Abstract The management of patients with additional medical complexities is challenging and can cause apprehension when considering if dental treatment is able to be provided in primary care. Non-surgical endodontic treatment is generally a low-risk procedure for many patient cohorts.... Continue Reading →
Abstract Dental trauma is the fifth most common condition affecting human beings worldwide. The dental team can expect to encounter traumatic dental injuries in everyday practice. Dental trauma guidelines guide practice and should be available to the dental team faced... Continue Reading →
Abstract Endodontic-periodontal lesions (EPLs) develop due to the various pathways that allow microbial migration between these two compartments. The authors review the historical and current research on the aetiology, diagnostic pathways, prognostic factors and management strategies for EPLs, emphasising a... Continue Reading →
Abstract The fundamentals of successful endodontic treatment are an awareness of the aetiology of the disease process and an understanding of factors that affect outcome. This paper aims to outline the prognostic factors found in the endodontic outcome literature to... Continue Reading →
Abstract Endodontic treatment is usually required because of significant coronal disease or traumatic tissue loss. The restoration of the subsequently endodontically treated tooth is also complicated by the reduction in its structural strength consequent to accessing the pulp chamber and... Continue Reading →
There remains huge variability in decision-making when it comes to whether a compromised tooth requiring endodontic treatment should be saved, or extracted and replaced with an implant. Both internal and external biases, as well as inconsistent data from clinical studies,... Continue Reading →
Abstract Once the root canal space is shaped and disinfected, it must be sealed to prevent recontamination, which can compromise treatment success and lead to reinfection. This crucial phase of root canal therapy is known as obturation - a term... Continue Reading →
Abstract Treatment of apical periodontitis requires disinfection of the root canal system through means of biomechanical preparation. This is achieved by a process of shaping the root canal space while simultaneously using antibacterial agents to reduce microbiological load in the... Continue Reading →
Abstract Odontogenic pain from various dental issues significantly impacts quality of life, necessitating effective treatment during emergency dental care. Endodontic access cavity preparation is essential for alleviating symptoms and preventing further infection. This procedure aims to achieve symptom relief while... Continue Reading →
Abstract The dentine-pulp complex is a unique organ that provides nourishment to the dentine and supports the tooth's innervation and defence system. Preserving its health is a key aspect of minimally invasive dentistry. Vital pulp therapies (VPTs), as defined by... Continue Reading →
Abstract Objectives Aim of this prospective study was to assess full mouth rehabilitation of severe tooth wear patients using minimally invasive CAD/CAM resin-based composite (RBC) restorations and direct veneers by evaluating restoration survival up to 5.5-years. Methods Twenty-two patients with generalized severe... Continue Reading →
Abstract Dental radiography is an essential tool in endodontics for determination of diagnosis, treatment planning and monitoring of treatment outcome. Conventional two-dimensional imaging remains the most commonly used and the standard method of radiographic imaging in endodontics due to accessibility... Continue Reading →
Abstract Objectives This systematic review aimed to evaluate the failure of different types of restorative treatments for tooth wear. Study design A search was conducted in Medline, Cochrane, Web of Science, SCOPUS, and Embase (October 2023) with no limits for... Continue Reading →
Abstract Due to the unique sensory innervation of the teeth and face, orofacial pain can be challenging to diagnose and manage. Odontogenic pain, or ‘toothache', is the most common orofacial pain condition and encompasses the vast majority of pain which... Continue Reading →
Abstract A systematic approach to endodontic clinical assessment, case complexity evaluation and precise diagnosis is essential for achieving successful endodontic management and favourable treatment outcomes. Neglecting these foundational elements can jeopardise the entire treatment process. This article is part of... Continue Reading →
Objective To evaluate the survival and clinical performance of restorative materials used in the rehabilitation of generalised severe tooth wear within a UK NHS postgraduate teaching hospital. Methods The clinical performance of 527 restorations on 20 patients with generalised severe tooth wear... Continue Reading →
Aim In clinically challenging scenarios with limited bone height and anatomical restrictions, the use of short implants have been proposed as a potential treatment strategy. The purpose of this retrospective study was to evaluate the clinical outcomes of short implants supporting... Continue Reading →
Acute dental trauma is unscheduled and presents infrequently to themajority of practitioners. Therefore, a consistent, logical and systematicprocess for examination, prioritisation and management is imperative forall sustained injuries to have an optimal outcome. Fractures are a frequentsequela to dental trauma... Continue Reading →
