Restorative Dentistry

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...

Case report of an Afro-Caribbean adolescent with moderate hypodontia managed with a partial flexible denture

A 14-year-old male patient of Afro-Caribbean ethnicity presented for a routine dental examination. His only presenting complaint was mild discomfort on chewing in the region of his retained deciduous...

An overzealous use of zinc oxide: zinc toxicity from temporary dental cement

He smoked 15 cigarettes per day, was of no fixed abode and took the following medications prescribed by his medical teams: sodium calcium edetate, thiamine, high-protein milk, copper citrate, sodium...

Anterior open bites: the additive direct resin composite solution

‘Montgomery consent’ means that any potential patient needs to understand the material risks and benefits of the viable options available to them in order to make their consent valid..

The acquired anterior open bite: possible aetiologies and management strategies

The development of an AOB in the adult patient may be first noticed by either the patient or clinician during a routine examination. The patient may describe aesthetic concerns with a newly forming...

Management of implant screwdriver ingestion: reflection and guidance for the GDP placing implants

A 91-year-old lady was diagnosed with T4N0M0 squamous cell carcinoma (SCC) of the left buccal mucosa with mandibular involvement. This was treated surgically in October 2018 with a left segmental...

Cemental tears: challenges in the diagnosis and management of an unusual finding associated with rapid localized periodontal and peri-radicular bone loss

Single or multiple tears can occur at any point on the root; however, the mid-third is the most frequent site reported, with the majority occurring on proximal surfaces (79.6%) (Figure 1).2,7 Cemental...

Treatment planning for a patient requiring multiple restorative treatment modalities by a recently qualified dentist

TC was a non-smoker and had never smoked and he drank no alcohol. He worked as a civil engineer and enjoyed spending time with his family in his spare time. He was fit and well, had no medical...