Management of the pre-cavitation lesion

Preventive measures against dental caries are so successful today In certain countries and regions within countries, that the need for operative intervention has decreased and the primary responsibility of preventing dental caries and managing early lesions has been assigned to the patient. The dentist should only Intervene with restorative treatment when specific criteria, Including some of those listed In this paper, have been satisfied. In the Interest of conservation of tooth structures, the preventive dentistry restoration - the preventive resin restoration [PRR], [composite resin-sealant concept] or the glass lonomer/composite resin laminate [the so called 'sandwich" or 'double-laminated" technique] should be considered as an alternative to traditional Class I amalgam restorations. The PRR or sandwich technique concept can be used when the carious lesion Is judged to be deeper Into the dentin than is appropriate for management by fissure sealant alone, especially if no restoration exists in the tooth surface In question

Treatment of Pathological Tooth Wear with Cast Lingual Gold Veneers

Teeth erosion in Caucasian males is a fairly rare condition and the pathosis afflicts more females than males in Western Countries. This is a case report of a 22 year old male with pathological teeth wear due to anorexia bulimia. He was treated using Tanaka's copper oxide treatment to cast gold veneers

inter-relationship between restorative dentistry and periodontology

This paper reviews the relationship of periodontics to restorative dentistry. The effect of various restorative procedures - operative techniques, endodontics, interim restorations, materials, design and contour of restorations - upon the periodontium are considered. Specific emphasis has been placed on the relationship of the restorative margin to the periodontium and the frequent need to alter the placement of the gingival margin so that the restoration will be constructed on sound tooth structure and have supragingival finishing line. All the available information conclude that a compliant patient and a strong periodontal maintenance programme are integral to success, which with a coordinated effort by the periodontist and the restorative dentist, best assures a successful long term dental treatment