Letter 2

I'm a bit confused over the (I feel) slightly contradictory message from Dental Update May 2018 Volume 45. On page 382 there is a review of a textbook on minimal intervention dentistry – which is something that Dental Update is usually very enthusiastic about and rightly so.

However, there is then an article on ‘A Single Crown on a Maxillary Incisor’. The end result in this article is excellent but surely the article would have benefited from more discussion as to why such an aggressive preparation of the central incisor tooth was carried out? There is a very brief sentence on previous unsuccessful bleaching but no clue as to whether this was internal or external, what materials were used and why the bleaching did not work. There is no radiograph of the tooth, although it is mentioned that ‘incomplete bone consolidation’ of the apical area exists. Does this mean incomplete healing?

I remain unsure as to why a veneer was not feasible, although this is briefly explained. I'm also unsure about the slightly odd ‘warm and big smile’ photos at the end but that's just personal opinion!