James Puryer

University Of Bristol Dental Hospital

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Co-Authors

Jonathan Sandy

University of Bristol

Anthony J Ireland

University of Bristol

Tarun Mittal

Harefield Hospital

Dominic O’Sullivan

Charles Sturt University

Julie Williams

Pulmonary Associates

Catherine McNamara

University of Surrey

Nikki Atack

Belgrade Open School

Lisa McNally

Worcestershire County Council

Hywel J Naish

Cardiff University

Tony Ireland

University Of Bristol Dental Hospital

Cooperative Institutions

University Of Bristol Dental Hospital

University of Bristol

Royal United Hospital

At Bristol

Royal United Hospital Bath NHS Trust

NIHR Bristol Biomedical Research Centre

University Hospitals Bristol NHS Foundation Trust

Government Communications Headquarters

National Institute for Health Research

King's College London

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An Unusual Root Fracture: A Case Report

James Puryer Andrew J. Barber

Root (linguistics)

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A Geminated Mandibular Second Molar—A Case Report

Reports — Medical Cases Images and Videos (2021)

Asha Pandya-Sharpe James Puryer

Fusion and gemination are not entirely uncommon dental anomalies that may also be named ‘double teeth’. This is due to their unusual presentation in a twin-like fashion. Teeth with these irregularities may appear clinically similar, presenting as large and bulbous in shape with unusual anatomy and fissure patterns. The exact aetiology of these anomalies is uncertain, but many potential local or systemic disturbances during the morphodifferentiation stage of odontogenesis have been considered. Gemination occurs rarely in the permanent dentition and even less frequently in the posterior region of the oral cavity. This report presents a case of a geminated mandibular second molar and discusses the importance of early recognition and diagnosis of such teeth so that adequate preventative care and treatment can be provided.

Posterior teeth

Presentation (obstetrics)

Etiology

Mandibular molar

Permanent dentition

10.3390/reports4040031

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Citations (3)

A Palatal Speech Bulb—A Case Study

Reports — Medical Cases Images and Videos (2019)

Constance Hardwick James Puryer

Palatal defects of the oral cavity can be either congenital or acquired following trauma or surgical excision of malignant disease. Palatal defects can greatly affect function and subsequent quality of life. Rehabilitation using a removable obturator can be a preferable treatment option as it allows regular review post-surgery. This case study reports on the design and construction of a removable “speech bulb” obturator. A 50-year-old female patient presented complaining of nasal regurgitation and looseness of her current palatal obturator. She had previously undergone wide surgical excision of her soft palate under general anaesthesia due to adenoid cystic carcinoma. Treatment consisted of the provision of a new removable obturator, paying careful attention to the design of the “speech bulb” itself. The design of the “speech bulb” is crucial to optimise function, and the method of prosthesis fabrication is fully described. This case highlights the impact of obturator fit on a patient’s quality of life and will be of benefit to clinicians from many disciplines including dentists, oral and maxillofacial surgeons, Ear, Nose & Throat (ENT) surgeons and speech and language therapists.

Palatal obturator

10.3390/reports2010005

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Citations (3)

The legal and moral perceptions of clinical and non-clinical undergraduates regarding substance use: a pilot project

BDJ (2017)

James Puryer Amelia N. Rowley J. Saimbi Andrea Waylen

Ecstasy

10.1038/sj.bdj.2017.124

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Dental Management of the 'Gagging' Patient - An Update

Claire Forbes-Haley Ian Blewitt James Puryer

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Citations (8)

The Confidence of Undergraduate Dental Students When Undertaking Indirect Restorations

J — Multidisciplinary Scientific Journal (2019)

James Puryer Shaikho Khalaf Maryam Ilkhani

The General Dental Council expects United Kingdom graduating dentists to be competent at providing crown and bridge treatments and graduating students should feel confident to undertake these treatments. The aim of this study was to explore the confidence of undergraduate dental students when providing crown and fixed dental prosthesis treatments. An anonymous questionnaire was distributed to all (n = 198) undergraduate students in Years 3 to 5 at Bristol Dental School. The questionnaire comprised confidence interval ranked responses, and respondents’ data was analysed using SPSS. The response rate was 76%. Undergraduate perception of confidence increased throughout the three years of study (p < 0.01). There was a strong association between the amount of exposure students had to certain treatment stages and their perceived confidence levels. Confidence levels may be increased further with increased clinical experience.

Bridge (graph theory)

10.3390/j2030019

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Citations (1)

The quality of undergraduate crown and bridge impressions: a three-cycle audit

Faculty Dental Journal (2020)

James Puryer Zoe Pais Alison Pua Sonia Manikam Leanne Houri

Are dental students learning to produce impressions and communicate with dental technicians effectively?

Bridge (graph theory)

Dental technician

10.1308/rcsfdj.2020.22

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The aberrant central incisor

Orthodontic Update (2017)

Tarun Mittal Nikki Atack Julie Williams James Puryer Jonathan Sandy

The maxillary permanent central incisor develops early in life and forms part of an aesthetic smile. Disruption of the formation or eruption of the permanent central incisor has multiple aetiological factors. Treatment options depend to some extent on the cause of failure of eruption of the central incisor. Generally, the earlier treatment is provided, the higher the likelihood of success and the less the complexity. This article gives an overview of the possible aetiology and treatment of the aberrant central incisor. CPD/Clinical Relevance: Unerupted central incisors are a clinical complication that occurs commonly in orthodontic practice. The clinician should be aware of the aetiology and possible treatment options.

Etiology

Maxillary incisor

Clinical Practice

Lateral incisor

10.12968/ortu.2017.10.2.46

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Patient understanding and recall of risks and complications of dental implant treatment following informed consent

Faculty Dental Journal (2015)

Tim Esau James Puryer Lisa McNally Dominic O’Sullivan

When patients consent to undergo dental implant treatment, how much of the form do they really remember? Here, the recall and understanding of the risks and complications of dental implant treatment following a dental implant consent process is assessed.

10.1308/rcsfdj.2016.16

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Bilateral Transverse Mandibular Second Molars: A Case Report

Dentistry Journal (2016)

James Puryer Tarun Mittal Catherine McNamara Tony Ireland Jonathan Sandy

Impaction of mandibular second permanent molars is a rare occurrence, with prevalence rates reported to be between 0.65% and 2.0%. In the absence of systemic conditions, impactions are usually unilateral. There appears to be no consensus as to the optimal treatment for impacted mandibular second molars and treatment plans will be based upon the individual case. Treatment may involve orthodontics and/or various surgical techniques, and early diagnosis is important. This paper presents an unusual case of bilateral transverse impaction of both mandibular second and third molars that was diagnosed at 18 years of age. All impacted molars were extracted.

Impaction

Impacted tooth

Mandible (arthropod mouthpart)

Mandibular molar

10.3390/dj4040043

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Citations (3)