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Issue: Volume 42 Number 5 - June 2015

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P405  Editorial:  Absent by FJT Burke

I am writing this Comment shortly after the UK General Election, the results of which flew in the face of all the pre-election polls. There were a lot of losers and winners but, as I watched the television coverage of a well-known politician who had lost his seat, I began to wonder if this happened...  Read more

P406  Guest Editorial:  Regulators and regulations: who will guard the guards? (or ‘Quis custodiet ipsos custodes’ as old Juvenal used to say) by M Kelleher

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Overbearing regulators with their various labyrinthine regulations have had adverse impacts on dentists and their teams' behaviours. This has produced the perverse outcomes of demoralizing dental teams as well as reducing their capacity and/or desire to deliver compassionate oral healthcare. These...  Read more

Articles

P413  Restorative dentistry:  Minimally Invasive Long-Term Management of Direct Restorations: the '5 Rs' by D Green, L Mackenzie, A Banerjee

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The assessment and operative long-term management of direct restorations is a complex and controversial subject in conservative dentistry. Employing a minimally invasive (MI) approach helps preserve natural tooth structure and maintain endodontic health for as long as possible during the...  Read more

P428  Restorative dentistry:  Rehabilitation of Oncology Patients with Hard Palate Defects Part 2: Principles of Obturator Design by R Ali, A Altaie, B Nattress

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The first part of this series on the conventional rehabilitation of oncology patients with hard palate defects discussed the dental challenges posed by oncology patients and the surgical/restorative planning interface for conventional dental rehabilitation. This article will describe Aramany’s...  Read more

P436  Oral surgery:  Denosumab, an Alternative to Bisphosphonates but also Associated with Osteonecrosis of the Jaw – What is the Risk? by H Kaur Sidhu

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Most dental professionals will have, or will soon, encounter patients prescribed this novel alternative antiresorptive drug to bisphosphonates, denosumab (Prolia®, Xgeva®). Denosumab is licensed in the UK for the prevention of osteoporotic fractures in postmenopausal women and the prevention of...  Read more

P442  Oral surgery:  Pain Part 3: Acute Orofacial Pain by N Khawaja, T Renton

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Acute trigeminal pain is a common presentation in the dental surgery, with a reported 22% of the US adult population experiencing orofacial pain more than once during a 6-month period.1 This article discusses the mechanisms underlying the pain experience, diagnosis and subsequent management of...  Read more

P464  Special Care Dentistry:  Dementia and Dentistry by JA Edwards, L Ford, C Boyle

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Dementia is increasing in prevalence: by 2025 it is estimated that there will be over a million people in the UK with this diagnosis. The condition is likely to affect us all as healthcare providers, whether in our patients, our relatives or ourselves. This article gives an overview of dementia:...  Read more

P473  Oral and Maxillofacial Surgery:  An Unusual Extranodal Presentation of Mycobacterium Tuberculosis in the Upper Lip by RB Taute, J Wylie, L Carter

Tuberculosis (TB) is a leading cause of morbidity and mortality worldwide, with a peak incidence in South-East Asia and Sub-Saharan Africa. A significant number of patients in the UK are affected. Extra-pulmonary TB presentation varies, and includes head and neck manifestations that can present on...  Read more

P476  Oral medicine:  Mouth Cancer for Clinicians Part 3: Risk Factors (Traditional: Tobacco) by N Kalavrezos, P Crispian 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

P485  Orthodontics:  Infraoccluded Upper Deciduous Second Molars Leading to Caries in the Permanent Dentition by C Rooney, I Suida, R James Spencer

Infraocclusion of primary teeth is a problem that can be recognized early by the general dental practitioner. Allowing affected teeth to deteriorate beyond a point where active intervention would be recommended can make treatment of the condition more complex or may lead to unexpected sequelae. The...  Read more

P488  Periodontics:  Decision-Making for Residual Periodontal Pockets after Aetiological Treatment by A Bouziane, L Benrachadi, O Ennibi

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The practitioner may have difficulties making decisions regarding the most appropriate therapeutic approach in the case of the persistence of periodontal pockets after initial periodontal treatment. Several options may be considered: aetiologic retreatment, maintenance, surgery of the pocket or...  Read more

P493  Letters to the Editor:  Letters to the Editor by E Christine Vigen, LA Skoglund, A Din, C Ibrahim, C Scully, C Peace

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In a recently published, well-written review paper by Kakroudi et al the clinical safety of articaine (hydrochloride) pertaining to the claims that it is particularly neurotoxic (ie causing paraesthesia or, more correctly, hypoaesthesia) has been briefly discussed.1  Read more

P495  Clinical Challenges Q&A:  Clinical Challenges Q&A 11. Ulcers by C Scully, D Dimitrios Malamos

A 42-year-old secretary, currently not employed, complained of recurrent oral ulceration. She suffered from ulcers occasionally as a child and teenager, ameliorated whilst she smoked from age 18–37, but which became much worse when she stopped at that age.  Read more

P497  Technique Tips:  Technique Tips – The Cost of One Bond Failure? by FJT Burke

Resin-based bonding to dentine has improved substantially in the past two decades, and the new group of Universal (multi-mode) bonding agents, with Scotchbond Universal (3M ESPE, Seefeld, Germany) and Clearfil Universal (Kuraray) appearing to hold promise although, as with any new material, we all...  Read more

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