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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.

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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.

Author Biography

ABOUT THE AUTHORS GORDON B. GRAY is the former Clinical Dean and Senior Clinical Lecturer in Restorative Dentistry at the School of Oral and Dental Science, University of Bristol, UK. ALAA H. DAUD is Senior Clinical Lecturer in Restorative Dentistry at the School of Oral and Dental Science, University of Bristol, UK.

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 

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