Restorative Dentistry

Incidental finding of a horizontal root fracture when considering a tooth for root canal treatment

A 44-year-old female patient was referred to the Restorative Dentistry Department at Manchester University Dental Hospital by her general dental practitioner (GDP) for root canal treatment of her...

Restoration of Discoloured Incisors with Ceramic Veneers: A Workflow Case Report

This report followed the principles recommended by the CARE guidelines.22 CARE is a guideline that helps authors to provide a complete case description, and ensure that all the important details are...

Bleaching Complications: ‘Greening’ in a Post-crowned Tooth

The grey discolouration of the upper right central and lateral incisors along with some poorly contoured composite restorations were noted..

Narcissism, pride, envy, lust and dentistry

Narcissism is named after a mythical Greek character called Narcissus who walked beside a pool of water and stopped to take a drink from it. He saw his own reflection in the water and became...

Restorative management of the posterior tooth that has undergone a pulpotomy

The clinical assessment of pulpal inflammation in a tooth with a carious lesion remains challenging. The conventional clinical method for assessing pulp status relies upon patient-reported symptoms,...

Treatment of peri-implantitis: Fiction or reality? Part 2: Adjuncts and decontamination approaches in the non-surgical and surgical management of peri-implantitis

The effectiveness of specific professional mechanical plaque removal (PMPR) regimens in reducing the risk of recurrent peri-implantitis has not yet been determined. Based on the current EFP S3 CPG, it...

A review and clinical tips on gingival retraction methods

The periodontium should be assessed when considering provision of a subgingival restoration and therefore, gingival retraction. When the gingivae are healthy, there is less chance of damage when the...

Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension

A detailed history of the presenting complaint, patient's diet and social activity must be taken. This should be followed by clinical examination (Figure 1a,b), and radiographic assessment of the...

Extrinsic and intrinsic chemical factors relating to tooth wear

The biggest contributor towards tooth wear for most of the population are the acids present in our diet. However, there are several studies showing no association between the diet and erosive tooth...

Tooth wear: intrinsic and extrinsic mechanical factors

The Glossary of Prosthetic Dentistry (GPT-9) defines attrition as ‘the act of wearing or grinding down by friction or the mechanical wear resulting from mastication or parafunction, limited to...

Full mouth restorative rehabilitation of the generalized worn dentition: a step-by-step approach to treatment

A step-by-step approach to generalized tooth wear restorative management provides a sound basis for a predictable outcome. It allows for a systematic approach whereby the patients expectations,...

Techniques for the restorative management of localized and generalized tooth wear

The rate of progress of tooth wear will depend on aetiology, the duration and the frequency of its effect on the teeth. Fortunately, age-related, or physiological, tooth wear is probably a slow...

Multidisciplinary management of advanced complexity tooth wear cases: patient needs beyond the direct and indirect restorations dichotomy

A 54-year-old male presented with tenderness, and difficulty on biting, of his lower front teeth with progressing wear of these teeth over the previous 5 years (Figure 1). Main concerns were function...

The ‘satisficing’ additive composite approach to bulimia

Teeth dissolve below a pH of 5.52 and vomited stomach hydrochloric acid has a pH of 1–2 depending on which foods and drinks were consumed during the ‘bingeing’ phase that precedes the vomiting...

Longevity and performance of materials used for the restorative management of tooth wear: a review

In the past, common treatment options for patients with tooth wear were full- and partial-coverage conventionally retained crowns. However, developments in adhesive dentistry have expanded the...