pical periodontitis is predominantly managed by non-surgical root canal treatment with predictably high success rates.1,2 The presence of signs and symptoms such as pain, swelling and periapical radiolucency post-treatment may indicate persistence of microbial infection. In these cases, periradicular surgery... Continue Reading →
Flap advancement is required as part of certain surgical procedures (e.g., ridge augmentation) to attain tension-free primary closure along the incision line. Flap advancement may also be an integral part of other surgical procedures, such as root coverage. When coapting... Continue Reading →
The longevity of endodontically involved teeth has been greatly enhanced by continuing developments made in endodontic therapy and restorative procedures. It has been reported that a large number of endodontically treated teeth are restored to their original function with the... Continue Reading →
An adequate understanding of the relationship between periodontal tissues and restorative dentistry is paramount to ensure adequate form, function, esthetics, and comfort of the dentition. While most clinicians are aware of this important relationship, uncertainty remains regarding specific concepts such... Continue Reading →
The concept of coronal leakage has been bandied around over and over again when it comes to restorability of teeth and ensuring bacteria and their toxins do not get to the apex of a tooth and cause apical disease. This... Continue Reading →
The interdisciplinary team is often confronted with the decision of whether to retain or remove questionable teeth that have already been treated endodontically. The purpose of this article is to review the restorative criteria that must be met in order... Continue Reading →
Anterior tooth fracture, as a result of traumatic injuries, frequently occurs in dentistry. Proper reconstruction of extensively damaged teeth can be achieved through the fragment reattachment procedure known as “Biological Restoration.” This case report refers to the esthetics and functional... Continue Reading →
Rehabilitation of the incomplete dentition by means of osseointegrated implants represents a highly predictable and widespread therapy. Advantages of oral implant treatment over conventional non-surgical prosthetic rehabilitation involve avoidance of removable dentures and tooth structure conservation of the remaining dentition.... Continue Reading →
Preservation of tooth integrity and strength is important for the long-term survival of endodontically treated teeth. Endodontic treatment and post space preparation requires reduction of the remaining supportive tooth structure. Restorative modalities following root canal therapy must provide sufficient strength... 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 →
This article presents the reader with factors to consider when restoring maxillary anterior dentition with direct composite resin veneers. In particular, the restoration of a severely discoloured and fractured maxillary central incisors is demonstrated with the use of a direct... Continue Reading →
IS IT RESTORABLE ? SHOULD I SAVE OR EXTRACT ? HOW SHOULD WE RESTORE ? I suppose we need to ask ourselves are these easy questions to answer ! Definitely not...we are at the mercy of the limitations of the... Continue Reading →
Methodology Clinical features and parameters of 20 teeth examined across three general practices which had questionable prognosis, were documented by three Foundation Dentists using a data capture form together with intraoral photographs and radiographs. A piloted questionnaire was developed and... Continue Reading →
In this case report a conservative approach for the management of dental erosion is described. The restorations are based only on adhesive techniques. A 46 years-old patient presented at the Geneva Erosion Study at Geneva University for diffused dental erosion... Continue Reading →
The present case describes the management of significant tooth wear in a 13-year-old boy who presented following excessive consumption of carbonated drinks, accompanied by a “frothing” habit. The case demonstrates an alternative approach to the management of tooth wear, using... Continue Reading →
Root canal treatment may be performed on teeth with irreversibly inflamed dental pulps to prevent apical periodontitis or on teeth with apical periodontitis to treat it. The presenting condition of the root canal surface may therefore vary from that of... Continue Reading →
This is the second in a two-part series that aims to summarise answers to common questions facing dentists in general practice. The first part of this series is entitled ‘Periodontal care in general practice: 20 important FAQs − Part one’... Continue Reading →
A fixed dental prosthesis can be secured to an endosseous implant via cementation (using a provisional or definitive cement) on an implant abutment that is screw retained to the implant or directly in the implant via screw retention. The clinical... Continue Reading →
This undergraduate manual for removable prosthodontics provides a comprehensive and systematic guide to the assessment, design and delivery of the partial prosthesis. AA Click here for the manual CLICK HERE TO BOOK THE RESTORABILITY SYMPOSIUM
It seems as though occlusion is having its second...third or even fourth renaissance. Key Topics in Restorative Dentistry is one of many platforms that have provided teaching or lecturing on the somewhat expansive subject. One aspect of 'occlusal theory' is... Continue Reading →
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 →
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 CLICK HERE TO BOOK THE RESTORABILITY SYMPOSIUM
An informative video with some brilliant footage of the management of a upper right central incisor. https://youtu.be/EaMxV8kNCWo CLICK HERE TO BOOK THE RESTORABILITY SYMPOSIUM
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 →
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 →
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 →
Patients are living longer and the rate of edentulism is decreasing. Endodontic treatment is an essential part of maintain-ing the health and well-being of the elderly. Retention of natural teeth improves the quality of life and the overall healthand longevity... Continue Reading →
