Direct Placement Composite: The Treatment Modality of Choice to Restore the Worn or Eroded Dentition in Primary Dental Care

2016 ◽  
Vol 5 (3) ◽  
pp. 25-29
Author(s):  
Alex Milosevic
Keyword(s):  
Dental Care ◽  
Treatment Modality ◽  
Tooth Wear ◽  
Dental Composite ◽  
Ageing Population ◽  
Clinical Paper ◽  
Dental Practitioners ◽  
Full Mouth Rehabilitation ◽  
Occlusal Vertical Dimension ◽  
Direct Placement

Tooth wear is increasing in severity and prevalence, partly because of an ageing population and partly because of modern lifestyles. Management of the worn dentition with ‘full mouth rehabilitation’ is outmoded. This clinical paper aims to review the literature on composite restorations and give general dental practitioners the confidence to restore the worn dentition with dental composite. Composite is a versatile and widely available material that can be successfully applied within the existing occlusal vertical dimension (OVD) or at an increased OVD using a Dahl approach. Cases illustrate what is achievable, and clinical tips will help dentists optimise their results.

Occlusal Concepts and Considerations in Fixed Prosthodontics

2019 ◽  
Vol 8 (3) ◽  
pp. 20-27
Author(s):  
Kiran Amin ◽  
Joseph Vere ◽  
Naren Thanabalan ◽  
Abdulrahman Elmougy
Keyword(s):  
Primary Care ◽  
Clinical Outcomes ◽  
Tooth Wear ◽  
Ageing Population ◽  
Fixed Prosthodontics ◽  
Dental Practitioners ◽  
The Uk ◽  
Clinical Cases

The UK has an increasingly ageing population, many of whom are retaining more of their own teeth. This has led to an increase in the prevalence of tooth wear and the need to replace pre-existing failing restorations. In many cases this will be achieved by fixed prosthodontics. This paper provides a brief overview of important occlusal concepts that should be considered when providing non-implant fixed prosthodontics using either a conformative or reorganised approach. The aim is to give general dental practitioners the confidence to provide these types of restorations in primary care. Clinical cases demonstrate how the occlusion can be controlled to optimise clinical outcomes.

scholarly journals Use of Zirconia to Restore Severely Worn Dentition: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Manish Agrawal ◽  
Banashree Sankeshwari ◽  
Channaveer V. Pattanshetti
Keyword(s):  
Case Report ◽  
Systematic Approach ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Critical Aspect ◽  
Successful Management ◽  
Full Mouth Rehabilitation ◽  
Occlusal Vertical Dimension ◽  
Points Of View ◽  
Treatment Prognosis

The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. Severe tooth wear is frequently multifactorial and variable. Successful management is a subject of interest in dentistry. A critical aspect is to determine the occlusal vertical dimension (OVD) and a systematic approach that can lead to a predictable and favorable treatment prognosis. Management of patients with worn dentition is complex and difficult. Accurate clinical and radiographic examinations, a diagnostic wax-up, and determining OVD are crucial. This paper describes the full-mouth rehabilitation of a 47-year-old bruxer with a severely worn dentition.

scholarly journals Dental implant care and trouble among dependent patients based on the questionnaire survey among Japanese dental practitioners

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yuji Sato ◽  
Shigeto Koyama ◽  
Chikahiro Ohkubo ◽  
Shin Ogura ◽  
Ryutaro Kamijo ◽  
...  
Keyword(s):  
Elderly People ◽  
Dental Care ◽  
Questionnaire Survey ◽  
Japanese Society ◽  
Dental Treatment ◽  
Actual State ◽  
Treatment Type ◽  
Dental Practitioners ◽  
Care Problems ◽  
Implant Treatment

Abstract Background Self-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment. Methods We mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society. We narrowed down the respondents to those who provided visiting dental treatment, and analyzed the actual state of implants observed during visiting dental treatment (type, care, problems, countermeasures, etc.). Results Of the 924 dentists who responded to the questionnaire survey, 291 (22%) provided visiting dental treatment. While the majority of implant types encountered in the previous 12 months were root-form implants, there were still a certain number of blade and subperiosteal implants. Daily implant care involved mostly cleaning with a toothbrush + auxiliary tools. The most frequent implant problems encountered in the past were difficulty in cleaning and peri-implantitis. Medication and antiphlogistic treatment were most frequently adopted as countermeasures to implant problems, followed by observation. When we classified the results into those for the dentists who provided implant treatment and those for the dentists who did not, we found that many of the dentists who did not provide implant treatment opted for observation or medication, while those who provided implant treatment also implemented removal of superstructure, retightening of screws, repair and so forth. Conclusions We found that many of the implant troubles encountered by dentists who provided visiting dental care were difficulty in cleaning or peri-implantitis, and that the actions taken against these troubles varied depending on the experience of the dentist performing the implant treatment. Our study also revealed that dentists who provide visiting dental care need to acquire knowledge and skills of implant treatment, to have actions prepared in case they encounter such cases, or to closely coordinate with dentists who specialize in implants.

