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How an understanding of dental adhesives and tooth heterogeneity can enable restoration of missing tooth structure with direct composite resin

Speaker: Richard Foxton

Friday 31st March 2017 7pm


  • To recognize that caries-affected dentine, sclerotic dentine and sound dentine are very different structures
  • To understand the differences between the different adhesive systems
  • To understand why bonding strategies need to be changed depending on what type of dentine is being bonded to
  • To appreciate that adopting a “biological” approach to managing caries and tooth wear along with appropriate adhesive techniques/selection of direct composite resin maybe able to reduce the need for endodontics and delay the provision of extra-coronal restorations 


By the end of this presentation you should be able to appreciate that different bonding strategies may be required depending on the nature of the dentine you are adhering to. Moreover, through an understanding of modern caries management and an appreciation of the developments in direct composite resin it is hoped you can see how teeth can be restored and maintained with minimum additional loss of tooth structure.


Richard Foxton

Richard qualified from The University of Manchester in 1989. After completing a hospital post, he spent eight years as a general dental practitioner in Manchester. He completed his specialist training in Restorative Dentistry at Guy’s Hospital and obtained the Intercollegiate Speciality Fellowship examination in Restorative Dentistry in 2014. He is currently a Clinical Senior Lecturer in Restorative Dentistry at King’s College London Dental Institute and treats referred patients with worn/broken down dentitions, severe periodontal disease and for replacement of missing teeth with implant-retained restorations.