Pub Date : 2024-03-02DOI: 10.12968/denu.2024.51.3.199
Emily McIlvanna
Pre-eruptive intracoronal resorption (PEIR) is a rare condition usually detected incidentally on radiographs. The radiographic appearance resembles dental caries; however, the aetiology is not fully understood. The prognosis of affected teeth is highly variable, and management may involve input from multiple specialties. CPD/Clinical Relevance: The present report describes the clinical management of PEIR-affected molars in two family members and discusses the alternatives for treatment.
{"title":"Pre-eruptive intracoronal resorption: a familial clinical case and review","authors":"Emily McIlvanna","doi":"10.12968/denu.2024.51.3.199","DOIUrl":"https://doi.org/10.12968/denu.2024.51.3.199","url":null,"abstract":"Pre-eruptive intracoronal resorption (PEIR) is a rare condition usually detected incidentally on radiographs. The radiographic appearance resembles dental caries; however, the aetiology is not fully understood. The prognosis of affected teeth is highly variable, and management may involve input from multiple specialties. CPD/Clinical Relevance: The present report describes the clinical management of PEIR-affected molars in two family members and discusses the alternatives for treatment.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267927","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 : 2024-03-02DOI: 10.12968/denu.2024.51.3.193
Rakhee Budhdeo, M. Kabban
Autism spectrum disorder (ASD) is a neurodevelopmental disorder with an unknown aetiology and a combination of characteristics, including social interactions, repetitive behaviours and sensory behaviours. Some studies have suggested that up to 82.7% of parents noted that their child was upset by particular sensations, with reports of between 80% and 100% of individuals with autism having sensory processing difficulties. While patients with ASD are reported to be at an increased risk for caries, treatment can be difficult owing to variations in levels of cooperation during dental examinations. CPD/Clinical Relevance: To assist in a successful dental visit, dental professionals should be aware of the sensory processing difficulties that patients diagnosed with autism have.
{"title":"Improving sensory awareness in a dental setting for patients with autism spectrum disorder (autism)","authors":"Rakhee Budhdeo, M. Kabban","doi":"10.12968/denu.2024.51.3.193","DOIUrl":"https://doi.org/10.12968/denu.2024.51.3.193","url":null,"abstract":"Autism spectrum disorder (ASD) is a neurodevelopmental disorder with an unknown aetiology and a combination of characteristics, including social interactions, repetitive behaviours and sensory behaviours. Some studies have suggested that up to 82.7% of parents noted that their child was upset by particular sensations, with reports of between 80% and 100% of individuals with autism having sensory processing difficulties. While patients with ASD are reported to be at an increased risk for caries, treatment can be difficult owing to variations in levels of cooperation during dental examinations. CPD/Clinical Relevance: To assist in a successful dental visit, dental professionals should be aware of the sensory processing difficulties that patients diagnosed with autism have.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267769","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.102
A. K. Matharu, I. Olegário
Fissure sealants (FS) are micro-invasive procedures that have proved to be effective in caries prevention in caries-free, first permanent molars. Within high-caries risk individuals, fissure sealants arrest the caries process in early caries lesions stages. Composite resin (CR) sealants have been recognized as the gold standard FS material; however, new evidence has emerged in relation to GIC sealants in their applicability and longevity. This review provides evidence-based information supporting the effectiveness of GIC sealants in caries prevention in comparison to CR sealants, by assessing their properties, methodology and utility in healthy and anomaly-affected teeth. CPD/Clinical Relevance: This article will inform clinicians about the effectiveness of GIC sealants and CR sealants in caries prevention.
{"title":"Are GIC sealants as effective as composite sealants in caries prevention?","authors":"A. K. Matharu, I. Olegário","doi":"10.12968/denu.2024.51.2.102","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.102","url":null,"abstract":"Fissure sealants (FS) are micro-invasive procedures that have proved to be effective in caries prevention in caries-free, first permanent molars. Within high-caries risk individuals, fissure sealants arrest the caries process in early caries lesions stages. Composite resin (CR) sealants have been recognized as the gold standard FS material; however, new evidence has emerged in relation to GIC sealants in their applicability and longevity. This review provides evidence-based information supporting the effectiveness of GIC sealants in caries prevention in comparison to CR sealants, by assessing their properties, methodology and utility in healthy and anomaly-affected teeth. CPD/Clinical Relevance: This article will inform clinicians about the effectiveness of GIC sealants and CR sealants in caries prevention.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870425","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.80
Nick Malden
{"title":"Redeemed through the miracle of osseo-integration","authors":"Nick Malden","doi":"10.12968/denu.2024.51.2.80","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.80","url":null,"abstract":"","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808909","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.110
T. Yeng
When considering performing root canal re-treatment, we must first consider why the original treatment failed. Failure of root canal treatments can occur when ideal technical standards for control of the root canal infection are not achieved. Sometimes, extra-radicular infection may prevent a successful treatment outcome. Teeth with post-treatment peri-apical infection can be managed by either non-surgical or surgical root canal re-treatment, both of which aim to restore health to the peri-apical tissues and prolong the survival of the tooth in the oral cavity. CPD/Clinical Relevance: Examples of different clinical circumstances that were considered for root canal re-treatment are presented.