Management of Localized Anterior Tooth Wear Using a Modified Sandwich Technique and the Dahl Concept: A Case Report

2022 ◽  
Author(s):  
TW Lim ◽  
J Roffie
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Anterior Tooth ◽  
Sandwich Technique ◽  
Composite Restorations ◽  
Occlusal Vertical Dimension

SUMMARY This case report illustrates a minimally invasive segmental rehabilitation of localized anterior tooth wear using a modification of the sandwich technique, a combination of indirect palatal composite veneers and direct labial composite restorations, at an increased occlusal vertical dimension (the Dahl concept).

scholarly journals Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

2016 ◽  
Vol 54 (3) ◽  
pp. 306
Author(s):  
Tae Su Kim ◽  
Jae Hyun Lee ◽  
Chul Won Lee ◽  
Won Sup Lee ◽  
Su Young Lee
Keyword(s):  
Tooth Wear ◽  
All Ceramic ◽  
Full Mouth Rehabilitation ◽  
Ceramic Restorations

scholarly journals Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment

2013 ◽  
Vol 7 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Teresa Sierpinska ◽  
Joanna Kuc ◽  
Maria Golebiewska
Keyword(s):  
Tooth Wear ◽  
Post Treatment ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Activity Levels ◽  
Facial Skeleton ◽  
Facial Aesthetics ◽  
Facial Height ◽  
Occlusal Vertical Dimension ◽  
Pre Treatment

Advanced tooth wear often results in lost vertical dimension and impacts facial aesthetics. Complex restorative treatment can replace the lost tooth structure and improve functional occlusal and facial skeleton parameters. Purpose: The aim of the study is to assess changes in the morphological and functional occlusal parameters of the facial skeleton after prosthetic rehabilitation that increased lost occlusal vertical dimension. Material and Methodology: 50 patients with advanced tooth wear were clinically examined, to assess the degree of wear. Each subject underwent cephalometric analysis, digital occlusal analysis, and electromyographic analysis, of the anterior temporalis, superficial masetter, anterior digastric, and the sternocleidomastoid muscles. Prosthodontic treatment was performed to restore the occlusal vertical dimension of each subject’s occlusion, which was followed by repeating the pretreatment analyses. Pre and post treatment parameters were statistically compared. Results: Pre-treatment cephalometric analysis showed that lost vertical dimension reduced anterior facial height and resulted in small angular skeletal parameters. Post treatment anterior facial height increased from the increased occlusal vertical dimension. The mean value of functional electrical activity during clenching post treatment, increased compared to pretreatment. Conclusion: Increasing the vertical dimension of occlusion improved facial aesthetics by positively affecting facial skeletal angles. The restored occlusal surface morphology changed the pre treatment flat broad occlusal contacts into more point contacts. The increased vertical dimension of occlusion after treatment also increased muscle activity levels over the pretreatment levels after three months period of adaptation.

scholarly journals Awareness and Practices of Dental Care Waste Management Among Dental Practitioners In Chennai City

2011 ◽  
Vol 1 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Navin Anand Ingle ◽  
Zohara Kayamali Charania
Keyword(s):  
Waste Management ◽  
Waste Disposal ◽  
Dental Care ◽  
Simple Random Sampling ◽  
Medical Waste ◽  
List Type ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Chennai City ◽  
Colour Coding

Abstract Objectives To assess the dentist's awareness about dental care waste management. To know the various methods of bio-medical waste disposal practiced by private dental practitioners in Chennai City. To assess the awareness of dentists regarding colour coding of biomedical wastes. Materials and Methods A cross sectional questionnaire study was conducted among 250 private dental practitioners selected by simple random sampling. A pretested questionnaire consisting of 28 close ended questions divided into two sections was used. Results Out of 250 participants 167(66.8%) were males and 83(33.2%) were females. About 14.8% of the dentists were not aware of the different categories of bio-medical waste generated in their clinic. About 28% of the dentists were not aware of the bio-medical waste management law in India and the same number (28%) were not aware of the colour coding for different types of biomedical wastes. Conclusion The present study indicates that the majorities of the dental practitioners were not aware of the different categories of biomedical waste and are not practicing the appropriate method of waste disposal. There is an urgent need for continuing dental education on dental care waste management for the dental practitioners.

Role of the Single Assessment Process in the Care of Older People. How Will Primary Dental Care Practitioners be Involved?

2006 ◽  
Vol os13 (4) ◽  
pp. 130-134 ◽  
Author(s):  
Elizabeth A Lane ◽  
Jennifer E Gallagher
Keyword(s):  
Older People ◽  
Dental Care ◽  
Social Care ◽  
Assessment Process ◽  
Care Needs ◽  
National Service Framework ◽  
Health And Social Care ◽  
Dental Practitioners ◽  
One Stop

Following the publication of the National Service Framework for Older People, there have been developments across health and social care to facilitate holistic assessment of older people's needs, through what is called a ‘single assessment process’ or ‘SAP’. In this paper, readers are introduced to the SAP. The process can be seen as a ‘one-stop’ approach to the assessment of vulnerable older people that facilitates cross-referral between the agencies involved and triggers access to dental care. The paper explores the benefits of this new way of working in support of older people and how it will provide an opportunity for innovative dental practitioners to integrate oral healthcare for people with complex health and social care needs into the SAP. In concludes that as local commissioning evolves, opportunities for practitioners to develop targeted services for this important patient group should be expanded to improve the uptake of healthcare and oral healthcare.

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