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Key Topics in Restorative Dentistry

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Dental Trauma

Root end surgery UR1 and cyst removal by John Rhodes

An informative video with some brilliant footage of the management of a upper right central incisor. https://youtu.be/EaMxV8kNCWo

Continued apexogenesis of immature permanent incisors following trauma by Welbury & Walton

Two cases of trauma to immature teeth are described which differed significantly in their initial severity. However, both subsequently presented with continued apical root formation. In the two cases a histological examination after tooth removal confirmed continued apical development ot... Continue Reading →

Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth

Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review... Continue Reading →

Has MTA had its day ?

I have used MTA since my MSc in Endo some 15 years ago. At that time there were not many other alternatives, especially when considering the non-vital open apex cases. Prior to that I remember as an undergraduate seeing post... Continue Reading →

Cvek Pulpotomy Revisited by Bimstein & Rotstein

While some studies support the notion that the time elapsed from coronal fracture and treatment with Cvek pulpotomy in permanent teeth plays an important role in minimizing the possibility of pain and discomfort, microbial pulp invasion, and ensuring pulpand periodontal... Continue Reading →

Interdisciplinary management of severe intrusion injuries in permanent incisors: a case series by Nazzal et al.

Intrusion injuries to the permanent dentition are amoung the most severe types of dental injuries, occurring in 0.3‐1.9% of all dental trauma cases. The current clinical guidelines in the management of intrusion injuries are based on level B evidence due... Continue Reading →

Endodontic management of a horizontally root fractured central incisor

Case by John Rhodes www.rootcanals.co.uk  

Top Tips for Splinting Traumatised Teeth by Leith and O’Connell

A splint is required when teeth are mobile or need to be repositioned following a traumatic injury. The aim of splinting is to stabilise the injured tooth and maintain its position throughout the splinting period, improve function and provide comfort.... Continue Reading →

Adult dental trauma: What should the dental practitioner know ? Chauhan et al. 2016

The management of adult dental trauma can be a daunting challenge for practitioners at any level. Like medical emergencies, initial management can have a large influence on prognosis. It is important that practitioners understand the basic principles of managing the... Continue Reading →

Treatment Options for Teeth with Open Apices and Apical Periodontitis by Raldi

Three clinical cases involving teeth with open apices and apical periodontitis were treated using different protocols. The first case was managed with intracanal calcium hydroxide paste for 12 months before obturation with gutta-percha and sealer. In the second case, an... Continue Reading →

An unusual healing of a replanted permanent lateral incisor by Peter Arrow 2009

A 9-year-old boy sustained an avulsion injury to his upper right lateral incisor. The tooth was replanted within 5–10 minutes of the incident and was splinted approximately 30 minutes after the injury, and then monitored for 2.25 years. The periodontal tissues... Continue Reading →

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 →

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 →

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

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 →

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 →

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 →

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 →

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