Cast Titanium for Obturator Framework Construction in Maxillofacial Prosthodontics.

A 37 year old male presented with the complaint of a loose and bulky acrylic obturator prosthesis. He had previously tried to using a different acrylic obturator prostheses as well as both cobalt chromium and titanium framework obturators. The most successful previous prosthesis was a titanium based obturator which had performed well prior to a fractured clasp.

Management of the single discoloured tooth. Part 2: Restorative options.

Unlabelled: This is the second article of a two part series covering the aetiology, prevention and broad range of management options for the single discoloured tooth. The article covers situations where masking and simulation techniques with direct composite are required. Direct composite, indirect composite and ceramic veneers are then considered, as well as full coverage crowns.

Airway compromise by dislodged obturator in a patient with severe trismus.

A patient presented with impending airway obstruction due to a dislodged interim maxillary obturator. The removal was complicated by the presence of severe trismus due to previous maxillectomy and recent radiotherapy. An emergency tracheotomy with the patient under local anesthetic was required to provide a definitive airway and to permit subsequent removal of the obturator with the patient under general anesthesia.

Survey of gastrostomy insertion technique used in oncology patients in UK oral and maxillofacial units.

This UK national survey set out to find the most commonly used gastrostomy insertion technique and to estimate the number of cases of gastrostomy site tumour seeding experienced over the last 3 years. Questionnaires were sent to one maxillofacial consultant of 154 UK hospitals, details of whom were obtained using the directory of the British Association of Oral and Maxillofacial Surgeons. Questionnaires were returned from 65% (100/154) of hospitals.

Two case reports of orofacial paraesthesia demonstrating the role of the general dental practitioner in identifying patients with intracranial tumours.

The following case reports describe the clinical features, diagnosis and management of two patients who presented to their general dental practitioner with a complaint of orofacial paraesthesia. After appropriate investigations, both patients were diagnosed as having benign intracranial tumours and were managed by a neurosurgeon. These cases illustrate the important role the general dental practitioner has in the early recognition of potentially life-threatening conditions.

Consumer satisfaction and child behaviour problems in child and adolescent mental health services.

Consumer satisfaction with health care is one of the goals of health care delivery. Information on what affects satisfaction helps health care providers to deliver patient-centred care. The aim of this study was to explore the relationship between young persons' symptoms and satisfaction with Child and Adolescent Mental Health Services (CAMHS).