Pub Date : 2023-10-02DOI: 10.12968/denu.2023.50.9.787
Shakil Umerji, Fadi Jarad
Resorption is a physiological or pathological process resulting in the loss of dental hard tissue with or without bone loss. We present the case of a 19-year-old patient who presented with a discoloured and symptomatic mandibular canine tooth with complex root canal morphology. The tooth was located at the site of a previous alveolar fracture. Delayed presentation had led to severe external infection-related (inflammatory) root resorption. The protocol and rationale for non-surgical management of the case in a multi-visit approach is outlined. CPD/Clinical Relevance: The aetiology and presentations of external root resorption is useful information for clinicians
{"title":"Management of a Case of External Infection-related (Inflammatory) Root Resorption in Communication with the Root Canal System","authors":"Shakil Umerji, Fadi Jarad","doi":"10.12968/denu.2023.50.9.787","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.787","url":null,"abstract":"Resorption is a physiological or pathological process resulting in the loss of dental hard tissue with or without bone loss. We present the case of a 19-year-old patient who presented with a discoloured and symptomatic mandibular canine tooth with complex root canal morphology. The tooth was located at the site of a previous alveolar fracture. Delayed presentation had led to severe external infection-related (inflammatory) root resorption. The protocol and rationale for non-surgical management of the case in a multi-visit approach is outlined. CPD/Clinical Relevance: The aetiology and presentations of external root resorption is useful information for clinicians","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902721","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 : 2023-10-02DOI: 10.12968/denu.2023.50.9.772
Julie Potter, Jill Sweeney, Neil Frazer
Virtual reality (VR) is a computer-generated three-dimensional simulation, often used with a wireless headset and controllers. It provides the user with visual, auditory and tactile stimuli for an immersive experience. Popularity of VR devices has snowballed, with use in domestic, education, healthcare and business sectors. We present a patient who jumped off a plank into water in a virtual reality world, while in reality, the patient had jumped into their TV unit, striking their chin. This resulted in a displaced and mobile fracture of the mandibular parasymphysis that required reduction and fixation under a general anaesthetic. This novel technology is altering our world's interface in multiple fields, but there are potential risks associated with fully immersing ourselves in another world. CPD/Clinical Relevance: It is important to be aware of trauma that can result from injuries during virtual reality headset use.
{"title":"Facing Up to Virtual Reality: A Case Report","authors":"Julie Potter, Jill Sweeney, Neil Frazer","doi":"10.12968/denu.2023.50.9.772","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.772","url":null,"abstract":"Virtual reality (VR) is a computer-generated three-dimensional simulation, often used with a wireless headset and controllers. It provides the user with visual, auditory and tactile stimuli for an immersive experience. Popularity of VR devices has snowballed, with use in domestic, education, healthcare and business sectors. We present a patient who jumped off a plank into water in a virtual reality world, while in reality, the patient had jumped into their TV unit, striking their chin. This resulted in a displaced and mobile fracture of the mandibular parasymphysis that required reduction and fixation under a general anaesthetic. This novel technology is altering our world's interface in multiple fields, but there are potential risks associated with fully immersing ourselves in another world. CPD/Clinical Relevance: It is important to be aware of trauma that can result from injuries during virtual reality headset use.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902730","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 : 2023-10-02DOI: 10.12968/denu.2023.50.9.792
Debolina Bishayi, Kavya Suvarna, Surmayee Singh, Arindam Dutta, Manuel S Thomas
The mouth mirror is an essential tool in the dental armamentarium. Among its many functions, the most significant is being able to visualize aspects of the oral cavity that are not accessible visually with an appropriate operator posture. Various mouth mirrors are available and can differ in their design, head size and reflective surface. While in use, clinicians may encounter multiple circumstances that can hamper the quality of the reflected image. This in turn can negatively influence the diagnosis and treatment delivered. Hence, the purpose of this Technique Tip is to provide information on various designs of mouth mirrors as well as to provide solutions to counter the challenges associated with the use of mouth mirrors. Clinical relevance: Sharp, bright, reflected images may be provided for dental clinicians using simple methods and other equipment associated with the mouth mirror.
