A new paradigm for operative dentistry.

Abstract:

:It is over 100 years since GV Black gathered together most of the knowledge then current on the caries process and set clear parameters for the discipline of operative dentistry. His four-volume treatise set standards that were relevant for the times and, in fact, were so well described that they remained dominant in this discipline until quite recently. However, over the last 50 years there has been great progress in scientific method and in knowledge of the common diseases of the oral environment, including the caries process, so maybe it is time for change. The term "paradigm" describes a philosophy of science, a generally accepted model of how ideas relate to one another, forming a conceptual framework within which scientific research is carried out. Black defined the paradigm within which further research was to be conducted during the following years and the profession accepted his lead. However, it is not expected that the parameters of a profession should remain unchanged over a substantial period so it is suggested that the dental profession should, at this time, recognize a new paradigm. Improvements in scientific method have led to a better understanding of the oral environment, resulting in extensive changes for this profession. It is suggested that the standards set by Black should be now consigned to history and an entirely new paradigm adopted. First, the profession must recognize that dental caries is a bacterial disease and its primary efforts should be directed towards identification and elimination of the disease prior to initiating repair of the damage that it has caused. Preservation of natural tooth structure is then the next responsibility. There should be maximum use made of preventive strategies, including remineralization, followed by minimal intervention cavity designs and the use of bioactive restorative materials to restore the lesions. The profession should be prepared to move on.

journal_name

Aust Dent J

authors

Mount GJ

doi

10.1111/j.1834-7819.2007.tb00500.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

264-70; quiz 342

issue

4

eissn

0045-0421

issn

1834-7819

journal_volume

52

pub_type

历史文章,杂志文章,评审
  • A late developing mandibular premolar supernumerary tooth.

    abstract::This paper presents a case of a patient who developed a mandibular premolar supernumerary tooth between the age of 11 and 20 years. Evidence for the late development of the supernumerary tooth comes from consecutive panoramic radiographs. A review of the international literature concerning late developing supernumerar...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1834-7819.2000.tb00263.x

    authors: Gibson N

    更新日期:2000-12-01 00:00:00

  • Influence of ultrasonic excitation and heat application on the microleakage of glass ionomer cements.

    abstract:BACKGROUND:The aim of this study was to assess the influence of externally applied 'command set' methods on the microleakage of several glass ionomer cements (GICs). METHODS:Four different restorative GICs were cured using three different methods: standard curing (SC), ultrasonic excitation (UC) and by an external hea...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.2012.01724.x

    authors: Gorseta K,Glavina D,Skrinjaric I

    更新日期:2012-12-01 00:00:00

  • Multiple supernumerary teeth. Case report.

    abstract::The presence of supernumerary teeth, although not uncommon, occurs usually in the premaxillary region. Furthermore, examples of multiple supernumerary teeth in one patient are rare. A case involving the presence of multiple supernumerary teeth in all quadrants in described. ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1998.tb00146.x

    authors: Hopcraft M

    更新日期:1998-02-01 00:00:00

  • Dentists' attitudes and practice regarding smoking.

    abstract::Dentists are a potentially valuable source of community education about the health effects surrounding tobacco use. The aims of this study were to provide Australian data on dentists' current practice regarding discussing smoking with patients, dentists' perceptions of the barriers to discussing smoking with patients ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1999.tb00535.x

    authors: Clover K,Hazell T,Stanbridge V,Sanson-Fisher R

    更新日期:1999-03-01 00:00:00

  • National Study of Adult Oral Health 2017-18: participation and representativeness.

    abstract::The National Study of Adult Oral Health (NSAOH) 2017-18 collected information from a sample of the Australian population aged 15 years and over. The Study comprised an interview questionnaire, completed by telephone or online, and an oral epidemiological examination among dentate participants. Participation in the Stu...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/adj.12759

    authors: Ellershaw A,Chrisopoulos S,Luzzi L

    更新日期:2020-06-01 00:00:00

  • The evolution of the complete denture base. Theories of complete denture retention--a review. Part 4.

