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Australian Dental Journal
December 1997 - Volume 42 Number 6SCIENTIFIC PAPERSPaediatric Dentistry. Avulsion: Case reports Children may present at a dental surgery for management of oro-facial injuries. Most general dental practitioners are able to handle straightforward cases but referral may be required for complex injuries. Successful healing following tooth avulsion depends on the amount of damage to teeth and supporting structures, emergency treatment, and follow-up treatment. All of these play a role in the long-term prognosis of avulsed teeth.
| JE Ruter | Condylar injuries in growing patients Although the mandibular condyle is one of the most common sites of injury of the facial skeleton, it is also the most overlooked and least diagnosed site of trauma in the head and neck region. The condyle forms the very cornerstone of mandibular form and function and therefore injuries to the mandibular condyle in growing children may adversely affect growth and development of the jaws and the occlusion. The aim of this article is to present an overview of condylar injuries in growing patients for the purpose of increasing the awareness of all dental practitioners involved in the treatment of children with acute oro-facial injuries.
| G Dimitroulis | Paediatric Dentistry Discussion Paper and Case Report. Management of small carious lesions in primary teeth: Caries removal versus fluoride application and periodic ‘observation’ until exfoliation Differences in treatment rationale exist between dental practitioners with respect to the management of small carious lesions in primary teeth. Some do not consider it necessary to use a conventional restorative approach, preferring to apply topical fluoride and/or ‘monitor’ the lesion(s). This paper advocates the alternative approach which entails complete caries removal by mechanical means, the rationale being to eliminate the pool of cariogenic microorganisms and thereby protect sound teeth from succumbing to carious attack. A case is presented to illustrate the extent to which caries can progress and also involve other teeth if small cavitated lesions are simply treated by ‘spot’ application of fluoride.
| T Gotjamanos | Growth factors and their implications for clinicians: A brief review Growth factors play a vital role in both homeostasis and disease. In recent years considerable research has revealed the importance of growth factors in biology and they are now becoming incorporated in the clinical literature. Growth factors are peptides (protein fractions) that transmit signals within and between cells. They were discovered in the early 1960s as growth stimulants in tissue culture. It is now evident that growth factors play a comprehensive role in the modulation of tissue growth and development. The modes of action of growth factors are discussed with examples pertinent to clinical dentistry.
| J McGeachie M Tennant | An evaluation of a primary preventive dental programme in non-fluoridated areas of Victoria, Australia A primary preventive dental programme targeting adolescents living in non-fluoridated areas of Victoria, Australia was evaluated for a three-year period. The programme comprised annual placement or replacement/repair of fissure sealants combined with a weekly 0.2 per cent sodium fluoride mouthrinse and was evaluated in terms of acceptance by the providers and the community to which it was directed.
| MV Morgan AC Campain SJ Crowley FAC Wright | Trends in dental caries experience of school children in Australia – 1977 to 1993 The aim of the present paper was to extend the annual reporting on caries experience in Australia up to and including 1993, and to document the change in the distribution of caries within the child population since 1977. In addition, the data are compared with dental targets for children for the year 2000 in Australia and internationally.
| MJ Davies AJ Spencer GD Slade | Integrating infection control into the dental curriculum The dental profession has possessed traditional standards of cross-infection control but the recent expression of real concerns by both the public and the profession over the transmissibility of infectious diseases in the dental surgery has demanded a formalized and extended approach to teaching cross-infection control in the dental curriculum. Clear curriculum content must be formulated within contemporary Workplace Health and Safety Guidelines and the Strategic Plan of the Dental School or academic health centre. The full integration demands that the area is taught as a discrete entity but recognized as an intrinsic part of each clinical encounter. This paper discusses the structure and integration of cross-infection control into the curriculum at the University of Queensland Dental School.
| NW Savage LJ Walsh | Conservative management of recurrent keratocysts in Basal-cell naevus syndrome Basal-cell naevus syndrome is characterized by multiple odontogenic keratocysts as well as skeletal, ophthalmologic and neurologic features. It is important that the dental practitioner be aware of this syndrome as it has important ramifications for the developing dentition. A case of Basal-cell naevus syndrome is presented along with a review of the literature regarding the management of this disorder. An argument for conservative surgical management of this syndrome is made.
| CJR McGrath RWT Myall | Florid cemento-osseous dysplasia in a young Chinese man. Case report Florid cemento-osseous dysplasia refers to a group of fibro-osseous lesions which are exuberant, multiquadrant and arise from the tooth-bearing area of the jaws. It is classically described as a condition occurring almost exclusively in middle-aged black women. A case of florid cemento-osseous dysplasia occurring in a young Chinese male is reported which was rare in regard to race and sex.
| S-T Ong C-H Siar | Mandibular odontogenic fibrosarcoma. Case report A rare case of mandibular odontogenic fibroma is presented which transformed to a stage 1A odontogenic fibrosarcoma with a local recurrence after surgical resection and unusually delayed pulmonary metastases eight years later. Prolonged follow-up of these patients after complete surgical resection, including regular chest X-rays, is recommended.
| WK Chan CP Li JM Liu NT Yin MH Huang HP Wu HS Lee KY Chen |
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