Potential bathroom hazard.
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Biomedical subjects
Publications and source records attributed to H Beckett.
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A case is presented where loss of an incisor tooth in a partial denture wearer created an aesthetic emergency. It was not possible to solve this simply by addition of a tooth to the existing denture. Reference to the previous dental history suggested that a further immediate solution might be unwise. The design of the existing denture lent itself to the novel solution of a second denture, retained by elements of the first.
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The case records of a group of patients who had undergone periapical surgery in a district general hospital were examined and compared with the criteria agreed by a group of hospital restorative dentists as to whether apical surgery was appropriate rather than, at least initially, a non-surgical treatment option. Only 65% of the patients met the audit criteria. As a result, changes have been made to clinical practice, including a greater involvement of restorative clinicians in the decision-making process when apical surgery is under consideration.
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A dental technician suffered abrasion of his anterior teeth because of his technique of handling porcelain powder during the construction of restorations. To keep the brush moist, he habitually licked it as he applied porcelain powder to restorations. The porcelain powder, which is extremely abrasive, acted as a grinding powder between his maxillary and mandibular anterior teeth. Adjunctive orthodontics and a combination of adhesive, minimal-intervention restorations were used to create an esthetic and functional solution.
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A case of abrasive tooth surface loss caused by repeated sliding contact with the tissue surface of a cobalt-chromium denture base is described. The mode of material-tooth contact was brought about by an unusual patient habit which would have been difficult to foresee when the choice of denture base material was made.