Sinus augmentation in conjunction with implant placement is widely considered to be a predictable and successful treatment option for the edentulous posterior maxilla. However, the anatomical changes of the posterior maxilla following tooth extraction (namely alveolar atrophy and pneumatisation of... Continue Reading →
Distilling factors for success and failure of restorations for colleagues (and patients) to be able to appreciate is a constant requirement when discussing, consenting, providing and reviewing our work and those of colleagues. This editorial in Dental Update was written... Continue Reading →
The relationship between temporomandibular disorders (TMDs) and occlusion remains controversial. Some authors believe that occlusion is the primary factor in the onset of TMD symptoms, whereas others feel that occlusion has no role in this at all. The majority of... 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 →
In prosthodontics like in other dental disciplines there are many clinical procedures that lack support of good evidence, which means that the effect is unknown, and even worse, we do not know if they do more good than harm. It... Continue Reading →
This paper does not set out to describe the reasons why a new concept of dental care should be deemed as acceptable and recognised as mainstream. Rather, the starting point of this paper ibelief that some dentists who are increasing... Continue Reading →
This paper aims to discuss the concept of canine guidance in light of recent research with regard to time to extraction of the restored canine tooth, with crowns representing the worst performing restoration at 15 years (66% cumulative survival). Given... Continue Reading →
This paper explains a conservative, pragmatic and minimally invasive intervention concept for the treatment of severe tooth wear patients based on the Radboud Tooth Wear Project in the Netherlands. Guidelines and flowcharts for management of severe tooth wear patients and... Continue Reading →
This paper describes the application technique of direct shaping by occlusion (DSO) for large composite restorations including the entire occlusal surface. For this technique, matrix bands and wedges are inserted without interference with antagonists in the desired occlusion. The final... Continue Reading →
This article demonstrates the clinical step by step approach to constructing stabilization splints. These splints can be invaluable for many restorative procedures and TMD management. To help the busy practitioner we have included tips on trouble shooting problems encountered during... Continue Reading →
Many theories and philosophies of occlusion have been developed. The difficulty in scientifically validating the various approaches to providing an occlusion is that an ‘occlusion’ can only be judged against the reaction it may or may not produce in a... Continue Reading →
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 →
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 →
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 →
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 →
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 →
Click here for Key Topics in Restorative Dentistry Symposium on Occlusion
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 →
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 →
Some neat papers from the Journal of the Irish Dental Association. FUNDAMENTALS OF OCCLUSION PART 1 FUNDAMENTALS OF OCCLUSION PART 2
Occlusion is one of those funny things, you either obey every rule to the nth level, you are sensible with how you manage it or you are just a rogue and fly in the face of occlusal disaster....or so it... 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 →
Mahul Patel and myself published a two part series on Occlusion in the Singapore Dental Journal recently. Part one looks at aetiology and diagnosis with part 2 focusing on methods for recording and treatment planning. Good occlusal practise provides an... Continue Reading →