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Issue: Volume 45 Number 4 - April 2018

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P281  Editorial:  Inappropriate behaviour by T Burke

Readers cannot have missed the media outpourings of angst in relation to inappropriate behaviour towards women, most of which appears to be entirely justified, and readers in the UK will also not have missed the 100th anniversary of (some) women being given the right to vote.   Read more

P283  Enhanced CPD:  Guidance for Enhanced CPD (for readers of Dental Update) by T Montgomery

With the introduction of Enhanced CPD in January we’ve seen many changes to the way CPD is approached, planned and documented.  Read more

P366  Letters to the Editor:  Letters to the Editor by K McDermott, V Yeung, D Saurab Bither, D Vineet Sharma

I am disappointed that a peer-reviewed article within a journal of clinical excellence has, within it, some inaccuracies.  Read more


P284  Restorative dentistry:  Gingival Retraction Techniques: A Review by S Adnan, M Atif S Agwan

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The factors responsible for the longevity and aesthetics of a restoration are intimately linked to the gingival and periodontal tissues. The placement of any restoration placed in close proximity to the gingival tissues requires adequate access and isolation, for which various gingival retraction...  Read more

P298  Oral Health:  The Dentist’s Role in Smoking Cessation Management - A Literature Review and Recommendations: Part 2 by RM Keat, J-C Fricain, S Catros, L Monteiro, L Martins da Silva, M Diniz Freitas, A Brandariz

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By utilizing the ‘stages of change’ approach to smoking cessation an individual’s willingness to quit smoking can be ascertained, with provision of knowledge on potential interventions empowering patients to make their own decisions on cessation modalities. Nicotine Replacement Therapy (NRT) can...  Read more

P311  Dental Anxiety:  Cognitive Behavioural Therapy and the Adolescent Patient by Z Marshman, J Kirby, H Rodd

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Dental anxiety is common in adolescents and is associated with poor oral health status and worse oral health-related quality of life. As these patients move into adulthood, they may continue to be reliant on pharmacological approaches in order to cope with dental treatment and only attend when they...  Read more

P320  Restorative dentistry:  Complications in Managing Tooth Wear; Exploring a Potential Pitfall of Using the Dahl Approach – A Case Study by J Coulter, G McCracken

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Tooth wear (tooth surface loss) is an ever increasing problem which can be challenging to prevent, restore and maintain. These cases frequently have reduced inter-occlusal space and are often managed by re-organizing the occlusion or using techniques such as the Dahl approach. This approach is not...  Read more

P329  Dental & Maxillofacial Radiology:  Cone Beam Computed Tomography: An Update for General Dental Practitioners by F Smith-Jack, R Davies

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As medical imaging becomes more advanced, Cone Beam Computed Tomography (CBCT) is increasingly used in general dental practice to aid diagnosis and treatment planning. Uses are varied and range from implant planning, endodontic treatment planning, to facial reconstruction. This article aims to give...  Read more

P340  Oral medicine:  Stafne’s Bone Cavity - Unusual Presentation in the Anterior Mandible by I Davies, H Boyes, J Wykes, G Smith

Stafne’s Bone Cavity (SBC) is a well described but uncommon asymptomatic pseudocyst of the mandible. Most commonly occurring in the posterior mandible, presentations anterior to the mental foramen are extremely rare and warrant thorough investigation. This case describes the presentation of a...  Read more

P342  Orthodontics:  The Iatrogenic Anterior Open Bite; a Potential Side-Effect of Thermoplastic Orthodontic Retainers by N Hemmings, NG Taylor

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Thermoplastic orthodontic retainers are popular with both patients and clinicians. Tooth coverage provides retention of orthodontic alignment, particularly in the lower labial segment, and their aesthetics are improved in comparison with more traditional acrylic and wire varieties. Iatrogenic...  Read more

P347  Oral surgery:  Multiple Myeloma as a Mandibular Radiolucency - A Difficult Diagnostic Challenge by DC Laraway, RGM Williams, AP Donnelly

Radiolucent lesions of the jaw are a relatively frequent occurrence. They have a wide differential diagnosis, and a rare case of a relatively common condition is presented here.  Read more

P351  PatientHealth/Orthodontics:  Foreign Bodies in the Nasal Cavity: Incidental Findings during Routine Orthodontic Radiographs by Y Lam, A Murray

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Foreign bodies in the nasal cavity are common amongst young children as they begin to explore their senses. The occurrence in teenagers often goes unreported from a fear of embarrassment therefore resulting in a delay in presentation or until they become symptomatic. The sequelae of foreign bodies...  Read more

P357  Oral Surgery/General Dentistry:  Dental Infection as a Cause of Bacteraemia in Infective Endocarditis by M Baldin, B Srinivasan, S Sharma

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Infective endocarditis is a life-threatening disease that not only involves the heart, but can also affect other organs. Bacteria enter the bloodstream from a source such as a dental infection, and travel through the blood to form vegetations on compromised heart valves. C-reactive Protein (CRP)...  Read more

P360  Oral medicine:  A Case of Extensive Oral Kaposi’s Sarcoma in a Patient with Undiagnosed HIV Infection by C Causey, N Singh, R Parkin

Kaposi’s sarcoma (KS) is a multifocal soft tissue tumour estimated to affect up to 1 in 20 HIV-infected individuals. Oral involvement is commonly the initial presentation, making it important that oral health providers are able to recognize oral disease in all stages of progression. Its various...  Read more

P364  Updates from America:  Recommended Vaccines for Healthcare Workers by C John Palenik

Centers for Disease Control and Prevention (CDC) recommend routine immunization to prevent 17 vaccine-preventable diseases that occur in infants, children, adolescents or adults.  Read more

P370  Technique Tips:  Posterior Temporary Crowns: A Freehand Technique by R Lilleker

his article describes a novel method for producing a temporary crown for posterior teeth intra-orally without the use of an impression or a pre-fabricated temporary.   Read more