During patient treatment, the clinician needs to consider the operator needs, the restoration needs, and the tooth needs. This article discusses molar access and failures of endodontically treated teeth that…
In the last 15 years, there has been an explosion of new technologies, instruments, and materials for nonsurgical and surgical endodontics. These developments have improved the precision with which endodontics…
Attaining local anesthesia for the treatment of teeth diagnosed with irreversible pulpitis (“hot” tooth) can be a challenge. This article looks at the strategies a dentist can use to help…
Imaging is an important clinical aid for the diagnosis of endodontic bone lesions. Traditional radiology performs more accurately than any other diagnostic tool. Computed tomography has been used for the…
This article focuses on glass-ionomer cement (GIC) and its role in the clinical management of caries. It begins with a brief description of GIC, the mechanism of fluoride release and…
This article reviews the evidence for saliva diagnostics and some antibacterial concepts with potential to interfere with the caries process. It concludes that there is incomplete evidence to evaluate the…
Studies have shown a growing trend toward increasing prevalence of dental erosion, associated with the declining prevalence of caries disease in industrialized countries. Erosion is an irreversible chemical process that…
Dental caries is a site-specific disease that undergoes many cycles of demineralization and remineralization during lesion development. Because of its developmental characteristics dynamics, the caries lesion can be arrested and…
There would appear to be little logic in the current practice of caries removal. Biologically, it would appear to be potentially damaging even to attempt to remove all infected dentin…
This article provides a state-of-the-art overview of clinically relevant evidence regarding effective, noninvasive management strategies to prevent, arrest, and remineralize caries lesions. With the rapidly increasing knowledge about oral biofilms…
The pathogenicity of the dental biofilm is modified by salivary and dietary factors, as well as by the characteristics of the tooth structure. The composition of the acquired pellicle can…
This article reviews the current methods for detection and assessment of caries lesions focusing on applicability for daily clinical practice. The end point is to arrive at a diagnosis for…
Dental plaque is the biofilm found naturally on teeth. Dental plaque is also implicated in dental caries, which is associated with shifts in the microbial balance of the biofilm resulting…
This introductory article provides an overview of the caries disease process that will help guide readers into the world of evidence-based caries management in the beginning of the twenty-first century…
Computer-controlled local anesthetic delivery (C-CLAD) devices and systems for intraosseous (IO) injection are important additions to the dental anesthesia armamentarium. C-CLAD using slow infusion rates can significantly reduce the discomfort…
Within the last 30 years, the role of dental hygienists has expanded to include the administration of local anesthesia. Several studies have been performed to assess practice characteristics and effectiveness…
Since the introduction of nonreusable, stainless steel dental local anesthetic needles, needle breakage has become an extremely rare complication of dental local anesthetic injections. But although rare, dental needle breakage…
Alterations to normal oral sensory function can occur following restorative and surgical dental procedures. Paresthesia is defined as an abnormal sensation, such as burning, pricking, tickling, or tingling. Paresthesias are…
Needle phobia has profound health, dental, societal, and legal implications, and severe psychological, social, and physiologic consequences. There is genetic evidence for the physiologic response to needle puncture, and a…
A clinically significant interaction between epinephrine or levonordefrin with nonselective beta-adrenergic blocking agents, although apparently rare in the dental setting, is potentially serious and can lead to significant hypertension with…
