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Issue: Volume 45 Number 10 - November 2018

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P901  Editorial:  Marginal gains in dentistry? by FJT Burke

Readers who have had contacts with big business will be aware of the concept of Six Sigma. This was invented at Motorola in 1986 and adopted by many companies, most famously by Jack Welsh at General Electric.  Read more

P973  Safeguarding:  Child Safeguarding in Dental Practice; What you need to know by D Auld

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This paper aims to define the types of child abuse and how this may present to the dental team. It briefly outlines actions which should be taken if and when safeguarding concerns may arise.  Read more

P977  Oral Surgery/Radiology:  Are Changes in Specific Landmark Anatomy on a Panoramic Image Suggestive of Maxillary Sinus Disease? by T Kerai, K Ganesan

Dental panoramic radiography is a commonly employed investigation in dentistry, however, its use in the primary indication of maxillary sinus disease is often underestimated. Being able to identify anomalies or abnormalities involving the maxillary sinus on radiographs will facilitate early...  Read more


P902  Restorative dentistry:  The Dangers of Social Media and Young Dental Patients’ Body Image by S Rana, M Kelleher

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New media poses new dangers for many younger dental patients and, in particular, to their body image. There is now a generation of younger dental patients that have grown up entirely in the digital era where social media is just part of their normal life. Most of the images they are exposed to...  Read more

P912  Restorative dentistry:  Occlusal Splints for Bruxing and TMD – A Balanced Approach? by R Jagger, E King

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Occlusal splints are classified in this article into three groups according to the way that opposing teeth contact the splint: 1) partial occlusal contact; 2) full occlusal contact in retruded arc of closure; and 3) full occlusal contact in protrusion. Each type of splint has relative advantages...  Read more

P920  Periodontology:  Risk Assessment in Periodontal Disease by L Chapple, I Chapple

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Risk assessment is vital for preventive dental care and validated technologies exist that enable the dental professional to assess a patient’s risk of developing periodontal disease. Information personalized to individual patients can be presented in a simplified format, which patients can...  Read more

P928  Orthodontics and Periodontics:  The Orthodontic/Periodontal Interface Part 3 by S Griffiths, S El-Kilani, D Waring, J Darcey, OH Malik

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Adult patients are increasingly seeking orthodontic treatment. It is essential to establish optimal periodontal health in these patients before embarking on such treatment, which demands the interaction between the general dental practitioner (GDP) and orthodontist for effective management. This...  Read more

P935  Oral surgery:  Prevention and Optimal Management of Peri-Surgical Pain in Dentistry by T Renton

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It is every patient’s right to expect optimal pain management in relation to routine elective surgery. Dentistry is a profession predicated upon causing and/or managing pain in patients. Poorly managed pain, or severe pain, peri-operatively, is the predominant cause of complaints in NHS dentistry,...  Read more

P947  Orthodontics:  How Orthodontic Therapists have Changed the Provision of Orthodontic Treatment by S Ainscough, D Roberts-Harry, A Shelton, S Littlewood, T Hodge

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The last decade has seen the orthodontic workforce transformed by the introduction of orthodontic therapists. This article aims to highlight how they have changed the provision of orthodontic treatment and how the orthodontic profession has caught up with general dentistry where task delegation to...  Read more

P952  Oral medicine:  Oral Manifestations of Secondary Hyperparathyroidism: A Case Report and Literature Review by J Cheng

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A 52-year-old male with secondary hyperparathyroidism resulting from polycystic kidney disease, undergoing dialysis for 18 years, is documented. The case showed radiographic mandibular bilateral osteolytic lesions with ground glass appearance, diminished lamina dura, maxillary horizontal bone loss,...  Read more

P961  Paediatric dentistry:  Developmental Defects of Enamel in Primary Molars: A Review by S Marshall, T Kandiah

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Developmental defects of enamel (DDE) are not uncommon in both the primary and permanent dentition. This article presents a review of the current literature and describes the definition, prevalence, aetiology, diagnosis and management of primary molars affected by DDE.  Read more

P985  O&M Surgery/Restorative Dentistry:  Odontogenic Myxoma of the Maxilla: Diagnostic Considerations, Surgical Resection and Prosthetic Rehabilitation by YEK Gamie, Z Gamie, D Seymour, PH Whitfield

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A 15-year-old female with a history of orthodontic treatment was referred by her general dental practitioner (GDP) to the Oral and Maxillofacial Surgery (OMFS) department after noticing a right buccal maxillary swelling during a routine check-up. Examination and radiographic investigations revealed...  Read more

P991  Technique Tips:  Prosthodontics: The Admix Impression by K Butt, K Dewan

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The ‘admix impression’ is a definitive secondary impression technique used in the management of severely resorbed mandibular ridges covered with atrophic mucosa.1  Read more