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Issue: Volume 49 Number 2 - February 2022

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P89  Editorial:  High and Dry by FJT Burke

This sorry tale might only involve over 100 dentists, but it is perhaps an example of how NHS England treats those who have spent years trying to help the Department of Health identify a better way of working/treating patients in the NHS than the UDA system.   Read more


P95  Dental & Maxillofacial Radiology:  Do Something or Do Nothing? Anatomical Variants and Incidental Findings on Cone Beam CT. Part 1 by J Makdissi, A Loughlin, MM Dungarwalla

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Cone beam computed tomography (CBCT) is a popular and often indispensable imaging modality used for the dento-alveolar tissues and immediate surrounding structures. It can be used across several dental disciplines including endodontics, implant planning, oral surgery and orthodontics. Furthermore,...  Read more

P103  Paediatric dentistry:  Decision-making in the Management of Complicated Crown Fractures in Children by I Politi, R Leith

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Complicated crown fractures of permanent teeth following dental trauma in children are a common presentation in the dental practice. The prognosis of these teeth largely depends on the emergency management provided by the dentist. Treatment options include direct pulp capping and partial pulpotomy....  Read more

P112  Restorative Dentistry/Product Evaluation:  A Practice-based Clinical Evaluation of a Novel Two-bottle Dentine Adhesive System by FJT Burke, P Sands, RJ Crisp

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This study evaluated the handling of a recently introduced two bottle dentine adhesive system by a group of practice-based researchers. Twelve evaluators from the practice-based research group, the PREP Panel, were sent explanatory letters, a pack of the material under investigation, G2-Bond...  Read more

P119  Orthodontics:  Orthodontic Retainers: Now you have Finished your Orthodontic Treatment how do you Manage Long-term Post-orthodontic Retention? by R Shah, J Noar

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Retention is a key phase of orthodontic treatment that aims to maintain teeth in their corrected position following active orthodontic treatment. Although the evidence base is limited, there is now general consensus that orthodontic patients should wear their retainers life-long. This poses serious...  Read more

P127  Oral and Maxillofacial Surgery:  Cervical Necrotizing Fasciitis of Odontogenic Origin by A Chai, A Chandran, S Crank

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Cervical necrotizing fasciitis (CNF) is a rare, but serious condition that can develop as a result of an odontogenic infection spreading into the deep fascial planes of the neck. The infection is associated with significant morbidity and mortality due to septic shock, disseminated intravascular...  Read more

P133  Restorative dentistry:  Direct versus Indirect Restorations in the Treatment of Tooth Wear: A Report of Two Cases by F Mehrabi, S Romeed

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The process of tooth wear is multifactorial in aetiology, and when the progression has been considered excessive enough to be associated with aesthetic and functional concerns, appropriate assessment of each case and its treatment selection must be made, using evidence-based practice to treat such...  Read more

P141  Oral medicine:  Necrotizing sialometaplasia by M Patel, K Cullotty, A Richards

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In this case of a 45-year-old woman, who attended the primary care service at Birmingham Dental Hospital with widespread ulceration affecting the hard palate, histopathological, haematological and immunological testing confirmed a diagnosis of necrotizing sialometaplasia (NS), a rare benign minor...  Read more

P145  Oral surgery:  Palatal hyperplasia associated with hereditary gingival fibromatosis by A Patrick, A Savla, J Eyeson

Hereditary gingival fibromatosis (HGF) is a benign, non-haemorrhagic, fibrous gingival overgrowth of unknown cause. Clinically, gingivae can be seen to partially or fully cover teeth, and can limit oral function, for example eating, speaking, and maintaining oral hygiene. HGF normally starts in the...  Read more

P148  Paediatric Dentistry/Oral Surgery:  Dentigerous cyst: a rapidly expanding swelling in a young patient by A Cant, R Sanghvi, V Patel, D Siddik

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We present a case of a dentigerous cyst associated with an unerupted premolar tooth, and its surgical management in a 4-year-old child. Of note, 8 months prior to presentation, the patient was seen for extraction of multiple primary teeth under general anaesthesia. At the time of extraction, there...  Read more

P153  Paediatric dentistry:  Cone beam computed tomography (CBCT) in paediatric dentistry by F Campbell, L Timms, C Deery, N Drage

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Cone beam computed tomography (CBCT) is becoming increasingly available since its introduction in the late 1990s. The technique provides low-dose high-resolution images of the teeth and jaws. This article discusses the clinical applications of CBCT in children. CBCT is most commonly used in...  Read more

P161  Oral and Maxillofacial Surgery:  The root of the cause: a clinical case report of the surgical removal of a retained root via an extra-oral approach by M Loh, H Azam, D Carl Jones

Retained roots are commonly seen as an incidental finding in general practice following radiographic examination, many being asymptomatic. However, over time they may migrate, develop pathological change and become symptomatic for the patient. This article illustrates root migration using an...  Read more

P166  Dental Sedation:  Using inhalation sedation in practice by P Singh Anand, L Rachel Adams

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This article outlines considerations for use of inhalation sedation (IS) in a primary care setting. It looks at indications, contra-indications and case selection for use of IS in practice. The article also considers relevant rules, regulations and guidelines a practitioner should be aware of if...  Read more

P173  Letters to the Editor:  Letters by E McColl, J Batra, E Webber, V Ketheeswaranathan, M Monteiro, K Andi, J Jones

A recent campaign to promote the November 2021 ‘Oral Cancer Action Month’, highlighted the importance of a thorough extra-oral examination in early detection of pathology.  Read more

P177  Technique Tips:  Splinting traumatized teeth that are restored with porcelain restorations by KB Patel, Serpil Djemal

The management of luxated teeth involves repositioning and splinting them for a period of 2–4 weeks depending on the type of displacement injury.  Read more