    abstract::The history of denture base materials and the accompanying development of impression techniques are traced from the earliest times to the present day (Part 1) as a prelude to a study (Part 2-4) of the various theories that have been advanced to explain retention of the base without mechanical support. These theories a...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1834-7819.1993.tb04760.x

    authors: Murray MD,Darvell BW

    更新日期:1993-12-01 00:00:00

  • Prevalence, extent and severity of severe periodontal destruction in an urban Aboriginal and Torres Strait Islander population.

    abstract:BACKGROUND:The aim of this study was to document the three main indicators of severe periodontal destruction and to evaluate factors associated with those indicators in an urban Indigenous population in Australia. METHODS:A cross-sectional survey of a convenience sample of Aboriginal adults from an Australian urban ar...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/adj.12138

    authors: Roberts-Thomson KF,Do LG,Bartold PM,Daniels J,Grosse A,Meihubers S

    更新日期:2014-03-01 00:00:00

  • Life cycles of traumatized teeth: long-term observations from a cohort of dental trauma victims - series 2.

    abstract::In this the second of a series of life cycles of dental trauma victims, the short and particularly long-term responses of four survivors of either multiple luxation injuries or avulsions have been documented over periods varying up to 41 years. The development of ankylosis, either in the short or longer term post trau...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/adj.12430

    authors: Heithersay GS

    更新日期:2016-09-01 00:00:00

  • Developing a prototype for integrated dental and diabetes care: understanding needs and priorities.

    abstract:BACKGROUND:Periodontal treatment may be a useful adjunct to medical management of diabetes; however, oral health has not been integrated into multidisciplinary diabetes care in Australia. This study aimed to understand the needs of patients and staff at a diabetes clinic to inform a prototype of integrated dental and d...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/adj.12804

    authors: McGowan K,Phillips T,Gielis E,Dover T,Mitchell G,Mutch A,Sexton C,Sowa PM,Ivanovski S

    更新日期:2020-11-06 00:00:00

  • Diamond burs versus curettes in root planing: a randomized clinical trial.

    abstract:BACKGROUND:This study compares diamond burs and curettes by clinical, microbiological, biochemical and scanning electron microscopic parameters and treatment time data in the non-surgical periodontal treatment of patients with chronic periodontitis. METHODS:Two quadrants of each of the 12 patients received root planin...

    journal_title:Australian dental journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/adj.12602

    authors: Türktekin F,Buduneli N,Lappin DF,Türk T,Buduneli E

    更新日期:2018-06-01 00:00:00

  • Antibiotic prophylaxis for endocarditis: time to reconsider.

    abstract::Some cardiac conditions require antibiotic prophylaxis for some types of dental treatment to reduce the risk of infective endocarditis (IE). All medical and dental practitioners are familiar with this practice but tend to use different regimens in apparently similar circumstances. Generally, the trend has been to pres...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1834-7819.2005.tb00388.x

    authors: Singh J,Straznicky I,Avent M,Goss AN

    更新日期:2005-12-01 00:00:00

  • Caries experience in rural Victorian adolescents.

    abstract::An oral health status survey was conducted on 818 adolescents aged 12 to 16 years in a non-fluoridated area in rural Victoria. The prevalence and severity of dental caries experience was found to increase with age. The occlusal surface was the predominant surface affected by dental caries for all age groups. Filled su...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1995.tb04819.x

    authors: Soo YS,Morgan MV

    更新日期:1995-10-01 00:00:00

  • A cleaning protocol for rotary nickel-titanium endodontic instruments.

    abstract:BACKGROUND:The cleaning of endodontic and all dental instruments prior to sterilization is a prerequisite for their processing for re-use. This study aimed to develop a clinically practical cleaning protocol for rotary nickel-titanium (NiTi) endodontic files prior to sterilization. METHODS:Cleaning experiments were co...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.2004.tb00045.x

    authors: Parashos P,Linsuwanont P,Messer HH

    更新日期:2004-03-01 00:00:00

  • Dentofacial features of a family with Crouzon syndrome. Case reports.