{"title":"Technique Tips: A Reflection on Mouth Mirrors: Types, Usage and Modifications","authors":"Debolina Bishayi, Kavya Suvarna, Surmayee Singh, Arindam Dutta, Manuel S Thomas","doi":"10.12968/denu.2023.50.9.792","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.792","url":null,"abstract":"The mouth mirror is an essential tool in the dental armamentarium. Among its many functions, the most significant is being able to visualize aspects of the oral cavity that are not accessible visually with an appropriate operator posture. Various mouth mirrors are available and can differ in their design, head size and reflective surface. While in use, clinicians may encounter multiple circumstances that can hamper the quality of the reflected image. This in turn can negatively influence the diagnosis and treatment delivered. Hence, the purpose of this Technique Tip is to provide information on various designs of mouth mirrors as well as to provide solutions to counter the challenges associated with the use of mouth mirrors. Clinical relevance: Sharp, bright, reflected images may be provided for dental clinicians using simple methods and other equipment associated with the mouth mirror.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901532","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 : 2023-10-02DOI: 10.12968/denu.2023.50.9.767
Bethan Jones, Eleanor O'Grady, Nicholas Drage, Mechelle Collard
The extra-oral bitewing is becoming increasingly popular among clinicians to help overcome some of the challenges posed when taking intra-oral radiographs for paediatric patients. When combined with clinical examination, this radiographic view provides important diagnostic information in the management of caries in the posterior dentition. In this article, the use of extra-oral bitewings will be explored. The introduction of a decision tree provides the dental practitioner working in either a primary or secondary care setting, a pathway to assist with deciding the optimal radiographic prescription. CPD/Clinical Relevance: Extra-oral bitewings can be a useful radiographic tool for dental caries diagnosis in the mixed dentition.
{"title":"The Use of Extra-oral Bitewing Radiographs for Treatment Planning in Paediatric Patients","authors":"Bethan Jones, Eleanor O'Grady, Nicholas Drage, Mechelle Collard","doi":"10.12968/denu.2023.50.9.767","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.767","url":null,"abstract":"The extra-oral bitewing is becoming increasingly popular among clinicians to help overcome some of the challenges posed when taking intra-oral radiographs for paediatric patients. When combined with clinical examination, this radiographic view provides important diagnostic information in the management of caries in the posterior dentition. In this article, the use of extra-oral bitewings will be explored. The introduction of a decision tree provides the dental practitioner working in either a primary or secondary care setting, a pathway to assist with deciding the optimal radiographic prescription. CPD/Clinical Relevance: Extra-oral bitewings can be a useful radiographic tool for dental caries diagnosis in the mixed dentition.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902732","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 : 2023-10-02DOI: 10.12968/denu.2023.50.9.740
David Edwards, Nisha Dowling, A Gemmell, Stephen J Bonsor
Where primary root canal treatment has failed, case selection is critical. If the reason for failure can be identified and overcome, then this is the main aim of re-treatment. The second of this two-part series discusses ways in which failed cases can be predictably re-treated, using a series of cases to illustrate key points. CPD/Clinical Relevance: Root canal re-treatment can offer a predictable treatment option with awareness of common pitfalls..
{"title":"Re-endodontic Treatment. Part 2: How?","authors":"David Edwards, Nisha Dowling, A Gemmell, Stephen J Bonsor","doi":"10.12968/denu.2023.50.9.740","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.740","url":null,"abstract":"Where primary root canal treatment has failed, case selection is critical. If the reason for failure can be identified and overcome, then this is the main aim of re-treatment. The second of this two-part series discusses ways in which failed cases can be predictably re-treated, using a series of cases to illustrate key points. CPD/Clinical Relevance: Root canal re-treatment can offer a predictable treatment option with awareness of common pitfalls..","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902719","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 : 2023-10-02DOI: 10.12968/denu.2023.50.9.780
Laura Reynolds, Manas Dave, Siobhan Barry
Primary failure of eruption is a rare condition, which results in partial or complete failure of a tooth or several teeth to erupt. The postulated cellular process is a malfunction in the eruption mechanism, which fails to completely drive the tooth along its eruption axis. The aetiology is genetic, with a specific link to a mutation in the parathyroid hormone 1 receptor gene, hence a familial pattern of inheritance may be observed. Diagnosis and treatment can be challenging, often necessitating an interdisciplinary approach. CPD/Clinical Relevance: Knowledge of the features of primary failure of eruption is useful for clinicians.
{"title":"Primary Failure of Eruption: A Diagnosis of Exclusion","authors":"Laura Reynolds, Manas Dave, Siobhan Barry","doi":"10.12968/denu.2023.50.9.780","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.780","url":null,"abstract":"Primary failure of eruption is a rare condition, which results in partial or complete failure of a tooth or several teeth to erupt. The postulated cellular process is a malfunction in the eruption mechanism, which fails to completely drive the tooth along its eruption axis. The aetiology is genetic, with a specific link to a mutation in the parathyroid hormone 1 receptor gene, hence a familial pattern of inheritance may be observed. Diagnosis and treatment can be challenging, often necessitating an interdisciplinary approach. CPD/Clinical Relevance: Knowledge of the features of primary failure of eruption is useful for clinicians.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902729","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 : 2023-10-02DOI: 10.12968/denu.2023.50.9.750
Elizabeth Elleray, Alexandra Lyne, Brett Duane
The impact of human-induced global warming is a present issue. The health and social care system is associated with significant use of resources and carbon emissions. The Greener NHS Programme is dedicated to promoting methods that enhance patient care while minimizing the healthcare industry's environmental impact. This article summarizes the evidence for the environmental sustainability of using the fluoride prevention methods that are recommended by the Department of Health. CPD/Clinical Relevance: The sustainability of the use of fluoride in the prevention of caries is an issue to consider.
