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Article: Volume 42 Number 5 Page 413 - June 2015

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  Dent Update 2015; 42: 413-426

Restorative dentistry:  Minimally Invasive Long-Term Management of Direct Restorations: the '5 Rs'

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Abstract: The assessment and operative long-term management of direct restorations is a complex and controversial subject in conservative dentistry. Employing a minimally invasive (MI) approach helps preserve natural tooth structure and maintain endodontic health for as long as possible during the restorative cycle. This paper discusses how minimally invasive techniques may be applied practically to reviewing, resealing, refurbishing, repairing or replacing deteriorating/failed direct coronal restorations (the ‘5 Rs’) and provides an update of contemporary MI clinical procedures.

Clinical relevance: The assessment and long-term clinical management of deteriorating/failing direct restorations is a major component of the general dental practice workload and NHS UK budget expenditure for operative dentistry.

Author notes: David Green, BSc(Hons) BDS(Hons) MFDS RCS(Ed), StR in Restorative Dentistry, Birmingham Dental Hospital, Louis Mackenzie, BDS, General Dental Practitioner and Clinical Lecturer, College of Dental and Medical Sciences, School of Dentistry, University of Birmingham and Avijit Banerjee, BDS, MSc, PhD(Lond), LDS FDS(Rest Dent), FDS RCS(Eng) FHEA, Professor of Cariology and Operative Dentistry; Hon Consultant/Clinical Lead, Restorative Dentistry, KCL Dental Institute at Guy’s Hospital, King’s Health Partners, London, UK.

Objective: To appreciate and apply the contemporary MI principles and techniques for the long-term management of deteriorating/failing direct dental restorations in clinical practice.

Belmont