Scielo RSS <![CDATA[South African Dental Journal ]]> http://www.scielo.org.za/rss.php?pid=0011-851620170006&lang=pt vol. 72 num. 6 lang. pt <![CDATA[SciELO Logo]]> http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za <![CDATA[<b>A delicately balanced team is essential</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600001&lng=pt&nrm=iso&tlng=pt <![CDATA[<b>SADA Communique</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600002&lng=pt&nrm=iso&tlng=pt <![CDATA[<b>The effect of different polishing systems on the surface roughness of a nanocomposite and a microhybrid composite</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600003&lng=pt&nrm=iso&tlng=pt <![CDATA[<b>The availability of the basic oral health care package in the Western Cape</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600004&lng=pt&nrm=iso&tlng=pt The majority of the uninsured population in the Western Cape, estimated at about 4.5 million, is dependent on public dental clinics. Dental caries remains the most common chronic disease world-wide. Caries experience among 6-year-old children in the province increased from 82% to 84% in the period 2002 - 2015. Oral health programmes to promote good oral health at schools and clinics are very limited. A cross-sectional study investigated 128 dental clinics in the Western Cape to determine the availability of the basic oral health care package, which includes promotion of oral health, prevention of oral disease and basic oral health treatment. Less than a third (31.5%) offered the basic treatment package and slightly less than two thirds (65%) were offering only dental extractions. Despite clear policy guidelines, public dental care delivery in Western Cape is seen to be not adherent to the guidelines, norms and standards. There is an unavailability of dentists outside the main clinics and it appears there is a minimal focus on prevention of oral disease and promotion of good oral health. Dental caries must be recognized as an epidemic in the Western Cape, and basic oral health care should be made available. <![CDATA[<b>Oral medicine case book 75: Mucoepidermoid carcinoma of the lower lip: review and a case report</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600005&lng=pt&nrm=iso&tlng=pt Mucoepidermoid carcinoma (MEC) is the most common malignancy of salivary gland origin, comprising 30% of all these neoplasms. Major salivary glands are more commonly involved, with most MECs presenting in the parotid gland. The palate is the most commonly involved site in minor salivary glands. MEC of the lower lip is extremely rare with only a few cases reported in the literature. We report a case of a low grade MEC of the lower lip in a 49 year old female patient. She presented with a mass in the lower lip of six month's duration with a history of a recent rapid increase in size. Surgical resection was the treatment of choice and histopathological examination of the excised mass confirmed a diagnosis of low grade MEC. We present this case to highlight that although relatively rare, MEC should be included in the differential diagnoses of lower lip masses. <![CDATA[<b>Localised "vertical relapse" following orthodontic correction in young growing patients with cleft lip/ palate: Case studies potentially leading to a revision of the retention protocol</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600006&lng=pt&nrm=iso&tlng=pt Vertical dental relapse following orthodontic treatment has been observed in growing cleft lip and palate patients who had been treated at a Cleft Centre in Kwa-Zulu Natal. It appears that such relapse may occur in those who had had alveolar bone grafts in the cleft area and that it takes place at a time coinciding with the eruption of the maxillary canines. This communication is based on case studies of patients who presented three different types of clefts. All the grafts had been taken from the iliac crest. The observations may indicate a need for an in-depth study to investigate whether teeth erupt normally through iliac crest bone grafts in cleft patients. Confirmation of an altered eruption pattern may indicate a need for a change in retention protocol. <![CDATA[<b>Managing sodium hypochlorite accidents: the reality of toxicity</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600007&lng=pt&nrm=iso&tlng=pt Sodium hypochlorite (NaOCl) is the most commonly used endodontic irrigant due to its effective antimicrobial function and ability to dissolve organic matter. However, when NaOCl escapes from the root canal system, the cytotoxic effects are severe, regardless of the concentration used. A case of undiagnosed external root resorption that lead to the extrusion of a 1% NaOCl solution into the periapical soft tissues is presented. This report considers guidelines and highlights the obligation of clinical practices to develop protocols for, and to maintain, the ability to manage and treat accidents involving NaOCl. <![CDATA[<b>Maxillofacial radiology case 152</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600008&lng=pt&nrm=iso&tlng=pt Sodium hypochlorite (NaOCl) is the most commonly used endodontic irrigant due to its effective antimicrobial function and ability to dissolve organic matter. However, when NaOCl escapes from the root canal system, the cytotoxic effects are severe, regardless of the concentration used. A case of undiagnosed external root resorption that lead to the extrusion of a 1% NaOCl solution into the periapical soft tissues is presented. This report considers guidelines and highlights the obligation of clinical practices to develop protocols for, and to maintain, the ability to manage and treat accidents involving NaOCl. <![CDATA[<b>Application of Lasers in Orthodontics</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600009&lng=pt&nrm=iso&tlng=pt Sodium hypochlorite (NaOCl) is the most commonly used endodontic irrigant due to its effective antimicrobial function and ability to dissolve organic matter. However, when NaOCl escapes from the root canal system, the cytotoxic effects are severe, regardless of the concentration used. A case of undiagnosed external root resorption that lead to the extrusion of a 1% NaOCl solution into the periapical soft tissues is presented. This report considers guidelines and highlights the obligation of clinical practices to develop protocols for, and to maintain, the ability to manage and treat accidents involving NaOCl. <![CDATA[<b>Comparison of alveolar osteitis with post implant removal osteitis (Can a "dry socket" occur after implant removal?)</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600010&lng=pt&nrm=iso&tlng=pt Sodium hypochlorite (NaOCl) is the most commonly used endodontic irrigant due to its effective antimicrobial function and ability to dissolve organic matter. However, when NaOCl escapes from the root canal system, the cytotoxic effects are severe, regardless of the concentration used. A case of undiagnosed external root resorption that lead to the extrusion of a 1% NaOCl solution into the periapical soft tissues is presented. This report considers guidelines and highlights the obligation of clinical practices to develop protocols for, and to maintain, the ability to manage and treat accidents involving NaOCl. <![CDATA[<b>"In my mouth": Part 11: Ethical concerns regarding dental over-treatment and under-treatment</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600011&lng=pt&nrm=iso&tlng=pt Sodium hypochlorite (NaOCl) is the most commonly used endodontic irrigant due to its effective antimicrobial function and ability to dissolve organic matter. However, when NaOCl escapes from the root canal system, the cytotoxic effects are severe, regardless of the concentration used. A case of undiagnosed external root resorption that lead to the extrusion of a 1% NaOCl solution into the periapical soft tissues is presented. This report considers guidelines and highlights the obligation of clinical practices to develop protocols for, and to maintain, the ability to manage and treat accidents involving NaOCl. <![CDATA[<b>What's new for the clinician? Summaries of and excerpts from recently published papers</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162017000600012&lng=pt&nrm=iso&tlng=pt Sodium hypochlorite (NaOCl) is the most commonly used endodontic irrigant due to its effective antimicrobial function and ability to dissolve organic matter. However, when NaOCl escapes from the root canal system, the cytotoxic effects are severe, regardless of the concentration used. A case of undiagnosed external root resorption that lead to the extrusion of a 1% NaOCl solution into the periapical soft tissues is presented. This report considers guidelines and highlights the obligation of clinical practices to develop protocols for, and to maintain, the ability to manage and treat accidents involving NaOCl.