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Index
347
Restorations (Continued)
direct, 92 – 94
amalgam, 93 – 94 composite materials, 93 glass ionomer cements, 94 materials for, 92 – 94
placement techniques, 93 endodontically treated teeth, 68 – 70 extracoronal, 92 indications for, 93 indirect
ceramic restorations, 96
coverage, 96
impression techniques, 105 – 106
layering, 97
loss of pulp vitality, 99
materials, 96
metal restorations, 96
posterior indications, 103 – 104
retention, 97 – 98
root filled teeth, 98
survival, 107 intracoronal, 92 laboratory prescriptions, 107 occlusal considerations, 99 – 100 onlay preparations, 103 overhanging, 18 provisionalisation, 106 removal, root canal retreatment
fractured instruments, 73 – 74, 74f, 79Q
gutta-percha, 73
pastes, 73
post and cast, 72 – 73
restorative materials, 72
silver points, 73 resistance, 97 stabilisation, 98 – 99 tooth preparation, 100 – 101 veneers, 104 – 105
Rest vertical dimension (RVD), 134 Retainers
fixed, 300 removable, 300
Retention
adhesive, 97 – 98 adjunctive procedures, 300 definition, 97 dentures, 120 facial growth, 300 indirect restoration, 97 – 98 mechanical, 97 orthodontic treatment, 242 regime, 300 removable appliances, 290 retainers, 300 retention, 321 soft tissues, 299 – 300 strategies, 300 supporting tissues, forces from, 299
Retroclination, 264 Reversible pulpitis, 49 Review
immediate replacement dentures, 131 implants, 149 removable partial dentures, 136 – 137
Rheumatic fever, 4 – 5, 198 Rheumatoid arthritis, 231 Rickett’s E plane, 238 Ridge-lap pontics, 109 Right touch regulation, 313 Rigid trays, 106 Risk factors
caries, in children, 176 defined, 17 root resorption, 299 tobacco smoking, 17
Root anatomy, 56
furcation lesions, 19 – 20
Root canal
blockage, 79Q exploration, 61 morphology, 56 – 58 portals of exit, 56 requirements before filling, 64
Root canal morphology
access, 58, 58b access technique, 58, 59b apical anatomy changes, 57 coronal access, 57 dental dam, 58 incisor and canine teeth, 57, 57f mandibular molars, 58 maxillary molars, 58, 58f premolar teeth, 57 – 58, 58f pulpal anatomy, 56 – 57 radicular access, 57 root anatomy, 56
root canal orifices, 56 Root canal orifices, 56 Root canal preparation, 58 – 64
apical, 62 – 64
apical patency, 62
canal exploration, 61
current trends, 60
files, 60
instrument manipulation, 60
irrigation, 60 – 61, 79Q
length determination, 62
objectives, 58 – 59b
pre-enlargement and straight-line radicular
access, 61 – 62, 61f, 79Q
rotary nickel-titanium instrumentation
techniques, 63 – 64
rotary nickel–titanium instruments, 79Q Root canal retreatment
Masserann kit, 72 – 73
procedures, 72
restoration removal
fractured instruments, 73 – 74 gutta-percha, 73 pastes, 73 post and cast, 72 – 73 restorative materials, 72 silver points, 73
success rate, 75 Root canal therapy
extraradicular causes of failure, 71
failure, 71, 79Q
filling materials, 65, 78, 78f, 79Q
intraradicular causes of failure, 71
obturation, 64 – 68, 79Q
one visit, 64
pulpal inflammation, 49 Root caries, 89 Root end preparation, surgical endodontics,
77 – 78, 78f Root end resection, 77, 77f Root fractures, 199, 202, 216Q Rootless teeth, 208 Root resorption
tooth movement force, 299
traumatic injuries in children, 200 Root surface area (RSA), 290 Root surface instrumentation (RSI),
32 – 34, 39Q furcation lesions, 21 gingival enlargement, 27 periodontal diseases, 32 – 34
Rotary nickel-titanium instrumentation
techniques, 63 – 64
Rotary nickel–titanium instruments, 79Q Rotations, growth, 223 – 224, 224f, 245Q
