Restorative Dentistry

Prosthetic rehabilitation of the gagging patient using acrylic training plates

Gagging is a normal protective mechanism which acts to maintain airway patency. It prevents foreign bodies from entering the trachea and can be evoked by stimulating numerous oral structures. In the...

Swallowed and inhaled dentures – what's the problem?

The case series study that focused exclusively on impacted dentures revealed that the incidence of swallowed dentures was greater in males (72.7%) than females (27.3%).2.

Hypodontia: aesthetics and function part 2: management

In order to provide patients with the most aesthetically pleasing and functional outcome, an interdisciplinary approach to management may be required. The role and aims of the team has been previously...

Precision attachments in partial removable prosthodontics: an update for the practitioner part 2

Careful treatment planning is essential. Errors at this early stage may result in failure of the case. A clinical examination to assess for caries, periodontal disease, peri-apical disease, tooth...

Hypodontia: aesthetics and functions part 1: aetiology and the problems

Absence of primary or permanent teeth can have a significant effect on facial aesthetics, which may have a negative psychological impact in some cases. A study of 451 patients reported that...

Post removal techniques part 2

Most post removal systems work like corkscrews by creating opposing forces that can withdraw a post from the canal.1.

Multiple idiopathic external apical root resorption: a literature review

Root resorption in deciduous teeth is a normal physiological response, resulting in exfoliation of the deciduous teeth with replacement by the permanent dentition. In contrast, the process of root...

Restorative aspects of periodontal disease: an update part 2

Surgical crown lengthening is designed to increase the length of the clinical crown. Crown lengthening techniques have been traditionally used as an adjunct to restorative procedures, particularly in...

Post removal techniques part 1

A systematic review by Torabinejad et al found that endodontic surgery offers more favourable initial success, but non-surgical retreatment offers a more favourable long-term outcome.5 A study by...

The role of hemisection in the prosthetic management of a distal extension ridge – a case report

The patient, a 54-year-old woman, required the prosthetic rehabilitation of her upper and lower Kennedy's Class II, modification 1 type ridges (with unilateral distal extensions). It was planned to...

Restorative aspects of periodontal disease: an update part 1

Periodontal disease is a multifactorial, polymicrobial and polygenic disease with variable clinical features, with the primary aetiological agent being the specific bacterial pathogens....

‘the last post?’: assessment of the failing post-retained crown

Root perforation may be noticed at the time of preparation or later via the development of pain, swelling or sinus formation. Avoidance of perforation is obviously preferable to treatment, and can be...

Evaluation of a novel compule-based gingival retraction system in UK general dental practices

Retraction of the gingival tissues is a central part of indirect dental restorations to facilitate identification of the restoration margins and to allow the root contour apical to the margins to be...

Bizarre tooth surface loss and the miswak stick

This case report describes an unusual cause of severe generalized pathological tooth surface loss. This 52-year-old lady presented to the Restorative Clinic at King's College Dental Institute, London,...