Patients with more severe forms of tooth wear may require restorative rehabilitation. The decision to commence treatment must be taken carefully and there are a multitude of factors to consider. Alongside the clinical signs and symptoms typically associated with tooth... Continue Reading →
Gastro-oesophageal reflux disease (GORD) is a relatively common condition that occurs in adults and less commonly in children. It develops when the reflux of stomach contents into the oesophagus causes troublesome symptoms and/or complications. Signs and symptoms include heartburn, retrosternal... Continue Reading →
An evolving understanding of the carious process, along with new research in adhesive restorative materials, has led to a more conservative, minimally invasive and biologically-based approach to managing dental carious lesions. The growing volume of literature has also demonstrated prognostic... Continue Reading →
The initially presented case of the concept was followed clinically over 26 years and is presented along with two additional clinical long-term cases using varying methods to obtain an esthetic and hygienic ovate pontic design. Veneered alumina and zirconia ceramic... Continue Reading →
This clinical report proposes a reasoned approach to erosion treatment for a 39-year-old male patient presenting several old fixed prostheses. These old restorations are all of correct quality and are retained. The temporomandibular joint was free from disorder. Only defective... Continue Reading →
Purpose: This retrospective case series of 9 patients aimed to describe clinical outcomes and patient satisfaction following the implementation of the posterior Dahl concept to manage localized posterior tooth wear. Materials and methods: Localized occlusal space was created in the posterior dentition.... Continue Reading →
The relationship between temporomandibular disorders (TMDs) and occlusion remains controversial. Some authors believe that occlusion is the primary factor in the onset of TMD symptoms, whereas others feel that occlusion has no role in this at all. The majority of... Continue Reading →
Teeth that require endodontic treatment are often structurally compromised and this considerably complicates endodontic procedures. Therefore, pre-endodontic restoration is a key approach that dentists should consider for such teeth. This article discusses current concepts of pre-endodontic restoration, with a focus... Continue Reading →
Tooth wear is increasing in prevalence within the United Kingdom. Treatment of tooth surface loss can be daunting for both the clinician and patient. However, use of additive resin composite restorations is a minimally invasive treatment modality. This case illustrates... Continue Reading →
Examining the nature of stress distribution within the intact tooth can aid in understanding how natural tooth structures are able to resist mechanical forces during masticatory function. Identification of potential fractures in teeth on clinical examination is essential for correct... Continue Reading →
Since its introduction in 1998, alveolar ridge preservation has become a popular technique, currently accounting for approximately 29% of all procedures involving bone substitute materials. The global cost of bone substitute materials for alveolar ridge preservation is estimated at $190... Continue Reading →
Great initiative from the BES in publishing this set of guidance free for all to access. From examination and diagnosis, through execution of treatment to subsequent restoration of the endodontically treated tooth, this document guides the reader through the various... Continue Reading →
The overuse of antibiotics and the emergence of antibiotic-resistant bacterial strains is a global concern. This concern is also of importance in terms of the oral microbiota and the use of antibiotics to deal with oral and dental infections. The... Continue Reading →
For newly graduated dentists, temporary restorations are often not seen as an important part of treatment, but rather a simple stopgap from the time the final impression is taken until the final restorations are fitted. This is due to the... Continue Reading →
Instrument fracture complicates the endodontic procedure by obstructing debridement, delaying treatment completion and affecting the patient's dental experience. When a file fractures there are several treatment options that could be selected, however, the future management should be based on the effect of the fractured instrument on treatment outcome.
