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At least 19 recordsLinked to original sources

Fibre-reinforced composites in restorative dentistry.

Restorative dentistry is constantly evolving as a result of innovative treatment solutions based on new materials, treatment techniques and technologies, with composite materials being a prime example. The advent of fibre reinforcement has further increased the potential uses of composites within restorative dentistry. This paper discusses fibre types, structure and the physical properties of fibre-reinforced composites, in addition to outlining some of the potential clinical applications of this exciting group of materials, thus updating the reader on the new treatment possibilities offered by these developments.

Adolescent↗

Location of incisal edge position for esthetic restorative dentistry.

Restorative dentistry means just that--changing the position and morphology of teeth (when indicated) to restore the patient to a functional and esthetic occlusion. The first step considers the mandibular incisal edge position. Following that choice, the maxillary anterior teeth are evaluated for position against the lips and with the rest of the dentition, particularly the mandibular incisors and canines. When the three major determinants of incisal edge position (occlusion, phonetics, and esthetics) are used to place the anterior teeth where they will function best, all cases have the potential for a more enduring esthetic success.

Cuspid↗

High-technology innovations--and limitations--for restorative dentistry.

Technology has brought some exciting advances to dentistry--restorations that can be produced in one appointment and fit as well as cast restorations; laser procedures that arrest early caries, etch enamel, and that the patient finds more comfortable; and improved diagnostic capabilities through computer-enhanced images. Dental applications of these technologies are in their infancy and most of the limitations discussed in this article will be eliminated in the near future. More and more applications and possibilities are continually evolving. Technology promises to enhance dentistry for the clinician and patient alike.

Ceramics↗

Consultant services in restorative dentistry.

Since restorative dentistry was established as a specialty in the UK in 1973, consultant appointments in the field have largely centred around the dental teaching hospitals with a considerable shortage of posts in the district general hospitals. This article explains the growing demand for restorative consultants and calls for the expansion of the hospital restorative dental service.

Delivery of Health Care↗

Using AMSA and P-ASA nerve blocks for esthetic restorative dentistry.

Esthetic restorative dentistry procedures represent an increasing segment of the services provided by the general practitioner. One important assessment criterion for a successful anterior esthetic restoration is how well it harmonizes with the lips to create a pleasing smile line. Unfortunately, traditional local anesthetic techniques interfere with this assessment by distorting the lips and face during anesthesia. The anterior, middle superior alveolar block and the palatal approach anterior superior alveolar block injections represent two recently defined techniques to anesthetize maxillary teeth effectively without numbness of the face, lips, or muscles of expression. Although safety and efficacy studies are only beginning to emerge, these injections appear to be useful additions to local anesthetic techniques, especially when anterior esthetic restorative procedures are being performed.

Anesthesia, Dental↗

Glass inserts. A new dimension in restorative dentistry.

Pediatric restorative dentistry has traditionally involved the placement of a stainless steel crown following a pulpotomy in primary molars. The increased exposure to systemic and topical fluorides has significantly decreased smooth surface caries, yet occlusal pit and fissure caries remains a problem. Occlusal caries involving the pulp of primary molars, leaving the supporting walls intact, may be restored conservatively with the use of glass inserts. The glass inserts provide the major volume of the restoration, therefore a minimal amount of posterior composite resin is necessary. The glass inserts bond to composite resin, increase restoration strength, and reduce polymerization shrinkage which may cause cuspal deflection or marginal microleakage. A case is presented to describe a new material and the conceptual protocol for clinical use.

Child, Preschool↗

Periodontal considerations in restorative dentistry. 1: Operative considerations.

Restorative dentistry may be defined as the branch of dentistry that deals with the restoration or replacement of lost tooth structure, teeth or oral tissues. The practice of restorative dentistry has a reciprocal relationship with the maintenance of periodontal health. Untreated periodontal disease will compromise the success of restorative dentistry, and poor restorative treatment may have adverse effects on the periodontium by increasing accumulation of plaque and inducing changes in the composition of the plaque flora. Excessive occlusal stress and direct physical injury to the gingiva produced by the various dental procedures may also affect periodontal health. This is the first of two articles to look in depth at the periodontal considerations necessary in restorative dentistry, and covers the factors important in operative dentistry. The second article, which will be published in a later issue, will look at the situation with regard to prosthodontics.

Crowns↗

A new approach to restorative dentistry: fabricating ceramic restorations using CEREC CAD/CAM.

Ceramic materials provide an alternative when choosing a tooth-colored restoration. Currently, posterior composite restorations can be used to achieve esthetic restorations; however, they have many disadvantages with regard to wear, polymerization shrinkage, discoloration, marginal leakage, and technique sensitivity. The use of CEREC CAD/CAM enables the dentist to place feldspathic porcelain (Vitablocs Mark II) and machinable glass ceramic (Dicor MGC) restorations in a single visit. When compared to composite materials, these materials closely approximate the physical properties of enamel in compressive and tensile strength and wear resistance. This study evaluated 50 CEREC CAD/CAM restorations after 4 years in service. Restorations ranged from Class I to 7/8s crown preparations.

