Restorative Dentistry
Complications of an ageing dentition part 1: occlusal trauma and cracked teeth
Bryan Daniel MurchieThe topic of occlusion is an area which may be confusing, however, this is an important issue which cannot be ignored. Pathological occlusal contacts can be associated with a wide range of clinical...
What's new in dentine bonding?: universal adhesives
FJ Trevor BurkeIn the past, dentine-bonding agents were classified into generations.7 However, this means of identifying different groups of bonding agents fell into disarray because of the failure of authorities on...
Type-1 dentine dysplasia – diagnostic and clinical challenges in restorative management
Lakshmi RasaratnamAs a result of the above, the teeth are often mobile and premature exfoliation is seen..
Head and neck cancer patients – information for the general dental practitioner
Jennifer NooneRadiation-induced caries describes the rapidly developing lesions that can appear after radiotherapy. Its distribution tends to be different from those carious lesions in the non-irradiated...
The use of all-ceramic resin-bonded bridges in the anterior aesthetic zone
Rupal ShahDental ceramics have come a long way from the low-strength ceramics bonded with poor adhesives to modern day high strength ceramics with improved adhesive technology, which are able to be used in a...
Severe fluorosis treated by microabrasion and composite veneers
Philippa HoyleThree siblings presented, one brother aged 17 years, and two sisters aged 18 and 14 years-old. The family had originated from Nazareth, a town in the Ethiopian Rift Valley. All three siblings...
Case report: single visit indirect pulp cap using biodentine
Shanon PatelA fit and healthy 24-year-old male presented for a routine dental check-up complaining of a ‘chipped’ lower left molar tooth. He had no other symptoms. The patient had a Class 3 skeletal base and...
The paradoxes of phantom bite syndrome or occlusal dysaesthesia (‘dysesthesia’)
Martin G KelleherThere are many difficult paradoxes in dentistry generally, but phantom bite syndrome is riddled with them. For instance, if a diagnosis of phantom bite syndrome, or occlusal dysaesthesia...
Provisional restorations – a permanent problem?
William F KeysMinimally 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
Graham QuilliganThe 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
Ditesh PanchalA 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
Elaine KehilyAs 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
Sara BernardiThe 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
Jasneet Singh GulatiGood 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
Jasneet Singh GulatiResin-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...