The predictability of successful osseointegrated implant rehabilitation of the edentulous jaw as described by Branemark et al., introduced a new era of management for the edentulous predicament. Implant rehabilitation of the edentulous maxilla remains one of the most complex restorative... Continue Reading →
Some of the most challenging patients to produce a pleasing smile for are those who present with inadequate tooth display (either due to tooth position, the patient has normal size teeth, but they aren’t exposed adequately to fill out the... Continue Reading →
This second of the four part series of articles on the current concepts of tooth wear management will focus on the provision of active restorative care, where the implementation of a preventative, passive approach may prove insufficient to meet the... Continue Reading →
Paper 3 of this series on the current concepts of tooth wear management will focus on the provision of active restorative intervention for cases presenting with generalised tooth wear. The use of both contemporary adhesive and traditional conventional techniques applied... Continue Reading →
This article discusses potential concerns and important considerations when selecting and using matrix transfer techniques for the direct, definitive addition of composite resin to teeth. It also provides guidance to aid these processes with the use of case studies, primarily... Continue Reading →
Dentures are an excellent treatment modality for partial and edentate patients; however, improper denture care and hygiene can result in both decreased longevity of the prosthesis and increased risk of developing dental caries, periodontal disease and oral candidosis. Previously, it... Continue Reading →
Esthetic complications in implant dentistry have become a significant consideration for patients and practitioners. This review presents an appraisal on the current knowledge of the physiological peri-implant soft-tissue dimensions and factors that may compromise peri-implant tissue esthetics. Factors such as... Continue Reading →
This final article of the four part series on the current concepts of tooth wear will provide the reader with an evaluation of the data available in the contemporary literature with regards to the survival analysis of differing restorative materials,... Continue Reading →
This narrative review will focus on the evolution, present and future of engine-driven root canal preparation. Root canal preparation changed drastically when Walia in 1988 introduced the use of nickel-titanium (NiTi) alloys in Endodontics. In 2013, five generations of NiTi... Continue Reading →
Nowadays, patients find much information on dental treatment from the Internet. There is a vast amount of information on dental implants, in contrast to the limited information available on natural teeth. This review addresses research on survival of natural teeth... Continue Reading →
In prosthodontics like in other dental disciplines there are many clinical procedures that lack support of good evidence, which means that the effect is unknown, and even worse, we do not know if they do more good than harm. It... Continue Reading →
This paper does not set out to describe the reasons why a new concept of dental care should be deemed as acceptable and recognised as mainstream. Rather, the starting point of this paper ibelief that some dentists who are increasing... Continue Reading →
In the last decades, the move of medicine towards minimally invasive treatments is notorious and scientifically grounded. As dentistry naturally follows in its footsteps, minimal access preparation have also became a trend topic in the endodontic field. This procedure aims... Continue Reading →
Bruxism is a term that encompasses a range of presentations of rhythmic and repetitive muscular activity. For many, this is not a significant problem but for some, the behaviour leads to significant problems and extensive tissue damage. This is different... Continue Reading →
Knowledge of managing traumatic dental injuries (TDIs) is imperative for all dental practitioners. With the number of adults undertaking orthodontic treatment increasing, and children and adolescents alike continually being treated for orthodontics under the NHS in the UK, it is... Continue Reading →
Therapeutic strategies focussed on the pulp preservation, are important when managing vital teeth with deep caries and an exposed pulp. These vital pulp treatments (VPTs); however, are not new, with indirect and direct pulp capping procedures being described as a... Continue Reading →
Bruxism may lead to changes or damage to the oral and perioral tissues. Bruxism may occur during sleep or when awake. Many patients will not require active management; however, for some, intervention is required. Control of bruxism may be difficult,... Continue Reading →
Managing tooth discolouration involves a range of different protocols for clinicians and patients in order to achieve an aesthetic result. There is an increasing public awareness in the appearance of their teeth and management of tooth discolouration may be inter-disciplinary... Continue Reading →
Luxation injuries and other stimuli may lead to a pulp canal obliteration (PCO). Even though the apposition of tertiary dentine is a sign of a vital pulp, in some cases root canal treatment is indicated in the long term due... Continue Reading →
Root canal curvature and calcification introduce factors that increase the risk of procedural accidents during root canal treatment. The inability to achieve patency to the apical third, asymmetrical dentine removal leading to transportation, perforation, and instrument fracture inside the curved... Continue Reading →
The prognosis of traumatized teeth depends largely on the fate of the pulp and its treatment. This review aims to update the present status on the endodontic management of traumatic injuries to permanent teeth and to identify relevant research areas... Continue Reading →