{"title":"Theoretical considerations for root canal re-treatment","authors":"T. Yeng","doi":"10.12968/denu.2024.51.2.110","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.110","url":null,"abstract":"When considering performing root canal re-treatment, we must first consider why the original treatment failed. Failure of root canal treatments can occur when ideal technical standards for control of the root canal infection are not achieved. Sometimes, extra-radicular infection may prevent a successful treatment outcome. Teeth with post-treatment peri-apical infection can be managed by either non-surgical or surgical root canal re-treatment, both of which aim to restore health to the peri-apical tissues and prolong the survival of the tooth in the oral cavity. CPD/Clinical Relevance: Examples of different clinical circumstances that were considered for root canal re-treatment are presented.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139810949","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.142
Ignacio Farga-Niñoles, Mihaela Teris
In the context of cementing indirect dental restorations, the inadvertent bonding of excess cement to adjacent teeth poses a multifaceted challenge, affecting aesthetics, periodontal health and chair time. Using PTFE tape as the sole method for isolation can be time consuming, and occasionally presents challenges. The approach described in this Technique Tip involves manually holding a matrix holder to safeguard neighbouring teeth from sandblasting and etching contamination, providing a pragmatic resolution to these issues. It seamlessly integrates with the established practice of using PTFE tapes to prevent unwanted bonding and cement attachment to adjacent teeth. CPD/Clinical Relevance: Combining PTFE and matrix bands optimises bonding of indirect ceramic restorations for periodontal health and efficiency.
{"title":"A technique for easy removal of excess resin cement","authors":"Ignacio Farga-Niñoles, Mihaela Teris","doi":"10.12968/denu.2024.51.2.142","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.142","url":null,"abstract":"In the context of cementing indirect dental restorations, the inadvertent bonding of excess cement to adjacent teeth poses a multifaceted challenge, affecting aesthetics, periodontal health and chair time. Using PTFE tape as the sole method for isolation can be time consuming, and occasionally presents challenges. The approach described in this Technique Tip involves manually holding a matrix holder to safeguard neighbouring teeth from sandblasting and etching contamination, providing a pragmatic resolution to these issues. It seamlessly integrates with the established practice of using PTFE tapes to prevent unwanted bonding and cement attachment to adjacent teeth. CPD/Clinical Relevance: Combining PTFE and matrix bands optimises bonding of indirect ceramic restorations for periodontal health and efficiency.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811050","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.83
D McG Clarkson
{"title":"The role of far-UVC in dentistry","authors":"D McG Clarkson","doi":"10.12968/denu.2024.51.2.83","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.83","url":null,"abstract":"","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870190","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.86
Martin Kelleher, Kevin Lewis
This series of articles challenges some popular myths about supposedly ‘ideal’ treatment plans, and is designed to provoke reflection and stimulate debate. It explains the concept of ‘satisficing’ (as opposed to ‘maximizing’) in dentistry, and illustrates how subconscious bias and self-interests might lead supposed experts to promote arbitrary aspirational standards and confuse them with what the law expects (the Bolam Test standard) and what is genuinely in the best interests of an individual patient. It is argued that sound, patient-centred pragmatic planning and treatment is equally valid, with wider applicability than routinely defaulting to a self-serving ‘maximalist’ approach, often on spurious grounds. CPD/Clinical Relevance: The ‘satisficing’ concept has wide and profound application across many fields of dentistry; this first part explains the basic principles and how and why it is relevant to various aspects of practical dentistry and also to our understanding of professionalism.
