Restorative dentistry

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Restorative dentistry is the study, diagnosis and integrated management of diseases of the teeth and their supporting structures and the rehabilitation of the dentition to functional and aesthetic requirements of the individual. Restorative dentistry encompasses the dental specialties of endodontics, periodontics and prosthodontics and its foundation is based upon how these interact in cases requiring multifaceted care. [1] This may require the close input from other dental specialties such as orthodontics, paediatric dentistry and special care dentistry, as well as surgical specialties such as oral and maxillofacial surgery.

Contents

Restorative dentistry aims to treat the teeth and their supporting structures. Many conditions and their consequences may be assessed and treated by a restorative dentist. Environmental causes may include as caries or maxillofacial trauma. Developmental issues may lead to the restorative dentist treating hypodontia, amelogenesis imperfecta, dentogenesis imperfecta or cleft palate. Multifactorial conditions with an environmental and genetic basis such as periodontitis, would be treated by restorative dentistry. [2] Restorative dentists are part of the multidisciplinary team managing head and neck oncology cases, both before treatment and helping to rehabilitate the patient after surgery and/or radiotherapy.

In the UK, restorative dentistry is legally recognized as a specialty under EU directive and the General Dental Council and is represented by several specialist societies including the British Society for Restorative Dentistry and the Association of Consultants & Specialists in Restorative Dentistry. [3] Restorative dentistry specialty training in the UK lasts five years, and upon successful completion, the dentist may be appointed as a consultant in restorative dentistry.

Restorative dental treatments

Restorative dentistry combines the three dental monospecialties of endodontics, prosthodontics and periodontics. Restorative consultants work within dental hospital environments and receive referrals from other dental specialties and general dental practitioners. They may provide a treatment planning service or provide shared care with the referring dentist. Restorative dentists manage complex cases that would be difficult to manage in general dental practice that include, but are not limited to:

Common types of dental restorations

Dental crowns

Dental crowns are tooth-colored restorations or metal restorations. [4] They replace the essential structures of a missing tooth caused by root canals, decay, or fractures. [5] Crowns also serve as full "caps" that restore normal tooth size, shape, and function.

Dental fillings

Dental fillings are often used to fill cavities or holes after root canal treatment. [6] They can also be used to restore worn teeth or fill gaps between teeth. [7] Fillings can be made of amalgam (a metal alloy) or materials such as composite resin and glass ionomer. [8] [9]

Sinus lift and bone grafting

Occasionally, a dentist may recommend dental implants for a patient, but that patient does not have enough upper jaw bone to accommodate a dental implant. In this case, the dentist will recommend a sinus lift. A sinus lift is a surgical procedure in which bone is grafted onto the upper jaw. [10] [11] The membrane of the maxillary sinus is lifted upward, making space for additional bone.

Veneers

Veneers are layers of dental resin or ceramic that are placed over existing teeth. [12] [13] As Dr. Aggarwal explains, veneers require "minimal removal of tooth structure" and provide an improved aesthetic appearance.

While the low invasiveness of veneers may be attractive, they are more susceptible to damage than other treatments because they are so fragile. In addition, veneers may require multiple sessions to be placed. They are also more expensive, and insurance may not cover their costs

Bridges

Bridges are used to replace one or more missing teeth by placing artificial teeth between two natural teeth using crowns as supports on either side - effectively "filling" the gap where natural teeth once were.

Guidelines for children and adolescents

In the United States, the American Academy of Pediatric Dentistry (AAPD) has published the following guidelines: [14]

Related Research Articles

<span class="mw-page-title-main">Dentistry</span> Branch of medicine

Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of the mouth, most commonly focused on dentition as well as the oral mucosa. Dentistry may also encompass other aspects of the craniofacial complex including the temporomandibular joint. The practitioner is called a dentist.

<span class="mw-page-title-main">Dentist</span> Health care occupations caring for the mouth and teeth

A dentist, also known as a dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.

Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of teeth, gums and/or bite. It primarily focuses on improvement in dental aesthetics in color, position, shape, size, alignment and overall smile appearance. Many dentists refer to themselves as "cosmetic dentists" regardless of their specific education, specialty, training, and experience in this field. This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association does not recognize cosmetic dentistry as a formal specialty area of dentistry. However, there are still dentists that promote themselves as cosmetic dentists.

<span class="mw-page-title-main">Endodontics</span> Field of dentistry which studies the interior tissue (pulp) of teeth

Endodontics is the dental specialty concerned with the study and treatment of the dental pulp.

Dental restoration, dental fillings, or simply fillings are treatments used to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as to the replacement of such structure supported by dental implants. They are of two broad types—direct and indirect—and are further classified by location and size. A root canal filling, for example, is a restorative technique used to fill the space where the dental pulp normally resides.

