by S Kaka, C Dickinson

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The first part of this two part series discussed the potential barriers and risk factors that may lead to an increased incidence and severity of periodontal disease amongst patients with learning disabilities. Additionally, preventive strategies and tools that can be used by general dental...  Read more

P209  Restorative dentistry:  Head and Neck Cancer Patients – Information for the General Dental Practitioner by J Noone, C Barclay

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Salivary gland damage is the most common adverse effect associated with radiation therapy to the head and neck. A combination of hyposalivation and dietary changes, with a reduced emphasis on oral hygiene practices can contribute to a massive increase in a person’s caries risk status. This can be...  Read more

P217  Oral surgery:  Surgical Emphysema: A Rare Complication of a Simple Surgical Dental Extraction Without the Use of an Air-Driven Rotor by K Gowans, M Patel, K Lewis

Surgical emphysema is a rare complication of dental extractions, often associated with the use of high-speed air rotors. This report describes a case of extensive surgical emphysema following a simple surgical extraction of a LL6 under local anaesthetic. There was no use of air-driven handpieces...  Read more

P221  Oral surgery:  Treatment Planning for Mandibular Third Molars by J Barraclough, A Power, A Pattni

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NICE guidance for mandibular third molars has been available since 2000. This was set up to limit the surgical treatment of these teeth to symptomatic patients. There are numerous risks involved with surgical treatment of mandibular third molars and these should be explained in detail to the...  Read more

P230  Restorative dentistry:  The Use of All-Ceramic Resin-Bonded Bridges in the Anterior Aesthetic Zone by R Shah, DP Laverty

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For several years, all-ceramic resin-bonded bridges (RBBs) have been considered an aesthetic treatment option for the replacement of missing teeth in the anterior region. With continued developments in technology, various different ceramic materials have been used to fabricate all-ceramic RBBs...  Read more

P241  Paediatric dentistry:  Facial Palsy Masquerading as an Acute Dental Abscess by A Razzak, F O’Leary, N Ahmed

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Facial nerve palsy has specific symptomology, but varied aetiology. Prompt and thorough assessment is required to ascertain if upper or lower motor neurone damage has occurred. This report discusses a 6-year-old female, presenting in the Emergency Department with unilateral facial weakness....  Read more

P246  Immunology:  The Immune System: Basis of so much Health and Disease: 2. Innate Immunity by C Scully, EA Georgakopoulou, Y Hassona

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The immune system is the body’s primary defence mechanism against infections, and disturbances in the system can cause disease if the system fails in defence functions (in immunocompromised people), or if the activity is detrimental to the host (as in auto-immune and auto-inflammatory states). A...  Read more

P254  General Dental practice:  Inaccurate Dental Charting in an Audit of 1128 General Dental Practice Records by NL Brown, VEL Jephcote, JN Morrison, JE Sutton

Fourteen dentists at different practices in the UK assessed the dental charts of 1128 patients who were new to the dentist but not new to the practice; 44% of the dental charts were found to be inaccurate. Inaccuracy of the individual practice-based charts ranged between 16% for the best performing...  Read more

P261  Letters to the Editor:  Letters to the Editor by H Irshad, A Geddis-Regan, T Yusuf Noorani, E Jane Hooper, P Sands

During dental school, we are taught to take a thorough history, assess appropriately, carry out special investigations before considering differential diagnoses and formulating a treatment plan.   Read more

P264  Clinical Challenges Q&A:  Clinical Challenges Q&A 29. Black eye by D Malamos, C Scully

A 65-year-old woman presented for dental care with an obvious brown-black discoloration of her peri-ocular skin on one side, first noticed on awakening 5 days earlier.  Read more

P265  Technique Tips:  Technique Tips – Use of Interdental Brushes in the Endodontic Treatment of Teeth with Wider Canals by E Ray-Chaudhuri, A Ray-Chaudhuri, J Parry

Younger patients may require endodontic treatment for a variety of reasons including the consequences of caries, trauma and dental anomalies.  Read more

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