Articles

The dilemma of commissioning: the isle of wight orthodontic managed clinical network: a 3-year review part 1: patterns of referrals

The process of creating the Isle of Wight MCN to improve access has already been described.4 One of the key objectives was to create an integrated service measuring the referral patterns and,...

Diagnosis and management of tooth size discrepancies in orthodontic patients

An anterior or overall TSD may influence dental aesthetics and the occlusion. This may arise from spacing or crowding in the dental arch, centre-line discrepancies of greater than 2 mm2 and difficulty...

A review of osteogenesis imperfecta in relation to orthodontic treatment

Patients with OI may show a plethora of signs and symptoms related to the defective collagen present in different structures of the body, including bone, sclera, skin, ligaments, blood platelets,...

Orthognathic surgery: what type of ‘information’ is available to patients on the internet?

An initial search was carried out using three of the most popular search engines on the World Wide Web; Google (www.google.co.uk), Yahoo (uk.yahoo.com) and MSN (uk.msn.com).7 The search engine was...

The care and management of the primary and mixed dentitions in children with cleft lip and palate


Figure 1 presents a patient whose caries is not controlled. It is generally felt that children with cleft lip and plate have higher caries prevalence than their peers. However, this belief is not...

Case series of atypical eruption failure

This case is of a 17-year-old female patient. RM has well-controlled asthma and is otherwise fit and well with no family history of primary failure of eruption. RM was initially referred to Glasgow...

Useful concepts for critical appraisal: 3. association, outcomes and errors

Having evaluated the study design and the results it is important to decide how validly the results address the research question posed. Whether you are reviewing the paper because you want an answer...

Labial fenestration of a ‘dilacerated’ maxillary central incisor apex: an orthodontic complication

Surgical removal is a common option chosen for managing unerupted dilacerated incisors,8 together with subsequent orthodontic treatment either to close the space or to re-open it for a prosthetic...

Achieving early bond strength: a solution

A total of 60 freshly extracted maxillary human premolars, that had been extracted for orthodontic purposes, were collected and stored in distilled water at room temperature, with thymol crystals (1%...

Multidisciplinary care – how should we manage the complex orthodontic-paediatric dentistry case? part 2

Dental infra-occlusion has been defined as when teeth are below the occlusal plane. Infra-occlusion is usually associated with primary molars.1 It is also frequently associated with ankylosis, which...

Longitudinal involvement of the psychologist in services for people born with a cleft lip and/or palate: CLP series part 3

There are important psychological issues from the point at which the diagnosis of a cleft is made. For the majority of babies born with a cleft, the diagnosis will be made either antenatally (usually...

Useful concepts for critical appraisal: 2. considering chance

We now discuss ways in which sample data can be used to make inferences. How valid and generalizable these inferences are will depend on how the data were accrued and we should always bear in mind the...

Extensive decalcification of the permanent dentition following long-term, unmonitored, functional appliance wear: case report

The majority of practitioners advise the full-time wear of a twin block appliance to maximize benefit. However, a twin block design can have detrimental effects on the dentition. It remains in direct...

Multidisciplinary care – how should we manage the complex orthodontic/paediatric dentistry case? part 1

Children can present in the developing dentition with one or more first permanent molars of poor prognosis caused by a variety of aetiological factors, including molar-incisor hypomineralization...

The role of the clinical nurse specialist within the cleft lip and palate team: CLP series part 2

The diagnosis of a facial cleft in an infant may be made at the 20-week anomaly scan, with the findings being imparted immediately to the parents (Figure 1). This clearly can be an emotionally...