Royal Surgical Colleges, 320 RSI see Root surface instrumentation (RSI)
S
Saddles, free-end (dentures), 133f Safeguarding, 204 – 205, 331 Safety factors, headgear, 290 Sagittal split osteotomy, 273 Salivary flow test, 176 Salivary gland enlargement, HIV infection,
214 Sanitary pontics, 109 Sarcoidosis, 26 Scaling, 1 Scaling and root planning (SRP), 32 Schiller iodine solution, 2, 5 – 6 Scottish Dental Clinical Effectiveness
Programme (SDCEP), 166, 178 – 179 Screw-retained zirconium dioxide abutment,
146f Screws, removable appliances, 267 Sealers, 65 Second permanent molars, 244 Sedation, 152 – 1, 324, 335Q
advanced techniques, 152, 164 antagonist drugs, 157 assessment of patient, 155 basic techniques, 152, 158 – 164 benzodiazepines, 156 – 157 children under twelve years of age, 166 chronic obstructive pulmonary disease
contraindications, 153 combined routes, 164 consciousness of patient, 164 conscious sedation, defined, 324 contraindications, 153 – 154
dental, 154 flumazenil, 157 medical, 153 – 154 psychosocial, 153
unaccompanied patients, 153 defined, 152 dental examination, 155 dental history, 155 dental indications for, 153 examination, 155 indications for, 152 – 153 inhalation see Inhalation sedation intranasal, 164 intravenous see Intravenous sedation ketamine, 158 learning difficulties, 153 medical history, 155 medical indications for, 153 medicolegal aspects, 166 – 167 monitoring of sedated patients, 164 – 165
clinical, 164
electromechanical, 164 – 165 movement difficulties, 153 need for, 155 nitrous oxide, 155 – 156 opioids, 157 oral/transmucosal
disadvantages, 163
technique, 163 pharmacology, sedative agents, 155 – 158 physical examination, 155 physiological ability to tolerate dental
treatment, 155 pregnancy and lactation contraindication, 154 propofol, 157 – 158 psychological ability to tolerate dental
treatment, 154 – 155 psychological/psychiatric problems (severe),
contraindicated in, 153 – 154
348
Index
psychosocial indications for, 152 – 153 rapport, establishing, 155 scavenging, 167Q thyroid dysfunction contraindication, 154 type and amount of dental treatment
required, 155
whether treatment practical under, 155 Selective enamel etching, 91 Selenomonas spp, 10 Self-etching, 91 Self-etching primers (SEPs), 292 Self-ligating appliances, 294 Sensibility tests, orthodontic assessment, 235 Sensitivity
test, 175
tests (pulp), 50
tooth whitening, 181 Sensitivity/sensibility testing, 175 Sensorimotor development, 173 Separation anxiety, 173 Serial extractions, 256 – 257 Serious professional misconduct, 318 Sevoflurane, 164 Sexual fantasy production, 156 – 157 Sheath of Hertwig, 56 Shim, 96 Shortened dental arch (SDA), 137 Sickle cell anaemia, 211 Sickle crisis, 211 Sickle scalers, 33 Side-effects
benzodiazepines, 156 – 157
intravenous sedation, 156 – 157
opioids, 157
propofol, 158
see also Complications Silver points, 65
removal of, 73 Single cone technique, 65 Sinus tract exploration, 52 Situational Judgement Testing (SJT), 319 Sjogren’s syndrome, 88 Skeleton
cleft lip and palate, 275
craniofacial, 222 – 223
crossbite, 269
and malocclusion, 229
class I, 261 class II (Division 1), 262 class II (Division 2), 264
class III, 266 open bite, 268 vertical pattern, 238
Skin colour, sedated patients, 164 Small claims track, 327 Smartclip (self-ligating appliance), 294 Smile, 233 Smoking
necrotising periodontal diseases, 10 social history, 4
Social development, 173 Social history, 4
caries, 176 orthodontic assessment, 231 paediatric dentistry, 174
Social Security Acts, 332 Socket-fit dentures, 130 Sodium hypochlorite, 125 Soft tissues
