Restorative Dentistry

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...

Monitoring tooth wear

The first important step in the diagnostic process is the quantification of the observed tooth wear, in other words to grade intra-orally the severity of the tooth wear, and assess its spread. There...

Dento-legal considerations in the management of patients with tooth wear

A detailed dental examination allows dentists to understand a patient's oral health background, identify risk factors, and uncover potential issues that may impact treatment decisions. A comprehensive...

Treatment of Peri-implantitis: Fiction or Reality? Part 1: Non-surgical and Surgical Management

Non-surgical mechanical plaque control could be effective in the treatment of peri-implant mucositis through the reduction of bacterial load and inflammation within peri-implant soft tissues. In...

Cracked tooth syndrome: a review of the literature

All relevant textbooks, bibliographies of major publications, and PubMed (Medline) data sources were searched, chosen, and used in this paper. Articles were also acquired from Google Scholar without...

Mineralizing agents to manage early carious lesions. Part II: clinical application


Tables 1–6 summarize the findings from some of the key clinical studies on current remineralization approaches..

The high-speed revolution: a practical guide to friction grip burs

Common to both high-speed and speed-increasing handpieces is the friction grip (FG) bur, the component parts of which are shown in Figure 1. The International Organization for Standardization (ISO)...

Mineralizing agents to manage early carious lesions. Part I: mode of action

The natural formation of enamel (amelogenesis) is a complex biomineralization process involving cellular activity.