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Restorative dentistry

A C Shortall, R B Price, L MacKenzie, F J T Burke
Light curing is a critical step in the restorative process when using light-activated resin-based composites, but it is frequently not given the attention it deserves. The selection of a reliable light curing unit (LCU) that meets the practitioner's needs is an important equipment purchase. Using an inappropriate LCU may seriously compromise the quality of care without the practitioner realising their mistake until years later. The importance of the subject is reflected by the rapidly increasing use of light-cured composites and the decline in the use of amalgam...
October 21, 2016: British Dental Journal
Khaled Ahmed
Data sourcesMedline, Web of Science, Latin American and Caribbean Health Sciences Literature database (LILACS), Brazilian Library in Dentistry (BBO), the Cochrane Library, abstracts of the annual conference of the International Association for Dental Research (IADR), System for Information on Grey literature in Europe (SIGLE), ProQuest Dissertations and Theses Fulltext database as well as the Periódicos Capes Theses, Current Controlled Trials, International Clinical trials registry platform, the ClinicalTrials...
September 2016: Evidence-based Dentistry
Noha Samir Kabil, Amira Saad Badran, Mariem Osama Wassel
BACKGROUND: Antibacterial restorations can increase the success rate of minimum invasive dentistry especially in young permanent molars with deep carious lesions as an attempt to preserve maximum dental structure and avoid pulp exposure. Further research is warranted to evaluate different antibacterial agents. OBJECTIVES: This study aimed to evaluate the efficacy of adding chlorhexidine gluconate (CHX) or aqueous miswak (Salvadora persica) extract on the clinical performance and in vivo antibacterial activity of conventional anhydrous glass ionomer cement (GIC)...
October 21, 2016: International Journal of Paediatric Dentistry
Andrej M Kielbassa, Georg Glockner, Michael Wolgin, Karl Glockner
BACKGROUND: With the Minamata Convention the use of mercury will be phased down, and this undoubtedly will have an effect on dental treatment regimens and economic resources. Composite resin restorations are considered viable alternatives to amalgam fillings; however, these will not be covered completely by health insurance systems in many countries. Recently, a high-viscosity glass-ionomer cement (hvGIC) processed with a resinous coating (RC) has been introduced, and has been marketed as a restorative material in load-bearing Class I cavities (and in Class II cavities with limited size), thus serving as a possible alternative to amalgam fillings...
2016: Quintessence International
Veerasamy Yengopal, Soraya Yasin Harnekar, Naren Patel, Nandi Siegfried
BACKGROUND: Childhood caries (tooth decay) consists of a form of tooth decay that affects the milk teeth (also known as baby or primary teeth) of children. This may range from tooth decay in a single tooth to rampant caries affecting all the teeth in the mouth. Primary teeth in young children are vital to their development and every effort should be made to retain these teeth for as long as is possible. Dental fillings or restorations have been used as an intervention to repair these damaged teeth...
October 17, 2016: Cochrane Database of Systematic Reviews
Federico Gelpi, Daniele De Santis, Simone Marconcini, Francesco Briguglio, Marco Finotti
This clinical report illustrates a multidisciplinary approach for the rehabilitation of a young adult patient affected by a bilateral edentulous space and an anterior deep bite. The patient required orthodontics and surgical corticotomy and implantology (both performed with a piezo device). A multidisciplinary planning approach, including orthodontics, oral and periodontic surgery, and restorative dentistry, has an important role in the final outcome of treatment. In fact a dental class I occlusion has been established only on the right side...
December 2015: Int J Implant Dent
Vinayak S Gowda, Dhruv Anand, Manoj Kumar Sundar, Agnelo Michael Reveredo, Shilpa Shetty
Dental implants with their increasing success rates and predictability of final outcome are fast becoming the treatment of choice for replacing missing teeth. Considering the success of immediate implant placement in reducing tissue loss and achieving good esthetic results, is making it a more popular treatment modality in implant dentistry. Understanding the management of gingival tissues in relation to implants to obtain maximum esthetics is of utmost importance. The use of provisional abutments and immediate temporization has a proven track record of their ability to produce optimal esthetics and to guide the tissue response during the healing phase...
