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 →
Obtaining a satisfactory outcome for a patient with a severely resorbed maxilla can be extremely challenging. This clinical report describes the treatment of a patient with a history of multiple implant failures in the maxilla. A conventional upper complete denture... Continue Reading →
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 →
Dentists, much the same as our medical colleagues, are individuals that are resilient conscientious and hardworking. By virtue of the hurdles and challenges put before them these qualities are developed over the course of their training and later once they... Continue Reading →
When patients present with cavities causing pain, poor aesthetics and/or functional problems restorations will need to be placed. Minimally invasive caries excavation strategies can be deployed depending on the patient’s caries risk, lesion-pulp proximity and vitality, the extent of remaining... Continue Reading →
One of the major controversies in root canal concerns the apical limit of instrumentation and obturation. A number of anatomical histological studies have been carried out to determine the true termination of the root canal. The apical extent of the... Continue Reading →
Avulsed teeth that are stored extraorally in a dry environment for >60 min generally develop replacement root resorption or ankylosis following their replantation due to the absence of a vital periodontal ligament on their root surface. One negative sequelae of... Continue Reading →
Periodontal diseases are diagnosed on the basis of clinical signs, with radiographs assisting in treatment planning decisions and in the delivery of periodontal care. In the first instance, use of a screening system, to screen out patients with minimal or... Continue Reading →
Although more people are retaining increasing numbers of their natural teeth into older ages, approximately 30‑40% of persons over the age of 75 years in Western countries are edentulous. The causes and significance of tooth loss vary widely among individuals and... Continue Reading →
Accurate impressions provide a foundation for successful implant prosthodontics. This paper is aimed at the general dental practitioner (GDP) who would like to start restoring dental implants and demysti es the terminology, introduces the basic armamentarium and discusses the relative... Continue Reading →
The most likely cause of complaint with prosthodontics is a denture that in some way fails to be accepted. A denture that does not perform as the patient expects can give rise to great disappointment and anger. The problem is... Continue Reading →
This review considers the different possible nomenclatures and concludes that dens invaginatus is the most appropriate description. The paper highlights the different reported prevalence figures and concludes that the problem is probably one of the most common of the dental... Continue Reading →
Most difficulty with complete denture prostheses arises from the inability to function with the mandibular prostheses. Factors that adversely affect successful use of a complete denture on the mandible include: 1) the mobility of the floor of the mouth, 2)... Continue Reading →
The endocrown is indicated for the endodontic restoration of severely damaged molars. This monolithic, ceramic adhesive restoration requires specific preparation techniques to satisfy criteria that are primarily biomechanical in nature: a cervical margin in the form of a butt joint... Continue Reading →
Achievement of optimal aesthetics on implants in the anterior region can be difficult due to inherent differences to the natural dentition. An important consideration is the peri-implant soft tissues which can be modified to create a more natural emergence profile... Continue Reading →
Due to the Minamata convention we will slowly see the demise of amalgam as a restoration that dentists can rely on for provision of restorations in the posterior dentition. What will be the implications of this significant change to our... Continue Reading →
There is a paucity of information on the concise relationship between endodontics and orthodontics during treatment planning decisions. This relationship ranges from effects on the pulp from orthodontic treatment and the potential for resorption during tooth movement, to the clinical... Continue Reading →
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 →
Mandibular implant overdentures have established and predictable benefits over traditional mucosa-borne mandibular dentures and now form part of mainstream dentistry. Maxillary implant overdentures present a number of different challenges. This selective review highlights the paucity of evidence and inconsistent findings... Continue Reading →
Establishing the working length is an important step in endodontic treatment as inaccurate length determination may lead to failure. There is an ongoing debate regarding the extent of the apical limit of root canal preparation. This controversy is based upon... Continue Reading →
Endodontic procedures are challenging and technically demanding. In the UK standards of treatment have been shown to have fallen short of acceptable guidelines, laying many dentists open to litigation on questions of clinical negligence by patients who understand and know... Continue Reading →
This article describes the many failures and complications that can occur when using implants to support restorations. Most of these failures can be prevented with proper patient selection and treatment planning. Implant failures can be largely classified into four main categories: 1) loss of integration,... Continue Reading →
When and how to increase the occlusal vertical dimension? Its one of those questions that pops up constantly. The actual process can be applied to the majority of treatments we provide in restorative dentistry and prosthodontics. What may be quite... Continue Reading →
The clinical replacement of lost natural teeth by osseointegrated implants has represented one of the most significant advances in restorative dentistry. Two decades ago, a majority of dentists were sceptical about implants and rejected them entirely. Today it is rare to find a practitioner... Continue Reading →
One of the biggest additions is the inclusion of peri-implant diseases. Another notable difference is better delineation between chronic and aggressive periodontitis. These represent sizeable changes from the last classification in 1999. The classification will be officially unveiled at Europerio9... Continue Reading →
As the application of dental implants increases worldwide, so is the number of technical and biological complications that general dental practitioners will be called to manage, while maintaining implant patients. In addition, the greater patient mobility encountered today combined with a... Continue Reading →
In this second paper the clinical indicators of root resorption and their diagnosis and management are considered. While the clinical picture can be similar, pathological processes of resorption vary greatly from site to site and this paper pro- poses appropriate... 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 →
Implant supported restorations can be attached to implants with screws or can be cemented to abutments which are secured to implants with screws. Screw retained implant restorations are generally the preferred method of securing restorations to implants. This article is... Continue Reading →
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.
After the demise of the Industrial Age, we currently live in an 'Information Age' fuelled mainly by the Internet, with an ever-increasing medically and dentally literate population. The media has played its role by reporting scientific advances, as well as... Continue Reading →
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.
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.
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 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
Dental implant treatment has established benefits over traditional alternatives. Age-related changes in systemic and oral health in conjunction with social, economic and resource considerations often introduce complexities into dental implant treatment of ageing patients. When time, opportunity, discomfort and maintenance costs are... Continue Reading →
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.
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.
https://www.youtube.com/watch?v=hWY1FnAa8UY Credit: Christoph Hammerle
Credit: The Implant Centre Brighton & Hove and Haywards Heath
Some neat papers from the Journal of the Irish Dental Association. FUNDAMENTALS OF OCCLUSION PART 1 FUNDAMENTALS OF OCCLUSION PART 2