Restorative Dentistry

Techniques for the restorative management of localized and generalized tooth wear

The rate of progress of tooth wear will depend on aetiology, the duration and the frequency of its effect on the teeth. Fortunately, age-related, or physiological, tooth wear is probably a slow...

Multidisciplinary management of advanced complexity tooth wear cases: patient needs beyond the direct and indirect restorations dichotomy

A 54-year-old male presented with tenderness, and difficulty on biting, of his lower front teeth with progressing wear of these teeth over the previous 5 years (Figure 1). Main concerns were function...

The ‘satisficing’ additive composite approach to bulimia

Teeth dissolve below a pH of 5.52 and vomited stomach hydrochloric acid has a pH of 1–2 depending on which foods and drinks were consumed during the ‘bingeing’ phase that precedes the vomiting...

Longevity and performance of materials used for the restorative management of tooth wear: a review

In the past, common treatment options for patients with tooth wear were full- and partial-coverage conventionally retained crowns. However, developments in adhesive dentistry have expanded the...

Monitoring tooth wear

The first important step in the diagnostic process is the quantification of the observed tooth wear, in other words to grade intra-orally the severity of the tooth wear, and assess its spread. There...

Dento-legal considerations in the management of patients with tooth wear

A detailed dental examination allows dentists to understand a patient's oral health background, identify risk factors, and uncover potential issues that may impact treatment decisions. A comprehensive...

Treatment of Peri-implantitis: Fiction or Reality? Part 1: Non-surgical and Surgical Management

Non-surgical mechanical plaque control could be effective in the treatment of peri-implant mucositis through the reduction of bacterial load and inflammation within peri-implant soft tissues. In...

Cracked tooth syndrome: a review of the literature

All relevant textbooks, bibliographies of major publications, and PubMed (Medline) data sources were searched, chosen, and used in this paper. Articles were also acquired from Google Scholar without...

Mineralizing agents to manage early carious lesions. Part II: clinical application


Tables 1–6 summarize the findings from some of the key clinical studies on current remineralization approaches..

The high-speed revolution: a practical guide to friction grip burs

Common to both high-speed and speed-increasing handpieces is the friction grip (FG) bur, the component parts of which are shown in Figure 1. The International Organization for Standardization (ISO)...

Mineralizing agents to manage early carious lesions. Part I: mode of action

The natural formation of enamel (amelogenesis) is a complex biomineralization process involving cellular activity.

Indirect restorations: an update

Indirect restorations are associated with a range of widely documented disadvantages, dating back to some of the earliest professional publications, for example: crowns are ‘a mausoleum of gold over a...

Treatment planning over 50 years

Fifty years ago, anterior teeth were restored with silicate cement and posterior teeth with amalgam. Gold inlays, onlays and crowns were considered superior restorations. Cohesive gold restorations...

A history of posterior composite restorations as viewed through the pages of Dental Update

Among the earliest publications on composite materials (now correctly termed resin composite) were two by Barnes and Kidd in 1980.6 In a comprehensive and well-illustrated (particularly by SEM images)...

Fifty years of glass ionomers (GICs). Are the latest GICs suitable for restoring back teeth?

Glass ionomer materials were first described in a patent in 1969,1 with the first publication being in 1972 by Wilson and Kent.2 They were originally considered to be a development of silicate...