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Issue: Volume 41 Number 4 - May 2014

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P289  Editorial:  (Almost) ‘Instant Orthodontics’ by FJT Burke

The concept of the six month smile using orthodontic means first came to my attention a few years back when this, to me, seemed a great deal faster than the orthodontics that I once learnt. In the past year, the subject has been driven back into my thinking by the seemingly relentless rise in...  Read more


P290  Oral surgery:  Haemostasis Part 1: The Management of Post-Extraction Haemorrhage by NJ McCormick, UJ Moore, JG Meechan

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The management of bleeding complications following a dental extraction is an essential skill for the dental practitioner. Extractions are often carried out on patients with complex medical histories and a long list of medications. This paper aims to help the clinician manage post-extraction...  Read more

P298  Restorative and Aesthetic Dentistry:  Frequently Asked Questions in Direct Pulp Capping of Permanent Teeth by Séphanie Mouawad, S Artine, Pétra Hajjar, R McConnell, J-C Fahd, J Sabbagh

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Direct pulp capping is a proven method of preserving tooth vitality of a mature permanent tooth in cases of pulp exposures. The indications for this treatment, treatment modalities and materials are discussed in this paper.   Read more

P306  Orthodontics:  Anterior Tooth Alignment – Recommendations for Stability by R Aulakh, S Banerji

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This article considers the importance of current orthodontic practice in retention and stability when considering anterior tooth alignment.  Read more

P314  Dental Radiology:  Shall I Go Digital? by BL Thomas, J Davies, E Whaites

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Dental radiographic imaging is slowly transferring to digital format. The decision to invest in this new technology should be based on a good understanding of the different types of digital imaging available within the dental field. This article outlines its use in general dental practice,...  Read more

P328  Paediatric dentistry:  Simplified Basic Periodontal Examination (BPE) in Children and Adolescents: A Guide for General Dental Practitioners by E Cole, A Ray–Chaudhuri, M Vaidyanathan, J Johnson, S Sood

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Dental plaque-induced periodontal diseases are common in children and adults. Guidelines were previously not available for the periodontal screening of under 18s. However, new guidelines have been introduced by the British Society of Periodontology and the British Society of Paediatric Dentistry...  Read more

P338  Risk Management:  The Management of Risk Part 3: Recording Your Way Out of Trouble by A Collier

Clinical and ethical risk management requires not only the correct treatment being provided, and appropriate consent obtained, but also good records of that treatment. This third article of the series describes the characteristics of good records and their role in helping to prevent the progression...  Read more

P342  Dental Pharmacology:  What Steroid Supplementation is Required for a Patient with Primary Adrenal Insufficiency Undergoing a Dental Procedure? by S Henderson

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Patients with primary adrenal insufficiency (Addison’s disease) lack the endogenous steroid hormones cortisol and aldosterone and require daily steroid therapy (usually hydrocortisone and fludrocortisone) to replace them. These patients are unable to adapt physiologically to stress and may need...  Read more

P346  Dental Oncology:  Quality of Life Issues in Head and Neck Cancer by CJ Semple, SA Killough

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Head and neck cancer (HNC) constitutes approximately 3% of all cancers in the UK, with in excess of 8500 new cases annually. Management of HNC depends on site, extent, histology, previous medical history and patient choice. A multidisciplinary approach is required to optimize patient wellbeing,...  Read more

P355  Restorative dentistry:  Bizarre Tooth Surface Loss and the Miswak Stick by R Karia, MG Kelleher

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Tooth surface loss can present in a variety of ways, some of which can appear rather strange on first examination. This case report demonstrates an unusual presentation of tooth surface loss (TSL) and its subsequent treatment. This loss of hard dental tissue appeared to be affecting the whole of...  Read more

P366  Prosthetics:  How Good are Our Impressions? An Audit of Alginate Impression Quality in the Production of Removable Prostheses by R Horwitz

Impressions are taken regularly in practice giving vital information to the dental laboratory, but are there quality assurance systems in place to make sure that they are up to a sufficient standard? As dental professionals we have to appreciate that dental technicians can only work with the...  Read more

P370  Oral medicine:  Oral Medicine: 17. Radiolucencies and Radio-opacities. D. Antral Disease 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

P377  Technique Tips:  Technique Tips – Options for temporization in the aesthetic zone after implant fixture placement by A Ray-Chaudhuri, Z Mirza, L Searson

The majority of implants placed in the UK are not loaded or temporized immediately at fixture placement. Thus patients commonly have a period of osseointegration between placement of the implant fixture and definitive restoration.   Read more