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Issue: Volume 48 Number 7 - July/August 2021

Articles

P521  Guest Editorial:  The Future of Dentistry? by C Rutland

When you think about how you define general dental practice, what comes to mind? You might think about our commitment as dental professionals to the wellbeing of our patients, the daily treatments and advice we give, or the central role our practice teams play in local communities.  Read more

P524  Sustainability/Oral Health:  Sustainable oral healthcare and the environment: mitigation strategies by N Martin, L Smith, S Mulligan

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Carbon emissions and single-use plastics (SUPs) are the main forms of environmental pollution relating to waste arising from oral healthcare. Ownership of this problem is shared with the whole supply chain, from manufacturing to distribution, procurement, clinical use and finally, waste management....  Read more

P533  Sedation:  An alternative sedation option for special care patients: combined inhalation sedation with nitrous oxide and oxygen and intravenous sedation with midazolam by S Fenesan, S Hughes, N Patel

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This article highlights an alternative sedation technique by providing inhalation sedation with nitrous oxide and oxygen alongside intravenous sedation with midazolam as an additional option for patients within special care dentistry. Two case reports are described, as well as a short overview of...  Read more

P541  Restorative dentistry:  Minimally invasive management of erosive tooth surface loss using a combined direct and indirect approach: a case report by S Pirmomahed

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This article describes the management of a patient with generalized (primarily erosive) tooth surface loss. It specifically looks at minimally invasive techniques using improvements in material science to achieve this in an efficient and predictable manner within a general dental practice setting.   Read more

P547  General Dental practice:  Cleft lip and palate in general dental practice: filling in the gaps by S Reddy, C Liu, M Vaidyanathan, N Bhujel

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Cleft lip and palate (CLP) is the most common of craniofacial anomalies in humans. CLP results from disruption of embryonic processes during orofacial development; while syndromic clefts may have clearer aetiology, non-syndromic clefts are heterogeneous in aetiology. It is important for GDPs to...  Read more

P556  Endodontics:  Get smart – technological innovations in endodontics part 2: case-difficulty assessment and future perspectives by P Kamalkant Shah, Q Zhang, B San Chong

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Given the importance of risk management to avoid mishaps, to achieve a quality result and to ensure a favourable outcome, challenging endodontic cases are best treated by clinicians with the appropriate level of training and experience. Digital and technological innovations in endodontics have led...  Read more

P564  Oral surgery:  Monitoring enlarged dental follicles: case report and literature review of an unusual presentation of a unicystic ameloblastoma by L Long, J Matharu, S Sah

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An ameloblastoma is a benign, yet locally aggressive odontogenic tumour. The vast majority (80%) of ameloblastomas arise in the mandible, and unicystic ameloblastomas are commonly found in relation to an unerupted lower third molar. We present the case of a 39-year-old patient with an incidental...  Read more

P571  Fixed Prothodontics:  Can implant-retained overdenture components cause damage to the opposing natural dentition? by N Razaghi, M Hughes, M Patel

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This clinical case series highlights an under-reported and often unidentified complication of implant-retained overdentures that may leave patients with a risk of long-term discomfort and preventable damage to the opposing dentition. A variety of cases is discussed to demonstrate potential problems...  Read more

P579  Orthodontics:  The twin-block appliance for correction of Class II division 1 malocclusion by E Salloum, DT Millett, GT McIntyre

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The twin-block appliance is a widely used functional appliance for the correction of Class II division 1 malocclusion in growing children and adolescents. This article outlines the indications and case assessment, the steps in clinical management and appliance design. Evidence regarding the mode of...  Read more

P585  COVID-19:  COVID-19: oral manifestations by L Samaranayake, N Kinariwala

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It is clear that the coronavirus disease 2019 (COVID-19) pandemic, due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) will be with us for the foreseeable future, possibly entrenched as an endemic infection. This poses a grave threat for clinical dental practice as asymptomatic...  Read more

P592  Technique Tips:  Making an open-tray implant or abutment-level impression technique easier by J Ikram, N Essa

Various methods exist for taking implant impressions. The open-tray or pick-up impression technique is one of the conventional methods for transferring the impression coping from the implant to the impression. In this method, a window directly above the implant is made in a stock or custom tray to...  Read more