Regeneration of the lost tissues of the periodontium is an ideal therapeutic goal and has been the subject of much research and ingenious clinical techniques. Reconstructive or regenerative techniques are used either singly or in combination for three main purposes:... Continue Reading →
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 →
An appreciation of dental plaque and the host response provides an essential basis from which to understand the disease process and treatment rationale. This information will help the reader to understand not only the way that plaque may have an... Continue Reading →
The main objective of access cavity preparation is to identify the root canal entrances for subsequent preparation and obturation of the root canal system. Access cavity preparation can be one of the most challenging and frustrating aspects of endodontic treatment,... Continue Reading →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
Good occlusal practise provides an important cornerstone to optimal patient care. Occlusal problems can manifest in different areas of dentistry but these are more apparent when there are restorative aspects to the patient's problem. This review highlights areas of restorative... Continue Reading →
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 →
Composite has seen a strong renaissance in recent times with a large variety of materials appearing on the market packed with claimed improvements in handling strength and appearance. We do not need scientific data to appreciate that the latter claim is... Continue Reading →
Centric relation (CR) is a core topic of dentistry in general and prosthodontics in particular. The term CR has become thoroughly confusing because of many conflicting definitions. Unfortunately definition of CR changed repeatedly over past ten decades. All the existing... Continue Reading →
Occlusal diagnosis plays an important role in the planning and subsequent delivery of predictable functional and aesthetic restorations and prostheses. Once an occlusal problem is identified there are a number of techniques and materials that can be utilised to record... Continue Reading →
The introduction of adhesive techniques in combination with translucent restorative materials has greatly influenced treatment concepts in fixed prosthodontics. Modern production technologies offer access to new polymer materials that provide innovative pre-treatment options for complex prosthetic rehabilitations. Additionally, computer-aided design... Continue Reading →
Key Topics in Restorative Dentistry presents a symposium on Occlusion by experts who will provide an insight into some important aspects of diagnosing, managing and treating occlusal problems. Aws Alani will begin the day with an overview of occlusal concepts... 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 →
https://youtu.be/cwOiEolE52I Click here for Key Topics in Restorative Dentistry Symposium on Occlusion
For nearly a century, the diversity of concepts about ‘normal’ and ‘ideal’ dental occlusal relationships has led to confusion in trying to describe the occlusion of any individual patient. In addition, a similar controversy arises when trying to formulate treatment... Continue Reading →
This paper is the third in a three part series looking at the aetiology and management of gingival recession. Part 1 in this series discussed the aetiology of gingival recession and the non-surgical management. Part 2 discussed in detail the... Continue Reading →
This paper is the second in a three part series looking at the aetiology and management of gingival recession. Part one discussed the aetiology and non-surgical management and this part aims to discuss the use of pedicle soft tissue grafts... Continue Reading →
Gingival recession is a common finding in many patients. Some patients will not be concerned whereas others will have aesthetic concerns or complain of sensitivity. This paper highlights the aetiology of gingival recession, the treatment options available to treat any... Continue Reading →
For more than 250 years, clinicians have written about the placement of posts in the roots of teeth to retain restorations. As early as 1728, Pierre Fauchard described the use of “tenons,” which were metal posts screwed into the roots... Continue Reading →
To celebrate over 100K reads on Restorativedentistry.org since its release in January 2017 I have compiled the top 6 blog posts over the last two years or so. Please enjoy. Maxillary Molar Root Canal Morphology and Anatomy Useful online Dentistry... Continue Reading →
Its a common problem we face when we have a tooth requiring root canal treatment that is severely sclerosed. We all love a challenge but how will our determination to locate the canal effect the remaining residual tooth tissue? How... Continue Reading →
When considering endodontically treated teeth, the quality of the restoration is important from the outset. It sheds light into possible causes of pulp necrosis or failure of endodontic treatment and influences the outcome of future endodontic treatment. A tooth undergoing... Continue Reading →
This is the first of two review papers which aim to update the general dental practitioner on contemporary endodontic practice. This first paper reviews advancements in knowledge of endodontic infections, case selection and diagnosis. An overview is given of contemporary... Continue Reading →
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 →
This article will provide an overview of the rationale behind taking a contemporary approach to obturation of the root canal system. It will outline a broad range of obturation materials including those traditionally used and newer, advanced ones that are... Continue Reading →
With the developments in digital technology and the need for accuracy in implant placement the utilisation of scanning technology to aide placement of implants is inevitable. This article provides some insight into recent developments in this exciting field of guided... Continue Reading →
The technique of 'double veneering' teeth for tooth surface loss is not a new one. This was first described in 1996 by Bishop and colleagues in the British Dental Journal. Interesting how good ideas get recycled and rejuvenated over the... Continue Reading →
