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Issue: Volume 41 Number 1 - January/February 2014

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P5  Editorial:  Two years by FJT Burke

It often seems that life never stands still, and UK Dentistry is far from an exception to that. Among the things going on at the present are the NHS Dental Pilots, with the current issue of Dental Update containing a paper by Tajinder Sihra and Len D’Cruz outlining the process of the pilots, which...  Read more


P6  Thank you:  Thank you to our Reviewers by FJT Burke

Every paper in Dental Update is considered by two reviewers. I would like to thank all those on the list below for giving their time and expertise in checking the validity of the papers published in Dental Update in 2013 and making suggestions on how papers might be improved.  Read more

P7  General Practice:  NHS Pilots in Primary Care – An Insight into the Future? by T Sihra, L D’Cruz

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This article looks at the background to the current changes in primary care dentistry being piloted in England. It looks at the structure of the different elements being piloted, such as the oral health assessment, interim care appointments and care pathways. It also examines advanced care pathways...  Read more

P20  Orthodontics:  The Long and Winding Road Part 2. The CLP Patient’s Journey, 0–21 Years by P Jonathan Sandler, A Murray, R Orr, AK Madahar

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Patients with a cleft lip and palate (CLP) deformity require the highest standard of care that the NHS can provide and this requires multidisciplinary care from teams located in regional cleft centres. Care of these cases is from birth to adulthood and requires several phases of intervention,...  Read more

P28  Restorative dentistry:  Information for Patients Undergoing Treatment for Toothwear with Resin Composite Restorations Placed at an Increased Occlusal Vertical Dimension by FJT Burke

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Toothwear is affecting increasing numbers of the population. In the past, treatment of patients whose teeth were affected by toothwear often involved the reduction of these teeth for crowns; a severe form of toothwear. Contemporary management of such cases is by the bonding of resin composite...  Read more

P40  Dental Tourism:  International Rescue? Managing the Dental Tourist by J Iqbal, S Shah, M Ashley

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The concept of dental tourism can be considered two-fold. On one side it is a term used to describe non-UK residing patients who visit, requesting NHS dental care whilst here in the UK. Alternatively, it also encompasses patients who travel to destinations outside their residing countries to...  Read more

P46  Law and Ethics:  How Many of our Patients can Really Give Consent? − A Perspective on the Relevance of the Mental Capacity Act to Dentistry by ACL Holden, NL Holden

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The different ways that clinicians perceive adult patients with dental phobia is varied and diverse. From treating the dental phobia as a separate illness to dismissing it as a neurosis, sometimes little consequence is attached to its existence. True dental phobia is classed as a psychological...  Read more

P51  Endodontics:  Traditional and Contemporary Techniques for Optimizing Root Canal Irrigation by R Holliday, A Alani

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Canal irrigation during root canal treatment is an important component of chemo-mechanical debridement of the root canal system. Traditional syringe irrigation can be enhanced by activating the irrigant to provide superior cleaning properties. This activation can be achieved by simple modifications...  Read more

P62  Restorative dentistry:  A CAD/CAM Designed, Semi-Fixed, High Strength, All-Ceramic Prosthesis for Maxillary Rehabilitation – A Case Report by S Bhakta, K Deakin, R Joshi

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The clinical and laboratory steps involved in rehabilitating the maxillary arch following the loss of several teeth due to periodontal disease are outlined in this case report. This article illustrates the use of a laboratory based CAD/CAM system (Sirona In-Lab) and a copy milling technique in the...  Read more

P68  Oral surgery:  The Importance of Early Intervention in the Treatment of Dental Infection by P Paterson, E Hannah Nichols, K Watson, D Boyd

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With recent reports of increasing hospital admissions relating to dental infection, the authors believe it is time to re-visit the importance of its effective early treatment. A series of three cases is used to illustrate the potentially life-threatening progression of what, in the early stages, is...  Read more

P73  Paediatric dentistry:  Recurrent Parotitis of Childhood or Juvenile Recurrent Parotitis – A Review and Report of Two Cases by SO Adeboye, I Macleod

Recurrent parotitis of childhood is an uncommon condition which affects children of variable age. The condition may be misdiagnosed so delaying treatment. These two case reports highlight the variable signs and symptoms of this unusual condition and the value of ultrasound as an aid to diagnosis.  Read more

P78  Hypnosis in Dentistry:  Hypnosis for Dental Anxiety by M Griffiths

Dental anxiety can be a hindrance to treatment. It is prevalent, so helping patients to overcome it should not be regarded as the province of a specialist. Hypnosis can be effective but is underused. A comparison of the conscious, alert state and hypnosis/nitrous oxide sedation is shown by...  Read more

P84  Oral medicine:  Oral Medicine: 14. Radiolucencies and Radio-opacities. A. Bone Diseases by DH Felix, J Luker, P Crispian Scully

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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

P88  Technique Tips:  The Use of Extra-Coronal Restorations in the Correction of Malaligned Teeth by A Alani, MGD Kelleher

The main aims of healthcare provision are generally to eradicate disease, improve health, prevent further disease and improve function.   Read more