Restorative Dentistry

Resin-bonded bridges – can we cement them 'high'?

The success rates and longevity of RBBs fluctuate from study to study depending on methods used and confounding factors. Historically, failure has been measured as a retainer that has debonded;...

A guided, conservative approach for the management of localized mandibular anterior tooth wear

A variety of techniques have been described in the contemporary literature, as a means for applying resin composite for the direct restoration of anterior tooth wear.5,6 These can be broadly divided...

Indications for cuspal coverage

In normal function, teeth have the greatest forces applied to them as a result of mastication of food. For individual teeth, the ideal occlusal contact distributes the force down the long axis of the...

British society of prosthodontics debate on the implications of the minamata convention on mercury to dental amalgam – should our patients be worried?

The Minamata Convention on Mercury, a United Nations treaty signed on the 10 October 2013 by 128 signatory nations, including the UK, was designed to protect human health and the environment from...

Class ii resin composites: restorative options

Polymerization shrinkage is a key factor, accounting for the relative failure of direct posterior resin composite restorations. A majority of the currently available products contain the monomer...

Rehabilitation of oncology patients with hard palate defects part 3: construction of an acrylic hollow box obturator

A period of 6 months may be required (post-resection) before the definitive obturator can be constructed. However, this period of surgical healing will clearly differ between patients.4 The...

Dental management of a patient with multiple idiopathic cervical root resorption

A 12-year-old patient started fixed orthodontic treatment in 2002 (Figure 1). Two years later she was referred to the Leeds Dental Institute (by her orthodontist) just before her maxillary and...

A PREP panel, practice-based, evaluation of the handling of the kerr demi-ultra light curing unit

The importance of practice-based research has been emphasized by Mandel, who considered that ‘research is not only the silent partner in dental practice, it is the very scaffolding on which we build...

Maintenance and monitoring of dental implants in general dental practice

Generally, it is recommended that patients treated with implant-supported restorations are seen at least on an annual basis but, in some cases, they will all require routine hygienist treatment at 3-,...

Worn down by toothwear? aetiology, diagnosis and management revisited

Toothwear can be defined as ‘the loss of tooth substance by means other than caries or dental trauma’. Tooth surface loss (TSL) is an alternative term used which can confuse dentists and patients, and...

Minimally invasive long-term management of direct restorations: the ‘5 rs’

A failing restoration can be described as one that has suffered biomechanical defect or damage resulting in immediate or subsequent detrimental clinical consequences to the patient. This may affect...

Rehabilitation of oncology patients with hard palate defects part 2: principles of obturator design

Defects have been successfully managed with obturators (Latin: ‘obturare’ meaning ‘to block up’) for many years. Ambroise Pare was probably the first individual to close a palatal defect artificially...

Rehabilitation of oncology patients with hard palate defects part 1: the surgical planning phase

The number of individuals undertaking surgical reconstructions has increased from 38% to 91% from 1995 to 2009,4 with the use of microvascular free flaps becoming more common. Surgically...