Restorative Dentistry

Managing ‘last tooth in the arch syndrome’ and restoring retruded contact position

The mechanism behind the situation of the last tooth in the arch syndrome is that the tooth being prepared had previously acted as a posterior fulcrum when the patient occluded, initiating a slide to...

Aesthetic management of white lesions in the permanent dentition

An understanding of the aetiology of tooth discoloration is paramount for successful management as brown/yellow lesions call for different treatment options compared to white lesions..

Posterior composites: An update

As posterior composites require specialized skills and are demanding in terms of clinical time,4 this paper aims to provide an update of the latest evidence-based protocols that will enable the...

Form ever follows function: the occlusal compass and direct resin composite restorations

It is the pervading law of all things organic and inorganic, of all things physical and metaphysical, of all things human and all things super-human, of all true manifestations of the head, of the...

Restoration of anterior teeth using polychromatic layering techniques

Following removal of the rubber dam, the restorations were assessed to ensure that they conformed to the pre-existing anterior occlusal guidance. A photograph was taken (Figure 13) at this stage to...

How Visible Light Curing came into Dentistry

In the early 1970s, two chemists at the ICI Petrochemical and Polymer Laboratory in Runcorn, Edward (Ed) Dart and Joseph (Joe) Nemcek, developed a visible light-activated (alpha)-diketone/amine...

Resin Luting Materials

Zinc phosphate cement was introduced circa 125 years ago. Despite its shortcomings, which include solubility in the dilute organic acids found in plaque, and poor tensile strength, it remains in use...

Fibre-Reinforced Composite Splint – Step-by-Step Instructions

Many different manufacturers' products are available, examples being; Fiberkor (Jeneric/Pentron), Vectris (Ivoclar), EG Fibres (Kuraray/Japan) and everStick® (GC Corporation Tokyo Japan). The...

Minimally Invasive Direct Restoration of Worn Teeth: A Simplified Technique

A 63-year-old female patient presented complaining of chipping of her maxillary anterior teeth, aesthetic concerns regarding her worn mandibular incisors and of sensitivity to thermal stimuli. She...

Management of localized anterior tooth wear in a patient with bilateral distal extension edentulous mandibular arches

A 61-year-old male was referred to the Dental Institute, Colombo for the management of pain and an abscess associated with two upper central incisors. His past and current medical records revealed...

The application of occlusion in clinical practice part 3: practical application of the essential concepts in clinical occlusion

The conformative approach to the restorative rehabilitation of a dentition would involve the provision of restorations to any of the affected teeth at the ‘pre-existing occlusal scheme, without...

The application of occlusion in clinical practice part 1: Essential concepts in clinical occlusion

As per the FGDP (UK) Clinical Examination and Record-Keeping; Good Practice Guidelines 2016,6 when a patient attends a practitioner for the first time for a routine dental examination, an appraisal of...

A ‘handling’ Evaluation of the dentsply sirona class II solution system by the PREP panel

The value of practice-based research has been previously discussed,1 with the arena of general dental practice having been considered the ideal environment in which to carry out evaluations of the...

Occlusal Splints for Bruxing and TMD – A Balanced Approach?

Occlusal splints are interocclusal appliances commonly used in dental practice to manage bruxism and temporomandibular disorders (TMD). There are many articles and studies on the effectiveness of...