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Restorative Dentistry

Topical, interesting and useful learning resources on Periodontology, Endodontics and Prosthodontics !

What causes a file to fracture ? How can we prevent it ?

Endodontic file fracture has traditionally been considered an uncommon event; however, a recent perception of increased fracture incidence with rotary nickel-titanium (NiTi) instruments has emerged.

Review and maintenance of Restorations by Smales & Yip in the British Dental Journal

The oral environment is hostile to dental materials and to dental treatments. Microorganisms, warmth, moisture and high stresses impose severe limitations on the ability to maintain the initial results of dental treatment. Therefore, continuous periodic reviews and maintenance of oral health are required to retain the restored dentition.

Orthodontics and Implant Dentistry

Orthodontic treatment of partially edentulous patients is difficult, especially if a significant number of teeth are missing. With loss of teeth, adjacent or opposing teeth usually tip, drift or over-erupt leaving spaces that are not optimal for replacement of missing teeth. Orthodontic correction of these spatial relationships will aid prosthetic replacement of the missing teeth, function, hygiene and aesthetics.

Immediate implant placement

Diagnosis and treatment planning are key factors in achieving successful outcomes after placing and restoring implants placed immediately after tooth extraction. The efficacy of immediate implant placement has been established and shown to be predictable if reasonable guidelines are followed.

Abfraction: separating fact from fiction

Non-carious cervical lesions involve loss of hard tissue and, in some instances, restorative material at the cervical third of the crown and subjacent root surface, through processes unrelated to caries. These non-carious processes may include abrasion, corrosion and possibly abfraction, acting alone or in combination.

An Introduction to Implant Dentistry for Students

An introduction to Implant Dentistry: A student guide

Dental Implant tourism

This paper presents five cases where complications have arisen in the setting of dental tourism.

Russian Red Paste

Paper on Russian Red Paste

Risk Management in Periodontology

A sizeable proportion of patients in clinical practice will have some form of periodontal disease and most of these patients can be well managed in primary care. Unfortunately, dento-legal claims regarding inappropriate periodontal care are increasing rapidly and are now one of the most common reasons for litigation in dentistry. In this paper we will look at aspects of contemporary management of periodontal disease in clinical practice and offer guidance for examination, management and referral.

Compromised first permanent molars: an orthodontic perspective

The first permanent molar (FPM) is commonly subject to significant compromise which may arise due to caries or endodontic complication, or from developmental anomalies such as hypoplasia. Compromised teeth with questionable prognosis may result in short and long-term clinical dilemmas. This review article highlights the factors that require careful consideration when a compromised FPM is detected and the importance of timely FPM extraction. Several clinical cases are described in detail to discuss possible treatment options from the orthodontic perspective.

Microsurgical endodontic retreatment of a maxillary molar with a separated file: a case report by Kahler ADJ 2011

Microsurgical endodontic retreatment of a maxillary molar with a separated file: a case report

Dental Resorption-Pathology, Classification and Aetiology by Darcey 2013

This paper will explore the pathological process involved in dental resorption as well as its classifications and aetiology. The second subsequent paper will look at its diagnosis and management.

Prevention and treatment planning for dental caries by Yip & Smales in the British Dental Journal 2012

The practice of operative dentistry continues to evolve, to reflect the many changes occurring in society and in dental diseases and conditions. However, the belief that all questionable and early carious lesions should be restored still persists.

Clinical decision making after endodontic file fracture McGuigan et al. British Dental Journal, 2013

When a file fractures during root canal treatment there are several treatment options available to the clinician. The definitive management should be based on a thorough knowledge of the success rates of each treatment option, balanced against potential risks of removal or file retention. Although integration of modern techniques into endodontic practice has improved the clinician's ability to remove fractured files, removal may not always be possible or even desirable.

ITI World Symposium 2014-Lecture on short Implants Christoph Hammerle

https://www.youtube.com/watch?v=hWY1FnAa8UY Credit: Christoph Hammerle

How NOT to assess or examine !

https://www.youtube.com/watch?v=LVLoc6FrLi0

Fundamentals of Occlusion Part 1 & 2 by Warreth et al.

Some neat papers from the Journal of the Irish Dental Association. FUNDAMENTALS OF OCCLUSION PART 1 FUNDAMENTALS OF OCCLUSION PART 2

Maxillary Molar Root Canal Morphology and Anatomy

Canal configuration in the mesiobuccal root of the maxillary 1st molar and its endodontic significance Weine 1969 Mesiobuccal roots of 208 extracted maxillary first molars were sectioned from a mesial approach in a buccolingual direction using sand paper. Type I... Continue Reading →

Endodontics or Implants ? British Society of Restorative Dentistry lecture 2014, Peter Briggs

  https://youtu.be/nYmvyh2atZs

San Antonio Guide to the Classical Endodontic Literature

San Antonio Guide to Classic Endodontic Literature

Percy pulp and the virgin tooth crown prep

       

Hypersensitivity-Winter is coming

Dentine Hypersensitivity a consensus document on diagnosis and management by Pashley and colleagues 2008

Endodontic Access Upper 6

Credit: rpcendo

Endodontic Basics: Irrigation

PDF Review/Summary on Irrigation in Endodontics by M Haapasalo

Dental Implant Basics: Osseointegration

https://www.youtube.com/watch?v=j4K4sZ4eg-8 CREDIT: Dentsply Sirona Implants Global CREDIT: Now Media Group

Operative Dentistry Basics: dental adhesion and composite bonding

A great video on dental adhesion.