{"title":"‘Satisficing’ in dentistry: who decides? who benefits?","authors":"Martin Kelleher, Kevin Lewis","doi":"10.12968/denu.2024.51.2.86","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.86","url":null,"abstract":"This series of articles challenges some popular myths about supposedly ‘ideal’ treatment plans, and is designed to provoke reflection and stimulate debate. It explains the concept of ‘satisficing’ (as opposed to ‘maximizing’) in dentistry, and illustrates how subconscious bias and self-interests might lead supposed experts to promote arbitrary aspirational standards and confuse them with what the law expects (the Bolam Test standard) and what is genuinely in the best interests of an individual patient. It is argued that sound, patient-centred pragmatic planning and treatment is equally valid, with wider applicability than routinely defaulting to a self-serving ‘maximalist’ approach, often on spurious grounds. CPD/Clinical Relevance: The ‘satisficing’ concept has wide and profound application across many fields of dentistry; this first part explains the basic principles and how and why it is relevant to various aspects of practical dentistry and also to our understanding of professionalism.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870775","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.96
C. Valkenburg, F. V. D. van der Weijden, Dagmar Else Slot
This comprehensive review traces the evolution of dentifrices from ancient concoctions to modern formulations, evaluating their role in oral health and environmental impact. Despite the global burden of oral diseases, notably dental caries and periodontitis, advancements in dentifrice technology have contributed to the decline in caries prevalence, although periodontitis remains a challenge. The historical perspective outlines the transition from abrasive powders to fluoride-enriched pastes, emphasizing the significance of toothbrushing frequency and technique, alongside the use of dentifrices, for effective plaque control and caries prevention. The modern era has seen a proliferation of dentifrice variations, with a focus on cosmetic attributes often overshadowing therapeutic benefits. The review also discusses the environmental considerations of dentifrice production and disposal, highlighting the shift towards sustainable packaging and ingredient transparency. The market analysis reveals a mature industry with a projected growth, influenced by consumer preferences and oral hygiene awareness. CPD/Clinical Relevance: Regular toothbrushing with fluoridated dentifrice remains a cornerstone of oral hygiene practices, directly influencing the reduction of plaque accumulation and the incidence of caries and periodontitis.
{"title":"Dentifrices. Part 1: a general introduction","authors":"C. Valkenburg, F. V. D. van der Weijden, Dagmar Else Slot","doi":"10.12968/denu.2024.51.2.96","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.96","url":null,"abstract":"This comprehensive review traces the evolution of dentifrices from ancient concoctions to modern formulations, evaluating their role in oral health and environmental impact. Despite the global burden of oral diseases, notably dental caries and periodontitis, advancements in dentifrice technology have contributed to the decline in caries prevalence, although periodontitis remains a challenge. The historical perspective outlines the transition from abrasive powders to fluoride-enriched pastes, emphasizing the significance of toothbrushing frequency and technique, alongside the use of dentifrices, for effective plaque control and caries prevention. The modern era has seen a proliferation of dentifrice variations, with a focus on cosmetic attributes often overshadowing therapeutic benefits. The review also discusses the environmental considerations of dentifrice production and disposal, highlighting the shift towards sustainable packaging and ingredient transparency. The market analysis reveals a mature industry with a projected growth, influenced by consumer preferences and oral hygiene awareness. CPD/Clinical Relevance: Regular toothbrushing with fluoridated dentifrice remains a cornerstone of oral hygiene practices, directly influencing the reduction of plaque accumulation and the incidence of caries and periodontitis.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871125","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 : 2024-02-02DOI: 10.12968/denu.2024.51.2.117
Nadine Amin, Alison Qualtrough
A 44-year-old female patient was referred to the restorative department at Manchester University Dental Hospital for root canal treatment of the maxillary right lateral incisor, which appeared to have a sclerosed root canal. The tooth had a history of trauma when the patient was 6 years old. A cone beam computed tomography scan of the tooth revealed an incidental finding of a transverse root fracture that was otherwise not visible on the peri-apical radiograph. This highlights the diagnostic challenge of peri-apical radiographs and emphasizes the value of three-dimensional imaging in endodontics. It also highlights the importance of timely referral and management of traumatic dental injuries to reduce the risk of complications in the future. CPD/Clinical Relevance: This case report emphasizes the value of three-dimensional imaging in diagnosis.
{"title":"Incidental finding of a horizontal root fracture when considering a tooth for root canal treatment","authors":"Nadine Amin, Alison Qualtrough","doi":"10.12968/denu.2024.51.2.117","DOIUrl":"https://doi.org/10.12968/denu.2024.51.2.117","url":null,"abstract":"A 44-year-old female patient was referred to the restorative department at Manchester University Dental Hospital for root canal treatment of the maxillary right lateral incisor, which appeared to have a sclerosed root canal. The tooth had a history of trauma when the patient was 6 years old. A cone beam computed tomography scan of the tooth revealed an incidental finding of a transverse root fracture that was otherwise not visible on the peri-apical radiograph. This highlights the diagnostic challenge of peri-apical radiographs and emphasizes the value of three-dimensional imaging in endodontics. It also highlights the importance of timely referral and management of traumatic dental injuries to reduce the risk of complications in the future. CPD/Clinical Relevance: This case report emphasizes the value of three-dimensional imaging in diagnosis.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809234","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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