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Operative dentistry considerations for the elderly.

As the mean age of an older dentate population increases, so does the incidence of dental caries in its primary and secondary forms. Primary and secondary root decay gingival to existing restorations are significant operative problems prevalent in the elderly. Treated root decay is prone to recurrence if the etiology is ignored. Effective, customized prevention must parallel operative intervention. The dentist today has a wider selection of techniques and materials than ever before to treat the elderly patients. Use of preventive restorative materials such as conventional and hybrid glass ionomer materials for the treatment of root decay are discussed.

Aged↗

Polytetrafluoroethylene (PTFE) tape as a matrix in operative dentistry.

A method for using PTFE tape as a matrix to prevent the etching and/or bonding of adjacent tooth structure was presented. This technique is simple, quick and inexpensive. PFTE tape in the form of plumber's tape is readily available at any hardware store. Despite manufacturers' varying thicknesses of PTFE tape, it can be stretched, yielding a matrix thinner than other matrix systems. The tape will also adhere and conform to adjacent tooth structure, offering the operator an unhindered access to perform sculpting of the restorative material.

Composite Resins↗

Air abrasion: an emerging standard of care in conservative operative dentistry.

Air abrasion, in conjunction with microdentistry, has opened up a whole new method of treatment for patients that preserves far more tooth structure than was ever previously possible, with greater patient comfort and superior aesthetics. The resulting preparations and surfaces are also far better prepared to receive and retain bonded restorations compared with traditional methods of preparation. Air abrasion eliminates the needless destruction of sound tooth structure associated with traditional restorative techniques, while leaving the tooth ideally conditioned for the beneficial caries-inhibiting and strengthening properties of bonded restorations.

Air Abrasion, Dental↗

Preserving the vital pulp in operative dentistry: I. A biological approach.

This is the first in a series of four papers aimed at understanding human pulpal responses to tissue injury, cavity preparation and restorative events. This article provides an insight into the exquisite regenerative potential of the dentine-pulp complex which underpins the success of restorative dentistry.

Acid Etching, Dental↗

Preserving the vital pulp in operative dentistry: 2. Guidelines for successful restoration of unexposed dentinal lesions.

The exciting treatment possibilities arising from tissue engineering approaches are still some years away from involvement in dentistry. Meanwhile, it is important to optimize conventional treatments, although precise information on pulp responses to cavity preparation and restoration variables are limited. Odontoblast survival, pulp inflammation, and tertiary dentine area are used as measures of pulp injury and repair.

Analysis of Variance↗

Preserving the vital pulp in operative dentistry: 3. Thickness of remaining cavity dentine as a key mediator of pulpal injury and repair responses.

Confusion surrounds the pivotal role played by the remaining dentine thickness in a cavity in determining pulpal injury and repair response outcomes after restorative treatment. The multifactorial nature of the injury repair response requires that attention is focused on the most important factors, including remaining dentine thickness, to harness the natural regenerative properties of the pulp and to avoid postoperative treatment complications.

Cell Count↗

The 'new' operative dentistry.

During the past few decades, life expectancy has increased significantly. As a result, mature patients often have receding gingival tissues, physical and mental debilitation, less energy and motivation, and the resultant Class V carious lesions. In this article, I suggest the use of high-level fluoride in toothpastes, remineralizing pastes and high-level fluoride gels for topical application in trays to reduce the progression of caries. To accompany fluoride therapy, high-fluoride-releasing restorative materials are indicated for Class V carious lesions. Adequate caries-preventive and restorative concepts for mature patients require planning, patient education and close patient supervision.

Acrylic Resins↗

[Experience in using hydroxyapatite in operative dentistry practice].

Hydroxyapol, hapcol and colapol were used to repair the postoperative defects in the jaws in 83 patients of different sex and age. Ossification of bone cavities was more rapid and complete than in the reference group. Complications observed in 7 patients resulted from strategic or technological errors.

Adolescent↗

Computerized tomosynthetic radiography in operative dentistry.

A study of 15 extracted teeth with carious lesions and artificially prepared defects adjacent to restorations compared the macroscopic morphology of the lesions and the extent of the defects with their appearance on conventional and computerized tomosynthetic radiography. Tuned Aperture Computerized Tomography offers advantages for the diagnosis of the extent of carious lesions and of defective restorations. The display of computer sections through teeth (slice images) allows a three-dimensional view to permit an assessment of the extent of carious lesions, restorations, and defects often masked in conventional radiography.

Dental Restoration, Permanent↗