Management of a patient suffering with Cherubism with dental implants.

Cherubism is a rare non-neoplastic, fibro-osseous hereditary disorder characterized by bilateral expansion of the maxilla and mandible producing a characteristic facial appearance. It can affect the facial and dental growth of the individual and often results in gross aesthetic and functional deficiencies. The teeth may also be displaced or submerged and these problems can often compromise successful restorative rehabilitation.

Dental dilemmas: endodontics or dental implants?

This narrative review explores treatment planning options in restorative dentistry. The growth of dental implants, as an accessible and predictable treatment option, gives practitioners a useful tool for managing the missing tooth or teeth with a hopeless prognosis. Traditionally, endodontics and fixed prosthodontics have been used to restore teeth and spaces where the outlook for such treatment appears reasonable.

Dental dilemmas: Endodontics or dental implants?

Unlabelled: This narrative review explores treatment planning options in restorative dentistry. The growth of dental implants, as an accessible and predictable treatment option, gives practitioners a useful tool for managing the missing tooth or teeth with a hopeless prognosis. Traditionally, endodontics and fixed prosthodontics have been used to restore teeth and spaces where the outlook for such treatment appears reasonable.

National survey of the use and application of leeches in oral and maxillofacial surgery in the United Kingdom.

We investigated the use of leeches by oral and maxillofacial surgeons to establish whether they are used according to a standard protocol, and to ascertain whether clinicians Knew which leeches they are using and from where they are sourced. A self-designed questionnaire sent to 154 oral and maxillofacial surgery units in the United Kingdom included questions about the use of leeches, whether a protocol was followed, the number and type used, and their source. Of the 74 (48%) returned, 13 units (18%) used leeches, most commonly for the salvage of free flaps (n=7).

The use of a diagnostic wax set-up in aesthetic cases involving crown lengthening--a case report.

Unlabelled: Crown-lengthening surgery (CLS) consists of recontouring and repositioning the gingival margin as well as the alveolar crest. This technique results in the increase of the clinical crown height of teeth, which can consequently be advantageous in terms of improving retention and resistance, as well as aesthetics.The aim of this article is to demonstrate the uses of the diagnostic wax set-up and the subsequent production of surgical stents and templates to provide the patient with an initial intra-oral diagnostic mock-up for the process of obtaining consent, as well as acting as a useful guide for gingival and osseous recontouring in order to achieve a predictable, healthy and stable dento-gingival complex with pleasing aesthetics.

Common things are common: a case series of oral foreign bodies in paediatric patients.

Reports of foreign bodies in the oral cavity are few in number. Three cases of children of varying ages, presenting with oral foreign bodies, and their subsequent diagnosis and management, are described. The importance of considering foreign bodies, as part of a differential diagnosis in paediatric patients, where aetiology is uncertain and clinical appearance is unusual, is highlighted.

Estimating indirect costs in primary Sjögren's syndrome.

Objective: To estimate the indirect costs associated with primary Sjögren's syndrome (pSS) compared with rheumatoid arthritis (RA) and community controls.

Methods: Data were obtained from 84 women patients with pSS as part of a study to develop a systemic activity measure, from 87 consecutive women patients with RA attending a hospital clinic, and from 96 women community controls on a general practice list. A modified economic component of the Stanford Health Assessment Questionnaire was used to assess lost productivity.

Mineral trioxide aggregate use in failing endodontic treatment--a case report.

Unlabelled: Management of failing endodontic treatment may present significant challenges. The following case report describes the use of a contemporary endodontic material--Mineral Trioxide Aggregate (MTA). Successful resolution of endodontic disease was accomplished through a combined orthograde and retrograde approach.

A guide to the appraisal of research: 2. What's in a number?

Unlabelled: This review explores the nature of numbers in dental research, their importance and, at a basic level, how these are handled. This includes the important numbers that practitioners should look at when appraising research and discussion of some commonly found statistical terms.

Clinical Relevance: In order to apply evidence-based dentistry in clinical practice, dentists should have an understanding of the basic numbers reported in dental research, and an appreciation of this should allow them to identify which papers are most valuable to inform their clinical practice.

Non-resolving periapical inflammation: a malignant deception.

Aim: To report a case of oral non-Hodgkin's lymphoma with a delayed diagnosis.

Summary: Non-Hodgkin's lymphoma of the oral cavity is an uncommon but important condition. Early diagnosis is complicated when the presenting signs and symptoms are similar to those of odontogenic infections.

A guide to the appraisal of research: 1. The nature of research.

Unlabelled: Evidence-based dentistry has grown in recent years. The oceans of journals and research papers can be difficult to navigate. Gauging the quality of such publications and, more importantly, their clinical relevance may be challenging.

Orthodontic treatment needs in an urban Iranian population, an epidemiological study of 11-14 year old children.

Objectives: A preliminary study to investigate the orthodontic treatment need and its gender distribution in urban Iranian schoolchildren.

Study Design: A cross-sectional study was carried out at the school premises.

