Restorative Dentistry
Dental materials – what goes where? the current status of glass ionomer as a material for loadbearing restorations in posterior teeth
FJT BurkeThe 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
Jagdip S KalsiMost 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
Stuart C CampbellThe 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
Zaid AliThe 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
Mital PatelRecent 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
Brian StevensonThere 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
Aws AlaniWhen 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
Hannah BeddisDentine 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?
Stephen J BonsorAs 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
FJ Trevor BurkeGlass 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
Louis MackenzieA 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
Sam RollingsThe 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
Mital PatelManagement 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
Sam RollingsIn 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...