The use of a Heimlich flutter valve in an adult patient with cystic fibrosis with hypercapnic respiratory failure which allowed resolution of a persisting pneumothorax after failure of conventional tube drainage is reported. The patient was managed at home and avoided surgical pleurodesis which could have jeopardised transplantation at a later date.
There have been numerous challenges faced by the dental profession during the COVID-19 pandemic. Throughout this difficult period, a spirit of collaboration and peer support have been crucial in helping to maintain urgent care access for patients and in assisting practices with their return to full operational activity.
Dental clusters can provide a different model of working, and can provide improved access to dental care for patients as well as reducing inequalities. They can also improve collaboration and communication between primary care dental services. Furthermore, clusters can help to provide a support network for clinicians and facilitate better integration with medical colleagues. Dental clusters may also provide a better platform for innovation to meet the demands of local populations.
Importantly, we feel that clustering can bring educational benefits to colleagues, as it can encourage a multi-disciplinary teamwork approach to patient care and to the needs of the local population, through regular cluster meetings. This can benefit colleagues through peer review, case-based discussions, mentoring and upskilling within clusters.
We aim to outline our experiences of a basic cluster model.
Iatrogenic displacement of teeth during extraction is a rare but significant complication. [1][2][3][4][5][6][7][8][9][10] When it does occur, it is more often associated with the displacement of third permanent molars into fascial spaces. 11 We present a rare case of a 30-year-old female patient who presented to our department with significant intraosseous displacement of a mandibular premolar root during attempted extraction, resulting in paraesthesia. We believe this to be the first such case described in the literature.
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