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Issue: Volume 45 Number 7 - July/August 2018

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P589  Editorial:  A new look at the diagnosis of pulpitis by FJ T Burke

The diagnosis of pulpitis has remained static for what seems like centuries, namely, that a diagnosis of irreversible pulpitis leads to treatment by extraction or by root canal filling, with the latter allowing the tooth to be retained, but with the requirement of a (potentially expensive) cusp...  Read more


P590  Restorative dentistry:  Tooth Wear Guidelines for the BSRD Part 2: Fixed Management of Tooth Wear by K Hemmings, A Truman, S Shah, R Chauhan

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The management of tooth wear (TW) may often present a dilemma to the clinician  Read more

P601  Restorative dentistry:  An Update on Discoloured Teeth and Bleaching Part 1: The Aetiology and Diagnosis of Discoloured Teeth by R Dubal, RWJ Porter

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A variety of bleaching materials and techniques are available across the dental market, and these are being used by the profession as a conservative approach to improving the appearance of discoloured teeth. The array of materials available and misunderstandings around the legality of their use has...  Read more

P609  Restorative dentistry:  Gagging – Bringing Up an Old Problem Part 1: Aetiology and Diagnosis by B Daniel Murchie

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Gagging is a problem which has plagued dentists and other members of the dental team, including non-dental colleagues, during the course of their careers. Gagging not only has the potential to slow down the progression of the patient’s treatment, but it can often lead to the development of dental...  Read more

P617  Removable Prosthodontics:  Immediate Dentures Part 1: Assessment and Treatment Planning by U Jogezai, D Laverty, AD Walmsley

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This two part review article aims to provide a comprehensive summary on immediate dentures. In the first part, after a brief introduction, the advantages and disadvantages of immediate dentures are compared. There is a detailed discussion on assessment and treatment planning which includes...  Read more

P625  Orthodontics:  Management of Infra-Occluded Primary Molars by R Attwall, K Parker, DS Gill

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This article reviews the aetiology, diagnosis and management of infra-occluded primary molars. The different treatment options are detailed as well as the differences in the management of patients depending on their age, the severity of the infra-occlusion and whether the permanent successor is...  Read more

P634  Restorative dentistry:  Combined Endodontic-Surgical Management of a Palato-Gingival Groove in a Maxillary Lateral Incisor with Two Canals by N Sakkir, M Asifulla, K Ahamed Thaha, T Francis

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Maxillary lateral incisors often exhibit embryological variations and developmental anomalies. The palato-gingival groove (PGG) is a rare anomaly that can pose difficulties in accurate diagnosis and treatment planning. Its presence can predispose to localized periodontal involvement, pulpal...  Read more

P641  Oral medicine:  Oral Lymphoma: A Case Series by OFL Allsobrook, I Bakri, PM Farthing, NJ Morley, AM Hegarty

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Oral presentation of lymphoma is rare but highlights the need for dentists in primary care to consider it for inclusion when determining differential diagnoses for patients who present with oral lesions. Oral lymphoma manifests in both intra- and extra-osseous sites within the oral cavity with a...  Read more

P647  Prosthodontics:  Oral Rehabilitation of a Patient Suffering Mal-Union of a Fractured Mandible by G Bryce, S Sterlitz, S Smith

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Mandibular mal-union following fracture is a rare occurrence that can normally be surgically corrected. This article reviews the aetiology of mal-union and details the restorative rehabilitation of a patient suffering a failing dentition and mal-union of the mandible, using dental implants.  Read more

P655  Endodontics:  3D Printed Tooth Model – A Patient Education Tool and Surgical Aid in Endodontics by A Arora, B Mody, N Patel

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The use of 3D printed models created using cone beam computed tomography (CBCT) is a new addition to the field of dentistry. 3D printed models are easier for the patients to understand and serve as an effective treatment planning tool for the clinician. This case describes 3D printing as a...  Read more

P660  Oral medicine:  Malignant Oral Melanoma: How to Spot It and How It is Managed by Z Khan, R Albuquerque, A Richards

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Primary oral melanoma (POM) is a rare malignancy affecting primarily the hard palate and maxillary gingivae. Oral melanoma has a poor prognosis due to the frequent delay in diagnosis, the tendency of the tissues to be invaded locally and the potential to metastasize. This article aims to summarize...  Read more

P667  Letters to the Editor:  Letters to the Editor by P Ower, P Graham R Ogden, D Simon Stretton-Downes, P Dr Juergen Manhart, C Marp

I would like, if I may, to add some personal comments to the excellent editorial on the ‘thumb technique’ in the May issue.  Read more

P670  Updates from America:  I Can't Hear You by C John Palenik

In 2015, the ADA Council on Dental Practice’s Dental Wellness Advisory Committee, in conjunction with the ADA Health Policy Institute, conducted a survey to study the well-being of dentists. The survey covered a variety of factors including medical conditions, stress, job and life satisfaction,...  Read more

P675  Technique Tips:  Local Anaesthesia using Computer Controlled Local Anaesthesia Delivery Systems by R Kaur Khehra, M Mohammed, D Sisson

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In dentistry, the injection of local anaesthesia is a great source of fear and anxiety, especially in children, owing to its associated pain and discomfort. Furthermore, severe anxiety and fear can result in increased pain perception in children and adults alike.  Read more