Restorative Dentistry

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...

Contemporary management of generalized erosive tooth surface loss

Management of tooth surface loss can be challenging, especially if extensive tooth tissue has been lost. An accurate diagnosis of the aetiology is important in identifying the causative factors and...

Posts – when it all goes wrong! part 1: case assessment and management options

In the dental literature, the reported failure rate of post-retained restorations is very variable. Whilst a review of the literature in 2003 by Goodacre et al found that the incidence of...

Internal and external root resorption: aetiology, diagnosis and treatment options

The result of this process is loss of hard dental tissues (ie cementum and dentine) by dentinoclastic cell action. The function of dentinoclasts is controlled by various activating and preventing...

A restorative approach to the clinical and aesthetic management of adult patients with class ii division 2 incisor malocclusions



‘The permanent mandibular incisors occluding posterior to the cingulum plateau of retroclined permanent maxillary incisors.’
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Layering composites for ultimate aesthetics in direct restorations

Composite can potentially be used for a variety of restorations, in anterior and posterior teeth. Wear and strength properties of the material are now adequate for acceptable longevity of...

Root fracture and its management

Fractured roots are mostly diagnosed shortly after injury although, if the patient does not attend the dentist at the time, they may sometimes be found at subsequent routine dental appointments....

First impressions count


Table 1 summarizes the anatomical features that need recording dependent upon the prosthesis to be constructed, their clinical relevance and problems that may be encountered if not incorporated...

Dentinogenesis imperfecta: full-mouth rehabilitation using implants and sinus grafts – a case report

The aims of treatment are to remove sources of infection or pain, restore aesthetics and protect posterior teeth from wear.6,7 Patients present with this condition affecting their teeth to various...