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Issue: Volume 44 Number 11 - December 2017

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P1021  Editorial:  UDAs remain a broken currency by FJT Burke

The Unit of Dental Activity (UDA) remains the currency by which dentists operating in the NHS system in England and Wales are paid. Introduced in 2006, it took only three years before a report roundly condemned these as an inappropriate method for paying dentists.  Read more

Articles

P1023  Restorative dentistry:  Dental Implants: What Have We Learnt from Long-term Follow-up? by L Webb, A Coleman, P Nixon

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At dental hospitals and general dental practices across the UK there are increasing numbers of patients attending with problems related to their dental implants. Many of the most challenging to deal with are those where implants were placed many years previously. With more evidence now available...  Read more

P1034  Conscious Sedation:  Complications of Conscious Sedation: Causes and Management by T Halai, A Naqvi, C Steel, S Koshal

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Conscious sedation is a common treatment modality for patients with dental anxiety. In adults, intravenous sedation using Midazolam is the most common method of conscious sedation. For inhalational sedation, Nitrous Oxide and Oxygen are used frequently. Clinicians should be aware of the potential...  Read more

P1042  Forensic Dentistry:  Forensic Odontology by J Robson

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Forensic Odontology (or Forensic Dentistry) can be defined as the branch of dentistry that addresses the proper handling and examination of dental evidence and the evaluation and presentation of dental findings in the interests of justice. In the UK, this usually involves solicitors, barristers,...  Read more

P1049  Restorative dentistry:  Management of Enamel Defects: A Case Report of Identical Twins with Enamel Defects of the Permanent Dentition by J Chesterman, K Durey

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Enamel defects have a wide range of aetiology and can be challenging to diagnose. Largely, the management of enamel defects is determined by the severity. As most patients with enamel defects present at a young age, conservative treatment is a priority. Nevertheless, indirect restorations have a...  Read more

P1057  Paediatric dentistry:  Dry Mouth in Children: an Under-Reported Condition? by MM Ivanova, A Wallace, AM Hegarty, JC Harris

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Dry mouth has a profound effect on the oral environment and alters susceptibility to oral disease. It is well-recognized in adults but affected children may not report symptoms even when severe oral dryness is present, potentially leading to late diagnosis and missed opportunities to prevent caries...  Read more

P1065  Oral surgery:  Tobacco Habit-Associated Oral Disease and the Negative Effects on Surgical Outcomes by S Al–Mahozi, Z Salim, NJ Malden, C Scully, V Lopes

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The negative impact on general health of the population of the UK due to the widespread use of tobacco is well documented. In relation to the practice of oral surgery (OS) a tobacco habit can influence the delivery of care in a number of ways. This paper aims to document the oral disease processes...  Read more

P1071  Immunology:  The Immune System: Basis of so much Health and Disease: 8. Antigens and MHC by C Scully, EA Georgakopoulou, Y Hassona

The immune system is the body’s primary defence mechanism against infections, and disturbances in the system can cause disease if the system fails in defence functions (in immunocompromised people), or if the activity is detrimental to the host (as in auto-immune and auto-inflammatory states). A...  Read more

P1076  Tooth Erosion:  Advice for Festive Drinkers by MA Hadis, WM Palin, DG Perryer, FJT Burke

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The incidence of tooth wear is rising, worldwide, with extrinsic and intrinsic erosion being involved in many cases. A variety of drinks have been considered to be implicated, for example, fresh fruit juices, carbonated beverages, alcoholic drinks and energy/sports drinks. However, there are a...  Read more

P1083  Orthodontics:  Sectional Fixed Appliance Therapy in the Mixed Dentition by A Rao, K YM, S Tiwari, R Krishnan, S Sivadas, M Khare

There are many common dental malocclusions seen in the mixed dentition, such as premature loss of, or retained, deciduous teeth, submerged molars, supernumerary teeth, midline diastema, crossbites, increased overjet, open bites, ectopic eruptions and crowding. In properly selected cases, like...  Read more

P1090  Updates from America:  Practice Infection Control Co-ordinator by D Charles John Palenik

Infection control has been a central issue in dentistry for more than 35 years. Compliance today is demanding because governmental regulations and guidelines have progressively become more complex.   Read more

P1092  Letters to the Editor:  Letters to the Editor by A Dziedzic, CA Yeung, E Stacey, K Lewis

I have read with great interest the article by Jennifer Lawson et al,1 which emphasizes the importance of comprehensive pre-operative treatment planning for dental care under general anaesthetic.  Read more

P1096  Technique Tips:  Technique Tips A Complicated Crown Fracture: The Cvek Pulpotomy by O Barratt, CC Dixon, SM Barry

The Cvek pulpotomy is a useful technique for the management of a complicated crown fracture of vital incisors with open or closed apices.  Read more

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