Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.455
E. McColl, N. Wilson
{"title":"Community of practice and Royal Assent","authors":"E. McColl, N. Wilson","doi":"10.12968/denu.2024.51.7.455","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.455","url":null,"abstract":"","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.490
Ross Leader, Ashwin Kerai, Laura Wade, David Houghton
The unilateral sagittal split osteotomy may not be a particularly popularized method to access and remove impacted mandibular third molars (M3Ms). However, in unusual cases of deep impaction, it can provide a surgical option that minimizes bone removal and may reduce the risk of iatrogenic mandibular fracture and inferior alveolar nerve (IAN) injury, depending on the position of the third molar relative to the neurovascular bundle. The unilateral sagittal split osteotomy may present an alternative method for removing impacted mandibular third molar teeth in certain situations.
{"title":"The unilateral sagittal split osteotomy: A useful tool in the armamentarium for deeply impacted mandibular third molars","authors":"Ross Leader, Ashwin Kerai, Laura Wade, David Houghton","doi":"10.12968/denu.2024.51.7.490","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.490","url":null,"abstract":"The unilateral sagittal split osteotomy may not be a particularly popularized method to access and remove impacted mandibular third molars (M3Ms). However, in unusual cases of deep impaction, it can provide a surgical option that minimizes bone removal and may reduce the risk of iatrogenic mandibular fracture and inferior alveolar nerve (IAN) injury, depending on the position of the third molar relative to the neurovascular bundle. The unilateral sagittal split osteotomy may present an alternative method for removing impacted mandibular third molar teeth in certain situations.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.496
Hollie Hawrot, Rachael Y Jablonski, Zaid Ali
There are several treatment options available to restore function and appearance in patients with combined mid-facial defects. Owing to the size of the defect and the associated size and weight of the prostheses, adequate retention can be challenging to achieve. Retention of a facial prosthesis can be improved using several techniques, such as medical grade adhesives, attachments, or osseo-integrated implants. For patients with a history of radiotherapy, surgical rehabilitation may be less favourable than non-surgical approaches owing to the risk of osteoradionecrosis and a reduced blood supply in the surgical fields. This clinical case report highlights the conservative rehabilitation of a combined mid-facial defect using a magnet-retained intra-oral and extra-oral prosthesis. A thorough medical and clinical assessment will highlight factors that will influence the treatment planning process when managing a combined mid-facial defect.
{"title":"The rehabilitation of a combined mid-facial defect using a magnetretained intra- and extra-oral prosthesis: a case report","authors":"Hollie Hawrot, Rachael Y Jablonski, Zaid Ali","doi":"10.12968/denu.2024.51.7.496","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.496","url":null,"abstract":"There are several treatment options available to restore function and appearance in patients with combined mid-facial defects. Owing to the size of the defect and the associated size and weight of the prostheses, adequate retention can be challenging to achieve. Retention of a facial prosthesis can be improved using several techniques, such as medical grade adhesives, attachments, or osseo-integrated implants. For patients with a history of radiotherapy, surgical rehabilitation may be less favourable than non-surgical approaches owing to the risk of osteoradionecrosis and a reduced blood supply in the surgical fields. This clinical case report highlights the conservative rehabilitation of a combined mid-facial defect using a magnet-retained intra-oral and extra-oral prosthesis. A thorough medical and clinical assessment will highlight factors that will influence the treatment planning process when managing a combined mid-facial defect.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.476
Matthew K Morris, Debora Matthews, Richard Bengt Price
Following the ‘2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions,’ hard and soft tissue deficiencies have been debated in the literature with keratinized mucosa at the forefront. In this case report, the present author investigated whether an apically positioned flap and free gingival graft to increase keratinized mucosa and vestibular depth improved oral hygiene and patient comfort around an implant-retained upper complete denture. Using an apically positioned flap in combination with free gingival graft to augment the soft tissues around implants with hard and soft tissue deficiencies, increased both the keratinized mucosa and vestibular depth to correct the soft tissue deficiencies. This case report highlights the importance keratinized mucosa and vestibular depth has at the patient and site level in improving oral hygiene and patient comfort. This case report also supports the growing evidence that the ideal periodontal phenotype around implants is to have keratinized mucosa ≥2 mm and vestibular depth ≥4 mm. This case report supports growing evidence that the ideal periodontal phenotype around implants is to have keratinized mucosa ≥2 mm and vestibular depth ≥4 mm.
