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Issue: Volume 44 Number 5 - May 2017

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P373  Editorial:  'Two sisters' again by FJT Burke

A year ago, when in the throes of moving from the old to the new dental school in Birmingham, I came across a paper that I had written in 1998.  Read more

Articles

P374  British Society for Restorative Dentistry:  Guidelines for Crowns, Fixed Bridges and Implants by R Ibbetson, K Hemmings, I Harris

Standards in healthcare are of fundamental importance.  Read more

P387  Paediatric dentistry:  How to Minimize Repeat Dental General Anaesthetics by J Lawson, J Owen, C Deery

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This article aims to provide general dental practitioners (GDPs) with the knowledge to improve their referrals primarily for children who they feel require a dental general anaesthetic. It discusses the impact of a general anaesthetic (GA) on a child and the financial impacts of dental general...  Read more

P396  Restorative dentistry:  Complications of an Ageing Dentition Part 2: Restorative Management Options by B Daniel Murchie

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This is the second-part of this three-part series. The first paper discussed the occlusal and cracked tooth aetiological factors which may be responsible for restoration failure. This paper will outline the restorative options for cracked and root canal-treated teeth. It will also briefly give an...  Read more

P402  Periodontics:  Diagnosis and Management of Chronic and Aggressive Periodontitis Part 2: Periodontal Management by D Chatzistavrianou, F Blair

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The first paper of this three-part series discussed periodontal disease pathogenesis and highlighted elements in the clinical assessment which will help the clinician to establish the diagnosis of chronic and aggressive periodontitis. This second paper will focus on the management of chronic and...  Read more

P409  Pharmacology:  Supra-Therapeutic Oral Paracetamol Overdose in Adults: An Update for the Dental Team by R Leader, J Hackett, A Al-Naher

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Paracetamol (acetaminophen) is a commonly used analgesic; its 'over the counter' availability, low cost and popularity amongst patients often make it the first choice for dental pain. It is in this that its potential toxicity, made more complicated by the ever extending range of...  Read more

P415  Prosthodontics:  An Implant-Retained Obturator – A Case Study by J Puryer, C Forbes-Haley

This case describes the oral rehabilitation of a patient following maxillary hemi-section due to squamous cell carcinoma of the palate. Planned treatment was construction of a maxillary implant-supported obturator. Two dental implants were placed in his maxilla to aid the support and retention of...  Read more

P423  General Dental practice:  Virtual Reality Exposure Therapy for Treatment of Dental Phobia by K Raghav Gujjar, R Sharma, A De Jongh

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Virtual Reality Exposure Therapy (VRET) has gained in popularity as an effective treatment for anxiety disorders. The purpose of this article is to determine the applicability of VRET in the treatment of dental phobia of two patients. Two case examples of female dental patients, aged 56 and 24...  Read more

P436  Immunology:  The Immune System: Basis of so much Health and Disease: 4. Immunocytes by C Scully, EA Georgakopoulou, Y Hassona

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

P444  Oral and Maxillofacial Surgery:  Arteriovenous Malformation of the Jaws: a Black Hole for the GDP – A Case Report by K Shah, B Srinivasan, M Ethunandan, C Pratt

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We report a case of a mandibular arteriovenous malformation in a 3-year-old child, who attended our department, and have carried out a literature review.  Read more

P448  Fixed Prothodontics:  Ceramic Fracture in Metal-Ceramic Restorations: The Aetiology by A Aslam, D Azeem Khan, S Hammad Hassan, B Ahmed

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All dental restorations are liable to failure during function. Failure could be biologic, aesthetic, mechanical or a combination. Ceramic restorations in particular, including metal-ceramics, are prone to mechanical fracture, especially the fracture of veneering porcelain. Fracture of a...  Read more

P459  Periodontics:  Dual Role of Subepithelial Connective Tissue Grafting in Regeneration of Periodontal Attachment Apparatus by N Sunil Kumar, N Sowmya, V Pal Singh, MB Verma

Periodontal plastic and aesthetic surgery are gaining significant momentum owing to the increasing aesthetic demands by patients. Along with the fulfilment of aesthetic needs, it is imperative that clinicians also enhance function. From these two important viewpoints, subepithelial connective...  Read more

P463  Clinical Challenges Q&A:  Clinical Challenges Q&A 31. Painful Lip by D Malamos, C Scully

A 22-year-old woman presented with painful lesions in the inner surface of her upper lip for 10 days.  Read more

P464  Technique Tips:  Technique Tips – Iatrogenesis and How to Prevent It by L Mackenzie

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Every day millions of operative dental procedures are carried out by clinicians worldwide.   Read more

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