{"title":"Tooth wear and some factors influencing its severity.","authors":"M E Poynter, P S Wright","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tooth wear has been studied in a dentally attending population, aged 46-85 years. The level of tooth wear was recorded for 100 persons using the tooth wear index of Smith and Knight. Aetiology was assessed using a history/questionnaire/examination. Erosion/attrition were postulated in 98 persons while abrasion was present in 82. All demonstrated some tooth wear and in 6.93% of 7,822 surfaces this was defined as pathological according to the threshold levels associated with the index. 84 persons had pathological wear on some surfaces but this was predominately cervical, only 12 persons showing pathological wear on the occlusal/incisal surfaces. Occlusal contact area was measured using imprints in soft opaque wax, transmitted light and a charge-coupled linear scanning array. The array is moved at 90 degrees to its axis by a linear translator to produce an image consisting of 1,600 lines, each of 2,048 pixels. This image is converted to hard copy using a DEC DDP 11/23 computer which will also give area measurements. Occlusal contact area ranged from 3.16 to 194.40 sq mm with a mean of 59.23 sq mm. Tooth wear is a significant clinical problem in this population. Wear on the occlusal/incisal surfaces is more common in older age groups and in males but could not be related to occlusal contact area or denture status by the methods used.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 4","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"1990-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232598","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}
{"title":"Variation in the thickness of the composite lute with an indirect composite inlay system.","authors":"M Ariyaratnam, M A Wilson, N H Wilson, D C Watts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The findings of an initial investigation of variations in the thickness of the composite lute around inlays of a fine particle hybrid, light- and secondary-cured indirect composite resin inlay system are reported. The lute thickness varied between 10 microns and 90 microns, and was found to be thinnest and most uniform in the region of occlusal cavosurface margins. Although the marginal adaptation of the inlays investigated was generally considered to be satisfactory, sections of the lute were found to exhibit porosity and to contain a number of voids. It is concluded that whilst the lute thickness and marginal adaptation of composite bonded inlays of the type investigated may be found to be acceptable, further work is desirable to investigate ways to limit porosity and voids in lutes and to form and finish the cavomarginal elements of tooth-coloured inlays in such a way that the limiting layer of luting material may be better protected from the rigors of function in the oral environment.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 4","pages":"16-8"},"PeriodicalIF":0.0,"publicationDate":"1990-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232697","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}
{"title":"Resin-bonded palatal stops for the management of a deep traumatic overbite--a case report.","authors":"P Treasure, S A Jones, B Treasure","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case presents a novel application of adhesive technology to treat a deep traumatic overbite in a patient unable to tolerate a removable appliance. Cast metal shelves were bonded into palatal surfaces of the upper anterior teeth. Three lower incisors required post crowns which were proclined slightly to engage the palatal stops of the upper teeth. After 24 months the palatal stops were firm and the occlusion seemed stable.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 4","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"1990-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232596","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}
{"title":"Multi-disciplinary treatment planning for the restorative patient.","authors":"K Warren, A P Howat","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many older patients present requiring a multi-disciplinary approach to treatment aimed at restoring their dentition to health, satisfactory function, and appearance. The restorative dentist with specialist knowledge of periodontics, and fixed and removable prosthodontics is well qualified to provide a treatment plan to achieve these goals. The basic principles of formulating a treatment plan are discussed and a case presented which required a combination of occlusal therapy, periodontics, orthodontics and fixed and removable prosthodontics.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 4","pages":"12-5"},"PeriodicalIF":0.0,"publicationDate":"1990-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232696","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}
{"title":"Dentine smear layer and bonding agents. Review: 1. Smear layer--nature of the smear layer.","authors":"R C Paterson, A Watts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In these two papers the nature of the smear layer will be considered first. The clinical management will then be discussed, and finally, preparation of the dentine surface to receive the new bonding systems will be considered. A subsequent paper will discuss bonding agents.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 3","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434989","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}
{"title":"Two-part resin bonded cast metal bridges for use when abutment teeth have unequal effective root surface areas.","authors":"P M Dummer, J R Gidden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Resin bonded cast metal bridges have become a popular method of replacing missing teeth. Such bridges are usually constructed as single castings following modifications to the abutment teeth in order to ensure a distinct path of insertion and to secure maximum metal to tooth contact. Unfortunately, long term retention of resin bonded bridges cannot be guaranteed and many surveys have reported substantial failure rates, particularly in the posterior segments of the mouth. It is the authors contention that many of these failures occur because clinicians are neglecting one of the fundamental principles of fixed bridge prosthodontics, namely that abutment teeth should be matched for effective root surface area (bony support). This article describes how problems created by incompatible abutment teeth can be overcome successfully by the construction of resin bonded bridges in two parts which are cemented separately, but interlock to provide a movable joint. Such an arrangement allows independent movement of the abutment teeth whilst providing sufficient retention and support for the bridge. The two-part design can also overcome problems created by malaligned abutment teeth as well as allowing conventional full crown retainers to be combined with resin bonded retainers.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 3","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435697","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}
{"title":"Dentine smear layer and bonding agents. Review: 2. Effect of cleansing regimes on the smear layer.","authors":"A Watts, R C Paterson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 3","pages":"21-5"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434990","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}
{"title":"Survival of crowns and bridges related to luting cements.","authors":"S M Black, G Charlton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The longevity of 782 items of crown and bridgework was investigated in a retrospective study. The effect of different cement lutes was assessed for periods varying from 70 to 89 months using a survival analysis technique. The analysis of all types of restoration showed slightly better survival figures for restorations cemented with polycarboxylate but were not statistically significant when compared with those cemented with glass-ionomer. However, those cemented with polycarboxylate were significantly more successful than zinc phosphate. The restorations cemented with glass-ionomer showed no statistically significant improvement in survival rate compared with those cemented with zinc phosphate. Restorations cemented with zinc/oxide eugenol reinforced EBA cement had the lowest survival rate of the four cement types. Analysis of the survival of crowns alone showed the same ranking of the cements compared with all restorations. Comparison of bridges, ranked those cemented with glass-ionomer above those cemented with polycarboxylate, but not statistically different. Posts cemented with phosphate were ranked first and lasted significantly longer than those cemented with glass-ionomer.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 3","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434991","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}
{"title":"Current status of composite materials and adhesive systems. 4. Some clinically related research.","authors":"J S Rees, P H Jacobsen, E Koliniotou-Kubia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The previous article reviewed the problems of demonstrating adhesion, either to a flat surface or within the confines of a cavity. In the context of the intracoronal cavity, microleakage experiments may demonstrate the net effects of bonding agents, cavity preparation and material properties.</p>","PeriodicalId":77606,"journal":{"name":"Restorative dentistry","volume":"6 3","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434992","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}