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Article: Volume 41 Number 3 Page 194 - April 2014

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  Dent Update 2014; 41: 194-204

Restorative dentistry:  Management of the Single Discoloured Tooth Part 2: Restorative Options

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Abstract: This is the second article of a two part series covering the aetiology, prevention and broad range of management options for the single discoloured tooth. The article covers situations where masking and simulation techniques with direct composite are required. Direct composite, indirect composite and ceramic veneers are then considered, as well as full coverage crowns. The option of extraction of the affected tooth and its prosthodontic replacement will also be considered. Clinical cases are used to illustrate various scenarios.

Clinical relevance: The single discoloured tooth is a commonly encountered clinical problem in general dental practice. A wide variety of management options exist and it is recommended that general dental practitioners consider adopting minimally invasive techniques in the first instance before moving on 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 and Honorary Senior 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 range of restorative techniques available to manage the single discoloured tooth.