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Issue: Volume 47 Number 4 - April 2020

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P285  Editorial:  Yesterday, now, or tomorrow: caries etc? by T Burke

Readers will hopefully recall that, in my last Comment, I discussed a series of articles which were published in Dental Update in 1986 which included the occasional series entitled ‘Dentistry in the year 2000’, and that some predictions made for 2000 indeed applied to 2020. However, there were...  Read more

Articles

P287  General Practice:  COVID-19 Considerations in Dental Care by S Darwish

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COVID-19 is a disease that is causing uncertainty with the provision of dental services. The situation is rapidly changing and dentists remain unsure on how to change practices accordingly. Formal guidance remains sparse at the time of writing, so this paper presents matters within the practice of...  Read more

P303  Dental Psychology:  Body Dysmorphic Disorder: a Guide to Identification and Management for the General Dental Practitioner by A Rosten, T Newton

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Body Dysmorphic Disorder (BDD) is a relatively common psychiatric condition in which the individual is disproportionately concerned about an aspect of his/her appearance. People with BDD are highly likely to seek cosmetic dental treatment. However, the provision of such treatment is...  Read more

P314  Oral and Maxillofacial Surgery:  The Maxillary Sinus: What the General Dental Team Need to Know Part 1: Paranasal Sinus Physiology, Infective Disease and Diagnosis of Pain by GW Bell, I MacLeod, JC Darcey, C Campbell

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This first paper of a four-part series guides the dental team through paranasal sinus physiology and how muco-ciliary clearance is interrupted in disease, particularly infection. The role of acute rhinosinal infection is discussed in relation to orofacial pain and headache. The broad differential...  Read more

P326  Restorative dentistry:  Is a Ridge Classification Helpful when Assessing Edentulous Patients? by W Leyssen, K Butt, AD Walmsley

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The edentulous ridge classifications most commonly used have their limitations in treatment planning. They do not provide an indication of the complexities that may occur when constructing a new set of complete dentures. The new classification system suggested in this article helps with improved...  Read more

P334  Paediatric dentistry:  Bitewing Radiography for Caries Diagnosis in Children: When and Why? by L Timms, C Deery, B Chadwick, N Drage

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Untreated dental caries affects children in the UK, with significant burden to the child, family and health service. High quality bitewing radiography is more effective than clinical observation alone at detecting proximal caries in children. Accurate diagnosis before cavitation allows preventive...  Read more

P342  Oral surgery:  Displacement of Lower Third Molar into the Parapharyngeal Space during Extraction by L Finan, A Jebril, A Kumar, D Srinivasan

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Lingual displacement of lower third molar teeth is a well-recognized complication of extraction. The purpose of this article is to report the case of a displaced lower third molar tooth into the parapharyngeal space during extraction. A 44-year-old man was referred to the Oral and Maxillofacial...  Read more

P345  Oral Health:  Every Contact Matters: the Role of the GDP by B Gill

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‘Making Every Contact Count’ (MECC) is a government initiative headed by Public Health England and other organizations to provide support for patients to make positive behaviour changes to their health and wellbeing. The aim of MECC is to reduce the number of long-term diseases in the population...  Read more

P353  Sedation:  Conscious Sedation in Dentistry: Selecting the Right Patient by R Hazara

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In recent years, conscious sedation has grown in popularity as an alternative to general anaesthesia in a primary setting due to its safety and efficiency. It is imperative to carry out a full patient assessment prior to treatment under conscious sedation. Conscious sedation is provided...  Read more

P360  Medical Emergency:  Two Eyes, Two Fingers, Two Minutes: Making It Easier to Recognize and Manage Medical Emergencies in Dental Practice Part 1: The Modified Dental Early Warning Score (M-DEWS2) by J Morse, SJ Bonsor

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Medical emergencies can happen at any time and in any place, including the dental practice setting. Recognizing the patient who is becoming unwell and remembering how to manage such emergencies can be quite daunting, especially for those who do not do so on a regular basis. The present paper...  Read more

P374  Letters to the Editor:  Letters to the Editor by D Ching Yeung Liu, T Chui Yi Ho, V Yeung, T Thayer, J Patel

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Coronavirus Disease 2019 (COVID-19) originates from a virus currently identified as SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2).  Read more

P376  Technique Tips:  Surgical Extraction of a Transmigrant Mandibular Canine: Description of a Minimally Invasive Technique by J Girdler, V Chadwick, S Chadwick

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A minimally invasive technique is described for the surgical removal of an unusual oral surgery challenge: the impacted, transmigrant mandibular canine.   Read more

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