    abstract::Crouzon syndrome is an autosomal dominant condition characterized by craniosynostosis with associated dentofacial anomalies. This paper describes the variable clinical features in affected individuals over two generations of a family with particular reference to the dentofacial deformities and discussion of management...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1997.tb00089.x

    authors: Singer SL,Walpole I,Brogan WF,Goldblatt J

    更新日期:1997-02-01 00:00:00

  • Strategies for the endodontic management of concurrent endodontic and periodontal diseases.

    abstract::Endodontic and periodontal diseases can provide many diagnostic and management challenges to clinicians, particularly when they occur concurrently. As with all diseases, a thorough history combined with comprehensive clinical and radiographic examinations are all required so an accurate diagnosis can be made. This is ...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1834-7819.2009.01145.x

    authors: Abbott PV,Salgado JC

    更新日期:2009-09-01 00:00:00

  • Malondialdehyde, superoxide dismutase and melatonin levels in gingival crevicular fluid of aggressive and chronic periodontitis patients.

    abstract:BACKGROUND:The aim of this study was to investigate malondialdehyde (MDA), superoxide dismutase (SOD) and melatonin levels in the gingival crevicular fluid (GCF) of patients with chronic periodontitis (CP) and generalized aggressive periodontitis (GAgP) as biomarkers for oxidative stress. METHODS:The study comprised 6...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/adj.12294

    authors: Ghallab NA,Hamdy E,Shaker OG

    更新日期:2016-03-01 00:00:00

  • The effect of post adaptation in the root canal on retention of posts cemented with various cements.

    abstract::This laboratory study compared the retention of prefabricated posts in well-fitting and loose-fitting post canals using different cement materials. Eighty-three human teeth were prepared for post placement. One of zinc phosphate cement, polycarboxylate cement, glass ionomer cement or resin cement was used to cement ea...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1993.tb05449.x

    authors: Chan FW,Harcourt JK,Brockhurst PJ

    更新日期:1993-02-01 00:00:00

  • Langerhans cell disease associated with pathological fracture of the mandible.

    abstract::A 27-year-old male suffered a fractured mandible following extraction of a tooth. It was subsequently found that the fracture occurred in an area pathologically weakened by a localized lesion of Langerhans cell disease. Since lesions of the jaws may be seen either as the first manifestation or as a complication of wid...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1991.tb04725.x

    authors: MacMillan AR,Oliver AJ,Radden BG,Lacy MF

    更新日期:1991-12-01 00:00:00

  • Resin bonding using an all-etch or self-etch adhesive to enamel after carbamide peroxide and/or CPP-ACP treatment.

    abstract:BACKGROUND:Limited evidence exists regarding the effect of carbamide peroxide and casein phosphopeptide amorphous calcium phosphate (CPP-ACP) on composite-enamel bonding. Microshear bond strengths, using either a total-etch or self-etching adhesive, to enamel treated with carbamide peroxide and/or CPP-ACP were investig...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.2007.tb00478.x

    authors: Moule CA,Angelis F,Kim GH,Le S,Malipatil S,Foo MS,Burrow MF,Thomas D

    更新日期:2007-06-01 00:00:00

  • Impression material consistency and peripheral tissues.

    abstract::The behaviour of three alginate impression materials was tested in vivo by sectioning the peripheries of a series of impressions in a standard manner and measuring the extension in three directions: buccal, lingual and into the depth of the sulcus. The three materials used reacted in accordance with their various cons...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1990.tb05879.x

    authors: Thomas CJ

    更新日期:1990-04-01 00:00:00

  • The needs of the homebound and institutionalized in South Australia, 1977.

    abstract::A survey of 1,658 homebound and institutionalized persons suggested that about 7,000 chronically ill South Australians may need dental care and that such treatment is currently unavailable to the great majority of them. ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1979.tb03618.x

    authors: Vowles NJ,Watson BI,Dahl BJ

    更新日期:1979-04-01 00:00:00

  • Comparison between published clinical success of direct resin composite restorations in vital posterior teeth in 1995-2005 and 2006-2016 periods.

