Serpil Djemal

Consultant in Restorative Dentistry, King's College Hospital, London SE5 9RS, UK

Dental implants developing peri-apical disease: a case report

This case report illustrates a 51-year-old female who attended a trauma clinic 6 days after falling down some stairs and traumatizing her upper left central incisor (UL1). She complained of pain and...

Splinting traumatized teeth that are restored with porcelain restorations

A medically fit and healthy 45-year-old female was seen in a specialist trauma clinic 3 weeks after a bicycle accident when she collided with a car, resulting in displacement of three of her upper...

‘Selfies’ helping the management of polytrauma

A medically fit and well 22-year-old fell and bit into a solid oak coffee table whilst giving her friend a piggy-back in February 2014. The upper left canine was avulsed and several upper and lower...

Type-1 dentine dysplasia – diagnostic and clinical challenges in restorative management

As a result of the above, the teeth are often mobile and premature exfoliation is seen..

The paradoxes of phantom bite syndrome or occlusal dysaesthesia (‘dysesthesia’)

There are many difficult paradoxes in dentistry generally, but phantom bite syndrome is riddled with them. For instance, if a diagnosis of phantom bite syndrome, or occlusal dysaesthesia...

Dental trauma 2: acute management of fracture injuries

An infraction is an incomplete fracture (crack line) of the enamel without loss of any tooth structure.2Figure 1 shows the UL1 with an infraction in the incisal third..

Dental trauma part 1: acute management of luxation/displacement injuries

The aim in managing an acute traumatic dental injury is to restore the appearance and function and to rehabilitate the patient as quickly as possible in the quest to save teeth.1 The long-term aims...

The value of cone beam CT in assessing and managing a dilated odontome of a maxillary canine

A fit and healthy 14-year-old school boy was referred to King's Dental Institute by his general dental practitioner who had started root canal treatment on the UL3, but this was aborted as a result of...

Challenges in treating traumatically intruded and ankylosed permanent incisors: a case report with a multidisciplinary approach

A 12-year-old boy attended as an oro-dental trauma casualty, having fallen over a banister at home in February 2008, suffering extensive damage to his permanent anterior teeth. The trauma involved a...

Decision-making in the provision of extra-coronal restorations

When considering restorations for teeth that have suffered significant tissue loss, the decision faced by the dentist may be either to place a large direct restoration or consider an indirect...

Ethical marketing in ‘aesthetic’ (‘esthetic’) or ‘cosmetic dentistry’ part 3

There is a very real danger, when seeking to promote one's products or services in aesthetic (‘esthetic’) dentistry, to use language or images that are likely to create unrealistic expectations in...

Ethical marketing in ‘aesthetic’ (‘esthetic’) or ‘cosmetic dentistry’ part 2

Ethics relate to a voluntary framework of guiding principles which fills the void between laws on one hand and a ‘free for all’ on the other. In essence, ethics involve a moral code, or a set of...

Ethical marketing in ‘aesthetic’ (‘esthetic’) or ‘cosmetic dentistry’ part 1

The ethical marketing of aesthetic or cosmetic dentistry is a complex, difficult and potentially dangerous subject. It is complex because of the range of problems that present. It is difficult because...

Multiple supernumerary teeth without any associated systemic condition or syndrome: a case report

A 49-year-old Black African male, originally of Nigerian origin, was referred by his dentist regarding a bad taste in his mouth. The patient was seen in a general restorative clinic at Barts and the...

Bleaching and bonding for the older patient

The efficacy of nightguard vital bleaching has been established in multiple randomized, double blind, controlled clinical trials.3–4 Nightguard vital bleaching was first popularized by Haywood and...