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Issue: Volume 45 Number 5 - May 2018

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P381  Editorial:  Perhaps the thumb technique wasn’t so bad! by T Burke

I recently saw a patient who had four amalgam restorations. All had interproximal overhangs. Figure 1 presents the DPT radiograph, while Figures 2, 3 and 4 present close-ups of the four restorations, or is it five, as some seem to be joined. Although none had finger or thumb prints on the occlusal...  Read more


P383  Special Care Dentistry/Oral Surgery:  Oral and Dental Management for People with Multiple Myeloma: Clinical Guidance for Dental Care Providers by H Abed, M Burke, N Nizarali

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Multiple myeloma (MM) is defined as cancer of the plasma cells that is characterized by the production of abnormal immunoglobulin. It most commonly presents in people over 65 years of age, with a higher prevalence in men. People with MM can present with bone pain, renal failure, anaemia,...  Read more

P400  Restorative dentistry:  Essentials of Light Curing by RB Price, AC Shortall

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This article provides the key points for ensuring safe, effective and efficient light curing protocols in clinical practice. The article covers light curing unit selection, appropriate irradiance ranges, the effect of operator training and the importance of incorporating material requirements and...  Read more

P408  Dental Sleep Medicine:  The Role of Dentists in Management of Snoring with Oral Appliances by A Johal, A Desai

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This paper aims to highlight the importance of dentists in the management of sleep-related breathing disorders through the provision of mandibular advancement appliances (MAAs). An update on the use of MAA therapy is provided with respect to current clinical practice guidelines, their mode of...  Read more

P415  Restorative dentistry:  The Ultimate Aesthetic Challenge in Dentistry: A Single Crown on a Maxillary Central Incisor by J Manhart

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Optical impairments of teeth in the aesthetic zone constitute a problem for many patients. Modern dentistry offers a large variety of different treatment options for aesthetic challenges in the anterior dentition, such as tooth bleaching, direct composite restorations, ceramic veneers or...  Read more

P427  Orthodontics /Paediatric Dentistry:  A Guide to the Orthodontic Extrusion of Traumatized Permanent Incisors in the Mixed Dentition by O Carty, J Hennessy, EA Al-Awadhi

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Extrusion of intruded maxillary incisors present the clinician with a great challenge, particularly in the mixed dentition. Several methods have been suggested to treat an intruded maxillary incisor, but currently there is no definitive guideline on which method is most successful. The treatment...  Read more

P434  Oral surgery:  Mandibular Radiolucencies - How to Refer and Manage Appropriately by M Jagatiya, N Nasser

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Radiolucencies occurring in the mandible are often incidental findings by general dental practitioners (GDPs), detected via routine radiological examination. For further investigation, most unknown radiolucencies will be referred to a secondary care oral surgery or oral and maxillofacial (OMFS)...  Read more

P439  Restorative dentistry:  Child Cancers: Managing the Complications of Childhood Chemotherapy in the Adult Dentition by N Rizvi, MGD Kelleher, M Majithia

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Young children who are unfortunate enough to suffer from a malignant disease are often treated with chemotherapy. This selectively toxic treatment keeps them alive but, in many cases, the effects on the developing dental structures can be very serious. Robust evidence is limited on how to manage...  Read more

P449  Primary Care Dental Practice:  Skill Mix - the Challenges for Practice by P Cannell

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Skill mix is a term that has started to appear in the dental arena over the last few years. The intention of this article is to enable the reader to appreciate what the term means, its relationship to the scope of practice of the various members of the dental team, offer a consideration of the...  Read more

P457  Oral & Maxillofacial Surgery/ Radiology/ Oral Medicine:  Necrotizing Sialometaplasia - A Diagnostic Conundrum by A Shabir, J Cymerman, A Jay, S Jawad, S Morley, C Liew

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A case of necrotizing sialometaplasia (NS) is presented in a female patient, who initially presented as a suspected head and neck malignancy. This relatively rare condition holds diagnostic importance because of its ambiguous clinical and histopathological presentation that can be misdiagnosed...  Read more

P462  Behavioural science:  Success with Motivational Interviewing Techniques in the Dental Clinic: a Case for the Use of iMI-GPS by K Asimakopoulou, T Newton

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In this paper the origins and philosophy of Motivational Interviewing are described. Also, what the method seeks to do and the basic processes involved in delivering a consultation based on Motivational Interviewing principles are explained. Then research that has reviewed the evidence for the...  Read more

P468  Updates from America:  Bacterial Endocarditis Linked to an Oral Surgery Practice by C John Palenik

In October 2015, the New Jersey Department of Health (NJDOH) indicated that it had received reports of three patients who developed Enterococcus faecalis endocarditis after undergoing surgical procedures at the same oral surgery practice.  Read more

P471  Technique Tips:  Managing Young Patients with Molar Incisor Hypomineralization by A Patel, R Chawla, S Dunkley

Molar incisor hypomineralization (MIH) is a developmental anomaly that affects the first permanent molar teeth and often the permanent incisors. Hypomineralization is a qualitative defect, ie there is a reduced mineral content in the enamel. MIH is a relatively common condition and it has a...  Read more