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Issue: Volume 46 Number 1 - January 2019

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P5  Editorial:  'I learnt about dentistry from that' – First steps in developing an open reporting culture in dentistry by S Hawkins, T Burke

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The November 2017 publication of ‘Lessons for dentistry from the flightdeck’1 has stimulated thought, as evidenced by the Dental Update Study Day into how dentistry can learn from the aviation industry. In aviation, a pilot’s continued professional competence is formally assessed every six months...  Read more


P8  Guest Editorial:  New Classification System for Periodontal and Peri-implant Diseases by P Ower

Since 1999, we have become used to the periodontal diseases classification system devised by Armitage.1 This defined periodontal diseases (but not, at that time, peri-implant diseases) into eight categories and recognized periodontitis in two forms, chronic and aggressive.   Read more

P12  Periodontics:  ‘Selfies’ – an Effective Communication Aid to Solve Periodontal and Implant Diseases by M Kelleher, P Ower

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If a picture paints a thousand words, then ‘selfies’ can be a very effective communication aid in getting patients to understand and accept their responsibilities for their periodontal diseases and/or their implant health maintenance.  Read more

P24  Dental Trauma:  ‘Selfies’ Helping the Management of Polytrauma by S Djemal, F Al-Kazemi, M Aryafar, R Tomson

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Effective management of traumatic dental injuries remains a challenge for clinicians worldwide. Ideally, treatment should be carried out as soon as possible to optimize patient comfort and wound healing. However, delays often happen for a variety of reasons and sometimes the appropriate skills are...  Read more

P30  Prosthodontics:  The Application of Occlusion in Clinical Practice Part 2: the Taking of Occlusal Records by S Mehta, S Banerji

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The second part of this series of three articles aims to consider the clinical steps when taking intra-occlusal records. It will also address the subsequent transfer of the outcomes onto an appropriate form of articulator.  Read more

P42  Paediatric Dentistry /Oral Medicine:  Orofacial Granulomatosis in Children – a Review by M Patel, G Davis, R John, R Cowie

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Orofacial granulomatosis (OFG) is an uncommon chronic inflammatory disorder that can present in childhood. It has a range of clinical manifestations with the common features being lip swelling and oral ulceration. It can be idiopathic or associated with systemic granulomatous conditions such as...  Read more

P49  Eating Disorders:  The Oral Implications of Mental Health Disorders Part 1: Eating Disorders by N Patel, M Milward

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Mental health disorders are becoming increasingly prevalent and it is important that dental professionals have adequate knowledge of these conditions, the impact that they may have on oral health and how they should be managed. This is the first of two articles that discuss mental health disorders...  Read more

P55  Occupational Health:  Preventing and Managing Back Problems Amongst Dental Professionals in Dental Practice by RJJ Pilkington

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Occupational health problems in the dental setting have been highlighted in the past mainly focusing on cross infection and acquired illnesses, such as hepatitis B and HIV. Musculoskeletal problems have been documented over the years but little has been done to address them. This article highlights...  Read more

P62  Oral surgery:  Cemento-Osseous Dysplasia-Related Jaw Necrosis – a Case Report and Literature Review by T Atiea, M Henien, C Sproat, S Thavaraj, V Patel

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Osteonecrosis of the jaw (ONJ) is most commonly related to medications such as anti-resorptives and anti-angiogenics or head and neck radiotherapy. However, in addition to these, alternative causes of ONJ have also been reported including; infection, chemical toxicity, trauma and vascular...  Read more

P68  Oral and Maxillofacial Surgery:  Referring to the On-Call Oral and Maxillofacial Surgery Team – What, When and How to Refer Emergency Conditions by MM Dungarwalla, A Vaghela, KJ Sneddon

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Primary care dentists are occasionally faced with conditions which cannot be managed in a primary care setting. Some of these conditions may be acute conditions requiring immediate input from the on-call oral and maxillofacial surgery (OMFS) team and/or emergency medical team. This paper aims to...  Read more

P77  Case report:  Loss of Vitality in an Unrestored, Caries-Free, Lower Premolar by T Sangar, G Bateman

An apical abscess associated with a caries free and unrestored tooth (virgin tooth) is uncommon. This may present diagnostic challenges and risk in general dental practice. The following report illustrates the diagnostic challenges and the initial management of pain in the case described.  Read more

P81  Audit:  An Audit Investigating the Management of Diabetic Patients in General Practice, in Relation to Periodontal Health by R Wali, S Mahmoud, A Chaggar, Y Hamrang-Yousefi, D Hurst

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Research has found a close relationship between the disease progression of diabetes and periodontitis. The aim of this audit is to determine the compliance of general dental practitioners (GDPs) with recommendations from the Delivering Better Oral Health toolkit (2014) for the management of...  Read more

P87  Technique Tips:  Composite Onlay: an Option for the Restoration of Hypoplastic Teeth in Paediatric Dentistry by K Khaled, M Grindrod, SM Barry

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As enamel hypoplasia becomes increasingly more common, the general dental practitioner (GDP) may be faced with the challenges of managing hypoplastic teeth.  Read more