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Issue: Volume 42 Number 3 - April 2015

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P205  Editorial:  Salutary lessons by FJT Burke

‘The first requirement of a hospital is that it should do no harm’ Florence Nightingale, 1820–1910.  Read more


P206  Patient-Centred Care:  The Francis Report – Why it Matters to the Dental Team by J Bagg, R Welbury

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The Francis Report into the deaths at Mid-Staffordshire NHS Trust highlighted the problems facing the NHS when patients, families, clinicians and nurses are not heard, and where the management, leadership and ensuing culture are focused on the system’s business, not patient care. This paper, the...  Read more

P210  Patient-Centred Care:  The Francis Report – The Importance of Person-Centred Health and Care by S Maher

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The relational elements of care are often described as ‘soft skills’ or ‘nice to have’ but not essential in the modern world of evidence-based healthcare. Whether intentionally or unintentionally, this type of language relegates person-centred approaches to a lower status compared to other key...  Read more

P215  Patient-Centred Care:  The Francis Report – Implications for the Education and Training of Dental Professionals by V Bissell, DH Felix

This paper explores the implications of the Francis Report for education of the dental team. It considers selection of candidates for training, issues relating to the curriculum itself, including assessment and the importance of listening to trainees. The overriding importance of the ‘informal’ or...  Read more

P221  Orthodontics:  Emergencies in Orthodontics Part 2: Management of Removable Appliances, Functional Appliances and other Adjuncts to Orthodontic Treatment by P Dowsing, A Murray, J Sandler

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In the second of two papers, management of orthodontic emergencies involving appliances other than fixed appliances will be detailed. Problems relating to removable appliances, as well as other orthodontic adjuncts, will be discussed. Unfortunately, orthodontic appliance breakage does occur,...  Read more

P230  Restorative dentistry:  An Update on Crown Lengthening Part 2: Increasing Clinical Crown Height to Facilitate Predictable Restorations by H Jeet Kalsi, D Iola Bomfim, U Darbar

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This is the second paper in this two-part series. Paper one provided an overview of managing gingival tissue excess and paper two will focus on increasing clinical crown height to facilitate restorative treatment. Crown lengthening is a surgical procedure aimed at the removal of gingival tissue...  Read more

P238  Oral surgery:  Pain Part 2a: Trigeminal Anatomy Related to Pain by T Renton

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In order to understand the underlying principles of orofacial pain it is important to understand the corresponding anatomy and mechanisms. Paper 1 of this series explains the central nervous and peripheral nervous systems relating to pain. The trigeminal nerve is the ‘great protector’ of the most...  Read more

P247  Oral and Maxillofacial Surgery:  Keep an Eye Out for the Bifid Uvula: A Case Report by S Alroyayamina, M McKnight

The incidence of submucous cleft palate is between 1:1250–1:6000. It is important for this relatively silent deformity to be identified early and referred appropriately as a delay in diagnosis may affect the patient’s quality of speech in the long term. This paper presents a case of submucous cleft...  Read more

P250  Oral medicine:  Mouth Cancer for Clinicians Part 1: Cancer by N Kalavrezos, C Scully

A MEDLINE search early in 2015 revealed more than 250,000 papers on head and neck cancer; over 100,000 on oral cancer; and over 60,000 on mouth cancer. Not all publications contain robust evidence. We endeavour to encapsulate the most important of the latest information and advances now employed in...  Read more

P261  Restorative dentistry:  Seventeen Years of Using Flowable Resin Restoratives – A Dental Practitioner’s Personal Clinical Review by M Th Firla

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Seen through the author’s eyes on the basis of his practising dentistry for almost three decades, light-activated flowable resin restoratives (FRCs) or, in common clinical dental terminology, flowable composites have gradually gained major importance in restorative dentistry. Inputs to this ongoing...  Read more

P270  Oral surgery:  Case Report: Fractured Needle in the Pterygomandibular Space Following Administration of an Inferior Dental Nerve Block by E Bailey, J Rao, A Saksena

Fortunately, needle fracture is a rare complication following the administration of dental local anaesthetic. We present a case of needle fracture following administration of an inferior dental nerve block. The fractured needle was retrieved successfully under general anaesthetic. We also provide...  Read more

P275  Prosthetics:  Complete Dentures: Designing Occlusal Registration Blocks to Save Clinical Time and Improve Accuracy by M Bishop, T Johnson

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The techniques described in this article are based on facial measurements and an analysis of the patient’s existing dentures to provide measurements that will enable registration blocks to be constructed for individual patients rather than the arbitrarily produced block more commonly seen....  Read more

P282  Restorative and Aesthetic Dentistry:  Aesthetic Treatment Related to Clinical Need – An Illustrated Case Report by P Worskett

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Aesthetic treatment may be patient driven and usually by a ‘want’, rather than a ‘need’. This paper describes the management of a patient who presented with aesthetic wants and clinical needs, both of which were caused as a result of unsuccessful aesthetic treatment which the patient had received...  Read more

P293  Letters to the Editor:  Letters to the Editor by A Ali, A Patel, H Preiskel

A top ten for dental research publications  Read more

P296  Clinical Challenges Q&A:  Clinical Challenges Q&A 9. Buccal and Palatal Soreness by C Scully, D Malamos

A 45-year-old Caucasian housewife had persistent oral soreness in both buccal (cheek) mucosae and palate for at least a year.   Read more

P297  Technique Tips:  Technique for Bonding a Single Extracted/Exfoliated Lower Incisor to Provide a Temporary/Permanent Solution by C Sida-Murray

Lower incisor teeth in more mature patients may be lost for a variety of reasons: exfoliation, unresolved periodontal or apical infection, trauma.   Read more