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Issue: Volume 44 Number 4 - April 2017

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P273  Editorial:  Own label materials: scientific evidence by T Burke

While Dental Update has not exactly mounted a crusade against so-called ‘own label’ materials, it has tried, on a number of occasions,1,2 to bring readers’ attention to the fact that own label materials have no (I almost wrote a paucity, but no is the correct word!) scientific evidence to back up...  Read more

Articles

P275  Pharmacology:  Antibiotic Guardians: the Role of the Dental Profession by AL Cope, MAO Lewis

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The increasing emergence of antibiotic resistance is a major international public health problem. As a consequence, it is essential that steps are taken to conserve the effectiveness of existing antimicrobial agents. Consumption of antibiotics is the prime contributor to the development of...  Read more

P284  Infection control:  Dental Unit Water Lines and their Disinfection and Management: A Review by CL Pankhurst, C Scully, L Samaranayake

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The perceived threat to public health from dental unit water line (DUWL) contamination comes from opportunistic and respiratory pathogens such as Legionella spp, Nontuberculous Mycobacteria (NTM) and pseudomonads. These organisms can grow and multiply in the DUWL biofilm to reach infective...  Read more

P295  Restorative dentistry:  Complications of an Ageing Dentition Part 1: Occlusal Trauma and Cracked Teeth by B Daniel Murchie

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A growing problem in dentistry is complications associated with failing amalgam restorations that have been in place for many years. At present, there is a wide variety of treatment options available in the clinician’s armamentarium when this situation arises, however, without the correct...  Read more

P306  Periodontics:  Diagnosis and Management of Chronic and Aggressive Periodontitis Part 1: Periodontal Assessment and Diagnosis by D Chatzistavrianou, F Blair

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Periodontal disease remains one of the most common diseases that affect the oral cavity. The differential diagnosis between chronic and aggressive periodontitis can be complex for some clinicians and the correct diagnosis is a key element in disease management. The three-part series will review...  Read more

P317  Paediatric dentistry:  Early Tooth Loss in Children: A Warning Sign of Childhood Hypophosphatasia by SL Hughes, RC Parkes, N Drage, M Collard

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Premature exfoliation of primary teeth may be the first manifestation of this serious condition and the general dental practitioner plays an important role in recognizing dental anomalies and referring patients at an appropriate time. This is imperative to ensuring early diagnosis and good quality...  Read more

P322  Immunology:  The Immune System: Basis of so much Health and Disease: 3. Adaptive Immunity by C Scully, EA Georgakopoulou, Y Hassona

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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

P328  Restorative dentistry:  What’s New in Dentine Bonding?: Universal Adhesives by FJT Burke, A Lawson, DJB Green, L Mackenzie

The ability to bond restorations to dentine successfully is central to minimally invasive restorative dentistry. While dentine-bonding agents have gone through a variety of ‘generations’, it is the purpose of this paper to describe the latest dentine-bonding agents, the Universal Bonding Agents....  Read more

P341  Medical Emergency:  An Update on Current Resuscitation Council (UK) Guidelines by SL McKernon, KH Taylor, S Reid, MC Balmer

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On 15 October 2015, The Resuscitation Council (UK) published new resuscitation guidelines following the review of resuscitation science by the International Liaison Committee on Resuscitation (ILCOR). The 2015 guidelines emphasize the importance of interactions between the emergency medical...  Read more

P353  General Dental practice:  Dietary Advice - Getting the Message Across by D Raindi, P Thornley

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Providing dietary advice to our patients forms the cornerstone of prevention for many dental diseases. However, simply prescribing information is unlikely to bring about long-term behavioural change. This article explores the theory of health behaviour as well as ways in which we can ‘get the...  Read more

P363  Clinical Challenges Q&A:  Clinical Challenges Q&A 30. Red Skin by D Malamos, C Scully

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Clinical Challenges Q&A 30. Red Skin  Read more

P364  Technique Tips:  Technique Tips – An Innovative Prosthetic Design for the Replacement of Missing Anterior Teeth by K Singh, N Gupta

Rehabilitation of a single or two missing anterior teeth in a dental arch fully restored with a fixed dental prostheses is a challenge to the prosthodontist or restorative dentist in order to satisfy a patient who wishes to have missing teeth replaced with a fixed dental prosthesis.  Read more

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