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Issue: Volume 42 Number 7 - September 2015

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P597  Guest Editorial:  Getting the measure of quality by D Anousheh Alavi

What does quality assurance mean to you? If you are reading this journal, as I have been since a dental student, you are aware of what this unique journal offers, which explains why Colgate’s partnership with Dental Update goes back to well before continuing professional development (CPD) was...  Read more


P599  Endodontics:  Modern Endodontic Planning Part 1: Assessing Complexity and Predicting Success by S Jawad, R Vahid Roudsari, J Darcey, A Qualtrough

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Following a diagnosis of irreversible pulpal disease, periapical disease or failed endodontic therapy, the options for the tooth are extraction or root canal treatment. There is increasing evidence that certain factors may allow the clinician to predict the likely outcome of root canal therapy...  Read more

P612  Restorative dentistry:  Rehabilitation of Oncology Patients with Hard Palate Defects Part 3: Construction of an Acrylic Hollow Box Obturator by R Ali, A Altaie, B Nattress

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This article will discuss the clinical stages in the fabrication of a definitive acrylic hollow box obturator to restore a hard palate defect. The first two papers described the restorative/surgical planning phase and the principles of obturator design.   Read more

P622  Oral surgery:  Pain Part 4: Odontogenic Pain by T Thayer

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Pain is one of the major reasons that lead patients to seek dental care. For the majority of patients, the pain is of odontogenic origin, as a consequence of dental disease. The timely diagnosis and management of dental pain is an essential component of dental care, and this article reminds readers...  Read more

P632  Orthodontics:  Class II Division 1: An Evidence-Based Review of Management and Treatment Timing in the Growing Patient by SK Barber, KE Forde, RJ Spencer

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Class II division 1 malocclusion is common and various methods have been suggested for successful treatment in the growing patient. A number of recent high-quality studies have been undertaken to assess the efficacy of these treatments. We aim to outline the existing best evidence that supports...  Read more

P644  Oral medicine:  Mouth Cancer for Clinicians Part 4: Risk Factors (Traditional: Alcohol, Betel and Others) by N Kalavrezos, P Crispian Scully

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A MEDLINE search early in 2015 revealed more than 250,000 papers on head and neck cancer; over 100,000 on oral cancer; and over 60,000 on mouth cancer. Not all publications contain robust evidence. We endeavour to encapsulate the most important of the latest information and advances now employed in...  Read more

P656  Periodontics:  Juvenile Hyaline Fibromatosis: Impact of Periodontal Care on Quality of Life and a Patient Perspective by Z Yonel, S Parmar, ILC Chapple

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Juvenile hyaline fibromatosis (JHF) is a rare autosomal recessive inherited condition presenting early in life and characterized by the accumulation of hyaline-like tissue in the skin as well as various organs. Gingival overgrowth is a significant oral manifestation. This paper highlights how early...  Read more

P667  Restorative dentistry:  Dental Management of a Patient with Multiple Idiopathic Cervical Root Resorption by R Ali, S Fayle, D Langley, A Altaie, B Nattress

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Multiple Idiopathic Cervical Root Resorption (MICRR) is a rare condition. It initiates at the cemento-enamel junction of multiple teeth. The lesions continue to grow until they unite, thereby undermining the entire coronal structure of affected teeth. Its distribution can vary from a single region...  Read more

P674  Restorative dentistry:  A PREP Panel, Practice-Based, Evaluation of the Handling of the Kerr Demi-Ultra Light Curing Unit by FJT Burke, RJ Crisp

This paper describes the handling evaluation (by a group of practice-based researchers, the PREP Panel) of a recently introduced Light Curing Unit (LCU), the Kerr Demi-Ultra, which possesses a number of novel features such as its ultracapacitor power source, and the Light Emitting Diodes (LEDs)...  Read more

P681  Paediatric dentistry:  Dental Abrasion of Incisor caused by a Babies’ Dummy Clip: A Case Report by EJ Doğramacı, G Rossi-Fedele

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Tooth surface loss (TSL), the non-carious loss of tooth tissue, is considered pathological if the teeth involved experience sensitivity and pain, are functionally compromised or they detract from the patient's appearance. TSL is a common clinical finding in many patient groups, although differences...  Read more

P687  Letters to the Editor:  Letters to the Editor by D Martin Hussain, A Kumar Singh, S Sulugodu Ramachandra, H Majeed Mahdey

May I commend Mark Greenwood’s excellent article on the ‘Essentials of Medical History-Taking in Dental Patients’ in May’s Dental Update.   Read more

P690  Clinical Challenges Q&A:  Clinical Challenges Q&A 13. Painful Lip and Mouth Ulceration by P Crispian Scully, D Dimitrios Malamos

A 21-year-old woman presented with multiple oral ulcerations and bloody crusts on the ulcerated vermillion of both her lips. She also noted a rash, together with eye soreness and general myalgia. Her lesions began to appear 10 days after an episode of herpes labialis.  Read more

P692  Technique Tips:  Technique Tips – The Cost of One Post-Operative Sensitivity following Placement of a Posterior Composite Restoration by FJT Burke

Given the increasing popularity of posterior composite restorations,1 it is essential that these can be placed with an absence of post-operative symptoms. However, the incidence of post-operative sensitivity associated with such restorations has been found to vary between 2% and 5%.2,3,4...  Read more