Issue: Volume 47 Number 2 - February 2020

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P89  Editorial:  Is whistle-blowing working? by T Burke

Whistle-blowing is in the news. The recent release of the film Official Secrets (with a powerful performance by Keira Knightley) is based upon the true story of Katharine Gun, a British intelligence specialist working at GCHQ, whose job involved handling of classified information.  Read more

P135  Oral surgery:  Surgical Wound Healing in the Oral Cavity: a Review by R Shah, F Domah, N Shah, J Domah

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Wound healing is a fundamental survival mechanism, largely taken for granted. It consists of four intricately tuned phases: haemostasis, inflammation, proliferation and remodelling. Successful wound healing only occurs if each phase occurs in the correct sequence and timeframe. Moreover, the oral...  Read more

Articles

P92  Oral surgery:  Consent in Oral Surgery: a Guide for Clinicians by MM Dungarwalla, E Bailey

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The consent process remains a pillar of excellent clinical care. The changes in the law after the Montgomery ruling in 2015 has changed the shape of consent, and now, taking adequate consent can be extensive and sometimes confusing for clinicians and patients. Dentists are sometimes faced with the...  Read more

P103  Cariology:  Root Caries Part 1: an Overview of the Challenges by S Burrows

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The elderly population is increasing and they have a higher retention of natural teeth than previous cohorts. The increased prevalence of root caries in this group presents challenges to all those concerned in its management. In this article, aetiology, risk factors and diagnosis of root caries ...  Read more

P115  Periodontics:  Peri-implantitis: an Unusual Presentation by CW Barclay, E Foster-Thomas

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Rehabilitation with dental implants is not without post-placement complications, one of which is peri-implantitis. Peri-implantitis is a progressive inflammatory disease which affects the hard and soft tissues around a dental implant. The consequent bone resorption and reduced osseointegration...  Read more

P121  Oral Medicine/Maxillofacial Surgery:  Fear Factor: Anxiety - a Cause of Delayed Presentation of Oral Cancer by S Nandra, O Aiyegbusi

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If oral cancer is diagnosed at an advanced stage, 5-year survival prognosis can be particularly poor. The existing literature indicates that patient anxiety is a contributing factor to patient delay in oral cancer diagnosis.  Read more

P127  Restorative dentistry:  Case Study: Management of Failing Maxillary Bridgework by D Gray

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The current trend, and often gold standard, for replacement of missing teeth is implant-retained fixed or removable prostheses. These, however, are not always suitable, whether due to financial constraints, or the patient wishing to avoid the associated surgical treatment. Utilizing crowns as...  Read more

P144  Paediatric dentistry:  Odontogenic Infections with Cutaneous Involvement in Children: a Case Series by J Monteiro, Aèle Johnson, P Kandiah, P Anand, S Fayle

Cutaneous involvement of dental sepsis is a rare occurrence in children. It often presents as a diagnostic dilemma, especially in the absence of oral symptoms, with initial presentation to non-dental professionals. This article discusses three cases of children presenting with cutaneous involvement...  Read more

P149  Paediatric dentistry:  Unusual Presentation of a Pyogenic Granuloma in a 6-Year-Old Child by M Agel, M Ahluwalia

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A 6-year-old girl was referred for assessment of an oral soft tissue swelling in the anterior maxilla. An asymptomatic, large, erythematous soft tissue mass developed on the alveolar ridge following the loss of the deciduous upper central incisor. Following excision of the lesion, a diagnosis of...  Read more

P153  Orthodontics:  The Management and ‘Fate’ of Palatally Ectopic Maxillary Canines by L Seager, J Shah, FJT Burke

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With the exception of third molar teeth, the maxillary canine is the most frequently impacted tooth, with the majority of these being palatally ectopic. When patients present with impacted canines there can often be several treatment options available to them. These could include interceptive...  Read more

P162  Oral medicine:  Localized Juvenile Spongiotic Gingival Hyperplasia: a Case Series by T Saunsbury, T Hodgson, B Carey

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Localized juvenile spongiotic gingival hyperplasia is a relatively new histopathological diagnosis, presenting as a localized erythematous lesion of the anterior attached gingivae. Presenting in a peri-pubertal age, this condition is often misdiagnosed as ‘puberty gingivitis’. Here, two cases...  Read more

P165  Oral surgery:  Nasopalatine Cyst or Apical Pathology? A Diagnostic Dilemma and How to Manage It by M Cresta, R Philpott, E Besi

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Nasopalatine cysts (NPCs) present as maxillary midline radiolucencies and are the most common radiolucency of non-odontogenic origin. The proximity of these radiolucencies to the apical region of the maxillary anterior teeth may complicate diagnosis. We are presenting two cases of maxillary midline...  Read more

P170  Letters to the Editor:  Letters to The Editor by D Emma Houlston, D Awais Ali, P Emeritus David Dewhurst, T Yusuf Noorani

I recently commenced work in an Oral Medicine department at a Dental Hospital and it has struck me just how common vascular lesions, in particular haemangioma referrals, are. I would like, therefore, to provide a short review of the intra-oral haemangioma.  Read more

P172  Technique Tips:  Management of Enamel-Dentine Fractures with Clear Crowns in a Young Patient by M Amlani, A Patel, S Dunkley

Enamel dentine fractures are common forms of dental trauma in children (Figures 1 and 2). Restoration of the fracture is important for aesthetic reasons but also to ensure a good prognosis for pulp.  Read more

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