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Issue: Volume 43 Number 7 - September 2016

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P605  Editorial:  The commoditization of choice by FJT Burke

As a presenter at hands-on composite meetings, I take the opportunity to ask my audience about the materials that they use. On many occasions in the recent past, when I asked this question, I was astonished to hear that a sizeable proportion did not have any choice regarding the materials that they...  Read more

P606  Guest Editorial:  The ‘Uberization of orthodontics’ – or how low can you go? by M Kelleher

The race to the bottom for the quickest, allegedly ‘great’ or bargain deal in orthodontics has reached a place that few would have thought possible even five years ago. The gradual ‘uberization’ of dentistry in general, but of orthodontics in particular, has produced a raft of new and largely...  Read more

Articles

P608  Restorative dentistry:  Resin-Bonded Bridges – the Problem or the Solution? Part 2: Practical Techniques by J Singh Gulati, S Tabiat-Pour, S Watkins, A Banerjee

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This is the second part of this two-part series. The first paper discussed key aspects of case selection, planning and design of resin-bonded bridges (RBBs). This paper outlines the important clinical stages involved in the successful provision of RBBs, including communication with the dental...  Read more

P618  Oral surgery:  The Management of the Dilacerated Impacted Maxillary Central Incisor by N Prado, O Malik, D Waring

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The clinical problem of how best to manage a dilacerated, impacted maxillary central incisor will only be encountered rarely. The treatment aim should be to achieve results that are indistinguishable from normal appearance in a way that is appropriate for the patient. This article discusses the...  Read more

P631  Preventive Dentistry:  Mouthwashes: Do They Work and Should We Use Them? Part 2: Anticaries, Antihalitosis and Dry Mouth Relief Efficacy of Mouthwashes by P Hodge

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This article will review the anticaries, antihalitosis and dry mouth relief efficacy of mouthwashes. Fluoride mouthwashes may provide an additional benefit to toothpaste and gel in children with a high risk of dental caries, but toothpaste alone may be a more acceptable mode of delivery. There may...  Read more

P641  Oral medicine:  Amyloidosis Presenting as Macroglossia and Restricted Tongue Movement by BES Dawoud, J Taylor, S Ariyaratnam, MN Pemberton

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Amyloidosis (AL) is a well recognized cause of macroglossia. A case of localized deposition of systemic amyloidosis secondary to multiple myeloma is reported in a 63-year-old female presenting with restricted tongue movement in the dental setting. Amyloidosis secondary to multiple myeloma is well...  Read more

P648  Orthodontics:  A Case Series: The Orthodontic Management of Central Incisors with Horizontal Root Fractures by LC Kneafsey, SJ Hodges

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This case series illustrates the successful orthodontic management of previously root-fractured central incisors. Orthodontic treatment was carried out to correct the underlying malocclusion, remove traumatic occlusal forces and to provide a suitable occlusion for future restorative treatment...  Read more

P660  Prosthodontics:  Managing the Unstable Mandibular Complete Denture – Tooth Placement and the Polished Surface by P Clarke, J Leven, CC Youngson

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Constructing satisfactory conventional mandibular complete dentures is often challenging in comparison to the upper counterpart partially due to differences in the anatomy of the denture-bearing area. This problem is exaggerated in the atrophic mandible, where supporting structures are frequently...  Read more

P672  Oral medicine:  Mouth Cancer for Clinicians Part 13: Life After Mouth Cancer Treatment 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

P688  Patient Safety/Service Quality:  Human Factors and Ergonomics for the Dental Profession by A Ross

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This paper proposes that the science of Human Factors and Ergonomics (HFE) is suitable for wide application in dental education, training and practice to improve safety, quality and efficiency. Three areas of interest are highlighted. First it is proposed that individual and team Non-Technical...  Read more

P696  Clinical Challenges Q&A:  Clinical Challenges Q&A 23. Lip Swelling by D Malamos, C Scully

A 27-year- old male presented with an asymptomatic slowly increasing swelling of both lips over two months (Figure 1). The swelling was diffuse, non-tender and more intense in his lower lip and associated with a few small ulcers intra-orally. Extra-orally, there was no detectable peri-oral...  Read more

P697  Technique Tips:  Technique Tips – Removing a fractured root tip with a Hedstrom endodontic file by R Lilleker

A common complication of exodontia is the fracture of a root tip (Figure 1). Often the root fragment is visible but withdrawing it can be troublesome. It is usually out of reach of conventional surgical instruments, such as luxators and forceps, and longer instruments such as probes cannot grip the...  Read more

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