Restorative Dentistry

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...

Complications in managing tooth wear; exploring a potential pitfall of using the dahl approach – a case study

A 45-year-old female patient was referred to Newcastle Dental Hospital in 2009 concerned about the appearance of her teeth and complaining of tooth sensitivity. Medically, the patient reported acid...

The options for a tooth that requires root canal treatment

Root canal treatment and maintenance of the natural tooth has high success rates17,18,19 and high survival rates.14, 20,21,22,23,24,25,26 The natural tooth will maintain alveolar bone and soft tissue...

A contemporary approach to the provision of tooth-supported fixed prostheses part 2: fixed bridges where the abutment teeth require minimal or no preparation

Where a tooth-supported fixed prosthesis is indicated and the abutments are generally sound, resin-retained bridges are preferred, whilst recognizing that patient choice may be a factor limiting their...