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Issue: Volume 43 Number 10 - December 2016

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P905  Editorial:  Whither UK dentistry after Brexit? by FJT Burke

I am fortunate enough to be writing this Comment while having a few days in Provence where, as compared with the UK, the summer seems to be extended by 6 weeks. However, the downside is that things here are costing me a lot more than a year ago, as I noticed when visiting the Bureaux de Change on...  Read more

Articles

P906  Dental Update Readers' Panel:  The Dental Update Readers' Panel by FJT Burke

Readers will be aware of the names of the Editorial Board of Dental Update, given that these appear in each issue, with the Board being responsible, along with myself, for the quality of the publication. Their other role is to suggest articles to be commissioned for future issues and authors who...  Read more

P908  Restorative dentistry:  Provisional Restorations – A Permanent Problem? by WF Keys, N Keirby, DNJ Ricketts

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Provisional restorations play an important role when providing indirect restorations. There are a number of materials and techniques available for their construction. Careful planning and construction can protect the prepared tooth surface, improve the periodontal condition and help plan for the...  Read more

P916  Dental Trauma:  Dental Trauma 2- Acute Management of Fracture Injuries by S Djemal, P Singh, N Polycarpou, R Tomson, M Kelleher

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Fortunately, traumatic dental injuries are a relatively uncommon occurrence in general dental practice. However, when they do present, timely diagnosis and treatment of such injuries is essential to maximize the chance of a successful outcome. This is the second part of a two-part series on...  Read more

P928  Medical Emergency:  A Review of the Available Guidance Regarding Management of Medical Emergencies in Primary Dental Care by S Lello, J Burke, K Taylor

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This article provides an overview of the recent changes in guidance relating to the management of medical emergencies in primary dental care in the UK. The guidance relating to automated external defibrillators is also presented. The expectations of our regulatory bodies are discussed, as are the...  Read more

P933  Restorative dentistry:  The Restorability Assessment and Endodontic Access Cavity Interface by G Quilligan, G McKenna, PF Allen

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Successful root canal treatment requires management of the bacterial infection within the root canal space and protection of residual tooth structure with direct/indirect restorations. Long-term success depends upon prevention of re-infection of the root canal space as well as ensuring favourable...  Read more

P939  Prosthodontics:  Conservative Prosthetic Rehabilitation of Medication-Related Osteonecrosis of the Jaw (MRONJ) by A Johanna Leven, AJ Preston

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Osteonecrosis of the jaw associated with bisphosphonates and other medications is a growing problem facing dentists. It can have a significant and debilitating impact upon patients. Various treatment options ranging from surgical intervention to management with antibiotics and analgesics have been...  Read more

P944  Evidence-Based Dentistry:  Evidence-Based Dentistry in Everyday Practice by K Gudray, A Damien Walmsley

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This article informs readers of a method of implementing evidence-based dentistry in practice. Following these steps, practitioners should be able to use this skill in an efficient manner. The importance of evidence-based dentistry and its relevance to situations encountered in everyday practice is...  Read more

P950  Oral medicine:  An Interesting Case of Oral Inverted Ductal Papilloma by N Berridge, M Kumar

Ductal papillomas are rare benign papillary tumours of the minor salivary glands. Previously they have been classified into three subtypes: inverted ductal papilloma (IDP), sialadenoma papilliferum and intraductal papilloma. The oral inverted ductal papilloma is the least common of these lesions,...  Read more

P954  Oral Microbiology:  Antimicrobial Resistance and Antibiotic Prescribing in Dental Practice by NOA Palmer

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The purpose of this paper is to review the principles of antibiotic prescribing in light of the increasing worldwide problem of antimicrobial resistance and the evidence of inappropriate use of antibiotics in dentistry. Guidance on the management of dental infections and antibiotic prophylaxis...  Read more

P961  Case report:  Case Study: Management of a Loose Upper Denture Opposed by a Shortened Dental Arch by L Powell

For many years, it has been considered necessary to restore posterior support with a bilateral free-end saddle when a full upper denture is opposed by a shortened dental arch. It was thought that this would provide occlusal stability and prevent anterior bite collapse and temporomandibular...  Read more

P964  Oral Pathology:  Aetiological, Histopathological, Clinical, Diagnostic and Therapeutical Features of Idiopathic Cervical Resorption by V Robles Gijón, C Lucena Martín, R Mª Pulgar Encinas

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Root resorption is the loss of hard dental tissue as a result of odontoclastic action involving vital and pulpless teeth. Cervical root resorption (CRR) is a type of external resorption which usually occurs immediately below the epithelial attachment of the tooth in the cervical region. The...  Read more

P971  Oral medicine:  Sore or Swollen Lips Part 2: Systemic Causes by D Malamos, C Scully

This series of three papers reviews the causes, diagnosis and differential diagnosis, and outlines the management of sore and/or swollen lips.   Read more

P981  Oral and Maxillofacial Surgery:  A Festive Case Series of Emergencies, Admissions and Friendship at a Busy Oral and Maxillofacial Unit by R Keat, P Leavy, M Thomas

The festive season presents oral and maxillofacial surgery (OMFS) dental core trainees (DCTs) with the challenges of managing an eclectic mix of emergencies. We present three such patients in this case series. First, Patient A, a 39-year-old homeless male who presented with a maxillary extra-oral...  Read more

P984  Letters to the Editor:  Letters to the Editor by C Costa, C Bain, S Lodha, N Malhotra, T Yusuf Noorani, N Malden

Flossing, remoaning and remainia – dentistry in denial’ I write with reference to the letter entitled ‘Flossing, remoaning and remainia – dentistry in denial’, by a certain Crawford Bain, published in the October issue of Dental Update 43(8): 793. I found it quite amusing that Professor Bain seems...  Read more

P988  Clinical Challenges Q&A:  Clinical Challenges Q&A 26. Mouth and Skin Ulcerations by D Malamos, C Scully

A 25-year-old woman presented with a chronically sore mouth. Her soreness appeared one week after a skin rash appeared on her scalp, buttocks and abdomen. The patient suffered only from osteoarthritis and in crisis used piroxicam tablets. Clinical examination revealed oral malodour (halitosis)...  Read more

P989  Technique Tips:  Technique Tips – Repairing Fractured Metal-Ceramic Restorations using Tribochemical Impregnation by FJT Burke

The fracture of the ceramic from a metal-ceramic restoration may often lead to an emergency attendance, because of compromised appearance or because the fractured restoration had rough margins, which were traumatizing the soft tissues. Causes of such fractures include, trauma (occlusal or...  Read more

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