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Issue: Volume 48 Number 4 - April 2021

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P257  Editorial:  ...more tooth wear by T Burke

Readers will, hopefully, recall that last issue’s Comment was a rallying call to the funders of NHS dentistry in England and Wales to consider a method of payment whereby clinicians would feel that the payments which they would receive, would reflect the time which they spent on treating worn...  Read more

Articles

P260  Guest Editorial:  ‘McNamara’s’ and Other Fallacies in Dentistry: Part 1 by MGD Kelleher

In 1984, Charles Handy, an Anglo-Irish philosopher, wrote a book entitled 'The Empty Raincoat.'1 In this elegantly written book, he popularized the phrase 'The McNamara Fallacy' although it had been described some years earlier by Daniel Yankelovich (1924–2017).   Read more

P266  Restorative dentistry:  Multidisciplinary Management of a ‘Double Tooth’ by N Halai, S Bhakta

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The term double tooth has often replaced the clinical diagnosis of gemination or fusion. If teeth have been extracted or exfoliated, the use of the neutral term ‘double tooth’ avoids the need to arbitrarily decide if it was gemination or fusion in origin. This case reports on a 16-year-old male who...  Read more

P271  Oral medicine:  A review of non-plaque-related gingival conditions. Part two: reactive processes, potentially dysplastic and malignant neoplasms, and pigmented conditions by M Simms, M Lewis

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The dental gingivae are a unique part of the oral anatomy and an integral part of the periodontal tissues. Although the vast majority of abnormalities affecting the gingival tissues are due to a simple inflammatory reaction directly related to the presence of dental plaque, a range of...  Read more

P279  Oral and Maxillofacial Surgery:  Not all swellings are dental abscesses: a cautionary tale by P Biyani, R Lundgren, A Thompson, R Orr

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Carcinomas of the maxillary antrum are rare and tend to present late, leading to poor survival rates. Two-thirds of cases will present with oral symptoms or facial swelling. Dentists should be aware of suspicious clinical and radiographic signs, which may help in early detection and treatment. We...  Read more

P285  Oral surgery:  Synovial chondromatosis of the temporomandibular joint and its management by S Jannati, C Pretzl, N Ali, S Holmes

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Synovial chondromatosis is a condition in which loose fragments of cartilage develop in the synovial membrane of joints due to metaplasia of the subsynovial connective tissue. The resulting symptoms are similar to those of temporomandibular joint (TMJ) dysfunction. Clinical diagnosis can therefore...  Read more

P289  Dental Trauma:  Decoronation of ankylosed teeth: an overview by JA Lawson, A Wallace, H Zaitoun

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Severe traumatic dental injuries to permanent incisor teeth often result in replacement resorption following significant damage to the periodontal ligament. This leads to ankylosis and subsequent infra-occlusion of the traumatized tooth in a growing paediatric patient. Extraction of these teeth can...  Read more

P295  Oral and Maxillofacial Surgery:  Garré’s osteomyelitis of the jaw by R Hazara, E Pappa

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The aim of this short review is to update dental professionals on the causes, manifestation and treatment of Garré’s osteomyelitis. There are multiple cause of facial swellings and asymmetry arising from dental infections, trauma, or more seriously can be benign or malignant tumours. Garré’s...  Read more

P299  Oral surgery:  Alveogyl: foreign body reaction by S Joshi, C Steel, J Eyeson

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Alveolar osteitis (AO) is a painful complication experienced by approximately 3–4% of patients who have undergone a dental extraction. A frequently used intra-alveolar dressing material, such as Alveogyl is commonly used to treat sockets where a diagnosis of AO is made. However, unexpected problems...  Read more

P302  Special Care Dentistry:  Dental care for the bariatric patient by J Hamilton, M Gittins, A Geddis-Regan, G Walton

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As the overweight and obese population increases, one must be mindful of the implications on the delivery of dental care to this group. Appropriate facilities must be available, which may warrant structural and equipment adaptations to clinical and non-clinical areas. The complexity of dental...  Read more

P308  Restorative dentistry:  Replacing buried teeth: a review of primary failure of eruption of permanent teeth and case report by J Siew Chin, MBM Thomas

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Primary failure of eruption is a condition that has variable presentation and can be difficult to diagnose. This article provides an overview of the condition and discusses the management of an unusual case of primary failure of eruption of permanent teeth in a 37-year-old adult.  Read more

P316  Oral medicine:  Medically unexplained oral symptoms by BJ Steel, V Goel, PJ Dorman, J Durham

Medically unexplained symptoms (MUS) are common in all areas of healthcare, and when the term is applied to oral symptoms, it can be appropriately focused as medically unexplained oral symptoms (MUOS). This article reviews the causes/associations and presentations of MUOS in dentistry, and...  Read more

P323  COVID-19:  COVID-19 vaccines: vagaries and vacillations by L Samaranayake, J Wen Wei Chang, C Panduwawala

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All healthcare workers, including dental professionals are foot soldiers in the battle against the COVID-19 pandemic. Indeed, in the USA, dental practitioners and dental students are now recruited to deliver COVID-19 vaccines to the general population to expedite vaccine uptake, and rapidly...  Read more

P328  Letters to the Editor:  Letters to the Editor by Y Ming Lin et al

I wish to highlight how the current COVID-19 pandemic has affected the effective behaviour management of children. Children with anxiety issues related to dentistry are usually referred to community dental services where dentists are able to spend extra time and effort acclimatizing them to dental...  Read more

P332  Technique Tips:  Contouring an Abutment Tooth to aid Placement of a Resin & bonded Bridge by D Caga

Resin-bonded bridges (RBBs) have been used for the restoration of edentulous regions since the 1970s,1 with Howe and Denehy being the first to describe the use of a non-preparation adhesive bridge bonded to acid-etched enamel using composite.2  Read more

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