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Issue: Volume 44 Number 2 - February 2017

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P90  Guest Editorial:  The GDC – are they finally turning a corner? by L D'Cruz

The determinations from the GDC’s Case Examiners are rolling off the printers and, whilst there are some ‘teething’ problems, from an early view of the situation, the main aim of reducing the number of cases being stuffed into the Fitness to Practice ‘sausage machine’ might just be slowing down....  Read more

Articles

P92  Thank you:  Thank you to our Reviewers by FJT Burke

Every paper in Dental Update is considered by two reviewers. I would like to thank all those on the list below for giving their time and expertise in checking the validity of the papers published in Dental Update in 2015 and making suggestions on how papers might be improved.  Read more

P93  Restorative dentistry:  Severe Fluorosis Treated by Microabrasion and Composite Veneers by P Hoyle, L Webb, P Nixon

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Dental fluorosis results from excessive intake of fluoride either from water resources or products in early childhood. It results in varying degrees of discoloration and pitting of the teeth. This article aims to highlight the conservative management techniques available for managing the aesthetic...  Read more

P100  Paediatric dentistry:  What’s New in Molar Incisor Hypomineralization? by MJ Silva, N Kilpatrick, F Crombie, A Ghanim, D Manton

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Molar Incisor Hypomineralization (MIH) poses a significant challenge to clinicians worldwide. Since its description in 2001, extensive research has provided some insight into the condition, its aetiology, natural history and management. An appreciation of the unique clinical features and management...  Read more

P109  Risk Management:  Informed Consent- What’s New? by C Louise Bayliss

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Informed consent has long been tried in the English courts using the Bolam test. This primarily tested the degree of professional negligence against the collective opinions of medical professionals. This principle is now considered outdated and the test of materiality now gives the individual...  Read more

P114  Special Care Dentistry:  Periodontal Treatment in Patients with Learning Disabilities Part 1- Prevention by S Kaka, C Dickinson

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People with learning disabilities are reported to have a significantly increased incidence and severity of periodontal disease when compared to their non-disabled counterparts. The reasons for this are numerous and may include perpetuating medical conditions, personal and social circumstances, as...  Read more

P132  Paediatric dentistry:  Oral Candidosis in the Paediatric Patient by K Ryan, M Agel, H Zaitoun, AM Hegarty

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Oral candidosis can present in childhood with recognizable mucosal changes. It may be associated with predisposing factors or suggest underlying systemic disease such as poorly controlled diabetes or an immunosuppressed state. Investigations are often required and management includes addressing...  Read more

P141  Restorative dentistry:  Case Report- Single Visit Indirect Pulp Cap using Biodentine by S Patel, L Vincer

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This case describes a novel indirect pulp capping approach to managing gross caries in a healthy tooth.   Read more

P146  Dental & Maxillofacial Radiology:  Hand-held Dental X-ray Equipment – An Update by N Drage

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Hand-held dental X-ray equipment is increasingly being purchased for use in general dental practice. The aim of this paper is to update the practitioner with recently published recommendations on the requirements for hand-held devices. The article discusses the concerns often raised with the use of...  Read more

P151  Immunology:  The Immune System: Basis of so much Health and Disease- 1. Overview of Immunity and the Immune System by C Scully, EA Georgakopoulou, Y Hassona

The immune system is the body’s primary defence mechanism against infections, and disturbances in the system can cause disease if the system fails in defence functions (in immunocompromised people), or if the activity is detrimental to the host (as in auto-immune and auto-inflammatory states). A...  Read more

P158  Periodontics:  Gingival Depigmentation by Free Gingival Autograft- A Case Series by VV Pakhare, P Bajaj, ML Bhongade, S BS

A pleasing smile is desired by all, and forms the main focus of aesthetic dentistry. However, pigmented gums can be a major cause of embarrassment for patients, especially those with a gummy smile. Attempts have been made to meet these cosmetic demands by various methods such as using a surgical...  Read more

P163  Clinical Challenges Q&A:  Clinical Challenges Q&A 28. Erythematous Gingivae Around the Crown of a Wisdom Tooth by D Malamos, C Scully

An 18-year-old woman presented with severe pain from her lower right molar area for 5 days. Extra-oral examination showed her to be afebrile with a mild, tender, erythematous swelling of her face at the right angle of the mandible associated with trismus and ipsilateral regional lymphadenopathy....  Read more

P164  Technique Tips:  Technique Tips – Traumatized Fractured Incisors- Re-attachment of the Fragment by R Lilleker

A common outcome of dental trauma is fracture of the incisors. Since the advent of adhesive dentistry, re-attachment of the fragment has been reported.1 It is a technique that can easily restore a fractured tooth, arguably giving a quicker and more aesthetic outcome than the average composite...  Read more

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