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Article: Volume 41 Number 2 Page 98 - March 2014

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  Dent Update 2014; 41: 98-110

Restorative dentistry:  Management of the Single Discoloured Tooth Part 1: Aetiology, Prevention and Minimally Invasive Restorative Options

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Abstract: The single discoloured tooth is commonly encountered in general practice. This is the first of two articles covering the broad range of management options for the single discoloured tooth. This first part outlines the common causes of discoloration and possible methods of prevention. Minimally invasive techniques are covered. Clinical procedures are outlined and clinical cases used to demonstrate outcomes that can be achieved.

Clinical relevance: The single discoloured tooth is a commonly encountered clinical problem in general dental practice. A wide variety of management options exist and any one in particular may be most appropriate given the clinical scenario. It is therefore essential that general dental practitioners are familiar with the range of options that exist, as well as their indications, and consider adopting minimally invasive techniques in the first instance before moving to more invasive therapies.

Author notes: Andrew J Barber, BDS (Hons), MFDS RCS(Eng), MSc(Dental Implantology), FDS(Rest Dent) RCS(Eng), PG Cert Med Ed, Specialist in Restorative Dentistry, Prosthodontics, Periodontics and Endodontics, Clinic 8, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ and Paul A King, BDS, MSc, FDS RCS(Eng), Consultant/Senior Clinical Lecturer in Restorative Dentistry, Bristol University Dental Hospital and School, University Hospitals Bristol NHS Foundation Trust, Lower Maudlin Street, Bristol BS1 2LY, UK.

Objective: To understand the aetiology, prevention and range of minimally invasive restorative options available to manage the single discoloured tooth.