Restorative Dentistry

Information for patients undergoing treatment for toothwear with resin composite restorations placed at an increased occlusal vertical dimension

The cause of TW may be considered to be multifactorial, being mainly due to erosion, attrition and abrasion, with abfraction also being a source of TW. However, the problem becomes increasingly...

A CAD/CAM designed, semi-fixed, high strength, all-ceramic prosthesis for maxillary rehabilitation – a case report

A 35-year-old female patient, with a history of aggressive periodontitis, had lost several teeth over the past 18 years. She had been receiving active periodontal treatment and supportive therapy...

Dental materials – what goes where? the current status of glass ionomer as a material for loadbearing restorations in posterior teeth

The demand for tooth-coloured restorations in posterior teeth is increasing worldwide,1 with the principal alternative to amalgam being considered to be resin composite. However, resin composite...

The influence of patients' decisions on treatment planning in restorative dentistry

Most systematic reviews in dentistry state that more good quality double blind randomized control trials are required, and there is insufficient good quality evidence to recommend one intervention...

The coping-retained bridge: a modified approach to conventional bridge design – review and case report

The dentist decides how many copings will be used to retain the superstructure following a thorough clinical and radiographic examination. As previously discussed, higher success rates are observed...

Factors to consider when treatment planning for patients seeking comprehensive aesthetic dental treatment

The first and most important step for both clinician and patient is the detailed investigation of why the patient is unhappy with his/her dental appearance.

Computerized tomography, stereolithography and dental implants in the rehabilitation of oral cancer patients

Recent advances in CT have seen the development of Cone Beam CT (CBCT) scanners. These are increasingly being used in imaging of the head and neck to create axial, coronal, sagittal and 3-Dimensional...

The orthodontic-restorative interface in patients with hypodontia: the patient's journey

There was a wide age range of patients that were treated following joint consultation between orthodontic and restorative clinicians. The majority of patients were adolescents, the mean age at the...

Decision-making in the provision of extra-coronal restorations

When considering restorations for teeth that have suffered significant tissue loss, the decision faced by the dentist may be either to place a large direct restoration or consider an indirect...

Making sense of sensitivity

Dentine is a naturally sensitive tissue. When an otherwise harmless stimulus contacts freshly cut dentine, pain may be experienced. Historically, numerous attempts have been made either to reduce or...

Are dentine pins obsolete?

As traditional dental materials, in particular dental amalgam, have no inherent ability to bond to tooth tissue, they have to be retained in an unretentive cavity by mechanical means, this being a...

Dental materials – what goes where? class I and II cavities

Glass ionomer cements (GICs) were developed in the early 1970s, being a combination of a fluoro-alumino-silicate (FAS) glass, mixed with a polyacrylic acid.34 Principal advantages of GIC materials...

Direct anterior composites: a practical guide

A complex range of interrelated factors combine to determine the overall aesthetic properties of each individual patient's smile. Principles of ‘smile design’ are well-documented and the dental...

Posts – when it all goes wrong! part 2: post removal techniques

The preparation required prior to post removal will vary depending on what type of post is present and what technique for removal is going to be used. The tooth should be isolated (preferably with...