Restorative Dentistry

Restoration of severe localized tooth wear with zirconia-reinforced lithium silicate: A case report

Patient SP is a 23-year-old female who was referred by her GDP regarding severe TW. SP's main concerns were increasing hypersensitivity of her maxillary anterior teeth, and poor aesthetics..

Dentinogenesis imperfecta: Development of treatment strategies over 40 years

Hereditary opalescent dentine was first used in 1936 to describe defects of dentine that were not associated with systemic disorders.3 The term ‘dentinogenesis imperfecta’ was then coined to describe...

The Prevention of Tooth Wear

As teeth continue to function, they will be routinely exposed to erosive, abrasive and attritive factors. The wearing-away of tooth tissue may therefore be considered as an age-related phenomenon.1...

The Assessment and Minimally Invasive Management of Existing Restorations

All dental restorations will ultimately suffer deterioration and degradation in clinical service.1,2,3 It has been suggested that the management of deteriorating restorations, that is restorations...

Dens Evaginatus – ‘Addition Beats Subtraction’

The exact aetiology of DE remains unclear and it might be an isolated anomaly. However, it is thought to arise from an aberrant folding of the inner enamel epithelium and subjacent ectomesenchymal...

A combined digital-conventional workflow to fabricate a removable partial denture for a patient with a severe gag reflex

The patient is a 61-year-old female with no relevant medical history who presented to the senior house officer restorative clinic seeking a fixed prosthodontic replacement for her recently extracted...

Splendid isolation: a practical guide to the use of rubber dam part 2

The wide range of rubber dam materials and equipment described in part one1 is accompanied by a range of placement techniques. However, there are only three principal options for rubber dam...

The restoration of structurally compromised endodontically treated teeth: principles and indications of post and core restorations

A successful treatment outcome involving a post and core restoration is significantly dependent on careful case selection and consideration of both patient-related and tooth-related factors.5.

Splendid Isolation: a Practical Guide to the Use of Rubber Dam Part 1



‘Probably no other technique, instrument or treatment in dentistry has been more universally accepted and advocated, and yet is so universally ignored by practising dentists. Many reasons can be...

Cracked Tooth Syndrome Management Part 2: Integrating the Old with the New

The evidence base on management options for CTS is limited, with much experimental data missing..

Cracked tooth syndrome diagnosis part 1: integrating the old with the new

Suggested predisposing factors for CTS include previous cavity preparation, restorative material compaction or bonding procedures, tooth morphology, cervical tooth surface loss, function, parafunction...

Removable Prosthodontics for the Management of Severe Toothwear

Toothwear is a dental condition of increasing concern in the UK population, as demonstrated by the findings of the 2009 Adult Dental Health Survey. Seventy–six percent of dentate adults in 2009 showed...

Is a Ridge Classification Helpful when Assessing Edentulous Patients?

The ridge classifications proposed by Atwood3 (Figure 1) or the modified version of Cawood and Howell4 are intended to provide a quantitative assessment of the residual alveolar bone. However, it may...

Composite Build-Ups: a Review of Current Techniques in Restorative Dentistry

Resin composite materials have been around since the 1960s, ever since the introduction of the bis-GMA monomer in 1962 by Bowen.3 Following on from Bowen, pioneers such as Chang (1969) and Lee (1970)4...

Root Caries Part 2: the Restorative Challenge

It is necessary to have well-defined criteria for deciding when to attempt to arrest and when to restore a RCL.12 There are a number of indications for restoring RCLs as listed in Table 1..