analysis, 238 children, 175 facial growth, control, 222 growth, 224 immediate replacement denture, 130 implants, complication, 150
Soft tissues (Continued)Sedation (Continued)
malocclusion
class I, 261 class II (Division 2), 264
class III, 266 open bite, 268 orthodontic assessment, 232 – 233, 238 retention, 299 – 300
Solid and semisolid materials, 65 Southend clasp, 290 Space
closure (absent upper lateral incisors),
254 – 255 maintenance for early tooth loss, 257 malocclusion
class I, 262 class II (Division 1), 263
class II (Division 2), 265 opening (absent upper lateral incisors), 254 orthodontic assessment
lower dental arch, 234
upper dental arch, 234 orthodontic treatment, 242 – 245 permanent upper incisors, 245Q residual, need for closure, 242 for tooth movement, creating, 242 – 245
Spacing, 225 Specialist registration, 335 Specialist Training, 319 – 320 Speech
orthodontic assessment, 233 orthodontic treatment, 240
Speed (self-ligating appliance), 294 Splints
apical and middle third root fractures, 202 construction, 202 – 203 coronal third root fractures, 202 dento-alveolar fractures, 202 functional, technique for, 203b periodontal ligament injury, 203 – 204
Split-cast technique, complete dentures, 124 Springs, 267, 289 – 290, 293 Stability
bimaxillary proclination, 262 complete dentures, 120 implants, 143 – 144 malocclusion class II (Division 2) treatment,
265 – 266
Stains
localised composite resin restorations, 183 Schiller iodine solution, 2, 5 – 6 tooth discolouration, 180t
Standing Committee on Sedation for Dentistry,
152
Staphylococcus aureus, 211 Static occlusion, 99 – 100 Stillman’s cleft, 24, 25f Stock trays, complete dentures, 120 Straight-line radicular access, 61 – 62, 61f Streptococcus spp, 176 Stress, 4 Subepithelial connective tissue graft, 37,
38b, 38f
Subgingival calculus, 13 Subgingival microflora, 18 Subluxation
permanent dentition, 203 primary dentition, 199
Sulcular epithelium, 2 Supernumerary teeth, 206, 255, 276Q
conical teeth, 255 supplemental teeth, 255 tuberculate teeth, 255
Supplemental teeth, 255 Supracrestal tissue attachment, 2 Supragingival calculus, 13
Supragingival crown margins, 18 Surgery
corrective, 78 – 79 immediate replacement denture, 131 implants, 147 – 148 open bite, 268 – 269 tuberculate teeth, 255
Surgical endodontics, 75 – 79
bone removal, 77 consent, 75 – 76 corrective surgery, 78 – 79 debridement and closure, 78 extractions with subsequent replantation, 79 flap design, 76 – 78, 76f haemostasis, 77 indications, 75 procedure, 76 – 79 root end
filling materials, 78, 78f preparation, 77 – 78, 78f resection, 77, 77f
surgical assessment, 75
Surgically assisted rapid palatal expansion
(SARPE), 270
Surgical-orthodontic treatment
distraction osteogenesis, 274 indications for, 272 planning, 272 – 273 presurgical orthodontics, 273 procedures
adjunctive facial, 274 bimaxillary, 274 body osteotomy, 274 genioplasty, 274 Le Fort I osteotomy, 273 Le Fort II osteotomy, 273 Le Fort III osteotomy, 273 mandible, 273 – 274 maxilla, 273 postsurgical orthodontics and follow-up,
274 sagittal split osteotomy, 273 segmental, 273 surgically-assisted rapid palatal
expansion, 273 vertical subsigmoid osteotomy, 273 – 274
record analysis, 272 – 273 relapses, 274 stability, 274 timing, 272
see also Orthodontic treatment Surgical–orthodontic treatment, 272 – 274 Swallowing reflex, cerebral palsy, 215 Symmetry and alignment, assessment
lower dental arch, 234
upper dental arch, 234 Symptomatic periradicular periodontitis, 50 Systematic desensitisation, 174 Systemic disease, severe or uncontrolled, as