Toothwear is recognised as a major dental problem in both children and adults. The triad oferosion, attrition and abrasion has been known for many years, and the contribution of erosion totoothwear is increasing. Dental erosion is the irreversible softening and... Continue Reading →
Tooth wear (TW) is a common condition affecting patients who often require advice and treatment from dentists. Physiological TW is normal and accepted by most patients. Pathological TW, by virtue of symptoms or rapid wear, will prompt the need for... Continue Reading →
Dental implants are seen as a good option for replacing missing teeth. The success and survival rates for implants are very high. Concerns are developing about the problem of peri-implantitis. The reports of its prevalence vary but it is noted... Continue Reading →
The management challenge with erosive tooth wear is that the condition involves erosion and contributions from attrition and abrasion, both of which impact on the longevity of restorations. Severe erosive tooth wear results in visibly shorter teeth, exposure of dentine... Continue Reading →
Tooth wear has been recognised as an increasing problem over the past 10 years. Recent data from epidemiological studies indicate that the condition is common with prevalence of dentine exposure in adults ranging between 2% and 10% and visible surface... Continue Reading →
Microdontia is a dental abnormality that will often present to the dental practitioner due to the aesthetic concerns of the patient. Treatment is therefore aimed at addressing the aesthetics issue of the patient and this can present a number of... Continue Reading →
Creating perfect direct composite restorations has been for long time a strict challenge due to many materials’ limitations impacting either shade integration or surface quality, and possibly colour stability. Next to technological drawbacks, a certain complexity and lack of predictability... Continue Reading →
Composite resin continues to displace amalgam as the preferred direct restorative material in developed countries. Even though composite materials have evolved to include nanoparticles with high physical properties and low shrinkage stress, dentists have been challenged to efficiently create quality,... Continue Reading →
Qualitative evaluation of the studies proved difficult because of the nature of case series but reporting improved in the later studies. Despite the generally short duration of studies, small sample sizes in terms of patient numbers and composite restorations, the... Continue Reading →
Implant placement in post-extraction sites of single teeth in the esthetic zone has been a topic of great interest in the field of implant dentistry since 1990. Triggered by the development of guided bone regeneration, the concept of immediate implant... Continue Reading →
Adequate patient understanding of the potential complications of dental implants, such as peri-implantitis, is imperative to prevent poor decision-making and manage unrealistic expectations. This study included 135 patients (411 implants) undergoing peri-implant maintenance. 70.4% of patients agreed that 'implants are... Continue Reading →
Tooth wear is defined as the progressive loss of a tooth’s surface due to actions other than those which cause toothdecay or dental trauma. It is a pathological condition with an increasing prevalence among young people. Theaim of this article... Continue Reading →
Clinical decision making – choosing between intuition, experience and scientific evidence by Nalliah
Intuition usually results in poorer decisions than an evidence-based decision-making process. However, research has shown there are certain circumstances when intuition is equivalent or superior to evidence based decision-making. The first pre-requisite is domain expertise and being a dentist is... Continue Reading →
This case report illustrates a novel conservative restorative management of a patient with bulimia nervosa who presented with severe localized upper palatal tooth wear and an anterior reverse overjet. This was achieved by using a localized bite raising or supraoccluding... Continue Reading →
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To determine whether clinical examinations and periapical radiographs provide sufficient information to assess the cause of pulp and periapical diseases, the status of teeth when restored and their further treatment needs. Other aims were to determine whether restorations should be... Continue Reading →
The outcomes of both dental implants and endodontically treated teeth have been extensively studied. However, there is still a great controversy over when to keep a natural tooth and when to extract it for a dental implant. This article reviews... Continue Reading →
A comprehensive book on oral diagnosis, likely to be useful for undergraduates and DCT's in units where there are rotations on Oral Medicine, Oral Surgery, Maxillofacial surgery and Restorative Dentistry. https://www.teethrelief.org.uk/wp-content/uploads/2015/11/ORAL-DIAGNOSIS.pdf https://videopress.com/v/chQ8aJ3A?resizeToParent=true&autoPlay=true&preloadContent=metadata https://www.eventbrite.co.uk/e/key-topics-in-restorative-dentistry-presents-the-restorability-symposium-tickets-154123578773
Pain arising for the teeth and supporting structures is a very common complaint, affecting around 9% of adults in the UK, and it can sometimes be difficult to determine the exact cause. In this narrative review, we explore the underlying... Continue Reading →
This paper aims to discuss the concept of canine guidance in light of recent research with regard to time to extraction of the restored canine tooth, with crowns representing the worst performing restoration at 15 years (66% cumulative survival). Given... Continue Reading →
