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Issue: Volume 41 Number 5 - June 2014

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P385  Guest Editorial:  Sugar, what are we advising our patients? by D Anousheh Alavi

So far in 2014 we have seen extensive media coverage on sugar in our diet, starting with a post-Christmas surge in stories about harm caused by sugar. In her annual report on the State of the Public’s Health,1 Professor Dame Sally Davies, England’s Chief Medical Officer, stated that average...  Read more


P386  Restorative dentistry:  ‘The Last Post?’: Assessment of the Failing Post-Retained Crown by HP Beddis, N Okechukwu, BR Nattress

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Failure of a post-retained restoration can provide a challenge to the general dental practitioner (GDP) in terms of diagnosis, treatment planning and communication with the patient. The cause of failure must be identified, and a thorough assessment of the restoration, remaining tooth and its...  Read more

P395  Oral surgery:  Haemostasis Part 2: Medications that Affect Haemostasis by NJ McCormick, UJ Moore, JG Meechan

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Post-operative haemorrhage is a recognized complication in dental practice. This may be more prevalent in patients taking anti-thrombotic medications. It is important that the dentist understands the mechanism of action of these drugs and how they may affect management of dental patients.  Read more

P406  Gerodontology:  Minimal Intervention Dentistry and Older Patients Part 1: Risk Assessment and Caries Prevention by M Hayes, E Allen, C da Mata, G McKenna, F Burke

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Ten million people in the UK today are aged over 65. The latest projections estimate that there will be 5½ million more people aged 65 and older in the next 20 years. This projected pattern of population ageing will have profound consequences for dentistry. Minimal intervention dentistry (MID) is a...  Read more

P413  Special Care Dentistry:  Dysphagia and Dentistry by C Curl, C Boyle

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Dysphagia is defined as a ‘difficulty in swallowing’ and is commonly found in the general population, particularly in the elderly. This article gives an overview of the more frequently encountered swallowing disorders and provides advice on how to manage the dysphagic patient in the dental surgery.  Read more

P423  Risk Management:  The Management of Risk Part 4: Resolving Complaints by A Collier

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Patient complaints invariably cause concern and distress. Whilst prevention should be the primary objective, this is not always possible. This final article in the series describes strategies for the management and resolution of complaints, as well as the advantages of good complaint handling.  Read more

P428  Prosthodontics:  Bilateral Balanced Articulation: Science or Dogma? by A Farias-Neto, A da Fonte Porto Carreiro

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For more than a hundred years, it has been supposed that canine guidance should be avoided in conventional complete dentures, since it would result in denture instability. Thus, bilateral balanced articulation has been held by many authors as fundamental for treatment success. However, randomized...  Read more

P432  Restorative dentistry:  Evaluation of a Novel Compule-Based Gingival Retraction System in UK General Dental Practices by FJT Burke, R John Crisp

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Twelve members were selected at random from the PREP panel, a group of UK-based dentists who are prepared to carry out research in their practices. A questionnaire was designed to determine the views of the participants, who were asked to use the retraction paste capsules where clinically...  Read more

P440  Clinical Dentistry:  Medication-Related Tooth Discoloration: A Review by MS Thomas, C Denny

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Tooth discoloration is a common problem for which patients seek dental care. Various medications can directly or indirectly result in tooth discoloration. As clinicians, it is our responsibility to know these therapeutic drugs which can cause tooth discoloration and educate our fellow colleagues to...  Read more

P449  Case report:  Denosumab-Associated Osteonecrosis of the Jaw – A Case Report by S Vyas, S Hameed, V Murugaraj

Osteonecrosis of the jaw (ONJ) following bisphosphonate use is well documented. However, to our knowledge, there are few cases reported on ONJ related to the use of other pharmaceutical agents, such as denosumab – a monoclonal antibody that is prescribed for the treatment of osteoporosis and is...  Read more

P452  Cariology:  Current Status of Conservative Treatment of Deep Carious Lesions by J Mattos, G Marins Soares, A de Aguiar Ribeiro

Traditionally, deep carious lesions are treated by removal of all carious tissue, which may lead to pulp exposure. To minimize this risk, conservative carious tissue removal techniques have been proposed, including partial removal and stepwise excavation. However, there is no consensus in the...  Read more

P457  Orthodontics:  Midline Diastema and its Aetiology − A Review by R Abraham, G Kamath

Maxillary midline diastema is a common aesthetic complaint of patients. Treating the midline diastema is a matter of concern for practitioners, as many different aetiologies are reported to be associated with it. The appearance of midline diastema as part of the normal dental development makes it...  Read more

P467  Periodontics:  Periodontal Disease in General Practice - An Update on the Essentials by R Wadia

Periodontal disease has a wide spectrum of presentation, any of which can have an effect on the patient’s dental well-being and overall quality of life. This sporadic but sometimes rapidly progressing condition can easily be missed in a busy general practice setting. It is essential that the...  Read more

P471  Clinical Challenges Q&A:  Clinical Challenges Q&A 1. Sore Gums by P Crispian Scully, D Dimitrios Malamos

A 57-year-old IT negotiator complained of tender gums generally, first noticed about 5 years previously. The condition was persistent, worsening through the day, and sometimes associated with gingival bleeding and a salty taste.  Read more

P473  Technique Tips:  Technique Tips – Active Lingual Retainer by S Lodha, S Kumar, S Mehta

It is believed that, because dental arch length decreases and lower anterior crowding increases throughout life, the only way to maintain ideal alignment after orthodontic treatment is by means of some form of permanent retention. Bonded lingual retainers are often placed after fixed orthodontic...  Read more