contraindication for sedation, 153
T
Talon cusp, 207 Taurodontism, 207 T cell defects, 211 Teeth
anterior see Anterior teeth
children see Children
condition, 244
conical, 255
cracks in, 52
development, 172
discolouration see Discolouration of teeth
double, 206, 260 – 261
drifting of, 290
Index
349
endodontically treated, restoration, 68 – 70 eruption, 172 extractions see Extractions fragments, refitting, 201b impaction, 240 individual, position of, 244 larger than normal (macrodontia), 206 mobility see Tooth mobility movement, creating space for see Movement
of teeth, creating space for natal, 208, 253 neonatal, 208 primary see Primary teeth rootless, 208 smaller than normal (microdontia), 206 supernumerary, 206, 255, 276Q supplemental teeth, 255 surface loss see Tooth surface loss (TSL) tuberculate teeth, 255
Temporary anchorage devices (TADs), 242,
263, 294
Temporomandibular joint dysfunction
syndrome (TMJDS), 240
Temporomandibular joints, orthodontic
assessment, 233 Tender to percussion (TTP), 203 Tetanus status, medical history, 198 Thalassaemia, 211 Thermal tests, 51 Thermomechanical compaction, 66
gutta-percha filling techniques, 66 Thermoplasticised gutta-percha, 66, 67b Third molars, 244 Thrombocytopenia, 210 Thumb-sucking, 233, 268, 269, 276Q Thyroid dysfunction
in children, 213
sedation contraindication, 154 Tip-Edge appliance, 294 Tipping movement, effect, 242, 298f Titanium molybdenum (TMA), 293 Titles and descriptions
clinical dental technicians, 315
dental care professionals, 314 – 316
dental hygienists, 315
dental nurses, 166, 315
dental technicians, 315
dental therapists, 315 – 316
dentists, 313 – 314
Dentists’ Act 1878, 310
direct access, 315 – 316
orthodontic therapists, 315 Tongue
malocclusion, class II (Division 1), 262
soft tissues, orthodontic assessment, 233 Tooth see Teeth Tooth-borne indirect restoration, 92 Toothbrushes, 31
powered, 40Q
toothbrushing techniques, 177 Toothbrushing techniques, 31 Tooth development, 172 Tooth-friendly snacks, 178b Tooth mobility
examination, 7
history taking, 4
loss of teeth, 4
pathological, 11
physiological, 11
radiographic features, 2
social history, 4
tooth movement force, 299 Toothpastes, 31
relative dentine abrasivity (RDA), 94 – 95
strength advice, 177
Tooth preparation
chamfer preparation, 101f depth cuts, 100 interocclusal space, 110 marginal preparation, 109 – 110 materials and designs, 100t over-preparation, 100 reduction, 100 – 101 restorations, 100 under-preparation, 100 veneer preparation, 101f veneers, 104
Tooth surface loss (TSL)
abfraction, 95 abrasion, 94 – 95, 184 aetiology, 184 – 185 attrition, 95, 184 definitive management, 186 dietary causes, 185 erosion, 94, 184 and gastric regurgitation, 185 immediate management, 185 – 186 long-term review, 186 management, 95 parafunctional activity, 185 prevalence, 184 treatment technique, 186t
Tooth whitening
non-vital bleaching, 181 – 183
vital teeth, 181 Total-etching, 91, 92 Training
ability and experience, 320
continuing education, 319 – 320
continuing professional development
(CPD), 166 Continuing Professional Education, 320 Dental Core Training (DCT), 319 Dental Foundation Training (DFT), 319 dental nurses, 166 general dental practice, 320 professional organisations/societies, 320 specialist, 319 – 320
Transillumination, tooth cracks, 52 Transplantation of organs and bone marrow,
in children, 213 – 214 Transverse plane, orthodontic assessment, 232 Trauma
factitious gingivitis, 27 iatrogenic, 27 incisor, 240 self-inflicted, 27 upper permanent central incisor, loss, 258
Traumatic injuries in children
