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Issue: Volume 42 Number 4 - May 2015

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P305  Guest Editorial:  Dental caries in children and the level of repeat general anaesthetics for dental extractions. A national disgrace by C Deery

Approximately 46,500 children and young people under 19 years of age were admitted to hospital for general anaesthesia (GA) with a diagnosis of dental caries in England in 2013–14.1 In Scotland and Wales, the corresponding figures are 11,455 and 8,904, respectively.2,3   Read more

Articles

P308  Dental Practice:  Essentials of Medical History-Taking in Dental Patients by M Greenwood

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The starting point in the assessment and management of any patient is dependent on good history-taking. The main parts of the history-taking process well known to practitioners are the presenting complaint, the history of the presenting complaint and the current and past medical history. This paper...  Read more

P316  Patient-Centred Care:  The Francis Report – Implications for the Regulator by E Gilvarry

The professional regulators were identified in the Francis Report as having a central role in maintaining fundamental standards of care. This paper describes the key themes in the Report and the importance of regulatory powers to ensure that the serious failings in patient care highlighted by the...  Read more

P318  Patient-Centred Care:  The Francis Report – Implications for Oral Care of the Elderly by N Beacher, MP Sweeney

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Oral health is an essential, yet often neglected, aspect of care in the elderly population. A mouth free of pain and disease which is functional, comfortable and aesthetic improves quality of life. Following the shocking reports of patient neglect and abuse published in the Francis Report, the...  Read more

P324  Patient-Centred Care:  The Francis Report – Dento-Legal Implications by M Foster

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This article explores the potential implications of the Francis Report for members of the dental team from a dento-legal perspective. It looks at the broad recommendations in light of the existing ethical environment in which dental registrants work and asks what is new and what the recommendations...  Read more

P326  Restorative dentistry:  Rehabilitation of Oncology Patients with Hard Palate Defects Part 1: The Surgical Planning Phase by R Ali, A Altaie, B Nattress

This article is the first in a series of three papers that will discuss the conventional non-implant retained prosthodontic rehabilitation of oncology patients with surgically acquired hard palate defects. In this first paper, the dental challenges posed by the oncology patients will briefly be...  Read more

P336  Oral surgery:  Pain Paper 2b: Classification of Orofacial Pain and an Update on Assessment and Diagnosis by O Egbuniwe, T Renton

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The classification of chronic orofacial pain remains a contentious area. However, more recently, with the clarification of pain mechanisms and improved understanding of the underlying neurophysiology and modulation factors, there is more clarity of the possible division of pain conditions....  Read more

P346  Periodontics:  Assessment and Management of Halitosis by VP Singh, N Malhotra, A Apratim, M Verma

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Halitosis is an unpleasant condition that may be the origin of concern not only for a possible health condition but also for frequent psychological alterations which may lead to social and personal isolation. The most frequent sources of halitosis that exist in the oral cavity include bacterial...  Read more

P354  Oral medicine:  Mouth Cancer for Clinicians Part 2: Epidemiology by N Kalavrezos, C Scully

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A MEDLINE search early in 2015 revealed more than 250,000 papers on head and neck cancer; over 100,000 on oral cancer; and over 60,000 on mouth cancer. Not all publications contain robust evidence. We endeavour to encapsulate the most important of the latest information and advances now employed in...  Read more

P360  Restorative dentistry:  Fibre-Reinforced Composite (FRC) Bridge – A Minimally Destructive Approach by JJJ Van Rensburg

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Replacing missing teeth is an integral part of the clinical services of the dental practitioner. The fibre-reinforced composite (FRC) bridge is a relatively new method for replacing missing teeth. This article will explain and discuss this alternative treatment option. Practical instructions on how...  Read more

P369  Oral surgery:  Osteochondroma of the Mandibular Condyle: an Unusual Case of Dentofacial Asymmetry by A Power, L Carter

An osteochondroma of the mandibular condyle is a rare tumour of the maxillofacial region that could first present to the general dental practitioner. This case report describes an osteochondroma of the posterio-medial mandibular condyle presenting with marked facial asymmetry and trismus over a...  Read more

P373  Paediatric Dentistry/Behavioural Management:  A Clinical Guide to Needle Desensitization for the Paediatric Patient by GD Taylor, C Campbell

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Needle phobia is a common problem encountered by dental practitioners and it can pose a challenge, especially in the paediatric patient. Needle desensitization can be used for patients who have needle fear or phobia and help them overcome this by repeated, non-threatening and controlled contacts....  Read more

P385  Periodontics:  Maintenance Periodontal Therapy after Systemic Antibiotic and Regenerative Therapy of Generalized Aggressive Periodontitis. A Case Report with 10-year Follow-up by S Siqueira Junior, F Vieira Ribeiro, K Teixeira Villalpando, F Ribeiro Cirano, S Peres Pimentel

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Aggressive periodontitis (AgP) is an inflammatory disease characterized by rapid attachment loss and bone destruction. This case report presents the 10-year results in a subject with generalized AgP treated by a regenerative periodontal therapeutic approach and the adjunctive use of antibiotics,...  Read more

P395  Clinical Challenges Q&A:  Clinical Challenges Q&A 10. Dental Appearance by P Crispian Scully, D Dimitrios Malamos

This 29-year-old male manager requested cosmetic dentistry because of his appearance. His medical history was clear and he had not had orthodontic treatment.   Read more

P396  Technique Tips:  The Removal of a Primary Tooth Anterior Abutment Root to Salvage a Fixed Prosthesis by ARV Pai, G Pallippurath, MS Thomas, RP Mohan

Removal of one or more affected roots in a multi-rooted molar can play a role in prosthetic treatment.  Read more

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