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Issue Archive - View Single

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Issue: Volume 49 Number 3 - March 2022

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P189  Editorial:  High and Dry: A Bad Dream? by FJT Burke

In the last Comment,1 I contended that, not only were Prototype dentists being left ‘high and dry’ on 31st March 2022, but also, potentially, their patients. I then went on to add that perhaps NHS dentists in general might be treated in a similar way at some other time. Just after writing that...  Read more

P204  Paediatric dentistry:  Talon Cusp Management: A Case Series by R Butt, A Aspinall, A Tanday, CJ Brown

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Talon cusps are well-defined additional cusps on the palatal or labial surface of an anterior incisor. They typically extend half the distance from the cemento-enamel junction to the incisal edge and are primarily composed of enamel and dentine with varying degrees of pulpal involvement. Talon...  Read more

P220  Orthodontics:  A Spot of Bother: Orthodontic-associated White Spot Lesions by I Murphy, M Owaise Sharif

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White spot lesions (WSL) are a commonly reported risk of fixed appliance orthodontic treatment. This article reviews the incidence, aetiology and effectiveness of prevention and management of WSLs with a relevant case report. An adolescent male had fixed-appliance treatment and developed WSLs,...  Read more

Articles

P192  Restorative dentistry:  Clinical Tips to Improve the Restorative Management of Hypodontia: Part 1 by KB Patel, J Woolley, M Kelleher

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Hypodontia is defined as the developmental absence of one or several teeth. Management of these cases can appear to be complex, but many aspects of the treatment could be managed in primary care. This article aims to enhance understanding and improve confidence in managing hypodontia cases in an...  Read more

P198  Dental & Maxillofacial Radiology:  Do Something or Do Nothing? Anatomical Variants and Incidental Findings on Cone Beam CT. Part 2: Beyond the Dento-alveolar Complex and Neighbouring Structures by J Makdissi, A Loughlin, A Adams, MM Dungarwalla

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Cone beam computed tomography (CBCT) is a popular and often indispensable imaging modality used for the dento-alveolar tissues and immediate surrounding structures. It can be used across several dental disciplines including endodontics, implant planning, oral surgery and orthodontics. Furthermore,...  Read more

P214  Oral Medicine/General Practice:  Acromegaly and Dentistry: A Review by T Brown, W Anderson, W Keys

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Acromegaly is a progressive, multi-system disease caused by excessive growth hormone production that, if untreated, may lead to significant morbidity, mortality and impact on a sufferer’s quality of life. Changes to the orofacial complex are a prominent feature of the disease, meaning the dental...  Read more

P227  Periodontics:  Z-frenuloplasty: A Versatile and Effective Technique by P Menhadji, DS Raindi, M Malhi, A Boodhooa

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There are various cases where Z-frenuloplasty, a specific Z-plasty technique, can be used, including prior to mucogingival surgery, to manage localized recession defects, pre-prosthetic surgery, post-orthodontic treatment, oral hygiene and ankyloglossia, to name a few. This case series demonstrates...  Read more

P233  Prevention in Practice:  How to Maximize the Usefulness of Behaviour Change Conversations with Patients during Routine Dental Consultations by J Goldthorpe, I Pretty, J Hart, S Cotterill, S Peters

Clinicians can use behaviour change techniques effectively in routine consultations in healthcare settings, including dentistry. Professional guidelines support their use for preventing and managing a range of dental diseases. Theory and evidence from behavioural science can inform effective...  Read more

P239  Orthodontics:  Interceptive Management of Palatally Displaced Canines: Evidence-based Clinical Guidelines by A Alkadhimi, J Ahn, S Power

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The orthodontic alignment of palatally displaced canines (PDC) can be complex, with potential dental and soft tissue morbidity. Early diagnosis and provision of appropriate interceptive treatment has been shown to reduce the need for surgical exposure and extensive orthodontic treatment. This...  Read more

P247  Paediatrics and Preventive Dentistry:  Non-dental Biofilm-induced Traumatic Gingival Lesion in a Child: A Case Report by PP Nayak, S Bhat Giliyar, S Kumar, R Nayak, MS Alhareky

Self-mutilation behaviours in individuals with normal intelligence are mostly habitual, but can sometimes be associated with emotional disturbances. A 6-year-old boy presented with pain in the gums of his upper back teeth. He was diagnosed with habitual gingival stripping secondary to irritation...  Read more

P252  Oral surgery:  Update on Medically Compromised Patients for Oral Surgery: The Bleeders and the Non-healers by S Woolcombe, T Taylor, T Renton

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Coagulation and wound healing following oral surgery procedures involve a number of intricate steps. The disturbance of normal physiological processes can be influenced by local and systemic factors that affect post-operative bleeding and healing of the surgical site. This article provides an...  Read more

P262  Oral and Maxillofacial Surgery:  Descending Necrotizing Mediastinitis: A Potential Consequence of Odontogenic Infection by EG Walshaw, R Taylor, J Parmar

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Descending necrotizing mediastinitis is a potential consequence of cervicofacial infection, which can promptly progress into a life-threatening disease, with the sequelae of severe sepsis, organ failure and death. This article highlights the importance of this pathology and discusses key signs and...  Read more

P267  Oral surgery:  Nasopalatine Canal Supernumerary: A Case Report by N Joshi, K Zaheer, M Breen, R Shah

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This case report discusses the incidental finding of a very unusually positioned supernumerary tooth in a 9-year-old male patient which presented to our oral and maxillofacial department. Along with two other unerupted conical supernumeraries in the anterior maxilla, this supernumerary was uniquely...  Read more

P271  Letters to the Editor:  Letters by P Worskett, O Mudhar, R Bairsto

Congratulations on an excellent editorial, which hits the nail squarely on the head and provides a good background and insight, especially for younger dentists who might not be aware of the recent history of NHS dentistry. In response, I would be grateful to share my own observations, based on the...  Read more

P273  Technique Tips:  Improving record keeping and patient safety by S Murbay

As part of our on-going continual care for our patients, within the profession, we are required to have complete and accurate well-documented records.1–5 This technique tip complements such records.   Read more

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