Adult↗

Pulp-dentin biology in restorative dentistry. Part 6: Reactions to restorative materials, tooth-restoration interfaces, and adhesive techniques.

A number of defense mechanisms may be activated in conjunction with restorative dental treatment. Tissue changes that lead to reduced dentinal permeability are important to minimize pulpal reactions. The healing potentials of the pulp-dentin complex are significant, and restorative dentistry is dependent on the available defense reactions. Clinicians should intentionally include considerations of these reactions in their treatment planning and during restorative treatment.

Adult↗

The state of the art in esthetic restorative dentistry.

Esthetic restorative procedures are routine in most dental practices. The procedures considered to be standard and acceptable by practitioners are bleaching teeth outside the dental office; bonding; intracoronal direct resin restorations; tooth-colored inlays and onlays; porcelain veneers; all-ceramic crowns; and PFM crowns. Unfortunately, some third-party payment organizations do not pay adequately for numerous esthetic restorative procedures, and continued education of these groups about the reliability of esthetic restorative procedures is necessary.

Crowns↗

Restorative dentistry.

Various restorative methods like composite crowns, parapulpar pin reconstructions or vast crowns and bridges, are evaluated against each other. Also new methods for repair of jaw-fractures in dogs and cats by means of parapulpar pins and composites are discussed.

Aged↗

[Diagnostic methods in restorative dentistry--clinical aids].

Diagnostic methods in restorative dentistry are still based on history taking and clinical examinations. Clinical findings, however, reflect only processes in the microscopic range. The correlation of macroscopic symptoms and histological findings is indispensable. In dentistry, and especially in restorative dentistry, too, laboratory findings will assume more and more importance as already is the case in periodontology and cardiology.

Dental Caries↗

Computerized restorative dentistry. State of the art.

Computerized systems for accomplishing restorative dentistry have made a significant impact on dentistry worldwide. Of such systems, only the CEREC system has remained on the market for a period of years. Use of computerized restorative dentistry in private offices is growing, and other methods of using this concept in dentistry are continuing to improve. I am confident that computerized restorative dentistry will grow and prosper, and that it will become a viable treatment entity for the profession in the future.

Ceramics↗

Modern restorative dentistry: a new approach.

An analysis of the role of restorative dentistry within oral health care shows that it has broadened its scope over its long history. It started with the replacement of lost teeth and, later, lesions and structural defects of tooth tissue were treated. Progress has been achieved through the development of new materials and procedures, specifically those that ensure microscopic and/or chemical adhesion and those that allow for the removal of infection tissue and its restoration, while protecting the remaining healthy structure of the tooth. Teeth can also be protected even before the initiation of an infected lesion by sealing morphologic features such as pits and fissures. All of these procedures are components of modern restorative dentistry which now contributes to the disappearance of the totally edentulous patient. Dentistry has the responsibility of helping in the generation of sufficient social and economic resource to make this modern restorative dentistry available to the community as a whole.

Dental Bonding↗

Principles of restorative dentistry.

A great deal of information regarding materials, instrumentation, and techniques used for restorative dentistry can be borrowed from the human dental field. Veterinary restorative dentistry is in its infancy. A thorough knowledge of the commonly used materials and how they can be effectively applied is important. Treatment planning is probably one of the most critical phases of restorative dentistry as is painstaking attention to detail. If the guidelines for restorative dental techniques are followed, failures will be minimal. However, one of the most important points to remember is that the success of a restoration is not determined at the completion of the procedure. A restoration, if properly planned and performed, should last the lifetime of the animal patient. It is very important that veterinary dentists continue to evaluate and assess their restorative work at regular intervals so that restorative failures can be detected early, and so that restorative techniques and materials can be critically evaluated in veterinary patients.

Animals↗

Current trends in restorative dentistry in the UK: a Delphi approach.

OBJECTIVES: The purpose of the study was to obtain insight into current trends in restorative dentistry in the UK by means of a Delphi technique. METHODS: A panel of nine experts was convened to define areas where changes were thought to occur in contemporary restorative dentistry. The defining statements obtained were circulated amongst the Panel to reach consensus on the content and wording, and then formatted into a questionnaire which was distributed amongst 407 clinical academic staff in Restorative Dentistry in UK dental schools. Good agreement with a statement was defined as a score of > or =70%, statements that received such scores were taken as indicating possible trends. RESULTS: The Expert Panel reached consensus on the wording of 21 defining statements, which were formatted into a 23-item questionnaire. The questionnaire achieved a useable response rate of 70%, and the academic respondents reached good agreement on 15 (65%) of the statements. CONCLUSIONS: The 15 statements which received scores of 70% or greater were considered to be possible indicators of trends in aspects of the clinical practice of restorative dentistry in the UK.

Consensus↗

Discoveries of importance in restorative dentistry over the past 40 years.

The advancements in restorative dentistry over the past several decades have been impressive. It is now possible to prevent dental caries on a predictable basis. If prevention is not carried out in early life and teeth are lost, it is now possible to restore mutilated or missing teeth with high efficiency and effectiveness. The future for restorative dentistry is extremely bright and has never been better in its history.

Dental Materials↗