Preservation and Restoration of Tooth Structure

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Combining the approaches of preventative and restorative dentistry, this is a revised and updated guide to the clinical techniques and procedures necessary for managing tooth disorders and disease. * Introduces minimally invasive dentistry as a model to control dental disease and then restore the mouth to optimal form, function, and aesthetics * Contains several student-friendly features, including a new layout, line drawings and clinical photographs to illustrate key concepts * Covers fundamental topics, including the evolutionary biology of the human oral environment; caries management and risk assessment; remineralization; principles of cavity design; lifestyle factors; choices between restorative materials and restoration management * Includes a companion website with self-assessment exercises for students and a downloadable image bank for instructors


Graham J. Mount is a Visiting Research Fellow at the School of Dentistry, University of Adelaide, Australia and has a lifetime track record of promoting and delivering advances in the quality of patient care in areas related to both prevention and tooth restoration.

Wyatt R. Hume is a Senior Consultant with the Academy for Academic Leadership in Atlanta, former Professor and Chair of Restorative Dentistry at the University of California, San Francisco and former Dean of the School of Dentistry, University of California, Los Angeles, USA.

Hien C. Ngo is Professor and Dean of the School of Dentistry, University of Sharjah, United Arab Emirates.

Mark S. Wolff is Professor and Chair of the Department of Cariology and Comprehensive Care and Associate Dean for Pre-doctoral Clinical Education at the New York University College of Dentistry, USA.


Contributors, vii

Acknowledgments, ix

About the Companion Website, xi

Introduction, xiii

1 The Oral Environment and the Main Causes of Tooth Structure Loss, 1
J. Kaidonis, G.C. Townsend, J. McIntyre, L.C. Richards, and W.R. Hume

2 Dental Caries: Management of Early Lesions and the Disease Process, 23
G.J. Mount, H.C. Ngo, W.R. Hume, and M.S. Wolff

3 Dental Caries: Activity and Risk Assessment as a Logical and Effective Path to Both Prevention and Cure, 33
H.C. Ngo, M.S. Wolff and W.R. Hume

4 NonCarious Tooth Structure Loss: Diagnosis, Risk and Activity Assessment and Clinical Management, 51
J. Kaidonis, L.C. Richards, G.C. Townsend and G.S. Heithersay

5 Aids to Remineralization, 67
M. Fontana, L.J. Walsh, B.T. Amaechi and H.C. Ngo

6 Systems for Classifying Defects of the Exposed Tooth Surface, 81
G.J. Mount, W.R. Hume, H.C. Ngo and M.S. Wolff

7 Principles of Cavity Design for the Restoration of Advanced Lesions, 87
G.J. Mount and H.C. Ngo

8 Instruments Used in Cavity Preparation, 117
G.J. Mount, L.J. Walsh and A.M. Brostek

9 GlassIonomer Materials, 139
G.J. Mount and H.C. Ngo

10 ResinBased Composite Restorative Materials, 169
A.U.J. Yap, J.C.L. Neo, V. Thompson and M.S. Wolff

11 Silver Amalgam, 181
G.J. Mount and H.C. Ngo

12 Pulpal Responses, Pulp Protection and Pulp Therapy, 193
W.R. Hume, W.L.K. Massey, G.J. Mount and G.S. Heithersay

13 Choosing Between Restoration Modalities, 213
G.J. Mount, M.S. Wolff and H.C. Ngo

14 Caries in Young Children: Special Considerations in Aetiology and Management, 223
W.K. Seow and H.C. Ngo

15 Oral Care of Older People, 235
A.W.G. Walls and I.A. Pretty

16 Lifestyle Factors Affecting Tooth Structure Loss, 245
L.J. Walsh and P.J. Ford

17 Periodontal Considerations in Tooth Restoration, 265
G.J. Mount

18 Occlusion as It Relates to Restoration of Individual Teeth, 277
G.J. Mount

19 Failures of Individual Restorations and Their Management, 289
G.J. Mount

Index, 299

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Preservation and Restoration of Tooth Structure
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