Restorative Dentistry: An Integrated Approach (2nd Edition)
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Restorative Dentistry: An Integrated Approach presents the core of knowledge that forms the basis of clinical practice in restorative dentistry.
The book contains a practical common-sense approach to clinical problems structured within the limitations imposed by the patient and the ability and facilities of the dentist. Subjects included in the book are Periodontology, Endodontics, Dental Biomaterials, Oral Biology and Pathology, and Fixed and Removable Prosthodontics. However Restorative Dentistry offers a somewhat unique approach in that it integrates the basic sciences that are fundamental to clinical practice rather than having separate sections or expecting readers to consult other texts for basic information. The integration means that there are not separate sections on the specialist subjects but aspects of these topics are distributed throughout.
This second edition is full colour throughout. It has been fully revised with two brand new chapters on Implantology bringing the book up to date with emerging technologies and developments in clinical procedures and materials.
X-rays from the specimen being studied and electron microprobe analysis of this nature allows chemical analysis to be made in various parts of the lesion. X-ray and electron crystallography have also featured in studies of caries. Microradiography Since carious lesions in both enamel and dentine are characterised by loss of mineral, microradiographs can be used to demonstrate changes of mineral density within the lesions. It is necessary to use a graduated step wedge in order that a standard may
liquids or very cold liquids are placed in contact with a carious lesion. The pain may only last as long as the stimulus is applied. Once the carious lesion has approached closely to the pulp the stimulus may be continuous and the reaction of the pulp will depend upon the duration and the intensity of this stimulus. Chronic inflammation If the lesion is progressing slowly towards the pulp then toxins and thermal stimulation may be of a low-grade nature and the result is chronic inflammation.
Shear Material Adhesive Tooth Fig. 9.7 85 Adhesion testing. The arrangement for the determination of tensile and shear bond strengths. Section II BLUK133-Jacobsen BLUK133-Jacobsen Section II 86 December 19, 2007 15:49 II. The Restoration and Its Environment For example, age or position of dentine in relation to the pulp will vary the mineral content of the specimen surface. The surface area for bonding must be carefully and accurately defined and the method must not contaminate
and are not representative of human intraoral conditions. December 19, 2007 15:49 9. Properties of Restorative Materials Conclusion The combination of laboratory tests, animal studies and clinical trials ought to provide the clinician with considerable valuable information on the likely behaviour of a material when it is placed in the mouth. 87 Unfortunately, this is not the case, since there are so many unquantifiable biological factors that influence clinical success. Not least of these
excavation. Here BLUK133-Jacobsen December 7, 2007 16:53 11. Management of the Deep Cavity 109 Unsupported enamel REMOVE E. D. J. caries REMOVE Necrotic debris REMOVE Infected dentine REMOVE Uninfected, stained dentine MAY BE LEFT Schematic diagram of the zones of a deep carious lesion. some of the lesion is removed, the cavity sealed and then in several months time, the cavity is opened and more of the lesion removed. The expectation is that in the intervening period, reparative