Pub Date : 2023-12-02DOI: 10.12968/denu.2023.50.11.966
Shivani Rana, G. S. Bassi
Gingival retraction is commonly employed in dentistry. There are several methods that may be used, which fall into mechanical, chemo-mechanical and surgical techniques. The application of these methods depends on the clinical activity the clinician is performing, and there are advantages and disadvantages to each method. This review reflects on the current literature available on gingival retraction methods to provide clinicians with guidance on which methods to consider when undertaking the three most common clinical scenarios: master impression taking; cementation of indirect restorations whether tooth or implant retained; and for direct adhesive dentistry. CPD/Clinical Relevance: Selecting an appropriate gingival retraction method, for example for master impression taking, cementation of restorations and in adhesive dentistry is of value.
{"title":"A review and clinical tips on gingival retraction methods","authors":"Shivani Rana, G. S. Bassi","doi":"10.12968/denu.2023.50.11.966","DOIUrl":"https://doi.org/10.12968/denu.2023.50.11.966","url":null,"abstract":"Gingival retraction is commonly employed in dentistry. There are several methods that may be used, which fall into mechanical, chemo-mechanical and surgical techniques. The application of these methods depends on the clinical activity the clinician is performing, and there are advantages and disadvantages to each method. This review reflects on the current literature available on gingival retraction methods to provide clinicians with guidance on which methods to consider when undertaking the three most common clinical scenarios: master impression taking; cementation of indirect restorations whether tooth or implant retained; and for direct adhesive dentistry. CPD/Clinical Relevance: Selecting an appropriate gingival retraction method, for example for master impression taking, cementation of restorations and in adhesive dentistry is of value.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.877
Verônica P Lima, Tatiana Pereira-Cenci, Shamir B Mehta, Subir Banerji, Bas AC Loomans
This article provides an overview of the available evidence on the performance, with particular consideration of the longevity of restorative materials used in the management of tooth wear. Different materials can be employed depending on whether a subtractive or additive strategy is used. Preference should be given to the latter to help preserve remaining tooth tissue. The use of both direct and indirect materials may yield acceptable survival results when considering data with at least 5 years of follow-up. Patients should be informed that because tooth wear is a continuous process, a certain level of maintenance of the restorations will be necessary and that this may impact on the success of the treatment. CPD/Clinical Relevance: Conservative, adhesive strategies are suitable for the restorative management of tooth wear.
{"title":"Longevity and performance of materials used for the restorative management of tooth wear: a review","authors":"Verônica P Lima, Tatiana Pereira-Cenci, Shamir B Mehta, Subir Banerji, Bas AC Loomans","doi":"10.12968/denu.2023.50.10.877","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.877","url":null,"abstract":"This article provides an overview of the available evidence on the performance, with particular consideration of the longevity of restorative materials used in the management of tooth wear. Different materials can be employed depending on whether a subtractive or additive strategy is used. Preference should be given to the latter to help preserve remaining tooth tissue. The use of both direct and indirect materials may yield acceptable survival results when considering data with at least 5 years of follow-up. Patients should be informed that because tooth wear is a continuous process, a certain level of maintenance of the restorations will be necessary and that this may impact on the success of the treatment. CPD/Clinical Relevance: Conservative, adhesive strategies are suitable for the restorative management of tooth wear.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.819
Saoirse O'Toole, David Bartlett
Human enamel is one of the strongest and hardest substances in the body. However, in the presence of repeated and regular exposure to acids, damage occurs at an increased rate of progression, potentially affecting aesthetics and reducing the restorability of the teeth. This article provides an update on the extrinsic and intrinsic chemical factors that can cause tooth wear. Updated information on gastro-oesophageal reflux, obstructive sleep apnoea, asthma and eating disorders are discussed. Bearing in mind the number of medical conditions that can impact on progression, our job as dentists is to inform the patient of the importance of prevention in other areas of their lives, such as diet and oral hygiene, to mitigate progression. CPD/Clinical Relevance: Updated information on the chemical risk factors for erosive tooth wear progression is relevant for GDPs.
