Patients with inherited bleeding disorders (IBD) can face difficulty in accessing primary dental care either due to disease-specific or patient-related barriers. This can lead to poor oral health and increase the need for more invasive dental treatment. This study aimed to highlight actual and perceived barriers that IBD patients from the East London area were experiencing. It also gives an overview of the experience history of the General Dental Practitioners (GDPs) treating these patients. Information was gathered via pre-designed surveys as part of a service development audit. A total of 105 anonymous patient surveys and 50 GDP surveys were completed between December 2010 and July 2011. The patient survey highlighted more patients to be affected by patient-related than disease-specific barriers to access dental care. The GDP survey identified that just under half of GDPs questioned were not confident in the dental management of patients with bleeding disorders. Identifying misconceptions and barriers to access primary dental care will enable further development of our shared-care approach between General Dental Services, Hospital or Community Dental Services and Haemophilia Centre, optimizing regular preventative advice and follow ups to prevent dental disease and invasive dental treatment requiring haemostatic treatment.

Workplace-based assessments (WBAs) are trainee-led formative assessments that measure the highest level of competence of the ability to do a task. So far WBAs are the only available assessment tools to measure performance integrated into practice. Over the years, WBAs have become an integral part of dental foundation and specialty training. The numerous WBAs available can be broadly categorised into three types. The first type involves observation of clinical encounters, for example mini-clinical evaluation exercises; direct observation of procedural skills; and dental evaluation of performance and procedure-based assessments. The second type involves discussion of clinical cases, such as case-based discussions. Finally, the third type includes the mini-peer assessment tool, team assessment of behaviour, 360° assessments and multi-source feedback, and all involve receiving feedback from a combination of colleagues, staff and patients. This article describes the WBAs currently used in postgraduate dental training and explores their strengths, weaknesses, perceived value by trainees and trainers and how these tools can be used in a reliable and valid way.

The term ‘crown lengthening surgery’ refers to a variety of techniques which aim to expose a greater amount of tooth structure around a tooth or group of teeth. The decision to treat and which technique to use will depend upon: the underlying aetiology; a thorough history and examination; results of any supporting investigations and a clear understanding of the intended outcome of treatment. This paper aims to provide an overview of crown lengthening surgery and is illustrated with clinical cases.

International students are the 4th most revenue raising industry in Australia brining in $6 billion in 2006. December 2006 reports show 383 818 international students were enrolled across Australia with 61�019 in Queensland. The vast majority of students come from Asian countries with a high prevalence of HIV/AIDS and STIs combined with minimal sexual health knowledge. Through workshops and discussion groups with international students they have been identified as a high risk in relation to sexual health problems due to their lack of sexual health knowledge, their tendency to engage in risk behaviour without adequate knowledge of risks, consequences and protection mechanisms. As a result, sexual health issues are increasingly presenting to professionals working directly with international students and health services in claims related to pregnancy, abortion rates, sexual assault, rape and reports of international students from high risk countries found to be HIV+. Further, international students reported receiving no information prior to arrival and on arrival of risk behaviour, safety issues, health or laws in Australia. In order to promote safe sex behaviour among international students we have formulated various strategies to raise awareness of international students, from print material on arrival, to information stalls at O-week, intermittent workshops for international students, student leaders and professionals working directly with international students. The feedback from the students is very positive and new strategies are being developed to target students facing language barriers. Our program findings demonstrate that the international student population is a high risk group facing sexual health issues where increased education and support must occur to prevent and reduce sexual health related problems.

Aim: To investigate the relationship between generic and condition specific (CS) quality of life (QoL), general psychological wellbeing and personality in patients with tooth wear. Materials and Methods: Ethical approval was granted (REC:10/H0709/21). Patients 18-70 years with tooth wear completed the Oral Impacts on Daily Performances (OIDP) quality of life questionnaire, the NEO-FFI Personality questionnaire, and the General Health Questionnaire-12 (GHQ). Tooth wear was measured with the Basic Erosive Wear Examination (BEWE).Results: 102 subjects were recruited. Increased BEWE scores were correlated with older age, and worse generic, and CS related QoL. Increased Neuroticism was correlated to increased generic and CS-OIDP scores; generic and CS eating scores; CS smiling score and CS carrying out major work scores. Increased GHQ scores were positively correlated with increased generic and CS-OIDP scores; generic and CS-eating scores; CS-speaking scores; generic and CScleaning scores; generic relaxing scores, generic and CS-smiling scores and generic emotional state score (p=<0.05). Multivariable linear regression analyses showed thatincreasedNeuroticism and decreased GHQ both had an independent effect on generic and CS-OIDP scores when adjusted for tooth wear severity (p<0.05). Conclusion: Quality of life perception is complex, and was not only affected by worsening levels of tooth wear.