October 2016: Journal of Indian Prosthodontic Society
Federico Tirone, Stefano Salzano, Erik Rolando
BACKGROUND: Microdontia of the maxillary anterior teeth occurs quite frequently but is poorly documented. The literature describes several treatment choices, which are often focused on an orthodontic approach rather than a restorative one. The latest trends in restorative dentistry and the new ceramic materials, such as lithium disilicate, allow clinicians to perform esthetic rehabilitations based on microinvasive approaches that are most appropriate for younger patients. SUMMARY: Four patients, all employed in the field of dentistry, presented at our dental practice complaining of diastemata between their maxillary anterior teeth...
2016: International Journal of Esthetic Dentistry
Mario Imburgia, Angelo Canale, Davide Cortellini, Marco Maneschi, Claudio Martucci, Marco Valenti
The esthetic treatment of anterior teeth has always presented a challenge in clinical practice. With the improvement of dental materials, many restorative options such as composite resins, all-ceramic crowns, and ceramic veneers have become available. The current challenge in reconstructive dentistry is to obtain excellent esthetic results while preserving the biological structures involved as much as possible. Thanks to the introduction of high-strength etchable dental ceramics, clinicians and technicians have materials and procedures at their disposal that allow them to restore esthetics and function through a minimally invasive approach...
2016: International Journal of Esthetic Dentistry
Mark T Dawidek, Victoria A Roach, Michael C Ott, Timothy D Wilson
OBJECTIVE: A major challenge in laparoscopic surgery is the lack of depth perception. With the development and continued improvement of 3D video technology, the potential benefit of restoring 3D vision to laparoscopy has received substantial attention from the surgical community. Despite this, procedures conducted under 2D vision remain the standard of care, and trainees must become proficient in 2D laparoscopy. This study aims to determine whether incorporating 3D vision into a 2D laparoscopic simulation curriculum accelerates skill acquisition in novices...
October 4, 2016: Journal of Surgical Education
A S Kalsi, N J Lewis, K W Hemmings
A recent national survey has shown the need for clarification regarding the various disciplines encompassed by restorative dentistry and their respective training pathways. This document aims to address this by outlining the remit of restorative dentistry, in addition to the various job roles involved. This information is being disseminated by the British Society for Restorative Dentistry, and given the relevance to referrers and those looking for insight into the speciality, it has been reproduced here. Roles within the speciality range from dentists with special interests to specialists and consultants, whether primarily academic or clinical...
October 7, 2016: British Dental Journal
Sebastian D Horvath
Hybrid materials are a recent addition to the dental armamentarium for computer-assisted design/ computer-assisted manufacturing (CAD/CAM)-based restorative dentistry. They are intended to provide dentists with the capability of restoring single teeth in one appointment with a material that emulates the structure and physical properties of natural teeth. This article aims to provide an overview of currently available hybrid materials and offer the reader further understanding of their key clinical parameters and possible limitations...
October 2016: Compendium of Continuing Education in Dentistry
Markus B Blatz, Marcela Alvarez, Kimiyo Sawyer, Marco Brindis
Zirconia has become one of the most popular materials in dentistry. New high-translucent zirconia ceramics have favorable optical properties and can be applied as monolithic full-contour restorations in various clinical indications for posterior and anterior teeth. However, having reliable cementation protocols is fundamental for clinical success of indirect ceramic dental restorations, including those made from zirconia materials. Resin bonding supports ceramic restorations and is necessary for onlays, laminate veneers, and resinbonded fixed dental prostheses...
October 2016: Compendium of Continuing Education in Dentistry
Nhf Wilson, C D Lynch, P A Brunton, R Hickel, H Meyer-Lueckel, S Gurgan, U Pallesen, A C Shearer, Z Tarle, E Cotti, G Vanherle, N Opdam
The replacement of a restoration is one of the most common procedures in dentistry. However, the criteria for such intervention, excluding catastrophic failure and persistent discomfort and pain, continue to be the subject of considerable debate. The decision-making process remains subjective on the part of the treating clinician, while the evidence base for refurbishment and repair rather than replacement for the management of defective and failing restorations continues to grow and strengthen. This article, prepared as an Academy of Operative Dentistry European Section consensus publication, reviews existing criteria for the replacement of restorations and encourages practitioners to shift, if not already doing so, to considering the replacement of a restoration as a last resort rather than as a prudent action to be taken if in any doubt about clinical acceptability...
