Pickards Manual of Operative Dentistry describes in a clear and structured manner, the causes of dental disease
Pickards Manual of Operative Dentistry is the ideal support, at all undergraduate levels, for dental undergraduates and dental care professionals (e.g. therapists) and will act as a solid reference for further post-graduate education.
It is nearly 50 years since the first edition of this book was published.
The continuing philosophy underpinning operative dentistry as initially proposed by Professor Pickard and continued under the authorship of Professors Kidd and Smith is as valid now as it was in 1962. This
philosophy has several strands, which are all inter-related.
• Dentists and dental care professionals primarily look after people with dental problems – not just mouths or teeth.
• An understanding of the disease processes is fundamental to their management.
• The diseases should be managed – not just treated.
• Prevention, patient motivation, and tailoring of dental care to their carefully assessed requirements is the keystone of management.
• When active treatment is needed, the choice of materials and techniques should be based on a thorough understanding of them and the advantages and disadvantages of the alternatives.
• Once operative intervention is called for, science, technology, and good, old-fashioned craft skills should deliver a standard of care with which the patient will be happy and the operator proud. However, although the practical and theoretical requirements should be apparent from reading this book, technical skills will only go so far: we still require excellent clinical teachers to inspire students and pass on their full knowledge of patient care. Practice can make perfect and operative dentistry is not a skill that is picked up overnight!
Operative dentistry is a continuously evolving discipline, and prefaces to previous editions have highlighted some of these changes. As an example, there is now no question that tooth-coloured restorative materials can be used in most operative treatments. This is not to say that the alternatives such as amalgam and gold are no longer effective or indicated, but that with careful use, modern materials are just as capable of producing durable and acceptable restorations. Indeed, the environmental issues surrounding amalgam will probably cause its demise rather than any direct patient-related factors. For this reason, the trend started in the seventh and eighth editions of this book has been continued with further downplaying of its clinical application.
Pickard is a ‘Manual of Operative Dentistry’: the intention is that this book contains the material a dental student or dental care professional needs to know (excluding endodontic and periodontal treatment) up to the point that laboratory-made restorations become necessary. In other words, students can learn to provide disease management and longterm stabilization, including permanent intra-coronal restorations and cores for crowns. In this edition, examples of practical techniques available have increased, especially attempting to produce clear descriptions of the implications of the interactions between restorative materials and tooth tissue. This cannot be achieved without increasing some of the theoretical background to the practice of operative dentistry, especially in underpinning disciplines such as dental histology, cariology, and dental materials science. As a result, we hope that this edition will be as applicable to the final year dental/dental care professional student (and graduate) as one about to embark on their first operative clinical skills course. In response to feedback from undergraduates and clinical teachers, we have changed the book’s format. It should be easier to extract information from the text as there are many more flowcharts, tables, heavily captioned and illustrated technique photographs, and ‘less words’. Almost uniquely, this textbook has got smaller with this new edition! Self-testing has also been introduced in each section, which may not be exhaustive but goes some way to challenge the reader to think about the clinical application of what they have just read.
Teachers of operative dentistry will recognize much in this book that has survived from previous editions. Without Bernard Smith and Edwina Kidd keeping this textbook at the forefront of the teaching in operative dentistry over the last 20 years, we would not have had the solid foundations on which to build this evolving textbook, capable of reflecting the current state of play in our discipline. We sincerely thank them for their support and encouragement over the years.
We wish to thank our many colleagues who have al lowed us to use their illustrations. They are acknowledged in the captions to the relevant figures together with a source of the original publication where applicable.