Dental Update Study Day at BDIA Dental Showcase 2019


The Dental Update Study Day will again be an integral part of the educational offering at this year’s BDIA Dental Showcase.

Dental Update is the leading peer-reviewed subscription journal in the UK, its high quality content has for more than 40 years educated readers with practical articles of direct relevance to general dental practice. The study day provides the same quality content through a number of presentations by published Dental Update authors.

The full-day event is hosted by Professor Trevor Burke, a professor of primary dental care at the University of Birmingham and editorial director of Dental Update, and the programme includes presentations from specifically selected authors of papers from the 2019 special issue on composites published in April.

The first presentation of the day is from Richard Field, a general dental practitioner who has practices in London and Bristol.

Richard’s talk is based on his article ‘Aesthetic Management of White Lesions in the Permanent Dentition’. Tooth whitening to treat unaesthetic yellow/brown lesions has a strong evidence base and is a routine cosmetic procedure in many dental practices. The management of white lesions, however, is more challenging and is the subject of debate. As traditional whitening procedures may make white lesions more obvious in the short term, there is a risk that patients may be misinformed that limited treatment options are available, and they may be prescribed invasive cosmetic procedures instead. Richard’s talk will help clinicians accurately diagnose aetiological factors that produce white lesions and describes a hierarchy of treatment options which are both aesthetic and biologically respectful, focusing on the materials, equipment and clinical techniques that are available for the minimally invasive management of white spot lesions using resin infiltration.

The second presentation in this year’s Dental Update Study Day is by Louis Mackenzie. Louis is a clinical lecturer at the University of Birmingham and works in general dental practice, he was also a driving force behind the special composite issue of Dental Update. His talk is entitled ‘Posterior Composites: An Update’. The restoration of damaged teeth using direct composite materials is an integral component of contemporary dental practice. Resin-based materials are now routinely used to solve a wide range of restorative problems from the minimally invasive management of early carious lesions to the total restoration of severely worn dentitions. There is a wide variation in the teaching and practice of posterior composite techniques worldwide and Louis’ talk aims to provide an evidence based update designed to help clinical teams equip practices with suitable materials and equipment and optimise all clinical stages of posterior composite procedures.

After a short break the study day’s host Trevor Burke will give his own presentation on resin luting materials. Luting materials are a central component of indirect dentistry, with the most recently introduced types being resin-based materials. These may be classified into conventional resin luting materials, self-adhesive resin luting materials and ‘smart’ resin luting materials. Their physical properties have been found to be good, with no risk of dissolution in the dilute organic acids found in plaque, such as occurs with phosphate and glass ionomer cements. Uses of resin luting materials include the luring of any indirect restoration, but these materials have facilitated the development of the resinretained bridge and aesthetic ceramic or composite restorations, notwithstanding the fact that they may provide, for the first time, truly adhesive luting of crowns and inlays.

After lunch the study day continues with a presentation from Andrew Chandrapal. Andrew is a general dental practitioner with a practice in Bourne End, and a past-president of the British Academy of Cosmetic Dentistry, and his talk is entitled ‘Restoration of Anterior Teeth Using Polychromatic Layering Techniques’. The philosophy and procedure of functionally guided anterior restorations is not a new one. the concept does, however, require small points of explanation and detail that the general dental practitioner needs to consider in order to secure success in such restorations. Andrew’s presentation aims to explore, identify and explain such details with application of a clinical case carried out in general practice.

The penultimate talk of the afternoon is given by Jansie van Rensburg, a general dental practitioner currently working in Ashford, Kent. His talk is entitled ‘Fibre-reinforced Composite Splint – Step by Step Instructions’. Tooth mobility is commonly seen in general dental practice, usually resulting from chronic periodontitis. A fibre reinforced composite splint may be used to treat mobile teeth successfully. Jansie’s presentation will concentrate on the precise steps on how to place such a periodontal splint. Minimally invasive options should always be considered. In long-term maintenance of periodontally involved teeth where the active disease is under control, the periodontal splint can be very helpful as part of a comprehensive periodontal treatment plan.

The final presentation of the 2019 Dental Update Study Day will be given by general dental practitioner and former clinical lecturer Dipesh Parmar. His talk is entitled ‘Minimally Invasive Direct Restoration of Worn Teeth’. Historically, patients presenting with tooth wear were commonly managed with partial or full coverage cement retained indirect restorations according to traditional restorative protocols. Conventional rehabilitations are biologically and financially expensive, time consuming and rely heavily on precise laboratory collaboration. Recent advances in adhesive technology and materials have enabled direct composite resin to be used as a minimally invasive alternative in the management of non-carious tooth tissue loss. As extensive direct composite restorations remain technique sensitive and can be time consuming, Dipesh’s presentation will describe an innovative, simplified placement technique that uses a progressive diagnostic wax-up, transparent silicone templates and heated composite