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Restorative Dentistry

Is there clinical evidence to support alveolar ridge preservation over extraction alone? A review of recent literature and case reports of late graft failure by Adams

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 →

A Guide to Good Endodontic practice from the British Endodontic Society

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 →

How does file fracture effect the outcome of root canal treatment ?

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.

Implant provision in the edentulous maxilla by Jivraj et al. 2006

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 →

Diagnosing and treatment planning inadequate tooth display by Spear

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 →

The Management of Localised Tooth Wear by Mehta et al. 2011

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 →

The Management of Generalised Tooth Wear by Mehta et al.

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 →

Matrix transfer techniques for direct paste composite resins by Bailey et al.

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 →

Denture cleanliness and hygiene: an overview by Mylonas et al.

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 →

The Use of Flowable Composite in Recording the Soft Tissue Profile of Implant Restorations by Neo and Alani

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Esthetic Complications in Implant Dentistry by Ramanauskaite & Sader

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 →

Overview of dental materials and techniques used in the management of toothwear

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 →

Critical review of dogmas in Prosthodontics by Carlson

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 →

Occlusion: is there a third way? A discussion paper by Davies et al.

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 →

Present status and future directions –Minimal endodontic access cavities Silva et al.

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 →

The dental demolition derby: bruxism and its impact – part 2: early management of bruxism by Thayer and Ali.

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 →

Management of acute traumatic dental injuries in the orthodontic patient by Patel et al.

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 →

Present status and future directions—Vital pulp treatment and pulp preservation strategies

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 →

The dental demolition derby: bruxism and its impact – part 1: background by Thayer and Ali

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 →

Present status and future directions –Managing discoloured teeth by Kahler

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 →

Present status and future directions –Guided endodontics Connert et al.

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 →

Present status and future directions: Endodontic management of traumatic injuries to permanent teeth by Krastl et al

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 →

Clinical guidelines for dental erosion Diagnosis, prevention and management of dental erosion 2021 by Royal College of Surgeons England

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 Guidelines for the BSRD

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 →

Should implants be considered for patients with periodontal disease? by King et al.

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 →

Shading concepts and layering techniques to master direct anterior composite restorations: an update by Dietschi & Fahl

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 postextraction in esthetic single tooth sites: when immediate, when early, when late? by Buser etal.

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 →

‘The painful tooth’ by Allison et al.

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 →

Restorative complications of orthodontic treatment

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 →

The restoration of root filled teeth: a review of the clinical literature by Bhuva et al. 2021, International Endodontic Journal

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 →

Periodontal Plastic Surgery as an Adjunctive Therapeutic Modality for Esthetic Restorative Dentistry Pasquinelli

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 →

The Delivery of Restorative Dentistry-A lecture by Jimmy Steele RIP

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 →

Undergraduate Society Prizes Index

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 →

How do you manage a Lateral Luxation?

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

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 →

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