Table Of ContentBDJ Clinician’s Guides
Robert Wassell · Francis Nohl
Jimmy Steele · Angus Walls Editors
Extra-Coronal
Restorations
Concepts and Clinical Application
Second Edition
BDJ Clinician’s Guides
More information about this series at http://www.springer.com/series/15753
Robert Wassell • Francis Nohl
Jimmy Steele • Angus Walls
Editors
Extra-Coronal Restorations
Concepts and Clinical Application
Second Edition
Editors
Robert Wassell Francis Nohl
Department of Restorative Dentistry Department of Restorative Dentistry
Newcastle University School of Newcastle University School of
Dental Sciences Dental Sciences
Newcastle upon Tyne Newcastle upon Tyne
UK UK
Jimmy Steele Angus Walls
Newcastle University School of Edinburgh Dental Institute
Dental Sciences Edinburgh
Newcastle upon Tyne UK
UK
ISSN 2523-3327 ISSN 2523-3335 (electronic)
BDJ Clinician’s Guides
ISBN 978-3-319-79092-3 ISBN 978-3-319-79093-0 (eBook)
https://doi.org/10.1007/978-3-319-79093-0
Library of Congress Control Number: 2018947640
© Springer International Publishing AG, part of Springer Nature 2019
This book has been previously published in 2002 by BDJ Books with the following title: A Clinical
Guide to Crowns and Other Extra-coronal Restorations.
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recita-
tion, broadcasting, reproduction on microfilms or in any other physical way, and transmission or infor-
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The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica-
tion does not imply, even in the absence of a specific statement, that such names are exempt from the
relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, express or implied, with respect to the material contained herein or for any errors
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in published maps and institutional affiliations.
Printed on acid-free paper
This Springer imprint is published by the registered company Springer International Publishing AG part
of Springer Nature.
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to the memory of our
special friend and colleague, Professor
Jimmy Steele, CBE, who sadly died in
November 2017. A remarkable man whose
skill, knowledge, and influence extended
across a wide range of dentistry and far
beyond. We are privileged to have had his
important contribution to both the first and
second editions of this book.
Preface
In 2002 the British Dental Journal published “Crowns and Other Extra-coronal
Restorations”, a landmark series of articles. This became a clinical guide defining
contemporary materials and techniques for restoring individual teeth. A major
update is now timely because of important developments and changes, for example
the significant shift to adhesive dentistry. So, to de-emphasise the wholesale use of
crowns, the title has changed simply to Extra-coronal Restorations. This new edi-
tion must also reflect the major advances in materials, including developments in
digital dentistry and in high strength ceramics.
A new team of authors give fresh insight into this intriguing area of dentistry.
They come from five UK university dental schools with their affiliated dental
hospitals, and research centres/ institutes. Consequently, all have considerable
knowledge, expertise, and experience in their chosen clinical fields. The editors are
the same gang of four from 2002. Now older, and hopefully wiser, they have
witnessed dentistry change across four decades.
The book is divided into five parts:
Part I: Evidence Based Extra-coronal Restorations
Part II: A Healthy Start
Part III: Managing Future Risk
Part IV: Materials and Aesthetics
Part V: Planning and Provision of Extra-coronal Restorations
Parts I–IV provide an evidence base for providing extra-coronal restorations with
a reliable clinical performance while Part V is a practical guide to the relevant
procedures.
To ensure restorations are successful we emphasise “A Healthy Start” and
“Managing Future Risk”, subjects often covered superficially or not at all in other
operative texts. Within the parts there are new chapters covering periodontal aspects
of restoration, tooth surface loss, implant crowns, and methods of adapting crowns
to existing partial dentures. In line with modern dental education, each chapter starts
vii
viii Preface
with clinically relevant learning points. In addition, clinical tips make the book suit-
able for senior dental undergraduates, postgraduates, and practicing dentists. Given
the book’s tight focus, its scientific content should also be of interest to dental
academics.
Robert Wassell
Francis Nohl
Newcastle upon Tyne, UK Jimmy Steele
Edinburgh, UK Angus Walls
Acknowledgements
Thanks are due to the editors of the British Dental Journal and the former publica-
tion house, BDJ Books, for supporting the complete restructuring and rewriting of
this book.
Dr. Amar Naru, who is both a highly skilled dentist and renowned professional
artist, has drawn most of our diagrams. They elegantly and without fuss depict a
mine of information.
Distinguished clinicians have provided clinical cases: Matthew Brennand-Roper,
Edinburgh; Margret Corson, Newcastle; Marco Ferrari, Siena; Matthew Garnett,
Newcastle; Konrad Staines, Bristol; and the late Eoin Smart, Newcastle. These con-
tributions are acknowledged in the legends of individual figures. The authors have
also shared their images in unstinting support of the book.
Stuart Graham Scott and Mark Pickersgill from Newcastle Dental Hospital pro-
vided valuable laboratory material and images. Special thanks to Jan Howarth for
her patience, help, and photographic expertise. Thanks also to Krishna Bhatia,
Edinburgh Dental Institute, and to Smileline SA, Switzerland, for providing photo-
graphic images.
We are grateful to Elsevier for allowing us to publish under licence Fig. 2.5 in
Chap. 2.
The editors are indebted to all the authors for waiving royalty payments in favour
of the British Dental Association Benevolent Fund.
ix
Contents
Part I Evidence Based Extra-coronal Restorations
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Jimmy Steele and Robert Wassell
2 Clinical Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Claire Field, Heidi Bateman, Richard Holliday, and Robert Wassell
Part II A Healthy Start
3 Caries Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Heidi Bateman, Angus Walls, and Robert Wassell
4 Periodontal Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Arindam Dutta, Louise O’Dowd, Angus Walls, and Robert Wassell
5 Endodontic Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Simon Stone, John Whitworth, and Robert Wassell
6 Recognising Tooth Surface Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
James Field, Angus Walls, Jimmy Steele, and Robert Wassell
7 Immunological Reactions to Materials . . . . . . . . . . . . . . . . . . . . . . . . . 75
Simon Stone, Jimmy Steele, and Robert Wassell
8 Temporomandibular Disorders and Occlusal Disease . . . . . . . . . . . . . 83
Pamela Yule, Jimmy Steele, and Robert Wassell
Part III Managing Future Risk
9 Preserving Pulp Vitality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Simon Stone, John Whitworth, and Robert Wassell
10 Periodontal Considerations and Surgical Options . . . . . . . . . . . . . . . 99
Louise O’Dowd, Arindam Dutta, Angus Walls, and Robert Wassell
xi
Description:This book is a state of the art clinical guide to contemporary materials and techniques for the restoration of individual teeth and implants. It fully reflects the important developments in the field over the past 15 years, including in particular the shift away from wholesale use of crowns towards