Restorative Dentistry

Dens Evaginatus – ‘Addition Beats Subtraction’

The exact aetiology of DE remains unclear and it might be an isolated anomaly. However, it is thought to arise from an aberrant folding of the inner enamel epithelium and subjacent ectomesenchymal...

A combined digital-conventional workflow to fabricate a removable partial denture for a patient with a severe gag reflex

The patient is a 61-year-old female with no relevant medical history who presented to the senior house officer restorative clinic seeking a fixed prosthodontic replacement for her recently extracted...

Splendid isolation: a practical guide to the use of rubber dam part 2

The wide range of rubber dam materials and equipment described in part one1 is accompanied by a range of placement techniques. However, there are only three principal options for rubber dam...

The restoration of structurally compromised endodontically treated teeth: principles and indications of post and core restorations

A successful treatment outcome involving a post and core restoration is significantly dependent on careful case selection and consideration of both patient-related and tooth-related factors.5.

Splendid Isolation: a Practical Guide to the Use of Rubber Dam Part 1



‘Probably no other technique, instrument or treatment in dentistry has been more universally accepted and advocated, and yet is so universally ignored by practising dentists. Many reasons can be...

Cracked Tooth Syndrome Management Part 2: Integrating the Old with the New

The evidence base on management options for CTS is limited, with much experimental data missing..

Cracked tooth syndrome diagnosis part 1: integrating the old with the new

Suggested predisposing factors for CTS include previous cavity preparation, restorative material compaction or bonding procedures, tooth morphology, cervical tooth surface loss, function, parafunction...

Removable Prosthodontics for the Management of Severe Toothwear

Toothwear is a dental condition of increasing concern in the UK population, as demonstrated by the findings of the 2009 Adult Dental Health Survey. Seventy–six percent of dentate adults in 2009 showed...

Is a Ridge Classification Helpful when Assessing Edentulous Patients?

The ridge classifications proposed by Atwood3 (Figure 1) or the modified version of Cawood and Howell4 are intended to provide a quantitative assessment of the residual alveolar bone. However, it may...

Composite Build-Ups: a Review of Current Techniques in Restorative Dentistry

Resin composite materials have been around since the 1960s, ever since the introduction of the bis-GMA monomer in 1962 by Bowen.3 Following on from Bowen, pioneers such as Chang (1969) and Lee (1970)4...

Root Caries Part 2: the Restorative Challenge

It is necessary to have well-defined criteria for deciding when to attempt to arrest and when to restore a RCL.12 There are a number of indications for restoring RCLs as listed in Table 1..

A Clinical Case: Restoration of Toothwear

A 37-year-old female patient presented after complaining of a swelling she had experienced four weeks previously around the upper left side of her face, and that her upper left front tooth was...

Case Study: Management of Failing Maxillary Bridgework

A 37-year-old male with an extensively restored upper arch presented complaining of several problematic abutment teeth that he had been recently advised would require treatment..

Denture Adhesives – Best Practice

Denture adhesives can be considered in two broad groups:
The first group includes creams, pastes and powders that are applied to the fitting surface of the denture. The adhesives adsorb water and...

Removable Dentures and the Worn Dentition

For patients with severely worn dentitions, removable dentures can offer an attractive means of oral rehabilitation. Worn teeth can be restored/replaced with overdentures, onlay dentures or overlay...