Dental implants are a regular feature in daily clinical practice and there is a need to undertake routine assessment and maintenance of implants and their restorations on par with that provided for natural teeth. Occlusal checks form an important part... Continue Reading →
As utilisation of dental implants continues to rise, so does the incidence of biological complications. When peri-implantitis has already caused extensive bone resorption, the dentist faces the dilemma of which therapy is the most appropriate to maintain the implant. Since... Continue Reading →
Peri-implant diseases are frequent complications that occur around osseointegrated endosseous implants and are the result of an imbalance between the bacterial challenge and host response. Peri-implant diseases may affect the peri-implant mucosa only (peri-implant mucositis) or also involve the supporting... Continue Reading →
The long-term maintenance or restoration of peri-implant tissues‘ health depends on the strategic implementation of preventive measures and interventions. These measures should be initiated before implant placement and continued throughout a patient's lifetime, as part of a tailored and comprehensive... Continue Reading →
The ability to provide high quality complete dentures remains an important skill for general dental practitioners. The prevalence of edentulism is increasingly concentrated within an older patient cohort and general dental practitioners may face challenges associated with providing care for... Continue Reading →
The ability to provide high-quality complete dentures has been a key skill for general dental practitioners throughout the history of dental care. The prevalence of edentulism is becoming increasingly concentrated in an older patient cohort and general dental practitioners may... Continue Reading →
The practice of surgical endodontics in the UK has increased steadily; indeed, the number of apical surgeries performed in the general dental service in the UK has almost doubled over the past 20 years. Whether performed by a restorative, endodontic... Continue Reading →
The aetiology of dentoalveolar trauma in adults can be categorised as: accidental trips and falls; sports injuries; and road traffic accidents. The energy of the impact is of great significance in terms of the extent of the damage caused. Low-velocity... Continue Reading →
Indirect restorative procedures are integral to clinical dentistry. Over the past 50 years however, minimally invasive, direct adhesive restorative techniques have gradually replaced many of the indications for traditional indirect restorations. While numerous indirect procedures are still carried out every... Continue Reading →
Restoratively driven implant planning in the posterior maxilla requires a comprehensive understanding of the anatomical and physiological changes of the alveolar bone following tooth extraction and sinus augmentation. As a part of restoratively driven planning, alveolar bone, inter-arch relationships, proposed... Continue Reading →
Traumatic dental injuries (TDIs) in the paediatric population are common and frequently seen in general dental practice. The management of TDIs can be challenging and, in most cases, the General Dental Practitioner is tasked with the initial assessment and emergency... Continue Reading →
Patients with tooth wear are commonly encountered in general dental practice. When indicated, restorative rehabilitation is often accompanied by a request from the patient for an aesthetic, tooth-coloured outcome. This article seeks to provide an evidence-based approach, focussing on the... 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 →
This article describes the benefits and risks of providing RPDs. It emphasises the importance of co-operation between the dental team and patient to ensure that the balance of this 'equation' is in the patient's favour. 4800787Download
🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷🦷 I am doing a PhD on tooth wear, one of my projects involves a questionnaire. I would be grateful if friends and colleagues that subscribe to the blog could fill out the questionnaire on the link below, takes a... 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 →
Periodontitis is a common disorder affecting >40% of adults in the United States. Globally, the severe form of the disease has a prevalence of 11%. In advanced cases, periodontitis leads to tooth loss and reduced quality of life. The aetiology... Continue Reading →
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Patients with more severe forms of tooth wear may require restorative rehabilitation. The decision to commence treatment must be taken carefully and there are a multitude of factors to consider. Alongside the clinical signs and symptoms typically associated with tooth... Continue Reading →
Gastro-oesophageal reflux disease (GORD) is a relatively common condition that occurs in adults and less commonly in children. It develops when the reflux of stomach contents into the oesophagus causes troublesome symptoms and/or complications. Signs and symptoms include heartburn, retrosternal... Continue Reading →
An evolving understanding of the carious process, along with new research in adhesive restorative materials, has led to a more conservative, minimally invasive and biologically-based approach to managing dental carious lesions. The growing volume of literature has also demonstrated prognostic... Continue Reading →
The initially presented case of the concept was followed clinically over 26 years and is presented along with two additional clinical long-term cases using varying methods to obtain an esthetic and hygienic ovate pontic design. Veneered alumina and zirconia ceramic... Continue Reading →
