Josh Sharpling and Zo Ali

Josh Sharpling and Zo Ali

Author at Dentistry Online


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Prosthodontips – restoration of a lower second molar

This month’s prosthodontips is about a common clinical scenario that can very easily catch you out; restoration of a lower second molar. Access is difficult, isolation is difficult, and the lower second molars are very sensitive to changes in occlusion. For these reasons a simple treatment can quickly become complicated. Lower second molar case This … Continued

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Prosthodontips – resin-retained bridges: fun and predictable

In this month’s Prosthodontips, Josh and Zo take a closer look at RRBs and how to create a favourable long-term solution for a patient. Resin-retained bridges (RRBs) have been around for decades. However, despite the favourable evidence from long-term clinical studies, they have developed a rather undeserved reputation for failure. Perhaps this is because many … Continued

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Prosthodontips – what’s the solution to occlusion confusion?

In this month’s Prosthodontips, Josh Sharpling and Zo Ali explore the confusing area of occlusion, when problems occur and when to treat them. Is there any other topic in the dental world that carries such a mysterious quality as occlusion? There are many occlusal camps, each with their own dogmas. It is a minefield to … Continued

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Prosthodontips – implant salvage

In the Prosthodontips column this month, Josh Sharpling and Zohaib Ali discuss refurbishing an implant-retained bridge. As implant restorations become more and more common, the skill of refurbishing implant bridges (rather than replacing them) will become more and more valued by patients. I’ll discuss a case I completed recently and highlight my thought process. Implant … Continued

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Prosthodontips – unstuck: composites

This month Josh Sharpling and Zohaib Ali discuss the difficulties over choosing the correct composite material for your restorations. Composites have quickly become a mainstay of the restorative dentist’s arsenal over the past decade. With the phase out of amalgam in many countries and practices, there are lots of composite courses out there to help … Continued

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Prosthodontips – canine guidance or group function?

In this month’s Prosthodontips, Josh Sharpling and Zohaib Ali cover the thorny subject of occlusion and whether to restore by canine guidance or group function. In the last columns, we have discussed treatment options for rehabilitating patients with tooth wear. Today we are going to very lightly step into a huge dental topic, which can … Continued

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Prosthodontips – managing toothwear

Josh Sharpling and Zo Ali explore toothwear, why patients may seek treatment and the different ways clinicians can help. In the previous columns we introduced toothwear and how to recognise it. Diagnosis is closely followed by stabilisation using dietary modifications, optimising eating habits, appropriate oral hygiene practices and working with the patient’s GP. Along with … Continued

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Prosthodontips – toothwear

In this month’s Prosthodontips, Josh Sharpling and Zo Ali discuss toothwear, how to diagnose it and how to treat it. Toothwear, tooth surface loss, erosion, attrition, abrasion, abfraction. There are many ways to describe the non-carious loss of enamel and dentine (Figure 1). The terminology has evolved as our understanding of the microprocesses involved has … Continued

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Prosthodontips – digital dentistry in complex cases

In the first of a regular series, Josh Sharpling and Zo Ali give readers their prosthodontips. In the first column they discuss digital dentistry, or more specifically, CAD/CAM. Digital technology is now commonplace in dentistry including: Practice management software Patient tracking Radiographs Cameras. However, when most talk about ‘digital dentistry’, they mean the use of … Continued

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