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Preparing teeth - decisions decisions

BDS 1981, MGDS RCS 1992, MSc 1994, MRD 1996, FDS RCS 2001

Professional Background:

Twelve years in NHS general dental practice as an associate, a principal and a VT Trainer.
Honorary Consultant at Barts and The London School of Medicine and Dentistry since 2003 in Restorative Dentistry and also registered Specialist in Restorative Dentistry & in Prosthodontics
Clinical Director Dentistry Barts Health and Clinical Lead in Restorative Dentistry
Senior Lecturer in Adult Oral Health QMUL
Regional Advisor for Dentistry (N Thames Region ) RCS Edinburgh
Course director for the Masters in Clinical Dentistry Prosthodontics which is a recognised training course for the monospecialty of Prosthodontics
Educational supervisor for specialist training in Prosthodontics Barts and The London
Clinical Interests: Fixed and removable prosthodontics (crowns , bridges, implants, dentures) , quality of performance, success and failure.

Research interests:

Aims:

To look at individual teeth in the arch and discuss the reality of different preparations on the health of the tooth.
To review the literature on retention and resistance form for preparations, and success/failure
To look at adhesive indirect restorations and their development
To decide on provision of Temporaries or Provisionals - When and why?

Objectives:

The participant will understand the consequence of tooth preparation for the remaining tooth structure.
To show that on some occasions crowns may shorten the useful life of teeth
To understand the importance of some features within tooth preparation that can improve success
To be able to guide your decision making process at the time of preparation.
To understand why Provisionalisation is a good option in some cases however small
To be able to guide your patients in informed consent
To introduce the concept of 'smart crowns'
To be able to think ahead for how these restorations can be maintained
To consider the public health costs of these options