Avoiding disasters in restorative dentistry by effective communication

Andrew James Paterson (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review


A definition of a restorative disaster is proposed. Reasons are discussed that contribute to restorative disasters that primarily focus on dentist factors within the dentist–patient relationship. For prevention of a restorative disaster in the failing dentition, the importance of effective communication, the use of an evidence-based approach and having clear consent processes are stressed. The negative consequences of an inability to say 'no', a reliance on experience and intuition in decision making, a simple misplaced desire to help and the creation of false hope are seen as factors in managing the failing dentition that may lead to restorative disaster. Using a clinical example, a broad strategy for effective management of a restorative disaster is discussed, which readers may find helpful to apply to similar situations that may occur on occasion in clinical practice. CPD/Clinical Relevance: This article is relevant to both generalists and specialists involved in the clinical management of heavily restored and failing dentitions, together with students who will be likely to face similar issues in the future.

Original languageEnglish
Pages (from-to)225-232
Number of pages8
JournalDental Update
Issue number3
Early online date18 Mar 2021
Publication statusPublished - Mar 2021

ASJC Scopus subject areas

  • General Dentistry


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