Restorative Dentistry – Categories and Treatments
Restorative dentistry is described as the study, examination of treatment of the oral cavity, the teeth and other supporting structures. In short, restorative dentistry deals with everything that is in the mouth.
Restorative dentistry includes dental specialties like periodontics, endodontics, prosthodontics etc. The foundation of restorative dentistry is based on the various specialties interact in cases that need multifaceted care. Complexity is a character of restorative dentistry.
Restorative dentistry was first recognized as a specialty in U.K in 1973. training programs were started in 1976.
General categories in restorative dentistry
Oncology patients – intraoral cancer resections, obturators and post-radiotherapy management.
Developmental defects – cleft lip and palate, hypodontia, joint teeth, irregular teeth etc.
Trauma – severe trauma involving the dentoalveolar complex.
Miscellaneous – e.g. haemophilia, immunocompromised, organ transplant, infective endocarditis and those requiring intravenous antibiotic cover.
Patients who suffer from congenital facial clefts or major dental abnormalities need carefully planned and often complex treatment. In the past this used to be less than ideal because of the lack of adequate restorative advice and treatment. For example, patients who have congenital defects of the maxillofacial complex may receive surgical care in combination with orthodontic treatment, but later they be neglected in their restorative care, resulting in the negation of earlier treatment.
Oncology treatment for patients with a tumour of the head and neck can result in intra-oral defects that require carefully designed obturation to prevent deterioration of other dental structures and to establish satisfactory social rehabilitation of the patient.