amnesia, 197 assessment, 197 – 199 avulsion, 200 concussion, 199 dental history, 197 – 198 enamel infraction, 200 extraoral examination, 198 fractures, 199 headache, 197 incidence, 197 – 205 intraoral examination, 198 – 199 location, 197 luxation
extrusive, 199
intrusive, 199
lateral, 199, 216Q
medical history, 198 nature of accident, 197 peak times, 197 permanent teeth, 216Q
aims and principles of treatment, 200
developing, injury to, 200
Traumatic injuries in children (Continued)Teeth (Continued)
emergency, intermediate and permanent
actions, 200
hard tissues and pulp, injuries to,
200 – 202
periodontal tissues, injury to, 203 – 204,
204b replantation, 203 – 204 splints, 200 – 202
primary teeth, 199 – 200 primary tooth, 216Q radiography, 199 subluxation, 199 timing, 197 types, 197
vomiting, 197 Traumatic occlusal forces, 27 – 28 Trays
borders, 121
complete dentures, preliminary impressions,
120 – 121 lower, 120 – 121 upper, 120 – 121
Treatment
adjunctive, adult orthodontics, 271 – 272, 274 and case selection, 52 – 53 comprehensive, adult orthodontics,
271 – 272 discolouration of teeth, 180 – 184 furcation lesions, 21, 21t gingival recession, 25 infraocclusion, 209 malocclusion, 226 – 229 orthodontic see Orthodontic treatment plaque accumulation, 18 – 19 unsuitable, as negligence, 326
Treatment plan
caries, in children, 178 – 180 children, 175 – 176 immediate replacement denture, 130 malocclusion
class I, 261 – 262 class II (Division 1), 263 class II (Division 2), 264 – 265
class III, 266 – 267 orthodontic treatment, 241 – 242 patient assessment, 53 sedation, 165 – 166
Triclosan, 32 T-spring, 270 Tuberculate teeth, 255 Twin-block appliance, 295, 296f, 301Q
U
UK General Dental Council, 336 Ulceration
HIV infection, 214 lower arch, 138f recurrent oral, 230
Ultrasonic root end preparation, 79Q Ultrasonic scalers, 33 Unilateral buccal crossbite, 235f, 256f, 270 Unsuitable treatment, as negligence, 326 Upper removable appliance (URA), 245f
V
Veillonella, 13 Veneers, 96, 104 – 105
composite, 104 composite resin, 183 – 184 incisal edge design, 104 – 105 porcelain, 104, 184 tooth discolouration, 183 – 184 tooth preparation, 104
350
Index
Venospasm, intravenous sedation, 161 Verbal consent, 322 Vertical condensation, gutta-percha filling
techniques, 66 – 67, 67b, 67f
Vertical plane, orthodontic assessment,
231 – 232 Vertical subsigmoid osteotomy, 273 – 274 Vicarious liability, 326 Visual impairment, 215 Vitality testing, 175 Vital pulp therapy, 53 – 56
benefits, 53 calcium silicate cements, 54 direct pulp capping, 54 – 55, 55f follow-up and outcomes, 56 full pulpotomy, 55, 55f indirect pulp capping, 54, 54f material properties, 54 partial pulpotomy, 55, 55f pulpectomy, 55 strategies for, 54
Vocational Training (VT), 319 von Willebrand’s disease, 210
W
Warm vertical condensation obturation
technique, 66 – 67, 67b, 67f Watchwinding, root canal preparation, 60 Wax rims, complete dentures, 122 Wear, tooth see Tooth surface loss (TSL) Wegener’s granulomatosis, 26 Wet bonding, 91 – 92 White surface demineralisation, 176 Wire
functional appliances, 293
removable appliances, 289 Wire ligatures, fixed appliances, 293 Wire splints, 202 Wits analysis, orthodontic assessment,
238
Woolf report (1996), negligence, 327
World Health Organization (WHO), 197 Written consent, 322
X
Xerostomia, 88, 212
Y
York Consensus Statement, overdentures, 132
Z
Zinc oxide eugenol cement, 128 Zirconia-based restoration, 96 Zirconia wings, 109 Z-springs, removable appliances, 267
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2019v1.0