This clinical report proposes a reasoned approach to erosion treatment for a 39-year-old male patient presenting several old fixed prostheses. These old restorations are all of correct quality and are retained. The temporomandibular joint was free from disorder. Only defective... Continue Reading →
Purpose: This retrospective case series of 9 patients aimed to describe clinical outcomes and patient satisfaction following the implementation of the posterior Dahl concept to manage localized posterior tooth wear. Materials and methods: Localized occlusal space was created in the posterior dentition.... 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 →
Teeth that require endodontic treatment are often structurally compromised and this considerably complicates endodontic procedures. Therefore, pre-endodontic restoration is a key approach that dentists should consider for such teeth. This article discusses current concepts of pre-endodontic restoration, with a focus... Continue Reading →
Tooth wear is increasing in prevalence within the United Kingdom. Treatment of tooth surface loss can be daunting for both the clinician and patient. However, use of additive resin composite restorations is a minimally invasive treatment modality. This case illustrates... Continue Reading →
Examining the nature of stress distribution within the intact tooth can aid in understanding how natural tooth structures are able to resist mechanical forces during masticatory function. Identification of potential fractures in teeth on clinical examination is essential for correct... Continue Reading →
Since its introduction in 1998, alveolar ridge preservation has become a popular technique, currently accounting for approximately 29% of all procedures involving bone substitute materials. The global cost of bone substitute materials for alveolar ridge preservation is estimated at $190... Continue Reading →
Great initiative from the BES in publishing this set of guidance free for all to access. From examination and diagnosis, through execution of treatment to subsequent restoration of the endodontically treated tooth, this document guides the reader through the various... Continue Reading →
Instrument fracture complicates the endodontic procedure by obstructing debridement, delaying treatment completion and affecting the patient's dental experience. When a file fractures there are several treatment options that could be selected, however, the future management should be based on the effect of the fractured instrument on treatment outcome.
The predictability of successful osseointegrated implant rehabilitation of the edentulous jaw as described by Branemark et al., introduced a new era of management for the edentulous predicament. Implant rehabilitation of the edentulous maxilla remains one of the most complex restorative... Continue Reading →
Some of the most challenging patients to produce a pleasing smile for are those who present with inadequate tooth display (either due to tooth position, the patient has normal size teeth, but they aren’t exposed adequately to fill out the... Continue Reading →
This second of the four part series of articles on the current concepts of tooth wear management will focus on the provision of active restorative care, where the implementation of a preventative, passive approach may prove insufficient to meet the... Continue Reading →
Paper 3 of this series on the current concepts of tooth wear management will focus on the provision of active restorative intervention for cases presenting with generalised tooth wear. The use of both contemporary adhesive and traditional conventional techniques applied... Continue Reading →
This article discusses potential concerns and important considerations when selecting and using matrix transfer techniques for the direct, definitive addition of composite resin to teeth. It also provides guidance to aid these processes with the use of case studies, primarily... Continue Reading →
Dentures are an excellent treatment modality for partial and edentate patients; however, improper denture care and hygiene can result in both decreased longevity of the prosthesis and increased risk of developing dental caries, periodontal disease and oral candidosis. Previously, it... Continue Reading →
Esthetic complications in implant dentistry have become a significant consideration for patients and practitioners. This review presents an appraisal on the current knowledge of the physiological peri-implant soft-tissue dimensions and factors that may compromise peri-implant tissue esthetics. Factors such as... Continue Reading →
This final article of the four part series on the current concepts of tooth wear will provide the reader with an evaluation of the data available in the contemporary literature with regards to the survival analysis of differing restorative materials,... 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 →
In the last decades, the move of medicine towards minimally invasive treatments is notorious and scientifically grounded. As dentistry naturally follows in its footsteps, minimal access preparation have also became a trend topic in the endodontic field. This procedure aims... Continue Reading →
Bruxism is a term that encompasses a range of presentations of rhythmic and repetitive muscular activity. For many, this is not a significant problem but for some, the behaviour leads to significant problems and extensive tissue damage. This is different... Continue Reading →
