A Practical Approach to Operative Dentistry

Gordon B. Gray, Alaa H. Daud

• Publisher: Wiley-Blackwell
• Year: 2020
• ISBN:
  9781119608448
• Edition: 1
• Topic: Medicine
• Subtopic: Dentistry

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.

Section II
Intra‐Coronal Restorations

5
Pit and Fissure Caries

During the past three decades, the prevalence of dental caries in schoolchildren has fallen in Western Europe and in the USA. Despite this overall reduction in caries prevalence, there has been a reported increase in the proportion of pit and fissure lesions (see Figure 5.1). This is thought to reflect the protection afforded to smooth tooth surfaces by fluoride. Even in areas with a low concentration of fluoride in the water supply, the level of caries has fallen due to the increased use of fluoridated toothpastes. Occlusal caries have been shown to account for 83% of the total caries experience of children between the ages of 5 and 17 years, with the first permanent molar being the most frequent site of fissure caries. An appreciable number of pit and fissure caries have been found in the late teens and early twenties. This shows that fissure caries continue to develop throughout the teens and early twenties and are no longer restricted to the first few years following eruption. New lesions can develop at any age.

Figure 5.1 A section through a fissure with a toothbrush bristle superimposed.

Fissure morphology is a variable entity. Some fissures are little more than shallow grooves, whereas others can be deep invaginations that can almost reach the enamel dentine juncti...

Table of contents

• Cover
• Table of Contents
• A Practical Approach to Operative Dentistry
• Copyright
• Preface
• About the Companion Website
• Section I: Restorative Dentistry
• Section II: Intra‐Coronal Restorations
• Section III: Indirect Restorations
• Index
• End User License Agreement