Tooth discoloration varies in etiology, appearance, localization, severity, and adhesion to tooth structure. It can be defined as being extrinsic or intrinsic on the basis of localization and etiology. In this review of the literature, various causes of tooth discoloration,... Continue Reading →
A swing-lock denture is useful in partially dentate patients where the configuration of the remaining teeth means that either the retention or stability available for a conventional removable partial denture is compromised. Such removable prostheses can also prove to be... Continue Reading →
Periodontal crown lengthening can be used for esthetic enhancement in the presence of delayed passive eruption. Moreover, for teeth with subgingival caries, fractures or both, this treatment can establish a biological width and, if needed, a ferrule length facilitating prosthetic... Continue Reading →
Click here for Key Topics in Restorative Dentistry Symposium on Occlusion
Click here for Key Topics in Restorative Dentistry Symposium on Occlusion
Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis,... Continue Reading →
Labial and vertical migration of maxillary incisors is a common complaint seen in general and specialist practices alike. Tooth movement in the aesthetic zone may cause significant concern to the patient, and a challenging management case for the dental team.... Continue Reading →
Peri-implantitis is an inflammatory condition fuelled by the presence of bacteria on the implant surface. As such, in a similar manner to periodontal disease management, the removal of biofilm from the implant surface should result in regression of the disease... Continue Reading →
The use of zygomatic bone for implant placement can be a predictable alternative to certain other treatment tech- niques when rehabilitating the atrophic maxilla. Despite the high success rates of zygomatic implants, there is no consensus in the literature about... Continue Reading →
Case by John Rhodes http://www.rootcanals.co.uk Click here for Key Topics in Restorative Dentistry Symposium on Occlusion
The prevention of any disease process should be the cornerstone of any healthcare provision. This ethos is well established in dentistry with plaque associated disease such as periodontitis and caries but is at the current time less developed for peri-implantitis.... Continue Reading →
Amalgam Build-Up from DrMahulPatel on Vimeo. One of the primary objectives of endodontic therapy is to establish an adequate seal with the root canal filling material. The placement of an immediate coronal buildup at obturation, in conjunction with the rubber... Continue Reading →
There is an increased demand for restoration of anterior teeth based on esthetic require- ments. Often times, the teeth restored are compromised and have minimal remaining dentin after undergoing root canal treatment. Reduction of non-axial forces by controlling incisal guidance... Continue Reading →
Peri-implantitis is a relatively new disease process that results in gingival in ammation and bone loss around implants. The associated co-morbidities are signi cant due to the relative nancial and biological costs of implant provision. At the current time there... Continue Reading →
How much has really changed in 100 years in clinical practice? This video shows root canal treatment from 1917...as you can see rubber dam was used, as was sodium hypochlorite, Gutta Percha and the recognition that the canal system needed... Continue Reading →
The 2017 World Workshop Classification system for periodontal and peri-implant diseases and conditions was developed in order to accommodate advances in knowledge derived from both biological and clinical research, that have emerged since the 1999 International Classification of Periodontal Diseases.... Continue Reading →
After tooth extraction, the alveolar ridge will commonly decrease in volume and change morphologically. These changes are usually clinically significant and can make placement of a conventional bridge or an implant-supported crown difficult. If bone resorption is significant enough, then... Continue Reading →
Bucco-palatal collapse of the postextraction ridge is a signi cant challenge in restorative and implant dentistry. A variety of ridge preservation techniques using tissue and augmentative materials have been proposed in the literature. A slightly different approach is to use... Continue Reading →
BACKGROUND: 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 aim of this series of four articles on tooth wear management is to provide the reader with the necessary information in order to be able to successfully manage cases of tooth wear, regardless of the cause, severity and location... Continue Reading →
Aqueous sodium hypochlorite (bleach) solution is widely used in dental practice during root canal treatment. Although it is generally regarded as being very safe, potentially severe complications can occur when it comes into contact with soft tissue. This paper discusses the... Continue Reading →
Cracked tooth syndrome is not only difficult to diagnose it is also difficult to manage. This paper focus' on the available methods for the immediate, intermediate and definitive management of patients affected by this condition. Included in this article is... Continue Reading →
Symptomatic, incompletely fractured posterior teeth can be a great source of anxiety for both the dental patient and den- tal operator. For the latter, challenges associated with deriving an accurate diagnosis together with the ef cient and time effective management... Continue Reading →
Non-carious tooth surface loss or tooth wear is becoming an increasingly significant factor affecting the long-term health of the dentition. The adverse effects of tooth wear are becoming increasingly apparent both in young persons and, as more people retain their... Continue Reading →
The oral rehabilitation of head and neck cancer patients is a vital and pivotal part of their care pathway, helping to restore function, aesthetics and improve patient well-being and quality of life. Patient-reported outcome data demonstrates that such patients consider... Continue Reading →
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 →
Orthodontic treatment, like any aspect of general dentistry, exposes the clinician to the risk of malpractice and litiga- tion. While for orthodontists this issue has not been a major concern over the last century, risk management has, over the last... Continue Reading →