What is Polycystic Ovarian Syndrome (PCOS)? When young women experience infrequent or irregular menstrual cycles, it is quite common for them to receive a diagnosis of PCOS from their physician. PCOS affects 4-21% of reproductive age women and is the leading cause of anovulatory infertility.1,2 The most commonly used diagnostic criteria states that women with … Read more
Crosscheck complete. Ready for departure from one of the most remarkable adventures I’ve had the privilege of embarking on. I’m faced with the incredibly challenging task of describing what seems to be an indescribable dream; a blur of circumstances sous vide in emotions that I had forgotten I was capable of feeling. Hold your hands … Read more
With the ball drop at midnight and the off-key vocals of “Auld Lang Syne” bidding farewell to 2019, we enter a time of both reflection on what the previous year brought, as well as turning our sights to the future bringing new growth, new challenges and new opportunities. As we enter the year 2020 and, … Read more
Have you ever said to a client during their dental hygiene appointment, “oh there is just a little bit of bleeding”? Overall, giving the client the impression, this is expected, normal, or really not something to be overly concerned with. ⠀ Throughout my career I have seen communication strategies of active inflammation evolve, and now … Read more
Introduction Modern implant dentistry has been shown to yield excellent well-documented long-term results, with 10-year success and survival rates above 95%.1 Dentists now have the choice of using an array of preoperative planning tools, both conventional and computer-aided, to help them assess potential rehabilitative treatment solutions for their patients. Diagnostic wax-ups have been a critical … Read more
It has been eight years since we published our Supportive Periodontal Implant Maintenance Protocol1 which has been shared and implemented in dental practices and hygiene colleges across the globe. With the exciting new periodontal and peri-implant classifications published simultaneously by the American Academy of Periodontology and European Federation of Periodontology, we felt it was necessary … Read more
In 2017, the world of periodontology was redefined with significant updates to the classification system for periodontal and peri-implant disease. The work of more than 170 leading clinicians, scientists, and educators from around the globe culminated in the publication of 17 articles and four consensus statements summarizing a contemporary, evidence-based and clinically relevant system. This … Read more
Abstract Treatment of external resorption lesions, even without communication with the root canal space, has historically and continues to present challenging situations for general practitioners diagnosing these cases, as well as the specialists expected to treat them. This case report describes a multi-disciplinary approach performed on a maxillary lateral incisor (tooth #22), using a Er,Cr:YSGG 2780nm laser and 940nm diode laser … Read more
Abstract The existence and preservation of attached keratinized gingiva around natural teeth and dental implants plays an important role in periodontal1 and peri-implant health.46,47 This paper describes a novel surgical technique that addresses multiple adjacent Miller class II and III recession defects5 in a predictable one staged surgical procedure. The goal of treatment is to improve esthetic outcomes, gain clinical attachment … Read more
Dentistry in the VUCA World It is clear that these are turbulent times. From geopolitical instability, threats of war and terrorism, shifting political alliances to resource scarcity and climate change, rising inequality and loss of confidence in information in the world is very different from 15 years ago. This is further catalyzed by technological changes … Read more
Introduction Over the past two decades, surgeons have shown an increased interest in mucogingival procedures to rehabilitate soft tissues around both teeth and implants, in an attempt to master our shared domain of the oral apparatus.1 A variety of techniques and materials have been studied, and sufficient high-level research exists to guide us in selecting … Read more
I have been placing and restoring dental implants for over 25 years and was intrigued by an article by J. Derks et al. “Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis” JDR January 1, 2016, 95: 43-49. A copy of this article was sent to all dentists in Ontario, Canada, by the … Read more
In recent years, measures of success in implantology have significantly changed. Due to the fact that we have assumed functionality of implants as a result of improved osseointegration parameters, the main focus now lies on aesthetic and long-term stable rehabilitation. The imitation of ‘natural’ is the biggest concern and the goal in modern implant dentistry.1 … Read more
PERIODONTITIS AND OXIDATIVE STRESS Periodontitis is a chronic inflammatory disease caused by our body’s immune response to pathogenic bacteria. Periodontitis results in a loss of connective tissue and alveolar bone supporting the teeth and when left untreated, will often result in tooth mobility, pain, swelling and the eventual loss of the involved teeth. The destruction … Read more
The presence of a “gummy smile” can be bothersome for patients and clinicians alike. Approximately, 10% of patients have excessive gingival display when smiling with its presentation more common in women than men (Tjan et al., 1984; Silberberg, 2009). Ideally, when an individual smiles, the gingival display of the maxillary anterior teeth should not exceed … Read more
I was perusing the exhibit floor at a major meeting I usually attend yearly and stopped by a booth prompted by an advertisement that caught my attention. A refinement of a long established technique that was supposed to solve all the problems associated with what we all know to be an issue. Learn the technique and … Read more
Weighting over 400 kilograms, the Galápagos tortoise1 lumbers slowly above the lush grass, grabs the Azolla (mosquito, duckweed, water-fern and fairy moss) with its fully edentulous jaws (yes that’s right – no teeth for these creatures), squishes out the moisture and swallows the bolus to be slowly digested. Although Charles Darwin had a more-detailed explanation … Read more
Discover the power of the right words……. The vocabulary you use plays a powerful role in whether your patients choose to accept the treatment they need. In Transitions Group’s experience with coaching hundreds of dental practices across North America, we have found these key phrases to be very valuable: We now know … Latest research … Read more
A new study reports that among American individuals newly diagnosed with type 2 diabetes, a periodontal intervention is associated with lower total healthcare costs (-$1799), lower total medical costs excluding pharmacy costs (-$1577), and lower total type 2 diabetes-related healthcare costs (-$408). The study will be published in the next quarter so details are not … Read more
In his popular new book “Happy Gut,” Dr. Vincent Pedre argues that chronic health problems can often be traced to the digestive system and fixed by changing the microbes in our gut. An upset digestive system is, according to Dr. Pedre, an imbalance between the good and bad bugs in the gut, including bacteria, yeasts … Read more