Perfect your transferable dental clinical skills with this new and highly practical reference
A Practical Approach to Operative Dentistry delivers a thorough exploration of the theoretical and practical aspects of operative dentistry, followed by an illustrated step-by-step guide of common clinical procedures.
Designed to remind students of the key steps of a variety of operative procedures, it is heavily illustrated with over 400 images of clinical procedures and covers core topics such as:
- Instruments and matrices, isolation, dental charting, and the use of minimally invasive dentistry
- Treatment of intracoronal restorations, including pit and fissure caries, posterior approximal restorations, anterior restorations and restorations in the cervical third
- Exploration of extracoronal restorations, including gold restorations, porcelain fused to metal and ceramic crowns
A Practical Approach to Operative Dentistry is the perfect textbook for undergraduate dental students. It is also useful to dentistry graduates undertaking clinical rotations during their Dental Foundation Training, and overseas graduates preparing to take the Overseas Registration Examination (ORE) held by the General Dental Council, or the License in Dental Surgery (LDS) exam of the Royal College of Surgeons.
Table of Contents
Preface ix
About the Companion Website xi
Section I Restorative Dentistry 1
1 Instruments 3
Diagnosis 3
Operative Management 3
Instrument Tray 4
Handpieces and Burs 9
Air Turbine 9
Contra-Angled Handpiece 9
Burs 10
Matrix Systems 12
Further Reading 16
2 Isolation 17
Methods of Isolation 17
Further Reading 21
3 Dental Charting 23
Charting Notations 23
Zsigmondy-Palmer Notation 23
FDI Two-Digit Charting Notation (Fédération Dentaire Internationale) 24
Forensic Dental Notation (Box Charting) 24
Tooth Surfaces 24
Abbreviations for Dental Charting 25
US Tooth Numbering Notation 27
Further Reading 28
4 Minimally Invasive Dentistry 29
Protocol for Using Minimally Invasive Dentistry 29
Diagnosis 29
Alternative Cavity Classification System 30
Assessment of Caries Risk 30
Reduction in Cariogenic Bacteria 31
Arresting Active Lesions 31
Remineralisation of Carious Lesions and Monitoring 31
Restoration of Cavities Using Minimal Cavity Designs 31
Repairing Defective Restorations 32
Monitoring 32
Cavity Preparation 33
MID for Pits and Fissures 33
MID for Interproximal Lesions 34
Tunnel Restorations 34
Box Preparation 35
Icon 35
Other Examples of a More Minimal Approach to Treatment 35
Micro-Abrasion 35
Veneers 37
Adhesive Bridges 37
Adhesive Onlays 38
Further Reading 40
Section II Intra-Coronal Restorations 41
5 Pit and Fissure Caries 43
Dental Probe 44
Visual Method 45
Visual Method with Magnification 46
Transillumination 46
Bitewing Radiograph 47
Electronic Methods of Fissure Caries Diagnosis 48
Enamel Biopsy 49
Caries Risk Assessment 50
Categorising Fissure Lesions and Selecting a Management Option 51
Sealant Restorations 51
Evidence Based Dentistry 52
International Caries Classification and Management System 53
Clinical Guide to Restoring a Tooth Using a Sealant Restoration Technique 55
Clinical Guide to Restoring a Posterior Tooth with a Composite Resin 66
A Clinical Case 77
Further Reading 79
6 Posterior Approximal Restorations 81
Tunnel Restorations 83
Removal of the Marginal Ridge 83
Lining 84
Matrix Bands 84
Finishing the Restoration 84
The Extensive Restoration 85
Clinical Guide to Restoring an Interproximal Lesion with a Self-Retentive Box 87
Clinical Guide to Restoring a Class II Lesion with Composite Resin 98
A Clinical Case 110
Clinical Guide to Restoring a Class II Lesion with Amalgam 111
Clinical Guide to Restoring an Extensive Class II Lesion 122
Further Reading 134
7 Restorations in Anterior Teeth 135
Cavity Design 136
Isolation 136
Accessing the Carious Lesion 137
Caries Removal 137
Enamel Margins 137
Use of a Lining Material 137
Restoration of Anterior Interproximal Caries 139
Restoration of a Fractured Incisor 152
A Clinical Case 160
Further Reading 161
8 Restoration of Lesions in Cervical Third 163
Aetiology 163
Appearance 164
Factors Increasing Incidence of Lesions 164
Direct Replacement Restorations 164
Cervical Glass Ionomer Cement (GIC) and Compomer Restorations 166
Compomer Restorations 174
Further Reading 180
Section III Indirect Restorations 181
9 Indirect Restorations 183
Principles of Crown Preparation 184
Assessment of a Patient for an Onlay or Crown 189
MOD Gold Onlay 190
Full Gold Crown 199
A Clinical Case of Porcelain Onlay 210
Further Reading 211
10 Porcelain Fused to Metal and All-Ceramic Crowns 213
PFM Crown 216
All- Ceramic Crown 229
Clinical Sequence for All-Ceramic Crown 239
Further Reading 240
Index 241