{"title":"Sustainability of Different Fluoride Delivery Methods","authors":"Elizabeth Elleray, Alexandra Lyne, Brett Duane","doi":"10.12968/denu.2023.50.9.750","DOIUrl":"https://doi.org/10.12968/denu.2023.50.9.750","url":null,"abstract":"The impact of human-induced global warming is a present issue. The health and social care system is associated with significant use of resources and carbon emissions. The Greener NHS Programme is dedicated to promoting methods that enhance patient care while minimizing the healthcare industry's environmental impact. This article summarizes the evidence for the environmental sustainability of using the fluoride prevention methods that are recommended by the Department of Health. CPD/Clinical Relevance: The sustainability of the use of fluoride in the prevention of caries is an issue to consider.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902720","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 : 2023-09-02DOI: 10.12968/denu.2023.50.8.699
Nusaybah Elsherif, Barbara Carey, Ann Sandison
Syphilis is a primarily sexually transmitted chronic infection caused by the spirochete, Treponema pallidum. There has been a dramatic increase in cases of syphilis in the Western world, with cases tripling in England between 2010 and 2019. Syphilis can present in a dental setting and dentists should enquire about sexual history if suspicious of syphilis to ensure early diagnosis and treatment. We present five cases seen with variable presentations of oral syphilis between 2016 and 2021 in a dental hospital. CPD/Clinical Relevance: Increased awareness of syphilis among the dental team is essential to ensure early referral, diagnosis and treatment.
{"title":"Syphilis: a re-emerging disease. An update for the dental practitioner","authors":"Nusaybah Elsherif, Barbara Carey, Ann Sandison","doi":"10.12968/denu.2023.50.8.699","DOIUrl":"https://doi.org/10.12968/denu.2023.50.8.699","url":null,"abstract":"Syphilis is a primarily sexually transmitted chronic infection caused by the spirochete, Treponema pallidum. There has been a dramatic increase in cases of syphilis in the Western world, with cases tripling in England between 2010 and 2019. Syphilis can present in a dental setting and dentists should enquire about sexual history if suspicious of syphilis to ensure early diagnosis and treatment. We present five cases seen with variable presentations of oral syphilis between 2016 and 2021 in a dental hospital. CPD/Clinical Relevance: Increased awareness of syphilis among the dental team is essential to ensure early referral, diagnosis and treatment.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134969584","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 : 2023-09-02DOI: 10.12968/denu.2023.50.8.695
Hassan Abed, Ali Al-Qarni, Shanon Patel, Abdulaziz Bakhsh
Intravenous (IV) sedation with midazolam works as an anxiolytic and muscle relaxant agent and has proved successful in providing safe root canal treatment (RCT) for patients with dental anxiety or special care needs. However, before starting RCT under IV sedation with midazolam, clinicians should consider obtaining a thorough medical history and written, informed consent including any significant or unavoidable risks. A responsible adult escort should also accompany the patient to their appointment. The dental team should also ensure labelling the IV sedation drugs and irrigant solutions, and using a well-sealed rubber dam. CPD/Clinical Relevance: This article provides clinical recommendations to help provide safe RCT under IV sedation with midazolam.
{"title":"Clinical tips for safe and effective root canal treatment under intravenous sedation with midazolam","authors":"Hassan Abed, Ali Al-Qarni, Shanon Patel, Abdulaziz Bakhsh","doi":"10.12968/denu.2023.50.8.695","DOIUrl":"https://doi.org/10.12968/denu.2023.50.8.695","url":null,"abstract":"Intravenous (IV) sedation with midazolam works as an anxiolytic and muscle relaxant agent and has proved successful in providing safe root canal treatment (RCT) for patients with dental anxiety or special care needs. However, before starting RCT under IV sedation with midazolam, clinicians should consider obtaining a thorough medical history and written, informed consent including any significant or unavoidable risks. A responsible adult escort should also accompany the patient to their appointment. The dental team should also ensure labelling the IV sedation drugs and irrigant solutions, and using a well-sealed rubber dam. CPD/Clinical Relevance: This article provides clinical recommendations to help provide safe RCT under IV sedation with midazolam.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134969591","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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