September 2016: Operative Dentistry
V F Wandscher, C D Bergoli, I F Limberger, T P Cenci, P Baldissara, L F Valandro
OBJECTIVE: This article aims to present a fractographic analysis of an anterior tooth restored with a glass fiber post with parallel fiber arrangement, taking into account force vectors, finite element analysis, and scanning electron microscopy (SEM). METHODS: A patient presented at the Faculty of Dentistry (Federal University of Santa Maria, Brazil) with an endodontically treated tooth (ETT), a lateral incisor that had a restorable fracture. The treatment was performed, and the fractured piece was analyzed using stereomicroscopy, SEM, and finite element analysis...
September 2016: Operative Dentistry
Babita Niranjan, Nandihalli Devendrappa Shashikiran, Shilpy Singla, Ruchi Thakur, Aashutosh Dubey, Satish Maran
INTRODUCTION: A major objective in restorative dentistry is the control of marginal leakage, which may occur because of dimensional changes or lack of adaptation of restorative material to the cavity preparation. Numerous techniques have been advocated to overcome polymerization shrinkage in composite restorations. AIM AND OBJECTIVES: This study investigated microleakage of three different bases under composite resin in sandwich technique using dye penetration and dentin surface interface using scanning electron microscope (SEM)...
October 2016: Journal of the Indian Society of Pedodontics and Preventive Dentistry
Marco Zeltner, Irena Sailer, Sven Mühlemann, Mutlu Özcan, Christoph H F Hämmerle, Goran I Benic
STATEMENT OF PROBLEM: Trials comparing the overall performance of digital with that of conventional workflows in restorative dentistry are needed. PURPOSE: The purpose of the third part of a series of investigations was to test whether the marginal and internal fit of monolithic crowns fabricated with fully digital workflows differed from that of crowns fabricated with the conventional workflow. MATERIAL AND METHODS: In each of 10 participants, 5 monolithic lithium disilicate crowns were fabricated for the same abutment tooth according to a randomly generated sequence...
September 24, 2016: Journal of Prosthetic Dentistry
Noor-Ul-Ain Jawaed, Syed Yawar Ali Abidi, Fazal-Ur-Rehman Qazi, Shahbaz Ahmed
OBJECTIVE: To evaluate the coronal microleakage of packable composite using conventional incremental and posterior bulk fill flowable composite using Smart Dentine Replacement Single Step technique in the cervical margins of class II cavities in dentine using the dye penetration method. STUDY DESIGN: In-vitroInterventional study. PLACE AND DURATION OF STUDY: Department of Operative Dentistry, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences (DIKIOHS), Karachi, from November 2012 to April 2013...
September 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Leandro Passos, Fernando Peixoto Soares, Mauricio Gallo
This case report describes a successful multidisciplinary approach used to improve the smile esthetics of a patient presenting with excessive gingival display, asymmetric gingival margins, and small upper anterior teeth and lower anterior teeth. The treatment combined esthetic crown lengthening, dental bleaching, and restorative dentistry using CAD/CAM veneer. The 6-month follow-up examination confirmed the stability of the modification and absence of adverse effects.
2016: Case Reports in Dentistry
Vaughan Hoefler, Hiroko Nagaoka, Craig S Miller
OBJECTIVES: A systematic review was performed to compare the long-term survival of deep dentine caries-affected permanent teeth treated with partial-caries-removal (PCR) versus similar teeth treated with stepwise-caries-removal techniques (SWT). DATA: Clinical studies investigating long-term PCR and SWT outcomes in unrestored permanent teeth with deep dentine caries were evaluated. Failures were defined as loss of pulp vitality or restorative failures following treatment...
November 2016: Journal of Dentistry
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