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 →
Treatment of tooth wear associated with reduced occlusal vertical dimension using direct composite restorations and a removable prosthesis by Caga and Lewis
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 →
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 →
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 →
A personal perspective and update on erosive tooth wear – 10 years on: Part 2 – Restorative management by Bartlett
The management challenge with erosive tooth wear is that the condition involves erosion and contributions from attrition and abrasion, both of which impact on the longevity of restorations. Severe erosive tooth wear results in visibly shorter teeth, exposure of dentine... Continue Reading →
A personal perspective and update on erosive tooth wear – 10 years on: Part 1 – Diagnosis and prevention by Bartlett
Tooth wear has been recognised as an increasing problem over the past 10 years. Recent data from epidemiological studies indicate that the condition is common with prevalence of dentine exposure in adults ranging between 2% and 10% and visible surface... Continue Reading →
Qualitative evaluation of the studies proved difficult because of the nature of case series but reporting improved in the later studies. Despite the generally short duration of studies, small sample sizes in terms of patient numbers and composite restorations, the... Continue Reading →
Clinical performance of direct composite resin restorations in a full mouth rehabilitation for patients with severe tooth wear: 5.5-year results by Mehta et al.
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 →
Case Report: A Predictable Technique to Establish Occlusal Contact in Extensive Direct Composite Resin Restorations: The DSO-Technique by Opdam et al.
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 →
Composite palatal veneers to restore a case of severe dental erosion, from minimally to non invasive dentistry: a 5-year follow-up case report
In this case report a conservative approach for the management of dental erosion is described. The restorations are based only on adhesive techniques. A 46 years-old patient presented at the Geneva Erosion Study at Geneva University for diffused dental erosion... Continue Reading →
The therapeutic management of tooth wear lesions does not require the removal of diseased tissue. Nevertheless, diverse etiological factors may be associated with the condition and they could be difficult to eliminate; this has to be considered when planning therapy.... Continue Reading →
The BSRD have published guidelines on tooth wear which we as a profession will be managing indefinitely and more commonly as patients live longer and retain their teeth. Adolescants drinking more energy drinks, the stressed grinding more often and so... 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 →
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 →
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.