Restorative Dentistry

The use of all-ceramic resin-bonded bridges in the anterior aesthetic zone

Dental ceramics have come a long way from the low-strength ceramics bonded with poor adhesives to modern day high strength ceramics with improved adhesive technology, which are able to be used in a...

Severe fluorosis treated by microabrasion and composite veneers

Three siblings presented, one brother aged 17 years, and two sisters aged 18 and 14 years-old. The family had originated from Nazareth, a town in the Ethiopian Rift Valley. All three siblings...

Case report: single visit indirect pulp cap using biodentine

A fit and healthy 24-year-old male presented for a routine dental check-up complaining of a ‘chipped’ lower left molar tooth. He had no other symptoms. The patient had a Class 3 skeletal base and...

The paradoxes of phantom bite syndrome or occlusal dysaesthesia (‘dysesthesia’)

There are many difficult paradoxes in dentistry generally, but phantom bite syndrome is riddled with them. For instance, if a diagnosis of phantom bite syndrome, or occlusal dysaesthesia...

Provisional restorations – a permanent problem?

Minimally prepared teeth that are to receive an adhesive restoration, such as a veneer or resin-retained bridge, do not usually require temporization. However, for more invasive preparations, a...

The restorability assessment and endodontic access cavity interface

The first operative stage of root canal treatment is access cavity preparation. The phrase ‘access is success’ is well founded. Primary root canal treatments in which iatrogenic perforations occurred...

Relating aesthetics to clinical need: improved aesthetics of an ill-fitting crown and anterior toothwear

A 42-year-old female patient was referred, complaining that she was unhappy about the appearance of her anterior teeth, notably an unsightly crown on her upper left central incisor tooth..

Periodontal disease: breaking the downward spiral of the disease process

As our knowledge of periodontal pathogenesis has evolved over the years, treatment philosophies have similarly changed. For example, it is now widely accepted that gingivitis and periodontitis are a...

The importance of correct diagnosis and treatment in endo-periodontal lesions: a two cases comparison

The patient, a 40-year-old male, presented with pain in the right side of the mandibular region during eating. Clinical examination highlighted a 12 mm deep gingival pocket on the disto-oral side at...

Resin-bonded bridges – the problem or the solution? part 2: practical techniques

Good communication with the dental technician and attention to detail are important in the successful provision of RBBs. A pontic design should be prescribed to the technician, as well as the required...

Resin-bonded bridges – the problem or the solution? part 1: assessment and design

Resin-bonded bridges (RBBs) have been used to replace teeth in short edentulous spans with increasing success since the 1970s.1 A systematic review by Pjetursson et al reported a survival rate of...

Implant dentistry in general practice part 2: treatment planning

Patient expectations must be identified early in the consultation process and compared with a detailed case assessment to determine if they can be met. Much implant company marketing literature gives...

Implant dentistry in general practice part 1: introduction

The GDC's Scope of Practice describes the provision of implants as an additional skill that dentists could develop during their career.3 The Faculty of General Dental Practitioners (FGDP) implant...

Overtreatment in caries management? a literature review perspective and recommendations for clinicians

Considerable variation exists between dentists on their treatment decisions regarding, among other things, the need for placing and replacing restorations.41,42 Lesion-activity and surface integrity...

Tooth decorations and modifications – current trends and clinical implications

‘Intentional tooth modification’ or ‘tooth decoration’ refers to the process of deliberately changing or altering natural tooth tissue for reasons other than treating dental disease. This global...