{"title":"Extrinsic and intrinsic chemical factors relating to tooth wear","authors":"Saoirse O'Toole, David Bartlett","doi":"10.12968/denu.2023.50.10.819","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.819","url":null,"abstract":"Human enamel is one of the strongest and hardest substances in the body. However, in the presence of repeated and regular exposure to acids, damage occurs at an increased rate of progression, potentially affecting aesthetics and reducing the restorability of the teeth. This article provides an update on the extrinsic and intrinsic chemical factors that can cause tooth wear. Updated information on gastro-oesophageal reflux, obstructive sleep apnoea, asthma and eating disorders are discussed. Bearing in mind the number of medical conditions that can impact on progression, our job as dentists is to inform the patient of the importance of prevention in other areas of their lives, such as diet and oral hygiene, to mitigate progression. CPD/Clinical Relevance: Updated information on the chemical risk factors for erosive tooth wear progression is relevant for GDPs.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.891
Peter Wetselaar
Tooth wear is a multifactorial condition leading to the irreversible loss of dental hard tissues. Although tooth wear is mainly a physiological process, it can become pathological if the wear process is accelerated for various reasons. Since this process is not linear, but can sometimes be inactive and sometimes active, a careful monitoring policy is necessary. The possible monitoring tools are described in this article, and a proposal is made with regard to the frequency of the systematic and periodic collection of information. CPD/Clinical Relevance: The prevalence of tooth wear is increasing and it now carries the third highest risk (after caries and periodontitis) for maintaining the natural dentition.
{"title":"Monitoring tooth wear","authors":"Peter Wetselaar","doi":"10.12968/denu.2023.50.10.891","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.891","url":null,"abstract":"Tooth wear is a multifactorial condition leading to the irreversible loss of dental hard tissues. Although tooth wear is mainly a physiological process, it can become pathological if the wear process is accelerated for various reasons. Since this process is not linear, but can sometimes be inactive and sometimes active, a careful monitoring policy is necessary. The possible monitoring tools are described in this article, and a proposal is made with regard to the frequency of the systematic and periodic collection of information. CPD/Clinical Relevance: The prevalence of tooth wear is increasing and it now carries the third highest risk (after caries and periodontitis) for maintaining the natural dentition.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.842
Alex Milosevic
This narrative review describes techniques and materials available to restore the worn dentition. Emphasis is given to application of composite resin as this material can be bonded to worn surfaces and is easily adjusted either within an existing or at an increased vertical dimension. The relevance of the differences in the composition of glass ceramics and polycrystalline ceramics for restoration in various wear scenarios are discussed. Removable dentures are still appropriate in certain circumstances, but require an understanding of their limitations. CPD/Clinical Relevance: Young and old patients with a range of aetiologies and presentations expect dentists to know how best to restore their disordered, worn dentition.
{"title":"Techniques for the restorative management of localized and generalized tooth wear","authors":"Alex Milosevic","doi":"10.12968/denu.2023.50.10.842","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.842","url":null,"abstract":"This narrative review describes techniques and materials available to restore the worn dentition. Emphasis is given to application of composite resin as this material can be bonded to worn surfaces and is easily adjusted either within an existing or at an increased vertical dimension. The relevance of the differences in the composition of glass ceramics and polycrystalline ceramics for restoration in various wear scenarios are discussed. Removable dentures are still appropriate in certain circumstances, but require an understanding of their limitations. CPD/Clinical Relevance: Young and old patients with a range of aetiologies and presentations expect dentists to know how best to restore their disordered, worn dentition.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.805
FJ Trevor Burke
{"title":"The rise and rise of toothwearology","authors":"FJ Trevor Burke","doi":"10.12968/denu.2023.50.10.805","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.805","url":null,"abstract":"","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.869
Martin Kelleher, Khawer Ayub
Bulimia (‘ox hunger’) is a serious, potentially dangerous, eating disorder that is often associated with anxiety about weight and body shape. People with bulimia ‘binge’, meaning that they eat large amounts of food, and then vomit afterwards to ‘purge themselves’ in order to get rid of those recently ingested calories. Frequent vomiting of the stomach hydrochloric acid and other ingested acids (pH 1–2) produces variable, but often catastrophic, erosion of the palatal aspects of the upper teeth in particular. ‘Satisficing’ is a word made from combining ‘sufficient’ and ‘satisfactory’. It means seeking an outcome that meets the essential requirements for it to be ‘sufficient to be satisfactory for that situation’. These authors recommend pragmatic early additive direct resin composite bonding as being a ‘satisficing’ approach to help manage tooth surface loss in bulimic patients, and the article provides clinical examples of some dental problems caused by bulimia being solved in that way. CPD/Clinical Relevance: This article addresses a number of controversial issues in the dental management of patients with bulimia nervosa (‘bulimia’).
