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Composite resin continues to displace amalgam as the preferred direct restorative material in developed countries. Even though composite materials have evolved to include nanoparticles with high physical properties and low shrinkage stress, dentists have been challenged to efficiently create quality,... Continue Reading →
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 →
Clinicians often face dilemmas regarding the most appropriate way to restore a tooth following root canal treatment. Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such... Continue Reading →
The sectional matrix is the best way to achieve a strong contact point in Class II restorations with composite resin in the posterior dental sector. The pre-wedging is essential to get a separation between teeth which avoid the matrix deformation... 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 →
Before the era of dental implants, the only alternatives to restoring a heavily compromised natural tooth were either dentures or a bridge. Neither of these are without their drawbacks; dentures at best are not terribly pleasant, and bridges are destructive... Continue Reading →
The increasing knowledge of microhybrid composite materials has offered clinicians multiple restorative options. The use of products that guarantee a high adhesive capacity, isolation via rubber dam, and anatomic shaping with thin layering and adequate cyclic polymerization are the bases... 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 →
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 →
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 →
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 →
Click here for Key Topics in Restorative Dentistry Symposium on Occlusion
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 →
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 →
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 →
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 →
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 →
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 →
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.
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.
Credit: The Implant Centre Brighton & Hove and Haywards Heath
Soft tissue remodelling for implants