Endodontic Basics: Working length determination

Working Length Determination Mahmoud Torabinejad James Gutmann on Problem Solving in Working Length Determination Working Length Determination Sharma & Arora

‘IN YOUR FACE’ book dentistry

'IN YOUR FACE' book dentistry

Prosthetic Dentistry Basics: Primary Complete Denture Impressions

Finlay Sutton Video on Compound Primary Impressions Finlay Sutton Video on  Alginate Mandibular Primary Impressions Impression making by McCord & Grant

Mental health and oral health-distant association or inextricably linked ?

Mental health problems are on the increase, and have of late become quite topical within the NHS through recent funding pledges by the Health Secretary.  The increase in prevalence of these issues are taking place in the young and adolescents... Continue Reading →

And YOU thought the BRITISH had bad TEETH take a look at Donald Trumps HILARIOUS DENTISTRY!

https://www.youtube.com/watch?v=r5w4y6GW4U8

The ‘Cvek’ Pulpotomy

  A short film on the Cvek pulpotomy. Please find below some papers explaining the subject from noteworthy resources. How to manage traumatic pulp exposure. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Eastman lecture on Dental Trauma... Continue Reading →

The ‘need’ for Canine Guidance-myth or reality ?

Occlusion is one of those funny things, you either obey every rule to the nth level, you are sensible with how you manage it or you are just a rogue and fly in the face of occlusal disaster....or so it... Continue Reading →

Undergraduate Society Prizes Index

British Society of Prosthodontics-Kulzer Undergraduate Award British Endodontic Society Student Essay Prize-The Harty Prize British Endodontic Society Elective Period Prize British Endodontic Society Foundation Dentist Prize British Society for Periodontology-Frank Ashley Undergraduate Prize British Society of Paediatric Dentistry The National... Continue Reading →

Erosive tooth surface loss-a short film

A group of European experts in tooth wear have released a consensus statement on the management of the condition. The abstract can be found here. The guideline defines physiological vs pathological tooth wear and provides guidance in the diagnosis, treatment planning... Continue Reading →

Useful online Dentistry papers and resources

Restorative Dentistry RCS Diagnosis, prevention and Management of Dental Erosion RCS Management of Temporomandibular disorders RCS The Oral Management of Oncology patients RCS NHS Implant guidelines RCS Restorative Dentistry needs complexity assessment BSRD Crown and Bridge Guidelines McGill Consensus on... Continue Reading →

Diploma in Operative Dentistry at Kings

What are the aetiology and risk factors for dental trauma injuries ? A summary of a study by Ulf Glendor

Below is a summary of the main risk for dental trauma injuries as per a review by Ulf Glendor. Oral predisposing factors Patients with an overjet of over 5mm Lip incompetance Protrusive nature of incisor position Unintentional traumatic dental injuries... Continue Reading →

What are the characteristics of a peri-apical (radicular) cyst ?

Its not uncommon for practitioners to refer to specialists or secondary care units for treatment of a 'periapical cyst' or 'radicular cyst'. The only surefire way of diagnosing the presence of a cyst is through histology, although such lesions do... Continue Reading →

Lateral luxations-a short animation on management

Graduation: A minefield for the younger generation of dentists 

Common reasons for choosing dentistry as a vocation in the UK include having a fulfilling career where, after five hard years invested at dental school, one could be rewarded with a high probability of employment and the opportunity to marry... Continue Reading →

The ‘Dahl Concept’ A short film

The Dahl Concept-Past, Present and Future, Poyser et al. 2005

Lets talk about sugar…

The sugar tax is finally upon us, but are corner shops or supermarkets for that matter likely to worry about this potentially threatening change to their flagship product line? The tax targets all drinks and equates to a tax of... Continue Reading →

A guest blog on 3D printing as a solution for a common prosthodontic problem

This blog illustrates the use of optical scanning and digital work flow in providing an immediate denture for a patient due to the catastrophic failure of a bridge. Case presentation A patient attended a practice on a Wednesday afternoon. The patients... Continue Reading →

Factors needing consideration prior to planning root canal treatment-A revision infographic

There are numerous factors that need considering prior to providing root canal treatment these have varying importance depending on presentation. Important factors include patient related issues, periodontal status, the endodontic difficulty, the amount of remaining tooth structure and the history... Continue Reading →

Endodontic Microsurgery: A new paradigm in apical disease management by Daniel Flynn

The advent of predictable implant technology has challenged endodontists to adopt more techniques into their armamentarium. Endodontists need to be able to provide high quality predictable treatments. Gone are the days of the clumsy apicectomy and amalgam retrograde fillings. Like all... Continue Reading →

Key topical areas in Implant Dentistry: EAO Consensus Conference 2015

What is a consensus statement ? A consensus statement is a comprehensive analysis by a panel of experts (i.e., consensus panel) of a scientific or medical issue related to dentistry. A consensus statement is developed immediately after a consensus conference... Continue Reading →

Specialist training in Dentistry

‘What do I need to do to get a training post?’ is a question often asked by those interested in specialising. There are several specific criteria that need to be met before applying for a training post. The following information has... Continue Reading →

How can you manage tooth loss in the traumatised dentition?