<span class="mw-page-title-main">Dental implant</span> Surgical component that interfaces with the bone of the jaw

A dental implant is a prosthesis that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, or facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biological process called osseointegration, in which materials such as titanium or zirconia form an intimate bond to the bone. The implant fixture is first placed so that it is likely to osseointegrate, then a dental prosthetic is added. A variable amount of healing time is required for osseointegration before either the dental prosthetic is attached to the implant or an abutment is placed which will hold a dental prosthetic or crown.

Oral and maxillofacial surgery is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the mouth, head and neck, and jaws, as well as facial plastic surgery including cleft lip and cleft palate surgery.

Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is the area of dentistry that focuses on dental prostheses. It is one of 12 dental specialties recognized by the American Dental Association (ADA), Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of Ireland, Royal College of Surgeons of Glasgow, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons. The ADA defines it as "the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth or oral and maxillofacial tissues using biocompatible substitutes."

Hypodontia is defined as the developmental absence of one or more teeth excluding the third molars. It is one of the most common dental anomalies, and can have a negative impact on function, and also appearance. It rarely occurs in primary teeth and the most commonly affected are the adult second premolars and the upper lateral incisors. It usually occurs as part of a syndrome that involves other abnormalities and requires multidisciplinary treatment.

<span class="mw-page-title-main">Dental extraction</span> Operation to remove a tooth

A dental extraction is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease, or dental trauma, especially when they are associated with toothache. Sometimes impacted wisdom teeth cause recurrent infections of the gum (pericoronitis), and may be removed when other conservative treatments have failed. In orthodontics, if the teeth are crowded, healthy teeth may be extracted to create space so the rest of the teeth can be straightened.

<span class="mw-page-title-main">UCLA School of Dentistry</span> Medical school in Los Angeles, California, United States

The UCLA School of Dentistry is the dental school of the University of California, Los Angeles (UCLA) located in the Center for Health Sciences building in the Westwood neighborhood of Los Angeles, California, United States. The school has several educational and training programs, conducts oral and dental health research, and offers affordable dental care at three locations: Westwood, Venice, and Inglewood. The school also participates in several outreach endeavors, including numerous health fairs during the year, STEM pipeline programs and provides dental care for underserved populations in the region. The School of Dentistry is considered among the nation's best research-intensive dental schools.

<span class="mw-page-title-main">Veneer (dentistry)</span> Layer of material placed over a tooth

In dentistry, a veneer is a layer of material placed over a tooth. Veneers can improve the aesthetics and function of a smile and protect the tooth's surface from damage.

An oral medicine or stomatology doctor/dentist has received additional specialized training and experience in the diagnosis and management of oral mucosal abnormalities including oral cancer, salivary gland disorders, temporomandibular disorders and facial pain, taste and smell disorders; and recognition of the oral manifestations of systemic and infectious diseases. It lies at the interface between medicine and dentistry. An oral medicine doctor is trained to diagnose and manage patients with disorders of the orofacial region.

A dental emergency is an issue involving the teeth and supporting tissues that are of high importance to be treated by the relevant professional. Dental emergencies do not always involve pain, although this is a common signal that something needs to be looked at. Pain can originate from the tooth, surrounding tissues or can have the sensation of originating in the teeth but be caused by an independent source. Depending on the type of pain experienced an experienced clinician can determine the likely cause and can treat the issue as each tissue type gives different messages in a dental emergency.

Special needs dentistry, also known as special care dentistry, is a dental specialty that deals with the oral health problems of geriatric patients, patients with intellectual disabilities, and patients with other medical, physical, or psychiatric issues.

<span class="mw-page-title-main">Pediatric dentistry</span> Branch of dentistry

Pediatric dentistry is the branch of dentistry dealing with children from birth through adolescence. The specialty of pediatric dentistry is recognized by the American Dental Association, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons.

In the United States and Canada, there are twelve recognized dental specialties in which some dentists choose to train and practice, in addition to or instead of general dentistry. In the United Kingdom and Australia, there are thirteen.

<span class="mw-page-title-main">Tooth pathology</span> Medical condition

Tooth pathology is any condition of the teeth that can be congenital or acquired. Sometimes a congenital tooth disease is called a tooth abnormality. These are among the most common diseases in humans The prevention, diagnosis, treatment and rehabilitation of these diseases are the base to the dentistry profession, in which are dentists and dental hygienists, and its sub-specialties, such as oral medicine, oral and maxillofacial surgery, and endodontics. Tooth pathology is usually separated from other types of dental issues, including enamel hypoplasia and tooth wear.

In the dental specialty of endodontics, periradicular surgery is surgery to the external root surface. Examples of periradicular surgery include apicoectomy, root resection, repair of root perforation or resorption defects, removal of broken fragments of the tooth or a filling material, and exploratory surgery to look for root fractures.

Tooth transplantation is mainly divided into two types:

References

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  14. Guideline on Restorative Dentistry (PDF) (Report). American Academy of Pediatric Dentistry. 2016.
  15. "Oral Health Policies and Recommendations". www.aapd.org. Retrieved 2024-04-08.