Restorative Dentistry

An update on discoloured teeth and bleaching part 2: mechanism of action of bleaching agents and management of discoloured teeth

The compound directly resulting in the bleaching effect, hydrogen peroxide, is an oxidizing agent. Hydrogen peroxide breaks down in the presence of water to yield water and a free radical species....

Gagging – bringing up an old problem part 2: management of the condition

There are numerous treatment approaches which have been suggested in the literature and are categorized into the following methods: behavioural, pharmacological and non-pharmacological. Importantly,...

Tooth wear guidelines for the BSRD part 2: fixed management of tooth wear

Generalized/localized tooth wear in dentate patients with associated:.

An update on discoloured teeth and bleaching part 1: the aetiology and diagnosis of discoloured teeth

Generally speaking, discoloration of teeth may be either intrinsic or extrinsic, and may present in isolation or affect the dentition generally. Tooth discoloration may also be classified as...

Gagging – bringing up an old problem part 1: aetiology and diagnosis

In order to understand the underlying aetiology of the gagging response, we must first look at how it is initiated. This is an inborn defence mechanism which is controlled by the parasympathetic...

Combined endodontic-surgical management of a palato-gingival groove in a maxillary lateral incisor with two canals

An 18 year-old male patient reported with a chief complaint of discharging pus and dull pain from the upper anterior tooth region for one month's duration. The patient had a history of dental trauma...

Tooth wear guidelines for the bsrd part 1: aetiology, diagnosis and prevention

Tooth wear, or as it is also often referred to as non-carious tooth surface loss (TSL), can be described simply as ‘the pathological non-carious loss of tooth tissue’.1.

Endodontics or implants?

When considering patients' perceptions, clinicians look at oral health impact profile scores (OHIP). The lower the score, the better the perceived outcome for the patient. When comparing the quality...

An evidence-based evaluation of contemporary dental ceramics

Metal-ceramic crowns using a variety of metal alloys have been the standard aesthetic crown service offered by the majority of dentists since the patent was registered by Weinstein, Katz and Weinstein...

Minimally invasive adhesive full mouth reconstruction of a patient with amelogenesis imperfecta

Amelogenesis imperfecta (AI) is a dental condition affecting the structure and condition of dental enamel with occasional involvement of other oral structures. AI has been classified many times, both...

A contemporary approach for the management of generalized tooth wear


Sensitivity tests: All teeth excluding (UR1) tested positive to Endo-lce and electrical pulp testing..

Essentials of light curing

Despite many manufacturers producing excellent curing lights, the units in many dental offices are often not performing effectively and dentists generally have no accurate way of assessing their light...

The ultimate aesthetic challenge in dentistry: a single crown on a maxillary central incisor

A 22-year-old female patient presented in the dental school clinic with a discoloured left upper central incisor (Figure 1). The young woman was self conscious of this when smiling, so this aesthetic...

Child cancers: managing the complications of childhood chemotherapy in the adult dentition

Chemotherapy is the first line treatment employed in treating many childhood cancers such as leukaemia and lymphoma and has resulted in improved survival rates. A recent report found that predicted...

Gingival retraction techniques: a review

Before any gingival retraction is contemplated, and ideally before any restoration with subgingival margins is planned, it is important to assess the gingival tissues and adjacent supporting...