This paper explains a conservative, pragmatic and minimally invasive intervention concept for the treatment of severe tooth wear patients based on the Radboud Tooth Wear Project in the Netherlands. Guidelines and flowcharts for management of severe tooth wear patients and... Continue Reading →
This paper describes the application technique of direct shaping by occlusion (DSO) for large composite restorations including the entire occlusal surface. For this technique, matrix bands and wedges are inserted without interference with antagonists in the desired occlusion. The final... Continue Reading →
The full gold crown is a commonly prescribed commonly provided restoration. Due to advantages largely associated with the materials properties and the minimal nature of the preparation outcomes are good and predictable as well as having good prognostic indicators. This... Continue Reading →
The rationale for crown lengthening procedures has progressively become more aesthetic-driven due to the increasing popularity of smile enhancement therapy. Although the biologic requirements are similar to the functionally oriented exposure of sound tooth structure, aesthetic expectations require an increased... Continue Reading →
This article demonstrates the clinical step by step approach to constructing stabilization splints. These splints can be invaluable for many restorative procedures and TMD management. To help the busy practitioner we have included tips on trouble shooting problems encountered during... Continue Reading →
Restorative dental procedures are ever developing; one reason for this can be attributed to newer materials with better handling properties and our ability to manipulate them more effectively. As a result various techniques have been described to aid clinicians in... Continue Reading →
The complications of elective orthodontic treatment are numerous. Patients need to be aware, in advance, of possible problems including resorption, instability, caries, recession and failure to deliver optimal tooth position. The investment of time and resources by all concerned is... Continue Reading →
This report describes the sequelae and subsequent management of a 7-year-old boy who failed to attend follow-up visits after a dental trauma and was initially managed with an active splint. The splint was maintained for 9 months, resulting in an... Continue Reading →
Type 3 extraction sockets present a unique challenge in that they possess gingival recession indicative of facial hard- and soft-tissue loss. When teeth present with prior disease requiring removal and implant replacement, the treatment strategy incorporates palatal implant positioning as... Continue Reading →
Peri-implant diseases affecting the surrounding structures of endosseous dental implants include peri-implant mucositis and peri-implantitis. The prevalence of peri-implantitis ranges between 15% and 20% after 10 y, highlighting the major challenge in clinical practice in the rehabilitation of dental implant... Continue Reading →
There is a need to modify the definition of attached gingiva (AG) as it applies to healthy and diseased teeth and implants. There are two parts to this new definition: Part A is when the biologic width is supracrestal (epithelial... Continue Reading →
This European Society of Endodontology (ESE) position statement on surgical extrusion, intentional replantation and tooth autotransplantation represents the consensus of an expert committee, convened by the ESE. A narrative review (Plotino et al. 2020,international Endodontic Journal, 53, 1636–52) formed the... Continue Reading →
Abstract: Canine ectopia is a frequently occurring orthodontic problem that has been previously linked to a variety of dental anomalies. We report a case series where the presence of ectopic canines has occurred in the presence of different severities of... Continue Reading →
Localized subgingival margins can complicate the use of indirect adhesive restorations (isolation, impression taking, and delivery) and subsequently hinder their durability and relationship with the periodontal tissues. This article proposes a technique involving placement of a modified Tofflemire matrix followed... Continue Reading →
Resin bonded bridges, if provided under the right circumstances and designed appropriately are a very predictable option for the replacement of tooth units. I have gathered some literature that I felt would provide a good overview below. AA. Clinical Considerations... Continue Reading →
Clinicians often face dilemmas regarding the most appropriate way to restore a tooth following root canal treatment. Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such... Continue Reading →
COVID‐19 is associated with an exacerbated inflammatory response that can result in fatal outcomes. Systemic inflammation is also a main characteristic of periodontitis. Therefore, we investigated the association of periodontitis with COVID‐19 complications. Open Access paper below PERIODONTITIS&COVID19Download https://videopress.com/v/44vslZPy?preloadContent=metadata
Fifty-seven teeth with open apices on 50 patients referred for root canal treatment received an apexification procedure in one appointment withMTA by the same operator. Patients were recalled at 6 months, 12 months and every year thereafter. Blind to the... Continue Reading →
The heavily restored, failing dentition, often associated with older patients, is one of the clinical challenges of our time. Patients tend to have high hopes for definitive, comfortable solutions and dentists may struggle to meet those expectations. In his autobiographical... Continue Reading →
The purpose of this clinical article is to emphasise that root perforations can occur both during and after endodontic treatment. These reduce the chance of a successful treatment outcome and can jeopardise the survival of the tooth. The aetiology and... Continue Reading →
