Issue: Volume 46 Number 8 - September 2019

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CPD:  CPD  4:00   (closes in 24 days)

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P705  Editorial:  The genesis of minimal cavity design by T Burke

Cavity design is an important consideration in direct restorative dentistry: readers will be aware from their own clinical experience that large cavities fail more readily than small and that large cavities, especially in premolar teeth, may predispose to cusp fracture.  Read more

P707  Guest Editorial:  College of General Dentistry by N W

“Doesn’t dentistry have its own College?” is a common, surprised reaction by colleagues in other healthcare professions, who simply assumed that dentistry must have a College. Then comes the question: “Is anything being done to create a College for dentistry?”.   Read more

Articles

P708  Restorative dentistry:  The Use of Direct Resin Composite Restorations in the Management of Localized Anterior Tooth Wear: a Clinical Update Part 1 by V Kumar Hansrani, A Barazanchi, D Laverty, P Brunton

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The aim of this article is to provide the reader with the necessary information to manage localized anterior tooth wear cases successfully using minimally invasive and conservative methods in a general dental practice setting. This article will focus on the use of direct resin composite...  Read more

P722  Oral surgery:  Head and Neck Cancer Part 1: Diagnosis and Classification by O Jones, S Hackett, D Chatzistavrianou, D Newsum

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Head and neck cancer is a group of cancers that affects the oropharynx, nasopharynx, laryngopharynx and neck. With improving survival rates for patients, general dental practitioners (GDPs) are becoming increasingly likely to engage in the care of affected patients. Therefore, a sound clinical...  Read more

P730  Oral medicine:  Trigeminal Neuralgia by JM Zakrzewska

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Trigeminal neuralgia is one of the most severe facial pains that patients can experience. This unpredictable, episodic pain, mostly unilateral in the distribution of the trigeminal nerve, results in recurrent shooting pain lasting for seconds to minutes. It is light touch provoked and therefore...  Read more

P738  Case report:  An Unusual Presentation of a Periodontal-Endodontic Lesion by O Johnson King, C Steel

Periodontal-endodontic (perio-endo) lesions involve pulpal and periodontal disease in the same tooth and are seen routinely by dental practitioners. An unusual presentation of a perio-endo lesion in the lower left mandible is demonstrated. It caused significant buccal expansion and perforation of...  Read more

P742  Orthodontics:  Orthodontic Adhesives for Fixed Appliances: a Review of Available Systems by A Alkadhimi, F Motamedi

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Achieving high bond strength of orthodontic brackets to enamel, and hence a low failure rate, are the basic demands for orthodontic bracket-bonding systems. Given that continuous replacements of loose brackets are clinically inefficient, time-consuming, and costly, the search for an ‘ideal...  Read more

P760  Prosthodontics:  Complete Dentures − Assessment of the Loose Denture by A Dziedzic, J Puryer

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Patients with complete dentures will often present to a clinician complaining that their dentures are loose. A careful history, clinical examination and denture examination is needed so that the cause of their loose dentures can be determined. Only once a suitable diagnosis has been reached can an...  Read more

P768  Restorative dentistry:  Craniofacial Polyostotic Fibrous Dysplasia: a Case Report by C Forbes-Haley, A Najran, S Nandra, S Bhola

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Fibrous dysplasia is a bone disorder whereby normal medullary bone is replaced by fibrous tissue. Many sites may be affected, including the craniofacial skeleton. A 33-year-old female presented at the Bristol Dental Hospital in 2007 complaining of a prominent and expanding lower jaw as well as poor...  Read more

P775  Oral Diagnosis:  Lingual Nerve Neuropathy: More than Just Third Molar Surgery and Inferior Alveolar Nerve Blocks by W Cheong Ngeow, W Lin Chai

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Neuropathy of the lingual nerve, when it occurs, often results from third molar surgery, or the provision of inferior alveolar nerve blocks. Investigators have reported that the anatomical location and the unpredictable course of the lingual nerve play important roles in it being affected by these...  Read more

P791  Letters to the Editor:  Letters to the Editor by D Martin, A Patney, A Patney, M Pai, D Ariyan S Araghi, M Richard M Graham, D Wei

Could this modern phenomenon known as ‘burn-out’ relate to a form of frustration? Which, if understood and resolved, could stop the high attrition rates seen in NHS staff.  Read more

P795  Clinical Experiences Of Readers:  'I learnt about Dentistry from that' by Unknown

Readers are encouraged to submit clinical experiences, good and bad, in a culture of open reporting, so that other clinicians will learn from these experiences. Unlike articles in Dental Update, in which published articles are peer reviewed by two experts in the field of the article, this page is...  Read more

P796  Technique Tips:  A Coping Strategy (a situation where the use of copings can be helpful) by P Sands

This report describes the treatment of an elderly lady who was referred to me in 2006 because she was unable to cope with a lower acrylic partial denture which she had been advised was necessary following the loss of a lower incisor tooth.   Read more