Australian Dental Journal

December 2003 - Volume 48 Number 4

REVIEWS

Desquamative gingivitis: A sign of mucocutaneous disorders – a review Desquamative gingivitis is a clinical term to describe red, painful, glazed and friable gingivae which may be a manifestation of some mucocutaneous conditions such as lichen planus or the vesiculobullous disorders. It is important to be aware of this rare clinical entity so as to distinguish desquamative gingivitis from plaque induced gingivitis which is an extremely common condition, easily recognized and treated daily by the dental practitioner. This article gives an overview of desquamative gingivitis, its presentation, the possible causes, diagnosis and treatment. Early recognition of these lesions may prevent delayed diagnosis and inappropriate treatment of potentially serious dermatological diseases.

NA Robinson D Wray

Dental implants: Maintenance, care and treatment of peri-implant infection Osseointegration is becoming increasingly routine in the rehabilitation of partially or fully edentulous patients. However, the surrounding tissues may be subject to inflammatory conditions similar to periodontal disease and so require maintenance. This article discusses the background, aetiology, diagnosis of peri-implant diseases, and the maintenance, care and treatment of peri-implant infection in osseointegrated implants. Three case studies are presented to illustrate points in the care of implants.

S Chen I Darby

ADRF REPORTS

Clinicians’ choices of restorative materials for children Recently, there has been an expansion in the range of tooth-coloured restorative materials available. In 1999, the National Health and Medical Research Council recommended clinicians use alternatives to amalgam in children ‘where appropriate’.	LA Tran L Brearley Messer
Precision ablation of dental enamel using a subpicosecond pulsed laser In this study we report the use of ultra-short-pulsed near-infrared lasers for precision laser ablation of freshly extracted human teeth.	AV Rode EG Gamaly B Luther-Davies BT Taylor M Graessel JM Dawes A Chan RM Lowe, P Hannaford

SCIENTIFIC ARTICLES

Remineralization of enamel subsurface lesions in situ by sugar-free lozenges containing casein phosphopeptideamorphous calcium phosphate The anticariogenic potential of casein phosphopeptide-amorphous calcium phosphate nanocomplexes (CPP-ACP) has been demonstrated using laboratory, animal and human in situ caries models. The aim of this study was to determine the effect of CPP-ACP incorporation into a sugar-free lozenge (pressed mint tablet) on enamel remineralization in a human in situ model.	F Cai P Shen MV Morgan EC Reynolds
Efficacy of cardiopulmonary resuscitation performed in a dental chair Within the dental setting, historically there has been some concern as to whether cardiopulmonary resuscitation (CPR) can be performed effectively in the dental chair. This study tested the hypothesis that there is no difference in the efficacy of CPR performed in the dental chair or on the floor.	AJ Lepere J Finn I Jacobs
Microscopic investigation of artificially demineralized surface enamel exposed to controlled intra-oral periods Arrest and regression of enamel caries is generally followed by clinical surface changes in enamel. The aim of this study was to evaluate microscopic surface changes in demineralized enamel submitted to toothbrushing with a fluoridated dentifrice or to a fluoridated gel in situ.	AA Neves LG Primo PR Ramos

CASE REPORT

Non-surgical management of an oro-antral fistula in a patient with HIV infection The risk of post-extraction complications is higher in patients who are immunosuppressed compared to other patients with normal immune function. In addition, invasive dental procedures are more likely to have serious complications in these patients. This case report demonstrates an effective non-surgical procedure to treat an oro-antral fistula in an HIV-infected man.

RM Logan EA Coates

CLINICAL NOTE

A model for the prediction of tooth wear in individuals Easily applied, age-specific standards are useful in assisting clinicians to decide whether the extent of tooth wear observed in a given patient at a specific age is acceptable or whether intervention is indicated.

LC Richards JA Kaidonis GC Townsend