Knowledge of managing traumatic dental injuries (TDIs) is imperative for all dental practitioners. With the number of adults undertaking orthodontic treatment increasing, and children and adolescents alike continually being treated for orthodontics under the NHS in the UK, it is... Continue Reading →
Therapeutic strategies focussed on the pulp preservation, are important when managing vital teeth with deep caries and an exposed pulp. These vital pulp treatments (VPTs); however, are not new, with indirect and direct pulp capping procedures being described as a... Continue Reading →
Bruxism may lead to changes or damage to the oral and perioral tissues. Bruxism may occur during sleep or when awake. Many patients will not require active management; however, for some, intervention is required. Control of bruxism may be difficult,... Continue Reading →
Managing tooth discolouration involves a range of different protocols for clinicians and patients in order to achieve an aesthetic result. There is an increasing public awareness in the appearance of their teeth and management of tooth discolouration may be inter-disciplinary... Continue Reading →
Luxation injuries and other stimuli may lead to a pulp canal obliteration (PCO). Even though the apposition of tertiary dentine is a sign of a vital pulp, in some cases root canal treatment is indicated in the long term due... Continue Reading →
The prognosis of traumatized teeth depends largely on the fate of the pulp and its treatment. This review aims to update the present status on the endodontic management of traumatic injuries to permanent teeth and to identify relevant research areas... Continue Reading →
Toothwear is recognised as a major dental problem in both children and adults. The triad oferosion, attrition and abrasion has been known for many years, and the contribution of erosion totoothwear is increasing. Dental erosion is the irreversible softening and... Continue Reading →
Tooth wear (TW) is a common condition affecting patients who often require advice and treatment from dentists. Physiological TW is normal and accepted by most patients. Pathological TW, by virtue of symptoms or rapid wear, will prompt the need for... Continue Reading →
Dental implants are seen as a good option for replacing missing teeth. The success and survival rates for implants are very high. Concerns are developing about the problem of peri-implantitis. The reports of its prevalence vary but it is noted... Continue Reading →
Creating perfect direct composite restorations has been for long time a strict challenge due to many materials’ limitations impacting either shade integration or surface quality, and possibly colour stability. Next to technological drawbacks, a certain complexity and lack of predictability... Continue Reading →
Implant placement in post-extraction sites of single teeth in the esthetic zone has been a topic of great interest in the field of implant dentistry since 1990. Triggered by the development of guided bone regeneration, the concept of immediate implant... Continue Reading →
Clinical decision making – choosing between intuition, experience and scientific evidence by Nalliah
Intuition usually results in poorer decisions than an evidence-based decision-making process. However, research has shown there are certain circumstances when intuition is equivalent or superior to evidence based decision-making. The first pre-requisite is domain expertise and being a dentist is... Continue Reading →
Pain arising for the teeth and supporting structures is a very common complaint, affecting around 9% of adults in the UK, and it can sometimes be difficult to determine the exact cause. In this narrative review, we explore the underlying... Continue Reading →
The complications of elective orthodontic treatment are numerous. Patients need to be aware, in advance, of possible problems including resorption, instability, caries, recession and failure to deliver optimal tooth position. The investment of time and resources by all concerned is... 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 →
Aesthetic dental problems are often multifactorial in nature and may not be satisfactorily resolved by restorative treatment alone. An interdisciplinary approach to these situations offers the greatest potential for an outstanding treatment result. The better versed the restorative dentist is... Continue Reading →
With the current corona crisis there has been the inevitable talk of NHS dental contract reform. Professor Steele RIP was quite unique in that he was an academic in Restorative Dentistry but was also adept on health economics and dental... 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 →
British Society of Prosthodontics-Kulzer Undergraduate Award British Endodontic Society Student Essay Prize-The Harty Prize British Endodontic Society Elective Period Prize British Endodontic Society Foundation Dentist Prize British Society for Periodontology-Frank Ashley Undergraduate Prize British Society of Paediatric Dentistry The National... Continue Reading →
Lateral luxation can be a daunting injury to manage. The issue stems from the fairly strange position the tooth presents with and the relative rigidity of the tooth. This is by and large caused by the dislodgement of the tooth... Continue Reading →
Contemporary issues in the provision of Restorative Dentistry At the current time there are many challenges associated with managing the need for restorative dentistry at all levels within the NHS. This is a multifactorial problem from training, funding, increased need,... Continue Reading →