Biomaterial Database

Reclaiming endodontics and reinventing restorative, part 2. 2010

David J Clark

drclark@microscopedentistry.com

As is the case in other paradigm shifts, the biggest impediment to progress in posterior composites may be simply an emotional one...the fear of change. The move away from boxy, retentive preparations is exciting. However, this transition will be difficult to achieve without dramatic changes in cavity design, matrixing, and filling techniques. "Halfway" techniques may lead to frustration and failure. And lest I forget, a microscope or high powered loupes is a cornerstone of tooth colored dentistry.

UI	MeSH Term	Description	Entries
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D003188	Composite Resins	Synthetic resins, containing an inert filler, that are widely used in dentistry.	Composite Resin,Resin, Composite,Resins, Composite
D003731	Dental Caries	Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp.	Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003737	Dental Cavity Preparation	An operation in which carious material is removed from teeth and biomechanically correct forms are established in the teeth to receive and retain restorations. A constant requirement is provision for prevention of failure of the restoration through recurrence of decay or inadequate resistance to applied stresses. (Boucher's Clinical Dental Terminology, 4th ed, p239-40)	Cavity Preparation, Dental,Cavity Preparations, Dental,Dental Cavity Preparations,Preparation, Dental Cavity,Preparations, Dental Cavity
D003793	Dental Restoration, Permanent	A restoration designed to remain in service for not less than 20 to 30 years, usually made of gold casting, cohesive gold, or amalgam. (Jablonski, Dictionary of Dentistry, 1992)	Dental Fillings, Permanent,Dental Filling, Permanent,Dental Permanent Filling,Dental Permanent Fillings,Dental Restorations, Permanent,Filling, Dental Permanent,Filling, Permanent Dental,Fillings, Dental Permanent,Fillings, Permanent Dental,Permanent Dental Filling,Permanent Dental Fillings,Permanent Dental Restoration,Permanent Dental Restorations,Permanent Filling, Dental,Permanent Fillings, Dental,Restoration, Permanent Dental,Restorations, Permanent Dental
D004708	Endodontics	A dental specialty concerned with the maintenance of the dental pulp in a state of health and the treatment of the pulp cavity (pulp chamber and pulp canal).	Endodontology
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016896	Treatment Outcome	Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.	Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D018772	Dental Marginal Adaptation	The degree of approximation or fit of filling material or dental prosthetic to the tooth surface. A close marginal adaptation and seal at the interface is important for successful dental restorations.	Adaptation, Marginal, Dental,Marginal Adaptation, Dental,Dental Internal Adaptation,Dental Internal Fit,Adaptation, Dental Internal,Adaptation, Dental Marginal,Adaptations, Dental Internal,Adaptations, Dental Marginal,Dental Internal Adaptations,Dental Internal Fits,Dental Marginal Adaptations,Fit, Dental Internal,Fits, Dental Internal,Internal Adaptation, Dental,Internal Adaptations, Dental,Internal Fit, Dental,Internal Fits, Dental,Marginal Adaptations, Dental