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Issue: Volume 45 Number 1 - January 2018

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P5  Guest Editorial:  Social Media - What dentists need to be aware of by R Moore

What is social media? The Oxford English Dictionary1 definition is: ‘Websites and applications that enable users to create and share content or to participate in social networking’ Many of us will instantly think it relates to sites such as Facebook, Twitter and Instagram.   Read more

P7  Thank you:  Thank you to our Reviewers by FJT Burke

Every paper in Dental Update is considered by two reviewers. I would like to thank all those on the list below for giving their time and expertise in checking the validity of the papers published in Dental Update in 2017 and making suggestions on how papers might be improved.  Read more

P8  Guest Editorial:  ‘In your Face’ book dentistry by A Alani

Interpersonal communication, and the methods and modes through which it is achieved, has exponentially increased and diversified over the last 20 years.  Read more


P10  Restorative dentistry:  A Contemporary Approach to the Provision of Tooth-Supported Fixed Prostheses Part 1: Indications for Tooth Replacement and the Use of Fixed Bridges Retained by Crowns by R Ibbetson

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Fixed tooth replacement is a central part of prosthodontic care for patients. The approach and options for treatment have changed due to the decrease in dental disease in the population and the impact of the osseo-integrated implant. Despite the impact of the dental implant, there remain...  Read more

P22  Patient Communication/Restorative Dentistry:  Patient and Dentist Burnout - A Two-Way Relationship by C Bain, L Jerome

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Although professional Burnout is widely acknowledged, this paper proposes the concept that, in dentistry, there is a seldom identified phenomenon of Patient Burnout in some patients undergoing complex treatment, and that this may, on occasion, contribute to eventual Dentist Burnout. Warning signs...  Read more

P32  Oral and Maxillofacial Surgery:  Botox: It’s Not Just About The Wrinkles by N Prado, L Rose, P Korczak

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The use of Botulinum toxin (BTX) for cosmetic procedures has been well recognized, however, its popularity and use in treating a variety of conditions within clinical dentistry is continuing to increase. This includes masseteric hypertrophy, neuralgias, temporomandibular joint dysfunction and...  Read more

P38  Oral medicine:  Oral Mucosal Ulceration Induced by Alendronic Acid: A Case Series by D Finn, A Field, B Rajlawat, C Randall

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A number of medications may cause oral ulceration by either systemic or local mechanisms. Alendronic acid tablets, when in prolonged contact with the oral mucosa, are one such medication. When prescribing alendronic acid tablets, it is important to ensure that the patient is able to take them...  Read more

P44  Dental Bleaching:  Dental Bleaching: An Update by R Malik

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Bleaching is a commonly sought aesthetic treatment. In recent years there have been changes to the legal aspects of dental bleaching. This article provides an overview of dental bleaching, the changes that have occurred and how they may affect the provision of this treatment. The article also...  Read more

P51  Immunology:  The Immune System: Basis of so much Health and Disease: 9. Control of Inflammation and Immunity 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

P57  General Dental practice:  Medical Histories for the Computerized Practice by R Lilleker

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Taking a comprehensive medical history is a prerequisite for treating every patient. This paper will explore the current requirements and suggest how computerized practices might efficiently achieve them. It is suggested that practices consider their patient journey and information flow and a...  Read more

P64  Paediatric dentistry:  Hypophosphatasia: Diagnostic Clues for the Dental Practitioner by J Patel, RP Anthonappa, NM King

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Hypophosphatasia has a wide clinical spectrum ranging from premature loss of primary teeth to neonatal death. The premature loss of primary teeth in a child with an otherwise unremarkable history may be the first sign of a more significant underlying disease. This report illustrates the role of the...  Read more

P71  Oral Cancer:  The Role of the General Dental Practitioner in the Detection of Squamous Cell Carcinoma of the Maxillary Antrum by A Chatzipantelis, S James Brown, A Campbell

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Antral squamous cell carcinoma (SCC) is a relatively uncommon head and neck malignancy. Fewer than 400 cases are reported annually in the UK. As it is uncommon and often shows slow progression, it can be misdiagnosed in the early stages. This report describes a case involving a 52-year-old patient...  Read more

P77  Updates from America:  Mycobacterium abscessus Infections in Two Groups of US Pediatric Dental Patients by C John Palenik

Mycobacterium abscessus is a rapidly growing non-tuberculous mycobacterium (NTM). It is ubiquitous in the environment. Commonly found in water, soil and dust and is known to contaminate medications and medical devices.  Read more

P80  Technique Tips:  The Use of a Novel Primary Impression Technique in a Patient with Microstomia by V Wilson, J Ellis

The prevalence of edentulous patients has decreased in Western society. The Adult Dental Health Survey determined that the level of edentulism reduced from 13% to 6% between 1998 and 2009.  Read more