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Issue: Volume 40 Number 9 - November 2013

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P697  Guest Editorial:  Improving periodontal health – a team approach by D Anousheh Alavi

How can periodontal health be improved by us all, involving every member of the primary care team to advanced secondary care in periodontology?  Read more


P698  Restorative dentistry:  The Influence of Patients’ Decisions on Treatment Planning in Restorative Dentistry by JS Kalsi, KW Hemmings

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As part of treatment planning, options are presented to patients by dentists. An informal discussion takes place involving a cost-benefit analysis and a treatment plan is agreed. Evidence-based dentistry takes into account the best available literature, clinical experience and patient factors to...  Read more

P711  Special Care Dentistry:  Special Care Dentistry: Part 2. Dental Management of Patients with Drug-Related Acquired Bleeding Disorders by N Nizarali, S Rafique

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The first of this series of three articles discussed the dental management of patients with inherited bleeding disorders. This paper will discuss and outline the dental management of patients with acquired bleeding disorders that can result from drug therapy. These may be associated with vascular...  Read more

P719  Preventive Dentistry:  Preventing Dental Caries: Part 1. The Scientific Rationale for Preventive Advice by RM Davies, AS Blinkhorn

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This article highlights the fundamental issues which the primary care team should consider when developing preventive dental advice for their patients. Although it is important to have a clear understanding of the carious process, this knowledge must take account of social influences on health when...  Read more

P728  Conscious Sedation:  Overview of Paediatric Dental Sedation: 1. Current UK Guidelines by KE Wilson

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The use of conscious sedation in paediatric dentistry is very beneficial for the management of anxious children. It is essential that it is provided according to national guidelines in a safe and effective manner.  Read more

P733  Oral surgery:  The Risk of Bisphosphonate-Related Osteonecrosis of the Jaw in Children. A Case Report and Literature Review by K-K Ngan, J Bowe, N Goodger

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Bisphosphonate use has been described in children diagnosed with osteogenesis imperfecta (OI), fibrous dysplasia, neuromuscular disorders, bone dysplasia, idiopathic juvenile osteoporosis, rheumatologic disorder and even Crohn’s disease. In OI patients, bisphosphonates have become an important...  Read more

P740  Oral surgery:  The Characteristics of Bisphosphonate Patients Developing Bisphosphonate-Related Osteonecrosis of the Jaw Attending an OMFS Department by PS Serrant, S Clark

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This case series considers the incidence of patients taking bisphosphonate medication that suffer with bisphosphonate-related osteonecrosis of the jaw (BRONJ) following an exodontia procedure. Forty five such patients who attended the Wigan Royal Albert Edward Infirmary (RAEI) Oral and...  Read more

P745  TMD Management:  Conservative Temporomandibular Disorder Management: What DO I do? – Frequently Asked Questions by RJM Gray, Z Al-Ani

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There are many myths and fallacies surrounding the conservative or non-surgical management of patients with temporomandibular disorders (TMD). This paper is not a treatise on splint design and does not champion any one particular treatment philosophy. It is, however, produced as the outcome of many...  Read more

P758  Dental materials:  Self-adhesive Resin Cements: A New Perspective in Luting Technology by S Makkar, N Malhotra

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Many materials are available for the fabrication of indirect restorations such as, metal alloys, resin-based composites and ceramics. Resin cements have long been valued as luting agents for indirect restorations because of their high retentive strength, resistance to wear, and low solubility....  Read more

P770  Orthodontics:  Guidelines for the Assessment of the Impacted Maxillary Canine by K Counihan, EA Al-Awadhi, J Butler

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Canine impactions are frequently encountered, occurring in 1.7% of the population. The aim of this paper is to provide guidance on the assessment and management of cases which present in general dental practice. Canine position is considered in four categories; canine overlap with adjacent incisor,...  Read more

P778  Oral medicine:  Oral Medicine: 12. Lumps and Swellings: Salivary 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

P780  Technique Tips:  A Simplified Method of Recording Centric Relation Contact Position (CRCP) using the Leaf Gauge by S Campbell

Centric relation contact position (CRCP) is the relationship of the maxilla to the mandible when the condyles are in an anterior/superior position in their fossae and tooth contact has just occurred. Provided that the TMJ remains healthy, CRCP is constant and reproducible throughout life and...  Read more