Subjects And Methods: For this survey, 502 subjects attending 6 different schools in the city of Isfahan, Iran (253 females and 249 males, aged 11-14 years) were randomly selected and examined, including those who were wearing an orthodontic appliance at the time of the survey (1 female and 5 males).

Principles of crown lengthening surgery.

Unlabelled: Crown lengthening is an invaluable tool for the restorative dentist in the management of short clinical crown heights. This procedure, as an adjunct to a holistic restorative treatment plan, can produce predictable results, whilst ensuring good aesthetics and maintaining periodontal health. Crown lengthening procedures are invaluable where toothwear or lack of supragingival tooth substance would render full coverage restoration difficult.

Mandibular implant-retained complete overdenture using retentive abutments: a case report.

Unlabelled: An implant-retained complete lower denture is considered by many as the gold standard in the oral rehabilitation of the edentulous mandible. Its relative simplicity, minimal invasiveness, predictability, efficacy and affordability make it an attractive treatment option. The commonly used methods for anchoring overdentures to implants utilize bars, studs and magnets.

Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11- to 14-year-old children.

The aim of this cross-sectional study was to determine the prevalence of malocclusions, occlusal traits, and their gender distribution in urban Iranian school children. Five hundred and two subjects (253 females and 249 males, aged 11-14 years) were examined. Molar relationship, overjet (OJ), overbite, midline deviation, crossbite, and crowding/spacing were recorded.

An unerupted tooth?--who nose?

Unlabelled: Foreign bodies may present to the general dental practitioner, either as a cause of complaint or, more commonly, as an incidental finding during routine examination. This article describes an unusual case where a rhinolith perforated the hard palate to appear in the mouth as an erupting tooth.

Clinical Relevance: It is useful for the general dental practitioner to be aware of the existence of foreign bodies, their sequelae and management.

Common things are common: a case series of oral foreign bodies in paediatric patients.

Reports of foreign bodies in the oral cavity are few in number. Three cases of children of varying ages, presenting with oral foreign bodies, and their subsequent diagnosis and management, are described. The importance of considering foreign bodies, as part of a differential diagnosis in paediatric patients, where aetiology is uncertain and clinical appearance is unusual, is highlighted.

Diagnosis of osteochondroma of the mandibular condyle in atypical facial pain: a case report.

Osteochondroma of the mandibular condyle is an uncommon condition which could clinically present with chronic pain symptoms. This report describes a case of chronic facial pain in a patient with this condition which was confirmed radiologically.

Mucogingival grafting procedures--an update.

Unlabelled: Gingival recession is the exposure of the root surface due to the apical migration of the gingival margin. It is a common feature in the general population and can often lead the patient to seek treatment. Mucogingival therapy may be required to prevent further recession, correct aesthetic problems, aid plaque control and reduce dentine hypersensitivity.

Contemporary periodontal surgery: 2. Surgical practice.

Unlabelled: Contemporary surgical techniques emphasize gentle tissue handling with a minimum of trauma. This in turn provides a predictable operative environment and promotes healing. A modern surgical armamentarium may be very different from that encountered a decade ago.

Secondary syphilis presenting as atypical oral ulceration--a case report.

Unlabelled: Syphilis is now regarded by many as being of historical interest only in the aetiology of oral ulceration. Its manifestations are still often classified as the classical chancre, snail track ulcers and gumma. Recent literature suggests, however, that there has been a re-emergence of syphilitic ulcers and that these need not fall into the traditional categories.

Contemporary periodontal surgery: 1. Surgical principles.

Unlabelled: Periodontal surgery comprises surgical intervention of the supporting tissues of the teeth. This ranges in complexity from simple exodontia to technically demanding periodontal plastic surgery and includes the management of periodontal diseases, implant placement and preparatory treatment for fixed and removable prostheses. Modern surgical management reflects both a move towards evidence-based practice and the introduction of improved techniques and armamentarium.

Digital imaging: an update.

Unlabelled: It is becoming increasingly common for orthodontists and dentists to capture and store their patients' clinical records in a digital format, including photographs, radiographs and even study models. It is useful to have an understanding of what these image files are composed of in order to be able to manipulate, store and display the images efficiently to best effect.

Clinical Relevance: Digital images are becoming a routine part of patients'clinical records and it is important to understand their make-up and how they can be saved and displayed.

NICE guidelines and their relevance to the dental team.

Unlabelled: The National Institute for Health and Clinical Excellence (NICE) of the National Health Service (NHS) produces guidance for the health sector on a range of issues. Specific guidance on dental subjects has been issued in relation to third molar removal, dental recall interval and HealOzone therapy. In addition, there are examples of more generic guidance which may also be relevant to dental practice.

Spontaneous regression of bilateral dentigerous cysts: a case report.

Unlabelled: A dentigerous cyst is the most common developmental odontogenic cyst and believed to be slowly progressive in nature. This case report describes an incidental finding of spontaneous regression of bilateral dentigerous cysts associated with lower impacted third molars in a 30-year-old, fully dentate female. Together with three other similar reports, a few possible explanations are postulated and the understanding of natural history of dentigerous cysts is questioned.