Biomedical subjects
P S Fleming
Publications and source records attributed to P S Fleming.
Steroid-induced psychosis complicating orthognathic surgery: a case report.
Psychosis is an uncommon but well-recognised complication of short-term corticosteroid administration. We report a case of steroid-induced psychosis subsequent to a bimaxillary osteotomy.
Bifid tongue - a complication of tongue piercing.
Tongue piercing is associated with significant morbidity. We report on a patient with a bifid tongue defect following insertion of a tongue ornament. This abnormality resulted in severe emotional disturbance.
Interesting case: steroid-induced psychosis after orthognathic surgery.
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Adjunctive use of dental implants in mandibular reconstruction with a free fibular graft.
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A survey of undergraduate orthodontic training and orthodontic practices by general dental practitioners.
PURPOSE OF THE STUDY: To assess satisfaction with undergraduate orthodontic training, the variety of treatments undertaken in general practice, practitioners' perceived competence in orthodontics and the level of interest in continuing education in orthodontics. DESIGN: Cross-sectional questionnaire-based study. MATERIALS AND METHODS: A questionnaire was mailed to 520 general practitioners in Dublin, Kildare and Wicklow as listed in Irish Dental Council Register of Dentists 2003. RESULTS: Forty-six percent of dentists responded. More than half (54 per cent) of the respondents were satisfied with both academic and clinical aspects of undergraduate training. Twenty-nine percent regularly perform orthodontic treatment. Only 60 percent feel comfortable treating orthodontic emergencies. Over 70 percent have either already attended or aspire to attend further training in orthodontic diagnosis and interceptive orthodontics. CONCLUSIONS: Our study indicates that in the greater Dublin area, graduates (those qualified less than 10 years) are increasingly satisfied with undergraduate teaching. Orthodontic treatment is performed regularly in general dental practice with interceptive procedures most often carried out. While ability to deal with orthodontic emergencies is not universal, practitioners do appear confident to perform a variety of orthodontic procedures. Interest in continuing education in orthodontics is very high. Our study indicates that participation in continuing education in orthodontics appears to translate into greater provision of orthodontic care in general practice.
Surgical skills.
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Why endodontic retreatment is less successful than primary root canal therapy.
Endodontic retreatment has been proven less effective than conventional root treatment. Factors dictating this include difficulty in accessing the root canal system in retreatment cases, problems in negotiating a highly resistant micro flora and unfavourable anatomy. Patients should, therefore, be counselled on the possibility of failure necessitating surgical procedures and possibly extraction. However, despite these mitigating factors success is still a realistic goal in the majority of cases.
Endodontic retreatment: explaining success rates and illustrated cases.
Endodontic retreatment is less successful than conventional root treatment. Factors governing this include difficulty in accessing the root canal system in retreatment cases, problems in negotiating a highly resistant microflora and unfavourable anatomy. However, despite these mitigating factors success is still a realistic goal in the majority of cases.