Advanced Restorative Dentistry

Question 1

What are the aims of advanced restorative dentistry?

Answer 1

Achieving predictable restorations
Maintain pulp vitality
Technology of the dental surgery

Question 2

Define restorative dentistry

Answer 2

Eliminating disease and restoring function and aesthetics using the most appropriate materials and techniques

Question 3

What to do when you see the 1st lesion?

Answer 3

Prevent another
Arrest lesion
Restore it
Eliminate problem so no further treatment required

Question 4

What happens to the tooth after it’s restored?

Answer 4

Structural degradation:
Fatigue effects
Change in physical properties - tertiary dentine = brittle
Destructive lesions e.g. TSL
Placement of adjacent restorations
Occlusal loading
Reduced occlusal support
Stress induced parafunction
Wet and warm environment

Question 5

How to achieve a good, predictable result?

Answer 5

Choice of material:

• Supported by good research - lab and clinical trials (evidenced based dentistry)
• Read DFU’s and follow them

Clinical technique:

• Attention to detail
• Care at every stage
• Correct use of materials and technologies
• Maintenance of pulp vitality
• Use of protocols
• Maintenance (professional and pt)

Question 6

Hierarchy of evidence?

Answer 6

1. Systematic reviews and meta-analysis of RCTs
2. RCTs
3. Cohort studies
4. Case control studies
5. Cross sectional surveys
6. Case reports
7. Expert opinion