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A change in mindset is required, extending to regulatory bodies – it is of note that the current General Dental Council's (GDC's) examination for the registration of overseas trained dentists (the 'ORE') includes a test of competence in preparing a Class II amalgam cavity preparation in a posterior tooth rather than a minimally invasive occlusoproximal preparation in which the clinical service of a composite restoration will be optimal. 29 In fairness to those working in contemporary general dental practice in the UK, there is a recognition that they operate under significant pressures, not least of which are current NHS funding arrangements. 12 For example, a recent publication reported how the current NHS contract does not always encourage 'ideal' treatments for the replacement of missing teeth, with many patients being offered acrylic removable partial dentures instead of bridgework. 30 In the same way that a partial denture, although capable of resolving the immediate problem, may be found to have more medium to long-term negative effects that bridgework, an amalgam restoration should increasingly be viewed as a less favourable solution than a minimally interventive posterior composite, notwithstanding the greater acceptance of a tooth coloured restoration by, in particular, younger patients.

Pages: 501

Publisher: Headline Book Publishing (July 1994)

ISBN: 0747242399

The Penguin Henry Lawson: Short Stories

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Download Night of the Bear/a Mission of Mercy Through a Nightmare of Ice and Fire pdf

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Truth about Celia Frost

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