{"title":"An apically positioned flap and free gingival graft around an implant","authors":"Matthew K Morris, Debora Matthews, Richard Bengt Price","doi":"10.12968/denu.2024.51.7.476","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.476","url":null,"abstract":"Following the ‘2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions,’ hard and soft tissue deficiencies have been debated in the literature with keratinized mucosa at the forefront. In this case report, the present author investigated whether an apically positioned flap and free gingival graft to increase keratinized mucosa and vestibular depth improved oral hygiene and patient comfort around an implant-retained upper complete denture. Using an apically positioned flap in combination with free gingival graft to augment the soft tissues around implants with hard and soft tissue deficiencies, increased both the keratinized mucosa and vestibular depth to correct the soft tissue deficiencies. This case report highlights the importance keratinized mucosa and vestibular depth has at the patient and site level in improving oral hygiene and patient comfort. This case report also supports the growing evidence that the ideal periodontal phenotype around implants is to have keratinized mucosa ≥2 mm and vestibular depth ≥4 mm. This case report supports growing evidence that the ideal periodontal phenotype around implants is to have keratinized mucosa ≥2 mm and vestibular depth ≥4 mm.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.468
Disha Gupta, William Howell, Shumaila Iqbal, Josette Camilleri
This article discusses vital pulp therapy in the adult dentition and describes two cases where a different strategy for caries removal has been used followed by dressing with a contemporary material and tooth restoration on the same visit. A simplified guide for best practice is given. Vital pulp therapy is an important procedure that requires clinical skill and can be undertaken in general practice.
{"title":"Preserving the vital pulp in the permanent dentition: a simplified guide to indirect pulp capping","authors":"Disha Gupta, William Howell, Shumaila Iqbal, Josette Camilleri","doi":"10.12968/denu.2024.51.7.468","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.468","url":null,"abstract":"This article discusses vital pulp therapy in the adult dentition and describes two cases where a different strategy for caries removal has been used followed by dressing with a contemporary material and tooth restoration on the same visit. A simplified guide for best practice is given. Vital pulp therapy is an important procedure that requires clinical skill and can be undertaken in general practice.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.458
P. Eachempati, Guy Lambourn, Himanshi Agarwal, Kiran Kumar Krishnappa Salian, E. McColl, Devi Prasad Nooji
This two-part series provides a comprehensive guide to fabricating definitive metal partial dentures, addressing the challenges dental practitioners face in mastering prosthesis design. Part 1 explores diagnostic procedures, indications for metal partial dentures, design principles, and surveying techniques. It emphasizes the understanding of biomechanical forces and discusses design principles such as support, retention and stability, along with the components that provide these functions in a metal partial denture. Decision algorithms for selecting various components are presented to guide clinical practitioners in efficient designing. The series aims to equip dental professionals with a thorough understanding of the theoretical foundations and practical methods for effective metal partial denture fabrication. This series provides essential knowledge and practical techniques for designing and fabricating effective metal partial dentures.
{"title":"A comprehensive guide to removable partial dentures. Part 1: patient selection, design principles and decision algorithms for component selection","authors":"P. Eachempati, Guy Lambourn, Himanshi Agarwal, Kiran Kumar Krishnappa Salian, E. McColl, Devi Prasad Nooji","doi":"10.12968/denu.2024.51.7.458","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.458","url":null,"abstract":"This two-part series provides a comprehensive guide to fabricating definitive metal partial dentures, addressing the challenges dental practitioners face in mastering prosthesis design. Part 1 explores diagnostic procedures, indications for metal partial dentures, design principles, and surveying techniques. It emphasizes the understanding of biomechanical forces and discusses design principles such as support, retention and stability, along with the components that provide these functions in a metal partial denture. Decision algorithms for selecting various components are presented to guide clinical practitioners in efficient designing. The series aims to equip dental professionals with a thorough understanding of the theoretical foundations and practical methods for effective metal partial denture fabrication. This series provides essential knowledge and practical techniques for designing and fabricating effective metal partial dentures.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.520
Hannah Gorman, Michelle C de Souza
Many children struggle or refuse to take oral medications. The refusal of medication occurs for many reasons including learned and pre-existing anxiety, sensitivity to tastes and textures and sensory–motor/coordination difficulties (for tablet swallowing). Oral analgesics play a vital role in managing the odontogenic pain of children. This is especially true when they have limited access to appropriate dental care services, are pre-cooperative or lack the ability to be compliant for conventional dental treatment. Practical advice around the facilitation of analgesic administration for odontogenic pain is lacking for parents of children who may not accept conventional preparations.
