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Issue: Volume 43 Number 4 - May 2016

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P305  Guest Editorial:  A tale of two sisters by FJT Burke

The University of Birmingham School of Dentistry moved, over Easter, to a splendid, bright, airy, state-of-the-art new building (Figure 1) close to the site of the old BBC Pebble Mill studios. While much planning has gone into this, the actual moving of countless offices has made for much work for...  Read more


P307  Dental Devices:  Counterfeit and Non-Compliant Dental Devices: The Dangers and How to Mitigate Them by E Proffitt

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The Medicines and Healthcare products Regulatory Agency (MHRA) is dealing with a growing number of counterfeit and non-compliant dental devices and instruments for sale to dental practices in the UK. This paper examines the extent of the issue, the dangers posed by the use of counterfeit and...  Read more

P313  Restorative dentistry:  Tooth Decorations and Modifications – Current Trends and Clinical Implications by SM Sanghavi, IG Chestnutt

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Since earliest times, humans have felt the need to modify and beautify their bodies. Adornments in the form of tooth decorations have featured around the world for generations and continue to evolve. This paper describes current and forthcoming trends. It explores the use of tooth jewels, ‘dental...  Read more

P319  Endodontics:  Modern Endodontic Principles Part 7: The Restorative Interface by W Martin, C Taylor, S Jawad, R Vahid Roudsari, J Darcey, A Qualtrough

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The restoration of endodontically-treated teeth is a topic that has been extensively studied and yet remains controversial. The endodontically-treated tooth can be restored with a wide range of techniques of varying complexity. This article reviews the literature on this topic. Consideration is...  Read more

P335  Oral medicine:  Oral Cancer Red Flags – A Case of Misdiagnosis by RE Lambeth, ZS Shaikh, SD Adcock

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The clinical presentations of oral malignancy are diverse. This short article discusses a case of a late-presenting oral malignancy and signifies the importance of general dental and medical practitioners’ knowledge in the diagnosis of oral malignancy.   Read more

P340  Oral surgery:  Pain Part 9: Trigeminal Autonomic Cephalalgias by N Abu Bakar, M Matharu, T Renton

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The trigeminal autonomic cephalalgias are a group of rare, highly disabling, primary headache syndromes distinctly characterized by the unilaterality of their attacks and presence of cranial autonomic symptoms. Although pain is often localized to the peri-orbital and temporal regions, it is not...  Read more

P353  Oral medicine:  Spontaneous Oral Mucosal Bleeding Unmasking Undiagnosed Sarcoidosis: A Case Report by H Kalsi, H McParland, RJ Cook

Sarcoidosis is a multisystem, non-caseating, chronic, granulomatous disease affecting any organ. In the head and neck region, salivary glands and lymph nodes are most commonly involved. Oral manifestations are rare but these lesions, occasionally haemorrhagic, may be the first sign of systemic...  Read more

P356  Prosthodontics:  The Prosthodontic Pathway for Patients with Anomalies Affecting Tooth Structure by DP Laverty, MBM Thomas

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There are a number of anomalies that affect the structure of the dental hard tissues which impact upon the form, function and aesthetics of the dentition. Understanding the challenges these conditions pose will enable dentists to manage the functional and aesthetic problems with restorative...  Read more

P375  Oral medicine:  Mouth Cancer for Clinicians Part 10: Cancer Treatment (Surgery) 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

P388  Dental Anxiety:  Adult Dental Anxiety: Recent Assessment Approaches and Psychological Management in a Dental Practice Setting by G Humphris, J Spyt, AG Herbison, TW Kelsey

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Dental anxiety of patients is a common feature of the everyday experience of dental practice. This article advocates the use of regular assessment of this psychological construct to assist in patient management. Various tools, such as the Modified Dental Anxiety Scale (MDAS), are available to...  Read more

P395  Clinical Challenges Q&A:  Clinical Challenges Q&A 20. Polyp in the Upper Alveolar Mucosa by C Scully, D Malamos

A 57-year-old woman was referred for evaluation of a soft polypoid lesion in her upper left alveolar mucosa that had been present for 2 months. There was slight tenderness over the left maxillary sinus, a salty taste and occasionally nasal bloody discharge, but no pain, eye problems or regional...  Read more

P396  Technique Tips:  Technique Tips – A Predictable Method for Retrieval of Silver Cones Using Ultrasonics by K Shetty, P Mohan Rayapudi, V Jathanna

With the introduction of newer instruments, such as the Dental Operating Microscopes (DOMs) and Advanced Ultrasonic systems in Endodontics, previously untreatable cases are now being attempted successfully.1 One of the main considerations during the revisit into the earlier filled root canal space...  Read more