Restorative Dentistry

Provisional restorations – a permanent problem?

Minimally prepared teeth that are to receive an adhesive restoration, such as a veneer or resin-retained bridge, do not usually require temporization. However, for more invasive preparations, a...

The restorability assessment and endodontic access cavity interface

The first operative stage of root canal treatment is access cavity preparation. The phrase ‘access is success’ is well founded. Primary root canal treatments in which iatrogenic perforations occurred...

Relating aesthetics to clinical need: improved aesthetics of an ill-fitting crown and anterior toothwear

A 42-year-old female patient was referred, complaining that she was unhappy about the appearance of her anterior teeth, notably an unsightly crown on her upper left central incisor tooth..

Periodontal disease: breaking the downward spiral of the disease process

As our knowledge of periodontal pathogenesis has evolved over the years, treatment philosophies have similarly changed. For example, it is now widely accepted that gingivitis and periodontitis are a...

The importance of correct diagnosis and treatment in endo-periodontal lesions: a two cases comparison

The patient, a 40-year-old male, presented with pain in the right side of the mandibular region during eating. Clinical examination highlighted a 12 mm deep gingival pocket on the disto-oral side at...

Resin-bonded bridges – the problem or the solution? part 2: practical techniques

Good communication with the dental technician and attention to detail are important in the successful provision of RBBs. A pontic design should be prescribed to the technician, as well as the required...

Resin-bonded bridges – the problem or the solution? part 1: assessment and design

Resin-bonded bridges (RBBs) have been used to replace teeth in short edentulous spans with increasing success since the 1970s.1 A systematic review by Pjetursson et al reported a survival rate of...

Implant dentistry in general practice part 2: treatment planning

Patient expectations must be identified early in the consultation process and compared with a detailed case assessment to determine if they can be met. Much implant company marketing literature gives...

Implant dentistry in general practice part 1: introduction

The GDC's Scope of Practice describes the provision of implants as an additional skill that dentists could develop during their career.3 The Faculty of General Dental Practitioners (FGDP) implant...

Overtreatment in caries management? a literature review perspective and recommendations for clinicians

Considerable variation exists between dentists on their treatment decisions regarding, among other things, the need for placing and replacing restorations.41,42 Lesion-activity and surface integrity...

Tooth decorations and modifications – current trends and clinical implications

‘Intentional tooth modification’ or ‘tooth decoration’ refers to the process of deliberately changing or altering natural tooth tissue for reasons other than treating dental disease. This global...

Resin-bonded bridges – can we cement them 'high'?

The success rates and longevity of RBBs fluctuate from study to study depending on methods used and confounding factors. Historically, failure has been measured as a retainer that has debonded;...

A guided, conservative approach for the management of localized mandibular anterior tooth wear

A variety of techniques have been described in the contemporary literature, as a means for applying resin composite for the direct restoration of anterior tooth wear.5,6 These can be broadly divided...

Indications for cuspal coverage

In normal function, teeth have the greatest forces applied to them as a result of mastication of food. For individual teeth, the ideal occlusal contact distributes the force down the long axis of the...