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Issue: Volume 43 Number 2 - March 2016

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P105  Guest Editorial:  Back to the present by FJT Burke

‘Time may change me, but I can’t trace time’ ‘Changes’. David Bowie, 1972. I have suspected that the volume of articles published on Molar Incisor Hypomineralization (MIH) has been increasing, and this has been corroborated by a statement in a recent paper that this problem was more common than...  Read more


P106  Restorative dentistry:  A Guided, Conservative Approach for the Management of Localized Mandibular Anterior Tooth Wear by SB Mehta, S Francis, S Banerji

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The successful management of the worn mandibular anterior dentition may present an awkward challenge to the dental operator. The purpose of this article is to describe a case report illustrating the use of a guided, three-dimensional protocol for the ultra-conservative and predictable restoration...  Read more

P114  Endodontics:  Modern Endodontic Principles Part 5: Obturation by J Darcey, R Vahid Roudsari, S Jawad, C Taylor, M Hunter

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Once cleaning and shaping is complete the clinician must obturate the canal. There are many different materials and techniques available each with their own discrete advantages and disadvantages. Whichever technique is used, the goal is to seal the entire prepared length of the root canal. This...  Read more

P130  Periodontics:  Gingival Inflammation and Aggressive Periodontitis in a Child with a Specific Antibody Deficiency by S Liyange, D Edgar, MD Shields, GJ Linden

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Exuberant gingival inflammation accompanied by periodontitis is a rare finding in a very young child and may indicate a defect in the host response. Affected children should be referred to appropriate specialists to establish a definitive diagnosis. A 5-year-old girl presented with persistent...  Read more

P138  Oral surgery:  Pain Part 7: Trigeminal Neuralgia by S Jurge

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Trigeminal neuralgia (TN) is also known as ‘tic douloureux’ (in French, ‘painful twitch’). It is a rare chronic facial pain syndrome, characterized by severe, brief, stabbing, ‘electric shock-like’ recurrent pain attacks felt in one or more divisions of trigeminal nerve innervation areas. So...  Read more

P150  Restorative dentistry:  Indications for Cuspal Coverage by A MacInnes, AF Hall

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Cuspal-coverage restorations are important to preserve the integrity of a weakened tooth against the forces of occlusion. This article discusses the clinical indications for both direct and indirect cuspal-coverage restorations and the evidence supporting their use. Factors that modify a tooth’s...  Read more

P159  Prosthodontics:  Training Plates: A Solution for Patients Unable to Tolerate a Removable Prosthesis by DP Laverty, AD Walmsley

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Dealing with patients who are unable to tolerate dentures can present a challenge to the general dental practitioner (GDP). Careful assessment of patients and their dentures will identify any causes of the intolerance to dentures. Training plates are a useful technique that can be used to allow...  Read more

P168  Oral and Maxillofacial Surgery:  A Pathological Fracture of the Mandible due to Osteomyelitis following a Full Dental Clearance by P Jauhar, N Hammersley, T Handley

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Orofacial infections following dental extractions are a common referral to an oral and maxillofacial department as an emergency, especially when combined with swelling and limited mouth opening. The case presented demonstrates a rare complication of chronic suppurative osteomyelitis with bilateral...  Read more

P176  Oral medicine:  Mouth Cancer for Clinicians Part 8: Referral by N Kalavrezos, C Scully

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

P186  Pharmacology:  Antimuscarinics in Older People: Dry Mouth and Beyond by C Bostock, C McDonald

Many common prescription and over-the-counter medications have antimuscarinic effects. Antimuscarinics are a well recognized cause of dry mouth, with potential to cause other physical and cognitive adverse effects. A comprehensive medication review in a patient presenting with dry mouth can lead to...  Read more

P192  Letters to the Editor:  Letters to the Editor by C Peace, T Donnelly, MJ Trenouth, M Almuzian, F Alharbi, G McIntyre, D Barbara Coyne

I am becoming increasingly concerned with the lack of direction and availability to qualify as a Level 1, 2 or 3 skilled practitioner in NHS dentistry. Clinical pathways are being developed and implemented requiring these skills, yet not enough is being done by the Department of Health, the GDC or...  Read more

P194  Clinical Challenges Q&A:  Clinical Challenges Q&A 18. Oral Ulceration by C Scully, D Malamos

Α 36-year-old married woman presented for evaluation of three painful chronic ulcers (>1 month duration). Similar oral lesions had been recorded many times in the past, with the first episode reported at 3 months of age. These current ulcers presented after she had a staphylococcal skin...  Read more

P196  Technique Tips:  Technique Tips – The Windowed Partial Denture: An Elastomeric Retention Technique in Patients with Lone-Standing Teeth by A Alhilou, J Chesterman, P Nixon

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A removable prosthesis relies greatly on active retention, through the use of clasping elements into undercuts and the utilization of guide planes. Retention is defined as the resistance of displacement along the path of insertion. Various factors influence a patient’s satisfaction with a removable...  Read more