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.
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.
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.
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.
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: A student guide
This paper presents five cases where complications have arisen in the setting of dental tourism.
Paper on Russian Red Paste
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.
Microsurgical endodontic retreatment of a maxillary molar with a separated file: a case report
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.
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.
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.
https://www.youtube.com/watch?v=hWY1FnAa8UY Credit: Christoph Hammerle
Some neat papers from the Journal of the Irish Dental Association. FUNDAMENTALS OF OCCLUSION PART 1 FUNDAMENTALS OF OCCLUSION PART 2
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 →
San Antonio Guide to Classic Endodontic Literature
Dentine Hypersensitivity a consensus document on diagnosis and management by Pashley and colleagues 2008
PDF Review/Summary on Irrigation in Endodontics by M Haapasalo
https://www.youtube.com/watch?v=j4K4sZ4eg-8 CREDIT: Dentsply Sirona Implants Global CREDIT: Now Media Group
A great video on dental adhesion.
Working Length Determination Mahmoud Torabinejad James Gutmann on Problem Solving in Working Length Determination Working Length Determination Sharma & Arora
Finlay Sutton Video on Compound Primary Impressions Finlay Sutton Video on Alginate Mandibular Primary Impressions Impression making by McCord & Grant
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 →
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 →
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 →
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 →
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 →
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 →
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-Past, Present and Future, Poyser et al. 2005
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 remodelling for implants
CLINICAL ISSUES IN OCCLUSION PART 2 Second part of our papers on Occlusion.
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 →