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Restorative Dentistry

Step-by-Step Approaches for Anterior Direct Restorative Challenges by Fahl

This article, the second in a two-part series, continues the discussion of a conservative, effective, and artistic philosophy for performing esthetic direct anterior composite restorations based on the principles of emulating the proper form, color, and function of natural dentition.... Continue Reading →

Dental Implant Fractures – Aetiology, Treatment and Case Report by Goiato

This study aimed to investigate the etiology, clinical manifestations, and treatment options of dental implants fractures through a literature review and to relate a clinical report. Click here for the paper

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

Immediate implant placement: treatment planning and surgical steps for successful outcome

The methods and modes through which we place implants vary greatly from the classic studies conducted by Branemark and colleagues-these were largely delayed and the prosthesis had a distinct design with highwater cylinders allowing good access for oral hygiene. As... Continue Reading →

Ferrule Effect – Literature Review

Preserving intact coronal and radicular tooth structure, especially maintaining cervical tissue to create a ferrule effect, is considered to be crucial for the optimal biomechanical behavior of restored teeth. The ferrule effect has been extensively studied and still remains controversial... Continue Reading →

Ultra-conservative approach to the treatment of erosive and abrasive lesions by Colon & Lussi

The therapeutic management of tooth wear lesions does not require the removal of diseased tissue. Nevertheless, diverse etiological factors may be associated with the condition and they could be difficult to eliminate; this has to be considered when planning therapy.... 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 →

Restoration of endodontically treated teeth, Manocci & Cowie 2014

The restoration of endodontically treated teeth has undergone significant changes in the last 20 years. Most of these changes are associated with the preservation of tooth structure, this has been achieved first of all with the increasing use of operative... Continue Reading →

Dental implants in patients affected by systemic diseases, Donos & Calciolari

Several systemic diseases (and relative medications) have been reported to impair or in some cases complicate dental implant surgery. In broader terms, when dealing with patients suffering from systemic diseases, the monitoring of the medical condition and of the related... Continue Reading →

The restorative management of the deep overbite, Beddis et al. 2014

A deep overbite is where the vertical overlap of the upper and lower incisors exceeds half of the lower incisal tooth height. Problems associated with the deep overbite can include soft tissue trauma, lack of inter-occlusal space and tooth wear,... Continue Reading →

Guidelines for management of sodium hypochlorite extrusion injuries by Farook et al. 2014

Sodium hypochlorite (NaOCl) is the most common irrigant used in modern endodontics. It is highly effective at dissolv- ing organic debris and disinfecting the root canal system due to the high pH. Extravasation of NaOCl into intra-oral and extra-oral tissues... Continue Reading →

Guidance on the standards of care for NHS-funded dental implant treatment

I was quite flattered to be asked to re-draft the Royal College of Surgeons Guidance on implants in the NHS in 2011. This was something I felt at the time required a lot of responsibility and gave me some kudos... Continue Reading →

Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts, Gross 2008

Today the clinician is faced with widely varying concepts regarding the number, location, distribution and inclination of implants required to support the functional and parafunctional demands of occlusal loading. Primary clinical dilemmas of planning for maximal or minimal numbers of... Continue Reading →

British Society for Restorative Dentistry Tooth Wear guidelines

The BSRD have published guidelines on tooth wear which we as a profession will be managing indefinitely and more commonly as patients live longer and retain their teeth. Adolescants drinking more energy drinks, the stressed grinding more often and so... Continue Reading →

Recording the retruded contact position: a review of clinical techniques

The retruded contact position (RCP) is an important maxillomandibular relation in restorative dentistry. This review will describe RCP and consider its importance and use in the restorative dental treatment of the dentate and edentulous subject. A comparative account of the... Continue Reading →

An endodontic conundrum: the association between pulpal infection and periodontal disease by Heasman

This paper reviews the classification of periodontal-endodontic lesions and considers the pathways through which inflammatory lesions or bacteria may communicate between the pulp and the periodontium. Such communications have previously underpinned the classification of periodontal-endodontic lesions but a more up-to-date... Continue Reading →

All on four implant treatment-how good is the evidence ? Two systematic reviews by Patzelt and Soto-Peñaloza 2013/2016

The all on four concept has gained a lot of popularity as it provides an avenue for edentate patients to be restored with  a fixed restoration with 4 implants per arch whilst also avoiding vital structures and the need for... Continue Reading →

Surgical guidelines for dental implant placement by Handelsman

The goal of an implant supported reconstruction is to obtain optimal aesthetics and function. In order to achieve this, visualisation of the final restorative reconstruction is necessary prior to beginning treatment. The term ‘restorative-driven’ treatment planning has been used to... Continue Reading →

Periodontal care in general practice: 20 important FAQs-or things we should know about ‘gum disease’ that our patients could benefit from ! By Wadia & Chapple

Excellent bitesize summaries from Reena Wadia and Iain Chapple on common popular aspects of modern periodontal disease diagnosis and management. Well worth sometime from two experts in the field. The link is below. Click here for the paper  CLICK HERE... Continue Reading →

Lets talk about Tooth Restorability…a collection of sources on an expansive subject

Restorability is a fairly nebulous term that many may consider subjective and individual to the clinician, the tooth and the patients perception of what they would accept as an outcome. I liken attempts at rationalising the process of the assessment... Continue Reading →

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