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Only four early years postgraduate surgical training posts in the UK meet nationally approved minimum quality standards. Specific recommendations are made to improve training in this cohort and to bolster recruitment and retention into Higher Surgical Training.

A 16-year-old female patient presented to the orthodontic department with a 2-week history of painful oral lesions that were affecting her ability to eat. Clinical examination revealed widespread oral ulceration, crusted bleeding from the lips with evidence of a herpes simplex infection in the region of the right buccal commissure. A diagnosis of oral erythema multiforme (EM) was made after a detailed clinical history and examination by the oral and maxillofacial team. Supportive care was provided alongside management with topical corticosteroids. Within 6 weeks of initial presentation, complete resolution of the lesions had occurred and the patient was able to resume active orthodontic treatment.

The use of light to initiate bonding reactions has become an integral part of orthodontic practice. Different technologies are available to cure dental composite, each with advantages and drawbacks. The efficacy of light-curing is affected by a range of factors and it is important for orthodontists to understand these concepts, alongside common problems with light-cure units, to aid in troubleshooting. Periodic testing of light-curing equipment can help to identify defective units that can potentially contribute to bond failure. CPD/Clinical Relevance: An understanding basic materials science in relation to dental light-curing technology is important in allowing orthodontists to maintain safe and effective equipment. The choice of light-curing equipment and method of use can influence bond strength and, therefore, treatment success.