Coronectomy procedures are widely carried out in secondary care, involving the removal of the dental crown, while retaining the roots in situ. This paper defines and explains the rationale behind coronectomy. It also seeks to review the indications for referral of wisdom teeth, and how to identify high-risk wisdom teeth radiographically using two- and three-dimensional imaging. Using this information, this article aims to provide the practitioner with information on short- and long-term management of high-risk wisdom teeth and discusses coronectomy versus extraction. It also discusses the complications of coronectomy and the importance of adequate consent.
Composite build-ups are a widely used technique in Restorative Dentistry, typically for tooth wear cases. A patient who requires dental rehabilitation may have composite build-ups on anterior teeth in order to increase vertical dimension, improve appearance, and provide protection to their remaining teeth. This paper reviews the most commonly used methods to increase predictability of treatment, including their ease of use and to improve the aesthetic outcomes. CPD/Clinical Relevance: This article is clinically relevant in educating clinicians in the different methods of predictable composite build-ups for tooth wear cases.
Mandibular fractures are a common presentation to emergency departments in hospital. Although the majority of mandibular fractures are treated in secondary care, General Dental Practitioners (GDPs) should have the basic knowledge to be able to support fracture patients in practice, whether that is in an emergency situation, managing associated sequelae, or through post-operative recovery. CPD/Clinical Relevance: This article highlights the importance of management of trauma in a primary care setting by GDPs, including pre- and post-operative care of mandibular fractures.
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