The use of dental implants is an accepted and predictable way of replacing missing or lost teeth. However, implants can and will fail and there are a variety of reasons why this occurs, which the practitioner should understand. In some... Continue Reading →
The sectional matrix is the best way to achieve a strong contact point in Class II restorations with composite resin in the posterior dental sector. The pre-wedging is essential to get a separation between teeth which avoid the matrix deformation... Continue Reading →
The primary goals of endodontic treatment are straightforward: to debride and disinfect the root canal space to the greatest possible extent, and then seal the canals as effectively as possible. The materials and techniques change somewhat over time, but not... Continue Reading →
The ‘ferrule effect’ is a long standing, accepted concept in dentistry that is a foundation principle for the restoration of teeth that have suffered advanced structure loss. A review of the literature based on a search in PubMed was performed... Continue Reading →
Different aspects of treatment for periodontal diseases or gingival problems require rigorous diagnostics. Magnification tools and microsurgical instruments, combined with minimally invasive techniques can provide the best solutions in such cases. Relevance of treatments, duration of healing, reduction of pain... Continue Reading →
Root canal treatment is a frequently performed procedure aimed to address pulpal and peri-radicular disease. It comprises a number of clinical steps regardless of the initial diagnosis. The emphasis of each step varies according to whether there is a vital... Continue Reading →
Before the era of dental implants, the only alternatives to restoring a heavily compromised natural tooth were either dentures or a bridge. Neither of these are without their drawbacks; dentures at best are not terribly pleasant, and bridges are destructive... Continue Reading →
Dental erosion is increasing, and only recently are clinicians starting to acknowledge the problem. A prospective clinical trial investigating which therapeutic approach must be undertaken to treat erosion and when is under way at the University of Geneva (Geneva Erosion... Continue Reading →
COVID-19 (also known as coronavirus) has had a profound impact on dentistry, with all elective treatment grinding to a halt initially and a slow phased return to normal services. The guidance available regarding treating dental emergencies is currently advice, analgesia... Continue Reading →
The increasing knowledge of microhybrid composite materials has offered clinicians multiple restorative options. The use of products that guarantee a high adhesive capacity, isolation via rubber dam, and anatomic shaping with thin layering and adequate cyclic polymerization are the bases... Continue Reading →
Many theories and philosophies of occlusion have been developed. The difficulty in scientifically validating the various approaches to providing an occlusion is that an ‘occlusion’ can only be judged against the reaction it may or may not produce in a... Continue Reading →
FINLAY'S CASE PRESENTATION Welcome to my August 2020 Newsletter Case Presentation This newsletter describes in step by step detail the provision of an upper free end saddle partial denture in a patient with a high smile line and lower implant... Continue Reading →
Aesthetic dental problems are often multifactorial in nature and may not be satisfactorily resolved by restorative treatment alone. An interdisciplinary approach to these situations offers the greatest potential for an outstanding treatment result. The better versed the restorative dentist is... Continue Reading →
Improved dental adhesive technology has extensively influenced modern concepts in restorative dentistry. In light of minimal-invasive dentistry, this new approach promotes a more conservative cavity design, which basically relies on the effectiveness of current enamel-dentine adhesives. Nowadays, the interaction of... Continue Reading →
With the current corona crisis there has been the inevitable talk of NHS dental contract reform. Professor Steele RIP was quite unique in that he was an academic in Restorative Dentistry but was also adept on health economics and dental... Continue Reading →
The purpose of this article is to identify the incidence of complications and the most common complications associated with single crowns, fixed partial dentures, all-ceramic crowns, resin-bonded prostheses, and posts and cores. A Medline and an extensive hand search were... Continue Reading →
Please view images to view this email correctly or click here to view in your browser FINLAY'S CASE PRESENTATION Welcome to my January 2020 Newsletter Case Presentation This newsletter describes in step by step detail the transition from acrylic based immediate dentures to metal... Continue Reading →
Endodontic-periodontal combined lesion is a clinical dilemma because making a differential diagnosis and deciding a prognosis are difficult. Methods: Twenty-six cases from 14 articles involving the successful management of endodontic-periodontal lesions with concurrent regenerative procedures were reviewed. This article also... Continue Reading →
Nice paper illustrating diastema closure with resin. "In dentistry, much of what we do and read is anecdotally driven. Additionally, most clinical assessments over the past century were done with little or no magnification, meaning they were based on incomplete... Continue Reading →
In the first 25 years of modern implant dentistry based on the concept of osseointegration (15, 96), implant placement was predominantly performed in healed sites of fully edentulous patients (1, 16). Most of these patients had been edentulous for years... Continue Reading →