Recessive dystrophic Epidermoylsis bullosa. Two case reports with 20-year follow_up These two case reports highlight the enormous clinical difficulties faced by dentists in providing satisfactory long-term dental care to patients who suffer from Epidermolysis bullosa. Problems of bullae formation in oral soft tissues and subsequent scarring are outlined in relation to the difficulty of maintaining satisfactory oral hygiene and a diet leading to minimal dental caries experience. The behavioural problems of maintaining patient compliance for preventive and restorative dentistry in this painful and debilitating disease are illustrated in these case reports. Difficulties in providing restorative care, either under local anaesthesia or general anaesthesia are discussed, and a novel replacement of non-viable carious anterior teeth using a nine-unit porcelain fused to metal Rochette type bridge is presented.
| CB Olsen LF Bourke |
Clear cell carcinoma of the minor salivary glands. Report of a case Clear cell carcinoma is an extremely rare form of malignant salivary gland tumour. A case of clear cell carcinoma arising in the minor salivary glands is reported.
| E Triantafillidou I Dimitrakopoulos A Skordalaki |
Dentofacial features of a family with Crouzon syndrome. Case reports Crouzon syndrome is an autosomal dominant condition characterized by craniosynostosis with associated dentofacial anomalies. This paper describes the variable clinical features in affected individuals over two generations of a family with particular reference to the dentofacial deformities and discussion of management strategies.
| SL Singer I Walpole WF Brogan J Golddblatt |
Eagle's syndrome masquerading as pain of dental origin. Case report Eagle’s syndrome, also known as elongated styloid process, is a condition that may be the source of craniofacial and cervical pain. It is infrequently reported but is probably more common than generally considered. The symptoms related to Eagle’s syndrome can be confused with those attributed to a wide variety of facial neuralgias and/or oral, dental and TMJ diseases. In this paper, a case of Eagle’s syndrome masquerading as pain of dental origin is presented and the literature is reviewed.
| ÏL Aral Ï Karaca N Gungor |
Bilateral fracture of the mandible in chronic lymphocytic leukaemia. Case report The development of osteolytic bone lesions in patients with chronic lymphocytic leukaemia (CLL) is extremely rare and has not been reported to involve the mandible. A case of bilateral pathologic fracture of the mandible extensively involved with multiple bony deposits of CLL is reported.
| GW Wright D Wiesenfeld JF Seymour |
Obstructive sleep apnoea: The role of the oral and maxillofacial surgeon Obstructive sleep apnoea is a relatively common sleep disorder that is popularly associated with snoring and excessive daytime sleepiness. It is a disorder with serious implications that has only in the last two decades received the attention of clinical specialists. The aim of this article is to review the role of the dental profession in the recognition and management of this disorder.
| G Dimitroulis |
Human immunodeficiency virus infection: A review of the mode of infection, pathogenesis, disease course and the general and clinical manifestations Acquired immunodeficiency syndrome (AIDS) was first recognized in 1981 and in 1983 the virus responsible for this syndrome, the human immunodeficiency virus, was first isolated. There has been an increasing understanding of the many aspects related to infection with this virus and this review discusses the historical as well as the more recent findings related to infection with this virus. In particular, the pathogenesis, mode and course of infection are discussed followed by an overview of the general and oral manifestations of infection with this virus.
| MJ McCullough NA Firth PC Reade |
Surgically-assisted maxillary expansion A combined surgical and orthodontic technique for management of transverse maxillary deficiencies in mature patients is described and discussed. Special references are made to the surgical release of several circummaxillary articulations to facilitate the use of a fixed expansion device, and to the authors’ addition of an osteotomy below the nasal spine, to ensure that the nasal septum remains independent of the maxillary segments. Indications for the use of this surgically-assisted maxillary expansion technique, and its advantages when compared with segmented surgical expansion, are also presented.
| M Woods D Wiesenfeld T Probert |
Apexification: Case report Apexification is a process/procedure well recognized and accepted by clinicians and researchers alike. Calcium hydroxide is most commonly used to induce an apical hard tissue barrier which may be composed of different tissues but its mechanism of action is still unknown. The epithelial cell rests of Malassez have been implicated in apexification although case reports exist which apparently dispute this. The following case report demonstrates an unusual case of apexification following root filling, surgery and retreatment where the role of the epithelial cell rests of Malassez is discussed.
| P Parashos |
Efticacy of a dentifrice and oral rinse containing sanguinaria extract in conjunction with initial periodontal therapy In the treatment of periodontal disease initial therapy aims at reducing marginal inflammation so allowing assessment of residual disease and further treatment options. The aim of the present study was to determine whether the use of a dentifrice and oral rinse containing sanguinaria extract led to a more rapid resolution of gingival inflammation following initial therapy.
| MP Cullinan RN Powell MJ Faddy GJ Seymour |
Unacceptably high levels of fluoride in commercial preparations of silver fluoride Instead of expected fluoride ion concentrations of around 60 000 ppm, commercial preparations of 40 per cent aqueous silver fluoride were found to contain 120 000-127 000 ppm. Information received from the Western Australian Chemistry Centre which provided independent confirmation of the higher than expected [F-] indicates that the currently available commercial preparations contain silver difluoride rather than silver fluoride.
| T Gotjamanos F Afonso |
Infant and child feeding practices: A preliminary investigation The objective of this preliminary investigation was to examine the feeding practices of infants and preschool children in Adelaide, and thereby contribute to the development of appropriate preventive dental strategies.
| AH Wyne AJ Spencer FS Szusler |
Factors influencing long-term restoration survival in three private dental practices in Adelaide Very little is known of dentist and patient factors which may influence the survival or longevity of dental restorative materials placed in private practices. The present retrospective study investigated during 1992 the effects of six factors on the long-term survivals of five types of restorations placed by 20 male dentists in 100 adult patients, at 3 selected Adelaide dental practices.
| WS Hawthorne RJ Smales |