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Restorative Dentistry

How to preserve coronal tooth fragments prior to reattachment?

This summary is based on the article published in the Australian Dental Journal: Preservation of coronal tooth fragments prior to reattachment (September 2013) Shirani F, Sakhaei Manesh V, Malekipour M. Preservation of coronal tooth fragments prior to reattachment. Aust Dent J. 2013 Sep;58(3):321-5. Context Crown fractures are the most common form of dental injuries caused by trauma. If the fragment is retrieved after the trauma, reattachment could be a viable treatment option. Reattachment of the tooth fragment is a well accepted treatment option in dealing with crown fractures. Hydration of the fragment is an important aspect in this treatment. Purpose of the Study The ...

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What is the clinical evidence on approaches to caries removal?

This summary is based on the Critical Appraisal published in the Journal of Esthetic and Restorative Dentistry: Approaches to caries removal: what the clinical evidence says (April 2013) Context  It is very common that complete caries removal in vital, asymptomatic teeth with deep carious lesions ends in unavoidable exposure of the pulp. As a result, the complexity and cost of treatment increases dramatically and many patients are left with extraction as their only viable option.The review appraises evidence which supports alternative treatments designed to preserve the vitality of the tooth and thus avoid extraction. Studies Reviewed Evaluation of Atraumatic Restorative Treatment and Sealants under ...

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Is the epidemiological scoring system for tooth erosion/wear useful?

This summary is based on the article published in the International Dental Journal: An epidemiological scoring system for tooth wear and dental erosive wear (June 2013) Context The prevalence and severity of tooth wear and dental erosion is rising in children and there is no consensus about an index to be employed.  Purpose of the Study The study aims to assess the reliability of an epidemiological scoring system dental wear index (DWI) to measure tooth wear and dental erosive wear.  Key Messages Tooth wear increases with age and males experience it more than females in primary teeth. No significant gender difference of ...

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Is there a relationship between GERD and dental erosion?

This summary is based on the Critical Appraisal published in the Journal of Esthetic and Restorative Dentistry: Dental Erosion (June 2013) Context Dental erosion or erosive tooth wear not only can be caused by extrinsic (dietary) acids but also intrinsic acids. Historically, anorexic and bulimic patients have been the population dentists have had to be aware of, but with the increasing prevalence of gastroesophageal reflux disease (GERD) in the general population, another population must be monitored. Tooth wear is usually multifactorial, and it is often difficult to assign a specific etiology; abrasion, attrition, and erosion must all be considered as potential etiologies. This critical ...

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How effective are antibiotics in the treatment of peri-implantitis?

This summary is based on the article published in the International Dental Journal: Clinical efficacy of antibiotics in the treatment of peri-implantitis (August 2013) Context  Various treatment regimes for Peri-implantitis (PI) have been proposed in the literature. As it is known that bacteria can transfer from periodontally involved teeth to an implant, and that the microbes associated with PI resemble those of periodontal disease, local or systemic delivery of antibiotics with traditional PI treatment regimes may eliminate periodontopathogenic bacteria to a greater extent compared with when these treatment regimes are performed alone. This in turn may facilitate healing of PI ...

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How would you treat a patient with neuropathic orofacial pain?

This summary is based on the article published in the Journal of the American Dental Association: Dental treatment for patients with neuropathic orofacial pain (September 2013) Clinical Case A 56-year-old woman visited a dental office with acute dental pain in the left mandibular molar area. The treating dentist established a diagnosis of trigeminal neuralgia (TN) related to the left V3 branch, for which the patient was treated with nerve membrane–stabilizing anticonvulsants. The patient’s medical history included mild hypertension, hypothyroidism and intermittent low back pain for which she was being treated adequately by her physician.  The clinical examination revealed the left mandibular permanent first molar (tooth ...

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Your Opinion: what is the etiology behind the erosion on the 7-4 and how would you treat it?

This case is presented by Dr. Matt Gilchrist I am completely stumped as to the etiology behind the extreme wear/erosion on this child’s 7-4. The child is 9 years old and has generalized wear and early erosive-looking lesions on his occlusal/incisal surfaces. His mom admits to him having a grinding problem, which would account for the look of most of his teeth, but as for this 7-4, there has to be something more. We’ve been monitoring this tooth for the past 2 years and at every recall, it’s getting worse. I’ve questioned the patient about any reflux or dietary habits ...

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What is the concept of restorative volume?

This summary is based on the article published in the Journal of Esthetic and Restorative Dentistry: Clinical decisions for anterior restorations: the concept of restorative volume (December 2012) Context The choice of the most appropriate restoration for anterior teeth is often a difficult decision. Numerous clinical and technical factors play an important role in selecting the treatment option that best suits the patient and the restorative team. Experienced clinicians have developed decision processes that are often more complex than may seem. Less experienced professionals may find difficulties making treatment decisions because of the widely varied restorative materials available and often numerous similar products offered ...

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