title: Demolition experts: management of the parafunctional patient: 2. Restorative management strategies.
abstract: The second part of this paper discusses strategies for providing restorative dental care for the parafunctional patient. These include direct composite resin restorations, cast metal resin-retained restorations and dentine-bonded crowns, design features for porcelain fused to metal crowns and denture design. Specific features can help enhance predictability in the hostile environment of increased occlusal loading and parafunction.
  
  
  CONCLUSIONS
  Appropriate planning, design and execution of restorative procedures can reduce the chance of failure. Patients may have to accept a compromise between appearance and restoration survival/maintenance.
authors.affiliation: St George's Hospital, London.
authors.forename: Neil
authors.initials: N
authors.lastname: Poyser
authors.forename: Richard
authors.initials: R
authors.lastname: Porter
authors.forename: Peter
authors.initials: P
authors.lastname: Briggs
authors.forename: Martin
authors.initials: M
authors.lastname: Kelleher
mesh_terms: D000180:Acrylic Resins / Q000627:therapeutic use; D002012:Bruxism / Q000150:complications / Q000628:therapy*; D003188:Composite Resins / Q000627:therapeutic use; D003776:Dental Porcelain / Q000627:therapeutic use; D003793:Dental Restoration, Permanent / Q000379:methods*; D004955:Esthetics, Dental; D006801:Humans; D016876:Metal Ceramic Alloys; D011140:Polyurethanes / Q000627:therapeutic use; D014072:Tooth Abrasion / Q000628:therapy*; D014073:Tooth Bleaching / Q000379:methods
chemical_list: D000180:Acrylic Resins; C029012:Composite Dental Resin; D003188:Composite Resins; D016876:Metal Ceramic Alloys; D011140:Polyurethanes; D003776:Dental Porcelain