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Issue: Volume 43 Number 6 - July/August 2016

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P505  Editorial:  Present by FJT Burke

A year ago, in my Comment entitled 'Absent',1 I wrote a sad and sorry tale of how the General Dental Council (GDC) had spent registrant’s cash on booking a stand at the British Dental Association (BDA) Annual Conference in Manchester, and how the Chairman of Council and the Chief Executive were...  Read more


P506  Restorative dentistry:  Resin-Bonded Bridges – the Problem or the Solution? Part 1- Assessment and Design by J Singh Gulati, S Tabiat-Pour, S Watkins, A Banerjee

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Resin-bonded bridges (RBBs) have an important role to play in the minimally invasive prosthodontic replacement of missing teeth. This treatment modality is perceived to have a high clinical failure rate by some practitioners, which may be associated with poorly planned and executed designs and...  Read more

P522  Restorative dentistry:  Implant Dentistry in General Practice Part 2: Treatment Planning by K Nicholson

This paper, the second of a series of two, provides an introduction to treatment planning in implant dentistry for the general dental practitioner.  Read more

P529  Prosthodontics:  Denture Stomatitis – A Clinical Update by J Puryer

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Denture stomatitis is a benign condition, usually asymptomatic, that can affect edentulous patients. Studies have reported a prevalence of denture stomatitis affecting over 75% of denture wearers and, whilst the aetiology may be multifactorial, Candida albicans has a strong association with the...  Read more

P536  Preventive Dentistry:  Mouthwashes: Do They Work and Should We Use Them? Part 1: Antiplaque Efficacy of Mouthwashes by P Hodge

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This article will focus on the antiplaque efficacy of mouthwashes. An antiplaque agent inhibits the formation of plaque and also reduces gingivitis. There is good evidence that chlorhexidine digluconate, used in the correct concentrations, is the gold standard agent against which all others should...  Read more

P545  Paediatric dentistry:  A Mouthful of Anomalies by R Adamji, C Bryant, M Ahluwalia, JC Mitchell

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Isolated bilateral macrodontia of the mandibular second premolars is a rare condition. We believe that the case reported here is the first in which isolated bilateral macrodontia of the mandibular second premolars presents with numerous dental anomalies affecting other teeth. A 14-year-old boy was...  Read more

P550  Oral and Maxillofacial Surgery:  An Overview of the Surgical Correction of Dentofacial Deformity by OH Malik, DT Waring, R Lloyd, S Misra, E Paice

The correction of severe dentofacial discrepancies involving a combination of orthodontic and surgical therapies (termed ‘orthognathic treatment’) is commonplace. There is an abundance of evidence within this field but it is often inconsistent. This article is an evidence-based overview of such...  Read more

P563  Case report:  Spontaneous Osteonecrosis of the Maxilla by M Henien, V Patel, C Sproat, M McGurk

In the past decade there has been a rise of osteonecrosis of the jaws (ONJ) predominately related to bisphosphonate therapy and osteoradionecrosis secondary to radiotherapy. However, osteonecrosis can occur in the absence of these agents. A case of idiopathic osteonecrosis of the maxilla is...  Read more

P567  Oral medicine:  Mouth Cancer for Clinicians Part 12: Cancer Treatment (Chemotherapy and Targeted Therapy) by N Kalavrezos, C 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

P575  Endodontics:  Effective Pain Management Strategies in Endodontic Therapy by S Singh Virdee

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Pain management is the key to providing successful root canal therapy. All patients hope for a painless procedure and look forward to being free of their symptoms when treatment is complete. However, managing pain throughout endodontic therapy can be challenging and improving awareness of various...  Read more

P588  Letters to the Editor:  Letters to the Editor by M Kelleher, M McGurk, AE Moore, R T, T T, P S, J MK

 We write to challenge some of the assertions made in this recent paper. Sadly, the attention grabbing title is rather naïve and/or misleading for general dentists and others. There is cause for concern and possible alarm in dentistry if patients, who have had multiple IV injections of...  Read more

P593  Clinical Challenges Q&A:  Clinical Challenges Q&A 22. Red Mark on Face and Lip by C Scully, D Malamos

A 56-year--old woman came for her annual dental check-up. A deep red mark on her face extending ipsilaterally from the right malar region to the lateral part of the nose, upper and lower eyelid and upper lip was noted (Figure 1). Oral examination showed the lesion also on the upper right gingivae...  Read more

P595  Technique Tips:  Technique Tips – The Natural Tooth Pontic: A Novel Approach by A Daly

This paper presents a novel clinical technique of employing an e.max lingual retainer combined with a natural tooth pontic to manage the immediate restoration of a post-extraction space in the lower anterior region. It presents an interesting case report and discusses the use of the e.max lingual...  Read more