Trevor Burke, DDS, MSc, MDS, MGDS, FDS RCS (Edin), FDS RCS (Eng.), FFGDP(UK), FADM
Trevor Burke graduated from Queens University in Belfast, and, following academic appointments in Belfast and Manchester, he worked in general dental practice in Manchester for 22 years, whilst also working in the of Restorative Dentistry at the University of Manchester. He has been Professor of Primary Dental Care at the University of Birmingham and Honorary Consultant in Restorative Dentistry since 2000.
Trevor is (co)author of 360 papers in peer-reviewed journals and three books. He has been awarded over 80 research grants. His main research interests include properties and applications of tooth-colored restorative materials, and the translation of in vitro research on dental materials into the clinical situation. In this regard, he co-ordinates the work of the PREP (Product Research and Evaluation by Practitioners) Panel, established in 1993, a group of dentists who carry out research in their practices. This group, which has now completed over 70 evaluations of materials and techniques, presently has 31 members. He is also the Editorial Director of the journal, Dental Update. Trevor’s time at the University is mainly spent being Director of the Masters course in Advanced General Dental Practice, this having been established 15 years ago as a campus-based course, and which is now a Distance course designed to suit the busy lives of dental practitioners anywhere in the world.
Satisfactory survival of restorations is central to patient contentment and successful practice, given that unmet expectations may lead the patient to seek the advice of a lawyer. Information on how to prolong restoration longevity is therefore of potential value to clinicians and their patients, and, in that regard, looking at past data can provide a pointer for how restorations might perform in the future. In addition, there is a relationship between the type of restoration placed and the lifespan of the restored tooth.
This presentation will therefore explore factors which may affect restoration survival, such as choice of material, quality of the material used, plus a wide variety of tooth, patient and clinician factors. The results for survival will be taken from clinical evaluations carried out in general dental practice on resin composite restorations on posterior teeth, and resin composite restorations in anterior teeth used in treatment of tooth wear (including how to achieve a satisfactory bond to tooth substance using the latest dentine bonding agents). The value of Kaplan Meier statistical analysis of the world’s largest dataset (13 million restorations followed for 16 years) for restoration longevity will also be explored, as this facilitates examination of the survival of, not only restorations, but also survival of the restored tooth (which arguably is more important). This analysis will cover direct restorations in amalgam, composite and glass ionomer, and compare their performance with those of crowns, with results which might surprise some attendees!
Aims and Objectives
Following attendance on this course, delegates should:
- Be aware of value of choosing the correct, high-quality material for a given clinical situation
- Be aware of the latest information on bonding to dentine and survival of resin composite materials, including bulk fill
- Have a modest awareness of what Kaplan Meier statistical analysis is about
- Know the clinical situations when a crown (as opposed to a direct-placement restoration) might adversely affect the survival of the restored tooth
- Be aware of the patient and dentist factors which may affect the survival of restorations and the restored tooth.
- Be aware that longevity of the restored tooth, as opposed to merely the survival of the restoration, is most important.
This presentation is intended to brief attendees on the factors involved in maximising the survival of restorations and restored teeth. GDC development outcomes C and D.