Tooth loss through trauma is tragic. Stu in 'The Hangover', his character being a member of the dental profession, was positively shocked that, whilst under the unfortunate influence of Rufilin (for the dentolegal gang he didn't consent to this), had his... Continue Reading →

Periodontology Revision: The BSP Good Practitioners Guide to Periodontology

When we compare and contrast between periodontology, endodontology and prosthodontics there are few similarities. Endo deals with the bugs on the inside of the root, perio on the outside and prostho groups together restoration of teeth and the replacement of... Continue Reading →

Revision on Crowns, Bridges and Implants: British Society for Restorative Dentistry Guidelines

Click here BSRD Crown & Bridge Guidelines Planning and making crown and bridges requires an objective analysis of a number of factors. The advantages and disadvantages of fixed prosthodontic provision need to be considered, communicated to the patient in addition... Continue Reading →

Beware the Phantom !…Bite ?

We have all been there...a patient attends complaining of the bite not being 'quite right' or the occlusion not feeling 'balanced' or the 'same' or 'unnatural'. Patients may demand crowns or any type of elective treatment in order to resolve... Continue Reading →

TC White Conference 2017: Modern Management of Dental Trauma

A joint conference between Dental Trauma UK and the British Endodontic Society hosted by the Royal College of Physicians and Surgeons in Glasgow will be taking place on Thursday the 1st of June 2017. The full programme can be accessed... Continue Reading →

Single tooth replacement options-Resin Bonded Bridges…should we stick to what we know ?

The short answer is that we know a lot more now than we did five years ago about the outcomes of these types of restoration. Clinicians who provide these routinely over the years have modified the designs from their first... Continue Reading →

How do you manage a Lateral Luxation?

Lateral luxation can be a daunting injury to manage. The issue stems from the fairly strange position the tooth presents with and the relative rigidity of the tooth. This is by and large caused by the dislodgement of the tooth... Continue Reading →

The ‘Heavy Metal’ Generation

I watched 'Logan' recently-it was a fairly emotional affair illustrating the slow demise of both Wolverine and Doctor X. The former slowly succumbing to the poisonous adamantium (rhymes with stuff we use!) and the latter to alzheimers and dementia. Wolverine... Continue Reading →

Managing the ‘pink bits’ of prosthodontics

The 'pink' part of restorations can get forgotten whilst the 'white' parts get all the attention. The presence of a realistic gingival margin, root contouring, gingival stippling and potential age related gum changes can really add to the 'aesthetics' of... Continue Reading →

Endodontic Irrigation…whats the secret ?

Irrigation is the key step in disinfection of the root canal system. Reducing the bacterial load within the apical 3mm of the canal in preparation for obturation is largely achieved with chemo-mechanical debridement utilising files and hypochlorite. The method with... Continue Reading →

Avulsions…time is precious! 

Avulsion injuries are devastating for our patients. A model patient tepeing away for years and all of a sudden bang they go from 28 pearly whites to a gappy smile that can be both physically and mentally debilitating. These injuries... Continue Reading →

Aggressive Periodontitis…why is it so different to chronic ?

Aggressive_Periodontitis_Alani_Seymour Aggressive periodontitis is a difficult and challenging condition to treat. Due to the relative speed at which attachment loss can occur the key to treatment outcome is early detection. In the main the treatment is similar to that of... Continue Reading →

Magnification and Endo…you can’t treat what you can’t see !

It's true, did you ever meet an orthopaedic surgeon who could mend a broken leg blindfolded ? Visualisation is everything in any procedure and if you can't see it you can't treat it. In many cases not seeing can result... Continue Reading →

Soft tissue manipulation or remodeling for implant restorations

Soft tissue remodelling for implants  

The endodontic-implant continuum

About 5 years ago I was approached  by the Royal College to do a paper on the endodontic implant interface. At the time the conjecture about the longevity, survival and success of implants was starting to being questioned both within... Continue Reading →

Occlusion Part 2

CLINICAL ISSUES IN OCCLUSION PART 2 Second part of our papers on Occlusion.  

Contemporary Issues in the provision of Restorative Dentistry

Contemporary issues in the provision of Restorative Dentistry At the current time there are many challenges associated with managing the need for restorative dentistry at all levels within the NHS. This is a multifactorial problem from training, funding, increased need,... Continue Reading →

Occlusion Part 1

CLINICAL ISSUES IN OCCLUSION PART 1 Mahul Patel and myself published a two part series on Occlusion in the Singapore Dental Journal recently. Part one looks at aetiology and diagnosis with part 2 focussing on methods for recording and treatment... Continue Reading →

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