{"title":"Analgesic advice for children with special needs who have odontogenic pain","authors":"Hannah Gorman, Michelle C de Souza","doi":"10.12968/denu.2024.51.7.520","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.520","url":null,"abstract":"Many children struggle or refuse to take oral medications. The refusal of medication occurs for many reasons including learned and pre-existing anxiety, sensitivity to tastes and textures and sensory–motor/coordination difficulties (for tablet swallowing). Oral analgesics play a vital role in managing the odontogenic pain of children. This is especially true when they have limited access to appropriate dental care services, are pre-cooperative or lack the ability to be compliant for conventional dental treatment. Practical advice around the facilitation of analgesic administration for odontogenic pain is lacking for parents of children who may not accept conventional preparations.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The number of cardiac transplants carried out each year within the UK is increasing. With this rise in numbers, it is important that dental professionals are aware of both pre- and post-operative considerations for these patients. This paper considers the practical elements of managing these patients, outlining important aspects of history taking, treatment planning, and safe pain and anxiety management options. The unilateral sagittal split osteotomy may present an alternative method for removing impacted mandibular third molar teeth in certain situations.
{"title":"Cardiac transplantation and dentistry","authors":"Hassan Abed, Shazia Kaka, Carole Boyle, Emily Sherwin","doi":"10.12968/denu.2024.51.7.480","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.480","url":null,"abstract":"The number of cardiac transplants carried out each year within the UK is increasing. With this rise in numbers, it is important that dental professionals are aware of both pre- and post-operative considerations for these patients. This paper considers the practical elements of managing these patients, outlining important aspects of history taking, treatment planning, and safe pain and anxiety management options. The unilateral sagittal split osteotomy may present an alternative method for removing impacted mandibular third molar teeth in certain situations.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.508
Hannah Hook, Gavin Power
This case report describes the presentation of a nasopalatine duct cyst in a 27-year-old orthodontic patient. The patient presented with pain in the anterior hard palate and a Class II division 2 occlusion with a complete overbite. The cyst was discovered upon further radiographic investigation. Following discussion at a joint orthognathic clinic, the decision was made to leave the cyst under active monitoring and review the patient clinically and radiographically after 12 months. Nasopalatine duct cysts are common, therefore awareness of their clinical and radiographic features and treatment options is essential.
本病例报告描述了一名 27 岁正畸患者的鼻腭管囊肿。患者表现为前硬腭疼痛，咬合为 II 类 2 级，完全咬合过度。进一步的放射检查发现了囊肿。在正颌联合诊所讨论后，决定对囊肿进行积极监测，并在 12 个月后对患者进行临床和影像学复查。鼻腭导管囊肿很常见，因此了解其临床和影像学特征以及治疗方案至关重要。
{"title":"A nasopalatine duct cyst in an orthodontic patient: a case report","authors":"Hannah Hook, Gavin Power","doi":"10.12968/denu.2024.51.7.508","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.508","url":null,"abstract":"This case report describes the presentation of a nasopalatine duct cyst in a 27-year-old orthodontic patient. The patient presented with pain in the anterior hard palate and a Class II division 2 occlusion with a complete overbite. The cyst was discovered upon further radiographic investigation. Following discussion at a joint orthognathic clinic, the decision was made to leave the cyst under active monitoring and review the patient clinically and radiographically after 12 months. Nasopalatine duct cysts are common, therefore awareness of their clinical and radiographic features and treatment options is essential.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/denu.2024.51.7.512
Allegra NR Darwood, Andrew JS Dawood
A detailed and honest social history is vital when piecing together any clinical diagnostic puzzle. This case presentation highlights this, leading to a surprising diagnosis for both patient and clinician. Additionally, access to cone beam computed tomography (CBCT) has vastly widened diagnostic accuracy within the dental field, and this case emphasizes the importance of thorough training to identify, and interpret, incidental findings. Injuries obtained under the influence of drugs might be missed without in-depth social history and appropriate imaging training.
{"title":"Injury under the influence: A case report","authors":"Allegra NR Darwood, Andrew JS Dawood","doi":"10.12968/denu.2024.51.7.512","DOIUrl":"https://doi.org/10.12968/denu.2024.51.7.512","url":null,"abstract":"A detailed and honest social history is vital when piecing together any clinical diagnostic puzzle. This case presentation highlights this, leading to a surprising diagnosis for both patient and clinician. Additionally, access to cone beam computed tomography (CBCT) has vastly widened diagnostic accuracy within the dental field, and this case emphasizes the importance of thorough training to identify, and interpret, incidental findings. Injuries obtained under the influence of drugs might be missed without in-depth social history and appropriate imaging training.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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