    abstract::Composites are increasing in popularity as restorative materials. This growing role indicates the necessity of studies on their clinical outcome. In this study, clinical studies published on the performance of posterior composite restorations were included except those of less than a 24-month assessment period. Result...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/adj.12487

    authors: Alvanforoush N,Palamara J,Wong RH,Burrow MF

    更新日期:2017-06-01 00:00:00

  • An infected dentigerous cyst complicated by periostitis ossificans. Case report.

    abstract::Periostitis ossificans is a rare condition which has not been previously reported arising from an infected dentigerous cyst. This paper reports such a case in a twelve-year-old boy, and reviews the literature concerning periostitis ossificans. ...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1834-7819.1991.tb00722.x

    authors: Luyk NH,Hunter KM

    更新日期:1991-08-01 00:00:00

  • Sublingual hypoglossal neurilemmoma. Case report.

    abstract::Neurilemmomas of the peripheral segment of the hypoglossal nerve are extremely uncommon neoplasms. A rare case of hypoglossal neurilemmoma located in the sublingual space is reported and the differential diagnosis of sublingual mass lesions is discussed. ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1998.tb00179.x

    authors: Drevelengas A,Kalaitzoglou I,Lazaridis N

    更新日期:1998-10-01 00:00:00

  • Efficiency of mechanical trituration of amalgam I. Optimum capsule length.

    abstract::Using the performance criterion of "success time" it has been possible to investigate in detail the changing efficiency of the amalgamation process as both capsule length and amplitude of oscillation are varied. The most efficient amalgamation was obtained for a length:amplitude ratio between 0.5 and 1.3 over a range ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1980.tb03890.x

    authors: Darvell BW

    更新日期:1980-12-01 00:00:00

  • The effect of varnishes and other surface treatments on water movement across the glass ionomer cement surface. II.

    abstract::The aesthetic restorative glass ionomer cements undergo a rather prolonged setting reaction during which time they are susceptible to water uptake and water loss. If they can be maintained in isolation long enough in the oral cavity then the clinical result will be superior. A further series of surface treatments has ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1989.tb04641.x

    authors: Earl MS,Mount GJ,Hume WR

    更新日期:1989-08-01 00:00:00

  • Oral implants--the future.

    abstract::The current and future application of implants to support intra- and extra-oral prostheses is a function not primarily of a current or eventual future, e.g., implant surface configuration, treatment procedure or loading protocol. In contrast, it must be understood by a more complex conceptualization of the practical a...

    journal_title:Australian dental journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1834-7819.2008.00046.x

    authors: Jokstad A

    更新日期:2008-06-01 00:00:00

  • Idiopathic coronal radiolucencies in unerupted permanent teeth. Case reports.

    abstract::The discovery of a radiolucency within an unerupted tooth is a rare occurrence. One cause is external resorption. The clinical features, the histology, and the management of three cases are described. ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1991.tb00805.x

    authors: Singer S,Abbott PV,Booth DR

    更新日期:1991-02-01 00:00:00

  • Incorporation of the microencapsulated antimicrobial agent phytoncide into denture base resin.

    abstract:BACKGROUND:This study aimed to fabricate a denture base resin (DBR) containing phytoncide microcapsules (PTMCs) and determine the mechanical properties of the resin and antifungal activity. METHODS:Fifty-four heat-cured rectangular DBR specimens (64 × 10 × 3.3 ± 0.2 mm) containing nine concentrations of PTMC between 0...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/adj.12640

    authors: An S,Judge RB,Wong RH,Arzmi MH,Palamara JE,Dashper SG

    更新日期:2018-06-20 00:00:00

  • Localized alveolar ridge augmentation using a connective tissue graft. Case report.

    abstract::The restorative dentist is often faced with difficulties in overcoming functional, cosmetic, and cleansibility requirements when replacing teeth in areas of localized alveolar ridge resorption. A case report is presented highlighting a surgical technique to correct such an alveolar ridge deficit. ...

    journal_title:Australian dental journal

    pub_type: 杂志文章

    doi:10.1111/j.1834-7819.1990.tb03025.x

    authors: Kitchings SK

    更新日期:1990-02-01 00:00:00