{"title":"The ‘satisficing’ additive composite approach to bulimia","authors":"Martin Kelleher, Khawer Ayub","doi":"10.12968/denu.2023.50.10.869","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.869","url":null,"abstract":"Bulimia (‘ox hunger’) is a serious, potentially dangerous, eating disorder that is often associated with anxiety about weight and body shape. People with bulimia ‘binge’, meaning that they eat large amounts of food, and then vomit afterwards to ‘purge themselves’ in order to get rid of those recently ingested calories. Frequent vomiting of the stomach hydrochloric acid and other ingested acids (pH 1–2) produces variable, but often catastrophic, erosion of the palatal aspects of the upper teeth in particular. ‘Satisficing’ is a word made from combining ‘sufficient’ and ‘satisfactory’. It means seeking an outcome that meets the essential requirements for it to be ‘sufficient to be satisfactory for that situation’. These authors recommend pragmatic early additive direct resin composite bonding as being a ‘satisficing’ approach to help manage tooth surface loss in bulimic patients, and the article provides clinical examples of some dental problems caused by bulimia being solved in that way. CPD/Clinical Relevance: This article addresses a number of controversial issues in the dental management of patients with bulimia nervosa (‘bulimia’).","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.12968/denu.2023.50.10.826
Ziad Al-Ani
Tooth wear, the progressive loss of dental hard tissue not caused by decay or trauma, is a multi-faceted phenomenon with implications for oral health and aesthetics. This article provides a comprehensive overview of both intrinsic and extrinsic mechanical factors contributing to tooth wear. Intrinsic mechanical wear from direct tooth-to-tooth contact leading to attrition, such as in bruxism, and extrinsic mechanical wear resulting from external actions, such as parafunctional habits including biting nails, chewing on pens, or the consumption of rough food elements and the use of overly abrasive dental products and aggressive toothbrushing, leading to abrasion. CPD/Clinical Relevance: Understanding the complex relationship between intrinsic and extrinsic mechanical factors is essential for clinicians to provide holistic dental care.
{"title":"Tooth wear: intrinsic and extrinsic mechanical factors","authors":"Ziad Al-Ani","doi":"10.12968/denu.2023.50.10.826","DOIUrl":"https://doi.org/10.12968/denu.2023.50.10.826","url":null,"abstract":"Tooth wear, the progressive loss of dental hard tissue not caused by decay or trauma, is a multi-faceted phenomenon with implications for oral health and aesthetics. This article provides a comprehensive overview of both intrinsic and extrinsic mechanical factors contributing to tooth wear. Intrinsic mechanical wear from direct tooth-to-tooth contact leading to attrition, such as in bruxism, and extrinsic mechanical wear resulting from external actions, such as parafunctional habits including biting nails, chewing on pens, or the consumption of rough food elements and the use of overly abrasive dental products and aggressive toothbrushing, leading to abrasion. CPD/Clinical Relevance: Understanding the complex relationship between intrinsic and extrinsic mechanical factors is essential for clinicians to provide holistic dental care.","PeriodicalId":35831,"journal":{"name":"Dental update","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：