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Issue: Volume 40 Number 6 - July/August 2013

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P437  Guest Editorial:  Aspiring to excellence by D Alyson Wray

All of the main articles in this latest issue of Dental Update have been written by Fellows and Members of the Faculty of Dental Surgery of the Royal College of Physicians and Surgeons of Glasgow. The topics covered include evidence-based dentistry, child protection, oral cancer detection,...  Read more


P438  Paediatric dentistry:  Top Tips for Child Protection for the GDP by CM Harris, R Welbury

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Knowledge of child protection is essential in everyday practice for the whole dental team as they are well placed to take part in the shared responsibility of protecting children. Physical abuse, neglect, sexual abuse and emotional abuse may all present to the dental team in various ways. This...  Read more

P442  Orthodontics/Mixed Dentition:  Interceptive Orthodontics – Current Evidence-Based Best Practice by FR Borrie, DR Bearn

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This article examines the key areas relating to interceptive orthodontics, ie crossbites, anterior and posterior; eruption problems and impaction (including incisors and canines); poor quality first permanent molars; infra-occluded primary molar teeth; non-nutritive sucking habits (digit and...  Read more

P452  Special Care Dentistry:  Special Care Dentistry for General Dental Practice by V Greig, P Sweeney

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Although special care dentistry (SCD) is a fairly recent specialty, the principles and practice of SCD have been developed since the 1980s. Shared care of these patients with general dental practitioners remains vital to ensure that comprehensive care is provided. This article aims to discuss some...  Read more

P462  Oral medicine:  Early Detection of Oral Cancer: How Do I Ensure I Don’t Miss a Tumour? by GR Ogden, R Lewthwaite, SD Shepherd

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The GDC recommend that early detection of oral cancer should form part of every dental surgeon’s Continuing Professional Development. It is arguably the most serious condition that can arise within the oral cavity and regular screening practices may also help mitigate spurious claims of prior...  Read more

P466  Oral surgery:  The Indicator of Sedation Need (IOSN) by P Coulthard

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Conscious sedation in dentistry is usually indicated because a patient’s anxiety can prohibit the necessary dental treatment being undertaken. It may also be indicated because of unpleasant or lengthy treatment or to prevent exacerbation of a patient’s medical or behavioural condition by anxiety....  Read more

P472  Periodontics:  Treatment of Peri-implant Diseases: A Review of the Literature and Protocol Proposal by Jé Armas, S Culshaw, L Savarrio

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Over 100,000 implants were placed in the UK in 2010. As the numbers of patients with implant-retained prostheses increases, operators are encountering an increasing number of biological implant complications, most commonly peri-implant mucositis and peri-implantitis. The effective management of...  Read more

P482  Evidence-Based Dentistry:  Accessing the Best Available Evidence by TJ Lamont, A Keightley, J Clarkson

This narrative review aims to highlight sources of the best available evidence and describe primary clinical trials currently taking place in primary dental care across the United Kingdom which will add to the evidence base.  Read more

P487  Orthodontics:  Reducing White Spot Lesion Incidence during Fixed Appliance Therapy by LE Greene, DR Bearn

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Fixed orthodontic appliances are commonly used in contemporary orthodontic treatment and can be associated with the development of white spot lesions on the teeth. These lesions can be detrimental to both the aesthetics and health of the teeth so prevention is better than cure and patient selection...  Read more

P493  Oral medicine:  Oral Medicine 9: Orofacial Pain by DH Felix, J Luker, P Crispian Scully

This series provides an overview of current thinking in the more relevant areas of Oral Medicine, for primary care practitioners. The series gives the detail necessary to assist the primary dental clinical team caring for patients with oral complaints that may be seen in general dental practice....  Read more

P503  Technique Tips:  Technique Tips – Incisal Tips by G Calvert

Contemporary operative treatment focuses on minimally invasive techniques to restore natural form, function and aesthetics, sacrificing minimal tooth substance to sustain tooth vitality.   Read more

P505  Case report:  Physical Signs for the General Dental Practitioner by S Bain, M Jones

‘Physical Signs for the General Dental Practitioner’ aims: 1. To increase awareness of the value of identifying general clinical signs. 2. To enable the interpretation of selected clinical signs that are visible in the clothed patient. 3. To indicate the potential relevance of these clinical signs...  Read more